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‘Stop prescribing hydroxychloroquine for COVID-19’

Researchers from Florida Atlantic University's Schmidt College of Medicine review recent randomized trials, concluding that hydroxychloroquine poses significant harm in treating COVID-19. The study suggests a halt on prescribing the medication, recommending vaccination and masking instead as effective public health strategies.

SourceFlorida Atlantic University·JournalThe American Journal of Medicine·TypeMeta-analysis·DateAug 30, 2021

Increased survival with eye melanoma in clinical trial

A new combination treatment has shown significant tumor shrinkage and prolonged survival in patients with metastatic uveal melanoma. The treatment, which targets HDAC and PD-1 proteins, was found to work better in tumors with active BAP1 genes, a key discovery that may lead to improved survival rates.

SourceUniversity of Gothenburg·JournalNature Communications·TypeRandomized controlled/clinical trial·DateAug 30, 2021

Edoxaban may be effective treatment for atrial fibrillation after transcatheter aortic valve replacement

A large-scale international study found that edoxaban is non-inferior to warfarin for efficacy in preventing adverse events, but led to higher bleeding complications. The trial suggests that treatment with edoxaban can be valuable in managing AF patients after TAVR, especially when a lower dose of edoxaban is used.

SourceThe Mount Sinai Hospital / Mount Sinai School of Medicine·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateAug 28, 2021

Trial reports first successful results for heart failure with preserved ejection fraction

The EMPEROR-Preserved trial found that empagliflozin reduced the risk of a composite of cardiovascular death or hospitalisation for heart failure in patients with heart failure and a preserved ejection fraction. The study showed that empagliflozin was effective across all prespecified subgroups, including those with or without diabetes.

SourceEuropean Society of Cardiology·JournalNew England Journal of Medicine·DateAug 27, 2021

Inflammatory proteins help better diagnose progression of Alzheimer’s disease

A Rutgers study found that testing for specific inflammatory proteins can help diagnose the earlier onset and progression of Alzheimer's disease. The researchers identified two proteins, TNFR1 and TREM2, which are associated with slower decline in early-stage Alzheimer's, while another protein is only useful once dementia sets in.

SourceRutgers University·JournalNature Communications·TypeExperimental study·DateAug 26, 2021

Cystic Fibrosis – Increasing numbers of patients benefit from improved treatment

A clinical trial has shown that a triple combination therapy consisting of elexacaftor, tezacaftor, and ivacaftor is safe and effective in cystic fibrosis patients with rare genetic defects. The treatment improves CFTR function, lung function, and quality of life in these patients.

SourceCharité - Universitätsmedizin Berlin·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateAug 26, 2021

Study shows certain efforts to recruit Black adults into cardiovascular disease clinical trials fall short

A systematic review of federally funded cardiovascular disease trials found that most failed to recruit adequate numbers of Black participants. Despite efforts to improve diversity, enrollment rates have not changed over time, with nearly a quarter of trials not specifying a target percentage of Black enrollees.

SourceBeth Israel Deaconess Medical Center·JournalJournal of the American Heart Association·DateAug 25, 2021

A “helping hand”: Intervention for early cancer screening in patients with mental illness

Researchers from Okayama University conducted a randomized trial to assess the benefits of interventions for early cancer screening in patients with schizophrenia. The study found that 47.1% of counseled patients underwent colorectal cancer screening, compared to 11.8% of those receiving only usual treatment.

SourceOkayama University·JournalActa Psychiatrica Scandinavica·TypeRandomized controlled/clinical trial·DateAug 23, 2021

Lundquist Institute investigators find that early administration of convalescent plasma does not prevent COVID-19 disease progression

A new study published in The New England Journal of Medicine found that early administration of convalescent plasma did not prevent COVID-19 disease progression in high-risk patients. Despite the strategy's potential, the study suggests that it is not a viable approach to reduce illness severity.

SourceThe Lundquist Institute·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateAug 18, 2021

New in Ethics & Human Research, July-August 2021

The article considers the ethical issues surrounding enrolling children with neurodevelopmental conditions, such as autism spectrum disorder and fragile X syndrome, in clinical trials. Parents may face difficult decisions about whether to enroll their children due to concerns about potential loss of positive aspects of their condition.

SourceThe Hastings Center·JournalIRB Ethics and Human Research·TypeContent analysis·DateAug 9, 2021

When provided personalized health resources, patients often share with others

Researchers discovered that almost half of patients who received personalized information about community resources shared them with at least one other person. Individuals in poorer health were more likely to report sharing the information, and those who visited or used a resource on their list were also more likely to share it.

SourceUniversity of Chicago Medical Center·JournalJournal of the Association for Information Science and Technology·DateAug 5, 2021

Pretreatment fatigue can mean worse survival outcomes for patients with cancer

Patients with cancer who experience clinically significant fatigue before treatment have shorter overall survival times and more side effects. Researchers analyzed four clinical trials testing lung and prostate cancer treatments, confirming that pretreatment fatigue may be an important prognostic factor in oncology.

SourceSWOG Cancer Research Network·JournalJCO Oncology Practice·TypeData/statistical analysis·DateJul 29, 2021