Koriyama

Researchers are evaluating whether baricitinib can delay the onset of clinical stage 3 type 1 diabetes (T1D) in children and adults at high risk of developing the disease. This phase 3, double-blind, randomized, placebo-controlled study includes participants aged 1 to under 36 years who have early stages of T1D or multiple diabetes-related autoantibodies indicating increased risk. The study aims to measure the time from the start of the trial to diagnosis of stage 3 type 1 diabetes, with participation lasting up to approximately 5 years. Participants will be randomly assigned to receive either baricitinib or a placebo, both administered orally. The trial compares these two groups to assess the impact of baricitinib on delaying progression to stage 3 T1D. The study's design includes careful monitoring of participants over time to evaluate the effects of the medication or placebo on disease development. During the study, participants will undergo regular assessments to detect the progression of diabetes, including laboratory tests for autoantibodies and clinical evaluations. Researchers will track the time it takes for participants to develop stage 3 T1D, along with monitoring safety and any adverse effects. The total duration of participation can be up to 5 years, ensuring thorough observation of long-term outcomes related to the study interventions.

Researchers are evaluating the safety and effectiveness of empasiprubart in adults diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). This phase 3 study aims to compare empasiprubart with a placebo in treating this condition, which involves nerve inflammation and damage that can cause weakness and disability. Participants include adults with typical CIDP or certain CIDP variants who have active disease and residual disability. The study has two parts: In part A, participants receive either empasiprubart or a placebo through intravenous infusion for 24 weeks (6 months). After this, all participants enter part B, where everyone receives empasiprubart intravenously for an additional 96 weeks (24 months). This design allows researchers to observe both the initial effects compared to placebo and the longer-term outcomes of empasiprubart treatment. Throughout the study, participants will be regularly monitored for treatment effects and safety. The main outcome measured is the reduction of at least 1 point in the adjusted inflammatory neuropathy cause and treatment (aINCAT) score by week 24. Researchers will also track any side effects and overall health during the full duration of the study, which can last up to 2.5 years including both parts A and B.

Researchers are evaluating the safety and effectiveness of KarXT in adults aged 55 to 90 who have mild to severe Alzheimer's Disease (AD) accompanied by moderate to severe psychosis related to AD. This phase 3 study aims to better understand how KarXT compares to a placebo in treating the psychotic symptoms associated with Alzheimer's Disease. Participants must have documented AD diagnosis and a history of psychotic symptoms lasting at least two months prior to starting the study. Participants will receive either KarXT or a placebo, with specified doses given on designated days. The study is designed as a randomized, double-blind, placebo-controlled trial with parallel groups to assess the treatment's effects. Details about dosing schedules and administration are planned but not specified here. During the study, researchers will measure changes from baseline in the Neuropsychiatric Inventory-Clinician: Hallucinations and Delusions (NPI-C: H+D) score up to week 14 to evaluate the impact on psychosis symptoms. Participants will undergo brain imaging (MRI or CT) if not already done within the past five years to rule out other conditions, and safety monitoring including laboratory tests will be conducted. The total participation duration covers screening through at least 14 weeks of treatment and assessment.

This trial investigates the efficacy and safety of SEP-363856 (Ulotaront) in adults aged 18 to 65 experiencing acute psychotic episodes related to schizophrenia. It is a Phase 3, randomized, double-blind, placebo-controlled, and multicenter study designed to evaluate treatment effects in participants undergoing symptom relapse or exacerbation within two months before screening. The study focuses on individuals requiring hospitalization for these symptoms and assesses changes in psychosis severity. Participants are randomly assigned to receive either SEP-363856 tablets or placebo tablets during the treatment period. The study design includes parallel groups to compare outcomes between the investigational drug and placebo. Treatment duration and dosing details are consistent with the study protocol but are not specified in this summary. Throughout the study, researchers monitor participants using the Positive And Negative Syndrome Scale (PANSS) to measure changes in symptom severity from baseline to Week 6. Additional assessments include Clinical Global Impression-Severity (CGI-S) scores and safety evaluations. The total study period includes screening, treatment, and follow-up to ensure comprehensive monitoring of efficacy and safety in acutely psychotic individuals with schizophrenia.

Crohn's disease is a chronic inflammatory condition affecting the digestive tract that currently has no cure. This research aims to evaluate the safety and effectiveness of upadacitinib in treating moderate to severe active Crohn's disease in a real-world setting in Japan. The study will monitor any adverse events and changes in disease activity among participants. All participants will receive upadacitinib as prescribed by their doctors following local approved guidelines. Around 240 participants will be enrolled, and treatment will be according to each participant's usual clinical care. The study is observational and non-interventional, meaning no additional treatments or procedures beyond standard care will be required. Participants will be followed for up to 64 weeks, with study visits conducted either in person or virtually according to standard care practices. Researchers will assess safety by tracking serious infections related to the drug and monitor disease activity throughout the study period. There is expected to be no extra burden on participants beyond their routine care and assessments.

Researchers are investigating the safety and effectiveness of a new type of dental implant called a periodontal ligament-integrated implant, designed for adults aged 18 and older who need to have a single-rooted tooth removed. This implant uses the remaining periodontal ligament tissue in the extraction socket to help the implant attach and function more like a natural tooth. The study is exploratory and involves about six participants to see if the implant can achieve stable integration with the jawbone by 24 weeks after placement and if it can mimic natural tooth mobility and sensation while keeping periodontal health. Participants will have one eligible single-rooted tooth extracted, and the investigational implant will be placed immediately into the socket. The implant-abutment assembly is temporarily stabilized with a fixation device for about nine weeks to support healing and integration. After this healing phase, the fixation device is removed, and a permanent superstructure is attached to allow the implant to bear functional load. The entire observation period lasts up to 48 weeks with multiple evaluations throughout. During the study, participants will attend scheduled visits for dental X-rays, clinical exams, and various measurements such as tooth mobility, pocket depth, and pain levels. Quality of life will be assessed using an oral health questionnaire. Researchers will monitor how well the implant integrates with the jawbone, forms periodontal attachment, and maintains bone remodeling and implant stability. Safety and any adverse events related to surgery or device performance will also be closely tracked throughout the study period.

The trial investigates the long-term safety and tolerability of KarXT in people with psychosis associated with Alzheimer's Disease. This Phase 3 global, multicenter, open-label extension study lasts 52 weeks and enrolls participants who have completed earlier related studies (CN012-0026, CN012-0027, or CN012-0056). The purpose is to monitor how well patients tolerate KarXT over an extended period and to collect safety data. Participants receive KarXT in varying doses taken three times daily, ranging from 20/2 mg up to 66.7/6.67 mg per dose, corresponding to total daily doses between 60/6 mg and 200/20 mg. This treatment is provided throughout the 52-week open-label extension. The study includes only those who completed the previous related studies and continues to assess their response to KarXT over this longer timeframe. During the study, participants are closely monitored for treatment-emergent adverse events from the first dose through 14 days after the final dose, which may be up to 54 weeks. Regular assessments ensure safety and tolerability, and caregivers are involved to support participants. The study also evaluates participants' ability to continue living in their current setting and requires consent from the participant or their legal representative. Overall, the study tracks long-term safety outcomes in this specific patient group.

Researchers are evaluating AGN1 LOEP, a local osteo-enhancement procedure, to prevent secondary hip fractures in women with osteoporosis who have recently had a hip fracture repaired. This randomized controlled trial involves up to 2400 postmenopausal women aged 65 to 91 years who have experienced a low-energy fragility hip fracture and are undergoing surgical repair. The study aims to reduce the incidence of new fractures on the opposite hip, which is at risk during recovery. Participants are randomly assigned to one of two groups: the treated group receives standard hip fracture repair plus the AGN1 LOEP treatment on the unfractured opposite hip, while the control group receives only the standard repair without the AGN1 procedure. The AGN1 LOEP treatment involves injecting the implant material at the treatment site immediately after hip surgery. Follow-up visits are scheduled at 6 weeks, 6 months, and then every 6 months for at least 5 years to monitor outcomes. During the study, participants will undergo assessments to track the occurrence of secondary hip fractures and any adverse events, including serious complications. Researchers will collect data at multiple visits to evaluate the procedure's safety and effectiveness over time. The main outcomes measured include the cumulative incidence of new hip fractures and adverse events approximately 30 months after treatment, with long-term follow-up continuing for a minimum of five years.