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Article Synopsis
  • Primary central nervous system lymphoma (PCNSL) is a rare and aggressive cancer affecting the brain and spinal cord, typically treated with high-dose methotrexate (HDMTX) combined with other therapies, but many patients relapse after initial treatment.
  • A study analyzed 54 adult PCNSL patients who received HDMTX-based treatment from 2016 to 2022, revealing that 57% underwent consolidation therapy, while 24% had autologous stem cell transplants.
  • For those with relapsed or refractory (R/R) disease, treatments varied widely, including second and third line options like whole brain radiation (WBRT), clinical trials, and various combinations of rit
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Cost and value of cancer medicines in a single-payer public health system in Ontario, Canada: a cross-sectional study.

Lancet Oncol

April 2024

Division of Cancer Care and Epidemiology, Queen's Cancer Research Institute, Kingston, ON, Canada; Department of Oncology, Queen's University, Kingston, ON, Canada; Public Health Sciences, Queen's University, Kingston, ON, Canada. Electronic address:

Background: The financial impact of cancer medicines on health systems is not well known. We describe temporal trends in expenditure on cancer medicines within the single-payer health system of Ontario, Canada, and the extent of clinical benefit these treatments offer.

Methods: In this cross-sectional study, we identified cancer medicines and expenditures from formularies and costing databases (the New Drug Funding Program, Ontario Drug Benefit Program, and The High-Cost Therapy Funding Program) during 10 consecutive years (April 1, 2012, to March 31, 2022) in Ontario, Canada.

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The multicohort phase 1b KEYNOTE-013 study (NCT01953692) evaluated the safety and efficacy of pembrolizumab in patients with relapsed or refractory NHL who were ineligible for or failed hematopoietic cell transplantation (HCT). Patients received pembrolizumab (cohort 4) or pembrolizumab plus lenalidomide (cohort 5). Primary end points were safety and objective response rate (ORR) per IWG 2007 criteria.

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Background/aim: The systemic administration of anticancer drugs may cause ocular adverse reactions (OARs). However, such adverse events are generally rare and occur with an unknown frequency. This study aimed to investigate the tendency of occurrence of OARs induced by systemic anticancer drugs using a large spontaneous pharmacovigilance database in Japan.

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