Publications by authors named "Shun Lu"

Immune-checkpoint inhibitors (ICIs) have transformed the treatment paradigm for advanced-stage squamous non-small-cell lung cancer (LUSC), a histological subtype associated with inferior outcomes compared with lung adenocarcinoma. However, only a subset of patients derive durable clinical benefit. In the first-line setting, multiple ICI regimens are available, including anti-PD-(L)1 antibodies as monotherapy, in combination with chemotherapy, or with an anti-CTLA4 antibody with or without chemotherapy.

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Background: Selpercatinib is approved for the treatment of -fusion-positive non-small-cell lung cancer (NSCLC).

Objective: We present a final update on LIBRETTO-321 to enhance the understanding of long-term efficacy and safety in Chinese patients.

Design: This open-label, multicenter, phase II study included patients with advanced -altered solid tumors.

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Article Synopsis
  • Lung cancer is the most common type of cancer in the Asia-Pacific region, with non-small cell lung cancer (NSCLC) making up about 85% of cases, and a significant mutation rate of 40-60% in Asian patients with lung adenocarcinoma.
  • Third-generation EGFR tyrosine kinase inhibitors (EGFR-TKIs) have improved treatment for NSCLC with mutations, but managing resistance to these drugs is still a major issue with no standardized guidelines.
  • A set of recommendations has been developed, integrating international guidelines and regional clinical experiences, to help healthcare providers classify resistance, conduct clinical testing, and devise treatment strategies for patients struggling with resistance to third-generation EGFR-TKIs.
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Background: Fangji Huangqi Decoction (FJHQD), a famous Traditional Chinese Medicine (TCM) formula, has been widely applied in improving renal function. However, the interaction of bioactives from FJHQD with the targets involved in acute renal injury (AKI) has not been elucidated yet.

Purpose: A network pharmacology-based approach combined with molecular docking and in vitro and in vivo validation was performed to determine the bioactives, key targets, and potential pharmacological mechanism of FJHQD against AKI.

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Hydrogen is increasingly acknowledged as a viable alternative to traditional fossil fuels. However, the photothermal properties of CoFeS, a photocatalyst displaying metal-like behavior, have not been adequately explored in the context of photocatalytic H generation. To improve photocatalytic hydrogen evolution, it is crucial to understand how to expedite the transfer of photogenerated electrons and the dissociation of H-OH bonds for enhanced hydrogen ion release.

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Background: The present study aimed to compare the functional outcomes of hinged external fixators and non-external fixation in open elbow arthrolysis (OEA) for post-traumatic elbow stiffness (PTES) and to evaluate their applicability and limitations in patients with posttraumatic elbow stiffness.

Methods: The clinical data of patients with PTES treated with OEA at our hospital between March 2015 and June 2022 were retrospectively analyzed. The assessed variables were the operation time, intraoperative blood loss volume, duration of hospitalization, and treatment costs.

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Accurate acetaminophen (APAP) determination using smartphone-based portable sensing hinges on developing sensing interfaces with effective catalytic performance and high electron transfer efficiency. Herein, we report that various Ni-based bimetallic-organic framework materials (MOFs) were synthesized through the hydrothermal method. These MOFs were incorporated with multiwalled carbon nanotubes (MWCNTs) during the synthesis of chitosan-cationic guar gum hydrogels (HG).

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Immune checkpoint inhibitors (ICIs) have changed the treatment landscape for patients with non-small cell lung cancer (NSCLC). In spite of durable responses in some patients, many patients develop early disease progression during the ICI treatment. Thus, early identification of patients with no durable benefit would facilitate the clinical decision for these patients.

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Purpose: Floating hip is a severe high-energy injury. Femoral fracture is an essential component of floating hip. However, few studies have addressed the relationship between the femoral fracture pattern and floating hip injury.

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Article Synopsis
  • * Copper-based materials are highlighted for their excellent conductivity, affordability, and beneficial electronic properties that enhance NRA performance.
  • * The review discusses various modification strategies to improve copper-based catalysts, analyzing their principles, advantages, challenges, and future prospects for industrial application.
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Objectives: Entrectinib and crizotinib are the only ROS proto-oncogene 1 receptor (ROS1) tyrosine kinase inhibitors available for most Asian patients. Their efficacy has neither been compared directly in clinical trials in patients with ROS1-positive non-small cell lung cancer (NSCLC), nor indirectly in Asian populations. Thus, we aimed to provide comparative evidence of the efficacy and safety of entrectinib and crizotinib for Asian patients with advanced or metastatic ROS1-positive NSCLC.

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Introduction: PEARL (NCT03003962) is an open-label, phase 3 study comparing first-line durvalumab monotherapy with chemotherapy in patients with metastatic NSCLC (mNSCLC [EGFR/ALK wild type]) with programmed cell death ligand 1 (PD-L1) tumor cell (TC) membrane expression status of 25% or higher. We report the final analysis of PEARL.

Methods: Adults (N = 669) with previously untreated stage IV mNSCLC were randomized (1:1) to durvalumab 20 mg/kg every four weeks or chemotherapy every three weeks for four to six cycles.

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  • The study aimed to determine if moving the ulnar nerve (anterior transposition) is needed for patients with elbow stiffness after an injury.
  • It involved 177 patients from a hospital over almost 11 years, comparing outcomes based on whether they had ulnar nerve symptoms or not, focusing on elbow motion and standardized health scores.
  • Results indicated that while open elbow surgery improved function in all patients, those with nerve symptoms benefited from anterior transposition, while those without symptoms had similar outcomes whether they underwent anterior transposition or in situ release.
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Introduction: Ivonescimab is a humanized IgG1 bispecific anti-programmed cell death protein 1/vascular endothelial growth factor antibody. This study aimed to evaluate the safety and tolerance of ivonescimab combined with etoposide and carboplatin as first-line treatment in patients with extensive-stage SCLC and to explore the primary efficacy of this regimen.

Methods: Eligible patients received intravenous ivonescimab 3 mg/kg, 10 mg/kg, or 20 mg/kg every 3 weeks combined with etoposide and carboplatin for up to four cycles, followed by ivonescimab as maintenance.

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Article Synopsis
  • * Datopotamab deruxtecan (Dato-DXd) is a promising new treatment being tested for these patients, showing good anti-tumor effects and safety.
  • * The TROPION-Lung07 study is a Phase III trial evaluating the effectiveness of Dato-DXd combined with pembrolizumab (with or without chemotherapy) compared to the current standard treatment, focusing on progression-free and overall survival rates (NCT05555732).
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Porphyrin-based molecular catalysts possess a typical aromatic macrocyclic structure regarding their metal centers and coordination frameworks, allowing for the development of promising electrocatalysts through precise selection of the metal and porphyrin ligand. However, reports on metalloporphyrins as catalysts for the electrocatalytic urea oxidation reaction (UOR) remain scarce. With these considerations in mind, the triphenylamine-Ni(II) porphyrin (NiPor-TPA) was synthesized through the solvothermal approach from 5,10,15,20-tetrakis [4-(diphenylamino)phenyl]porphyrin and nickel(II) acetate in this work.

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Autophagy is closely associated with the onset and progression of steroid-induced osteonecrosis of the femoral head (SIONFH). SQSTM1/p62 is an important indicator of autophagic activity. The aim of this study was to investigate the role of SQSTM1/p62 in the development of SIONFH.

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  • Zorifertinib is an experimental cancer drug that targets mutations in the EGFR gene and has shown effectiveness in patients with lung cancer that has spread to the brain.
  • A phase 3 trial compared zorifertinib to standard treatments and found that it significantly extended the time patients lived without the disease worsening (progression-free survival).
  • Results indicate that zorifertinib may be a better first-line treatment option for non-small cell lung cancer due to its ability to improve survival and manage side effects effectively.
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  • This study focuses on the effects of therapy-related toxicities and the quality of life for prostate cancer patients receiving transperineal ultrasound (TPUS) guided radiotherapy.
  • Physicians assessed gastrointestinal (GI) and genitourinary (GU) toxicities, while patients reported their quality of life through specific questionnaires at various points during and after treatment.
  • Results showed low levels of toxicities and a significant improvement in quality of life, indicating that TPUS-guided radiotherapy is a well-tolerated treatment method for prostate cancer.
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  • * A pooled analysis of clinical trials showed that patients receiving this combination treatment had better overall survival (17.4 months) compared to those receiving chemotherapy alone (11.3 months) at a median follow-up of 73.7 months.
  • * The combination treatment also resulted in higher progression-free survival and objective response rates without new safety concerns, making it a promising first-line option for hard-to-treat NSCLC cases.
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  • The study talks about collecting kidney tissue samples from patients to use them for research and understanding diseases better.
  • They found a way to keep these tissues preserved without needing super-cold liquid nitrogen, which makes it easier for doctors to use them in their work.
  • By testing these samples with advanced technology, they hope to identify new ways to help prevent and treat kidney diseases in the future.
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Purpose: We evaluated the efficacy and safety of roxadustat, a first-in-class hypoxia-inducible factor prolyl hydroxylase inhibitor, for chemotherapy-induced anemia (CIA) in patients with nonmyeloid malignancies receiving multicycle treatments of chemotherapy.

Patients And Methods: In this open-label, noninferiority phase III study conducted at 44 sites in China, 159 participants age ≥18 years with CIA nonmyeloid malignancy and CIA were randomly assigned (1:1) to oral roxadustat or subcutaneous recombinant human erythropoietin-α (rHuEPO-α) three times a week for 12 weeks. Roxadustat starting dosages were 100, 120, and 150 mg three times a week for participants weighing 40-<50, 50-60, and >60 kg, respectively.

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