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食道扁平上皮癌患者における術後化学療法の効果予測

募集中NCT06490003

Esophageal cancer remains a disease with a poor prognosis. Chemotherapy is an important part of its treatment, but there are cases in which chemotherapy is ineffective. The investigators aim to develop a model to predict the response to chemotherapy by DNA methylation of preoperative biopsy specimens to identify the chemotherapy ineffective group.

対象疾患:
Chemotherapy EffectDNA MethylationEsophageal Squamous Cell Carcinoma

進行固形腫瘍患者を対象としたGSK5764227の試験(EMBOLD PanTumor-101)

募集中NCT06551142第1相

The goal of this study is to assess the safety, tolerability, clinical activity and pharmacokinetics of GSK5764227. The study will also see how the levels of GSK5764227 will change over time at different dose amounts when administered alone and in combination with other medicines like carboplatin, cisplatin, atezolizumab, pembrolizumab, durvalumab, bevacizumab, cetuximab.

対象疾患:
Neoplasms

50歳以上の成人を対象としたmRNA-1083ワクチン(SARS-CoV-2 [COVID-19] およびインフルエンザ)の免疫原性、反応原性、および安全性を調査する研究

完了NCT06694389第3相

The purpose of the study is to evaluate the immunogenicity, reactogenicity, and safety of mRNA-1083 in adults 50 years of age and older in participating countries (Japan, Taiwan, and South Korea).

対象疾患:
COVID-19Influenza

全身性エリテマトーデス(SLE)の早期成人患者におけるベリムマブ投与の有効性と安全性を評価する研究

募集中NCT06411249第4相

This is a prospective, open-label, single arm 3-year clinical study to describe the short-term and long-term efficacy and safety of belimumab in participants with autoantibody positive early SLE with ongoing disease activity despite stable initial SLE therapy.

対象疾患:
Systemic Lupus Erythematosus

生物学的製剤または経口JAK阻害剤による治療で十分な効果が得られなかった12歳以上の中等度から重度のアルツハイマー病患者を対象に、背景となる局所ステロイド療法に対するアムリテリマブ皮下投与の有効性と安全性を評価する研究

募集中NCT06241118第3相

This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm study for treatment of participants diagnosed with moderate-to-severe AD on background TCS who have had inadequate response to prior biologic or oral JAKi therapy. The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for subcutaneous (SC) injection compared with placebo in participants with moderate-to-severe AD aged 12 years and older on background TCS and have had an inadequate response to prior biologic or an oral JAKi therapy. Study details include: At the end of the treatment period, participants will have the option to enter the Long-Term Safety Study LTS17367 (RIVER-AD). The study duration will be up to 56 weeks for participants not entering the long-term safety study (LTS17367 \[RIVER-AD\]) including a 2 to 4-week screening, a 36-week randomized double-blind period, and a 16-week safety follow-up. The study duration will be up to 40 weeks for participants entering the long-term safety study (LTS17367 \[RIVER-AD\]) including a 2 to 4-week screening and a 36-week randomized double-blind period. The total treatment duration will be up to 36 weeks. The total number of visits will be up to 13 visits (or 12 visits for those entering the long-term safety study LTS17367 \[RIVER-AD\] study).

対象疾患:
アトピー性皮膚炎

悪性胸膜中皮腫に対するペンブロリズマブとレンバチニブの併用化学療法の研究

募集中NCT06318286第2相

In this Phase-II study, the investigators will investigate the efficacy and safety of lenvatinib in combination with pembrolizumab and chemotherapy in patients with malignant pleural mesothelioma.

対象疾患:
Malignant Pleural Mesothelioma

心不全および腎機能障害患者におけるバルシンレノン/ダパグリフロジンの効果を評価する研究

募集中NCT06307652第3相

This is a Phase III, international, multi-centre, randomised, double-blind, parallel-group, double-dummy, active-controlled, event-driven study in patients with chronic HF and impaired kidney function who had a recent HF event. The aim is to evaluate the effect of balcinrenone/dapagliflozin vs dapagliflozin, given once daily on top of other classes of SoC, on CV death and HF events.

対象疾患:
心不全と腎機能障害

大腸がん患者に対する第一選択治療としてのONO-7913、ONO-4538および標準治療の比較研究

実施中(募集終了)NCT06540261第1相

To confirm the tolerability and safety of combined administration of ONO-7913, ONO-4538 and the standard of care FOLFOX in combination with bevacizumab or cetuximab as first-line treatment in patients with unresectable advanced or recurrent colorectal cancer

対象疾患:
Unresectable Colorectal Cancer

THAにおけるポリエチレン摩耗粒子の分析

募集中NCT06432543

Purpose of research The purpose of this study was to demonstrate that polyethylene (Vitamin E-containing polyethylene), a newly introduced biomaterial for tibial inserts in hip replacement surgery and widely used clinically, but whose mid- to long-term clinical results are still unknown, is superior to conventional polyethylene in vivo. The aim of this project is to conduct an international multi-center joint research study to determine whether polyethylene wear debris production can be reduced in the future, using an in vivo polyethylene wear debris analysis method that the investigators developed as a method that can provide early feedback.

対象疾患:
Hip ArthropathyWear of Articular Bearing Surface of Prosthetic Joint

免疫グロブリンA腎症(IgAN)におけるラブリズマブの研究

募集中NCT06291376第3相

The primary objective of this study to evaluate efficacy of ravulizumab compared with placebo on proteinuria reduction and change in eGFR in adult participants with IgAN who are at risk of disease progression.

対象疾患:
イガン免疫グロブリンA腎症

進行性HR+/HER2-乳がんおよびその他の進行性固形腫瘍患者を対象としたECI830単剤または併用療法の試験

募集中NCT06726148第1/第2相

Phase I: Characterize safety and tolerability of ECI830 as a single agent and in combination with ribociclib and fulvestrant. Identify dose range for optimization/recommended dose for future studies. Phase II: Assess the anti-tumor activity of ECI830 in combination with ribociclib and fulvestrant in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer.

対象疾患:
Advanced CCNE1-amplified Solid TumorsAdvanced HR+/HER2- Breast Cancer

コントロール不良喘息の成人患者を対象としたFF/UMEC/VIと非エリプタ通常ケアICS-LABAのプラグマティックオープンラベルランダム化臨床試験

実施中(募集終了)NCT06372496第4相

The goal of this study is to assess and compare the effectiveness of fluticasone furoate/umeclidinium bromide/vilanterol trifenatate (FF/UMEC/VI) with inhaled corticosteroids/long-acting beta-2 agonists (ICS/LABA) in adult participants with uncontrolled asthma

対象疾患:
Asthma

健康な日本人被験者を対象としたLY4065967の研究

完了NCT06594159第1相

The purpose of this study is to obtain safety and tolerability data of the study drug known as LY4065967 and rosuvastatin in healthy Japanese participants. Blood tests will be performed to check how much LY4065967 and rosuvastatin get into the bloodstream and how long it takes the body to eliminate it. This is a 3-part study and will last approximately 2 weeks excluding screening period for each part.

対象疾患:
Healthy

活動性潰瘍性大腸炎の成人患者におけるルチキズマブの静脈内(IV)および皮下(SC)投与による有害事象および疾患活動性の変化を評価する研究

実施中(募集終了)NCT06257875第2相

Ulcerative colitis (UC) is a type of inflammatory bowel disease that causes inflammation and bleeding from the lining of the rectum and colon (large intestine). The purpose of this study is to assess how safe and effective lutikizumab is in adult participants with moderate to severe UC and how lutikizumab compares to adalimumab in the treatment of UC. Adverse events and changes in disease activity will be assessed. Lutikizumab is an investigational product being developed for the treatment of moderate to severe UC. Participants are placed in groups called treatment arms. Each group receives a different treatment. In the Induction Period, participants will be randomized into 1 of 3 arms receiving lutikizumab Dose 1, lutikizumab Dose 2, or adalimumab. In the Maintenance Period, participants who responded to lutikizumab will be randomized into 1 of 2 arms of lutikizumab maintenance and participants who responded to adalimumab will continue to receive adalimumab. All participants who did not achieve clinical response per modified Mayo Score at the end of the Induction period will receive lutikizumab. Around 200 adult participants with UC will be enrolled at approximately 200 sites worldwide. During the 12 week Induction Period, participants will be randomized to receive intravenous (IV) and subcutaneous (SC) lutikizumab or SC adalimumab. At the 12 week mark, participants who are on lutikizumab who have responded to treatment will be re-randomized to receive SC lutikizumab at different intervals until Week 52. Participants who are on adalimumab who are responding to treatment will continue to receive adalimumab. Participants who do not respond to treatment will receive SC lutikizumab. Participants who complete the Week 52 visit and in whom therapeutic benefit to study drug is confirmed by the investigator may roll over into an optional, 52-week long-term extension (LTE). 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. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

対象疾患:
Ulcerative Colitis

ウルソデオキシコール酸(UDCA)および/またはオベチコール酸(OCA)治療に十分な反応を示さない原発性胆汁性胆管炎(PBC)患者におけるK-808(ペマフィブラート)の有効性と安全性を評価する研究。

実施中(募集終了)NCT06247735第2相

Study to investigate the efficacy and safety of two doses of K-808 (pemafribate) in subjects with PBC.

対象疾患:
Primary Biliary Cholangitis

SMARCA4変異を有する進行性または転移性固形腫瘍患者を対象とした経口SMARCA2分解剤PRT7732の研究

中止NCT06560645第1相

これは、SMARCA4 変異を伴う特定の進行性または転移性固形腫瘍の患者における PRT7732 の安全性、忍容性、薬物動態、薬力学、および予備的な有効性を判断する第 1 相試験です。

対象疾患:
進行固形腫瘍食道腺癌食道扁平上皮癌胃腺癌胃扁平上皮癌5

生物学的製剤による治療を受けたことがある、または受けていない乾癬性関節炎の成人患者を対象としたザソシチニブの研究

募集中NCT06671496第3相

Psoriatic arthritis (PsA) is a chronic inflammatory disease that affects the joints and skin in people who have psoriasis (PsO). The main aim of the study is to know how well zasocitinib (TAK-279) works in participants with active PsA based on their previous experience with specific treatments. The participants will be treated with either zasocitinib, or placebo. Participants will be in the study for up to 60 weeks.

対象疾患:
乾癬性関節炎

拡張ARDS-J食道内圧研究

募集中NCT06734988

Background: Acute respiratory distress syndrome (ARDS) patients require careful assessment before extubation to prevent failure, which is associated with poor outcomes. While current guidelines recommend weaning protocols, these are based on general respiratory failure studies rather than ARDS-specific data. Esophageal pressure (Pes) measurement provides direct assessment of inspiratory effort but is rarely utilized clinically. Objectives: This Japanese sub-study of EXTEND ARDS aims to evaluate whether: 1. ΔPes measurements during spontaneous breathing trials (SBT) can predict SBT failure 2. ΔPes measurements post-extubation can predict 48-hour extubation failure Methods: This prospective observational study will be conducted in Japanese ICUs. Esophageal pressure will be measured using standardized Nutrivent balloons (4mL volume) with Hamilton ventilators. Balloon placement in the lower third of the esophagus will be confirmed by cardiac artifacts and chest X-ray. ΔPes will be calculated as the difference between end-expiratory and peak inspiratory esophageal pressure, excluding esophageal contractions. Significance: This study addresses a knowledge gap regarding the utility of esophageal pressure monitoring in ARDS patients during mechanical ventilation weaning. Findings may help optimize extubation timing and improve patient outcomes through objective physiological measurements.

対象疾患:
ARDS (Acute Respiratory Distress Syndrome)

月経性片頭痛の間欠的予防に女性で使用されたリメゲパントと呼ばれる研究薬について知るための研究

募集中NCT06641466第3相

この研究の目的は、月経性片頭痛発作を経験する女性における片頭痛の間欠的予防のために月経周辺期(PMP)に投与した場合のリメゲパントの有効性と安全性を評価することです。

対象疾患:
月経性片頭痛

18歳から65歳までのアルコール関連肝疾患の成人患者を対象に、GSK4532990とプラセボを比較した安全性と有効性を検討する試験

募集中NCT06613698第2相

The goal of this study is to assess the safety and efficacy of GSK4532990 in participants with alcohol-related liver disease.

対象疾患:
肝臓病、アルコール依存症