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Syndrome clinical trials

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NCT ID: NCT02580773 Completed - Anemia Clinical Trials

Therapeutic Anticoagulation Strategy for Acute Chest Syndrome

TASC
Start date: December 16, 2016
Phase: Phase 3
Study type: Interventional

Acute Chest Syndrome (ACS) is a pulmonary complication of sickle cell disease (SCD) representing the leading cause of death and the second cause of hospitalization among adult patients. Pulmonary vaso-occlusion is one of the main pathophysiologic hypotheses during ACS. Our hypothesis is that therapeutic anticoagulation may reduce the severity of ACS via the alleviation of pulmonary thrombosis. The main objective of this prospective, randomized, double-blind study is to test the efficacy and safety of a curative anticoagulation strategy during ACS. The main efficacy endpoint is time to ACS resolution. The main safety endpoint is number of major bleedings. A thoracic CT scan will be performed to check for pulmonary artery thrombosis. If the CT scan is positive (thrombosis within a large elastic artery), the patient will not be randomized and will be treated with a curative anticoagulation. If the CT scan is negative, the patient will be randomized to receive subcutaneous anticoagulation with low molecular weight heparin (tinzaparin) either at a curative dose (175 Unit International (UI)/kg/day for 7 days) or at a prophylactic dose (4500 UI/day).

NCT ID: NCT02580734 Completed - Clinical trials for Burning Mouth Syndrome

Efficacy of Melatonin in Burning Mouth Syndrome (BMS)

BMS2013
Start date: March 2014
Phase: N/A
Study type: Interventional

The purpose of this study is to determine whether melatonin is effective in the treatment of burning mouth syndrome (BMS).

NCT ID: NCT02579902 Completed - Clinical trials for Irritable Bowel Syndrome

Effect of Vitamin D3 Supplementation in Treatment of Irritable Bowel Syndrome

Start date: February 2015
Phase: Phase 1
Study type: Interventional

The purpose of this study is to determine whether vitamin D3 supplementation is effective in the treatment of clinical signs, biomarkers of inflammation and oxidative stress due to Irritable Bowel Syndrome (IBS).

NCT ID: NCT02578537 Recruiting - Clinical trials for Chronic Kidney Disease

COmparison of the Pharmacodynamics and Pharmacokinetics Ticagrelor Versus Clopidogrel in Patients With CKD and NSTE-ACS

OPT-CKD
Start date: October 2015
Phase: Phase 4
Study type: Interventional

Ticagrelor, a new P2Y12 receptor antagonist, achieve faster, consistent and higher platelet inhibition than clopidogrel, which was considered more noticeable in patients with ACS combining chronic kidney disease(CKD). Nonetheless, the pharmacokinetic properties of ticagrelor in the patients with CKD and NSTE-ACS has not been thoroughly studied. This study was designed to provide PK and PD data of ticagrelor compared with clopidogrel, in order to estimate that ticagrelor is superior to clopidogrel in getting better inhibition of platelet in patients with CKD and NSTE-ACS. P2Y12 inhibitor naïve patients with CKD (eGFR < 60 ml/min/1.73m2 ) and NSTE-ACS will be enrolled in this single-center, prospective, randomized, parallel-control study and randomly assigned in a one-to-one ratio to receive ticagrelor or clopidogrel on top of chronic aspirin treatment. The primary endpoint was the PRU by Verify Now at 30 days after loading dose.

NCT ID: NCT02576990 Completed - Richter Syndrome Clinical Trials

Study of Pembrolizumab (MK-3475) in Participants With Relapsed or Refractory Primary Mediastinal Large B-cell Lymphoma or Relapsed or Refractory Richter Syndrome (MK-3475-170/KEYNOTE-170)

Start date: December 2, 2015
Phase: Phase 2
Study type: Interventional

In this study, participants with relapsed or refractory primary mediastinal large B-cell lymphoma (rrPMBCL) or relapsed or refractory Richter Syndrome (rrRS) will receive pembrolizumab (MK-3475). The efficacy of pembrolizumab in the treatment of rrPMBCL and rrRS will be evaluated. The primary study hypothesis is that intravenous (IV) administration of single agent pembrolizumab to the rrPMBCL cohort will result in an Objective Response Rate (ORR) of greater than 15% using the International Working Group (IWG) response criteria (Cheson, 2007) by independent central review. Effective with Protocol Amendment 04, enrollment into the rrRS cohort was closed.

NCT ID: NCT02575729 Completed - Clinical trials for Carpal Tunnel Syndrome(CTS)

Sonography-guided Steroid Injection for Carpal Tunnel Syndrome

Start date: August 2011
Phase: Phase 3
Study type: Interventional

Purpose: To compare the outcome between sonography-guided steroid injection and direct steroid injection on carpal tunnel syndrome(CTS).

NCT ID: NCT02574403 Completed - Clinical trials for Atypical Hemolytic Uremic Syndrome

Study Assessing an Algorithm-based Strategy of Eculizumab Discontinuation in Children and Adults With aHUS

STOPECU
Start date: November 2015
Phase: Phase 4
Study type: Interventional

Atypical hemolytic syndrome (aHUS) is a severe renal disease affecting children and adults. It is characterized by the occlusion of intrarenal vessels due to the presence of platelet/fibrin thrombi, and leads to end-stage renal disease in up to 2/3 of patients. The discovery of complement alternative pathway as a major risk factor for aHUS has led to the design of a disease-specific treatment, the anti-C5 monoclonal antibody, eculizumab. Complement inhibition using eculizumab has clearly improved the renal outcome of aHUS patients with a dramatic decrease in the risk of end-stage renal disease. However, the optimal duration of eculizumab therapy is still debated. The present study aims to assess the feasibility and safety of the discontinuation of eculizumab treatment in children and adults with aHUS.

NCT ID: NCT02573844 Completed - Clinical trials for Irritable Bowel Syndrome

Pain Relief In Irritable Bowel Syndrome

PRITON
Start date: January 2015
Phase: Phase 4
Study type: Interventional

The purpose of this study is to determine whether Proklama is effective in significative reduction of pain, other symptoms IBS's related, and improves quality of life concerning IBS disease.

NCT ID: NCT02570516 Completed - Lynch Syndrome Clinical Trials

NBI Versus Indigo Carmine During Colonoscopy in Lynch Syndrome

LYNCH-CHROMO
Start date: November 2015
Phase: N/A
Study type: Interventional

This study compares two colonoscopy techniques (with Narrow Band Imaging versus with indigo carmine chromoendoscopy) in patients having Lynch Syndrome

NCT ID: NCT02570217 Completed - Clinical trials for Newborn Respiratory Distress Syndrome

HHHFNC (Heated Humidified High-Flow Nasal Cannula) Versus NCPAP for Respiratory Distress Syndrome of Prematurity

Start date: January 2012
Phase: N/A
Study type: Interventional

Preterm infants ranging from 29+0 to 36+6 weeks+days are randomly assigned to one of the following treatments as non invasive respiratory support if they develop mild to moderate Respiratory Distress Syndrome within 72 hrs from birth: 1) NCPAP set at 4-6 cmH2O or 2) HHHFNC providing a flow 4-6 l/min. The aim of the study is to assess efficacy and safety of relative "new" form of respiratory support (HHHFNC) versus a more common one (NCPAP).