3281. Atezolizumab plus bevacizumab and chemotherapy for metastatic, persistent, or recurrent cervical cancer (BEATcc): a randomised, open-label, phase 3 trial.
作者: Ana Oaknin.;Laurence Gladieff.;Jerónimo Martínez-García.;Guillermo Villacampa.;Munetaka Takekuma.;Ugo De Giorgi.;Kristina Lindemann.;Linn Woelber.;Nicoletta Colombo.;Linda Duska.;Alexandra Leary.;Ana Godoy-Ortiz.;Shin Nishio.;Antoine Angelergues.;Maria Jesús Rubio.;Lorena Fariñas-Madrid.;Satoshi Yamaguchi.;Domenica Lorusso.;Isabelle Ray-Coquard.;Luis Manso.;Florence Joly.;Jesús Alarcón.;Philippe Follana.;Ignacio Romero.;Coriolan Lebreton.;J Alejandro Pérez-Fidalgo.;Mayu Yunokawa.;Hanna Dahlstrand.;Véronique D'Hondt.;Leslie M Randall.; .
来源: Lancet. 2024年403卷10421期31-43页
The GOG240 trial established bevacizumab with chemotherapy as standard first-line therapy for metastatic or recurrent cervical cancer. In the BEATcc trial (ENGOT-Cx10-GEICO 68-C-JGOG1084-GOG-3030), we aimed to evaluate the addition of an immune checkpoint inhibitor to this standard backbone.
3287. Conservative versus liberal oxygenation targets in critically ill children (Oxy-PICU): a UK multicentre, open, parallel-group, randomised clinical trial.
作者: Mark J Peters.;Doug W Gould.;Samiran Ray.;Karen Thomas.;Irene Chang.;Marzena Orzol.;Lauran O'Neill.;Rachel Agbeko.;Carly Au.;Elizabeth Draper.;Lee Elliot-Major.;Elisa Giallongo.;Gareth A L Jones.;Lamprini Lampro.;Jon Lillie.;Jon Pappachan.;Sam Peters.;Padmanabhan Ramnarayan.;Zia Sadique.;Kathryn M Rowan.;David A Harrison.;Paul R Mouncey.; .
来源: Lancet. 2024年403卷10424期355-364页
The optimal target for systemic oxygenation in critically ill children is unknown. Liberal oxygenation is widely practiced, but has been associated with harm in paediatric patients. We aimed to evaluate whether conservative oxygenation would reduce duration of organ support or incidence of death compared to standard care.
3288. Imetelstat in patients with lower-risk myelodysplastic syndromes who have relapsed or are refractory to erythropoiesis-stimulating agents (IMerge): a multinational, randomised, double-blind, placebo-controlled, phase 3 trial.
作者: Uwe Platzbecker.;Valeria Santini.;Pierre Fenaux.;Mikkael A Sekeres.;Michael R Savona.;Yazan F Madanat.;Maria Díez-Campelo.;David Valcárcel.;Thomas Illmer.;Anna Jonášová.;Petra Bělohlávková.;Laurie J Sherman.;Tymara Berry.;Souria Dougherty.;Sheetal Shah.;Qi Xia.;Libo Sun.;Ying Wan.;Fei Huang.;Annat Ikin.;Shyamala Navada.;Faye Feller.;Rami S Komrokji.;Amer M Zeidan.
来源: Lancet. 2024年403卷10423期249-260页
Unmet medical needs remain in patients with red blood cell transfusion-dependent (RBC-TD) lower-risk myelodysplastic syndromes (LR-MDS) who are not responding to or are ineligible for erythropoiesis-stimulating agents (ESAs). Imetelstat, a competitive telomerase inhibitor, showed promising results in a phase 2 trial. We aimed to compare the RBC transfusion independence (RBC-TI) rate with imetelstat versus placebo in patients with RBC-TD LR-MDS.
3293. HIV epidemiology, prevention, treatment, and implementation strategies for public health.
作者: Aaloke Mody.;Annette H Sohn.;Collins Iwuji.;Rayner K J Tan.;Francois Venter.;Elvin H Geng.
来源: Lancet. 2024年403卷10425期471-492页
The global HIV response has made tremendous progress but is entering a new phase with additional challenges. Scientific innovations have led to multiple safe, effective, and durable options for treatment and prevention, and long-acting formulations for 2-monthly and 6-monthly dosing are becoming available with even longer dosing intervals possible on the horizon. The scientific agenda for HIV cure and remission strategies is moving forward but faces uncertain thresholds for success and acceptability. Nonetheless, innovations in prevention and treatment have often failed to reach large segments of the global population (eg, key and marginalised populations), and these major disparities in access and uptake at multiple levels have caused progress to fall short of their potential to affect public health. Moving forward, sharper epidemiologic tools based on longitudinal, person-centred data are needed to more accurately characterise remaining gaps and guide continued progress against the HIV epidemic. We should also increase prioritisation of strategies that address socio-behavioural challenges and can lead to effective and equitable implementation of existing interventions with high levels of quality that better match individual needs. We review HIV epidemiologic trends; advances in HIV prevention, treatment, and care delivery; and discuss emerging challenges for ending the HIV epidemic over the next decade that are relevant for general practitioners and others involved in HIV care.
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