Publications by authors named "S Kayaniyil"

Background: New treatments for systemic lupus erythematosus (SLE) aim to improve tolerability and disease activity control over standard of care (SoC) treatment. SoC typically includes daily glucocorticoid (GC) which carries a risk of organ damage over time. This study sought to develop natural history models to identify predictors of long-term outcomes with current SoC SLE treatment.

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Objective: Our objective was to describe the administration of glucocorticoids (GCs) and characterize its association with organ damage in a longitudinal systemic lupus erythematosus (SLE) cohort over a time period spanning the introduction of biologics in Canada.

Methods: A retrospective observational study was conducted using data from a large SLE cohort in Canada, including adults without lupus nephritis or central nervous system lupus. Patients were observed from time of entry into the cohort to the last available clinic visit (up to December 31, 2020), with a minimum of 24 months of follow-up.

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Background: Pivotal phase 3 trials and real-world studies have demonstrated benralizumab's overall efficacy and safety in severe eosinophilic asthma (SEA). Additional large-cohort data are needed to confirm its real-world effectiveness in SEA according to previous biologic use and key baseline characteristics important for treatment selection.

Methods: XALOC-1 is a large, multinational, retrospective, observational, real-world study programme of benralizumab in adults with SEA.

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Background: Cladribine tablets and fingolimod have similar marketing authorisations in Europe for the treatment of patients with highly active relapsing multiple sclerosis (HA-RMS). In the absence of direct head-to-head studies, real-world data are important to assess the comparative effectiveness of these oral disease-modifying therapies (DMTs). The primary objective of the present study was to compare relapse rates between patients who received either cladribine tablets or fingolimod.

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Article Synopsis
  • Clinical trials show immunotherapy (IO) is more effective than chemotherapy for pre-treated advanced non-small cell lung cancer (NSCLC), but there’s limited knowledge about its real-world effectiveness, especially for underrepresented patient groups.
  • A systematic review analyzed 66 real-world studies focusing on overall survival (OS) with IO treatments like nivolumab, revealing 1-year and 2-year OS rates of 45.6% and 28.0% respectively for nivolumab, with poorer outcomes seen in older patients and those with worse performance status.
  • The findings indicate that while OS benefits of IO align with clinical trials, results vary significantly for vulnerable populations, suggesting a need for tailored approaches in clinical practice.
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