629. Worldwide trends in diabetes prevalence and treatment from 1990 to 2022: a pooled analysis of 1108 population-representative studies with 141 million participants.
Diabetes can be detected at the primary health-care level, and effective treatments lower the risk of complications. There are insufficient data on the coverage of treatment for diabetes and how it has changed. We estimated trends from 1990 to 2022 in diabetes prevalence and treatment for 200 countries and territories.
630. Passive anti-amyloid β immunotherapy in Alzheimer's disease-opportunities and challenges.
With the advent of the first disease-modifying, anti-amyloid β-directed passive immunotherapy for Alzheimer's disease, questions arise who, when, and how to treat. This paper describes shortly the pathogenic basis of and preclinical data, which have, more than two decades ago, initiated the development of this vaccination therapy. We discuss clinical trial results of aducanumab, lecanemab, and donanemab. We also review appropriate use recommendations of these novel treatments on patient selection and safety monitoring. Furthermore, estimations of numbers of patient who will qualify for treatment regarding inclusion and exclusion criteria and estimations on readiness of health-care systems for identifying the right patients and for providing the treatment are reported. In our view, we are experiencing a fundamental shift from syndrome-based Alzheimer's dementia care to early, biomarker-guided treatment of Alzheimer's disease. This shift requires substantial adjustments of infrastructure and resources, but also holds promise of eventually achieving substantial slowing of disease progression and delaying dementia.
632. Safety and efficacy of pembrolizumab, radiation therapy, and surgery versus radiation therapy and surgery for stage III soft tissue sarcoma of the extremity (SU2C-SARC032): an open-label, randomised clinical trial.
作者: Yvonne M Mowery.;Karla V Ballman.;Angela M Hong.;Scott M Schuetze.;Andrew J Wagner.;Varun Monga.;Rachel S Heise.;Steven Attia.;Edwin Choy.;Melissa A Burgess.;Susie Bae.;David I Pryor.;Brian A Van Tine.;Gabriel Tinoco.;Bartosz Chmielowski.;Carolyn Freeman.;Alessandro Gronchi.;Christian F Meyer.;Mark A Dickson.;Lee Hartner.;Lara E Davis.;Benjamin C Powers.;Everett J Moding.;Kent J Weinhold.;Matt van de Rijn.;Brian E Brigman.;Richard F Riedel.;David G Kirsch.
来源: Lancet. 2024年404卷10467期2053-2064页
Approximately half of patients with localised, high-risk soft tissue sarcoma of the extremity develop metastases. We aimed to assess whether the addition of pembrolizumab to preoperative radiotherapy and surgery would improve disease-free survival.
635. Traditional Chinese medicine FYTF-919 (Zhongfeng Xingnao oral prescription) for the treatment of acute intracerebral haemorrhage: a multicentre, randomised, placebo-controlled, double-blind, clinical trial.
作者: Jianwen Guo.;Xiaoying Chen.;Manli Wu.;Dou Wang.;Yang Zhao.;Qiang Li.;Guanghai Tang.;Fengyuan Che.;Zhangyong Xia.;Zai Liang.;Liu Shi.;Qiuhua Jiang.;Yajie Chen.;Xiaoqiu Liu.;Xinwen Ren.;Menglu Ouyang.;Borui Wang.;Shoujiang You.;Laurent Billot.;Xia Wang.;Zhenchuan Liu.;Hongyan Jing.;Wei Meng.;Song Tian.;Enzhi Liu.;Yong Xiang.;Xiaoping Tang.;Tingting Xie.;Wanzhen Cui.;Yanwen Zheng.;Jiamin Cao.;Jingbei Zhang.;Zehuai Wen.;Tao Huang.;Lixin Wang.;Chao You.;Suyue Pan.;Yefeng Cai.;Yun Lu.;Graeme J Hankey.;Rustam Al-Shahi Salman.;Craig S Anderson.;Lili Song.; .
来源: Lancet. 2024年404卷10468期2187-2196页
There are few proven treatments for acute spontaneous intracerebral haemorrhage, and they all target reducing expansion of the haematoma. The traditional Chinese medicine FYTF-919 (Zhongfeng Xingnao) in an oral solution is comprised of several Chinese herbs that are widely used to treat patients with intracerebral haemorrhage in China on the understanding that they enhance resorption of the haematoma and reduce neuroinflammation. We aimed to provide a reliable assessment of the safety and efficacy of FYTF-919 in patients with moderate to severe acute intracerebral haemorrhage.
638. Mobilising the health community to protect health care from attack.
作者: Martin Chalfie.;Leonard Rubenstein.;Lujain Alqodmani.;Georges C Benjamin.;Pamela F Cipriano.;Carlos Del Rio.;Victor J Dzau.;Timothy Johnson.;Robert S Lawrence.;Michele Heisler.
来源: Lancet. 2024年404卷10470期2399-2402页 640. Betibeglogene autotemcel gene therapy in patients with transfusion-dependent, severe genotype β-thalassaemia (HGB-212): a non-randomised, multicentre, single-arm, open-label, single-dose, phase 3 trial.
作者: Janet L Kwiatkowski.;Mark C Walters.;Suradej Hongeng.;Evangelia Yannaki.;Andreas E Kulozik.;Joachim B Kunz.;Martin G Sauer.;Adrian J Thrasher.;Isabelle Thuret.;Ashutosh Lal.;Ge Tao.;Shamshad Ali.;Himal L Thakar.;Heidi Elliot.;Ankit Lodaya.;Ji Lee.;Richard A Colvin.;Franco Locatelli.;Alexis A Thompson.
来源: Lancet. 2024年404卷10468期2175-2186页
Transfusion-dependent β-thalassaemia (TDT) is a severe disease, resulting in lifelong blood transfusions, iron overload, and associated complications. Betibeglogene autotemcel (beti-cel) gene therapy uses autologous haematopoietic stem and progenitor cells (HSPCs) transduced with BB305 lentiviral vector to enable transfusion independence.
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