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NCT ID: NCT05436613 Recruiting - Bipolar Disorder Clinical Trials

Transcranial Direct Current Stimulation Therapy for Bipolar Depression

Start date: May 1, 2022
Phase: N/A
Study type: Interventional

Bipolar disorder is a severe and disabling disorder. The course of illness is often progressive but is highly heterogeneous between individuals and within the lifetime for an individual. The most common treatments are medications. However, for many individuals, combinations of medications are often required, and full recovery is infrequent. The novel brain stimulation treatment, transcranial direct current stimulation (tDCS), is a potential first-line treatment for bipolar depression. The present research question is whether tDCS can be provided as a home-based treatment for bipolar depression for adults with bipolar disorder.

NCT ID: NCT05435352 Recruiting - Clinical trials for Triple Negative Breast Cancer

Image-based AI Predictive Biomarkers for Precision Neoadjuvant Triple-negative Breast Cancer Treatment

PEAR-TNBC
Start date: June 6, 2022
Phase:
Study type: Observational

Pear Bio has developed an organ-on-a-chip device together with a computer vision pipeline through which the response of an individual patient's tumor to different chemotherapy regimens can be tested simultaneously ex vivo. This study will recruit patients with early TNBC who are planned for standard of care neoadjuvant chemotherapy followed by surgery. The oncologist will be blinded to the response on the Pear Bio tool (the assay will be run in parallel with the patient's neoadjuvant chemotherapy). The primary objective of this study is to establish the sensitivity and specificity of Pear Bio's test against patient outcomes (pathological complete response).

NCT ID: NCT05434949 Recruiting - Clinical trials for IBS - Irritable Bowel Syndrome

Pre-analytical Influences on a Blood Test Study

Start date: February 13, 2023
Phase:
Study type: Observational

Chronic diarrhoea is common and often believed to result from irritable bowel syndrome (IBS). However, up to 50% of patients with an IBS diagnosis may have something called Bile Acid Diarrhoea (BAD) instead. BAD is easily treatable however diagnosis currently relies on a complex test involving two full body scans. The aim of the study is therefore to investigate whether a simple laboratory test, that can be done on a single blood sample, would be appropriate instead. This laboratory test is called 7aC4. In order to determine whether 7aC4 could be a good test for BAD, it needs to be determined whether eating a meal can alter the levels of 7aC4. The aim of this study is to measure 7aC4 at several time points before and after eating a meal, to see what effect this has on 7aC4 levels.

NCT ID: NCT05434195 Recruiting - Pregnancy Related Clinical Trials

Clinical Antenatal Randomised Study to CharactErise Key Roles of TetrahydroFOLate in HyperTensive Pregnancies

CAREFOL-HT
Start date: June 1, 2021
Phase: N/A
Study type: Interventional

Study background High blood pressure during pregnancy is a worldwide health problem that can be dangerous to mothers and commonly causes premature birth and small babies. There is also growing evidence that mothers who suffer from high blood pressure in pregnancy, and their babies, have a higher risk of high blood pressure and cardiovascular disease later in life. Previous studies have revealed detrimental changes in the structure and function of the heart and blood vessels of mothers, and their babies, who experience this common complication. These changes may explain their increased risk of later disease. The investigators have also learned through previous studies that tetrahydrobiopterin (BH4), a molecule that has a role in blood vessel health, plays an important role in stabilising blood vessel function. Lower levels of BH4 are evident in both the placenta and the umbilical cord from mothers with high blood pressure. We, therefore, want to investigate how closely BH4 levels are related to clinical features of pre-eclampsia and whether altering levels of BH4, using a nutritional supplement, improves features of the disease such as blood vessel function. To do this, the investigators need to compare the levels of BH4 between mothers with pre-eclampsia, those taking the supplement and those without pre-eclampsia. The investigators also compare how the heart and blood vessels look and function in these groups using ultrasound methods, including echocardiography and fetal sonography. Study objectives CAREFOL-HT will assess how levels of BH4 differ in pregnant women with high blood pressure and if this is reflected in functional changes in the heart and blood vessels of these women. The investigators will also determine whether changing levels of BH4, using a tetrahydrofolate supplement (5-MTHF), changes blood vessel function.

NCT ID: NCT05434156 Recruiting - Depression Clinical Trials

ELE-101 Safety & Tolerability Study in Healthy Participants and Patients With Depression

Start date: October 27, 2022
Phase: Phase 1/Phase 2
Study type: Interventional

A study to assess the safety and tolerability of a drug called ELE-101 and see how the body absorbs and removes the drug and how it affects the body in healthy adult participants (Part 1) and in patients with depression (Part 2).

NCT ID: NCT05432739 Recruiting - Lung Cancer Clinical Trials

Nodule IMmunophenotyping Biomarker for Lung Cancer Early Diagnosis Study

Start date: April 7, 2021
Phase:
Study type: Observational

NIMBLE is a prospective study for blood biomarker study of lung nodules alongside analysing data which has been collected routinely as part of patient care. The primary aim of NIMBLE is to assess whether artificial intelligence and machine learning based radiomics approaches can be used to distinguish between benign disease and malignancy in a new lung nodule after a previously treated cancer, and where malignant to differentiate between metastatic recurrence or a new primary lung cancer.

NCT ID: NCT05432232 Recruiting - Kidney Cancer Clinical Trials

The HistoSonics Investigational System for Treatment of Primary Solid Renal Tumors Using Histotripsy

CAIN
Start date: March 23, 2023
Phase: N/A
Study type: Interventional

The purpose of this trial is to evaluate the technical success and safety profile of the HistoSonics Investigational System for the treatment of primary solid renal tumors.

NCT ID: NCT05432102 Recruiting - Clinical trials for Obstructive Sleep Apnea

Patient Experience and Technical Success of Community Sleep Studies

PETSOCSS
Start date: May 4, 2022
Phase:
Study type: Observational

This study looks at the quality of the common mechanisms used to diagnose obstructive sleep apnoea (OSA) by patients in their own homes. These are pulse oximetry as a stand alone measurement and multi-channel respiratory studies that measure oximetry but also record some combination of signals including airflow at the mouth and or nose, chest and abdominal expansion, body position and snoring. This study will examine the patient acceptability of these methods and the proportion of studies that achieve various levels of technical quality ranging from a full night with all data available to a completely failed study and categories in between.

NCT ID: NCT05431491 Recruiting - Fluid Overload Clinical Trials

Feasibility of Slow Continuous UltraFiltration For Deresuscitation in Critically Ill Patients

SCUFFD
Start date: August 12, 2022
Phase: N/A
Study type: Interventional

To determine the feasibility and safety of deresuscitation using slow continuous ultrafiltration with regional citrate anticoagulation and peripheral or standard central venous access.

NCT ID: NCT05431296 Recruiting - Type 2 Diabetes Clinical Trials

Glucose Control Using Continuous Glucose Monitoring in People With Type 2 Diabetes Who Have Had Acute Myocardial Infarct

GLAM
Start date: February 7, 2023
Phase: N/A
Study type: Interventional

Glucose monitoring after Acute Myocardial infarct in people with diabetes is a Dexcom funded study that is investigating whether the use of continuous glucose monitors (Dexcom ONE model) in people with type 2 diabetes facilitates time in glycaemic range in the 6 months after an acute myocardial infarction. As an exploratory outcome it will investigate whether time in glycaemic range is associated with changes in mortality and major adverse cardiac events in the 6 months after acute myocardial infarct.