New England Journal of Medicine




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Revisiting FDA Approval of Aducanumab

G. Caleb Alexander, M.D., David S. Knopman, M.D., Scott S. Emerson, M.D., Ph.D., Bruce Ovbiagele, M.D., Richard J. Kryscio, Ph.D., Joel S. Perlmutter, M.D., and Aaron S. Kesselheim, M.D., J.D.

doi : 10.1056/nejmp2110468

N Engl J Med 2021; 385:769-771

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Controversy and Progress in Alzheimer’s Disease — FDA Approval of Aducanumab

Gil D. Rabinovici, M.D.

doi : 10.1056/nejmp2111320

N Engl J Med 2021; 385:771-774

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A Pink Salwar

Padmasayee Papineni, F.R.C.P., D.T.M.&H.

doi : 10.1056/nejmp2104037

N Engl J Med 2021; 385:774-775

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Therapeutic Anticoagulation with Heparin in Critically Ill Patients with Covid-19

The REMAP-CAP, ACTIV-4a, and ATTACC Investigators

doi : 10.1056/nejmoa2103417

N Engl J Med 2021; 385:777-789

Thrombosis and inflammation may contribute to morbidity and mortality among patients with coronavirus disease 2019 (Covid-19). We hypothesized that therapeutic-dose anticoagulation would improve outcomes in critically ill patients with Covid-19.

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Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with Covid-19

The ATTACC, ACTIV-4a, and REMAP-CAP Investigators

doi : 10.1056/nejmoa2105911

N Engl J Med 2021; 385:790-802

Thrombosis and inflammation may contribute to the risk of death and complications among patients with coronavirus disease 2019 (Covid-19). We hypothesized that therapeutic-dose anticoagulation may improve outcomes in noncritically ill patients who are hospitalized with Covid-19.

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A Monoclonal Antibody for Malaria Prevention

Martin R. Gaudinski, M.D., Nina M. Berkowitz, M.P.H., Azza H. Idris, M.D., Ph.D., Emily E. Coates, Ph.D., LaSonji A. Holman, F.N.P., Floreliz Mendoza, R.N., Ingelise J. Gordon, R.N., Sarah H. Plummer, M.S.N., C.R.N.P., Olga Trofymenko, M.D., Zonghui Hu, Ph.D., Andrezza Campos Chagas, Ph.D., Sarah O’Connell, M.S., Manjula Basappa, B.S., Naomi Douek, Sandeep R. Narpala, M.S., Christopher R. Barry, M.S., Alicia T. Widge, M.D., M.S., Renunda Hicks, Seemal F. Awan, M.D., Richard L. Wu, M.D., Somia Hickman, Ph.D., Diane Wycuff, Ph.D., Judy A. Stein, M.B.A., Christopher Case, Ph.D., Brian P. Evans, Ph.D., Kevin Carlton, M.S., Jason G. Gall, Ph.D., Sandra Vazquez, M.S., Britta Flach, Ph.D., Grace L. Chen, M.D., Joseph R. Francica, Ph.D., Barbara J. Flynn, M.S., Neville K. Kisalu, Ph.D., Edmund V. Capparelli, Pharm.D., Adrian McDermott, Ph.D., John R. Mascola, M.D., Julie E. Ledgerwood, D.O., and Robert A. Seder, M.D. for the VRC 612 Study Team*

doi : 10.1056/nejmoa2034031

N Engl J Med 2021; 385:803-814

Additional interventions are needed to reduce the morbidity and mortality caused by malaria.

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Triple Therapy for Cystic Fibrosis Phe508del–Gating and –Residual Function Genotypes

Peter J. Barry, M.D., Marcus A. Mall, M.D., Antonio ?lvarez, M.D., Carla Colombo, M.D., Karin M. de Winter-de Groot, M.D., Isabelle Fajac, M.D., Ph.D., Kimberly A. McBennett, M.D., Ph.D., Edward F. McKone, M.D., Bonnie W. Ramsey, M.D., Sivagurunathan Sutharsan, M.D., Jennifer L. Taylor-Cousar, M.D., M.S.C.S., Elizabeth Tullis, M.D., Neil Ahluwalia, M.D., Lucy S. Jun, Ph.D., Samuel M. Moskowitz, M.D., Valentin Prieto-Centurion, M.D., Simon Tian, M.D., David Waltz, M.D., Fengjuan Xuan, Ph.D., Yaohua Zhang, Ph.D., Steven M. Rowe, M.D., M.S.P.H., and Deepika Polineni, M.D., M.P.H. for the VX18-445-104 Study Group*

doi : 10.1056/nejmoa2100665

N Engl J Med 2021; 385:815-825

Elexacaftor–tezacaftor–ivacaftor is a small-molecule cystic fibrosis transmembrane conductance regulator (CFTR) modulator regimen shown to be efficacious in patients with at least one Phe508del allele, which indicates that this combination can modulate a single Phe508del allele. In patients whose other CFTR allele contains a gating or residual function mutation that is already effectively treated with previous CFTR modulators (ivacaftor or tezacaftor–ivacaftor), the potential for additional benefit from restoring Phe508del CFTR protein function is unclear.

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Heparin Resistance — Clinical Perspectives and Management Strategies

Jerrold H. Levy, M.D., and Jean M. Connors, M.D.

doi : 10.1056/nejmra2104091

N Engl J Med 2021; 385:826-832

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Hypervirulent Klebsiella pneumoniae

Qiong Zou, M.D., and Yang Li, M.D.

doi : 10.1056/nejmicm2101602

N Engl J Med 2021; 385:833

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Circinate Syphilitic Lesions

Suruthi Purushothaman, M.D., and Bhargavi Mayakuntla, M.D.

doi : 10.1056/nejmicm2035514

N Engl J Med 2021; 385:e26

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Case 26-2021: A 49-Year-Old Man with Relapsed Acute Myeloid Leukemia

Andrew M. Brunner, M.D., Richard A. Newcomb, M.D., Yi-Bin Chen, M.D., and Andrew M. Crabbe, M.D., Ph.D.

doi : 10.1056/nejmcpc2103458

N Engl J Med 2021; 385:834-843

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Surviving Covid-19 with Heparin?

Hugo ten Cate, M.D., Ph.D.

doi : 10.1056/nejme2111151

N Engl J Med 2021; 385:845-846

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Audio Interview: Assessing Vaccine Safety

Eric J. Rubin, M.D., Ph.D., Lindsey R. Baden, M.D., and Stephen Morrissey, Ph.D.

doi : 10.1056/nejme2114106

N Engl J Med 2021; 385:e37

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Modeling Human Cardiac Chambers with Organoids

Deepak Srivastava, M.D.

doi : 10.1056/nejmcibr2108627

N Engl J Med 2021; 385:847-849

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Remembering Past Lessons about Structural Racism — Recentering Black Theorists of Health and Society

Alexandre White, Ph.D., Rachel L.J. Thornton, M.D., Ph.D., and Jeremy A. Greene, M.D., Ph.D.

doi : 10.1056/nejmms2035550

N Engl J Med 2021; 385:850-855

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An Appropriate Use of Accelerated Approval — Aducanumab for Alzheimer’s Disease

doi : 10.1056/nejmc2111960

N Engl J Med 2021; 385:856-857

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Therapeutic Plasma Exchange in Vaccine-Induced Immune Thrombotic Thrombocytopenia

doi : 10.1056/nejmc2109465

N Engl J Med 2021; 385:857-859

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Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media

doi : 10.1056/nejmc2109725

N Engl J Med 2021; 385:860-862

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Psilocybin for Depression

doi : 10.1056/nejmc2108082

N Engl J Med 2021; 385:862-864

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Adjuvant Nivolumab versus Placebo in Muscle-Invasive Urothelial Carcinoma

doi : 10.1056/nejmx210012

N Engl J Med 2021; 385:864

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