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Found 4 Actively Recruiting clinical trials

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Actively Recruiting

Researchers are evaluating the effects of the drug NB-4746 compared with a placebo in adults with amyotrophic lateral sclerosis ALS. This trial aims to understand the safety of NB-4746, how the drug moves through the body, and changes in a blood marker called neurofilament light NfL that reflects nerve cell damage. The study is conducted in two parts and includes an option for participants to join an open-label extension phase. In Part A, participants are randomly assigned to one of three groups low-dose NB-4746 capsules taken twice daily, high-dose NB-4746 capsules taken twice daily, or placebo capsules taken twice daily, all for about one month. In Part B, participants are randomly assigned to either NB-4746 at a dose determined from Part A or placebo, both taken twice daily for approximately 12 weeks. After completing Part A or B, participants may choose to enter an open-label extension to continue treatment for up to one year. During the trial, participants will have their ALS symptoms and overall health monitored regularly. The study team will assess safety by recording treatment-emergent adverse events and serious adverse events. Blood samples will be collected to measure NfL levels and evaluate drug movement in the body. Participants will be followed throughout the study and during the extension phase to track health status and treatment effects up to one year.

Age: 18Years - 80YearsAll GendersPhase 1Phase 2
8 locations
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Actively Recruiting

Researchers are evaluating efruxifermin EFX in adults with non-cirrhotic nonalcoholic steatohepatitis NASH or metabolic dysfunction-associated steatohepatitis MASH who have liver fibrosis stage 2 or 3. This Phase 3, multi-center, randomized, double-blind, placebo-controlled study aims to assess the safety and efficacy of EFX compared with placebo. The trial includes about 1,650 participants divided into two cohorts based on liver biopsy characteristics and fibrosis stage. Participants will be randomly assigned to one of three groups EFX 28 mg, EFX 50 mg, or placebo, each given as a weekly subcutaneous injection. Cohort 1 will be evaluated over 52 weeks for histologic efficacy endpoints, while Cohort 2 will have assessments over 96 weeks. After these periods, participants may continue long-term treatment and clinical follow-up for up to approximately 240 weeks total. A follow-up visit will occur about 30 days after the last dose. During the study, participants will undergo liver biopsies, blood tests, and non-invasive assessments such as FibroScan and Enhanced Liver Fibrosis ELF score to monitor liver health and fibrosis. Researchers will track liver-related clinical outcomes, including liver events and survival, as well as safety and tolerability of the treatment. Participants who stop the study drug may still continue with scheduled assessments to support long-term safety and efficacy evaluations.

Age: 18Years - 80YearsAll GendersPhase 3
356 locations
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Actively Recruiting

Researchers are evaluating the safety, tolerability, and effectiveness of votoplam in slowing disease progression in patients with early symptomatic Huntingtons disease. This Phase 3 study compares votoplam to a placebo control group to better understand its impact on this genetic condition. The study is sponsored by Novartis Pharmaceuticals and uses the compound HTT227 formerly PTC518. Participants will be randomly assigned in a 32 ratio to receive either votoplam or placebo, both taken orally. The trial has three periods a screening period of up to 42 days to determine eligibility a double-blind treatment period lasting up to 36 months, with variable individual treatment durations and a safety follow-up period consisting of one visit or phone call 30 days after the end of the study for participants not continuing in an open-label extension. During the study, participants will undergo regular assessments including measurements of neurological function through the cUHDRS score and other clinical scales at baseline and month 36. Blood tests will monitor levels of mutant huntingtin protein and serum neurofilament light. Safety will be evaluated by tracking adverse events throughout treatment. This comprehensive follow-up aims to gather detailed information on disease progression and treatment effects over up to three years.

Age: 21Years - 70YearsAll GendersPhase 3
60 locations
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Actively Recruiting

Researchers are reviewing anonymous medical records from multiple centers to understand the outcomes of different treatments for chronic pain. This study includes several groups to assess how various approaches work in distinct patient subgroups. The focus is on patients who have had or may have spinal cord stimulation systems or other treatments like radiofrequency RF or intradiscal therapies IDS. The study looks at patients who have previously received spinal cord stimulation or other therapies and those who have switched to different treatments afterward. Treatments under review include Boston Scientific devices and non-Boston Scientific systems such as spinal cord stimulation, RF, and IDS. The data is retrospective, meaning it examines past patient experiences without introducing new treatments. Participants involvement consists of the analysis of their de-identified medical charts, with no active treatment or visits required. Researchers will measure responder rates approximately two years from the start of data collection to evaluate treatment outcomes. The study spans from April 2012 to December 2030, focusing on long-term clinical results in chronic pain management.

Age: 18Years +All Genders
144 locations