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Laurie Werner is a New York-based writer covering travel and food.Follow AuthorFeb 27
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#article-stream-0 .quote-embed .font-size p{font-size: 36px;}The rooftop bar of Vista Ostuni overlooking the hilltop White City
The location of the 14th century palazzo housing Vista Ostuni
The boutique hotel is situated in a 14th century palazzo that was originally built as a convent; 500 years later it was transformed by Sister Maria Raimonda Fuentes to shelter and provide education for underprivileged girls
In the early 20th century it transitioned to the Manifattura Tabacchi
a tobacco-processing factory employing around 600 female cigar rollers at its peak
The building has been vacant since then but now 28 rooms for guests will be created in this historic structure located just outside of the city’s center
close enough to walk over to explore but just out of the main routes of visitors to the city
The design by Milanese architect Roberto Murgia of RMA Studio will incorporate Apulian style
the history of the building and the beauty of the surroundings plus modern
benefitting from soaring ceilings including a glass ceiling that will fill the building with natural light
the pool is surrounded by olive trees and the landscaping will be designed by Belgian landscape designer Erik Dhont
known for his special touch working with native vegetation
The vivid cuisine of Puglia is famous throughout Italy; the dining options here will be designed by Andrea Berton
Berton al Vista will be the hotel’s fine dining restaurant
the casual daytime restaurant located in the garden; two bars will be located in the library and on the rooftop affording views over the countryside and of the streets of the White City
Given its proximity to other places of note in Puglia
hotel staff will also coordinate transfers and guides to see the Baroque city of Lecce
the terraced city of Matera and the stone trullis of Alberobello
curating bespoke experiences according to guests’ interests
And if that interest is lazing by the beach
transfers to local beach clubs will be offered as well
One of Ostuni's most significant historic buildings is set to open as a a 28-room luxury retreat, converting a long-abandoned 14th-century palazzo into Vista Ostuni
represents the third property from the Vista hospitality group
led by third and fourth generation hoteliers Bianca and Luigi Passera
already established with properties in Lake Como and Verona
has undertaken a sensitive restoration of the historic structure
which has remained vacant for nearly six decades
the building's charm spoke to us," says Bianca Passera
"We have honoured the rich heritage of both the property and the town of Ostuni by incorporating sustainable Italian materials and resources
underscoring our commitment to environmental stewardship."
Independent hospitality group Vista is set to open its latest property in Puglia in Summer 2025
The project marks the revival of a local landmark
reopening its doors after being abandoned for nearly 60 years
The vision for the property is courtesy of Bianca and Luigi Passera – third and fourth generations of a longstanding hotelier family
Set within a restored 14th-century palazzo
Vista Ostuni is located in the ‘White City’ of Ostuni
Originally built in the foothills of Ostuni as a convent
and later home to a tobacco-processing factory
the transformed palazzo will comprise 28 rooms and suites
designed by Milanese Roberto Murgia Architetto
The design scheme will reflect the property’s history and the surrounding Apulian environment
More than 6,000m² have been delicately restored to enhance traces of the building’s history
to a surprising cloister on the first floor
with its geometric design and glass ceiling
chosen by the Passera family for his appreciation of native vegetation and his ability to craft landscapes that tell stories deeply rooted in the local region
Vista Ostuni is a tribute to Mediterranean vitality
with amenities that include a spacious spa and a sun-drenched pool terrace
The culinary offering will be led by Andrea Berton
a lively garden restaurant; an intimate Library Bar; and a rooftop bar
the building’s charm spoke to us,” says Bianca Passera
“We have honoured the rich heritage of both the property and the town of Ostuni by incorporating sustainable Italian materials and resources
underscoring our commitment to environmental stewardship
Collaborating with skilled Italian artisans
we have preserved the essence of the space while working alongside visionary architects to create a fresh perspective – one that invites our guests to experience the property at its fullest potential.”
adds: “We are a proud member of Leading Hotels of the World
which is a testament to the level of service and quality at Vista Ostuni
our objective has been to introduce the concept of luxury to new destinations
and Vista Ostuni represents the third and most significant chapter for our brand
This inauguration is a significant milestone for both our company and our family following our openings on Lake Como and in Verona
Ostuni reaffirms our mission to offer travellers a new perspective on smaller jewel towns of Italy.”
Registered in England and Wales with Company Number 06637145
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Puglia is always a good idea in April. Sure, you might catch a breezy day or two, but temperatures are generally warmer than the rest of Italy
That’s exactly what drew me south: a few days of spring serenity to escape Milan’s grey skies
since public transport in southern Italy is still
Villa AmuréeAntonio e Roberto TartaglioneThe drive to Villa Amurée already sets the tone
Muretti a secco (dry-stone walls) frame narrow
separating them from centuries-old olive trees
the villa offers the perfect balance: close enough to civilisation not to feel isolated
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Massachusetts passed away peacefully on Monday
daughter of Francesco and Rose (Granata) D’Ostuni
Diana Gillet (Errede) and her husband Bill
and Patricia Cicero (Errede); eleven grandchildren and eleven great grandchildren; as well as several nieces and nephews
Leonard and Salvatore D’Ostuni and her sister Lucia Giovanucci (D'Ostuni).
Clara was a graduate of David Hale Fanning Girls Trade High school and as a young woman made a living as a skilled seamstress
They loved being near the water with their young family
Clara and Freddie spent winter months in Florida and summer getaways at Cape Cod
Clara loved to cook for her family as much as she loved to eat
With simple ingredients she always created homemade meals that she proudly shared at the family table
Fond memories include her children’s helping hands making handmade pasta
and savoring warm bread from the oven.
Clara had boundless energy and yoga classes
nutrition and fitness became an important part of her routine over the years
She found solace in the outdoors where she could often be found tending her beautiful flowers and rock garden or walking in her neighborhood
She loved music and ballroom dancing with Freddie
who always had a twinkle in his eye when he was with her
Our mother will be missed but from her heart to many hands she leaves the gifts of memory making
A special thanks to Robin who shared her home
her food and her family with mom and dad for many years when they resided next door
Our family would like to recognize the kindness and compassion of the people at Shrewsbury Nursing Home and Notre Dame Hospice who cared for or came in contact with our mother as she resided there
There will be a celebration of life at a later date
the family requests that you plant a garden
take a long walk or dance and sing under the stars
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EMERSON—Mayor Danielle DiPaola surprised those attending the borough’s Jan
7 council reorganization meeting with a hot take on the Block 419 situation: a pre-trial settlement of the borough’s long-delayed case against the downtown redeveloper is a possibility.
The annual meeting also featured the installation of new councilors Ashley Sayers and Megan Ciolino
DiPaola swore the women in after both handily won election in the Nov
Sayers was selected to fill former councilwoman Kelly Moore’s seat after she resigned last summer
Nicole Argenzia was unanimously elected council president
She succeeds Michael Timmerman in the role
While the swearing in ceremonies drew a crowd to Borough Hall
DiPaola broke the news that the borough’s court case to recoup $500,000 in lost construction services might possibly be resolved out of court by retired judge Harry Carroll
the affordable implementation monitor appointed by the court in 2021
DiPaola told residents that construction workers were seen recently at the long-delayed 147-unit Emerson Station mixed-use housing project
she told residents that just before the case was due to go to trial Dec
Judge Nicholas Ostuni asked the sides to meet with the retired judge to try to work out issues regarding affordable housing and other related issues before heading to trial
DiPaola said Block 419’s status was “the most asked about issue in town” and that it was now in the hands of Judge Carroll
adding that she and council were “eager to see” the project completed.
She said Ostuni ordered the parties to meet with their affordable implementation monitor to discuss resolution of “all outstanding issues” relating to Block 419
and the seven proposed off-site affordable units
She said the council’s Litigation Committee (Nicole Argenzia
and DiPaola) were “eagerly awaiting word” from Carroll “so that he may successfully guide us to global resolution of this matter.”
No timetable for a possible resolution was made public. It was unclear whether Emerson Redevelopers Urban Renewal or the borough might decide to challenge Judge Carroll’s proposed settlement
All of Carroll’s efforts would be in hopes of reaching a pre-trial settlement
DiPaola also told us most judges prefer opposing parties to settle out of court if possible
DiPaola said the “good news” is that workers are on site again and officials are being told that work is continuing inside the building
with about 15,000 square feet of ground-level retail space
have been at odds since Emerson filed suit in June 2020 to recoup $500,000 in construction services originally promised in exchange for former ambulance property deeded to the redeveloper
The 29 affordable units planned as part of the 147-unit complex include 22 onsite units and seven offsite units
The units comprise the bulk of the borough’s third round Mount Laurel obligations
who replaced former councilwoman Kelly Moore in August after she resigned
Ciolino fills the seat vacated by Brian Gordon
Sayers said her election to council and swearing in “is the culmination of not just my dedication but also the unwavering support of my family
and the residents who place their trust in me,” she said
Sayers said being part of the council means “being part of the solution
and making thoughtful decisions that strengthen our town,” she said
She said having a husband that serves as a municipal employee in a neighboring town has given her a “unique perspective” to how “instrumental” a governing body can be to the success and morale of town employees
Ciolino said she has been a lifelong resident
and continues to live in and raise her family in town
She thanked Emerson residents for their “trust and support.” She said
and work tirelessly to ensure that Emerson remains a place that we can all be proud to call home.” She thanked her husband and her three boys
“His commitment to public service and community engagement has always inspired me
thank you for instilling in me the values of hard work
integrity and the importance of giving back,” she said
DiPaola said she campaigned door to door with Sayers and Ciolino
and I can’t wait to actually work with them,” said the mayor. She said both councilwomen “exceeded” all of her expectations
In a short year-end recap and 2025 preview
DiPaola said the borough was glad to provide programs that promoted community well-being; 2024’s summer concert series that promoted local artists; and hopes to resume walks with the mayor and coffee with the mayor in 2025. She praised the recreation commission for its summer and fall programs
She highlighted new raised planting beds in the community garden and ongoing library programs that offer free educational programs
She said more community events are being planned in 2025. She said seniors over 55 should consider joining the senior group due to trips and parties offered
She urged residents to consider joining the volunteer ambulance corps and fire department
The mayor said the borough purchased a tree trimming truck to enable the DPW to trim and maintain trees borough-wide
She said the street sweeping shared service with Washington Township has been successful in cutting costs
and a new fire truck was acquired by the volunteer fire department at a “substantial discount” off the vehicle’s listed price
And she said a shared service with the school district for upgrading tennis courts and adding pickleball courts at the Junior-Senior High School would open this year
and Ackerman basketball courts were upgraded and would be officially opened this spring
Mayor DiPaola said nearly $2 million in federal funds was obtained to help “mitigate” stormwater and drainage issues that often leads to flooding on Forest Avenue and Jordan Road
as well as Vivian Avenue and Dorchester Road
And she said the “long-awaited” streetscape project on Kinderkamack Road
between Etna Avenue and the Oradell border
She said the second phase of a veterans’ homes project should break ground in spring
The new facility will serve as meeting space for American Legion Post 269 veterans
DiPaola said PSEG expects to complete upgrading of gas lines in the spring and repave roads sometime after finishing
She said to increase pedestrian and roadway safety
additional stop signs have been added and audible devices will be added to traffic signals at Van Wagner Avenue
and at the Old Hook Road and Main Street intersection
She added that a full website redesign will be coming this year.
officials held a small party with refreshments at Emerson Hotel to celebrate the new councilors
along with scores of other volunteers and citizens appointed to committees
16 Years Later: Remembering the Miracle on the Hudson
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Volume 9 - 2022 | https://doi.org/10.3389/fmed.2022.1070497
This article is part of the Research TopicTargeted Alpha Particle Therapy in OncologyView all 17 articles
Radioligand therapy (RLT) is gaining traction as a safe and effective targeted approach for the treatment of many cancer types
reflected by a substantial and growing commercial market (valued at $7.78 billion in 2021
with a projected value of $13.07 billion by 2030)
Beta-emitting RLTs have a long history of clinical success dating back to the approval of Zevalin and Bexxar in the early 2000s
Alpha radioligand therapeutics (ARTs) offer the potential for even greater success
Driven by ground-breaking clinical results in early trials
and better understanding of isotope and disease characteristics
the global market for alpha emitters was estimated at $672.3 million for the year 2020
with projected growth to $5.2 billion by 2027
and progression for many radioligand therapy products
Future growth will be fueled by further efficacy and safety data from ART clinical trials and real-world results
and distribution are key obstacles for growth of the field
along with cross-disciplinary training of specialized practitioners
to ensure patient access and avoid challenges faced by early RLT candidates such as Zevalin and Bexxar
Understanding of the history of radiation medicine is critical to inform what may be important to the success of ART–most past projections were inaccurate and it is important to analyze the reasons for this
Practical considerations in how radiation medicine is delivered and administered are important to understand in order to inform future approaches
Alpha radioligand therapeutics (ARTs) have been gaining increasing attention as a rapidly advancing experimental modality that holds promise for delivering high doses of lethal radioactivity specifically to cancer cells
The combination of the high energy and short tissue range typical of alpha-emitting isotopes enables effective killing of the targeted tumor while sparing the surrounding normal tissue
ARTs offer the potential to overcome resistance to beta-emitting radioligand therapies
The promise of alpha has led to growth in new clinical trials and new company formations fueled by risk-tolerant investors
we explore the history of the targeted radioligand therapy commercial landscape
including the approval and performance of key drug candidates that have shaped the current and future directions of the field
We provide an overview of the current market and its potential
as well as challenges faced in therapeutic and isotope availabilities and barriers for the delivery of ARTs at commercial scale
Early in its development, X-ray based radiation medicine struggled against its limits: directionality and localization, collateral damage. Therefore, many cancer physicians instead turned their attention to surgical techniques and other approaches (4)
ongoing innovation in external beam radiation and brachytherapy has been a hugely important development in cancer treatment
While the physics and applications of radiation were being investigated
researchers remained intrigued by the concept of a molecular “magic bullet”–a term coined by Paul Erlich–to selectively deplete cancer cells while sparing healthy tissue
An array of approaches to achieve this effect has since been deployed in oncology
building on huge advances in cell and molecular biology over the past 50 years
This culminated many years later with the exciting possibility of being able to selectively direct a radioactive warhead to a target highly expressed uniquely on a cancer cell to engender selective cell killing
The targeted therapeutics market has also grown substantially, valued at $67.7 billion in 2020 and projected to reach $87 billion by 2030 (7)
with multiple targeted agents now approved for diseases such as cancer
EBRT used to deliver high-energy X-ray or electron beams to a patient’s tumor
These results supported the global brachytherapy market valuation of $788.5 million in 2020 with an expected compounded annual growth rate (CAGR) of 7.1% from 2021 to 2028 (13)
Despite the evidence supporting brachytherapy as an effective treatment modality for a wide range of malignancies, its use to treat patients with localized prostate cancer in the US and Europe saw a steady decline in recent years (19); the percentage of prostate cancer patients receiving brachytherapy dropped from 17% in 2002 to 8% in 2010 (20, 21)
Figure 1. Radiation modality by stage and diagnosis year for prostate cancer based on NCDB data for the period 2004–2016. Figure adapted with permission from (23)
an engineered peptide (or antibody) aimed at a specific marker found in abundance on cancer cells would carry a radioactive atom capable of delivering a lethal dose of radiation to the tumor–creating a magic bullet against cancer
Further developments in antibody conjugate technologies led to the launch of monocloncal antibody (mAb)-targeted radiotherapeutics in the early 2000s
Zevalin (yttrium-90-labeled anti-CD20 mAb) and its competitor Bexxar (iodine-131-labeled anti-CD20 mAb) were the first pioneers to appear on the market within this new class
approved for treatment-resistant slow-growing lymphoma
90Y-ibritumomab tiuxetan (later marketed as Zevalin) is a radioactive drug product comprised of the beta-emitting isotope yttrium-90 linked to the mAb ibritumomab in conjunction with the chelator tiuxetan, and was designed to target the already validated cancer protein marker CD20 (30)
Developed by IDEC Pharmaceuticals, now part of Biogen Idec, 90Y-ibritumomab tiuxetan was the first radioimmunotherapy drug approved by the FDA to treat cancer. The drug had a superior response rate in patients who did not respond to rituximab (marketed as Rituxan by Genentech/Biogen Idec) (31–33)
90Y-ibritumomab tiuxetan was approved by the FDA (2002) and EMA (2004) for treatment of patients with relapsed or refractory low-grade
including patients who were refractory to rituximab
and as consolidation therapy in follicular non-Hodgkin’s lymphoma in patients who achieved a partial or complete response to first-line chemotherapy
Annual revenue for Zevalin over the period 2002–2018
reflecting a steady decline and failure to meet forecasts
Source: Biogen and Spectrum financial reports
Reasons cited for the commercial challenges of Zevalin and Bexxar
highlighting market-driven forces that contributed to declining sales and discontinuation of the drugs
131I-tositumomab (later marketed as Bexxar) was a radio-immunotherapeutic composed of the mAb tositumomab covalently bound to the radioisotope iodine-131
The compound was also targeted at the CD20 antigen and delivered a powerful local dose of gamma and beta radiation
The drug was granted orphan drug designation in 1994
and fast-track designation was added in 1998
131I-tositumomab was first approved by the FDA and EMA in 2003 for patients refractory to rituximab or that had relapsed following chemotherapy; in 2004
the indication was expanded to include patients who had not been treated with rituximab
by a series of FDA requests for information
and was granted 4 years after the new drug application was filed in June 1999
the competing combination of Rituxan and chemotherapy established itself as the standard of care in non-Hodgkin’s lymphoma
Zevalin and Bexxar, as first-in-class targeted radiotherapeutics, shared some common commercial penetration issues (Table 1)
Both drugs faced competition from Genentech and Biogen Idec’s blockbuster drug Rituxan
which was the leading treatment at the time
and were considered expensive at around $25,000 per treatment
the cost of the drugs was actually similar to a full 4-months regimen of chemotherapy and Rituxan
The radioactivity of the treatments made some oncologists worry that it might prevent them from giving other treatments later
Prescribing the drugs also requires oncologists to coordinate care with the hospitals that administer it–to get either drug
patients first receive a low-radiation diagnostic dose
Other more familiar and thoroughly tested drugs were also preferred as first-line treatment
leading physicians to prescribe such drugs even when Zevalin and Bexxar might have worked better
Financial incentives were also at play–as Zevalin and Bexxar were radioactive
they were administered in hospitals by nuclear medicine experts following a referral by hematologists
who were likely to lose revenue in some markets
referral rates were lower than they could have been based on the product labels
This led to the use of Zevalin and Bexxar as last resort treatments only. In 2007, it was estimated that fewer than 10% of lymphoma patients who were candidates for Zevalin and Bexxar ever received the therapies (39). Despite the potential and clinical data of the two drugs, the positive sales forecasts, and non-Hodgkin’s lymphoma being a common cancer in Europe and the US that accounts for around 4% of all cases (40)
the commercial challenges reflect the market-driven forces and the lack of coordination among physicians that can distort medical decisions
While beta-emitters Zevalin and Bexxar traversed along their respective journeys
the development of targeted radionuclide therapies using different alpha-emitters was also in progress
The first alpha emitter to appear on the market was metabolically targeted
223Ra-dichloride (later marketed as Xofigo) was the first alpha-emitter to enter the market
its active moiety radium-223 mimics calcium and selectively targets bone due to natural tropism
with high specificity for areas of bone metastases
First developed by Algeta and later by Bayer following a $2.9 billion acquisition, 223Ra-dichloride was designed to treat metastatic castration-resistant prostate cancer (mCRPC). In its pivotal ALSYMPCA Phase III trial, the compound resulted in a 30% reduction in the risk of death compared with placebo, and extended patient lives by a median of 14 months compared to 11.2 months (41, 42)
Use of 223Ra-dichloride was approved by the FDA in 2013 for mCRPC patients with symptomatic bone metastases
This was more than 3 months ahead of schedule due to the FDA’s priority review program
with the trial ending early due to the drug’s strong performance–reasons cited included the drug’s precise targeting and strong risk–benefit profile
Approval was also received from the EMA in 2018
The resulting negative perceptions of the drug
the challenges to extend its use to earlier stages of prostate cancer
and the difficulties in combining with other emerging important prostate cancer medicines
made Xofigo subject to the increasing competition provided by new therapies
Xofigo may face additional commercial threats from the recently approved targeted radioligand therapy Lu-177-PSMA-617 (Pluvicto)
which has the potential for utility in a broader population of metastatic prostate cancer patients; unlike Xofigo
Lu-177-PSMA-617 use is not restricted to patients with metastases predominantly in bone
Annual revenue for Xofigo over the period 2013–2021
Promising proof-of-concept signals from small compassionate-use case series
and improvements in tumor-targeting technologies resulted in more refined and optimized targeted RLTs
The next pivotal step in the evolution of the field came in the form of two major commercial transactions
Novartis’ acquisitions of Advanced Accelerator Applications (AAA) and Endocyte in 2018
Novartis announced the completion of its $3.9 billion ($41 per share) acquisition of radiopharmaceutical specialist AAA and its RLT candidate 177Lu-DOTATATE (later named Lutathera)
These results led to authorization by the EMA (2017) and the FDA (2018) for the treatment of SSTR-positive gastroenteropancreatic neuroendocrine tumors
The drug has also show potential in off-label use in other neuroendocrine tumors (e.g.
177Lu-PSMA-617 became the first RLT to be approved by the FDA and EMA for mCRPC
receiving authorization from both agencies in 2022 alongside 68Ga gozetotid (Locametz)–a PSMA-targeted positron emission tomography imaging tracer that is used to identify patients suitable for treatment with the radioligand
Novartis have initiated additional early stage development programs for 177Lu-PSMA-617 in earlier lines of prostate cancer therapy
with two other Phase III studies for mCRPC now ongoing
these trials could significantly increase the patient pool eligible for 177Lu-PSMA-617
Lutathera revenue and estimated number of doses and treatments for the period 2018–2021
Figure 4. Lutathera sales and projected sales for the period 2018–2030. Source: (51)
Figure 5. Pluvicto sales projections. Projections include estimates for both pre- and post-taxane markets assuming ∼20% penetration in the US and ∼15% elsewhere. If Pluvicto is approved for the pre-taxane market, it is estimated that this would lead to an additional ∼$2 billion on top of current projections for the post-taxane market. Based on estimates from (51)
In 2022, Novartis forecast annual sales up to or exceeding $1 billion for both Pluvicto and Lutathera, which together represent a major opportunity for Novartis in nuclear medicine (53)
The company has also continued to increase its exposure to radiopharmaceuticals–for example by participation in the Series A financing of Aktis Oncology and the in-licensing of a other targeting agents from SOFIE Biosciences
The acquisition of AAA and Endocyte by Novartis triggered significant and growing interest and expectations for RLTs
The subsequent approvals and early robust market uptakes of the two lutetium-based drugs coupled with lofty future projections suggest better market readiness for RLTs than at the time of the launches of Zevalin and Bexxar two decades ago
This commercial success has in turn sparked the interest of investors and other large pharmaceutical companies looking to address unmet needs in cancer
momentum has continued to build in the nuclear medicine field
with the potential to elevate the profile of the entire sector
If the industry is able to effectively manage historical challenges
there is significant opportunity for a new and promising wave of RLTs to significantly change oncology treatment paradigms–particularly if alpha emitters are effectively utilized
new company formation has grown since 2018
and pharma giants such as Bayer and Novartis continue to build early stage pipelines that expand into other targets and radioisotopes–with increasing focus on alpha-emitters
Private companies have also experienced positive market reception
Analysis indicates that at least 11 companies working in the ART space have raised significant amounts of capital during the period 2019–2022
We estimate the amount raised by those companies totalling close to $1.2 billion
although this estimate is not exhaustive given the private nature of some of this information
Much of the focus of this new investment has been on targeted alpha approaches as investors seek out opportunities with differentiated clinical efficacy potential
Investment has also continued into companies pursuing beta-based approaches which have a different risk profile given the existence of two approved products and a more established supply chain
and M&A activity are contributing to an expanding radionucleotide field
The overall global nuclear medicine market size expected to reach $24.4 billion by 2030 at a CAGR of 13.0% from 2022 to 2030 (54). Meanwhile, the global market for radioligand therapy is projected to reach $13.07 billion by 2030 (55)
This is a reflection of increased public and private funding and clinical progression for many RLT products between 2018 and 2022
Other opportunities and drivers for further growth in the RLT market include the aging population
increased awareness and understanding of radiotherapy isotopes
and improvements to isotope production and infrastructure for clinical use
Increasing use of radiopharmaceuticals by physicians and rising per capita health care expenditure will also boost the market’s growth
Additional challenges include the failure by physicians to adopt and rigorously evaluate this treatment modality, which may be explained in part by the multidisciplinary nature of the treatment and financial incentive challenges, as experienced by Zevalin and Bexxar (59)
Public perception and fear of radioactivity
as well as the perceived complexity of the treatment
but one that can be overcome with better communication of risk–benefit profiles and increasing positive data around side effects and effectiveness
Radioligand therapy (RLT) is a growing market despite the challenges faced
Assuming that the early ground-breaking results obtained with ART continue to be borne out in rigorous clinical trials
the growth of ART is also likely to accelerate over the use of EBRT
Alpha particles are helium nuclei that are emitted from the nucleus of a radioactive atom. The amount of energy deposited per path length traveled (linear energy transfer or LET) is approximately 1,500 times greater than beta particles, leading to substantially more damage along the path of travel (59, 61, 62)
For radionuclides to be used effectively over time, commensurable with their half-life period, it is necessary to produce and isolate them, perform synthesis with the targeting molecule, and execute control of key parameters such as the absence of long-lived and/or toxic daughters (63–67)
Each of these requirements is explored in more detail below
Isotopes with longer half-lives are often complexed with long-lived antibodies: while the targeting is adequate
the long circulation times of antibodies may increase the risk of non-specific toxicity and off-target effects
Many isotopes emit alpha particles but some leave behind toxic by-products or decay before they reach a cell. Issues arising when using 225Ac for therapy, for example, as mentioned above, include unwanted toxicity from recoiled daughter radionuclides without a targeting ligand (70)
the radioactive daughter nuclides experience a recoil energy of about 100–200 keV
which is sufficient to allow the daughter nuclide to break free from the targeting agent
the different chemical properties of the daughter radionuclide can make re-association with the chelator unlikely
These “free,” untargeted daughter nuclides could be a source of dose-limiting toxicity
four of the most promising isotopes emerging within the ART field are 225Ac
and thorium-227 (227Th)–although 213Bi has been used with positive results in select malignancies
we are not aware of large scale commercial efforts with this isotope
Medical isotope shortages are a concern globally due to limited source material and challenging production processes
Although many isotopes are produced in nature
extracting a significant amount of purified material demands an accelerator or nuclear reactor and the facilities and expertise to chemically separate out the desired isotope from many others created during production
where a parent isotope decays to the desired radionuclide that is then extracted
and cyclotrons that accelerate and bombard a target using variety of particles
For the four isotopes identified as most suitable for therapeutic use
the availability and ease of production are therefore a key factor to consider for their use
including current and potential future availability and production methods
211At can be produced at reasonable yield and high radionucleic purity using an alpha-particle beam to bombard natural and widely available bismuth at ∼28 MeV via cyclotron irradiation. Despite being a straightforward method of production, the number of accelerators capable of a 28 MeV alpha-beam limits the availability of 211At, and current quantities are inadequate for widespread clinical use (72)
While the specific production and purification methods of 212Pb are under development
there is good availability of the potential parent radionuclide 228Th
which provides good confidence in the ability of these approaches to ultimately scale to accommodate commercial therapeutic volumes
Overview of current and potential production methods for four key alpha-emitting isotopes
Summary of current and potential future capacity for key 225Ac production facilities
225Ac has gained much attention as a promising isotope for use in ART, due to its 9.92-day half-life; high LET; manageable chelation and conjugation to targeting molecules such as antibodies and peptides; four net alpha particles emitted per decay for high lethality to target cells; and existing body of early clinical experience (83)
Projected 225Ac demand versus current 225Ac production via 229Th production from 223U legacy waste and potential future production
Current 225Ac production is estimated to be 55–65 GBq per year
which is inadequate even for current demand from researchers
Demand is projected to increase by 200–400 GBq per year for each 225Ac-based therapy that is approved for clinical use
Should efforts to develop 213Bi-based therapies also increase
highlighting the importance of new production methods to increase 225Ac supply to meet increasing demand
it should be noted that estimates of both demand and future production capacity vary widely
There is also significant concern in the sector that the rush to use 225Ac before full investigation of the stability of its chelated state and how its long-half life may result in potential toxicity was premature
the disconnect between supply and demand of 225Ac is slowing down academic research and is driving academic and industrial stakeholders to consider alternative isotopes such as 212Pb
The scale at which models are implemented may vary
with certain benefits and challenges associated with implementation at a localized or centralized level
where manufacturing and administration facilities are co-located
Such a structure may reduce geographical access challenges compared to a centralized model where people are required to travel significant distances
or where isotope choice is limited due to the need to transport therapeutic doses over long distances
physicians experimented locally in these ways
A localized model may garner support by physicians as it could provide facilities with their own generators and production stations
improving treatment autonomy and the ease of referrals
Localized models of delivery and care may also alleviate the challenges posed by financial incentives and reimbursement that contributed to the issues experienced by Zevalin and Bexxar
The regulatory framework for such a model is not well-developed for pharmaceuticals while there is significant experience in radioactive diagnostics: current frameworks would have to be adjusted while the purveyors of such models may also have to develop processes with different requirements and features to enable such models
Quality assurance and quality controls are fundamental parts of the currently accepted GMP standards: manufacturers are expected to adhere to such standards and ensure them in every country where they supply therapies
Regulators such as FDA and EMA routinely inspect manufacturers’ facilities and quality management systems to ensure that patient safety is maintained in every batch that is released in markets
A localized model creates challenges to such approaches as each individual hospital could be considered a manufacturing site
each with their own approaches and facilities out of the management of the originator companies
Regulators may have to inspect hundreds or thousands of individual sites
raising fears that patients may receive therapeutic doses with varying characteristics across different hospitals
several post-launch processes may become increasingly difficult: data collection pertaining to real-world use of the therapies; pharmacovigilance processes; product liability assignments; and others
it is worth remembering that distributed manufacturing models are routinely used in the nuclear medicine industry for diagnostic radionuclides such as 68Ga and 99mTc
which have even shorter half -lives than 212Pb and can be produced with generators close to the point of use
It is therefore likely that a regulatory framework can be achieved for an analogous concept in the ART setting
A centralized model fits within the existing regulatory framework
enabling consistent quality controls across manufacturing sites of a given manufacturer
Such facilities could offer advantages such as improved manufacturing infrastructure for high-volume production
more uniform rules for developers and better regulatory and quality control
it should also be easier to assemble and train teams with the relevant manufacturing expertise in this budding new area
a middle ground may be the best option in the form of a distributed model
with a moderate number of manufacturing facilities supported by an integrated supply network
This may overcome challenges that prevent rapid scale up on a local level
while addressing challenges such as long patient travel
although not every country (or state in the US) may have its own production and manufacturing facility
multiple sites could ensure that therapies are more accessible
reducing patient travel and therapy transport times
Such a network may also be more resilient to supply chain shocks
and render regulatory compliance more manageable than in the localized model
A network of 10–15 sites per region may be sufficiently redundant for a resilient supply chain and it should be manageable from a regulatory perspective
Distributed networks are known to be far more stable and productive than centralized alternatives
and the redundancy that would be introduced will be essential for effective and stable therapeutic supply in the future
network redundancy provides multiple paths for traffic
so that data can keep flowing even in the event of a failure
The redundancy created by distributed networks can be considered necessary complexity to reduce the probability of failures that could impact the entire network and
Currently, the unexpected closing of one reactor or one specialized laboratory could already lead to worldwide problems in the supply of medical radionuclides and therapeutics. Other reactors or manufacturing sites may not always absorb the increased demand. This phenomenon was eminently on display during the productions issues of Novartis described above (90, 92)
Alpha radioligand therapeutics (ARTs) offer great promise for the treatment of cancer that is reflected in high expectations for patient impact and financial returns
It is encouraging to see this reflected by the rapid growth of ART-focused companies and expanding clinical pipelines within the field
Future growth will be fueled by further efficacy and safety data from ART clinical trials and real-world results–with expanded investigations of earlier stages of cancer
Thorough investigations of the fundamentals of ART coupled with combination therapies with other modalities
provide fertile ground for academic and industrial researchers alike
Sustained efforts to increase the availability of isotopes by establishing more manufacturing facilities and new methods of production are key to successful growth of the field
Such advances will need to keep pace with each other to avoid situations such as the current expected imbalance between supply and demand of 225Ac
Cross-disciplinary training of specialized practitioners to overcome the referral challenges to adoption will also need to be supplemented with an adjustment of financial incentives that puts patients first
New delivery models must also be developed and implemented to provide equal and resilient patient access
This innovation will require that regulatory frameworks evolve at the speed of the rest of the field in order to balance the needs of all stakeholders
Both authors listed have made a substantial
This manuscript was partially supported by ARTbio Inc
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations
Any product that may be evaluated in this article
or claim that may be made by its manufacturer
is not guaranteed or endorsed by the publisher
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Citation: Ostuni E and Taylor MRG (2023) Commercial and business aspects of alpha radioligand therapeutics
Copyright © 2023 Ostuni and Taylor. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
distribution or reproduction in other forums is permitted
provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited
in accordance with accepted academic practice
distribution or reproduction is permitted which does not comply with these terms
*Correspondence: Emanuele Ostuni, ZW1hbnVlbGUub3N0dW5pQGFydGJpb3R4LmNvbQ==
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations
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Below are the best Airbnbs in Puglia to book now
MesagneA grand structure emerging along the ancient Appian Way
Villa Pizzorusso is draped in centuries of history and a rare gem in Puglia's rural heartland
This restored 16th-century masseria is a living testament to Italy’s agrarian past
its weathered stone walls now framing a sanctuary of quiet luxury
Olive trees stretch endlessly in every direction
while the scent of citrus and herbs wafts through secluded gardens
The 25-metre swimming pool glistens beneath the southern sun
arched doorways and original frescoes evoke a bygone era
split between the main villa and a charming courtyard annex
offers rustic elegance with contemporary comfort
Stone fireplaces and traditional wood furnishings blend seamlessly with sleek modern bathrooms
take an aperitivo on the panoramic terrace
watching golden light fall across the groves
Days can begin with fresh ricotta and cornetti from Mesagne’s bakeries
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while local osterias offer unforgettable meals of handmade orecchiette and just-caught seafood
Villa Pizzorusso is a solid choice for large groups seeking a portal into the soulful
NardòSurrounded by the baroque beauty of Nardò’s historic centre
Casa a Corte is an optimal blend of centuries-old charm and contemporary elegance
This 16th-17th-century residence has been thoughtfully restored to create a tranquil escape just ten minutes from the Ionian Sea
you’ll find a lush courtyard perfumed and decorated by orange trees
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the villa pairs mid-century lines with heritage details – walnut furnishings
each with a king or queen-sized bed and en-suite or private bathrooms
offer personal sanctuaries that open onto terraces and the courtyard beyond
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step outside to explore Nardò’s cobbled streets
A short drive brings you to the turquoise waters of Santa Maria al Bagno and Santa Caterina
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PutignanoRight in the thick of Puglia’s storybook countryside
Sunrise Trullo poetically fuses ancient architecture and contemporary design
Once a modest 18th-century watchtower nestled among olive trees
it has been lovingly revived by two architect-owners
whose restoration honours the land’s rural traditions while introducing thoughtful modern touches
The result is a quietly luxurious retreat surrounded by the iconic conical rooftops of the Murgia dei Trulli – a region of limestone farms
Your stay in the Sunrise Trullo offers an intimate glimpse into this timeless world
Originally used by farmers as a rest shelter
the restored trullo now houses a serene bedroom
while a sandstone-vaulted extension includes a modern kitchen
Earthy textures and repurposed rustic furnishings blend beautifully with minimalist design
a small private garden opens into a shared courtyard with a hydromassage pool
morning swims and sunset soaks come with sweeping views of olive groves and sun-warmed stone
The location places you within easy reach of the UNESCO-listed town of Alberobello (12 km)
and the cliffside beauty of Polignano a Mare and Monopoli
Spend the day exploring Putignano’s historic centre
or sampling Hilde and Luigi’s own award-winning extra virgin olive oil that's pressed on-site
Martina FrancaSet in the heart of Puglia’s picturesque Valle d’Itria
Trullo Meraviglioso was lovingly restored to celebrate the rustic elegance of traditional Apulian life
Just a short drive from the whitewashed towns of Martina Franca
and Alberobello – all rich in baroque character and UNESCO-listed trulli architecture – this hideaway is the perfect base for exploring southern Italy’s arguably most enchanting countryside region
its conical trullo roofs and thick stone walls offering natural coolness and intimacy
a cozy double bedroom beneath a classic vaulted ceiling
A separate relaxation room offers a hydromassage tub with chromotherapy – ideal after a long day spent wandering local markets or tasting wines in the surrounding villages
olive and walnut trees shade a private haven designed for long
and even hammocks beneath a broad tree invite you to slow down and savour the area’s rural pace
The countryside surrounding the villa is ideal for scenic drives
or impromptu wine tastings at local masserias
immersed in the serene landscape of the Valle d'Itria
this historic villa has been meticulously revived to preserve its noble heritage while blending it with modern comforts
Each corner of the villa showcases the property’s past
as well as high quality craftsmanship — from its artistic mosaics and 19th-century furnishings to the exquisite bathrooms adorned with rare marbles and hand-carved stone bathtubs
the villa boasts a private heated pool surrounded by lush greenery and centuries-old palm trees
The outdoor area features an elegant summer kitchen
a pergola draped in white curtains offers the perfect spot for a peaceful nap
while a pool table and a 17th-century Florentine fireplace create a refined ambiance for evening relaxation
you’ll find ample space for up to eight guests
with three luxurious double bedrooms and living areas suitable for both group activity and quiet contemplation
once used for olive oil and wine production
has been transformed into a peaceful retreat
complete with a vaulted living room and a double bedroom with an exclusive stone-carved bathroom
The villa's location is perfect for those wishing to explore the cultural and natural beauty of Puglia
guests can enjoy the stunning beaches or explore the ancient towns and traditional trulli of the region
indulging in gourmet meals with a private chef
or embarking on an adventure with guided tours or boat rentals
Villa Favorita promises an idyllic backdrop for making long-lasting memories
OstuniFor a dreamy break away in the Puglian countryside
Perched on a hill among blissfully quiet surroundings
with fragrant olive trees to sit under with a book and incredible sprawling views stretching out below
Each day offers something new to explore – from the caves at Castellana
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There’s a barbecue on the terrace and a pool to dive into after a long day on foot – just bear in mind that it’s shared with two other properties
Sleeps: FourPrice: From around £168 per night
MateraThis elegant historic residence has been given a thoroughly modern facelift
plenty of marble and a comfy mish-mash of furniture bring style and homeliness in equal measure
Head out to the little balcony and flop down on one of the powder blue chairs with an espresso – there are views all over Sasso Caveoso
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take note: pets are allowed at a €15 surcharge
Sleeps: SixPrice: From around £231 per night
Sleeps: ThreePrice: From around £93 per night
this little trullo hides out among a lush garden of gently swaying olive trees
where the only noise pollution comes from the birds chirping
You’ll need a car to reach this little guesthouse – and likely a 4x4 to traverse the rural roads – but on arrival
you’ll be rewarded with a 10,000 square metre olive grove to explore
along with a dreamy courtyard and an azure blue saltwater pool – just right for a few lazy laps to cool off in after a day under the Italian sun
you’re actually very well placed to explore the area’s most beautiful towns – Ostuni
Cisternino and Locorotondo are all within five kilometres
Sleeps: TwoPrice: From around £129 per night
barrel vaults and dusty sandstone walls – a perfect romantic hideaway for two
Everything comes finished in that understated rural Italian way – big Chesterfield armchairs
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You’re close to the action – just a few minutes’ walk
and you’ll be among all the baroque architecture
Sleeps: TwoPrice: From around £124 per night
this 12th-century tower on the cusp of the owner’s farm is a historical gem to explore among the olive trees
A stone spiral staircase makes a statement inside
but it’s the surrounding scenery that steals the show
the fruits and vegetables grown on the farm will be available for guests to cook up in the evenings
along with a glug or two of homemade olive oil
the hosts can book you a massage or sessions with a personal trainer
along with guided hikes in the Alta Murgia Park
gives you somewhere to cool off on lazy days
Sleeps: ThreePrice: From around £137 per night
OstuniJust a few minutes walk from Ostuni’s higgledy-piggledy city centre
this bijou gem offers pared-back luxury among the fruit trees
there’s a comfy double bed under an alcove
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you can barbecue on the verandah (or sit in the hammock while your partner does) or take a dip in the pool before setting up on the outdoor dining table
Sleeps: TwoPrice: From around £214 per night
CarovignoPuglia’s traditional pared-back aesthetic has been given a jaunty zhuzh here
a blue chequered tile – add joy and texture to the otherwise neutral scheme
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You couldn’t be closer to the centre of town – a wealth of bars
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OstuniFew caves can claim to be as thoughtfully renovated as this one
a spa-like walk-in shower and a kitchenette for making tea and coffee
But head further down for the best bit: a private underground hot tub
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but the host has partnered with nearby restaurants to offer breakfast
and there’s a launderette close by should you need it
Previous guests do say that the space is a little small
so this is perhaps not one for a long stay
but the allure of unfettered access to our own cave hot tub wins out over practicality here
Sleeps: TwoPrice: From around £188 per night
Sleeps: FourPrice: From around £289 per night, with a four-night minimum
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It doesn’t take more than a glance to see why Ostuni is dubbed “the White City” (la citta’ bianca)
Spiraling around its hill and spreading across another one beyond
the city exudes an alluring blend of Greek sugar-cube homes and Arab casbah exotic charm
it is also just 30 minutes from Brindisi with its city amenities
it looks like a cloud floating above the olive groves
The cathedral that crowns the town stands out distinctly simply because it isn’t white like everything else
It retains its medieval character but it is also infused with a lively buzz and upscale feel
The old town is an appealing labyrinth of lanes with prestigious palaces
and funky wine bars wedged into corners and alleys
strewn with fluffy pillows on the steps where friendly banter with the other patrons as they sip a glass of local verdecca wine is a casual treat
At just a few minutes away from the sea, you can easily enjoy the waterfront nature preserves and other pristine beaches. There are three golf courses within about a half-hour of Ostuni, a rare concentration in Italy
The low hills are covered in woods and centuries-old olive groves
The summer averages 84F but cools down to around 70F (or even lower) at night
while winter average temperature is 49F or more by day and 40F by night
while the airport opens all of Europe (and beyond) with no effort
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white uprising among the lower spread of the city
The Piazza della Liberta’ is the centerpiece
a gathering spot and the perfect place for a drink and some people watching
Stroll up the curving Via Cattedrale where stair-stepped lanes lead off to hidden delights
I like the Borgo Antico Bistrot with its tucked-in terrace and tables staggered up the lane
perfect for cocktails and snacks that make a light meal
Pricier but so worth it; a full meal from antipasto to dessert will cost about $50 per person
More reasonable are the little bracerie-restaurants
where butcher shops turn into grill eateries by night; choose your meat and they cook it over the coals
and you’ll only pay about $13 per person for the feast
reserve dinner in one of the area’s agriturismo farm restaurants
where set menus usually run about $25 to $28 per person
The city center spreads out from the piazza
and the neighborhood coffee bars and shops
the countryside is sprinkled with those trulli homes that lend a distinctive sense of place to the Valle d’Itria
Less than a 10-minute drive gets you to the rocky incised Costa Merlata (literally
The pretty fishing town of Torre Santa Sabina is a great place for a waterfront walk and lunch
the coastal dunes of the nature park Torre Canne gives you walking paths and sandy beaches
the stunning baroque city of Lecce is yours to explore; the cultural events and offerings are plentiful and every stroll brings gorgeous corners dripping in ornate adornments to gaze at
But don’t overlook the events and museums in the area’s towns
as the Valle d’Itria puts on high level exhibitions in Martina Franca’s Ducal Palace
and Ostuni’s own Civic Theater puts on plays
Making Ostuni even more attractive is its reasonable real estate market
Ostuni offers some excellent real estate prices
Here you can find small but habitable homes starting at $50,850—or even lower
a smartly redone loft apartment with 647 square feet
and barrel vaulted ceilings in a convenient location is listed at $66,670
go for a restored country villa with three bedrooms and three bathrooms
plus a one-bedroom and one-bathroom guest house
nice furnished rentals run from $340 to $565; a furnished country trullo rents for around $800
two-bathroom country villa of 1,400 square feet is listed for under $1,500 a month
The overall cost of living in Ostuni is very reasonable
A bag full of local produce at the weekly market will set you back about $6; stop for a cappuccino while shopping for $1.30 and munch on a cornetto pastry for $1.10
You’ll pay between $12 to $20 for a haircut
Dining out can be downright cheap: the locally-loved bracerie are butcher shops that then grill the meats you choose are an affordable and tasty outing
where dinner for two with wine can run just $25
A seafood feast can vary from upscale to home-style
with prices bounding from $25 a person to $100 a person
but the fish is always super-fresh and well-prepared
A glass of wine at an outside café will set you back just $4 or $5
Ostuni also offers upscale fancier restaurants for special evenings
and basic trattorias and pizzerias for economical but delicious dining
living in Puglia can be as affordable as you want it to be
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Gian Paolo Barbieri's various approaches and techniques helped to shape modern fashion photography
Just as there was a reawakening of Italian fashion design
Barbieri made a point of becoming a friend of the designers
By befriending and eventually understanding their style and design
Barbieri was able to become a champion of the new era of Italian fashion and costume designers
Barbieri was able to be a driver of this reawakening of Italian fashion popularity
he drew on his deep knowledge to enrich his shoots with references to art history
Barbieri also relied on cinematic grandeur to help his images stand out
but shooting in a way to expand the conversation
you can see Barbieri's newest exhibit at House of Lucie Ostuni
The exhibit is showing off many masterworks by Barbieri
as well as some previously unpublished photographs dating back to the 1960s
Mark is a Toronto based commercial photographer and world traveller who gave up the glamorous life of big law to take pictures for a living
But how did he manage to capture these with such old cameras and lenses in the 60s
Let me guess—could it be that he was just incredibly creative
with a deep understanding of photography and lighting
I wish more people would focus less on today’s gear (all brands produce great cameras now) and spend more time actually learning about photography and light
The Bowdoinham ceramicist releases new pottery collections on her website twice a month
Bowdoinham ceramicist Dominique Ostuni’s playfully illustrated
cartoonishly crooked porcelain looks breezy and childlike — fit for teatime in Wonderland with the Mad Hatter
Ostuni’s latest collection of roughly 200 gilded
hand-pinched wares was inspired by childhood memories of her mother’s Italian restaurants in upstate New York
the image of a table with a red-checkered cloth beneath a blue-curtained window recurs alongside phrases
something deeper and disquieting is simmering too
candy-yellow lemons and bumblebees dance over the declaration
decorated with flowers and baskets of fruit
you like me more.” Drip glazes cause the playroom colors to bleed together
as if to say that these are Ostuni’s thoughts and perhaps they’re also yours
but how much do they matter if they’re already half gone
After graduating from Portland’s Maine College of Art & Design
Ostuni began to feel disconnected from the process of creating and selling
“I realized I don’t want to just make tableware,” she says
“I want to make things that make people think and make me think.” During a postgrad residency in Rome
she decided to bring the trove of introspective painting
and journaling she’d been doing on the side into her pottery
all 17 pieces of her first collection combining words and imagery sold in less than 10 minutes on Instagram
Three years ago, Ostuni moved to Bowdoinham, where she met fellow ceramicist Sara Cox, of Delilah Pottery
The two became fast friends and Ostuni eventually relocated her workshop to Cox’s cheerful
light-filled home studio in a former garage
“Sara is the only person I can work next to,” Ostuni says
but we also know when to leave each other alone.” One recent afternoon
cutting mug bases from wet clay with a 28-ounce tomato can
On one side of a window framed in mint-green trim
a bulletin board held a hodgepodge of drawings
including a pair of dainty candlesticks with shining gold bows Ostuni was particularly pleased with
but I think I will keep one of those,” she said
Ostuni releases new pottery collections that sell out within minutes
Buyers she has never met sometimes message her to ask what she meant by a certain word or phrase and to share what it means to them
“I’ll usually say what I was thinking at the time
which is probably completely different from what they’re resonating with,” Ostuni says
“But isn’t it beautiful that it was able to bring us together?”
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Metrics details
The fetal remains from the Ostuni 1 burial (Italy
ca 27 ka) represent a unique opportunity to explore the prenatal biological parameters
and to reconstruct the possible patho-biography
of a fetus (and its mother) in an Upper Paleolithic context
Phase-contrast synchrotron X-ray microtomography imaging of two deciduous tooth crowns and microfocus CT measurements of the right hemimandible of the Ostuni 1b fetus were performed at the SYRMEP beamline and at the TomoLab station of the Elettra - Sincrotrone laboratory (Trieste
Italy) in order to refine age at death and to report the enamel developmental history and dental tissue volumes for this fetal individual
The virtual histology allowed to estimate the age at death of the fetus at 31–33 gestational weeks
Three severe physiological stress episodes were also identified in the prenatal enamel
These stress episodes occurred during the last two months and half of pregnancy and may relate to the death of both individuals
This cautions against the use of modern skeletal and dental references for archaeological finds and emphasizes the need for more studies on prenatal archaeological skeletal samples
Studies of fetal and perinatal individuals can shed light on the life history - in its broadest sense
the history of biological events in someone’s life - of both the mother and the child during gestation
studies focusing on prenatal dental development are rare in the palaeoanthropological literature
ca 10.5–9.5 ka) represent the only known Upper Paleolithic fetuses
All three of these fetuses were found inside their mother’s pelves
The Ostuni 1 burial in the Santa Maria di Agnano cave: (a) the burial during excavation (photograph by E.Vacca); (b) an enlargement of the pelvic region of Os1 with the fetus Os1b taken during excavation (photograph by E.Vacca); (c) Virtual volume rendering of the right hemimandible of Os1b in lateral view
The lower right lateral deciduous incisor (LRi2) is visible through the bone transparency
which relies on individual physiological rhythmicity
has the advantage to overcome the use of skeletal indirect methods
that are necessarily based on reference populations’ growth standards
The aim of this study is to enrich our knowledge of the prenatal biology and the patho-biography of this fetus (and consequently of its mother as well) and to refine its age at death estimate
Virtual histology and volume rendering of Os1b’s ULi1 and LRi1: (a,b) virtual histological sections of ULi1 (a) and LRi1 (b) crowns;(c,d) digitally enhanced sections of the ULi1 (c) and LRi1 (d) crowns
The ALs are highlighted in red and the prism paths in green; (e-h) virtual 3-D reconstruction of the two deciduous central incisors
Enamel thickness topographical variation is rendered by a chromatic scale from dark blue to red
ULi1 labial (e) and lingual (g) views; LRi1 labial (f) and lingual (h) views
It is possible that a portion of the last secreted enamel has been lost post-deposition due to its poor mineralization
To estimate how much enamel is missing in both crowns
the EERs of the third segments were used (see Supplementary Methods)
Each profile was calculated with a locally weighted polynomial regression fit
shows that the upper incisor has thicker cuspal enamel in reference to LRi1
The distribution of the enamel thickness is partially altered by minor erosions on the enamel surface
The EDJ surface of LRi1 and ULi1 is close to 80% of the final area of the modern reference sample
thus suggesting that the two teeth were close to the end of the recruitment of new ameloblasts along the EDJ
Schematic representation of the time elapsed between each of the biological landmarks (AL 1
and AL 3) in the two central incisors of the Os1b individual
The three Accentuated Lines are aligned in order to estimate more precisely the prenatal Crown Formation Time
See text and Supplementary information online for further details
the most parsimonious assessment of the chronology of the three stress events
the chronological age at death estimate for Os1b never exceeds the 33 weeks
are comparable to the age at death estimates derived from modern skeletal standards
these findings support the idea that modern growth standards may be inadequate when analyzing archaeological remains
These stressors possibly resulted in the death of both the mother and the child
offers a methodology to create new population-specific standards aimed at partly overcoming the possible discrepancy between biological and chronological age at death estimates
targeted for the prenatal enamel of the central deciduous incisors and derived from the pre-industrial skeletal series of Velia
was adopted to estimate the prenatal CFT from the prism lengths
All data analyses and graphs were performed using the R statistical package version 3.3.268
A sharpening filter was applied to the projections before to start the reconstruction procedure
M.) 237–244 (Actes du Colloque international de Liège
The gravettian infant burials from Krems-Wachtberg
Babies reborn: infant/child burials in Pre-and Protohistory 15–19 (BAR International Series
(Centre National de la Recherche Scientifique
Two upper palaeolithic burials at Nazlet Khater in Palaeolithic Quarrying sites in Upper and Middle Egypt (ed
M.) 273–282 (Leuven: Egyptian Prehistory Monographs 4
La Necropoli di Elea-Velia: qualche osservazione preliminare
Incremental growth of deciduous tooth enamel
Tooth development in human evolution and bioarchaeology
R-Core-Team. R: A language and environment for statistical computing, http://www.R-project.org/ (2017)
Download references
We thank the Elettra laboratory for providing access to the beamtime at the SYRMEP beamline and to the TomoLab instrument
We want to thank Eligio Vacca for the specimens’ pictures
Clément Zanolli for his help in performing the microtomographic measures
and for the segmentation of the microtomographic volumes
Clément Zanolli and Alessandra Sperduti provided many hints on earlier stages of the manuscript
We thank Leigh Oldershaw for improving the language and for helpful suggestions
We thank Christopher Dean for his comments on the manuscript
We want to thank Roberto Macchiarelli for his support and for his participation in conceiving and designing the general research
We thank the “Museo di Civiltà Preclassiche della Murgia Meridionale”
and the “Soprintendenza per i Beni Archeologici della Puglia”
for granting access to the specimens and for authorizing the microtomographic analysis (auth
This research was partially funded by the PhD School of Sapienza University of Rome
Networking support was also provided by the EXTREMA COST Action MP1207
Università degli Studi di Bari “Aldo Moro”
Museo di Civiltà Preclassiche della Murgia Meridionale
Museo Storico della Fisica e Centro di Studi e Ricerche “Enrico Fermi”
The “Abdus Salam” International Centre for Theoretical Physics
conceived and designed the general research
designed and conducted the synchrotron-based and conventional X-ray microtomographic measures at Elettra
coordinated the archaeological excavation and provided samples
facilitated the research and provided access to infrastructures
performed the tomographic image reconstruction
The authors declare that they have no competing interests
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DOI: https://doi.org/10.1038/s41598-017-09773-2
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Archaeological and Anthropological Sciences (2023)
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Search for shows online and experience them offline. Il Tacco di Bacco is a tool designed to enhance the quality of our lives. A fulfilling existence is built on authentic connections, which we believe can only arise in the real world. This is why we’ve created a guide to help you navigate, not a community to hold you back. We provide the means; you discover the purpose.
Italy’s southern region of Puglia has been branded as a hidden gem for those looking to escape the busy tourist crowds of places like Santorini and Mykonos
Michael Donovan, a travel expert and the co-founder of staynewengland.com
told the Express that Puglia is a great alternative for travellers looking for an authentic experience without the overwhelming number of tourists
Donovan claimed that overtourism is causing a lot of problems in many popular European destinations
He said: “Europe is an amazing destination, but overtourism is becoming a real issue in some areas, especially in places like Santorini, Mykonos, and Venice”
While these locations have beautiful scenery and plenty of history
the growing number of visitors can make them feel overcrowded
READ MORE: Greece and Turkey hold crunch talks over 'migration crisis' and security
Donavan said: “I’d recommend avoiding Santorini during peak season.”
Luckily for those looking for less crowded alternatives
which he called “peaceful yet equally charming”
The expert said: “Outside of Greece, I think the region of Puglia in Italy is still a bit of a hidden gem
“It’s not on the radar of most British tourists yet
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Puglia is known for its stunning coastal views and unique white-washed architecture, similar to the one found on the more crowded Amalfi Coast or Tuscany, but without the large influx of tourists.
Donovan said: “It’s a great alternative to Tuscany or the Amalfi Coast if you’re trying to dodge overtourism.
“You get the same Italian charm, but with a more relaxed atmosphere.”
Those who wish to travel to Puglia can expect to find picturesque towns, authentic Italian cuisine, and beautiful landscapes.
Ostuni, which is often referred to as "The White City" because of its white buildings, is one of the highlights of the region.
Visitors can also enjoy the Adriatic coastline, historical landmarks, and a slower pace of life.
As Donavan put it: “You get the best of Italy’s charm and beauty, but without the crowds.”
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Villa Ostuni is characterized by essential geometric shapes arranged in a harmonious composition
representing a modern residence constructed with traditional materials from Puglia
The house features white plaster facades adorned with dry stone cladding in ivory tones
creating a striking contrast against the rural backdrop of olive trees and red earth
Small windows on the south facade control sunlight and heat during the summer
while expansive north-facing lift and slide openings provide ample fresh air and brightness
Villa Ostuni is designed to cater to both leisure and work.For this project
the architects in charge opted for windows and doors from the Skyline Minimal Frames collection for small and large openings
These products are characterized by a refined and slim timber profile
The dark etched fir timber creates a striking contrast against the light-colored walls
accentuating the window spaces with a bold and graphic statement
This intense color scheme extends to the furnishings
which make a vivid impression against exterior stone slab paving and smooth interior concrete surfaces
The choice of materials and colors in the windows and furnishings contributes to a cohesive design for the space
View all available Carminati Serramenti products in the Architonic Catalog
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with the resulting olive oil being sold under the new association “Circle of Life.” The goal of the association is to protect and value the olive oil produced by ancient trees while spreading the protocol to other districts and infected areas
with plans to provide online resources for growers to adhere to the protocol
Olive oil produced by the resilient orchards adhering to the protocol created by the newly funded anti-Xylella association
“Circle of Life,” will be sold and researched
“We have already started; this year it was our first year. We have two hundred olive trees here, and for the initiative, we produced one bottle of extra virgin olive oil for each one of the trees,” Jennifer Andreu
owner of Masseria Guadalupe in Ostuni and Circle of Life coordinator
The resulting “Olio Traiana” extra virgin olive oil is named after the “Via Traiana,” the ancient Roman road that connected Brindisi to Benevento and the rest of the Roman territory
“The goal of the association is to give value to the excellent olive oil produced by the ancient trees while protecting them and supporting those who do not have the means to adopt the protocol and save their trees,” James Kinahan
Olio Traiana and Circle of Life marketing manager
The association hopes to eventually adopt a specific label for EVOOs produced by Scortichini protocol-adhering orchards
“That could also help in spreading our idea to other districts and reach other infected areas,” Andreu added
we have had the intervention of the famous Mexican artist and designer Pedro Friedeberg
who authored this year’s label and helped us craft a product which also includes information about the Scortichini protocol,” Kinahan noted
“We have seen the results by talking with the growers who are applying the protocol
We already organized two events with the local community
There is a growing interest for the protocol,” Andreu said
“We had Marco Scortichini at the last event in December, with him was another researcher of the University of Bari, Francesco Porcelli
whose work is crucial in understanding the dynamics of the spreading of the bacteria
We also had the support of the local branch of the CIA-Italian farmers association
which will help Circle of Life in reaching farmers in the area,” Andreu explained
Many local growers interviewed by Olive Oil Times confirmed that the Scortichini protocol allows even highly infected olive trees to recover and start producing again
In the last few months, dozens of trees have been infected outside the red zone areas. Just a few weeks ago, local regional authorities expanded the territory formally considered hit by Xylella to include the new regions
monitoring operations again found more infected trees outside the current red zones
“Our goal is to give value to the olive oil of those unique centuries-old plants
And to show how the protection of the trees and of such landscape has strong economic implications,” Kinahan noted
The next steps for the new initiative will include posting all of its information and a treatment calendar online
“That will help growers to contact us and eventually adhere to the association
It will also support them in planning in advance the deployment of the protocol the whole year through,” Andreu concluded
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that look like garden sheds for garden gnomes
Perhaps it was the lazy ‘New Tuscany’ tag that used to be bandied about
Or perhaps it was just me. I was dazzled by Lecce when I first visited 25 years ago. The city is the star turn not only of Puglia but of all southern Italy
and I may not have given the rest of the region its due
where the landscapes were armoured with rock and the olive trees were as ornate as cathedrals and a single lighthouse – the Punta Palascìa – gazed out to sea
Sunbathing at Cala dell’Acquaviva, DisoLavinia CernauThe heel of the Italian boot, caught between the Adriatic and the Ionian seas, the region feels like an island, peripheral, a place apart, only tenuously European. Puglia is the end of something, and the beginning of something else. Down here on the edge of Europe
The white cubist houses could be North Africa and the labyrinthine towns
their lanes a bewildering maze of privacies
Celebrities may have discovered its retro charms; Helen Mirren
Meryl Streep and Gérard Depardieu are among those who have purchased houses here
But the real connoisseurs – ordinary Italians – know and love Puglia for its food
Nonna on her balcony in MonopoliLavinia CernauAnd in Puglia, summer seems to go on forever, almost lingering into November
perhaps more imagined than real – that sense of freedom among sand and rock
the paths threading through dunes to the sea
Puglia is the resin-y scent of pine and roadsides thick with oleander shedding spent pink blossoms and the high-pitched drone of cicadas
It is calamari and ice-cold beer and the glow of sun on your skin at day’s end
It is beach umbrellas ruffled by the sirocco and bronzed limbs unfolding in hammocks
dishevelled lunches and jugs of rosé wine in the shade of porticoes where you find yourself suddenly confessing things you thought you would never say
Puglia is those inappropriate summer love affairs that last a week and that you remember a lifetime
Puglia is where Italians go to escape real life
The transformation of the old masserie into luxury properties – literally blown open by contemporary designers – is a cultural as well as architectural project
In the towns, it is palaces that evoke the old anxieties. They too are often turned in on themselves, a labyrinth of passageways and quirky rooms. There is always the sense, or the hope, that you will stumble upon something you were not meant to see. In the town of Ostuni, where there are some of the finest sea views in Italy, the Palazzo Rosso – now Paragon 700 – is a place of secrets and conspiracies
Peepholes indicate that it was once a convent
while in the 19th century its rooms were the rendezvous for secret plots in support of Garibaldi and Italian unification
In the walled garden behind high stone walls is a secret orange grove like hidden treasure
Early morning in OstuniLavinia CernauThe southernmost stretch of Puglia is Salento
bony place where wild figs grow in profusion
groves of contorted olive trees retreat into green shadow and pomegranates ornamented with fruit peep over dry-stone walls
keeping watch for Turks who gave up invading in 1571
gaze across a sea towards the mountains of Albania
as if Europe’s extremities shared a bleak windswept ancestry
Moored on Salento’s west coast is the city of Gallipoli
Lanes twist between old palaces like gangways before rounding a last corner and emerging on the wide decks of the seafront
the old churches seem to lean forward like elaborate figureheads
their façades scoured and bleached by salt winds
the best of Salento is the string of towns and bays along its east coast
who was said to have landed here on his way from Palestine to Rome
was so impressed he insisted it become a mandatory stop on the way to Paradise
smart Italians take one of the white houses overlooking a cute harbour where sunbathers stretch out on the quays while boys somersault into the water
splendid Moorish palaces promise cures for bronchitis
arthritis and that most terminal of illnesses – ageing
a colossal castle blocks the sun in the middle of the town
Horace Walpole set his famous Gothic novel The Castle of Otranto here
filling it with chivalrous knights and despairing princesses
Lunch spot at Aquamarea in Polignano a MareLavinia CernauIt is the limestone of Salento
Experts speak of its variations with the kind of passion sommeliers reserve for grape varietals – carparo
each offering the sculptor different possibilities
In the city of Lecce, Salento’s focal point, the possibilities of the local limestone come into their own. Guides call Lecce ‘the Florence of the South’. Puglians shrug and say, ‘Who needs Florence when we have Lecce?’ Nine colossal churches of the most extraordinarily delicate ornamentation
all the result of the ‘tender’ malleable properties of the local stone
Trailing in their wakes are countless ornate palaces
Swimmers in Polignano a MareLavinia CernauSouth of Otranto, I followed a rocky path down to the Punta Palascìa lighthouse, Italy’s easternmost point. Whitecaps rode the sea. A sailing yacht was leaning into the Grecale, a north-easterly wind which is delightful when it blows in the summer months. Puglians are connoisseurs of winds, and attribute characteristics to each.
The north winds of summer, they are fond of saying, heal the heart.
Sofitel Dubai The Palm has named its new director of operations - hiring internally as the resort bolsters its leadership team
Antonio Ostuni steps up to the role from his previous position of director of F&B
it is one of Ostuni's first roles in top-level hospitality operations
he was F&B manager at The Westin Langkawi Resort and Spa
later moving to Sheraton Grand Hotel Dubai as pre-opening director of F&B
he went on to serve as director of F&B for the JW Marriott Cairo
leading 500 staff and more than 730,000 total covers annually
directly reporting to the complex general manager and in charge of the food & beverage division for a total of 600-plus staff and one million covers yearly
He joined Sofitel Dubai The Palm in 2020 as its director of F&B
he was entrusted with deploying plans that continue the hotel's gastronomic success and elevate the reputation of all of its restaurants
Get your weekly dose of armchair travelling
narrow roads in the centre are lined with trulli that have been made over as restaurants and sweet stores selling trinkets
this town has winding streets leading to centuries-old churches and chalky houses covered with climbing vines and cacti
clusters of buzzing aperitivo bars are packed with locals on their passeggiata
Don’t miss the famous coffee from Bar Turismo
easily identifiable thanks to the customers sitting on the steps outside with its signature pour: made with a shot of amaretto
head into the old town and find La Balconata sul Mare
The best beaches in Italy to visit this summer
this hilltop town has olive groves stretching to the Adriatic Sea
about 40 minutes down the coast from Polignano a Mare
Get lost in the narrow streets that climb up to restaurant La Piazzetta Cattedrale
before stopping in one of the bars serving perfect Negronis that line the cobbled alleys
the quiet medieval port town of Monopoli has a sandy beach and plenty of authentic pizzerias
There’s a promenade to stroll along while admiring the traditional blue fishing boats bobbing in the Porto Vecchio harbour
laundry hangs from balconies and local nonnas handcraft regional orecchiette pasta on the doorsteps of family-run restaurants
where yachts dock in the harbour and a beautiful Romanesque duomo is set right over the sea
This little village is about an hour’s drive north of Bari
with a web of streets that make up the old town and a thrumming Jewish quarter
Nearly all of its many churches – there are more than 40 dotted across the city – were built in the 17th century
which gives the place a real sense of architectural symmetry
The relaxed feel stems from the fact that this is a university town
and the surrounding area is greener and more wild than elsewhere in Puglia – the Parco Nazionale del Gargano is brilliant for hiking
this is the biggest village in Valle d’Itria
The pretty old town is separated from the new town by baroque gates which
when Martina Franca was a completely walled fortress
The piazzas are home to grand duomos and palazzos: don’t miss Basilica di San Martino
Keep scrolling to see more photos of the prettiest towns in Puglia
104 beautiful pictures of Italy
The prettiest small towns in Italy
The best villages in and around Cinque Terre, Italy
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too; and don’t forget to try some orecchiette
handmade by a nonna on the winding streets of Bari’s old town
It also helps that there is now a burgeoning scene of luxury hotels
all offering a surprisingly diverse mix of experiences
which have played no small part in it being nicknamed by some as “the new Tuscany,” even if comparing it to other Italian regions feels like underselling Puglia’s specific charms
the southern part of the region—the stiletto on the heel of the boot
if you like—a number of small-scale boutique hotels are offering a more eclectic range of genuinely unique stays
there’s never been a better time to visit the region
Vogue rounds up seven of the best hotels in Puglia to visit this summer—and return to
you wouldn’t guess for a moment that this sprawling
breathtakingly beautiful property was only built in 2010
That’s right: Every one of Borgo Egnazia’s meticulously designed rooms
and villas—183 in total—might appear centuries-old on the surface
but they reach a world standard in luxury mod cons
a native Puglian who was hired for his knowledge of the quirks of the region’s traditional building techniques
even went around chipping at the walls with a chisel to ensure the creamy local sandstone looked as authentically weathered as possible.) When you find yourself getting pleasantly lost in Borgo Egnazia’s alleyways
Two of the pools in the heart of Borgo Egnazia at dusk
Photo: Jacob SjömanBorgo Egnazia’s piazza is lit up in the evening for dinner
Photo: Aldo RicciWhile Borgo Egnazia is very much the brainchild of couple Aldo Melpignano and Camilla Vender—the latter also runs an exquisitely curated boutique
as part of the hotel complex—the story actually runs a generation further back; specifically
the first luxury hotel in the region in 1996
Sergio and Marisa Melpignano played a crucial role in establishing Puglia as the growing tourist hotspot it is today by making a conscious effort to market the region abroad
With Melpignano and Vender’s willingness to both take up the mantle and push that vision to the next level
the wildly ambitious Borgo Egnazia project came to be
the impressive castle at the town’s highest point
Most of what is visible today was constructed in the 17th century
but it also features the foundations of an 11th-century Norman tower
rediscovered while the building was being lovingly refurbished half a decade ago
and that can now be seen through glass floors in the dining area
that features a swimming pool and slick sports facilities
Courtesy of Castello di UgentoIl Tempo Nuovo restaurant—with glass floors looking to the remains of the Norman tower underneath—at Castello di Ugento
Courtesy of Castello di UgentoA major highlight here is the food: The hotel restaurant
sees chef Tommaso Sanguedolce put an impressively fresh and unfussy twist on traditional Puglian cuisine
while the now well-established Puglia Culinary Centre offers cooking courses and classes for everyone from beginners to Michelin-star chefs wanting to learn more about Italian cuisine
there’s an impressive series of rooms on the building’s piano nobile featuring Baroque frescoes that have been recently restored
within which Bianchi is gearing up to stage a series of exhibitions featuring contemporary artists both local and from further afield
When it comes to offering opportunities for Puglian cultural immersion
Photo: Courtesy of Masseria TrapanàJust 15 minutes from the center of Lecce, a rural road will guide you to the gates of Masseria Trapanà: a leafy oasis that stands out as one of Puglia’s most charming stays
Stepping into the expansive courtyard that serves as the beating heart of this sprawling
and further into the vaulted lobby—complete with plush sofas and stacks of coffee-table books to invite you to immediately settle in and relax—what strikes you first is the deceptive simplicity of the decor
a spare yet supremely elegant tastefulness reigns: think four-poster beds designed in wiry wrought iron
and an emphasis on contemporary local craftsmanship
(In my first-floor room with sweeping views over the fields beyond
Photo: Courtesy of Masseria TrapanàPhoto: Courtesy of Masseria TrapanàYou’d be forgiven for thinking the property was overseen by a dyed-in-the-wool Pugliese family
it’s the brainchild of the Australian Rob Potter-Sanders
who discovered the 16th-century property over a decade ago and opened its doors in 2015
it’s an object lesson in how to run a boutique hotel: even as other (supremely chic
there was a feeling you were staying at your very own private villa
or at least the holiday home of the coolest people you know
from afternoons spent lazing by the Edenic swimming pool
carved into the historic network of storage rooms below the main villa
Tuck into a perfectly cooked plate of seafood spaghetti and a glass of crisp
chilled Salento white wine under the lemon trees
It’s an oh-so-laid-back slice of la dolce vita
Address: Strada Vicinale Masseria Trapana 9
found in the cluster of luxurious masserias that have sprung up between the towns of Fasano and Savelletri
was established as one of the first high-end stays in the region back in the 2000s
Since being taken over and refurbished by Rocco Forte Hotels in 2019
the property has found a new lease on life
it’s the quintessential vision of a relaxed masseria holiday with all of the rustic details of a typical farm stay: a sparkling blue pool
But it’s the details found in its interiors and dining that elevate it
largely thanks to the aesthetic vision realized by Olga Polizzi
Rocco Forte’s sister and the chain’s design director
sits within a pergola draped with ivy and roses overlooking the property’s orchard
The pool and bar area at Masseria Torre Maizza
Courtesy of Rocco Forte HotelsThe interior dining area of Carosello restaurant at Masseria Torre Maizza
Courtesy of Rocco Forte HotelsThere’s a sense
The large pool area features a bar offering crisp local wines and creative riffs on Italian aperitivi
The spa is stocked with products by Forte’s daughter
with scrubs and oils directly inspired by the Mediterranean botanicals of southern Italy
Rocco Forte’s relatively modest size ensures much of its most welcoming details are those which have been kept within the family.) It’s a small slice of heaven that feels almost specifically designed for you to laze away a summer’s afternoon under an orange tree
as a cool sea breeze rustles through the trees
Photo: Serena EllerThe result is a charming mish-mash of ceiling frescoes with cutting-edge contemporary art
sympathetically reconciled by the Milanese architects and designers Ludovica and Roberto Palomba
The monastic plaster walls have been left largely untouched
their weathered surfaces and cracks kept intact
with any interventions largely offered by artist-designed light fittings and the occasional piece of carefully placed modernist furniture
Each room contains its own unexpected details
The bathroom might be accessed by a narrow staircase that once included a secret passageway that extended all the way to the nearby beaches
while even a more conventional en suite features a rain shower in the middle of the room with a shell-like basin
so you can live out your best Birth of Venus fantasy
The courtyard at Palazzo Daniele.Photo: Renee KempsThe royal junior suite at Palazzo Daniele
Photo: Renee KempsLooking into the kitchen of Palazzo Daniele from the pool area.Photo: Serena EllerAgain
the culinary offering is a major highlight here
An open kitchen means you can help yourself to pastries or request eggs your way in the morning with the help of local cooks whose families have lived in the town for generations; at lunch
they’ll prepare a meal of however many courses you can handle in the shaded area by the pool
with string lights sparkling in the trees and an on-site bartender ready to whip up one of their signature inventive cocktails
The hotel’s motto is “questa casa non è un albergo,” or “this house is not a hotel,” a fact that is reflected in the generously proportioned shared living areas and the open bar built around a former religious shrine
who previously kept an apartment within the complex that was recently converted into the hotel’s newest accommodation
the Black Suite—demonstrates it’s more than just a tagline
who fell in love with Puglia in the 2000s and married in the region a decade ago
whether escorting them to the sea in a four-wheel drive or stopping by their dinner tables for a digestivo.) There’s an exuberant feeling about this property
evident in the range of activities on offer—an afternoon at their private strip of beach
and lemon from the masseria’s gardens—as well as in its lovely boutique which stocks local ceramics
and olive oils alongside casual pieces and beachwear from the likes of Etro
The outdoor dining area at Masseria Calderisi’s La Corte restaurant
Courtesy of Masseria CalderisiA bedroom at Masseria Calderisi
Courtesy of Masseria CalderisiThis sense of warmth and liveliness extends to the impeccable hospitality
which manages to be friendly and keenly attentive without ever feeling overbearing
So too is it visible in the organic conviviality between guests
many of whom are clearly satisfied to chat about finding this undiscovered gem within the region’s ever-growing number of luxury masserias
If you’re looking to strike up conversation with those on the sun lounger next to you
there’s no awkwardness here; you might even bump into them again while participating in a morning bread-baking session in the hotel’s restored wood-fire oven
or at the pizza party in the large courtyard that takes place twice a week
Masseria Calderisi is a slice of classic Puglian paradise with a fresh
The bedroom of the flagship Paragon suite at Paragon 700. Photo: Gregory VenereEven from the outside, Paragon 700 is no ordinary Italian palazzo
Its striking facade of red rusticated stone sticks out within the spectacular “white city” of Ostuni
while the restored vintage car that sits outside offers something of a clue to its unconventional mix of the past and present
But stepping inside is to enter another world entirely
The weird and wonderful brainchild of its founders
interior designers and partners Pascale Lauber and Ulrike Bauschke
they clearly saw the restoration of this mysterious building (its exact origins and dates of construction still remain largely unknown) as an opportunity to unleash their wildest design instincts
The property opened last summer with head-spinningly fabulous results
Paragon 700’s vintage car sits on the piazza directly in front of the palazzo
Photo: Gregory VenereThe pool area at Paragon 700.Photo: Gregory VenereA bespoke bathtub in one of Paragon 700’s eleven suites
Photo: Gregory VenereThe expansive bar area is Baroque by way of Tim Burton: statues of macabre grinning monkeys sit next to defaced reinterpretations of Renaissance paintings
while candelabras dripping with red wax line the tables where artist-designed sofas are upholstered with sewn-together silk ties
The hotel’s 11 individually designed rooms are intentionally more relaxed
Despite the flamboyant trappings of its decor
both wellness and sustainability are a priority here
reached by glass elevator and built into the underground caves that are atmospherically lit with candles
and even a natural whirlpool dug deeper into the ground
the hotel’s commitments to micro-CHP energy
and local construction materials are also notable
Probably the biggest facet of Paragon 700’s appeal
one of the most popular tourist destinations in the region
but that somehow manages never to feel wildly overcrowded
Getting lost in the city’s labyrinth of alleyways and admiring its Gothic cathedral are unmissable elements of a Puglian vacation all on their own—but knowing you can return to the homely environs of Paragon 700 for a refreshing dip in the pool
a cocktail as delightfully offbeat as the decor
open-kitchen Restaurant 700 to round off the evening makes the experience all the sweeter
Address: Largo Michele Ayroldi Carissimo 14
The front facade of Castle Elvira. Photo: Rei MoonA new opening for 2022, Castle Elvira sits atop a picturesque ridgeway 20 minutes or so outside of the historic city of Lecce
But the real star of the show is the castle itself: according to legend
it was built in the early 20th century by a Neapolitan family for their teenage daughter Elvira
leaving the castle abandoned for over 100 years
a British couple purchased the property and set about reviving it to its former glories—albeit with a very 21st-century twist
The drawing room at Castle Elvira with a vintage Bechstein piano
Photo: Rei MoonBalancing these nods to history with a sensitive restoration and firmly contemporary amenities
the exuberant decor is a kaleidoscope of bold colors where art covers every wall of its six individually designed guest suites
while the castle is also available to hire out in its entirety for group holidays
and weddings.) The eclectic vision for the property is very much the product of its owners
artist and filmmaker Harvey B-Brown and his property developer husband Steve Riseley
who are as jolly and inviting as the decor
you have the pick of the entire property when it comes to choosing where to eat the traditional Pugliese home cooking on offer
There’s the restaurant space which sits in its own single-story building surrounded by palms and bedecked with charming vintage signs
an opulent dining room with a round table for communal eating
where you can enjoy aperitivo and the sunset as viewed from its fairytale turrets; a converted golf cart will even bring you cocktails and boxed lunches to eat by the pool
With a nearby sister property set in the tower of an 18th-century monastery
Castle Elvira lands as a wildly characterful new addition to Puglia’s offering of unexpected luxury stays
Amenities: Restaurants, swimming pools, wellness center, spa
Address: Via Muzza 7, 73028 Otranto, Italy
Address: Piazzetta Scipione De Summa, 4, 73100 Lecce, Italy
Amenities: Restaurant, bar, spa, swimming pools, free parking
Address: Via Podgora 60, 73027 Minervino di Lecce, Italy
Courtesy of Palazzo PrestaAmenities: Restaurant, bar, bicycle rentals
Address: 29 Via Giuseppe Garibaldi, 73014 Gallipoli, Italy