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Article Synopsis
  • - The COVID-19 pandemic significantly disrupted NHS primary care services, leading to the creation of the OpenSAFELY Service Restoration Observatory (SRO) to track clinical activity trends throughout this period.
  • - An open-source data management framework was developed to analyze electronic health records from 48 million adults, focusing on key measures like blood pressure monitoring and asthma reviews from January 2019 to December 2021.
  • - While most clinical activities showed signs of recovery by April 2021, some measures like medication and blood pressure reviews continued to experience notable reductions, indicating lasting impacts from the pandemic.
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Background: Innovations in imaging and molecular characterisation together with novel treatment options have improved outcomes in advanced prostate cancer. However, we still lack high-level evidence in many areas relevant to making management decisions in daily clinical practise. The 2022 Advanced Prostate Cancer Consensus Conference (APCCC 2022) addressed some questions in these areas to supplement guidelines that mostly are based on level 1 evidence.

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We assessed the safety, efficacy, maximum tolerated dose (MTD), and the recommended phase 2 dose (RP2D) of selinexor, a first in class oral selective inhibitor of nuclear export (100 mg once weekly [QW] or 60 mg twice weekly), in combination with daratumumab (16 mg/kg per label) and dexamethasone (40 mg QW) (SDd) in patients with relapsed refractory multiple myeloma (RRMM). Thirty-four patients (median prior therapies, 3 [range, 2-10]) were enrolled; MM was refractory to proteasome inhibitor (PI) in 85%, immunomodulatory agent (IMiD) in 76%, both in 74%, and daratumumab in 6% of patients. Two dose-limiting toxicities (DLTs) were reported in the selinexor 60 mg twice-weekly cohort with no DLTs in the 100 mg QW cohort, making 100 mg QW the MTD and RP2D.

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