New England Journal of Medicine




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Medicare Part D Coverage of Antiobesity Medications — Challenges and Uncertainty Ahead

Khrysta Baig, M.S.P.H., Stacie B. Dusetzina, Ph.D., David D. Kim, Ph.D., and Ashley A. Leech, Ph.D.

doi : 10.1056/NEJMp2300516

Vol. 388 No. 11

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Eroding Judicial Deference to the FDA — Consequences for Public Health

C. Joseph Ross Daval, J.D., Liam Bendicksen, B.A., and Aaron S. Kesselheim, M.D., J.D., M.P.H.

doi : 10.1056/NEJMp2215193

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Pregnancy and Residency — Overdue for Equity

Suzanne Koven, M.D., Jessica E. Haberer, M.D., and Deborah Gomez Kwolek, M.D.

doi : 10.1056/NEJMp2215288

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Inaxaplin for Proteinuric Kidney Disease in Persons with Two APOL1 Variants

Ogo Egbuna, M.D., Brandon Zimmerman, Ph.D., George Manos, Ph.D., Anne Fortier, Ph.D., Madalina C. Chirieac, M.D., M.P.H., Leslie A. Dakin, Ph.D., David J. Friedman, M.D., Kate Bramham, M.D., Kirk Campbell, M.D., Bertrand Knebelmann, M.D., Laura Barisoni, M.D., Ronald J. Falk, M.D., Debbie S. Gipson, M.D., Michael S. Lipkowitz, M.D., Akinlolu Ojo, M.D., Mark E. Bunnage, D.Phil., Martin R. Pollak, M.D., David Altshuler, M.D., Ph.D., and Glenn M. Chertow, M.D. for the VX19-147-101 Study Group*

doi : 10.1056/NEJMoa2202396

Persons with toxic gain-of-function variants in the gene encoding apolipoprotein L1 (APOL1) are at greater risk for the development of rapidly progressive, proteinuric nephropathy. Despite the known genetic cause, therapies targeting proteinuric kidney disease in persons with two APOL1 variants (G1 or G2) are lacking.

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Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus

Tim Hundscheid, M.D., Wes Onland, M.D., Ph.D., Elisabeth M.W. Kooi, M.D., Ph.D., Daniel C. Vijlbrief, M.D., Ph.D., Willem B. de Vries, M.D., Ph.D., Koen P. Dijkman, M.D., Anton H. van Kaam, M.D., Ph.D., Eduardo Villamor, M.D., Ph.D., André A. Kroon, M.D., Ph.D., Remco Visser, M.D., Ph.D., Susanne M. Mulder-de Tollenaer, M.D., Barbara De Bisschop, M.D., Peter H. Dijk, M.D., Ph.D., Daniela Avino, M.D., Catheline Hocq, M.D., Alexandra Zecic, M.D., Marisse Meeus, M.D., Tessa de Baat, M.D., Frank Derriks, M.D., Tine B. Henriksen, M.D., Ph.D., Kasper J. Kyng, M.D., Ph.D., Rogier Donders, Ph.D., Debbie H.G.M. Nuytemans, Bart Van Overmeire, M.D., Ph.D., Antonius L. Mulder, M.D., Ph.D., and Willem P. de Boode, M.D., Ph.D. for the BeNeDuctus Trial Investigators*

doi : 10.1056/NEJMoa2207418

Cyclooxygenase inhibitors are commonly used in infants with patent ductus arteriosus (PDA), but the benefit of these drugs is uncertain.

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Trial of Hybrid Closed-Loop Control in Young Children with Type 1 Diabetes

R. Paul Wadwa, M.D., Zachariah W. Reed, M.S., Bruce A. Buckingham, M.D., Mark D. DeBoer, M.D., Laya Ekhlaspour, M.D., Gregory P. Forlenza, M.D., Melissa Schoelwer, M.D., John Lum, M.S., Craig Kollman, Ph.D., Roy W. Beck, M.D., Ph.D., and Marc D. Breton, Ph.D. for the PEDAP Trial Study Group*

doi : 10.1056/NEJMoa2210834

Closed-loop control systems of insulin delivery may improve glycemic outcomes in young children with type 1 diabetes. The efficacy and safety of initiating a closed-loop system virtually are unclear.

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Ide-cel or Standard Regimens in Relapsed and Refractory Multiple Myeloma

Paula Rodriguez-Otero, M.D., Ph.D., Sikander Ailawadhi, M.D., Bertrand Arnulf, M.D., Ph.D., Krina Patel, M.D., Michele Cavo, M.D., Ajay K. Nooka, M.D., M.P.H., Salomon Manier, M.D., Ph.D., Natalie Callander, M.D., Luciano J. Costa, M.D., Ph.D., Ravi Vij, M.D., Nizar J. Bahlis, M.D., Philippe Moreau, M.D., Scott R. Solomon, M.D., Michel Delforge, M.D., Jesus Berdeja, M.D., Anna Truppel-Hartmann, M.D., Zhihong Yang, Ph.D., Linda Favre-Kontula, Ph.D., Fan Wu, Ph.D., Julia Piasecki, B.A., Mark Cook, M.B., Ch.B., Ph.D., and Sergio Giralt, M.D.

doi : 10.1056/NEJMoa2213614

Survival is poor among patients with triple-class–exposed relapsed and refractory multiple myeloma. Idecabtagene vicleucel (ide-cel), a B-cell maturation antigen–directed chimeric antigen receptor (CAR) T-cell therapy, previously led to deep, durable responses in patients with heavily pretreated relapsed and refractory multiple myeloma.

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Messenger RNA Translation Defects in Neurodegenerative Diseases

Erik Storkebaum, Ph.D., Kobi Rosenblum, Ph.D., and Nahum Sonenberg, Ph.D.

doi : 10.1056/NEJMra2215795

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Endotracheal Tube Exchange

Thomas Heidegger, M.D., and Frank Oberle

doi : 10.1056/NEJMvcm2020253

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Malignant Acanthosis Nigricans

Huei-Jing Wang, M.D., Ph.D., and S. Chu-Sung Hu, M.B., B.S., M.Phil.

doi : 10.1056/NEJMicm2207017

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Orbital Emphysema

Nien-Jung Lee, M.D., and Po-Wei Chiu, M.D.

doi : 10.1056/NEJMicm2209451

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Case 8-2023: A 71-Year-Old Woman with Refractory Hemolytic Anemia

Alfred I. Lee, M.D., Ph.D., Pedram Heidari, M.D., Andrew Z. Fenves, M.D., Aditya Bardia, M.D., M.P.H., and Robert Ta, M.D.

doi : 10.1056/NEJMcpc2211370

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A Step Forward for Precision Equity in Kidney Disease

Neil R. Powe, M.D.

doi : 10.1056/NEJMe2301003

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Inhibiting APOL1 to Treat Kidney Disease

Winfred W. Williams, M.D., and Julie R. Ingelfinger, M.D.

doi : 10.1056/NEJMe2208455

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Time to Stop Early Treatment of Patent Ductus Arteriosus?

Carl H. Backes, M.D., and Jonathan L. Slaughter, M.D., M.P.H.

doi : 10.1056/NEJMe2214764

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Technology in the Changing Management of Diabetes in Children

Daniela Bruttomesso, M.D., Ph.D.

doi : 10.1056/NEJMe2301252

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Audio Interview: The Future of Covid-19 Research

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

doi : 10.1056/NEJMe2302598

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Unexplained Female Infertility Associated with Genetic Disease Variants

doi : 10.1056/NEJMc2211539

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Surgery or Endovascular Therapy for Chronic Limb Ischemia

doi : 10.1056/NEJMc2300713

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Oxygen Delivery in the Treatment of Anemia

doi : 10.1056/NEJMc2300702

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