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NCT ID: NCT00190463 Terminated - Malignant Hemopathy Clinical Trials

Comparison of 2 Antifungal Treatment (Empirical Versus Pre-Empirical) Strategies in Prolonged Neutropenia

Start date: April 2003
Phase: Phase 4
Study type: Interventional

Empirical antifungal treatment is the gold standard for patients who are neutropenic and have persistent fever under broad-spectrum antibiotics. The rational is that fungal infections are difficult to early diagnose, and are life-threatening. Historical trials have shown a small benefit of survival when this strategy is used. According to the drug usde for this strategy, safety and costs may be concerns. However, since this routine practice has been implemented in hematology, new non-invasive biological diagnostic methods are available to early diagnose fungal infections, such as galactomannan antigenemia for aspergillosis. The goal of our study is to show that limiting the administration of antifungals in this setting to patients with clinical foci of infection, or to patients with a positive galactomannan antigenemia reduces the risk of toxicity of the antifungal drug, and has no impact on the overall mortality of patients treated with chemotherapy for hematologic malignancies.

NCT ID: NCT00190203 Terminated - Clinical trials for Malignant Middle Cerebral Artery Infarction

Decompressive Craniectomy In Malignant Middle Cerebral Artery Infarcts

DECIMAL
Start date: December 2001
Phase: Phase 3
Study type: Interventional

The purpose of this study is to determine if patients with malignant middle cerebral artery infarction have a better clinical outcome after early decompressive surgery compared to standard medical management.

NCT ID: NCT00189371 Terminated - Anemia Clinical Trials

Reinduction Chemotherapy Containing Carboplatin and Paclitaxel With or Without Epoetin Alpha in Recurrent Platinum Sensitive Ovarian Cancer, Cancer of the Fallopian Tube or Peritoneum

Start date: February 2004
Phase: Phase 3
Study type: Interventional

Patients with epithelial ovarian cancer, fallopian tube or peritoneal cancer who receive surgical cytoreduction and platinum/taxane containing chemotherapy have a significant chance of entering complete clinical remission but about 70% will eventually relapse. Relapse more than 6 months following first line chemotherapy is regarded as platinum/taxane sensitive disease. Reinduction chemotherapy with platinum/taxane is known to be an effective treatment option. Therapy induced anemia is a common problem resulting in decrease of quality of life. The rationale of this trail is to evaluate the effects of epoetin alpha on reduction of therapy induced anemia, rate of transfusions and on quality of life.

NCT ID: NCT00185679 Terminated - Clinical trials for Non-Hodgkin's Lymphoma (NHL)

Haploid Allogeneic Transplant Using the CliniMACS System

Start date: November 2001
Phase: Phase 2
Study type: Interventional

To assess the proportion of patients with donor neutrophil engraftment within 30 days of allogeneic transplant. To assess the incidence of acute GvHD during the first 100 days after transplantation.

NCT ID: NCT00185523 Terminated - Leukemia Clinical Trials

Allogeneic Transplantation for Patients With Acute Leukemia or Chronic Myelogenous Leukemia (CML)

Start date: May 2002
Phase: Phase 2
Study type: Observational

The purpose of the study is to evaluate the overall and disease free survival of recipients who have received G-CSF mobilized stem cells from HLA matched sibling donors.

NCT ID: NCT00185016 Terminated - Clinical trials for Abused Women's Health Care Utilisation

Women Abuse and the Role of the Family Doctor.

Start date: March 2003
Phase: N/A
Study type: Interventional

The study tested a training to improve recognition of abused female patients in family practice.Effect measures of the training were: number of reported cases wherein the doctor suspected and discussed partner abuse and the number of non-obviuos reasons to suspect partner abuse.We assumed that following a training would improve the recognition of abused women. Secondary to this trial we explored gender differences of family doctors in discussing partner abuse and we interviewed women recently identified by their family doctor. Medical histories of recently identified abused women were studied to assess health problems and health-care utilisation.

NCT ID: NCT00184470 Terminated - Trauma, Multiple Clinical Trials

Trauma Registration at St. Olavs Hospital 2000-2003

Start date: December 2004
Phase: Phase 3
Study type: Observational

St. Olavs Hospital is a trauma referral center in the region of Midtnorge. Admitting trauma patients locally and those referred from hospitals in Nord-Trøndelag, Sør-Trøndelag and Møre-Romsdal.An active trauma team was defined in 1992, but it`s work has not been evaluated earlier. Prospective studies of these patients were established 1st of January 2004 at St. Olavs Hospital.

NCT ID: NCT00183430 Terminated - Clinical trials for Post-Traumatic Stress Disorder

Prazosin for Treating Noncombat Trauma Post-Traumatic Stress Disorder

Start date: October 2003
Phase: N/A
Study type: Interventional

This study will evaluate the effectiveness of prazosin in treating post-traumatic stress disorder caused by noncombat trauma in individuals taking selective serotonin reuptake inhibitors.

NCT ID: NCT00180999 Terminated - Clinical trials for Medico-Economic Aspects (Evaluation of Medical Costs Related to the Three Strategies and Evaluation of Cost/Efficacy)

Randomised Study to Compare the Effect of r-Hu-EPO Administration With Transfusion of Red Blood Cell Concentrates and Also With the Administration of Polyvitamins in Anemic and Tired Patients Presenting a Bad Prognostic in Middle Course

Start date: February 2002
Phase: Phase 3
Study type: Interventional

Randomised study to compare the effect of r-Hu-EPO administration with transfusion of Red Blood cell concentrates and also with the administration of polyvitamins in anemic and tired patients presenting a bad prognostic in middle course.

NCT ID: NCT00177970 Terminated - Clinical trials for Clostridium Difficile-associated Diarrhea (CDAD)

IVIG Versus Placebo for the Treatment of Patients With Severe C-Diff

Start date: October 2003
Phase: Phase 4
Study type: Interventional

In this trial, eligible patients will be randomly assigned to receive a single dose of 400 mg/kg of IVIG or a normal saline infusion as placebo over 4-6 hours, in addition to their usual medications for CDAD. We expect to enroll approximately 40 patients over a period of two years from UPMC Shadyside Hospital, McKeesport Hospital, and St. Margaret's Hospital who are unresponsive to standard antimicrobial therapy for CDAD. During the course of this study we expect that IVIG group compared with placebo group will have fewer number of stools per day (< 3 per day). Secondary endpoints will include normal WBC count, normal body temperature, 75% reduction in abdominal pain / tenderness, and decrease in length of hospital stay. Subjects will sign a written informed consent prior to any study procedures. Patients will be monitored closely during the infusion of the study medication and will continue to be monitored on a daily basis up to the time of discharge. Data collection will include vital signs, CBC, stool C. difficile cytotoxin assay, and stool counts before and after therapy.