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Found 338 Actively Recruiting clinical trials

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Actively Recruiting

Researchers are evaluating calderasib alone or combined with cetuximab to treat people with advanced solid tumors that have the KRAS G12C mutation, excluding colorectal cancer. This study aims to measure how many participants experience tumor shrinkage or disappearance and compare the responses between the two treatments. It is a phase 2, open-label trial focused on treatment safety and tolerability. Participants will receive calderasib orally with no set limit on treatment cycles. Some participants will also receive cetuximab via intravenous infusion every two weeks. Treatment continues until criteria for stopping the study intervention are met. The trial uses a randomized, parallel design to compare the two experimental arms. Throughout the study, participants will be monitored for tumor response, adverse events, and treatment discontinuations related to side effects. Researchers will also assess progression-free survival, duration of response, and overall survival up to about 76 months. The trial lasts until April 2032, with ongoing safety and efficacy evaluations during this period.

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

Researchers are evaluating the safety and tolerability of MK-4716, a drug being studied alone or combined with other treatments in people with certain advanced or metastatic solid tumors that have KRAS alterations. This phase 1, open-label study includes participants with locally advanced unresectable or metastatic solid tumors or metastatic non-small cell lung cancer, focusing on those with measurable disease and specific prior treatment histories. Participants receive MK-4716 at varying dose levels and schedules as monotherapy or combined with Pembrolizumab or Cetuximab. MK-4716 is given orally, while Pembrolizumab and Cetuximab are administered intravenously. The study uses a parallel design with several experimental arms to assess different combinations and dosing. During the study, participants are monitored for dose-limiting toxicities up to about 28 days and for adverse events up to approximately four years. Researchers measure drug concentrations in the blood at designated timepoints, pharmacokinetics, and overall safety. Participants undergo regular evaluations to assess side effects, treatment tolerability, and disease status throughout the study period, which lasts until study completion in December 2030.

Age: 18Years +All GendersPhase 1
21 locations
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Actively Recruiting

Researchers are investigating new treatment options for breast cancer that is hormone receptor-positive HR and human epidermal growth factor receptor 2-negative HER2-, specifically for cases that are unresectable locally advanced or metastatic. This type of breast cancer involves cancer cells that depend on hormones like estrogen or progesterone and have low HER2 protein levels. The study focuses on comparing the effects of patritumab deruxtecan against chemotherapy or trastuzumab deruxtecan in patients whose cancer has progressed despite prior treatments. Participants receive either patritumab deruxtecan through intravenous infusions every three weeks for about 13 months or a treatment chosen by their physician, which may include various chemotherapy drugs or trastuzumab deruxtecan, administered according to specific schedules for up to 13 months. The study is randomized and open-label, meaning participants are randomly assigned to one of the treatment groups, and both the patients and researchers know which treatment is given. Throughout the study, participants undergo regular assessments to monitor cancer progression and overall survival for up to approximately 85 months. Researchers evaluate tumor response, duration of response, and changes in quality of life using standardized questionnaires. Safety is carefully monitored by recording adverse events and treatment discontinuations. The goal is to understand if patritumab deruxtecan can improve outcomes compared to current treatment options.

Age: 18Years +All GendersPhase 3
197 locations
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Actively Recruiting

Researchers are investigating new treatments for high-risk, early-stage breast cancer, specifically targeting two types triple-negative breast cancer TNBC and hormone receptor-low positiveHER2-negative breast cancer. These cancers are characterized by low or no HER2 protein and low hormone receptor presence. The study aims to evaluate if adding sacituzumab tirumotecan sac-TMT to pembrolizumab and chemotherapy can better reduce cancer cells in tumors and lymph nodes and improve the length of time patients live without cancer progression compared to pembrolizumab with chemotherapy alone. Participants in this trial receive one of two treatment plans. One group gets sacituzumab tirumotecan intravenously every two weeks plus pembrolizumab every three weeks for 12 weeks, followed by pembrolizumab with carboplatin and paclitaxel for another 12 weeks. After 3 to 6 weeks, surgery and optional radiation therapy take place, followed by pembrolizumab for about 28 weeks. Participants with remaining disease may receive additional treatments chosen by their doctors, including olaparib, capecitabine, doxorubicin, epirubicin, or cyclophosphamide. The other group receives chemotherapy drugs carboplatin and paclitaxel with pembrolizumab initially, then pembrolizumab with cyclophosphamide and doxorubicin or epirubicin, followed by surgery, optional radiation, and pembrolizumab for about 28 weeks, with similar additional options for residual disease. During the study, participants undergo core needle biopsies, receive intravenous infusions of study drugs, and have surgery and possible radiation therapy. Researchers assess outcomes such as the percentage of participants with no detectable cancer cells at surgery pathological complete response, event-free survival up to about 92 months, and overall survival up to nearly 10 years. Quality of life and side effects are monitored through questionnaires and adverse event tracking. The study lasts several years, with various assessments throughout treatment and follow-up periods to gather comprehensive data on treatment effects and safety.

Age: 18Years +All GendersPhase 3
319 locations
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Actively Recruiting

Researchers are evaluating a culturally-tailored home-based physical activity program designed for Hispanic or LatinoLatina adolescent and young adult childhood cancer survivors. These survivors may face long-term effects like weight gain, fatigue, and reduced physical fitness after cancer treatment. The study aims to see if this culturally-relevant program can help increase physical activity and improve overall health compared to using a Fitbit tracker alone. The study has two stages. In Stage 1, 20 Latinx survivors participate in developing the intervention using Fitbit trackers, text messages, social media support, wearable activity devices, and interviews over 9 months. In Stage 2, 170 survivors who do not meet physical activity guidelines are randomized to either the intervention group, which includes Fitbit use, weekly goal-setting, peer support via social media and Zoom meetings, and optional activity partners, or a control group that only uses Fitbit trackers for 12 weeks. The intervention includes an intensive phase with weekly sessions followed by a 4-week maintenance phase. Participants will wear Fitbit trackers daily and engage in goal-setting, peer discussions, and physical activity reminders. Researchers will measure moderate to vigorous physical activity, sedentary time, and health-related quality of life over 12 weeks. Additional evaluations include physiological markers of heart and metabolic health and qualitative interviews to improve the program. The study lasts through the intervention phases with ongoing monitoring and support for participants.

Age: 15Years - 20YearsAll GendersPhase 2
77 locations
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Actively Recruiting

Researchers are evaluating the efficacy and safety of volrustomig compared to observation in participants with unresected locally advanced head and neck squamous cell carcinoma LA-HNSCC who have not progressed after receiving definitive concurrent chemoradiotherapy cCRT. This phase III, randomized, open-label global study aims to assess whether volrustomig can improve outcomes in this patient population. Participants are randomly assigned to one of two groups those who receive volrustomig as sequential therapy, and those who undergo observation without additional treatment. The study compares these two approaches following prior curative concurrent chemoradiotherapy. The trial includes long-term follow-up to monitor patient outcomes. During the study, participants will be regularly assessed for progression-free survival, overall survival, physical functioning, and quality of life. Researchers will also monitor for the presence of anti-drug antibodies and adverse events related to volrustomig. Follow-up evaluations may continue for up to approximately eight years to fully understand the treatment impact and safety profile.

Age: 18Years - 130YearsAll GendersPhase 3
306 locations
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Actively Recruiting

This study focuses on participants who have previously been treated with ciltacabtagene autoleucel cilta-cel, an autologous CAR-T therapy targeting B-cell maturation antigen BCMA used in multiple myeloma. The purpose is to collect long-term follow-up data to understand delayed adverse events and the long-term safety profile of cilta-cel over a period of up to 15 years after the last dose. Participants were originally treated in company-sponsored clinical trials evaluating cilta-cel. No treatment is administered during this follow-up study. Participants will be observed in two phases the first phase covers the initial 5 years after their last cilta-cel dose, and the second phase covers years 6 through 15 post-treatment. The study includes yearly safety evaluations involving review of adverse events, laboratory tests, and physical examinations including neurological assessments. Participants will be followed up at least once per year for up to 15 years to monitor for new or worsening medical conditions such as malignancies, neurological or autoimmune disorders, hematologic disorders, infections, and serious adverse events. The research team will also assess laboratory markers related to the CAR-T therapy, such as lentivirus presence and CAR transgene levels. This extended monitoring aims to provide a comprehensive safety profile of cilta-cel over the long term.

Age: 18Years +All GendersPhase 4
50 locations
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Actively Recruiting

Healthy Volunteer

Researchers are evaluating a mobile health intervention designed to promote sun protection behaviors and skin examinations among Hispanics at risk for skin cancer. This study aims to assess the feasibility, acceptability, and preliminary effects of a culturally guided WhatsApp-based program compared to general physical activity and nutrition information. The study will gather insights from Hispanic community members and key stakeholders to develop the intervention and refine it through a pilot randomized controlled trial RCT. Participants will first complete a baseline survey before being randomly assigned to either the intervention group receiving WhatsApp messages about skin cancer prevention for three months or a control group receiving information on physical activity and nutrition. After the intervention, participants will complete a post-intervention survey, followed by a six-month follow-up survey to assess longer-term behavior changes. The intervention uses a user-centered approach incorporating feedback from focus groups and interviews. Throughout the study, researchers will monitor skin cancer-related preventive behaviors such as the use of sunscreen, seeking shade, wearing protective clothing, hats, and sunglasses, as well as skin self-examination and professional skin examinations. Data will be collected at baseline, three months, and six months. The study also evaluates participant satisfaction and retention rates to inform further refinements. Total participation involves surveys and engagement via WhatsApp over a six-month period.

Age: 18Years - 100YearsAll GendersPhase Not Applicable
1 location
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Actively Recruiting

Researchers are studying the use of unlicensed cryopreserved cord blood units CBUs for transplantation in both children and adults with blood cancers and other related disorders. This observational study involves patients with hematologic malignancies and various inherited and acquired disorders affecting the blood and immune system. The main goal is to monitor how well neutrophil recovery occurs after transplantation using these unlicensed CBUs in multiple institutions. Participants receive unlicensed cryopreserved CBUs as part of their transplant treatment. The study includes patients of any age receiving these CBUs for approved indications. The protocol focuses on the access and distribution of these unlicensed units rather than a specific treatment intervention. The study gathers data from recipients who receive these CBUs, tracking outcomes after transplantation. Participants are monitored for neutrophil recovery at 60 and 100 days after transplant, defined by a neutrophil count of at least 500mm3. Researchers also collect information on infection transmission, infusion reactions, survival rates at one year, and incidence of acute and chronic graft versus host disease. Platelet recovery is also evaluated. Safety and efficacy outcomes are followed over time to better understand the effects of unlicensed CBUs in this patient population.

All Genders
142 locations
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Actively Recruiting

Researchers are evaluating XL309 previously ISM3091, alone and in combination with olaparib, in participants with advanced solid tumors. This first-in-human, multicenter, open-label Phase I trial aims to assess the safety, tolerability, preliminary antitumor activity, as well as how the body processes and responds to XL309 in these patients. The study is sponsored by Exelixis and targets advanced cancers that have progressed despite standard treatments or have no current therapies available. The study includes a Dose Escalation Stage where participants receive increasing doses of XL309 alone or combined with olaparib. Following this, a Cohort Expansion Stage will further study the recommended dose in specific advanced solid tumor groups both as a single agent and in combination. Both drugs are given orally according to assigned schedules in sequential cohorts. The trial is non-randomized and open-label, meaning all participants know which treatment they are receiving. Participants will undergo safety monitoring for treatment-related adverse events, dose-limiting toxicities, and laboratory abnormalities over approximately 24 months. Researchers will also measure drug levels in the blood and tumor response rates. Eligibility includes adults with specific genetic alterations related to their cancer type, adequate organ function, and performance status. The study excludes those with recent anticancer treatments, untreated brain metastases, or certain health conditions. Participants may be followed for up to several years to evaluate safety and preliminary efficacy.

Age: 18Years +All GendersPhase 1
16 locations

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