Publications by authors named "P J Wiechno"

Background: Venous thromboembolism (VTE) may jeopardise excellent treatment results of germ cell tumours (GCT). We previously constructed a VTE risk score for GCT patients qualified for first-line chemotherapy (CTH), including vein compression, clinical stage (CS) and haemoglobin concentration.

Aim: Validating our score in a separate cohort and establishing the cut-off point for the score.

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Background: Neoadjuvant chemotherapy followed by radical cystectomy is the standard treatment for cisplatin-eligible patients with muscle-invasive bladder cancer. Adding perioperative immunotherapy may improve outcomes.

Methods: In this phase 3, open-label, randomized trial, we assigned, in a 1:1 ratio, cisplatin-eligible patients with muscle-invasive bladder cancer to receive neoadjuvant durvalumab plus gemcitabine-cisplatin every 3 weeks for four cycles, followed by radical cystectomy and adjuvant durvalumab every 4 weeks for eight cycles (durvalumab group), or to receive neoadjuvant gemcitabine-cisplatin followed by radical cystectomy alone (comparison group).

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Article Synopsis
  • ModraDoc006 is an oral version of docetaxel aimed at treating metastatic castration-resistant prostate cancer (mCRPC) when combined with ritonavir, and its efficacy and safety were tested against standard intravenous docetaxel in a phase II trial.
  • The study involved 103 chemotherapy-naïve mCRPC patients who were randomly assigned to receive either intravascular docetaxel or the oral ModraDoc006/r for comparison, measuring the primary outcome of radiographic progression-free survival (rPFS).
  • The results showed no significant difference in rPFS between the two treatments, but ModraDoc006/r had a better safety profile with fewer and milder side effects, suggesting it may be
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Background: Germ cell tumours (GCT) are highly curable malignancies. Venous thromboembolism (VTE) is a serious complication, needing better risk assessment models (RAM).

Aim: Identification of VTE incidence and risk factors in metastatic GCT patients starting first-line chemotherapy.

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