1,507 research outputs found
Toward the beta-FeSi2 p-n homo-junction structure
ArticleTHIN SOLID FILMS. 515(22): 8210-8215 (2007)journal articl
Cisplatin and fluorouracil with or without panitumumab in patients with recurrent or metastatic squamous-cell carcinoma of the head and neck (SPECTRUM): an open-label phase 3 randomised trial
Background: Previous trials have shown that anti-EGFR monoclonal antibodies can improve clinical outcomes of patients with recurrent or metastatic squamous-cell carcinoma of the head and neck (SCCHN). We assessed the efficacy and safety of panitumumab combined with cisplatin and fluorouracil as first-line treatment for these patients.
Methods: This open-label phase 3 randomised trial was done at 126 sites in 26 countries. Eligible patients were aged at least 18 years; had histologically or cytologically confi rmed SCCHN; had distant metastatic or locoregionally recurrent disease, or both, that was deemed to be incurable by surgery or radiotherapy; had an Eastern Cooperative Oncology Group performance status of 1 or less; and had adequate haematological, renal, hepatic, and cardiac function. Patients were randomly assigned according to a computer-generated randomisation sequence (1:1; stratifi ed by previous treatment, primary tumour site, and performance status) to one of two groups. Patients in both groups received up to six 3-week cycles of intravenous cisplatin (100 mg/m(2) on day 1 of each cycle) and fl uorouracil (1000 mg/m(2) on days 1-4 of each cycle); those in the experimental group also received intravenous panitumumab (9 mg/kg on day 1 of each cycle). Patients in the experimental group could choose to continue maintenance panitumumab every 3 weeks. The primary endpoint was overall survival and was analysed by intention to treat. In a prospectively defi ned retrospective analysis, we assessed tumour human papillomavirus (HPV) status as a potential predictive biomarker of outcomes with a validated p16-INK4A (henceforth, p16) immunohistochemical assay. Patients and investigators were aware of group assignment; study statisticians were masked until primary analysis; and the central laboratory assessing p16 status was masked to identifi cation of patients and treatment. This trial is registered with ClinicalTrials. gov, number NCT00460265.
Findings: Between May 15, 2007, and March 10, 2009, we randomly assigned 657 patients: 327 to the panitumumab group and 330 to the control group. Median overall survival was 11.1 months (95% CI 9.8-12.2) in the panitumumab group and 9.0 months (8.1-11.2) in the control group (hazard ratio [HR] 0.873, 95% CI 0.729-1.046; p = 0.1403). Median progression-free survival was 5.8 months (95% CI 5.6-6.6) in the panitumumab group and 4.6 months (4.1-5.4) in the control group (HR 0.780, 95% CI 0.659-0.922; p = 0.0036). Several grade 3 or 4 adverse events were more frequent in the panitumumab group than in the control group: skin or eye toxicity (62 [19%] of 325 included in safety analyses vs six [2%] of 325), diarrhoea (15 [5%] vs four [1%]), hypomagnesaemia (40 [12%] vs 12 [4%]), hypokalaemia (33 [10%] vs 23 [7%]), and dehydration (16 [5%] vs seven [2%]). Treatment-related deaths occurred in 14 patients (4%) in the panitumumab group and eight (2%) in the control group. Five (2%) of the fatal adverse events in the panitumumab group were attributed to the experimental agent. We had appropriate samples to assess p16 status for 443 (67%) patients, of whom 99 (22%) were p16 positive. Median overall survival in patients with p16-negative tumours was longer in the panitumumab group than in the control group (11.7 months [95% CI 9.7-13.7] vs 8.6 months [6.9-11.1]; HR 0.73 [95% CI 0.58-0.93]; p = 0.0115), but this difference was not shown for p16-positive patients (11.0 months [7.3-12.9] vs 12.6 months [7.7-17.4]; 1.00 [0.62-1.61]; p = 0.998). In the control group, p16-positive patients had numerically, but not statistically, longer overall survival than did p16-negative patients (HR 0.70 [95% CI 0.47-1.04]).
Interpretation: Although the addition of panitumumab to chemotherapy did not improve overall survival in an unselected population of patients with recurrent or metastatic SCCHN, it improved progression-free survival and had an acceptable toxicity profile. p16 status could be a prognostic and predictive marker in patients treated with panitumumab and chemotherapy. Prospective assessment will be necessary to validate our biomarker findings
Effects of Long-Range Correlations on Nonmagnetic Mott Transitions in Hubbard model on Square Lattice
The mechanism of Mott transition in the Hubbard model on the square lattice
is studied without explicit introduction of magnetic and superconducting
correlations, using a variational Monte Carlo method. In the trial wave
functions, we consider various types of binding factors between a
doubly-occupied site (doublon, D) and an empty site (holon, H), like a
long-range type as well as a conventional nearest-neighbor type, and add
independent long-range D-D (H-H) factors. It is found that a wide choice of D-H
binding factor leads to Mott transitions at critical values near the band
width. We renew the D-H binding picture of Mott transitions by introducing two
characteristic length scales, the D-H binding length l_{DH} and the minimum D-D
distance l_{DD}, which we appropriately estimate. A Mott transition takes place
at l_{DH}=l_{DD}. In the metallic regime (l_{DH}>l_{DD}), the domains of D-H
pairs overlap with one another, thereby doublons and holons can move
independently by exchanging the partners one after another. In contrast, the
D-D factors give only a minor contribution to the Mott transition.Comment: 13 pages, 18 figures, submitted to J. Phys. Soc. Jp
Magnetic Properties of Ab initio Model for Iron-Based Superconductors LaFeAsO
By using variational Monte Carlo method, we examine an effective low-energy
model for LaFeAsO derived from an ab initio downfolding scheme. We show that
quantum and many-body fluctuations near a quantum critical point largely reduce
the antiferromagnetic (AF) ordered moment and the model not only quantitatively
reproduces the small ordered moment in LaFeAsO, but also explains the diverse
dependence on LaFePO, BaFe2As2 and FeTe. We also find that LaFeAsO is under
large orbital fluctuations, sandwiched by the AF Mott insulator and weakly
correlated metals. The orbital fluctuations and Dirac-cone dispersion hold keys
for the diverse magnetic properties.Comment: 4 pages, 4 figure
- …