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NEJM This Week: DOACs in atrial fibrillation, orexin-2 agonists and gene therapy results

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NEJM This Week, published on October 17, 2026, surveys new studies spanning anticoagulation, sleep medicine, cancer immunotherapy, gene therapy, genomics and public health. A Korean randomized trial found direct oral anticoagulants superior to no anticoagulation on a 24-month composite endpoint in atrial fibrillation patients with a single stroke risk factor, though the small sample may overstate the effect. Orexin-2 receptor agonists met their endpoints in two phase 3 trials for type 1 narcolepsy. Lentiviral gene therapy for Wiskott-Aldrich syndrome showed 96% overall survival at 5.7 years of follow-up. Additional findings across the surveyed fields are discussed in the accompanying expert commentary. Full trial details and longer-term data remain open questions for the individual studies.

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Oct 10
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    NEJM This Week covers DOACs in atrial fibrillation, orexin-2 agonist phase 3 trials and gene therapies

    NEJM This Week surveys studies across anticoagulation, sleep medicine, cancer immunotherapy, gene therapy, genomics and public health. A Korean randomized trial found DOACs superior to no anticoagulation on a 24-month composite endpoint in atrial fibrillation patients with a single stroke risk factor, though the small sample may overstate the effect. Orexin-2 receptor agonists met endpoints in two phase 3 trials for type 1 narcolepsy, and lentiviral gene therapy for Wiskott-Aldrich syndrome showed 96% overall survival at 5.7 years of follow-up.

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