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NCT ID: NCT05803759 Recruiting - Myocardial Ischemia Clinical Trials

The Effects of Allicor on Patients After Coronary Arteria Revascularization Treatment

TEA-CART
Start date: April 10, 2023
Phase: Phase 4
Study type: Interventional

Coronary revascularization interventions such as coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) are the standard of surgical treatment of patients with myocardial ischemia. However, up to 30% of patients experience complications of varying degrees within 12 months after the revascularization, or need for second intervention. Thus, it is necessary to search for additional approaches to the postoperative treatment of patients in order to improve the long-term results of revascularization treatment. Substances of natural origin with an anti-atherosclerotic effect have a good potential. These substances, as dietary supplements, can be taken by patients for a long time in conjunction with other prescribed medicines and treatments. Another valuable direction of investigations is the search for predictors of long-term cardiovascular complications after revascularization, which can be markers of inflammation and heteroplasmy levels of the patient's mitochondrial genome. The purpose of this study is to determine whether the intake of dietary supplement Allicor at a daily dose of 300 mg affects the frequency of long-term postoperative cardiovascular complications and re-intervention in patients after revascularization operations on the coronary arteries. The second goal is assessing the relationship between the grade monocytes inflammatory response and the level of heteroplasmy of the mitochondrial genome of blood leukocytes with the frequency of cardiovascular complications and re-interventions.

NCT ID: NCT05802849 Recruiting - Clinical trials for Chronic Heart Failure

Acetazolamide Per os for Decompensation of Heart Failure

ORION-A
Start date: May 1, 2023
Phase: Phase 4
Study type: Interventional

The main causes of chronic heart failure (CHF) are arterial hypertension and coronary artery disease, less often cardiomyopathy, pericarditis, metastatic myocardial lesions. It should be noted that up to 50% of patients have a preserved left ventricular ejection fraction (LVEF), while its prevalence is progressively increasing annually. Acute decompensation of CHF is understood as a rapid increase in the severity of clinical manifestations (shortness of breath, severe arterial hypoxemia, the occurrence of arterial hypotension), which caused urgent medical treatment and emergency hospitalization in a patient already suffering from CHF. Decompensation of CHF requires intensification of treatment in order to stabilize the patient's condition. Strengthening diuretic therapy in addition to standard therapy helps to reduce edematous syndrome.

NCT ID: NCT05802225 Recruiting - Breast Cancer Clinical Trials

Clinical Study of the Efficacy and Safety of BCD-178 and Perjeta® as Neoadjuvant Therapy of HER2-Positive Breast Cancer

PREFER
Start date: January 30, 2023
Phase: Phase 3
Study type: Interventional

The goal of this study is to compare the efficacy and safety of BCD-178 and Perjeta as neoadjuvant therapy for HER2-positive breast cancer. Subjects with histologically confirmed diagnosis of HER2-positive invasive breast cancer (stage II-III, tumor size > 2 cm), with no estrogen (ER) and progesterone (PR) receptors will be randomized to one of two treatment groups (BCD-178 group or Perjeta group) in a 1:1 ratio.

NCT ID: NCT05800197 Recruiting - Breast Cancer Clinical Trials

Neoadjuvant Endocrine Therapy in Breast Cancer. Real Clinical Practice in Russia

NEMO
Start date: April 15, 2014
Phase:
Study type: Observational

Neoadjuvant Endocrine Therapy for pre- and postmenopausal women with T4 Nany or TanyN2-3 estrogen receptor (ER) -positive, progrsteron receptor (PR) -positive and HER2 negative breast cancer. Real Clinical Practice in Russia.

NCT ID: NCT05795400 Recruiting - Clinical trials for Heart Failure With Preserved Ejection Fraction

Administration of the SGLT-2 Inhibitor Dapagliflozin in the Patients With Amyloid Cardiomyopathy

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

Efficacy and safety of early administration of the SGLT-2 inhibitor dapagliflozin will be evaluated in patients with HF, regardless of LVEF, due to amyloid cardiomyopathy.

NCT ID: NCT05793996 Recruiting - Clinical trials for Chronic Heart Failure

The Prevalence of Iron Deficiency and the Effectiveness of Ferinject® in Patients With HFpEF (ID-HFpEF)

ID-HFpEF
Start date: April 28, 2023
Phase: Phase 4
Study type: Interventional

Observational cohort randomized controlled study to study the influence of correction of ID by intravenous injection of ferric carboxymaltose (Ferinject®) on quality of life indicators, functional status in a cohort of patients with HFpEF.

NCT ID: NCT05792059 Recruiting - Clinical trials for Heart Failure With Preserved Ejection Fraction (HFpEF)

DevElopMent of Clinical PATHwaYs to the Diagnosis of Heart Failure With Preserved Ejection Fraction

EMPATHY-HF
Start date: February 9, 2023
Phase:
Study type: Observational

Prevalence of heart failure with preserved ejection fraction (HFpEF) continues to increase in the developed world, likely because of the increasing life expectancy and an increasing number of elderly patients. Transthoracic echocardiography is essential for the diagnosis of HFpEF according to the current guidelines. The HFA-PEFF and H2FPEF diagnostic algorithms rely on clinical characteristics and echocardiography findings that indicate the presence of diastolic dysfunction. These diagnostic algorithms are not applicable in remote areas where expert echocardiography cannot be performed due to the absence of modern ultrasound systems and lack of qualified specialists. Therefore, it is important to develop an algorithm to evaluate pre-test probability of HFpEF without echocardiographic markers, so it can be easily used in the primary outpatient care setting by any specialist. The aim of this study is to find the associations between clinical and epidemiological characteristics and changes of intracardiac hemodynamics in patients with dyspnea and decreased exercise tolerance.

NCT ID: NCT05789797 Recruiting - Cancer Clinical Trials

Remaxol® in Patients With Drug-induced Liver Injuries During Cancer Chemotherapy

Start date: May 12, 2022
Phase:
Study type: Observational

Cancer has moved from the tenth place to the second one over the last 100 years, being inferior to only cardiovascular diseases in morbidity and mortality. 40 % of hepatitis cases in patients older than 40 years and 25 % of cases of fulminant hepatic failure (FHF) are caused by drug hepatic toxicity. Cases of acute drug-induced hepatitis (ADIH) make 15-20 % of patients with fulminant hepatitis in Western Europe.

NCT ID: NCT05782959 Recruiting - Neuroblastoma Clinical Trials

Phase 1 Study of BCD-245 in Subjects With Neuroblastoma

Start date: November 29, 2021
Phase: Phase 1
Study type: Interventional

The aim of the study is to investigate the safety, pharmacokinetics, pharmacodynamics, and immunogenicity of BCD-245 after its single and multiple intravenous infusions at escalating doses in subjects with relapsed/refractory neuroblastoma.

NCT ID: NCT05781737 Recruiting - Clinical trials for Cardiovascular Diseases

Inflammatory Bowel Disease and Atherosclerosis Development

Start date: November 1, 2022
Phase:
Study type: Observational

The study will show the influence of inflammatory bowel disease on the risk of development of atherosclerosis