3 research outputs found

    Transient Heat Transfer in Cylinpers.

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    A numerical solution has been obtained for transient heat transfer in cylinders by appropriate choice of body ,conforming grid points. The physical domain is transformed to computational domain using elliptic partial differential equation technique, wherein the grid spacing becomes uniform. The advantage of this method is that the discretisation of transformed equations. and accompanying boundary conditipns becdme very simple. The applicability of this method is very broad, as it can beused for carryinI giout study of any comple'x domain in contrast to finite difference methods, which have limited applicability. Detailedcalculations have been carried out to trace the evolution of temperaturedistribution frpm the initiial stages to the steadystate for circular cylinder, elliptical cylinder and square block with circular hole. This paper is aimed for general-shaped bodies and it has been applied to studytransient heat transfer in combustion-driven shock tube

    Final overall survival analysis of the phase 3 HERITAGE study demonstrates equivalence of trastuzumab-dkst to trastuzumab in HER2-positive metastatic breast cancer.

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    PurposeThe phase 3 HERITAGE trial demonstrated that the biosimilar trastuzumab-dkst is well tolerated with similar efficacy (measured by overall response rate [ORR] and progression-free survival [PFS]) compared with originator trastuzumab combined with taxane followed by monotherapy in patients with HER2-positive metastatic breast cancer (MBC). Herein, we present final overall survival (OS) from HERITAGE.MethodsHERITAGE is a multicenter, double-blind, randomized, parallel-group study. Patients were randomized 1:1 to receive trastuzumab-dkst or trastuzumab plus taxane followed by continued monotherapy until disease progression. Overall survival was to be assessed at 36 months or after 240 deaths, whichever occurred first, as observed from time of randomization of last patient.ResultsAt the final analysis (36 months), 242 patients in the intention-to-treat population had died during the study: 116 and 124 in the trastuzumab-dkst and trastuzumab groups, respectively, and 1 untreated patient from each treatment group. Median OS by Kaplan-Meier analysis was 35.0 months with trastuzumab-dkst and 30.2 months with trastuzumab. Evaluation of PFS showed a median of 11.1 months in both treatment groups. No new safety concerns were reported from week 48 until the end of the survival follow-up.ConclusionThis is the first phase 3 trial of a trastuzumab biosimilar to report long-term survival data similar to originator trastuzumab in patients with MBC. The comparable long-term OS between the trastuzumab-dkst and originator trastuzumab groups further supports the similarity of trastuzumab-dkst with originator trastuzumab and establishes trastuzumab-dkst as a safe and effective treatment option for patients with HER2-positive MBC. ClinicalTrials.gov NCT02472964; 6/16/2015
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