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再発性胃がんに対する免疫チェックポイント阻害剤と放射線療法(CIRCUIT)

完了NCT03453164第1/第2相

This study aims to evaluate safety and efficacy of nivolumab (anti-PD-1 antibody), which is approved as tertiary therapy, and neoadjuvant short-term limited local radiotherapy in patients with unresectable recurrent gastric cancer who progressed (intolerance or PD) after standard treatment (primary and secondary chemotherapy) and have more than one lesion assessable in diagnostic imaging (one lesion must be \>=2cm).

対象疾患:
Gastric Cancer

胃がんの成人患者におけるゾルベツキシマブ(IMAB362)と化学療法をプラセボと化学療法と比較する研究。

実施中(募集終了)NCT03504397第3相

Zolbetuximab is being studied in people with cancer in and around the stomach or where the food pipe (esophagus) joins the stomach, called gastroesophageal junction (GEJ) cancer. Most people with this type of cancer have a protein called Claudin 18.2 in their tumor. Zolbetuximab is thought to work by attaching to the Claudin 18.2 protein in their tumor, which switches on the body's immune system to attack the tumor. There is an unmet medical need to treat people with advanced stomach cancer or GEJ cancer. This study will give more information about how well zolbetuximab works when given with chemotherapy in adults with advanced stomach cancer or GEJ cancer. In this study, adults with advanced stomach cancer or GEJ cancer will either be given zolbetuximab with chemotherapy or a placebo with chemotherapy. A placebo looks like zolbetuximab but doesn't have any medicine in it. Zolbetuximab with chemotherapy has already been approved to treat gastric cancer and GEJ cancer in some countries. This study is being done in countries where zolbetuximab has not yet been approved for use. If zolbetuximab becomes approved for use in those countries taking part in this study, the study doctor will switch study treatment in those countries to the licensed zolbetuximab. If this happens, people taking part in those countries will leave this study and receive licensed zolbetuximab. The main aim of the study is to check if zolbetuximab and chemotherapy can prevent or delay the worsening of people's gastric cancer and GEJ cancer compared to placebo and chemotherapy. Adults with advanced stomach cancer or GEJ cancer can take part. Locally advanced means the cancer has spread to nearby tissue. Unresectable means the cancer cannot be removed by surgery. Metastatic means the cancer has spread to other parts of the body. A tumor sample of their cancer will also have the Claudin 18.2 protein. They may have been previously treated with certain standard therapies, but have not been treated with chemotherapy for their cancer. People cannot take part if they need to take medicines to suppress their immune system, have blockages or bleeding in their gut, have specific uncontrollable cancers such as symptomatic or untreated cancers in the nervous system, or have a specific heart condition, or infections. The study treatments are either zolbetuximab with chemotherapy, or placebo with chemotherapy. People who take part will receive just 1 of the study treatments by chance. Study treatment will be double-blinded. That means that the people in the study and the study doctors will not know who takes which of the study treatments. Study treatment will be given in cycles. The study treatment is given to people slowly through a tube into a vein. This is called an infusion. People will have 4 infusions in 6-week (42-day) cycles as follows: * Zolbetuximab or placebo - 2 infusions in a cycle. * Chemotherapy (called modified FOLFOX6 or mFOLFOX6) - 3 infusions in a cycle. The first infusion is combined with zolbetuximab or placebo on day 1 of each cycle. People may receive zolbetuximab or placebo until their cancer worsens, they cannot tolerate the study treatment, or they need to start another cancer treatment. People will receive mFOLFOX6 for up to 6 months (4 study treatment cycles). After the 6 months people may receive chemotherapy containing folinic acid and fluorouracil instead of mFOLFOX6. People may receive folinic acid and fluorouracil chemotherapy for more than 6 months, or until their cancer worsens, they cannot tolerate the study treatment, or they need to start another cancer treatment. People will visit the clinic on certain days during their study treatment. The study doctors will check if people had any medical problems from taking zolbetuximab or the other study treatments. Also, people in the study will have health checks. On some visits they will have scans to check for any changes in their cancer. People will have the option of giving a tumor sample after their study treatment has finished. People will visit the clinic after they stop their study treatment. People who start treatment with licensed zolbetuximab or mFOLFOX6 outside of this study will not need to visit the clinic. People will be asked about any medical problems and will have a health check. People will visit the clinic at 1 month after they stop their study treatment. People will continue to have scans every 9 or 12 weeks to check for any changes in their cancer. People will have telephone health checks every 3 months. The number of visits and checks done at each visit will depend on the health of each person and whether they completed their study treatment or not.

対象疾患:
局所進行切除不能胃腺癌または癌局所進行切除不能胃食道接合部(GEJ)腺癌または癌転移性胃腺癌または癌転移性胃食道接合部(GEJ)腺癌

進行性固形悪性腫瘍を有する日本人成人患者におけるAZD9150およびMEDI4736(デュルバルマブ)の臨床試験

完了NCT03394144第1相

This is a phase I, open-label study to assess the safety, tolerability, pharmacokinetics and preliminary anti-tumor activity of AZD9150 monotherapy and AZD9150 in combination with durvalumab in Japanese patients with advanced solid malignancies.

対象疾患:
Advanced Solid Malignancies

未治療の急性骨髄性白血病患者における、グラスデギブ併用または非併用の集中的化学療法、あるいはグラスデギブ併用または非併用のアザシチジン療法を評価する研究

完了NCT03416179第3相

Glasdegib is being studied in combination with azacitidine for the treatment of adult patients with previously untreated acute myeloid leukemia (AML) who are not candidates for intensive induction chemotherapy (Non-intensive AML population). Glasdegib is being studied in combination with cytarabine and daunorubicin for the treatment of adult patients with previously untreated acute myeloid leukemia (Intensive AML population).

対象疾患:
Leukemia, Myeloid, Acute

再発性または難治性多発性骨髄腫の成人患者を対象としたリンボセルタマブの第1/2相試験

募集中NCT03761108第1/第2相

The main purpose of this study is to learn about the safety of linvoseltamab and to find out what is the best dose of linvoseltamab to give to patients with multiple myeloma and to look for any signs that linvoseltamab can effectively treat cancer. The study is looking at several other research questions, including: * Side effects that may be experienced by people receiving linvoseltamab * How linvoseltamab works in the body * How much linvoseltamab is present in the blood * How linvoseltamab may work to treat cancer

対象疾患:
Multiple Myeloma

膝痛治療における微弱電流療法の有効性

不明NCT03511014該当なし

The purpose of this study is to evaluate the effect of microcurrent therapy at the knee pain.

対象疾患:
Acute Knee Pain

重度または極めて重度の円形脱毛症患者を対象としたバリシチニブ(LY3009104)の試験

完了NCT03570749第2/第3相

This study is designed to select up to two doses of baricitinib (referred to as low dose and high dose) and assess their efficacy and safety for the treatment of severe or very severe alopecia areata. An additional subpopulation of 60 participants in the US will enroll in the open-label addenda.

対象疾患:
Alopecia Areata

冠動脈疾患を有する2型糖尿病患者におけるコルヒチンの用量探索試験

完了NCT03376698第2相

This study is designed to investigate dose-dependent effects of low dose colchicine on inflammatory responses, endothelial function in type 2 diabetic patients with coronary artery disease and leukocyte activation. This study also tested the relationship between doses and safety issue such as incidence of diarrhea. Eligible patients will be randomly allocated to three treatment group: colchicine at 0.5mg per day, 0.25mg per day or placebo for 12 weeks in a double blind , parallel group design. High sensitive-CRP at 4 weeks as primary end point and flow mediated vasodilatation at 12 weeks as the secondary end point will be measured.

対象疾患:
ColchicineCoronary Artery DiseaseDiabetes Mellitus, Type 2DiarrheaInflammation1

薬剤抵抗性てんかんを有する成人における焦点発作の補助療法としてのパドセボニルの有効性および安全性を検証する研究

完了NCT03373383第2相

The purpose of the study is to characterize the dose-response relationship with respect to efficacy of Padsevonil administered concomitantly with up to 3 anti-epileptic drugs (AEDs) for treatment of observable focal-onset seizures in subjects with drug-resistant epilepsy.

対象疾患:
Drug-resistant EpilepsyFocal-Onset Seizures

多関節型若年性特発性関節炎の小児患者におけるウパダシチニブの薬物動態、安全性および忍容性を評価する試験

実施中(募集終了)NCT03725007第1相

This is a study to evaluate pharmacokinetics, safety and tolerability of upadacitinib in pediatric participants with polyarticular course juvenile idiopathic arthritis. This study consists of three parts: Part 1 is multiple-cohort study that consists of two sequential multiple dose groups. Participants benefiting from the study drug with no ongoing adverse events of special interest or serious adverse events will have option to enroll in Part 2. Part 2 is open-label, long term extension study to evaluate safety and tolerability. Part 3 is an additional safety cohort to evaluate long-term safety and tolerability.

対象疾患:
Juvenile Idiopathic Arthritis (JIA)

再発・難治性多発性骨髄腫(RRMM)患者を対象としたbb2121と標準治療レジメンの有効性および安全性に関する研究

実施中(募集終了)NCT03651128第3相

This is a multicenter, randomized, open-label, Phase 3 study comparing the efficacy and safety of bb2121 versus standard regimens in subjects with relapsed and refractory multiple myeloma (RRMM). The study is anticipated to randomize approximately 381 subjects with RRMM. Approximately 254 subjects will be randomized to Treatment Arm A and approximately 127 subjects will be randomized to Treatment Arm B.

対象疾患:
Multiple Myeloma

転移または手術切除不能なHER2低発現乳がんに対するトラスツズマブ デルクステカン(DS-8201a)と治験担当医選択薬の比較試験 [DESTINY-Breast04]

実施中(募集終了)NCT03734029第3相

This study will compare DS-8201a to physician choice standard treatment. Participants must have HER2-low breast cancer that has been treated before. Participants' cancer: * Cannot be removed by an operation * Has spread to other parts of the body

対象疾患:
Breast Cancer

非アルコール性脂肪性肝炎(NASH)およびステージ3肝線維症の成人患者における実験薬BMS-986036の研究

完了NCT03486899第2相

This is a study of experimental medication BMS-986036 given to adults with Nonalcoholic Steatohepatitis (NASH; the buildup of fat and inflammation in the liver that is not caused by alcohol) and stage 3 liver fibrosis (severe fibrosis).

対象疾患:
Liver FibrosisNonalcoholic Fatty Liver Disease (NAFLD)Nonalcoholic Steatohepatitis

ロッテルダム、モントリオール、山口、セーゲベルク、アムステルダムで行われた多大陸試験における、ビデオ濃度測定法を用いた大動脈弁逆流のプロトコル化された定量的評価。

完了NCT03644784

The ASSESS-REGURGE is a multicenter, multicontinental registry on protocoled aortographic image acquisition after implantation of a transcatheter aortic valve. After the implementation of the acquisition protocol, each participating site will use the standardized approach for their center in order to identify if the images are considered analyzable via videodensitometry quantitative assessment of aortic regurgitation.

対象疾患:
Aortic Valve InsufficiencyAortic Valve Regurgitation

中等度から重度の活動性潰瘍性大腸炎患者を対象としたミリキズマブの長期有効性と安全性を評価する試験(LUCENT 3)

実施中(募集終了)NCT03519945第3相

This study is designed to evaluate the long-term efficacy and safety of mirikizumab in participants with moderately to severely active ulcerative colitis (UC). The study will last up to 3 years. Participants who complete the 3-year study may continue to receive mirikizumab until it is (outside of this study) in their country or until they meet other discontinuation criteria.

対象疾患:
Ulcerative Colitis

早期アルツハイマー病(AD)患者を対象としたガンテネルマブの安全性および有効性に関する研究

中止NCT03443973第3相

This randomized, double-blind, placebo-controlled, parallel group study will evaluate the efficacy and safety of gantenerumab versus placebo in participants with early (prodromal to mild) AD. All participants must show evidence of beta-amyloid pathology. Eligible participants will be randomized 1:1 to receive either subcutaneous (SC) injection of gantenerumab or placebo. The primary efficacy assessment will be performed at the end of the double blind period at week 116. Participants will then be offered to enter into an open-label extension (OLE). Participants not willing to go to the OLE will participate in a long term follow-up period for up to 50 weeks after the last gantenerumab dose.

対象疾患:
Alzheimer Disease

筋層浸潤性膀胱がん患者における化学療法単独と化学療法+ニボルマブまたはニボルマブとBMS-986205の併用療法、さらに術後ニボルマブまたはニボルマブとBMS-986205による継続治療を比較する研究

実施中(募集終了)NCT03661320第3相

この研究の目的は、未治療の筋層浸潤性膀胱癌(MIBC)の成人患者を対象に、ニボルマブと術前ゲムシタビン/シスプラチン(GC)化学療法の併用と、術後の免疫腫瘍学(IO)療法の継続を、術前GC化学療法単独と比較することです。

対象疾患:
筋層浸潤性膀胱がん膀胱腫瘍

チロシンキナーゼ阻害剤(TKI)耐性の上皮成長因子受容体(EGFR)変異を有する転移性非扁平上皮非小細胞肺癌(NSCLC)成人患者を対象とした、ペメトレキセド+プラチナ製剤併用化学療法(ペムブロリズマブ(MK-3475)併用または非併用)の研究(MK-3475-789/KEYNOTE-789)

完了NCT03515837第3相

The purpose of this study is to evaluate the efficacy and safety of pemetrexed plus platinum chemotherapy (carboplatin or cisplatin) with or without pembrolizumab (MK-3475; KEYTRUDA®) in the treatment of adults with the following types of tyrosine kinase inhibitor (TKI)-resistant, epidermal growth factor receptor (EGFR)-mutated, metastatic non-squamous non-small cell lung cancer (NSCLC) tumors: 1) TKI-failures (including osimertinib \[TAGRISSO®\] failure) with T790M-negative mutation tumors, 2) T790M-positive mutation tumors with prior exposure to osimertinib, and 3) first-line osimertinib failure regardless of T790M mutation status. The primary study hypotheses are that the combination of pembrolizumab plus chemotherapy has superior efficacy compared to saline placebo plus chemotherapy in terms of: 1) Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) based on blinded independent central review, and 2) Overall Survival (OS). This study will be considered to have met its success criteria if the combination of pembrolizumab plus chemotherapy is superior to saline placebo plus chemotherapy in terms of PFS or OS. Upon study completion, participants are discontinued and may be enrolled in a pembrolizumab extension study, if available.

対象疾患:
Non-small Cell Lung Cancer

ステップ1:過体重または肥満の患者におけるセマグルチドの効果を調査する研究

完了NCT03548935第3相

This study will look at the change in participants' body weight from the start to the end of the study. The weight loss in participants taking semaglutide (a new medicine) will be compared to the weight loss of participants taking "dummy" medicine. In addition to taking the medicine, participants will have talks with study staff about healthy food choices, how to be more physically active and what you can do to lose weight. Participants will either get semaglutide or "dummy" medicine - which treatment participants get, is decided by chance. Participants will need to take 1 injection once a week. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. The study has two phases: A main phase and an extension phase.The main phase will last for about 1.5 years. Participants will have 15 clinic visits and 10 phone calls with the study doctor. Extension phase: Approximately 300 participants will continue in the extension phase in the following countries only: Canada, Germany, the UK and selected sites in the US and Japan. These participants will be in the study for about 2.5 years.They will not receive treatment, but will attend another 5 follow-up visits with the study doctor.

対象疾患:
Metabolism and Nutrition DisorderOverweight or Obesity

ロスバスタチンとエイコサペンタエン酸で治療された新生動脈硬化症の高リスク患者の病変評価(光干渉断層撮影法(OCT)を使用)[リンク2]

不明NCT03657758第4相

This study aim is to evaluate the additional effect of eicosapentaenoic acid and dose up effect of rosuvastatin for neoatherosclerosis in coronary artery disease patients.

対象疾患:
Angina PectorisCoronary Artery Disease