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NCT ID: NCT03156673 Recruiting - Clinical trials for Chronic Obstructive Pulmonary Disease

Treatment of COPD by Autologous Transplantation of Bronchial Basal Cells

Start date: April 1, 2017
Phase: Early Phase 1
Study type: Interventional

Bronchial basal cells are proved to be able to regenerate lung structures to repair the injured lung. In COPD patients, bronchus structures are injured and cannot be repaired, which may result in the failure of pulmonary function rescue clinically.In our research, autologous bronchial basal cells will be transplanted into lung of patients suffered with COPD to treat the disease. Specifically, autologous bronchial basal cells will be dissected from brushed-off samples by bronchofiberscope. Then, they will be expanded in vitro and transplanted into lung to regenerate new alveoli and bronchus structures and re-establish pulmonary system.

NCT ID: NCT03156933 Recruiting - Clinical trials for Acute Myeloid Leukemia

Alternative Splicing and Leukemia Initiating Cells

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

Aberrant RNA splicing and mutations in spliceosome complex in acute myeloid leukaemia (AML) are frequent. It have been shown that some splicing variants had a prognostic value in AML. AML are characterized by their propensity to relapse because of the persistence of leukaemia initiating cells (LICs). The aim of this study is to determine the splice variants on AML initiator cells and define a splicing pattern.

NCT ID: NCT03156972 Recruiting - Clinical trials for Rheumatic Heart Disease

Speckle Tracking for Timing of Surgical Operation in Severe Mitral Regurge

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

Rhumatic heart disease patients with mitral regurge untile know had adibat for timming of surgical interferance our study aim to solve this problme using a new technic in echocardiography called speckle tracking which is more accurate in estimating a changes occure to myocyte of the heart and so chosing the proper time for surgery

NCT ID: NCT03157180 Recruiting - Clinical trials for General Anesthetic Drug Allergy

The Clinical Study on Pseudo-allergic Reaction to Anesthetic Drugs During General Anesthesia

Start date: April 1, 2017
Phase: N/A
Study type: Observational [Patient Registry]

Perioperative anaphylactic reactions are immediate, hypersensitive reactions that are potentially life-threatening resulting from a sudden release of mediators from mast cells and basophiles. Which is due to either immune (IgE or non-IgE mediated) or non-immune mechanisms. Pseudo-allergic are defined as those reactions that produce the same clinical symptoms with anaphylaxis but are not IgE mediated, occur through a direct nonimmune-mediated release of mediators from mast cells and/or basophils or result from direct activation.so pseudo-allergic reactions do not require previous contact with the substance. Recent studies have shown that a mast-cell-specific receptor,G-protein-coupled receptor MRGPRX2,is crucial for pseudo-allergic drug reactions.in this study. In the study, we will examine the MRGPRX2 gene in patients with pseudo-allergic reactions during anesthesia, aiming at clarifying the relationship between pseudo-allergic reactions and MRGPRX2 gene.

NCT ID: NCT03159819 Recruiting - Clinical trials for Pancreatic Adenocarcinoma

Clinical Study of CAR-CLD18 T Cells in Patients With Advanced Gastric Adenocarcinoma and Pancreatic Adenocarcinoma

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

A single arm, open-label pilot study is designed to determine the safety, tolerability and engraftment of CAR-CLD18 T cells in patients with advanced gastric adenocarcinoma and pancreatic adenocarcinoma.

NCT ID: NCT03162185 Recruiting - Healthy Controls Clinical Trials

Serotonin and Motor Plasticity

Start date: April 1, 2017
Phase: Phase 4
Study type: Interventional

With this study, the investigators aim to test whether acute administration of selective serotonin reuptake inhibitors (SSRI) improves motor performance in a sequential motor learning task in comparison to placebo in healthy humans.

NCT ID: NCT03162692 Recruiting - Clinical trials for Preoperative Anxiety

Preoperative Anxiety's Incidence and Related Factors in Surgical Patients

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

Preoperative anxiety is often described as an uncomfortable, tense unpleasant mood before surgery, an emotional response to a potential challenge or threat to reality. Data show that adult patients with preoperative anxiety rate of 30-40%. The main reason for the occurrence of patients for surgery, anesthesia and other factors of fear. Preoperative anxiety itself is not a mental illness, but studies have confirmed that the occurrence of preoperative anxiety and postoperative complications were positively correlated, and the existence of preoperative anxiety in patients with conventional postoperative analgesic effect is poor. At present, there are still few studies on the relationship between preoperative anxiety and postoperative complications and analgesia. At the same time, there is a lack of large sample size to study the incidence of preoperative anxiety and its related predictors.

NCT ID: NCT03165812 Recruiting - Clinical trials for Diabetes Mellitus, Type 2

A Diabetes Improvement in Medical Therapy Versus SADJB Study

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

The incidence of diabetes mellitus is increasing annually in Asia. It is the leading cause of blindness, chronic renal insufficiency, and amputations, multiplying the risks of heart disease and stroke. Ninety percent of diabetic patients are type 2 diabetes mellitus (T2DM), which is usually associated with overweight and obese. Single Anastomosis Duodeno-Jejunal Bypass with Sleeve Gastrectomy (SADJB-SG) is a type of bariatric surgery whereby food is bypassed into the distal jejunum, and the duodenum is excluded. Sleeve gastrectomy offers the restrictive component by reducing the capacity of the stomach. In short, this combined technique results in food restriction and malabsorption. A total of 84 patients will be recruited in this study. An equal number of patients will be allocated into two groups. There will be an intensive medical therapy group (IMT) and SADJB-SG group. The patients in IMT group will be subjected to strict adherence to diet, optimization of diabetic medications and close monitoring of blood glucose and glycated haemoglobin (HbA1c) level. The SADJB-SG group will be undergoing surgery. The variables that will be studied include body mass index (BMI), fasting blood glucose (FBG), glycated haemoglobin (HbA1c), C- peptide, plasma insulin and Homeostatic Model Assessment of Insulin Resistance (HOMA-IR). Biochemical markers are important in this research as the development of T2DM involves both multi-organ insulin resistance and inadequate insulin secretion by pancreatic β-cells, leading to high blood sugar during fasting and post meal. Other mechanisms proposed in this study are leptin, adipokines, incretins, amino acids, and diabetic dyslipidaemia. The raw data will be analysed using the SPSS statistical software. At the end of the study, the investigator will evaluate and determine the role of SADJB-SG in glycaemic control and BMI in T2DM patients compared to IMT. The investigator hypothesized that there is an improvement in HbA1c level in T2DM patients in SADJB-SG group compare to IMT group.

NCT ID: NCT03171831 Recruiting - Thalassemia Major Clinical Trials

Haploidentical Hematopoietic Stem Cell Transplantation for Patients With Thalassemia Major

Start date: April 1, 2017
Phase: Phase 4
Study type: Interventional

The purpose of the study is to assess the safety and efficacy of haploidentical hematopoietic stem cell transplantation for patients with thalassemia major.

NCT ID: NCT03180671 Recruiting - Clinical trials for Temporomandibular Disorders

Anterior Deprogrammers for Reducing Pain and Masticatory Muscles Tension

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

The study will be conducted in four groups of 20 patients in age of 20-30 years with complete dentition or single tooth loss in lateral regions, with masticatory muscle pain in the history or during examination and overuse and/or chronic tensing of the masticatory muscles. Patients will be randomly assigned to the groups. Each person will be measured twice before and after use of selected anterior deprogrammer. The following assessment tools will be applied: - surface electromyography of masseter and temporal muscles, - intraoral pin-supported registration to draw a gothic arch. Measurements will be made before and after intervention to assess the effect of anterior deprogrammer application on the tone of the selected masticatory muscles and condyles position in mandibular fossa. The first group (control) will be counsel with an explanation of the pathomechanism of masticatory muscles pain and preventive principles. In the second group, the Sliding Guide will be used for a period of 12-15 minutes, in the third Dawson B-Splint for 7 days, and in the fourth Kois deprogrammer for 14 days. Devices in group 3 and 4 will be used by patients for 24 hours a day, with breaks for oral hygiene procedures and eating/drinking. The aim of the study is to evaluate the effectiveness of selected anterior deprogrammers.