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Found 4 Actively Recruiting clinical trials

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Actively Recruiting

This clinical study is testing a new medication, VH4524184, to see if it can effectively treat HIV-1 in adults who have never received treatment for their infection. The study is comparing two different doses of VH4524184, each taken with the medications emtricitabine and tenofovir alafenamide (FTC/TAF), to a standard HIV treatment called dolutegravir and lamivudine (DTG/3TC). The purpose of the study is to provide data on the long-term antiviral activity of the VH4524184 and provide information regarding dosing formulation for further evaluations.

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

Researchers are evaluating the combination of two monoclonal antibodies, TMB-365 and TMB-380, as maintenance therapy for people living with HIV-1 who have their virus suppressed with combination antiretroviral therapy (cART). These antibodies work by interfering with HIV entry into cells. The study is a Phase 2b trial comparing this antibody combination to the standard daily oral cART in maintaining viral suppression over 48 weeks. Participants are assigned to receive either the TMB-365 and TMB-380 antibodies through intravenous infusions every 8 weeks or to continue with their daily oral cART regimen. The antibodies target different aspects of the virus: TMB-365 blocks the CD4 receptor, and TMB-380 neutralizes the virus itself. The treatment period lasts 48 weeks, during which participants follow their assigned therapy schedule. Throughout the study, participants will visit the clinic regularly for check-ups and tests to monitor their health and viral levels. Researchers will measure the antiviral activity of the antibody combination compared to daily oral cART at week 48. The study also involves safety monitoring, laboratory assessments including blood counts and liver/kidney function, and adherence checks. Participants are expected to comply with the study procedures and follow-up visits for the full duration of 48 weeks.

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

Researchers are evaluating surgical and minimally invasive treatments for lumbar spinal stenosis (LSS) by comparing Medicare patients who received the MILD procedure against those who had interspinous process decompression (IPD). The study focuses on outcomes such as the rate of harms related to the initial procedure and the frequency of additional surgical or minimally invasive interventions within 24 months after treatment. Enrollment includes patients treated from January 1, 2017, onward, with continuation until the sponsor decides to stop. The MILD procedure involves percutaneous image-guided lumbar decompression, performed under fluoroscopy through a dorsal approach to partially remove tissue and bone at the affected spinal level. The control group receives the IPD procedure for LSS. Both groups are monitored for a 24-month period post-index procedure using Medicare claims data to track reoperations and any harms. Participants contribute data through Medicare claims without needing prior enrollment or consent, as the study is exempt from IRB oversight. Researchers collect and analyze information on procedure-related harms and subsequent interventions over two years. This approach allows evaluation of long-term safety and effectiveness outcomes for patients treated with either MILD or IPD.

Age: 18Years +All Genders
2284 locations
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Actively Recruiting

Researchers are evaluating the real-world effectiveness of nemolizumab for treating moderate-to-severe atopic dermatitis (AD) in adolescents and adults. This study is a prospective, multicenter, non-interventional trial that aims to measure treatment outcomes through physician assessments and patient-reported outcomes over approximately 12 months. The goal is to understand how nemolizumab works in routine clinical practice, focusing on physician evaluations and patient experiences at Month 6. Treatment with nemolizumab is determined solely by the participant's physician before joining the study, with no extra visits, procedures, or lab tests beyond standard care. The study does not define a specific visit schedule; instead, visits follow routine medical practice to collect data systematically. A sub-study in Germany and the UK will have participants complete daily questionnaires on itch severity, sleep disturbance, and pain from Day -1 to Day 14 remotely, without requiring clinic visits. Participants will be involved in routine clinical visits where physician assessments and patient-reported outcome measures will be gathered. Key outcomes measured include the Investigator Global Assessment (IGA) and the Peak Pruritus Numerical Rating Scale (PP NRS) at Month 6. The study observes participant responses and safety under normal care conditions, with data collection lasting about a year to evaluate nemolizumab's effectiveness in everyday treatment settings.

Age: 12Years +All Genders
108 locations
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