Ulyanovsk

Researchers are studying adult participants with chronic kidney disease CKD who have high protein levels in their urine. The study aims to evaluate the effects of a combination of two drugs, zibotentan and dapagliflozin, compared to dapagliflozin alone. This Phase II, multicenter, randomized, double-blind study also assesses safety and tolerability of these treatments alongside standard care, including participants with or without type 2 diabetes mellitus. Participants not already using SGLT2 inhibitors will first receive dapagliflozin alone daily for 28 days during a run-in period. Then, all participants enter a 12-week double-blind treatment phase where they receive either the fixed-dose combination of zibotentan and dapagliflozin or dapagliflozin alone daily, with doses adjusted based on kidney function eGFR. After this period, participants stop the blinded treatment and continue open-label dapagliflozin alone for 4 weeks for safety follow-up. During the study, participants will have their urinary albumin to creatinine ratio UACR measured to evaluate kidney function at 12 weeks. Other assessments include urinary protein to creatinine ratio, blood pressure changes, and monitoring of any adverse events from the start of treatment through a follow-up visit 18 weeks after enrollment. The total participation includes screening, run-in, treatment, and safety follow-up periods, providing detailed data on the treatment effects and safety profile.

This research aims to assess the physical impact of Multiple Sclerosis MS from the participants perspective. It also provides participants continued access to the medication ocrelizumab while evaluating its safety and tolerability. The study is an open-label extension phase 3 trial sponsored by Hoffmann-La Roche, focusing on patients previously enrolled in related studies who currently lack local access to ocrelizumab treatment. Participants will receive ocrelizumab either as a 600 mg intravenous infusion or a 920 mg subcutaneous injection, following the dosing schedule established in their prior parent study. Treatment will continue until local access to the drug becomes available, if safety concerns arise, if the participant withdraws consent, or in the event of death. During the study, participants will be monitored for changes in physical functioning using patient-reported outcome measures over up to five years. Researchers will also track the number of participants receiving ocrelizumab and monitor adverse events, including serious or special interest events that may lead to discontinuation. Safety and tolerability assessments will continue throughout the study duration, which may last up to five years.

This study evaluates the long-term safety and tolerability of pelacarsen TQJ230 in people with established cardiovascular disease and elevated Lipoproteina who completed a previous related study. It is an open-label extension trial, meaning all participants receive the study drug without placebo comparison. The trial is sponsored by Novartis Pharmaceuticals and focuses on continued treatment after the completion of the parent study. Participants receive monthly injections of pelacarsen 80 mg subcutaneously for up to 36 months during this extension phase. This phase is designed to provide access to the study drug after the initial trial and to monitor participants closely. The study does not involve randomization or blinding, and all enrolled participants receive the active drug. During the study, participants will undergo regular assessments including monitoring for adverse events and cardiovascular events, as well as measuring Lipoproteina levels at baseline and several time points over 36 months. Safety and tolerability will be closely tracked throughout the treatment period. The total duration of participation corresponds to the length of the extension phase, up to three years.

Researchers are evaluating the efficacy, safety, pharmacokinetics, pharmacodynamics, and immunogenicity of the study drug BCD-261 in patients with moderate to severe active Crohns Disease. This study involves adult men and women aged 18 to 75 years who have had an inadequate response to previous treatments such as glucocorticoids, immunosuppressants, or biologics. The trial is designed to better understand the dose-response relationship of BCD-261 compared to a placebo in this patient group. Participants are randomly assigned to one of five groups receiving different dosing regimens of BCD-261 or placebo. Four groups receive varying doses of BCD-261 low, medium, high during induction weeks 0-12 and maintenance phases, with some groups transitioning between doses. The fifth group receives placebo until the primary endpoint assessment at week 14, after which they switch to the medium dose of BCD-261. During the study, participants will be closely monitored for clinical remission and endoscopic response at week 14, with additional remission assessments at week 24. The study includes comprehensive evaluations such as safety monitoring and pharmacokinetic and pharmacodynamic assessments. Participants will be involved throughout the induction and maintenance periods with scheduled visits and assessments to track treatment effects and safety over time.

Researchers are evaluating Raphamin in adults aged 18 to 64 years who have acute bronchitis symptoms lasting less than 72 hours. This randomized, double-blind, placebo-controlled phase 3 trial aims to determine if Raphamin can speed up symptom resolution, reduce disease severity, and prevent complications requiring antibiotics compared to placebo. The study includes both men and women during the seasonal period of acute respiratory viral infections. Participants are randomly assigned to receive either Raphamin or a placebo following a specific oral dosing schedule for 5 days. On the first day, participants take 8 tablets of Raphamin or placebo one tablet every 30 minutes for the first 2 hours total of 5 tablets, then one tablet three times spaced evenly throughout the day. From day 2 onwards, one tablet is taken three times daily. The study uses an electronic patient diary to record daily symptoms, and face-to-face visits are scheduled on days 1, 4, and 7, with a phone visit on day 14. Throughout the study, participants undergo physical exams, vital sign monitoring, pulse oximetry, and laboratory tests including blood counts and PCR for respiratory viruses. Symptom severity is assessed by the Bronchitis Severity Scale and the Integrative Medicine Outcome Scale. Quality of life is evaluated using the EQ-5D instrument. Safety is monitored through recording adverse events and any use of antibacterial medications or hospitalizations. The total duration of participation includes treatment and follow-up over 14 days.

This research aims to collect real-world data on the use and effects of tezepelumab in adults with Chronic Rhinosinusitis with Nasal Polyps CRSwNP, including those with or without asthma. Conducted across approximately 10 sites in Russia, the study observes participants who have started tezepelumab treatment within the past 4 weeks, outside of a controlled clinical trial setting. This observational study seeks to understand how tezepelumab is used and its impact in routine medical practice. Participants in this study are adults aged 18 years or older who have been prescribed tezepelumab according to local guidelines and have initiated treatment recently. The study involves collecting retrospective and prospective medical data without altering treatment. Tezepelumab use is monitored over time, with data gathered on disease status and symptoms at baseline and at Weeks 4, 24, and 52 after starting treatment. No additional treatments or interventions are administered as part of the study. During the one-year follow-up, participants medical records and symptom assessments are reviewed periodically to evaluate changes in nasal polyp status, nasal congestion, and quality of life using standardized tools like the Nasal Polyp Score and SNOT-22 questionnaire. Researchers also track healthcare use related to CRSwNP and asthma, laboratory parameters, and treatment duration. The study aims to provide insights into tezepelumab treatment patterns, symptom changes, and healthcare resource use in everyday clinical settings.

This trial focuses on participants with autoimmune or inflammatory conditions who have previously taken part in a Novartis secukinumab study. It aims to evaluate the long-term safety of continuing secukinumab treatment in those who the investigator judges will benefit and who cannot obtain the marketed secukinumab formulation. The study is an open-label extension phase 4 trial sponsored by Novartis Pharmaceuticals. Participants will receive secukinumab injections under the skin at doses of 75 mg, 150 mg, or 300 mg every four weeks, depending on their dose in the prior trial. For those who had intravenous secukinumab, the starting dose will be 300 mg subcutaneously. Dosing may be adjusted based on clinical need and investigator judgment. Pediatric dosing will not exceed the maximum dose evaluated for their weight group in the previous trial. During the study, participants will be monitored for up to two years to assess safety, focusing on adverse events and serious adverse events. They will have regular assessments including communication with investigators and follow study requirements. The total study duration extends up to April 2030, with ongoing evaluation to ensure participants continue to benefit from treatment while monitoring for any risks.

Researchers are investigating the use of a recombinant non-immunogenic staphylokinase Fortelyzin in patients who have experienced an acute ischemic stroke between 4.5 and 24 hours after symptom onset. This phase III, multicenter, double-blind, randomized, placebo-controlled trial aims to evaluate the efficacy and safety of this drug in restoring blood flow in patients with large vessel occlusion stroke who arrive outside the standard 4.5-hour treatment window. The study focuses on patients with salvageable brain tissue identified by advanced imaging techniques. Participants will be randomly assigned to receive either a single intravenous bolus injection of 10 mg non-immunogenic staphylokinase or a placebo administered rapidly within 5 to 10 seconds regardless of body weight. The trial excludes patients planned for direct thrombectomy. Following treatment, patients will be monitored for up to 90 days to assess outcomes. The trial evaluates functional recovery and reperfusion improvements compared to placebo. Throughout the study, participants will undergo imaging assessments such as CT or MRI perfusion scans to confirm eligibility and monitor brain tissue status. Researchers will evaluate functional outcomes using established stroke scales over 90 days, including the modified Rankin Scale and NIH Stroke Scale. Safety, mortality, and reperfusion rates will also be tracked. Participants will have follow-up visits and assessments designed to measure recovery and treatment impact over the trial period.

Researchers are evaluating the efficacy, safety, pharmacokinetics, pharmacodynamics, and immunogenicity of BCD-261, a study drug, in adults aged 18 to 75 years with moderate to severe active ulcerative colitis who have not responded adequately to previous treatments such as glucocorticoids, immunosuppressants, or biologics. This Phase 2 randomized, double-blind, placebo-controlled study aims to understand the dose-response relationship of BCD-261 in this patient population. Participants will be randomly assigned to one of five groups to receive different doses of BCD-261 or placebo. Four groups receive varied doses of BCD-261low, medium, or highduring an induction period once every 4 weeks until Week 12 followed by a maintenance period once every 8 weeks from Week 20 to Week 100 with adjusted doses. The placebo group receives injections at Weeks 0, 4, 8, and 12, then switches to BCD-261 medium dose injections every 4 weeks until Week 28, followed by a low dose every 8 weeks until Week 100. During the study, participants will be monitored regularly with assessments at specific weeks, including evaluating clinical remission at Week 14 as the primary outcome. Additional measurements at Week 24 and ongoing safety monitoring will be performed. The study involves injections, regular follow-up visits, and evaluations of disease activity, safety, and drug effects over nearly two years to gather comprehensive data on BCD-261s impact in ulcerative colitis.

Researchers are evaluating the efficacy and safety of Raphamin in treating acute rhinosinusitis in adult patients aged 18 to 75 years. This multicenter, double-blind, placebo-controlled, randomized clinical trial focuses on adults experiencing symptoms within 48 hours of disease onset during the seasonal peak of acute respiratory viral infections. The study aims to compare Raphamin against placebo in improving symptoms and quality of life. Participants will be randomly assigned to one of two groups at the first visit. One group receives Raphamin tablets dissolved in the mouth following a specific dosing schedule over 5 days, starting with multiple doses on day 1 and three times daily thereafter. The other group receives a placebo on the same schedule. The study includes a treatment period of 5 days and follow-up visits up to 14 days. Participants will attend three visits on days 1, 4, and 7, either at a medical center or at home, with a phone visit on day 14. They will complete symptom severity scales and quality of life questionnaires, record daily temperature and symptoms in an electronic diary, and report any worsening condition or adverse events. Researchers will monitor symptom improvement, safety, antibiotic use, hospitalizations, and vital signs throughout the study and follow-up period.