Publications by authors named "W B Pierce"

On December 14, 2022, the FDA approved revisions to the United States Prescribing Information (USPI) for capecitabine that revised existing indications and dosage regimens, added new indications and their recommended dosage regimens, revised safety information, updated the description of the risk of capecitabine in patients with dihydropyrimidine dehydrogenase deficiency, and edited other sections of the USPI to conform with FDA's current labeling guidance. These supplements were reviewed and approved under Project Renewal, a public health initiative established by the FDA's Oncology Center of Excellence that aims to update the prescribing information of certain older oncology drugs to ensure information is clinically meaningful and scientifically up to date. This article summarizes the FDA approach that supported revisions to the capecitabine USPI within the context of Project Renewal.

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Article Synopsis
  • On December 15, 2023, the FDA approved enfortumab vedotin-ejfv plus pembrolizumab (EV + Pembro) for treating locally advanced or metastatic urothelial carcinoma based on a clinical trial (EV-302/KEYNOTE-A39) showing its effectiveness.
  • The trial involved 886 patients and compared EV + Pembro against the standard treatment of cisplatin or carboplatin plus gemcitabine, demonstrating significantly better progression-free survival (12.5 months vs. 6.3 months) and overall survival (31.5 months vs. 16.1 months).
  • The safety profile of the combination therapy was found to be consistent with previous studies, leading to the FDA's decision
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Increasingly long and complex informed consents have yielded studies demonstrating comparatively low participant and with traditional face-to-face approaches. In parallel, interest in electronic consents for clinical and research genomics has steadily increased, yet limited data are available for trio-based genomic discovery studies. We describe the design, development, implementation, and validation of an electronic iConsent application for trio-based genomic research deployed to support genomic studies of cerebral palsy.

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We explored the challenges and solutions for managing data within the Whole Health System (WHS), which operates as a Learning Health System and a patient-centered healthcare approach that combines conventional and complementary approaches. Addressing these challenges is critical for enhancing patient care and improving outcomes within WHS. The proposed solutions include prioritizing interoperability for seamless data exchange, incorporating patient-centered comparative clinical effectiveness research and real-world data to personalize treatment plans and validate integrative approaches, and leveraging advanced data analytics tools to incorporate patient-reported outcomes, objective metrics, robust data platforms.

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