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NCT ID: NCT04234347 Not yet recruiting - Venous Access Clinical Trials

Long Versus Short Axis Approach for Ultrasound Guided Peripheral Intravenous Access

Start date: May 1, 2024
Phase: N/A
Study type: Interventional

To compare a long axis approach versus short axis when placing peripheral IVs using ultrasound guidance.

NCT ID: NCT04231708 Not yet recruiting - Opioid Use Disorder Clinical Trials

Effects of Pharmacological Stress and rTMS on Executive Function in Opioid Use Disorder

Start date: October 2024
Phase: Phase 2
Study type: Interventional

This preliminary study is designed to evaluate mechanisms by which excitatory dorsolateral prefrontal cortex (dlPFC) repetitive transcranial magnetic stimulation (rTMS) (vs. sham) and pharmacological stress (vs. placebo) alter behavior in non-treatment seeking individuals with opioid use disorder (OUD). Specific Aims are to (1) Evaluate how stress impacts domains of behavior including (1a) executive function and (1b) opioid-seeking behavior; and (2) Determine whether rTMS stimulation attenuates (2a) executive dysfunction, (2b) stress-reactivity, and (2c) opioid-seeking in individuals with OUD not receiving treatment.

NCT ID: NCT04229758 Not yet recruiting - Trauma Clinical Trials

Restarting Anticoagulation After Traumatic Intracranial Hemorrhage

Restart tICrH
Start date: October 2021
Phase: Phase 3
Study type: Interventional

Primary Objective: To identify the optimal interval to restart oral anticoagulation after traumatic intracranial hemorrhage that will minimize thrombotic events and major bleeding by performing a response adaptive randomized (RAR) PROBE clinical trial of restarting in anticoagulant-associated traumatic intracranial hemorrhage patients, comparing restart at 1 week to restart at 2 weeks or at 4 weeks, with a primary composite outcome of major thrombotic events and bleeding. Primary Outcome: 60-day composite of thromboembolic events, defined as DVT, pulmonary emboli, myocardial infarctions, ischemic strokes and systemic emboli, and bleeding events defined as non-CNS major bleeding events (modified BARC3 or above) and worsening index tICrH or new intracranial hemorrhage (ICrH). Secondary objectives of this trial include: 1. To use the Trauma Quality Improvement Program (TQIP) of the American College of Surgeons - Committee on Trauma (ACS-COT), a well-established and highly respected trauma center oversight mechanism, to translate findings of the trial into practice in a closed loop. 2. To establish a relationship between time of restarting and overall secondary events, i.e. a dose response, that favors early restarting (1 week is better than 2 weeks and 2 weeks is better than 4 weeks. 3. To explore patient centered utility weighting of thrombotic versus bleeding composite endpoint components by: A) 60-day Disability Rating Scale (DRS) 24,25 and modified Rankin Scale (mRS)26; B) Trial patient-reported standard gamble utilities including by race, gender and ethnicity. 4. To explore the composite without DVT in the thrombotic component

NCT ID: NCT04222140 Not yet recruiting - Clinical trials for Post-Traumatic Osteoarthritis of Knee

Early Regenerative Intervention for Post-Traumatic Osteoarthritis

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

The goal of the proposed research is to compare the ERIPTO protocol for post-traumatic osteoarthritis of the knee with that of bone marrow aspirate concentrate (BMAC) only. The investigators will also conduct a statistical regression analysis looking into factors such as time frame from initial injury, the type of injury, gender, and age when injury first occurred. The investigators plan on evaluating clinically and radiographically the effects of the ERIPTO Protocol. There will be two arms of this study. The first arm will be our protocol arm and the second arm will be our BMAC treatment only arm. The investigators plan on collecting objective data on osteoarthritis (OA) severity by taking plain films and assessing the Kellgren-Lawrence (KL) grading scheme in assessing OA severity. The investigators will also administer MRI evaluations for cartilage and meniscal growth prior to treatment and after 1 year. The investigators also plan on collecting subjective symptom scores in the form of knee injury and osteoarthritis outcomes scores (KOOS), visual analog scores (VAS), and international knee documentation criteria (IKDC) score for OA severity. The investigators plan to track changes in both subjective and objective measures of knee OA in our patients through the course of one year.

NCT ID: NCT04221620 Not yet recruiting - Pediatric ALL Clinical Trials

Effectiveness of EEG Neurofeedback in Pediatric Occupational Therapy to Improve Executive Functioning

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

EEG Neurofeedback is a noninvasive way that allows the central nervous system to self regulate and the frontal cortex to be accessed through quieting of the limbic system at the subcortical level. Currently there is limited research in regards to the implications of EEG Neurofeedback, however, the investigators of this study have been using EEG Neurofeedback as a passive modality in the treatment of various pediatric clients with a variety of diagnoses and disorders. The purpose of this study is to determine whether or not EEG neurofeedback is effective in improving executive functioning skills in pediatric, school aged children as a modality in traditional occupational therapy services. The investigators hypothesize that EEG neurofeedback will assist with improved sensory gating abilities, therefore allowing for higher levels of cognition and awareness due to increased opportunities for the brain to regulate itself.

NCT ID: NCT04220190 Not yet recruiting - Clinical trials for Amyotrophic Lateral Sclerosis

RAPA-501 Therapy for ALS

Start date: September 2024
Phase: Phase 2/Phase 3
Study type: Interventional

RAPA-501-ALS is a phase 2/3 expansion cohort study of RAPA-501 autologous hybrid TREG/Th2 cells in patients living with amyotrophic lateral sclerosis (pwALS).

NCT ID: NCT04219098 Not yet recruiting - Arthroplasty Clinical Trials

Pain After Preoperative UltraSound Guided Hip Injections for Total Hip Arthroplasty (PUSH)

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

The purpose of the study is to assess the accuracy of Butterfly IQ ultrasound for intra-articular hip injections, and to see if an injection given intra-articular before incision provides any benefit in preemptive pain relief or blood loss reduction.

NCT ID: NCT04217187 Not yet recruiting - Stroke Clinical Trials

Electrical Stimulation After Botulinum Toxin Injections to the Upper Extremity

Start date: January 13, 2020
Phase: N/A
Study type: Interventional

The purpose of this study is to investigate the effectiveness of using electrical stimulation to improve upper extremity function in stroke survivors who receive botulinum toxin injections for spasticity. We hypothesize that individuals who receive the electrical stimulation could demonstrate improved benefit of the botulinum toxin injections and improved functional use of their weaker upper extremity.

NCT ID: NCT04213911 Not yet recruiting - Respiratory Failure Clinical Trials

Comparison of Esophageal Manometry and CT Scan Measurements

Start date: March 2023
Phase:
Study type: Observational

The goal of this study is to determine the relationship between esophageal pressure (Pes) and superimposed pressure (SP) in subjects with morbid obesity.

NCT ID: NCT04213274 Not yet recruiting - Schnitzler Syndrome Clinical Trials

Study of the Efficacy and Safety of RPH-104 in Adult Subjects With Schnitzler Syndrome

Start date: May 2023
Phase: Phase 2
Study type: Interventional

The primary goal of the study is to assess the efficacy and safety of RPH-104 in subjects with Schnitzler Syndrome using Schnitzler Disease Activity Score (SDAS), which includes the Physician's Global Assessment (PGA) and the local laboratory C-reactive protein (CRP) result