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NCT ID: NCT04870424 Recruiting - Clinical trials for Transcatheter Aortic Valve Replacement

Colchicine for Patients With Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement

Co-STAR
Start date: September 21, 2021
Phase: Phase 3
Study type: Interventional

Transcatheter aortic valve implantation (TAVI) is a well-established alternative to surgical aortic valve replacement for the treatment of patients with symptomatic severe aortic stenosis. While peri-procedural complications such as stroke, vascular complications and bleeding have substantially declined with the refinement of transcatheter valves and increasing experience, new-onset atrial fibrillation (NOAF) or atrioventricular conduction disturbances continue to occur in almost half of all patients. Colchicine is a well-known substance that has been approved for the treatment of acute gout flares and familial Mediterranean fever in many countries. Colchicine has proven safe and effective in the prevention of atrial fibrillation after cardiac surgery. The anti-inflammatory effects of colchicine may mitigate the occurrence of atrioventricular conduction disturbances and thus the need for the implantation of a permanent pacemaker post transcatheter aortic valve implantation. The objective of the Co-STAR-Trial is to investigate the efficacy of colchicine for the prevention of new-onset atrial fibrillation and conduction disturbances requiring the implantation of a permanent pacemaker in patients undergoing transcatheter aortic valve implantation. Co-STAR is an investigator-initiated, randomized, double blind, placebo-controlled trial. A total of 200 patients referred for treatment of symptomatic severe aortic stenosis and selected to undergo TAVI will be randomized in a 1:1 ratio to the treatment with Colchicine or placebo for 30 days post transcatheter aortic valve implantation.

NCT ID: NCT04870047 Recruiting - Clinical trials for Intracranial Aneurysm

Coating to Optimize Aneurysm Treatment In The New Flow Diverter Generation

COATING
Start date: September 3, 2021
Phase: N/A
Study type: Interventional

To assess safety and efficacy of p64 MW HPC Flow Modulation Device under single antiplatelet therapy compared to p64 MW Flow Modulation Device under dual antiplatelet therapy.

NCT ID: NCT04869514 Recruiting - Proprioception Clinical Trials

Does Spinal Manipulation Therapy Impact Lumbar Proprioception

Start date: March 1, 2023
Phase: N/A
Study type: Interventional

Spinal manipulation therapy (SMT) has long been a component of manual therapy and physical rehabilitation programs, especially as a modality for pain relief. However, the underlying physiological mechanisms for manipulation-related pain relief and functional improvement remain largely unexplored. To promote targeted treatments for musculoskeletal conditions and to better identify the indication and scope of SMT, its mechanisms must be better understood.

NCT ID: NCT04869124 Recruiting - Clinical trials for Heart Failure,Congestive

Dapagliflozin on Volume Vascular Outcomes.

DAPA-VOLVO
Start date: February 15, 2021
Phase: Phase 4
Study type: Interventional

The purpose of the DAPA-VOLVO trial is to investigate the effects of Dapagliflozin on top of recommended standard therapy on volume status and vascular function in clinically stable de novo or chronic heart failure patients after hospitalization because of an acute decompensated heart failure event.

NCT ID: NCT04868695 Recruiting - CRS Clinical Trials

Subjective and Objective Outcome of ESS in CRSwNP

Start date: April 1, 2021
Phase: N/A
Study type: Interventional

(A): Beidseitige Fronto-Spheno-Ethmoidektomie mit Erweiterung des natürlichen Zuganges zur Stirnhöhle (Draf Typ II): Unter einem Draf Typ II Zugang versteht man die Erweiterung des natürlichen Zuganges zur Stirnhöhle mit Entfernung des Bodens der Stirnhöhle zwischen der Lamina papyracea zur Augenhöhle und der mittleren Nasenmuschel. (B): Beidseitige Fronto-Spheno-Ethmoidektomie mit maximaler Erweiterung des Zuganges zur Stirnhöhle (Draf Typ III): Unter einem Draf Typ III verste. (C) Beidseitige Spheno-Ethmoidektomie: Abtragung des Processus uncinatus, die Eröffnung der Kieferhöhle, die Eröffnung des vorderen und hinteren Siebbeinsystems und die Eröffnung der Keilbeinhöhle.

NCT ID: NCT04866264 Recruiting - Hypertension Clinical Trials

Electronic-Nutrition-Optimizer for Personalized Prevention

eNO
Start date: November 11, 2021
Phase: N/A
Study type: Interventional

This study aims to develop and validate a tool for immediate nutrition assessment and to test its user feasibility in routine clinical practice for health promotion.

NCT ID: NCT04862507 Recruiting - Clinical trials for Acute Ischemic Stroke

Improving Low ASPECTS Stroke Thrombectomy

I-LAST
Start date: May 1, 2023
Phase:
Study type: Observational [Patient Registry]

Improving Low ASPECTS Stroke Thromectomy (I-LAST) is an academic, independent, prospective, multicenter, observational registry study. Consecutive patients treated with endovascular stroke treatment will be enrolled in German stroke centers. Patients receive regular care and data will be collected as part of clinical routine. Baseline clinical and procedural information as well clinical follow-up information during in-hospital stay, and up to 90 days of stroke onset are collected. Data collected include demographics, National Institute of Health Stroke Scale (NIHSS) on admission, pre-treatment ASPECTS, information on timing and success of interventional treatment, procedural complications, intracranial hemorrhage, and functional outcome. Advanced imaging biomarkers will be tested and validated aiming to improve treatment selection and outcome prediction of patients presenting with extensive baseline infarction.

NCT ID: NCT04859985 Recruiting - Clinical trials for Coronary Artery Disease

The SELUTION DeNovo Study

Start date: May 15, 2021
Phase: N/A
Study type: Interventional

A Prospective Randomized, Multi-center, International, Single-blind, Clinical trial compared the Selution DEB strategy versus DES strategy.

NCT ID: NCT04859400 Recruiting - Malnutrition Clinical Trials

Influence of a Home-based Nutrition and Exercise Program on Quality of Life of Palliative Cancer Outpatients

Start date: June 7, 2021
Phase: N/A
Study type: Interventional

The main purpose of the study is to investigate whether a tailor-made nutritional and exercise program including home-based sessions and regular monitoring using an application on the smartphone is effective in improving Quality of Life in patients with advanced lung or gastrointestinal tract cancer.

NCT ID: NCT04858139 Recruiting - Stroke, Acute Clinical Trials

Exploring the Effect of Lactate Administration After Ischemic Stroke on Brain Metabolism

LacAVC
Start date: May 27, 2021
Phase: Phase 2
Study type: Interventional

In this exploratory randomized double blind placebo controled trial, lactate solution or placebo will be administered to acute ischemic stroke patients selected for endovascular treatment (EVT) without intravenous thrombolysis. The treatment will be administered within one hour after EVT. Primary outcome measures will be lactate and metabolite concentrations in the ischemic lesion, in the penumbra and contralaterally, evaluated by magnetic resonance spectroscopy(MRS). Secondary outcome measures will be evolution of the ischemic penumbra, clinical outcome at 3 months.The trial will end when 10 patients per group have completed the study.