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NCT ID: NCT03414918 Not yet recruiting - Hyperaldosteronism Clinical Trials

Macrolides for KCNJ5 - Mutated Aldosterone-Producing Adenoma (MAPA)

MAPA
Start date: March 2018
Phase: N/A
Study type: Interventional

This study evaluates if : 1 ) the plasma aldosterone concentration and blood pressure change in response to roxithromycin could be useful for the screening of PA patients carrying a KCNJ5-mutated APA; 2) the change of PAC in response to mutated KCNJ5 channel is truly occurring in KCNJ5-mutated APA.

NCT ID: NCT03402360 Not yet recruiting - Clinical trials for Acquired Brain Injury

Virtual Reality Rehabilitation in Patients With Acquired Brain Injury

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

The aim of the study is to investigate the effectiveness of motor and cognitive virtual environment rehabilitation on upper limb function in sub-acute patients after an acquired brain injury.

NCT ID: NCT03379441 Not yet recruiting - Clinical trials for Non Small Cell Lung Cancer Patients

Pembrolizumab (MK-3475) as Maintainance in Treated Patients With Unresectable Stage III NSCLC

MP-LALC
Start date: January 1, 2018
Phase: Phase 2
Study type: Interventional

Maintainance therapy in patients with unresectable stage III, NSCLC Stage IIIA-B, unresectable, NSCLC, treated with definitive Chemo-Radiotherapy

NCT ID: NCT03322748 Not yet recruiting - Multiple Sclerosis Clinical Trials

Efficacy of Lower Limb Exercises on Overactive Bladder Symptoms in Patients With Multiple Sclerosis

Start date: February 2018
Phase: N/A
Study type: Interventional

The aim of the study (OVERACT_V1) is to verify if the isometric contraction of ankle plantarflexor and Hamstring muscles, induces a significant reduction of overactive bladder symptoms in patients with Multiple sclerosis.

NCT ID: NCT03278418 Not yet recruiting - Clinical trials for Tricuspid Valve Insufficiency

Echo-Guided Tricuspid Valve Surgery Vs. Conservative Approach

RIGHT
Start date: September 2017
Phase: N/A
Study type: Interventional

Patients elected to undergo any type of left-sided valve surgery (either repair or replacement) with non severe tricuspid regurgitation and tricuspid annular dilation will be screened. Consenting patients fulfilling all inclusion and exclusion criteria will be included in the study and assigned to elective left-sided valve replacement or repair with or without concomitant tricuspid valve repair in a 1:1 fashion, using a blocked randomization scheme balanced within center.

NCT ID: NCT03277079 Not yet recruiting - Clinical trials for Coronary Artery Disease

Low Dose Statins, Ezetimibe and Nutraceuticals

TACO
Start date: October 1, 2017
Phase: Phase 4
Study type: Interventional

It remains unknown if the association between moderate to low intensity statin therapy and ezetimibe and nutraceuticals might have a therapeutic role in high-intensity statin intolerant patients

NCT ID: NCT03263455 Not yet recruiting - Stroke Clinical Trials

Kinesio-Taping in Stroke Patients With Visuospatial Neglect

k-neglect
Start date: September 1, 2017
Phase: N/A
Study type: Interventional

Stroke is the second leading cause of death worldwide and the third most common cause of disability. The effects of stroke are variable and may include impairments in motor and sensory systems, emotion and neuropsychological deficits such as a disorder of spatial awareness known as unilateral spatial neglect (USN). Approaches to ameliorate USN could be categorized in interventions as involving either bottom-up or top-down processing. The specific mechanisms underlying these effects on a number of manifestations of the USN syndrome may include the restoration of defective representations of the side of space contralateral to the lesion (contralesional), and of the ability to orient spatial attention contralesionally, through complex patterns of activation of both the damaged right hemisphere, and the contralateral left hemisphere, with differences related to the specific stimulation delivered to the patient. In recent years, increasing cutaneous stimuli through neuromuscular kinesiotaping has been proposed to enhance somatosensory inputs (24) and such as method could have positive effects on USN. The aim of the present study was to assess the effect of KTM applied on the sternocleidomastoid muscle controlateral side of the lesions in improving USN deficits in individuals with stroke patient in sub-acute phase. The hypothesis is that the KTM application could improved cognitive tests for assessing USN, motor deficits and kinesthetic neck sensibility.

NCT ID: NCT03255356 Not yet recruiting - Anesthesia, General Clinical Trials

Ventilation in Cardiac Surgery

VENICE
Start date: November 1, 2017
Phase: N/A
Study type: Observational

The purpose of this study is to evaluate prospectively ventilatory practices in the perioperative cardiac surgery period.

NCT ID: NCT03218124 Not yet recruiting - Anesthesia Clinical Trials

Optimal Remifentanil Concentration and Thyroidectomy

ORCO
Start date: October 1, 2017
Phase: N/A
Study type: Interventional

The study is aimed at determining the remifentanil effect site concentration suppressing the cough at extubation after surgical thyroidectomy, performed under remifentanil/desflurane based general anesthesia, expressed as median and 95th percentile effective dose. Possible hemodynamic instability, respiratory depression or prolongation of awakening time are also sought.

NCT ID: NCT03210948 Not yet recruiting - Pancreas Cancer Clinical Trials

Conventional Versus Elastography Targeted Endoscopic Ultrasound Fine Needle Aspiration of Solid Pancreatic Lesions

Start date: January 23, 2019
Phase: N/A
Study type: Interventional

Diagnostic assessment of solid pancreatic lesions may represent a real challenge in the clinical practice, even with the aid of tissue sampling by means of endoscopic ultrasound (EUS) fine needle aspiration (FNA). Aim of this randomized controlled trial (RCT) is to establish the diagnostic accuracy, sensitivity, and specificity of real time elastography (RTE)-guided EUS-FNA as compared to conventional EUS-FNA in a series of patients with solid pancreatic masses. Eligible will be patients with solid pancreatic masses detected at abdominal imaging (ultrasound, CT-scan or MRI). In the treatment arm, RTE assessment of pancreatic masses will be performed using a last generation ultrasound machine, and all suspicious areas at elastography (i.e. those appearing in dark blue color as a consequence of higher cellularity of tumoral tissue) will be recorded and stored in our database. A 25 G needle will be then inserted into the most suspicious part ("dark blue") of the lesion and immediately after the procedure the stylet will be removed. At the end of the procedure, the needle will be retracted and the samples will be prepared for cytological examination. Primary endpoint will be diagnostic yield of the procedure. Secondary endpoints the diagnostic sensitivity, specificity, number of passes needed to achieve an adequate sample and safety It will be planned to enroll 142 patients (71 per arms) within 1 year. A minimum follow up of 6 months from the last patient unsuitable to surgery will be required.