Manhasset

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.

Researchers are studying patients with symptomatic obstructive hypertrophic cardiomyopathy (HCM) in the United States and Europe to understand their characteristics, treatment patterns, and outcomes over time. The study focuses on individuals who are receiving mavacamten, other treatments for obstructive HCM, or no treatment due to intolerance or failure of prior therapies. The research includes a United States sub-study to evaluate mavacamten's safety and a European sub-study to assess both its effectiveness and safety in real-world settings. Participants may receive mavacamten according to its product label or other symptomatic therapies such as beta-blockers, non-dihydropyridine calcium channel blockers, or disopyramide based on standard care. The study includes those starting mavacamten, currently on other treatments, or untreated due to intolerance or failure of prior therapy. Treatment is observed during routine clinical care without altering prescribed therapy. Data collection occurs over several years to monitor long-term outcomes. During the study, participants will be regularly assessed for heart function and symptoms, including measuring the left ventricular outflow tract gradient and monitoring the incidence of new or worsening heart failure up to five years. Researchers will gather information on patient health, treatment safety, and heart function changes through echocardiography and symptom evaluations. The study allows for long-term observation to better understand real-world treatment effects and outcomes in obstructive HCM patients.

Researchers are evaluating efruxifermin (EFX) in adults aged 18 to 80 who have compensated cirrhosis caused by nonalcoholic steatohepatitis (NASH) or metabolic dysfunction-associated steatohepatitis (MASH). This Phase 3, randomized, double-blind, placebo-controlled study aims to assess the safety and effectiveness of EFX in improving liver health and delaying disease progression in this population. The study focuses on subjects with advanced liver fibrosis (stage 4) but without liver decompensation. Participants are randomly assigned to receive either efruxifermin or a placebo, both administered by subcutaneous injection. The study includes two cohorts: Cohort 1 requires biopsy confirmation of liver fibrosis and specific metabolic features, while Cohort 2 allows biopsy or non-invasive diagnosis. Treatment and observation continue over an extended period to evaluate changes in liver fibrosis and clinical events. During the study, researchers will monitor the time until significant clinical events such as disease progression or liver decompensation occur, with a follow-up of up to five years. For Cohort 1, the proportion of participants showing improvement in fibrosis without worsening steatohepatitis will be assessed at 96 weeks. Participants will undergo regular evaluations including clinical assessments and laboratory tests to track liver function and safety throughout the study period.

Researchers are evaluating the safety and effectiveness of a new oral medicine called ALG-000184 compared with tenofovir disproxil fumarate (TDF) in adults with chronic hepatitis B virus (HBV) infection. This Phase 2 study includes people who have never been treated or are currently not treated, and it focuses on both HBeAg-positive and HBeAg-negative participants. The study aims to understand how well these treatments control the virus over time. Participants will receive either ALG-000184 or TDF as a once-daily oral tablet for 48 weeks in a randomized, double-blind setting. After this period, all participants have the option to continue treatment with ALG-000184 alone for an additional 48 weeks in an open-label extension. The study includes two parts: one for HBeAg-positive subjects and one for HBeAg-negative subjects, each with the possibility of joining a liver biopsy sub-study. During the study, participants will be regularly monitored for viral levels, specifically measuring HBV DNA to see if it falls below a certain limit after 48 weeks. Researchers will also check safety and liver health through blood tests and imaging. The total study involvement can last up to 96 weeks, including the treatment extension. The study looks closely at how the virus responds to treatment and the overall health of participants throughout this time.

Researchers are observing the use of the drug elafibranor in people with Primary Biliary Cholangitis (PBC), a rare and progressive liver disease where bile ducts are damaged. This damage can lead to scarring of the liver (cirrhosis) and is often linked with symptoms like itching and fatigue. If PBC worsens, it may require a liver transplant or could be fatal without one. The study aims to understand how effective, safe, and tolerable elafibranor is for those being treated in everyday clinical settings. Participants in this study will be those who have been diagnosed with PBC and are either starting or already receiving treatment with commercial elafibranor at a dose of 80 mg per day. The study is non-interventional, meaning it observes participants as they receive their usual care without altering treatment. The total study duration for each participant is approximately 60 months, or 5 years. During the study, researchers will gather information about participants’ responses to treatment, safety, and tolerability over time. Outcome measurements include the percentage of participants who respond to treatment after 6 months. Participants and their caregivers may complete questionnaires, and researchers will monitor treatment effects and side effects throughout the study period to better understand how elafibranor works in real-world use.

Researchers are evaluating the efficacy and safety of a drug called azenosertib (ZN-c3) in women with platinum-resistant, high-grade serous ovarian, fallopian tube, or primary peritoneal cancer. This Phase 2 study focuses on patients whose tumors test positive for Cyclin E1 protein, determined by a specific assay developed by the sponsor. The study aims to understand how well azenosertib works in this group and its safety profile. The study involves administering azenosertib orally to participants. It is divided into two parts: Part 1 included all patients regardless of biomarker status and has completed enrollment; Part 2 requires tumors to be Cyclin E1 positive. Participants receive azenosertib and are monitored throughout the study according to the protocol. Participants will be involved in various assessments including tumor measurements following RECIST version 1.1 criteria up to about 12 months after the last participant enrolls. Researchers will track the objective response rate to evaluate tumor response. Safety and efficacy evaluations, along with monitoring of side effects and overall health, will take place during the study period to gather comprehensive data on the treatment.

Researchers are studying the effectiveness and safety of CC-97540, a CD19-targeted NEX-T CAR T cell therapy, in people with active systemic lupus erythematosus (SLE), including lupus nephritis. This phase 2, open-label trial focuses on participants who have not responded well to glucocorticoids and at least two immunosuppressant treatments. The goal is to assess whether CC-97540 can help achieve drug-free remission of SLE symptoms within six months. Participants receive CC-97540 along with specified doses of fludarabine and cyclophosphamide on certain days as part of the treatment. The study involves multiple centers and includes patients with active disease despite current treatment. The dosing schedule and exact administration details are defined to evaluate the therapy's effects and monitor drug levels. During the study, participants are closely monitored for safety and response to treatment. Researchers measure the proportion of participants who reach remission without the need for drugs by month six. The study includes assessments of disease activity and organ function, with ongoing observation to understand the therapy's impact on lupus symptoms and potential side effects over time.

Researchers are evaluating whether giving a single dose of methylprednisolone before major liver surgery, called hepatectomy, can reduce surgery side effects like infections and longer hospital stays. This randomized controlled trial compares methylprednisolone to the standard care in adults undergoing elective major hepatectomy, including trisegmentectomy or total left or right hepatectomy. The study focuses on differences in 30-day all-cause morbidity between those who receive methylprednisolone and those who do not. Participants receive a single preoperative dose of methylprednisolone before their scheduled major liver surgery. Some patients may also undergo additional partial hepatectomy or operative ablation alongside the major hepatectomy. The trial does not include any other interventions, and the comparison is between methylprednisolone administration and standard care without this drug. During the study, participants will be monitored closely for complications and side effects related to surgery and treatment. Researchers will assess outcomes like infections and hospital stay length within 30 days after surgery. The study includes adult patients aged 18 years and older who are scheduled for this type of liver surgery, with ongoing observation to track safety and overall morbidity following the procedure.

Researchers are evaluating a combination treatment using tagraxofusp, venetoclax, and azacitidine in adults with previously untreated CD123-positive acute myeloid leukemia (AML) who cannot receive intensive chemotherapy. This Phase II study is divided into two parts: Part 1 determines the appropriate dose of tagraxofusp to use with venetoclax and azacitidine, and Part 2 further evaluates this dose in two groups based on TP53 mutation status. The study focuses on participants who are either older or have other health conditions making intensive chemotherapy unsuitable. The treatments include tagraxofusp given by intravenous infusion for three consecutive days in each 28-day cycle, oral venetoclax tablets daily with a dose ramp-up during the first cycle, and azacitidine administered either under the skin or by intravenous infusion over seven days each cycle. Part 1 tests two doses of tagraxofusp (9 and 12 micrograms per kilogram per day) combined with the other drugs, while Part 2 uses the dose selected from Part 1 in the two participant groups. Participants will be monitored during up to four treatment cycles, each lasting 28 days, with assessments to determine the best overall response, such as complete remission. The study evaluates safety and effectiveness and includes regular visits for treatment administration, health checks, and laboratory tests. The entire treatment evaluation period lasts up to 112 days, during which researchers will track outcomes and side effects.

Researchers are evaluating the safety and effectiveness of KarXT in preventing relapse of psychosis symptoms in people aged 55 to 90 years who have psychosis associated with Alzheimer's Disease. This Phase 3 study is randomized, double-blind, placebo-controlled, and conducted at multiple outpatient centers. The main goal is to compare relapse prevention between KarXT treatment and placebo over 38 weeks, while also assessing time to discontinuation, safety, and tolerability. Participants receive either KarXT in varying doses (ranging from 20 mg/2 mg to 66.7 mg/6.67 mg taken three times daily) or placebo capsules. The study lasts 38 weeks, during which participants remain on assigned treatment in an outpatient setting. The randomized, double-blind design ensures neither participants nor researchers know who receives KarXT or placebo during the study. Throughout the study, participants will visit the clinic regularly for assessments of their psychosis symptoms, safety checks, and overall health. Researchers will track the time to relapse of psychosis symptoms as the primary outcome. They will also monitor safety and tolerability through clinical examinations and other evaluations. The total duration of participation is 38 weeks from randomization to the end of the study period.