Solingen

Researchers are evaluating the long-term safety and effects of nerandomilast in people with idiopathic pulmonary fibrosis (IPF) or progressive pulmonary fibrosis (PPF) who have previously completed treatment with nerandomilast in earlier studies. The study aims to understand how well participants tolerate nerandomilast over time, and whether it helps improve lung function, delays symptom worsening, reduces hospital visits, or impacts survival. This is a Phase 3 open-label extension trial. Participants take nerandomilast tablets daily for up to 1 year and 10 months while continuing their usual pulmonary fibrosis treatments. The study follows an open-label design where all participants receive nerandomilast. There are no placebo or comparator groups in this extension phase. Throughout the study, participants regularly visit their doctors for health assessments and lung function tests. Doctors monitor any health problems or side effects experienced during treatment. The main outcome measured is whether participants experience any adverse events up to the final follow-up visit, which occurs at week 99. This close monitoring helps evaluate the long-term safety and potential benefits of nerandomilast in this patient group.

Researchers are evaluating a new classification system for obstructive sleep apnea (OSA) in adults who have recently been diagnosed with this condition. The study aims to monitor long-term improvements both objectively and subjectively in patients with OSA. It focuses on patients who have a diagnosis confirmed by sleep studies and tracks changes in symptoms and cardiovascular measures over time. The study does not involve experimental treatments but observes participants over a period of up to 36 months. During this time, the classification system is applied, and patients are followed to assess changes related to sleepiness and blood pressure. The study is prospective and observational, meaning it follows patients forward in time without assigning specific treatments. Participants will be assessed at enrollment and monitored throughout the observation period. Key measurements include changes in daytime sleepiness using the Epworth Sleepiness Scale and changes in office systolic blood pressure. The study collects data to understand how the new classification relates to patient outcomes over three years, ensuring safety and adherence through regular follow-up visits and evaluations.

Researchers are evaluating the safety and effectiveness of the Adaptive Tip Catheter (ATC) as a first-line direct aspiration thrombectomy method for patients experiencing an acute ischemic stroke. This study focuses on patients with stroke symptoms in the anterior circulation who can receive endovascular treatment within 24 hours of their last known well time. Eligible participants are adults aged 18 to 90 years with specific stroke severity and imaging scores. Participants will undergo mechanical thrombectomy using the Adaptive Tip Catheter. The procedure is performed as the first treatment approach to remove blood clots causing the stroke. Treatment must begin within 24 hours of symptom onset, defined by the time of access puncture. The study includes only one intervention group using this device. During the study, researchers will assess reperfusion success during the procedure through independent imaging review. Participants will be monitored for safety and treatment outcomes, including stroke severity scores and imaging assessments. Informed consent is required before enrollment, and the total study involvement includes evaluations before, during, and after the thrombectomy procedure to ensure safety and effectiveness.

Researchers are evaluating the effect of a triple therapy inhaler called BGF MDI containing budesonide, glycopyrronium, and formoterol fumarate compared with a dual therapy inhaler called GFF MDI containing glycopyrronium and formoterol fumarate in people with Chronic Obstructive Pulmonary Disease (COPD) who have a higher risk of heart and lung problems. This Phase III randomized, double-blind, parallel group study takes place at multiple centers and focuses on cardiopulmonary outcomes in these patients. Participants receive either the BGF MDI 320/14.4/9.6 micrograms twice daily or the GFF MDI 14.4/9.6 micrograms twice daily. The treatments are inhaled using metered dose inhalers. The study compares these two therapies over time to see how they affect the time until the first severe heart or lung event occurs. The study design ensures that neither participants nor researchers know which treatment is given to reduce bias. During the study, participants will have regular visits to the study site or virtual visits to complete assessments. Researchers will monitor lung function, symptoms, and blood tests, including blood eosinophil counts and COPD assessment test scores. The main outcome measured is the time to the first severe cardiac or COPD event, with follow-up lasting up to three years. Safety and adherence to treatment will also be closely observed throughout the study period.

Researchers are evaluating the safety and effectiveness of calderasib combined with pembrolizumab as a first treatment in adults with locally advanced or metastatic non-small cell lung cancer (NSCLC) that has a specific KRAS G12C mutation and a PD-L1 tumor proportion score of 50% or higher. This Phase 3 trial aims to test if the combination of calderasib and pembrolizumab improves progression-free survival and overall survival compared to pembrolizumab with a placebo. Participants receive oral calderasib tablets or placebo along with pembrolizumab given by intravenous infusion. The study compares these two treatment groups to see which provides better outcomes. Treatments continue during the study, and there are no additional interventions described beyond these drugs. During the trial, participants undergo regular assessments including scans and tests to monitor their cancer's progression and overall health. The main outcomes measured are progression-free survival for up to about 42 months and overall survival for up to about 56 months. Safety is monitored throughout, and participants are followed for several years to evaluate long-term effects of the treatments.

This trial investigates the effectiveness of Pumitamig compared to Pembrolizumab in adults with advanced Non-Small Cell Lung Cancer (NSCLC) who have not received prior treatment and whose tumors express PD-L1 at 50% or higher. The study targets individuals with locally advanced or metastatic NSCLC, focusing on those with measurable disease and good performance status. It is a Phase 3 randomized, double-blind study designed to compare these two treatments as first-line options for this patient group. Participants will receive either Pumitamig or Pembrolizumab at specified doses on scheduled days. The treatments are given as monotherapy, meaning each participant receives only one of these drugs throughout the study. The study does not mention additional treatment phases or extensions, focusing on the direct comparison of these two drugs for initial treatment. Throughout the study, researchers will assess how long participants live without their cancer worsening, using standardized criteria over about three years. Overall survival will also be tracked for up to five years. Participants will be monitored regularly to evaluate their response to treatment and overall health. Safety and effectiveness outcomes will be gathered through medical assessments consistent with clinical trial standards for NSCLC.

Researchers are evaluating whether the medicine nerandomilast can slow lung changes in people aged 40 years or older who have at least one family member with pulmonary fibrosis. Pulmonary fibrosis involves scarring of lung tissue, making breathing harder, and early lung changes called interstitial lung abnormalities may lead to this scarring. Because having family members with pulmonary fibrosis increases risk, this study aims to find ways to prevent the condition from worsening. Participants are randomly assigned to one of two groups: one takes nerandomilast tablets, and the other takes placebo tablets that look the same but contain no medicine. They take a tablet twice daily for about 2 to 3 years. There is a 60% chance of receiving nerandomilast. The study includes regular visits more frequently during the first two years (about every 3 months) and then every 6 months, with phone calls every 3 months during the third year. During the study, doctors regularly test lung function and perform chest scans to monitor lung changes and treatment effects. They also check participants' overall health and watch for any side effects. The main outcome measured is the time to worsening of lung abnormalities over up to 164 weeks, comparing nerandomilast to placebo to see if it helps slow disease progression.

Researchers are evaluating the clinical safety and effectiveness of the DERIVO4heal4 Embolisation Device in treating intracranial aneurysms. This prospective, single-arm, multicenter, open-label study is conducted in Germany across approximately 15 sites. The study aims to assess mid- and long-term clinical and angiographic outcomes, focusing on potential risks and updating the device's clinical evaluation to ensure its safety and performance after market approval. Participants will receive flow diversion therapy using the DERIVO4heal4 Embolisation Device to treat their intracranial aneurysm. The study plans to enroll up to 158 patients over 36 months, followed by a 12-month observation period. The device will be implanted as part of standard clinical routine, and treatment success, safety, and technical performance will be systematically recorded. During the study, patients will have scheduled follow-ups to monitor clinical progress and safety, with key outcome assessments at approximately 6 weeks, 6 months, and 12 months. Data on clinical and safety endpoints will be collected and validated using electronic case report forms and monitored for accuracy. Personal data will be securely handled according to regulations, and study results will be shared with ethics committees and may be published with investigator agreement.

Researchers are investigating the effects of a medicine called BI 690517 in combination with empagliflozin for adults with chronic kidney disease who are at risk of their condition worsening. This study includes people both with and without type 2 diabetes and those already taking certain kidney-related medicines like ACE inhibitors or angiotensin receptor blockers. The goal is to understand if adding BI 690517 helps protect kidney function and reduces risks related to kidney failure and heart problems. This is a Phase 3 clinical trial conducted over about 3 to 4 years. The study has two parts. First, participants receive either empagliflozin or a placebo similar to BI 690517 for at least six weeks, while continuing other indicated treatments like ACE inhibitors or ARBs. In the second part, participants are randomly assigned to take either BI 690517 tablets or placebo tablets once daily alongside empagliflozin for the rest of the study. The placebo tablets look like BI 690517 but contain no active medicine. Participants have regular visits to the study site, about four times in the first six months, then every six months afterward. During these visits, doctors monitor kidney function, heart health, blood pressure, weight, and any side effects. Blood and urine samples are taken to track health changes. The main outcomes measured are the time until worsening kidney disease, hospitalization for heart failure, or cardiovascular death. The study ends when a certain number of these events have occurred.

Researchers are evaluating whether systematic pelvic and para-aortic lymphadenectomy (LNE) improves overall survival in women with stage I or II endometrial cancer who have a high risk of recurrence. The study also aims to assess the impact of LNE on disease-free survival, quality of life, complications, side effects, and the number of lymph nodes removed. A total of 640 patients with confirmed high-risk endometrial cancer will be included in the trial. Participants will be randomly assigned to one of two groups. In the first group, patients will undergo a total hysterectomy and bilateral salpingo-oophorectomy, with an additional omentectomy if they have serous or clear cell cancer types. The second group will receive the same procedures plus systematic pelvic and para-aortic lymphadenectomy up to the level of the left renal vein. This approach allows comparison between standard surgery and surgery with lymphadenectomy. During the study, patients will be monitored for overall survival over 60 months. Researchers will also evaluate disease-free survival and quality of life, while tracking complications and side effects of the treatments. Informed consent will be obtained, and patients’ compliance and health status will be regularly assessed. The trial includes close follow-up to observe long-term effects and outcomes of the surgical procedures.