May 5th, 2021 - The U.S. Food and Drug Administration’s (FDA’s) Oncologic Drugs Advisory Committee (ODAC) recommended withdrawing two of six accelerated approvals of cancer treatments that it reevaluated in a recent meeting, citing the failure to verify benefit in follow-up trials. The committee voted 6-2 to withdraw the accelerated approval of pembrolizumab for the treatment of patients with recurrent locally...

May 5th, 2021 - An ongoing pipette tip shortage caused by the COVID-19 pandemic, blackouts in Texas, and a manufacturing plant fire is hindering scientific work around the world, from newborn screening to drug development to basic research. While COVID-19 diagnostic tests’ reliance on pipette tips has contributed to the shortage, several other issues further up the supply chain have also played a role. Winter ...

May 5th, 2021 - The U.S. Food and Drug Administration (FDA) has issued its first notice of noncompliance to Acceleron Pharma for failing to submit clinical trial results to ClinicalTrials.gov, the federal government’s database of privately and publicly funded clinical studies. If the pharmaceutical company does not submit the required data within 30 days, the agency is authorized to seek civil monetary penalti...

May 5th, 2021 - For Immediate Release: May 05, 2021 Today, the U.S. Food and Drug Administration issued a new report titled, “Resiliency Roadmap for FDA Inspectional Oversight,” outlining the agency’s inspectional activities during the COVID-19 pandemic and its detailed plan to move toward a more consistent state of operations, including the FDA’s priorities related to this work going forward. “Like most organ...

May 4th, 2021 - NHS England is to introduce a pioneering technology called HeartFlow for quicker diagnosis and treatment of suspected heart disease. HeartFlow transforms a regular cardiac computerised tomography (CT) scan into a three-dimensional (3D) image, enabling physicians to diagnose coronary heart disease (CAD) within 20 minutes. The technology could potentially cut the need for invasive and laborious a...

May 4th, 2021 - Asking a patient who has concerns about memory loss particular questions can guide referral decisions, according to new research. Initial questions should zero in on what the patient is forgetting, said Megan Richie, MD, a neurohospitalist at the University of California, San Francisco, who spoke to a virtual audience at the American College of Physicians (ACP) Internal Medicine Meeting. Is the...

May 4th, 2021 - Women had about a twofold higher risk than men of developing dermatologic adverse events while taking immune checkpoint inhibitors for metastatic melanoma in a review of 235 patients at Dana Farber Cancer Center, Boston, Massachusetts. Overall, 62. 4% of the 93 women in the review and 48 "This suggests that factors beyond sex hormones are likely contributory" to the difference in risk between m...

May 4th, 2021 - Takeaway Use of metformin for any indication during pregnancy was associated with a reduction in gestational weight gain (GWG) and a modest reduction in the risk of pre-eclampsia, but an increased risk of gastrointestinal (GI) side effects compared with other treatments. No significant effects were observed on other maternal outcomes. Why this matters Despite the widespread use of metformin dur...

May 4th, 2021 - Lung cancer continues to be the leading cause of cancer-related deaths worldwide. Non–small cell lung cancer (NSCLC), which accounts for 85% of all lung cancers, is divided histologically into adenocarcinoma, squamous cell carcinoma, and large cell carcinoma. In the United States, Canada, and many European countries, squamous cell carcinoma is the second most common histologic subtype of lung c...

May 4th, 2021 - The family of Ohio surgeon Thomas Lee Flanigan, 48, who died last week, made public the obituary he wrote himself, self-eulogizing his "shocking and unexpected, yet fabulous, exit." Flanigan, who referred to himself as the "Ginger God of Surgery and Shenanigans," wrote, "Yes, I have joined the likes of Princess Diana, John Belushi, and Steve Irwin the Crocodile Hunter in leaving while still at ...

May 4th, 2021 - Initiatives targeting hypoglycemia and insulin pen wastage could lead to dramatic cost savings in small community hospitals, new data suggest. The two projects are part of a dedicated inpatient glucose management service led by Mihail ("Misha") Zilbermint, MD, one of the few full-time endocrine hospitalists in the United States and one of even fewer who work at a small community hospital. Regar...

May 4th, 2021 - Cardiothoracic surgeon J. Marvin Smith III, MD, had always thrived on a busy practice schedule, often performing 20 to 30 surgeries a week. A practicing surgeon for more than 40 years, Smith says he had no plans to slow down anytime soon. But Smith says his career was derailed when leaders at Methodist Healthcare System of San Antonio initiated a sudden peer review proceeding against him. The h...

May 4th, 2021 - Three members of a US Food and Drug Administration (FDA) advisory committee are explaining why they do not support approval of the drug aducanumab (Biogen, Eisai) for the treatment of Alzheimer's disease (AD). G. Caleb Alexander, MD, Scott Emerson, MD, PhD, and Aaron Kesselheim, MD, JD, MPH, all serve on the FDA's Peripheral and Central Nervous System Advisory Committee and participated in the ...

May 4th, 2021 - In its final report on the E-2020 initiative, the World Health Organization (WHO) touted its progress on its goal of eliminating malaria throughout the world. But critics are charging that progress has stalled. The E-2020 initiative supported the efforts of twenty-one countries in eliminating malaria. In a remarkable achievement, especially during the COVID-19 pandemic, eight E-2020 member coun...

May 4th, 2021 - SACRAMENTO — Treating patients has become more expensive during the pandemic, and doctors and dentists don't want to be on the hook for all the new costs. For instance, the box of 100 gloves that cost $2. 39 in February 2020 costs $30 now, said Dr Reimbursing the cost of nonmedical supplies isn't typically the responsibility of insurers, said Mary Ellen Grant, spokesperson for the California As...

May 4th, 2021 - An investigational, orally dissolving film formulation of dexmedetomidine (BXCL501, BioXcel Therapeutics) may offer rapid relief from acute agitation related to schizophrenia or bipolar disorder (BD), results of two phase 3, randomized, placebo-controlled trials show. Dr Leslie Citrome For both disorders, BXCL501 showed "superiority over placebo" by meeting the primary endpoint of reduction of ...

May 4th, 2021 - Clinicians from across the world are banding together to mobilize help for their colleagues in India, where more than 300,000 new cases of COVID-19 have been reported daily for the past 2 weeks. Some are working hotlines and disseminating critical public health information; others are crowdfunding for equipment, training young doctors, or supporting vaccine registration.  In the last 2 weeks, a...

May 4th, 2021 - Transfusion-related circulatory overload (TACO) remains the most common cause of transfusion-related death, although deaths due to delays are increasing year-on-year, shows an analysis of reports to the UK’s transfusion safety body. "Communication is a major, major issue" when it comes to delays, which account for over one in four deaths, explained lead author Simon Carter-Graham, clinical inci...

May 4th, 2021 - Chronic insomnia is often underrecognized and misunderstood in primary care, sleep expert Christopher Lettieri, MD, told attendees at the American College of Physicians (ACP) Internal Medicine Meeting 2021. Too often, medications are the treatment of choice, and when used long term they can perpetuate a problematic cycle, said Lettieri, professor in pulmonary, critical care, and sleep medicine ...

May 4th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. DES MOINES, Iowa (AP) — A third coronavirus variant that was first identified in hard-hit India has been uncovered in Iowa, state public health officials said Tuesday. The Iowa Department of Public Health said it has confirmed two cases of the variant, SARS-CoV-2 B.1.617. Health officials are st...