Granollers

This research aims to evaluate the long-term safety and effectiveness of liquid abrocitinib oral suspension, with or without topical medications, in children aged 2 years and older who have moderate-to-severe atopic dermatitis. The study is a Phase 3, open-label trial enrolling approximately 500 participants globally, including those who have previously completed abrocitinib studies and those new to this treatment. The study duration extends up to 2 years or until the medicine becomes commercially available, whichever comes first. Participants will receive abrocitinib oral suspension throughout the study. The trial enrolls two groups an extension cohort of children aged 2 to under 12 years who have completed prior abrocitinib studies, and a de novo cohort of children aged 6 to under 12 years who have not been in previous abrocitinib trials. Both groups may use topical medications alongside the study drug as needed. During the study, participants will be regularly assessed for safety by monitoring adverse events, laboratory abnormalities, and other health measures. Researchers will evaluate skin condition improvements using various scales such as the Validated Investigators Global Assessment vIGA, Worst Itch Numerical Rating Scale WI-NRS, and Eczema Area and Severity Index EASI. Quality of life and other patient-reported outcomes will also be tracked. The study includes follow-up to track treatment effects and safety over the full 24 months.

Researchers are evaluating the safety and effectiveness of BFB759, a human monoclonal antibody that targets multiple inflammatory cytokines, in adults with moderate to severe hidradenitis suppurativa HS that is not well controlled by systemic antibiotics. This double-blind, placebo-controlled study involves participants aged 18 to 75 years and aims to understand how well BFB759 works compared to a placebo over approximately 36 to 40 weeks. Participants will be randomly assigned to one of several groups. Some will receive a loading dose of BFB759 followed by either a high or mid maintenance dose every two weeks through Week 14. Others will receive a placebo every two weeks for 14 weeks, then, if still enrolled, be re-randomized to receive either a low or mid dose of BFB759 every two weeks from Week 16 through Week 30. This design allows comparison of different dosing regimens and the placebo effect. During the study, participants will attend about 22 visits over 21 months to monitor safety and effectiveness. Researchers will measure clinical activity using scales such as HiSCR50, the International Hidradenitis Suppurativa Severity Score System IHS4, Skin Pain Numerical Rating Scale, and the Hidradenitis Suppurativa-Investigator Global Assessment HS-IGA. Participants are expected to follow study instructions carefully, attend regular visits, and avoid certain medications. The primary outcomes focus on efficacy at Weeks 16 and 32, with ongoing safety assessments throughout the study.

This research study is evaluating the medicine abrocitinib in children aged 6 to less than 12 years with moderate-to-severe eczema. The purpose is to find out if abrocitinib improves eczema symptoms and is safe for this age group. Participants will be randomly assigned to receive either abrocitinib or a placebo for 16 weeks. The study is conducted as a phase 3, randomized, double-blind trial and will last about 24 weeks in total. Participants will receive abrocitinib or placebo as a liquid oral suspension. During the study, an electronic diary resembling a cell phone will be used to collect questionnaire information, remind participants to take their medicine daily, and record research data. Participants will also wear a wrist device similar to a childrens wristwatch to monitor scratching caused by eczema. The study includes laboratory tests, physical exams, and vital sign checks before and throughout the study. Participants will visit the clinic for study visits and receive follow-up calls from study doctors or nurses to monitor their health. Questionnaires will assess eczema symptoms, and physical measures such as height, weight, temperature, blood pressure, and heart rate will be tracked. The main outcomes measured include improvements in eczema severity and itchiness at Week 12, with safety and health closely monitored during the entire 24-week study period.

Researchers are evaluating the effect of AZD6793, an oral medication, in adults with moderate to very severe chronic obstructive pulmonary disease COPD. This Phase IIb, randomized, double-blind, placebo-controlled study involves approximately 970 participants across about 350 global sites. The trial aims to compare the efficacy and safety of two different doses of AZD6793 against placebo over a 24-week period. Participants will be randomly assigned to one of three groups receiving either dose 1 of AZD6793, dose 2 of AZD6793, or a matching placebo tablet. The study medication is taken orally and the trial lasts for 24 weeks. The study is designed as a parallel-group format with a 111 allocation ratio among the three arms. During the study, participants will be monitored through various assessments including lung function tests measuring forced expiratory volume FEV1, questionnaires evaluating breathlessness, cough, sputum, and quality of life, and tracking of COPD exacerbation events. Blood samples will be collected to measure plasma concentrations of AZD6793. Safety and efficacy outcomes will be evaluated up to 24 weeks, with the main outcome being the rate of moderate or severe COPD exacerbations.

Researchers are evaluating the Methinks Stroke Suite, an AI-based imaging software, to see if it can help speed up the transfer of acute stroke patients who may need thrombectomy from local stroke centers to specialized centers. The study focuses on patients initially assessed at centers that cannot perform endovascular therapy EVT. The main goals are to find out whether the software reduces the time to decide on patient transfer and how accurately it identifies candidates for EVT. The study compares patient care after integrating Methinks Stroke Suite into the stroke workflow with a historical group treated before its use. Patients will have a CT scan analyzed by the AI software at the local center. If the software and clinical judgment suggest thrombectomy might be needed, patients are transferred to specialized centers. If no large vessel occlusion is detected, further imaging like CT angiography may be done to reassess. This is an open-label, quasi-experimental study conducted across multiple centers in Catalonia, Spain. Participants will undergo CT scans at their local stroke center, with imaging data processed by the Methinks software. They will be followed for 90 days after their stroke to assess recovery and functional outcomes. Researchers will measure time from arrival to transfer decision, evaluate the softwares accuracy in detecting large vessel occlusions, monitor treatment rates, and gather clinician feedback on using the software. Safety during patient transfers will also be tracked. The study plans to enroll about 250 patients and includes a follow-up period of 3 months after stroke.

Healthcare-associated infections, including surgical site infections SSI, are a major concern for patient safety and healthcare systems worldwide. Surveillance is a key component recommended by the World Health Organization to prevent these infections. This research aims to evaluate a new artificial intelligence algorithm designed to detect SSIs in patients who have undergone elective colorectal surgery, comparing it to traditional manual surveillance methods within a national infection surveillance program. The study compares two groups of patients undergoing colorectal surgery one monitored using the standard manual method for identifying SSIs, and the other assessed with a novel AI algorithm. This algorithm analyzes clinical data such as clinical notes, microbiology reports, and coding for diagnoses and complications to identify suspected infections at three different anatomical levels. The surveillance covers up to 30 days after surgery to detect infections occurring after hospital discharge. Participants will be followed up with continuous monitoring to detect surgical site infections within the 30-day post-operative period. Researchers will assess the rate of SSIs detected by both the manual method and the AI algorithm. The study uses data routinely collected during postoperative care, focusing on how well the AI system identifies infections compared to current practices. The study is observational and does not involve treatment interventions, and participation duration depends on the postoperative surveillance period.

Researchers are evaluating two different treatments for breast cancer patients who have a positive sentinel lymph node after receiving neoadjuvant systemic therapy. The study aims to compare axillary radiotherapy ART with axillary lymph node dissection ALND to see which approach results in less risk of lymphedema and how each affects recurrence and overall survival. This trial is a prospective, randomized, open-label, parallel-assigned, multicenter study involving 820 patients over 5 years, including those treated with chemotherapy and hormone therapy. Participants are randomly assigned to one of two groups. One group receives axillary radiotherapy targeting levels I and II plus level III and supraclavicular areas, with or without the internal mammary chain, but without lymphadenectomy. The other group undergoes axillary lymph node dissection along with radiotherapy to level III and supraclavicular areas, with or without the internal mammary chain. The study includes a pilot phase with the first 200 patients and plans interim analysis to assess progress. During the trial, participants will be monitored for disease-free survival, overall survival, and the incidence of lymphedema for up to 5 years, with lymphedema tracked for up to 3 years after surgery. Researchers will evaluate outcomes related to recurrence and quality of life. The study involves regular assessments including imaging to evaluate axillary response and follow-up visits to monitor health and side effects. Participants are followed closely to understand the long-term impact of the treatments.

Researchers are evaluating the effects of Nintedanib Solution for Inhalation AP02 on lung function and fibrosis markers in adults aged 40 and older with idiopathic pulmonary fibrosis IPF. This phase 2 study also aims to assess the safety and tolerability of AP02. Participants must not be currently receiving treatment for IPF, or must have stopped prior oral nintedanib or pirfenidone treatment for at least three months. Participants are randomly assigned to one of three groups two different doses of AP02 or a placebo inhalation solution. They will receive the assigned treatment twice daily for 12 weeks using a nebulizer to deliver the medication directly to the lungs. The study involves a total of six office visits and one phone call over 16 weeks. During these visits, doctors will perform lung function tests, including measuring forced vital capacity, administer questionnaires, and monitor participants health. The main outcome is the change in lung capacity after 12 weeks of treatment. Researchers will also evaluate disease progression and changes in lung fibrosis. Participants are closely monitored for safety and follow-up throughout the study period.

This research aims to evaluate how well ChatGPT-4 can detect surgical site infections SSI at three anatomical levels using electronic health records from patients who have had colorectal surgery. Surgical site infections are a common healthcare-associated infection that affects patient health and healthcare systems. Current surveillance methods are manual and time-consuming, and this study explores using artificial intelligence to improve detection accuracy. The study compares two methods of SSI detection for patients undergoing elective colorectal surgery the standard manual surveillance performed by infection control teams and an automated approach using OpenAIs ChatGPT-4 chatbot trained with CDC criteria. The comparison is retrospective, using data from a nationwide infection surveillance program as the gold standard. Participants surgical records and infection status will be analyzed to measure the rate of surgical site infections within 30 days after surgery. The study involves reviewing clinical course texts, microbiology reports, and diagnostic codes to assess AIs accuracy. The evaluation focuses on how well ChatGPT-4 identifies SSIs compared to manual methods, aiming to inform future surveillance improvements.

The registry focuses on patients with venous thromboembolism VTE, including those often excluded from typical clinical trials such as pregnant women, elderly patients, and those with serious health conditions. It aims to improve medical knowledge and patient care by collecting detailed data on these patients clinical status and treatment outcomes. The project also seeks to develop predictive scores to identify patients at higher risk of complications from thromboembolic disease. This observational registry collects extensive information on patients diagnosed with VTE, including details on coexisting conditions, antithrombotic treatment type, dose, and duration, as well as outcomes during the first three months of therapy. It captures data on VTE recurrences, bleeding complications, and deaths, providing insights into real-world treatment and patient management. Participants provide informed consent and are followed for at least three months to monitor clinical outcomes. The registry supports physicians by giving access to data on patients with similar profiles to help manage complex cases. The main outcomes measured include VTE events and complications over a three-year period, supporting ongoing improvements in patient care and risk assessment.