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- Bagge, R. Olofsson, et al.
(author)
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A phase Ib randomized multicenter trial of isolated hepatic perfusion in combination with ipilimumab and nivolumab for uveal melanoma metastases (SCANDIUM II trial)
- 2024
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In: ESMO Open. - : Elsevier. - 2059-7029. ; 9:7
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Journal article (peer-reviewed)abstract
- Background:Uveal melanoma (UM) is a rare malignancy where 50% of patients develop metastatic disease primarily affecting the liver. Approximately 40% of patients with metastatic UM respond to one-time isolated hepatic perfusion (IHP) with high -dose melphalan. This phase I trial investigates the safety and clinical ef fi cacy of IHP combined with ipilimumab (IPI) and nivolumab (NIVO).Patients and methods:Immunotherapy-na & iuml;ve patients were randomized in this phase I trial to receive either IHP followed by IPI 3 mg/kg and NIVO 1 mg/kg (IPI3/NIVO1) for four cycles (post -operative arm), or one cycle of preoperative IPI3/NIVO1, IHP and then three cycles of IPI3/NIVO1 (pre-post-operative arm), followed by maintenance therapy with NIVO 480 mg for 1 year.Results:Eighteen patients were enrolled and randomized. Three patients did not undergo IHP as planned. In total, 11/ 18 patients (6 in the post -operative arm and 5 in the pre-post-operative arm) did not complete the planned four cycles of IPI3/NIVO1. Toxicity to IHP was similar in both groups, but the number of immune-related adverse events (AEs) was higher in the pre-post-operative arm. Among assessable patients, overall response rate was 57% in the post -operative arm (4/7) and 22% in the pre-post-operative arm (2/9).Conclusions:Combination therapy with IHP and IPI3/NIVO1 was associated with severe AEs. The efficacy of this combination is encouraging with high response rates. One cycle of preoperative IPI/NIVO before IHP did not show potential benefits in terms of safety or efficacy.
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- Elmqvist, T, et al.
(author)
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Stadens ekosystem lever av andra ekosystem
- 2002
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In: Miljöforskning : Formas tidning för ett uthålligt samhälle. - 1650-4925. ; :1, s. 12-14
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Journal article (other academic/artistic)
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- Erling, Ann, 1963, et al.
(author)
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A new self-assessment questionnaire to measure well-being in children, particularly those of short stature
- 1994
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In: Quality of Life Research. - 0962-9343. ; 3:6, s. 449-455
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Journal article (peer-reviewed)abstract
- The impact of short stature on children is commonly assessed in terms of psychosocial consequences. Proxy respondents and formal behavioural performance tests constitute standard methods in the evaluation of growth hormone therapy in children of short stature. Therefore, a self-administered, short and simple adjective check-list was developed and tested on 342 children of both sexes, aged 9–13 years. Six dimensions covering alertness, self-esteem, mood, elation, stability and vitality were derived after factor analysis. High internal consistency reliability was found for all dimensions. Modest correlations with height, reaching statistical significance for alertness, mood and vitality, were observed. Girls described themselves as having lower self-esteem and vitality than boys, while boys had lower scores for elation. It was concluded that the measure was relevant and potentially useful in children with short stature.
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- Gustafson, Joakim, et al.
(author)
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The NICE fairy-tale game system
- 2004
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In: Proceedings of the 5th SIGdial Workshop on Discourse and Dialogue at HLT-NAACL 2004. - Boston.
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Conference paper (peer-reviewed)
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- Lenoir, L, et al.
(author)
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Bottom-up or top-down control in forest soil microcosms? Effects of soil fauna on fungal biomass and C/N mineralisation
- 2007
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In: Biology and Fertility of Soils. - : Springer Science and Business Media LLC. - 0178-2762 .- 1432-0789. ; 43:3, s. 281-294
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Journal article (peer-reviewed)abstract
- A major question in soil ecology is whether soil food webs are regulated by resources or by predators, i.e. bottom-up (donor) or top-down controlled. We tested the hypothesis that meso- and macrofaunal soil predators can regulate fungivore populations and, thereby cause a top-down cascade effect on fungal biomass and decomposition/mineralisation processes in boreal forest soils. The study was performed as a microcosm experiment with two contrasting soils (humus layers), one poor and one rich in N, and with different combinations of fungivore and predator soil fauna added to "defaunated" soil. In comparison with control microcosms lacking mesofauna (but with nematodes and protozoans), the presence of a diverse Collembola and Oribatida fungivore community significantly reduced the FDA-active fungal biomass or tended to reduce the ergosterol fraction of the fungal biomass in the N-poor humus, but no clear effect could be detected in the N-rich humus. Fungivores as well as fungivores plus predators (a predator community consisting of gamasids, spiders and beetles or a subset thereof) reduced C mineralisation and increased net N mineralisation in both soils. The presence of predators (particularly gamasid mites) reduced collembolan numbers and alleviated the negative effect of fungivores on fungal biomass in the N-poor soil. In the N-rich soil, the presence of predators increased fungal biomass (ergosterol) in relation to the "defaunated" soil. Therefore, a top-down trophic cascade could be detected in the N-poor humus but not in the N-rich humus. Our results suggest that the degree of top-down control in soil fauna communities depends on resource quality and soil fertility.
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