Gloucester

Researchers are observing the short-term progression of geographic atrophy (GA) caused by age-related macular degeneration (AMD) in people aged 55 years and older. This multi-center, non-interventional study aims to identify participants with progressive GA to better understand the structural and functional changes of GA and explore connections with genetic or lifestyle factors. The study does not involve any treatment but focuses on monitoring disease progression over time. Participants with bilateral GA secondary to AMD will be observed without intervention. GA lesion size must be between 1.25 mm2 and 17.5 mm2 in at least one eye, confirmed by specialized imaging. Visual acuity and retinal sensitivity will be measured to ensure adequate vision for navigation. No treatments are administered, and the study collects data through imaging and vision tests at baseline and follow-up visits. During the study, participants will undergo assessments including visual acuity testing, microperimetry for retinal sensitivity, and imaging scans such as fundus autofluorescence and optical coherence tomography. Researchers will track the progression of GA at baseline, 3 months, and 6 months to evaluate changes. Participants must provide informed consent and be able to complete all assessments. Safety and eligibility will be monitored throughout the study duration.

This research aims to assess the effectiveness, safety, and patient-reported outcomes of a port delivery system (PDS) with ranibizumab 100 mg/mL refilled every 36 weeks in people with neovascular age-related macular degeneration (nAMD). The study is a Phase IIIb, multicenter, single-arm trial involving participants who have been diagnosed with nAMD within the past 24 months and previously treated with anti-vascular endothelial growth factor (VEGF) injections. The goal is to understand how well this refill regimen works and how safe it is for patients living with this eye condition. Participants will receive ranibizumab through a PDS implant that is refilled every 36 weeks. The treatment includes the implant delivering ranibizumab continuously, plus supplemental ranibizumab injections of 0.5 mg into the eye as needed. The study follows a schedule where the implant is exchanged or refilled at 36-week intervals to maintain treatment. The device is designed to provide a steady release of medication directly to the eye over time. During the study, participants will have their vision tested using the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at 4 meters, focusing on changes in their best corrected visual acuity (BCVA) at baseline and weeks 68 and 72. Researchers will monitor safety, effectiveness, and patient experiences throughout the trial. The total observation period includes assessments at these time points to evaluate how vision changes with the PDS treatment and to track any side effects or safety concerns.

Researchers are evaluating the safety and effectiveness of bomedemstat (MK-3543) compared with the best available therapy (BAT) in adults with essential thrombocythemia (ET) who have not responded well to or cannot tolerate hydroxyurea. This phase 3 clinical trial aims to determine if bomedemstat provides a better durable clinicohematologic response in these participants. Participants will receive either bomedemstat as an oral capsule or one of the best available therapies, including anagrelide (oral capsule), busulfan (oral tablet), interferon alfa or its pegylated forms (subcutaneous solution), or ruxolitinib (oral tablet). The study involves a randomized, open-label design where treatments are compared directly. Throughout the study, participants will be monitored for their hematologic response up to about 52 weeks. Assessments include platelet and neutrophil counts before starting treatment to ensure eligibility. Safety and efficacy are tracked to evaluate the long-term impact of the treatments on ET.

Researchers are evaluating the safety and effectiveness of Dostarlimab compared to a placebo in adults with locally advanced unresected Head and Neck Squamous Cell Carcinoma (HNSCC). This phase 3 randomized, double-blind, placebo-controlled study focuses on patients who have completed chemoradiation therapy with cisplatin and radiation and have no distant metastatic disease. The study requires confirmation of PD-L1 positive tumor status and specific testing for oropharyngeal carcinoma cases. Participants will receive either Dostarlimab or a placebo as an intravenous infusion following their chemoradiation treatment. The study monitors these treatments as sequential therapy to assess their impact on disease progression. Treatments are administered in a controlled, blinded manner to compare outcomes between the two groups effectively. During the study, participants will be followed for up to approximately five years to measure event-free survival, with evaluations conducted by blinded independent central review. Assessments will include monitoring for safety, disease status, and any adverse events throughout the study period. This long-term follow-up aims to provide comprehensive data on the effectiveness and safety of Dostarlimab as post-chemoradiation therapy in this patient population.

Multiple myeloma is a cancer affecting plasma cells in the bone marrow. Researchers are evaluating how well Immune Globulin Infusion (human), 10% (IGI, 10%) can help prevent infections in adults with multiple myeloma receiving B-cell maturation antigen (BCMA) x CD3-directed bispecific antibody therapy. This phase 3 study aims to compare primary infection prevention using IGI, 10% versus secondary infection prevention in this patient group. Participants will be randomly assigned to one of two groups: the primary infection prevention group will receive IGI, 10% infusions for 12 months, while the secondary infection prevention group will receive IGI, 10% only if they develop a serious infection during the 12-month study period. The IGI, 10% is given intravenously. The study includes a screening period of up to 8 weeks, followed by treatment and monitoring. During the study, participants will attend 15 clinic visits if on a 4-week dosing schedule or 19 visits if on a 3-week dosing schedule, with total participation lasting up to 14 months. Researchers will monitor the time to first serious infection over 12 months. Participants will undergo evaluations to assess infection status and treatment safety throughout the study.

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.

Researchers are evaluating the safety, effectiveness, and tolerability of upadacitinib in adolescents and adults with severe alopecia areata (AA), a condition where the immune system attacks hair follicles causing hair loss on the head, face, or other body parts. This phase 3 study involves about 1500 participants worldwide and compares upadacitinib to a placebo to assess treatment impact on severe AA. Participants are randomly assigned to one of three groups receiving either upadacitinib or placebo oral tablets once daily for up to 160 weeks. There is a chance for re-randomization at weeks 24 and 52 based on Severity of Alopecia Tool (SALT) scores. Those completing initial studies may join an extension study to receive upadacitinib for up to an additional 108 weeks. Follow-up occurs for 30 days after the last dose. Throughout the study, participants attend regular visits at hospitals or clinics for medical assessments, blood tests, side effect monitoring, and questionnaires. Researchers measure the percentage of participants achieving a SALT score of 20 or less at week 24 and track adverse events up to 164 weeks. The study may involve a higher treatment burden compared to usual care due to frequent visits and evaluations.

Researchers are evaluating adults aged 18 and older who have a specific eye condition called centre-involved diabetic macular edema (CI-DME), a type of diabetic macular edema. The study aims to find out whether an oral medicine called BI 1815368 can improve vision in people with CI-DME and to determine the best dose. This is a Phase 2 study focused on assessing the medicine's safety, efficacy, and tolerability over 48 weeks of treatment. The study has two parts. In the first part, participants are randomly assigned to one of two equal groups: one group takes BI 1815368 tablets and the other takes placebo tablets, which look like the medicine but contain no active drug. In the second part, participants are randomized into four groups of equal size, three of which receive different daily doses of BI 1815368, while one group continues to take placebo. All participants take tablets twice daily for about 11 months. Participants stay in the study for about a year and visit the study site 16 times. During visits, doctors check vision and collect detailed eye pictures along with health information. Researchers compare changes in vision and eye condition over time between the groups. The main outcome measured is whether participants gain 10 or more Early Treatment Diabetic Retinopathy Study (ETDRS) letters of visual acuity at week 48 compared to baseline, indicating improved sight.

WAYFIND-R is a global registry focused on collecting high-quality real-world data from cancer patients diagnosed with solid tumors who have undergone next-generation sequencing (NGS) testing. The registry aims to support clinical and epidemiological research, generate evidence to better understand health outcomes and cancer care, and describe treatments and clinical courses for these patients. Participants must be adults diagnosed with any type of solid tumor at any disease stage and have had NGS testing within three months before enrollment. The study collects data without assigning specific treatments or interventions, instead tracking clinical characteristics and outcomes over time. During the study, researchers will gather information linking NGS results to treatments and patient outcomes, including overall survival for up to five years from enrollment. Participants provide informed consent, and data collected will help improve understanding of solid tumor cancers and their management in real-world settings.

Severe diabetic macular oedema (DMO) is a condition where fluid builds up in the macula, the central part of the retina responsible for detailed vision, leading to sight loss. This trial studies people over 18 years old with type 1 or type 2 diabetes who have severe DMO, defined by a thickened macula (400 microns or more). Researchers are comparing the current standard treatment of anti-VEGF eye injections alone to a new approach where patients start with anti-VEGF injections and switch to subthreshold micropulse laser (SML) treatment once the macula thickness decreases below 400 microns. Participants will be randomly assigned to receive either ongoing anti-VEGF injections or to switch to SML treatment after initial anti-VEGF therapy. Anti-VEGFs such as ranibizumab, aflibercept, faricimab, and brolucizumab are given as monthly injections at first, then every 1-3 months. The SML procedure, which does not damage the macula, will be applied based on the trial guidelines once the macula is less than 400 microns thick. This study aims to see if the combined treatment is as effective and more cost-efficient than anti-VEGF injections alone. Participants will attend regular clinic visits for eye exams including optical coherence tomography (OCT) scans to measure macula thickness and assessments of visual acuity over 104 weeks after randomization. Researchers will monitor best-corrected visual acuity, side effects, participant experience, and cost-effectiveness. The trial includes follow-up for two years with safety monitoring and evaluation of how this approach might be adopted in routine care. The study is conducted at multiple hospital eye services across the UK.