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NCT ID: NCT00057174 Completed - Clinical trials for Gastroesophageal Reflux Disease

Economic Impact of Guidelines for Gastroesophageal Reflux Disease

Start date: n/a
Phase: N/A
Study type: Interventional

This is a series of two prospective studies based on the Department of Veterans Affairs drug treatment guideline for the pharmacologic management of gastroesophageal reflux disease. Our hypothesis is that novel strategies for medical management of gastroesophageal reflux disease (GERD) can decrease resource utilization without adversely affecting patient quality of life. The strategies tested in this project included 1) step-down management, whereby patients rendered asymptomatic on proton pump inhibitors (PPIs) are treated with less expensive medication, and 2) intermittent therapy, defined as administration of medication only for recurrence of GERD symptoms. We chose to examine an intermittent strategy of PPI administration since in addition to the VA guideline requiring step-down therapy, over-the-counter PPIs administered by intermittent therapy became available for use by patients during the study period.

NCT ID: NCT00057187 Completed - Clinical trials for Substance Dependence

Improving Substance Abuse Treatment Aftercare Adherence and Outcome

Start date: n/a
Phase: N/A
Study type: Interventional

Although substance abuse treatment continuing care participation is strongly related to positive treatment outcomes, participation rates are low and few interventions have been developed that improve continuing care adherence and outcome.

NCT ID: NCT00057200 Completed - Heart Failure Clinical Trials

Evaluating Telehealth Home Care for Elderly Veterans With Congestive Heart Failure

Start date: n/a
Phase: N/A
Study type: Interventional

Congestive heart failure (CHF) is one of the most common reasons for hospitalization in patients aged 65 years and older. Many hospitalizations for CHF are potentially preventable if the warning signs of decompensation are recognized and treated before the situation becomes emergent. Home-based intervention programs have reduced unplanned readmission rates for patients with CHF by up to 50 percent. Using advanced telecommunications technologies it is now possible to provide greatly improved access and availability of services in a more timely and cost effective manner directly to patients� homes. Although telehealth offers a number of theoretical advantages, few empirical studies have compared telehealth to traditional delivery modes, and virtually no studies have compared the effectiveness of alternative telehealth applications.

NCT ID: NCT00058552 Completed - Ovarian Cancer Clinical Trials

A Study to Evaluate the Effect of HER2 Activation on rhuMAb 2C4 (Pertuzumab) in Subjects With Advanced Ovarian Cancer

Start date: n/a
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine if the study drug pertuzumab is effective in treating patients with advanced ovarian cancer that is refractory to, or has recurred following, prior chemotherapy.

NCT ID: NCT00059449 Completed - Premature Birth Clinical Trials

Role of Epidermal Growth Factor (EGF) in Development of Necrotizing Enterocolitis

Start date: n/a
Phase: N/A
Study type: Observational

Necrotizing enterocolitis (NEC) is a serious gastrointestinal disorder that primarily affects preterm infants. About 10% of babies less than 32 weeks gestation at birth will develop it. Overall, 30% of babies who develop NEC will die from it, with many others developing long term gastrointestinal problems. The most important factor in its development is a premature intestinal tract. Epidermal growth factor (EGF) is an important growth factor in the development and maintenance of the gastrointestinal tract. This study will look for a relationship between EGF levels in premature babies and the development of NEC.

NCT ID: NCT00059670 Completed - Clinical trials for Deglutition Disorders

Comparison of Two Therapies for Upper Esophageal Sphincter (UES) Dysphagia

Start date: n/a
Phase: N/A
Study type: Interventional

The aim of this research study is to determine the effectiveness of: 1) a traditional therapy regimen focusing on individual exercises for pharyngeal (throat) and laryngeal (voice box) musculature and 2) a new therapeutic exercise, the Shaker exercise. The primary objective of this 5-year project is to identify which of two therapy programs, the Shaker exercise versus traditional therapy, results in the largest number of stable, non-oral dysphagic patients who can swallow safely and return to full oral feeding after 6 weeks of intervention. The study is powered adequately so that this aim can be tested separately for head and neck cancer and stroke patients. Our primary outcome measure is return to oral feeding, i.e., 100% of nutrition and hydration by mouth.

NCT ID: NCT00061256 Completed - HIV Infections Clinical Trials

The Effect of Alendronate, Calcium, and Vitamin D on Bone Mineral Density in HIV Infected Patients

Start date: n/a
Phase: Phase 2
Study type: Interventional

Alendronate is a drug that is used to treat osteoporosis. The purpose of this study is to examine whether alendronate in combination with calcium and vitamin D is safe and effective for treating bone loss in people with HIV.

NCT ID: NCT00061724 Completed - Clinical trials for Gastroesophageal Reflux

Medical and Surgical Treatment of Esophageal Reflux

Start date: n/a
Phase: N/A
Study type: Observational

The purpose of this project is to lay the groundwork for a proposed clinical trial to compare the effectiveness of two approaches to gastroesophageal reflux disease: treatment with medications and treatment with anti-reflux surgery. This project includes a non-interventional pilot study to test ways of measuring outcomes of treatment, and to gauge potential participants' willingness to enroll in the proposed clinical trial.

NCT ID: NCT00061776 Completed - Pain Clinical Trials

NGX-4010 for the Treatment of Postherpetic Neuralgia

Start date: n/a
Phase: Phase 2/Phase 3
Study type: Interventional

The purpose of the study is determine if an investigational drug, NGX-4010 (high-concentration capsaicin dermal patches) is effective in treating pain associated with post-herpetic neuralgia (PHN).

NCT ID: NCT00061841 Completed - Healthy Clinical Trials

Medical College of Georgia FitKid Project

Start date: n/a
Phase: Phase 2
Study type: Interventional

This project will determine whether exposing youths to a "fitogenic" after-school environment that emphasizes vigorous exercise and healthy snacks will have a favorable effect on body composition (i.e., less fat tissue and more lean tissue), cardiovascular fitness and cardiovascular disease risk profile. The environmental intervention will be provided in nine schools in Augusta, Georgia, with another nine schools serving as non-intervention comparison schools. Children in the 3rd grade will be recruited to participate. They will be followed for 3 years, through the 5th grade. Measurements will be made at the beginning and end of each school year. The 2-hour after-school intervention will be offered every school day. It will consist of three components: (1) homework assistance; (2) a healthy snack; and (3) exercise designed to improve skills and fitness.