Most Read Articles
Rachel Soon, 16 Aug 2019

On 8 August, the first town hall held by the Ministry of Health (MOH) with members of the pharmacy profession took place in Putrajaya. Over 500 pharmacists from across the country and from different areas of practice—community and hospital, public and private, academy and industry—converged to fill the auditorium for the chance to engage in direct dialogue with MOH.

Jackey Suen, 08 Oct 2018

Adding pertuzumab to trastuzumab plus an aromatase inhibitor (AI) improves progression-free survival (PFS) in patients with HER2-positive metastatic or locally advanced breast cancer, the phase II PERTAIN study has shown.

05 Aug 2019
Use of alpha blockers in the treatment of hypertension in women is associated with an increased risk of hypotension and related events as compared with other blood pressure-lowering drugs, as reported in a recent study.
Dr. Bryan Li, Dr. Gerry Kwok, Dr. Thomas Yau, 07 Aug 2019

Case 1: A 59-year-old gentleman with advanced HCC was referred to our centre for management. He had a history of diabetes, hypertension and ischaemic heart disease. He was a nondrinker and not a carrier of hepatitis B or C.

Case 2: A 65-year-old man with a history of alcoholic cirrhosis and oesophageal varices was found to have rising AFP levels on routine follow-up. He also had a 3-year history of diabetes and was on diet control, with an HbA1c of 6.2 percent and fasting glucose of 6.8 mmol/L. He did not need any diabetic medications.

Concomitant csDMARD use leads to lower bDMARD discontinuation in RA patients

10 Aug 2019

Concomitant use of conventional synthetic disease-modifying antirheumatic drug (csDMARD) results in a significantly lower risk for discontinuation of biologic (b)DMARD because of adverse events (AEs) among patients with rheumatoid arthritis (RA), according to a recent study.

In addition, neither methotrexate (MTX) route of administration nor dose significantly predicted bDMARD durability.

A total of 814 patients were included, among whom 153 (18.8 percent) received bDMARD monotherapy and 661 (81.2 percent) combination csDMARD/bDMARD therapy. Of the patients, 38.7 percent discontinued bDMARD over a mean follow-up of 1.9 years.

Multivariate analysis revealed a nonsignificant trend toward lower discontinuation for the combination therapy vs monotherapy for any reason (hazard ratio [HR] ,0.76, 95 percent CI, 0.55–1.05) and owing to ineffectiveness/AE (HR, 0.73, 0.50–1.06). Moreover, the risk of bDMARD discontinuation due to AE was significantly lower among patients taking the combination therapy (HR, 0.43, 0.24–0.76).

The secondary analysis showed no statistically significant relationship between MTX dose or route of administration and bDMARD durability.

The study enrolled patients from the Ontario Best Practices Research Initiative who initiated bDMARD therapy and had ≥1 follow-up assessment. Multivariate Cox regression was used to assess the effect of concomitant csDMARD use and MTX route of administration on bDMARD discontinuation due to (1) any reason, (2) ineffectiveness, (3) AEs, or (4) both ineffectiveness and AEs.

“Prior studies have suggested that concurrent csDMARD therapy enhances the efficacy of bDMARD,” the authors said.

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Most Read Articles
Rachel Soon, 16 Aug 2019

On 8 August, the first town hall held by the Ministry of Health (MOH) with members of the pharmacy profession took place in Putrajaya. Over 500 pharmacists from across the country and from different areas of practice—community and hospital, public and private, academy and industry—converged to fill the auditorium for the chance to engage in direct dialogue with MOH.

Jackey Suen, 08 Oct 2018

Adding pertuzumab to trastuzumab plus an aromatase inhibitor (AI) improves progression-free survival (PFS) in patients with HER2-positive metastatic or locally advanced breast cancer, the phase II PERTAIN study has shown.

05 Aug 2019
Use of alpha blockers in the treatment of hypertension in women is associated with an increased risk of hypotension and related events as compared with other blood pressure-lowering drugs, as reported in a recent study.
Dr. Bryan Li, Dr. Gerry Kwok, Dr. Thomas Yau, 07 Aug 2019

Case 1: A 59-year-old gentleman with advanced HCC was referred to our centre for management. He had a history of diabetes, hypertension and ischaemic heart disease. He was a nondrinker and not a carrier of hepatitis B or C.

Case 2: A 65-year-old man with a history of alcoholic cirrhosis and oesophageal varices was found to have rising AFP levels on routine follow-up. He also had a 3-year history of diabetes and was on diet control, with an HbA1c of 6.2 percent and fasting glucose of 6.8 mmol/L. He did not need any diabetic medications.