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NCT ID: NCT05390255 Recruiting - Sinusitis Clinical Trials

Establishment of Precise Diagnosis and Treatment System for Refractory Chronic Rhinosinusitis

Start date: May 25, 2022
Phase: Phase 3
Study type: Interventional

Chronic rhinosinusitis that recurs after adequate surgery and conventional medical treatment is called refractory chronic rhinosinusitis (RCRS). Omalizumab and oral glucocorticoid therapy can play an important role in the treatment of RCRS, but there is still a lack of comparative studies on the efficacy and safety of the two. In addition, biomarkers are a hotspot in RCRS research, but there is still a lack of studies on changes in marker expression with disease progression and treatment. In this study, patients aged 18-70 who were diagnosed with CRS were consecutively enrolled, and the patients were divided into RCRS and non-RCRS groups according to pathological results. The patients in the RCRS group were randomly divided (1:1:1) into the nasal spray hormone therapy group, the nasal spray hormone therapy + oral hormone therapy group, and the nasal spray hormone therapy + omalizumab therapy group by a multi-center, randomized, controlled study. The patients were treated for 6 months and followed up for 6 months after treatment. Clinical data such as symptom score and endoscopic score before and after treatment were collected, adverse events were recorded, and the differences in efficacy and safety among the groups were compared. Non-invasive samples such as nasal secretions and exfoliated cells were collected, and the expression and variation of different immune intrinsic markers were explored combined with follow-up results. The development of this project contributes to the establishment of a precise diagnosis and treatment system for refractory chronic sinusitis.

NCT ID: NCT05390216 Recruiting - Infections Clinical Trials

Impact of Partial Capsule Decortication on Device-related Infection in Patients Receiving Cardiac Implantable Electronic Device Replacement

STERILE
Start date: June 5, 2022
Phase: N/A
Study type: Interventional

Increasing number of cardiac implantable electronic devices (CIEDs) have been implanted in the worldwide every year, which is accompanied by the growing number of CIED-related infection, especially in patients with CIED replacement. This multicenter, prospective, single-blinded, randomized controlled trial is to confirm the impact of partial capsule decortication on device-related infection in patients receiving CIED replacement.

NCT ID: NCT05389839 Recruiting - Clinical trials for Artificial Intelligence

Insulin Dose Calculation Software in Insulin Therapy

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

Insulin therapy is the mainstream glucose-lowering program for hospital glucose management. Intelligent insulin dose calculation software based on fingertip glucose monitoring is born in response to the situation. A new generation of continuous blood glucose monitoring technology compared with traditional monitoring technology provides more abundant blood sugar change information.The development of the continuous glucose monitoring technology espcially in blood sugar change trend arrow information, the intelligent insulin dose adjustment sequence based on WeChat program is developed. We plan to carry out a randomized controlled study on patients receiving insulin therapy, in which the insulin dose is adjusted according to the information of four blood glucose monitoring points (before meals and before bed), and randomly divided into two groups, one group is adjusted according to the experience of clinicians, the other group is adjusted according to Wechat program, and glucose monitoring is continued for 1 week. bBood glucose control index of TIR , and the incidence of hypoglycemia and hyperglycemia, hospitalization days and cost was observed. This study ihas great clinical value.

NCT ID: NCT05389306 Recruiting - Clinical trials for Nasopharyngeal Carcinoma

Combining MRI and CEUS to Diagnose Small Cervical Lymph Node Metastases in NPC Patients

NPC-LN
Start date: May 25, 2022
Phase: N/A
Study type: Interventional

This is a single-center diagnostic accuracy study, with the purpose to define the criteria to diagnose small cervical lymph node metastases in patients with nasopharyngeal carcinoma by combining MRI scanning and contrast-enhanced ultrasonography and evaluate the diagnostic performance of the criteria.

NCT ID: NCT05389046 Recruiting - Clinical trials for Outpatients / Inpatients With Depression

Study on the Optimal Diagnosis and Treatment Strategy of Major Depressive Disorder Based on Anhedonia

Start date: August 15, 2022
Phase: N/A
Study type: Interventional

This study is a multicenter clinical research and focuses on the exploring of optimal diagnosis and treatment strategies of MDD based on anhedonia.

NCT ID: NCT05388890 Recruiting - Clinical trials for Chronic Atrophic Gastritis

Treatment of Atrophic Gastritis After HP Eradication With Modified Liujunzi Decoction Based on Syndrome Differentiation

Start date: August 2, 2022
Phase:
Study type: Observational

This is an observational cohort study of clinical efficacy study.The purpose of this topic is to evaluate the efficacy and safety of Modified Liujunzi Decoction based on syndrome differentiation in patients with chronic atrophic gastritis(CAG) after HP eradication.Taking Modified Liujunzi Decoction as the observation group and Weifuchun routine treatment as the control group, so as to provide evidence for the treatment of CAG and reduce the risk of gastric cancer. A total of 284 patients were included. The curative efficacy, symptom score and adverse events will be recorded and analyzed.

NCT ID: NCT05388747 Recruiting - Infectious Disease Clinical Trials

Population Pharmacokinetics, Effectiveness and Safety of Cefuroxime in Neonates

Start date: May 16, 2022
Phase:
Study type: Observational

Cefuroxime is a time-dependent antibiotic that is used to treat bacterial infections. However, population pharmacokinetic,effectiveness and safety data for cefuroxime in neonates are lacking. The aim of this study was to assess the population pharmacokinetics, effectiveness, and safety of cefuroxime in neonates.

NCT ID: NCT05388721 Recruiting - Clinical trials for Gestational Diabetes Mellitus

Correlation Between Environmental Pollution and Gestational Diabetes Mellitus

Start date: May 1, 2022
Phase:
Study type: Observational

Gestational diabetes mellitus (GDM) refers to the abnormal glucose metabolism index of pregnant women during pregnancy. At present, about 15% of pregnant women will develop GDM in the second and third trimester, which seriously affects the health of the pregnant woman and the fetus. However, the etiology of GDM remains unclear. Various pollutants in the environment may have a potential impact on pregnant women and fetuses. For example, previous studies have shown that exposure to atmospheric pollutants nitric oxide and organochlorine pesticides are associated with GDM. At present, we plan to further investigate the correlation between environmental pollutants and GDM.

NCT ID: NCT05388695 Recruiting - Clinical trials for 19 and 22+ B Cell Hematologic Tumors

To Observe the Dual-target Chimeric Antigen Receptor T Cells in the Treatment of B Cell Hematologic Tumors

Start date: April 8, 2022
Phase: Phase 1
Study type: Interventional

To observe the long-term efficacy and safety of dual-target chimeric antigen receptor T cells in the treatment of refractory relapsed B cell hematologic tumors (at least 2 years).

NCT ID: NCT05388682 Recruiting - Clinical trials for Percutaneous Transluminal Pulmonary Angioplasty

Treatment of Patients With Takayasu Arteritis Complicated With Pulmonary Artery Involvement

Start date: January 19, 2014
Phase:
Study type: Observational

1. Evaluate the effect of medical treatment and percutaneous transluminal pulmonary angioplasty on takayasu arteritis with pulmonary artery involvement 2. evaluate the efficacy of FAPI in predicting the activity and treatment efficacy of takayasu arteritis with pulmonary artery involvement