16,319 research outputs found
The Full Two-Loop R-parity Violating Renormalization Group Equations for All Minimal Supersymmetric Standard Model Couplings
We present the full two-loop -functions for the minimal supersymmetric
standard model couplings, extended to include R-parity violating couplings
through explicit R-parity violation
Adalimumab dose tapering in patients with rheumatoid arthritis who are in long-standing clinical remission: results of the phase IV PREDICTRA study
Objective: To investigate the association between baseline disease activity and the occurrence of flares after adalimumab tapering or withdrawal in patients with rheumatoid arthritis (RA) in sustained remission.
Methods: The PREDICTRA phase IV, randomised, double-blind (DB) study (ImPact of Residual Inflammation Detected via Imaging TEchniques, Drug Levels, and Patient Characteristics on the Outcome of Dose TaperIng of Adalimumab in Clinical Remission Rheumatoid ArThritis (RA) Patients) enrolled patients with RA receiving adalimumab 40 mg every other week who were in sustained remission ≥6 months. After a 4-week, open-label lead-in (OL-LI) period, patients were randomised 5:1 to DB adalimumab taper (every 3 weeks) or withdrawal (placebo) for 36 weeks. The primary endpoint was the association between DB baseline hand and wrist MRI-detected inflammation with flare occurrence.
Results: Of 146 patients treated during the OL-LI period, 122 were randomised to taper (n=102) or withdrawal (n=20) arms. Patients had a mean 12.9 years of active disease and had received adalimumab for a mean of 5.4 years (mean 2.2 years in sustained remission). Overall, 37 (36%) and 9 (45%) patients experienced a flare in the taper and withdrawal arms, respectively (time to flare, 18.0 and 13.3 weeks). None of the DB baseline disease characteristics or adalimumab concentration was associated with flare occurrence after adalimumab tapering. Approximately half of the patients who flared regained clinical remission after 16 weeks of open-label rescue adalimumab. The safety profile was consistent with previous studies.
Conclusions: Approximately one-third of patients who tapered adalimumab versus half who withdrew adalimumab experienced a flare within 36 weeks. Time to flare was numerically longer in the taper versus withdrawal arm. Baseline MRI inflammation was not associated with flare occurrence.
Trial registration number: NCT02198651, EudraCT 2014-001114-26
Population pharmacokinetics and pharmacodynamics of investigational regimens' drugs in the TB-PRACTECAL clinical trial (the PRACTECAL-PKPD study): a prospective nested study protocol in a randomised controlled trial
Introduction Drug-resistant
tuberculosis (TB) remains
a global health threat, with little over 50% of patients
successfully treated. Novel regimens like the ones being
studied in the TB-PRACTECAL
trial are urgently needed.
Understanding anti-TB
drug exposures could explain the
success or failure of these trial regimens. We aim to study
the relationship between the patients’ exposure to anti-TB
drugs in TB-PRACTECAL
investigational regimens and their
treatment outcomes.
Methods and analysis Adults with multidrug-resistant
TB randomised to investigational regimens in TB-PRACTECAL
will be recruited to a nested pharmacokinetic-pharmacodynamic
(PKPD) study. Venous blood samples
will be collected at 0, 2 and 23 hours postdose on day
1 and 0, 6.5 and 23 hours postdose during week 8 to
quantify drug concentrations in plasma. Trough samples
will be collected during week 12, 16, 20 and 24 visits.
Opportunistic samples will be collected during weeks
32 and 72. Drug concentrations will be quantified using
liquid chromatography-tandem
mass spectrometry.
Sputum samples will be collected at baseline, monthly to
week 24 and then every 2 months to week 108 for MICs
and bacillary load quantification. Full blood count, urea
and electrolytes, liver function tests, lipase, ECGs and
ophthalmology examinations will be conducted at least
monthly during treatment.
PK and PKPD models will be developed for each drug with
nonlinear mixed effects methods. Optimal dosing will be
investigated using Monte-Carlo
simulations.
Ethics and dissemination The study has been approved
by the Médecins sans Frontières (MSF) Ethics Review
Board, the LSHTM Ethics Committee, the Belarus RSPCPT
ethics committee and PharmaEthics and the University of
Witwatersrand Human Research ethics committee in South
Africa. Written informed consent will be obtained from all
participants. The study results will be shared with public
health authorities, presented at scientific conferences and
published in a peer-reviewed
journal.
Trial registration number NCT04081077; Pre-results
Symmetries of degenerate center singularities of plane vector fields
Let be a closed unit -disk on the plane centered at the origin ,
and be a smooth vector field such that is a unique singular point of
and all other orbits of are simple closed curves wrapping once around
. Thus topologically is a "center" singularity. Let also
be the group of all diffeomorphisms of which preserve
orientation and orbits of . In arXiv:0907.0359 the author described the
homotopy type of under assumption that the -jet of at
is non-degenerate. In this paper degenerate case is considered. Under
additional "non-degeneracy assumptions" on the path components of
with respect to distinct weak topologies are described.Comment: 21 page, 3 figure
Plasma Perturbations and Cosmic Microwave Background Anisotropy in the Linearly Expanding Milne-like Universe
We expose the scenarios of primordial baryon-photon plasma evolution within
the framework of the Milne-like universe models. Recently, such models find a
second wind and promise an inflation-free solution of a lot of cosmological
puzzles including the cosmological constant one. Metric tensor perturbations
are considered using the five-vectors theory of gravity admitting the Friedmann
equation satisfied up to some constant. The Cosmic Microwave Background (CMB)
spectrum is calculated qualitatively.Comment: 20 page
Anti-tumor activity of functionalized biomimetic magnetite nanoparticles produced in the presence of MamC protein of Magnetococcus marinus MC-1
Magnetite Nanoparticles (MNPs) find many applications, including biotechnology, as they can be manipulated by an external magnetic field and functionalized with different molecules. Magnetotactic bacteria bio-mineralize magnetosomes (membrane-enveloped magnetites), which are the ideal magnetic particle. However, scaling-up magnetosome production is still challenging, so bio-mimetics, i.e. in vitro magnetite synthesis mediated by magnetosome-associated proteins is being explored. Our group is working with MamC from Magnetococcus marinus MC-1 that controls the morphology and size of the crystals, producing well faceted Biomimetic Magnetic Nanoparticles (BMNPs) of ~40 nm, which are paramagnetic at room and body temperature while having a large magnetic moment per particle under an external magnetic field. These BMNPs were cytocompatible and biocompatible in vivo. BMNPs were functionalized (isothermal adsorption) with a monoclonal antibody (mAb) recognizing the ectodomain of the human Met/HGF receptor (overexpressed in many cancers) and the chemotherapeutic Doxorubicin (DOXO). The functionalized BMNPs present hyperthermia and were stable at physiological pH, while releasing the adsorbed DOXO at acidic pH. mAb functionalization of BMNPs favored their interaction with cells expressing the Met/HGFR and cellular DOXO uptake and toxicity, which was enhanced upon cell exposition to a continuous magnetic field. Real-time cytotoxicity of the BMNPs showed that DOXO-mAb-BMNPs were significantly more toxic than DOXO-BMNPs on Met/HGFR expressing cells, while no differential toxicity was observed on cells not expressing this receptor. When DOXO-BMNPs were injected intravenously in tumor bearing mice and an external magnetic field was applied there, a higher amount of BMNPs accumulated in the tumor and tumor growth was decreased in comparison to mice in which no magnetic field was applied. These BMNPs could thus represent effective nano-carriers for targeted drug delivery and might be combined with hyperthermia to increase efficiency, resulting in a targeted local treatment of tumors with a decrease in the deleterious systemic side effects
Optimization of an Alkylpolyglucoside-Based Dishwashing Detergent Formulation.
The aim of this work was to formulate and optimize the washing performance of an alkylpolyglucoside-based dishwashing detergent. The liquid detergent was formulated with five ingredients of commercial origin: anionic (linear sodium alkylbenzenesulfonate and sodium laurylethersulfate), nonionic (C12–C14 alkylpolyglucoside) and zwitterionic (a fatty acid amide derivative with a betaine structure) surfactants, and NaCl for viscosity control. In addition to the plate test, other properties were investigated including ‘‘cloud point’’, viscosity, and emulsion stability. Statistical analysis software was used to generate a central composite experimental design. Then, a second order design and analysis of experiments approach, known as the Response Surface Methodology, was set up to investigate the effects of the five components of the formulation on the studied properties in the region covering plausible component ranges. The method proved to be efficient for locating the domains of concentrations where the desired properties were met
Of Mice and ‘Convicts’: Origin of the Australian House Mouse, Mus musculus
The house mouse, Mus musculus, is one of the most ubiquitous invasive species worldwide and in Australia is particularly common and widespread, but where it originally came from is still unknown. Here we investigated this origin through a phylogeographic analysis of mitochondrial DNA sequences (D-loop) comparing mouse populations from Australia with those from the likely regional source area in Western Europe. Our results agree with human historical associations, showing a strong link between Australia and the British Isles. This outcome is of intrinsic and applied interest and helps to validate the colonization history of mice as a proxy for human settlement history
The influence of liver dysfunction on cyclosporine pharmacokinetics -A comparison between 70 per cent hepatectomy and complete bile duct ligation in dogs-
The influence of experimentally induced hepatic dysfunction on the pharmacokinetics of Cyclosporine A (CsA) was determined in dogs. The pharmacokinetics of oral (PO) and intravenous (IV) CsA were studied before and after 70 per cent hepatectomy or complete bile duct ligation (CBDL). Changes in liver function were monitored by serial measurements of serum bilirubin, and by the maximum removal rate (Rmax) and plasma disappearance rate (ICG-K) of indocyanine green (ICG). Concentrations of CsA in whole blood were measured by HPLC. Seventy per cent hepatectomy caused significant liver dysfunction: the ICG-Rmax decreased by 47.7±7.1 per cent (mean±SD) and the ICG-K decreased by 61.3±9.7 per cent during the first week after hepatectomy. At the same time, the systemic clearance (CLs) of IV-CsA decreased by 43.9±8.2 per cent, the area under the concentration curve (AUC) of IV-CsA increased by 35.4±20.8 per cent and the bioavailability of CsA decreased by 26.4±14.8 per cent. CBDL also induced significant liver dysfunction: the ICG-Rmax decreased by 39.1±12.8 per cent and the ICG-K decreased by 65.6±3.6 per cent in the second week after the operation. During the same period, the AUC of PO-CsA decreased by 69.9±10.7 per cent and the bioavailability of CsA also decreased markedly by 73.9±15.6 per cent. These data indicate that hepatic impairment significantly influences the pharmacokinetics of CsA, not only by the changes in intestinal absorption, but also by those in hepatic, metabolism. Dose adjustment is therefore necessary in the presence of hepatic dysfunction in order to maintain an adequate blood concentration of CsA without causing side effects. © 1989 The Japan Surgical Society
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