Romans Sur Isere

Researchers are studying the long-term safety and effects of the medicine ritlecitinib for children with severe alopecia areata, a condition causing significant hair loss. This Phase 3 extension study involves participants who completed previous ritlecitinib studies and aims to assess long-term safety, effectiveness, and patient quality of life over up to 3 years. The study focuses on children aged 6 to 14 years who have experienced severe hair loss and have met specific prior study criteria. All participants receive ritlecitinib capsules taken once daily at home. Those who had higher or lower doses in a previous study continue the same dose, while those who previously received placebo or came from a different parent study are randomly assigned to a higher or lower dose. The study lasts up to 3 years and includes 17 clinic visits plus monthly phone calls to monitor treatment and health. During the study, participants are regularly evaluated for safety and treatment response using hair loss assessments and patient-reported measures of anxiety, depression, behavior, and skin-related quality of life. Safety monitoring tracks side effects and serious events from the start of consent through at least 28 days after the last dose. Participants are checked multiple times to decide whether to continue treatment, ensuring close observation throughout the trial.

The purpose of the study is to assess the efficacy and safety of ruxolitinib cream in children and adolescents (6 to \<18 Years Old) with moderate atopic dermatitis.

This research aims to evaluate the effects of povorcitinib on reducing itch and improving skin lesions in adults with prurigo nodularis, a chronic skin condition characterized by itchy nodules. The study is a Phase 3 trial designed to assess the safety and efficacy of this treatment compared to a placebo in participants aged 18 to 75 years with a confirmed diagnosis of prurigo nodularis lasting at least three months. Participants will receive either oral povorcitinib tablets or placebo tablets as part of the randomized, double-blind study. Key eligibility includes having significant itch severity and at least 20 pruriginous lesions on multiple body regions. The study monitors the treatment effects over 24 weeks, focusing on improvements in itch intensity and skin lesion severity. During the study, participants will be closely monitored for changes in their itch scores and skin condition. Researchers will assess the proportion of participants achieving specified improvements by Week 24. Safety and tolerability will also be evaluated throughout the trial. Participants will undergo regular assessments including clinical evaluations, laboratory tests, and adherence monitoring to track progress and any side effects over the course of the study.

Researchers are evaluating the safety and effects of Abrocitinib, a medication given as a tablet once daily, for adults with moderate to severe atopic dermatitis (AD), a long-lasting skin condition causing inflammation, redness, and irritation. This observational cohort study aims to understand how Abrocitinib works in real-life clinical settings and its impact on patients with moderate-to-severe chronic AD who are eligible to receive this treatment. All participants will receive Abrocitinib daily and may continue using medicated topical treatments for their AD at the same time. The study lasts for 24 months, during which participants will visit the study clinic approximately five times, or about once every four to six months. These visits will allow researchers to monitor the effects and safety of the treatment in a real-world context. Participants will be closely observed for changes in their AD severity, specifically looking for improvements measured by the Investigator's Global Assessment (IGA) score at 16 weeks. The study will also assess safety and how patients manage their treatment over time. Overall, the study aims to provide valuable information on how Abrocitinib affects adults with moderate-to-severe atopic dermatitis in everyday clinical practice.

Researchers are evaluating the safety and effects of the medicine ritlecitinib for treating severe alopecia areata in children aged 6 to under 12 years. Alopecia areata is a condition that causes significant hair loss. This study aims to compare how well ritlecitinib works for hair regrowth compared to a placebo, along with assessing its safety and impact on patient quality of life. The study includes three groups: one receiving a higher dose of ritlecitinib, one receiving a lower dose, and one receiving a placebo. All treatments are given as oral capsules taken once daily at home for 24 weeks. Participants eligible for the study have at least 50% scalp hair loss and specific vaccination or virus exposure history. After the 24-week treatment, participants may join a long-term extension study or complete a 4-week follow-up if not eligible. Participants will attend 8 clinic visits during the 6-month study and receive about 8 phone calls for monitoring. Assessments include measuring scalp hair loss using the Severity of Alopecia Tool (SALT), evaluations of eyebrows and eyelashes, patient-reported outcomes on anxiety, depression, and quality of life, and pharmacokinetic sampling. Safety monitoring is ongoing to watch for potential risks associated with ritlecitinib.

Atopic dermatitis (AD) is a long-lasting inflammatory skin condition characterized by itching and recurring eczema. Traditional ways to evaluate treatment response mainly rely on clinical scores, which can vary between observers. Tralokinumab is a fully human antibody targeting IL-13, which has shown effectiveness and good tolerance in treating moderate-to-severe AD. This research aims to study skin changes in AD patients treated with tralokinumab using reflectance confocal microscopy (RCM), a noninvasive technique that examines skin layers at a cellular level, allowing detailed assessment of skin structure and inflammation. Participants in this study are patients with moderate-to-severe AD who require systemic tralokinumab treatment. The study uses RCM to evaluate skin before treatment begins and again at Week 16 to observe any changes. The primary measure is the thickness of the affected skin at these two time points. Throughout the study, patients will be assessed using RCM to monitor skin structure and inflammation. Researchers will collect data on skin thickness before starting treatment and after 16 weeks to evaluate the impact of tralokinumab. The study includes patients aged 18 and older who can provide informed consent and are affiliated with a social security scheme. Safety and participation will be monitored by the investigators to ensure suitability during the study period.

Researchers are conducting a French prospective observational study to understand how patients aged 18 years and older with moderate to severe atopic dermatitis (AD) are managed when eligible for or currently receiving systemic therapy. The study aims to describe treatment patterns, including previous and current therapies, and monitor drug survival and compliance over time. Experienced dermatologists in hospital and office settings will participate, ensuring treatment decisions reflect real-world clinical practice. Patients will be followed for one year under routine care, with systemic treatment decisions made solely by their physicians independent of study enrollment. The study does not involve specific interventions or changes in treatment but observes the use and management of systemic therapies for AD, including topical corticosteroid use and other systemic options. Participants will complete questionnaires and undergo assessments at baseline, six months, and twelve months. Researchers will collect data on previous and current treatments, therapeutic management of atopic comorbidities, drug survival changes, and treatment adherence. The study focuses on gathering real-life information on systemic therapy use and patient outcomes over the 12-month follow-up period.

Researchers are evaluating the effectiveness of a low-protein diet (LPD) using specially developed low-protein foods (FLAVIS products) compared to a standard low-protein diet without these foods in patients with chronic kidney disease (CKD) stages 3A to 5 who are not on dialysis. The study follows recommendations from the KDOQI 2020 clinical practice guideline, which suggests restricting protein intake to reduce the risk of end-stage renal disease and improve quality of life. The FLAVIS products are designed to help patients achieve nutritional goals more easily while following a low-protein diet. Participants are divided into groups where one group receives FLAVIS products alongside their diet follow-up, while the other group follows the low-protein diet without these products. The study aims to monitor protein intake over a 12-month period to assess how effective the FLAVIS products are in facilitating adherence to the diet and meeting protein intake targets. During the study, participants will attend scheduled visits and complete diet records and self-administered questionnaires to track their adherence and nutritional status. Researchers will measure protein intake as the primary outcome after 12 months. Participants must be motivated to follow a low-protein diet and have good nutritional status at the start. Safety monitoring includes assessing any adverse effects and ensuring participants can provide blood samples and perform 24-hour urine collections as required.

Colorectal cancer mainly affects elderly patients, with over half of new cases in France occurring in those aged 70 or older. Adjuvant chemotherapy has shown benefits in disease-free and overall survival after stage III colon cancer surgery, but its use in elderly patients remains limited. This phase III randomized study explores whether adjuvant chemotherapy improves disease-free survival in elderly patients and which chemotherapy regimen is most effective, addressing concerns about benefits for both unfit and fit elderly patients. Participants will be divided into two groups based on a multidisciplinary evaluation including a geriatrician. One group will receive fluoropyrimidine-based chemotherapy (LV5FU2 or capecitabine), and the other will receive oxaliplatin-based chemotherapy (FOLFOX4 or XELOX). Some patients may be assigned to observation only. Treatments will begin within 12 weeks after surgery. The study also evaluates specific biological markers common in elderly tumors, such as mismatch repair deficiency. During the study, participants will undergo assessments including geriatric questionnaires and medical monitoring. Researchers will track disease-free survival over three years following the last patient's enrollment. Safety and treatment effects will be monitored, with exclusion of patients expected to live less than four years or those unable to comply with follow-up. The study aims to better understand chemotherapy benefits in an elderly population after colon cancer surgery.

This research focuses on participants with Hidradenitis Suppurativa (HS) who have previously taken part in specific Incyte-sponsored clinical trials of povorcitinib. The study is a Phase 3b rollover trial designed to continue monitoring these individuals to gather further information on the treatment. It aims to evaluate the safety of povorcitinib over an extended period, including the proportion of participants experiencing treatment-emergent adverse events for up to about three years. Participants will continue taking the study drug povorcitinib orally as specified by the study protocol. This rollover study includes individuals who completed the treatment period in the parent studies without safety or tolerability issues and who showed clinical benefit from povorcitinib. During this study, participants will follow the protocol-defined dosing and procedures while avoiding pregnancy or fathering children as required. Throughout the study, participants will attend scheduled visits and assessments to monitor their health and treatment effects. Researchers will track adverse events and adherence to the treatment plan. The study involves ongoing evaluation for up to approximately three years to ensure safety and collect important long-term data on povorcitinib use in this group of patients with HS.