Grand Blanc

Researchers are investigating new treatments for rheumatoid arthritis (RA), a condition where current therapies like methotrexate (MTX) may not fully control symptoms for many people. This Phase 2b study evaluates a medicine called tulisokibart to see if it can better reduce RA symptoms in individuals already taking MTX. The trial aims to determine if one or more doses of tulisokibart work better than a placebo, which looks like the medicine but contains no active drug. The study includes a 12-week period where participants receive either tulisokibart or a placebo by subcutaneous injection while continuing their MTX treatment, which can be given by injection or orally. Following this, there is a long-term extension lasting 116 weeks, composed of a 44-week main extension and a 72-week optional extension, to further assess the medication's effects and safety over time. Participants will undergo assessments to measure treatment response, including the American College of Rheumatology 20% response criteria at week 12 to gauge symptom improvement. Throughout the study, researchers will monitor for safety and effectiveness, with evaluations extending through the long-term extension periods, totaling over two years of participation.

Researchers are assessing the effectiveness and safety of current standard treatments in people with active systemic lupus erythematosus (SLE), including lupus nephritis, who have not adequately responded to glucocorticoids and at least two immunosuppressant therapies. The study focuses on participants with active disease despite treatment, aiming to better understand outcomes in this group. Participants receive standard care treatments based on product labels, which include glucocorticoids and immunosuppressants, with at least one biologic therapy used for a minimum of three months. The study includes those with lupus nephritis confirmed by recent kidney biopsy showing specific active disease features. Treatment follows usual clinical practice without experimental therapies. During the study, participants will be monitored for disease remission using established lupus criteria at six months. Researchers will collect routine clinical data and track safety and response to treatments. The study requires participants to be at least 16 years old and to provide informed consent. Pregnant women and those involved in other experimental drug trials are excluded. The study involves ongoing clinical follow-up to evaluate outcomes over time.

Researchers are studying the effects of two experimental drugs, pozelimab and cemdisiran, in adults aged 50 to 85 who have Geographic Atrophy (GA) caused by Age-related Macular Degeneration (AMD), a condition that affects central vision. The study aims to compare how quickly GA progresses in patients treated with cemdisiran alone, a combination of pozelimab and cemdisiran, or a placebo. Additional goals include monitoring possible side effects, measuring drug levels in the blood, and checking for antibodies that might reduce drug effectiveness or cause side effects. Participants receive subcutaneous injections of either pozelimab combined with cemdisiran, cemdisiran alone, or a placebo. The study is randomized, double-masked, and placebo-controlled, conducted at multiple centers. Treatment schedules and dosing are managed as described in the protocol, with vaccinations for meningococcal and pneumococcal infections required prior to participation. Throughout the study, participants undergo regular clinic visits where eye imaging using Fundus Autofluorescence (FAF) tracks the progression of GA lesion area over 52 weeks. Researchers also monitor safety, side effects, and immune responses, ensuring adherence to study procedures. The main outcome measured is the growth rate of the GA lesion area over one year, helping to evaluate the potential benefits and risks of the study drugs.

Psoriatic arthritis (PsA) is a long-lasting inflammatory condition that affects the joints and skin in people with psoriasis (PsO). This research aims to evaluate how well the drug zasocitinib (TAK-279) works in adults with active PsA who have not previously used biologic disease-modifying antirheumatic drugs. The study is a Phase 3 clinical trial designed to compare zasocitinib against an active comparator and placebo in this patient group. Participants will receive treatment with either zasocitinib tablets, an active comparator capsule, or a matching placebo. The study includes multiple groups to assess the effects of these treatments. Participants will be followed and treated for up to 60 weeks during the study period. During the study, participants will undergo assessments to measure the percentage achieving improvement according to the American College of Rheumatology 20 (ACR20) response at 16 weeks. Researchers will monitor symptoms, joint and skin involvement, and overall safety throughout the trial. Participants will have regular visits for evaluations and will be observed for treatment effects and any side effects over the full course of the study.

Researchers are investigating targeted therapies to treat adults with moderately to severely active Rheumatoid Arthritis (RA), a chronic inflammatory disease that causes pain, stiffness, swelling, and loss of joint function. This Phase 2 study includes three substudies that evaluate different treatments for participants who have not responded well to one or two prior biologic or targeted synthetic disease-modifying antirheumatic drug (tsDMARD) therapies. The study aims to assess both the effectiveness and safety of these therapies. The study tests three treatment approaches: lutikizumab alone, ravagalimab alone, and a combination of lutikizumab and ravagalimab, each compared against placebo. All treatments are given by subcutaneous injection. About 180 participants will be enrolled across approximately 65 sites worldwide. Participants must be on a stable dose of methotrexate to join the study. The study requires regular visits to hospitals or clinics for treatment and monitoring. During the study, participants will undergo medical assessments, blood tests, and questionnaires to monitor treatment effects and side effects. The main outcomes measured include the percentage of participants achieving a 50% improvement in Rheumatoid Arthritis symptoms by week 12 and the number of participants experiencing adverse events up to about week 22. Participants may have a higher treatment burden than usual care due to the study procedures and visits.

Researchers are evaluating the safety and effectiveness of IPN10200, a medication designed to prevent episodic and chronic migraines in adults aged 18 to 80. Migraines cause severe throbbing pain often accompanied by nausea and sensitivity to light and sound, caused by brain activation releasing pain-related chemicals. IPN10200 works by stopping the release of these chemical messengers, and this phase II study aims to find the right dose that balances safety and efficacy. The study has three periods: first, a screening to check eligibility; second, Step 1 where two different doses of IPN10200 are tested sequentially in two groups, with injections given into muscles of the head, face, and neck and safety monitored over 36 weeks; third, Step 2 where new participants with episodic or chronic migraine are randomly assigned to receive one of two doses or a placebo, also via injections in the same areas, with monitoring continuing until Week 36. Participants will complete a daily electronic migraine diary and questionnaires throughout the study lasting up to 44 weeks. Researchers will monitor safety by tracking adverse events, laboratory changes, vital signs, facial exams, ECG readings, and antibody development. They will also measure changes in monthly migraine days to evaluate treatment effectiveness while ensuring participant safety throughout the study.

This research aims to understand how avacincaptad pegol, a treatment approved in the US, is used for people with geographic atrophy caused by age-related macular degeneration (AMD). Geographic atrophy is an advanced stage of AMD where cells in the retina waste away, leading to worsening central vision and possible permanent vision loss. The study focuses on observing treatment patterns and safety in routine clinical practice rather than testing new effects. Participants in this study will receive avacincaptad pegol through intravitreal injections, which are injections into the eye. The study collects information from patients who have already been prescribed this treatment by their doctors. There is no experimental intervention from the study team, and treatment decisions are made by the patients' doctors. The study follows patients for up to 3 to 5 years, depending on when they join. While in the study, participants will have regular eye exams as part of their usual care. They will also complete surveys about their eye health at the start of treatment, every 6 months for the first 2 years, then annually afterward. Researchers will track treatment details like the number and dose of injections, treatment duration, reasons for stopping treatment, and patient characteristics. Safety and treatment patterns are monitored through medical records during and after treatment.

Researchers are evaluating whether different doses of the medicine called BI 3000202 can help adults with moderate to severe systemic lupus erythematosus (SLE). This phase II study is designed to find the best dose of BI 3000202 for people living with this condition. Participants must have a confirmed diagnosis of SLE with specific disease activity and antibody markers. Participants are randomly divided into five groups. Four groups receive varying doses of BI 3000202, while one group receives a placebo that looks like the real medicine but contains no active drug. All participants continue their usual SLE treatments during the study. The tablets are taken daily for one year. During the study, participants visit the study site regularly for health checkups and to monitor any side effects. Researchers measure the treatment's effectiveness by the achievement of a Systemic Lupus Erythematosus Responder Index (SRI)-4 response at week 32. The total participation time is a bit longer than one year, during which safety and health are closely observed and compared between groups.

Researchers are evaluating the effectiveness of EYP-1901 compared to Aflibercept in treating people with diabetic macular edema (DME), a condition related to diabetic retinopathy that affects vision. This is a phase 3, randomized, double-masked study designed to compare these two treatments. The study focuses on participants who have either been treated before or are new to treatment with documented macular edema due to diabetic retinopathy. Participants will receive either EYP-1901 or Aflibercept through intravitreal injections, which involve injecting the drug directly into the eye. The study is designed to be double-masked, meaning neither participants nor researchers know which treatment is being given, to fairly assess the effects of each drug. The treatments are given during the study period, with careful monitoring of vision changes. During the study, participants will have their best-corrected visual acuity (BCVA) measured using standardized eye charts at weeks 52 and 56 to observe changes in their vision. Researchers will monitor the participants closely to evaluate safety and effectiveness throughout the study. The total duration for participants includes screening, treatment, and follow-up assessments to ensure comprehensive evaluation of the treatments.

Researchers are evaluating blood loss in adults with intracapsular and extracapsular hip fractures who undergo surgery at a Level II trauma center. The study focuses on the use of tranexamic acid (TXA), which is known to reduce blood loss and the need for postoperative blood transfusions in hip fracture and joint replacement patients. This research is designed as a prospective clinical trial in phases 2 and 3 to assess the effects of early TXA administration. Participants will receive tranexamic acid as part of the treatment. The treatment group will get TXA at the time of diagnosis in the emergency department, while both groups will receive TXA during the operation. The typical dosing involves 1 gram IV before the incision and another 1 gram IV at wound closure. This dosing pattern is consistent with standard practices at the study institution. During the study, researchers will monitor participants for postoperative blood transfusions and overall blood loss up to two weeks after surgery. These measures will help evaluate the effectiveness of early TXA administration in reducing blood loss. The study includes adult hip fracture patients undergoing operative fixation and excludes those with certain medical conditions or recent thromboembolic events. Participant safety and outcomes will be carefully observed throughout the study period.