{ "questions": [ { "body": "Which 2 medications are included in the Qsymia pill?", "documents": [ "http://www.ncbi.nlm.nih.gov/pubmed/23590816", "http://www.ncbi.nlm.nih.gov/pubmed/23531960", "http://www.ncbi.nlm.nih.gov/pubmed/24222976", "http://www.ncbi.nlm.nih.gov/pubmed/23565717", "http://www.ncbi.nlm.nih.gov/pubmed/25826792", "http://www.ncbi.nlm.nih.gov/pubmed/25661549", "http://www.ncbi.nlm.nih.gov/pubmed/23039320", "http://www.ncbi.nlm.nih.gov/pubmed/26313898", "http://www.ncbi.nlm.nih.gov/pubmed/24991373", "http://www.ncbi.nlm.nih.gov/pubmed/23625271", "http://www.ncbi.nlm.nih.gov/pubmed/24986038" ], "triples": [ { "p": "http://www.w3.org/2008/05/skos-xl#altLabel", "s": "http://linkedlifedata.com/resource/umls/id/C0013227", "o": "http://linkedlifedata.com/resource/umls/label/A18591068" }, { "p": "http://www.w3.org/2008/05/skos-xl#literalForm", "s": "http://linkedlifedata.com/resource/umls/label/A18591068", "o": "pharmaceutical preparations" }, { "p": "http://www.w3.org/2000/01/rdf-schema#label", "s": "http://linkedlifedata.com/resource/umls/id/C0025118", "o": "medicine" }, { "p": "http://www.w3.org/2008/05/skos-xl#altLabel", "s": "http://linkedlifedata.com/resource/umls/id/C0013227", "o": "http://linkedlifedata.com/resource/umls/label/A18628198" }, { "p": "http://www.w3.org/2008/05/skos-xl#literalForm", "s": "http://linkedlifedata.com/resource/umls/label/A18628198", "o": "pharmaceutical preparation" }, { "p": "http://www.w3.org/2008/05/skos-xl#altLabel", "s": "http://linkedlifedata.com/resource/umls/id/C0013227", "o": "http://linkedlifedata.com/resource/umls/label/A18683808" }, { "p": "http://www.w3.org/2008/05/skos-xl#literalForm", "s": "http://linkedlifedata.com/resource/umls/label/A18683808", "o": "medications" }, { "p": "http://www.w3.org/2000/01/rdf-schema#label", "s": "http://linkedlifedata.com/resource/umls/id/C0013227", "o": "drug" } ], "ideal_answer": [ "Qsymia pill includes phentermine and topiramate. It is used for treatment of obesity." ], "exact_answer": [ [ "phentermine" ], [ "topiramate" ] ], "type": "list", "id": "589a246c78275d0c4a000032", "snippets": [ { "offsetInBeginSection": 235, "offsetInEndSection": 397, "text": "OBJECTIVE: To quantify the incremental cost-effectiveness of Qsymia (phentermine and topiramate extended-release) for health-related quality of life improvements.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/24986038", "endSection": "abstract" }, { "offsetInBeginSection": 807, "offsetInEndSection": 1002, "text": "The intervention was diet and lifestyle advice plus the recommended dose of Qsymia (phentermine 7.5\u00a0mg plus topiramate 46.0\u00a0mg) vs. control, which included diet and lifestyle advice plus placebo.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/24986038", "endSection": "abstract" }, { "offsetInBeginSection": 449, "offsetInEndSection": 698, "text": "These include combinations (at low dose) of existing drugs, e.g., bupropion + naltrexone (Contrave), phentermine + topiramate (Qsymia), higher doses of existing drugs licensed for other indications (liraglutide, 3 mg), and new entities (lorcaserin).", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/25661549", "endSection": "abstract" }, { "offsetInBeginSection": 593, "offsetInEndSection": 960, "text": "RECENT FINDINGS: Two new antiobesity drugs - naltrexone/bupropion (Contrave) and liraglutide (Saxenda) - were approved by the US Food and Drug Administration in 2014 and join four other approved obesity medications, including phentermine/topiramate XR (Qsymia) and lorcaserin (Belviq), to form the largest number of medications available for the treatment of obesity.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26313898", "endSection": "abstract" }, { "offsetInBeginSection": 769, "offsetInEndSection": 982, "text": "Adding to the current available pharmacotherapies for obesity, the Food and Drug Administration has recently approved 2 new combination medications known as lorcaserin (Belviq) and phentermine-topiramate (Qsymia).", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/23531960", "endSection": "abstract" }, { "offsetInBeginSection": 0, "offsetInEndSection": 326, "text": "After a long period of failure in development, two new medications (phentermine/topiramate ER - Qsymia\u2122 and lorcaserin - Belviq\u00ae) have been approved by the US Food and Drug Administration for long-term weight management in persons with obesity (BMI \u2265 30 kg/m(2)) or in overweight persons (BMI \u2265 27 kg/m(2)) with comorbidities.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/23625271", "endSection": "abstract" }, { "offsetInBeginSection": 758, "offsetInEndSection": 952, "text": "The intervention was diet and lifestyle advice plus the recommended dose of Qsymia (phentermine 7.5\u00a0mg plus topiramate 46.0\u00a0mg) vs. control, which included diet and lifestyle advice plus placebo", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/24986038", "endSection": "abstract" }, { "offsetInBeginSection": 494, "offsetInEndSection": 924, "text": "Current antiobesity medications and pharmacological strategies will be reviewed.Two new antiobesity drugs - naltrexone/bupropion (Contrave) and liraglutide (Saxenda) - were approved by the US Food and Drug Administration in 2014 and join four other approved obesity medications, including phentermine/topiramate XR (Qsymia) and lorcaserin (Belviq), to form the largest number of medications available for the treatment of obesity.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26313898", "endSection": "abstract" }, { "offsetInBeginSection": 631, "offsetInEndSection": 917, "text": "Almost a decade after the Food and Drug Administration approved the first weight loss medication, it recently approved two novel anti-obesity drugs Belviq (lorcaserin) and Qsymia (topiramate and phentermine), thus signalling the beginning of a new era in the pharmacotherapy of obesity.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/25826792", "endSection": "abstract" }, { "offsetInBeginSection": 392, "offsetInEndSection": 865, "text": "Obesity is a public health crisis affecting approximately more than 33% of Americans and costing the healthcare system more than $190 billion annually.To review the 2 new drugs that were recently approved by the US Food and Drug Administration (FDA) for the treatment of obesity, lorcaserin HCl (Belviq) and phentermine/topiramate (Qsymia) and their potential impact on the treatment of obese patients.Lifestyle modification is the first and mainstay treatment for obesity.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/24991373", "endSection": "abstract" }, { "offsetInBeginSection": 774, "offsetInEndSection": 987, "text": "Adding to the current available pharmacotherapies for obesity, the Food and Drug Administration has recently approved 2 new combination medications known as lorcaserin (Belviq) and phentermine-topiramate (Qsymia).", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/23531960", "endSection": "abstract" }, { "offsetInBeginSection": 575, "offsetInEndSection": 925, "text": "Two new antiobesity drugs - naltrexone/bupropion (Contrave) and liraglutide (Saxenda) - were approved by the US Food and Drug Administration in 2014 and join four other approved obesity medications, including phentermine/topiramate XR (Qsymia) and lorcaserin (Belviq), to form the largest number of medications available for the treatment of obesity.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26313898", "endSection": "abstract" }, { "offsetInBeginSection": 544, "offsetInEndSection": 795, "text": "To review the 2 new drugs that were recently approved by the US Food and Drug Administration (FDA) for the treatment of obesity, lorcaserin HCl (Belviq) and phentermine/topiramate (Qsymia) and their potential impact on the treatment of obese patients.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/24991373", "endSection": "abstract" } ] }, { "body": "Is sonidegib effective for basal cell carcinoma?", "documents": [ "http://www.ncbi.nlm.nih.gov/pubmed/26867946", "http://www.ncbi.nlm.nih.gov/pubmed/27189494", "http://www.ncbi.nlm.nih.gov/pubmed/27636236", "http://www.ncbi.nlm.nih.gov/pubmed/26566923", "http://www.ncbi.nlm.nih.gov/pubmed/26780190", "http://www.ncbi.nlm.nih.gov/pubmed/26546616", "http://www.ncbi.nlm.nih.gov/pubmed/27695345", "http://www.ncbi.nlm.nih.gov/pubmed/25981810", "http://www.ncbi.nlm.nih.gov/pubmed/27538055", "http://www.ncbi.nlm.nih.gov/pubmed/26833519", "http://www.ncbi.nlm.nih.gov/pubmed/26323341", "http://www.ncbi.nlm.nih.gov/pubmed/24523439", "http://www.ncbi.nlm.nih.gov/pubmed/27511905", "http://www.ncbi.nlm.nih.gov/pubmed/24773312", "http://www.ncbi.nlm.nih.gov/pubmed/25646180", "http://www.ncbi.nlm.nih.gov/pubmed/27067394", "http://www.ncbi.nlm.nih.gov/pubmed/27096888", "http://www.ncbi.nlm.nih.gov/pubmed/26614022", "http://www.ncbi.nlm.nih.gov/pubmed/27376162" ], "triples": [ { "p": "http://www.w3.org/2008/05/skos-xl#altLabel", "s": "http://linkedlifedata.com/resource/umls/id/C0007117", "o": "http://linkedlifedata.com/resource/umls/label/A18627521" }, { "p": "http://www.w3.org/2008/05/skos-xl#literalForm", "s": "http://linkedlifedata.com/resource/umls/label/A18627521", "o": "basal cell carcinomas" }, { "p": "http://www.w3.org/2008/05/skos-xl#altLabel", "s": "http://linkedlifedata.com/resource/umls/id/C0007117", "o": "http://linkedlifedata.com/resource/umls/label/A0474410" }, { "p": "http://www.w3.org/2008/05/skos-xl#literalForm", "s": "http://linkedlifedata.com/resource/umls/label/A0474410", "o": "basal cell carcinoma" }, { "p": "http://www.w3.org/2000/01/rdf-schema#label", "s": "http://linkedlifedata.com/resource/umls/id/C0007117", "o": "BCC" } ], "ideal_answer": [ "Yes. Sonidegib, an oral smoothened antagonist, is indicated for the treatment of adults with locally advanced basal cell carcinoma (laBCC) who are not candidates for surgery or radiation therapy, or adults with recurrent laBCC following surgery or radiation therapy." ], "exact_answer": "yes", "concepts": [ "https://www.nlm.nih.gov/cgi/mesh/2017/MB_cgi?field=uid&exact=Find+Exact+Term&term=D002280", "http://www.disease-ontology.org/api/metadata/DOID:2513" ], "type": "yesno", "id": "589a246f78275d0c4a000034", "snippets": [ { "offsetInBeginSection": 253, "offsetInEndSection": 556, "text": "This review of the literature aims to describe previous and current treatment options for oral therapy in locally advanced and metastatic NMSC otherwise unamenable to standard treatment. Oral Smoothened (Smo) inhibitors Vismodegib, Sonidegib, and Taladegib have shown to be effective in several trials. ", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26566923", "endSection": "abstract" }, { "offsetInBeginSection": 589, "offsetInEndSection": 745, "text": "Sonidegib is a new smoothened inhibitor currently under investigation for treatment of laBCC, which demonstrates a comparable safety profile to vismodegib. ", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26780190", "endSection": "abstract" }, { "offsetInBeginSection": 881, "offsetInEndSection": 1067, "text": "The recent development of novel hedgehog pathway inhibitors for high-risk BCC (including oral vismodegib and sonidegib) may represent a paradigm shift towards medical management of NMSC.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26833519", "endSection": "abstract" }, { "offsetInBeginSection": 0, "offsetInEndSection": 278, "text": "Sonidegib (Odomzo\u00ae), an oral smoothened (SMO) antagonist, is indicated for the treatment of adults with locally advanced basal cell carcinoma (laBCC) who are not candidates for surgery or radiation therapy, or adults with recurrent laBCC following surgery or radiation therapy. ", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26867946", "endSection": "abstract" }, { "offsetInBeginSection": 1290, "offsetInEndSection": 1620, "text": "The acceptable benefit-risk profile of sonidegib, along with a paucity of treatment options and the seriousness of the condition, makes sonidegib an emerging option for the treatment of adults with laBCC that has recurred following surgery or radiation therapy, or in those who are not candidates for surgery or radiation therapy.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26867946", "endSection": "abstract" }, { "offsetInBeginSection": 0, "offsetInEndSection": 59, "text": "Sonidegib phosphate: new approval for basal cell carcinoma.", "beginSection": "title", "document": "http://www.ncbi.nlm.nih.gov/pubmed/27376162", "endSection": "title" }, { "offsetInBeginSection": 0, "offsetInEndSection": 91, "text": "Sonidegib, a novel smoothened inhibitor for the treatment of advanced basal cell carcinoma.", "beginSection": "title", "document": "http://www.ncbi.nlm.nih.gov/pubmed/27695345", "endSection": "title" }, { "offsetInBeginSection": 2322, "offsetInEndSection": 2734, "text": "Serious adverse events occurred in 11 (14%) of 79 patients in the 200 mg group and 45 (30%) of 150 patients in the 800 mg group.The benefit-to-risk profile of 200 mg sonidegib might offer a new treatment option for patients with advanced basal cell carcinoma, a population that is difficult to treat.Novartis Pharmaceuticals Corporation.Copyright \u00a9 2015 Elsevier Ltd. All rights reserved.Copyright \u00a9 2015 Elsevier Ltd. All rights reserved.5' exoribonucleases that plays a key role in the processing and degradation of a wide variety of RNA substrates", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/16939780", "endSection": "abstract" }, { "offsetInBeginSection": 4, "offsetInEndSection": 93, "text": "RNA exosome is responsible for a wide variety of RNA processing and degradation reactions", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/23143101", "endSection": "abstract" }, { "offsetInBeginSection": 291, "offsetInEndSection": 543, "text": "ability of exosomes to carry and selectively deliver bioactive molecules (e.g., lipids, proteins, and nucleic acids) confers on them the capacity to modulate the activity of receptor cells, even if these cells are located in distant tissues or organs. ", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/27583248", "endSection": "abstract" }, { "offsetInBeginSection": 1655, "offsetInEndSection": 1759, "text": "Our data show that NKG2D is a likely physiological target for exosome-mediated immune evasion in cancer.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/18490724", "endSection": "abstract" }, { "offsetInBeginSection": 17, "offsetInEndSection": 126, "text": "Exosomes, a key component of cell paracrine secretion, can exert protective effects in various disease models", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26794715", "endSection": "abstract" }, { "offsetInBeginSection": 360, "offsetInEndSection": 568, "text": "Exosome secretion participates in the eradication of obsolete proteins but several findings, essentially in the immune system, indicate that exosomes constitute a potential mode of intercellular communication", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/16877764", "endSection": "abstract" }, { "offsetInBeginSection": 140, "offsetInEndSection": 413, "text": "Exosomes, nano-sized extracellular vesicles, are believed to play important roles in intercellular communications. This study demonstrates that exosomes released from human macrophages negatively regulate endothelial cell migration through control of integrin trafficking. ", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/24338844", "endSection": "abstract" }, { "offsetInBeginSection": 1342, "offsetInEndSection": 1551, "text": "We found that the majority of extracellular vesicles in the AH were in the exosome size range, suggesting that miRNAs housed within exosomes may function in communication between AH inflow and outflow tissues.", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/25619138", "endSection": "abstract" }, { "offsetInBeginSection": 1, "offsetInEndSection": 70, "text": "umor cell-derived exosomes (TEX) suppress functions of immune cells. ", "beginSection": "abstract", "document": "http://www.ncbi.nlm.nih.gov/pubmed/26842680", "endSection": "abstract" } ] } ] }