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Found 22 Actively Recruiting clinical trials

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Actively Recruiting

Researchers are evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics, and possible effectiveness of IM-101 in adults with generalized myasthenia gravis (gMG) who have acetylcholine receptor (AChR) antibodies. The study also explores IM-101’s safety and efficacy in adults with AChR antibody-negative gMG and both types of ocular myasthenia gravis (oMG). This is a Phase 1b/2 trial that investigates different dosages and treatment regimens of IM-101. The trial has two parts. In Part A, participants receive IM-101 or placebo intravenously at a loading dose on Day 1 and Day 15, followed by a maintenance dose on Day 29. In Part B, participants receive IM-101 or placebo intravenously at a loading dose on Day 1 and Day 15, with additional maintenance doses on Days 29, 57, and 85. The study compares multiple ascending doses of IM-101 and placebo to assess safety and efficacy. Participants will be monitored for treatment-emergent adverse events, serious adverse events, and other safety concerns up to approximately 99 days in Part A and up to about 169 days in Part B. Researchers will measure changes in myasthenia gravis symptoms using standardized scores at baseline and Week 16. The study includes various assessments to track participants’ health and how they respond to treatment throughout the trial.

Age: 18Years - 74YearsAll GendersPhase 1Phase 2
25 locations
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Actively Recruiting

Researchers are conducting the X-TOLE3 Phase 3 clinical trial to evaluate the safety, tolerability, and effectiveness of XEN1101 as an additional treatment for adults with focal-onset seizures. The study focuses on measuring changes in seizure frequency when XEN1101 is added to existing antiseizure medications compared to placebo. Participants must have a confirmed diagnosis of focal epilepsy and have tried at least two antiseizure medications without achieving seizure freedom. About 360 participants will be randomly assigned in equal groups to receive either XEN1101 at 25 mg, 15 mg, or a placebo. The study includes up to 9.5 weeks of baseline observation to record seizure frequency, followed by 12 weeks of double-blind treatment where participants take the assigned capsules once daily with an evening meal. Those who complete this period may join a separate open-label extension to continue XEN1101 treatment, while others will enter an 8-week follow-up after treatment ends. During the study, participants will maintain accurate seizure diaries and continue stable doses of 1 to 3 antiseizure medications. Researchers will monitor seizure frequency changes from baseline through the 12-week treatment. Safety and tolerability will also be assessed throughout the trial. The total participation includes baseline, treatment, and follow-up periods to ensure thorough evaluation of the treatment's impact.

Age: 18Years +All GendersPhase 3
95 locations
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Actively Recruiting

Researchers are evaluating the safety and effectiveness of SPY072 compared to a placebo in adults aged 18 years and older who have moderately to severely active rheumatic diseases. This Phase 2, multi-center, double-blind, placebo-controlled basket study includes participants with rheumatoid arthritis (RA), axial spondyloarthritis (axSpA), and psoriatic arthritis (PsA) who have not responded adequately to standard treatments. Participants are assigned to receive either SPY072 or a matching placebo. The study includes separate substudies for each condition: RA participants must have active disease despite treatment with conventional or biologic disease-modifying anti-rheumatic drugs; axSpA participants must have active disease despite use of NSAIDs or biologic therapies; PsA participants must have active disease despite NSAIDs, conventional or biologic therapies. Treatments are given during the study period, and participants are monitored for changes in disease activity specific to their condition. During the study, participants undergo assessments including joint counts, disease activity scores, and laboratory tests such as C-reactive protein levels. Researchers measure changes in disease activity scores at 12 or 16 weeks depending on the condition, and evaluate the proportion of PsA participants achieving a clinical response. Safety and efficacy are monitored throughout, with the total participation duration aligned with these outcome measures.

Age: 18Years +All GendersPhase 2
64 locations
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Actively Recruiting

This research aims to evaluate the efficacy and safety of telitacicept in treating generalized myasthenia gravis (gMG), an autoimmune disease where autoantibodies disrupt nerve-to-muscle communication, causing muscle weakness that worsens with activity. The study addresses the challenge of limited effective therapies for this condition. Telitacicept is a fully human fusion protein designed to block specific immune system signals that promote B-cell growth and maturation, potentially reducing autoimmune symptoms in gMG. The study is a Phase 3, randomized, double-blind, placebo-controlled trial with an open-label extension. Participants will receive subcutaneous injections of either telitacicept or placebo. The study includes a 4-week screening period, a 24-week double-blind treatment phase, a 48-week open-label extension, followed by a variable-duration extended open-label extension until telitacicept is approved or development ends, and an 8-week end-of-study follow-up. Participants will undergo assessments including the Myasthenia Gravis-Activities of Daily Living (MG-ADL) score to measure changes in daily functioning by Week 24. The study also monitors safety and efficacy over the treatment and extension periods. Throughout the trial, various clinical evaluations will be conducted to track disease status and response to treatment, ensuring comprehensive monitoring of participant health and outcomes.

Age: 18Years +All GendersPhase 3
105 locations
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Actively Recruiting

Psoriatic arthritis (PsA) is a long-lasting inflammatory condition that affects the joints and skin in people with psoriasis (PsO). This research aims to evaluate how well the drug zasocitinib (TAK-279) works in adults with active PsA who have not previously used biologic disease-modifying antirheumatic drugs. The study is a Phase 3 clinical trial designed to compare zasocitinib against an active comparator and placebo in this patient group. Participants will receive treatment with either zasocitinib tablets, an active comparator capsule, or a matching placebo. The study includes multiple groups to assess the effects of these treatments. Participants will be followed and treated for up to 60 weeks during the study period. During the study, participants will undergo assessments to measure the percentage achieving improvement according to the American College of Rheumatology 20 (ACR20) response at 16 weeks. Researchers will monitor symptoms, joint and skin involvement, and overall safety throughout the trial. Participants will have regular visits for evaluations and will be observed for treatment effects and any side effects over the full course of the study.

Age: 18Years +All GendersPhase 3
189 locations
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Actively Recruiting

Researchers are evaluating the effect and safety of efgartigimod PH20 SC compared to placebo in adults diagnosed with systemic sclerosis (SSc). This phase 2 randomized, double-blinded, placebo-controlled study aims to understand how this treatment impacts skin involvement measured by the modified Rodnan Skin Score (mRSS) in affected individuals. The study includes participants with diffuse or limited SSc who meet specific classification criteria and antibody test requirements. Participants will be randomly assigned in a 2:1 ratio to receive either subcutaneous efgartigimod PH20 SC via prefilled syringe or a matching placebo. The study consists of a screening period, followed by a treatment period lasting up to 48 weeks, and then a safety follow-up phase. The total duration of participation may be approximately 15 months. During the study, participants will have regular evaluations including assessments of skin thickness using the mRSS to measure changes from baseline at week 24. Researchers will monitor safety, tolerability, pharmacodynamics, pharmacokinetics, and immunogenicity throughout the trial. Additional assessments may include disability and patient global assessment scores, antibody testing, and skin evaluations at injection sites.

Age: 18Years +All GendersPhase 2
74 locations
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Actively Recruiting

Researchers are evaluating the efficacy and safety of Afimkibart (also known as RO7790121) compared with a placebo in adults with moderate to severe rheumatoid arthritis (RA) who have not responded adequately or cannot tolerate tumor necrosis factor (TNF) and/or Janus kinase (JAK) inhibitors. This Phase II, multicenter, double-blind, placebo-controlled study focuses on participants who have active RA with specific joint swelling and tenderness, and who meet established RA classification criteria. Participants will receive either Afimkibart or placebo administered as a subcutaneous injection. The treatments are given to compare how well Afimkibart works against the placebo in reducing disease activity in RA patients with an inadequate response or intolerance to prior treatments. The study carefully monitors responses over a fixed timeline, including evaluations at baseline and Week 14. During the study, participants will undergo assessments measuring changes in the Disease Activity Score-28 for Rheumatoid Arthritis with C-Reactive Protein (DAS28-CRP) from baseline to Week 14. Researchers will monitor safety and efficacy through physical exams, laboratory tests, and other clinical evaluations. The study excludes individuals with certain prior treatments or medical conditions to ensure participant safety and reliable results.

Age: 18Years +All GendersPhase 2
46 locations
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Actively Recruiting

Researchers are evaluating the efficacy and safety of verekitug (UPB-101) in adults with moderate-to-severe Chronic Obstructive Pulmonary Disease (COPD), a long-term inflammatory lung condition. This global, multicenter Phase 2b study aims to understand how well verekitug works compared to a placebo, alongside participants' usual COPD medications. Participants must have a confirmed COPD diagnosis and meet specific lung function and symptom criteria to join the study. Participants will be randomly assigned to receive one of two doses of verekitug or a matching placebo, in addition to their regular COPD background treatments. The study includes a screening period of about 4 weeks, followed by treatment lasting between 60 and 108 weeks. After treatment, there is a 16-week follow-up period to monitor participants after their last dose. Throughout the study, participants will undergo various assessments including lung function tests and symptom evaluations. Researchers will track the annual rate of moderate or severe COPD flare-ups from the start of treatment through week 108. Safety and tolerability will be closely monitored during the treatment and follow-up periods to ensure participants' well-being over the course of the trial.

Age: 40Years - 85YearsAll GendersPhase 2
325 locations
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Actively Recruiting

Researchers are evaluating the efficacy, pharmacokinetics, safety, and immunogenicity of MB04, a proposed etanercept biosimilar, compared to Enbrel4 (EU-sourced) in adults aged 18 to 75 years with active moderate to severe rheumatoid arthritis despite methotrexate therapy. This Phase 3 study includes approximately 458 patients who have been on a stable methotrexate dose for at least 8 weeks before randomization. The goal is to compare these treatments over time to understand their effects in this patient population. Participants will be randomly assigned in a 1:1 ratio to receive either MB04 or EU-sourced Enbrel4 as a 50 mg subcutaneous injection once weekly during the main treatment period. After completing 24 weeks of treatment, those initially receiving Enbrel4 will be re-randomized to either continue Enbrel4 or switch to MB04 until week 36. Patients who started on MB04 will continue the same treatment through week 36. All participants will continue their stable methotrexate and folic acid regimen throughout the study. Participants will undergo screening within 28 days before randomization and will be monitored through week 40, including a 4-week safety follow-up after treatment ends. Researchers will assess treatment response using the American College of Rheumatology 20% Response Criteria (ACR20) at week 24, along with safety, pharmacokinetics, and immunogenicity evaluations. Regular assessments and monitoring will help determine how patients respond to the treatments and ensure their safety throughout the study.

Age: 18Years - 75YearsAll GendersPhase 3
60 locations
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Actively Recruiting

Researchers are evaluating the effectiveness and safety of BHV-7000 in adults with refractory focal onset epilepsy, a condition where seizures originate in one area of the brain and do not respond well to current treatments. This Phase 2/3 clinical trial aims to determine whether BHV-7000 can reduce seizure frequency in this population. The study is divided into two parts. In Part A, participants are randomly assigned to receive either 25 mg or 50 mg of BHV-7000, or a matching placebo, taken once daily. After completing Part A, participants move to Part B, where they are randomized to receive 75 mg of BHV-7000 or a matching placebo, also taken once daily. Both parts are randomized and double-blinded to ensure unbiased results. Participants will be monitored from Week 8 to Week 20 of each part for changes in average seizure frequency, serious adverse events, discontinuations due to side effects, and laboratory abnormalities. Researchers will track seizure diaries and assess safety and tolerability throughout the study. The total duration includes both study parts with regular evaluations to measure the drug’s impact and participant safety.

Age: 18Years - 75YearsAll GendersPhase 2Phase 3
124 locations

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