North Bay

Researchers are evaluating whether retatrutide and tirzepatide can prevent major adverse liver outcomes in adults with metabolic dysfunction-associated steatotic liver disease MASLD who are at high risk based on non-invasive tests. This Phase 3 randomized controlled trial aims to assess these treatments compared to placebo in about 4,500 adults over approximately 224 weeks. The study is sponsored by Eli Lilly and Company and focuses on liver disease progression and related health measures. Participants will be randomly assigned to receive retatrutide, tirzepatide, or placebo, all administered by subcutaneous injection. The trial includes two placebo groups corresponding to each experimental drug. After completing the main study, eligible participants may join a 2-year extension where all will receive either retatrutide or tirzepatide regardless of their initial assignment. During the study, participants may attend around 25 to 30 clinic visits for health monitoring, study procedures, and assessments of liver function and disease status. Researchers will measure the time to major adverse liver outcomes, changes in liver fibrosis scores, liver stiffness, liver fat content, liver enzyme levels, body weight, and cardiovascular events. Monitoring will continue from baseline through study completion, with detailed evaluations at multiple timepoints including week 104.

This research aims to evaluate the effects of vedolizumab intravenous IV combined with either adalimumab or ustekinumab in adults with moderate to severe Crohns Disease who have not responded adequately or have lost response to certain prior treatments. The study investigates the safety and efficacy of these dual targeted therapies, followed by vedolizumab alone. Approximately 100 participants will be enrolled, with the overall study duration lasting about 76 weeks. Participants in Part A will receive dual targeted therapy one group will get vedolizumab IV plus adalimumab subcutaneous injections, and another group will receive vedolizumab IV combined with ustekinumab through initial IV infusion followed by subcutaneous doses. Those who respond to Part A treatment will continue in Part B, receiving vedolizumab IV monotherapy every 8 weeks from Week 30 to Week 46. After treatment, participants will have a safety follow-up period extending to Week 72. During the study, participants will undergo multiple assessments including endoscopic evaluations using the Simple Endoscopic Score for Crohns Disease SES-CD at Weeks 26 and 52. Clinical remission and symptom remission will be tracked at various time points using the Crohns Disease Activity Index CDAI and patient-reported outcome measures. Safety monitoring and follow-up continue for at least 26 weeks after the last treatment dose to evaluate treatment effects and adverse events throughout the study period.

Researchers are evaluating the effect of combining vedolizumab intravenous infusions with oral tofacitinib tablets in adults aged 18 to 65 with moderate to severe ulcerative colitis who have not responded adequately to certain prior treatments. This phase 4 study focuses on clinical remission rates and treatment response in this population, aiming to understand the benefits of dual targeted therapy followed by vedolizumab alone. All participants first receive vedolizumab 300 mg via IV infusion at Weeks 0, 2, and 6 plus tofacitinib 10 mg tablets twice daily from Week 0 to Week 8. Those who respond clinically at Week 8 continue with vedolizumab 300 mg IV every 8 weeks alone through Week 46. The study lasts up to 76 weeks including treatment and follow-up. Participants undergo clinical assessments including Mayo score evaluations at multiple timepoints to measure remission and response. Safety is monitored through adverse event tracking and laboratory tests up to 26 weeks after the last vedolizumab dose. Patient questionnaires on quality of life and fatigue are also collected, with total participation extending over a year.

Researchers are evaluating the safety and effectiveness of different doses of IMG-007 compared to placebo in adults with moderate-to-severe active atopic dermatitis. This Phase 2b, multicenter, randomized, double-blind, placebo-controlled study aims to understand how well IMG-007 works and its safety profile over a period of up to 48 weeks. Participants will receive subcutaneous injections of IMG-007 or placebo according to the study protocol. The study includes multiple dose regimens of IMG-007 and placebo groups, with some placebo participants crossing over to receive IMG-007 later. Treatments follow a parallel group design where different groups receive different doses or placebo. During the study, participants will undergo assessments including Eczema Area and Severity Index EASI scoring and Investigator Global Assessment for Atopic Dermatitis vIGA-AD at baseline and Week 24. Researchers will monitor treatment-emergent adverse events throughout the study. Participants will be followed for up to 48 weeks to evaluate changes in skin condition and safety outcomes during and after treatment.

Researchers are evaluating the efficacy and safety of ORKA-002 in adults with moderate-to-severe plaque psoriasis. This multicenter, randomized, double-blinded, placebo-controlled study aims to find the best induction dosing regimen of ORKA-002. Approximately 160 adult participants with this skin condition will take part in the Phase 2 trial. Participants will be randomly assigned to receive one of three different induction dosing regimens of ORKA-002 or a placebo. Both ORKA-002 and placebo are given by subcutaneous injection. The study includes three periods Screening, Induction, and Post-treatment Follow-up. During the study, participants will undergo assessments including evaluations of skin severity using PASI and IGA scores. Researchers will monitor treatment-emergent adverse events through Week 48. The primary outcome is the proportion of participants achieving complete clearance of psoriasis at Week 16. The total participation time includes screening, treatment, and follow-up periods to assess safety and treatment response.

Researchers are evaluating the long-term safety of Deucravacitinib compared to Ustekinumab in adults with moderate-to-severe plaque psoriasis. This Phase 3b4 study focuses on cardiovascular events and other health outcomes over an extended period, aiming to understand how these treatments impact patients with psoriasis who have cardiovascular risk factors. The study is led by Bristol-Myers Squibb and involves random assignment of participants to either treatment. Participants receive either Deucravacitinib or Ustekinumab at specified doses on scheduled days. The study is open-label, meaning both participants and researchers know which treatment is being given. This trial runs for up to 5 years, during which patients are monitored for cardiovascular safety and other health events related to their psoriasis treatment. Throughout the study, participants undergo regular assessments to track major cardiovascular events like heart attacks, strokes, and hospitalizations, as well as monitoring for infections, cancer, and treatment side effects. Researchers collect data on liver function and lipid levels up to 60 days after the last dose. The long-term follow-up helps evaluate safety and health outcomes over several years, with study activities continuing until early 2031.

Syncope, a sudden loss of consciousness, often leads to emergency department ED visits. While many cases are harmless, some are caused by serious heart or other medical problems that might not be clear during the initial ED visit. Researchers have developed the Canadian Syncope Risk Score CSRS to help identify patients who need further tests, monitoring, or hospital admission. This study tests how well the CSRS-based recommendations work in real-world ED settings to improve patient safety and reduce unnecessary hospital stays and ED waiting times. This study involves 16 emergency departments across Canada in a stepped wedge cluster randomized trial lasting 16 months per batch. Initially, all EDs use their usual care for three months, then gradually switch to using the CSRS-based recommendations in random order, with two EDs changing every three months. The CSRS approach includes careful clinical evaluation, use of specific tests like troponin or CT scans, risk assessment at the end of the ED visit, providing patient information, and arranging 15-day outpatient heart monitoring for medium and high-risk patients. ED doctors apply these steps during patient care. Participants include adults who come to the ED within 24 hours after a syncope episode. Researchers will measure hospitalization rates, time spent in the ED before disposition, death rates up to one year, return ED visits, and how well doctors adopt and follow the CSRS recommendations. Data will be collected throughout the trial to assess both healthcare efficiency and patient safety. The study will last until 2026, with ongoing monitoring of outcomes and processes.