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新規診断された高リスク骨髄異形成症候群の成人患者における疾患活動性の変化を評価するためのベネトクラックス錠と静脈内または皮下アザシチジンの併用試験

実施中(募集終了)NCT04401748第3相

Myelodysplastic Syndrome (MDS) is a group of disorders that gradually affect the ability of a person's bone marrow (semi-liquid tissue present in many bones like backbones) to produce normal blood cells. Some people with MDS have a risk of the disease progressing to acute myeloid leukemia (AML), and a risk of death from the disease itself. Symptoms of MDS include fatigue, shortness of breath, unusual paleness due to anemia (low red blood cell count), easy or unusual bruising, and red spots just beneath the skin caused by bleeding. The purpose of this study is to see how safe and effective venetoclax and azacitidine (AZA) combination are when compared to AZA and a placebo (contains no medicine), in participants with newly diagnosed higher-risk MDS. Venetoclax is an investigational drug being developed for the treatment of MDS. The study consists of two treatment arms - In one arm, participants will receive venetoclax and AZA. In another arm, participants will receive AZA and placebo. Adult participants with newly diagnosed higher-risk MDS will be enrolled. Around 500 participants will be enrolled in approximately 220 sites worldwide. Participants in one arm will receive oral doses of venetoclax tablet and intravenous (infusion in the vein) or subcutaneous (given under the skin) AZA solution. Participants in another arm will receive oral doses of placebo tablet and intravenous or subcutaneous AZA solution. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood and bone marrow tests, checking for side effects, and completing questionnaires.

対象疾患:
Myelodysplastic Syndrome (MDS)

骨髄線維症の成人患者における脾臓容積の変化を評価するための経口ナビトクラックス錠と経口ルキソリチニブ錠の併用と経口ルキソリチニブ錠との比較試験

完了NCT04472598第3相

Myelofibrosis is a type of bone marrow cancer that usually develops slowly and disrupts body's normal production of blood cells. It causes bone marrow scarring, leading to severe anemia that can cause weakness and fatigue. It can also cause a low number of blood-clotting cells called platelets, which increases risk of bleeding. Myelofibrosis often causes an enlarged spleen. The purpose of this study is to see if a combination of navitoclax and ruxolitinib is more effective and safe in assessment of change in spleen volume when compared to ruxolitinib in participants with myelofibrosis. Navitoclax is an investigational drug for the treatment of myelofibrosis. Participants in this study are divided into two groups, called treatment arms. Each group receives a different treatment. Adult participants with a diagnosis of myelofibrosis will be enrolled. Around 230 participants will be enrolled in approximately 190 sites worldwide. Participants will receive oral navitoclax tablet with oral ruxolitinib tablet or oral ruxolitinib tablet with oral placebo (no active drug) tablet and treatment may continue untill the participant cannot tolerate the study drug, or benefit is not achieved, or other reasons which qualify for discontinuation of the study drug. There may be a higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, magnetic resonance imaging (MRI) or computed tomography (CT) scan, bone marrow tests, checking for side effects, and completing questionnaires.

対象疾患:
Myelofibrosis (MF)

ブルトン型チロシンキナーゼ(BTK)阻害剤トレブルチニブ(SAR442168)の再発性多発性硬化症(RMS)研究(GEMINI 1)

完了NCT04410978第3相

Primary Objective: To assess efficacy of daily SAR442168 compared to a daily dose of 14 mg teriflunomide (Aubagio) measured by annualized adjudicated relapse rate (ARR) in participants with relapsing forms of MS Secondary Objective: To assess efficacy of SAR442168 compared to teriflunomide (Aubagio) on disability progression, MRI lesions, cognitive performance and quality of life To evaluate the safety and tolerability of daily SAR442168 To evaluate population pharmacokinetics (PK) of SAR442168 and relevant metabolites and its relationship to efficacy and safety To evaluate pharmacodynamics (PD) of SAR442168

対象疾患:
Relapsing Multiple Sclerosis

JuggerStitch市販後臨床追跡調査

募集中NCT04228367該当なし

This study is a post-market follow-up study. The data collected from this study will serve the purpose of confirming the safety and performance of the JuggerStitch Device used for meniscal repair according to the product labelling (Instruction For Use).

対象疾患:
Meniscus LesionMeniscus Tear, Tibial

免疫チェックポイント阻害剤治療後の進行腎細胞癌患者におけるアテゾリズマブとカボザンチニブの併用とカボザンチニブ単独との比較試験

完了NCT04338269第3相

This is a Phase III, multicenter, randomized, open-label study designed to evaluate the efficacy and safety of atezolizumab given in combination with cabozantinib versus cabozantinib alone in participants with inoperable, locally advanced, or metastatic renal cell carcinoma (RCC) who experienced radiographic tumor progression during or after Immune Checkpoint Inhibitor (ICI) treatment in the metastatic setting.

対象疾患:
Carcinoma, Renal Cell

進行性消化管間質腫瘍(GIST)患者におけるDS-6157aの臨床試験

中止NCT04276415第1相

This study will assess the safety, efficacy, and pharmacokinetics of DS-6157a in participants with advanced gastrointestinal stromal tumors (GIST).

対象疾患:
Gastrointestinal Stromal Tumors

FIDELIO-DKDおよびFIGARO-DKD試験に参加した患者の定期的な眼科検査のデータを用いて、フィネレノンが糖尿病の合併症である糖尿病網膜症(DR)の進行を遅らせることができるかどうかを調査する研究

完了NCT04477707

Diabetic retinopathy (DR) is a diabetes complication caused by damage to the small blood vessels inside the retina at the back of the eye. Diabetic retinopathy may cause mild vision problems or eventually blindness. Diabetes is a condition that makes your blood sugar levels higher than they should be. In the early stages of diabetic retinopathy - called non-proliferative diabetic retinopathy (NPDR)- increased blood sugar levels lead to damage to the tiny blood vessels of the retina. This damage results in small outpouchings of the vessel lumens leading to rupture. At the same time the blood vessels can leak and making the retina swell and can cause so called macula edema. In these early stages of DR current treatment to reduce the risk of this eye complication is focused on controlling blood sugar levels and blood pressure. Participants in this study have NPDR, Type 2 Diabetes (T2D) and Chronic Kidney Disease (CKD), a condition in which the kidneys become damaged and do not work as they should. These participants are already taking part in one of the phase 3 studies (FIDELIO-DKD and FIGARO-DKD). They study the effect of Finerenone on delaying kidney disease progression and reducing the risk of events that may cause damage to the heart and blood vessels To learn more about the effect of Finerenone on diabetic retinopathy, data from routine eye examinations performed during the two phase 3 studies will be collected and analyzed. All male and female participants included in this study are at least 18 years.

対象疾患:
Diabetic Retinopathy

健康な日本人男性を対象とした、BI 894416の様々な投与量に対する忍容性を検証する研究

中止NCT04540874第1相

The objective of this trial is to investigate the safety, tolerability and pharmacokinetics of BI 894416 in healthy Japanese male subjects.

対象疾患:
Healthy

骨髄性プロトポルフィリン症またはX連鎖性プロトポルフィリン症患者におけるMT-7117の有効性、安全性、忍容性を評価する試験

完了NCT04402489第3相

The primary objective of this study is to investigate the efficacy of MT-7117 on time to onset and severity of first prodromal symptoms (burning, tingling, itching, or stinging) associated with sunlight exposure in adults and adolescents with EPP or XLP aged 12-75.

対象疾患:
EPPXLP

二重抗血小板療法の短期および最適期間に関する第3相試験

実施中(募集終了)NCT04609111第4相

The purpose of this study is to explore the benefit of the prasugrel monotherapy without aspirin as compared with the 1-month dual therapy with aspirin and prasugrel in terms of reducing bleeding events after percutaneous coronary intervention (PCI) using cobalt-chromium everolimus-eluting stents (CoCr-EES, XienceTM) in patients with high bleeding risk or under the acute coronary syndrome patients.

対象疾患:
Acute Coronary Syndrome

COVID-19に罹患した非入院成人患者におけるモルヌピラビル(MK-4482)の有効性および安全性(MK-4482-002)

完了NCT04575597第2/第3相

This study aims to evaluate the safety, tolerability and efficacy of molnupiravir (MK-4482) compared to placebo. The primary hypothesis is that molnupiravir is superior to placebo as assessed by the percentage of participants who are hospitalized and/or die through Day 29

対象疾患:
Coronavirus Disease (COVID-19)

HIV-1感染リスクの高い男性およびトランスジェンダー女性における曝露前予防(PrEP)としての経口イスラトラビル(MK-8591)(MK-8591-024)

中止NCT04652700第3相

The main purpose of the study is to evaluate the safety and tolerability of oral Islatravir (ISL) once monthly (QM) as Preexposure Prophylaxis (PrEP) in cisgender men who have sex with men (MSM) and transgender women (TGW) who have sex with men and who are at high risk of HIV-1 infection with 48 or 96 weeks of treatment and a minimum follow-up of 42 days.

対象疾患:
HIV Preexposure Prophylaxis

CDK4/6阻害剤療法中または療法後に病勢進行が認められた、ホルモン受容体陽性、HER2陰性の局所進行性または転移性乳がんの成人患者における、ベネトクラクス錠とカペシタビン錠の併用療法の安全性および忍容性を評価する研究

中止NCT04274933第1相

Endocrine therapy is the initial treatment for most hormone receptor positive (HR+), human epidermal growth factor receptor 2 negative (HER2-) breast cancers. This study will evaluate the use of venetoclax in combination with capecitabine in adult participants with HR+, HER2-, metastatic breast cancer (MBC) who had disease progression following treatment that included a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor. Venetoclax is an investigational drug being developed for the treatment of breast cancer. This study is open-label meaning both the participants and study doctors will know what treatment is being given. The study includes two phases: dose escalation and dose expansion. In dose escalation, participants will receive various doses of venetoclax in combination with capecitabine. In dose expansion, participants will receive the recommended dose of venetoclax determined during dose escalation in combination with capecitabine. Adult participants with locally advanced or MBC that is not amenable to curative therapy will be enrolled. Around 42 participants will be enrolled at approximately 20 sites worldwide. Venetoclax and capecitabine will be administered on a 21-day cycle. During dose escalation, participants will take various doses of venetoclax as a tablet by mouth once a day and capecitabine as a tablet by mouth twice per day on days 1 - 14 of each cycle for approximately 30 weeks. During dose expansion, participants will take venetoclax at the dose identified during dose escalation as a tablet by mouth once a day and capecitabine as a tablet by mouth twice per day on days 1 - 14 of each cycle for approximately 30 weeks. There may be a higher burden for participants in this trial compared to standard of care. Participants will attend weekly visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, and evaluating for side effects.

対象疾患:
Breast CancerCancer

全身性重症筋無力症患者におけるジルコプランのオープンラベル延長試験

実施中(募集終了)NCT04225871第3相

The RAISE-XT study is an open-label extension study to evaluate the long-term efficacy, safety, and tolerability of zilucoplan in subjects with gMG who have previously participated in a qualifying Ra Pharmaceuticals sponsored zilucoplan study.

対象疾患:
全身性重症筋無力症

新規診断GBMの治療におけるオプチューン®(腫瘍治療電場)と放射線療法およびTMZの併用に関する、ピボタルランダム化オープンラベル試験

実施中(募集終了)NCT04471844該当なし

To test the effectiveness and safety of Optune® given concomitantly with radiation therapy (RT) and temozolomide (TMZ) in newly diagnosed GBM patients, compared to radiation therapy and temozolomide alone. In both arms, Optune® and maintenance temozolomide are continued following radiation therapy.

対象疾患:
Glioblastoma Multiforme

筋萎縮性側索硬化症(ALS)患者を対象とした経口エダラボンの安全性延長試験

完了NCT04577404第3相

This is a Phase 3, international, multicenter, open-label, long-term extension study. The primary objective of this study is to evaluate the long-term safety and tolerability of oral edaravone in subjects with Amyotrophic Lateral Sclerosis (ALS) for up to 96 weeks.

対象疾患:
Amyotrophic Lateral Sclerosis (ALS)

高血圧症の2歳以上6歳未満の小児におけるTAK-536の臨床試験

完了NCT04668157第3相

The main aim of this study is to check the safety of TAK-536. This study will take place in Japan. At the first visit, the study doctor will check if each child can take part. For those who can take part, each participant will have a check-up by the study doctor. After this, each participant will take placebo. This might take 2 weeks. After this, parents or the caregivers of each participant will be given sachets that contain granules of TAK-536 to give to that participant. The participants will take the TAK-536 granules once a day for 52 weeks. After treatment has finished, participants will visit the study clinic for a final check-up.

対象疾患:
Hypertension

2歳から55歳までの小児、青年、成人を対象とした、髄膜炎菌結合型四価ワクチンの単回投与と髄膜炎菌参照ワクチンの単回投与の比較試験

完了NCT04368429第3相

Primary Objective: To demonstrate the non-inferiority of the antibody responses to meningococcal serogroups A, C, Y, and W following the administration of a single dose of Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine (MenACYW Conjugate vaccine) compared with those observed following the administration of a single dose of Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine (Menactra® vaccine). Secondary Objective: Immunogenicity: To describe the antibody responses to the meningococcal serogroups A, C, Y, and W before and 30 days (+14 days) after vaccination with MenACYW Conjugate vaccine or Menactra®. Safety: To describe the safety profile of MenACYW Conjugate vaccine and that of Menactra®.

対象疾患:
Meningococcal Immunisation (Healthy Volunteers)

強直性脊椎炎および非放射線学的軸性脊椎関節炎を含む活動性軸性脊椎関節炎患者におけるビメキズマブの長期安全性、忍容性および有効性を評価する研究

実施中(募集終了)NCT04436640第3相

The purpose of the study is to demonstrate the long-term safety, tolerability and efficacy of bimekizumab in patients with active axial spondyloarthritis (axSpA, also known as radiographic axSpa (r-axSpA)) including ankylosing spondylitis (AS) and nonradiographic axial spondyloarthritis (nr-axSpa).

対象疾患:
強直性脊椎炎軸性脊椎関節炎Nr-axSpar-axSpa

日本人変形性関節症患者におけるLNA043の安全性、忍容性および薬物動態に関する研究

完了NCT04564053第1相

The objective of this study was to determine the safety, tolerability and pharmacokinetics after single ascending dose of LNA043 in Japanese participants with osteoarthritis of the knee.

対象疾患:
KneeOsteoarthritis