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濾胞性リンパ腫の成人患者における有害事象および疾患活動性の変化を評価するための皮下投与エプコリタマブと静脈内投与リツキシマブおよび経口投与レナリドミド(R2)の併用試験

実施中(募集終了)NCT05409066第3相

Follicular Lymphoma (FL) is the second most common B-cell cancer and the most common type of cancer of lymphocytes. Unfortunately, this disease is incurable with conventional treatment and the disease recurs in almost all patients. This study will assess how safe and effective epcoritamab is in combination with lenalidomide and rituximab (R2) in treating adult participants with relapsed or refractory (R/R) FL. Adverse events and change in disease condition will be assessed. Epcoritamab is an investigational drug being developed for the treatment of FL. Study doctors put the participants in 1 of 3 groups, called treatment arms. Each group receives a different treatment. Enrollment to one of the groups is closed. Around 500 adult participants with R/R FL will be enrolled in approximately 300 sites across the world. Participants will receive R2 (375 mg/m\^2 intravenous infusion of rituximab up to 5 cycles and oral capsules of 20 mg lenalidomide for up to 12 cycles) alone or in combination with subcutaneous injections of epcoritamab for up to 12 cycles (each cycle is 28 days). 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:
Follicular Lymphoma (FL)

単純性尿路感染症(急性膀胱炎)の日本人女性患者におけるゲポチダシンの有効性と安全性を検討する試験

完了NCT05630833第3相

The purpose of this study is to evaluate the consistency of therapeutic response of gepotidacin in female participants with acute uncomplicated cystitis with qualifying bacterial uropathogen(s) at baseline that all are susceptible to nitrofurantoin in Japan, with that from global studies (Studies 204989 \[NCT04020341\] and 212390 \[NCT04187144\]).

対象疾患:
Urinary Tract Infections

好酸球増多症候群患者におけるデペモキマブの有効性および安全性試験

募集中NCT05334368第3相

This is a 52-week, randomized, placebo-controlled, double-blind, parallel group, multicenter study of depemokimab in adults with uncontrolled HES receiving standard of care (SoC) therapy. The study will recruit patients with a confirmed diagnosis of HES and who are on stable HES therapy for at least 4 weeks prior to randomization (Visit 2). Eligible participants must have uncontrolled HES with a history of repeated flare (≥2 flares in the previous 12 months) and blood eosinophil count of ≥1,000 cells/ microliter (μL) during Screening. Historical HES flares are defined as documented HES-related worsening of clinical symptoms or blood eosinophil counts requiring an escalation in therapy. Participants who meet the inclusion and exclusion criteria will be randomized in a 2:1 ratio to receive either depemokimab or placebo while continuing their SoC HES therapy.

対象疾患:
Hypereosinophilic Syndrome

健康な成人および腎機能が低下した成人におけるASP5354の身体への影響に関する研究

完了NCT05495581第1相

The ureter is the tube that carries urine from the kidneys to the bladder. It is difficult for surgeons to see the ureter during abdominal surgery. This could lead to injuring the ureter which, although rare, could be serious. ASP5354 is a potential new medical dye to help surgeons clearly see the ureter during surgery. ASP5354 is injected into the body and is detected by a type of camera called near infrared fluoroscopy, or NIR-F for short. Together they show live images of the ureter during surgery. Before ASP5354 is available as a medical dye, the researchers need to understand how it affects the body. In this study, the researchers will check how ASP5354 affects the body in adults up to 75 years old. The main aim is to learn how ASP5354 is processed by the body in people whose kidneys do not work well compared to healthy people. There will be 4 groups of people with different levels of how well their kidneys work. This study will include a 3-night stay in a clinical research unit. People will be admitted to the clinic the day before they receive the ASP5354 injection. The study doctor will take their medical history. People will have an ECG to measure their heart rhythm, a medical examination, and will have their vital signs checked (pulse rate, body temperature and blood pressure). They will also give blood and urine samples for laboratory tests. For some women, this will include a pregnancy test. People will need to fast for several hours before receiving the injection. The next day, people will receive 1 injection of ASP5354. They will continue to fast for a few hours afterwards. They will have an ECG and will have their vital signs checked. They will also give blood and urine samples for laboratory tests and the study doctors will check for medical problems. During the next 2 days, people will give more blood and urine samples and the study doctors will check for medical problems. On the last day, people will also have their vital signs checked. If there are no medical problems on the last day, people can return home. People will return to the clinic about 1 week later for a final check-up. They will have an ECG, a medical examination and have their vital signs checked. They will give blood and urine samples for laboratory tests. For some women, this will include a pregnancy test. The study doctors will also check for medical problems.

対象疾患:
Healthy VolunteersRenal Impairment

統合失調症の症状が十分にコントロールされていない被験者における補助的KarXTの長期安全性と忍容性を評価するための延長試験

募集中NCT05304767第3相

This is a Phase 3, multicenter, 52-week, outpatient, open-label extension (OLE) study to evaluate the long-term safety and tolerability of adjunctive KarXT in subjects with schizophrenia with an inadequate response to their current antipsychotic treatment who previously completed the treatment period (Visit 8/Day 42 ± 3) of ARISE Study (KAR-012). The primary objective of the study is to assess the long-term safety and tolerability of adjunctive KarXT (a fixed dose combination of xanomeline and trospium chloride twice daily \[BID\]) in subjects with schizophrenia.

対象疾患:
統合失調症

クローン病の小児患者を対象としたミリキズマブ(LY3074828)の研究

募集中NCT05509777第3相

Study participants will be screened during the platform study and randomly assigned to receive mirikizumab or another intervention. The purpose of the mirikizumab study is to evaluate efficacy, safety, tolerability, and how well mirikizumab absorbs into the body of pediatric participants with Crohn's disease. Study periods for the intervention-specific appendix (ISA) will be as follows: * A 12-week induction period * A maintenance period from Week 12 to Week 52, and * A safety follow-up period up to 16 weeks. The study will last about 74 weeks and may include up to 19 visits.

対象疾患:
Crohn's Disease

再発性および/または難治性B細胞悪性腫瘍におけるPIT565の研究

実施中(募集終了)NCT05397496第1相

This is an open-label, multicenter, phase I study, which primary objective is to characterize the safety and tolerability of PIT565 and to identify maximal tolerated doses (MTDs) and/or recommended doses (RDs), schedule and route of administration in relapsed and/or refractory B-cell Non-Hodgkin lymphoma (R/R B-NHL) and relapsed and/or refractory B-cell acute lymphoblastic leukemia (R/R B-ALL).

対象疾患:
B-cell Acute Lymphoblastic Leukemia (B-ALL)B-cell Non-Hodgkin Lymphoma (B-NHL)

局所進行直腸癌に対するSCRT+CAPOXとSCRT+CAPOXIRIのTNT

募集中NCT05646511第3相

This trial is a multicenter randomized Phase III study to verify the superiority of short-course preoperative radiation (SCRT) and CAPOXIRI over SCRT and CAPOX as preoperative treatments for locally advanced rectal cancer.

対象疾患:
Locally Advanced Rectal Cancer

ウパダシチニブとメトトレキサート併用療法により臨床的寛解を達成した関節リウマチ患者におけるメトトレキサートの中止

不明NCT05121298第3相

The administration of Janus kinase (JAK) inhibitors as well as biological disease-modifying anti-rheumatic drugs has dramatically improved even the clinical outcomes in rheumatoid arthritis (RA) patients with inadequate response to methotrexate (MTX). Upadacitinib is a selective JAK1 inhibitor to be approved for use in RA. Nearly half of patients added JAK inhibitors including upadacitinib can achieve clinical remission in RA patients with inadequate response to MTX. As the next step, it is the great issue whether disease activity can be maintained in good condition even if MTX is discontinued after achieving clinical remission in patients treated with the combination of JAK inhibitors and MTX. Thus, it is desirable to investigate the maintenance of clinical non-relapse after discontinuation of MTX in RA patients with clinical remission during treatment with upadacitinib plus MTX. In this study, we will evaluate the proportion of patients who maintained nonclinical relapse after discontinuation of MTX in patients with RA who achieved clinical remission after treatment with upadacitinib plus MTX. We will also use musculoskeletal ultrasound (MSUS) assessments to determine whether discontinuation of MTX can be maintained nonclinical relapse in RA patients achieving clinical remission.

対象疾患:
BiomarkerJAK InhibitorMusculoskeletal UltrasoundRheumatoid Arthritis

大腸内視鏡検査におけるプロポフォール鎮静(> 200 mg)の安全性。

完了NCT05213208

This study examines that the use of \>200 mg of propofol sedation enables patients to drive home safely after outpatient colonoscopy.

対象疾患:
Safety Issues

慢性ITPの日本人成人における血小板減少症治療薬アバトロンボパグの評価

完了NCT05369208第3相

Evaluate the efficacy, safety, and PK of avatrombopag given for 26 weeks in Japanese adults with chronic immune thrombocytopenia (ITP).

対象疾患:
Immune Thrombocytopenia

治療抵抗性高血圧患者におけるXXB750の有効性、安全性、忍容性および用量設定試験。

完了NCT05562934第2相

The purpose of this 20-week randomized double-blind study in patients with resistant hypertension (rHTN) is to evaluate the efficacy, safety, and tolerability, of different doses of XXB750 administered as subcutaneous (SC) injections, compared to placebo. Since all study participants will be patients with rHTN, all study treatments will be given on top of maximally tolerated background antihypertensive therapy recommended by international guidelines for treatment of HTN (i.e., a thiazide or a thiazide-like diuretic, an angiotensin converting enzyme inhibitor (ACEi) or an angiotensin receptor blocker (ARB), and a long-acting dihydropyridine calcium channel blocker (CCB).

対象疾患:
Resistant Hypertension

A型腎症(IgAN)の治療におけるシベプレナブの試験

実施中(募集終了)NCT05248646第3相

To Evaluate the Efficacy and Safety of Sibeprenlimab Administered Subcutaneously in Subjects with Primary Immunoglobulin A Nephropathy

対象疾患:
免疫グロブリンA腎症

脳卒中研究におけるsCLEC-2

不明NCT05579405

Any platelet function tests have not been widely used in the clinical practice of acute cerebrovascular disease because of the concerns in repeatability, economic performance, and simplicity. Soluble C-type lectin-like receptor 2 (sCLEC-2) is a new marker for platelet activation, which can be easily measured by usual blood collection in routine clinical practice. We planned the sCLEC-2 in Stroke (CLECSTRO), which is a prospective cohort study in patients with acute ischemic stroke (AIS) and transient ischemic attack (TIA). We planned the sCLEC-2 in Stroke (CLECSTRO), which is a prospective cohort study in patients with acute ischemic stroke (AIS) and transient ischemic attack (TIA). The purpose of this study is to evaluate the clinical utility of sCLEC-2 as a biomarker for pathophysiology, differential diagnosis, prediction of prognosis, and monitoring of antiplatelet therapy in patients with AIS and TIA. Subjects are patients with AIS or TIA and control patients required for differentiation from AIS or TIA. The target population is 600 including the patients and the controls. The outcomes include difference in plasma sCLEC-2 level between patients with AIS or TIA and patient controls, correlation between sCLEC-2 after antithrombotic therapy and recurrence or worsening of stroke, difference in sCLEC-2/D-dimer ratio between non-cardioembolic and cardioembolic AIS or TIA, and correlation between baseline sCLEC-2 and outcome (modified Rankin scale score) after 3 months. sCLEC-2 could be a widely useful biomarker to contribute to the progress of precision medicine in clinical practice of AIS and TIA.

対象疾患:
Acute Ischemic StrokeTransient Ischemic Attack

シルタカブタゲンオートロイセルによる治療を受けた参加者を対象とした長期研究

募集中NCT05201781第4相

The purpose of this study is to collect long-term follow-up data on delayed adverse events after administration of ciltacabtagene autoleucel (cilta-cel), and to characterize and understand the long-term safety profile of cilta-cel.

対象疾患:
Multiple Myeloma

進行非小細胞肺がん患者を対象としたMGY825の研究

中止NCT05275868第1相

Study of MGY825 single agent in adult patients with advanced non-small cell lung cancer.

対象疾患:
Non-small Cell Lung Cancer

ファブリー病患者(16歳以上)における神経障害性疼痛および腹痛に対するベングルスタット錠の効果を評価する試験

実施中(募集終了)NCT05206773第3相

本試験は、16歳以上のファブリー病患者で、未治療または6ヶ月以上治療を受けていない患者を対象に、ファブリー病の神経障害性疼痛および腹痛症状に対するベングルスタットの効果を評価する、12ヶ月間の並行投与、第3相、二重盲検、無作為化、プラセボ対照試験です。 * 試験来院は約3ヶ月ごとに行います。 * 二重盲検期間の後には、二重盲検期間を完了した患者に対し、さらに12ヶ月間または共通試験治療終了日(CSEOTD)までベングルスタットによる治療を行う非盲検延長試験(OLE)を実施します。

対象疾患:
ファブリー病

サイトメガロウイルス(CMV)感染症の日本人におけるマリバビルに関する研究

完了NCT05137717第3相

The main aim of the study is to check if maribavir can treat Japanese people with Cytomegalovirus (CMV) infection, and to check side effect from the study treatment and how much maribavir participants can take without getting side effects from it. Japanese recipients of a hematopoietic stem cell transplant (HSCT) or solid organ transplant (SOT) will take Maribavir tablets two times a day for 8 weeks in this study. During the study, participants will visit their study clinic 18 times as a maximum.

対象疾患:
Cytomegalovirus (CMV)

健康な日本人男性被験者を対象とした、ブリバラセタム錠とドライシロップの生物学的同等性を評価する研究

完了NCT05315947第1相

The purpose of the study is to demonstrate the bioequivalence between the BRV tablet and BRV as dry syrup after a single oral dose in healthy Japanese male study participants.

対象疾患:
Healthy Study Participants

中等度から重度のアトピー性皮膚炎患者(生後6ヶ月から18歳未満)を対象としたレブリキズマブ(LY3650150)の試験

実施中(募集終了)NCT05559359第3相

The main purpose of this study is to measure the effect, safety and how well the body absorbs lebrikizumab in pediatric participants 6 months to \<18 years of age with moderate-to-severe atopic dermatitis (AD).

対象疾患:
Atopic DermatitisEczema