Kentville

Researchers are evaluating oral icotrokinra as a treatment for adults and adolescents with moderately to severely active ulcerative colitis, a chronic inflammatory disease of the large intestine causing ulcers in the colon lining. The study aims to assess how well icotrokinra works, along with its safety and tolerability in this population. This is a Phase 3, randomized, double-blind, placebo-controlled trial with a parallel group design including both adults and adolescents. Adult participants will be randomly assigned to receive either icotrokinra or placebo daily by mouth during a 12-week induction phase. At Week 12, those showing clinical response will enter a maintenance phase where they will continue icotrokinra or placebo daily for 40 weeks. Adults who do not respond will also enter the maintenance phase and receive icotrokinra. Adolescents will receive open-label icotrokinra during induction and then continue on icotrokinra during maintenance regardless of response. After completing the 40-week maintenance phase, eligible participants may join a long-term extension study. Participants will be monitored regularly through clinical assessments at specified time points including Week 12 for induction and Week 40 for maintenance. Outcomes measured include rates of clinical remission, symptom improvement, endoscopic and histologic healing, and quality of life scores. Safety will be evaluated by tracking adverse and serious adverse events throughout the study. The total study duration may extend up to approximately 6 years, ending in 2032, allowing long-term evaluation of icotrokinra in ulcerative colitis management.

Researchers are evaluating icotrokinra for its effectiveness and safety in people with moderately to severely active Crohns disease, a condition causing severe inflammation in the intestines. This clinical trial is a Phase 2b3 study aiming to understand how well icotrokinra works compared to placebo to improve symptoms and intestinal healing. Participants will be randomly assigned to receive one of several treatments two different doses of icotrokinra or a matching placebo, taken orally every day during an induction period of up to 12 weeks. Based on their response at Week 12, participants may continue with maintenance dosing or placebo up to Week 40. Those completing the maintenance phase may join a long-term extension study for further evaluation. During the trial, participants will be monitored with clinical assessments, endoscopy, and patient-reported outcomes to measure response, remission, and safety. The main outcomes include clinical response and remission at Weeks 12 and 40, along with endoscopic healing. Safety will be tracked through adverse event reporting up to four weeks after the last dose. The study is expected to continue until 2032, with multiple visits for treatment and evaluations throughout.

Researchers are evaluating how well JNJ-78934804 works and how safe it is compared to guselkumab in participants with moderately to severely active Crohns disease, a long-term and progressive condition affecting the intestine. This Phase 3 trial aims to assess clinical remission and endoscopic remission at Week 48, focusing on treatment efficacy and safety. Participants are randomly assigned to receive either JNJ-78934804 or guselkumab. Both treatments involve induction doses at Weeks 0, 4, and 8, followed by maintenance doses every 4 weeks starting at Week 12. Participants meeting rescue criteria will receive additional induction doses of JNJ-78934804 at Weeks 16, 20, and 24, with maintenance doses continuing every 4 weeks from Week 28. Those completing the double-blind phase at Week 48 may enter a long-term extension phase if the investigator believes they may benefit. During the study, participants will be monitored for clinical and endoscopic remission, deep remission, corticosteroid-free remission, and patient-reported outcomes up to Week 48. Researchers will also track adverse events for up to approximately three years. Assessments include symptom scores, endoscopy reviews, and quality-of-life questionnaires to evaluate the treatments effects and safety throughout the trial.

Researchers are evaluating the effectiveness and safety of JNJ-78934804 compared to guselkumab in people with moderately to severely active ulcerative colitis UC, a chronic condition where the colon lining becomes inflamed and develops ulcers. This Phase 3 study aims to measure clinical remission and other health improvements by Week 48. Participants receive an induction dose of either JNJ-78934804 or guselkumab at Weeks 0, 4, and 8, followed by maintenance doses every 4 weeks starting Week 12. Those meeting rescue criteria will receive additional induction doses of JNJ-78934804 at Weeks 16, 20, and 24, then maintenance doses every 4 weeks from Week 28. After completing the 48-week double-blind treatment phase, participants benefiting from the intervention may join a long-term extension phase. Throughout the study, participants will be monitored for clinical remission, endoscopic improvement, corticosteroid-free remission, fatigue, abdominal pain, quality of life, and mental health responses. Safety is assessed by tracking adverse events up to about 3 years. The study involves randomized assignment and double-blinding, with all treatments given by subcutaneous injection. Participation may last up to several years including follow-up and extension phases.

Researchers are evaluating the efficacy and safety of tulisokibart in participants with moderately to severely active Crohns disease. This program includes two studies Study 1 involves both induction and maintenance treatment phases, while Study 2 focuses only on induction treatment. The main goal is to determine if one or more doses of tulisokibart are more effective than placebo in achieving clinical remission and endoscopic response at various time points up to Week 52. Participants are randomly assigned to receive different dosing regimens of tulisokibart or placebo. These regimens include high or low doses administered intravenously followed by subcutaneous injections, or subcutaneous injections alone. Some participants may continue in an extension phase receiving subcutaneous doses after completing their original treatment arm if they meet specific requirements. The studies use a double-blind design to compare tulisokibarts effects against placebo. During the trial, participants undergo regular assessments to measure clinical remission, endoscopic response, and other health outcomes using tools like the Crohns Disease Activity Index and stool frequency with abdominal pain scores. Safety evaluations include monitoring adverse events and treatment discontinuations. The studies last up to 52 weeks for Study 1 and 12 weeks for Study 2, with multiple visits to assess treatment effects and participant health under medical supervision.

Researchers are evaluating the efficacy and safety of SAR441566 in adults with moderate-to-severe ulcerative colitis, a chronic inflammatory bowel condition. This Phase 2, multinational, randomized, double-blind, placebo-controlled study aims to assess how different doses of SAR441566 affect clinical remission in participants. The study includes participants aged 18 to 75 years who have active moderate-to-severe ulcerative colitis confirmed by endoscopy and who have previously received treatment for the condition. Participants will be randomly assigned to receive one of three different dose regimens of SAR441566 or a matching placebo. The medication is administered orally as tablets. The study includes a screening period of up to 28 days, followed by a main treatment period lasting 52 weeks. This treatment period is divided into a 12-week induction phase and a 40-week maintenance phase, followed by a 2-week follow-up after treatment ends. Additionally, eligible participants may enter an open-label extension period lasting up to 40 weeks. During the study, participants will attend up to 12 visits in the main treatment phase and up to 8 visits during the open-label period. Researchers will assess clinical remission using the modified Mayo Score at Week 12, along with various secondary measures such as endoscopic remission, patient-reported outcomes, and safety evaluations. Blood samples will be taken to measure drug concentrations, and adverse events will be monitored throughout the study. The total participation duration can be up to 59 weeks, including screening, treatment, and follow-up.

Spatial neglect is a common condition after stroke that causes difficulty noticing or responding to the left side of the body or space. This condition often reduces independence in daily activities such as eating, dressing, and moving around. Researchers are evaluating a new computerized prism adaptation PA treatment that uses a game-like approach called Peg-the-Mole PTM to improve symptoms of spatial neglect. The trial aims to test the feasibility and effectiveness of this treatment in both inpatient and home settings through a randomized, controlled, double-blind design. Participants will be randomly assigned to one of two groups an experimental group using 15-degree rightward deviating prism goggles or a placebo control group using 5-degree deviating goggles. Both groups will complete ten 15-minute sessions over about two weeks using the PTM game on an iPad. Treatment can take place in the hospital or at home depending on hospital stay length, and a hybrid model will allow continuation of therapy after discharge if needed. During the study, participants will be assessed before starting the treatment, immediately after finishing it, and one month later. Researchers will measure neglect severity and its impact on daily activities using various tests and scales. Feasibility will be tracked through treatment compliance and patient feedback after each session. This study will help determine if the gamified and portable PA treatment can be successfully used to help patients recover from spatial neglect after stroke.

Researchers are evaluating whether a low-cost virtual reality VR motor rehabilitation platform can help improve upper limb motor recovery in adults who have had a first-time ischemic stroke with moderate to severe motor deficits. The study compares VR-based motor therapy with standard care to see if VR can offer better recovery and be a practical, acceptable treatment option for stroke patients. This pilot study is sponsored by the Nova Scotia Health Authority and focuses on both hospital and home settings. Participants are randomly assigned to receive either standard stroke rehabilitation or additional motor therapy using a VR headset with gamified exercises. The study includes both inpatient care during the acute stroke period and outpatient care at home, with VR treatment sessions supplementing usual rehabilitation. The intervention uses a Meta Quest virtual reality device to deliver customized motor exercises designed to improve upper limb function. During the study, participants will complete motor function and quality of life assessments at multiple time points, both in hospital and at home. Researchers will monitor treatment effectiveness up to one week after therapy ends in hospital and through day 47 for home treatment. They will also evaluate treatment feasibility by assessing motion sickness, attitudes towards technology, patient engagement, and barriers to using VR rehabilitation. The total participation time varies depending on inpatient or outpatient status, with detailed monitoring throughout the treatment period.