
Search Clinical Trials
Below please find a list of studies actively recruiting volunteers at one of the following GHUCCTS institutions: Georgetown University, Howard University, MedStar Health Research Institute, or Washington DC VA Medical Center. Please enter your search criteria below to help find a study for you. If you have any questions, please email us or call us at 301-560-2963.
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A Study of Amivantamab and FOLFIRI Versus Cetuximab/Bevacizumab and FOLFIRI in Participants With KR1
Janssen Research & Development, LLC
Colorectal Neoplasms
The purpose of this study is to compare how long the participants are disease-free
(progression-free survival) and and the length of time until a participant dies (overall
survival), when treated with amivantamab and chemotherapy with 5-fluorouracil, leucovorin
calcium (folinic acid) or levoleucovo1 expand
The purpose of this study is to compare how long the participants are disease-free (progression-free survival) and and the length of time until a participant dies (overall survival), when treated with amivantamab and chemotherapy with 5-fluorouracil, leucovorin calcium (folinic acid) or levoleucovorin, and irinotecan hydrochloride (FOLFIRI) versus either cetuximab or bevacizumab and FOLFIRI given to participants with Kirsten rat sarcoma viral oncogene/ neuroblastoma RAS viral oncogene homolog (KRAS/ NRAS) and v-raf murine sarcoma viral oncogene homolog B (BRAF) wild-type recurrent, unresectable or metastatic colorectal cancer who have previously received chemotherapy. Type: Interventional Start Date: Dec 2024 |
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A Study to Evaluate How Well Etavopivat Works in People With Sickle Cell Disease
Novo Nordisk A/S
Sickle Cell Disease
This study is conducted to confirm whether etavopivat works well at reducing the number
of Vaso-occlusive crisis VOCs (sickle cell pain crises) caused by obstructions in blood
vessels in adults and adolescents living with sickle cell disease. The study will also
evaluate how well etavopivat can red1 expand
This study is conducted to confirm whether etavopivat works well at reducing the number of Vaso-occlusive crisis VOCs (sickle cell pain crises) caused by obstructions in blood vessels in adults and adolescents living with sickle cell disease. The study will also evaluate how well etavopivat can reduce the damage to different organs, improve your exercise tolerance and reduce fatigue in people with sickle cell disease.The participants will either get etavopivat or placebo. Which treatment the participants will get is decided by chance. Etavopivat is a new medicine and is currently being tested in other studies in addition to this one. The study will last for about 2 years. Type: Interventional Start Date: Feb 2025 |
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A Phase 2 Study of AMG 193 in Participants With MTAP-deleted Advanced NSCLC (MTAPESTRY 201)
Amgen
MTAP-deleted NSCLC
The main objective of the study is to characterize safety and efficacy of 2 dose levels
of AMG 193 by investigator, and to evaluate AMG 193 monotherapy efficacy by Blinded
Independent Central Review (BICR). expand
The main objective of the study is to characterize safety and efficacy of 2 dose levels of AMG 193 by investigator, and to evaluate AMG 193 monotherapy efficacy by Blinded Independent Central Review (BICR). Type: Interventional Start Date: Dec 2024 |
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Trial to Evaluate Safety And Effectiveness of Mechanical Circulatory Support in Patients With Advan1
Abbott Medical Devices
Heart Failure
Heart Diseases
Cardiovascular Diseases
Pulmonary Hypertension
The purpose of TEAM-HF IDE clinical trial is to evaluate safety and effectiveness of the
HeartMate 3 LVAS compared to guideline directed medical therapy (GDMT) in a population of
ambulatory advanced heart failure patients who are not dependent on intravenous inotrope. expand
The purpose of TEAM-HF IDE clinical trial is to evaluate safety and effectiveness of the HeartMate 3 LVAS compared to guideline directed medical therapy (GDMT) in a population of ambulatory advanced heart failure patients who are not dependent on intravenous inotrope. Type: Interventional Start Date: Dec 2024 |
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A Culturally-Tailored Mobile Health and Social Media Physical Activity Intervention for Improving P1
Children's Oncology Group
Hematopoietic and Lymphatic System Neoplasm
Malignant Solid Neoplasm
This clinical trial tests the impact of a culturally-tailored home-based physical
activity program on physical fitness in Hispanic or Latino/Latina adolescent and young
adult (AYA) childhood cancer survivors. After treatment for cancer, some AYA survivors
experience long-term effects from the cance1 expand
This clinical trial tests the impact of a culturally-tailored home-based physical activity program on physical fitness in Hispanic or Latino/Latina adolescent and young adult (AYA) childhood cancer survivors. After treatment for cancer, some AYA survivors experience long-term effects from the cancer and its treatment including weight gain, fatigue and decreased physical fitness. Hispanic or Latino/Latina survivors may have a higher risk of these effects compared to non-Hispanics. Regular physical activity helps maintain healthy weight, energy levels and overall health. Participating in a culturally-tailored home-based physical activity program may help increase physical activity in Hispanic or Latino/Latina AYA childhood cancer survivors. Type: Interventional Start Date: Oct 2024 |
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Efficacy and Safety Study of Frexalimab (SAR441344) in Adults With Nonrelapsing Secondary Progressi1
Sanofi
Multiple Sclerosis
The purpose of this randomized, double-blind, placebo-controlled, parallel group study is
to determine the efficacy of frexalimab in delaying the disability progression and the
safety up to 36 months double-blind administration of study intervention compared to
placebo in male and female participan1 expand
The purpose of this randomized, double-blind, placebo-controlled, parallel group study is to determine the efficacy of frexalimab in delaying the disability progression and the safety up to 36 months double-blind administration of study intervention compared to placebo in male and female participants with nrSPMS (aged 18 to 60 years at the time of enrollment). People diagnosed with nrSPMS are eligible for enrollment as long as they meet all the inclusion criteria and none of the exclusion criteria. Study details include: - This event-driven study will end when the target number of 6-month cCDP events is achieved, and the study is expected to last 43 months from randomization of the first participant to the common study end. - The number of scheduled visits will be up to 25 (including 3 follow-up visits) with a visit frequency of every month for the first 6 months and then every 3 months. - If the prespecified number of events for 6-month cCDP is not reached by V21/W180, scheduled visits will continue every 3 months. Type: Interventional Start Date: Dec 2023 |
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A Study Testing the Combination of Dasatinib or Imatinib to Chemotherapy Treatment With Blinatumoma1
National Cancer Institute (NCI)
B Acute Lymphoblastic Leukemia
This pilot trial assesses the effect of the combination of blinatumomab with dasatinib or
imatinib and standard chemotherapy for treating patients with Philadelphia chromosome
positive (Ph+) or ABL-class Philadelphia chromosome-like (Ph-like) B-Cell acute
lymphoblastic leukemia (B-ALL). Blinatumoma1 expand
This pilot trial assesses the effect of the combination of blinatumomab with dasatinib or imatinib and standard chemotherapy for treating patients with Philadelphia chromosome positive (Ph+) or ABL-class Philadelphia chromosome-like (Ph-like) B-Cell acute lymphoblastic leukemia (B-ALL). Blinatumomab is a bispecific antibody that binds to two different proteins-one on the surface of cancer cells and one on the surface of cells in the immune system. An antibody is a protein made by the immune system to help fight infections and other harmful processes/cells/molecules. Blinatumomab may bind to the cancer cell and a T cell (which plays a key role in the immune system's fighting response) at the same time. Blinatumomab may strengthen the immune system's ability to fight cancer cells by activating the body's own immune cells to destroy the tumor. Dasatinib and imatinib are in a class of medications called tyrosine kinase inhibitors. They work by blocking the action of an abnormal protein that signals cancer cells to multiply, which may help keep cancer cells from growing. Giving blinatumomab and dasatinib or imatinib in combination with standard chemotherapy may work better in treating patients with Ph+ or Ph-like ABL-class B-ALL than dasatinib or imatinib with chemotherapy. Type: Interventional Start Date: May 2025 |
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Phase IIIb Study of Ribociclib + ET in Early Breast Cancer
Novartis Pharmaceuticals
Early Breast Cancer
The purpose of this open-label, multicenter, phase IIIb, single-arm study is to
characterize the efficacy and safety of the combination of ribociclib and standard
adjuvant endocrine therapy (ET) on invasive breast cancer-free survival (iBCFS), in a
close to clinical practice patient population with1 expand
The purpose of this open-label, multicenter, phase IIIb, single-arm study is to characterize the efficacy and safety of the combination of ribociclib and standard adjuvant endocrine therapy (ET) on invasive breast cancer-free survival (iBCFS), in a close to clinical practice patient population with HR-positive (HR+), HER2-negative (HER2-), Anatomic Stage Group III, IIB, and a subset of Stage IIA Early Breast Cancer (EBC). Type: Interventional Start Date: Feb 2024 |
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Open-label Study of ELA026 in Participants With Secondary Hemophagocytic Lymphohistiocytosis (sHLH)
Electra Therapeutics Inc.
Secondary Hemophagocytic Lymphohistiocytosis (sHLH)
Hemophagocytic lymphohistiocytosis is a rare, aggressive and life-threatening syndrome of
excessive immune activation. Secondary hemophagocytic lymphohistiocytosis (sHLH) is the
most common form of this disease and is typically associated with several other clinical
conditions (eg, malignancy assoc1 expand
Hemophagocytic lymphohistiocytosis is a rare, aggressive and life-threatening syndrome of excessive immune activation. Secondary hemophagocytic lymphohistiocytosis (sHLH) is the most common form of this disease and is typically associated with several other clinical conditions (eg, malignancy associated HLH (mHLH), infection, or autoimmune disease). ELA026 is a fully human immunoglobulin G1 (IgG1) signal regulatory protein (SIRP)-directed monoclonal antibody designed to deplete the myeloid and T cells driving the inflammation. The purpose of this study is to assess the safety, efficacy pharmacokinetics and pharmacodynamics of ELA026 in participants with sHLH. Type: Interventional Start Date: May 2022 |
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The CONFORM Pivotal Trial
Conformal Medical, Inc
Atrial Fibrillation
Stroke
The CLAAS® device will be evaluated for safety and efficacy by establishing its
performance is non-inferior to the commercially available WATCHMAN® and Amulet™ left
atrial appendage closure devices in patients with non-valvular atrial fibrillation.
Patients who are eligible for the trial will be ra1 expand
The CLAAS® device will be evaluated for safety and efficacy by establishing its performance is non-inferior to the commercially available WATCHMAN® and Amulet™ left atrial appendage closure devices in patients with non-valvular atrial fibrillation. Patients who are eligible for the trial will be randomized to receive either the CLAAS device or the WATCHMAN or Amulet™ devices and will be followed for 5 years after device implant. Type: Interventional Start Date: May 2022 |
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Anticoagulation in ICH Survivors for Stroke Prevention and Recovery
Yale University
Intracerebral Hemorrhage
Atrial Fibrillation
Primary Aim: To determine if apixaban is superior to aspirin for prevention of the
composite outcome of any stroke (hemorrhagic or ischemic) or death from any cause in
patients with recent ICH and atrial fibrillation (AF).
Secondary Aim: To determine if apixaban, compared with aspirin, results in1 expand
Primary Aim: To determine if apixaban is superior to aspirin for prevention of the composite outcome of any stroke (hemorrhagic or ischemic) or death from any cause in patients with recent ICH and atrial fibrillation (AF). Secondary Aim: To determine if apixaban, compared with aspirin, results in better functional outcomes as measured by the modified Rankin Scale. Type: Interventional Start Date: Jan 2020 |
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A Phase 3 Study of Tabelecleucel for Participants With Epstein-Barr Virus-Associated Post-Transplan1
Pierre Fabre Medicament
Epstein-Barr Virus+ Associated Post-transplant Lymphoproliferative Disease (EBV+ PTLD)
Solid Organ Transplant Complications
Lymphoproliferative Disorders
Allogeneic Hematopoietic Cell Transplant
Stem Cell Transplant Complications
The purpose of this study is to determine the clinical benefit and characterize the
safety profile of tabelecleucel for the treatment of Epstein-Barr virus-associated
post-transplant lymphoproliferative disease (EBV+ PTLD) in the setting of (1) solid organ
transplant (SOT) after failure of rituxima1 expand
The purpose of this study is to determine the clinical benefit and characterize the safety profile of tabelecleucel for the treatment of Epstein-Barr virus-associated post-transplant lymphoproliferative disease (EBV+ PTLD) in the setting of (1) solid organ transplant (SOT) after failure of rituximab (SOT-R) and rituximab plus chemotherapy (SOT-R+C) or (2) allogeneic hematopoietic cell transplant (HCT) after failure of rituximab. Type: Interventional Start Date: Dec 2017 |
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Veterans Affairs Lung Cancer Surgery Or Stereotactic Radiotherapy
VA Office of Research and Development
Lung Neoplasm
Patients with stage I non-small cell lung cancer have been historically treated with
surgery whenever they are fit for an operation. However, an alternative treatment known
as stereotactic radiotherapy now appears to offer an equally effective alternative.
Doctors believe both are good treatments a1 expand
Patients with stage I non-small cell lung cancer have been historically treated with surgery whenever they are fit for an operation. However, an alternative treatment known as stereotactic radiotherapy now appears to offer an equally effective alternative. Doctors believe both are good treatments and are therefore conducting this study to determine if one may be possibly better than the other. Type: Interventional Start Date: Apr 2017 |
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Diagnostic Journey, Patient Experience, and Disparities in the Treatment of Spinal Muscular Atrophy1
Medstar Health Research Institute
Spinal Muscular Atrophy (SMA)
Evaluate the diagnostic journey, patient experience, and disparities in the treatment of
Spinal Muscular Atrophy (SMA) in the MedStar Health System. expand
Evaluate the diagnostic journey, patient experience, and disparities in the treatment of Spinal Muscular Atrophy (SMA) in the MedStar Health System. Type: Observational Start Date: Oct 2025 |
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Use of a Decision Aid to Resolve Uncertainty About Radioactive Iodine Treatment in Patients With In1
Georgetown University
Thyroid Cancer
The goal of this study is to learn if a decision aid (DA) website helps people with
thyroid cancer make informed decisions about radioactive iodine (RAI) treatment. The main
questions it aims to answer are: - Does the decision aid help participants understand the
risks and benefits of RAI treatment1 expand
The goal of this study is to learn if a decision aid (DA) website helps people with thyroid cancer make informed decisions about radioactive iodine (RAI) treatment. The main questions it aims to answer are: - Does the decision aid help participants understand the risks and benefits of RAI treatment? - Does it help participants make choices that reflect what matters most to them? - How does the decision aid compare to usual care in supporting patients through this decision? Participants who have been recently diagnosed with intermediate-risk differentiated thyroid cancer (DTC) will be randomly assigned to one of two groups. One group will receive a special decision aid website. This site includes detailed information about RAI, short videos, drop-down menus with extra details, exercises to help clarify values, and tools to help patients prepare questions for their doctor. The other group will receive the American Cancer Society (ACS) website. This site gives basic information about RAI but does not include interactive tools and is not specific to intermediate-risk thyroid cancer. Follow up surveys will be sent to the participants periodically, first at the start of the study, and again at 1 week, 4 weeks, and 6 months later. Researchers will compare how the two groups differ in making informed decisions. The decision aid is meant to support, not replace, a conversation with the medical team. Doctor recommendations remain an important part of treatment decisions. Type: Interventional Start Date: Aug 2025 |
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Comparing Radiation Therapy to Usual Care for Patients With High-Risk Bone Asymptomatic Metastases,1
NRG Oncology
Metastatic Malignant Neoplasm in the Bone
Metastatic Malignant Solid Neoplasm
This phase III trial compares the effect of adding radiation therapy to usual care on the
occurrence of bone-related complications in cancer patients with high-risk bone
metastases that are not causing symptoms (asymptomatic). High-risk bone metastases are
defined by their location (including hip,1 expand
This phase III trial compares the effect of adding radiation therapy to usual care on the occurrence of bone-related complications in cancer patients with high-risk bone metastases that are not causing symptoms (asymptomatic). High-risk bone metastases are defined by their location (including hip, shoulder, long bones, and certain levels of the spine), or size (2 cm or larger). These bone metastases appear to be at higher risk of complications such as fracture, spinal cord compression, and/or pain warranting surgery or radiation treatment. Radiation therapy uses high energy x-rays to kill cancer cells and shrink tumors. The total dose of radiation can be delivered in a single day or divided in smaller doses for up to 5 days of total treatment. Usual care for asymptomatic bone metastases may include drugs that prevent bone loss, in addition to the treatment for the primary cancer or observation (which means no treatment until symptoms appear). Evidence has shown that preventative radiation therapy may be effective in lowering the number of bone metastases-related complications, however, it is not known if this approach is superior to usual care. Adding radiation therapy to usual care may be more effective in preventing bone-related complications than usual care alone in cancer patients with asymptomatic high-risk bone metastases. Type: Interventional Start Date: Apr 2025 |
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JUST BREATHE, Breathing Life Into Innovative Therapies for ARDS- Cohort C: Bevacizumab
PPD Development, LP
Acute Respiratory Distress Syndrome (ARDS)
ARDS
ARDS (Acute Respiratory Distress Syndrome)
Acute Respiratory Distress Syndrome
This is a Phase 2 multicenter, randomized, double-blinded, placebo-controlled study that
will evaluate the safety and efficacy of host-directed therapeutics in hospitalized
adults diagnosed with Acute Respiratory Distress Syndrome (ARDS) utilizing a platform
trial design.
Cohort C: Participants wi1 expand
This is a Phase 2 multicenter, randomized, double-blinded, placebo-controlled study that will evaluate the safety and efficacy of host-directed therapeutics in hospitalized adults diagnosed with Acute Respiratory Distress Syndrome (ARDS) utilizing a platform trial design. Cohort C: Participants will be randomized to receive either a placebo or bevacizumab. This record describes the default procedures and analyses for Cohort C. Please see NCT06703073 for information on the BP-ARDS-P2-001 Master Protocol. Type: Interventional Start Date: Oct 2025 |
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A Study of Amivantamab in Combination With Lazertinib, or Amivantamab in Combination With Platinum-1
Janssen Research & Development, LLC
Carcinoma, Non-Small-Cell Lung
The primary purpose of the study is to assess how well amivantamab in combination with
lazertinib or in combination with chemotherapy works (antitumor activity) in participants
with epidermal growth factor receptor mutated (EGFRm) non-small cell lung cancer (NSCLC;
that is one of the major types of1 expand
The primary purpose of the study is to assess how well amivantamab in combination with lazertinib or in combination with chemotherapy works (antitumor activity) in participants with epidermal growth factor receptor mutated (EGFRm) non-small cell lung cancer (NSCLC; that is one of the major types of lung cancer). Type: Interventional Start Date: Dec 2024 |
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LOTUS-CC: An Observational Research Study to Uncover Subtypes of Cancer Cachexia
University of Rochester
Advanced Colorectal Carcinoma
Advanced Lung Non-Small Cell Carcinoma
Advanced Pancreatic Adenocarcinoma
Stage IV Colorectal Cancer AJCC v8
Stage IV Lung Cancer AJCC v8
This study evaluates cancer-related weight and muscle mass loss, symptoms, and physical
function (cachexia) in patients undergoing treatment for colorectal, lung, or pancreatic
cancer that cannot be removed by surgery (unresectable) or is stage IV. Patients with
these cancer types are at risk for d1 expand
This study evaluates cancer-related weight and muscle mass loss, symptoms, and physical function (cachexia) in patients undergoing treatment for colorectal, lung, or pancreatic cancer that cannot be removed by surgery (unresectable) or is stage IV. Patients with these cancer types are at risk for developing cancer cachexia (CC), which is defined as weight loss, muscle loss, and fat loss due to cancer. CC has been associated with reduced physical performance, impaired quality of life, and poorer survival. Many studies that have evaluated treatments for cancer-related weight and muscle loss have aimed to treat all patients with weight loss exactly the same and, unfortunately, have not been successful. Like different cancer types, weight and muscle loss related to cancer may have different causes in different individuals and the best treatment strategy for this condition may not be a one-size-fits-all approach. Information gathered from this study may help researchers develop new diagnostic criteria for CC and design better treatments and clinical trials for cancer-related weight and muscle loss in the future to improve the quality of life in patients with advanced colorectal, lung, or pancreatic cancer. Type: Observational Start Date: Dec 2023 |
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Whole Health in VA Mental Health: Omnis Salutis
VA Office of Research and Development
Stress Disorders, Post-Traumatic
Depressive Disorder
Anxiety Disorders
Substance-Related Disorders
Recent Veterans of the Afghanistan and Iraq conflicts are presenting in VA care with high
rates of posttraumatic stress disorder (PTSD), depression, anxiety, and substance use
disorders. Difficulties with social relationships and community reintegration are common
functional impairments with these1 expand
Recent Veterans of the Afghanistan and Iraq conflicts are presenting in VA care with high rates of posttraumatic stress disorder (PTSD), depression, anxiety, and substance use disorders. Difficulties with social relationships and community reintegration are common functional impairments with these disorders. VA is transforming to a Whole Health, patient-centered system of care that will address these issues as part of health care. In a previous study, Omnis Salutis (OS) was developed with Veteran and clinician input. OS is a three-session intervention in which Veterans learn about Whole Health and practice communicating their health mission to providers and social supports. OS was shown feasible to deliver, acceptable to Veterans, and preliminarily effective at improving physical, mental, and social functioning. This study will use a large, multisite randomized controlled trial to test the impact of OS on Veterans' social and physical functioning and Veteran engagement in mental health care. Results will support broad delivery of OS throughout the VA. Type: Interventional Start Date: Feb 2023 |
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The MITRAL II Pivotal Trial (Mitral Implantation of TRAnscatheter vaLves).
Mayra Guerrero
Mitral Annular Calcification
Mitral Stenosis
Mitral Regurgitation
Mitral Valve Disease
A prospective multicenter study enrolling high surgical risk patients with severe mitral
annular calcification (MAC) and symptomatic mitral valve dysfunction (severe stenosis, ≥
moderate to severe regurgitation, or mixed ≥ moderate stenosis and ≥ regurgitation).
There are 2 Arms in this study: 1) "1 expand
A prospective multicenter study enrolling high surgical risk patients with severe mitral annular calcification (MAC) and symptomatic mitral valve dysfunction (severe stenosis, ≥ moderate to severe regurgitation, or mixed ≥ moderate stenosis and ≥ regurgitation). There are 2 Arms in this study: 1) "Transseptal (TS) Valve-in-MAC" (ViMAC) Arm, and 2) Natural History of Disease Registry (NHDR) for patients treated with medical treatment only (which includes patients who meet inclusion criteria but can't be treated with transeptal ViMAC due to the presence of anatomical exclusion criteria or other exclusion criteria) and have not had other procedures that may impact outcomes (i.e., alcohol septal ablation or radiofrequency ablation). The study also includes a Registry of Permanently Unassigned" for subjects who undergo preemptive septal ablation procedures (alcohol or radiofrequency) in anticipation of continuing onto ViMAC arm, but are not accepted in the ViMAC Study arm or the patient chooses not to undergo ViMAC procedure. Type: Interventional Start Date: Mar 2021 |
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Myopenia and Mechanisms of Chemotherapy Toxicity in Older Adults With Colorectal Cancer
Wake Forest University Health Sciences
Colorectal Cancer
Sarcopenia
This study will examine the association between low muscle mass (myopenia) at diagnosis
and chemotherapy toxicity in older adults with newly diagnosed advanced colorectal
cancer. expand
This study will examine the association between low muscle mass (myopenia) at diagnosis and chemotherapy toxicity in older adults with newly diagnosed advanced colorectal cancer. Type: Observational Start Date: Sep 2019 |
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I-SPY TRIAL: Neoadjuvant and Personalized Adaptive Novel Agents to Treat Breast Cancer
QuantumLeap Healthcare Collaborative
Breast Neoplasms
Breast Cancer
Breast Tumors
Angiosarcoma
TNBC - Triple-Negative Breast Cancer
The purpose of this study is to further advance the ability to practice personalized
medicine by learning which new drug agents are most effective with which types of breast
cancer tumors and by learning more about which early indicators of response (tumor
analysis prior to surgery via magnetic res1 expand
The purpose of this study is to further advance the ability to practice personalized medicine by learning which new drug agents are most effective with which types of breast cancer tumors and by learning more about which early indicators of response (tumor analysis prior to surgery via magnetic resonance imaging (MRI) images along with tissue and blood samples) are predictors of treatment success. Type: Interventional Start Date: Mar 2010 |
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Prospective Observational Study of the ICD in Sudden Cardiac Death Prevention
Johns Hopkins University
Heart Failure, Congestive
Death, Sudden, Cardiac
Arrhythmia
Cardiomyopathies
The overall hypothesis of this study is that subtle interactions between structural
(substrate) and functional (trigger) abnormalities of the heart, some of which are
genetically-determined, can be used to identify patients at high risk of sudden cardiac
death (SCD). Such information may be used to1 expand
The overall hypothesis of this study is that subtle interactions between structural (substrate) and functional (trigger) abnormalities of the heart, some of which are genetically-determined, can be used to identify patients at high risk of sudden cardiac death (SCD). Such information may be used to better define patients most likely to benefit from replacement of an internal defibrillator (ICD). The prospective, observational study to enroll, categorize and follow patients who receive an ICD pulse generator replacement for primary prevention of SCD (PROSe-ICD) was established to : 1. to gain a better understanding of the biological mechanisms that predispose to SCD 2. to develop readily determined clinical, electrocardiographic, genetic and blood protein markers identify patients with an increased risk of dying suddenly Type: Observational Start Date: Jun 2003 |
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Intravesical Lactobacillus Crispatus: Clinical Safety and Microbiome Evaluation
Medstar Health Research Institute
Spinal Cord Injuries (SCI)
Neurogenic Bladder
Urinary Tract Infection (Diagnosis)
The goal of this clinical trial is to determine whether Lactobacillus crispatus strains
isolated from the lower urinary tracts of adult women can be used as an
antibiotic-sparing treatment for urinary symptoms and urinary tract infection (UTI) among
adults with neurogenic lower urinary tract dysfun1 expand
The goal of this clinical trial is to determine whether Lactobacillus crispatus strains isolated from the lower urinary tracts of adult women can be used as an antibiotic-sparing treatment for urinary symptoms and urinary tract infection (UTI) among adults with neurogenic lower urinary tract dysfunction (NLUTD). The main question[s] it aims to answer are: 1. To identify soluble bactericidal compounds produced by urinary isolates of L. crispatus that kill uropathogenic E. coli (UPEC). 2. To determine if intravesical instillation of L. crispatus is safe and well tolerated in adults with NLUTD due to SCI who use intermittent catheterization (IC). If there is a comparison group: Researchers will compare L. Crispatus to standard care saline to see if there is a difference in urinary symptoms and urinary microbiome. Participants will be asked to complete daily symptom surveys, complete 2 bladder instillations, and collect, freeze, and return 14 urine samples. Type: Interventional Start Date: Sep 2025 |