- Heterogeneous Treatment Effects in HFpEF: Distinguishing Drug-Specific Response from Prognostic Phenotypes Across Randomized Trials. [Journal Article]medRxiv. 2026 Jul 09.M
- CONCLUSIONS: The proposed method identifies mechanism-specific effect modifiers, and uncovers clinically meaningful heterogeneity in treatment response, which is not captured by conventional MCID-based approaches. Although exploratory, these findings support phenotype-guided therapy in HFpEF and argue for phenotype-informed trial design to enhance treatment-effect detection and therapy targeting.
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- Step-by-step optimization of a colchicine-loaded nanoemulgel for superior topical therapy of acute gouty arthritis. [Journal Article]J Pharm Sci. 2026 Jul 12; :104415. [Online ahead of print]JP
- A colchicine-loaded nanoemulgel (COL-nEMG) was developed for rapid and potent topical therapy of acute gouty arthritis (AGA). An O/W COL-loaded nanoemulsion (COL-nEMS, 14.20 ± 1.73 nm) was first prepared and optimized step by step, including excipient screening, pseudo-ternary phase diagram, in vitro transdermal delivery and D-optimal design. The optimized COL-nEMS containing 10% isosorbide dimet…
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- Anticholinergic Burden, Falls, and the Concept of Appropriate Polypharmacy in Indonesian Geriatric Clinics: A Multicentre Observational Study. [Multicenter Study]Acta Med Indones. 2026 Apr; 58(2):154-163.AM
- CONCLUSIONS: The prevalence of a high ACB score and falls were 1.8% and 16.8%, respectively. Approximately one in two older adults had polypharmacy. We observed a non-significant inverse relationship between polypharmacy and falls. This may possibly suggest appropriate polypharmacy and closer monitoring applied in geriatric settings, which requires further investigation.
- Implementation Aspects of a Medicines Shortage Policy Tool: Evidence from Australia's Serious Scarcity Substitution Instruments. [Journal Article]
- CONCLUSIONS: While product shortages led to decreases in medicines consumption, SSSIs appeared to be successful in limiting decreases. However, SSSIs were less likely to be successful when many of the permitted substitute products were also scarce.
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- Multicomponent Hosomi-Sakurai Reaction on Isosorbide Derivatives. [Journal Article]Molecules. 2026 Jun 18; 31(12).M
- Trimethylsilyl ethers of monoprotected isosorbide derivatives have been subjected to multicomponent Hosomi-Sakurai reactions with allyl trimethylsilane and various aldehydes (aromatic or aliphatic) under the catalysis of trimethylsilyl triflate. This study has allowed for establishing that: (a) the best results are obtained in reactions involving TMS ethers of the endo-OH group; (b) the most suit…
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- A Green Approach Towards Desalination: Sustainable Poly(lactic acid) Membranes for Pervaporation Desalination. [Review]Membranes (Basel). 2026 Jun 10; 16(6).M
- To address the global water crisis, desalination technologies contribute about 1% of the global freshwater supply. Membrane-based desalination technologies offer high performance, operational ease, cost-effectiveness and high scalability compared to conventional thermal desalination modes. Among all membrane-based technologies, reverse osmosis is prevailing globally. However, the high energy dema…
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- Bio-derived solvents for in situ forming implants. [Journal Article]J Control Release. 2026 Jun 11; 396:115095. [Online ahead of print]JC
- In situ forming implants (ISFIs) have gained considerable attention over the past decade as minimally invasive long-acting injectable systems for localised and sustained drug delivery. N-Methyl-2-pyrrolidone (NMP) remains the most commonly used solvent for ISFIs; however, concerns regarding its environmental toxicity and teratogenicity have driven the search for alternatives. Therefore, in this s…
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- Repurposed drug prioritization pipeline for a multi-arm platform trial in clinical Alzheimer's disease. [Journal Article]Alzheimers Dement. 2026 May; 22(5):e71495.AD
- CONCLUSIONS: This robust drug prioritization pipeline will speed the identification and progression of promising candidates for therapeutic evaluation.
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- Trabectedin-Associated Myocardial Infarction With Nonobstructive Coronary Arteries. [Case Reports]JACC Case Rep. 2026 Jun 17; 31(24):108321.JC
- CONCLUSIONS: Recurrent episodes of acute coronary syndrome after trabectedin infusions that resolved with vasodilator pretreatment supported trabectedin-induced coronary vasospasm as the mechanism of MINOCA in this patient. This is to our knowledge the first reported such case with trabectedin.Patients who develop trabectedin-associated MINOCA may benefit from pretreatment with anti-vasospastic antianginals to allow for safe continuation of therapy.
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- Broadband Encrypted Mirror Fabricated via Stacking Cholesteric Liquid Crystal Polymer Network Films and a Patterned Half-Wave Plate. [Journal Article]Chem Asian J. 2026 May; 21(9):e70778.CA
- Cholesteric liquid crystal polymer network (CLCN) mirrors featuring a broad reflection band have attracted considerable interest for use in optical filters and decorative applications. To date, however, the development of mirrors with encryption capabilities remains unexplored. In this work, a series of chiral additives were synthesized from isosorbide and 4'-n-alkyl-(1,1'-biphenyl)-4-carboxylic …
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- Design and development of an ethyl cellulose bulk-engineered spherule-based capsule system. [Journal Article]Int J Biol Macromol. 2026 Jul; 370:152248.IJ
- This study addresses a critical challenge in delivering a drug to prevent angina in the early morning hours, aligning with the heart's circadian rhythm. For this purpose, we formulated Isosorbide dinitrate (ISDN) - loaded spherules for delayed release (DR) followed by sustained release (SR) using ethyl cellulose by spheronization technique. DOE-led optimisation is done to develop the design of sp…
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- Bridging the life-course exposome approach with a life-cycle perspective in safe and sustainable by design (SSbD) for chemical risk. [Journal Article]
- Safe and Sustainable by Design (SSbD) and life‑course exposome science share a primary‑prevention goal: reducing harmful exposures by intervening early in the chemical and product life cycle. Here we propose an integrated, replacement‑first decision workflow that links life‑course exposure considerations to SSbD stage‑gates using New Approach Methodologies (NAMs). The framework combines: (i) prob…
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- Primary prevention in liver cirrhosis patients with esophageal varicesa: a systematic review and network meta-analysis. [Review]Front Gastroenterol (Lausanne). 2026; 5:1754027.FG
- CONCLUSIONS: Based on low-certainty evidence, Mido+PPL demonstrated a favorable balance of efficacy and safety and is recommended as a preferred option. Mido+PPL, Carv+EVBL, and FZHYJN+PPL are recommended for primary prophylaxis in cirrhosis. For Child-Pugh A/B patients, Mido+PPL, Carv+EVBL, and FZHYJN+PPL are suggested, with EVBL as an alternative for those intolerant to drugs. EVBL may be considered for Child-Pugh C patients. Mido+PPL is recommended for prophylaxis within one year, FZHYJN+PPL for up to two years, and Carvedilol (alone or with EVBL) for long-term management beyond two years. Carvedilol and Propranolol showed superior net clinical benefit over Nadolol and Timolol. Although Nadolol (alone or with ISMN) may reduce mortality, its higher adverse event rate precludes it as a first-line strategy. FZHYJN, while effective, may increase the risk of other decompensation events.
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- A framework for chemical hazard assessments under 'Safe and Sustainable by Design' using multiple in silico tools. [Journal Article]Integr Environ Assess Manag. 2026 Apr 28. [Online ahead of print]IE
- The hazard identification of chemicals is a key step of the 'Safe and Sustainable by Design' (SSbD) framework introduced by the European Commission, aiming to eliminate hazardous substances early in innovation. In this context, in silico methods such as (Quantitative) Structure-Activity Relationship ((Q)SAR) models offer rapid, cost-effective, and animal-free alternatives for early-stage hazard s…
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- Vasodilation, loop diuretics, or their combination in acute heart failure: Rationale and design of the randomized placebo-controlled DECONGEST-AHF trial. [Journal Article]Am Heart J. 2026 Sep; 299:107461.AH
- CONCLUSIONS: By initiating treatment during the hyperacute phase and applying a blinded and placebo-controlled design, we aim to clarify the individual and combined effects of 2 widely used therapies. The use of emergency consent procedures enables the inclusion of a real-world patient population, including patients who are often excluded from clinical trials. This approach ensures broad generalizability and reflects routine emergency care. Findings from DECONGEST-AHF may improve early management of patients with acute heart failure.
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