cancer
Patient advocates raise concerns on Merck drug
The anti-fungal drug posaconazole, used in cancer patients, has a longer half-life in people with obesity, which can impact the efficacy of chemotherapies. But Merck, its original maker, hasn't updated the product label to reflect this reality, according to patient advocates.
As a result, many clinicians are in the dark about this issue, they told STAT's Ed Silverman. The company, however, says drug interactions associated with posaconazole are "currently well-described in the medicine's labeling."
Beyond an obvious concern for patients, the episode underscores how regulatory stalemates can occur over product labeling. Moreover, the matter highlights a paucity of clinical trial work about the effects that many medicines can have on people with obesity.
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alzheimer's
The ethics of early Alzheimer's blood tests
Developing blood-based biomarkers for Alzheimer's is transforming early detection and treatment — since traditionally diagnosticians have relied MRIs and PET scans. The new wave of tests detect amyloid plaques and tau tangles — with 85% to 90% diagnostic accuracy — but using them in asymptomatic people is raising some serious ethical and clinical questions, opine UCSF researchers Naveen Reddy and Kristine Yaffe.
"Universal testing could lead to earlier interventions and better outcomes for some, but it also increases the risk of overdiagnosis and overtreatment," they write in a new First Opinion. "In turn the widespread adoption of these tests could strain health care resources, potentially diverting attention from other critical areas."
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