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Found 48 Actively Recruiting clinical trials

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Actively Recruiting

Researchers are evaluating the safety and effectiveness of fixed dose combinations of ensifentrine with two different doses of glycopyrrolate compared to placebo and each drug alone in adults with chronic obstructive pulmonary disease (COPD). This phase IIb study focuses on measuring lung function improvements using bronchodilator effects in people with COPD. Participants have a history of smoking and meet specific lung function criteria to be included. Participants will be randomly assigned to one of six groups: two combination treatments of ensifentrine (3 mg) with glycopyrrolate at either 21.25 or 42.5 mcg, each drug alone as monotherapy, or placebo. All treatments are given twice daily for 28 days using a standard jet nebulizer. The study includes 1 to 2 weeks of screening, 4 weeks of treatment, followed by 1 week of follow-up. During the study, participants will undergo lung function testing at baseline and on days 1, 14, 28, and 29 to measure changes in forced expiratory volume in one second (FEV1). They will also have chest X-rays or CT scans reviewed, complete questionnaires on breathlessness, and have regular assessments to monitor safety and treatment effects. Participants must be able to use the nebulizer properly and attend all study visits over approximately 7 weeks.

Age: 40Years - 80YearsAll GendersPhase 2
55 locations
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Actively Recruiting

Researchers are evaluating a blood-based test called the Episwitch CiRT4, which maps 3D genome conformation, to predict how patients with stage III and IV cancer will respond to PD-(L)-1 immune checkpoint inhibitors. This test provides a binary likelihood of response (high vs. low probability) and aims to compare these predictions with actual treatment outcomes across multiple cancer types. The study also explores the relationship between social factors and test results or patient outcomes. Patients eligible for immune checkpoint inhibitor therapy will be offered the Episwitch CiRT4 test before starting treatment or while already receiving it. Those predicted to have a high probability of response will have repeat testing every three months. Participants will be followed for up to six months, during which treatment details and clinical outcomes such as disease-free survival, overall survival, stable disease, progressive disease, complete response, and time to recurrence will be collected. Throughout the study, researchers will gather comprehensive data on social determinants of health to analyze any connections to response likelihood or resistance. They will also collect physician questionnaires and patient-reported outcomes. The main outcomes include correlating the test's low probability predictions with actual responses, evaluating potential cost savings from avoiding ineffective therapies based on test results, and examining social factors influencing outcomes, all tracked from enrollment through the 24-week follow-up.

Age: 18Years +All Genders
3 locations
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Actively Recruiting

Researchers are evaluating how well oral icotrokinra works, its safety, and how well patients tolerate it in adults and adolescents with moderately to severely active ulcerative colitis, a chronic condition where the colon lining becomes inflamed and develops ulcers. This is a Phase 3 study aimed at finding effective treatments for this condition using a rigorous comparison. Participants will receive either icotrokinra tablets or placebo tablets taken by mouth. The study includes an induction phase and a maintenance phase, with adults participating in a randomized, double-blind, placebo-controlled design, while adolescents join an open-label maintenance study. Throughout the study, researchers will monitor clinical remission rates at 12 weeks during induction and at 40 weeks during maintenance. Participants will undergo assessments including endoscopic evaluations and pregnancy tests for females of childbearing potential. Safety and tolerability will be closely observed, with the total study duration covering both induction and maintenance periods.

Age: 12Years +All GendersPhase 3
385 locations
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Actively Recruiting

Researchers are studying the effectiveness and safety of a combination inhaler containing fluticasone propionate and albuterol sulfate delivered through a multidose dry powder inhaler with an electronic module (Fp/ABS eMDPI). This Phase 3 trial focuses on people aged 12 years and older who have asthma. The study also looks at the safety and tolerability of this inhaler when used four times daily over four weeks, as well as the pharmacokinetics of the combination and its individual components after a single dose. Participants will be randomly assigned to receive either the Fp/ABS combination inhaler, fluticasone propionate alone, albuterol sulfate alone, or a placebo inhaler. All treatments are given as inhalation powders. The main treatment period lasts four weeks, during which the inhalers are taken four times a day. The total study duration for each participant is about 10 weeks, not counting an optional prescreening visit. Throughout the study, researchers will measure lung function changes, specifically forced expiratory volume in one second (FEV1), from baseline to week 4. Participants will undergo assessments including lung function tests and safety evaluations. The study monitors how the inhaler affects breathing over time and checks for any side effects or tolerability issues during the treatment period.

Age: 12Years +All GendersPhase 3
163 locations
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Actively Recruiting

Healthy Volunteer

Researchers are evaluating the safety and tolerability of increasing doses of GSK3862995B. This study involves healthy participants receiving a single dose and participants with Chronic Obstructive Pulmonary Disease (COPD) receiving repeated doses to assess the drug's effects. The trial is a Phase 1, randomized, double-blind, placebo-controlled study designed to also investigate immunogenicity, pharmacokinetics, and pharmacodynamics of GSK3862995B. Participants are divided into two parts: Part A includes healthy volunteers aged 18 to 65 years who receive single ascending doses of GSK3862995B or placebo. Part B includes participants with COPD aged 40 to 75 years who receive repeated doses of the study drug or placebo. Dosing schedules and exact administration details are monitored closely throughout the study. During the study, participants undergo medical evaluations including laboratory tests, vital sign monitoring, cardiac assessments with 12-lead ECG, and recording of adverse events for up to 36 weeks in Part A and 48 weeks in Part B. Researchers will track changes in laboratory values, vital signs, and ECG parameters, as well as collect information on any adverse or serious adverse events. The study includes thorough safety monitoring to understand the tolerability of GSK3862995B over the study period.

Age: 18Years - 75YearsAll GendersPhase 1
32 locations
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Actively Recruiting

Researchers are evaluating the effectiveness and safety of icotrokinra in adults with moderately to severely active Crohn's disease, a chronic condition causing severe inflammation in the intestinal tract. This Phase 2b/3 study aims to understand how well icotrokinra works compared to a placebo in improving symptoms and intestinal healing in this patient group. Participants will receive either icotrokinra or a matching placebo orally every day. The study includes both induction and maintenance phases where researchers assess clinical and endoscopic responses at specific time points, such as Week 12 and Week 40, to determine treatment effects over time. Throughout the study, participants will undergo various assessments including clinical evaluations, endoscopic exams, and safety monitoring. Researchers will measure outcomes like clinical response, clinical remission, and endoscopic healing at Weeks 12 and 40. The study involves regular monitoring to track the participants' health and treatment adherence over the duration of the trial.

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

Researchers are evaluating KT-621, an oral drug, in adults with uncontrolled moderate to severe eosinophilic asthma. This Phase 2b study aims to assess the safety, tolerability, and how well KT-621 works in treating this condition. The study also looks at how KT-621 behaves in the body to better understand its effects. Participants will receive either KT-621 or a matching oral placebo in a randomized, double-blind, placebo-controlled design. The study focuses on assessing various doses to find the most effective and safe amount. Treatment effects will be measured over 12 weeks to observe changes in lung function and asthma control. During the study, participants will undergo regular visits including lung function tests (pre-bronchodilator FEV1), asthma control questionnaires, and blood tests to monitor eosinophil levels. Researchers will track participants’ adherence through electronic diaries and assess safety throughout the study. The main outcome is the change in lung function from baseline to Week 12, with continuous monitoring to ensure participant safety and study integrity.

Age: 18Years - 75YearsAll GendersPhase 2
17 locations
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Actively Recruiting

Researchers are evaluating the effects of TX000045 in patients with pulmonary hypertension caused by heart failure with preserved ejection fraction (PH-HFpEF). This Phase 2, double-blind, randomized, placebo-controlled proof-of-concept study aims to assess two dosing regimens of TX000045 over a 24-week treatment period to understand its impact on pulmonary vascular resistance and safety profile. Participants will be randomly assigned to one of three groups: a placebo group receiving subcutaneous injections every two weeks, a group receiving Dose A of TX000045 subcutaneously every two weeks, and a group receiving Dose B of TX000045 subcutaneously every four weeks alternating with placebo every two weeks. The treatment period lasts for 24 weeks. Throughout the study, participants will undergo assessments including pulmonary vascular resistance measurements, physical examinations, laboratory tests, and monitoring for adverse events from baseline up to 30 weeks after the first dose. Safety evaluations focus on treatment-related side effects and changes in lab values. The study plans to enroll about 180 participants between 18 and 83 years old with specific heart and lung function criteria.

Age: 18Years - 83YearsAll GendersPhase 2
86 locations
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Actively Recruiting

Researchers are evaluating the safety, tolerability, pharmacokinetics, immunogenicity, and pharmacodynamics of two different dose levels of solrikitug compared to placebo in people with Chronic Obstructive Pulmonary Disease (COPD). This Phase 2 study includes participants who have had COPD for at least 12 months and have elevated blood eosinophil levels. The trial aims to understand how solrikitug affects blood eosinophil counts and other health measures related to COPD. Participants will be randomly assigned to receive either low-dose solrikitug, high-dose solrikitug, or a placebo. These treatments are given by subcutaneous injection at the study site over a 12-week period. After treatment, there is a 16-week follow-up period to monitor participants for any lasting effects or safety concerns. During the study, participants will have regular assessments including lung function tests, blood tests to measure eosinophil counts, and evaluations of COPD symptoms. Researchers will monitor safety and tolerability closely throughout the treatment and follow-up periods. The total time commitment for participants covers the 12 weeks of treatment plus the 16 weeks of follow-up, totaling 28 weeks.

Age: 40Years - 75YearsAll GendersPhase 2
118 locations
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Actively Recruiting

Researchers are evaluating the effects of three different dosing schedules of povorcitinib on lung function in adults with moderately to severely uncontrolled asthma. This Phase 2, randomized, double-blind, placebo-controlled study aims to assess both the safety and efficacy of povorcitinib in improving respiratory outcomes for this patient group. Participants have a history of asthma treatment with medium- to high-dose ICS-LABA therapy and meet specific lung function criteria before enrollment. Participants will receive one of three povorcitinib dosing regimens or a placebo while continuing their background ICS-LABA therapy. The study includes multiple treatment arms to compare the effects of different doses. The intervention period lasts 24 weeks, during which pulmonary function and other health measures will be monitored. During the study, participants will undergo regular assessments, including lung function tests measuring pre-bronchodilator forced expiratory volume in 1 second (pre-BD FEV1) at baseline and week 24. Researchers will also monitor safety and collect data on asthma exacerbations and symptom control. The total participation time covers the treatment duration and follow-up evaluations to assess changes in pulmonary function and overall health status.

Age: 18Years - 65YearsAll GendersPhase 2
83 locations

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