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Background
allergic rhinoconjunctivitis
ALLERGIC RHINOCONJUNCTIVITIS
Edited by: Jamie Marie Orengo, Regeneron Pharmaceuticals, Inc., United StatesReviewed by: Sang Min Lee, Gachon University Gil Medical Center, Republic of Korea; Hideyuki Kawauchi, Shimane University, Japan†These authors have contributed equally to this workPediatric allergic rhinoconjunctivitis has become a public conc...
PMC10428014
Objective
By comparing with SCIT, this study aimed to evaluate the long-term efficacy and safety of intra-cervical lymphatic immunotherapy (ICLIT).
PMC10428014
Methods
dust mite allergen, dust mite allergy, pain, allergic rhinoconjunctivitis
ADVERSE REACTIONS, SECONDARY, TSS, ALLERGIC RHINOCONJUNCTIVITIS
This is a prospective randomized controlled study. A total of 50 allergic rhinoconjunctivitis children with dust mite allergy was randomly divided into ICLIT group and SCIT group, receiving three cervical intralymphatic injections of dust mite allergen or three years of subcutaneous injection, separately. Primary outco...
PMC10428014
Results
allergic symptoms, systemic adverse reactions, pain
ADVERSE REACTIONS, TSS
Both groups had significantly decreased TNSS, TOSS, TSS, TMS, and total quality of life score after 36 months of treatment (p<0.0001). Compared with SCIT, ICLIT could rapidly improve allergic symptoms (p<0.0001). The short-term efficacy was consistent between the two groups (p=0.07), while the long-term efficacy was be...
PMC10428014
Conclusion
allergic symptoms, pain
ICLIT could ameliorate significantly the allergic symptoms in pediatric patients with an advantage in effectiveness and safety, besides an improved life quality including shortened period of treatment, frequency of drug use and pain perception.
PMC10428014
Clinical trial registration
PMC10428014
Introduction
respiratory tract allergy, allergic rhinoconjunctivitis, Allergic rhinoconjunctivitis, dust mite allergy, Dust mite-induced allergy, allergic reactions
ALLERGIC REACTION, ALLERGIC RHINOCONJUNCTIVITIS
Allergic rhinoconjunctivitis refers to immunoglobulin E (IgE)-mediated transmitter release triggered locally by inhaled allergens in the nasal mucosa, and type I allergic reactions involving multiple cells and immunoactive factors (Dust mite-induced allergy accounts for 85% of all patients with respiratory tract allerg...
PMC10428014
Materials and methods
PMC10428014
Study population
itching, Allergic Rhinitis, dust mite-induced allergic rhinoconjunctivitis, nasal itching, nasal congestion
ASTHMA, ALLERGIC RHINITIS
A total of 50 pediatric patients at outpatient department of otorhinolaryngology were recruited in our hospital from June 2018 to September 2018, and were then randomly divided into ICLIT group and SCIT group with a ratio of 1:1.The inclusion criteria were as follows: (1) aged 6 to 17 years; (2) confirmed history of du...
PMC10428014
Randomization
Eligible patients were randomly allocated in a 1:1 ratio to ICLIT or SCIT group. With random-number tables, we selected 50 random numbers in sequence starting from any random number and put them in numerical order. Numbers 1-25 and 26-50 were divided into ICLIT group and SCIT group, respectively. The randomization was ...
PMC10428014
Study design
allergic symptoms, allergy, dust mite allergen extract, ’ pain
ADVERSE REACTIONS, ALLERGY
This is a prospective randomized controlled study with 25 patients receiving ICLIT (Study design. The trial included 1 pre-treatment screening visit, 3 treatment visits, 5 follow-up visits within 36 months after treatment. ICLIT, intra-cervical lymphatic immunotherapy; SCIT, subcutaneous immunotherapy Eav, eosinophils ...
PMC10428014
Treatment process
PMC10428014
ICLIT group
Injections were performed under color Doppler ultrasound guidance using a 7-gauge needle, three times on the same side. Under strict aseptic procedures, 0.1ml (50TU) of 500TU/mL (concentration grade 2) of alum-adsorbed allergen extracts was injected into the superficial II or III area cervical lymph nodes (approximatel...
PMC10428014
SCIT group
The injection site was either lateral to the distal third of the upper arm or dorsal to the middle third of the forearm, and treatment consisted of two phases which were dose accumulation and dose maintenance.Allergen injection with a starting dose of 50 TU/mL was injected once a week for up to 15 weeks. In the first 1...
PMC10428014
Observation indicators
PMC10428014
Primary indicators
allergic symptoms
Primary outcomes were assessed before treatment (baseline), at 3 month, 6 month, 12 month, 24 month and 36 month, including (1) change in allergic symptoms associated with dust mite was assessed by a four-scale system where 0=no symptoms, 1=mild symptoms, 2=moderate symptoms, and 3=most severe symptoms (
PMC10428014
Secondary indicators
pain
ADVERSE REACTIONS
Secondary outcomes included (1) pain perception during treatment was assessed by patients themselves (or assisted by their families) after each treatment using visual analogue scale (VAS). Scores were marked on the ruler with cartoon icon of facial expressions, ranging from 0 to 10 where 0=painless and 10=most painful....
PMC10428014
Other secondary indicators
allergy, Peripheral venous blood
SECONDARY, ALLERGY
Other secondary outcomes were changes in circulating immunoglobulin level (serum dust mite-specific IgE) at baseline, 24 month and 36 month. Peripheral venous blood was taken and was separated by centrifugation at room temperature for 7 minutes at 3500 r/min, and then was stored at -80°C pending analysis. Serum Derp an...
PMC10428014
Ethics and permissions
The institutional review board of the First People’s Hospital of Foshan approved this randomized controlled study (approval number [2018]-10) and all participants or their families signed informed consent. This study was registered in Chinese Clinical Trial Registry (clinical trial registration number: ChiCTR1800017130...
PMC10428014
Statistical analysis
Normal distribution was decided by D’Agostino-Pearson omnibus normality test.Continuous variables were expressed as mean (standard deviation) and categorical variables were presented as n (%).Intragroup comparation was evaluated by paired t test or Wilcoxon Signed Rank test for normally distributed and non-normally dis...
PMC10428014
Results
PMC10428014
General information
A total of 50 eligible patients were randomly divided into ICLIT group (n=25) and SCIT group (n=25) (Research flow chart. ICLIT, intra-cervical lymphatic immunotherapy; SCIT, subcutaneous immunotherapy.As shown in Baseline characteristics by treatment group.SPT, skin prick test; SI, skin index; ++, 0.5≤SI<1;+++, 1≤SI<2...
PMC10428014
Primary outcomes
PMC10428014
ICLIT had a significant long-term effect
TOSS
TSS
At baseline in ICLIT group, TNSS was 10.3 (1.7), TOSS was 2.4 (0.8), TSS was 12.3 (1.9), TMS was 3.5 (1.3), and total quality of life score was 92.8 (4.9). At baseline in SCIT group,TNSS was 10.4 (1.3), TOSS was 2.6 (1.2), TSS was 12.8 (2.1), TMS was 3.1 (1.0), and total quality of life score was 92.3 (7.5). No signifi...
PMC10428014
ICLIT improved the overall efficacy more quickly
TSS
At 3 month of treatment, TSS in ICLIT group and SCIT group was 9.4 (1.7) and 12.5 (2.0), separately. Change of TSS in ICLIT group was 2.9 (1.2) with a decreased rate of 22.7% and change of TSS in SCIT group was 0.3 (0.5) with a decreased rate of 2.2%. ICLIT group showed significant degree of symptom improvement compare...
PMC10428014
ICLIT was not as effective as SCIT in a long term
allergic symptoms
TSS
Short-term efficacy and long-term efficacy were observed for allergic symptoms at the first and third year after treatment in both groups. At baseline, there was no significant difference in TSS between ICLIT group (12.3 (1.9)) and SCIT group (12.8 (2.1)). At 1 year after treatment, TSS in ICLIT and SCIT group was 7.9 ...
PMC10428014
ICLIT significantly improved the symptoms of most allergic rhinoconjunctivitis children
allergic symptoms
Short-term efficacy and long-term efficacy were observed for allergic symptoms at the first and third year after treatment only in ICLIT group. After undergoing ICLIT, 23 patients had significant symptom improvement (p < 0.0001) in both short-term (1 year after treatment) and long-term (3 year after treatment) (Symptom...
PMC10428014
Secondary outcomes
PMC10428014
ICLIT had less pain
Pain, pain
Pain perception were compared between patients in ICLIT and SCIT groups. The total pain score of patients injected into cervical lymph nodes and veins was recorded. ICLIT, intra-cervical lymphatic immunotherapy; SCIT, subcutaneous immunotherapy.
PMC10428014
ICLIT had higher safety
redness, itching, wheezing, rash, urticaria, rhinitis, asthma, anaphylactic shock, hypotension, Systemic adverse reactions, muscular vascular edema
ADVERSE REACTIONS, ADVERSE EVENT, URTICARIA, INDURATION, RHINITIS, ASTHMA ATTACK, ASTHMA, ANAPHYLACTIC SHOCK
Adverse events associated with intra-cervical lymphatic and subcutaneous injections.Local adverse reactions mainly include redness, itching, induration, rash, etc. at the injection site. Mild local adverse reactions refer to a diameter of ≤ 4 cm, moderate local adverse reactions refer to a diameter of>4 cm and>15 minu...
PMC10428014
Other secondary outcomes
PMC10428014
ICLIT significantly decreased serum dust mite-specific IgE levels
sIgE was an important pathogenic antibody of AR, there were no significant differences in serum Derp and Derf sIgE between the two groups at baseline. After 3 years of treatment, serum Derp and Derf sIgE levels significantly decreased in both groups, but no significant difference in the changes was found between the tw...
PMC10428014
Discussion
redness, dyspnea, itching, hoarseness, allergic rhinoconjunctivitis, ’, local adverse reactions, dysphonia, Allergic Rhinitis, allergic symptoms, obstruction of the airway, systemic adverse reactions, allergic diseases
ADVERSE REACTIONS, LARYNGEAL EDEMA, ALLERGY, ADVERSE EVENTS, AIRWAY OBSTRUCTION, MINOR, ALLERGIC RHINITIS, ALLERGIC RHINOCONJUNCTIVITIS, ADVERSE EFFECTS, ASTHMA, IMMUNE TOLERANCE
In recent years, pediatric allergic rhinoconjunctivitis has become a global health issue and one of the most concerned allergic diseases. As the first-line treatment recommended by Allergic Rhinitis and its Impact on Asthma (ARIA) guideline and European Academy of Allergy and Clinical Immunology (EAACI) guideline (In 2...
PMC10428014
Conclusion
allergic symptoms, allergic rhinoconjunctivitis, pain
ALLERGIC RHINOCONJUNCTIVITIS
This study first demonstrated that ICLIT could significantly relieve the allergic symptoms, improve the safety and compliance, and reduce the pain response among children with allergic rhinoconjunctivitis. In summary, ICLIT was a novel immunotherapy that could improve the clinical symptoms, save time and economic costs...
PMC10428014
Data availability statement
The original contributions presented in the study are included in the article/supplementary material. Further inquiries can be directed to the corresponding authors.
PMC10428014
Ethics statement
The studies involving human participants were reviewed and approved by the institutional review board of the First People’s Hospital of Foshan. Written informed consent to participate in this study was provided by the participants’ legal guardian/next of kin.
PMC10428014
Author contributions
QW wrote this manuscript and data analysis, KW independently completed the research design and concept, YQ collected data and followed up patients, YX and YG processed statistical data on the manuscript, WH, YL, and QY revised and proofread the manuscript, RZ reviewed and provided important guidance on the manuscript, ...
PMC10428014
Acknowledgments
We would like to express our gratitude to Dr. Meihua Liu from the Otolaryngology Immunotherapy Center of Foshan First People's Hospital for his hard work in Intra-cervical lymphatic immunotherapy. We would also like to express our gratitude to Dr. Yue Xiong, an ultrasound doctor, for patiently administering Intra-cervi...
PMC10428014
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
PMC10428014
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or ...
PMC10428014
References
PMC10428014
Objective
T2DM
TYPE 2 DIABETES MELLITUS, CARDIOVASCULAR DISEASES
Type 2 diabetes mellitus (T2DM) is associated with an increased risk of cardiovascular diseases. This study aimed to assess the effects of soymilk plus probiotics co-administration on cardiovascular risk factors in T2DM patients.
PMC9912676
Methods
T2DM
One hundred patients with T2DM (aged 40–75 years old) were randomly assigned into 4 groups (soymilk + probiotics supplement, soymilk + placebo, conventional milk + placebo, and probiotics supplement) for 6 weeks. Standard protocols were followed for the collection of fasting blood samples, dietary intakes, and anthropo...
PMC9912676
Results
It was shown that soymilk + probiotics consumption significantly decreased diastolic blood pressure (DBP) (
PMC9912676
Conclusion
T2DM
Soymilk and probiotics consumption might improve some cardiovascular risk factors in patients with T2DM. However, possible synergic effects while consumption of soymilk plus probiotics supplement didn’t show in this study which warranted further research.
PMC9912676
Keywords
PMC9912676
Introduction
cancer, T2DM, bone loss
CARDIOVASCULAR DISEASE, BONE LOSS, KIDNEY DISEASE, CANCER, TYPE 2 DIABETES MELLITUS
Globally, the number of people with type 2 diabetes mellitus (T2DM) is increasing rapidly [Soy and soy products have been shown to have protective effects against a variety of outcomes, including cardiovascular disease, kidney disease, bone loss, cancer, and menopausal symptoms [
PMC9912676
Methods
PMC9912676
Design and participants
diabetic, T2DM, allergic
BREAST CANCER
This study included patients with T2DM aged 40–75 years old who were referred to Motahari hospital in Shiraz city, Iran. The patients were considered diabetic if they had an FBS level of 126 mg/dL or higher or were taking glucose-lowering agents or insulin injections. They were not allowed to participate if they were p...
PMC9912676
Study procedure
T2DM
DISEASE
This double-blind randomized clinical trial was conducted on T2DM patients who were referred to Motahari hospital in Shiraz city, Iran. In the beginning, a participant's disease was diagnosed with the help of an endocrinologist. Then, the study procedure was explained to the participants and informed written consent wa...
PMC9912676
Interventions preparation and compliance to study protocol
Soymilk and cow milk were respectively produced by Soya Sun Company and Mihan-Dairy Company in Iran. The amount of soymilk that should be consumed was determined based on a study conducted in Iran [
PMC9912676
Measurements
Anthropometric measurements, including height and body weight, were assessed in all patients at baseline and at the end of the study period. Standing and shoeless heights and body weight were measured while participants were minimally clothed with no shoes using digital scales. Body mass index (BMI) was calculated as b...
PMC9912676
Statistical analysis
Statistical tests were conducted using SPSS 22 and
PMC9912676
Discussion
T2DM, TG, tumor necrosis
TUMOR NECROSIS
This randomized double-blind clinical trial aimed to examine the effects of soymilk and probiotics supplement co-administration on cardiovascular risk factors in patients with T2DM. The results showed soymilk plus probiotics supplement consumption significantly improved DBP, TC, TG, HDL-C, and insulin levels after 6 we...
PMC9912676
Acknowledgements
We are grateful to the Isfahan soymilk company that provided soymilk products for the present study. We would like to express our special thanks to all patients that participate in our study.
PMC9912676
Authors’ contributions
A.H. contributed to data collection and wrote the primary draft of the manuscript; SM.M and M.SH. designed the study and revised the manuscript; S.B. managed the study and supervised the final manuscript. The authors read and approved the final manuscript.
PMC9912676
Funding
shiraz
This study was financially supported by shiraz university of medical sciences (grant number: 93–06-115–5566).
PMC9912676
Availability of data and materials
The data that support the findings of this study are available from the corresponding author upon reasonable request.
PMC9912676
Declarations
PMC9912676
Ethics approval and consent to participate
All procedures were under Helsinki declaration and approved by the Research Council and Ethics Committee of Shiraz University of Medical Sciences (IR.SUMS.REC.1394.62). Written informed consent was obtained from all participants.
PMC9912676
Consent for publication
Not applicable.
PMC9912676
Competing interests
The authors declare no competing interests.
PMC9912676
References
PMC9912676
Objective
knee dislocation
The purpose of this study was to evaluate the clinical outcomes of two-stage reconstruction (peripheral reconstruction in phase I and central anterior cruciate ligament (ACL) / posterior cruciate ligament (PCL) reconstruction in phase II) with remnant preservation for patients with knee dislocation.
PMC10704695
Methods
knee dislocation
A total of 70 patients (10 IIIM, 17 IIIL, and 43 IV) with knee dislocation were randomly divided into the remnant-preserved group and the simple reconstruction group. Patients underwent two-stage reconstruction, including the reconstruction of collateral ligament in phase I and the reconstruction of ACL/PCL in phase II...
PMC10704695
Results
After the surgery, the lateral stability recovered in all patients, and X-ray revealed a good position of bone tunnel. Follow-up was performed at 12 months postoperatively and ranged from 24 to 91 months. At the final follow-up, knee flexion angle, IKDC, Lysholm, and Tegner scores were all higher in both groups compare...
PMC10704695
Conclusion
The knee function was well recovered after two-stage ligament reconstruction with remnant preservation.
PMC10704695
Keywords
PMC10704695
Introduction
Remnant, automobile accidents, dislocation, knee dislocation
Knee dislocation is an uncommon and severe injury that frequently induced by high-energy impact injuries, ranging from automobile accidents to contact sports [Until now, the treatment principle for cruciate ligament injuries following knee dislocation is still controversial. Some scholars recommend that ligament recons...
PMC10704695
Materials and methods
PMC10704695
Subjects
traffic accidents, right knee injuries, knee dislocation, left knee injuries, injuries, sports-related
MAY
A total of 70 patients (10 IIIM, 17 IIIL and 43 IV) with knee dislocation were screened at our hospital from May 2010 to August 2020. All patients were randomly divided into two groups: the remnant-preserved group and the simple reconstruction group (Phase I reconstruction + Phase II reconstruction without remnant pres...
PMC10704695
Phase I reconstruction
avulsion injury of the MCL, fracture, knee joints, avulsion injuries
In phase I, the collateral ligament was repaired first following detumescence (within 2 weeks of injury). For the avulsion injury of the MCL, the broken end was sutured and fixed at the femoral end or the tibial side using anchor nails, and the substantial fracture was directly sutured. For avulsion injuries of the LCL...
PMC10704695
Phase II arthroscopic reconstruction of ACL and PCL
After phase I reconstruction for at least 12 weeks, phase II arthroscopic reconstruction of anterior and posterior cruciate ligaments was performed.
PMC10704695
Graft acquisition
Semitendinosus and gracilis tendons of both lower limbs were separated from patients as grafts. Both ends of tendons were folded into four strands for backup after measuring the diameter.
PMC10704695
Bone tunnel establishment
ACL
ADHESION, BENDING
Femoral tunnel- Arthroscopy was performed routinely and concomitant injuries were treated. The adhesion between the anterior and posterior cruciate ligaments was removed to prevent damage to the ligament remnants. The internal opening of the femoral tunnel of the ACL is located at the end point of the anteromedial fasc...
PMC10704695
Graft fixation
CAVITY
Under arthroscopy, the PCL/ACL-Retrobutton compound was pulled into the joint cavity through the tibial tunnel, and then into the femoral tunnel with a traction line. The Retrobutton was fixed after the femoral end was turned over. When the Drawer and Lachman tests were negative, the knee was bent for 70
PMC10704695
Postoperative rehabilitation exercise
tenesmus
A mild rehabilitation plan was applied according to the rehabilitation of PCL. To protect the reconstructed PCL during rehabilitation exercises, shinbone tenesmus should be avoided. From the second week post-surgery, knee flexion training was performed twice a day and gradually increased to 90°. The knee flexion reache...
PMC10704695
Postoperative evaluations
After the surgery for 12 months, the symptoms, range and stability of joint flexion and extension, Lysholm score, Tegner score, and IKDC score were evaluated. X-ray and MRI were performed to reveal the changes of bone tunnel and ligament healing. Lachman, Drawer, Valgus/Varus stress, and axial displacement tests were p...
PMC10704695
Results
PMC10704695
Collateral ligament reconstruction in patients
Within 2 weeks after the injury of collateral ligament of knee joint, repair surgery was performed in patients in different ways, including the posterolateral structure of knee joint (N = 12), lateral termination of the fibula (N = 8), ipsilateral partial biceps femoris tendon reentry (N = 15), MCL (suture of broken en...
PMC10704695
Postoperative outcomes
postoperative knee flexion angle was 132.4 ± 5.1
POSTOPERATIVE COMPLICATIONS
No intraoperative and postoperative complications were observed in all patients. After the surgery, the lateral stability recovered in all patients. In the remnant-preserved group, the remnants of both the ACL and PCL were retained. The postoperative knee flexion angle was 132.4 ± 5.1
PMC10704695
Postoperative imaging
After the surgery, X-ray revealed a good position of the bone tunnel, and the position of the internal orifice of ACL tunnel (AT) and PCL tunnel (PT) is consistent with the normal attachment position (Fig.  X-ray images revealed that the internal orifice of anterior cruciate ligament tunnel (AT) and posterior cruciate ...
PMC10704695
Follow-up evaluation
POSTOPERATIVE COMPLICATIONS
All enrolled 70 cases were followed up for 24–91 months (average 60.3 ± 17.9 months). Follow-up results showed that all patients had no intraoperative and postoperative complications. Compared with the preoperative period, the knee flexion angle, IKDC score, Lysholm score, and Tegner score were significantly improved i...
PMC10704695
Acknowledgements
Not applicable.
PMC10704695
Author Contributions
Wenpu Ma and Yiqun Yang: conception, design and analysis of data, performed the data analyses and wrote the manuscript; Xin Ha: contributed to the conception of the study; wrote the manuscript; All authors have read and approved the manuscript.
PMC10704695
Funding
Not applicable.
PMC10704695
Data Availability
This study did not use public datasets. All data in the manuscript is available through the responsible corresponding author.
PMC10704695
Declarations
PMC10704695
Ethical approval and consent to participate
This retrospective study was approved by the institutional ethical review board of Liaocheng People’s Hospital. All the study participants have signed written informed consent.
PMC10704695
Consent for publication
Not applicable.
PMC10704695
Competing interests
The authors declare no competing interests.
PMC10704695
References
PMC10704695
Supplementary Information
AML, tumor
ACUTE MYELOID LEUKEMIA, AML, TUMOR
Long-term survival in patients with acute myeloid leukemia (AML) remains low, and current treatment modalities are inadequate. Milademetan (DS-3032, RAIN-32), a small-molecule specific murine double minute 2 inhibitor, has shown a p53 status-dependent antitumor effect in vitro studies. This is the first phase I study r...
PMC9813109
Keywords
PMC9813109
Introduction
AML, tumors, tumor
TUMOR, ACUTE MYELOID LEUKEMIA, AML, REMISSION, TUMORS, HEMATOLOGICAL MALIGNANCY
Acute myeloid leukemia (AML) is a hematological malignancy characterized by an autonomous growth of myeloid blast cells that cannot differentiate or further develop into mature white blood cells. Moreover, it has a diverse clinical presentation [While AML is now treatable and curable, the long-term survival rate after ...
PMC9813109
Materials and methods
PMC9813109
Study design and treatment
toxicity, lymphomas, AML, hematologic malignancies
MYELODYSPLASTIC SYNDROME, SOLID TUMORS, AML, HEMATOLOGIC MALIGNANCIES, LYMPHOMAS
This phase I, open-label, and dose-escalation study conducted at eight centers in Japan recruited patients with R/R AML. Four fixed-dose milademetan schedules were planned (Supplementary Fig. 1A). Increases in the milademetan dose were guided by the modified continual reassessment method (mCRM), with a planned maximum ...
PMC9813109
Study population
toxicity, chronic myeloid leukemia, AML
DISEASE PROGRESSION, ADVERSE EVENTS, MYELODYSPLASTIC SYNDROME, BLAST CRISIS, GRAFT-VERSUS-HOST DISEASE, AML, CENTRAL NERVOUS SYSTEM LEUKEMIA, ACUTE PROMYELOCYTIC LEUKEMIA, CHRONIC MYELOID LEUKEMIA, REMISSION, ONCOLOGY
This study included patients ≥ 20 years old with R/R AML and those with a history of myelodysplastic syndrome. Also eligible were patients who failed to achieve remission with at least one cycle of prior induction therapy, who relapsed after achieving remission with prior therapy, could not achieve persistent remission...
PMC9813109
Objectives
AML, tumor
SECONDARY, AML, TUMOR
This study primarily aimed to evaluate the safety, tolerability, and MTD of milademetan monotherapy in Japanese patients with R/R AML. The secondary objective was to determine the PK profile and tumor response. Additionally, the recommended dose of the further study was determined. Furthermore, the
PMC9813109
Safety evaluation
DLTs, toxicities, failure, primary disease, disability or incapacity
ADVERSE EVENTS, EVENTS, COMPLICATIONS
Relative dose intensity (in percentage) was calculated as a proportion of dose intensity/planned dose intensity (proportion of dose administered/total treatment duration). Safety assessments were completed by documenting the AEs, ECOG PS, laboratory data, body weight, vital signs, and the results of 12 lead ECGs. Serio...
PMC9813109