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NCT ID: NCT00896220 Recruiting - Critically Ill Clinical Trials

Towards RECOVER: Outcomes and Needs Assessment in Intensive Care Unit (ICU) Survivors of Prolonged Mechanical Ventilation and Their Caregivers

RECOVER
Start date: April 2006
Phase: N/A
Study type: Observational

Advances in critical care medicine have dramatically improved the survival of critically ill patients requiring prolonged mechanical ventilation. However, there are no systematic follow-up, rehabilitation, or psychoeducational interventions for these vulnerable patients or their family caregivers who contribute to survivor recovery and rehabilitation. Major barriers to developing these programs for survivors of prolonged mechanical ventilation and their caregivers include the following: 1. There is inadequate information about the determinants of long-term functional outcomes for a diverse group of survivors of prolonged mechanical ventilation. 2. There is inadequate information about the needs of survivors of prolonged mechanical ventilation and their family caregivers across the trajectory of illness (i.e., from the ICU to the community). 3. There is a poor understanding of the development of ICU-acquired muscle injury. Towards RECOVER is the very first study to identify survivors of prolonged mechanical ventilation who are at-risk for poor functional outcomes, to identify elements of the care-giving situation that put caregivers at risk for poor quality of life and mental health, to catalogue the rehabilitative needs of patients and family caregivers across the illness trajectory, and to evaluate the mechanism of critical illness associated muscle injury. The RECOVER Program consists of Four Phases: - Phase I: Towards RECOVER - Phase II: RECOVER development and pilot testing - Phase III: RECOVER randomized controlled trial - Phase IV: Long-term implementation of RECOVER

NCT ID: NCT00921037 Recruiting - Clinical trials for Cutaneous Neurofibromas

First Clinical Study of Erbium - Yttrium Aluminium Garnet (YAG) Laser Vaporization of Cutaneous Neurofibromas

Start date: April 2006
Phase: Phase 2/Phase 3
Study type: Interventional

The purpose of this study is to determine whether multiple cutaneous neurofibromas in patients with neurofibromatosis type 1 can be removed with an erbium-YAG-laser.

NCT ID: NCT01173666 Recruiting - Clinical trials for Left Ventricular Hypertrophy

Stenting of Renal Artery Stenosis in Coronary Artery Disease Study

RASCAD
Start date: April 2006
Phase: Phase 3
Study type: Interventional

The Stenting of Renal Artery Stenosis in Coronary Artery Disease (RASCAD) study is a randomized controlled trial designed to evaluate the effect of renal artery stenting+medical therapy versus medical therapy alone on left ventricular mass progression and cardiovascular morbidity and mortality in patients affected by coronary artery disease and renal artery stenosis.

NCT ID: NCT01770457 Recruiting - Septic Shock Clinical Trials

Cytokine Response in Septic Shock

Start date: April 2006
Phase: N/A
Study type: Observational

This study is designed to examine the early sequential cytokine responses during antibiotic therapy and resuscitation of septic shock in relation to clinical manifestations of disease. The specific objective is to obtain sequential serum samples from patients with septic shock, examine a broad range of cytokine responses (TNF, IL-1, IL-6, MIF, LIF, HMGB1, etc) in a rigorous manner and correlate these responses to administration of antibiotics, resuscitative efforts and physiologic responses to illness (temp, HR, blood pressure, WBC, etc).

NCT ID: NCT02138344 Recruiting - Clinical trials for Spinal Cord Injury + Peripheral Nerve Diseases

Assessment of Neuropathic Pain

Start date: April 2006
Phase:
Study type: Observational

Development of neuropathic pain is one of the most disabling sequels after spinal cord injury (SCI) and in peripheral nerve diseases. The functionality of the pain pathway in humans as well as its plastic changes following SCI can be assessed in vivo by surface electrophysiological recordings and functional magnetic resonance imaging after noxious heat stimulation of the skin. Aims: a) establishing a clinically applicable assessment of the pain pathway and characterizing its changes as a consequence of SCI and in peripheral nerve diseases in an objective manner, b) characterizing plastic changes in the pain pathway in SCI patients with neuropathic pain and in patients with peripheral nerve diseases and relating them to the development of neuropathic pain syndromes.

NCT ID: NCT02545478 Recruiting - Sepsis Clinical Trials

Biomarkers in Infection

Start date: April 2006
Phase:
Study type: Observational

The purpose of this investigation is to evaluate how early biomarkers of infection and inflammation perform in identifying patients at risk for poor outcome in sepsis and septic shock.

NCT ID: NCT00331253 Recruiting - Clinical trials for Maculopathy, Age-Related

Treatment of Patients With Neovascular AMD Using Indocyanine Green-Mediated Photothrombosis (i-MP).

Start date: April 2007
Phase: Phase 2
Study type: Interventional

To establish the safety and efficacy of indocyanine green-mediated photothrombosis (i-MP) for the treatment of patients with neovascular age-related macular degeneration.

NCT ID: NCT00420394 Recruiting - Stomach Neoplasms Clinical Trials

Perioperative Chemoradiotherapy for Potentially Resectable Gastric Cancer

Start date: April 2007
Phase: Phase 2
Study type: Interventional

Rationale: Adjuvant chemoradiation considered as standard of care after curative surgery for adenocarcinoma of stomach and gastroesophageal cancer. Preoperative chemotherapy in the in locally advanced gastric cancer results in significant tumoral downstaging with improved rate of curative resections. Purpose: To evaluate feasibility and safety of combination of preoperative chemotherapy and postoperative chemoradiation for locally advanced adenocarcinoma of stomach and gastroesophageal cancer

NCT ID: NCT00439933 Recruiting - Obesity Clinical Trials

Weight Loss in Obese Children and Adolescents and Its Effect on Improvement of Destructive Changes in Blood Vessels

Start date: April 2007
Phase: N/A
Study type: Interventional

Obesity in children and adolescents is associated with morphologic and functional changes of the vascular wall, suggesting a potential role of juvenile obesity for the development of atherosclerosis later in life. However, no evidence from intervention studies has been provided so far that weight loss in obese children can improve vascular function. Therefore we designed this study including a cohort of obese children before and after a structured weight reduction program in order to answer the question, whether such an intervention can improve vascular function and reverse destructive vascular changes.

NCT ID: NCT00446472 Recruiting - Clinical trials for Diabetic Foot Ulcers

Evaluation of Windowed Casts With and Without Regranex® Gel for Healing Diabetic Neuropathic Ulcers

Start date: April 2007
Phase: N/A
Study type: Interventional

The objective of this study is to compare the effectiveness and safety of windowed casts with Regranex® (topical becaplermin gel) versus placebo (inactive medication) for treatment of diabetic ulcers on the legs and feet.