Search Clinical Trials
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RESET-SLE: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects1
Cabaletta Bio
Systemic Lupus Erythematosus
Lupus Nephritis
RESET-SLE: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201
in Subjects With Active Systemic Lupus Erythematosus expand
RESET-SLE: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Systemic Lupus Erythematosus Type: Interventional Start Date: Feb 2024 |
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Lupus Landmark Study: A Prospective Registry and Biorepository
Lupus Research Alliance
Systemic Lupus Erythematosus (SLE)
Lupus Nephritis
Neuropsychiatric Systemic Lupus Erythematosus
The purpose of the registry and biorepository is to provide a mechanism to store clinical
data, linked biospecimens and molecular data to support the conduct of future research on
Systemic Lupus Erythematosus (SLE), including Lupus Nephritis (LN). expand
The purpose of the registry and biorepository is to provide a mechanism to store clinical data, linked biospecimens and molecular data to support the conduct of future research on Systemic Lupus Erythematosus (SLE), including Lupus Nephritis (LN). Type: Observational [Patient Registry] Start Date: Jun 2023 |
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Adjuvant Therapy in POLE-Mutated and p53-Wildtype/NSMP Early Stage Endometrial Cancer RAINBO BLUE &1
Canadian Cancer Trials Group
Endometrial Cancer
This protocol tests de-escalated adjuvant treatment in patients with POLE-mutated or
p53wt/NSMP (p53 wildtype/no specific molecular profile) early-stage endometrial cancer
(EC). Patients may be enrolled in one of two sub-studies
- EN10.A/RAINBO BLUE: POLE-mutated EC
- EN10.B/TAPER: p53 wild1 expand
This protocol tests de-escalated adjuvant treatment in patients with POLE-mutated or p53wt/NSMP (p53 wildtype/no specific molecular profile) early-stage endometrial cancer (EC). Patients may be enrolled in one of two sub-studies - EN10.A/RAINBO BLUE: POLE-mutated EC - EN10.B/TAPER: p53 wildtype / NSMP EC Type: Interventional Start Date: Dec 2022 |
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Active Surveillance, Bleomycin, Etoposide, Carboplatin or Cisplatin in Treating Pediatric and Adult1
Children's Oncology Group
Childhood Extracranial Germ Cell Tumor
Extragonadal Embryonal Carcinoma
Germ Cell Tumor
Malignant Germ Cell Tumor
Malignant Ovarian Teratoma
This phase III trial studies how well active surveillance help doctors to monitor
subjects with low risk germ cell tumors for recurrence after their tumor is removed. When
the germ cell tumor has spread outside of the organ in which it developed, it is
considered metastatic. Chemotherapy drugs, suc1 expand
This phase III trial studies how well active surveillance help doctors to monitor subjects with low risk germ cell tumors for recurrence after their tumor is removed. When the germ cell tumor has spread outside of the organ in which it developed, it is considered metastatic. Chemotherapy drugs, such as bleomycin, carboplatin, etoposide, and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. The trial studies whether carboplatin or cisplatin is the preferred chemotherapy to use in treating metastatic standard risk germ cell tumors. Type: Interventional Start Date: May 2017 |
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A Study Comparing KB803 and Matched Placebo in Patients With Dystrophic Epidermolysis Bullosa
Krystal Biotech, Inc.
Dystrophic Epidermolysis Bullosa
DEB - Dystrophic Epidermolysis Bullosa
Recessive Dystrophic Epidermolysis Bullosa
Dominant Dystrophic Epidermolysis Bullosa
KB803-EYE-01 is a Phase 3 double-blind, randomized, placebo-controlled, crossover study
to evaluate the safety and efficacy of KB803 versus matched placebo in pediatric and
adult subjects with recurrent corneal abrasions due to dystrophic epidermolysis bullosa
(DEB). expand
KB803-EYE-01 is a Phase 3 double-blind, randomized, placebo-controlled, crossover study to evaluate the safety and efficacy of KB803 versus matched placebo in pediatric and adult subjects with recurrent corneal abrasions due to dystrophic epidermolysis bullosa (DEB). Type: Interventional Start Date: Jun 2025 |
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Effects of Erector Spinae Plane Block on Postoperative Pain Following Lumbar Fusion Surgery
University of Massachusetts, Worcester
Fusion of Spine, Lumbar Region
Anesthesia, Local
Pain, Postoperative
Opioid Use
The purpose of this study is to determine if the method for injecting local anesthesia
affects patients' pain and opioid usage after surgery. The investigators will compare
subcutaneous anesthesia, injections of anesthesia under the skin, to a method called
erector spinae plane block (ESPB). An ESP1 expand
The purpose of this study is to determine if the method for injecting local anesthesia affects patients' pain and opioid usage after surgery. The investigators will compare subcutaneous anesthesia, injections of anesthesia under the skin, to a method called erector spinae plane block (ESPB). An ESPB injection involves placing local anesthesia along the muscles and bones in the back, using a special type of x-ray called fluoroscopy for guidance. The Investigators will use patient reported outcomes (PROs) and track subjects' opioid usage to find out if there is a difference between ESPB and subcutaneous anesthesia. The investigators hypothesize that patients who get ESPB injections will use less opioids and report less pain after lumbar fusion surgery compared to patients who receive subcutaneous anesthesia injections. Type: Interventional Start Date: Sep 2024 |
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A Study Using Risk Factors to Determine Treatment for Children With Favorable Histology Wilms Tumor1
Children's Oncology Group
Stage I Mixed Cell Type Kidney Wilms Tumor
Stage II Mixed Cell Type Kidney Wilms Tumor
Stage III Mixed Cell Type Kidney Wilms Tumor
Stage IV Mixed Cell Type Kidney Wilms Tumor
This phase III trial studies using risk factors in determining treatment for children
with favorable tissue (histology) Wilms tumors (FHWT). Wilms Tumor is the most common
type of kidney cancer in children, and FHWT is the most common subtype. Previous large
clinical trials have established treatme1 expand
This phase III trial studies using risk factors in determining treatment for children with favorable tissue (histology) Wilms tumors (FHWT). Wilms Tumor is the most common type of kidney cancer in children, and FHWT is the most common subtype. Previous large clinical trials have established treatment plans that are likely to cure most children with FHWT, however some children still have their cancer come back (called relapse) and not all survive. Previous research has identified features of FHWT that are associated with higher or lower risks of relapse. The term "risk" refers to the chance of the cancer coming back after treatment. Using results of tumor histology tests, biology tests, and response to therapy may be able to improve treatment for children with FHWT. Type: Interventional Start Date: Apr 2025 |
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Observational Study of THC Concentrations in Acute Cannabis-induced CNS Depression
Anebulo Pharmaceuticals
Acute Cannabis-induced CNS Depression
This observational study is being conducted to determine plasma concentrations of
tetrahydrocannabinol (THC) and its metabolites, 11-OH-THC and THC-COOH, in plasma of
pediatric patients who visit the emergency department due to acute cannabis-induced CNS
depression. expand
This observational study is being conducted to determine plasma concentrations of tetrahydrocannabinol (THC) and its metabolites, 11-OH-THC and THC-COOH, in plasma of pediatric patients who visit the emergency department due to acute cannabis-induced CNS depression. Type: Observational Start Date: Jun 2023 |
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Using 18F-FAPI PET to Detect Metastatic Disease in Patients That Have Pancreatic Ductal Adenocarcin1
SOFIE
Pancreatic Ductal Adenocarcinoma (PDAC)
This is a multi-site, open-label, non-randomized, single dose study to assess the
clinical utility of [¹⁸F]FAPI-74 PET/CT in the detection of metastatic disease in
individuals with pathologically confirmed pancreatic ductal adenocarcinoma. Following
screening, using a standardized administration pr1 expand
This is a multi-site, open-label, non-randomized, single dose study to assess the clinical utility of [¹⁸F]FAPI-74 PET/CT in the detection of metastatic disease in individuals with pathologically confirmed pancreatic ductal adenocarcinoma. Following screening, using a standardized administration protocol and dose, participants will undergo [¹⁸F]FAPI-74 PET/CT screening. SOC procedures and interventions will be captured during 3 months +/-14 days post injection. The primary objective is to evaluate the sensitivity and specificity of such [¹⁸F]FAPI-74 PET/CT using a composite SOT panel. The maximum expected duration of the trial is approximately 24 months from first patient screening to last patient SOC follow up. The participants will be followed-up for safety for 24 to 72 hours after the dose of [¹⁸F]FAPI-74 PET/CT. Type: Interventional Start Date: Dec 2025 |
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Re-Engineered Discharge for Diabetes Care Transitions
University of Massachusetts, Worcester
Diabetes Mellitus Type 2
Social Determinants of Health (SDOH)
Hospital Readmission
The goal of this project is to test a novel bedside SDOH screening intervention coupled
with post-discharge navigation for hospitalized patients with a diabetes diagnosis to
reduce unmet social needs, compared to usual care. expand
The goal of this project is to test a novel bedside SDOH screening intervention coupled with post-discharge navigation for hospitalized patients with a diabetes diagnosis to reduce unmet social needs, compared to usual care. Type: Interventional Start Date: Jun 2026 |
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MIRAI-MRI: Comparing Screening MRI for Patients at High Risk for Breast Cancer Identified by Mirai1
University of Massachusetts, Worcester
Breast Cancer
Accurate risk assessment is essential for the success of population screening programs
and early detection efforts in breast cancer. Mirai is a new deep learning model based on
full resolution mammograms.
Mirai is a mammography-based deep learning model designed to predict risk at multiple
timepoi1 expand
Accurate risk assessment is essential for the success of population screening programs and early detection efforts in breast cancer. Mirai is a new deep learning model based on full resolution mammograms. Mirai is a mammography-based deep learning model designed to predict risk at multiple timepoints, leverage potentially missing risk factor information, and produce predictions that are consistent across mammography machines. Mirai was trained on a large dataset from Massachusetts General Hospital (MGH) in the United States and found to be significantly more accurate than the Tyrer-Cuzick model, a current clinical standard. The primary aim of this study is to prospectively quantify the clinical benefit (i.e. MRI/CEM cancer detection rate) of Mirai-based guidelines and to compare them to the current standard of care. 1. Conduct a prospective study where patients who are identified as high risk by Mirai guidelines are invited to receive supplemental MRI within 12 months. 2. Compare cancer outcomes between patients only identified as high risk by Mirai and patients identified as high risk by existing guidelines The secondary aim is to study the impact of new guidelines by race and ethnicity, to ensure equitable improvements in cancer screening. Type: Interventional Start Date: Feb 2024 |
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Best Available Therapy Versus Autologous Hematopoietic Stem Cell Transplant for Multiple Sclerosis1
National Institute of Allergy and Infectious Diseases (NIAID)
Relapsing Multiple Sclerosis
Relapsing Remitting Multiple Sclerosis
Secondary Progressive Multiple Sclerosis
This is a multi-center prospective rater-masked (blinded) randomized controlled trial of
156 participants, comparing the treatment strategy of Autologous Hematopoietic Stem Cell
Transplantation (AHSCT) to the treatment strategy of Best Available Therapy (BAT) for
treatment-resistant relapsing multi1 expand
This is a multi-center prospective rater-masked (blinded) randomized controlled trial of 156 participants, comparing the treatment strategy of Autologous Hematopoietic Stem Cell Transplantation (AHSCT) to the treatment strategy of Best Available Therapy (BAT) for treatment-resistant relapsing multiple sclerosis (MS). Participants will be randomized at a 1 to 1 (1:1) ratio. All participants will be followed for 72 months after randomization (Day 0, Visit 0). Type: Interventional Start Date: Dec 2019 |
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Fecal Microbiota Transplant National Registry
American Gastroenterological Association
Fecal Microbiota Transplantation
Clostridium Difficile Infection
Gut Microbiome
A national data registry of patients receiving fecal microbiota transplantation (FMT) or
other gut-related-microbiota products designed to prospectively assess short and
long-term safety and effectiveness expand
A national data registry of patients receiving fecal microbiota transplantation (FMT) or other gut-related-microbiota products designed to prospectively assess short and long-term safety and effectiveness Type: Observational [Patient Registry] Start Date: Sep 2017 |
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Ear-Seizure Detection (EarSD) Study
Felicia Chu
Seizures
Epilepsy
The proposed study is an investigator-initiated study that aims to measure the accuracy
of a wearable seizure detection and prediction device (Ear-Seizure Detection Device
(EarSD)) by simultaneous recording with conventional video-EEG (Electroencephalogram) on
patients with epileptic seizures in th1 expand
The proposed study is an investigator-initiated study that aims to measure the accuracy of a wearable seizure detection and prediction device (Ear-Seizure Detection Device (EarSD)) by simultaneous recording with conventional video-EEG (Electroencephalogram) on patients with epileptic seizures in the Epilepsy Monitoring Unit of the hospital. Type: Interventional Start Date: Apr 2025 |
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Retropubic Hydrodissection and Trocar-induced Bladder Perforation During Retropubic Midurethral Sli1
University of Massachusetts, Worcester
Bladder Perforation
Retropubic Midurethral Sling
Retropubic Hydrodissection
Retropubic midurethral slings are a common and effective treatment for stress urine
incontinence. The trocar that is attached to the mesh material can hit the bladder which
is called a perforation. While there are no known long-term adverse outcomes from
trocar-induced bladder perforations, it can1 expand
Retropubic midurethral slings are a common and effective treatment for stress urine incontinence. The trocar that is attached to the mesh material can hit the bladder which is called a perforation. While there are no known long-term adverse outcomes from trocar-induced bladder perforations, it can prolong operative time and bleeding. At academic institutions, it has been reported that trocar-induced perforations occurs in the range of 14-34% of the time. This study is a randomized controlled trial to see if an intervention can decrease trocar-induced bladder perforation rates. The primary outcome of this study is to measure trocar-induced bladder perforations in subjects undergoing a retropubic midurethral sling. Subjects would be randomized to either receive the hydrodissection in a standardized manner or to not receive it. Secondary outcomes include bothersome urinary symptoms, pain, estimated blood loss during surgery, and voiding trial results Type: Interventional Start Date: Apr 2025 |
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ShotBlocker During Intramuscular Injection Randomized Control Trial
Lauren Fortier
Neonatal Pain
The objective of this trial is to evaluate the effect of Bionix ShotBlocker on pain of
injection of the first Hepatitis B vaccine in healthy newborns. ShotBlocker is a pain
reducing tool used in babies, children, and adults for injections. Swaddling during the
injection and administration of oral s1 expand
The objective of this trial is to evaluate the effect of Bionix ShotBlocker on pain of injection of the first Hepatitis B vaccine in healthy newborns. ShotBlocker is a pain reducing tool used in babies, children, and adults for injections. Swaddling during the injection and administration of oral sucrose prior to the injection are established standards of care for painful procedures in neonates. The investigators hypothesize that the use of ShotBlocker in addition to swaddling and oral sucrose administration will lessen the pain response. Type: Interventional Start Date: Jan 2024 |
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AS-1763 in Patients With Previously Treated CLL/SLL or Non-Hodgkin Lymphoma
Carna Biosciences, Inc.
B-cell Malignancy
Chronic Lymphocytic Leukemia
Small Lymphocytic Lymphoma
Waldenstrom Macroglobulinemia
Mantle Cell Lymphoma
This is an open-label, multi-center Phase 1b clinical study of oral AS-1763
(docirbrutinib) in patients with CLL/SLL or B-cell NHL who have failed or are intolerant
to ≥2 lines of systemic therapy. expand
This is an open-label, multi-center Phase 1b clinical study of oral AS-1763 (docirbrutinib) in patients with CLL/SLL or B-cell NHL who have failed or are intolerant to ≥2 lines of systemic therapy. Type: Interventional Start Date: Aug 2023 |
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Performance of SGM-101 for the Delineation of Primary and Recurrent Tumor and Metastases in Patient1
Surgimab
Colorectal Neoplasms
The performance of SGM-101, an intraoperative imaging agent, will be compared to that of
standard "white light" visualization during surgical resections of colorectal cancer. expand
The performance of SGM-101, an intraoperative imaging agent, will be compared to that of standard "white light" visualization during surgical resections of colorectal cancer. Type: Interventional Start Date: Jun 2019 |
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A Study of Patients With Lower Extremity Acute Limb Ischemia to Remove Thrombus With the Indigo™ As1
Penumbra Inc.
Lower Extremity Acute Limb Ischemia
LE ALI
The primary objective of this study is to collect and evaluate clinical evidence
supporting the safety and performance of the Indigo™ Aspiration System in a patient
population with lower extremity acute limb ischemia (LE ALI). expand
The primary objective of this study is to collect and evaluate clinical evidence supporting the safety and performance of the Indigo™ Aspiration System in a patient population with lower extremity acute limb ischemia (LE ALI). Type: Observational Start Date: May 2025 |
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Testing the Addition of the Anti-cancer Drug Venetoclax and/or the Anti-cancer Immunotherapy Blinat1
National Cancer Institute (NCI)
Acute Leukemia of Ambiguous Lineage
B Acute Lymphoblastic Leukemia
This phase II trial tests the addition of venetoclax and/or blinatumomab to usual
chemotherapy for treating infants with newly diagnosed acute lymphoblastic leukemia (ALL)
with a KMT2A gene rearrangement (KMT2A-rearranged [R]) or without a KMT2A gene
rearrangement (KMT2A-germline [G]). Venetoclax i1 expand
This phase II trial tests the addition of venetoclax and/or blinatumomab to usual chemotherapy for treating infants with newly diagnosed acute lymphoblastic leukemia (ALL) with a KMT2A gene rearrangement (KMT2A-rearranged [R]) or without a KMT2A gene rearrangement (KMT2A-germline [G]). Venetoclax is in a class of medications called B-cell lymphoma-2 (Bcl-2) inhibitors. It may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Blinatumomab is a monoclonal antibody that may interfere with the ability of cancer cells to grow and spread. Chemotherapy drugs work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Adding venetoclax and/or blinatumomab to standard chemotherapy may be more effective at treating patients with ALL than standard chemotherapy alone, but it may also cause more side effects. This clinical trial evaluates the safety and effectiveness of adding venetoclax and/or blinatumomab to chemotherapy for the treatment of infants with KMT2A-R or KMT2A-G ALL. Type: Interventional Start Date: Jun 2025 |
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Lifestyle Change Implementation Research Network at PRC at UMass Chan
University of Massachusetts, Worcester
GLP - 1
The goal of this project is to study how well the Noom digital lifestyle program works
for adults who are taking Glucagon-Like Peptide-1 receptor agonist (GLP-1) medications.
The study team will assess how the program affects people's behaviors and health
outcomes. The team will also look at how di1 expand
The goal of this project is to study how well the Noom digital lifestyle program works for adults who are taking Glucagon-Like Peptide-1 receptor agonist (GLP-1) medications. The study team will assess how the program affects people's behaviors and health outcomes. The team will also look at how digital lifestyle change interventions can be implemented in real-world settings, including how many people it reaches, how well it is put into practice, whether people stick with it over time, and whether it works well for different groups of people. Type: Interventional Start Date: Jul 2026 |
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A Study Comparing the Combination of Pembrolizumab and Sacituzumab Govitecan-hziy Versus Standard o1
National Cancer Institute (NCI)
Locally Advanced Urothelial Carcinoma
Metastatic Urothelial Carcinoma
Unresectable Urothelial Carcinoma
This phase III trial compares the effectiveness of pembrolizumab and sacituzumab
govitecan-hziy to standard of care in treating patients with urothelial cancer that has
spread to nearby tissue or lymph nodes (locally advanced) or that has spread to other
places in the body (metastatic). Immunothera1 expand
This phase III trial compares the effectiveness of pembrolizumab and sacituzumab govitecan-hziy to standard of care in treating patients with urothelial cancer that has spread to nearby tissue or lymph nodes (locally advanced) or that has spread to other places in the body (metastatic). Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Sacituzumab govitecan-hziy is a monoclonal antibody, called sacituzumab, linked to a chemotherapy drug called govitecan-hziy. Sacituzumab attaches to TROP2 positive tumor cells in a targeted way and delivers govitecan-hziy to kill them. The usual treatment approach is treatment with chemotherapy such as cisplatin, carboplatin, gemcitabine, docetaxel or paclitaxel. Cisplatin is in a class of medications known as platinum-containing compounds. It works by killing, stopping or slowing the growth of tumor cells. Carboplatin is in a class of medications known as platinum-containing compounds. It works in a way similar to the anticancer drug cisplatin, but may be better tolerated than cisplatin. Carboplatin works by killing, stopping or slowing the growth of tumor cells. Gemcitabine is a chemotherapy drug that blocks the cells from making deoxyribonucleic acid and may kill tumor cells. Docetaxel is in a class of medications called taxanes. It stops tumor cells from growing and dividing and may kill them. Paclitaxel is in a class of medications called antimicrotubule agents. It stops tumor cells from growing and dividing and may kill them. Giving pembrolizumab and sacituzumab govitecan-hziy may be more effective than usual care of carboplatin or cisplatin with gemcitabine, docetaxel or paclitaxel in treating patients with locally advanced or metastatic urothelial cancer. Type: Interventional Start Date: Dec 2025 |
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Standardizing Treatments for Pulmonary Exacerbations - Aminoglycoside Study
Chris Goss
Cystic Fibrosis
Cystic Fibrosis Pulmonary Exacerbation
The purpose of this study is to look at pulmonary exacerbations in people with cystic
fibrosis (CF) that need to be treated with antibiotics given through a tube inserted into
a vein (intravenous or IV). A pulmonary exacerbation is a worsening of respiratory
symptoms in people with CF that needs me1 expand
The purpose of this study is to look at pulmonary exacerbations in people with cystic fibrosis (CF) that need to be treated with antibiotics given through a tube inserted into a vein (intravenous or IV). A pulmonary exacerbation is a worsening of respiratory symptoms in people with CF that needs medical intervention. Both doctors and CF patients are trying to understand the best way to treat pulmonary exacerbations. This study is trying to answer the following questions about treating a pulmonary exacerbation: - Do participants have the same improvement in lung function and symptoms if they are treated with one type of antibiotic (called beta-lactams or β-lactams) versus taking two different types of antibiotics (tobramycin and β-lactams)? - Is taking one type of antibiotic just as good as taking two types? Type: Interventional Start Date: Apr 2023 |
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Continuous Glucose Monitor Use in Pregnancy
University of Massachusetts, Worcester
Type 2 Diabetes Treated With Insulin
Pregnancy, High Risk
The purpose of this study is to perform a randomized controlled trial among 180 pregnant
women with type 2 diabetes mellitus (T2DM) comparing continuous glucose monitor (CGM) use
to the standard of care of multiple daily fingerstick glucose monitoring and its impact
on large for gestational age inf1 expand
The purpose of this study is to perform a randomized controlled trial among 180 pregnant women with type 2 diabetes mellitus (T2DM) comparing continuous glucose monitor (CGM) use to the standard of care of multiple daily fingerstick glucose monitoring and its impact on large for gestational age infants, maternal glycemic control, patient satisfaction, and additional adverse perinatal outcomes. Type: Interventional Start Date: May 2024 |
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Testing the Addition of MEDI4736 (Durvalumab) to Chemotherapy Before Surgery for Patients With High1
National Cancer Institute (NCI)
Renal Pelvis and Ureter Urothelial Carcinoma
This phase II/III trial compares the effect of adding durvalumab to chemotherapy versus
chemotherapy alone before surgery in treating patients with upper urinary tract cancer.
Immunotherapy with monoclonal antibodies, such as durvalumab, may help the body's immune
system attack the cancer, and may1 expand
This phase II/III trial compares the effect of adding durvalumab to chemotherapy versus chemotherapy alone before surgery in treating patients with upper urinary tract cancer. Immunotherapy with monoclonal antibodies, such as durvalumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs, such as methotrexate, vinblastine, doxorubicin, cisplatin, and gemcitabine work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Durvalumab in combination with chemotherapy before surgery may enhance the shrinking of the tumor compared to chemotherapy alone. Type: Interventional Start Date: Nov 2021 |