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NCT ID: NCT04188652 Recruiting - Ovarian Cancer Clinical Trials

Diagnosing Ovarian Cysts - the DOC Study

Start date: January 1, 2020
Phase:
Study type: Observational [Patient Registry]

Background: Ovarian cysts are common in women. The vast majority is benign; yet, ovarian cancer (OC) is seen in 500 women every year in Denmark. OC is often diagnosed in advanced stages, and OC is the fifth most deadly cancer in women in more developed countries. It can be a clinical challenge to distinguish benign ovarian cysts from OC. Currently, the Risk of Malignancy Index (RMI) is used to detect women at high risk of OC in Denmark, however, new methods to correctly differentiate benign ovarian cysts from OC at an early stage is needed. New promising studies suggest an improved diagnostic accuracy by adding the biomarker Human Epididymis Protein 4 (HE4) and systemized ultrasound imaging International Ovarian Tumor Analysis (IOTA). Purpose: The purpose is to evaluate the diagnostic performance of HE4 and IOTA in a Danish clinical setting. Furthermore, to develop an optimized diagnostic algorithm to differentiate ovarian cysts based on a combination of symptoms, biomarkers and IOTA. Methods: The study is a prospective, observational study. Women with ovarian cysts are included from gynecological practitioners and departments in the Capital Region of Denmark. Detailed information on health and symptoms are registered, and the cysts are systematically described by the gynecologist in accordance to the IOTA terminology. HE4 will be analyzed in those women who routinely needs a diagnostic blood test for CA125. Data will be coupled with data from the patient file and Danish Gynecological Cancer Database (DGCD). The diagnostic utility of HE4 and IOTA will be evaluated both alone and in combinations with health information, symptoms, and CA125. The study has been approved by the Regional Committee on Health Research Ethics (H-19021342) and the Data Protection Agency (P-2019-340). Significance: This study establishes a unique database which will form the basis for developing an optimized method for differentiating ovarian cysts, and thus optimize referral and diagnosis.

NCT ID: NCT04186026 Recruiting - Obesity Clinical Trials

Co-infusion of Neurotensin and GLP-1 Effects on Appetite and Food Intake.

Start date: October 1, 2019
Phase: N/A
Study type: Interventional

Co-infusion of Neurotensin and GLP-1 Effects on Appetite and Food Intake.

NCT ID: NCT04183374 Recruiting - Infertility Clinical Trials

DNA Damage and Subfertility in Males - Lifestyle Interventions to Improve Male Fertility and Health

ReproDNA
Start date: October 1, 2019
Phase: N/A
Study type: Interventional

A lifestyle intervention study in infertile males of couples seeking fertility treatment with a DNA fragmentation index (DFI) above 15 percentage. A reduction in DNA fragmentation index of 10 percentage points is expected after 3-4 months of intervention.

NCT ID: NCT04180605 Recruiting - Atrial Fibrillation Clinical Trials

Computational Simulation to Plan for Percutaneous Left Atrial Appendage Closure

Start date: January 6, 2020
Phase: N/A
Study type: Interventional

To ensure a successful percutaneous left atrial appendage (LAA) closure, it is important to select the correct size of the closure device used for each patient. To define and measure the size of the LAA, 2D transesophageal echocardiography (TEE) has been typically used. An increasing number of hospitals recently switched to measure the size of the LAA using a cardiac computed tomography (CT) scan. Although this CT scan helps to better define and measure the LAA, it is still difficult to determine the exact anticipated 'landing zone' or 'position' of the closure device. A novel strategy of preprocedural planning includes the use of preoperative computer simulations based on CT imaging (Feops HEARTguideTM), where the device is deployed with a computer simulation into the patient-specific LAA anatomy to provide the operator both optimal and suboptimal scenario's showing different sizes and positions of the closure device. The aim of this study is to assess whether use of FEops HEARTguide computer simulations based on cardiac CT-imaging can contribute to a better preprocedural planning and improved procedural outcomes of percutaneous LAA closure procedures with an Amplatzer Amulet device. The PREDICT-LAA trial will investigate the possible positive effect of a computer simulation using a CT scan of the LAA performed prior to the procedure. The hypothesis is that by using this new computer simulation, better planning of the intervention can be obtained.

NCT ID: NCT04180397 Recruiting - Fluid Overload Clinical Trials

Controlled Fluid Removal in Critical Ill Patients With Fluid Overload in the Intensive Care Unit.

GODIF
Start date: August 17, 2020
Phase: Phase 4
Study type: Interventional

This study evaluates the benefits and harms of goal directed fluid removal with furosemide versus placebo in critical ill adult patients with fluid overload in the intensive care unit. Half of the patients will receive furosemide and the other half placebo. The treatment will continue until the excess fluid is excreted.

NCT ID: NCT04173871 Recruiting - Children Clinical Trials

Effects of Systematic Proprioceptive-tactile Stimulation With Use of the Protac MyFit®

Start date: April 1, 2020
Phase: N/A
Study type: Interventional

Children with sensory impairment (SPD) are often unable to sit still and focus their attention. This can affect the children by limiting their opportunities for participation in school activities. Previous studies indicate a link between childhood SPD, childhood anxiety, and obsessive-compulsive disorder (OCD) in adulthood. Research and clinical experience suggest that systematic use of proprioceptive-tactile stimulant aids may have a positive effect for children with SPD. The aim of the project is to investigate and describe the effects of a systematic use of proprioceptive-tactile stimulating vest, MyFit®, for children 6-12 years with SPD in the form of sensory-seeking behaviour. Research questions: - Can systematic use of MyFit® for children with sensory seeking behaviour increase their participation in school activities? - Can systematic use of MyFit® support children with sensory seeking behaviour to increase their awareness, concentration and focus on tasks? - Can systematic use of MyFit® affect children's feelings of confidence and self-efficacy? The project seeks to answer these questions to contribute to knowledge on how children with sensory seeking behaviours can be supported for better participation in school activities. The study will be a randomized controlled trial of 240 children with SPD and sensory seeking behaviour.

NCT ID: NCT04173273 Recruiting - Crohn's Disease Clinical Trials

A Study Evaluating the Efficacy and Safety of Oral Etrasimod in the Treatment of Adult Participants With Moderately to Severely Active Crohn's Disease

CULTIVATE
Start date: January 6, 2020
Phase: Phase 3
Study type: Interventional

This is a Phase 2/3 study that comprises 5 substudies designed to evaluate the efficacy, safety, and tolerability of oral etrasimod as therapy in adult participants with moderately to severely active Crohn's disease (CD) who are refractory or intolerant to at least 1 of the current therapies for CD (ie, corticosteroids, immunosuppressants, or biologics). The overall duration of this study is up to 282 weeks, inclusive of the Screening Period, Treatment Period of up to 274 weeks (Induction, Extension or Maintenance, and Long-term Extension Periods), and the 4-Week Follow-Up Period for safety assessment.

NCT ID: NCT04172974 Recruiting - Depression, Anxiety Clinical Trials

eHealth Intervention to Manage Depression and Anxiety in Patients With Ischemic Heart Disease

eMYHeart
Start date: June 1, 2020
Phase: N/A
Study type: Interventional

This study evaluates the effectiveness and cost-effectiveness of a therapy-assisted internet-based intervention in patients with ischemic heart disease and co-morbid depression and anxiety referred for cardiac rehabilitation. Half of the patients will receive the intervention and the other half usual care. We hypothesize that the intervention will lead to a reduction in patients' symptoms of depression and anxiety and be cost-effective.

NCT ID: NCT04167683 Recruiting - Clinical trials for Acute Myeloid Leukemia

Muscle Dysfunction in Patients With Hematological Diseases Referred to Stem Cell Transplant

Start date: October 1, 2023
Phase:
Study type: Observational

PURPOSE: To investigate the effect of the disease and HSCT on muscle dysfunction and to investigate the prognostic role of muscle dysfunction at critical decision points in patients with hematological diseases referred to hematopoietic stem cell transplant (HSCT). HSCT: Patients diagnosed with malignant hematological diseases who are referred to myeloablative HSCT, to a myeloablative "reduced toxicity conditioning" regime with Fludarabine and Treosulfane (FluTreo) or to non-myeloablative HSCT.

NCT ID: NCT04167436 Recruiting - Rectal Cancer Clinical Trials

Fit for Surgery. Multimodal Prehabilitation in Colorectal Cancer Patients

Start date: May 1, 2019
Phase: Phase 2/Phase 3
Study type: Interventional

Randomized clinical trial of multimodal prehabilitation in vulnerable patients with colon or rectal cancer prior to surgery.