Buxtehude

This research aims to evaluate the effects of litifilimab (BIIB059), a monoclonal antibody, in adults with active subacute or chronic cutaneous lupus erythematosus (CLE), with or without systemic lupus erythematosus (SLE). Participants have active skin symptoms of CLE that have not improved with antimalarial therapy or had difficulties continuing that treatment. The study focuses on reducing skin disease activity using several scores including CLA-IGA-R and CLASI, while also assessing safety, immune response, and quality of life. Participants will be randomly assigned to receive either litifilimab or a placebo injection under the skin every four weeks during a 24-week double-blind period where neither participants nor researchers know which treatment is given. After this, all participants will receive litifilimab injections every four weeks for an additional 28 weeks. Those who complete the treatment may join a long-term extension study or enter a follow-up safety period lasting up to 24 weeks. Total participation may last up to 80 weeks. Throughout the study, researchers will monitor skin disease activity using the CLA-IGA-R erythema score and the CLASI-A activity score to see how many participants improve. They will also assess safety, tolerability, immune system effects, and participants' quality of life using questionnaires. These evaluations occur regularly during both treatment periods and follow-up to understand the impact of litifilimab on CLE symptoms and overall health.

Researchers are evaluating barzolvolimab in a Phase 3, randomized, double-blind, placebo-controlled study for adults with cold induced urticaria or symptomatic dermographism who continue to have symptoms despite using H1-antihistamines. The study aims to assess the safety and activity of barzolvolimab compared to a placebo in these participants. Participants must have a diagnosis of these conditions for at least 3 months and meet specific diagnostic criteria related to provocation testing and symptom severity. The study includes a screening period of up to 4 weeks, followed by a 24-week treatment period where participants receive either barzolvolimab or placebo by subcutaneous injection. Those on barzolvolimab receive a 450mg dose at the start and then 150mg every 4 weeks. After this, there is a 28-week treatment phase where all participants receive 300mg barzolvolimab every 8 weeks. Finally, a 16-week follow-up period observes all participants without treatment. During the study, participants will complete daily symptom electronic diaries and attend regular study visits. Researchers will monitor safety through blood counts, liver function tests, and provocation testing to measure response. The main outcome measured is the complete response to provocation testing at Week 12 from the first dose. The total study duration includes screening, treatment, and follow-up phases to evaluate long-term safety and effectiveness.

Researchers are evaluating the safety and effectiveness of tralokinumab combined with topical corticosteroids (TCS) for treating moderate-to-severe atopic dermatitis (AD) in children and infants. The trial includes two age groups: children aged 2 to under 12 years and infants aged 6 months to under 2 years. The study will last up to 4 years with visits every 2 weeks during the first year and every 6 weeks afterward, some conducted by phone. The goal is to assess improvements in AD severity, symptom relief, general health, and quality of life. Children will be randomly assigned to receive either tralokinumab plus TCS or placebo plus TCS for the first 16 weeks in a double-blind setup, with a 2 in 3 chance of getting tralokinumab. After 16 weeks, all participants will receive tralokinumab plus TCS. Infants will receive open-label treatment with tralokinumab plus TCS throughout the treatment period. The medication is given as subcutaneous injections with dosing based on body weight and adjusted at specified weeks throughout the study. After treatment ends, all participants will have a 4-week safety follow-up. Participants will undergo screening lasting up to 4 weeks to confirm eligibility. During the trial, researchers will monitor skin condition using assessments like the Investigator's Global Assessment (IGA) and Eczema Area and Severity Index (EASI) at week 16. Other evaluations include symptom scores and body surface area affected by AD. Safety and health will be closely tracked throughout the study duration.

Researchers are investigating the real-world use, effectiveness, quality of life impact, safety, and tolerability of the combination of encorafenib and binimetinib in patients with unresectable advanced or metastatic melanoma that has a specific BRAF V600 mutation. This prospective, longitudinal, non-interventional study focuses on patients in Germany, Austria, and Switzerland who receive these drugs after they became commercially available. The study includes patients receiving first or second line treatment, particularly after prior checkpoint inhibitor therapy. The study observes patients treated with encorafenib plus binimetinib according to approved prescribing guidelines (Summary of Product Characteristics). Patients may have started treatment within six months before joining the study or plan to start soon. No experimental interventions are given; instead, the study collects real-life treatment data under routine clinical care in multiple centers across the three countries. Participants will be followed to gather information on progression-free survival at 12 months after starting treatment. Data collected include safety, tolerability, quality of life, and treatment patterns. The study documents patient outcomes and treatment experiences in a naturalistic setting without altering standard care. Participation duration depends on treatment and follow-up schedules determined by routine clinical practice and study timelines.

Researchers are evaluating the safety, tolerability, and anti-tumor effects of IMA402 in adults with recurrent or refractory solid tumors that are advanced or metastatic. This study aims to find the best dose of IMA402 and to assess its initial and overall anti-tumor activity. The trial includes patients who have measurable disease and have either received all standard treatments or are not eligible for them. The study is conducted in three parts: Phase Ia involves gradually increasing or decreasing doses of IMA402 given by intravenous infusion to determine the maximum tolerated or recommended dose. Phase Ib continues treatment at these determined doses to further assess safety and tolerability. Phase II extends treatment at the selected dose in specific patient groups to evaluate anti-tumor activity more thoroughly. Participants will receive regular treatments and be monitored for side effects, dose adjustments, and tumor response using established criteria over periods up to 40 months. Researchers will track toxicities, adverse events, dose interruptions or reductions, and overall response rates. Safety assessments include monitoring for serious events and evaluating patients' blood, liver, kidney function, and overall health throughout the study.

Researchers are evaluating the long-term safety and effectiveness of pembrolizumab (MK-3475) in participants with advanced solid tumors or blood cancers who have previously taken part in other pembrolizumab-based studies. This phase 3 study includes participants who are either currently on treatment or in follow-up from prior parent studies. It aims to understand how well pembrolizumab works over an extended period, up to approximately 10 years, by observing overall survival and safety outcomes. The study has three phases: First Course Phase, Survival Follow-up Phase, and Second Course Phase. Participants who were receiving pembrolizumab, pembrolizumab-based combinations, or lenvatinib in their parent studies will continue treatment in the First Course Phase, completing up to 35 doses every 3 weeks or 17 doses every 6 weeks. Those in the Follow-up Phase will enter the Survival Follow-up Phase without additional treatment but will be monitored. Participants eligible for a Second Course Phase, who have not received other anticancer treatments since their prior pembrolizumab dose and meet health criteria, may receive up to 17 doses every 3 weeks or 8 doses every 6 weeks of pembrolizumab or its combinations. Some may also receive other study drugs such as olaparib, MK-4280, MK-4280A, or pembrolizumab with berahyaluronidase alfa. Participants will be involved in regular treatment visits, safety checks, and long-term monitoring for up to about 10 years to assess overall survival. Researchers will evaluate clinical outcomes, monitor any side effects, and check organ function and physical health status. The study includes detailed eligibility screening, including physical assessments and adherence to contraception requirements for women of childbearing potential. Safety follow-up is ongoing to ensure participant well-being throughout the study.

Researchers are evaluating the long-term safety of nivolumab monotherapy, including its use with combinations and other cancer treatments, in patients with various types of cancer. This Phase 2 study focuses on patients who have previously participated in Bristol-Myers Squibb (BMS) sponsored trials involving nivolumab and other cancer therapies. The goal is to gather information on safety over an extended period following treatment. Participants may receive nivolumab alone or alongside other cancer drugs such as ipilimumab, cabozantinib, trametinib, relatlimab, capecitabine, bevacizumab, and others. Each drug is given at specified doses on designated days according to the study protocol. Treatment continuation or rechallenge is based on the participant's status from their prior parent study, including treatment holds after lasting responses or eligibility for restarting treatment. During the study, participants will be closely monitored for adverse events, including general, drug-related, serious, immune-mediated, and select adverse effects, as well as any deaths, from the start of treatment until 135 days after stopping treatment. Safety assessments and clinical evaluations will be conducted regularly to track these outcomes and ensure participant well-being throughout the trial.

Venom immunotherapy (VIT) is a known treatment for people allergic to Hymenoptera venom, aiming to protect against severe reactions from future stings. This study looks into why VIT with bee venom may work less well than with vespid venom. Researchers want to find out if being mainly sensitive to a specific bee venom allergen, Api m 10, or other allergens, increases the risk that the treatment might not work. Participants will receive bee venom immunotherapy, with the option to choose their treatment protocol. Before starting, blood samples will be collected to measure specific allergy antibodies (sIgE) to bee venom components. After treatment, participants will undergo a sting challenge to see how they respond and whether the therapy was effective. During the study, researchers will monitor how many patients fail treatment and whether this is linked to their sensitization to Api m 10 or other allergens. The main outcome is to assess if Api m 10 sensitization is a risk factor for treatment failure within about six months after reaching maintenance dose and undergoing the sting challenge. The study will help improve understanding of VIT and may lead to better treatment formulations in the future.

Researchers are conducting a prospective, non-interventional observational study to evaluate the long-term effects of dupilumab treatment in patients aged 6 years and older with atopic dermatitis (AD). The study aims to understand the characteristics of AD patients in Germany who receive dupilumab under everyday conditions, including their medical history, socio-demographic and disease-related features, associated atopic comorbidities and type 2 inflammation diseases, as well as their previous and ongoing AD treatments. The study will also assess therapeutic response rates at Month 6 and long-term efficacy at Months 12 and 24 by measuring disease control with tools such as the Atopic Dermatitis Control Tool (ADCT) and Recap of Atopic Eczema (RECAP). Additionally, the study will observe dosing patterns, reasons for treatment changes, and collect long-term safety data. Participants will receive dupilumab treatment as part of their routine care without any intervention from the study. The observation period for each participant lasts up to 2 years or until dupilumab treatment is discontinued. Visits will be scheduled according to the standard of care, and the study will collect data on variations in dosing regimens, treatment initiation or discontinuation reasons, and concomitant therapies. During the study, participants or their guardians will complete questionnaires to assess signs, symptoms, quality of life, and disease control related to atopic dermatitis. Researchers will monitor outcomes such as the number of patients maintaining controlled disease states between Months 6 and 12, and changes in ADCT and RECAP scores over 52 weeks. Safety data will also be collected throughout the observation period to evaluate the long-term effects of dupilumab in both adult and pediatric patients.

Researchers are evaluating the real-world effectiveness of nemolizumab for treating moderate-to-severe atopic dermatitis (AD) in adolescents and adults. This study is a prospective, multicenter, non-interventional trial that aims to measure treatment outcomes through physician assessments and patient-reported outcomes over approximately 12 months. The goal is to understand how nemolizumab works in routine clinical practice, focusing on physician evaluations and patient experiences at Month 6. Treatment with nemolizumab is determined solely by the participant's physician before joining the study, with no extra visits, procedures, or lab tests beyond standard care. The study does not define a specific visit schedule; instead, visits follow routine medical practice to collect data systematically. A sub-study in Germany and the UK will have participants complete daily questionnaires on itch severity, sleep disturbance, and pain from Day -1 to Day 14 remotely, without requiring clinic visits. Participants will be involved in routine clinical visits where physician assessments and patient-reported outcome measures will be gathered. Key outcomes measured include the Investigator Global Assessment (IGA) and the Peak Pruritus Numerical Rating Scale (PP NRS) at Month 6. The study observes participant responses and safety under normal care conditions, with data collection lasting about a year to evaluate nemolizumab's effectiveness in everyday treatment settings.