Browse Research
- Original ArticleVOL. 390 No. 1, Jan 04, 2024
A Phase 2 Trial of Sibeprenlimab in Patients with IgA Nephropathy
N Engl J Med 2024; 390:20-31In this trial involving patients with IgA nephropathy, sibeprenlimab, a humanized IgG2 monoclonal antibody that blocks a proliferation-inducing ligand, resulted in a greater decrease in proteinuria than placebo.
- Original ArticleVOL. 390 No. 1, Jan 04, 2024
Effects of Cooking with Liquefied Petroleum Gas or Biomass on Stunting in Infants
N Engl J Med 2024; 390:44-54In a randomized trial involving pregnant women in low- and middle-income countries, the use of LPG stoves in place of biomass stoves did not result in a lower risk of stunting in offspring, despite lower levels of household air pollutants.
- Original ArticleVOL. 390 No. 1, Jan 04, 2024
Drug-Eluting Resorbable Scaffold versus Angioplasty for Infrapopliteal Artery Disease
N Engl J Med 2024; 390:9-19In a trial involving patients with infrapopliteal artery disease, the use of a drug-eluting resorbable scaffold was superior to angioplasty in reducing reintervention and maintaining patency at 1 year.
- Original ArticleVOL. 390 No. 1, Jan 04, 2024
Brief Report: Ultrasound Blood–Brain Barrier Opening and Aducanumab in Alzheimer’s Disease
N Engl J Med 2024; 390:55-62In three patients with Alzheimer’s disease, focused ultrasound was applied with aducanumab therapy. Reduction in amyloid was greater in treated regions than in matched contralateral regions over 6 months.
- Original ArticleVOL. 390 No. 1, Jan 04, 2024
Liquefied Petroleum Gas or Biomass Cooking and Severe Infant Pneumonia
N Engl J Med 2024; 390:32-43In this trial involving pregnant women in low- and middle-income countries, cooking with LPG instead of biomass did not lead to a lower incidence of severe infant pneumonia, despite lower levels of household air pollutants.
- Original ArticleVOL. 389 No. 26, Dec 28, 2023
Nirsevimab for Prevention of Hospitalizations Due to RSV in Infants
N Engl J Med 2023; 389:2425-2435Nirsevimab, a monoclonal antibody targeting RSV, led to decreased hospitalizations for RSV-associated lower respiratory tract infection in infants during their first RSV season, in an open-label, pragmatic trial.
- Special ReportVOL. 389 No. 26, Dec 28, 2023
The IARC Perspective on Alcohol Reduction or Cessation and Cancer Risk
N Engl J Med 2023; 389:2486-2494The IARC convened a group of scientists to review the evidence on reduction or cessation of alcohol beverage consumption in relation to alcohol-related cancer incidence or mortality.
- Original ArticleVOL. 389 No. 26, Dec 28, 2023
Sparsentan versus Irbesartan in Focal Segmental Glomerulosclerosis
N Engl J Med 2023; 389:2436-2445In this phase 3 trial involving patients with FSGS, sparsentan resulted in a greater reduction in proteinuria than irbesartan, but there was no significant between-group difference in eGFR slope.
- Original ArticleVOL. 389 No. 26, Dec 28, 2023
Dual Antiplatelet Treatment up to 72 Hours after Ischemic Stroke
N Engl J Med 2023; 389:2413-2424New stroke occurred in 7% of patients who received clopidogrel–aspirin and in 9% who received only aspirin up to 72 hours after atherothrombotic stroke. Bleeding incidence was low but higher with dual antiplatelet treatment.
- Original ArticleVOL. 389 No. 26, Dec 28, 2023
Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia
N Engl J Med 2023; 389:2446-2456In patients with myocardial infarction and anemia, a liberal transfusion strategy led to fewer deaths and heart attacks than a restricted transfusion strategy, but the difference was of borderline significance.
- Original ArticleVOL. 389 No. 25, Dec 21, 2023
A Placebo-Controlled Trial of Percutaneous Coronary Intervention for Stable Angina
N Engl J Med 2023; 389:2319-2330In a randomized trial of PCI in patients with stable angina who were receiving little or no antianginal medication and had documented ischemia, PCI resulted in a better health status with respect to angina than placebo at 12 weeks.
- Original ArticleVOL. 389 No. 25, Dec 21, 2023
Doxycycline Prophylaxis to Prevent Sexually Transmitted Infections in Women
N Engl J Med 2023; 389:2331-2340Doxycycline postexposure prophylaxis has been shown to prevent STIs in cisgender men and transgender women. In this trial involving cisgender women in Kenya, STI incidence was not lower with doxycycline than with standard care.
- Original ArticleVOL. 389 No. 25, Dec 21, 2023
Brief Report: Locally Acquired Melioidosis Linked to Environment — Mississippi, 2020–2023
N Engl J Med 2023; 389:2355-2362This report describes three rare cases of melioidosis (caused by Burkholderia pseudomallei) that were locally acquired in Mississippi.
- Original ArticleVOL. 389 No. 25, Dec 21, 2023
Simvastatin in Critically Ill Patients with Covid-19
N Engl J Med 2023; 389:2341-2354In this trial of simvastatin involving critically ill patients with Covid-19, which was stopped owing to reduced cases, simvastatin did not meet the prespecified criteria for superiority to control treatment.
- Original ArticleVOL. 389 No. 24, Dec 14, 2023
Three-Year Overall Survival with Tebentafusp in Metastatic Uveal Melanoma
N Engl J Med 2023; 389:2256-2266Tebentafusp is a bispecific molecule that recognizes CD3 and gp100. In a trial in patients with uveal melanoma, median survival at 3 years of follow-up was 21.6 months with tebentafusp and 16.9 months with standard therapy.
- Original ArticleVOL. 389 No. 24, Dec 14, 2023
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes
N Engl J Med 2023; 389:2221-2232In a trial in patients with cardiovascular disease and overweight or obesity but no diabetes, semaglutide was superior to placebo in lowering the risk of major adverse cardiovascular events at a mean follow-up of 39.8 months.
- Original ArticleVOL. 389 No. 24, Dec 14, 2023
Efficacy and Safety of an mRNA-Based RSV PreF Vaccine in Older Adults
N Engl J Med 2023; 389:2233-2244In a placebo-controlled, phase 2–3 trial, one dose of mRNA-1345 led to a lower incidence of RSV disease among adults 60 years of age or older. Solicited local and systemic adverse reactions occurred more often with the vaccine.
- Original ArticleVOL. 389 No. 24, Dec 14, 2023
Recombinant or Standard-Dose Influenza Vaccine in Adults under 65 Years of Age
N Engl J Med 2023; 389:2245-2255In a study over two influenza seasons, a high-dose recombinant influenza vaccine was 15% more effective than a standard-dose vaccine in preventing PCR-confirmed influenza in adults between 50 and 64 years of age.
- Original ArticleDec 12, 2023
Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone for Multiple Myeloma
10.1056/NEJMoa2312054The addition of subcutaneous daratumumab to bortezomib, lenalidomide, and dexamethasone therapy and to lenalidomide maintenance therapy had a significant benefit on progression-free survival among patients with multiple myeloma.
- Original ArticleDec 10, 2023
Chronic Lymphocytic Leukemia Therapy Guided by Measurable Residual Disease
10.1056/NEJMoa2310063Among patients with previously untreated chronic lymphocytic leukemia, ibrutinib–venetoclax therapy with treatment duration guided by measurable residual disease status resulted in better outcomes than standard chemotherapy.