Publications by authors named "Ira Gupta"

Purpose Of Review: In this article, we underscore the importance of identifying risk factors and monitoring pulmonary hypertension patients for signs of arrhythmias, as this proactive approach can reduce morbidity and mortality.

Recent Findings: Atrial fibrillation is the most prevalent among cardiac arrhythmias and is associated with an increased risk of stroke, morbidity, and mortality. Smoking, obesity, hypertension, a sedentary lifestyle, and diabetes mellitus are some of the modifiable risk factors for atrial fibrillation.

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Background: Belantamab mafodotin (belamaf) has shown promising antimyeloma activity in relapsed or refractory multiple myeloma (RRMM) as a single agent. It was hypothesized that its multimodal activity may be enhanced by programmed cell death protein 1 pathway inhibition and activation of T cell-mediated antitumor responses. This study investigated the efficacy and safety of belamaf with pembrolizumab in patients with RRMM.

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CD123, a subunit of the interleukin-3 receptor, is expressed on ∼80% of acute myeloid leukemias (AMLs). Tagraxofusp (TAG), recombinant interleukin-3 fused to a truncated diphtheria toxin payload, is a first-in-class drug targeting CD123 approved for treatment of blastic plasmacytoid dendritic cell neoplasm. We previously found that AMLs with acquired resistance to TAG were re-sensitized by the DNA hypomethylating agent azacitidine (AZA) and that TAG-exposed cells became more dependent on the antiapoptotic molecule BCL-2.

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Article Synopsis
  • - In the DREAMM-2 study, belantamab mafodotin showed significant effectiveness and a manageable safety profile for patients with relapsed/refractory multiple myeloma (RRMM), particularly those who had failed multiple previous treatments.
  • - Patient-reported outcomes (PROs) indicated that while some patients experienced ocular symptoms (like difficulties with vision, driving, and reading), these symptoms improved over time with recovery times ranging from 23.5 to 44 days.
  • - Overall health-related quality of life (HRQOL) and core symptoms of multiple myeloma, including fatigue and pain, were maintained during treatment, supporting the use of belantamab mafodotin in RRMM patients and suggesting potential for
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The aim of this in vitro study was to evaluate and compare the dentinal tubule occlusion using nano-hydroxyapatite (n-HAP) containing toothpaste and mouthwash under a scanning electron microscope. The specimens were randomly divided into two groups with five specimens each: group 1-toothpaste group and group 2-mouthwash group. The percentage of the occluded dentinal tubules was assessed at the baseline, 7, 14, 21, and 28 days under a scanning electron microscope.

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Aims And Objective: The aim of this study was to assess the periodontal health status in subjects having dual habits of smoking and gutkha chewing among the male population of Kanpur City, Central Uttar Pradesh (UP).

Materials And Methods: A total number of 500 male subjects were included, divided into three study groups: group I-164 subjects with a dual habit of smoking and gutkha chewing, group II- 170 gutkha chewers, and group III-166 smokers. Case history, clinical examination, and the following clinical parameters were recorded-oral hygiene index (OHI-S), gingival index (GI), bleeding index, clinical attachment loss (CAL), gingival recession, and furcation involvement.

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Belantamab mafodotin, a B-cell maturation antigen-targeting antibody-drug conjugate (ADC), was investigated in Japanese patients with relapsed/refractory multiple myeloma in Part 1 of the phase I DREAMM-11 study. Patients who had received ≥ 2 prior lines of therapy including a proteasome inhibitor and immunomodulatory agent were eligible. Eight patients received belantamab mafodotin monotherapy at 2.

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Article Synopsis
  • Belantamab mafodotin (belamaf) is a new treatment for patients with relapsed/refractory multiple myeloma (RRMM), targeting myeloma cells and enhancing immune response.
  • The DREAMM-2 trial tested belamaf in heavily pretreated patients, revealing an overall response rate (ORR) of 32% to 35%, with median progression-free survival (PFS) of 2.8 to 3.9 months and overall survival (OS) of 14 to 15.3 months.
  • The treatment demonstrated a manageable safety profile, with common side effects including keratopathy and thrombocytopenia, while also maintaining or
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Article Synopsis
  • The treatment landscape for multiple myeloma is rapidly changing with new agents allowing for minimal residual disease (MRD) negativity to be more achievable across all stages of the disease.
  • Advanced technologies like next-generation flow and sequencing are enhancing the detection and monitoring of MRD, while promising liquid biopsy techniques are being developed to deepen our understanding of it.
  • Clinicians are increasingly considering MRD status to inform treatment decisions, as ongoing studies highlight its potential importance for improving patient outcomes and guiding future research and clinical trials.
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Background: On the basis of the DREAMM-2 study (ClinicalTrials.gov identifier NCT03525678), single-agent belantamab mafodotin (belamaf) was approved for patients with relapsed or refractory multiple myeloma (RRMM) who received ≥4 prior therapies, including anti-CD38 therapy. The authors investigated longer term efficacy and safety outcomes in DREAMM-2 after 13 months of follow-up among patients who received belamaf 2.

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  • * The need for management guidelines was identified due to the novel corneal events arising from the treatment, leading to recommendations for collaboration between hematology/oncology professionals and eye care specialists.
  • * Key guidelines include regular eye exams for patients on belamaf, assessing corneal event severity, and using findings to guide treatment decisions, aiming to reduce ocular risks while maintaining treatment benefits.
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  • Belantamab mafodotin (belamaf) is a newly approved treatment for adults with relapsed/refractory multiple myeloma who have undergone at least four previous therapies, acting as a targeted therapy that binds to BCMA and kills myeloma cells.
  • The drug works through multiple mechanisms and its potential benefits have prompted studies to combine belamaf with other cancer treatments.
  • The DREAMM-5 trial is currently investigating the safety and effectiveness of belamaf in combination with new agents like GSK3174998, feladilimab, nirogacestat, and dostarlimab compared to using belamaf alone.
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DREAMM-2 (NCT03525678) is an ongoing global, open-label, phase 2 study of single-agent belantamab mafodotin (belamaf; GSK2857916), a B-cell maturation antigen-targeting antibody-drug conjugate, in a frozen-liquid presentation in patients with relapsed/refractory multiple myeloma (RRMM). Alongside the main study, following identical inclusion/exclusion criteria, a separate patient cohort was enrolled to receive belamaf in a lyophilised presentation (3.4 mg/kg, every 3 weeks) until disease progression/unacceptable toxicity.

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Next generation sequencing studies in Chronic lymphocytic leukemia (CLL) have revealed novel genetic variants that have been associated with disease characteristics and outcome. The aim of this study was to evaluate the prognostic value of recurrent molecular abnormalities in patients with CLL. Therefore, we assessed their incidences and associations with other clinical and genetic markers in the prospective multicenter COMPLEMENT1 trial (treatment naive patients not eligible for intensive treatment randomized to chlorambucil (CHL) vs.

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Article Synopsis
  • The authors emphasize the need to correct information in their previous article based on new FDA guidelines.
  • These corrections focus specifically on the drug belantamab Mafodotin (belamaf).
  • Recent changes to the FDA label impact how belamaf should be used and understood in clinical settings.
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Introduction: Patients with relapsed or refractory multiple myeloma (RRMM) represent an unmet clinical need. Belantamab mafodotin (belamaf; GSK2857916) is a first-in-class antibody-drug conjugate (ADC; or immunoconjugate) that delivers a cytotoxic payload, monomethyl auristatin F (MMAF), to myeloma cells. In the phase II DREAMM-2 study (NCT03525678), single-agent belamaf (2.

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Background: Tobacco smoking is an independent risk factor for periodontal disease which increases periodontal pocketing, attachment loss, as well as bone loss leading to varied severity and bone destruction in the form of horizontal and vertical patterns.

Aim: The aim of the present study is to determine and measure the types and severity of bone destruction in chronic periodontitis (CP) patients with tobacco smoking habit using intraoral periapical (IOPA) radiographs and transgingival probing.

Materials And Methods: A total of 60 male participants with CP were included in the study.

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Background: Belantamab mafodotin (GSK2857916), an immunoconjugate targeting B-cell maturation antigen, showed single-agent activity in the phase 1 DREAMM-1 study in heavily pre-treated patients with relapsed or refractory multiple myeloma. We further investigated the safety and activity of belantamab mafodotin in the DREAMM-2 study.

Methods: DREAMM-2 is an open-label, two-arm, phase 2 study done at 58 multiple myeloma specialty centres in eight countries.

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Article Synopsis
  • A phase I study of GSK2857916, an antibody-drug conjugate for treating relapsed/refractory multiple myeloma (MM), showed a 60% overall response rate and updated findings indicate improved progression-free survival to 12 months after an additional 14 months of follow-up.
  • The study, conducted across multiple centers in the USA, Canada, and the UK, involved adults with progressive MM who had exhausted other treatment options.
  • The results highlight the drug's effectiveness, with 60% of patients achieving a partial response or better, and it was well tolerated with common side effects like thrombocytopenia; no new safety concerns were found.
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Approximately 8% to 19% of patients with acute myeloid leukemia (AML) have isocitrate dehydrogenase-2 () mutations, which occur at active site arginine residues R140 and R172. mutations produce an oncometabolite, 2-hydroxyglutarate (2-HG), which leads to DNA and histone hypermethylation and impaired hematopoietic differentiation. Enasidenib is an oral inhibitor of mutant-IDH2 proteins.

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Importance: Enasidenib mesylate, a mutant isocitrate dehydrogenase 2 (IDH2) protein inhibitor that promotes differentiation of leukemic myeloblasts, was recently approved by the US Food and Drug Administration for use in relapsed/refractory (R/R) mutant IDH2 acute myeloid leukemia (AML). During the first study of enasidenib in humans, a minority of patients with advanced myeloid neoplasms experienced unexpected signs/symptoms of a differentiation syndrome (DS), a potentially lethal entity.

Objective: To characterize IDH-inhibitor-associated DS (IDH-DS) and its effective management.

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Chronic lymphocytic leukemia (CLL) is an incurable disease. Quality of life during treatment and periods of subsequent remission is therefore vital. Health-related quality of life (HRQoL) was compared in relapsed CLL during and after treatment with ofatumumab combined with fludarabine and cyclophosphamide versus fludarabine and cyclophosphamide alone.

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Unlabelled: In this multicenter, open-label, phase III study, patients with relapsed chronic lymphocytic leukemia (CLL) were randomized (1:1) to receive ofatumumab plus fludarabine and cyclophosphamide (OFA + FC) or FC alone; the primary endpoint being progression-free survival (PFS) assessed by an independent review committee (IRC). Between March 2009 and January 2012, 365 patients were randomized (OFA + FC: n = 183; FC: n = 182). Median IRC-assessed PFS was 28.

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