Piacenza

This research aims to assess the effectiveness of a combination of rituximab and golcadomide as a chemotherapy-free treatment for older, frail patients newly diagnosed with Diffuse Large B Cell Non-Hodgkin Lymphoma DLBCL. The study focuses on patients considered frail based on a simplified geriatric assessment sGA and who are not suitable candidates for standard anthracycline-based chemotherapy treatments like R-CHOP. It is a prospective, multicenter, phase II trial designed to explore this targeted approach in a vulnerable population. Participants will undergo an induction phase receiving rituximab, golcadomide, and dexamethasone during the first cycle, with a total of up to six 28-day cycles. Response evaluations occur after the fourth and sixth cycles to determine treatment continuation or discontinuation. Patients achieving at least a partial response proceed to a consolidation phase involving golcadomide alone for up to six additional cycles, possibly alongside involved site radiotherapy on PET-positive areas. Those with stable or progressive disease at interim assessments will stop the protocol treatment and receive alternative therapies. Throughout the study, participants are closely monitored with imaging scans such as PETCT or CT for disease and sarcopenia assessment, and quality of life evaluations at multiple points including baseline, six months, and twelve months. Follow-up continues for 24 months with regular visits to track progression-free survival and overall health. Treatment failures are followed for survival until study completion. The study also records treatment discontinuation rates and quality of life changes to comprehensively understand the treatment impact.

Researchers are conducting a large prospective, observational cohort study to evaluate the clinical impact of new Monoclonal Antibodies MAB in patients with B-cell Non-Hodgkin Lymphoma NHL treated in Italian clinical practice. The study focuses on collecting information about the use, feasibility, effectiveness, and both short- and long-term side effects of novel MABs that have been approved by the European Medicines Agency since 2020 and prescribed according to authorized indications in Italy. Participants will be divided into groups based on treatment indication, antibody type, and lymphoma subtype to allow detailed analysis. The study observes patients with B-cell NHL who have received at least one dose of a novel MAB either alone or in combination, as authorized for use in Italy. Both patients receiving first-line treatment and those with relapsed or refractory disease are included. Various cohorts and sub-cohorts will be analyzed to understand outcomes by indication, antibody type, and histological subtype, providing a comprehensive overview of these treatments in real-life settings. Participants will be followed for at least five years to assess outcomes such as overall response rate, complete response rate, progression-free survival, overall survival, event-free survival, time to next treatment, non-relapse mortality, duration of response, and the incidence of early and late adverse events. Clinical data collection will include treatment details, safety monitoring, and long-term follow-up to evaluate both effectiveness and toxicity. The study spans several years, allowing researchers to capture extensive real-world evidence on novel MAB use in B-cell NHL.

This research aims to evaluate mezagitamab for adults with primary Immunoglobulin A nephropathy IgAN, a kidney disease caused by immune protein buildup leading to inflammation and potential kidney damage. The study will compare how mezagitamab affects protein levels in urine proteinuria against a placebo, focusing on safety, tolerability, and maintenance of kidney function over time. Participants will be randomly assigned to either receive mezagitamab or a placebo injection subcutaneously over approximately 22 weeks in the main group, with a 21 ratio favoring mezagitamab. An open-label group includes participants with specific proteinuria or kidney filtration levels, including those from a prior related study, all receiving mezagitamab in the same manner. After treatment, participants will be observed for about 1.5 years with regular check-ups. During the study, participants will attend multiple clinic visits for treatment and monitoring. Researchers will measure changes in proteinuria at Week 36 as the primary outcome, as well as kidney filtration rates over one and two years. Safety and long-term kidney function will be closely monitored throughout the 2-year participation period.

Researchers are studying felzartamab in adults with Immunoglobulin A nephropathy IgAN, a kidney disease caused by abnormal IgA antibodies building up in the kidneys leading to inflammation and damage. This Phase 3 clinical trial aims to understand how felzartamab affects proteinuria, the presence of protein in urine, and kidney function in people with IgAN. The safety and how the body processes felzartamab are also being evaluated. Participants will be randomly assigned to receive either felzartamab or a placebo through intravenous infusions during a 24-week treatment period. Some participants with lower kidney filtration rates will be grouped separately but also receive either felzartamab or placebo. After treatment, participants will enter an 80-week follow-up phase. In total, participants will have 17 study visits over about two years. Throughout the study, participants will have urine tests to measure proteinuria, blood tests to assess kidney filtration function, and monitoring for side effects. Researchers will also study felzartamab levels in the blood and check for immune reactions against the drug. Safety will be closely monitored using vital signs, laboratory tests, and physical exams during the entire 104-week period.

Researchers are evaluating the combination of elranatamab, daratumumab, and lenalidomide compared with the combination of daratumumab, bortezomib, lenalidomide, and dexamethasone in adults with newly diagnosed multiple myeloma who are not candidates for transplant. This phase 3 study aims to determine whether the new combination offers better clinical benefits by assessing safety, tolerability, minimal residual disease negative complete response rates, and progression-free survival. The study has two parts. Part 1 focuses on characterizing the safety and tolerability of elranatamab combined with daratumumab and lenalidomide or with lenalidomide alone, and determining the best dose. Part 2 compares the effectiveness of elranatamab plus daratumumab and lenalidomide against the standard combination of daratumumab, bortezomib, lenalidomide, and dexamethasone in participants with newly diagnosed multiple myeloma. Participants receive study drugs according to their assigned group, and dosing and combinations vary by part and arm. Participants will undergo regular assessments including monitoring of disease status, progression, and response using criteria such as minimal residual disease and progression-free survival. Safety will be monitored through adverse event reporting and laboratory tests. Quality of life will also be evaluated using questionnaires. The study may last up to several years, with follow-up extending up to 97 months to assess long-term outcomes and survival.

This observational study focuses on patients with relapsed or refractory Diffuse Large B Cell Lymphoma DLBCL who have been treated with a combination of tafasitamab and lenalidomide. The study aims to assess the effectiveness and safety of this combination in a real-world setting using data collected retrospectively from medical records. It is a pilot, multicenter study conducted in Italy, observing clinical practice without introducing new treatments or interventions. The study gathers data from patients treated between April 2022 and December 2022 under a Named Patient Program. Since this is a retrospective study, it does not involve administering therapies or altering patient care. Instead, it collects clinical variables that physicians routinely record during standard treatment, focusing on patients who received at least one dose of the combined drugs. Participants involvement consists of allowing researchers to review their medical records for data on treatment response, survival rates, and any toxicities experienced. The main outcome measured is the overall response rate, observed over an average of two years, alongside other outcomes such as duration of response, progression-free survival, and overall survival. Safety data is collected from enrollment until 30 days after the last infusion, with no additional procedures required from patients.

This research aims to compare the effects of oral anticoagulation versus no anticoagulation in patients aged 55 and older who have had recent episodes of transient atrial fibrillation triggered by stress and have additional factors that increase their risk of stroke. The study is a multinational, investigator-initiated, prospective, randomized, open-label trial evaluating the impact of non-vitamin K oral anticoagulants NOACs on preventing stroke and other serious cardiovascular events. Participants will be randomly assigned to either receive one of several NOACs, such as edoxaban, apixaban, dabigatran, or rivaroxaban, prescribed by their physician for the duration of the follow-up, or to a control group that will not receive anticoagulants unless medically indicated during the study. The choice of specific NOAC and dose adjustments are determined by the prescribing doctor. The study excludes patients with certain conditions like chronic atrial fibrillation, severe kidney or liver disease, recent cardiac surgery, or bleeding risks. During the study, participants will be monitored for up to 24 months to assess the occurrence of non-hemorrhagic stroke, systemic embolism, vascular mortality, myocardial infarction, peripheral arterial thrombosis, amputation, and venous thromboembolism. Regular follow-up will include evaluation of these outcomes to measure the effectiveness and safety of anticoagulation compared to no anticoagulation. Participants will provide informed consent and remain under medical supervision throughout the trial.

Researchers are evaluating ziltivekimab, a new medicine not yet approved anywhere, to see if it can help people who were hospitalized due to a heart attack. The study aims to find out if ziltivekimab can reduce the development of heart disease and prevent future heart attacks or strokes. This is a Phase 3 clinical trial comparing ziltivekimab to a placebo in patients with acute myocardial infarction. Participants will receive an initial loading dose of ziltivekimab or matching placebo by injection under the skin as soon as possible after an invasive heart procedure, within 36 hours for STEMI or 48 hours for NSTEMI patients. After the loading dose, they will get monthly injections of the same study medicine for up to two years, in addition to their standard care. During the study, participants will be monitored for major cardiovascular events such as heart attack, stroke, and cardiovascular death. Researchers will also track other heart-related outcomes and safety measures over a period of up to 25 months. The study involves regular visits for injections, assessments, and laboratory tests to evaluate the medicines effects and patient health throughout the trial.

Researchers are studying patients with primary Immune Thrombocytopenia ITP who have not received previous treatment and require first-line therapy. This non-profit, multicenter, biological, non-drug study aims to understand the biological characteristics of ITP by analyzing samples collected over time to observe changes related to the disease, treatment, and response. Participants will have peripheral blood, fecal, and bone marrow samples collected at the start of the study and again at 30 days and 180 days after beginning treatment. If a new line of therapy is needed, the same sample collection and assessments will be repeated to track biological changes. During the study, researchers will compare the biological analyses from each time point to identify disease patterns and treatment effects. The main measurement includes assessing the incidence of B-cell mediated disease at baseline. Participation involves biological sample collection and monitoring over time, with the study planned to continue until November 2026.

Researchers are studying Classical Hodgkins Lymphoma cHL, a rare cancer of the immune system mostly affecting young adults. Despite advances in treatment, many patients experience relapse or resistant disease. The study aims to better understand the genetic and biological complexity of cHL using molecular profiling and advanced imaging techniques, to identify new markers that predict disease progression and improve personalized treatments. The study includes three groups patients who have completed treatment and entered follow-up, patients with confirmed relapse or disease progression, and a retrospective group of previously treated patients from medical archives. It combines genetic analysis, gene expression profiling, liquid biopsy of circulating DNA, and radiomic analysis of PET scans to capture tumor characteristics at diagnosis and during disease progression. Participants will provide tissue and blood samples, and undergo PET scan evaluations. Researchers will analyze genetic mutations, compare findings from tissue and liquid biopsies, and correlate these data with patient outcomes. The study will track participants over several years to assess how genetic and imaging markers relate to disease control, aiming to improve risk assessment and treatment decisions in cHL.