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Initial Experience with [177Lu]Lu-PSMA-617 After Regulatory Approval for Metastatic Castration-Resistant Prostate Cancer: Efficacy, Safety, and Outcome Prediction

[177Lu]Lu-PSMA-617 was approved by the U.S. Food and Drug Administration for patients with prostate-specific membrane antigen (PSMA)–positive metastatic castration-resistant prostate cancer (mCRPC). Since the time of regulatory approval, however, real-world data have been lacking. This study investigated the efficacy, safety, and outcome predictors of [177Lu]Lu-PSMA-617 at a major U.S. academic center. Methods: Patients with mCRPC who received [177Lu]Lu-PSMA-617 at the Johns Hopkins Hospital outside clinical trials were screened for inclusion. Patients who underwent [177Lu]Lu-PSMA-617 and had available outcome data were included in this study. Outcome data included prostate-specific antigen (PSA) response (≥50% decline), PSA progression-free survival (PFS), and overall survival (OS). Toxicity data were evaluated according to the Common Terminology Criteria for Adverse Events version 5.03. The study tested the association of baseline circulating tumor DNA mutational status in homologous recombination repair, PI3K alteration pathway, and aggressive-variant prostate cancer–associated genes with treatment outcome. Baseline PSMA PET/CT images were analyzed using SelectPSMA, an artificial intelligence algorithm, to predict treatment outcome. Associations with the observed treatment outcome were evaluated. Results: All 76 patients with PSMA-positive mCRPC who received [177Lu]Lu-PSMA-617 met the inclusion criteria. A PSA response was achieved in 30 of 74 (41%) patients. The median PSA PFS was 4.1 mo (95% CI, 2.0–6.2 mo), and the median OS was 13.7 mo (95% CI, 11.3–16.1 mo). Anemia of grade 3 or greater, thrombocytopenia, and neutropenia were observed in 9 (12%), 3 (4%), and 1 (1%), respectively, of 76 patients. Transient xerostomia was observed in 23 (28%) patients. The presence of aggressive-variant prostate cancer–associated genes was associated with a shorter PSA PFS (median, 1.3 vs. 6.3 mo; P = 0.040). No other associations were observed between circulating tumor DNA mutational status and treatment outcomes. Eighteen of 71 (25%) patients classified by SelectPSMA as nonresponders had significantly lower rates of PSA response than patients classified as likely responders (6% vs. 51%; P < 0.001), a shorter PSA PFS (median, 1.3 vs. 6.3 mo; P < 0.001), and a shorter OS (median, 6.3 vs. 14.5 mo; P = 0.046). Conclusion: [177Lu]Lu-PSMA-617 offered in a real-world setting after regulatory approval in the United States demonstrated antitumor activity and a favorable toxicity profile. Artificial-intelligence–based analysis of baseline PSMA PET/CT images may improve patient selection. Validation of these findings on larger cohorts is warranted.




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Prostate cancer patient stratification by molecular signatures in the Veterans Precision Oncology Data Commons [RESEARCH REPORT]

Veterans are at an increased risk for prostate cancer, a disease with extraordinary clinical and molecular heterogeneity, compared with the general population. However, little is known about the underlying molecular heterogeneity within the veteran population and its impact on patient management and treatment. Using clinical and targeted tumor sequencing data from the National Veterans Affairs health system, we conducted a retrospective cohort study on 45 patients with advanced prostate cancer in the Veterans Precision Oncology Data Commons (VPODC), most of whom were metastatic castration-resistant. We characterized the mutational burden in this cohort and conducted unsupervised clustering analysis to stratify patients by molecular alterations. Veterans with prostate cancer exhibited a mutational landscape broadly similar to prior studies, including KMT2A and NOTCH1 mutations associated with neuroendocrine prostate cancer phenotype, previously reported to be enriched in veterans. We also identified several potential novel mutations in PTEN, MSH6, VHL, SMO, and ABL1. Hierarchical clustering analysis revealed two subgroups containing therapeutically targetable molecular features with novel mutational signatures distinct from those reported in the Catalogue of Somatic Mutations in Cancer database. The clustering approach presented in this study can potentially be used to clinically stratify patients based on their distinct mutational profiles and identify actionable somatic mutations for precision oncology.




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Complex chemicals found on Enceladus improve prospects for life

The Cassini mission’s samples from Saturn’s moon Enceladus have signs of various organic molecules that could be among the ingredients needed for life to get started




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We are finally improving prostate cancer diagnoses - here's how

Cases of prostate cancer are surging alarmingly around the world. Thankfully, we are developing more accurate tests that can catch the condition early







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Noeudvembre: Régis Labeaume toujours «en mission» contre le cancer de la prostate

L’ex-maire, qui a passé cette année le cap des cinq ans depuis son diagnostic, continue de s’impliquer pour sensibiliser les hommes à ce fléau.




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Government to order review of rail fare prosecutions

The way firms deal with fare evasion will be examined amid concern about how passengers are treated.




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Qsight Prospector: boosting sales efficiency

In this episode you can hear Olivia Friett, editor of Medical Plastics News talk to Erik Haines, managing director at Guidepoint Qsight where we will discuss Qsight Prospector, a data-driven sales intelligence programme.




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Stretchable E-Skin for Robotic Prostheses

Engineers at the University of British Columbia have collaborated with the Japanese automotive company Honda to develop an e-skin for robotic prostheses that allows such devices to sense their environment in significant detail. The soft skin is highly sensitive, letting robotic hands to perform tasks that require a significant degree of dexterity and tactile feedback, […]




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Politics and Prosperity: Examining Economic Development in Africa

On April 9, the study group met for the third time to examine economic development in Africa. The group explored connections between politics and economic growth trajectories across the continent, and analyzed the role of political instability and policy decisions in fostering development. Discussions covered the impact of factors like commodity markets, foreign aid, trade deals, and regional integration initiatives on development indicators. The study group counted with the presence of external expert guest H.E. Patrick Achi, former Prime Minister of Côte d’Ivoire. Prime Minister Achi shared about his experience at the highest level of government and presented the story of Côte d’Ivoire’s post-independence development as a microcosm of the broader challenges and opportunities facing African nations.




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#pass4prostate Challenge Raises Prostate Cancer Awareness and Research Funds - Nick Cummins promotes #pass4prostate

Qantas Wallabies player Nick Cummins promotes the #pass4prostate challenge and USA vs. Australia match coming up on Sept. 5 in Chicago. #pass4prostate and the match are presented by Astellas Pharma




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Brian Custer Teams Up with the Prostate Cancer Foundation to Urge Men to "Man Up and Get Checked" - Man Up and Get Checked

Prostate Cancer Foundation, Evander Holyfield and Brian Custer encourage African-American men to �man up and get checked� for prostate cancer.




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Urology Care Foundation and NFL Kick-Off Another Great Season for Prostate Cancer Awareness - Know Your Stats� PSA

Know Your Stats� PSA




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The End of Ondsel and Reflecting on the Commercial Prospects for FreeCAD

Within the world of CAD there are the well-known and more niche big commercial players and there are projects like FreeCAD that seek to bring a OSS solution to the …read more




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Effect of PSA Screening on Prostate Cancer Mortality Rate at 15-Years

Highlights: The study compared prostate cancer mortality rate between subjects invited for a single invitation scre




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New Approach to Abortion Care: Administration of Misoprostol at Home

Women take two types of pills for abortion during their pregnancy: medlinkmisoprostol/medlink, which causes the womb to contract, and medlinkmifepristone/medlink,




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Prostaglandin Receptors: New Hope for Women with Infertility

medlinkProstaglandin/medlink receptors are responsible for successful embryo implantation, and new research from Kumamoto University has revealed




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New Treatment for Aggressive Prostate Cancer Subtype

Researchers have decoded how mutations in the CDK12 gene ignite prostate cancer and revealed a breakthrough treatment-a powerful degrader that targets




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Nanoparticle Treatment: A Breakthrough Hope for Prostate Cancer Care

A groundbreaking study has revealed a promising new approach to prostate cancer treatment. The nanoparticle-based therapy, guided by laser technology,




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Win Against Prostate Cancer With Vitamin K Supplement

The Pro-oxidant supplement menadione, a precursor to vitamin K, commonly found in leafy greens turns out to be a powerful weapon in the fight against prostate cancer.




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Is Prostate Cancer Treatment Worth the Risk?

The long-term risks of prostate cancer treatment, including adverse effects and complications, can persist for years. A recent study published in iJAMA




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BDR Pharma Introduces Novel Prostate Cancer Drug

BDR Pharmaceuticals has launched novel prostate cancer drug named "Enzalutamide" in 160 mg strength. Under the brand name BDENZA 160mg, it has introduced




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Common Prostate Cancer Drugs Were Less Safe: New Study

Men taking either abiraterone or enzalutamide for advanced prostate cancer who had also undergone hormone therapy were at increased risk of serious metabolic




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Treat Enlarged Prostate as Soon as Possible Before It Gets Worse

Timely diagnosis and treatment can save men from developing enlarged prostates, reports a new study. Half of all men develop enlarged prostates - also




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Next-gen Treatment Eases Enlarged Prostate Symptoms

In men diagnosed with benign prostatic hyperplasia (BPH), the recently approved minimally invasive Optilume BPH device treatment not only enhances urinary




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Remodelling Signal Pathways in Prostate Cancer - A New Therapeutic Target!

medlinkCancer/medlink-causing mutations in prostate cancer hyperactivate PI3K signaling, leading to cancer cell growth. PLEKHS1, a largely unknown




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Dual Treatment Boosts Survival Rate in Metastatic Prostate Cancer

Dual treatment has improved the survival rates for men with metastatic prostate cancer by an average of six months. Dual treatment includes both standard




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Combination Therapy Holds Promise for Advanced Prostate Cancer Treatment

Decitabine, a medlinkprostate cancer/medlink drug, that inhibits DNA methylation, effectively cuts tumor growth in prostate cancer with neuroendocrine features or loss of the gene RB1.




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Gut Microbiota's Link to Prostate Inflammation in Aging Men

New studies suggest that medlinkinflammation/medlink contributes to the onset of medlinkbenign prostatic hyperplasia/medlink (BPH), stemming from




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Is Prostate Cancer Treatment Worth the Risk?

New report outlines long-term risks of prostate cancer treatment, highlighting potential impacts on quality of life and need for informed decisions.




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Focus More on Leprosy: WHO Goodwill Ambassador

Covid-19 pandemic has increased the challenges and many patients have been neglected, especially the people affected by Leprosy. Reinforcing the need




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Judge agrees to special prosecutor's request to pause federal case against Trump

A federal judge has agreed to Special Prosecutor Jack Smith's request to pause the election interference case against US President-elect Donald Trump in the first indication that cases against him are crumbling.




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Make or break year for the future prosperity of Australia - 20 Jan

Australian CEOs are less confident about their companies' growth prospects than a year ago, and less optimistic about growth in the global economy, according to a PwC report released today.




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The Physics That Give Tennis Pros Their Edge

Ever wondered how tennis pros are able to hit the ball with so much force, at extreme angles with incredible accuracy while still keeping it in the court? It comes down to physics. WSJ’s Daniela Hernandez explains what you can learn from the physics that give tennis pros their edge. Photo composite: Adele Morgan




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US-India Ties Will Shape the 21st Century, Says Mike Waltz on Future Prospects

Mike Waltz emphasises the significance of US-India ties for the 21st century, stating it will determine a century of light or darkness.




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Stakeholder theory [Electronic book] : impact and prospects / edited by Robert A. Phillips.

Cheltenham, UK ; Northampton, MA : Edward Elgar, [2011]




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Pentagonal-bipyramidal Dysprosium(III) complexes with two apical phosphine oxide ligands and equatorial pentadentate N3O2 Schiff-base ligands: Breakdown of the apical magnetic axiality by strong equatorial crystal field†

Inorg. Chem. Front., 2024, Accepted Manuscript
DOI: 10.1039/D4QI02262A, Research Article
Tamara A. Bazhenova, Vyacheslav Kopotkov, Denis V. Korchagin, Elena Yureva, Michael V. Zhidkov, Alexey I Dmitriev, Ilya Yakushev, N. N. Efimov, Konstantin Andreevich Babeshkin, Vladimir Sergeevich Mironov, Eduard B. Yagubskii
A series of three new seven-coordinate pentagonal-bipyramidal (PBPY-7) Dy(III) complexes [Dy(LCH3)(Cy3PO)2]ClO4∙CH3CN (1), [Dy(L2(t-Bu))(Ph3PO)2]ClO4∙0.63C2H5OH (2), [Dy(LOCH3)(Ph3PO)2]ClO4∙2H2O (3) including various chelating pentadentate ligands with a [N3O2]2− binding node in the equatorial plane,...
The content of this RSS Feed (c) The Royal Society of Chemistry




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Cuproptosis in cancer therapy: mechanisms, therapeutic application and future prospects

J. Mater. Chem. B, 2024, Advance Article
DOI: 10.1039/D4TB01877J, Review Article
Jiawei Hu, Junfei Zhu, Tao Chen, Yudie Zhao, Qingwen Xu, Yan Wang
Cuproptosis is a regulated form of cell death induced by the accumulation of metal ions and is closely linked to aspects of cellular drug resistance, cellular metabolism, and signalling pathways.
To cite this article before page numbers are assigned, use the DOI form of citation above.
The content of this RSS Feed (c) The Royal Society of Chemistry




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Recent progress and prospects of dimer and multimer acceptors for efficient and stable polymer solar cells

Chem. Soc. Rev., 2024, Advance Article
DOI: 10.1039/D3CS00895A, Review Article
Open Access
Jin-Woo Lee, Jin Su Park, Hyesu Jeon, Seungjin Lee, Dahyun Jeong, Changyeon Lee, Yun-Hi Kim, Bumjoon J. Kim
This review summarizes the recent progress, key design principles and prospects of dimer and multimer acceptors for developing polymer solar cells (PSCs) with high efficiency and long-term stability.
To cite this article before page numbers are assigned, use the DOI form of citation above.
The content of this RSS Feed (c) The Royal Society of Chemistry




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Global headwinds, a challenge to India’s trade prospects in 2023

Successful implementation of FTAs, rupee trade, export schemes, PLI may provide relief




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Seaplane lands in Idukki with brighter tourism prospects

Trial run from Kochi to Mattupetty dam completed in 30 minutes. Tourism stakeholders say the service will be a game changer for a district that had no air connectivity hitherto




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Maharashtra Assembly elections 2024: ‘Nawab Malik’s candidature won’t impact Mahayuti’s prospects,’ says Praful Patel

Talking to reporters in Gondia, Praful Patel said the allegations against Mr. Malik have not been proved in the court of law




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Singing for prosperity

Shyamala Miss’ class explores the variety of compositions by Saint Tyagaraja and what makes them special.




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What is stereotactic radiation therapy for prostate cancer? How does it compare to other treatments?

Stereotactic radiotherapy uses high doses of radiation to target and kill cancer cells; it uses newer machines that can deliver very focused radiation beams




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Apple rolls out new AirPods, Mac chips, MacBook pros

Apple introduced two chips -the M1 Pro and the M1 Max in the new MacBook Pro 14 and 16-inch models



  • Computers &amp; Laptops

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Samiya Parvez: How 3D printing has transformed the world of prosthetics

Samiya Parvez, along with her husband Naveed, co-founded medical device service startup Andiamo, which uses 3D printing to reduce wait times for custom orthoses for children with disabilities from six months down to one week. "The ingredients are all there," Parvez says of the current system. "But, you can't get to things fast enough and it's not gelled together." In this video, Parvez shares their startup's journey and how caring for their late son, Diamo, inspired his parents to develop a patient-centric, efficient and effective process for children with disabilities. ABOUT WIRED HEALTH 600 innovators, scientists and business leaders gathered at The Francis Crick Institute in London, for WIRED Health on March 26, 2019. Discover some of the fascinating insights from speakers here: http://wired.uk/health-event ABOUT WIRED EVENTS WIRED events shine a spotlight on the innovators, inventors and entrepreneurs who are changing our world for the better. Explore this channel for videos showing on-stage talks, behind-the-scenes action, exclusive interviews and performances from our roster of events. Join us as we uncover the most relevant, up-and-coming trends and meet the people building the future. ABOUT WIRED WIRED brings you the future as it happens - the people, the trends, the big ideas that will change our lives. An award-winning printed monthly and online publication. WIRED is an agenda-setting magazine offering brain food on a wide range of topics, from science, technology and business to pop-culture and politics. CONNECT WITH WIRED Events: http://wired.uk/events Subscribe for Events Information: http://wired.uk/signup Web: http://bit.ly/VideoWired Twitter: http://bit.ly/TwitterWired Facebook: http://bit.ly/FacebookWired Instagram: http://bit.ly/InstagramWired Magazine: http://bit.ly/MagazineWired Newsletter: http://bit.ly/NewslettersWired




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Every Prototype that Led to a Realistic Prosthetic Arm

Since the early 2000s, private companies, governments, and research labs have been developing prosthesis that are a lot more advanced than previous designs. WIRED talked with Easton LaChapelle, founder and CEO of Unlimited Tomorrow, to understand how he designed, tested, and adopted his prosthetic arm.The movie GENERATION IMPACT: THE INVENTOR, follows 25-year old innovator Easton LaChappelle, who developed the world’s lightest weight and most affordable bionic limb. GENERATION IMPACT: THE INVENTOR, can be viewed on HP.com’s digital hub, the Garage (hp.com/generation-impact) and YouTube




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11 Levels of Prosthetic Makeup: Easy to Complex

Professional prosthetic makeup artist Meg Wilbur explains special effects makeup in 11 levels of difficulty, from easy to complex. Special effects makeup is a really broad category, so Meg defines complexity as increasingly elaborate flourishes, texture and detail in her work. Meg goes over everything from temporary tattoos to prosthetic face applications and dry-brushing. MEG WILBUR: https://www.instagram.com/littlemonsterdoll/?hl=en BRITTANY TURPEN: https://www.instagram.com/brittanyyynicole/ ANDREW SCOTT MILLER: https://www.instagram.com/andrewscottmiller/ Director: Tim Cruz Director of Photography: Ricardo Pomares Editor: Louville Moore Talent: Meg Wilbur Producers: Adam Davis-McGee, Katherine Wzorek Line Producer: Joseph Buscemi Associate Producer: Melissa Cho Production Managers: Peter Brunette, Andressa Pelachi Production Coordinator: Carol Wachockier Set Decorator: Leah Waters-Katz Audio: Paul Cornett Cam Op/Gaffer: Nick Massey Production Assistants: Phillip Arliss, Devin Beckwith, Ariel Labasan Post Production Supervisor: Alexa Deutsch Post Production Coordinator: Ian Bryant Supervising Editor: Doug Larsen Assistant Editor: Diego Rentsch Special Thanks: Meg's Assistant Brittany Turpen, model Andrew Miller