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Today's Healthcare Pulse

FDA greenlights durvalumab combo for high‑risk bladder cancer

The FDA approved durvalumab (Imfinzi) combined with Bacillus Calmette‑Guerin for BCG‑naïve, high‑risk non‑muscle invasive bladder cancer. The POTOMAC trial enrolled 1,018 patients and showed a 32% reduction in disease recurrence risk (hazard ratio 0.68, p=0.015). Durvalumab is given at 1,500 mg IV every four weeks for up to 13 cycles.

Can You Exercise TOO Much With Rheumatoid Arthritis?
PodcastApr 9, 20260 min

Can You Exercise TOO Much With Rheumatoid Arthritis?

In this episode the host challenges the long‑standing rheumatology belief that people with rheumatoid arthritis (RA) must only engage in gentle exercise. By featuring ultra‑runner Natalie Tao—who completed a 700‑km ultramarathon despite having RA—the show illustrates how, with proper progression,...

By The Rheumatology Physio
Simple Ideas Spark Surprising Breakthroughs in Healthcare
SocialApr 9, 2026

Simple Ideas Spark Surprising Breakthroughs in Healthcare

Every now and then, remarkable breakthroughs come with a dash of ‘why didn’t I think of that?’ ingenuity. From reimagined everyday objects to solutions inspired by the natural world, these innovations prove that effective healthcare doesn’t always need to be...

By Bertalan Meskó, PhD
FDA Guidance May Move Goalposts For Form 483 Responses
NewsApr 9, 2026

FDA Guidance May Move Goalposts For Form 483 Responses

The FDA released draft guidance that reshapes how drug manufacturers respond to Form 483 inspection observations. The guidance introduces a standardized framework for documenting, assessing and correcting systemic quality issues. While the clearer process aims to improve regulatory consistency, it...

By Cooley
FUCHS Highlights NYEMED 7477 Grease for Medical Devices
NewsApr 9, 2026

FUCHS Highlights NYEMED 7477 Grease for Medical Devices

FUCHS Lubricants Co. is promoting its NYEMED 7477 high‑performance grease, engineered for the demanding conditions of medical devices. The lubricant maintains mechanical stability across a temperature span of –50 °C to 250 °C and endures repeated sterilization cycles without loss of performance. Its...

By Medical Design & Outsourcing
Anumana Secures the US FDA 510(k) Clearance for Its ECG-AI Algorithm to Detect Risk of Cardiac Amyloidosis Early
NewsApr 9, 2026

Anumana Secures the US FDA 510(k) Clearance for Its ECG-AI Algorithm to Detect Risk of Cardiac Amyloidosis Early

Anumana has received FDA 510(k) clearance for its ECG‑AI algorithm, a software‑as‑a‑medical‑device that screens for cardiac amyloidosis using routine 12‑lead electrocardiograms. The AI model, originally developed at the Mayo Clinic, identifies subtle waveform patterns invisible to clinicians, enabling early risk...

By PharmaShots
Start Up No.2648: Meta and Anthropic Shake up AI and Cybersecurity, Iran Demands Crypto for Hormuz, GLP-1 Genetics, and More
BlogApr 9, 2026

Start Up No.2648: Meta and Anthropic Shake up AI and Cybersecurity, Iran Demands Crypto for Hormuz, GLP-1 Genetics, and More

Meta re‑enters the generative‑AI race with Muse Spark, a multimodal model now embedded in its AI app and slated for WhatsApp, Instagram and upcoming smart‑glasses. Anthropic unveiled Mythos, a model that has already uncovered thousands of critical vulnerabilities, prompting the...

By The Overspill
'Mini-Brain' Model Explores Concussion's Effects at Cellular Level
NewsApr 9, 2026

'Mini-Brain' Model Explores Concussion's Effects at Cellular Level

University of Cincinnati biomedical engineer Volha Liaudanskaya is using engineered "mini‑brains" to study how concussive forces affect brain cells at the cellular level. The assembloid model combines five cell types—including neurons, astrocytes, microglia and two vascular cells—allowing simultaneous tracking of...

By Bio-IT World
Virica Biotech and FUJIFILM Biosciences Collaborate Under the Canada-Japan Co-Innovation Program to Advance AAV Production Enhancers
NewsApr 9, 2026

Virica Biotech and FUJIFILM Biosciences Collaborate Under the Canada-Japan Co-Innovation Program to Advance AAV Production Enhancers

Virica Biotech secured advisory services and funding from NRC IRAP under the Canada‑Japan Co‑Innovation Program to partner with FUJIFILM Biosciences. The joint effort will optimize Virica’s Viral Sensitizer (VSE) formulation for FUJIFILM’s BalanCD® HEK293 media, aiming to boost adeno‑associated virus (AAV)...

By News-Medical.Net
Trump Demands Access to Africa’s Rare Minerals as Price to Fund Efforts to Battle AIDs
BlogApr 9, 2026

Trump Demands Access to Africa’s Rare Minerals as Price to Fund Efforts to Battle AIDs

The Trump administration’s new "America First Global Health Strategy" ties U.S. HIV aid to access for Africa’s rare minerals. Under the revised PEPFAR model, countries must sign memoranda of understanding granting U.S. firms mineral rights in exchange for funding. Zimbabwe...

By Genetic Literacy Project
STOMP—Scientists Skeptical of RFK, Jr.’s Dubious Crusade on Microplastics
BlogApr 9, 2026

STOMP—Scientists Skeptical of RFK, Jr.’s Dubious Crusade on Microplastics

The U.S. Health and Human Services Department and the EPA announced a $144 million Systematic Targeting of Microplastics (STOMP) initiative, led by Health Secretary Robert F. Kennedy Jr. and EPA head Lee Zeldin. The program will develop standardized detection methods, map microplastic presence...

By Genetic Literacy Project
#1 Neurologists: What You Can Do to Prevent Alzheimer's & Dementia
PodcastApr 9, 20261h 29m

#1 Neurologists: What You Can Do to Prevent Alzheimer's & Dementia

In this episode, Mel Robbins talks with neurologists Dr. Aisha Shirzai and Dr. Dean Shirzai about how lifestyle choices can dramatically reduce the risk of Alzheimer’s disease and other dementias. They explain that brain health is shaped by daily habits—not...

By The Mel Robbins Podcast
Reducing Relapse in Children After Recovery From Severe Acute Malnutrition in Mali: Participatory Development of a Theory of Change for...
NewsApr 9, 2026

Reducing Relapse in Children After Recovery From Severe Acute Malnutrition in Mali: Participatory Development of a Theory of Change for...

Researchers in Mali built a theory of change to curb the high relapse rate among children recovering from severe acute malnutrition. They pinpointed three direct drivers—insufficient initial treatment, poor post‑discharge diet, and frequent illness with low care‑seeking. The proposed solution...

By Frontiers in Nutrition
Effects of Sodium Bicarbonate, Cholecalciferol, and Protein Supplementation Interventions on Muscle Mass and Metabolic Disturbances in Patients with Chronic Kidney...
NewsApr 9, 2026

Effects of Sodium Bicarbonate, Cholecalciferol, and Protein Supplementation Interventions on Muscle Mass and Metabolic Disturbances in Patients with Chronic Kidney...

A systematic review and network meta‑analysis of 22 trials involving 2,879 chronic kidney disease (CKD) patients compared sodium bicarbonate, cholecalciferol (vitamin D3) and protein supplementation. The analysis found cholecalciferol significantly increased muscle mass, sodium bicarbonate most effectively raised serum albumin, and...

By Frontiers in Nutrition
Molecular Hydrogen as a Treatment for Chronic Fatigue Syndrome
BlogApr 9, 2026

Molecular Hydrogen as a Treatment for Chronic Fatigue Syndrome

Molecular hydrogen is emerging as a potential therapy for chronic fatigue syndrome (ME/CFS) by protecting mitochondria from oxidative damage and restoring cellular energy production. Pre‑clinical and early‑stage human trials show hydrogen‑rich water and inhalation improve endurance, lower blood lactate, and...

By Dr. Mercola's Censored Library (Private Membership)
Regenerative Medicine Needs Data Over Hype
SocialApr 9, 2026

Regenerative Medicine Needs Data Over Hype

I recently had the opportunity to sit down with Scott Carney for a wide-ranging conversation on regenerative medicine, stem cells, peptides, and the growing gap between scientific promise and clinical reality. In the conversation, we dig into: – Why stem cell therapies...

By Matt Kaeberlein, PhD
Study Reveals Lung-Brain Link Between Smoking and Neurodegeneration
NewsApr 9, 2026

Study Reveals Lung-Brain Link Between Smoking and Neurodegeneration

A University of Chicago team published a study in Science Advances revealing a previously unknown lung‑brain axis that links nicotine exposure to neurodegeneration. The researchers showed that pulmonary neuroendocrine cells (PNECs) release exosomes rich in serotransferrin when stimulated by nicotine,...

By News-Medical.Net
Interview with a Concerned, Australian Midwife.
PodcastApr 9, 20260 min

Interview with a Concerned, Australian Midwife.

In this candid interview, an anonymous Australian midwife with 27 years of experience describes a disturbing rise in postpartum hemorrhage cases since mid‑2023, noting massive blood loss, clots the size of tennis balls, and frequent emergency surgeries. She links the...

By Cafe Locked Out
RFK Jr. Amends ACIP’s Charter In Attempt To Exert More Control Over Panel Members
NewsApr 9, 2026

RFK Jr. Amends ACIP’s Charter In Attempt To Exert More Control Over Panel Members

Robert F. Kennedy Jr., after a federal court issued a preliminary injunction blocking his vaccine schedule changes, has amended the Advisory Committee on Immunization Practices (ACIP) charter to expand his authority over member selection. The revised charter swaps language from...

By Techdirt
Highest Healthcare Spending, Yet US Life Expectancy Lags
SocialApr 9, 2026

Highest Healthcare Spending, Yet US Life Expectancy Lags

The US spends more on healthcare than any country on earth. The national average life expectancy is 77.5. Mississippi is 72.6. Source: Visual Capitalist https://www.visualcapitalist.com/mapped-us-life-expectancy-by-state/

By Geopolitical Guy
This “Rotten Egg” Brain Gas Could Be the Key to Fighting Alzheimer’s Disease
NewsApr 9, 2026

This “Rotten Egg” Brain Gas Could Be the Key to Fighting Alzheimer’s Disease

Johns Hopkins researchers, funded by the NIH, identified the enzyme cystathionine γ‑lyase (CSE) as a critical source of hydrogen sulfide—a brain‑derived gas that supports memory formation. Mice lacking CSE displayed progressive spatial‑memory loss, oxidative stress, DNA damage, and blood‑brain‑barrier breakdown,...

By ScienceDaily – Neuroscience
Bipartisan Push for FDA “Pre-Review” Of DTC Drug Ads
BlogApr 9, 2026

Bipartisan Push for FDA “Pre-Review” Of DTC Drug Ads

On March 31, 2026 Senators Dick Durbin and Roger Marshall sent a bipartisan letter urging the FDA to require pre‑submission of certain direct‑to‑consumer (DTC) prescription‑drug television ads. The request builds on earlier concerns about the FDA’s limited enforcement capacity despite...

By FDA Law Blog
Korea OKs First Gen AI-Powered CXR Reporting Tool
NewsApr 9, 2026

Korea OKs First Gen AI-Powered CXR Reporting Tool

South Korea’s Ministry of Food and Drug Safety (MFDS) granted Class III approval to Soombit.ai’s AIRead‑CXR, the nation’s first generative AI‑powered software for draft chest‑X‑ray reporting. The vision‑language model was trained on more than 14 million chest X‑ray studies and can identify...

By MobiHealthNews (HIMSS Media)
AI-Enabled Smart Sensor Identifies Fatigue
NewsApr 9, 2026

AI-Enabled Smart Sensor Identifies Fatigue

Researchers at the National University of Singapore unveiled an AI‑enabled smart sensor that detects fatigue with 92% accuracy, a jump from 64% using conventional sensors. The metahydrogel‑based platform combines nanoparticle vibration damping and liquid filtering to deliver an ECG signal‑to‑noise...

By MobiHealthNews (HIMSS Media)
American Heart Association Unveils 2026 Plant‑Forward Dietary Guidance
NewsApr 9, 2026

American Heart Association Unveils 2026 Plant‑Forward Dietary Guidance

The American Heart Association released its 2026 dietary guidance, urging a plant‑forward, minimally processed eating pattern to lower cardiovascular risk. The guidance shifts focus from nutrient counting to overall diet quality and targets all ages, from children to adults.

By Pulse
Dermal Filler Recently Approved by FDA Could Skew Breast Imaging Results, Experts Warn
NewsApr 9, 2026

Dermal Filler Recently Approved by FDA Could Skew Breast Imaging Results, Experts Warn

The FDA approved Merz Aesthetics' Radiesse dermal filler for use in the décolleté area of adults 22 and older. Radiesse contains hydroxyapatite microspheres that can be visible on medical imaging, raising concerns that it may obscure breast tissue on mammograms....

By Radiology Business
Trump Budget Proposal Slashes West Virginia WIC Benefits, Sparking Outcry
NewsApr 9, 2026

Trump Budget Proposal Slashes West Virginia WIC Benefits, Sparking Outcry

The White House’s FY2027 budget request would slash West Virginia’s Women, Infants and Children (WIC) program, cutting monthly fruit and vegetable benefits for breastfeeding mothers from $54 to $13 and for children from $27 to $10. Low‑income parents and foster...

By Pulse
Metformin Raises Exercise‑Mimic Molecule Lac‑Phe in Prostate Cancer Patients
NewsApr 9, 2026

Metformin Raises Exercise‑Mimic Molecule Lac‑Phe in Prostate Cancer Patients

Researchers at the University of Miami Miller School of Medicine reported that metformin increased blood levels of N‑lactoyl‑phenylalanine (Lac‑Phe) in 29 men with prostate cancer, a molecular signal normally triggered by intense exercise. The finding positions the inexpensive diabetes drug...

By Pulse
Accenture Acquires Keepler Data Tech, Adding 240 AI Experts to Health‑Data Portfolio
NewsApr 9, 2026

Accenture Acquires Keepler Data Tech, Adding 240 AI Experts to Health‑Data Portfolio

Accenture has bought Spanish cloud‑native AI and data company Keepler Data Tech, bringing more than 240 Keepler professionals into its health‑data analytics practice. The terms were not disclosed, and Accenture’s stock fell 0.83% to $197.30 after the announcement. The deal...

By Pulse
Joint‑on‑Chip Multi‑Sensor Platforms Enable Real‑Time Disease Monitoring
NewsApr 9, 2026

Joint‑on‑Chip Multi‑Sensor Platforms Enable Real‑Time Disease Monitoring

Researchers led by Mantegazza have integrated optical, electrical, mechanical and biochemical sensors into joint‑on‑chip (JoC) platforms, moving beyond endpoint analyses to continuous, real‑time monitoring of disease dynamics. The breakthrough promises more accurate models of osteoarthritis and rheumatoid arthritis and could...

By Pulse
GLP-1 Drugs Shown to Fight Arthritis Independent of Weight Loss
NewsApr 9, 2026

GLP-1 Drugs Shown to Fight Arthritis Independent of Weight Loss

A Chinese study found that semaglutide, a GLP‑1 drug best known for diabetes and weight‑loss treatment, can halt cartilage degradation and even thicken cartilage in osteoarthritis patients, independent of weight loss. In mice, only the semaglutide‑treated group showed reduced joint...

By New Atlas – Architecture
Physicians Overpay Taxes—Learn How to Reclaim Income
SocialApr 9, 2026

Physicians Overpay Taxes—Learn How to Reclaim Income

Why physicians pay more in taxes and how to reclaim your income [PODCAST] http://dlvr.it/TRxTZR Podcast #PracticeManagement

By Kevin Pho, MD (KevinMD)
Nursing Pays $80K+ Yearly, Fuels Entrepreneurial Dreams
SocialApr 9, 2026

Nursing Pays $80K+ Yearly, Fuels Entrepreneurial Dreams

This is why nursing is a great career choice. My wife was making good money at 21. In a major city hospital, you can easily make $80,000+ on 40 hours/week (on a side note, her income was the only way I...

By Bobby Fijan
Bronchial Branch Tracing with Cone-Beam CT Tool-in-Lesion Confirmation for Peripheral Pulmonary Nodules
NewsApr 9, 2026

Bronchial Branch Tracing with Cone-Beam CT Tool-in-Lesion Confirmation for Peripheral Pulmonary Nodules

A prospective single‑center study evaluated adding cone‑beam computed tomography (CBCT) to a bronchial branch tracing and radial EBUS workflow for peripheral pulmonary nodules. CBCT‑guided re‑navigation boosted navigational yield from 75% to 90% and raised diagnostic yield to 80%, compared with...

By Research Square – News/Updates
Comparison of Axillary Lymph Node Size in Breast Cancer and Non-Cancer Female Cadavers
NewsApr 9, 2026

Comparison of Axillary Lymph Node Size in Breast Cancer and Non-Cancer Female Cadavers

A cadaveric study of 29 women—8 with prior breast cancer and 21 controls—found that axillary lymph nodes are significantly larger in the cancer group, with an average area increase of 56.7 mm² (p < 0.001). Nodes from all six anatomical chains showed the...

By Research Square – News/Updates
Long-Term Follow-Up Results of Topical Imiquimod for High-Grade Cervical Intraepithelial Neoplasia in Young Women: An Original Research
NewsApr 9, 2026

Long-Term Follow-Up Results of Topical Imiquimod for High-Grade Cervical Intraepithelial Neoplasia in Young Women: An Original Research

A retrospective single‑arm cohort studied topical imiquimod in nulliparous women under 35 with CIN 2/3 to avoid cervical excision. After eight weekly applications, 96% of lesions regressed to at least CIN 1 and 47% cleared high‑risk HPV. Long‑term follow‑up showed 81.6% complete...

By Research Square – News/Updates
Unexpected Red Blood Cell Antibodies in Transfusion Recipients: A 10-Year Retrospective Analysis of Prevalence, Specificity, and Clinical Significance
NewsApr 9, 2026

Unexpected Red Blood Cell Antibodies in Transfusion Recipients: A 10-Year Retrospective Analysis of Prevalence, Specificity, and Clinical Significance

Researchers analyzed 44,830 Chinese transfusion recipients over ten years, finding that 0.46% harbored unexpected red blood cell antibodies and 0.39% were alloimmunized. Rh system antibodies dominated (58.3%), with anti‑E, anti‑M and anti‑D as the most frequent specificities, while anti‑K was...

By Research Square – News/Updates
Impact of Perioperative Multimodal Blood Management of Bone Tumors of Hip on Early Postoperative Functional Recovery: A Retrospective Cohort Study
NewsApr 9, 2026

Impact of Perioperative Multimodal Blood Management of Bone Tumors of Hip on Early Postoperative Functional Recovery: A Retrospective Cohort Study

A retrospective cohort of 38 hip bone tumor patients compared a peri‑operative multimodal blood‑management protocol—erythropoietin, iron supplements, and restrictive transfusion—to standard care. The multimodal group (n=14) entered surgery with lower hemoglobin and longer operative times but showed significantly higher FACIT‑Fatigue...

By Research Square – News/Updates
OCR Releases Risk Management Video
NewsApr 9, 2026

OCR Releases Risk Management Video

The U.S. Department of Health and Human Services Office for Civil Rights (OCR) has released a new video that explains the HIPAA Security Rule’s risk‑management requirement. The presentation, led by senior cybersecurity advisor Nicholas Heesters, expands OCR’s earlier Risk Analysis...

By DataBreaches.net
Survey Finds New US Dietary Guidelines Could Raise Grocery Bills 32% for Many Americans
NewsApr 9, 2026

Survey Finds New US Dietary Guidelines Could Raise Grocery Bills 32% for Many Americans

A Numerator survey of over 2,000 shoppers reveals that the federal government's new 'Real Food' dietary guidelines would lift grocery expenses by 32%—about $1,012 per person each year. Half of respondents say cost is the main barrier to following the...

By Pulse
GLP‑1 Drugs Cut Heart Events 20% as Health Systems Scramble to Adapt
NewsApr 9, 2026

GLP‑1 Drugs Cut Heart Events 20% as Health Systems Scramble to Adapt

Researchers and clinics in the UAE and the UK report that GLP‑1 medicines such as Wegovy and semaglutide reduce serious cardiovascular events by roughly 20%, while U.S. endocrinologists warn that health systems are unprepared for the surge in demand and...

By Pulse
Engineered Bacteria Consume Tumor Core, Overcoming Drug Barriers
SocialApr 9, 2026

Engineered Bacteria Consume Tumor Core, Overcoming Drug Barriers

JUST IN: Scientists built bacteria that EATS cancer from the inside out. The future of cancer treatment isn't a drug. It's a living organism that devours tumors from the inside. Here's how it works: Solid tumors have a dead center. No oxygen. No...

By Andrew Lokenauth (The Finance Newsletter)
Aging Biology Targets Key to Better Stroke Outcomes
SocialApr 9, 2026

Aging Biology Targets Key to Better Stroke Outcomes

Targeting the Biology of Aging in Cerebrovascular Disease: Inflammation, Metabolism, Senescence, and Regeneration 🔎Addressing age-specific pathophysiology will be critical for improving outcomes in cerebrovascular diseases in the aging population... https://t.co/DuScTnSIh5 https://t.co/Irok29jqMx

By David Barzilai, MD PhD
Daily Briefing: A Treatment to Reverse Cellular Ageing Is About to Be Tested in People
NewsApr 9, 2026

Daily Briefing: A Treatment to Reverse Cellular Ageing Is About to Be Tested in People

Researchers are preparing the first human trial of a "partial reprogramming" therapy that uses targeted protein expression to reverse cellular ageing. The approach, derived from stem‑cell reprogramming techniques, has shown organ‑level rejuvenation in mice and could, if safe, reshape how...

By Nature – Health Policy
Cearvol Nano OTC Aids Amplify Sound Anywhere
SocialApr 9, 2026

Cearvol Nano OTC Aids Amplify Sound Anywhere

Wish you could hear everything around you, whether you're at a noisy restaurant or just watching TV at home? I check out the Cearvol Nano OTC Hearing Aids in various locations and find it's a great way to turn up...

By Dave Taylor
SIRT6 Gene Therapy Remains Safe, Effective in Aged Beagles
SocialApr 9, 2026

SIRT6 Gene Therapy Remains Safe, Effective in Aged Beagles

Genflow sees sustained safety and efficacy in SIRT6 beagle trial 🐶 “Genflow Biosciences reported that three-month follow-up data from its SLAB trial in aged beagles show sustained safety and efficacy of its SIRT6 centenarian gene therapy, with no adverse events and...

By David Barzilai, MD PhD
One Woman, Three Autoimmune Diseases: CAR-T Therapy Vanquishes Ultra-Rare Disease Trio
NewsApr 9, 2026

One Woman, Three Autoimmune Diseases: CAR-T Therapy Vanquishes Ultra-Rare Disease Trio

German researchers used a single dose of engineered CAR‑T cells to treat a 47‑year‑old woman suffering from three ultra‑rare autoimmune diseases—autoimmune haemolytic anaemia, immune thrombocytopenia, and antiphospholipid syndrome. After previous failures with steroids and nine other therapies, her own T...

By Nature – Health Policy
The Cognitive Benefits of Nitrate in Patients with Alcohol Use Disorder: Unraveling the Oral Microbiome Ectopic Colonization Pathway
NewsApr 9, 2026

The Cognitive Benefits of Nitrate in Patients with Alcohol Use Disorder: Unraveling the Oral Microbiome Ectopic Colonization Pathway

A 2025 clinical trial found that dietary nitrate supplementation improves cognitive performance in patients with alcohol use disorder (AUD). The benefit was traced to a reshaping of the oral microbiome, which increased nitrate‑reducing bacteria and limited ectopic colonization of oral...

By Nature (Biotechnology)
Statins for Seniors: Benefits vs Diabetes, Alzheimer Risks
SocialApr 8, 2026

Statins for Seniors: Benefits vs Diabetes, Alzheimer Risks

Should older adults use statins for heart health? Do statins increase the risk of diabetes and Alzheimer's Disease? Dr. Gregory Charlop shares the results of an important new health study. www.buckheadlongevity.com/blog/should-older-adults-use-statins-a-top-atlanta-longevity-doctor-answers

By Gregory Charlop, MD
Nxera Pharma Achieves Second Development Milestone in Collaboration with Eli Lilly Targeting Metabolic Diseases
NewsApr 8, 2026

Nxera Pharma Achieves Second Development Milestone in Collaboration with Eli Lilly Targeting Metabolic Diseases

Nxera Pharma announced it has reached a second development milestone in its multi‑target collaboration with Eli Lilly, triggering an undisclosed payment. The achievement validates Nxera’s NxWave™ GPCR structure‑based platform for identifying small‑molecule binders. Under the 2022 agreement, Lilly will now lead...

By The Manila Times – Business