Publications by authors named "Nicola Mathieson"

Article Synopsis
  • The study focused on the occurrence of febrile neutropenia (FN) in patients with intermediate risk while undergoing chemotherapy, aiming to better understand its incidence.
  • The research involved 364 patients with solid tumors or lymphomas, tracking them through multiple cycles of chemotherapy; FN rates were highest during the first cycle.
  • Findings indicated a low overall FN incidence, especially after the first cycle, suggesting that, based on clinician discretion, prophylactic use of granulocyte colony-stimulating factor (G-CSF) might be beneficial for these patients.
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Article Synopsis
  • Scientists showed that a new medicine called Sandoz biosimilar pegfilgrastim is very similar to the original medicine Neulasta used for patients needing cancer treatment.
  • They tested both medicines in labs and with people to make sure they work the same way and are safe to use.
  • The results showed no important differences, which means Sandoz biosimilar pegfilgrastim can be used just like Neulasta. *
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Biosimilar filgrastim (Sandoz) was approved in Europe in 2009 and, in 2015, was the first biosimilar approved in the USA. These authorizations were based on the "totality of evidence" concept, an approach that considers data from structural and functional characterization and comparability analysis and non-clinical and clinical studies. For biosimilar filgrastim, phase III confirmatory clinical studies were performed in the most sensitive population, patients with breast cancer undergoing myelosuppressive chemotherapy.

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Guidelines recommend febrile neutropenia (FN) prophylaxis following myelotoxic chemotherapy with either daily injections of filgrastim (Neupogen) or biosimilar filgrastim-sndz (Zarzio/Zarxio), single-injection pegfilgrastim (Neulasta), or pegfilgrastim administered through an on-body injector (PEG-OBI; Neulasta Onpro). PEG-OBI failure rates up to 6.9% have been reported, putting patients at incremental risk for FN and FN-related hospitalization.

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This meta-analysis compared incidence of grade 3-4 neutropenia with ALK inhibitors versus chemotherapy in patients with non-small-cell lung cancer. PubMed/MEDLINE was searched to identify Phase II and III randomized clinical trials published up to 25 October 2018. Summary incidence, relative risk and corresponding 95% CIs were calculated for grade 3-4 neutropenia.

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Myelodysplastic syndromes (MDS) are characterized by ineffective hematopoiesis, leading to hematopoietic precursor cell apoptosis and peripheral blood cytopenias. Anemia is the most frequently experienced cytopenia and is the main cause of MDS symptoms, with fatigue and dyspnea contributing to reduced quality of life and increased morbidity. As MDS disease course and prognosis is influenced by disease factors, prognostic scoring systems have been developed for MDS to aid clinical and therapeutic decisions following diagnosis.

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Unlabelled: There are several new treatment options for patients whose asthma remains uncontrolled on free-dose and fixed-dose combinations of inhaled corticosteroids plus long-acting β-agonists (ICS+LABA). In order to evaluate the likely impact of these treatments, we assessed the effect of uncontrolled asthma on healthcare and patient burden within the UK among adult patients treated with ICS+LABA. Data obtained from 2010-2011 UK National Health and Wellness Surveys identified 701 patients treated with ICS+LABA.

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