
Search Clinical Trials
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A Study of VET3-TGI in Patients With Solid Tumors
KaliVir Immunotherapeutics
Solid Tumor, Adult
Microsatellite Stable Colorectal Cancer
Head and Neck Squamous Cell Carcinoma
Cervical Cancer
Kidney Cancer
VET3-TGI is an oncolytic immunotherapy designed to treat advanced cancers. VET3-TGI has
not been given to human patients yet, and the current study is designed to find a safe
and effective dose of VET3-TGI when administered by direct injection into tumor(s)
(called an intratumoral injection) or whe1 expand
VET3-TGI is an oncolytic immunotherapy designed to treat advanced cancers. VET3-TGI has not been given to human patients yet, and the current study is designed to find a safe and effective dose of VET3-TGI when administered by direct injection into tumor(s) (called an intratumoral injection) or when given intravenously (into the vein) both alone and in combination with atezolizumab in patients with solid tumors (STEALTH-001). Type: Interventional Start Date: Sep 2024 |
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A Study Evaluating the Real World Experience of Participants Treated With BRIUMVI® (Ublituximab-xii1
TG Therapeutics, Inc.
Relapsing Multiple Sclerosis
Multiple Sclerosis
The purpose of this study is to evaluate safety, effiectiveness, and to gain insight into
the treatment experience of participants prescribed BRIUMVI® (ublituximab-xiiy) in the
real-world setting expand
The purpose of this study is to evaluate safety, effiectiveness, and to gain insight into the treatment experience of participants prescribed BRIUMVI® (ublituximab-xiiy) in the real-world setting Type: Observational Start Date: Jul 2024 |
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Pembrolizumab With or Without Maintenance Sacituzumab Tirumotecan (Sac-TMT; MK-2870) in Metastatic1
Merck Sharp & Dohme LLC
Non-small Cell Lung Cancer
NSCLC
This is a phase 3 study of pembrolizumab in combination with carboplatin/taxane
(paclitaxel or nab-paclitaxel) followed by pembrolizumab with or without maintenance
sacituzumab tirumotecan (sac-TMT; MK-2870) in first-line treatment of metastatic squamous
non-small cell lung cancer. It is hypothesiz1 expand
This is a phase 3 study of pembrolizumab in combination with carboplatin/taxane (paclitaxel or nab-paclitaxel) followed by pembrolizumab with or without maintenance sacituzumab tirumotecan (sac-TMT; MK-2870) in first-line treatment of metastatic squamous non-small cell lung cancer. It is hypothesized that pembrolizumab with maintenance sacituzumab tirumotecan is superior to pembrolizumab without sacituzumab tirumotecan maintenance with respect to overall survival (OS). Type: Interventional Start Date: Jun 2024 |
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Head-Cancelled Virtual Reality for Ocular Cranial Nerve Palsies
Kevin Houston
Internuclear Ophthalmoplegia
Palsy, Abducens
This study is investigating whether eye exercises for abducens palsy and internuclear
ophthalmoplegia increase ocular range of motion in the paretic direction when performed
in virtual reality under head-cancelled compared to head-active conditions. expand
This study is investigating whether eye exercises for abducens palsy and internuclear ophthalmoplegia increase ocular range of motion in the paretic direction when performed in virtual reality under head-cancelled compared to head-active conditions. Type: Interventional Start Date: Sep 2024 |
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RetracTOR/ Retractor for Image Guided Trans-Oral Surgery
Ryan J. Halter
Oral Cavity Disease
This study aims to demonstrate that a polymer retractor functions the same as a standard
metal retractor used during endoscopy and throat surgery. The retractor is the device
that holds the mouth open so the surgeon can easily access the mouth and throat. For
example, this study aims to confirm tha1 expand
This study aims to demonstrate that a polymer retractor functions the same as a standard metal retractor used during endoscopy and throat surgery. The retractor is the device that holds the mouth open so the surgeon can easily access the mouth and throat. For example, this study aims to confirm that the mouth is held open the same amount with a polymer retractor as it is with a metal retractor. Benchtop experiments have demonstrated that the metal and polymer retractor's function the same, and thus this study will use this in patients. Type: Observational Start Date: Feb 2025 |
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Promoting Physical Activity in Older Hispanic/Latino(a) Adults
Kaiser Permanente
Sedentary Behavior
Physical Inactivity
Alzheimer Disease, Protection Against
In this randomized controlled trial, study staff will randomize 130 Hispanic/Latino
adults without dementia and over age 55 from Southern California and from Kaiser
Permanente Washington (State) to either the culturally adapted De Pie physical activity
intervention or an active comparison program f1 expand
In this randomized controlled trial, study staff will randomize 130 Hispanic/Latino adults without dementia and over age 55 from Southern California and from Kaiser Permanente Washington (State) to either the culturally adapted De Pie physical activity intervention or an active comparison program focusing on general brain health topics. The purpose of this study is to determine if 12 weeks of the culturally adapted and fully remote De Pie y a Movernos intervention improves self-efficacy, habit strength, social support, and enjoyment for physical activity (PA), thus promoting adherence to moderate-intensity physical activity (MIPA) guidelines (150 minutes/week). Type: Interventional Start Date: Sep 2024 |
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A Study of Calderasib (MK-1084) Plus Pembrolizumab (MK-3475) in Participants With KRAS G12C Mutant1
Merck Sharp & Dohme LLC
Non-small Cell Lung Cancer
This is a study evaluating the efficacy and safety of calderasib with pembrolizumab as
first-line treatment in participants with locally advanced or metastatic non-small cell
lung cancer (NSCLC) with identified Kirsten rat sarcoma viral oncogene homolog G12C (KRAS
G12C) mutation and programmed cell1 expand
This is a study evaluating the efficacy and safety of calderasib with pembrolizumab as first-line treatment in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC) with identified Kirsten rat sarcoma viral oncogene homolog G12C (KRAS G12C) mutation and programmed cell death ligand 1 (PD-L1) tumor proportion score (TPS) ≥50%. There are two primary study hypotheses: Hypothesis 1: Combination of calderasib and pembrolizumab is superior to placebo plus pembrolizumab with respect to progression free survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by blinded independent central review (BICR). Hypothesis 2: Combination of calderasib plus pembrolizumab is superior to placebo plus pembrolizumab with respect to overall survival (OS). Type: Interventional Start Date: May 2024 |
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Safety and Efficacy of Bevacizumab in Combination With NaviFUS System for the Treatment of Recurren1
NaviFUS Corporation
Glioblastoma Multiforme
Glioblastoma
Glioma
Brain Tumor
Neoplasms
This will be a prospective, open-label, single-arm pilot study to investigate the safety
and efficacy of Bevacizumab (BEV) in combination with microbubble (MB)-mediated FUS in
patients with recurrent GBM. BEV represents the physician's best choice for the standard
of care (SoC) in rGBM after previo1 expand
This will be a prospective, open-label, single-arm pilot study to investigate the safety and efficacy of Bevacizumab (BEV) in combination with microbubble (MB)-mediated FUS in patients with recurrent GBM. BEV represents the physician's best choice for the standard of care (SoC) in rGBM after previous treatment with surgery (if appropriate), standard radiotherapy with temozolomide chemotherapy, and with adjuvant temozolomide. Type: Interventional Start Date: Oct 2024 |
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Anti-Lag-3 (Relatlimab) and Anti-PD-1 Blockade (Nivolumab) Versus Standard of Care (Lomustine) for1
National Cancer Institute (NCI)
Progressive Glioblastoma
Recurrent Glioblastoma
This phase II trial compares the safety, side effects and effectiveness of anti-lag-3
(relatlimab) and anti-PD-1 blockade (nivolumab) to standard of care lomustine for the
treatment of patients with glioblastoma that has come back after a period of improvement
(recurrent). Relatlimab is a monoclona1 expand
This phase II trial compares the safety, side effects and effectiveness of anti-lag-3 (relatlimab) and anti-PD-1 blockade (nivolumab) to standard of care lomustine for the treatment of patients with glioblastoma that has come back after a period of improvement (recurrent). Relatlimab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. A monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens). Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the tumor, and may interfere with the ability of tumor cells to grow and spread. Lomustine is a chemotherapy drug and in a class of medications called alkylating agents. It damages the cell's deoxyribonucleic acid and may kill tumor cells. Giving relatlimab and nivolumab may be safe, tolerable, and/or effective compared to standard of care lomustine in treating patients with recurrent glioblastoma. Type: Interventional Start Date: Nov 2024 |
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Smartphone Twelve-Lead ECG Utility In ST-Elevation Myocardial Infarction II
AliveCor
Myocardial Infarction
Ischemia
Myocardial Ischemia
Heart Diseases
Cardiovascular Diseases
AliveCor (www.alivecor.com) has developed several electrocardiogram (ECG) devices that
interface with iOS and Android smartphones and tablets via various Kardia apps. The
current Kardia family of devices can measure single lead and six limb-lead ECGs,
depending on the device. KardiaMobile, KardiaMo1 expand
AliveCor (www.alivecor.com) has developed several electrocardiogram (ECG) devices that interface with iOS and Android smartphones and tablets via various Kardia apps. The current Kardia family of devices can measure single lead and six limb-lead ECGs, depending on the device. KardiaMobile, KardiaMobile 6L, and KardiaMobile Card have FDA clearance for ECG rhythm recording. A modified single-lead Kardia smartphone 12-lead ECG was previously validated in the multicenter ST LEUIS study for the diagnosis of ST-Segment Elevation Myocardial Infarction (STEMI) and Non-ST-Elevation Myocardial Infarction (NSTEMI). Recently, AliveCor developed a new device: AliveCor (AC) 12-lead (12L) ECG System to record simultaneously 4 leads of ECG and then generate complete 12-lead ECGs. A previous protocol at the University of Oklahoma involved 200 subjects with early prototypes of the AC 12L device with the specific aim to validate that it accurately generated 12-lead ECGs as compared to simultaneously acquired FDA-cleared 12-lead ECGs. The prototype version of the AliveCor 12L ECG System simultaneously measured four channels of ECG (leads I, II, V2, V4), calculated the remaining limb leads as is standard for 12-lead ECGs (Leads III, aVR, aVL, aVF) and synthesized the remaining 4 precordial ECG leads (V1, V3, V5, V6). This protocol will serve to validate the production version of the system against standard 12-Lead ECGs for the diagnosis of STEMI and NSTEMI in patients admitted to the Emergency Department or directly to the Cardiac Cath Lab for the evaluation of chest pain. It is anticipated that the waveforms for each of the 12 leads from the AC 12L ECG System will be highly correlated with the corresponding leads from the comparator commercially available 12-lead ECG devices used at participating sites. The purpose of this study is to clinically validate that the four-channel AC 12L ECG device can enable the diagnosis of STEMI and NSTEMI in a non-inferior manner to existing 12-lead ECG devices. Type: Interventional Start Date: Mar 2024 |
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Copper Cu 64 PSMA I&T PET Imaging in Men With Newly Diagnosed Prostate Cancer
Curium US LLC
Prostate Cancer
Prostate Adenocarcinoma
This is a prospective, open-label Phase 3 study to evaluate copper Cu 64 PSMA I&T
injection for PET/CT imaging in patients with newly diagnosed unfavorable intermediate
high-risk, high-risk or very high-risk prostate cancer. expand
This is a prospective, open-label Phase 3 study to evaluate copper Cu 64 PSMA I&T injection for PET/CT imaging in patients with newly diagnosed unfavorable intermediate high-risk, high-risk or very high-risk prostate cancer. Type: Interventional Start Date: Apr 2024 |
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Danon Disease Natural History Study
Rocket Pharmaceuticals Inc.
Danon Disease
The goal of this international observational study is to learn about the natural history
of Danon disease in male patients (≥8 years of age) and female patients (8 to 50 years of
age). expand
The goal of this international observational study is to learn about the natural history of Danon disease in male patients (≥8 years of age) and female patients (8 to 50 years of age). Type: Observational Start Date: Dec 2023 |
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Genomic Sequencing in Anatomically Normal Fetuses
University of California, San Francisco
Pregnant Individuals Requesting Standard Microarray
This cohort study will examine the clinical utility of genomic sequencing (GS) in
patients undergoing prenatal diagnostic procedures (chorionic villus sampling or
amniocentesis) for routine indications other than a structural fetal anomaly. expand
This cohort study will examine the clinical utility of genomic sequencing (GS) in patients undergoing prenatal diagnostic procedures (chorionic villus sampling or amniocentesis) for routine indications other than a structural fetal anomaly. Type: Interventional Start Date: Jan 2024 |
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A Research Study Looking Into How Ziltivekimab Works Compared to Placebo in Participants With Heart1
Novo Nordisk A/S
Heart Failure
Systemic Inflammation
The study is being done to see if ziltivekimab can be used to treat participants living
with heart failure and inflammation. Participants will either get ziltivekimab (active
medicine) or placebo (inactive substance that looks like the study medicine but does not
contain any medicine). The treatmen1 expand
The study is being done to see if ziltivekimab can be used to treat participants living with heart failure and inflammation. Participants will either get ziltivekimab (active medicine) or placebo (inactive substance that looks like the study medicine but does not contain any medicine). The treatment participants get is decided by chance. Participant's chance of getting ziltivekimab or placebo is the same. Ziltivekimab is not yet approved in any country or region in the world. It is a new medicine that doctors cannot prescribe. The study is expected to last for up to 1 year and 4 months. Type: Interventional Start Date: Apr 2024 |
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S095035 as a Single Agent and in Combination in Adult Participants With Advanced or Metastatic Soli1
Servier Bio-Innovation LLC
MTAP-deleted Solid Tumors
This is a first-in-human Phase 1/2, multicenter, open-label study of S095035 as
single-agent, or in combination with TNG462 in adult participants with advanced or
metastatic solid tumors with homozygous deletion of MTAP who have failed to respond to or
have progressed after at least 1 prior treatme1 expand
This is a first-in-human Phase 1/2, multicenter, open-label study of S095035 as single-agent, or in combination with TNG462 in adult participants with advanced or metastatic solid tumors with homozygous deletion of MTAP who have failed to respond to or have progressed after at least 1 prior treatment regimen, and for whom additional effective standard treatment is not available. S095035 is an oral methionine adenosyltransferase 2A [MAT2A] inhibitor. TNG462 is a protein arginine N-methyltransferase 5 [PRMT5] inhibitor. Type: Interventional Start Date: Apr 2024 |
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Behavioral and Neuronal Correlates of Human Mood States
Stanford University
Major Depressive Disorder
Epilepsy
Optimizing treatments in mental health requires an easy to obtain, continuous, and
objective measure of internal mood. Unfortunately, current standard-of-care clinical
scales are sparsely sampled, subject to recency bias, underutilized, and are not
validated for acute mood monitoring. The recent sh1 expand
Optimizing treatments in mental health requires an easy to obtain, continuous, and objective measure of internal mood. Unfortunately, current standard-of-care clinical scales are sparsely sampled, subject to recency bias, underutilized, and are not validated for acute mood monitoring. The recent shift to remote care also requires novel methods to measure internal mood. Recent advances in computer vision have allowed the accurate quantification of observable speech patterns and facial representations. The continuous and objective nature of these audio-facial behavioral outputs also enable the study of their neural correlates. Here, the investigators hypothesize that video-derived audio-facial behaviors have discrete neural representations in the limbic network and can provide a critical set of reliable longitudinal estimates of mood at low cost across home and clinic settings. Type: Interventional Start Date: Dec 2023 |
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CBD for Breast Cancer Primary Tumors
Medical University of South Carolina
Breast Cancer
This is a randomized placebo controlled partially blinded window of opportunity trial. A
maximum of 84 patients with invasive breast cancer will be enrolled. Patients will be
randomized 2:2:1:1 to either CBD low dose, CBD high dose, matching low dose placebo, or
matching high dose placebo using per1 expand
This is a randomized placebo controlled partially blinded window of opportunity trial. A maximum of 84 patients with invasive breast cancer will be enrolled. Patients will be randomized 2:2:1:1 to either CBD low dose, CBD high dose, matching low dose placebo, or matching high dose placebo using permuted block randomization with random block sizes of 6 or 12. The time window between CBD or placebo initiation and surgery will be between 5 and 56 days. Type: Interventional Start Date: Jun 2026 |
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A Study of Opevesostat (MK-5684) Versus Alternative Next-generation Hormonal Agent (NHA) in Metasta1
Merck Sharp & Dohme LLC
Metastatic Castration-resistant Prostate Cancer (mCRPC)
Prostatic Neoplasms
The purpose of this study is to assess the efficacy and safety of opevesostat plus
hormone replacement therapy (HRT) compared to alternative abiraterone acetate or
enzalutamide in participants with Metastatic Castration-resistant Prostate Cancer (mCRPC)
previously treated with one next-generation h1 expand
The purpose of this study is to assess the efficacy and safety of opevesostat plus hormone replacement therapy (HRT) compared to alternative abiraterone acetate or enzalutamide in participants with Metastatic Castration-resistant Prostate Cancer (mCRPC) previously treated with one next-generation hormonal agent (NHA). The primary study hypothesis is that opevesostat is superior to alternative abiraterone acetate or enzalutamide with respect to radiographic progression free survival (rPFS) per Prostate Cancer Working Group (PCWG) Modified Response Evaluation Criteria in Solid Tumors (RECIST 1.1), as assessed by Blinded Independent Central Review (BICR), in androgen receptor ligand binding domain (AR LBD) mutation positive and negative participants. Type: Interventional Start Date: Dec 2023 |
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A Study of Nemtabrutinib (MK-1026) Versus Comparator (Investigator's Choice of Ibrutinib or Acalabr1
Merck Sharp & Dohme LLC
Chronic Lymphocytic Leukemia
Small Lymphocytic Lymphoma
The goal of this study is to evaluate nemtabrutinib compared with investigator's choice
of ibrutinib or acalabrutinib in participants with chronic lymphocytic leukemia
(CLL)/small lymphocytic lymphoma (SLL) who have not received any prior therapy. The
primary hypotheses are that (1) nemtabrutinib i1 expand
The goal of this study is to evaluate nemtabrutinib compared with investigator's choice of ibrutinib or acalabrutinib in participants with chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) who have not received any prior therapy. The primary hypotheses are that (1) nemtabrutinib is non-inferior to ibrutinib or acalabrutinib with respect to objective response rate (ORR) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) Criteria 2018 by blinded independent central review (BICR) and (2) nemtabrutinib is superior to ibrutinib or acalabrutinib with respect to progression free survival (PFS) per iwCLL Criteria 2018 by BICR. Type: Interventional Start Date: Dec 2023 |
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A Study to Evaluate the Safety and Effectiveness Transdermal Compress Device in Participants With T1
Balmoral Medical company
Prosthesis and Implants
The purpose of this study is to evaluate the safety and effectiveness of the Transdermal
Compress device in participants with Transfemoral Amputations. expand
The purpose of this study is to evaluate the safety and effectiveness of the Transdermal Compress device in participants with Transfemoral Amputations. Type: Interventional Start Date: Jun 2024 |
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Determining the Effect of Six Weeks of Cannabis Abstinence on Fronto- Striatal fMRI Markers in Adol1
University of Minnesota
Cannabis Use Disorder
The goal of this study is to understand the changes in neural correlates of reward in
adolescents with and without Cannabis Use Disorder (CUD). The study will collect
functional magnetic resonance imaging (fMRI) data at 3 different timepoints with the
primary goals of understanding striatal reward-1 expand
The goal of this study is to understand the changes in neural correlates of reward in adolescents with and without Cannabis Use Disorder (CUD). The study will collect functional magnetic resonance imaging (fMRI) data at 3 different timepoints with the primary goals of understanding striatal reward-based activation during a Monetary Incentive Delay Task and fronto-striatal fMRI resting-state functional connectivity. The study will also explore self-reported impulsivity. The long-term goal is to advance scientific understanding of neural changes associated with cannabis abstinence and inter-individual variability that cannot be otherwise measured in preexisting observational cohorts such as the Adolescent Brain Cognitive Development Study. This parallel intervention study will collect fMRI data in adolescents ages 15-18 years old with and without CUD at three different timepoints over the course of their intervention. Utilizing a validated paradigm, adolescents with CUD will be randomized to 6-weeks of either incentivized, biochemically verified abstinence via contingency management or monitoring with no required abstinence. Age- and sex-matched adolescents with no lifetime history of cannabis use will also complete the protocol. Participants will complete 9 study visits (3 with fMRI scans) involving urinalysis to confirm cannabis self-report and measures of impulsivity. Participants may additionally and optionally (1) complete daily remote self-report assessments of cannabis use, impulsivity, and mood throughout the 6-week treatment period, and (2) continue participation for an additional 6-week monitoring period after the treatment period, during which they complete daily remote self-report assessments of cannabis use, impulsivity, and mood. Type: Interventional Start Date: Apr 2024 |
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The Impact of Music Intervention on Sleep
Duke University
Dementia
The primary purpose of this Stage 1b NIH-funded clinical trial (K23AG073618, PI
Petrovsky) is to determine the efficacy of a 1-month music intervention (Calming Music
Personalized for Sleep Enhancement in PeRsons living with Dementia, CoMPoSER) on health
outcomes in 72 dyads (144 participants) of p1 expand
The primary purpose of this Stage 1b NIH-funded clinical trial (K23AG073618, PI Petrovsky) is to determine the efficacy of a 1-month music intervention (Calming Music Personalized for Sleep Enhancement in PeRsons living with Dementia, CoMPoSER) on health outcomes in 72 dyads (144 participants) of persons living with dementia (PLWD) and their caregivers (Stage 1b). The secondary purpose of this research project is to examine the mechanism of stress reduction and sustained effects of the music intervention on PLWD and caregiver well-being. We will evaluate the acceptability of the mobile application CoMPoSER in a pilot RCT and determine the impact of the mobile application CoMPoSER on PLWD (sleep latency, sleep efficiency, wake after sleep onset, total sleep time, sleep quality) and caregiver (perceived stress and well-being) outcomes. Type: Interventional Start Date: Apr 2026 |
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A Study to Evaluate Glofitamab as a Single Agent vs. Investigator's Choice in Participants With Rel1
Hoffmann-La Roche
Lymphoma
The purpose of this study is to evaluate the efficacy of glofitamab monotherapy compared
with an investigator's choice of either rituximab plus bendamustine (BR), or lenalidomide
with rituximab (R-Len) in patients with relapsed or refractory (R/R) mantle cell lymphoma
(MCL). expand
The purpose of this study is to evaluate the efficacy of glofitamab monotherapy compared with an investigator's choice of either rituximab plus bendamustine (BR), or lenalidomide with rituximab (R-Len) in patients with relapsed or refractory (R/R) mantle cell lymphoma (MCL). Type: Interventional Start Date: Oct 2023 |
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A Study to Evaluate the Safety and Efficacy of a Single Dose of RABI-767 in Participants With Acute1
Panafina, Inc.
Acute Pancreatitis
The goal of this clinical trial is to test the safety and effectiveness of a single dose
of RABI-767 given by endoscopic ultrasound (EUS) guided peripancreatic injection in
participants with predicted severe acute pancreatitis.
The main question the study aims to answer is:
• Is a single-dose of1 expand
The goal of this clinical trial is to test the safety and effectiveness of a single dose of RABI-767 given by endoscopic ultrasound (EUS) guided peripancreatic injection in participants with predicted severe acute pancreatitis. The main question the study aims to answer is: • Is a single-dose of RABI-767 given by EUS-guided peripancreatic injection safe in patients with predicted severe acute pancreatitis. The study also aims to answer: • Is a single-dose of RABI-767 given by EUS-guided peripancreatic injection effective in treating patients with predicted severe acute pancreatitis. Study participants will be randomly assigned (like the flip of a coin) to receive a single dose of RABI-767 plus supportive care or supportive care only. The study sponsor will compare safety and efficacy data collected from participants who receive RABI-767 to participants who receive supportive care only to test if RABI-767 is safe and effective. Type: Interventional Start Date: Jun 2024 |
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Personalized Accelerated ChEmoRadiation (PACER) for Lung Cancer
Stanford University
Lung Cancer
The purpose of this study is to examine the use of hypofractionated accelerated radiation
therapy (HART) to treat locally advanced lung cancer. Depending on the location and size
of the tumor. expand
The purpose of this study is to examine the use of hypofractionated accelerated radiation therapy (HART) to treat locally advanced lung cancer. Depending on the location and size of the tumor. Type: Interventional Start Date: Oct 2023 |