71 research outputs found
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The role of manganese peroxidase in biomass conversion technologies
- Author
- Publication venue
- 'Oregon State University'
- Publication date
- Field of study
Currently, the technologies used to separate lignocellulosic biomass into its component parts (cellulose, hemicellulose, and lignin) and enzymatically hydrolyze the cellulose to glucose for conversion to ethanol could be improved economically and in terms of efficiency. A major impediment to utilizing the biomass is the presence of residual lignin. The residual lignin "poisons" the cellulase enzymes and as a result, a lower glucose yield is obtained. A higher titer of cellulases could be used to increase the yield of glucose, but cellulases are expensive. A possibility to reduce the cost of cellulase enzymes and improve the efficiency, economics, extent and/or rate of hydrolysis is to use lignin-degrading fungal heme peroxidase such as manganese peroxidases. An efficient and economical glucose assay was developed to monitor the rate and extent of enzymatic hydrolysis of cellulose. The glucose assay is based on the glucose oxidase horseradish peroxidase enzymatic method, but uses bulk enzymes making it more economical than commercial kits. The glucose assay also has a higher throughput rate and is more economical than HPLC. In order to evaluate possible synergistic effects between cellulases and manganese peroxidase (MnP), rMnP was produced in high cell density fed-batch cultivations by the genetically engineered yeast, P. pastoris. In addition, a mathematic model was developed to describe the temperature dependant growth of P. pastoris and consumption of glucose and the production and temperature dependent degradation of rMnP in the bioreactor broth. The model successfully predicted the cell growth, substrate consumption, and rMnP production for the base case and also for cultivations with varying fed-batch air flow rates (k[subscript L]a) and temperatures. The production of rMnP requires cultures amended with exogenous heme and there are several sources of heme. Through shake flask experiments and bioreactor cultivations it was determined that 0.1 g/L of heme was necessary for producing high titers of rMnP (4,500 U/L). It was also determined that not all types of heme will yield the same rMnP titer. The water soluble fraction post pretreatment of lignocellulosic biomass contains inhibitors to fermentation such as 5-hydroxymethyl furfural (HMF) and furfural. rMnP was shown to degrade HMF (1 g/L) and furfural (1 g/L) and detoxify medium containing these inhibitors. The rMnP reduced furfural and HMF, measured by absorbance at 276 and 286 nm respectively and the degree of absorbance decrease was dependent on rMnP concentration. Furfural was more readily degraded by rMnP than HMF. Growth assays using S. cerevisiae indicated rMnP treatment detoxified medium containing furfural and HMF. The optimal conditions (temperature, pH, and buffer) for enzyme activity were determined for both AccelleraseTM 1000 (commercially available combination of cellulases) and rMnP using filter paper as a substrate. Woody biomass and corn stover were pretreated and then exposed to simultaneous or sequential treatment with rMnP and AccelleraseTM 1000. The results for the sequential treatment of Ponderosa pine and corn stover with rMnP and AccelleraseTM 1000 was inconclusive as to whether or not rMnP effected the production of glucose due to the high variability between replicates. Finally, part of my doctoral program was significant mentoring and facilitation of undergraduate research. A significant portion of my time was dedicated toward senior laboratory teaching assistance, serving as a mentor for high school students, and participating in research mentoring with 24 undergraduate students over five years, 19 of whom were women
The transcriptional response to oxidative stress is part of, but not sufficient for, insulin resistance in adipocytes.
- Author
- Publication venue
- Sci Rep
- Publication date
- 01/01/2018
- Field of study
Insulin resistance is a major risk factor for metabolic diseases such as Type 2 diabetes. Although the underlying mechanisms of insulin resistance remain elusive, oxidative stress is a unifying driver by which numerous extrinsic signals and cellular stresses trigger insulin resistance. Consequently, we sought to understand the cellular response to oxidative stress and its role in insulin resistance. Using cultured 3T3-L1 adipocytes, we established a model of physiologically-derived oxidative stress by inhibiting the cycling of glutathione and thioredoxin, which induced insulin resistance as measured by impaired insulin-stimulated 2-deoxyglucose uptake. Using time-resolved transcriptomics, we found > 2000 genes differentially-expressed over 24 hours, with specific metabolic and signalling pathways enriched at different times. We explored this coordination using a knowledge-based hierarchical-clustering approach to generate a temporal transcriptional cascade and identify key transcription factors responding to oxidative stress. This response shared many similarities with changes observed in distinct insulin resistance models. However, an anti-oxidant reversed insulin resistance phenotypically but not transcriptionally, implying that the transcriptional response to oxidative stress is insufficient for insulin resistance. This suggests that the primary site by which oxidative stress impairs insulin action occurs post-transcriptionally, warranting a multi-level 'trans-omic' approach when studying time-resolved responses to cellular perturbations
Consolidated bioprocessing of transgenic switchgrass by an engineered and evolved Clostridium thermocellum strain
- Author
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2014
- Field of study
Role of dietary fatty acids in mammary gland development and breast cancer
- Author
- A Cabanes
- AC Thiebaut
- AP Simopoulos
- AP Simopoulos
- AP Simopoulos
- AR Kallianpur
- AS De
- B MacMahon
- BA Stoll
- BM Popkin
- C Nagata
- CH MacLean
- CP Caygill
- CS Berkey
- CW Welsch
- CY Lo
- D Bagga
- David WL Ma
- DB Jump
- DL Amaru
- DP Rose
- DP Rose
- DS Freedman
- EL Wynder
- EL Wynder
- G Burdge
- GK Singh
- GM La
- H Nagasawa
- H Senzaki
- H Sun
- HJ Baer
- HM Su
- IJ Edwards
- J Chen
- J Kim
- J Li
- J Russo
- J Russo
- J Shanklin
- J Shannon
- JA Menendez
- JA Menendez
- JH Peng
- JL Kelsey
- JM Bourre
- JT Brenna
- K Kuriki
- KB Michels
- L Hilakivi-Clarke
- L Hilakivi-Clarke
- L Hilakivi-Clarke
- L Hilakivi-Clarke
- L Hilakivi-Clarke
- L Hilakivi-Clarke
- L Kaizer
- L Zeng
- LA Horrocks
- LA Sauer
- LD Yee
- M Gago-Dominguez
- M Okasha
- M Sanderson
- M Schulz
- ME Begin
- Mira MacLennan
- MJ Gonzalez
- MJ Gonzalez
- MP Fay
- N Potischman
- P Astorg
- P Bougnoux
- PA Fiorio
- PA van den Brandt
- PC Calder
- PD Terry
- PL Goyens
- PM Witt
- PW Parodi
- R Colomer
- RD Cardiff
- RG Ziegler
- RL Prentice
- S Hong
- S Sasaki
- SE Olivo
- SE Olivo-Marston
- SL Goodstine
- SL Selenskas
- SM Ball
- SM Innis
- TI Kinnunen
- V Chajes
- V Maillard
- WE Hardman
- WE Hardman
- WE Hardman
- WS Harris
- Publication venue
- BioMed Central
- Publication date
- Field of study
Breast cancer is the most common cancer among women worldwide. Estimates suggest up to 35% of cases may be preventable through diet and lifestyle modification. Growing research on the role of fats in human health suggests that early exposure in life to specific fatty acids, when tissues are particularly sensitive to their environment, can have long-term health impacts. The present review examines the role of dietary fat in mammary gland development and breast cancer throughout the lifecycle. Overall, n-3 polyunsaturated fatty acids have promising cancer-preventive effects when introduced early in life, and warrant further research to elucidate the mechanisms of action
Residual cancer burden after neoadjuvant chemotherapy and long-term survival outcomes in breast cancer: a multicentre pooled analysis of 5161 patients
- Author
- Abraham Jean e
- Adamson Kathi
- Albain Kathy s.
- Asare Adam l.
- Asare Smita m.
- Balassanian Ron
- Bartlett John m s
- Beckwith Heather
- Berry Donald a.
- Berry Scott m.
- Boughey Judy c.
- Boughey Judy c.
- Buxton Meredith b.
- Caldas Carlos
- Cameron David
- Chen Beiyun
- Chen Yunn-Yi
- Chien A. jo
- Chui Stephen y.
- Clark Amy s.
- Clennell Julia l.
- Cole Kimberly
- Datnow Brian
- De croze Diane
- Del monte-Millán Maria
- Demichele Angela m.
- Demichele Angela m.
- Duan Xiuzhen
- Dunn Janet
- Earl Helena
- Edge Stephen b
- Edmiston Kirsten k.
- Elias Anthony d.
- Ellis Erin d.
- Esserman Laura l.
- Esserman Laura l.
- Euhus David m.
- Fadare Oluwole
- Fan Fang
- Fan Fang
- Feldman Michael d
- Forero-Torres Andres
- Godwin Andrew k
- Goetz Matthew p
- Gould Rebekah
- Graham Ashley
- Haley Barbara b.
- Hall Peter
- Hamy Anne-Sophie
- Han Hyo s.
- Harada Shuko
- Haugen Patricia
- Hayward Larry
- Helsten Teresa
- Hiller Louise
- Hirst Gillian l.
- Hoskin Tanya
- Hylton Nola m.
- Isaacs Claudine
- Kemmer Kathleen
- Khan Qamar j.
- Khazai Laila
- Kim Mi-Ok
- Klein Molly e.
- Krings Gregor
- Lang Julie e.
- Laé Marick
- Lebeau Lauren g.
- Leyland-Jones Brian
- Liu Minetta c.
- Lo Shelly
- Lu Janice
- López-Tarruella Sara
- Mackintosh Lorna
- Magliocco Anthony
- Martín Miguel
- Matthews Jeffrey b.
- Melisko Michelle e.
- Mhawech-Fauceglia Paulette
- Moulder Stacy l.
- Murthy Rashmi k.
- Nanda Rita
- Northfelt Donald w.
- Ocal Idris t.
- Olopade Olufunmilayo
- Osdoit Marie
- Pambuccian Stefan
- Paoloni Melissa
- Park John w.
- Parker Barbara a.
- Perlmutter Jane
- Peterson Garry
- Provenzano Elena
- Pusztai Lajos
- Pusztai Lajos
- Rendi Mara
- Reyal Fabien
- Rugo Hope s.
- Sahoo Sunati
- Sammut Stephen-John
- Sams Sharon
- Sanil Ashish
- Sattar Husain
- Schwab Richard b.
- Schwensen Kelsey
- Shad Sonal
- Sharma Priyanka
- Singhrao Ruby
- Sonke Gabe s
- Steeg Katherine
- Steenbruggen Tessa g
- Stringer-Reasor Erica
- Symmans W. fraser
- Symmans W. fraser
- Tawfik Ossama
- Thomas Jeremy s
- Tripathy Debasish
- Troxell Megan l.
- Valero Vicente
- Van 't veer Laura j
- Van der noordaa Marieke
- Van seijen Maartje
- Van't veer Laura j.
- Venters Sara j.
- Vinh Tuyethoa
- Viscusi Rebecca k.
- Wallace Anne m.
- Wei Jane
- Wei Shi
- Wesseling Jelle
- Wilson Amy
- Yau Christina
- Yau Christina
- Yee Douglas
- Zeck Jay c.
- Publication venue
- Publication date
- 10/12/2021
- Field of study
Contribution of plasma cells and B cells to hidradenitis suppurativa pathogenesis
- Author
- Berthier C.
- Billi A.C.
- Burney R.E.
- Cherry-Bukowiec J.R.
- Cushing K.C.
- Gudjonsson J.E. (Johann Eli)
- Harms P.W.
- Jiang Y.Y.
- Kahlenberg J.M.
- Kirma J.
- Kozlow J.H.
- Lowe M.M.
- Ma F.Y.
- MacLeod A.S.
- Maverakis E.
- Modlin R.L.
- Patrick M.T.
- Plazyo O.
- Prens E.P. (Errol)
- Rizvi S.M.
- Rosenblum M.D.
- Straalen K.R. (Kelsey) van
- Tsoi L. C.
- Voorhees J.J. (John)
- Vossen A.C.Th.M. (Ann)
- Wasikowski R.
- Weidinger S. (Stephan)
- Wen F.
- Xing E.Z.
- Xing X. (Xianying)
- Yee C.M.
- Zee H.H. (Hessel) van der
- Zeng C.
- Publication venue
- 'American Society for Clinical Investigation'
- Publication date
- 01/01/2020
- Field of study
Hidradenitis suppurativa (HS) is a debilitating chronic inflammatory skin disease characterized by chronic abscess formation and development of multiple draining sinus tracts in the groin, axillae, and perineum. Using proteomic and transcriptomic approaches, we characterized the inflammatory responses in HS in depth, revealing immune responses centered on IFN-γ, IL-36, and TNF, with lesser contribution from IL-17A. We further identified B cells and plasma cells, with associated increases in immunoglobulin production and complement activation, as pivotal players in HS pathogenesis, with Bruton’s tyrosine kinase (BTK) and spleen tyrosine kinase (SYK) pathway activation as a central signal transduction network in HS. These data provide preclinical evidence to accelerate the path toward clinical trials targeting BTK and SYK signaling in moderate-to-severe HS
Adding 6 months of androgen deprivation therapy to postoperative radiotherapy for prostate cancer: a comparison of short-course versus no androgen deprivation therapy in the RADICALS-HD randomised controlled trial
- Author
- Abab Julie
- Abbas Ali
- Abbassi Sara
- Abd Alazeez Mohamed
- Abdulwahid Danya
- Abdulwahid Danya
- Abed Jessy
- Adab Fawzi
- Adams Marion
- Adamson Vanessa
- Addison Anglise
- Adeyoju Adebanji
- Adinkra Victoria
- Adnaan Jamila
- Afzal Naveed
- Agdiran Didem
- Aggarwal Ajay
- Ahamadali Sheefa
- Ahmad Belal
- Ahmed Ilyas
- Ahmed Imtiaz
- Ahmed Shahida
- Aiku Abimbola
- Ainsworth Sarah
- Ainsworth Sarah
- Aitken Katherine
- Ajzensztejn Daniel
- Akhtar Naeem
- Al-Chamali Hiba
- Al-hasso Abdulla
- Al-hasso Abdulla
- Al-Samarraie Amir
- Albrecht Virginia
- Alcock Christopher
- Alder Leanne
- Alderton Kate
- Aldous Mary
- Ali Jennyfa
- Ali Maryam
- Ali Zulfiqer
- Ali Zulfiqer
- Allan Elaine
- Allan Elaine
- Allen Julie
- Allen Kirsten
- Allen Rachael
- Allen Susan
- Allison Joanna
- Allison Michele
- Alonzi Roberto
- AlRashdan Abdulla
- Alzouebi Mymoona
- Amanie John Oliver
- Ammeter Barb
- Amoaten Thomas
- Amos Claire
- Anderson Beverley
- Anderson Chris
- Anderson Jim
- Anderson John
- Anderson John
- Anderson Juliette
- Anderson Juliette
- Anderson Leanne
- Anderson Naomi
- Anderson Susan
- Anderson Susan
- Andrade Gerard
- Andrews (nee Moore) Eleanor
- Andrews Kelly
- Andrews Stephen
- Ang Daniel
- Ann Taehee
- Annan Lynda
- Ansari Jawaher
- Ansari Jawaher
- Anscombe Eleanor
- Anyamene Nicola
- Appleby Bonny
- Appleby Rowan
- Archer Denise
- Archer Denise
- Archer Simon
- Archer Simon
- Arnott Seonaid
- Arsanious Nasr
- Ashcroft Jan
- Ashworth Sue
- Ashworth Sue
- Askew Sarah
- Aslam Natasha
- Atkinson Jane
- Atkinson Lorraine
- Attlee Julie
- Auladin Raidah
- Austin (nee Glover) Gemma
- Austin Mandy
- Avery Alison
- Avis Joanne
- Aya Viviana
- Azirar Hanna
- Bachand Francois
- Bahary JeanPaul
- Bahl Amit
- Bahl Amit
- Bailey Laura
- Bailey Linda
- Baines Kizzy
- Baird Noelle
- Bak Dagmara
- Bakawala Rehana
- Baker Erin
- Baker Ivanna
- Bakija Zeljka
- Bakker Piet
- Balderson Jane
- Ball Julie
- Balogun Shaki
- Bamford Linda
- Banda Laillah-Crystal
- Barber Dave
- Baria Karin
- Barkati Maroie
- Barkati Maroie
- Barke Nyssa
- Barlow David
- Barnbrooke Sarah
- Barnes Alison
- Barnes Nicky
- Barnett Christian
- Barnett Debra
- Barron Chris
- Barron Claire
- Barter Elisa
- Barwell Lorraine
- Bashir Bashir
- Bashir Faheem
- Basu Devy
- Bateman Samantha
- Bates Emma
- Batish Cheryl
- Batz Margaret
- Bauman Glenn
- Baumber Shelley
- Baxter Matt
- Bayley Andrew J
- Beamish Neal
- Beaney Katherine
- Beaney Ronald
- Beard Karen
- Beard Karen
- Beaton Heather
- Beaton Kirsty
- Beattie Louise
- Beauchemin MarieClaude
- Beaumont Erica
- Beausoleil Rachelle
- Beazer Sarah
- Bech-Nielsen Nanette
- Bech-Nielsen Nanette
- Bedoya Luis Diaz de
- Beech Darren
- Beer Nigel
- Beesley Kate
- Beesley Katherine
- Beesley Sharon
- Beety Jane
- Bekulart Sylwia
- Belcher Rebecca
- Bell Karen
- Bellenger Katharine
- Benjaminson Patricia
- Bennett Molly
- Bennett Sarah
- Bennion Carole
- Benson Richard
- Benson Richard
- Benth Silvine
- Benton Louise
- Benton Richard
- Bentzen Lise
- Beresford Mark
- Beresford Mark
- Beresford Mark
- Bergen Leah
- Berghout Koralee
- Berlin Alejandro
- Bermingham Nicola
- Betts Chris
- Bhana Rajanee
- Bhatnagar Adityanarayan
- Bhatnagar Gagan
- Bici Julia
- Bier Bianca
- Binks Colin
- Binns Louise
- Birch Richard
- Bird Stephanie
- Birtle Alison
- Bishop Emma
- Bissa Caterina
- Bissett Donald
- Bisson MarieEve
- Blackwood Geoffrey
- Blaney Hilary
- Blight Kathy
- Blood Paul A
- Bloomfield David
- Bloomfield David
- Bloomfield Mark
- Blundell Martyn
- Blythe Tracy
- Boam Samantha
- Boardman John
- Bohra Vikram
- Bois (nee Harris) Elizabeth
- Bolger Annette
- Bolton Olivia
- Bolton Olivia
- Bond Brittany
- Bone Linzi
- Bonner Scott
- Bonner-Shand Shelagh
- Bonsu Nicole
- Boon Ian
- Borgaonkar Sudhir
- Borre Michael
- Borynec Carol
- Bott Trevor
- Bottomley David
- Bottomley David
- Bottomley David M.
- Bottomley Ian
- Bouchard Myriam
- Bourke Amie
- Bourque JeanMarc
- Boutflower Jane
- Bowen Jo
- Bowen Jo
- Bowen Katie
- Bower Lorna
- Bower Lorna C.
- Bowers Dawn
- Bowers Richard
- Bowes-Cavanagh Jeanette
- Bowling Lorna
- Bowman Sue
- Bowmer Amanda
- Bownie-Mukumbu Godfrey
- Brady Joanne
- Brady Joanne
- Brain Carol
- Branagan Jennifer
- Branagan Jenny
- Brander Mike
- Branson (née Dineen) Amy
- Brasso Klaus
- Braun Michael W
- Brawley Chris
- Breakspear Sally
- Breckin Edmund
- Breen Vivienne
- Brennan Maria
- Brewster Simon
- Briand Wayne
- Briggs Maxine
- Bristow Robert
- Brittain Paul
- Broadley Eve
- Brock Sue
- Brock Sue
- Brogan (nee Roddie) Stephanie
- Brookes Claire
- Brookman Catherine
- Broom Jane
- Broomfield Barbara
- Brough Richard
- Brough Richard
- Brough WA
- Brown Emmanuel
- Brown Grace
- Brown Joanne
- Brown Maggie
- Brown Rebecca
- Brown Richard B
- Brown Richard B
- Brown Sandra
- Brown Simon
- Brown Stephen CW
- Brown Teddy
- Brownless Caroline
- BrucePayne Kim
- Brulinski Patryk
- Brulinski Patryk
- Brundage Michael
- Bryan Rachel
- Bryant Hanna
- Brydon-Hill Ruth
- Bucci Catherine
- Buchan Jonathan
- Buckley Jon
- Buckley Julie
- Bujold Rachel
- Bunn Sarah
- Burbridge Susan
- Burgoyne Jamie-Rae
- Burlace Barbara
- Burlace Barbara
- Burns Rebecca
- Burrage Su
- Bursey Kara
- Butler-Barnes Jenny
- Butt Zainab
- Butterfield Anne
- Butterworth Caryl
- Buus Simon
- Byrne Mary Marg
- Caballes Mark
- Cadiz Lovely
- Callam Sara
- Calvert Clare
- Camara Mary Jane
- Camburn Sister Tracey
- Camilleri Philip
- Camilleri Philip
- Camilleri Philip
- Camilleri Philip
- Campbell Allister
- Campbell Audrey
- Campbell Hilary
- Campbell Yvonne
- Campos Monica
- Canavan Joycelin
- Cannon Philip
- Capaldi Lisa
- Capaldi Lisa
- Capaldi Lisa
- Carbonaro Adriana
- Carefoot Layton
- Carini Serrafina
- Carkner Amy
- Carlino Giulia
- Carlson Cindy
- Carmel Michel
- Carpenter Janice
- Carpenter Janice
- Carpio Viviana
- Carr Philippa
- Carroll Weronika
- Carruthers Ross
- Carter Adam
- Carter Vanda
- Cartwright Debbie
- Carvery Lane
- Casanova Nathalie
- Casanova Nathalie
- Casey Linda
- Casey Sue
- Catt Natalie
- Catton Charles
- Catton Charles N.
- Caumont Tom
- Cavanagh Kerrie
- Chadwick David
- Chadwick Eliot
- Chahal Rohit
- Chahine Jacqueline
- Chakraborti Prabir
- Challipalli Amarnath
- Challipalli Amarnath
- Chamberlain Shelley
- Chambers Carla
- Chan Andrew
- Chan Andrew
- Chan Heidi
- Chan Hin Fan
- Chan Olivia
- Chandrashekara Madhura
- Charnley Natalie
- Chatelain AnneMarie
- Chatfield Jenny
- Chauhan Zainab
- Chedham Alison
- Chennattukungu Indukala
- Cherepak Kathy
- Chetiyawardana Samantha
- Chetiyawardana Samantha
- Chettle Judith
- Cheung Arthur
- Cheung Patrick CF
- Chikkamuniyappa Bindu
- Chikkamuniyappa Bindu
- Chikopela Loveness
- Chilcott Helen
- Chipman Penny
- Chivers Rachael
- Chornopyski Tracy
- Choudhury Ananya
- Choudhury Ananya
- Choudhury Ananya
- Chowdhury Amitava D
- Christensen Anne Juel
- Christensen Tine
- Christmas Sallyanne
- Chrystal Melanie
- Chu William
- Chui Amadeus
- Chung Christina
- Chung Hans T
- Chung Peter
- Chung Peter W.M.
- Churn Mark
- Churn Mark
- Clancy Joanna
- Clapp Felicity
- Clark Alison
- Clark Diane
- Clark Helen
- Clark Katy
- Clark Su
- Clarke Elizabeth
- Clarke Jude
- Clarke Maria
- Clarke Noel
- Clarke Noel W.
- Clarke Peter
- Clarke Rachael
- Clarke Samantha
- Cleary Kristy
- Clements Colette
- Clements Mia AnnaMaria
- Clitheroe Pat
- Cobos-Arrivabene Marta
- Cocks Tracie
- Coe Marc
- Coffin Teresa
- Cogley Lyn
- Cogley Lyn
- Cole Aiden
- Cole David J
- Cole David J
- Collard Susan
- Colligan Steve
- Collins Gerald
- Collins Gerald
- Collins Lucy
- Commisso Angela
- Conibear John
- Connolly nee McKenna Sarah
- Connor Marie
- Conroy Ruth
- Conroy Ruth
- Conway Lisa-Jane
- Conway Rachel
- Cook Adrian
- Cook Adrian D.
- Cook Audrey
- Cook Audrey
- Cook Wendy
- Cooke Jill
- Cooke Juniebel
- Cooke Peter
- Coomber Kristy
- Coombs Sarah
- Cooper Adele
- Cooper Sophie
- Coppins Helen
- Corbett Thomas B
- Corcoran Sam
- Corderoy Helen
- Cordwell Amanda
- Corkery Danylle
- Corless Rebecca
- Cormack Margaret
- Cornaby Andrew
- Corner Victoria
- Cornthwaite Stephanie
- Corwin Charlotte
- Cossette Danielle
- Cote Genevieve
- Cotterill Lauren
- Cotts Shannon
- Coubrough Claudia
- Couch Ellie
- Coughlan Tricia
- Cousins Jane
- Cousins Rebecca
- Coutts Tim
- Coventry Thomas
- Cowan Chloe
- Cowan Chloe
- Cowan Richard
- Cowan Richard
- Cowley Sue
- Cox Adam
- Cox Christine
- Coyle Catherine
- Coyle Catherine
- Crawford Melanie
- Crawford Sister Denise
- Creelman Brianna
- Crellin Perric
- Crellin Perric
- Crook Juanita
- Cross Vanessa
- Cross William R.
- Crossley Lin
- Crowe (nee Hughes) Dawn
- Crowley Claire
- Crundwell M
- Cserbane Anita
- Cuffe Donna
- Cumming Kirsty
- Cunningham Amy
- Curtis Samantha
- Curtis Sandra
- Cusan Leonello
- Custins Laura
- Cyriac Abby
- Dabbs Marianne
- Dahar Nazeer
- Dahmane Rafika
- Dallas Nicola
- Dalton-Short Ross
- Dalton-Short Ross
- Daly Deirdre
- Danaswamy Patricia
- Danaswamy Patricia
- Daniel Amelia
- Danielson Brita
- Danjoux Cyril
- Darby Helen
- Darch Flora
- Daruwala Pallon
- Das Prantik
- Davda Reena
- Davey Alison
- Davey Elizabeth
- Davidson Cathy
- Davies Emily
- Davies Flor
- Davies Heather
- Davies Joe
- Davies Joseph
- Davies Julie-Ann
- Davies Kirstin
- Davies Llinos
- Davies Stacey
- Davies Sue
- Davies Tracey
- Davison Alison
- Davison Sue
- Dawe David
- Dawson Elizabeth
- Dawson Louise
- Dawson-Athey Linda
- Dayes Ian S
- De Silva-Minor Shiroma
- Dean Lynsey
- Dearnaley David
- Deenihan Emma
- Degendorfer Sarah
- Dekaj Fatjon
- Dell Gillian
- Dellar Conor
- Delouya Guila
- Dent Kathleen
- Desai Parth
- Desai Parth
- Desrosiers Isabelle
- Dewar Lorna
- Dharmaprasad Soney
- Dhinakaran Kathirvelu
- Di Maria Fabio
- Dias Heather
- Dickinson Peter
- Dickson Jeanette
- Dill Kendra
- DiLullo Elenor
- DiMarco Christine
- Din Omar
- Ding Ian
- Dion Helene
- Ditchfield Julie
- Dixit Sanjay
- Dixit Sanjay
- Dlodlo Jessica
- Dobson Tracey
- Dodds David
- Dodge Sister Jan
- Doherty A
- Donaghey Sally
- Donaldson David
- Donnison Michelle
- Douch Emma
- Doughty Victoria
- Dover Serena
- Downs Nichola
- Doyle Kerrie
- Drachenberg Darrel E
- Drakeley Susan
- Drew Ellen
- Drew Mary (Ellen)
- Driscoll Celine
- DSouza David
- Dubey Arbind
- Dubey Arbind
- Duckett Tracey
- Duclos Marie
- Duffy Annie
- Dufour Nathalie
- Dugas Stevie
- Duley Emma
- DuMontier Joelle
- Duncan (nee Keatley) Claire
- Duncan Graeme
- Duncan Ian
- Dunn Sharon
- Dunne Emma
- Durkan Garret
- Durrant Lisa
- Dymond Harvey
- E Choan
- Eady Robin
- Eapen Libni
- Ebacher Annie
- Eccleson Helen
- Edwards Abigail
- Edwards Albert
- Edwards Jackie
- Edwards Steve
- Edwards Steve
- Egan Lisa
- Eichenberger Lois
- El-Modir Ahmed
- El-Saghir Mohammed
- Eleftheriadis Symeon
- ElKerdawy Hala
- Ellard Rose
- Elliott Mark
- Elliott Tony
- Elliott Tony
- ElSokhn Nidale
- Elwell Christine
- Elwell Christine
- Elwell Sue
- Embleton Andrew
- Ennis Dawn
- Erskine Susan
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- Gauntlett Monica
- Gauthier Isabelle C
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- Harinarayanan Sathish
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- Haydock Helen
- Hayes Jill A
- Hayward Lesley
- Healey Gail
- Healey-Mariano Jennifer
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- Heath Catherine
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- Ibrahim Azman
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- Iqbal Fawaad
- Irwin P
- Isaew Andrea
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- Javle P
- Jayachandran Resmi
- Jayachandran Resmi
- Jeffcutt Nicole
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- Jose Sanal
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- Joshi Manisha
- Joshi Manisha
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- Jovic Gordana
- Kaa Bach Birgit
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- Keane Patrick
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- Kedge Liz
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- Keith Sarah
- Kelkar Anand
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- Kendal Wayne S
- Keng-Koh Pek
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- Kennedy Julie
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- Khoury Ghassan
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- Kirkbride Peter
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- Klapp Kathi
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- Knight (n. Sherburn) Victoria
- Knott Helen
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- Kockelbergh Roger
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- Lang Monika
- Langridge Nicole
- Laniado M
- Lao Bernadeth
- Larkins Rachel
- Larocque Stephanie
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- Liu Stanley
- Livsey Jacqueline
- Livsey Jacqueline
- Lloyd-Jones Hugh
- Loblaw Douglas Andrew
- Lock Michael I
- Locke Angela
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- Logue John
- Logue John
- Logue John
- Logue John
- Lokes Rachel
- Lokes Rachel
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- MacGregor Barbara
- Macgregor Carol
- MacIsaac Kathy
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- Macleod Nicholas
- MacMillan Antonia
- MacMullin Lisa
- MacRae Robert M
- Macrory Joanne
- MacVicar Jennifer
- MacVicar Karen
- Madeleine Jude
- Madhava Kudingila
- Madine John
- Magwaro Sophia
- Magwaro Sophia
- Magwaro Sophia
- Mahmood Rana
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- Mahmud Aamer
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- Makepeace Barbara
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- Malek Leila
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- Mallett Debbie
- Malone Shawn
- Malone Shawn C.
- Manetta Caroline
- Manganaro Aileen
- Mangar Stephen
- Maniatis Christos
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- Marshall John
- Marshall Lynn
- MarshGray Kimberley
- Marston Kerrie
- Martin AndreGuy
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- Martin Joseph
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- Martindale John
- Martinez Maria
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- Mashegede Beverley
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- Mason Malcolm
- Masson Susan
- Masson Susan
- Masters Benjamin
- Masters Lindsey
- Masters Lindsey
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- McAleese Jonathan
- McAlister Judy
- McAllister Jo
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- McBain Hazel
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- McCabe Alastair
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- McCaul Damian
- McClelland Marie
- McClements Jane
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- McCormack Anne
- McCormick Marian
- McCracken Jillian
- McCrisken Lauren
- McCrudden Sylvia
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- McCurrie Marilyn
- McFarlane Jonathan
- McFarlane Victoria
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- McGinley Shannon
- McGlynn Brian
- McGrath John
- McGrath Katherine
- McIndoe Sue
- McInerney Paul
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- McInerney Veronica
- Mcintosh Gregor
- McKee Dianne
- McKenna Karen
- McKenzie Michael
- McKernan Margaret
- McKinna Fiona
- McKinna Fiona
- McLain-Smith Susan
- McLaren Duncan
- McLarty Esther
- Mcleod Nick
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- McNish Jennifer
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- McWilliam Marie
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- Medisetti Aruna
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- Melcher Lucinda
- Melcher Lucinda
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- Merante Pat
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- Mercier Barbara
- Merrick Richard
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- Michael Elena
- Michaelidou Andriana
- Michels Jorg
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- Mikropoulos Christos
- Millage Helen
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- Mills-Baldock Tina
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- Milosevic Michael
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- Moore Eleanor
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- Morris Stephen
- Morris Stephen L.
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- Nabid Abdenour
- Nabid Abdenour
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- Nicholson Alastair
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- Oliverio Carmela
- Ong Aldrich D.
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- Oni Titilayo
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- Overend Aldyn
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- Pach Jackie
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- Page Nancy
- Pai Howard H
- Paisey Sangeeta
- Palmer Debbie
- Palmer Sarah
- Pamphlett Ian
- Pan Siew Siew
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- Panades Miguel
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- Parikh Omi
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- Parker Chris
- Parker Chris C.
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- Parmar Mahesh K.B.
- Parmar Max
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- Parulekar Wendy R.
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- Persad Raj
- Persad Rajendra A.
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- Petersen Peter M.
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- Pickles Thomas A
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- Rabsztyn Weronika
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- Rachakonda Ramana
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- Yusof Hilawati
- Zafar Waheed
- Zaidi Sadaf
- Zarkar Anjali
- Zarkar Anjali
- Zarkar Anjali M.
- Zaza Khaled O
- Zelley Sarah
- Zeltser Fred
- Zhang Hanbo
- Zhang Tina Wanting
- Zietz Maria
- Zilkha Helene
- Zinck Connie
- Zinyemba Vivian
- Zurakovsky Hilary
- Zwarych Darlene
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/06/2024
- Field of study
Background
Previous evidence indicates that adjuvant, short-course androgen deprivation therapy (ADT) improves metastasis-free survival when given with primary radiotherapy for intermediate-risk and high-risk localised prostate cancer. However, the value of ADT with postoperative radiotherapy after radical prostatectomy is unclear.
Methods
RADICALS-HD was an international randomised controlled trial to test the efficacy of ADT used in combination with postoperative radiotherapy for prostate cancer. Key eligibility criteria were indication for radiotherapy after radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to radiotherapy alone (no ADT) or radiotherapy with 6 months of ADT (short-course ADT), using monthly subcutaneous gonadotropin-releasing hormone analogue injections, daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as distant metastasis arising from prostate cancer or death from any cause. Standard survival analysis methods were used, accounting for randomisation stratification factors. The trial had 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 80% to 86% (hazard ratio [HR] 0·67). Analyses followed the intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov, NCT00541047.
Findings
Between Nov 22, 2007, and June 29, 2015, 1480 patients (median age 66 years [IQR 61–69]) were randomly assigned to receive no ADT (n=737) or short-course ADT (n=743) in addition to postoperative radiotherapy at 121 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 9·0 years (IQR 7·1–10·1), metastasis-free survival events were reported for 268 participants (142 in the no ADT group and 126 in the short-course ADT group; HR 0·886 [95% CI 0·688–1·140], p=0·35). 10-year metastasis-free survival was 79·2% (95% CI 75·4–82·5) in the no ADT group and 80·4% (76·6–83·6) in the short-course ADT group. Toxicity of grade 3 or higher was reported for 121 (17%) of 737 participants in the no ADT group and 100 (14%) of 743 in the short-course ADT group (p=0·15), with no treatment-related deaths.
Interpretation
Metastatic disease is uncommon following postoperative bed radiotherapy after radical prostatectomy. Adding 6 months of ADT to this radiotherapy did not improve metastasis-free survival compared with no ADT. These findings do not support the use of short-course ADT with postoperative radiotherapy in this patient population
Measurement of jet fragmentation in Pb+Pb and pp collisions at sNN=2.76 TeV with the ATLAS detector at the LHC
- Author
- Aad Georges
- Abbott Brad
- Abdallah Jalal
- Abdinov Ovsat
- Abeloos Baptiste
- Abidi Syed Haide
- AbouZeid Ossama
- Abraham Nicola
- Abramowicz Halina
- Abreu Henso
- Abreu Ricardo
- Abulaiti Yiming
- Acharya Bobby Sami
- Adachi Shunsuke
- Adamczyk Leszek
- Adelman Jahred
- Adersberger Michael
- Adye Tim
- Affolder Tony
- Agatonovic-Jovin Tatjana
- Agheorghiesei Catalin
- Aguilar-Saavedra Juan Anton
- Ahlen Steven
- Ahmadov Faig
- Aielli Giulio
- Akatsuka Shunichi
- Akerstedt Henrik
- Akimov Andrei
- Alberghi Gian Luigi
- Albert Justin
- Alconada Verzini Maria Jose
- Aleksa Martin
- Aleksandrov Igor
- Alexa Calin
- Alexander Gideon
- Alexopoulos Theodoros
- Alhroob Muhammad
- Ali Babar
- Aliev Malik
- Alimonti Gianluca
- Alison John
- Alkire Steven Pat
- Allbrooke Benedict
- Allen Benjamin W
- Allport Phillip
- Aloisio Alberto
- Alonso Alejandro
- Alonso Francisco
- Alpigiani Cristiano
- Alshehri Azzah Aziz
- Alstaty Mahmoud
- Alvarez Gonzalez Barbara
- Alviggi Mariagrazi
- Amadio Brian Thom
- Amaral Coutinho Yara
- Amelung Christoph
- Amidei Dante
- Amor Dos Santos Susana Pat
- Amorim Antonio
- Amoroso Simone
- Amundsen Glenn
- Anastopoulos Christos
- Ancu Lucian Ste
- Andari Nansi
- Andeen Timothy
- Anders Christoph
- Anders John Kenne
- Anderson Kelby
- Andreazza Attilio
- Andrei George Vic
- Angelidakis Stylianos
- Angelozzi Ivan
- Angerami Aaron
- Anghinolfi Francis
- Anisenkov Alexey
- Anjos Nuno
- Annovi Alberto
- Antel Claire
- Antonelli Mario
- Antonov Alexey
- Antrim Daniel Jos
- Anulli Fabio
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- Aperio Bella Ludovica
- Arabidze Giorgi
- Arai Yasuo
- Araque Juan Pedro
- Araujo Ferraz Victor
- Arce Ayana
- Ardell Rose Elisa
- Arduh Francisco
- Arguin Jean-Franc
- Argyropoulos Spyridon
- Arik Metin
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- Artamonov Andrei
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- Artz Sebastian
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- Bruncko Dusan
- Bruni Alessia
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- Bruni Lucrezia S
- Brunt Benjamin
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- Burdin Sergey
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- Burghgrave Blake
- Burka Klaudia
- Burke Stephen
- Burmeister Ingo
- Burr Jonathan T
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- Buttinger William
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- Carlino Gianpaolo
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- Carney Rebecca
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- Carquin Edson
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- Dale Orjan
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- Daniells Andrew Chr
- Dann Nicholas S
- Danninger Matthias
- Dano Hoffmann Maria
- Dao Valerio
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- Dassoulas James
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- Flick Tobias
- Flierl Bernhard M
- Flores Castillo Luis
- Flowerdew Michael
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- Govender Nicolin
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- Graber Lars
- Grabowska-Bold Iwona
- Gradin Per Olov J
- Gramling Johanna
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- Griffiths Justin
- Grillo Alexander
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- Gris Philippe L
- Grivaz Jean-Franc
- Groh Sabrina
- Gross Eilam
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- Grout Zara Jane
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- Guyot Claude
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- Gwilliam Carl
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- Hansen Jørgen Be
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- Hawkes Christophe
- Hawkings Richard Jo
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- Hays Chris
- Hays Jonathan M
- Hayward Helen
- Haywood Stephen
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- Heck Tobias
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- Henrot-Versille Sophie
- Herbert Geoffrey H
- Herde Hannah
- Herget Verena
- Hernández Jiménez Yesenia
- Herten Gregor
- Hertenberger Ralf
- Hervas Luis
- Herwig Theodor Ch
- Hesketh Gavin Gran
- Hessey Nigel
- Hetherly Jeffrey Wa
- Higashino Satoshi
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- Hill John
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- Honda Shunsuke
- Honda Takuya
- Hong Tae Min
- Hooberman Benjamin H
- Hopkins Walter
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- Horton Arthur Jam
- Hostachy Jean-Yves
- Hou Suen
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- Howarth James
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- Hrabovsky Miroslav
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- Iturbe Ponce Julia Mari
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- Kamenshchikov Andrey
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- Kanzaki Junichi
- Kaplan Benjamin
- Kaplan Laser Seym
- Kar Deepak
- Karakostas Konstantin
- Karastathis Nikolaos
- Kareem Mohammad J
- Karentzos Efstathios
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- Karthik Krishnaiye
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- Kasahara Kota
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- Klapdor-Kleingrothaus Thorwald
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- Korolkov Ilya
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- Kourkoumeli-Charalampidi Athina
- Kourkoumelis Christine
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- Kowalewska Anna Bozen
- Kowalewski Robert Vic
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- Kozanecki Witold
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- Kuhl Thorsten
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- Kurth Matthew Gl
- Kus Vlastimil
- Kuwertz Emma Sian
- Kuze Masahiro
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- Yao Weiming
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- Yatsenko Elena
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- Ye Shuwei
- Yeletskikh Ivan
- Yigitbasi Efe
- Yildirim Eda
- Yorita Kohei
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- Yu Jaehoon
- Yu Jie
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- Yusuff Imran
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- Zaidan Remi
- Zaitsev Alexander
- Zakharchuk Nataliia
- Zalieckas Justas
- Zaman Aungshuman
- Zambito Stefano
- Zanzi Daniele
- Zeitnitz Christian
- Zeman Martin
- Zemla Andrzej
- Zeng Jian Cong
- Zeng Qi
- Zenin Oleg
- Zerwas Dirk
- Zhang Dongliang
- Zhang Fangzhou
- Zhang Guangyi
- Zhang Huijun
- Zhang Jinlong
- Zhang Lei
- Zhang Liqing
- Zhang Matt
- Zhang Rui
- Zhang Ruiqi
- Zhang Xueyao
- Zhang Yu
- Zhang Zhiqing
- Zhao Xiandong
- Zhao Yongke
- Zhao Zhengguo
- Zhemchugov Alexey
- Zhong Jiahang
- Zhou Bing
- Zhou Chen
- Zhou Li
- Zhou Maosen
- Zhou Mingliang
- Zhou Ning
- Zhu Cheng Guan
- Zhu Hongbo
- Zhu Junjie
- Zhu Yingchun
- Zhuang Xuai
- Zhukov Konstantin
- Zibell Andre
- Zieminska Daria
- Zimine Nikolai
- Zimmermann Christoph
- Zimmermann Stephanie
- Zinonos Zinonas
- Zinser Markus
- Ziolkowski Michael
- Zobernig Georg
- Zoccoli Antonio
- Zou Rui
- zur Nedden Martin
- Zwalinski Lukasz
- Åkesson Torsten Pa
- Ženiš Tibor
- Živković Lidija
- Άlvarez Piqueras Damián
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 08/06/2017
- Field of study
Duration of androgen deprivation therapy with postoperative radiotherapy for prostate cancer: a comparison of long-course versus short-course androgen deprivation therapy in the RADICALS-HD randomised trial
- Author
- Abab Julie
- Abbas Ali
- Abbassi Sara
- Abd Alazeez Mohamed
- Abdulwahid Danya
- Abdulwahid Danya
- Abed Jessy
- Adab Fawzi
- Adams Marion
- Adamson Vanessa
- Addison Anglise
- Adeyoju Adebanji
- Adinkra Victoria
- Adnaan Jamila
- Afzal Naveed
- Agdiran Didem
- Aggarwal Ajay
- Ahamadali Sheefa
- Ahmad Belal
- Ahmed Ilyas
- Ahmed Imtiaz
- Ahmed Shahida
- Aiku Abimbola
- Ainsworth Sarah
- Ainsworth Sarah
- Aitken Katherine
- Ajzensztejn Daniel
- Akhtar Naeem
- Al-Chamali Hiba
- Al-hasso Abdulla
- Al-hasso Abdulla
- Al-Samarraie Amir
- Albrecht Virginia
- Alcock Christopher
- Alder Leanne
- Alderton Kate
- Aldous Mary
- Ali Jennyfa
- Ali Maryam
- Ali Zulfiqer
- Ali Zulfiqer
- Allan Elaine
- Allan Elaine
- Allen Julie
- Allen Kirsten
- Allen Rachael
- Allen Susan
- Allison Joanna
- Allison Michele
- Alonzi Roberto
- AlRashdan Abdulla
- Alzouebi Mymoona
- Amanie John Oliver
- Ammeter Barb
- Amoaten Thomas
- Amos Claire
- Anderson Beverley
- Anderson Chris
- Anderson Jim
- Anderson John
- Anderson John
- Anderson Juliette
- Anderson Leanne
- Anderson Naomi
- Anderson Susan
- Anderson Susan
- Andrade Gerard
- Andrews (nee Moore) Eleanor
- Andrews Kelly
- Andrews Stephen
- Ang Daniel
- Ann Taehee
- Annan Lynda
- Ansari Jawaher
- Ansari Jawaher
- Anscombe Eleanor
- Anyamene Nicola
- Appleby Bonny
- Appleby Rowan
- Archer Denise
- Archer Denise
- Archer Simon
- Archer Simon
- Arnott Seonaid
- Arsanious Nasr
- Ashcroft Jan
- Ashworth Sue
- Ashworth Sue
- Askew Sarah
- Aslam Natasha
- Atkinson Jane
- Atkinson Lorraine
- Attlee Julie
- Auladin Raidah
- Austin (nee Glover) Gemma
- Austin Mandy
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- Avis Joanne
- Aya Viviana
- Azirar Hanna
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- Bahl Amit
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- Baxter Matt
- Bayley Andrew J
- Beamish Neal
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- Gao Annie
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- Garrido-Perez Sandra
- Gauntlett Monica
- Gauthier Isabelle C
- Gearing Jennifer
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- Geraghty Kerry
- Ghoul Mokhtar
- Gibbins Andrew
- Gibbins Jackie
- Gibbins Kate
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- Giovannini Julia
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- Glaholm John
- Glaholm John
- Gleave Martin E
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- Goel Roshni
- Goh Chee
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- Golden Sophie
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- Griffiths Dorothy
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- Griffiths Theresa
- Gruschy Lisa
- Guarino Robyn
- Gudelis Susan O
- Guerrero-Urbano Teresa
- Guerrero-Urbano Teresa
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- Gujral Sandeep
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- Harinarayanan Sathish
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- Irwin P
- Isaew Andrea
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- Jastrzebska Patrycja
- Javle P
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- Jeffcutt Nicole
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- Kendal Wayne S
- Keng-Koh Pek
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- Keni Manjusha
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- MacMullin Lisa
- MacRae Robert M
- Macrory Joanne
- MacVicar Jennifer
- MacVicar Karen
- Madeleine Jude
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- Magwaro Sophia
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- Malone Shawn
- Malone Shawn C
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- McKinna Fiona
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- Mikropoulos Christos
- Millage Helen
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- Moore Eleanor
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- Morgan Rachel
- Morgan Scott
- Morris Stephen
- Morris Stephen L
- Morris William James
- Morrison Andrew
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- Morrison MaryBeth
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- Morton Gerard
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- Nabid Abdenour
- Nabid Abdenour
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- Naraine Nicky
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- Ngumo Alice
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- Nicholson Alastair
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- Ong Aldrich D
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- Parker Chris
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- Parulekar Wendy
- Parulekar Wendy R
- Paschalis Alec
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- Pervez Nadeem
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- Peters John
- Petersen Peter M
- Peterson Jane
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- Rodrigues George B
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- Smedley (nee McCabe) Janine
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- Venkatesan Varagur M
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- Waring Lynsey
- Wassall Rebecca
- Watkinson Catrin
- Watson Melanie R
- Watson Michaella
- Watson-Jones Phillip
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- Wise Marcus
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- Wollaston Julie
- Woloshyn Rose
- Wong Jason W T
- Wood Allison
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- Wood Cathryn
- Wood Marian
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- Woodward Elizabeth
- Woolf David
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- Worthington Hannah
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- Wright Natalie
- Wright Seonaid
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- Wronski Sue
- Wu Helen
- Wu Min
- Wyatt Clare
- Wylie James
- Wylie James
- Wylie James
- Wynn Hazel
- Wynn Hazel
- Yanchuk Janet
- Yarrow Sue
- Yassa Michael
- yates Victoria
- Yee Don
- Yeo Tanya
- Yoon Frederick
- Youd Sister Jill
- Young Anita
- Young Bobbie
- Young Douglas
- Young Sally
- Youngs Nora
- Yu Jason
- Yunace Lorrie
- Yusof Hilawati
- Zafar Waheed
- Zaidi Sadaf
- Zarkar Anjali
- Zarkar Anjali
- Zaza Khaled O
- Zelley Sarah
- Zeltser Fred
- Zhang Hanbo
- Zhang Tina Wanting
- Zietz Maria
- Zilkha Helene
- Zinck Connie
- Zinyemba Vivian
- Zurakovsky Hilary
- Zwarych Darlene
- Publication venue
- Elsevier
- Publication date
- 07/06/2024
- Field of study
Background
Previous evidence supports androgen deprivation therapy (ADT) with primary radiotherapy as initial treatment for intermediate-risk and high-risk localised prostate cancer. However, the use and optimal duration of ADT with postoperative radiotherapy after radical prostatectomy remains uncertain.
Methods
RADICALS-HD was a randomised controlled trial of ADT duration within the RADICALS protocol. Here, we report on the comparison of short-course versus long-course ADT. Key eligibility criteria were indication for radiotherapy after previous radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to add 6 months of ADT (short-course ADT) or 24 months of ADT (long-course ADT) to radiotherapy, using subcutaneous gonadotrophin-releasing hormone analogue (monthly in the short-course ADT group and 3-monthly in the long-course ADT group), daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as metastasis arising from prostate cancer or death from any cause. The comparison had more than 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 75% to 81% (hazard ratio [HR] 0·72). Standard time-to-event analyses were used. Analyses followed intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and
ClinicalTrials.gov
,
NCT00541047
.
Findings
Between Jan 30, 2008, and July 7, 2015, 1523 patients (median age 65 years, IQR 60–69) were randomly assigned to receive short-course ADT (n=761) or long-course ADT (n=762) in addition to postoperative radiotherapy at 138 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 8·9 years (7·0–10·0), 313 metastasis-free survival events were reported overall (174 in the short-course ADT group and 139 in the long-course ADT group; HR 0·773 [95% CI 0·612–0·975]; p=0·029). 10-year metastasis-free survival was 71·9% (95% CI 67·6–75·7) in the short-course ADT group and 78·1% (74·2–81·5) in the long-course ADT group. Toxicity of grade 3 or higher was reported for 105 (14%) of 753 participants in the short-course ADT group and 142 (19%) of 757 participants in the long-course ADT group (p=0·025), with no treatment-related deaths.
Interpretation
Compared with adding 6 months of ADT, adding 24 months of ADT improved metastasis-free survival in people receiving postoperative radiotherapy. For individuals who can accept the additional duration of adverse effects, long-course ADT should be offered with postoperative radiotherapy.
Funding
Cancer Research UK, UK Research and Innovation (formerly Medical Research Council), and Canadian Cancer Society
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