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補助ロッド構造の耐久性 - 長節後方器具固定脊椎における補助ロッド技術

募集中NCT06368245

This is a multicenter retrospective comparative cohort study. The index surgery for this study is primary or revision long-segment posterior thoracolumbar (TL) instrumented fusion using either a supplementary rod construct or a dual-rod construct. Eligible patients who already had index surgery, will be identified for enrollment through a review of medical records of the participating surgeons at the study sites.

対象疾患:
Spinal Fusion

進行固形腫瘍、肝細胞癌(HCC)、メラノーマ、小児癌患者を対象とした、抗DLK1モノクローナル抗体CBA-1205の第I相臨床試験(ヒト初)

募集中NCT06636435第1相

In this first-in-human, muticenter, non-randomized, open-label, standard 3+3 dose escalation Phase I study encompasses 5 parts (Part 1-5). The purpose of this FIH study is to evaluate the safety and tolerability profile of CBA-1205.

対象疾患:
Hepatocellular Carcinoma (HCC)Malignant MelanomaPediatric CancerSolid Tumors

遺伝性血管性浮腫の青年および成人における血管性浮腫発作のオンデマンド治療のための経口デュクリチバントソフトカプセルの研究

完了NCT06343779第3相

This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled, 2-period, 2-treatment cross-over study to evaluate the efficacy and safety of orally administered deucrictibant compared to placebo for the on-demand treatment of HAE attacks, including non-severe laryngeal attacks, in participants ≥12 to ≤75 years of age with HAE type 1, type 2, or type 3, a proportion of whom are using long-term prophylactic medication for HAE.

対象疾患:
C1 Esterase Inhibitor DeficiencyC1 Esterase Inhibitor [C1-INH] DeficiencyC1 Esterase Inhibitor, Deficiency ofC1 Inhibitor DeficiencyHereditary Angioedema9

びまん性皮膚全身性強皮症患者におけるイアナルマブの評価を目的とした臨床試験

募集中NCT06470048第2相

The purpose of this study is to evaluate efficacy, safety and tolerability of s.c. ianalumab administered in participants with diffuse cutaneous systemic sclerosis relative to placebo

対象疾患:
Diffuse Cutaneous Systemic Sclerosis

日本の日常臨床診療において、経口ベネトクラックス錠±静脈内(IV)注入によるリツキシマブを投与された慢性リンパ性白血病(CLL)成人患者における検出限界以下の微小残存病変(uMRD)の頻度を評価する研究

完了NCT06362044

Most cases of Chronic lymphocytic leukemia (CLL) remain an incurable disease with the goal of therapy being to improve quality of life and to prolong survival. This study will evaluate the participant's related outcomes and experience of CLL in adult participants who are treated in the Japan. Study participants will receive oral treatments of Venetoclax±Rituximab for CLL as prescribed by their study doctor in accordance with approved local label. Adult participants prescribed various treatments Venetoclax±Rituximab will be enrolled. Around 89 participants will be enrolled in the study in sites in Japan. Participants will receive oral venetoclax tablets ± intravenously (IV) infused rituximab treatments for CLL according to the approved local label. The overall study duration will be 27 months. There is expected to be no additional burden for participants in this trial. All study visits will occur during routine clinical practice.

対象疾患:
Chronic Lymphocytic Leukemia

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GPRC5D標的CAR T細胞療法であるArlocabtagene Autoleucel(BMS-986393)の研究

募集中NCT06297226第2相

The purpose of this study is to evaluate the effectiveness and safety of Arlocabtagene Autoleucel (BMS-986393) in participants with relapsed or refractory multiple myeloma.

対象疾患:
Multiple Myeloma

再発性/難治性AML、MDS/AML、またはCMML患者を対象としたS227928の単剤およびベネトクラックスとの併用療法を評価する試験

中止NCT06563804第1/第2相

The objective of this study is to determine the safety, tolerability, and anti-leukemic activity of S227928 as single agent and in combination with venetoclax, and to determine the recommended Phase 2 dose (RP2D) of this combination. The study will begin as a Phase 1 Dose Escalation study to determine the RP2D and then will transition to a Phase 2 Dose Expansion study to assess the efficacy of the selected RP2D. During the treatment period participants will have study visits every two weeks, with additional visits occurring during the first and second cycle. Approximately 30 days after treatment has ended, an end-of-treatment visit will occur and then participants will be followed for survival every 12 weeks for the next 6 months. Study visits may include a bone marrow aspirate and/or biopsy, blood and urine tests, ECG, vital signs, physical examination, and administration of study treatment.

対象疾患:
Chronic Myelomonocytic Leukemia (CMML)Myelodysplastic Syndrome (MDS)/AMLRelapsed/Refractory (R/R) Acute Myeloid Leukemia (AML)

転移性去勢抵抗性前立腺がんの成人患者における有害事象および静脈内(IV)投与されたABBV-969の体内での移動を評価する研究

募集中NCT06318273第1相

Prostate cancer has the second highest incidence rate and is the fifth leading cause of cancer-related deaths among men worldwide. The purpose of this study is to assess safety, pharmacokinetics, and efficacy of ABBV-969 as a monotherapy. ABBV-969 is an investigational drug being developed for the treatment of metastatic castration-resistant prostate cancer (mCRPC). There are parts to this study. Participants will receive ABBV-969 as a single agent at different doses. Approximately 140 adult participants will be enrolled in the study across sites worldwide. In part 1 (dose escalation), ABBV-969 will be intravenously infused in escalating doses as a monotherapy. In part 2, multiple doses will be selected from Part 1 and mCRPC participants will be assigned to one of these doses in a randomized fashion to determine the recommended Phase 2 dose. The estimated duration of the study is up to 3 years. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, and scans.

対象疾患:
Metastatic Castration-Resistant Prostate Cancer

EGFR遺伝子変異陽性非小細胞肺癌におけるONO-7475とオシメルチニブの併用試験

実施中(募集終了)NCT06525246第1相

This study is to evaluate the tolerability and safety of ONO-7475 in combination with osimertinib in the first-line treatment of patients with EGFR-mutated, stage IIIB/IIIC/IV or recurrent non-small cell lung cancer (NSCLC), which is unsuitable for radical irradiation.

対象疾患:
EGFR Mutation-Related TumorsRecurrent Non-Small Cell Lung CancerStage IIIB Non-small Cell Lung CancerStage IIIC Non-Small Cell Lung CancerStage IV Non-small Cell Lung Cancer

進行性または転移性尿路上皮がんまたはその他の固形腫瘍患者を対象としたLY4052031の研究

募集中NCT06465069第1相

The purpose of this study is to find out whether the study drug, LY4052031, is safe, tolerable and effective in participants with advanced, or metastatic solid tumors including urothelial cancer. The study is conducted in two parts - phase Ia (dose-escalation, dose-optimization) and phase Ib (dose-expansion). The study will last up to approximately 4 years.

対象疾患:
Advanced Solid TumorBladder CancerCervical CancerEsophageal CancerHead and Neck Squamous Cell Carcinoma9

PD-L1陽性転移性非小細胞肺癌患者の第一選択治療におけるイボネスシマブの臨床試験

募集中NCT06767514第3相

Clinical study of ivonescimab for first-line treatment of metastatic NSCLC patients with high PD-L1. Evaluating overall survival and progression free survival.

対象疾患:
Non-Small Cell Lung Cancer

進行性転移性去勢抵抗性前立腺癌患者を対象とした、ザリタミグとカバジタキセルまたは二次アンドロゲン受容体標的療法との比較第3相試験(XALute)

募集中NCT06691984第3相

The main objective of the study is to compare overall survival in participants receiving xaluritamig versus investigator's choice (cabazitaxel or second androgen receptor-directed therapy \[ARDT\]).

対象疾患:
転移性去勢抵抗性前立腺がん

同時左心房耳閉鎖術とパルスフィールドアブレーション-アジア

募集中NCT06686485

Subjects enrolled in the OPTION-A study will be clinically indicated for atrial fibrillation (AF) ablation procedure with the FARAPULSE™ PFA system and treatment with WATCHMAN LAAC Device, per physician's medical judgement and according to hospitals' standard of care during the same procedure.

対象疾患:
Atrial FibrillationConcomitant ProceduresLAACPFA

局所進行切除不能または転移性胃癌、胃食道接合部癌、または食道腺癌の成人患者を対象に、静脈内(IV)ABBV-400とIVフルオロウラシル、ロイコボリン、およびブジガリマブの併用療法の有害事象、有効性、および最適投与量を評価する試験

募集中NCT06628310第2相

Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess adverse events and change in disease activity when telisotuzumab adizutecan (ABBV-400) is given in combination with Fluorouracil, Leucovorin, and a programmed cell death receptor 1 (PD1) inhibitor Budigalimab. The combination (AFLB) will be given to adult participants to treat locally advanced unresectable or metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma (mGEA). Telisotuzumab Adizutecan (ABBV-400) and Budigalimab are investigational drugs being developed for the treatment of mGEA. Fluorouracil and Leucovorin are drugs approved for the treatment of mGEA. This study will be divided into two stages, with the first stage treating participants with increasing doses of ABBV-400 within the AFLB regimen until the dose reached is tolerable and expected to be efficacious. Participants will then be randomized into groups called treatment arms where one group will receive Budigalimab and FOLFOX (Fluorouracil, Leucovorin, and Oxaliplatin) . A further two treatment groups will receive AFLB, but with two optimized doses of ABBV-400 to allow for the best dose to be studied in the future. Approximately 180 adult participants with mGEA will be enrolled in the study in 51 sites worldwide. In the dose escalation stage, participants will be treated with increasing intravenous (IV) doses of telisotuzumab adizutecan (ABBV-400) within the AFLB regimen until the dose reached is tolerable and expected to be efficacious. In the dose optimization stage, participants will receive FOLFOX or receive AFLB, but with one of two optimized doses of ABBV-400. The study will run for a duration of approximately 6 years. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

対象疾患:
食道腺癌胃食道接合部腺癌局所進行切除不能または転移性胃腺癌

グラム染色分析AIの開発と精度評価

募集中NCT06377592

The investigators use Gram-stained specimens provided from clinical settings to develop and evaluate the accuracy of Gram staining analysis AI

対象疾患:
Bacterial Infections

リトルシチニブで治療したAA患者の特徴と臨床転帰

募集中NCT06531109

Alopecia areata (AA) is a chronic relapsing autoimmune disease characterized by nonscarring hair loss affecting children, adolescents, and adults across all ages, races, and genders. AA primarily affects the scalp; however, it also can affect nails, eyelashes, eyebrows, and other hair follicles on the patient's body. The 3 main types of AA are: * Patchy alopecia (PA), as seen in 90% of clinical diagnoses * Alopecia totalis (AT), that affects all scalp hair * Alopecia universalis (AU), involving all scalp, face, and body hair Dermatologist preferences for utility and order of skin-directed therapies to treat AA vary widely, with treatment choices based on various factors such as patients' age, disease duration and severity (Meah et al., 2020). Ritlecitinib is a bioavailable small molecule that irreversibly binds to Janus kinase-3 (JAK3) and Tyrosine kinase Expressed in the hepatocellular Carcinoma kinase family (TEC). Ritlecitinib 50 mg once daily was approved by the FDA 23 June 2023 and EMA 20 July 2023 for the treatment of severe alopecia areata in adults and adolescents 12 years of age and older. In Japan, ritlecitinib was approved on 26 June 2023 for the treatment of alopecia areata (limited to intractable cases involving widespread hair loss). Additional countries have since approved ritlecitinib. Those approvals are based on the results of the ritlecitinib pivotal phase 2b/3 study (ALLEGRO 2b/3) which examined efficacy and safety of ritlecitinib in AA patients globally. Despite positive results from the ALLEGRO program, there is still lack of evidence on ritlecitinib patients' characteristics and clinical outcomes in routine clinical practice. The investigators will evaluate patient and disease characteristics, treatment patterns, and clinical and patient-reported outcomes among patients with AA who are receiving ritlecitinib. The aim of this study is to measure effectiveness of ritlecitinib in a real-world setting. Ritlecitinib will be prescribed to patients according to the approved product label. Treatment will be guided by clinical judgement of the treating physician ie, study investigators, according to standard of care, independently of this study.

対象疾患:
円形脱毛症

進行固形腫瘍患者を対象としたPF-07820435の単剤および併用療法の試験

中止NCT06285097第1相

This study aims to evaluate the safety, and early signals of anti-tumor activity of PF-07820435 when administered alone (Part 1A) or in combination with sasanlimab (Part 1B; Part 2) in patients with selected advanced or metastatic solid tumors. Part 1 will be dose-finding and Part 2 of the study will further evaluate PF-07820435 at the recommended dose for combination expansion in patients with selected advanced solid tumors.

対象疾患:
Colorectal CarcinomaMelanomaNeoplasmsNon-small-cell Lung CancerOvarian Carcinoma3

アンジェルマン症候群(AS)の小児患者を対象としたGTX-102の第3相有効性および安全性試験

実施中(募集終了)NCT06617429第3相

この研究の主な目的は、欠失型アンジェルマン症候群 (AS) の参加者の認知機能に対する GTX-102 の効果を評価することです。

対象疾患:
アンジェルマン症候群

遠隔転移のない頭頸部局所再発扁平上皮癌の第一選択治療におけるASP-1929光免疫療法とペンブロリズマブの併用に関する研究

募集中NCT06699212第3相

The goal of this clinical trial is to learn if ASP-1929 photoimmunotherapy (PIT) in combination with pembrolizumab works to treat recurrent squamous cell cancer of the head and neck (HNSCC) with no distant metastases. It will also learn about the safety of ASP-1929 PIT in combination with pembrolizumab. Researchers will compare ASP-1929 PIT in combination with pembrolizumab to pembrolizumab alone or pembrolizumab plus chemotherapy (carboplatin or cisplatin, plus 5-fluorouracil or paclitaxel or docetaxel) according to physician's choice (control arm). The overall primary study hypothesis being tested is whether ASP-1929 PIT plus pembrolizumab combination treatment improves the overall survival (OS) of the population defined by the inclusion/exclusion criteria over the control arm.

対象疾患:
Recurrent Head and Neck Squamous Cell Carcinoma

再発性/難治性マントル細胞リンパ腫の成人患者を対象とした、ソンロトクラックス+ザヌブルチニブの有効性と安全性をプラセボ+ザヌブルチニブと比較する試験(CELESTIAL-RRMCL)

募集中NCT06742996第3相

The goal of this study is to compare how well sonrotoclax plus zanubrutinib works versus zanubrutinib plus placebo in treating adults with relapsed/refractory (R/R) mantle cell lymphoma (MCL). This study will also look at the safety of sonrotoclax plus zanubrutinib versus zanubrutinib plus placebo.

対象疾患:
B細胞リンパ腫マントル細胞リンパ腫