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NCT ID: NCT05551728 Recruiting - Clinical trials for Autism or Autistic Traits

Autism Caregiver Coaching in Africa

ACACIA
Start date: April 1, 2023
Phase: N/A
Study type: Interventional

Around the world there is a growing need to develop early intervention services in local communities that support a better quality of life for all autistic people. The South African study will test an approach where caregivers are coached by non-specialists in early intervention strategies. Caregivers can then use these strategies during everyday activities with their young autistic child.

NCT ID: NCT05573074 Recruiting - Clinical trials for Major Depressive Disorder

Transcranial Near Infrared Radiation and Cerebral Blood Flow in Depression - R33

TRIADE-R33
Start date: April 1, 2023
Phase: N/A
Study type: Interventional

The purpose of this research study is to determine if application of near infrared energy to the forehead can change blood flow in the brains of people with depression. Near infrared energy is like light but is not visible to the human eye.

NCT ID: NCT05580081 Recruiting - Anxiety Clinical Trials

Optimizing CBT Implementation Among Community Providers Through Internet-based Consultation and Networking (i-CAN)

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

Although anxiety is one of the most common and debilitating mental health conditions affecting children and adolescents, the vast majority of sufferers do not receive effective treatment. Cognitive-behavioral therapy (CBT) is an evidence-based, frontline treatment for pediatric anxiety, yet many community-based practitioners do not implement CBT with high fidelity, which can detrimentally affect its clinical impact. The goal of this study is to develop and test an online platform to support community providers' effective use of CBT for pediatric anxiety.

NCT ID: NCT05586048 Recruiting - Acute Heart Failure Clinical Trials

Effectiveness of Yiqi Fumai Lyophilized Injection for Acute Heart Failure

AUGUST-AHF
Start date: April 1, 2023
Phase:
Study type: Observational

The goal of this cohort study is to observe the effectiveness of Yiqi Fumai Lyophilized Injection (YQFM) in patients with acute heart failure (AHF). It mainly aims to assess the effectiveness of YQFM on the 90-day mortality or readmission rate in patients with AHF and compare the results with AUGUST-AHF RCT study. There will be no intervention, but information will be collected during the hospital stay and during the follow-up period of 180 days . Researchers will compare exposed group(patients who received YQFM) and non-exposed group(patients who didn't received YQFM) to see if there is difference on the 90-day mortality or readmission rate.

NCT ID: NCT05591053 Recruiting - Esophageal Cancer Clinical Trials

Utility and Usability of ActivSight™ Laser Speckle Imaging in Visualization of Tissue Perfusion and Blood Flow During Esophageal Surgery in Humans

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

ActivSight™ combines an innovative form factor and proprietary software to deliver precise, objective, real-time visualization of blood flow and tissue perfusion intraoperatively for laparoscope-based surgery. A small adaptor that fits between any existing laparoscope and camera systems and a separate light source placed along any current commercial system will deliver objective real-time tissue perfusion and blood flow information intraoperatively. Primary Objective: To determine the feasibility of ActivSight™ in detecting and displaying tissue perfusion and blood flow in the conduit and foregut anastomoses in esophageal resection/reconstructive surgery. The investigators will compare the precision and accuracy among the naked eye inspection, ICG and LSCI in assessing the vascularity of the conduit.

NCT ID: NCT05593458 Recruiting - Clinical trials for Locally Advanced Gastric Carcinoma

Transarterial Neoadjuvant Chemotherapy vs.Traditional Intravenous Chemotherapy For Locally Advanced Gastric Cancer With SOX+PD-1

TACTIC
Start date: April 1, 2023
Phase: Phase 3
Study type: Interventional

SOX regimen, consisting of oral S-1 and intravenous oxaliplatin, is the preferred regimen for perioperative chemotherapy for gastric cancer. The goal of this clinical trial is to compare the efficacy and safety between S-1 combined with oxaliplatin by arterial infusion, as neoadjuvant chemotherapy, and conventional SOX regimen, in locally advanced gastric cancer. The main question it aims to answer is: whether arterially infused oxaliplatin plus S-1 has the potential to be a better neoadjuvant option for patients with locally advanced gastric cancer. Participants will be randomised, and receive: - 3 cycles of conventional SOX chemotherapy plus PD-1 antibody or arterial infused oxaliplatin plus S-1 and PD-1 antibody, as neoadjuvant chemotherapy; - Adequate gastric resection along with D2 lymph node dissection; - 3 cycles adjuvant chemotherapy using SOX regimen plus PD-1 antibody. - Administration of S-1 regularly till 1 year after surgery. Researchers will compare Major pathological response rate (MPR) ,pathologic complete response rate(pCR),the 2-year overall survival (OS) rates, 2-year disease free survival (DFS), R0 resection rates, and adverse events, to see if the modified perioperative chemotherapy improve the prognosis of patients with locally advanced gastric cancer.

NCT ID: NCT05598814 Recruiting - Asthma Clinical Trials

Mepolizumab to CRSwNP Through 12 Months - Randomised to FESS and Non-FESS Within the First 2 Weeks

Start date: April 1, 2023
Phase: Phase 4
Study type: Interventional

This clinical trial will compare treatment in patients with chronic rhinosinusitis with nasal polyps (CRSwNP) and asthma. The patients will be randomized to treatment with the biologic drug, Mepolizumab, or the biologic drug Mepolizumab combined with Functional Endoscopic Sinus Surgery (FESS). The aim of this study is to evaluate the effect of combined treatment with biologic treatment and surgery vs. biologic treatment only. The hypothesis is that surgical removal of polyps and inflamed tissue from the nasal sinuses will increase the effect of the biologic treatment, leading to a lower disease burden after 6 months of treatment, compared with biologic drugs only. Furthermore, combined biologics and surgery will keep a lower disease burden and better general health after 12 months of treatment than biologics alone. Inclusion criteria: - Patients ≥ 18 years old at the time of signed informed consent (no upper limit) - Patients who are referred to the outpatient clinic for the following reasons: - Doctor's diagnosis of CRS - NPS ≥ 2+2 out of a score of 8 (max) - Severity measured as an SNOT22 score > 35 - One FESS in general anaesthesia performed prior to inclusion (no time limitations) - No course of systemic steroids within the last 3 months, whereas a daily low dose is allowed - Possible doctor's diagnosis of asthma - Type 2 inflammation Exclusion criteria: - Patients who, because of language barriers, are not able to understand written information and, thus, are not able to answer questionnaires - Patients who currently receive biologics for any other disease - Patients who have previously or currently received biologics for CRS or asthma - Patients who are not able to give informed consent (i.e., patients who are permanently incapable) - Patients who meet ≥1 of the following: - Malignant lung disease - Cardiac disease of clinical importance - Current pregnancy and breastfeeding, as well as planning to be pregnant in the near future - Unwillingness to have FESS performed - Patients needing FESS or systemic steroids (OCS) during the study period will be excluded after an unscheduled visit (last observation carried forward (LOCF)) - Patients who are not eligible because of the investigator's judgement The effect of the treatment will be evaluated with objective procedures and questionnaires related to CRSwNP and asthma after 3, 6 and 12 months.

NCT ID: NCT05610358 Recruiting - Clinical trials for Cardiac Rehabilitation

Efficacy of Smartphone Application Based Rehabilitations in Patients With Chronic Respiratory or Cardiovascular Disease

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

In Republic of Korea, it is not easy to practice standard pulmonary rehabilitation (PR) or cardiac rehabilitation (CR). In this study, the investigators will provide newly developed smartphone application to patients with chronic respiratory or cardiovascular diseases. The investigators want to confirm whether participants, who perform smartphone application based 12-week PR or CR program, present improved exercise capacity, dyspnea symptom, muscle strength, or quality of life.

NCT ID: NCT05617092 Recruiting - Clinical trials for Pelvic Floor Disorders

The Effect of a Postpartum Training Program on Women Who Have Suffered a Levator Ani Injury.

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

The goal of this pilot randomized pilot controlled trial (RTC)is to collect acceptability and feasibility outcomes of a physiotherapy individualized program in women with levator injury that is intended to be used in a larger scale multicenter randomized controlled trial (RTC) in the future. The main questions it aims to answer are if a physiotherapy program in women with a levator injury: 1. Can improve the pelvic floor morphometry (PFM). 2. Can improve urogynecological symptoms 3. The effect of a physiotherapy program in the sexual function 4. The effect of a physiotherapy program in the patient's fear avoidance beliefs about physical activity and work Type of study: randomized pilot controlled trial (RTC) The design of this trial will be a pilot randomized controlled trial with 3 arms. Participants will be randomized in 2 arm of women with levator ani injury to either physiotherapy or standard care and an arm of woman without levator injury Researchers will compare the 3 groups to see if a physiotherapy program have benefits in morphometry of the pelvic floor, urogynecological symptoms, sexual function and to avoid fear avoidance beliefs about physical activity and work.

NCT ID: NCT05617742 Recruiting - Lung Cancer Clinical Trials

Comparison of 68Ga-FAPI-46 PET and 18F-FDG PET in Lung Cancer

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

This is a prospective, single-center, single arm, open label study to evaluate the performance of 68Ga-FAPI-46 for the diagnosis of primary and metastatic lesions of lung cancer with comparison to 18F-FDG PET.