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Researchers are evaluating two different methods of pacing the heart in patients with slow heart rates (bradycardia). This multi-center randomized controlled trial, called PROTECT-HF, aims to compare the standard right ventricular pacing approach with a newer physiological pacing technique, which includes His bundle and left bundle area pacing. The study will enroll 2600 patients to assess differences in outcomes related to heart function and survival. Participants will be randomly assigned to receive either right ventricular pacing or physiological pacing through pacemaker implantation. The physiological pacing method may involve His bundle pacing or left bundle pacing, with biventricular pacing used if these are not possible. Both treatments will be performed at participating centers, with patients and outcome assessors blinded to the treatment allocation. A subgroup of 500 patients will also take part in an optional echocardiographic sub-study to observe heart changes over 24 months. During the study, participants will be monitored from the time of consent for up to 78 months. Evaluations will occur at the start and every six months afterward to track mortality and heart failure-related health events. Researchers will gather data on heart function, treatment effects, and safety. The main analysis will consider all patients as originally assigned, and additional analysis will assess those who received the assigned treatment.

Researchers are conducting a global, multicenter, prospective observational registry to study patients with Pompe disease, including those with late-onset Pompe disease (LOPD) and infantile-onset Pompe disease (IOPD). The study includes both patients who are untreated and those receiving approved Pompe disease therapies. The main goals are to assess the long-term safety and real-world effectiveness of these treatments, understand their impact on quality of life and patient-reported outcomes, and describe the natural history of untreated Pompe disease. Participants may be treated with various therapies including enzyme replacement therapies such as cipaglucosidase alfa delivered by intravenous infusion, alglucosidase alfa or avalglucosidase alfa once approved locally, and miglustat co-administered with ATB200. Patients not receiving any medical therapy for Pompe disease are also included. The study gathers data from both treated and untreated patients as they are managed in routine clinical practice. Throughout the study, participant data will be collected to monitor the frequency of adverse events and serious adverse events over a period of five years. Researchers will also evaluate treatment effectiveness, quality of life, and patient-reported outcomes during this time. This observational approach allows for long-term safety monitoring and understanding of Pompe disease progression in a real-world setting.

This trial studies patients who have undergone bilateral lung transplantation and have persistent donor-specific antibodies (dnDSAs) without signs of graft dysfunction. It evaluates the effects of extracorporeal photopheresis (ECP), a procedure being studied as a potential treatment to reduce antibody levels and modulate immune response after lung transplant. The trial aims to see if ECP can decrease the mean fluorescence intensity (MFI) of dnDSAs and impact outcomes like antibody-mediated rejection (AMR), acute cellular rejection (ACR), chronic lung allograft dysfunction (CLAD), infections, survival, and adverse events. Participants will be randomly assigned to either a treatment group receiving ECP or a control group under observation without active treatment. The ECP treatment starts within a week of randomization and consists of a two-day cycle every two weeks for the first two months, followed by a two-day cycle once a month for six months. Researchers will also study immune system changes through tests including immunophenotyping, gene expression profiling, cytokine levels, and protein analysis. Throughout the study, participants will be monitored for changes in antibody levels and clinical outcomes related to lung transplant rejection and complications. Safety and side effects will be tracked, alongside detailed immune system evaluations. The study includes 80 patients, each followed for at least six months of treatment, to assess the impact of ECP on immune tolerance and graft health.

Researchers are evaluating ziltivekimab as a treatment for people living with heart failure and inflammation. This Phase 3 study compares ziltivekimab to a placebo in participants with heart failure who have mild to preserved ejection fraction and systemic inflammation. The study aims to assess the effect of ziltivekimab on cardiovascular death, heart failure hospitalization, or urgent heart failure visits over a period of up to 4 years. Participants will receive monthly injections of either ziltivekimab or a placebo using a pre-filled syringe or a pen-injector. The study medication is administered subcutaneously once a month for up to 4 years. The trial includes up to 20 clinic visits during which participants will be monitored and assessed. During the study, participants will use a study app on their phone to record all injections and complete questionnaires. Researchers will monitor participants for key outcomes like cardiovascular events and heart failure episodes from the time of randomization until the end of the study. Safety and health status will be regularly evaluated throughout the study period, which may last up to 48 months.

Researchers are investigating the long-term safety and tolerability of open-label iptacopan in adults with primary IgA nephropathy who have previously completed specific clinical trials (CLNP023X2203 or CLNP023A2301). This extension study is designed to allow participants continued access to iptacopan until certain conditions are met, such as reaching three years from the last patient first visit, loss of treatment benefit, negative benefit-risk profile, initiation of dialysis or kidney transplant, or commercial availability of the drug. The study will also assess the drug's effects on disease progression every six months. Participants who completed the prior trials and meet inclusion criteria may receive oral iptacopan capsules at a dose of 200 mg twice daily. The study is open-label and non-randomized and will continue treatment under this regimen until one of the study-defined stopping points is reached. Supportive care with ACE inhibitors or ARBs is maintained as per clinical guidelines, and vaccination against certain infections is required before enrollment. During the study, participants will be monitored for safety, including serious adverse events, adverse events of special interest, vital sign abnormalities, ECG changes, and laboratory test abnormalities from the first day of treatment until seven days after the last dose. Efficacy assessments occur every six months to evaluate clinical effects on disease progression. The study aims to collect long-term safety and tolerability data while providing ongoing treatment access until the drug becomes commercially available or other stopping criteria apply.

Immunoglobulin A nephropathy (IgAN) is a kidney disease caused by the build-up of immune protein complexes in the kidneys, leading to inflammation and possible kidney damage. This Phase 3 study is evaluating how well mezagitamab, compared to a placebo, reduces protein levels in the urine (proteinuria) in adults with primary IgAN. It also aims to assess the safety and tolerability of mezagitamab and its ability to maintain kidney function over the long term. Participants will be randomly assigned to one of two groups in the main study: two-thirds will receive mezagitamab injections under the skin, and one-third will receive placebo injections that look identical but have no active medicine. Treatment will occur in two 1-year cycles, each including about six months of dosing and six months of observation with monthly check-ups. An open-label group will include a small number of participants with lower proteinuria or kidney filtering issues, including those who previously received mezagitamab in another study; these participants will receive mezagitamab similarly to the main group. During the study, participants will visit the clinic several times for assessments. Researchers will monitor changes in proteinuria from the start through week 36, along with safety and kidney function. They will also perform regular evaluations and check-ups throughout each treatment and observation period to track participants' health and response to treatment.

Researchers are evaluating the safety and effectiveness of nipocalimab, compared with a placebo, in lowering the risk of severe fetal and neonatal alloimmune thrombocytopenia (FNAIT). This condition involves a low platelet count in newborns caused by maternal antibodies, and the study focuses on pregnant women who have had previous pregnancies affected by FNAIT but without severe bleeding or brain hemorrhage. This is a Phase 3, double-blind, randomized, placebo-controlled trial targeting pregnant women at risk for this condition. Participants will receive either nipocalimab or a placebo intravenously during their current pregnancy. Nipocalimab is the drug being tested, and both the drug and placebo are given by intravenous infusion. The study enrolls women between 13 and 18 weeks of pregnancy and will monitor their pregnancies closely to assess the effects of the treatments on the fetus and newborn. Throughout the study, researchers will monitor the health of both the mothers and their babies. This includes physical exams, medical history reviews, vital signs, ECGs, and lab tests. The main outcome being measured is whether the fetus or newborn experiences death, severe bleeding, or a very low platelet count within one week after birth. Participants and their babies will be followed until the last visit to ensure safety and evaluate treatment impact, with the total involvement lasting through pregnancy and shortly after birth.

Researchers are evaluating the safety and effectiveness of combining vedolizumab with upadacitinib, called dual targeted therapy (DTT), compared to using vedolizumab alone (monotherapy) in adults with moderately to severely active Crohn's Disease. The main goal is to see if DTT better reduces bowel inflammation and ulcers after 12 weeks of treatment. This Phase 3b trial involves about 396 participants worldwide and also aims to assess the long-term safety and efficacy of these treatments. Participants are randomly assigned in equal numbers to receive either vedolizumab plus upadacitinib or vedolizumab plus placebo during a 12-week induction phase. Those who respond well, showing a significant reduction in disease activity, then continue to a 40-week maintenance phase receiving vedolizumab alone. After this, participants undergo an 18-week safety follow-up period, making the total study participation approximately 70 weeks. During the study, participants will visit the clinic 15 times for assessments including evaluations of disease activity, endoscopic examinations, and safety monitoring. The main outcome measures include the percentage of participants achieving clinical remission and showing improvement in bowel inflammation at Week 12. Researchers will track effectiveness, adverse effects, and overall health throughout the treatment and follow-up periods.

Hidradenitis suppurativa (HS) is a chronic and often painful skin disease that causes lumps, abscesses, and scars in areas like under the breasts, armpits, inner thighs, groin, and buttocks. Researchers are evaluating the investigational drug lutikizumab compared to placebo in adults and adolescents with moderate to severe HS. This study aims to assess the disease activity and safety of lutikizumab in a Phase 3 clinical trial involving about 1280 participants worldwide.

This research evaluates the effects of empasiprubart compared to intravenous immunoglobulin (IVIg) in adults diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), a condition affecting the nerves. The study is a Phase 3 trial aiming to assess the safety and effectiveness of these treatments. Participants must meet specific CIDP diagnostic guidelines and have shown response to IVIg in the past five years. The study is divided into two parts. In Part A, lasting 24 weeks (6 months), participants receive either empasiprubart with a placebo mimicking IVIg, or IVIg with a placebo mimicking empasiprubart. Following this, Part B lasts 96 weeks (24 months), during which all participants receive empasiprubart. Both treatments are given by intravenous infusion. Placebos are used to maintain blinding in the study. Participants will be monitored for changes in their disease symptoms, particularly focusing on improvements measured by a reduction of at least 1 point in the adjusted inflammatory neuropathy cause and treatment (aINCAT) score by week 24. Throughout the study, safety and disease activity will be regularly assessed. The total study duration for participants is up to 120 weeks, including both treatment parts.