San Juan Del Rio

Researchers are evaluating AZD0780, an oral PCSK9 inhibitor, in a phase 3, randomized, placebo-controlled study to see if it can reduce the risk of major adverse cardiovascular events (MACE-PLUS) in adults with established atherosclerotic cardiovascular disease (ASCVD) or those at high risk for a first ASCVD event. The study compares AZD0780 to a placebo and monitors participants from randomization until the primary analysis censoring date, followed by a final study closure visit. Participants will be randomly assigned to receive either oral AZD0780 or an oral placebo once daily. The treatment period lasts until the primary analysis censoring date, after which a study closure visit will occur. The study is event-driven and designed to assess the time to the first major cardiovascular event during treatment. During the study, participants will be closely monitored with various assessments to evaluate cardiovascular outcomes and safety over approximately 54 months. Researchers will track the time to first event of any component of MACE-PLUS and collect data to assess the effect of AZD0780 compared to placebo. The study includes regular visits and evaluations to ensure participant safety and adherence to treatment.

Researchers are evaluating the effectiveness and safety of QMF149, a combination of indacaterol acetate and mometasone furoate, compared to budesonide in children aged 6 to less than 12 years with asthma. This Phase 3, double-blind, randomized, active-controlled, two-period, two-treatment cross-over study focuses on children with asthma who have lung function (FEV1) at or above 50% of the predicted normal value. The study aims to show whether QMF149 is superior to budesonide in improving asthma control. The study lasts up to 37 weeks and includes several phases: a screening period of up to 3 weeks, a 3-week run-in period where all participants receive fluticasone propionate, a first 12-week treatment period with either QMF149 or budesonide delivered once daily via Breezhaler, a 3-week washout period with fluticasone propionate, a second 12-week treatment period where participants switch treatments, and a 4-week safety follow-up where patients return to standard care as appropriate. The treatments are given once daily through an inhaler device. Participants attend scheduled visits every 3 weeks during screening and run-in, every 6 weeks during treatment periods, and a follow-up visit after safety monitoring. Assessments include lung function tests (FEV1), inhaler technique checks, symptom questionnaires, and monitoring of side effects. Researchers evaluate changes from baseline in trough FEV1 after each 12-week treatment to measure lung function. Safety information and survival status are collected at the end of the follow-up period.

Researchers are evaluating the safety and effectiveness of tezepelumab in adults aged 40 to 80 years with moderate to very severe chronic obstructive pulmonary disease (COPD). These participants must have a history of COPD for at least one year and have experienced multiple COPD exacerbations despite using inhaled maintenance therapy. This Phase 3, multicenter, randomized, double-blind, placebo-controlled study focuses on those who have had at least two moderate or one severe exacerbation in the prior year while on inhaled triple or dual therapy. Participants will receive monthly subcutaneous injections of either one of two doses of tezepelumab or a placebo. Treatment will last for a minimum of 52 weeks and up to 76 weeks. After the treatment period, there will be a 12-week off-treatment safety follow-up to monitor any lasting effects or safety concerns. During the study, researchers will assess the participants' lung function and monitor the annual rate of moderate or severe COPD exacerbations. Participants will undergo screening to confirm eligibility based on lung function tests, eosinophil counts, and symptom scores. Safety will be closely monitored throughout the treatment and follow-up periods to evaluate adverse effects and overall participant health.

Researchers are evaluating the safety and immune response of a group B streptococcus (GBS) vaccine in healthy pregnant women and their babies in this Phase 3 randomized, placebo-controlled, double-blinded trial. The study includes pregnant women aged 49 or younger between 24 and 36 weeks of gestation with uncomplicated singleton pregnancies and no major fetal abnormalities. Participants must also have documented negative tests for HIV, syphilis, and hepatitis B during this pregnancy. The goal is to learn how the vaccine works and to monitor safety for both mothers and their infants. Participants will receive one injection of either the GBS6 vaccine or a saline placebo. Pregnant women will be followed for up to 14 months, including 6 months after delivery. Their babies will be followed for about 12 months after birth. A subset of infants will also receive routine vaccinations such as diphtheria toxoid-containing vaccines and pneumococcal vaccines according to their country's immunization schedule, with blood samples collected one month after completing primary and toddler booster doses. Mothers will be monitored for local and systemic reactions within 7 days after vaccination, adverse events through 1 month, and serious or medically attended events up to 6 months postpartum. Infants will be observed for adverse events from birth through at least one year, with serious and medically attended events tracked through 6 months. Researchers will also measure antibody levels in infants at birth to assess the vaccine's potential to protect against early and late onset GBS disease. Mothers will attend at least 3 to 4 study visits, some via telephone, to support ongoing safety and immunogenicity assessments.

Researchers are evaluating the effectiveness and long-term safety of dupilumab treatment in children aged 2 to less than 6 years who have uncontrolled asthma or recurrent severe asthmatic wheeze. This Phase 3, two-arm study includes a randomized, double-blind, placebo-controlled design to compare dupilumab with placebo in this young population. The study aims to better understand how dupilumab may affect severe asthma flare-ups and monitor safety over an extended period. The study is divided into two parts. Part A lasts up to 68 weeks and includes a 4-week screening period, a 52-week treatment phase where participants receive either dupilumab or placebo by subcutaneous injection, and a 12-week follow-up after treatment ends. After Part A, eligible participants have the option to join Part B, an open-label extension lasting an additional 52 weeks of dupilumab treatment followed by another 12-week post-treatment follow-up. This structure allows researchers to assess both short-term and longer-term effects of dupilumab. Participants will attend clinic visits for assessments throughout the study, where researchers will monitor the number of severe asthma exacerbations during the first 52 weeks and track any adverse events from Week 52 to Week 116. Evaluations include safety checks, questionnaires, and other study procedures to understand treatment impact and tolerability. The total participation duration for each child can be up to 120 weeks, providing comprehensive data on dupilumab's use in young children with asthma or severe wheezing.

This research aims to evaluate the long-term safety and effectiveness of lunsekimig in adults with asthma who have previously completed related parent studies. It is a phase 2, open-label extension study offering eligible participants continued treatment to assess ongoing outcomes. The study focuses on adults who have stable asthma managed with moderate or high-dose inhaled corticosteroids and other controller medications. Participants will receive lunsekimig as a subcutaneous injection in solution form. The study duration extends up to 100 weeks, with treatment lasting up to 96 weeks. This extension study follows participants from previous trials, allowing them to continue lunsekimig treatment while being closely monitored. During the study, participants will undergo regular visits and procedures to track safety and efficacy. Researchers will monitor the number of participants experiencing any treatment-emergent adverse events, including serious or special interest events, from the start to week 100. Participants must comply with contraception requirements and attend scheduled assessments throughout the study period.

Researchers are evaluating the effects of baxdrostat combined with dapagliflozin compared to dapagliflozin alone in adults aged 40 and older who have type 2 diabetes, established cardiovascular disease, a history of hypertension with systolic blood pressure of at least 130 mmHg at screening, and at least one additional risk factor for heart failure. This Phase III randomized, placebo-controlled, event-driven study aims to determine if the combination reduces the risk of heart failure events or cardiovascular death, with follow-up lasting up to 38 months. Participants who meet screening criteria but are not currently treated with SGLT2 inhibitors or have been treated for less than 4 weeks will enter a run-in period receiving dapagliflozin 10 mg once daily for 4 to 6 weeks before randomization. The study involves random assignment to either baxdrostat plus dapagliflozin or placebo plus dapagliflozin. Site visits occur at approximately 2, 4, 8, 16, and 34 weeks after randomization, then every 4 months. Participants discontinuing the blinded study drug may continue open-label dapagliflozin, with ongoing visits and data collection as per protocol. Participants will undergo an optional pre-screening period without site visits or consent to help identify eligibility, followed by up to 14 days of formal screening after informed consent. Researchers will monitor heart failure events and cardiovascular deaths as primary outcomes. Safety and adherence will be tracked throughout the study, including during any premature discontinuation of blinded treatment. The study will conclude when a predetermined number of secondary endpoint events have occurred, with continued follow-up as needed.

Researchers are evaluating the efficacy, safety, and tolerability of adding subcutaneous lunsekimig compared with placebo as treatment for adults aged 18 to 80 with high-risk asthma who currently do not qualify for biologic therapies. This Phase 2, randomized, double-blind, placebo-controlled study focuses on participants with mild-to-moderate asthma diagnosed for over a year, who have had at least one asthma exacerbation in the previous year. The goal is to better understand lunsekimig's effects in this specific asthma population. Participants will be randomly assigned to receive either subcutaneous injections of lunsekimig or placebo over approximately 52 weeks. Alongside this, they may continue using other asthma medications such as various inhaled treatments including fluticasone/salmeterol, budesonide/formoterol, budesonide/albuterol, or short-acting beta agonists. The study includes up to 18 visits throughout the treatment period, with some participants possibly continuing into a long-term safety (LTS) study lasting up to 60 weeks total. During the study, participants will undergo regular assessments to monitor asthma control, lung function, and the rate of asthma exacerbations. The primary measurement is the annualized rate of asthma exacerbation events from baseline up to 52 weeks. Safety and tolerability will also be closely observed. The total study duration for most participants will be around 64 weeks if they do not enter the LTS study. Researchers will gather data through clinical visits, lung function tests, and ongoing safety monitoring to evaluate the treatment's impact and participant health throughout the trial.