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Found 16 Actively Recruiting clinical trials

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Actively Recruiting

Healthy Volunteer

Tobacco use is a leading cause of preventable cancer deaths, with about one in five young adults using commercial nicotine and tobacco products. This study evaluates two versions of a mobile health intervention called Living Free from Tobacco LiFT designed to support cessation among young adults aged 18 to 30. The goal is to engage this population, who are less likely to participate in traditional treatments, by providing a novel, accessible approach to quitting tobacco. Participants are assigned to one of three phases. The first phase involves user testing interviews to refine the LiFT app prototypes. In the pilot trial phase, participants are randomly assigned to use either LiFT A, which incorporates acceptance and commitment therapy with interactive games and exercises, or LiFT B, which offers educational content and health videos. Both interventions last 3 months and include text messages 2-3 times per week. The final phase is a post-pilot diary study where participants use the app and complete daily usability and satisfaction surveys for about one week. Throughout the study, participants complete surveys, usability assessments, and interviews to provide feedback and measure satisfaction, program usefulness, and engagement with the app. Researchers also assess tobacco cessation outcomes, including self-reported and biochemically confirmed abstinence at 3 months. The study is conducted entirely in English and requires participants to own a compatible smartphone with internet access and use text messaging and email. The total participation time varies by study phase but includes up to 3 months for the pilot phase and about one week for the diary study.

Age: 18Years - 30YearsAll GendersPhase Not Applicable
2 locations
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Actively Recruiting

Researchers are studying adults newly diagnosed with breast, colorectal, melanoma, non-Hodgkin lymphoma, or non-small cell lung cancer who are planning to receive systemic cancer therapies such as chemotherapy and immune checkpoint inhibitors ICIs. The study aims to understand how cannabis and cannabinoid use relates to cancer-related symptoms over one year. This observational research includes patients treated in community oncology clinics and is sponsored by Wake Forest University Health Sciences. Participants complete surveys and allow medical record reviews throughout the study. The study tracks cannabis and cannabinoid use as well as perceived benefits, harms, and adverse effects monthly for 12 months following enrollment. An optional sub-study is available at select sites for patients with non-small cell lung cancer receiving specific chemotherapy with ICIs. During the study, participants fill out monthly surveys about their symptoms and cannabis use. Researchers also review medical records to assess cancer-related symptoms and treatment progress. The main measure is cancer-related symptoms assessed monthly for up to one year. Secondary measures include cannabis use patterns and adverse effects. Participation involves ongoing survey completion and record review, with the total study duration lasting 12 months post-enrollment.

Age: 18Years +All Genders
467 locations
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Actively Recruiting

Healthy Volunteer

Researchers are collecting blood and tissue samples from people with and without cancer to help evaluate new tests that could detect cancer early. This study aims to create a set of blinded blood samples from both cancer and non-cancer patients to validate these tests, focusing on multiple cancer types and stages. The goal is to improve early cancer detection through laboratory research. Participants complete a questionnaire at the start and provide blood samples at registration and again 12 months later. Those diagnosed with cancer may also have tissue samples collected at these times. The study includes patients with various cancer types and stages, as well as individuals without cancer, with some allowing enrollment before full cancer confirmation under specific conditions. During the study, researchers review the collected samples and questionnaire data to assess test performance by tumor type and clinical stage at diagnosis. Participants are followed for one year after completing the study. Key measurements include the provision of a blinded reference set of cancer versus non-cancer blood samples to support future clinical trials focused on blood-based multi-cancer early detection.

Age: 40Years - 75YearsAll Genders
744 locations
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Actively Recruiting

Researchers are evaluating how to best recommend chemotherapy for patients with Stage IIB, IIC, or Stage III colon cancer based on the presence or absence of circulating tumor DNA ctDNA after surgery. This Phase IIIII trial explores whether ctDNA status can help guide decisions about the need for adjuvant chemotherapy and identify the optimal chemotherapy regimen for those at high risk of recurrence. Circulating tumor DNA is a promising biomarker that may detect microscopic residual cancer cells that traditional methods might miss. Participants are assigned to groups based on their ctDNA results after surgery. Those without detectable ctDNA ctDNA- may undergo serial monitoring without treatment or receive different chemotherapy regimens such as mFOLFOX6 or CAPOX for 3 to 6 months. Patients with detectable ctDNA ctDNA who have a higher risk of recurrence are randomized to receive either standard chemotherapy regimens like mFOLFOX6 or CAPOX for 6 months or a more intensive regimen called mFOLFIRINOX for 6 months. Central ctDNA testing is performed using the Signatera test to guide these assignments. During the study, participants have blood samples collected for ctDNA testing and undergo imaging scans to check for cancer recurrence. Researchers assess disease-free survival, overall survival, and chemotherapy compliance over several years. The study includes monitoring for safety and treatment effects, with follow-up planned for up to 5 years after randomization. Participants health status, laboratory tests, and tumor markers are regularly evaluated throughout the treatment and follow-up periods.

Age: 18Years +All GendersPhase 2Phase 3
1066 locations
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Actively Recruiting

Researchers are comparing two treatment approaches for patients with stage II-IIIB non-small cell lung cancer NSCLC that can be removed by surgery. The study evaluates whether giving standard therapy before and after surgery perioperative is better than giving it only after surgery adjuvant. This phase III trial focuses on chemotherapy and immunotherapy, which are current standard treatments aimed at controlling tumor growth and helping the immune system fight cancer. Patients are divided into two groups. One group undergoes surgery followed by chemotherapy and immunotherapy for up to one year if the disease does not progress or cause severe side effects. The other group receives chemotherapy combined with immunotherapy before surgery, then surgery, followed by immunotherapy alone for up to one year. Chemotherapy drugs may include cisplatin, carboplatin, pemetrexed, gemcitabine, docetaxel, or vinorelbine. Imaging tests like CT, MRI, or PETCT scans are done throughout the study. Participants will have surgery within a month of joining and receive treatments according to their assigned group. They will be monitored with scans and followed up every six months for up to 10 years to assess survival, disease progression, surgical outcomes, side effects, and immune responses. Researchers will measure event-free survival and overall survival as main results, as well as response rates and safety information over the long term.

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

Healthy Volunteer

This research aims to evaluate a nutritional program called Cooking for Your Health in Southern New Mexico to improve diet quality and nutrition knowledge related to cancer prevention. It focuses on adults living in southern New Mexico, where high cancer and obesity rates are linked to poor diet. The study explores culturally relevant strategies to promote healthier eating habits and reduce risks for cancer and chronic diseases in these communities. Participants take part in weekly intervention sessions lasting about 2.5 hours each for 6 weeks. These sessions include watching educational videos or practicing cooking skills, hands-on cooking in a teaching kitchen, and sharing meals with group discussions about nutrition. After the intervention, participants are followed up at weeks 8 and 10 to monitor progress. Throughout the study, researchers track engagement, retention, and acceptability of the program up to 8 weeks. Participants complete baseline data and use phones and internet for study contacts and assessments. The trial also monitors accrual over 6 months from activation. The total involvement includes attending six in-person classes and completing follow-up activities to assess the impact of the nutritional intervention.

Age: 18Years +All GendersPhase Not Applicable
1 location
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Actively Recruiting

Researchers are studying premenopausal women with early-stage breast cancer that is estrogen receptor-positive and HER2-negative, focusing on tumors with specific gene recurrence scores. The trial aims to find out if adding chemotherapy to ovarian function suppression plus endocrine therapy improves invasive breast cancer-free survival compared to ovarian function suppression plus endocrine therapy alone. This Phase III trial addresses the need for better treatments in younger women, given their higher risk and past conflicting study results on ovarian suppression and chemotherapy. Participants are randomly assigned to one of two groups one receiving ovarian function suppression combined with an aromatase inhibitor for five years, and the other receiving adjuvant chemotherapy followed by the same ovarian function suppression and aromatase inhibitor regimen. Choices for the aromatase inhibitor and gonadotropin releasing hormone agonist are made by the investigator, with options including drugs such as goserelin, leuprolide, or triptorelin. Endocrine treatment beyond five years is at the investigators discretion, and bilateral oophorectomy may be used instead of ovarian suppression if preferred. During the study, participants are monitored over 11 years from randomization, with measurements including invasive breast cancer-free survival as the primary outcome. Secondary outcomes include disease-free survival, overall survival, recurrence intervals, menopausal symptoms, and pain during aromatase inhibitor therapy. Safety and treatment effects are assessed through regular evaluations, and participants continue to be followed long term to understand the impact of treatments on their breast cancer outcomes.

Age: 18Years - 60YearsFEMALEPhase 3
1259 locations
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Actively Recruiting

Healthy Volunteer

This research aims to evaluate whether osteopathic manipulative treatment OMT can help adults who lost their sense of smell due to COVID-19 recover their olfactory perception. Loss of smell is a common symptom of COVID-19 that can lower quality of life and pose safety risks. The study also seeks to understand how long any improvement in smell lasts after treatment. Participants will be randomly assigned to receive either OMT or a sham treatment. OMT involves two specific procedures occipitoatlantal decompression using 12N of pressure for 2 minutes, and treatment of the nasal Chapman points while lying down. The sham treatment involves the investigator resting their hands gently on the sides of the participants neck for 5 minutes. The study includes initial smell testing before and after treatment, as well as follow-up tests the next day and within 1 to 2 weeks. During the study, participants will undergo smell tests using the validated Sniffin Sticks protocol in a well-ventilated area. Testing occurs before treatment, immediately after, daily for up to 10 days, and at follow-up visits. Researchers will monitor changes in smell ability and assess the duration of any improvements. Safety and adherence are observed throughout, with participants wearing masks during evaluations. The total participation spans from enrollment until two weeks post-treatment to measure recovery of smell.

Age: 18Years +All GendersPhase Not Applicable
1 location
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Actively Recruiting

Researchers are evaluating a master screening protocol called Lung-MAP for patients with previously treated non-small cell lung cancer. This phase IIIII trial aims to develop a genomic screening method for large cancer populations and assign participants to appropriate sub-studies based on specific cancer biomarkers. The goal is to compare new targeted therapies designed to block cancer growth or spread with standard care, including sub-studies for patients not eligible for biomarker-driven treatments. The study involves screening patient specimens to determine eligibility for various biomarker-driven or non-matched sub-studies within the Lung-MAP umbrella protocol. This is a screening study without direct interventions instead, patients are assigned to different treatment sub-studies, each operating independently. The protocol also includes an optional ancillary study evaluating attitudes about the return of somatic mutation findings suggestive of germline mutations. Participants provide tumor tissue for biomarker testing, including molecular profiling and PD-L1 analysis, and may submit fresh biopsies and blood samples for circulating tumor DNA testing. Researchers will monitor screening success rates up to three years and collect patient and physician feedback on genetic findings. Participation involves signing informed consent, providing smoking history, and possibly completing surveys. The study duration and assessments vary depending on sub-study assignment and patient progression.

Age: 18Years +All GendersPhase 2Phase 3
1229 locations
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Actively Recruiting

Researchers are evaluating how well radiation therapy with or without the chemotherapy drug cisplatin works in treating patients who have stage III-IVA squamous cell carcinoma of the head and neck after surgery. This phase II trial aims to understand if adding cisplatin to radiation therapy improves disease-free survival and to explore the role of p53 mutations as a biomarker for treatment benefit. The study also assesses the safety and side effects of these treatments and looks for other genetic changes that might guide new therapies. Participants are randomly assigned to one of two groups. One group receives intensity-modulated radiation therapy IMRT once daily, five days a week for six weeks. The other group receives the same radiation schedule plus weekly intravenous cisplatin for six weeks. After treatment, participants are followed up every six months for three years and then yearly for seven years to monitor outcomes. During the study, patients will have assessments including surgical tumor tissue analysis for p53 mutation, imaging scans to check for cancer spread, and blood tests to monitor health and organ function. Researchers will track disease recurrence, new tumors, or death for up to 10 years. Side effects will be recorded during treatment. The total study participation includes treatment over six weeks followed by long-term follow-up visits lasting up to 10 years.

Age: 18Years +All GendersPhase 2
676 locations

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