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Disease Progression clinical trials

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NCT ID: NCT05117541 Active, not recruiting - Clinical trials for Hepatitis B Infection

Social-environmental, Psychosocial, Behavioral, Clinical and Biological Drivers of Disparities in Liver Disease Progression Among Korean American With Chronic Hepatitis B Infection

Start date: August 2, 2021
Phase:
Study type: Observational

This study explores how psychosocial factors (e.g., chronic stress, depression) may lead to liver disease progression such as liver cirrhosis or liver cancer among Korean American chronic hepatitis B infection patients. Gathering health information over time from Korean Americans with chronic hepatitis B infection may help doctors find better methods of treatment and on-going care.

NCT ID: NCT05085275 Active, not recruiting - Clinical trials for Renal Insufficiency, Chronic

Ferric Citrate for the Prevention of Renal Failure in Adults With Advanced Chronic Kidney Disease

FRONTIER
Start date: March 30, 2022
Phase: Phase 3
Study type: Interventional

A 9-month randomized, double-blind, placebo-controlled study to compare the effect of fixed dose ferric citrate versus placebo in patients with advanced chronic kidney disease (eGFR ≤20 ml/min/1.73m2) on the composite endpoint of time to initiation of maintenance dialysis or all-cause mortality.

NCT ID: NCT05080712 Recruiting - Atrial Fibrillation Clinical Trials

Progression of Atrial Fibrillation in the Young

PRAY
Start date: September 25, 2021
Phase:
Study type: Observational

The purpose of this study is to investigate the presence and magnitude of structural changes of the heart and their long-term development in young patients with atrial Fibrillation (AF), studied by echocardiographic measurements and plasma biomarkers and their association to AF burden, studied using long-term ECG

NCT ID: NCT05079009 Completed - Clinical trials for Acute Respiratory Distress Syndrome

Effects of Blood Pulsatility on Von Willebrand Factor During ECCO2R

FLOW-ECCO2R
Start date: January 28, 2022
Phase: N/A
Study type: Interventional

The primary objective of the study is to demonstrate that the ECCO2R pulsatile configuration prevents the Willebrand factor high molecular weight multimers decrease observed under continuous blood flow configurations. The secondary objectives are to quantify the CO2 extracorporeal removal in the pulsatile configuration, to describe complications (hemorrhagic, thrombotic and hemolytic), to describe patients' gas exchanges under ECCO2R, to describe the clinical course of the patients under ECCO2R as well as during the whole stay in the Intensive Care Unit (ICU).

NCT ID: NCT05057065 Recruiting - Clinical trials for Hepatitis B, Chronic

A Clinical Research on Disease Progression and Intervention of Chronic HepatitisB

Start date: September 15, 2021
Phase:
Study type: Observational

HBV(hepatitis B virus) with metabolic comorbidities may accelerate liver disease progression and increase the risk of HCC(Hepatocellular Carcinoma)development. It is reported combination of metabolic diseases and CHB is associated with substantially increased rates of liver cirrhosis and secondary liver-related events compared to CHB alone. Consequently, hepatitis B patients with metabolic comorbidities warrant particular attention in disease surveillance and evaluation of treatment indications.

NCT ID: NCT05041842 Recruiting - Clinical trials for Metastatic Breast Cancer With a Isolated Brain Progression

Treatment With Tucatinib in Patients With an Isolated Brain Progression of a Metastatic Breast Cancer

InTTercePT
Start date: December 17, 2021
Phase: Phase 2
Study type: Interventional

The overall survival of patients with metastatic breast cancer has steadily improved over the past decades, mainly due to advances in systemic treatment. Despite these advances, the development of brain metastases remains a serious and devastating complication that decreases quality of life and increases morbidity and mortality. The HER2CLIMB randomized study demonstrated that adding the investigational drug tucatinib to the standard treatment trastuzumab and capecitabine improved both progression-free survival and overall survival in people diagnosed with human epidermal growth factor 2 (HER2)-positive metastatic breast cancer, previously treated with trastuzumab, pertuzumab, and T-DM1. In patients with brain metastases, the 1-year progression-free survival was 25% in the tucatinib group and 0% in the placebo group. These results suggest that tucatinib may be a new standard treatment for HER2-positive metastatic disease. The aim of the non-randomized phase II study, InTTercePT, is to evaluate the effectiveness of adding tucatinib to trastuzumab and pertuzumab in the event of cerebral progression, after the end of local treatment.

NCT ID: NCT05022147 Recruiting - Parkinson Disease Clinical Trials

Enhancing Gait Using Alternating-Frequency DBS in Parkinson Disease

ENGAGE-PD
Start date: October 4, 2021
Phase: Phase 1
Study type: Interventional

The purpose of this study is to assess how alternating-frequency Deep Brain Stimulation (DBS) works to improve postural instability and gait, while also treating other motor symptoms of Parkinson Disease (PD).

NCT ID: NCT05008874 Active, not recruiting - AMN Clinical Trials

Study of Disease Progression in Adults With Inherited Forms of Spastic Paraplegia

CYGNET
Start date: June 21, 2021
Phase:
Study type: Observational

The course of AMN-related disabilities over time is poorly or incompletely understood due to a limited number of patients and lack of treatments. This study will help obtain a better understanding of the progression of disease with AMN and facilitate efficient clinical development of future interventional medications.

NCT ID: NCT05008081 Recruiting - Clinical trials for Chronic Obstructive Pulmonary Disease Exacerbation

The CATALINA Study

Start date: October 25, 2022
Phase:
Study type: Observational [Patient Registry]

The CATALINA study is a prospective cohort study embedded within CICERO (Collaboration In COPD ExaceRbatiOns, a European Respiratory Society supported Clinical Research Collaboration), designed to collect standardised, longitudinal clinical data and biological samples in 20 centres across Europe.

NCT ID: NCT04989725 Recruiting - Clinical trials for Head and Neck Cancer

Stereotactic Ablative Radiotherapy for Oligo-Progressive Disease REfractory to Systemic Therapy in Metastatic Cancer

SUPPRESS
Start date: October 1, 2021
Phase: Phase 2
Study type: Interventional

A registry-based randomized phase II trial. A total of 46 patients with metastatic head and neck cancer on systemic therapy with oligoprogression to 1-5 extracranial lesions will be randomized using a 1:1 ratio to standard of care (begin next-line systemic therapy, best supportive care, continue current systemic line, based on treating physician decision) vs. receive stereotactic ablative radiotherapy to all oligoprogressive lesions while continuing their current systemic therapy.