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Acute Disease clinical trials

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NCT ID: NCT03267485 Not yet recruiting - Acute Leukemia Clinical Trials

Expression of TET1 Gene in Acute Leukaemia

Start date: November 1, 2017
Phase: N/A
Study type: Observational

The aim of the present study is to detect the expression of TET 1 gene in patients with acute leukemia and its correlation with clinical and pathological criteria of the patients.

NCT ID: NCT03257423 Enrolling by invitation - Acute Appendicitis Clinical Trials

Acute Appendicitis and Microbiota - Etiology of Appendicitis and Antibiotic Therapy Effects

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

Appendicectomy has been the treatment of acute appendicitis for over a hundred years. Appendicectomy, however, includes operative and postoperative risks despite being a routine procedure. Several studies have proved promising results of the safety and efficiency of antibiotics in the treatment of acute uncomplicated appendicitis. The previous APPAC study by the investigators, published in 2015 in the Journal of American Medical Association, also proved promising results with 73% of patients with uncomplicated appendicitis treated successfully with antibiotics. None of the patients initially treated with antibiotics that later had appendectomy had major complications. The results of the APPAC trial suggest that CT proven uncomplicated acute appendicitis is not a surgical emergency and antibiotic therapy is a safe first-line treatment option. Reducing unnecessary appendectomies has also been shown to lead to significant economic savings. On the other hand, antibiotic therapies have been shown to have an effect on the normal gut microbiota and are considered an increasing global health threat underlining the importance of evaluating both short- and long-term effects of the antimicrobial treatment in old and new indications. The aims of this randomized prospective study are: 1. To evaluate the possible role and differences in the microbiological etiology of complicated and uncomplicated appendicitis. 2. To determine the effects of both antibiotic and placebo treatment on the composition of gut microbiota, and to evaluate how it recovers after the appendicitis-related antimicrobial treatment (AMT) 3. To evaluate the effects of the duration of the hospital stay on the AMR reservoir of the gut microbiota.

NCT ID: NCT03251911 Withdrawn - Chronic Bronchitis Clinical Trials

VX-770 for the Treatment of Chronic Bronchitis

Start date: January 1, 2020
Phase: Phase 4
Study type: Interventional

This research study will test how well a new drug affects bronchiectasis or chronic bronchitis. The new drug, Ivacaftor (KALYDECO), is a drug that has recently been approved by the U.S. Food and Drug Administration (FDA) for patients with a lung disease called Cystic Fibrosis (CF). It has not been approved for use in patients with bronchiectasis or chronic bronchitis.

NCT ID: NCT03236961 Active, not recruiting - Acute Appendicitis Clinical Trials

Optimizing the Antibiotic Treatment of Uncomplicated Acute Appendicitis

APPACII
Start date: April 3, 2017
Phase: N/A
Study type: Interventional

Appendicectomy has been the treatment of acute appendicitis for over a hundred years. Appendicectomy, however, includes operative and postoperative risks despite being a routine procedure. Several studies have proved promising results of the safety and efficiency of antibiotics in the treatment of acute uncomplicated appendicitis. The APPAC study by the investigators, published in 2015 in the Journal of American Medical Association, also proved promising results with 73% of patients with uncomplicated appendicitis treated successfully with antibiotics. None of the patients initially treated with antibiotics that later had appendectomy had major complications. The results of the APPAC trial suggest that CT proven uncomplicated acute appendicitis is not a surgical emergency and antibiotic therapy is a safe first-line treatment option. Reducing unnecessary appendectomies has also been shown to lead to significant economic savings. The aim of this randomized prospective study is to optimize antibiotic therapy for uncomplicated acute appendicitis by comparing different antibiotic regimens; intravenous antibiotic (ertapenem) followed by per oral antibiotic (levofloxacin and metronidazole) with only per oral antibiotics (moxifloxacin). Before randomization, the diagnosis of acute uncomplicated appendicitis is confirmed with a CT scan. The hypothesis is that broad-spectrum intravenous antibiotics requiring additional hospital resources are not necessary for the treatment of uncomplicated acute appendicitis and that per oral mono therapy is non-inferior to the combination of intravenous and per oral antibiotic therapy.

NCT ID: NCT03214289 Recruiting - Clinical trials for Stem Cell Transplant Complications

Fecal Microbiota Transplantation for Steroid Resistant and Steroid Dependent Gut Acute Graft Versus Host Disease

Start date: July 12, 2017
Phase: Phase 1
Study type: Interventional

The investigators hypothesize that perturbations in the intestinal microbiota following allogeneic hematopoietic stem cell transplantation (HSCT) are essential for the development and propagation of acute graft-versus-host disease. Therefore, modification of HSCT recipients' gut microbiota using fecal transplantation from a healthy donor could be used to treat gut acute GVHD. The study evaluates safety and feasibility of fecal microbiota transplantation with frozen capsules from healthy donors for the treatment of steroid resistant or steroid dependent acute graft-versus-host disease of the gut.

NCT ID: NCT03199976 Completed - Wheezing Clinical Trials

Efficacy of Intermittent Tiotropium in Early Childhood Wheezing

Start date: April 20, 2016
Phase: Phase 4
Study type: Interventional

This study evaluates the effect of intermittent tiotropium bromide and salbutamol as needed versus intermittent fluticasone propionate and salbutamol as needed, or solely, salbutamol as needed on episode-free days in infants and toddlers with recurrent episodes of wheeze and/or shortness of breath.

NCT ID: NCT03186105 Completed - Appendicitis Acute Clinical Trials

Feasability of Ambulatory Appendicectomy

Start date: June 1, 2017
Phase: N/A
Study type: Interventional

The investigators will conduct a monocentric prospective preliminary study evaluating the feasibility of appendectomy for simple acute appendicitis in a cohort of 6-17 year-old children presenting to the emergency department of the Hôpital Pédiatrique de Nice CHU-Lenval (Lenval Childre Hospital, Nice) on a Period of 1 year.

NCT ID: NCT03176277 Terminated - Clinical trials for Myelodysplastic Syndromes

A Study of ONO-7475 in Patients With Acute Leukemias

Start date: June 26, 2017
Phase: Phase 1/Phase 2
Study type: Interventional

[Updated]: To assess the safety and tolerability of ONO-7475 monotherapy in patients with relapsed or refractory acute myeloid leukemia or relapsed or refractory myelodysplastic syndromes and to assess: i) safety and tolerability and ii) preliminary efficacy of the combination of ONO-7475 and venetoclax in patients with relapsed or refractory acute myeloid leukemia.

NCT ID: NCT03175692 Enrolling by invitation - Acute Disease Clinical Trials

Rapid Genetic Diagnosis Employing Next Generation Sequencing for Critical Illness in Infants and Children

Start date: June 14, 2017
Phase: N/A
Study type: Observational

Under the joint efforts of genetic and intensive expert, to establish the high-throughput whole exon sequencing(WES) and analysis all the possible pathogenic genes. To provide patient with the appropriate treatment for genetic disease. Besides, it can identify the genetic factor of idiosyncrasy or susceptibility to explain the medical difficulties and give patients personalized advice.

NCT ID: NCT03132623 Recruiting - Acute Bronchitis Clinical Trials

Evaluate the Efficacy and Safety of Andrographolide Sulfonate in Patients With Acute Bronchitis

Start date: December 1, 2016
Phase: Phase 4
Study type: Interventional

A multicenter, randomized, double-blind, placebo-controlled, phase 4 clinical trial to evaluate the efficacy and safety of andrographolide sulfonate in patients with acute bronchitis