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Nginx introduces native support for ACME protocol

https://blog.nginx.org/blog/native-support-for-acme-protocol
314•phickey•4h ago•120 comments

PYX: The next step in Python packaging

https://astral.sh/pyx
84•the_mitsuhiko•1h ago•33 comments

Fuse is 95% cheaper and 10x faster than NFS

https://nilesh-agarwal.com/storage-in-cloud-for-llms-2/
24•agcat•49m ago•2 comments

OCaml as my primary language

https://xvw.lol/en/articles/why-ocaml.html
104•nukifw•1h ago•61 comments

FFmpeg 8.0 adds Whisper support

https://code.ffmpeg.org/FFmpeg/FFmpeg/commit/13ce36fef98a3f4e6d8360c24d6b8434cbb8869b
676•rilawa•9h ago•252 comments

Pebble Time 2* Design Reveal

https://ericmigi.com/blog/pebble-time-2-design-reveal/
127•WhyNotHugo•5h ago•56 comments

Launch HN: Golpo (YC S25) – AI-generated explainer videos

https://video.golpoai.com/
31•skar01•2h ago•48 comments

Cross-Site Request Forgery

https://words.filippo.io/csrf/
39•tatersolid•2h ago•8 comments

So what's the difference between plotted and printed artwork?

https://lostpixels.io/writings/the-difference-between-plotted-and-printed-artwork
142•cosiiine•6h ago•50 comments

Coalton Playground: Type-Safe Lisp in the Browser

https://abacusnoir.com/2025/08/12/coalton-playground-type-safe-lisp-in-your-browser/
74•reikonomusha•5h ago•25 comments

DoubleAgents: Fine-Tuning LLMs for Covert Malicious Tool Calls

https://pub.aimind.so/doubleagents-fine-tuning-llms-for-covert-malicious-tool-calls-b8ff00bf513e
62•grumblemumble•6h ago•18 comments

ReadMe (YC W15) Is Hiring a Developer Experience PM

https://readme.com/careers#product-manager-developer-experience
1•gkoberger•3h ago

rerank-2.5 and rerank-2.5-lite: instruction-following rerankers

https://blog.voyageai.com/2025/08/11/rerank-2-5/
6•fzliu•1d ago•1 comments

The Mary Queen of Scots Channel Anamorphosis: A 3D Simulation

https://www.charlespetzold.com/blog/2025/05/Mary-Queen-of-Scots-Channel-Anamorphosis-A-3D-Simulation.html
60•warrenm•6h ago•13 comments

This website is for humans

https://localghost.dev/blog/this-website-is-for-humans/
366•charles_f•4h ago•177 comments

New treatment eliminates bladder cancer in 82% of patients

https://news.keckmedicine.org/new-treatment-eliminates-bladder-cancer-in-82-of-patients/
193•geox•4h ago•91 comments

How Silicon Valley can prove it is pro-family

https://www.thenewatlantis.com/publications/how-silicon-valley-can-prove-it-is-pro-family
7•jger15•1h ago•0 comments

April Fools 2014: The *Real* Test Driven Development (2014)

https://testing.googleblog.com/2014/04/the-real-test-driven-development.html
74•omot•2h ago•14 comments

OpenIndiana: Community-Driven Illumos Distribution

https://www.openindiana.org/
54•doener•4h ago•45 comments

Google Play Store Bans Wallets That Don't Have Banking License

https://www.therage.co/google-play-store-ban-wallets/
32•madars•1h ago•11 comments

We caught companies making it harder to delete your personal data online

https://themarkup.org/privacy/2025/08/12/we-caught-companies-making-it-harder-to-delete-your-data
217•amarcheschi•6h ago•52 comments

DeepKit Story: how $160M company killed EU trademark for a small OSS project

https://old.reddit.com/r/ExperiencedDevs/comments/1mopzhz/160m_vcbacked_company_just_killed_my_eu_trademark/
21•molszanski•56m ago•6 comments

29 years later, Settlers II gets Amiga release

https://gamingretro.co.uk/29-years-later-settlers-ii-finally-gets-amiga-release/
56•doener•1h ago•15 comments

A case study in bad hiring practice and how to fix it

https://www.tomkranz.com/blog1/a-case-study-in-bad-hiring-practice-and-how-to-fix-it
76•prestelpirate•3h ago•65 comments

Claude says “You're absolutely right!” about everything

https://github.com/anthropics/claude-code/issues/3382
525•pr337h4m•13h ago•413 comments

Job Listing Site Highlighting H-1B Positions So Americans Can Apply

https://www.newsweek.com/h1b-jobs-now-american-workers-green-cards-2041404
33•walterbell•1h ago•9 comments

PCIe 8.0 Announced by the PCI-Sig Will Double Throughput Again – ServeTheHome

https://www.servethehome.com/pcie-8-0-announced-by-the-pci-sig-will-double-throughput-again/
48•rbanffy•3d ago•52 comments

Honky-Tonk Tokyo (2020)

https://www.afar.com/magazine/in-tokyo-japan-country-music-finds-an-audience
19•NaOH•4d ago•6 comments

New downgrade attack can bypass FIDO auth in Microsoft Entra ID

https://www.bleepingcomputer.com/news/security/new-downgrade-attack-can-bypass-fido-auth-in-microsoft-entra-id/
7•mikece•38m ago•1 comments

Gartner's Grift Is About to Unravel

https://dx.tips/gartner
91•mooreds•4h ago•44 comments
Open in hackernews

New treatment eliminates bladder cancer in 82% of patients

https://news.keckmedicine.org/new-treatment-eliminates-bladder-cancer-in-82-of-patients/
193•geox•4h ago

Comments

newfocogi•4h ago
My (non-AI) Summary:

- "TAR-200 is a miniature, pretzel-shaped drug-device duo containing a chemotherapy drug, gemcitabine, which is inserted into the bladder through a catheter. Once inside the bladder, the TAR-200 slowly and consistently releases the gemcitabine into the organ for three weeks per treatment cycle."

- Phase 2 Clinical Trial

- 85 patients with high-risk non-muscle-invasive bladder cancer

- "treated patients with TAR-200 every three weeks for six months, and then four times a year for the next two years"

- 70/85 patients—the cancer disappeared and still gone 1yr later in almost 50% patients

- FDA granted TAR-200 a New Drug Application Priority Review

- Johnson & Johnson manufactures TAR-200

woeirua•3h ago
Unfortunately the recurrence rate after 1 year here is still quite high. Good progress, but not a cure yet.
tptacek•3h ago
Only a small percentage had a recurrence that progressed to later-stage muscle-invasive illness, though.
lordofgibbons•2h ago
Do cancers have a tendency to come back with better drug resistance if it's not fully eliminated? at least a resistance to the drug that got rid of it the previous time?
tomsto•2h ago
Emphatically so, yes
codr7•1h ago
Return customers generate more profit.
AnimalMuppet•1h ago
Not if the same thing can't be used to treat them again.
octaane•43m ago
For some cancers yes, for other cancers, no. Sometimes resistance to therapy is a matter of time, not prior lines of therapy.
ac2u•38m ago
I wish I could find the article, but there is a clinic somewhere that ran trials where they deliberately wouldn’t treat the cancer too aggressively. Instead they experimented with treatment frequency but with control being the aim instead of elimination.

The theory being that they could keep it at bay indefinitely and lower the chance of selection pressure kicking in. The thought behind their approach is that they wanted their patients to die of something different than their cancer.

apwell23•14m ago
yes they are resistant to that line of therapy once it stops working.

Sometimes that resistance carries over to other lines too. For example, Enzalutamide doesn't work for prostate cancer if you were already treated by abiraterone.

Teever•3h ago
> The standard treatment for this type of bladder cancer is an immunotherapy drug, Bacillus Calmette-Guérin,

Can anyone explain why the vaccine for TB works to treat bladder cancer?

QuercusMax•3h ago
This "drug" is a weakened form of the bacterium, which apparently stimulates immune response. So I guess it works for both TB and bladder cancer just by getting your immune system to notice something is amiss?
imranq•3h ago
Turning it off and then on again works in a lot of surprising places
octaane•39m ago
I can explain. BCG infects the actual epithelial cancer cells inside the bladder, triggering Th-1 response (production and release of cytokines by activated CD4 T cells).

The cytokines induce an inflammatory response, which I turn activates other immune system cells such as CD4 and CD8, NK cells and macrophages.

The immune cells then attack the bladder cancer cells, hopefully destroying them, thus "fighting cancer".

Source: Li J et al, NPJ Vaccines. 2021;6:14.

tiahura•3h ago
“almost half the patients were cancer-free a year later.”
onlyrealcuzzo•3h ago
That's one way of looking at the glass half empty.

If half of people get rid of cancer for 1 year that is still outstanding - ESPECIALLY if the majority of those remain cancer free for quite some time after.

codr7•1h ago
If we wanted patients to survive long term, then maybe we could try a treatment that doesn't destroy their immune system in the process.
tptacek•1h ago
Invent it and your grandchildren will retire rich.
burnt-resistor•19m ago
The most obvious, naive approach is banking blood & marrow prior to treatment. However, there's a need to clear metastatic cells (CTCs) or train the immune system to find and kill them so that it doesn't reintroduce CTCs upon retransfusion.
apwell23•12m ago
> remain cancer free for quite some time after.

OS is more relevant than PFS

chiph•2h ago
One of the things I learned going through my own treatment (prostate) was that everyone's cancer is different. Which makes sense if you think about the variability in malignant cell growth.

So something that cures half the patients and only requires an office or outpatient visit every few weeks (no surgery, no radiation) is astounding. This result will likely lead to further research using this approach.

apwell23•12m ago
Yes my father died in 3 months after getting lutetium 177.
mcswell•2h ago
More than half would be nice, but: these tests were run on "individuals with high-risk non-muscle-invasive bladder cancer whose cancer had previously resisted treatment." One could expect that it would be even more effective on patients whose cancers were not resistant to treatment.
blackhaz•3h ago
My father currently suffers from bladder cancer, he's currently in palliative care, he's in Ukraine. If there are any medical professionals here, could someone provide an advice - is there any chance to get him access to TAR-200?
gautamcgoel•1h ago
So sorry to hear this, I wish him the best.
octaane•37m ago
No, the trial is closed to new participants. Check the company website to see if they are having international trials or are open to compassionate use.
blackhaz•14m ago
Thank you.
blackhaz•14m ago
Thank you.
apwell23•18m ago
1.look for clinicaltrial on https://clinicaltrials.gov/ .

2.See if your father qualifies for any

3. Enroll

4. Get B2 visa. All medical treatment is usually covered once you are accepted into the program.

good luck!

moi2388•14m ago
There are EU trials as well. Perhaps contact your physician, insurance or Johnson & Johnson directly.

https://euclinicaltrials.eu/ctis-public/view/2023-507685-10-...

To be honest, chances are slim to none. But worth a try.

TheAmazingRace•3h ago
I really wish this was available earlier, because I just lost a family member to bladder cancer yesterday morning. :(
ecoffey•3h ago
That is tough, I’m sorry for your loss.
TheAmazingRace•3h ago
Thank you for the condolences.
javiramos•3h ago
Sorry for your loss.
xxr•1h ago
Very sorry for your loss. An uncle had bladder cancer about 15 years ago, and while he survived, it began a very steep decline that led to his passing in 2022.
bdcravens•59m ago
So sorry to hear. My father passed from bladder cancer that metastasized 20 years ago.
selectodude•42m ago
Always kind of bittersweet to read these breakthroughs in cancer treatment.
A_D_E_P_T•3h ago
There's an open access paper on the development of the drug here:

> https://www.sciencedirect.com/science/article/pii/S107814392...

pugworthy•2h ago
To be clear, here is the rest of what the article title should be...

> ...for individuals with high-risk non-muscle-invasive bladder cancer whose cancer had previously resisted treatment

tptacek•2h ago
Only those patients were admitted to the trial, so the effectiveness of the treatment on later-stage muscle-invasive disease is unknown. That it's scoped to patients who are BCG-unresponsive ("previously resisted treatment") makes the breakthrough more significant, not less.
ltbarcly3•12m ago
"New treatment eliminates bladder cancer in 82% of patients" - current HN title (matches article)

I don't like headlines like this because they lack any necessary context. Knowing that a treatment eliminates cancer in 82% of patients isn't data unless we know more or already experts in this field. For all I know the previous treatment was 99% effective but just cost more or something. PR-style headlines very often use misleading statistics to get attention, so this wouldn't even be surprising.

- What was the previous treatment's success rate? Was it 22% or 81%?

- What are the other tradeoffs? If the previous treatment was also 82% maybe this one doesn't cause incontinence, or maybe it's non-invasive?

How you should make a title:

"New treatment eliminates cancer in 82% of patients, a major improvement"

"New treatment is first non-invasive way to eliminates cancer in 82% of patients"

"New treatment way to eliminates cancer in 82% of patients - without causing incontinence"

"New treatment eliminates cancer in 82% of patients without radiation"