A.P.J. D. V.
- Country
- The Netherlands
- Department
- Internal medicine, nephrology
Research Overview
- Evaluation of Standard Immunosuppression with Tacrolimus and Mycophenolate Mofetil Versus Low-Dose Tacrolimus and Everolimus in Elderly De Novo Renal Transplant Recipients
- BE-MOBILYZED: BElimumab to MOBIlise memory B-cells from secondary LYmhoid organs to improve memory B-cell HLA-specificity profiling to support delisting for transplant access in highly-sensitiZED.
Data & Insights
Has run more than one trial at 1 of 7 partner sites.
Specializations
Kidney Transplantation and Renal Medicine
This investigator demonstrates significant expertise in kidney transplantation and the management of complications associated with end-stage chronic kidney disease. A primary focus involves addressing ischemia reperfusion injury in deceased donor kidney transplantation, particularly through the use of exogenous alkaline phosphatase to prevent delayed graft function. The work extends to highly specialized patient populations, including highly sensitised kidney transplant patients awaiting transplantation, where innovative approaches using imlifidase are explored to overcome immunological barriers by temporarily removing antibodies against donor kidneys.
- Prevention of delayed graft function in kidney transplantation
- Management of highly sensitised transplant recipients
- Donation after circulatory death kidney transplantation
- Acute kidney injury prevention strategies
The research addresses critical challenges in graft survival and immunological compatibility, with particular attention to optimizing outcomes in patients with complex antibody profiles and those receiving kidneys from donation after circulatory death donors.
Oncology and Immunotherapy
The investigator's oncological research encompasses a broad spectrum of solid tumors and hematological malignancies, with emphasis on advanced therapeutic strategies combining immunotherapy and targeted treatments. Significant involvement includes studies on non-small cell lung cancer, particularly in patients with EGFR mutations, exploring extended dosing intervals of osimertinib. The work extends to melanoma, investigating ipilimumab and nivolumab combinations in both neoadjuvant and adjuvant settings, with focus on optimizing treatment duration and response assessment.
- Checkpoint inhibitor therapy in melanoma and lung cancer
- HER2-targeted therapies in esophageal adenocarcinoma
- IDH mutation-targeted treatments in chondrosarcoma and acute myeloid leukemia
- Novel antibody-drug conjugates in HER3-positive solid tumors
Additional areas include muscle invasive bladder cancer with bladder-sparing approaches combining chemoradiation with immunotherapy, head and neck squamous cell carcinoma with modified cisplatin dosing strategies, and metastatic pancreatic ductal adenocarcinoma exploring optimal timing of chemotherapy initiation and novel combination therapies.
Hematology and Leukemia
This investigator contributes to advancing treatment paradigms in acute myeloid leukemia and myelodysplastic syndrome, with particular focus on molecularly defined patient subgroups. The research investigates IDH1 and IDH2 mutations in newly diagnosed AML patients, evaluating targeted inhibitors such as ivosidenib and enasidenib in combination with intensive chemotherapy and as maintenance therapy. Additional work addresses NPM1-mutated AML in patients ineligible for intensive chemotherapy, exploring novel menin inhibitors combined with azacitidine and venetoclax.
- Targeted therapy for IDH-mutated acute myeloid leukemia
- Treatment strategies for NPM1-mutated AML
- Combination approaches with venetoclax and azacitidine
- Maintenance therapy in molecularly defined leukemia subtypes
The work emphasizes precision medicine approaches based on molecular mutations and optimization of treatment sequences in patients with varying fitness levels for intensive therapy.
Gastrointestinal and Hepatobiliary Disorders
The investigator demonstrates expertise in managing complex gastrointestinal malignancies and liver disease. Research in locally advanced rectal cancer explores intensive induction chemotherapy with FOLFOXIRI to improve pathological and clinical complete response rates. Work in ovarian cancer investigates hyperthermic intraperitoneal chemotherapy combined with cytoreductive surgery to enhance overall survival. In hepatology, focus areas include prevention of hepatic encephalopathy following transjugular intrahepatic portosystemic shunt placement in patients with alcoholic liver cirrhosis.
- Neoadjuvant and consolidation strategies in rectal cancer
- Hyperthermic intraperitoneal chemotherapy in ovarian cancer
- Prevention of post-TIPS hepatic encephalopathy
- Antibiotic prophylaxis in pancreatoduodenectomy
Additional research addresses surgical site infections following pancreatoduodenectomy in high-risk patients, evaluating pre-emptive antibiotic strategies to reduce infectious complications.
Immunology and Rare Diseases
The investigator engages in research addressing rare immunological disorders and specialized conditions requiring targeted therapeutic interventions. Work includes eosinophilic granulomatosis with polyangiitis, evaluating novel long-acting biologic therapies compared to standard treatments. Research in fetal and neonatal alloimmune thrombocytopenia explores alternative approaches to prevent severe maternal-fetal complications. Additional focus encompasses sternocostoclavicular hyperostosis, investigating bisphosphonate therapy for pain management, and tenosynovial giant cell tumour, examining colony-stimulating factor 1 receptor inhibition.
- Biologic therapy for eosinophilic granulomatosis with polyangiitis
- Prevention strategies for fetal and neonatal alloimmune thrombocytopenia
- Pain management in sternocostoclavicular hyperostosis
- Targeted therapy for tenosynovial giant cell tumour
The work extends to type 1 diabetes mellitus, investigating GAD65 antigen-specific immunotherapy to preserve beta cell function in recently diagnosed patients, and asplenia, examining optimal pneumococcal vaccination strategies based on timing relative to splenectomy.
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