Leflunomide is identified as a prototype candidate for managing immune effector cell-associated neurotoxicity syndrome (ICANS) following CAR T-cell therapy.
The proposed mechanism involves mitochondrial dysfunction amplifying neuroinflammation, which is not adequately addressed by current steroid-based treatments.
Leflunomide's active metabolite, teriflunomide, inhibits DHODH, affecting mitochondrial reactive oxygen species and inflammatory pathways.
The authors suggest a staged evaluation pathway for leflunomide, starting with preclinical studies and leading to randomized clinical trials.
Current management of ICANS primarily relies on corticosteroids, which may not be effective for all patients and can lead to adverse effects.
Objective: To explore the challenges and implications of FDA-approved dosages of cancer drugs, particularly in light of patient experiences and emerging researc
Objective: To evaluate functional deterioration and work disability in men and women with spondyloarthritis over a 17-year period. Approach: Study Design: A lon
Objective: To test keratin-based membranes derived from sheep wool as an alternative to collagen for guided bone regeneration. Approach: Cell Viability Testing:
Objective: To highlight the challenges and necessary improvements in laboratory response to measles outbreaks in the US, particularly in the context of declinin
Objective: To provide eye care professionals with greater flexibility in premium scleral lens selection and patient care through new integrations. Approach: Col
Objective: To investigate whether therapeutic apheresis can reduce circulating PFAS and microplastic-related signals in patients. Approach: Study Design: The st
Therapeutic apheresis may reduce circulating PFAS and microplastic-related signals, according to preliminary data from Technische Universität Dresden.
In a study of 34 patients, significant reductions in C-reactive protein, fibrinogen, LDL cholesterol, and lipoprotein(a) were observed after double filtration plasmapheresis.
Liquid chromatography-tandem mass spectrometry revealed up to 25% reductions in PFAS levels in samples from 14 patients after treatment.
Pyrolysis gas chromatography-mass spectrometry indicated decreases in polyethylene and polyvinyl chloride in blood samples from treated patients.
The findings are preliminary, and the study does not confirm a shared clearance mechanism or resolve challenges in measuring microplastics in blood.
Immunic closed a $400 million private placement financing to support Phase 3 trials in multiple sclerosis and transition to a commercial neurology company.
Small molecules remain crucial in targeting intracellular pathways, particularly in conditions like multiple sclerosis, due to their practical advantages.
Early small-molecule discovery is accelerating through AI and advanced screening technologies, enhancing the efficiency of candidate identification.
Drug development faces complexity from stringent clinical trial requirements and evolving regulations, necessitating smarter trial designs and better data use.
Expanding biomarker-based trial endpoints could streamline drug approvals, reduce costs, and enhance competition in pharmaceutical research and development.
Ethiopia produces approximately 3.32 billion liters of cow milk annually, accounting for 91% of the country's total milk production.
Milk quality is threatened by natural deterioration and deliberate adulteration, with water addition being the most common method.
Adulterated milk poses public health risks due to potential contamination from pathogenic microorganisms and chemical substances.
About 95% of marketed milk in Ethiopia flows through informal value chains, facing challenges like inadequate regulatory enforcement and quality control.
The study aimed to assess raw milk's chemical composition and the prevalence of water adulteration in the West Hararghe Zone of Eastern Ethiopia.
Objective: To investigate whether the establishment of accountable care organizations (ACOs) leads to a differential reduction in healthcare utilization between
Accountable care organizations (ACOs) manage quality of care and costs for designated patient groups, incentivized by shared savings.
The Medicare Shared Savings Program is the largest value-based care initiative in the U.S., transitioning ACOs to a 2-sided risk model since 2018.
ACOs aim to reduce healthcare costs by minimizing acute care services and enhancing preventive healthcare efforts.
Research indicates ACOs have not effectively reduced health inequities based on income status despite improvements in healthcare metrics.
Challenges in addressing health disparities include a focus on performance metrics over socioeconomic factors and insufficient data on social health needs.