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Saifi O, Lester SC, Rule WG, Breen W, Stish BJ, Rosenthal A, Munoz J, Lin Y, Johnston P, Ansell SM, Paludo J, Khurana A, Bisneto JV, Wang Y, Iqbal M, Moustafa MA, Murthy HS, Kharfan-Dabaja M, Peterson JL, Hoppe BS. Consolidative Radiotherapy for Residual PET-Avid Disease on Day +30 Post CAR T-Cell Therapy in Non-Hodgkin Lymphoma. Int J Radiat Oncol Biol Phys 2023; 117:S52. [PMID: 37784518 DOI: 10.1016/j.ijrobp.2023.06.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Up to30% of non-Hodgkin lymphoma (NHL) patients achieve a partial response (PR) to anti-CD19 Chimeric Antigen Receptor T-cell Therapy (CART) on day +30. Most PR patients relapse and only 30% achieve spontaneous complete response (CR) without additional therapies. This study is the first to report on the role of consolidative radiotherapy (cRT) for PR PET-avid disease on day +30 post-CART in NHL. MATERIALS/METHODS Aretrospective review across 3 institutions from 2018 to 2022 identified 60 patients with B-cell NHL who received CART and achieved PR (Deauville 4-5) with <5 PET-avid disease sites on day +30. Progression-free survival (PFS) was defined from CART infusion to any disease progression. Overall survival (OS) was defined from CART infusion to death. Local relapse-free survival (LRFS), calculated based on the total number of PR sites, was defined from CART infusion to local relapse (LR) in the PR site identified on day +30. cRT was defined as comprehensive (compRT) - treated all PR PET-avid sites - or focal (focRT). RESULTS Followingday +30 PET scan, 45 PR patients were observed and 15 received cRT. Only one patient received consolidative systemic therapy and belonged to the cRT group. Prior to CART, bridging RT was given to 13 patients (9 in observation group and 4 in cRT group). There were no significant differences in the pre-CART and day +30 baseline characteristics, including the median size and SUVmax of the PR sites, between the two groups. However, the median number of PR sites on day +30 was higher in the cRT group (2 [range 1-3] vs 1 [range 1-3], p = 0.003). The median equivalent 2 Gy dose was 39.1 (Interquartile range 36.8-41) Gy, and the most common cRT regimen was 37.5 Gy in 15 fractions. The median follow-up was 21 months. Among the observed patients, 15 (33%) achieved spontaneous CR, and 27 (60%) experienced disease progression with all relapses involving the initial PR sites. Among patients who received cRT, 10 (67%) achieved CR, and 3 (20%) had disease progression with no relapses in the radiated PR sites. None of the 10 cRT patients achieving CR relapsed or required subsequent therapies. The 2-year PFS was 80% and 37% (p = 0.012) and the 2-year OS was 78% and 43% (p = 0.12) in the cRT and observation groups, respectively. Patients consolidated with compRT (n = 12) had superior 2-year PFS (92% vs 37%, p = 0.003) and 2-year OS (86% vs 43%, p = 0.048) compared to observed or focRT patients (n = 48). There were no grade 3+ RT-related toxicities. A total of 90 PR sites were identified; 64 were observed and 26 received cRT. Fourteen (22%) observed PR sites achieved spontaneous sustained CR and 42 (66%) experienced LR. Twenty-four (92%) PR sites consolidated with cRT achieved sustained CR and none experienced LR. The 2-year LRFS was 100% in the cRT sites and 31% in the observed sites (p<0.001). CONCLUSION NHL patients who achieve PR by PET to CART are at high risk of local progression. cRT for residual PET-avid disease on day +30 post-CART appears to alter the pattern of relapse and improve LRFS and PFS.
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Affiliation(s)
- O Saifi
- Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL
| | - S C Lester
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN
| | - W G Rule
- Department of Radiation Oncology, Mayo Clinic, Phoenix, AZ
| | - W Breen
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN
| | - B J Stish
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN
| | - A Rosenthal
- Division of Hematology, Mayo Clinic, Phoenix, AZ
| | - J Munoz
- Division of Hematology, Mayo Clinic, Phoenix, AZ
| | - Y Lin
- Division of Experimental Pathology, Mayo Clinic, Rochester, MN; Division of Hematology, Mayo Clinic, Rochester, MN
| | - P Johnston
- Division of Hematology, Mayo Clinic, Rochester, MN
| | - S M Ansell
- Division of Hematology, Mayo Clinic, Rochester, MN
| | - J Paludo
- Division of Hematology, Mayo Clinic, Rochester, MN
| | - A Khurana
- Division of Hematology, Mayo Clinic, Rochester, MN
| | | | - Y Wang
- Division of Hematology, Mayo Clinic, Rochester, MN
| | - M Iqbal
- Division of Hematology, Mayo Clinic, Jacksonville, FL
| | | | - H S Murthy
- Division of Hematology, Mayo Clinic, Jacksonville, FL
| | | | - J L Peterson
- Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL
| | - B S Hoppe
- Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL
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Garrido D, Munoz J, Fresneda MD, Mendoza E, Garcia-Retamero R, Carballo G. Grammatical comprehension in language and communication disorders. Clin Linguist Phon 2023:1-19. [PMID: 37477233 DOI: 10.1080/02699206.2023.2237647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 07/22/2023]
Abstract
Autism Spectrum Disorder (ASD) and Developmental Language Disorder (DLD) have traditionally been considered separate disorders, although some similarities and overlaps in certain aspects of language have been detected. In this paper, we compare the deficits in receptive grammar in these two disorders. We analyse the proportion of grammatical errors in relation to semantic complexity in 84 children divided into four groups: children with autism language impairment (ALI), with autism language normal (ALN), with DLD, and with typical development (TD), all groups with the same age of receptive vocabulary. The results show significant differences in the comprehension of grammatical structures, both simple (canonical and non-reversible) and complex (non-canonical and reversible). Children with ASD and DLD show different language profiles depending on the syntactic complexity. In the simplest structures, no differences are found between the groups, starting at an equivalent vocabulary age of 7:8 years. However, there are differences between the ALI and DLD groups with respect to the TD group in the more complex structures, starting at an equivalent vocabulary age of 3 years. Therefore, both groups ALI and DLD present the greatest difficulties compared to ALN and TD. The paper discusses the importance of attending to these differences, since the repercussion of comprehension difficulties increases as children grow.
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Affiliation(s)
- D Garrido
- Department of Developmental and Educational Psychology, University of Granada, Granada, Spain
| | - J Munoz
- Department of Personality, Evaluation, and Psychological Treatment, University of Granada, Granada, Spain
| | - M D Fresneda
- Department of Personality, Evaluation, and Psychological Treatment, University of Granada, Granada, Spain
| | - E Mendoza
- Department of Personality, Evaluation, and Psychological Treatment, University of Granada, Granada, Spain
| | - R Garcia-Retamero
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Harding Center for Risk Literacy, Max Planck Institute for Human Development, Berlin, Germany
| | - G Carballo
- Department of Personality, Evaluation, and Psychological Treatment, University of Granada, Granada, Spain
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Trejo Corona S, Villanueva Boone C, Ali AM, Moore C, Brown A, Munoz J, Aaberg T, Schefler AC. Randomized Trial of Treat-and-Extend Intravitreal Aflibercept for Radiation Retinopathy: 1-Year Outcomes. Invest Ophthalmol Vis Sci 2023; 64:35. [PMID: 37351877 DOI: 10.1167/iovs.64.7.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2023] Open
Abstract
Purpose Radiation retinopathy (RR)-related macular edema commonly causes poor visual acuity outcomes in patients previously treated with ocular radiation therapy. Current treatments are not US Food and Drug Administration (FDA)-approved and prior studies have variable outcomes. We performed a multicenter, prospective, randomized clinical trial to assess the safety and efficacy of 2 mg intravitreal aflibercept injections (IAIs) for the treatment of RR. Methods Thirty-nine eyes in 39 patients with RR-related macular edema causing vision loss were assigned randomly to cohorts (1:1 ratio) in which patients either did or did not receive a loading dose of 3 IAIs followed by a treat-and-extend regimen. The primary outcome measure was the mean Early Treatment Diabetic Retinopathy Study best-corrected visual acuity (BCVA) change from baseline. Results Of the 39 randomized patients, 30 (76.9%) completed the year 1 follow-up visit. The overall mean BCVA change from baseline was 4.3 letters (P = 0.087), with 1.57 letters and 6.69 letters gained in cohorts 1 and 2, respectively (P = 0.31). There was a significant difference in central retinal thickness (CRT) from baseline to week 52 overall (484.4 µm to 326.5 µm) and within cohorts 1 (441.2 µm to 311.1 µm) and 2 (522.3 µm to 339.9 µm), respectively (P < 0.001). A total of 96.7% of the patients had visual acuity of 20/200 or better, and 30.0% improved 10 or more letters. Conclusions Aflibercept may improve CRT and may prevent vision loss in patients with RR using a treat-and-extend regimen through 52 weeks of therapy. Larger, multicenter studies are needed to confirm these findings.
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Affiliation(s)
- Stephanie Trejo Corona
- Retina Consultants of Texas, Retina Consultants of America, Houston, Texas, United States
| | | | - Amna M Ali
- John P. and Kathrine G. McGovern Medical School at UT Health Houston, Houston, Texas, United States
| | - Chelsey Moore
- Retina Consultants of Texas, Retina Consultants of America, Houston, Texas, United States
| | - Alexandra Brown
- Retina Consultants of Texas, Retina Consultants of America, Houston, Texas, United States
| | - Jose Munoz
- Retina Consultants of Texas, Retina Consultants of America, Houston, Texas, United States
| | - Thomas Aaberg
- Retina Specialists of Michigan, Grand Rapids, Michigan, United States
| | - Amy C Schefler
- Retina Consultants of Texas, Retina Consultants of America, Houston, Texas, United States
- Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, United States
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Cao JA, Patel SB, Wong CW, Garcia D, Munoz J, Cone C, Zamora D, Reagan M, Nguyen TV, Pearce W, Fish RH, Brown DM, Chaudhary V, Wykoff CC, Fan KC. Demographic and Socioeconomic Factors in Prospective Retina-Focused Clinical Trial Screening and Enrollment. J Pers Med 2023; 13:880. [PMID: 37373869 DOI: 10.3390/jpm13060880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 05/15/2023] [Indexed: 06/29/2023] Open
Abstract
Historically marginalized populations are disproportionately affected by many diseases that commonly affect the retina, yet they have been traditionally underrepresented in prospective clinical trials. This study explores whether this disparity affects the clinical trial enrollment process in the retina field and aims to inform future trial recruitment and enrollment. Age, gender, race, ethnicity, preferred language, insurance status, social security number (SSN) status, and median household income (estimated using street address and zip code) for patients referred to at least one prospective, retina-focused clinical trial at a large, urban, retina-based practice were retrospectively extracted using electronic medical records. Data were collected for the 12-month period from 1 January 2022, through 31 December 2022. Recruitment status was categorized as Enrolled, Declined, Communication (defined as patients who were not contacted, were contacted with no response, were waiting for a follow-up, or were scheduled for screening following a clinical trial referral.), and Did Not Qualify (DNQ). Univariable and multivariable analyses were used to determine significant relationships between the Enrolled and Declined groups. Among the 1477 patients, the mean age was 68.5 years old, 647 (43.9%) were male, 900 (61.7%) were White, 139 (9.5%) were Black, and 275 (18.7%) were Hispanic. The distribution of recruitment status was: 635 (43.0%) Enrolled, 232 (15.7%) Declined, 290 (19.6%) Communication, and 320 (21.7%) DNQ. In comparing socioeconomic factors between the Enrolled and Declined groups, significant odds ratios were observed for age (p < 0.02, odds ratio (OR) = 0.98, 95% confidence interval (CI) [0.97, 1.00]), and between patients who preferred English versus Spanish (p = 0.004, OR = 0.35, 95% CI [0.17, 0.72]. Significant differences between the Enrolled and Declined groups were also observed for age (p < 0.05), ethnicity (p = 0.01), preferred language (p < 0.05), insurance status (p = 0.001), and SSN status (p < 0.001). These factors may contribute to patient participation in retina-focused clinical trials. An awareness of these demographic and socioeconomic disparities may be valuable to consider when attempting to make clinical trial enrollment an equitable process for all patients, and strategies may be useful to help address these challenges.
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Affiliation(s)
| | - Sagar B Patel
- Retina Consultants of Texas, Houston, TX 77401, USA
- Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, TX 77030, USA
| | - Calvin W Wong
- McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - David Garcia
- Retina Consultants of Texas, Houston, TX 77401, USA
| | - Jose Munoz
- Retina Consultants of Texas, Houston, TX 77401, USA
| | | | | | - Mary Reagan
- Retina Consultants of Texas, Houston, TX 77401, USA
| | - Tieu V Nguyen
- Retina Consultants of Texas, Houston, TX 77401, USA
- Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, TX 77030, USA
| | - Will Pearce
- Retina Consultants of Texas, Houston, TX 77401, USA
- Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, TX 77030, USA
| | - Richard H Fish
- Retina Consultants of Texas, Houston, TX 77401, USA
- Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, TX 77030, USA
| | - David M Brown
- Retina Consultants of Texas, Houston, TX 77401, USA
- Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, TX 77030, USA
| | - Varun Chaudhary
- Department of Surgery, McMaster University, Hamilton, ON L8S 4L8, Canada
| | - Charles C Wykoff
- Retina Consultants of Texas, Houston, TX 77401, USA
- Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, TX 77030, USA
| | - Kenneth C Fan
- Retina Consultants of Texas, Houston, TX 77401, USA
- Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, TX 77030, USA
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Deshpande A, Wang Y, Munoz J, Jain P. Brexucabtagene autoleucel: a breakthrough in the treatment of mantle cell lymphoma. Drugs Today (Barc) 2022; 58:283-298. [DOI: 10.1358/dot.2022.58.6.3378055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ip CS, Raizen Y, Goldfarb D, Kegley E, Munoz J, Schefler AC. Peripapillary Neuroendocrine Carcinoma Metastasis: A Novel Approach to Treatment. Ocul Oncol Pathol 2021; 7:316-320. [PMID: 34722486 DOI: 10.1159/000510276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2020] [Accepted: 07/11/2020] [Indexed: 11/19/2022] Open
Abstract
Peripapillary and circumpapillary retinal intraocular metastases are rare and present a treatment challenge for ophthalmologists because of the high risk of iatrogenic injury to the optic nerve. There are no clear guidelines on the management of these lesions, and many clinicians will initially observe for improvement of the metastases with systemic chemotherapy before considering local therapy with external beam radiation. Radiation to the optic disc carries a significant risk of injuring the optic nerve, leading to worsening of vision. Alternative treatment approaches are needed. We present a patient with large-cell neuroendocrine carcinoma with metastasis to the peripapillary retina who was treated with intravitreal topotecan and with intravitreal aflibercept. Serial fundus photos, ultrasound, and optical coherence tomography demonstrated a reduction in size of the lesion and a decrease in subretinal fluid with intravitreal topotecan and aflibercept. In addition, visual acuity was stabilized during treatment. Intravitreal chemotherapy for intraocular metastases in vision-sensitive areas such as the peripapillary retina may be a viable alternative for patients who seek to preserve their vision and maintain their quality of life.
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Affiliation(s)
- Colin S Ip
- Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas, USA
| | | | | | - Eric Kegley
- Retina Consultants of Houston and Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA
| | - Jose Munoz
- Retina Consultants of Houston and Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA
| | - Amy C Schefler
- Retina Consultants of Houston and Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA
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Saifi O, Breen W, Lester S, Rule W, Stish B, Rosenthal A, Munoz J, Murthy H, Lin Y, Kharfan-Dabaja M, Hoppe B, Peterson J. Radiation Therapy as Bridging Treatment to CAR T Cell Therapy in Non-Hodgkin Lymphoma. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Yu HJ, Fuller D, Anand R, Fuller T, Munoz J, Moore C, Kim RS, Schefler AC. Two-year results for ranibizumab for radiation retinopathy (RRR): a randomized, prospective trial. Graefes Arch Clin Exp Ophthalmol 2021; 260:47-54. [PMID: 34463842 DOI: 10.1007/s00417-021-05281-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 06/04/2021] [Accepted: 06/11/2021] [Indexed: 10/20/2022] Open
Abstract
PURPOSE To assess the efficacy of a treat-and-extend strategy with intravitreal ranibizumab for radiation-related macular edema. METHODS Forty eyes with radiation-induced macular edema and decreased visual acuity were enrolled in the phase IIb, prospective clinical trial and randomized into 3 cohorts: (A) monthly ranibizumab, (B) monthly ranibizumab with targeted retinal photocoagulation (TRP), or (C) as-needed ranibizumab and TRP. In year 2, all subjects entered a treat-and-extend protocol for ranibizumab. The primary outcome measure was mean change in early treatment diabetic retinopathy study (ETDRS) best-corrected visual acuity (BCVA) from baseline. RESULTS Through year 1, the mean change in ETDRS BCVA was significantly different between the three cohorts (p < 0.001); cohort A saw the largest gain with + 4.0 letters. Significant anatomic improvements were also seen in all cohorts. Comparatively, through year 2, cohorts A, B, and C had a mean change in ETDRS BCVA of - 1.9, - 3.9, and + 1.3 letters, respectively; additionally, no significant differences were found in absolute ETDRS BCVA across time (ANOVA, p = 0.123). Overall, 90% of eyes maintained VA 20/200 or better and 33.3% of subjects gained at least one line of vision. There were no significant differences in mean central macular thickness for any cohort compared to baseline (p = 0.09). The presence of retinal hemorrhage and intraretinal exudates stayed consistent from year 1 to year 2 for all cohorts. CONCLUSIONS Among eyes with radiation-related macular edema, a treat-and-extend regimen with ranibizumab may not result in as many visual and anatomic improvements as monthly injections. However, treat-and-extend still may prevent serious visual complications compared to historical controls. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT02222610.
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Affiliation(s)
- Hannah J Yu
- Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA
| | | | | | | | - Jose Munoz
- Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA
| | - Chelsey Moore
- Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA
| | - Ryan S Kim
- Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.,McGovern Medical School, Houston, TX, USA
| | - Amy C Schefler
- Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA. .,Blanton Eye Institute, Houston Methodist Hospital, 6560 Fannin Street, Ste. 750, Houston, TX, 77030, USA.
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Ventura M, van Sinderen D, Turroni F, Milani C, Munoz J, Haller D, Ross RP, Collado MC, Allen-Vercoe E, Del Rio D, Altermann E, Katayama T, Zoetendal EG, Belzer C, Mena P, Im SH, Gueimonde M, Margolles A, Ruiz L, Lacroix C, Stanton C, Barbara G, Saminen S, Scott KP, Barrangou R, Bottacini F, Marco ML. Editors' Prelude to Microbiome Research Reports. Microbiome Res Rep 2021; 1:1. [PMID: 38059066 PMCID: PMC10696583 DOI: 10.20517/mrr.2021.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 07/20/2021] [Accepted: 07/20/2021] [Indexed: 12/08/2023]
Affiliation(s)
- Marco Ventura
- Laboratory of Probiogenomics, Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma 43126, Italy
- Microbiome Research Hub, University of Parma, Parma 43126, Italy
| | - Douwe van Sinderen
- School of Microbiology & APC Microbiome Ireland, University College Cork, Cork Co. Cork, Ireland
| | - Francesca Turroni
- Laboratory of Probiogenomics, Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma 43126, Italy
- Microbiome Research Hub, University of Parma, Parma 43126, Italy
| | - Christian Milani
- Laboratory of Probiogenomics, Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma 43126, Italy
- Microbiome Research Hub, University of Parma, Parma 43126, Italy
| | - Jose Munoz
- Applied Sciences Department, Northumbria University, Newcastle Upon Tyne NE1 7RU, UK
| | - Dirk Haller
- Chair of Nutrition and Immunology, ZIEL - Institute for Food & Health, Freising, Technical University of Munich, Munich 80807, Germany
| | - R. Paul Ross
- APC Microbiome Ireland, University College, Cork Co. Cork, Ireland
| | - Maria Carmen Collado
- Institute of Agrochemistry and Food Technology-National Research Council (IATA-CSIC), Valencia 46007, Spain
| | - Emma Allen-Vercoe
- Department of Molecular and Cellular Biology, University of Guelph, Guelph, Ontario P0R 1A0, Canada
| | - Daniele Del Rio
- Microbiome Research Hub, University of Parma, Parma 43126, Italy
- Department of Food & Drugs, University of Parma, Parma 43126, Italy
| | - Eric Altermann
- AgResearch, Hopkirk Research Centre, Palmerston North 4410, New Zealand
- Riddet Institute, Massey University, Palmerston North 4410, New Zealand
| | - Takane Katayama
- Graduate School of Biostudies, Kyoto University, Kyoto 600-8586, Japan
| | - Erwin G. Zoetendal
- Laboratory of Microbiology, Wageningen University, Wageningen 6700, The Netherlands
| | - Clara Belzer
- Laboratory of Microbiology, Wageningen University, Wageningen 6700, The Netherlands
| | - Pedro Mena
- Microbiome Research Hub, University of Parma, Parma 43126, Italy
- Department of Food & Drugs, University of Parma, Parma 43126, Italy
| | - Sin-Hyeog Im
- Department of Life Sciences, Pohang University of Science and Technology (POSTECH), Pohang 999007, South Korea
| | - Miguel Gueimonde
- Department of Microbiology and Biochemistry, Institute of Dairy Products of Asturias (IPLA-CSIC), Villaviciosa 33300, Spain
| | - Abelardo Margolles
- Department of Microbiology and Biochemistry, Institute of Dairy Products of Asturias (IPLA-CSIC), Villaviciosa 33300, Spain
| | - Lorena Ruiz
- Department of Microbiology and Biochemistry, Institute of Dairy Products of Asturias (IPLA-CSIC), Villaviciosa 33300, Spain
| | - Christophe Lacroix
- Laboratory of Food Biotechnology, Department of Health Sciences and Technology, ETH Zurich, Zürich 8092, Switzerland
| | - Catherine Stanton
- Teagasc Moorepark Food Research Centre & APC Microbiome Ireland, Cork Co. Cork, Ireland
| | - Giovani Barbara
- Chair of Internal Medicine, Department of Medical and Surgical Sciences, University of Bologna, Bologna 40121, Italy
| | - Seppo Saminen
- Functional Foods Forum, Faculty of Medicine, University of Turku, Turku 20100, Finland
| | - Karen P. Scott
- Gut Health, Rowett Institute, University of Aberdeen, Aberdeen, Scotland AB53, UK
| | - Rodolphe Barrangou
- Department of Food, Bioprocessing and Nutrition Sciences, North Carolina State University, Raleigh 25911, USA
| | - Francesca Bottacini
- Department of Biological Sciences, Munster Technological University, Bishopstown, Cork Co. Cork, Ireland
| | - Maria L. Marco
- Department of Food Science and Technology, University of California, Davis 95616, USA
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Wierda WG, Dorritie KA, Munoz J, Stephens DM, Solomon S, Gillenwater HH, Gong L, Yang L, Ogasawara K, Thorpe J, Siddiqi T. TRANSCEND CLL 004: PHASE 1 COHORT OF LISOCABTAGENE MARALEUCEL (LISO‐CEL) COMBINED WITH IBRUTINIB (IBR) FOR PATIENTS (PTS) WITH R/R CLL/SLL. Hematol Oncol 2021. [DOI: 10.1002/hon.86_2879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- W. G. Wierda
- The University of Texas MD Anderson Cancer Center Department of Leukemia Division of Cancer Medicine Houston Texas USA
| | - K. A. Dorritie
- UPMC Hillman Cancer Center Division of Hematology/Oncology Pittsburgh Pennsylvania USA
| | - J. Munoz
- Banner MD Anderson Cancer Center Department of Lymphoma/Myeloma Phoenix Arizona USA
| | - D. M. Stephens
- Hutsman Cancer Institute University of Utah Salt Lake City Utah USA
| | - S. Solomon
- Immunotherapy Program Northside Hospital Cancer Institute Atlanta Georgia USA
| | - H. H. Gillenwater
- Bristol Myers Squibb Global Clinical Development Seattle Washington USA
| | - L. Gong
- Bristol Myers Squibb Clinical Research and Development Seattle Washington USA
| | - L. Yang
- Bristol Myers Squibb Global Biometric and Data Science Seattle Washington USA
| | - K. Ogasawara
- Bristol Myers Squibb Clinical Pharmacology and Pharmacometrics Princeton New Jersey USA
| | - J. Thorpe
- Bristol Myers Squibb Immunomodulatory therapies Seattle Washington USA
| | - T. Siddiqi
- City of Hope National Medical Center Department of Hematology & Hematopoietic Cell Transplantation Duarte California USA
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McClard CK, Wang R, Windham V, Munoz J, Gomez S, Fried S, Saroj N, Regillo C, Wykoff CC, Strutt AM. Questionnaire to Assess Life Impact of Treatment by Intravitreal Injections (QUALITII): Development of a patient-reported measure to assess treatment burden of repeat intravitreal injections. BMJ Open Ophthalmol 2021; 6:e000669. [PMID: 33912685 PMCID: PMC8031709 DOI: 10.1136/bmjophth-2020-000669] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 01/15/2021] [Accepted: 01/16/2021] [Indexed: 01/22/2023] Open
Abstract
Objective To understand patient burden of treatment of repeated intravitreal injections (IVI) in the management of exudative retinal diseases. Methods and analysis Participants were sampled from a large urban retina specialty practice in Houston, Texas, USA, based on history of ongoing receipt of IVI. The 50-item Questionnaire to Assess Life Impact of Treatment by Intravitreal Injections questionnaire was developed to evaluate the patient experience including discomfort, anxiety, inconvenience and satisfaction. Categorial principal components analysis (CATPCA) was performed to assess construct validity and internal consistency. A subset of these items was used to establish a measure of total treatment burden, referred to as the IVI Treatment Burden Score (TBS). Results 142 patients participated in this study. CATPCA analysis revealed five dimensions of patient burden: disruption of normal routine or capacity, anxiety, frequency of visits, chronicity of disease and perceived treatment value or satisfaction. Together, these dimensions accounted for 67% of variance explained. Cronbach's alpha was 0.97. The most frequently cited cause of discomfort was the feeling after anaesthetic wore off. The most common source of anxiety was fear of injection and associated discomfort or pain. Regarding inconvenience, patients reported temporary postinjection debilitation, requiring an average of 8 hours for recovery per treatment. The most frequently identified sources of satisfaction were confidence in the provider or treatment and interactions with staff. Conclusions Understanding and quantifying the patient burden associated with repeated IVI for exudative retinal diseases can reveal opportunities to improve delivery methods. The TBS could serve to inform strategies to maximise treatment adherence and optimise patient experiences.
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Affiliation(s)
- Cynthia K McClard
- Ophthalmology, Dean McGee Eye Institute, Oklahoma City, Oklahoma, USA.,The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
| | - Rui Wang
- Ophthalmology, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA
| | | | - Jose Munoz
- Retina Consultants of Texas, Houston, Texas, USA
| | - Samuel Gomez
- Retina Consultants of Texas, Houston, Texas, USA
| | - Sagit Fried
- Ben Gurion University of the Negev, Beersheba, Israel
| | | | - Carl Regillo
- Wills Eye Hospital, Philadelphia, Pennsylvania, USA
| | - Charles Clifton Wykoff
- Retina Consultants of Texas, Retina Consultants of America; Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA
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Munoz J, James K, Bottacini F, Van Sinderen D. Biochemical analysis of cross-feeding behaviour between two common gut commensals when cultivated on plant-derived arabinogalactan. Microb Biotechnol 2020; 13:1733-1747. [PMID: 32385941 PMCID: PMC7533333 DOI: 10.1111/1751-7915.13577] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 03/30/2020] [Accepted: 03/30/2020] [Indexed: 12/12/2022] Open
Abstract
In this paper, we reveal and characterize cross-feeding behaviour between the common gut commensal Bacteroides cellulosilyticus (Baccell) and certain bifidobacterial strains, including Bifidobacterium breve UCC2003, when grown on a medium containing Larch Wood Arabinogalactan (LW-AG). We furthermore show that cross-feeding is dependent on the release of β-1,3-galacto-di/trisaccharides (β-1,3-GOS), and identified that the bga gene cluster of B. breve UCC2003 allows β-1,3-GOS metabolism. The product of bgaB is presumed to be responsible for the import of β-1,3-GOS, while the bgaA gene product, a glycoside hydrolase family 2 member, was shown to hydrolyse both β-1,3-galactobiose and β-1,3-galactotriose into galactose monomers. This study advances our understanding of strain-specific syntrophic interactions between two glycan degraders in the human gut in the presence of AG-type dietary polysaccharides.
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Affiliation(s)
- Jose Munoz
- Microbial Enzymology GroupDepartment of Applied SciencesNorthumbria UniversityNewcastle Upon TyneNE1 8STUK
| | - Kieran James
- School of Microbiology & APC Microbiome IrelandUniversity College CorkIreland University College CorkCorkIreland
| | - Francesca Bottacini
- School of Microbiology & APC Microbiome IrelandUniversity College CorkIreland University College CorkCorkIreland
| | - Douwe Van Sinderen
- School of Microbiology & APC Microbiome IrelandUniversity College CorkIreland University College CorkCorkIreland
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Schefler AC, Fuller D, Anand R, Fuller T, Moore C, Munoz J, Kim RS. Randomized Trial of Monthly Versus As-Needed Intravitreal Ranibizumab for Radiation Retinopathy-Related Macular Edema: 1-Year Outcomes. Am J Ophthalmol 2020; 216:165-173. [PMID: 32278771 DOI: 10.1016/j.ajo.2020.03.045] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 03/26/2020] [Accepted: 03/31/2020] [Indexed: 01/10/2023]
Abstract
PURPOSE To assess efficacy of intravitreal ranibizumab injections and targeted panretinal photocoagulation (TRP) for radiation retinopathy-related macular edema. DESIGN Phase IIb, prospective, randomized clinical trial. METHODS Setting: Multicenter. SUBJECTS Forty eyes in 40 treatment-naïve patients with radiation-induced macular edema and a resulting decrease in visual acuity ranging between 20/25 and 20/400 (Snellen equivalent). INTERVENTION Patients either received intravitreal 0.5 mg ranibizumab monthly, monthly ranibizumab with TRP, or 3 monthly ranibizumab (loading doses) followed by as-needed (PRN) injections and TRP. After week 52, all subjects entered a treat-and-extend protocol for ranibizumab. MainOutcomeMeasures: Mean Early Treatment Diabetic Maculopathy Study (ETDRS) BCVA change from baseline. RESULTS Mean patient age was 57 years (range, 22-80 years), ETDRS BCVA was 56.7 letters (20/74 Snellen equivalent), and central macular thickness (CMT) was 423 μm (range, 183-826 μm). Thirty-seven patients completed the month 12 visit (92.5%), at which time the change in mean BCVA was +4.0 letters, -1.9 letters, and +0.9 letters in the monthly, monthly plus laser, and PRN plus laser cohorts, respectively. There was a significant difference in mean BCVA at 1 year among all 3 cohorts (P < .001), as well as between cohorts in pairwise comparisons, with the most significant gains in the monthly group. A total of 82.5% of the patients retained visual acuity of 20/200 or better, and 20.0% improved 10 or more ETDRS letters. CONCLUSIONS Ranibizumab may improve vision and anatomy in patients with radiation retinopathy-related macular edema and prevent vision loss through 48 weeks of therapy. Monthly injections were more effective than as-needed approach, and the addition of TRP yielded no therapeutic benefits.
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Affiliation(s)
- Amy C Schefler
- Retina Consultants of Houston, Houston, Texas, USA; Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA.
| | | | | | | | | | - Jose Munoz
- Retina Consultants of Houston, Houston, Texas, USA
| | - Ryan S Kim
- Retina Consultants of Houston, Houston, Texas, USA; McGovern Medical School, University of Texas Health Science Center, Houston, Texas, USA
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14
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Fernandez-Julia P, Munoz J. Synthrophic interactions between Bacteroides and Bifidobacterium on yeast beta-glucan. Access Microbiol 2020. [DOI: 10.1099/acmi.ac2020.po0915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The Human Gut Microbiota (HGM) comprises two major phyla, the Bacteroidetes and Firmicutes, although important members of the Actinobacteria (Bifidobacterium) and Verrucomicrobia (Akkemansia) also make an important contribution to this ecosystem.
Accumulating datasupport the notionthat the HGM can be modulated by probiotics and prebiotics to prevent or revert common diseases of the gastrointestinal tract (GIT) such as Inflammatory Bowel Disease. Because it is believed that these GIT diseases are linked to the fact that current Western populations follow a more fat-based diet, significant efforts have been made to search for novel prebiotics/probiotics in order to restore and improve gut health.
So far, no publications have described probiotic properties of Bacteroidetes. Nonetheless, a case can be made that certain Bacteroides species present primary glycan degraders that interact in a syntrophic manner with other members of the microbiota, such as bifidobacteria, which are considered beneficial members of the microbiota.
In this study, we present the simbiotic interactions between Bacteroides and Bifidobacterium spp. acting on yeast beta-glucan (1,3/1,6 mixed linkage beta-glucan). Bacteroides cellulosilyticus and Bacteroides ovatus act as keystone organism to share beta-1,3/1,6-glucooligosaccharides with other members of the HGM, including Bifidobacterium breve UCC2003 and Bifidobacterium bifidum. We show in these Bifidobacterium spp. a specific beta-1,3-glucosidase, which degrade some of these sharing oligosaccharides. Also, we have identified the specific sugar symporter, which incorporate these oligosaccharides into the cytoplasm of B. breve UCC2003. With the help of RT-qPCR, we have quantified and monitored how these two members of the HGM are able to symbioticly use this dietary glycan.
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Affiliation(s)
| | - Jose Munoz
- Department of Applied Sciences,Newcastle Upon Tyne,United Kingdom
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15
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Abstract
BACKGROUND AND OBJECTIVES To determine the effect of discharge criteria on discharge readiness and length of stay (LOS). Discharge inefficiency is a common barrier to hospital flow, affecting admissions, discharges, cost, patient satisfaction, and quality of care. Our center identified increasing discharge efficiency as a method to improve flow and better meet the needs of our patients. METHODS A multidisciplinary team was assembled to examine discharge efficiency and flow. Discharge criteria were created for the 3 most common diagnoses on the hospital medicine service then expanded to 10 diagnoses 4 months into the project. Discharge workflow was evaluated through swim lane mapping, and barriers were evaluated through fishbone diagrams and a key driver diagram. Progress was assessed every 2 weeks through statistical process control charts. Additional interventions included provider education, daily review of criteria, and autotext added to daily notes. Our primary aim was to increase the percentage of patients discharged within 3 hours of meeting discharge criteria from 44% to 75% within 12 months of project implementation. RESULTS Discharge within 3 hours as well as 2 hours of meeting criteria improved significantly, from 44% to 87% and from 33% to 78%, respectively. LOS for the 10 diagnoses decreased from 2.89 to 1.47 days, with greatest gains seen for patients with asthma, pneumonia, and bronchiolitis without a change in the 30-day readmission rate. CONCLUSIONS Discharge criteria for common diagnoses may be an effective way to decrease variability and improve LOS for hospitalized children.
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Affiliation(s)
- Matthew Schefft
- Department of Pediatrics, School of Medicine, Virginia Commonwealth University, Children's Hospital of Richmond, Richmond, Virginia
| | - Clifton Lee
- Department of Pediatrics, School of Medicine, Virginia Commonwealth University, Children's Hospital of Richmond, Richmond, Virginia
| | - Jose Munoz
- Department of Pediatrics, School of Medicine, Virginia Commonwealth University, Children's Hospital of Richmond, Richmond, Virginia
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16
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Hanna C, Munoz J, Utterback P, Parsons CM. Research Note: Phosphorus digestibility in conventional canola meal determined using different balance assays. Poult Sci 2020; 99:2650-2654. [PMID: 32359601 PMCID: PMC7597445 DOI: 10.1016/j.psj.2019.12.057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 12/10/2019] [Accepted: 12/15/2019] [Indexed: 11/29/2022] Open
Abstract
Three experiments were conducted to determine ileal P digestibility and excreta P retention values for canola meal (CM) using 3 different types of balance assays. The first experiment was an ad libitum–fed chick experiment which evaluated the effect of phytase on ileal P digestibility and excreta P retention values. Chicks were fed a P-deficient cornstarch–dextrose-45% CM basal diet (0.13% nonphytate P) as diet 1 or that diet plus 125 or 250 FTU/kg of phytase, respectively, from 8 to 21 D of age. The digestibility/retention of P was 38% and phytase linearly increased both ileal digestibility and excreta retention of P (P < 0.05). The second experiment was a precision-fed chick assay conducted to determine ileal digestibility of P in CM at 21 D. Mean ileal P digestibility was determined to be 47.5% in chicks fed 6 g and 40.0% in chicks fed 9 g of CM and the values were not significantly different. Experiment 3 was an ad libitum–fed chick assay to determine ileal P digestibility and excreta P retention for CM with and without increasing levels of dietary supplemental Ca. The chicks were fed P-deficient - dextrose - CM diets containing increasing levels of 13.5, 27, 40.5, or 54% CM, respectively, with Ca:nonphytate P ratio maintained at 2:1 in diets 1–4 and 6:1 in diets 5–8. Based on regression analysis of ileal digesta or excreta P output on dietary P concentration, digestibility/retention of P in CM was 30%. Ileal P digestibility (and to a lesser extent excreta P retention) at 21 D was reduced by increased Ca:P ratio. The results of this study indicated that the 3 balance assays yielded reasonably consistent values of 30–40% for P digestibility/retention and ileal P digestibility was greatly affected by Ca:P ratio.
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Affiliation(s)
- C Hanna
- Department of Animal Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
| | - J Munoz
- Department of Animal Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
| | - P Utterback
- Department of Animal Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
| | - C M Parsons
- Department of Animal Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
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Budde L, Vallurupalli A, Babu S, Lossos I, Alderuccio J, Chavez J, Eradat H, Holmes H, Hamadani M, Karur V, Olszewski A, Seymour E, Althaus B, Medeiros B, Li C, Kwan A, Wei M, Yin S, O'Hear C, Munoz J. ONGOING PHASE 1B/2 TRIALS OF MOSUNETUZUMAB INVESTIGATING NOVEL TREATMENT REGIMENS FOR PATIENTS WITH B-CELL NON-HODGKIN LYMPHOMA (NHL). Hematol Oncol 2019. [DOI: 10.1002/hon.12_2632] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- L.E. Budde
- Department of Hematology & Hematopoietic Cell Transplantation; City of Hope Comprehensive Cancer Center; Duarte CA United States
| | - A. Vallurupalli
- Division of Hematologic Malignancies and Cellular Therapeutics; University of Kansas Medical Center; Kansas City KS United States
| | - S. Babu
- Fort Wayne Medical Oncology and Hematology; Fort Wayne; IN United States
| | - I.S. Lossos
- Division of Hematology, Department of Medicine; Sylvester Comprehensive Cancer Center, University of Miami Health System; Miami FL United States
| | - J.P. Alderuccio
- Division of Hematology, Department of Medicine; Sylvester Comprehensive Cancer Center, University of Miami Health System; Miami FL United States
| | - J.C. Chavez
- Department of Malignant Hematology; Moffitt Cancer Center; Tampa FL United States
| | - H. Eradat
- Division of Hematology-Oncology; David Geffen School of Medicine at UCLA; Los Angeles CA United States
| | - H. Holmes
- Division of Medical Oncology - Hematology; Texas Oncology-Baylor Charles A. Sammons Cancer Center; Dallas TX United States
| | - M. Hamadani
- Division of Hematology & Oncology; Medical College of Wisconsin; Milwaukee WI United States
| | - V.G. Karur
- Hematology and Oncology; Bayer Scott & White Clinic; Temple TX United States
| | - A.J. Olszewski
- Department of Medicine; Warren Alpert Medical School of Brown University; Providence RI United States
| | - E. Seymour
- Department of Oncology; Karmanos Cancer Institute/Wayne State University; Detroit MI United States
| | - B. Althaus
- Product Development Oncology; Genentech, Inc.; South San Francisco CA United States
| | - B.M. Medeiros
- Product Development Oncology; Genentech, Inc.; South San Francisco CA United States
| | - C.C. Li
- Clinical Pharmacology, gRED; Genentech, Inc.; South San Francisco CA United States
| | - A. Kwan
- Safety Science Oncology; Genentech, Inc.; South San Francisco CA United States
| | - M.C. Wei
- Product Development Oncology; Genentech, Inc.; South San Francisco CA United States
| | - S. Yin
- Product Development Oncology; Genentech, Inc.; South San Francisco CA United States
| | - C. O'Hear
- Product Development Oncology; Genentech, Inc.; South San Francisco CA United States
| | - J. Munoz
- Department of Hematology-Oncology; Banner MD Anderson Cancer Center; Gilbert AZ United States
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Dreyling M, Santoro A, Leppä S, Demeter J, Follows G, Lenz G, Kim W, Mollica L, Nagler A, Phipps Diong C, Provencio M, Magagnoli M, Munoz J, Hiemeyer F, Liu L, Miriyala A, Rodrigues L, Garcia-Vargas J, Childs B, Zinzani P. EFFICACY AND SAFETY IN HIGH-RISK RELAPSED OR REFRACTORY INDOLENT FOLLICULAR LYMPHOMA PATIENTS TREATED WITH COPANLISIB. Hematol Oncol 2019. [DOI: 10.1002/hon.57_2631] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- M. Dreyling
- Department of Medicine III; University Hospital (LMU); Munich Germany
| | - A. Santoro
- Cancer Center; Humanitas Clinical and Research Center; Rozzano Italy
| | - S. Leppä
- Comprehensive Cancer Center; Helsinki University Hospital; Helsinki Finland
| | - J. Demeter
- First Department of Internal Medicine; Semmelweis University; Budapest Hungary
| | - G.A. Follows
- Haematology; Cambridge University Hospitals NHS Foundation Trust; Cambridge United Kingdom
| | - G. Lenz
- Translational Oncology; University Hospital Münster; Münster Germany
| | - W.S. Kim
- Hematology and Oncology; Sungkyunkwan University School of Medicine, Samsung Medical Center; Seoul Republic of Korea
| | - L. Mollica
- Clinical Research in Hematology and Clinical Oncology; Maisonneuve-Rosemont Hospital Research Centre; Montréal Quebec Canada
| | - A. Nagler
- Chaim Sheba Medical Center; Tel Aviv University; Tel HaShomer Israel
| | - C. Phipps Diong
- Department of Haematology; Singapore General Hospital; Bukit Merah Singapore
| | - M. Provencio
- Medical Oncology; Health Research Institute, Hospital Universitario Puerta de Hierro, Universidad Autónoma de Madrid; Madrid Spain
| | - M. Magagnoli
- Cancer Center; Humanitas Clinical and Research Center; Rozzano Italy
| | - J. Munoz
- Hematology and Oncology; Banner MD Anderson Cancer Center Clinic; Gilbert United States
| | - F. Hiemeyer
- Pharmaceutical Division; Bayer AG; Berlin Germany
| | - L. Liu
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - A. Miriyala
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | | | - J. Garcia-Vargas
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - B.H. Childs
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - P.L. Zinzani
- Institute of Hematology “Seràgnoli”; University of Bologna; Bologna Italy
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Sano D, Lekakis L, Feng L, Nastoupil L, Jain M, Spiegel J, Dahiya S, Lin Y, Ghobadi A, Lunning M, Hill B, Reagan P, Oluwole O, McGuirk J, Sehgal A, Deol A, Charalambos A, Goy A, Munoz J, Cashen A, Bennani N, Rapoport A, Vose J, Miklos D, Locke F, Neelapu S. SAFETY AND EFFICACY OF AXICABTAGENE CILOLEUCEL (AXI-CEL) IN OLDER PATIENTS: RESULTS FROM THE US LYMPHOMA CAR-T CONSORTIUM. Hematol Oncol 2019. [DOI: 10.1002/hon.113_2630] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- D. Sano
- Lymphoma/Myeloma; MD Anderson Cancer Center; Houston United States
| | - L. Lekakis
- Bone Marrow Transplant/Hematology; University Of Miami; Miami United States
| | - L. Feng
- Lymphoma/Myeloma; MD Anderson Cancer Center; Houston United States
| | - L.J. Nastoupil
- Lymphoma/Myeloma; MD Anderson Cancer Center; Houston United States
| | - M.D. Jain
- Blood; Bone Marrow Transplant and Cellular Therapy, Moffitt Cancer Center; Tampa United States
| | - J.Y. Spiegel
- Hematology; Stanford University; Stanford United States
| | - S. Dahiya
- Hematology/Bone Marrow Transplant; University of Maryland Medical Center; Baltimore United States
| | - Y. Lin
- Hematology; Mayo Clinic; Rochester United States
| | - A. Ghobadi
- Bone Marrow Transplant; Washington University Medical Campus; Saint Louis United States
| | - M. Lunning
- Hematology/Oncology; University of Nebraska Medical Center; Omaha United States
| | - B.T. Hill
- Hematology and Medical Oncology; Cleveland Clinic; Cleveland United States
| | - P. Reagan
- Lymphoma; University of Rochester Medical Center/Wilmot Cancer institute; Rochester United States
| | - O. Oluwole
- Hematology and Oncology; Vanderbilt University Medical Center; Nashville United States
| | - J. McGuirk
- Hematological Malignancies and Cellular Therapeutic; The University of Kansas Health System; Kansas City United States
| | - A. Sehgal
- Hematology and Oncology; UPMC Hillman Cancer Center; Pittsburgh United States
| | - A. Deol
- Department of Oncology; Wayne State University/Karmanos Cancer Center; Detroit United States
| | - A. Charalambos
- Hematology and Bone Marrow Transplant; University of California San francisco; San Francisco United States
| | - A.H. Goy
- Hematology and Oncology; Hackensack University Medical Center; Hackensack United States
| | - J. Munoz
- Lymphoma/Myeloma; Banner MD Anderson Cancer Center; Gilbert United States
| | - A. Cashen
- Bone Marrow Transplantation & Leukemia; Washington University Medical School; St. Louis United States
| | - N.N. Bennani
- Hematology; Mayo Clinic; Rochester United States
| | - A.P. Rapoport
- Hematology/Bone Marrow Transplant; University of Maryland Medical Center; Baltimore United States
| | - J.M. Vose
- Hematology/Oncology; University of Nebraska Medical Center; Omaha United States
| | - D.B. Miklos
- Hematology; Stanford University; Stanford United States
| | - F.L. Locke
- Blood; Bone Marrow Transplant and Cellular Therapy, Moffitt Cancer Center; Tampa United States
| | - S.S. Neelapu
- Lymphoma/Myeloma; MD Anderson Cancer Center; Houston United States
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Tam C, Wang M, Simpson D, Opat S, Cull G, Munoz J, Phillips T, Kim W, Atwal S, Wei R, Huang J, Elstrom R, Trotman J. UPDATED SAFETY AND EFFICACY DATA IN THE PHASE 1 TRIAL OF PATIENTS WITH MANTLE CELL LYMPHOMA (MCL) TREATED WITH BRUTON TYROSINE KINASE (BTK) INHIBITOR ZANUBRUTINIB (BGB-3111). Hematol Oncol 2019. [DOI: 10.1002/hon.55_2630] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- C.S. Tam
- Department of Haematology; Peter MacCallum Cancer Centre, St. Vincent's Hospital, University of Melbourne; Melbourne Victoria Australia
| | - M. Wang
- Department of Lymphoma & Myeloma; Division of Cancer Medicine, MD Anderson Cancer Center; Houston TX United States
| | - D. Simpson
- Waitemata DHB Haematology Service; North Shore Hospital; Auckland New Zealand
| | - S. Opat
- Clinical Haematology; Monash Health, Monash University; Clayton Victoria Australia
| | - G. Cull
- Department of Haematology; Sir Charles Gairdner Hospital, University of Western Australia; Perth WA Australia
| | - J. Munoz
- Hematology-Oncology; Banner MD Anderson Cancer Center; Gilbert AZ United States
| | - T.J. Phillips
- Michigan Medicine Hematology Clinic; Rogel Cancer Center, University of Michigan; Ann Arbor MI United States
| | - W. Kim
- Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul Republic of Korea
| | - S. Atwal
- Research and Development Center; BeiGene (Beijing) Co., Ltd, Beijing, China; BeiGene USA, Inc.; San Mateo United States
| | - R. Wei
- Research and Development Center; BeiGene (Beijing) Co., Ltd, Beijing, China; BeiGene USA, Inc.; San Mateo United States
| | - J. Huang
- Research and Development Center; BeiGene (Beijing) Co., Ltd, Beijing, China; BeiGene USA, Inc.; San Mateo United States
| | - R. Elstrom
- Research and Development Center; BeiGene (Beijing) Co., Ltd, Beijing, China; BeiGene USA, Inc.; San Mateo United States
| | - J. Trotman
- Department of Haematology; Concord Repatriation Hospital, The University of Sydney; Concord NSW Australia
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Neelapu S, Jacobson C, Oluwole O, Munoz J, Deol A, Miklos D, Bartlett N, Braunschweig I, Jiang Y, Kim J, Zheng L, Rossi J, Locke F. OUTCOMES OF PATIENTS ≥ 65 YEARS OF AGE IN ZUMA-1, A PIVOTAL PHASE 1/2 STUDY OF AXICABTAGENE CILOLEUCEL (AXI-CEL) IN REFRACTORY LARGE B CELL LYMPHOMA. Hematol Oncol 2019. [DOI: 10.1002/hon.112_2630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- S.S. Neelapu
- Department of Lymphoma and Myeloma; Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center; Houston United States
| | - C.A. Jacobson
- Medical Oncology; Dana-Farber Cancer Institute; Boston United States
| | - O.O. Oluwole
- Department of Medicine; Vanderbilt-Ingram Cancer Center; Nashville United States
| | - J. Munoz
- Cancer Immunotherapy Program; Banner MD Anderson Cancer Center; Gilbert United States
| | - A. Deol
- Department of Oncology; Karmanos Cancer Center, Wayne State University; Detroit United States
| | - D.B. Miklos
- Medicine - Med/Blood and Marrow Transplantation; Stanford University School of Medicine; Stanford United States
| | - N.L. Bartlett
- Department of Medicine Oncology Division Medical Oncology; Washington University School of Medicine and Siteman Cancer Center; St. Louis United States
| | - I. Braunschweig
- Department of Medicine (Oncology); Montefiore Medical Center, Albert Einstein College of Medicine; Bronx United States
| | - Y. Jiang
- Clinical Development and Biostatistics; Kite, a Gilead Company; Santa Monica United States
| | - J.J. Kim
- Clinical Development and Biostatistics; Kite, a Gilead Company; Santa Monica United States
| | - L. Zheng
- Clinical Development and Biostatistics; Kite, a Gilead Company; Santa Monica United States
| | - J.M. Rossi
- Clinical Development and Biostatistics; Kite, a Gilead Company; Santa Monica United States
| | - F.L. Locke
- Blood and Marrow Transplant and Cellular Immunotherapy; Moffitt Cancer Center; Tampa United States
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22
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Belada D, Fay K, Casasnovas R, Gressin R, Lee H, Mehta A, Munoz J, Verhoef G, Corrado C, DeMarini D, Zhao W, Chen X, Coleman M. PHASE 2 STUDY OF PARSACLISIB (INCB050465) FOR RELAPSED OR REFRACTORY DIFFUSE LARGE B-CELL LYMPHOMA (DLBCL) (CITADEL-202). Hematol Oncol 2019. [DOI: 10.1002/hon.138_2630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- D. Belada
- 4th Department of Internal Medicine - Hematology; University Hospital Hradec Kralove, Czech Republic and Charles University in Prague, Faculty of Medicine in Hradec Kralove; Hradec Králové Czech Republic
| | - K. Fay
- Department of Haematology; St Vincent's Hospital; Darlinghurst NSW Australia
| | - R. Casasnovas
- Departement d'Hématologie; University Hospital F. Mitterrand and Inserm UMR 1231; Dijon France
| | - R. Gressin
- Departement d'Hématologie Clinique; Université Grenoble Alpes, Institut Albert Bonniot, Grenoble, France; Centre Hospitalier et Universitaire de Grenoble-Alpes; Grenoble France
| | - H. Lee
- SA Pathology; Flinders Medical Centre; Bedford Park SA Australia
| | - A. Mehta
- Department of Medicine; UAB School of Medicine; Birmingham United States
| | - J. Munoz
- Medical Oncology; Banner MD Anderson Cancer Center; Gilbert United States
| | - G. Verhoef
- Department of Hematology; University Hospitals Leuven; Leuven Belgium
| | - C. Corrado
- Clinical Development; Incyte Corporation; Wilmington DE United States
| | - D. DeMarini
- Clinical Development; Incyte Corporation; Wilmington DE United States
| | - W. Zhao
- Biostatistics; Incyte Corporation; Wilmington DE United States
| | - X. Chen
- Drug Metabolism and Biopharmaceutics; Incyte Corporation; Wilmington DE United States
| | - M. Coleman
- Medical Oncology; Clinical Research Alliance/Weill Cornell Medicine; New York United States
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23
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Nowakowski G, Willenbacher W, Greil R, Larsen T, Patel K, Jäger U, Manges R, Trümper L, Haioun C, Everaus H, Kalakonda N, Knoble J, de Nully Brown P, Jørgensen J, Cunningham D, Domper Rubio N, Casadebaig M, Manzke O, Munoz J. SAFETY AND EFFICACY OF THE PD-L1 INHIBITOR DURVALUMAB WITH R-CHOP OR R 2
-CHOP IN SUBJECTS WITH PREVIOUSLY UNTREATED, HIGH-RISK DLBCL. Hematol Oncol 2019. [DOI: 10.1002/hon.93_2629] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - W. Willenbacher
- Department of Hematology and Oncology; Innsbruck Medical University; Innsbruck Austria
| | - R. Greil
- Department of Hematology; Medical Oncology, Hemostaseology, Infectious Diseases and Rheumatology, Paracelsus Medical University Salzburg, Salzburg Cancer Research Institute and Cancer Cluster; Salzburg Austria
| | - T.S. Larsen
- Department of Hematology; Odense University Hospital; Odense Denmark
| | - K. Patel
- Center for Blood Disorders and Stem Cell Transplant; Swedish Cancer Institute; Seattle United States
| | - U. Jäger
- Department of Hematology; Medical University of Vienna; Vienna Austria
| | - R.F. Manges
- Hematology/Oncology; Parkview Health; Fort Wayne United States
| | - L. Trümper
- Abteilung für Hämatologie und Onkologie; Universitätsmedizin Göttingen; Göttingen Germany
| | - C. Haioun
- Lymphoid Malignancies Unit; Henri Mondor University Hospital, University Hospital, APHP; Créteil France
| | - H. Everaus
- Department of Hematology-Oncology; Tartu University Hospital; Tartu Estonia
| | - N. Kalakonda
- Molecular and Clinical Cancer Medicine; University of Liverpool; Liverpool United Kingdom
| | - J. Knoble
- Medical Oncology and Hematology; Mark H. Zangmeister Cancer Center; Columbus United States
| | - P. de Nully Brown
- Department of Hematology; Rigshospitalet, Copenhagen University Hospital; København Denmark
| | - J.M. Jørgensen
- Departments of Clinical Medicine and Hematology; Aarhus University Hospital; Aarhus Denmark
| | - D. Cunningham
- Gastrointestinal and Lymphoma Unit; The Royal Marsden Hospital; London United Kingdom
| | - N. Domper Rubio
- Global Clinical R&D; Celgene International; Boudry Switzerland
| | - M. Casadebaig
- Statistics; Celgene International; Boudry Switzerland
| | - O. Manzke
- Global Clinical R&D; Celgene International; Boudry Switzerland
| | - J. Munoz
- Medical Oncology; Banner MD Anderson Cancer Center; Gilbert United States
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24
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Zinzani P, Santoro A, Leppä S, Demeter J, Follows G, Lenz G, Kim W, Mollica L, Nagler A, Phipps Diong C, Provencio M, Magagnoli M, Munoz J, Miriyala A, Liu L, Zhang M, Garcia-Vargas J, Childs B, Dreyling M. SAFETY ANALYSIS OF PATIENTS WITH A MEDICAL HISTORY OF RESPIRATORY DISORDERS TREATED WITH COPANLISIB FROM THE CHRONOS-1 STUDY IN RELAPSED OR REFRACTORY INDOLENT B-CELL LYMPHOMA. Hematol Oncol 2019. [DOI: 10.1002/hon.58_2631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- P.L. Zinzani
- Institute of Hematology “Seràgnoli”; University of Bologna; Bologna Italy
| | - A. Santoro
- Cancer Center; Humanitas Clinical and Research Center; Rozzano Italy
| | - S. Leppä
- Comprehensive Cancer Center; Helsinki University Hospital; Helsinki Finland
| | - J. Demeter
- First Department of Internal Medicine; Semmelweis University; Budapest Hungary
| | - G.A. Follows
- Haematology; Cambridge University Hospitals NHS Foundation Trust; Cambridge United Kingdom
| | - G. Lenz
- Translational Oncology; University Hospital Münster; Münster Germany
| | - W.S. Kim
- Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul Republic of Korea
| | - L. Mollica
- Clinical Research in Hematology and Clinical Oncology; Maisonneuve-Rosemont Hospital Research Centre; Montréal, Quebec Canada
| | - A. Nagler
- Chaim Sheba Medical Center; Tel Aviv University; Tel HaShomer Israel
| | - C. Phipps Diong
- Department of Haematology; Singapore General Hospital; Bukit Merah Singapore
| | - M. Provencio
- Health Research Institute; Hospital Universitario Puerta de Hierro, Universidad Autónoma de Madrid; Madrid Spain
| | - M. Magagnoli
- Cancer Center; Humanitas Clinical and Research Center; Rozzano Italy
| | - J. Munoz
- Hematology and Oncology; Banner MD Anderson Cancer Center Clinic; Gilbert United States
| | - A. Miriyala
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - L. Liu
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - M. Zhang
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - J. Garcia-Vargas
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - B.H. Childs
- Oncology; Bayer HealthCare Pharmaceuticals, Inc.; Whippany United States
| | - M. Dreyling
- Department of Medicine III; University Hospital (LMU); Munich Germany
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25
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Smith S, Munoz J, Stevens D, Smith S, Feldman T, Ye J, de Vos S, Hess B, Miller C, Khatcheressian J, Birrell M, Leeds J, Coffey G, Conley P, Michelson G, Curnutte J, Hamlin P. RAPID AND DURABLE RESPONSES WITH THE SYK/JAK INHIBITOR CERDULATINIB IN A PHASE 2 STUDY IN RELAPSED/REFRACTORY FOLLICULAR LYMPHOMA-ALONE OR IN COMBINATION WITH RITUXIMAB. Hematol Oncol 2019. [DOI: 10.1002/hon.30_2629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- S.D. Smith
- Department of Medicine; University of Washington, Fred Hutchinson Cancer Research Center, Seattle Cancer Care Alliance; Seattle WA United States
| | - J. Munoz
- Cancer Immunotherapy Program; Banner MD Anderson Cancer Center; Gilbert AZ United States
| | - D.A. Stevens
- Norton Cancer Institute; Louisville KY United States
| | - S.M. Smith
- Lymphoma Program; The University of Chicago Medicine; Chicago IL United States
| | - T.A. Feldman
- John Theurer Cancer Center; Hackensack University Medical Center; Hackensack NJ United States
| | - J.C. Ye
- Rogel Cancer Center; University of Michigan Cancer Center; Ann Arbor MI United States
| | - S. de Vos
- David Geffen School of Medicine; UCLA; Los Angeles CA United States
| | - B.T. Hess
- Hollings Medical Cancer Center; Medical University of South Carolina; Charleston SC United States
| | - C.B. Miller
- Cancer Institute; St. Agnes Hospital; Baltimore MD United States
| | | | - M.R. Birrell
- R&D; Portola Pharmaceuticals; South San Francisco CA United States
| | - J.M. Leeds
- R&D; Portola Pharmaceuticals; South San Francisco CA United States
| | - G.P. Coffey
- R&D; Portola Pharmaceuticals; South San Francisco CA United States
| | - P.B. Conley
- R&D; Portola Pharmaceuticals; South San Francisco CA United States
| | - G.C. Michelson
- R&D; Portola Pharmaceuticals; South San Francisco CA United States
| | - J.T. Curnutte
- R&D; Portola Pharmaceuticals; South San Francisco CA United States
| | - P.A. Hamlin
- Department of Medical Oncology; Memorial Sloan-Kettering Cancer Ctr.; New York NY United States
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26
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Zem GC, Chimayan A, Aleksanyan V, Gordon J, Gomez F, Seyedroudbari A, Chang J, Botello T, Tan N, Arefin D, Tobar D, Khachekian A, Gama L, Durodola E, Batty J, Plascencia C, Barillas L, Roverud A, Kreuz S, Sarkisyan L, Lee F, Munoz J, Reque L, Abed V, Kinog L, Oppenheimer SB. A kinetic assay for non‐automated drug screening. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.531.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - A Chimayan
- California State University NorthridgeNorthridgeCA
| | - V Aleksanyan
- California State University NorthridgeNorthridgeCA
| | - J Gordon
- California State University NorthridgeNorthridgeCA
| | - F Gomez
- California State University NorthridgeNorthridgeCA
| | | | - J Chang
- California State University NorthridgeNorthridgeCA
| | - T Botello
- California State University NorthridgeNorthridgeCA
| | - N Tan
- California State University NorthridgeNorthridgeCA
| | - D Arefin
- California State University NorthridgeNorthridgeCA
| | - D Tobar
- California State University NorthridgeNorthridgeCA
| | - A Khachekian
- California State University NorthridgeNorthridgeCA
| | - L Gama
- California State University NorthridgeNorthridgeCA
| | - E Durodola
- California State University NorthridgeNorthridgeCA
| | - J Batty
- California State University NorthridgeNorthridgeCA
| | - C Plascencia
- California State University NorthridgeNorthridgeCA
| | - L Barillas
- California State University NorthridgeNorthridgeCA
| | - A Roverud
- California State University NorthridgeNorthridgeCA
| | - S Kreuz
- California State University NorthridgeNorthridgeCA
| | - L Sarkisyan
- California State University NorthridgeNorthridgeCA
| | - F Lee
- California State University NorthridgeNorthridgeCA
| | - J Munoz
- California State University NorthridgeNorthridgeCA
| | - L Reque
- California State University NorthridgeNorthridgeCA
| | - V Abed
- California State University NorthridgeNorthridgeCA
| | - L Kinog
- California State University NorthridgeNorthridgeCA
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27
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Munoz J, Godfrey T, Kalatskaya I, Jiao W, O’Brien M, Stein L, Litle V. P-184PERSISTENCE OF GENETIC MUTATIONS IN THE NEOSQUAMOUS EPITHELIUM AFTER ABLATION THERAPY FOR BARRETT’S OESOPHAGUS AND OESOPHAGEAL DYSPLASIA. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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28
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Tilly H, Sharman J, Bartlett N, Morschhauser F, Haioun C, Munoz J, Chen A, Lamy T, Wang L, Penuel E, Hirata J, Lee C, Salles G. POLA-R-CHP: POLATUZUMAB VEDOTIN COMBINED WITH RITUXIMAB, CYCLOPHOSPHAMIDE, DOXORUBICIN, PREDNISONE FOR PATIENTS WITH PREVIOUSLY UNTREATED DIFFUSE LARGE B-CELL LYMPHOMA. Hematol Oncol 2017. [DOI: 10.1002/hon.2437_79] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- H. Tilly
- Centre Henri Becquerel; University of Rouen; Rouen France
| | - J. Sharman
- Willamette Valley Cancer Institute; Springfield, OR, US Oncology Research; The Woodlands, TX USA
| | - N. Bartlett
- Siteman Cancer Center; Washington University School of Medicine; St Louis Missouri USA
| | - F. Morschhauser
- Service des Maladies du sang; Washington University School of Medicine University Hospital of Lille; Lille France
| | - C. Haioun
- INSERM U955 Université Paris-Est; Hôpital Henri-Mondor, Unité Hémopathies Lymphoïdes; Creteil France
| | - J. Munoz
- Department of Lymphoma/Myeloma; Banner MD Anderson Cancer Center; Gilbert Arizona USA
| | - A. Chen
- Hematology & Oncology; Oregon Health and Science University; Portland Oregon USA
| | - T. Lamy
- Hematology Department; INSERM U917 / University Hospital of Rennes; Rennes France
| | - L. Wang
- Product Development Biometrics Biostatistics; Genentech, Inc.; South San Francisco California USA
| | - E. Penuel
- Oncology Biomarker Department; Genentech, Inc; South San Francisco California USA
| | - J. Hirata
- Product Development Oncology; Genentech, Inc; South San Francisco California USA
| | - C. Lee
- Product Development Oncology; Genentech, Inc; South San Francisco California USA
| | - G. Salles
- Service d'Hématologie Clinique; South Lyon Hospital Complex; Lyon France
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29
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Hamlin P, Farber C, Fenske T, Khatcheressian J, Miller C, Munoz J, Patel M, Schreeder M, Smith S, Stevens D, Pandey A, Birrell M, Leeds J, Wang Y, Coffey G, Curnutte J. THE DUAL SYK/JAK INHIBITOR CERDULATINIB DEMONSTRATES RAPID TUMOR RESPONSES IN a PHASE 2 STUDY IN PATIENTS WITH RELAPSED/REFRACTORY B-CELL MALIGNANCIES. Hematol Oncol 2017. [DOI: 10.1002/hon.2437_61] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- P.A. Hamlin
- Department of Medicine, Lymphoma Service; Memorial Sloan Kettering Cancer Center, Basking Ridge; New Jersey USA
| | - C.M. Farber
- Cancer Services; Summit Medical Group - MD Anderson Cancer Center; Morristown New Jersey USA
| | - T.S. Fenske
- Division of Hematology & Oncology; Medical College of Wisconsin; Milwaukee Wisconsin USA
| | | | - C.B. Miller
- Cancer Institute; St. Agnes Hospital; Baltimore Maryland USA
| | - J. Munoz
- Cancer Immunotherapy; Banner MD Anderson Cancer Center; Gilbert Arizona USA
| | - M.R. Patel
- Drug Development Unit; Florida Cancer Specialists/Sarah Cannon Research Institute; Sarasota Florida USA
| | - M.T. Schreeder
- Oncology Specialties; Clearview Cancer Institute; Huntsville Alabama USA
| | - S.M. Smith
- Lymphoma Program; The University of Chicago Medicine; Chicago Illinois USA
| | - D.A. Stevens
- Medical Oncology; Norton Cancer Institute; Louisville Kentucky USA
| | - A. Pandey
- R&D; Portola Pharmaceuticals; South San Francisco California USA
| | - M.R. Birrell
- R&D; Portola Pharmaceuticals; South San Francisco California USA
| | - J.M. Leeds
- R&D; Portola Pharmaceuticals; South San Francisco California USA
| | - Y.L. Wang
- Department of Pathology; University of Chicago; Chicago Illinois USA
| | - G.P. Coffey
- R&D; Portola Pharmaceuticals; South San Francisco California USA
| | - J.T. Curnutte
- R&D; Portola Pharmaceuticals; South San Francisco California USA
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30
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Uhr A, Singh AP, Munoz J, Aka A, Sion M, Jiang W, Goldstein SD, Rosato EL. Colonic Schwannoma: A Case Study and Literature Review of a Rare Entity and Diagnostic Dilemma. Am Surg 2016. [DOI: 10.1177/000313481608201224] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
An asymptomatic 73-year-old woman was found to have a submucosal mass in the descending colon on routine colonoscopy. A CT scan revealed a 31 X 28 X 31 mm lesion in the same location. Previous biopsy proved to be nondiagnostic, and the patient underwent a laparoscopic descending colon resection. Histologic evaluation of the tumor revealed a low grade spindle cell neoplasm with strong, diffuse positivity for S-100 protein by immunohistochemistry, leading to the diagnosis of schwannoma. A review of the literature revealed intestinal schwannoma to be a rare disease entity, with only about 50 cases previously reported.
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Affiliation(s)
- Alex Uhr
- From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | - Awinder P. Singh
- From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | - Jose Munoz
- From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | - Allison Aka
- From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | - Melanie Sion
- From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | - Wei Jiang
- From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | | | - Ernest L. Rosato
- From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
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31
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Uhr A, Singh AP, Munoz J, Aka A, Sion M, Jiang W, Goldstein SD, Rosato EL. Colonic Schwannoma: A Case Study and Literature Review of a Rare Entity and Diagnostic Dilemma. Am Surg 2016; 82:1183-1186. [PMID: 28234182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
An asymptomatic 73-year-old woman was found to have a submucosal mass in the descending colon on routine colonoscopy. A CT scan revealed a 31 × 28 × 31 mm lesion in the same location. Previous biopsy proved to be nondiagnostic, and the patient underwent a laparoscopic descending colon resection. Histologic evaluation of the tumor revealed a low grade spindle cell neoplasm with strong, diffuse positivity for S-100 protein by immunohistochemistry, leading to the diagnosis of schwannoma. A review of the literature revealed intestinal schwannoma to be a rare disease entity, with only about 50 cases previously reported.
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Affiliation(s)
- Alex Uhr
- Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
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32
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Yang F, Kim J, Munoz J. Adaptive gait responses to awareness of an impending slip during treadmill walking. Gait Posture 2016; 50:175-179. [PMID: 27632061 DOI: 10.1016/j.gaitpost.2016.09.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Revised: 09/03/2016] [Accepted: 09/07/2016] [Indexed: 02/02/2023]
Abstract
The awareness of potential slip risk has been shown to cause protective changes to human gait during overground walking. It remains unknown if such adaptations to walking pattern also exist when ambulating on a treadmill. This study sought to determine whether and to what extent individuals, when being aware of a potential slip risk during treadmill walking, could adjust their gait pattern to improve their dynamic stability against backward balance loss in response to the impending slip hazard. Fifty-four healthy young subjects (age: 23.9±4.7years) participated in this study. Subjects' gait pattern was measured under two conditions: walking on a treadmill without (or normal walking) and with (or aware walking) the awareness of the potential slip perturbation. During both walking conditions, subjects' full body kinematics were gathered by using a motion capture system. Spatial gait parameters and the dynamic gait stability against backward balance were compared between the two walking conditions. The results revealed that subjects proactively adopted a "cautious gait" during aware walking compared with the normal walking. The cautious gait, which was achieved by taking a shorter step and a more flatfoot landing, positioned the body center of mass closer to the base of support, improving participants' dynamic stability and increasing their resistance against a possible slip-related fall. The finding from this study could provide insights into the dynamic stability control when individuals anticipate potential slip risk during treadmill walking.
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Affiliation(s)
- Feng Yang
- Department of Kinesiology, University of Texas at El Paso, El Paso, TX 79968, USA.
| | - JaeEun Kim
- Department of Kinesiology, University of Texas at El Paso, El Paso, TX 79968, USA
| | - Jose Munoz
- Department of Kinesiology, University of Texas at El Paso, El Paso, TX 79968, USA
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33
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Saucedo F, Kim J, Munoz J, King G, Yang F. Effects Of Visual Deprivation On Stability Among Young Adults During Treadmill Walking. Med Sci Sports Exerc 2016. [DOI: 10.1249/01.mss.0000486243.61206.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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34
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Pareek M, Greenaway C, Noori T, Munoz J, Zenner D. The impact of migration on tuberculosis epidemiology and control in high-income countries: a review. BMC Med 2016; 14:48. [PMID: 27004556 PMCID: PMC4804514 DOI: 10.1186/s12916-016-0595-5] [Citation(s) in RCA: 166] [Impact Index Per Article: 20.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Accepted: 03/08/2016] [Indexed: 02/08/2023] Open
Abstract
Tuberculosis (TB) causes significant morbidity and mortality in high-income countries with foreign-born individuals bearing a disproportionate burden of the overall TB case burden in these countries. In this review of tuberculosis and migration we discuss the impact of migration on the epidemiology of TB in low burden countries, describe the various screening strategies to address this issue, review the yield and cost-effectiveness of these programs and describe the gaps in knowledge as well as possible future solutions.The reasons for the TB burden in the migrant population are likely to be the reactivation of remotely-acquired latent tuberculosis infection (LTBI) following migration from low/intermediate-income high TB burden settings to high-income, low TB burden countries.TB control in high-income countries has historically focused on the early identification and treatment of active TB with accompanying contact-tracing. In the face of the TB case-load in migrant populations, however, there is ongoing discussion about how best to identify TB in migrant populations. In general, countries have generally focused on two methods: identification of active TB (either at/post-arrival or increasingly pre-arrival in countries of origin) and secondly, conditionally supported by WHO guidance, through identifying LTBI in migrants from high TB burden countries. Although health-economic analyses have shown that TB control in high income settings would benefit from providing targeted LTBI screening and treatment to certain migrants from high TB burden countries, implementation issues and barriers such as sub-optimal treatment completion will need to be addressed to ensure program efficacy.
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Affiliation(s)
- Manish Pareek
- Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK. .,Department of Infection and HIV Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK.
| | - Christina Greenaway
- Division of Infectious Diseases and Department of Clinical Epidemiology, Jewish General Hospital, McGill University, Montreal, Canada
| | - Teymur Noori
- European Centre for Disease Prevention and Control, Solna, Sweden
| | - Jose Munoz
- Barcelona Institute for Global Health, Barcelona, Spain
| | - Dominik Zenner
- Centre for Infectious Disease Surveillance and Control, Public Health England, London, UK.,Centre for Infectious Disease Epidemiology, University College London, London, UK
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35
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Hannam JA, Borrat X, Troconiz IF, Valencia JF, Jensen EW, Pedroso A, Munoz J, Castellvi-Bel S, Castells A, Gambus PL. Modeling Respiratory Depression Induced by Remifentanil and Propofol during Sedation and Analgesia Using a Continuous Noninvasive Measurement of pCO2. ACTA ACUST UNITED AC 2015; 356:563-73. [DOI: 10.1124/jpet.115.226977] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2015] [Accepted: 12/10/2015] [Indexed: 11/22/2022]
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36
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Munoz J, Marin V, Peña L, Mutis J, Ortiz G, Parada D. Usefulness of ICHD3B criteria to differentiate primary from non-primary headaches at the emergency service. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Munoz J, Marque M, Dandurand M, Meunier L, Crow YJ, Bessis D. [Type I interferonopathies]. Ann Dermatol Venereol 2015; 142:653-63. [PMID: 26363997 DOI: 10.1016/j.annder.2015.06.018] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Revised: 06/02/2015] [Accepted: 06/11/2015] [Indexed: 01/04/2023]
Abstract
Type I interferonopathies are a group of Mendelian disorders characterized by a common physiopathology: the up-regulation of type I interferons. To date, interferonopathies include Aicardi-Goutières syndrome, familial chilblain lupus, spondyenchondromatosis, PRoteasome-associated auto-inflammatory syndrome (PRAAS) and Singleton-Merten syndrome. These diseases present phenotypic overlap including cutaneous features like chilblain lupus, that can be inaugural or present within the first months of life. This novel set of inborn errors of immunity is evolving rapidly, with recognition of new diseases and genes. Recent and improved understanding of the physiopathology of overexpression of type I interferons has allowed the development of targeted therapies, currently being evaluated, like Janus-kinases or reverse transcriptase inhibitors.
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Affiliation(s)
- J Munoz
- Département de dermatologie, hôpital Caremeau, CHRU de Nîmes, 4, rue du Professeur-Debré, 30029 Nîmes, France
| | - M Marque
- Département de dermatologie, hôpital Caremeau, CHRU de Nîmes, 4, rue du Professeur-Debré, 30029 Nîmes, France
| | - M Dandurand
- Département de dermatologie, hôpital Caremeau, CHRU de Nîmes, 4, rue du Professeur-Debré, 30029 Nîmes, France
| | - L Meunier
- Département de dermatologie, hôpital Caremeau, CHRU de Nîmes, 4, rue du Professeur-Debré, 30029 Nîmes, France; UMR CNRS 5247, institut des biomolécules Max-Mousseron, faculté de pharmacie, 15, avenue Charles-Flahault, BP 14491, 34093 Montpellier cedex 05, France
| | - Y-J Crow
- Laboratoire de neurogénétique et de neuro-inflammation, institut Imagine, hôpital Necker-Enfants-Malades, université Paris Descartes, 24, boulevard du Montparnasse, 75015 Paris, France; Manchester centre for genomic medicine, institute of human development, faculty of medical and human sciences, Manchester academic health sciences centre, university of Manchester, M13 9WL Manchester, Royaume-Uni
| | - D Bessis
- Département de dermatologie, hôpital Saint-Eloi, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France; Université Montpellier 1, 163, rue Auguste-Broussonnet, 34090 Montpellier, France; Inserm U1058, UFR de pharmacie, 15, avenue Charles-Flahaut, 34093 Montpellier cedex 5, France.
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Gunturu S, Gonzalez L, Korenis P, Khadivi A, Munoz J. A Case Study of Frotteurism and Schizoaffective Disorder in a Young Male – an Atypical Association. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)31361-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Munoz J, Garcia C, Joujoux J, Dandurand M, Meunier L, Stoebner P. Fasciite cervicale métastatique révélant un carcinome lobulaire infiltrant mammaire. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Donovan S, Friedel D, Munoz J. 1419Comparison of Systemic Inflammatory Response Syndrome (SIRS) Criteria in Children with Viral vs Bacterial Infections. Open Forum Infect Dis 2014. [DOI: 10.1093/ofid/ofu052.965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Summer Donovan
- Pediatric Infectious Diseases, Virginia Commonwealth University, RICHMOND, VA
| | - David Friedel
- Pediatric Infectious Diseases, Virginia Commonwealth University, RICHMOND, VA
| | - Jose Munoz
- Pediatric Infectious Diseases, Virginia Commonwealth University, RICHMOND, VA
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Affiliation(s)
- J Munoz
- Department of Dermatology, University Hospital of Montpellier, University Montpellier 1, 80 rue Augustin Fliche, F-34295, Montpellier Cedex 5, France
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Munoz J, Cheng G, Pedroso F, Spalding P, Morris C, Bialek P, St. Andre M, Puppa M, Carson J, Koniaris L, Zimmers T. Biologicals Targeting Myostatin/GDF-11/Activins Prevent Burn-Induced Muscle Loss in Mice. J Surg Res 2014. [DOI: 10.1016/j.jss.2013.11.545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Munoz J, Thanh AD, Girard C, Frouin E, Guillot B. Maladie de Grover sous-ipilimumab : première description. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Zammarchi L, Bartoloni A, Munoz J. Chagas disease is a consideration in Latino patients. Am Fam Physician 2013; 88:566. [PMID: 24364628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Joseph JT, Purtill K, Wong SJ, Munoz J, Teal A, Madison-Antenucci S, Horowitz HW, Aguero-Rosenfeld ME, Moore JM, Abramowsky C, Wormser GP. Vertical transmission of Babesia microti, United States. Emerg Infect Dis 2013; 18:1318-21. [PMID: 22840424 PMCID: PMC3414010 DOI: 10.3201/eid1808.110988] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Babesiosis is usually acquired from a tick bite or through a blood transfusion. We report a case of babesiosis in an infant for whom vertical transmission was suggested by evidence of Babesia spp. antibodies in the heel-stick blood sample and confirmed by detection of Babesia spp. DNA in placenta tissue.
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Affiliation(s)
- Julie T Joseph
- New York Medical College, Valhalla, New York 10595, USA.
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Vaquero J, Munoz J, Prat S, Ramirez C, Aguado HJ, Moreno E, Perez MD. Proximal Femoral Nail Antirotation versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures. A randomised comparative study. Injury 2012; 43 Suppl 2:S47-54. [PMID: 23622992 DOI: 10.1016/s0020-1383(13)70179-7] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The purpose of this study was to compare the clinical results and the complication rates of a new generation of two intramedullary fixation devices: Proximal Femoral Nail Antirotation® (PFNA) and Gamma3®. We conducted a prospective randomised multicentre trial of 61 patients who underwent a PFNA fixation treatment (31 patients) or a Gamma3 nail (30 patients). We documented the fixation failure complications as well as data of the surgical procedure, the clinical and functional outcomes (the EuroQoL5 questionnaire, the Katz index score, the Short Form 36 (SF-36), and the Harris Hip Score) and the plain radiographic parameters at 3,6 and 12 months follow up. The PFNA and Gamma3 fixation devices were similar in terms of complication rates. The risk for experiencing a postoperative complication after Gamma3 nailing was 40% versus 45% after PFNA fixation. At the 6-month and 1-year follow-up evaluations, there were no significant differences in terms of range of motion, clinical scores and radiological outcomes.
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Affiliation(s)
- J Vaquero
- Department of Orthopaedic and Trauma Surgery, Hospital General Universitario Gregorio Maranon, Madrid, Spain.
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Sandoval C, Sinaki B, Weiss R, Munoz J, Ozkaynak MF, Tugal O, Jayabose S. Urinary tract infections in pediatric oncology patients with fever and neutropenia. Pediatr Hematol Oncol 2012; 29:68-72. [PMID: 22304012 DOI: 10.3109/08880018.2011.617809] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The relevancy of the urinary tract as a source of infection during febrile neutropenia is not known. The authors sought to determine the frequency of urinary tract infections (UTIs) in pediatric cancer patients with febrile neutropenia. Urine was collected from a mid-stream void before the administration of antibiotics. Demographic, clinical, and laboratory data were collected. The frequency of UTI and usefulness of urinalysis and localizing signs in predicting UTI in pediatric cancer patients with fever and neutropenia were determined. Forty-five patients had 58 febrile neutropenic episodes eligible for study participation. No patient presented with localizing signs. The urinalysis was negative in 53 episodes and positive in 5 episodes. Four patients had 5 UTIs. The frequency of UTI was 8.6% (5 of 58 febrile neutropenia episodes). Four patients had bacteremia, none of whom had a UTI. The sensitivity, specificity, and negative predictive value of urinalysis was 40%, 94%, and 94%, respectively, and for localizing signs was undefined, 100%, and 91%, respectively. UTI is as common as bacteremia in the current pediatric cancer patients with fever and neutropenia. Urinalysis and urine culture should be obtained routinely as part of the diagnostic evaluation of patients with fever and neutropenia.
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Affiliation(s)
- Claudio Sandoval
- Department of Pediatrics and Maria Fareri Children's Hospital, New York Medical College, Valhalla, New York 10595, USA.
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Munoz J, Romero W, Hanbali A, Kuriakose P. Paraneoplastic syndromes associated to Hodgkin's lymphoma. Case Reports 2011; 2011:bcr.10.2011.4962. [DOI: 10.1136/bcr.10.2011.4962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Schering JL, Munoz J, Raybon E, Hegab S, Hanbali AS, Kuriakose P. The diagnostic and prognostic implications of nucleated red blood cells in myelophthisis. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.6576] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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