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Researchers are studying finerenone to evaluate its safety and effectiveness in patients hospitalized with acute decompensated heart failure who have mildly reduced or preserved left ventricular ejection fraction. This international trial is randomized, double-blind, and placebo-controlled, focusing on how finerenone compares to placebo in reducing heart failure events and cardiovascular death. Participants receive either oral finerenone or a matching placebo while hospitalized or recently discharged for heart failure. The study monitors patients over approximately 30 months to assess the total heart failure events, cardiovascular death, and adverse events related to the treatment. Throughout the study, participants undergo regular assessments including symptom scoring using the Kansas City Cardiomyopathy Questionnaire, monitoring for serious adverse events, and evaluation of heart failure outcomes. The study tracks safety and efficacy data over the long term, with follow-up visits scheduled to measure the impact of treatment on morbidity and mortality in heart failure patients.

Researchers are evaluating finerenone compared to a placebo to assess the effectiveness and safety of treatment in patients with heart failure and reduced ejection fraction HFrEF who cannot tolerate or are not eligible for steroidal mineralocorticoid receptor antagonists sMRA. This international study is a randomized, double-blind, placebo-controlled trial focused on this specific group of heart failure patients. Participants will be randomly assigned to receive either oral finerenone or a matching placebo. The study uses a parallel design and treatment will be monitored for up to about 30 months. During this time, researchers will track cardiovascular events, heart failure events, and any serious or adverse events leading to discontinuation of the study drug. Throughout the study, participants will undergo regular assessments including symptom questionnaires and monitoring for cardiovascular outcomes and safety. The main outcomes include the time to the first cardiovascular death or heart failure event and the number of serious adverse events. The study also tracks changes in symptom scores over six months and overall survival. Participants will be followed closely during treatment and after to understand both efficacy and safety.

Researchers are evaluating the effectiveness of NBI-1065845 compared with a placebo as an additional treatment to delay the return of depressive symptoms in people with major depressive disorder MDD. This Phase 3 study focuses on maintaining the treatment effect in participants diagnosed with recurrent moderate or severe MDD or persistent depressive disorder who have not fully responded to oral antidepressants. Participants first receive NBI-1065845 during an open-label treatment period. Then, in a randomized, double-blind phase, participants are assigned to either continue NBI-1065845 or switch to a matching placebo. The study uses oral tablets for both NBI-1065845 and placebo treatments and follows a parallel study model. Throughout the trial, participants will be monitored for relapse of depressive symptoms using the Hamilton Depression Rating Scale and other assessments. The primary outcome is the time from randomization until relapse or study end, lasting up to approximately 32 months. Participants must continue their antidepressant treatments at the same dose during the study and comply with all procedures and restrictions. Safety and adherence are closely observed by the investigators during the entire study period.

Researchers are conducting a randomized, open-label phase 3 clinical trial to compare the effectiveness and safety of two treatment combinations with docetaxel alone in people with advanced or metastatic non-small cell lung cancer NSCLC who have developed resistance to immune checkpoint inhibitor therapy. The study includes two groups one receiving N-803 plus tislelizumab and docetaxel, and the other receiving N-803 plus a prior failed checkpoint inhibitor and docetaxel. The trial explores how these combinations perform compared to docetaxel by itself in this specific patient population. Participants are divided into two cohorts and randomized to either the experimental treatments or docetaxel monotherapy. Treatments are given in repeated 3-week cycles. In cohort A, N-803, tislelizumab, and docetaxel are given during the first two cycles, followed by N-803 and tislelizumab alone from cycle 3 onward until the study ends. In cohort B, N-803, the prior failed checkpoint inhibitor, and docetaxel are administered in the first two cycles, then N-803 with the prior checkpoint inhibitor continue from cycle 3 onward. The control groups in both cohorts receive docetaxel alone every 3 weeks. Participants will attend regular study visits aligned with the treatment cycles, during which researchers will assess overall survival and monitor safety. The main measurement focuses on comparing survival between the experimental and control arms over approximately 12 months. The study involves follow-up visits and safety monitoring throughout the treatment period. The trial is sponsored by ImmunityBio, Inc. and plans to enroll adults aged 18 to 90 with confirmed stage IV NSCLC who meet specific health and treatment history criteria.

Researchers are evaluating the effects of vicadrostat combined with empagliflozin in adults who have type 2 diabetes, high blood pressure, and cardiovascular disease but no history of heart failure. The study aims to assess whether this combination can help reduce cardiovascular risks compared to a placebo with empagliflozin. This Phase III trial involves adults with these conditions who are already receiving treatment for them. Participants are randomly assigned to one of two groups. One group takes vicadrostat and empagliflozin tablets daily, while the other group takes placebo tablets that look like vicadrostat but have no active medicine, alongside empagliflozin. Treatment lasts from two and a half years up to four years and three months. All participants continue their usual medications for diabetes, blood pressure, and heart disease during the study. Throughout the study, lasting up to four years and three months, participants visit the study site regularly for health checks and blood samples. Doctors monitor cardiovascular events and any side effects experienced. The main outcome measured is the time until the first cardiovascular death or heart failure event. Other health indicators like blood pressure and kidney function are also tracked to understand the effects of the treatment combination.

Researchers are evaluating the effect of dalcetrapib on cardiovascular risk in people recently hospitalized for acute coronary syndrome ACS who have a specific genetic profile AA genotype. This phase 3, randomized, double-blind, placebo-controlled study focuses on adults aged 45 years and older, aiming to assess the time to first occurrence of fatal or non-fatal myocardial infarction over an average of 30 months from randomization. The study will continue until around 200 participants experience a primary event, or until stopped at an interim analysis. Participants will be randomly assigned to receive either dalcetrapib 600 mg daily, two 300 mg tablets or matching placebo tablets once daily. Screening includes genetic testing for the AA genotype using a specialized Genotype Assay Test. Enrollment can begin during hospitalization or after discharge, but randomization must occur within 12 weeks of the ACS event. After randomization, follow-up visits will be virtual when possible or in clinic every three months until the study ends. Assessments will continue every three months for participants who stop the study medication early. Participants will undergo medical history review and genetic testing before enrollment. During the study, researchers will monitor cardiovascular events such as heart attacks and strokes through regular assessments every three months. Safety evaluations and collection of study endpoints will continue for the duration of participation, which may last approximately 30 months or until the study stops. This includes ongoing monitoring for adverse effects and overall health status.

Researchers are evaluating recombinant human plasma gelsolin rhu-pGSN combined with standard care for adults with moderate-to-severe Acute Respiratory Distress Syndrome ARDS caused by pneumonia or other infections. This Phase 2 study aims to assess the safety and effectiveness of rhu-pGSN in patients who develop acute hypoxemic respiratory failure within seven days of infection and require mechanical or noninvasive ventilation or high-flow oxygen support. Potential participants are screened within 24 hours of ARDS diagnosis to confirm eligibility based on oxygenation levels and infection status. Participants are randomly assigned to receive either rhu-pGSN or a saline placebo alongside standard care. Treatment consists of a single loading dose of 24 mgkg rhu-pGSN followed by five daily doses of 12 mgkg, delivered intravenously through a filter. The study drug or placebo is administered within 48 hours of moderate-to-severe ARDS diagnosis. The study includes detailed assessments such as medical history, imaging, blood tests, cultures, and pregnancy tests when applicable. Safety is monitored by an independent board with periodic reviews. During the study, participants undergo regular evaluations including blood sampling for immune response and biomarker analysis, imaging tests, and cultures as needed. The primary outcome is all-cause mortality at 28 days, with additional assessments of survival, ventilator use, ICU and hospital stay lengths, and adverse events up to 60 days. Follow-up visits occur at 14 and 28 days after discharge, including telephone checks at 60 days. The total participation duration varies depending on individual progress and clinical status.

Researchers are evaluating the effects of balcinrenone combined with dapagliflozin compared to dapagliflozin alone in patients who have chronic heart failure, impaired kidney function, and have recently experienced a heart failure event. This Phase III study is conducted internationally across about 700 sites and aims to assess how these treatments impact cardiovascular death and heart failure events. Participants will be randomly assigned to one of three groups balcinrenonedapagliflozin 15 mg10 mg plus placebo, balcinrenonedapagliflozin 40 mg10 mg plus placebo, or dapagliflozin 10 mg plus placebo. Each participant will take one capsule and one tablet daily. The study duration averages 22 months, including screening, about 20 months of blinded treatment, and a one-month follow-up with open-label dapagliflozin. During the study, participants will undergo assessments for heart failure events, hospitalizations, and cardiovascular death. Researchers will monitor these outcomes over about 38 months, including symptom scores and other health measures. Safety and treatment effects will be followed during the treatment and the one-month post-treatment period.

Researchers are examining the effect of abelacimab compared to a placebo in patients with atrial fibrillation AF who are considered unsuitable for oral anticoagulation therapy. This Phase 3 study focuses on high-risk patients with AF to evaluate whether abelacimab can reduce the occurrence of ischemic stroke or systemic embolism. The study is led by Anthos Therapeutics, Inc. and aims to address treatment options in patients where traditional anticoagulation is deemed inappropriate. Participants are randomly assigned in equal numbers to receive either abelacimab 150 mg or a matching placebo by subcutaneous injection once a month. The study consists of three periods a screening period lasting up to 60 days, a double-blind treatment period that continues until at least 111 patients experience a primary endpoint event, and an end-of-treatment visit. Following this, participants may enter a 30-day follow-up or an optional open-label extension to receive abelacimab, depending on eligibility and regulatory approval. During the study, participants undergo assessments to monitor stroke, systemic embolism, and bleeding events, with the primary outcomes measured up to 30 months. Safety is tracked by recording bleeding events classified by the Bleeding Academic Research Consortium. Secondary outcomes include cardiovascular and all-cause mortality and other thrombotic events. The study also involves regular monitoring and follow-up visits to assess efficacy and safety throughout the treatment and observation periods.

Researchers are evaluating the efficacy and safety of Nalbuphine ER extended-release tablets in adults with refractory chronic cough RCC, a persistent cough lasting at least one year that has not improved with previous treatments. The study aims to better understand how this medication affects cough frequency and severity in participants whose cough has no clear underlying cause despite thorough investigation. This phase 2 clinical trial uses a randomized, double-blind design to compare different doses of Nalbuphine ER to placebo. Participants are assigned to one of four groups three receive Nalbuphine ER at varying doses during a 14-day titration period followed by a fixed-dose treatment period from Day 15 to Day 42, while the fourth group receives a matching placebo for the same duration. The Nalbuphine ER doses range from 27 mg once daily up to 54 mg twice daily, depending on the assigned group. This schedule allows gradual adjustment to the medication before reaching the fixed dose. During the study, participants will be evaluated using objective cough frequency monitoring over 24 hours, patient-reported assessments of cough frequency and severity, and quality of life questionnaires. Safety will be monitored through tracking treatment-emergent adverse events. The primary outcome is the change in 24-hour cough frequency at Week 6 compared to baseline. Participants are involved in regular monitoring visits throughout the approximately 6-week treatment period, with follow-up to assess tolerability and efficacy.