Richard Buka
Don't Just Read the Abstract
Want to stay up-to-date on the very latest developments in non-malignant haematology? Don't have the time or skills to critically appraise important papers? Join Pip and Rich, two haematology doctors on a journey of learning and discovery. Each episode, they will discuss a seminal trial, critically appraise the paper, interview a study author, and discuss the implications of the trial on clinical practice with a subject expert. CPD credits are available from RCPath. The podcast is sponsored by Sobi as a hands-off educational grant. Sobi have no editorial input whatsoever. This podcast helps yo...
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Episodes
Is emicizumab finished? The FRONTIER2 trial of the novel bispecific antibody, denecimig (Mim8) for haemophilia A 23.06.2026 1:10:41
On this episode, Pip and Rich discuss the FRONTIER2 , the phase 3 trial of Mim8 (denecimig) for prophylaxis in haemophilia A with or without inhibitors. They review the study design, efficacy and safety results, and consider where Mim8 may fit into the rapidly evolving haemophilia treatment landscape. They also explore the key unanswered question: does Mim8 offer any meaningful clinical advantage...
Using AI to identify hospital acquired thrombosis 26.05.2026 1:00:55
On this episode, Pip and Rich chat to Consultant Haematologist, Dr Kate Musgrave and Thrombosis Nurse Specialist, Vicky Marr about how they developed and implemented a natural language processing model that identifies cases of hospital acquired thrombosis. Implementing this strategy in their hospital in Newcastle-Upon-Tyne has led to saving thousands of hours of manually trawling radiology reports...
Apixaban vs rivaroxaban: the trial we've all been waiting for 17.03.2026 50:24
On this episode, Pip and Rich discuss the COBRRA trial: Castellucci et al. Bleeding Risk with Apixaban vs. Rivaroxaban in Acute Venous Thromboembolism. NEJM. 2026. The trial showed a convincing reduction in clinically relevant bleeding in patients treated with apixaban (3.3% vs 7.1%) and no difference in efficacy. It's a compelling study but there were important exclusion criteria and as ever, the...
ENERGIZE: Mitapivat in thalassaemia 27.02.2026 1:01:54
Following its recent US FDA approval, on this episode, Pip and Rich discuss mitapivat, an allosteric activator of red-cell pyruvate kinase. They focus on ENERGIZE, a randomised controlled trial of mitapivat vs placebo (2:1) randomisation in people living with transfusion dependent thalassaemia. It met its primary endpoint of achieving significantly more patients reaching a haemoglobin rise of at l...
Ianalumab for ITP: VAYHIT2 10.02.2026 1:02:28
On this episode, Pip and Rich VAY-HIT2, a trial recently published in the New England Journal of Medicine . This study randomised patients with relapsed/refractory ITP after first line corticosteroids to eltrombopag + ianalumab or placebo. As the thrombopoietin receptor agonists such as eltrombopag are often given for extensive periods, there's a lot of interest in giving additional treatme...
Highlights of 2025 (Episode 2) 09.01.2026 51:45
In this second of a two-part episode, Pip and Rich discuss their highlights of 2025. They discuss a wide range of developments across medical haematology with a focus on red cells disorders and a bit less naval gazing than the first episode. Hosted on Acast. See acast.com/privacy for more information.
Highlights of 2025 (Episode 1) 26.12.2025 56:20
In this first of a two-part episode, Pip and Rich discuss their highlights of 2025. They discuss a wide range of developments across medical haematology with a focus on bleeding disorders and immuno-haematology. Hosted on Acast. See acast.com/privacy for more information.
Does anyone care about idiopathic and secondary polycythaemia? We do! 09.12.2025 1:00:19
On this episode, Pip and Rich discuss two of their recent publications on idiopathic and secondary polycythaemia. The first is an audit across two large hospitals in the Midlands. The team screened over 2000 patients who had had a JAK2 mutation screen performed, eventually finding 266 with confirmed idiopathic or secondary polycythaemia. By the time patients were seen, the haematocrit was already...
Rebalancing haemostasis with marstacimab - an discussion about the BASIS trial 13.11.2025 1:05:56
On this episode, Pip and Rich discuss the BASIS trial which investigated the efficacy of the rebalancing agent marstacimab in people living with haemophilia. Marstacimab is an inhibitor of tissue factor pathway inhibitor (TFPI) and works by tipping the balance of clotting towards coagulation and away from bleeding. The trial showed that marstacimab works but is not randomised and there are some ve...
BSH President Dr Sue Pavord: An Interview 29.10.2025 1:02:56
In this episode, Pip and Rich chat to Dr Sue Pavord, current President of the British Society of Haematology. Over the last 18 months Dr Pavord has led from the front with serious work on defining liaison haematology, paving the way for this to be formally incorporated into haematologists' job plans. They also discuss Dr Pavord's pivotal role as a clinical leader in the UK's response to Vaccine In...
DJRTA Newsletter #2 22.10.2025 4:08
Pip and Rich preview their second Don't Just Read the Abstract newsletter. This week, the newsletter focuses on the work that the British Society for Haematology have being doing on workforce planning and liaison haematology in particular. If you would like to read Dr Sue Pavord's BSH message you can find it here. The paper we mention: Ransome et al. Defining ‘liaison haematology’ in the UK: a mod...
Intervention for Intermediate-High Risk PE 15.10.2025 1:05:35
When Dr Peter Douglas listened to our episode on the PEERLESS trial (S1, Ep12), he began to develop a funny sensation in his chest. Emailing us he wrote: "Your commentary on this paper lead me to develop the signs and symptoms of submassive PE. I am an interventional radiologist who has spent the last 3-4 years setting up a PERT and catheter based therapy service for PE and would love to speak to...
Introducing the DJRTA Newsletter 07.10.2025 4:15
In this 5 minute episode, Pip and Rich introduce the brand new Don't Just Read the Abstract Newsletter, a twice monthly update on all things medical haematology. Covering latest developments and publications in haemostasis, thrombosis, transfusion, immunohaematology, and red cell haematology, the newsletter will keep you up-to-date on what matters to patients. Sign up at www.dontjustreadtheabstrac...
HI-PRO: Apixaban for Extended Treatment of Provoked Venous Thromboembolism 30.09.2025 1:12:33
On this episode, Pip and Rich discuss Piazza et al. Apixaban for Extended Treatment of Provoked Venous Thromboembolism , published in the New England Journal of Medicine in August 2025. This trial randomised 600 patients with VTE provoked by a transient risk factor but who also had at least one enduring risk factor, after completing 3 months of anticoagulation, to receive either apixaban 2.5 mg tw...
API-CAT: Author interview with Prof. Isabelle Mahé 15.09.2025 1:07:39
Prof. Isabelle Mahé is a cardiologist, triallist, and Professor of Internal Medicine Paris Cité University, France. She recently led the API-CAT study, a randomised controlled trial of apixaban 2.5 mg BD vs 5 mg BD for treatment of patients with cancer associated venous thromboembolism after 6 months of therapy. Pip and Rich discussed API-CAT in detail in episode 20 and now seize the opportunity t...
API-CAT: Extended Reduced-Dose Apixaban for Cancer-Associated Venous Thromboembolism 21.07.2025 59:40
In this episode, Pip and Rich go beyond the abstract of the API-CAT study , a randomised controlled trial of apixaban 5 mg BD vs 2.5 mg BD in patients with cancer-associated PE or DVT who have completed 6 months of anticoagulation. The study reported non-inferiority for low-dose apixaban in terms of VTE recurrence with a reduction in clinical relevant bleeding. This is an interesting, practice-cha...
LUNA3: Rilzabrutinib for ITP 06.07.2025 52:35
In this episode of Don't Just Read the Abstract, Pip and Rich critically appraise LUNA3, a 2:1 randomised controlled trial of rilzabrutinib vs placebo in adults with persistent or chronic ITP. This is the first therapy to prove an improvement in fatigue in ITP, but does it live up to expectation? Listen to this episode and find out. Do you like our show? Please share with friends, colleagues, and...
Haematology in The Gambia with Dr Megan Kell 12.06.2025 55:15
Dr Megan Kell is a UK haematologist, currently practising in Sheffield. She is the Chair of the British Society of Haematology's Global Haematology Specialist Interest Group and has a long standing interest in Global Health. She recently returned from over two years working as one of only two haematologists in the small, west African nation of The Gambia. This is an eye-opening interview which mak...
Efanesoctocog alfa for severe haemophilia A: expert perspective with Dr Susie Shapiro 30.05.2025 1:03:21
On this episode, Pip interviews Dr Susie Shapiro, consultant haematologist in Oxford, UK, about the recent UK approval of efanesoctocog alfa, a very long half-life factor VIII product for severe haemophilia. To find out more about this treatment, listen to our first episode on the subject (Efanesoctocog alfa - a very long half life factor VIII) where we discuss the evidence. HaemSTAR is an indepen...
Efanesoctocog alfa - a very long half life factor VIII 16.05.2025 48:16
On this episode, Rich and Pip discuss the very long half life factor VIII product efanesoctocog alfa (trade names Altuvoct and Altuviiio). They discuss the 2023 NEJM paper that has recently prompted its approval for use in the UK NHS. This is the first of two episodes on this subject. HaemSTAR is an independent UK-wide network of registrars in clinical haematology, interested in promoting and perf...
BSH Day 2 28.04.2025 23:55
Pip and Rich discuss the happenings from day 2 of the British Society of Haematology Annual Scientific Meeting. HaemSTAR is an independent UK-wide network of registrars in clinical haematology, interested in promoting and performing research in classical haematology. Our focus is on collaborative projects across haemostasis & thrombosis, transfusion, general haematology, and obstetric haematol...
BSH Day 1 27.04.2025 31:40
On this show, Pip and Rich discuss the first day of BSH, focusing on medical haematology. HaemSTAR is an independent UK-wide network of registrars in clinical haematology, interested in promoting and performing research in classical haematology. Our focus is on collaborative projects across haemostasis & thrombosis, transfusion, general haematology, and obstetric haematology. Hosted on Acast....
Preview of BSH 2025: a focus on medical haematology 18.04.2025 52:43
In this episode, Rich and Pip review the programme for BSH 2025 and discuss the non-malignant haematology sessions not to miss. This is your go to guide for Glasgow 2025 beginning on 27th April. HaemSTAR is an independent UK-wide network of registrars in clinical haematology, interested in promoting and performing research in classical haematology. Our focus is on collaborative projects across hae...
PEERLESS - Management of Acute Intermediate-Risk PE 04.04.2025 1:05:41
On this episode, Pip and Rich discuss Jaber et al. Large-Bore Mechanical Thrombectomy Versus Catheter-Directed Thrombolysis in the Management of Intermediate-Risk Pulmonary Embolism: Primary Results of the PEERLESS Randomized Controlled Trial . PEERLESS was a trial that enrolled patients with intermediate-risk (sub-massive) PE and randomised them to either large-bore mechanical thrombectomy or cat...
AI powered ultrasound for DVT - an interview with CEO of ThinkSono, Fouad Al Noor 21.03.2025 1:02:55
On this episode, Pip and Rich chat to Fouad Al Noor, CEO of ThinkSono. ThinkSono have developed an AI-powered handheld scanning tool for DVT that enables anyone to perform a diagnostic quality ultrasound scan for the diagnosis of DVT. The images are then reviewed by a radiologist, providing a rapid answer for most patients. The tool is entering use within the NHS and in this podcast, Pip and Rich...
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