Publications by authors named "Ashley Beekman"

Article Synopsis
  • Researchers examined treatment options for primary CNS lymphoma in adult patients, focusing on five chemotherapy regimens that include high-dose methotrexate (HD-MTX).
  • Out of 204 patients in the study, a significant majority (93%) received various combinations of HD-MTX and other drugs, with the MPV/Ara-C regimen showing the best results in progression-free and overall survival rates.
  • The study concluded that using tailored treatment strategies can boost recovery rates, especially for older patients not suited for more aggressive therapies.
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Arsenic trioxide is an essential component of therapy for acute promyelocytic leukaemia (APL) and is currently dosed on actual body weight with no upper limit. Arsenic-induced neurotoxicity is a well-recognised complication; however, there is uncertainty about its relationship to arsenic dose and obesity. We conducted a large multicentre retrospective study of 487 patients with APL treated with arsenic-based therapy across 23 sites in Australia from 2008 to 2023.

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Article Synopsis
  • Mantle cell lymphoma (MCL) is a type of non-Hodgkin lymphoma with varied clinical outcomes, often requiring multiple treatment lines, but resulting in shorter disease control periods over time.
  • Novel treatments like chimeric antigen receptor T-cell therapies and bispecific antibodies may be effective but are usually given late in the treatment process, potentially missing chances to help patients with more aggressive forms of the disease.
  • A study of 389 patients over 10 years revealed that mortality from MCL increases with each treatment line, highlighting the need for earlier trials of innovative therapies for high-risk patients, especially older individuals and those relapsing early.
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Background: Poly ADP-ribose polymerase (PARP) inhibitors target pathogenic mutations in chemotherapy-resistant malignancies. PARP inhibitors cause modest dose-dependent QT prolongation in the setting of a normal baseline QT interval.

Case Summary: We describe a case of PARP inhibitor-induced torsades de pointes (TdP) in an 86-year-old gentleman prescribed rucaparib due to chemotherapy-resistant, metastatic prostate cancer with pre-existing long QT, with an apparent dose-dependent increase in QT interval.

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