Panama City

Ovarian cancer is a serious health concern with the highest death rate among gynecological cancers. Currently, a definitive diagnosis can only be made after surgery, as reliable tests to distinguish cancerous from benign ovarian abnormalities before surgery are lacking. Cleo Diagnostics has developed a new blood test measuring five biomarkers to better differentiate between benign and malignant ovarian conditions, showing promising results compared to the standard CA125 test. The study is evaluating the Cleo Diagnostics (CleoDX) Ovarian Adnexal Mass Score Test System. This diagnostic test analyzes five substances in the blood to provide a score indicating the likelihood of cancer in patients with an ovarian mass who require surgery. The test aims to help doctors make more informed decisions about surgery and patient care by improving pre-surgical cancer risk assessments. Participants will provide blood samples for the CleoDX test before surgery. Researchers will analyze the results after completing patient recruitment and continue for up to 12 months or until August 2026. The main outcome measured is the calculation of the CleoDX adnexal mass score. The study focuses on improving patient outcomes by identifying those with malignant conditions who need specialist care.

Researchers are evaluating the safety, tolerability, and immune response duration of a second dose of the RSVpreF vaccine given during later pregnancies. The study also examines how long immunity lasts from a single dose given during a previous pregnancy by analyzing blood samples from nonpregnant participants who had the vaccine before. This is a Phase 3 trial focused on pregnant women and their babies as well as nonpregnant women previously vaccinated. Pregnant participants are grouped into Cohort 1, who previously received RSVpreF in a Pfizer trial and will get a second dose, and Cohort 2, who received RSVpreF previously via commercial or trial means and will be randomly given either RSVpreF or placebo. Both groups will be monitored for safety and immune response. Cohort 3 includes nonpregnant women who had RSVpreF before and will provide blood samples to check how long protection lasts, without receiving further vaccination. Participants will undergo safety monitoring during pregnancy and after birth. Infants will be followed for six months to assess safety and antibody levels. Blood tests will measure immune response, including neutralizing antibodies at birth. The study tracks local and systemic reactions, adverse events, serious adverse events, and new medical conditions in both pregnant participants and their infants over various timeframes throughout the study.

Researchers are investigating how bone mineral density changes during long-term treatment with the relugolix combination tablet in premenopausal women aged 18 to 50 who have heavy menstrual bleeding caused by uterine fibroids or moderate to severe pain related to endometriosis. This Phase 3B, single-arm, open-label study aims to assess the safety and effects of up to 48 months (4 years) of continuous treatment, followed by a 1-year post-treatment follow-up period. Participants will receive a daily fixed-dose tablet containing relugolix 40 mg, estradiol 1 mg, and norethindrone acetate 0.5 mg. Bone mineral density will be monitored every 6 months using dual-energy X-ray absorptiometry during treatment. Some women who completed a prior related study may join for 3 years of treatment under this protocol. After treatment ends or if stopped early, participants will be followed for 1 year with bone density checks at 6 and 12 months. Women in the study will have regular physical, gynecological, and laboratory assessments to monitor health and treatment effects. Researchers will measure the percentage change from baseline in bone mineral density at the lumbar spine after 48 months of treatment. Safety and health status will be closely observed throughout the treatment and follow-up periods to understand the long-term impact of the relugolix combination tablet on bone health.

Researchers are studying how well and safely orforglipron works in adult women who have stress urinary incontinence (SUI) and are overweight or have obesity. SUI is a condition where urine leaks during movements like coughing or exercising. This trial is part of a master protocol including two independent studies, and it is a Phase 3 clinical trial. Participants will be randomly assigned to receive either orforglipron tablets or a placebo, both taken orally once daily. The treatment period and study participation will last approximately 58 weeks, including screening and safety follow-up. The study compares the effects of orforglipron against placebo in this specific group of female patients. During the study, researchers will track changes in the frequency of incontinence episodes from the start to week 52. Participants will undergo screening, treatment, and safety monitoring throughout the trial. The study aims to assess the effectiveness and safety of orforglipron in reducing urinary leakage events over time.

Researchers are evaluating the study medicine PF-08046054 compared to the standard chemotherapy drug docetaxel in adults with non-small cell lung cancer (NSCLC) that has spread or cannot be removed with surgery or radiation. Participants must have PD-L1 expression on 1% or more of their tumor cells and have experienced cancer progression during or after treatment with PD-L1 or PD-1 inhibitors, platinum-based chemotherapy, and targeted therapies for those with known genetic mutations. The trial is a Phase 3 randomized study to better understand how well PF-08046054 works alone compared to docetaxel alone. Participants will be randomly assigned to receive either PF-08046054 or docetaxel. Those in the PF-08046054 group will get intravenous (IV) infusions twice every 21-day cycle, while those in the docetaxel group will receive one IV infusion every 21 days. The treatment period may last up to 5 years if their NSCLC responds to the therapy. No other treatments are combined during the study period. Throughout the study, participants will have regular clinic visits for evaluations and monitoring to see how they respond to the treatment. Researchers will collect information on overall survival over approximately 5 years. They will also monitor safety and disease progression during these visits to understand the long-term effects and benefits of the treatments.

Researchers are evaluating the safety and immune response of a group B streptococcus (GBS) vaccine in healthy pregnant women and their babies in this Phase 3 randomized, placebo-controlled, double-blinded trial. The study includes pregnant women aged 49 or younger between 24 and 36 weeks of gestation with uncomplicated singleton pregnancies and no major fetal abnormalities. Participants must also have documented negative tests for HIV, syphilis, and hepatitis B during this pregnancy. The goal is to learn how the vaccine works and to monitor safety for both mothers and their infants. Participants will receive one injection of either the GBS6 vaccine or a saline placebo. Pregnant women will be followed for up to 14 months, including 6 months after delivery. Their babies will be followed for about 12 months after birth. A subset of infants will also receive routine vaccinations such as diphtheria toxoid-containing vaccines and pneumococcal vaccines according to their country's immunization schedule, with blood samples collected one month after completing primary and toddler booster doses. Mothers will be monitored for local and systemic reactions within 7 days after vaccination, adverse events through 1 month, and serious or medically attended events up to 6 months postpartum. Infants will be observed for adverse events from birth through at least one year, with serious and medically attended events tracked through 6 months. Researchers will also measure antibody levels in infants at birth to assess the vaccine's potential to protect against early and late onset GBS disease. Mothers will attend at least 3 to 4 study visits, some via telephone, to support ongoing safety and immunogenicity assessments.

Researchers are evaluating a personalized cardiac pacing treatment for people with heart failure who have a preserved ejection fraction (HFpEF), meaning their heart pumps normally but symptoms remain. This global, multi-center, randomized, controlled, and double-blinded study compares dual chamber personalized pacing to minimal or no pacing to assess safety and effectiveness. The study aims to improve heart failure symptoms and overall health status in patients with an ejection fraction of 50% or more. Participants will have a pacemaker implanted and then be randomly assigned to one of two groups. The treatment group will receive a personalized pacing rate based on individual height and heart function, while the control group will have the pacemaker set to minimize interference with their natural heart rate. Visits will occur at 2, 6, and 12 months post-implant, after which the control group will switch to personalized pacing. Additional follow-ups at 14, 18, and 24 months will collect more data, with yearly visits continuing until study completion. The total study duration is about 4.5 years, including enrollment and follow-up periods. During the study, researchers will collect data on heart function, exercise capacity, quality of life, and certain heart-related blood markers over a 12-month period. Safety will be monitored for major complications related to the pacemaker or procedure. Participants will attend scheduled visits for assessments including heart rate monitoring and questionnaires on symptoms and daily function. Long-term follow-up will continue beyond two years to evaluate lasting effects and safety of the personalized pacing approach.

Researchers are evaluating inclisiran, a subcutaneous injection given twice yearly, to see if it can prevent major cardiovascular and limb events in patients undergoing percutaneous coronary or peripheral arterial revascularization. This Phase 4, randomized, double-blind study includes patients with symptomatic coronary artery disease or peripheral artery disease who have recently had successful revascularization procedures. The trial aims to assess the real-world effectiveness of inclisiran alongside usual care in a typical U.S. patient population with atherosclerotic cardiovascular disease. Participants will be randomly assigned to receive either 300 mg inclisiran or a matching placebo by subcutaneous injection on Day 1, Month 3, and then every 6 months thereafter. The first dose is given within 14 days of a successful percutaneous coronary or peripheral endovascular intervention. Both groups will continue to receive standard medical care as directed by their physicians. The study plans to enroll about 6,000 participants and treatment duration may last up to approximately 45 months. During the study, researchers will monitor participants for the occurrence of major adverse cardiovascular events and major adverse limb events for up to about 4 years. Participants will have regular follow-up visits and safety assessments throughout the study period, which is designed to continue until around 2,380 primary events have occurred or at least half the participants have completed 36 months of follow-up. Outcome measures focus on the number of cardiovascular and limb events after the procedures, providing important information on the long-term impact of inclisiran in this patient group.

Researchers are investigating the impact of a COVID-19 adapted disaster-focused prevention program called Journey of Hope-C19 on behavioral health and interpersonal problems among racial and ethnic minority children living in low-resource, high-poverty communities affected by the pandemic and climate-induced disasters such as hurricanes. These children face increased risks of mental and behavioral health challenges due to social and material losses and limited access to health services. The study aims to provide accessible, evidence-based prevention to reduce the onset of mental and behavioral health issues in this vulnerable population. The study compares the Journey of Hope-C19 intervention to a healthy lifestyle attention control program called Switch Off Get Active. The Journey of Hope-C19 involves eight consecutive 1-hour group sessions for children, delivered during the school day and after school, plus a 1.5-hour caregiver workshop for parents. The control program also consists of eight 1-hour group sessions and a caregiver workshop, focusing on different topics. Both programs are delivered in groups of about 8 children or parents. Participants will be assessed at multiple time points: before the intervention (baseline), 2 months after (post intervention), 8 months after (6 months post intervention), and 14 months after (12 months post intervention). Measures include behavioral health questionnaires evaluating emotional distress, prosocial behavior, coping skills, and social support. The study also examines factors like social connectedness, coping, and self-efficacy as potential mediators, and explores implementation success and barriers in school and after-school settings.

Researchers are studying women with nonatypical endometrial hyperplasia (NAEH), a condition where the lining of the uterus becomes too thick but is not cancerous. This condition is often caused by hormone imbalances and can cause abnormal vaginal bleeding or irregular periods. If untreated, NAEH may lead to cancer. Currently, no approved treatments exist for this condition, creating a need for new therapies. This Phase 3 study aims to evaluate whether Mirena, a progesterone-releasing intrauterine device, can help restore the uterine lining to normal and assess its safety compared to oral medroxyprogesterone acetate (MPA).