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NCT ID: NCT03249896 Not yet recruiting - Clinical trials for Gestational Diabetes

Web/Smartphone-based Lifestyle Coaching Program in Pregnant Women With Gestational Diabetes

SMART-GDM
Start date: August 2017
Phase: N/A
Study type: Interventional

Gestational diabetes mellitus (GDM) affects one fifth of Singaporean pregnancies and can result in short and long term complications for mother and child. Mobile applications are effective in improving diabetes care and weight related behaviors through improved self-management. A multidisciplinary healthcare team from National University Hospital, Singapore has worked with Jana Care to develop the Habits-GDM smartphone app, a lifestyle coaching program specific for gestational diabetes. It consists of interactive lessons to provide patient education, diet, activity and weight tracking tools, messaging platform for coaching and motivating patients towards healthy behavior beneficial for gestational diabetes. It interfaces with the Aina device, a novel hardware sensor that plugs into any smartphone and can be used for glucose monitoring. This study aims to test the effectiveness of this app in preventing excessive weight gain in pregnancy among patients with gestational diabetes.

NCT ID: NCT03248193 Recruiting - Clinical trials for Chemotherapy-induced Peripheral Neuropathy (CIPN)

Concomitant Limb Cryocompression and Scalp Cooling to Reduce Paclitaxel-induced Neuropathy and Alopecia

Start date: August 4, 2017
Phase: N/A
Study type: Interventional

Paclitaxel is a chemotherapy drug that is used to treat breast cancer, one of the most common cancers. It causes two side effects very often - hair-loss and numbness. Until recently, there have been no known ways to prevent or treat either side effect. Recently, cooling of the scalp to prevent hair loss caused by paclitaxel was approved. Our team is developing a method to prevent numbness caused by paclitaxel by using a device that cools the arms and the legs, while applying mild pressure, and this technique is called cryocompression. As scalp cooling use in day-to-day cancer care increases, future studies involving cryocompression to treat neuropathy must take this into account, lest patients be denied or are required to trade-off one treatment for the other. However, there is concern of causing a reduction in core body temperature, which would not be safe or a general intolerance to this treatment. Both scalp cooling and limb cryocompression individually have not shown to cause this, but simultaneous use has not been studied previously. Clinical safety studies, in healthy subjects and cancer patients would need to be conducted to prove this theory, which is being proposed by currently.

NCT ID: NCT03247621 Recruiting - Clinical trials for Whatsapp, Article, No Phone

Exploring the Effects of Social Media Use and Environmental Factors

Start date: July 2015
Phase: N/A
Study type: Interventional

In this protocol, the investigators propose a randomised controlled trail to explore the effects of environmental factors and the use of technology on eating behaviours. The investigators have planned two studies to investigate these effects, one on high school students from Raffles Institution, and the other on the university population in the National University of Singapore.

NCT ID: NCT03245047 Not yet recruiting - Malnutrition Clinical Trials

The Nutritional Health for the Elderly Research Centre Study (The NHERC Study)

NHERC
Start date: August 2017
Phase: N/A
Study type: Interventional

The prevalence of malnutrition among the elderly in Asia is high. The objective of this randomized, parallel, placebo controlled, double-blind study is to evaluate the effects of consuming an adult ONS plus dietary counseling (intervention group) for 180 days on nutritional status and unexpected hospital (re)admission, compared with a placebo supplement plus dietary counseling (control group).

NCT ID: NCT03242603 Recruiting - Clinical trials for Neuroblastoma Recurrent

Immunotherapy of Neuroblastoma Patients Using a Combination of Anti-GD2 and NK Cells

NKEXPGD2
Start date: August 15, 2017
Phase: Phase 1/Phase 2
Study type: Interventional

Neuroblastoma is a neoplasm of the sympathetic nervous system which affects mostly children younger than 5 years of age. It is a heterogeneous disease, with nearly 50% of patients presenting with a high-risk phenotype. After standard treatment, the 2-year event-free survival (EFS) for high risk neuroblastoma (EFS) is only about 50%. Immunotherapy with anti-GD2 antibodies has been shown to improve EFS in Children's Oncology Group and SIOPEN trials. The anti-GD2 antibody mediates neuroblastoma cell killing primarily through antibody-dependent cell-mediated cytotoxicity (ADCC). Natural killer (NK) cells are the main effectors of ADCC. We postulate that infusion of expanded activated NK cells from healthy haploidentical donors along with anti-GD2 antibody will enhance neuroblastoma killing.

NCT ID: NCT03240952 Not yet recruiting - Malnutrition Clinical Trials

The Nutritional Health for the Elderly Research Centre Study (NHERC Study)

NHERC
Start date: August 2017
Phase: N/A
Study type: Observational

Elderly are at greater risk of dietary insufficiency due to age-related increases in nutrient requirements concomitant with a reduction in energy requirements, decreases in appetite and energy intake. Currently there is a gap in knowledge of the factors that are associated with malnutrition in the elderly in Singapore. In addition, there is no "reference" database on anthropometric measurements and biochemical indices for elderly with a range of nutrition status in Singapore. Thus, the objectives of this cross-sectional study are to examine factors influencing nutritional status and to determine the reference values for anthropometric and biochemical measurements related to nutritional status for community-dwelling elderly in Singapore.

NCT ID: NCT03236350 Not yet recruiting - Hypertension Clinical Trials

Remote Ischaemic Conditioning on Blood Pressure Control in Chronic Kidney Disease Patients

ERIC-BP-CKD
Start date: September 1, 2017
Phase: N/A
Study type: Interventional

Chronic kidney disease (CKD) is one of the leading causes of death and disability in Singapore and worldwide. Hypertension is commonly inadequately controlled in patients with CKD and this is associated with CKD progression and cardiovascular complications. Daily episodes of Remote ischaemic conditioning (termed chronic RIC or CRIC) using transient limb ischaemia/reperfusion applied for 1 to 12 months have been shown to lower systemic blood pressure (SBP), prevent stroke and reduce post-myocardial infarction left ventricular (LV) remodelling in experimental and clinical studies. In the ERIC-BP-CKD feasibility and efficacy study, we hypothesise that CRIC administered for 28 days will lower systemic blood pressure and improve blood pressure control in patients with CKD and hypertension.

NCT ID: NCT03233971 Recruiting - Deprescribing Clinical Trials

How do Older Adults and Caregivers Feel About Their Medications?

Start date: July 25, 2017
Phase: N/A
Study type: Observational

The aim of this study is to study patients' and caregivers' perspectives towards deprescribing using the Revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire.

NCT ID: NCT03233360 Recruiting - Clinical trials for Hepatocellular Carcinoma

Hepatocellular Carcinoma Registry in Asia

Start date: April 17, 2017
Phase: N/A
Study type: Observational

This registry is designed as a multi-centre longitudinal cohort study of patients diagnosed with HCC between 1st January 2013 and 30th June 2018 in nine countries (ie, Korea, Taiwan, Thailand, Japan, China, Hong Kong, Australia, New Zealand and Singapore). Approximately 30% of the sample size will be identified retrospectively and 70% will be identified prospectively from the start date of the registry (October 2016), with an even distribution of consecutively diagnosed patients within the different years.

NCT ID: NCT03232983 Not yet recruiting - Clinical trials for Diabetes Mellitus, Type 2

A Study of LY900014 Formulation at Different Injection Sites in Healthy Participants

Start date: August 2017
Phase: Phase 1
Study type: Interventional

This study evaluates a new formulation of insulin lispro, LY900014, a drug that lowers blood sugar. It is administered by injection into the vein and under the skin of the abdomen, thigh and arm. The study will be conducted in healthy people to investigate the effect of different injection sites on the amount of insulin lispro in the bloodstream. Side effects and tolerability will be documented. The study will last for about 10 weeks for each participant, including screening and follow up. Screening is required within 28 days prior to entering the study.