Effects of Exposures to the Plasticiser, Di-N-Butyl Phthalate and The
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XTANDI® (Enzalutamide): a Treatment Option for Castration-Resistant Prostate Cancer (CRPC)
XTANDI® (enzalutamide): A Treatment Option for Castration-Resistant Prostate Cancer (CRPC) XTANDI® (enzalutamide) is approved by the U.S. Food and Drug Administration (FDA) for the treatment of patients with castration-resistant prostate cancer (CRPC).1 XTANDI is the first and only oral medication FDA-approved for both non-metastatic and metastatic CRPC.1 ABOUT THE ASTELLAS/PFIZER HOW XTANDI WORKS COLLABORATION Astellas and Pfizer jointly XTANDI is indicated for the treatment of CRPC, commercialize XTANDI which is defined as disease progression on in the United States. androgen deprivation therapy (luteinizing hormone-releasing hormone (LHRH) therapy Astellas has responsibility or prior bilateral orchiectomy).2 for manufacturing and all additional regulatory In prostate cancer, the androgen receptor (AR) is a key driver filings globally, as well as of progression.3 XTANDI is an AR inhibitor that is thought commercializing XTANDI to act on multiple steps of the androgen receptor signaling 1 outside the United States. pathway within the tumor cell based on in vitro studies. Select Safety Information Seizure occurred in 0.4% of patients receiving XTANDI in clinical studies. In a study of patients with predisposing factors for seizure, 2.2% of XTANDI-treated patients experienced a seizure. Patients in the study had one or more of the following pre-disposing factors: use of medications that may lower the seizure threshold; history of traumatic brain or head injury, cerebrovascular accident or transient ischemic attack, Alzheimer’s disease, meningioma, or leptomeningeal disease from prostate cancer, unexplained loss of consciousness within the last 12 months, history of seizure, presence of a space occupying lesion of the brain, history of arteriovenous malformation, or history of brain infection. -
AHFS Pharmacologic-Therapeutic Classification System
AHFS Pharmacologic-Therapeutic Classification System Abacavir 48:24 - Mucolytic Agents - 382638 8:18.08.20 - HIV Nucleoside and Nucleotide Reverse Acitretin 84:92 - Skin and Mucous Membrane Agents, Abaloparatide 68:24.08 - Parathyroid Agents - 317036 Aclidinium Abatacept 12:08.08 - Antimuscarinics/Antispasmodics - 313022 92:36 - Disease-modifying Antirheumatic Drugs - Acrivastine 92:20 - Immunomodulatory Agents - 306003 4:08 - Second Generation Antihistamines - 394040 Abciximab 48:04.08 - Second Generation Antihistamines - 394040 20:12.18 - Platelet-aggregation Inhibitors - 395014 Acyclovir Abemaciclib 8:18.32 - Nucleosides and Nucleotides - 381045 10:00 - Antineoplastic Agents - 317058 84:04.06 - Antivirals - 381036 Abiraterone Adalimumab; -adaz 10:00 - Antineoplastic Agents - 311027 92:36 - Disease-modifying Antirheumatic Drugs - AbobotulinumtoxinA 56:92 - GI Drugs, Miscellaneous - 302046 92:20 - Immunomodulatory Agents - 302046 92:92 - Other Miscellaneous Therapeutic Agents - 12:20.92 - Skeletal Muscle Relaxants, Miscellaneous - Adapalene 84:92 - Skin and Mucous Membrane Agents, Acalabrutinib 10:00 - Antineoplastic Agents - 317059 Adefovir Acamprosate 8:18.32 - Nucleosides and Nucleotides - 302036 28:92 - Central Nervous System Agents, Adenosine 24:04.04.24 - Class IV Antiarrhythmics - 304010 Acarbose Adenovirus Vaccine Live Oral 68:20.02 - alpha-Glucosidase Inhibitors - 396015 80:12 - Vaccines - 315016 Acebutolol Ado-Trastuzumab 24:24 - beta-Adrenergic Blocking Agents - 387003 10:00 - Antineoplastic Agents - 313041 12:16.08.08 - Selective -
I LITERATURE-BASED DISCOVERY of KNOWN and POTENTIAL NEW
LITERATURE-BASED DISCOVERY OF KNOWN AND POTENTIAL NEW MECHANISMS FOR RELATING THE STATUS OF CHOLESTEROL TO THE PROGRESSION OF BREAST CANCER BY YU WANG THESIS Submitted in partial fulfillment of the requirements for the degree of Master of Science in Bioinformatics with a concentration in Library and Information Science in the Graduate College of the University of Illinois at Urbana-Champaign, 2019 Urbana, Illinois Adviser: Professor Vetle I. Torvik Professor Erik Russell Nelson i ABSTRACT Breast cancer has been studied for a long period of time and from a variety of perspectives in order to understand its pathogeny. The pathogeny of breast cancer can be classified into two groups: hereditary and spontaneous. Although cancer in general is considered a genetic disease, spontaneous factors are responsible for most of the pathogeny of breast cancer. In other words, breast cancer is more likely to be caused and deteriorated by the dysfunction of a physical molecule than be caused by germline mutation directly. Interestingly, cholesterol, as one of those molecules, has been discovered to correlate with breast cancer risk. However, the mechanisms of how cholesterol helps breast cancer progression are not thoroughly understood. As a result, this study aims to study known and discover potential new mechanisms regarding to the correlation of cholesterol and breast cancer progression using literature review and literature-based discovery. The known mechanisms are further classified into four groups: cholesterol membrane content, transport of cholesterol, cholesterol metabolites, and other. The potential mechanisms, which are intended to provide potential new treatments, have been identified and checked for feasibility by an expert. -
Masterarbeit / Master's Thesis
MASTERARBEIT / MASTER’S THESIS Titel der Masterarbeit / Title of the Master‘s Thesis Optimization of an LC-MS/MS Method for the Determination of Xenobiotics in Biological Matrices verfasst von / submitted by Thomas Jamnik BSc angestrebter akademischer Grad / in partial fulfilment of the requirements for the degree of Master of Science (MSc) Wien, 2020 / Vienna 2020 Studienkennzahl lt. Studienblatt / UA 066 863 degree programme code as it appears on the student record sheet: Studienrichtung lt. Studienblatt / Masterstudium Biologische Chemie degree programme as it appears on the student record sheet: Betreut von / Supervisor: Assoz. Prof. Dipl.-Ing. Dr. Benedikt Warth, Bakk.techn. 1 2 Erklärung Ich erkläre, dass die vorliegende Masterarbeit von mit selbst verfasst wurde und ich keine anderen als die angeführten Behelfe verwendet bzw. mich auch sonst keiner unerlaubter Hilfe bedient habe. Ich versichere, dass diese Arbeit bisher weder im In- noch Ausland in irgendeiner Form als Prüfungsarbeit vorgelegt wurde. Ich habe mich bemüht, sämtliche Inhaber der Bildrechte ausfindig zu machen und ihre Zustimmung zur Verwendung der Bilder in dieser Arbeit eingeholt. Sollte dennoch eine Urheberrechtsverletzung bekannt werden, ersuche ich um Meldung bei mir. Danksagung Ich danke Dr. Benedikt Warth nicht nur für die Möglichkeit diese interessante Masterarbeit verfassen zu dürfen, sondern auch für die gewonnenen Erfahrungen die der Einblick in seine Arbeitsgruppe und das Institut für Lebensmittelchemie erlaubt hat. Besonderer Dank gilt meiner direkten Betreuerin Dipl.-Ing. Mira Flasch, welche stets hilfsbereite Unterweisung in die Praxis als auch Theorie der verwendeten Arbeitsmethoden gab, immer für ausgiebige Diskussionen bereit stand und sich viel Zeit für diverse Korrekturen dieser Arbeit nahm. -
Clinical Efficacy of Enzalutamide Vs Bicalutamide Combined with Androgen Deprivation Therapy in Men with Metastatic Hormone-Sens
Henry Ford Health System Henry Ford Health System Scholarly Commons Hematology Oncology Articles Hematology-Oncology 1-4-2021 Clinical Efficacy of Enzalutamide vs Bicalutamide Combined With Androgen Deprivation Therapy in Men With Metastatic Hormone- Sensitive Prostate Cancer: A Randomized Clinical Trial Ulka N. Vaishampayan Lance K. Heilbrun Paul Monk Sheela Tejwani Guru Sonpavde See next page for additional authors Follow this and additional works at: https://scholarlycommons.henryford.com/ hematologyoncology_articles Authors Ulka N. Vaishampayan, Lance K. Heilbrun, Paul Monk, Sheela Tejwani, Guru Sonpavde, Clara Hwang, Daryn Smith, Pallavi Jasti, Kimberlee Dobson, Brenda Dickow, Elisabeth I. Heath, Louie Semaan, Michael L. Cher, Joseph A. Fontana, and Sreenivasa Chinni Original Investigation | Oncology Clinical Efficacy of Enzalutamide vs Bicalutamide Combined With Androgen Deprivation Therapy in Men With Metastatic Hormone-Sensitive Prostate Cancer A Randomized Clinical Trial Ulka N. Vaishampayan, MD; Lance K. Heilbrun, PhD; Paul Monk III, MD; Sheela Tejwani, MD; Guru Sonpavde, MD; Clara Hwang, MD; Daryn Smith, MS; Pallavi Jasti, MD; Kimberlee Dobson, BS; Brenda Dickow, RN; Elisabeth I. Heath, MD; Louie Semaan, BS; Michael L. Cher, MD; Joseph A. Fontana, MD; Sreenivasa Chinni, PhD Abstract Key Points Question Is enzalutamide combined IMPORTANCE Black patients have been underrepresented in prospective clinical trials of advanced with androgen deprivation therapy prostate cancer. This study evaluated the efficacy of enzalutamide compared with bicalutamide, with associated with better outcomes than planned subset analysis of Black patients with metastatic hormone-sensitive prostate cancer treatment with bicalutamide in Black (mHSPC), which is a disease state responsive to androgen deprivation therapy (ADT). men with metastatic hormone-sensitive prostate cancer (mHSPC)? OBJECTIVE To compare the efficacy of enzalutamide vs bicalutamide in combination with ADT in men with mHSPC, with a subset analysis of Black patients. -
Disposition of T Oxic Drugs and Chemicals
Disposition of Toxic Drugs and Chemicals in Man, Eleventh Edition Eleventh Edition in Man and Chemicals Drugs Toxic Disposition of The purpose of this work is to present in a single convenient source the current essential information on the disposition of the chemi- cals and drugs most frequently encountered in episodes of human poisoning. The data included relate to the body fluid concentrations of substances in normal or therapeutic situations, concentrations in fluids and tissues in instances of toxicity and the known metabolic fate of these substances in man. Brief mention is made of specific analytical procedures that are applicable to the determination of each substance and its active metabolites in biological specimens. It is expected that such information will be of particular interest and use to toxicologists, pharmacologists, clinical chemists and clinicians who have need either to conduct an analytical search for these materials in specimens of human origin or to interpret 30 Amberwood Parkway analytical data resulting from such a search. Ashland, OH 44805 by Randall C. Baselt, Ph.D. Former Director, Chemical Toxicology Institute Bookmasters Foster City, California HARD BOUND, 7” x 10”, 2500 pp., 2017 ISBN 978-0-692-77499-1 USA Reviewer Comments on the Tenth Edition “...equally useful for clinical scientists and poison information centers and others engaged in practice and research involving drugs.” Y. Caplan, J. Anal. Tox. “...continues to be an invaluable and essential resource for the forensic toxicologist and pathologist.” D. Fuller, SOFT ToxTalk “...has become an essential reference book in many laboratories that deal with clinical or forensic cases of poisoning.” M. -
Exposure to Endocrine Disruptors During Adulthood: Consequences for Female Fertility
233 3 S RATTAN and others Endocrine disruptors and 233:3 R109–R129 Review female fertility Exposure to endocrine disruptors during adulthood: consequences for female fertility Saniya Rattan, Changqing Zhou, Catheryne Chiang, Sharada Mahalingam, Correspondence should be addressed Emily Brehm and Jodi A Flaws to J A Flaws Department of Comparative Biosciences, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA Email [email protected] Abstract Endocrine disrupting chemicals are ubiquitous chemicals that exhibit endocrine Key Words disrupting properties in both humans and animals. Female reproduction is an important f endocrine disrupting process, which is regulated by hormones and is susceptible to the effects of exposure chemicals to endocrine disrupting chemicals. Disruptions in female reproductive functions f adult by endocrine disrupting chemicals may result in subfertility, infertility, improper f female hormone production, estrous and menstrual cycle abnormalities, anovulation, and f fertility early reproductive senescence. This review summarizes the effects of a variety of Endocrinology synthetic endocrine disrupting chemicals on fertility during adult life. The chemicals of covered in this review are pesticides (organochlorines, organophosphates, carbamates, pyrethroids, and triazines), heavy metals (arsenic, lead, and mercury), diethylstilbesterol, Journal plasticizer alternatives (di-(2-ethylhexyl) phthalate and bisphenol A alternatives), 2,3,7,8-tetrachlorodibenzo-p-dioxin, nonylphenol, polychlorinated biphenyls, triclosan, and parabens. This review focuses on the hypothalamus, pituitary, ovary, and uterus because together they regulate normal female fertility and the onset of reproductive senescence. The literature shows that several endocrine disrupting chemicals have endocrine disrupting abilities in females during adult life, causing fertility abnormalities Journal of Endocrinology in both humans and animals. -
Czech Republic) and Impacts on Quality of Treated Drinking Water
water Article Pharmaceuticals Load in the Svihov Water Reservoir (Czech Republic) and Impacts on Quality of Treated Drinking Water Josef V. Datel * and Anna Hrabankova T.G. Masaryk Water Research Institute, 16000 Prague, Czech Republic; [email protected] * Correspondence: [email protected]; Tel.: +420-220-197-291 Received: 17 April 2020; Accepted: 6 May 2020; Published: 13 May 2020 Abstract: An important component of micropollutants are PPCPs (pharmaceuticals and personal care products). This paper contains the results of the monitoring of surface water, groundwater and wastewater in the surrounding area of the Svihov drinking water reservoir. Over the period 2017–2019, over 21,000 water samples were taken and analyzed for 112 pharmaceuticals, their metabolites, and other chemicals. The results are discussed in detail for two streams with the highest observed concentration of PPCPs (Hnevkovice, Dolni Kralovice) and two streams with the highest water inflow into the reservoir, representing also the highest mass flow of PPCPs into the reservoir (Miletin, Kacerov). The overall analysis of the results shows that acesulfame, azithromycin, caffeine, gabapentin, hydrochlorothiazide, ibuprofen and its metabolites, oxypurinol, paraxanthine, and saccharin (on some profiles up to tens of thousands ng/dm3) attain the highest concentration and occur most frequently. The evaluation of raw water and treated drinking water quality showed the significant positive effect of water retention in the reservoir (retention time of 413 days) and also of the treatment process, so that the treated drinking water is of high quality and contains only negligible residues of few PPCPs near the detection limit of the analytical method used. -
Endocrine Disruptors
Endocrine disruptors Afke Groen & Christine Neuhold The RECIPES project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 824665 Authors Afke Groen, Maastricht University* Christine Neuhold, Maastricht University * currently works at the think tank Mr. Hans van Mierlo Stichting With thanks to our two anonymous interviewees Manuscript completed in April 2020 Document title WP2 Case study: Endocrine disruptors Work Package WP2 Document Type Deliverable Date 13 April 2020 Document Status Final version Acknowledgments & Disclaimer This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 824665. Neither the European Commission nor any person acting on behalf of the Commission is responsible for the use which might be made of the following information. The views expressed in this publication are the sole responsibility of the author and do not necessarily reflect the views of the European Commission. Reproduction and translation for non-commercial purposes are authorised, provided the source is acknowledged and the publisher is given prior notice and sent a copy. WP2 Case study: Endocrine disruptors i Abstract Endocrine disrupting chemicals (EDCs) are at the centre stage of a scientific and regulatory controversy. Given the complexities, ambiguities and particularly the uncertainties surrounding the hazards of EDCs, the precautionary principle is of utmost relevance to the case. Even the definition of EDCs remains much contested, as do the scientific processes and methods through which to identify them. On the one hand, there is considerable societal pressure to regulate ECDs ‘now’. On the other hand, this quick regulation is often impossible as the limited evidence available does not suffice in the context of traditional EU scientific risk assessment. -
Full Prescribing Information for • Hypersensitivity: Discontinue XTANDI
HIGHLIGHTS OF PRESCRIBING INFORMATION • Posterior reversible encephalopathy syndrome (PRES): These highlights do not include all the information needed to use Discontinue XTANDI. (5.2) XTANDI® safely and effectively. See full prescribing information for • Hypersensitivity: Discontinue XTANDI. (5.3) XTANDI. • Ischemic Heart Disease: Optimize management of cardiovascular XTANDI® (enzalutamide) capsules, for oral use risk factors. Discontinue XTANDI for Grade 3-4 events. (5.4) XTANDI® (enzalutamide) tablets, for oral use • Falls and Fractures occurred in 11% and 10% of patients receiving XTANDI, respectively. Evaluate patients for fracture and fall risk, Initial U.S. Approval: 2012 and treat patients with bone-targeted agents according to established guidelines. (5.5) -------------------------- RECENT MAJOR CHANGES -------------------------- • Embryo-Fetal Toxicity: XTANDI can cause fetal harm and loss of pregnancy. Advise males with female partners of reproductive Dosage and Administration – Dosing Information (2.1) 10/2020 potential to use effective contraception. (5.6, 8.1, 8.3) ------------------------------ ADVERSE REACTIONS ----------------------------- --------------------------- INDICATIONS AND USAGE -------------------------- The most common adverse reactions (≥ 10%) that occurred more frequently XTANDI is an androgen receptor inhibitor indicated for the treatment of (≥ 2% over placebo) in the XTANDI-treated patients are asthenia/fatigue, patients with: back pain, hot flush, constipation, arthralgia, decreased appetite, diarrhea, and • castration-resistant prostate cancer. (1) hypertension. (6.1) • metastatic castration-sensitive prostate cancer. (1) To report SUSPECTED ADVERSE REACTIONS, contact Astellas ---------------------- DOSAGE AND ADMINISTRATION ---------------------- Pharma US, Inc. at 1-800-727-7003 or FDA at 1-800-FDA-1088 or XTANDI 160 mg (two 80 mg tablets or four 40 mg tablets or four 40 mg www.fda.gov/medwatch. capsules) administered orally once daily. -
Xtandi, INN-Enzalutamide
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT Xtandi - 40 mg soft capsules 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Xtandi - 40 mg soft capsules Each soft capsule contains 40 mg of enzalutamide. Excipient(s) with known effect Each soft capsule contains 57.8 mg of sorbitol. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Soft capsule. White to off-white oblong soft capsules (approximately 20 mm x 9 mm) imprinted with “ENZ” in black ink on one side. 4. CLINICAL PARTICULARS 4.1 Therapeutic indications Xtandi is indicated for: • the treatment of adult men with metastatic hormone-sensitive prostate cancer (mHSPC) in combination with androgen deprivation therapy (see section 5.1). • the treatment of adult men with high-risk non-metastatic castration-resistant prostate cancer (CRPC) (see section 5.1). • the treatment of adult men with metastatic CRPC who are asymptomatic or mildly symptomatic after failure of androgen deprivation therapy in whom chemotherapy is not yet clinically indicated (see section 5.1). • the treatment of adult men with metastatic CRPC whose disease has progressed on or after docetaxel therapy. 4.2 Posology and method of administration Treatment with enzalutamide should be initiated and supervised by specialist physicians experienced in the medical treatment of prostate cancer. Posology The recommended dose is 160 mg enzalutamide (four 40 mg soft capsules) as a single oral daily dose. Medical castration with a luteinising hormone-releasing hormone (LHRH) analogue should be continued during treatment of patients not surgically castrated. If a patient misses taking Xtandi at the usual time, the prescribed dose should be taken as close as possible to the usual time. -
Preferred Drug List 4-Tier
Preferred Drug List 4-Tier 21NVHPN13628 Four-Tier Base Drug Benefit Guide Introduction As a member of a health plan that includes outpatient prescription drug coverage, you have access to a wide range of effective and affordable medications. The health plan utilizes a Preferred Drug List (PDL) (also known as a drug formulary) as a tool to guide providers to prescribe clinically sound yet cost-effective drugs. This list was established to give you access to the prescription drugs you need at a reasonable cost. Your out- of-pocket prescription cost is lower when you use preferred medications. Please refer to your Prescription Drug Benefit Rider or Evidence of Coverage for specific pharmacy benefit information. The PDL is a list of FDA-approved generic and brand name medications recommended for use by your health plan. The list is developed and maintained by a Pharmacy and Therapeutics (P&T) Committee comprised of actively practicing primary care and specialty physicians, pharmacists and other healthcare professionals. Patient needs, scientific data, drug effectiveness, availability of drug alternatives currently on the PDL and cost are all considerations in selecting "preferred" medications. Due to the number of drugs on the market and the continuous introduction of new drugs, the PDL is a dynamic and routinely updated document screened regularly to ensure that it remains a clinically sound tool for our providers. Reading the Drug Benefit Guide Benefits for Covered Drugs obtained at a Designated Plan Pharmacy are payable according to the applicable benefit tiers described below, subject to your obtaining any required Prior Authorization or meeting any applicable Step Therapy requirement.