Publications by authors named "Paul Wilde"

Purpose: To assess the safety and tolerability of a vandetanib-eluting radiopaque embolic (BTG-002814) for transarterial chemoembolization (TACE) in patients with resectable liver malignancies.

Materials And Methods: The VEROnA clinical trial was a first-in-human, phase 0, single-arm, window-of-opportunity study. Eligible patients were aged ≥18 years and had resectable hepatocellular carcinoma (HCC) (Child-Pugh A) or metastatic colorectal cancer (mCRC).

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Objective: To determine the feasibility of using radiopaque (RO) beads as direct tumour surrogates for image-guided radiotherapy (IGRT) in patients with liver tumours after transarterial chemoembolisation (TACE).

Methods: A novel vandetanib-eluting RO bead was delivered via TACE as part of a first-in-human clinical trial in patients with either hepatocellular carcinoma or liver metastases from colorectal cancer. Following TACE, patients underwent simulated radiotherapy imaging with four-dimensional computed tomography (4D-CT) and cone-beam CT (CBCT) imaging.

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Article Synopsis
  • TACE is the standard treatment for intermediate-stage hepatocellular carcinoma and can also be used for liver metastases, but it is not curative and often leads to tumor progression.
  • The VEROnA study aims to assess the safety and tolerability of a new treatment using vandetanib-eluting embolic beads in patients with resectable liver cancers and to measure drug concentrations in the body after treatment.
  • This study involves a single-arm trial where patients receive the treatment before surgery, with goals including evaluating the drug's distribution, its effects on tumor pathology, and identifying potential blood biomarkers for better treatment response prediction.
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  • About 55% of patients with essential thrombocythemia carry the JAK2(V617F) mutation, which is pivotal for diagnosis.
  • A study assessed how the mutation status affects the response to anagrelide treatment in patients who were not responding to their current therapy.
  • Results showed that 85.7% of JAK2-positive patients had a partial response compared to 66.7% of JAK2-negative patients, indicating a trend that may warrant further research.
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Essential thrombocythemia (ET) is usually managed by anti-platelet therapy. European guidelines recommend that patients with ET at high risk of developing thrombohemorrhagic events should be placed on cytoreductive therapy (CRT). In Japan, hydroxycarbamide (HC) is the most widely used CRT; however, treatment options for patients who become intolerant or refractory to initial treatment are limited.

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Background: High levels of circulating fibroblast growth factor 23 (FGF23) are associated with chronic kidney disease (CKD) progression and high mortality. In the Phosphate Reduction Evaluation of FGF23 in Early CKD Treatment (PREFECT) study, we assessed the effect of reducing intestinal phosphate absorption using lanthanum carbonate on FGF23 levels in normophosphatemic patients with CKD stage 3.

Methods: Thirty-five individuals were randomized to lanthanum carbonate 3000 mg/day (n=23) or placebo (n=12) for 12 weeks.

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Objectives: To identify switch modalities used when initiating second- or third-line anagrelide for essential thrombocythemia (ET), assess whether anagrelide is initiated consistently with Summary of Product Characteristics (SPC) recommendations, and determine whether different observed switch regimens have any relationship with maintenance, platelet response, or tolerability.

Methods: This observational study was conducted across 43 centers in France. High-risk patients (>60 yr of age and/or history of thrombosis and/or platelet count >1000 × 10(9) /L) with ET starting second- or third-line anagrelide therapy were identified and monitored for 6 months.

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This paper describes a method for modifying self-assembled monolayers (SAMs) with the nitrilotriacetic acid (NTA) group for subsequent immobilization of hexahistidine tagged proteins. The method has two important improvements over previous ones; firstly it avoids the need to carry out a complex synthesis of the chelator alkanethiols prior to deposition because the reactions are performed in situ on a preassembled SAM. This in situ approach also avoids phase segregation of alkanethiols with different functional groups, especially bulky ones such as NTA and tri(ethylene glycol), since a simple SAM is employed as the starting material.

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