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Found 3 Actively Recruiting clinical trials

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Actively Recruiting

Researchers are evaluating the effect of AZD0780, an oral PCSK9 inhibitor, compared with a placebo in reducing the risk of major adverse cardiovascular events plus (MACE-PLUS) in adults with established atherosclerotic cardiovascular disease (ASCVD) or at high risk for a first ASCVD event. This phase 3, randomized, placebo-controlled, and double-blind study aims to assess the time to first MACE-PLUS event over up to approximately 54 months from randomization until the primary analysis censoring date. Participants will be randomly assigned to receive either oral AZD0780 once daily or an oral placebo once daily. The study includes a parallel-group design with two arms: the experimental AZD0780 group and the placebo comparator group. After the primary analysis censoring date, a study closure visit will be scheduled as the final visit for each participant. During the study, participants will be monitored for the occurrence of cardiovascular events including myocardial infarction, stroke, urgent coronary revascularization, cardiovascular death, major adverse limb events, and all-cause mortality. Researchers will assess these events through regular follow-up visits up to approximately 54 months. The study includes detailed safety monitoring and outcome evaluations to understand the effects of AZD0780 compared to placebo in this population at risk for cardiovascular events.

Age: 18Years +All GendersPhase 3
1333 locations
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Actively Recruiting

This research aims to evaluate the effects of combining baxdrostat with dapagliflozin compared to dapagliflozin alone in adults aged 40 and older who have type 2 diabetes, established cardiovascular disease, a history of hypertension with elevated systolic blood pressure, and at least one additional risk factor for heart failure. The study is a phase III, randomized, placebo-controlled trial designed to assess heart failure events and cardiovascular death risks. Participants will be randomly assigned to receive either baxdrostat plus dapagliflozin or placebo plus dapagliflozin. Those in the baxdrostat group may have their dose increased if they meet specific criteria. Before randomization, participants not already on SGLT2 inhibitors or treated for less than 4 weeks will enter a run-in period with dapagliflozin 10 mg daily for 4 to 6 weeks. Study visits are scheduled at 2, 4, 8, 16, and 34 weeks after randomization, then approximately every four months. If a participant stops the blinded study treatment early, they will continue with open-label dapagliflozin unless specific discontinuation criteria are met. During the study, participants will undergo screening assessments, follow-up visits for monitoring, and data collection up to the study closure point based on event rates, which may last up to 38 months. Researchers will measure the occurrence of heart failure events, cardiovascular death, hospitalizations, and other cardiovascular outcomes. Participants will continue with scheduled visits and assessments even if they discontinue the blinded treatment, ensuring ongoing data collection and safety monitoring throughout the study period.

Age: 40Years +All GendersPhase 3
942 locations
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Actively Recruiting

Researchers are evaluating the effectiveness and safety of Datopotamab Deruxtecan (Dato-DXd) combined with rilvegostomig or rilvegostomig alone, compared to pembrolizumab alone, as first-line treatments for adults with locally advanced or metastatic non-squamous non-small cell lung cancer (NSCLC) who have high PD-L1 expression (tumor cell 50% or greater) and no actionable genomic alterations. This Phase III, randomized, open-label global study aims to improve treatment options for this patient group. Participants will be randomly assigned to one of three groups: one receiving Dato-DXd plus rilvegostomig, another receiving rilvegostomig alone, and the third receiving pembrolizumab alone. All treatments are given as intravenous infusions every three weeks on the first day of each 21-day cycle. The study compares these therapies to see which is more effective and safe as a first-line treatment. During the study, participants will undergo regular assessments including tumor evaluations, biomarker testing, and symptom questionnaires. Researchers will monitor progression-free survival and overall survival over approximately four to six years, along with other measures such as response rate, duration of response, physical functioning, and quality of life. Safety and pharmacokinetics will also be evaluated to understand how the treatments affect participants over the long term.

Age: 18Years +All GendersPhase 3
281 locations