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NCT04692467 | NCT04692467_EG000 | No | All | Adult | Older Adult | Phase 2 | 124 | Inclusion Criteria:
PLWH 18-65 years of age
ART duration ≥ 1 year, stable regimen ≥ 6 months
HIV 1-RNA < 1,000 copies/mL within past 12 months
Pre-HTN (SBP 120-139 or DBP 80-89 mm Hg)
No current antihypertensive treatment
Receives HIV care at GHESKIO
Willing to provide consent
Exclusion Criteria:
Pregnancy
Kidney disease or diabetes
On protease inhibitor/ritonavir
Advanced illness with limited life expectancy
Plans to move out of the area within the next year
Clinician determination that patient is unstable on ART | Participants randomized to the early HTN treatment arm will initiate 5mg daily of amlodipine immediately, increasing to 10 mg if SBP >130 mmHg after 1 month.
Amlodipine 5mg: Amlodipine, Haiti's first-line antihypertensive medication, will be administered to the intervention group. | Amlodipine | CCOC(=O)C1=C(COCCN)NC(C)=C(C(=O)OC)C1c1ccccc1Cl | C07FB07 | C07FB12 | C07FB13 | C08CA01 | C08CA17 | C08CA51 | C08GA02 | C09BB03 | C09BB04 | C09BB07 | C09BB13 | C09BX01 | C09BX03 | C09BX04 | C09DB01 | C09DB02 | C09DB04 | C09DB05 | C09DB06 | C09DB07 | C09DB09 | C09DX01 | C09DX03 | C09DX06 | C09DX07 | C09DX08 | C09XA53 | C09XA54 | C10BX03 | C10BX07 | C10BX09 | C10BX11 | C10BX14 | C10BX18 | C10BX19 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04697758 | NCT04697758_EG000 | No | All | Adult | Older Adult | Phase 1 | Phase 2 | 3 | Inclusion Criteria:
Patients 18 years of age or older with diabetic macular edema (DME) diagnosis secondary to diabetes mellitus Type 1 or 2
Best corrected visual acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score of 65 to 23 in the study eye
Willing and able to comply with clinic visits and study-related procedures
Provide signed inform consent
Exclusion Criteria:
Any signs of high risk proliferative diabetic retinopathy in the study
Previously-treated patients who are not responders to anti-VEGF
Panretinal laser photocoagulation within 6 months and macular laser photocoagulation with 3 months of screening in the study eye
Note: Other inclusion/exclusion criteria apply. | AXT107 0.1 mg/eye
AXT107 0.1 mg: Single intravitreal injection of AXT107 0.1 mg/eye | Gersizangitide | CCC(C)C(NC(=O)C(CC(=O)O)NC(=O)C(NC(=O)C(Cc1ccccc1)NC(=O)C(C)NC(=O)C(Cc1ccccc1)NC(=O)C1CCCN1C(=O)C(C)NC(=O)C(NC(=O)C(CO)NC(=O)C(Cc1ccccc1)NC(=O)C(CCCNC(=N)N)NC(=O)C(CCCNC(=N)N)NC(=O)C(N)CC(C)C)C(C)O)C(C)CC)C(=O)NC(CC(N)=O)C(=O)NC(CC(=O)O)C(=O)NC(C(=O)NC(C(=O)NC(CC(N)=O)C(=O)NC(Cc1ccccc1)C(N)=O)C(C)CC)C(C)C | null | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04697758 | NCT04697758_EG001 | No | All | Adult | Older Adult | Phase 1 | Phase 2 | 3 | Inclusion Criteria:
Patients 18 years of age or older with diabetic macular edema (DME) diagnosis secondary to diabetes mellitus Type 1 or 2
Best corrected visual acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score of 65 to 23 in the study eye
Willing and able to comply with clinic visits and study-related procedures
Provide signed inform consent
Exclusion Criteria:
Any signs of high risk proliferative diabetic retinopathy in the study
Previously-treated patients who are not responders to anti-VEGF
Panretinal laser photocoagulation within 6 months and macular laser photocoagulation with 3 months of screening in the study eye
Note: Other inclusion/exclusion criteria apply. | AXT107 0.25 mg/eye
AXT107 0.25 mg: Single intravitreal injection of AXT107 0.25 mg/eye | Gersizangitide | CCC(C)C(NC(=O)C(CC(=O)O)NC(=O)C(NC(=O)C(Cc1ccccc1)NC(=O)C(C)NC(=O)C(Cc1ccccc1)NC(=O)C1CCCN1C(=O)C(C)NC(=O)C(NC(=O)C(CO)NC(=O)C(Cc1ccccc1)NC(=O)C(CCCNC(=N)N)NC(=O)C(CCCNC(=N)N)NC(=O)C(N)CC(C)C)C(C)O)C(C)CC)C(=O)NC(CC(N)=O)C(=O)NC(CC(=O)O)C(=O)NC(C(=O)NC(C(=O)NC(CC(N)=O)C(=O)NC(Cc1ccccc1)C(N)=O)C(C)CC)C(C)C | null | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04697888 | NCT04697888_EG000 | No | All | Child | Phase 2 | Phase 3 | 2 | Inclusion Criteria:
The patient will be PN dependent and unable to meet nutritional needs solely by enteral nutrition.
Patient will be <18 years of age.
Direct bilirubin > 2.0mg/dl
The patient must have failed standard therapies to prevent progression his/her liver disease.
Exclusion Criteria:
Other causes of chronic liver disease (Hepatitis C, Cystic fibrosis, biliary atresia, and alpha 1 anti-trypsin deficiency).
Patients who are allergic to eggs/shellfish
Patients who have severe hemorrhagic disorders. | Use of Omegaven for patients with parenteral nutrition associated liver disease.
Omegaven: Expanded Access Therapy with Omegaven will be initiated at a starting dose of 0.5 gm/kg/day to be infused over 24 hrs. After two days of infusion the dose will be increased to 1gm/kg/day. | Promega | CCC=CCC=CCC=CCC=CCC=CCC=CCCC(=O)O.CCCC=CCC=CCC=CCC=CCC=CCCCC(=O)O | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04698525 | NCT04698525_EG000 | No | All | Adult | Older Adult | Phase 3 | 17 | Inclusion Criteria:
Men and women from 18 to 65 years old.
Diagnosis of migraine according to the ICHD-III of the IHS at least one year before the study.
You must have at least 4-14 migraine attacks per month.
Not receiving prophylactic treatment for migraine
Sign informed consent
Exclusion Criteria:
Pregnant or lactating patients.
Patients with another type of non-migraine headache.
Allergy to Sodium Valproate and/or Memantine
Being a carrier of systemic disease (infectious, immunological, or metabolic processes) or cardiovascular (myocardial, coronary, or valvular disease) prevents their participation in the study. | VPA is a well know antiepileptic drug with multiple side effects. However, in low doses are a few side effects problems. | Valproate Sodium | CCCC(CCC)C(=O)[O-].[Na+] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04698525 | NCT04698525_EG001 | No | All | Adult | Older Adult | Phase 3 | 16 | Inclusion Criteria:
Men and women from 18 to 65 years old.
Diagnosis of migraine according to the ICHD-III of the IHS at least one year before the study.
You must have at least 4-14 migraine attacks per month.
Not receiving prophylactic treatment for migraine
Sign informed consent
Exclusion Criteria:
Pregnant or lactating patients.
Patients with another type of non-migraine headache.
Allergy to Sodium Valproate and/or Memantine
Being a carrier of systemic disease (infectious, immunological, or metabolic processes) or cardiovascular (myocardial, coronary, or valvular disease) prevents their participation in the study. | Memantine is a tolerable drug. However, it is always necessary to ask for side effects in this type o research. | Memantine | CC12CC3CC(C)(C1)CC(N)(C3)C2 | N06DA52 | N06DA53 | N06DX01 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04699461 | NCT04699461_EG001 | No | All | Adult | Older Adult | Phase 2 | 2 | Inclusion Criteria:
Written informed consent must be obtained prior to any study procedures.
Male or female participants aged 18 years or older, with pathologic diagnosis of follicular lymphoma (FL) (Grade 1, 2, 3A) in the most recent tumor biopsy.
Relapsed or refractory disease following two or more treatment regimens, at least one of which must have contained an anti-CD20 therapy.
Participants who have received previous CD19-directed therapy must have a biopsy which shows CD19 expression after completion of the CD19-directed therapy.
Measurable disease as defined by the 2014 Lugano Classification as assessed by positron emission tomography - computed tomography (PET-CT) or, if not Fluorodeoxyglucose (FDG) avid, CT or magnetic resonance imaging (MRI).
Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue block (or minimum 10 freshly cut unstained slides if block is not available). Note: Any biopsy since initial diagnosis is acceptable, but if several samples are available, the most recent sample is preferred.
Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2.
Adequate organ function as defined by screening laboratory values within the following parameters:
Absolute neutrophil count (ANC) ≥1.0 × 10^3/μL (off growth factors at least 72 hours),
Platelet count ≥75 × 10^3/μL without transfusion in the past 2 weeks,
Alanine aminotransferase, AST, and GGT ≤2.5 × the upper limit of normal (ULN),
Total bilirubin ≤1.5 × ULN (participants with known Gilbert's syndrome may have a total bilirubin up to ≤3 × ULN),
Calculated creatinine clearance ≥30 mL/min by the Cockcroft and Gault equation. Note: A laboratory assessment may be repeated a maximum of two times during the Screening period to confirm eligibility
Women of childbearing potential (WOCBP)(1) must agree to use a highly effective method(2) of contraception from the time of giving informed consent until at least 9 months after the last dose of study treatment. Men with female partners who are of childbearing potential must agree to use a condom when sexually active or practice total abstinence from the time of giving informed consent until at least 6 months after the participant receives his last dose of study treatment.
WOCBP are defined as sexually mature women who have not undergone bilateral tubal ligation, bilateral oophorectomy, or hysterectomy; or who have not been postmenopausal. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a postmenopausal state in women not using hormonal contraception or hormonal replacement therapy. However, in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient.
Highly effective forms of birth control are methods that achieve a failure rate of less than 1% per year when used consistently and correctly. Highly effective forms of birth control include hormonal contraceptives associated with inhibition of ovulation (oral, injectable, patch, intrauterine devices), male partner sterilization, or total abstinence from heterosexual intercourse, when this is the preferred and usual lifestyle of the participant.
Note: The double-barrier method (e.g., synthetic condoms, diaphragm, or cervical cap with spermicidal foam, cream, or gel), periodic abstinence (such as calendar, symptothermal, post ovulation), withdrawal (coitus interruptus), lactational amenorrhea method, and spermicide-only are not acceptable as highly effective methods of contraception.
Exclusion Criteria:
Previous treatment with loncastuximab tesirine.
Previous treatment with idelalisib.
History of hypersensitivity to any of the excipients of loncastuximab tesirine or idelalisib.
Follicular lymphoma which has transformed to diffuse large B-cell lymphoma (DLBCL) or other aggressive lymphomas.
Requires treatment or prophylaxis with a strong cytochrome P450 (CYP) 3A inhibitor, inducer, or sensitive substrate.
History of or ongoing drug-induced pneumonitis.
History of or ongoing inflammatory bowel disease.
Any condition that could interfere with the absorption or metabolism of idelalisib including malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel.
Active second primary malignancy other than non-melanoma skin cancers, nonmetastatic prostate cancer, in situ cervical cancer, ductal or lobular carcinoma in situ of the breast, or other malignancy that the Sponsor's medical monitor and Investigator agree and document should not be exclusionary.
Autologous transplant within 30 days prior to start of study treatment (C1D1).
Allogenic transplant within 60 days prior to start of study treatment (C1D1).
Active graft-versus-host disease.
Post-transplantation lymphoproliferative disorders.
Human immunodeficiency virus (HIV) seropositive with any of the following:
CD4+ T-cell counts <350 cells/μL.
Acquired immuno-deficiency syndrome (AIDS)-defining opportunistic infection within 12 months prior to screening.
Not on anti-retroviral therapy, or on anti-retroviral therapy for < 4 weeks at the time of screening.
HIV viral load ≥400 copies/mL.
Serologic evidence of chronic hepatitis B infection and unable or unwilling to receive standard prophylactic anti-viral therapy or with detectable hepatitis B virus (HBV) viral load.
Serologic evidence of hepatitis C infection without completion of curative treatment or with detectable hepatitis C virus (HCV) viral load.
History of Stevens-Johnson syndrome or toxic epidermal necrolysis.
Lymphoma with active central nervous system involvement, including leptomeningeal disease.
Clinically significant third space fluid accumulation (i.e., ascites requiring drainage or pleural effusion that is either requiring drainage or associated with shortness of breath).
Breastfeeding or pregnant.
Significant medical comorbidities, including but not limited to, uncontrolled hypertension (BP ≥160/100 mm Hg repeatedly), unstable angina, congestive heart failure (greater than New York Heart Association class II), electrocardiographic evidence of acute ischemia, coronary angioplasty or myocardial infarction within 6 months prior to screening, uncontrolled atrial or ventricular cardiac arrhythmia, poorly controlled diabetes, or severe chronic pulmonary disease.
Any Grade ≥3 active infection which requires IV antibiotics, IV antiviral, or IV antifungal treatment.
Major surgery, radiotherapy, chemotherapy or other anti-neoplastic therapy within 14 days prior to start of study treatment (C1D1), except shorter if approved by the Sponsor.
Use of any other experimental medication within 30 days prior to start of study treatment (C1D1).
Live vaccine administration within 4 weeks prior to Cycle(C) 1 Day (D) 1.
Failure to recover to ≤ Grade 1 (Common Terminology Criteria for Adverse Events [CTCAE] version 5.0) from acute non-hematologic toxicity (except ≤Grade 2 neuropathy or alopecia) due to previous therapy prior to screening.
Any other significant medical illness, abnormality, or condition that would, in the Investigator's judgment, make the participant inappropriate for study participation or put the participant at risk. | Participants were administered 150 mg idelalisib, orally, twice a day throughout each cycle, where 1 cycle is 4 weeks.
1 participant received 6 cycles and the other participant received 13 cycles of treatment. The treatment duration was 140 days and 333 days, respectively. | Idelalisib | [H][C@@](CC)(Nc1ncnc2[nH]cnc12)c1nc2cccc(F)c2c(=O)n1-c1ccccc1 | L01EM01 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04700280 | NCT04700280_EG000 | No | All | Adult | Older Adult | Phase 2 | 20 | Key Inclusion Criteria:
Documented diagnosis of pSS for <10 years prior to screening AND defined by the classification criteria >=4 described by the American College of Rheumatology - European League Against Rheumatism (ACR-EULAR).
Participant has an ESSDAI score >=5 assessed on 7 domains: constitutional, lymphadenopathy, glandular, articular, cutaneous, hematological, and biological.
Participant has an ESSPRI score >=5.
Participant has stimulated whole salivary flow rate of >=0.1 milliliter per minute (mL/min).
Participant has positive serum titers of anti-Sjögren's-syndrome-related antigen A (anti-SS-A)/Ro and/or anti-SS-B/La antibodies.
Participants already on treatment should be on stable standard of care (SoC) for at least 4 weeks prior to first investigational product (IP) dosing.
The following SoC medications are permitted:
Corticosteroids <=7.5 mg/day (prednisone or equivalent); AND/OR
Non-steroidal anti-inflammatory drugs (NSAIDs); AND/OR
One single antimalarial at a stable dose (hydroxychloroquine <=400 mg/day; quinacrine 100 mg/kg/day, or chloroquine <=250 mg/day); AND/OR
One single immunosuppressant at a stable dose (methotrexate [MTX] <=10 mg/week or azathioprine [AZA] <=2 mg/kg/day); AND/OR
One single cholinergic stimulant at a stable dose (e.g., pilocarpine, cevimeline).
Female participant of childbearing potential must have a negative highly sensitive (serum beta human chorionic gonadotropin or urine dipstick) pregnancy test.
Female participant of childbearing potential or male participant must agree to use highly effective contraception/preventive exposure measures.
Key Exclusion Criteria:
Secondary Sjögren's syndrome according to the ACR-EULAR (2016) classification.
History or presence of unstable condition not related to Sjögren's Syndrome that, in the opinion of the investigator, could constitute an unacceptable risk when taking the IP or interfere with the interpretation of data.
Participant has any active systemic infection within 2 weeks prior to first IP dosing, or poorly controlled chronic cardiac, pulmonary, or renal disease.
Participant has a known or suspected history of or a current immunosuppressive condition, or a history of opportunistic infections (e.g., human immunodeficiency virus [HIV] infection, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, aspergillosis).
Participant has a chronic hepatitis B virus (HBV) infection, as defined by persistent HBV surface antigen (HBsAg) positivity. Participant has hepatitis C virus (HCV) infection, as defined by positive HCV antibody at screening and detectable HCV viremia. Participants with positive HCV antibody must undergo reflex HCV ribonucleic acid (RNA) testing, and participants with HCV RNA positivity will be excluded. Participants with positive HCV antibody and negative HCV RNA are eligible.
Participant testing positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection as detected at screening based on real time polymerase chain reaction (RT-PCR) or at baseline based on immunoglobulin M (IgM) immunoassay, or participants who have been in contact with SARS-CoV-2 infected individuals in the 2 weeks prior to first dosing of IP. Participants presenting any signs or symptoms of SARS-CoV-2 infection, as detected prior to first IP dosing following careful physical examination (e.g., cough, fever, headaches, fatigue, dyspnea, myalgia, anosmia, dysgeusia, anorexia, sore throat, etc). In addition, any other locally applicable standard diagnostic criteria may also apply to rule out SARS-CoV-2 infection.
Participant has taken any disallowed therapies:
Mycophenolate mofetil (MMF) within a week prior to screening.
Cyclosporine/Tacrolimus within a week prior to screening.
Cyclophosphamide within 6 months prior to screening.
Ocular medicines (e.g., topical cyclosporine, topical NSAIDs/ corticosteroids) for at least 4 weeks prior to screening, except for a sporadic use.
Biologics such as, but not limited to, rituximab, abatacept, and any other unapproved biologic within 6 months prior to screening.
Plasmapheresis within 12 weeks prior to screening.
Plasma exchange within 12 weeks prior to screening.
Intravenous immunoglobulin (IVIG) therapy within 24 weeks prior to screening.
Other prohibited medications within 2 weeks or 5 half-lives, whichever is longer, prior to first IP dosing.
Concurrent use of anticholinergic agents or any other medication known to cause dry mouth/dry eyes that, in the opinion of the investigator, are a contributing factor to the participant's dryness and/or use of anticholinergic agents not contributing to this dryness, if not stable at least 4 weeks prior to screening.
Participant has a history of tuberculosis (TB) diagnosis or evidence of active or latent infection with Mycobacterium tuberculosis.
Participant has a history of lymphoma or any malignancy within the past 5 years prior to screening with the exception of excised and curatively treated non-metastatic basal cell carcinoma or squamous cell carcinoma of the skin or carcinoma in situ of cervix which is considered cured with minimal risk of recurrence.
Participant has severe organ manifestation or life-threatening condition, or has planned a surgery during the study.
Note: Other protocol-defined Inclusion/Exclusion criteria may apply. | Participants received GLPG3970 400 mg (2 *200 mg tablet), orally, once daily for 12 weeks. | UA6B2TI4MO | COc1cc(-c2cnc3cc(OCCN4CCOCC4)ccn23)cc2c1C(=O)N(CC(F)(F)F)CC2 | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
NCT04701593 | NCT04701593_EG001 | No | All | Adult | Older Adult | Phase 4 | 9 | Inclusion Criteria:
Patient must have rhegmatogenous retinal detachment and be scheduled to undergo scleral buckle surgery for correction
Exclusion Criteria:
Advanced Glaucoma
History of corticosteroid responsive elevation in IOP
Allergy to Triamcinolone Acetonide or other corticosteroids
Pre-existing chronic pain disorders
Herpes zoster
Prior corneal allograft
Allergy to local anesthetic or penicillin
Patients unable to consent on own behalf
Patients unable to communicate pain and nausea levels
Pregnancy
Incarceration | receives a sub-tenon irrigation of 1 cc 40mg/mL triamcinolone acetonide around the base of the scleral buckle (0.25 cc in each quadrant) at time of operation
Triamcinolone Acetonide 40mg/mL: Sub-tenon irrigation 1cc | Kenalog | CC1(C)OC2CC3C4CCC5=CC(=O)C=CC5(C)C4(F)C(O)CC3(C)C2(C(=O)CO)O1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04704713 | NCT04704713_EG000 | No | All | Adult | Older Adult | Phase 3 | 15 | Inclusion Criteria:
Aged greater than 18 years
Male or female patients with a documented history of PLE diagnosed or confirmed by a photodermatologist or photobiologist, with a history of PLE related pruritus symptoms.
Recurrent PLE episodes that occur at least once a year (as evidenced by PLE related pruritus symptoms) developing in their own country (to exclude patients affected only when traveling to sunnier climates)
Written informed consent prior to the performance of any study-specific procedure
Are willing and able to comply with the conditions specified in the protocol and study procedures in the opinion of the Investigator
Exclusion Criteria:
Currently requiring treatment with systemic immunosuppressive agents
Documented history of other photosensitivity conditions which may be confused with PLE or interfere with the assessment of PLE episodes
Solarium use in the three months prior to study involvement and throughout the duration of the study
Use of immunosuppressive medications, drugs that cause hyperpigmentation or any other treatment that in the opinion of the Investigator may interfere with this study
Documented presence (> 1 in 320) of Anti-Nuclear Antibody (ANA) and/or positive Extractable Nuclear Antibody (ENA); historical results from the 3 years prior to randomisation are acceptable if available
In the opinion of the Investigator, any evidence of clinically significant organ dysfunction, or any clinically significant deviation from normal in clinical or laboratory parameters
History of drug or alcohol abuse (in the last 1 year)
Female who is pregnant (confirmed by positive serum beta-Human chorionic gonadotropin (β-HCG) pregnancy test prior to baseline) or lactating
Female of child-bearing potential (pre-menopausal, not surgically sterile) that is not using or is not willing to use adequate contraceptive measures (e.g. oral contraceptives, condoms, diaphragm plus spermicide, intrauterine device)
Sexually active men with partners of child bearing potential not willing to use barrier contraception during the trial and for a period of three months thereafter
Participation in a clinical trial with another Investigational Medicinal Product (IMP) within 30 days prior to the Screening visit or during the study
Hypersensitivity to afamelanotide or any of its components | Afamelanotide implants were administered on Days 0 and 60. Patients returned to the clinic on Day 120 for the final visit.
Afamelanotide | Afamelanotide | CCCCC(NC(=O)C(CO)NC(=O)C(Cc1ccc(O)cc1)NC(=O)C(CO)NC(C)=O)C(=O)NC(CCC(=O)O)C(=O)NC(Cc1cnc[nH]1)C(=O)NC(Cc1ccccc1)C(=O)NC(CCCNC(=N)N)C(=O)NC(Cc1c[nH]c2ccccc12)C(=O)NCC(=O)NC(CCCCN)C(=O)N1CCCC1C(=O)NC(C(N)=O)C(C)C | D02BB02 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 |
NCT04706091 | NCT04706091_EG000 | No | All | Adult | Older Adult | Phase 4 | 34 | Inclusion Criteria:
Men or women of any ethnic origin
Written informed consent is obtained
Speaks and writes in English
A willingness and ability to comply with study procedures
Age 25-85 years
Diagnosis of RLS via Cambridge-Hopkins RLS questionnaire
International Restless Legs Syndrome Study Group scale score (IRLS) < 15
RLS treatment with a dopaminergic agonist or an alpha-2-delta agent
No changes in RLS medication in the previous month
DSM-5 criteria for Insomnia Disorder
Report a total sleep time ≤ 7 hours and wake after sleep onset (WASO) > 45 minutes on 7 or more of the 14 nightly sleep logs during both the initial 2-week screening period and the two-week screening run-in period. WASO does not decrease by more than 50% on the 2-week sleep diary obtained between the screening visit and the randomization visit
Exclusion Criteria:
Diagnosis of moderate/severe obstructive sleep apnea (AHI > 30) not using continuous positive airway pressure therapy (CPAP) (can be included if CPAP adherent), or other untreated primary sleep disorders (e.g. narcolepsy)
Shift workers
Unwillingness to not use sedative-hypnotics (other than suvorexant) during the study period
Unwillingness to maintain stable RLS medication during the study unless medically indicated
Current use of an opiate medication
Unwillingness to not take stimulants (e.g. caffeine) after 4:00 pm during the study
Current major depressive episode, by report and as indicated by the Patient Health Questionnaire (PHQ-9)
Lifetime history of bipolar disorder, psychosis, or other serious psychiatric illness
Current alcohol/substance use disorder
BMI ≥ 40 kg/m^2
Renal or hepatic disease judged to interfere with drug metabolism and excretion
Pregnancy or breastfeeding
Malignancy within past 2 years
Surgery within past 3 months
Neurological disorder or cardiovascular disease raising safety concerns about use of suvorexant and/or judged to interfere with ability to assess efficacy of the treatment
Medical instability considered to interfere with study procedures
Concomitant medications with drug interaction or co-administration concerns
Contraindications or allergic responses to suvorexant
History of being treated with suvorexant
Travel across two time-zones during the week prior to enrollment
Greater than 6 cups of coffee per day | Participants in both arms of the study received suvorexant treatment, either during treatment one or treatment two. | Suvorexant | [H][C@@]1(C)CCN(c2nc3cc(Cl)ccc3o2)CCN1C(=O)c1cc(C)ccc1-n1nccn1 | N05CJ01 | N05CM19 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04707469 | NCT04707469_EG000 | No | All | Adult | Older Adult | Phase 3 | 534 | Inclusion Criteria:
Male or female, age above or equal to 18 years at the time of signing informed consent.
Diagnosed with type 2 diabetes mellitus at least 180 days prior to the day of screening.
HbA1c of 8.0-10.5% (64-91 mmol/mol) (both inclusive).
BMI equal to or above 25 kg/m^2
Stable daily dose(s) for 90 days prior to the day of screening of any of the following treatment regimens:
No more than 3 of the following oral anti-diabetic drugs and at least 1 marked with a *:
Metformin (equal to or above1500 mg or maximum tolerated or effective dose).
Sulfonylureas (SU) (equal to or above half of the maximum approved dose according to local label or maximum tolerated or effective dose).
Sodium/glucose cotransporter 2 (SGLT2) inhibitors (maximum tolerated dose).
Dipeptidyl peptidase-4 (DPP-4) inhibitors (maximally indicated dose as per local label).
Subjects, on treatment with stable dose of DPP-4 inhibitors at inclusion, must be willing to discontinue DPP-4 inhibitor treatment at randomisation (with no wash-out).
Exclusion Criteria:
Treatment with any medication indicated for the treatment of diabetes or obesity other than stated in the inclusion criteria within the past 90 days prior to the day of screening. However, short term insulin treatment for a maximum of 14 days prior to the day of screening is allowed.
Renal impairment measured as estimated glomerular filtration rate (eGFR) value of below 30 mL/min/1.73 m^2 according to Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation as defined by kidney disease improving global outcomes (KDIGO 2012) classification.
Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days prior to screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination. | Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 68: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 68. | Semaglutide | CC[C@H](C)[C@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CCCCNC(=O)COCCOCCNC(=O)COCCOCCNC(=O)CC[C@@H](NC(=O)CCCCCCCCCCCCCCCCC(=O)O)C(=O)O)NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CCC(N)=O)NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](CC(=O)O)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@@H](NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)C(C)(C)NC(=O)[C@@H](N)Cc1cnc[nH]1)[C@@H](C)O)[C@@H](C)O)C(C)C)C(=O)N[C@@H](C)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](C(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)O)C(C)C | A10BJ06 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04707469 | NCT04707469_EG001 | No | All | Adult | Older Adult | Phase 3 | 534 | Inclusion Criteria:
Male or female, age above or equal to 18 years at the time of signing informed consent.
Diagnosed with type 2 diabetes mellitus at least 180 days prior to the day of screening.
HbA1c of 8.0-10.5% (64-91 mmol/mol) (both inclusive).
BMI equal to or above 25 kg/m^2
Stable daily dose(s) for 90 days prior to the day of screening of any of the following treatment regimens:
No more than 3 of the following oral anti-diabetic drugs and at least 1 marked with a *:
Metformin (equal to or above1500 mg or maximum tolerated or effective dose).
Sulfonylureas (SU) (equal to or above half of the maximum approved dose according to local label or maximum tolerated or effective dose).
Sodium/glucose cotransporter 2 (SGLT2) inhibitors (maximum tolerated dose).
Dipeptidyl peptidase-4 (DPP-4) inhibitors (maximally indicated dose as per local label).
Subjects, on treatment with stable dose of DPP-4 inhibitors at inclusion, must be willing to discontinue DPP-4 inhibitor treatment at randomisation (with no wash-out).
Exclusion Criteria:
Treatment with any medication indicated for the treatment of diabetes or obesity other than stated in the inclusion criteria within the past 90 days prior to the day of screening. However, short term insulin treatment for a maximum of 14 days prior to the day of screening is allowed.
Renal impairment measured as estimated glomerular filtration rate (eGFR) value of below 30 mL/min/1.73 m^2 according to Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation as defined by kidney disease improving global outcomes (KDIGO 2012) classification.
Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days prior to screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination. | Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 68: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8, 14 mg from week 8 to 12 and 25 mg from week 12 to week 68. | Semaglutide | CC[C@H](C)[C@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CCCCNC(=O)COCCOCCNC(=O)COCCOCCNC(=O)CC[C@@H](NC(=O)CCCCCCCCCCCCCCCCC(=O)O)C(=O)O)NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CCC(N)=O)NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](CC(=O)O)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@@H](NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)C(C)(C)NC(=O)[C@@H](N)Cc1cnc[nH]1)[C@@H](C)O)[C@@H](C)O)C(C)C)C(=O)N[C@@H](C)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](C(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)O)C(C)C | A10BJ06 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04707469 | NCT04707469_EG002 | No | All | Adult | Older Adult | Phase 3 | 534 | Inclusion Criteria:
Male or female, age above or equal to 18 years at the time of signing informed consent.
Diagnosed with type 2 diabetes mellitus at least 180 days prior to the day of screening.
HbA1c of 8.0-10.5% (64-91 mmol/mol) (both inclusive).
BMI equal to or above 25 kg/m^2
Stable daily dose(s) for 90 days prior to the day of screening of any of the following treatment regimens:
No more than 3 of the following oral anti-diabetic drugs and at least 1 marked with a *:
Metformin (equal to or above1500 mg or maximum tolerated or effective dose).
Sulfonylureas (SU) (equal to or above half of the maximum approved dose according to local label or maximum tolerated or effective dose).
Sodium/glucose cotransporter 2 (SGLT2) inhibitors (maximum tolerated dose).
Dipeptidyl peptidase-4 (DPP-4) inhibitors (maximally indicated dose as per local label).
Subjects, on treatment with stable dose of DPP-4 inhibitors at inclusion, must be willing to discontinue DPP-4 inhibitor treatment at randomisation (with no wash-out).
Exclusion Criteria:
Treatment with any medication indicated for the treatment of diabetes or obesity other than stated in the inclusion criteria within the past 90 days prior to the day of screening. However, short term insulin treatment for a maximum of 14 days prior to the day of screening is allowed.
Renal impairment measured as estimated glomerular filtration rate (eGFR) value of below 30 mL/min/1.73 m^2 according to Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation as defined by kidney disease improving global outcomes (KDIGO 2012) classification.
Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days prior to screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination. | Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 68: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8, 14 mg from week 8 to 12, 25 mg from week 12 to week 16 and 50 mg from week 16 to week 68. | Semaglutide | CC[C@H](C)[C@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CCCCNC(=O)COCCOCCNC(=O)COCCOCCNC(=O)CC[C@@H](NC(=O)CCCCCCCCCCCCCCCCC(=O)O)C(=O)O)NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CCC(N)=O)NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](CC(=O)O)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@@H](NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)C(C)(C)NC(=O)[C@@H](N)Cc1cnc[nH]1)[C@@H](C)O)[C@@H](C)O)C(C)C)C(=O)N[C@@H](C)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](C(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)O)C(C)C | A10BJ06 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04707534 | NCT04707534_EG000 | No | All | Adult | Older Adult | Phase 4 | 52 | Inclusion Criteria:
Age ≥ 18 years old
RT-PCR confirmed COVID-19 infection
Positive pressure ventilation (non-invasive or invasive) or high flow nasal cannula (HFNC) or need supplemental oxygen with oxygen mask or nasal cannula
Exclusion Criteria:
Underlying disease requiring chronic corticosteroids
Severe adverse events before admission, i.e. cardiac arrest;
Contraindication for corticosteroids;
Death is deemed to be imminent and inevitable during the next 24 hours
Recruited in other clinical intervention trial
Pregnancy
Patient on judicial protection | Dexamethasone 20 mg daily for 5 days, followed by dexamethasone 10 mg daily for 5 days
Dexamethasone: Dexamethasone | Betamethasone | CC1CC2C3CCC4=CC(=O)C=CC4(C)C3(F)C(O)CC2(C)C1(O)C(=O)CO | A01AC02 | A07EA04 | C05AA05 | C05AA09 | D07AB19 | D07AC01 | D07BC01 | D07CB04 | D07CC01 | D07XB05 | D07XC01 | D10AA03 | H02AB01 | H02AB02 | R01AD03 | R01AD06 | R01AD53 | R03BA04 | S01BA01 | S01BA06 | S01BB04 | S01CA01 | S01CA05 | S01CB01 | S01CB04 | S02BA06 | S02BA07 | S02CA06 | S03BA01 | S03BA03 | S03CA01 | S03CA06 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04707534 | NCT04707534_EG001 | No | All | Adult | Older Adult | Phase 4 | 55 | Inclusion Criteria:
Age ≥ 18 years old
RT-PCR confirmed COVID-19 infection
Positive pressure ventilation (non-invasive or invasive) or high flow nasal cannula (HFNC) or need supplemental oxygen with oxygen mask or nasal cannula
Exclusion Criteria:
Underlying disease requiring chronic corticosteroids
Severe adverse events before admission, i.e. cardiac arrest;
Contraindication for corticosteroids;
Death is deemed to be imminent and inevitable during the next 24 hours
Recruited in other clinical intervention trial
Pregnancy
Patient on judicial protection | Dexamethasone 6 mg daily for 10 days
Dexamethasone: Dexamethasone | Betamethasone | CC1CC2C3CCC4=CC(=O)C=CC4(C)C3(F)C(O)CC2(C)C1(O)C(=O)CO | A01AC02 | A07EA04 | C05AA05 | C05AA09 | D07AB19 | D07AC01 | D07BC01 | D07CB04 | D07CC01 | D07XB05 | D07XC01 | D10AA03 | H02AB01 | H02AB02 | R01AD03 | R01AD06 | R01AD53 | R03BA04 | S01BA01 | S01BA06 | S01BB04 | S01CA01 | S01CA05 | S01CB01 | S01CB04 | S02BA06 | S02BA07 | S02CA06 | S03BA01 | S03BA03 | S03CA01 | S03CA06 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04707664 | NCT04707664_EG000 | No | All | Adult | Older Adult | Phase 2 | 297 | Inclusion Criteria:
Patients with a positive laboratory diagnosis of SARS-CoV-2 infection by an antigen or a molecular test ≤5 days prior to randomization. The test should have been authorized by the relevant regulatory authority.
Have one or more of the following mild or moderate COVID-19 symptoms for ≤5 days prior to randomization:
Fever or chills
New onset or worsening cough
Sore throat
Malaise or fatigue
Headache
Muscle pain (myalgias) or body aches
Gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea)
New onset or worsening shortness of breath or difficulty breathing
Nasal congestion or runny nose
New loss of taste (ageusia) and/or smell (anosmia). Note: any of these symptoms (ageusia, anosmia) alone or in combination cannot be used as the SOLE qualifying symptoms for enrollment.
At higher risk for progression to more severe COVID-19
Age ≥ 60 years
Age 18-59 years with a clinically stable medical history of at least 1 or more of the following conditions that could lead to severe COVID-19:
Chronic respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis
Obesity with BMI ≥ 30 kg/m2
Cardiovascular disease
Sickle cell disease or thalassemia
Diabetes mellitus being managed with concomitant medications
Hypertension being managed with concomitant medications
Chronic kidney disease
Oxygen saturation by pulse oximeter > 93% on room air. Note: at altitudes of >4000 feet above sea level, oxygen saturation by pulse oximeter > 91% on room air is permitted
Negative pregnancy test (if woman of childbearing potential)
Females of childbearing potential and males with female partners of childbearing potential must agree to use acceptable contraceptive methods from screening to Day 28
The patient (or legally authorized decision maker) must give informed consent
Exclusion Criteria:
Hospitalized patients
Patients who have received or are receiving other treatments that are not approved/authorized by the relevant regulatory authority for the treatment of patients with mild or moderate COVID-19 in an outpatient setting
Patients enrolled in interventional clinical trials for other experimental therapies
Patients on chronic oxygen supplementation due to cardiopulmonary or other conditions
Patients with unstable comorbid conditions (e.g., decompensated congestive heart failure, COPD with exacerbation, current angina pectoris, uncontrolled diabetes mellitus, uncontrolled hypertension, uncontrolled asthma)
Patients with severe pulmonary comorbid conditions, including systemic steroid-dependent asthma, systemic steroid-dependent COPD, oxygen-dependent COPD, lung transplant, or cystic fibrosis
Patients who have received highly immunosuppressive therapy (to include systemic corticosteroids) or anti-cancer combination chemotherapy within 24 hours prior to first dose of study drug
Patients with known or suspected intolerance or hypersensitivity to sargramostim, or any component of the product
Patients who have previously experienced severe and unexplained side effects during aerosol delivery of any kind of medical product
Pregnant or breastfeeding females
Patients who, in the opinion of the Investigator, will not be able to comply with all the study procedures and visits as outlined in the schedule of events, including follow-up | Day 1 - 5: Sargramostim treatment in addition to standard of care for COVID-19
Sargramostim: All patients randomized to the sargramostim treatment arm will be treated with 250 mcg inhaled sargramostim administered via a vibrating mesh nebulizer once daily for 5 days. | Zidovudine | Cc1cn([C@H]2C[C@H](N=[N+]=[N-])[C@@H](CO)O2)c(=O)[nH]c1=O | J05AF01 | J05AR01 | J05AR04 | J05AR05 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04709835 | NCT04709835_EG001 | No | All | Adult | Older Adult | Phase 2 | 30 | Inclusion Criteria:
Positive SARS-CoV-2 diagnostic test (RT-PCR or rapid antigen test)at screening
Has symptoms consistent with mild or moderate COVID-19, as determined by the investigator, with onset ≤5 days prior to randomization
Exclusion Criteria:
Clinical signs indicative of COVID-19 illness requiring hospitalization, defined as any of the following: shortness of breath at rest, respiratory rate ≥30, heart rate ≥125, peripheral capillary oxygen saturation ≤93% on room air
Treatment with a therapeutic agent against SARS-CoV-2 including, but not limited to, other direct acting antivirals, convalescent plasma, monoclonal antibodies against SARS CoV-2, or intravenous immunoglobulin within 3 months or less than 5 drug elimination half-lives (whichever is longer) prior to screening
Requirement, in the opinion of the investigator, for any of the prohibited medications during the study
Use of hydroxychloroquine or amiodarone within 3 months of screening
Pregnant or breastfeeding, or intending to become pregnant during the study or within 30 days after the final dose of AT-527. Women of childbearing potential must have a negative urine pregnancy test result at screening
Abnormal laboratory test results at screening
Clinically significant abnormal ECG, as determined by the Investigator, at screening
Planned procedure or surgery during the study
Known allergy or hypersensitivity to study drug or drug product excipients
Substance abuse, as determined by the investigator, within 12 months prior to screening
Poor peripheral venous access
Malabsorption syndrome or other condition that would interfere with enteral absorption
Any clinically significant history of epistaxis within the last 3 months and/or history of being hospitalized due to epistaxis of any previous occasion
History of anaphylaxis
Any uncontrolled serious medical condition or other clinically significant abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study | Participants received 550 mg AT-527 (1x550 mg) twice a day (BID) on Days 1-5. | Bemnifosbuvir hemisulfate | CNc1nc(N)nc2c1ncn2C1OC(COP(=O)(NC(C)C(=O)OC(C)C)Oc2ccccc2)C(O)C1(C)F.CNc1nc(N)nc2c1ncn2C1OC(COP(=O)(NC(C)C(=O)OC(C)C)Oc2ccccc2)C(O)C1(C)F.O=S(=O)(O)O | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04709835 | NCT04709835_EG002 | No | All | Adult | Older Adult | Phase 2 | 30 | Inclusion Criteria:
Positive SARS-CoV-2 diagnostic test (RT-PCR or rapid antigen test)at screening
Has symptoms consistent with mild or moderate COVID-19, as determined by the investigator, with onset ≤5 days prior to randomization
Exclusion Criteria:
Clinical signs indicative of COVID-19 illness requiring hospitalization, defined as any of the following: shortness of breath at rest, respiratory rate ≥30, heart rate ≥125, peripheral capillary oxygen saturation ≤93% on room air
Treatment with a therapeutic agent against SARS-CoV-2 including, but not limited to, other direct acting antivirals, convalescent plasma, monoclonal antibodies against SARS CoV-2, or intravenous immunoglobulin within 3 months or less than 5 drug elimination half-lives (whichever is longer) prior to screening
Requirement, in the opinion of the investigator, for any of the prohibited medications during the study
Use of hydroxychloroquine or amiodarone within 3 months of screening
Pregnant or breastfeeding, or intending to become pregnant during the study or within 30 days after the final dose of AT-527. Women of childbearing potential must have a negative urine pregnancy test result at screening
Abnormal laboratory test results at screening
Clinically significant abnormal ECG, as determined by the Investigator, at screening
Planned procedure or surgery during the study
Known allergy or hypersensitivity to study drug or drug product excipients
Substance abuse, as determined by the investigator, within 12 months prior to screening
Poor peripheral venous access
Malabsorption syndrome or other condition that would interfere with enteral absorption
Any clinically significant history of epistaxis within the last 3 months and/or history of being hospitalized due to epistaxis of any previous occasion
History of anaphylaxis
Any uncontrolled serious medical condition or other clinically significant abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study | Participants received 1100 mg AT-527 (4x275 mg) twice a day (BID) on Days 1-5. | Bemnifosbuvir hemisulfate | CNc1nc(N)nc2c1ncn2C1OC(COP(=O)(NC(C)C(=O)OC(C)C)Oc2ccccc2)C(O)C1(C)F.CNc1nc(N)nc2c1ncn2C1OC(COP(=O)(NC(C)C(=O)OC(C)C)Oc2ccccc2)C(O)C1(C)F.O=S(=O)(O)O | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04711837 | NCT04711837_EG000 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 3 | 168 | Inclusion Criteria:
Subjects undergoing elective surgery (nonemergency, noncardiothoracic, and nonintracranial surgery anticipated to last at least 1 hour ).
Males or females, aged ≥18 years old, with American Society of Anesthesiologists Physical Status (ASA PS) I to IV.
Body mass index (BMI) ≥18 kg/m2.
For all females of childbearing potential, negative pregnancy test at screening and baseline. Additionally, females of childbearing potential must agree to use birth control (such as condom, intrauterine device [IUD], abstinence) from the time of consent until 30 days post study drug administration.
Capable of understanding the procedures and methods of this study, willing to sign an Informed Consent Form, and to complete this study in strict compliance with the study protocol.
Exclusion Criteria:
Contraindications to deep sedation/general anesthesia or a history of adverse reaction to sedation/general anesthesia.
Known to be allergic to eggs, soy products, opioids and their antidotes, or propofol; subject having contraindications to propofol, opioids, and their antidotes.
Medical condition or evidence of increased sedation/general anesthesia risk.
Management risks of respiratory tract and judged by the investigator to be unsuitable for inclusion in the study.
Any medication that has the potential to interact synergistically with propofol or HSK3486, including but not limited to all sedatives and hypnotics.
Laboratory parameters significantly out of range at screening.
Female subjects with a positive pregnancy test (serum or urine) at screening or baseline; lactating subjects; any subject planning to get pregnant within 1 month after the study (including the male subject's partner).
Judged by the investigator to have any other factors that make the subject unsuitable for participation in the study. | HSK3486 for induction of general anesthesia.
HSK3486: HSK3486 for induction of general anesthesia. | Cipepofol | CC(C)c1cccc(C(C)C2CC2)c1O | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
NCT04711837 | NCT04711837_EG001 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 3 | 83 | Inclusion Criteria:
Subjects undergoing elective surgery (nonemergency, noncardiothoracic, and nonintracranial surgery anticipated to last at least 1 hour ).
Males or females, aged ≥18 years old, with American Society of Anesthesiologists Physical Status (ASA PS) I to IV.
Body mass index (BMI) ≥18 kg/m2.
For all females of childbearing potential, negative pregnancy test at screening and baseline. Additionally, females of childbearing potential must agree to use birth control (such as condom, intrauterine device [IUD], abstinence) from the time of consent until 30 days post study drug administration.
Capable of understanding the procedures and methods of this study, willing to sign an Informed Consent Form, and to complete this study in strict compliance with the study protocol.
Exclusion Criteria:
Contraindications to deep sedation/general anesthesia or a history of adverse reaction to sedation/general anesthesia.
Known to be allergic to eggs, soy products, opioids and their antidotes, or propofol; subject having contraindications to propofol, opioids, and their antidotes.
Medical condition or evidence of increased sedation/general anesthesia risk.
Management risks of respiratory tract and judged by the investigator to be unsuitable for inclusion in the study.
Any medication that has the potential to interact synergistically with propofol or HSK3486, including but not limited to all sedatives and hypnotics.
Laboratory parameters significantly out of range at screening.
Female subjects with a positive pregnancy test (serum or urine) at screening or baseline; lactating subjects; any subject planning to get pregnant within 1 month after the study (including the male subject's partner).
Judged by the investigator to have any other factors that make the subject unsuitable for participation in the study. | Propofol for induction of general anesthesia.
Propofol: Propofol for induction of general anesthesia. | Propofol | CC(C)c1cccc(C(C)C)c1O | N01AX10 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
NCT04715932 | NCT04715932_EG000 | No | All | Adult | Older Adult | Phase 2 | 107 | Inclusion Criteria:
Covid-19 positive by polymerase chain reaction (PCR) testing;
Participant must be able to evaluate their symptoms and report them in the symptoms diary;
Patients must be able to take their oral temperature daily with an electronic thermometer provided to them with study materials;
Males and females, at least 18 years of age, capable and willing to provide informed consent;
Female patient is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile, or is of childbearing potential and practicing at least one method of contraception and preferably two complementary forms of contraception including a barrier method (e.g. male or female condoms, spermicides, sponges, foams, jellies, diaphragm, intrauterine device (IUD)) throughout the study;
Patient must have received a diagnosis of COVID-19 infection within the last 48 hours and have one or more symptoms;
Outpatient setting (not currently hospitalized or under immediate consideration for hospitalization);
Patient must be able and willing to comply with the requirements of this study protocol.
Exclusion Criteria:
Patient currently hospitalized or under immediate consideration for hospitalization;
Patient currently in shock or with hemodynamic instability;
Patient undergoing chemotherapy for cancer;
Patient is unable to take oral temperature using an electronic thermometer;
Patient who received at least one dose of the COVID-19 vaccine;
Female patient who is pregnant or breast-feeding or is considering becoming pregnant during the study;
People taking anticoagulant/antiplatelet medications, those with bleeding disorders, and people two weeks before or after surgery;
Patient is considered by the investigator, for any reason, to be an unsuitable candidate for the study;
Regular consumption of natural products containing more than 150 mg of hesperidin or regular consumption of more than 1 glass of orange juice per day;
Known allergy to any of the medicinal and non-medicinal ingredient: hesperidin, microcrystalline cellulose, magnesium stearate. | Patients will receive study medication Hesperidin and will take 2 capsules of 500mg at the same time in the evening, at bedtime with water. | Hesperidin | COc1ccc([C@@H]2CC(=O)c3c(O)cc(O[C@@H]4O[C@H](CO[C@@H]5O[C@@H](C)[C@H](O)[C@@H](O)[C@H]5O)[C@@H](O)[C@H](O)[C@H]4O)cc3O2)cc1O | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04716413 | NCT04716413_EG000 | No | All | Adult | Older Adult | Phase 4 | 3 | Inclusion Criteria:
Age range 18-100 years
Currently taking Suboxone
ASA (American Society of Anesthesiology) physical score 1-3
Able to provide a signed informed consent
General anesthesia (either endotracheal intubation or laryngeal mask airway) or MAC (monitored anesthesia care) without the use of regional anesthesia
Exclusion Criteria:
Known allergic reactions to Dsuvia and its excipients
Severe respiratory illness including exacerbation of asthma attack
Significant intraoperative hemodynamic instability
Use of Regional anesthesia techniques | Subjects will receive dose of Dsuvia 30mcg SL (1st dose) after induction but before first incision. Post-operatively, if subject rates pain higher than 4 out of 10, subject will receive a second dose of Dsuvia 30mcg SL (sublingual). If 30 minutes after second dose, subject rates pain higher than 4 out of 10, subject will receive ibuprofen 800mg IV. If 60 minutes after second dose, subject rates pain higher than 7 out of 10, subject will receive hydromorphone 0.4 mg IV.
Dsuvia: Subject will receive up to 2 doses of Dsuvia. The first dose will be intra-op and the second dose will be post-op (if needed) | Sufentanil | CCC(=O)N(c1ccccc1)C1(COC)CCN(CCc2cccs2)CC1 | N01AH03 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04716426 | NCT04716426_EG000 | Accepts Healthy Volunteers | All | Adult | Older Adult | Not Applicable | 50 | Inclusion Criteria:
good general health (without serious health problems);
tested negative, by means of immunoglobulin (Ig) G and IgM serology tests and chain real-time polymerase chain reaction (RT-PCR), for COVID-19.
Exclusion Criteria:
previous immunization against COVID-19;
allergy to tetracycline hydrochloride;
diagnosis of Lyme disease;
immunocompromised;
share housing with someone diagnosed with COVID-19 at the time of the baseline evaluation;
serious illnesses, such as cancer, kidney failure, decompensated cardiorespiratory and metabolic diseases, etc. | 4 drops of tetracycline hydrochloride 3% (APT™ T3X) applied inside of the nasal channels and inside of nostrils, once a day, every day for 21 days (except health professionals that will be instructed to use 4 drops of APT™ T3X twice a day, every day for 21 days.
Tetracycline hydrochloride 3%: Proprietary formulation composed of FDA approved inactive ingredients and the active pharmaceutical ingredient tetracycline hydrochloride. | Tetracycline hydrochloride | CN(C)C1C(=O)C(C(N)=O)=C(O)C2(O)C(=O)C3=C(O)c4c(O)cccc4C(C)(O)C3CC12.Cl | null | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04720105 | NCT04720105_EG000 | No | All | Adult | Older Adult | Phase 4 | 22 | Inclusion Criteria
Subject is able to provide written, informed consent and comply with the study protocol.
Subject is at least 18 years of age.
Subject has a diagnosis of plaque-type palmar and/or plantar psoriasis.
Patient has at least one psoriatic plaque outside of the palms and soles or psoriatic nail findings.
Subject has a ppPGA ≥ 3 at screening/baseline visit.
Subject is using adequate birth control during the study period as defined as follows:
Option 1: Any one of the following highly effective methods: hormonal contraception (oral, injection, implant, transdermal patch, vaginal ring); intrauterine device (IUD); tubal ligation; or partner's vasectomy; OR
Option 2: Male or female condom (latex condom or nonlatex condom NOT made out of natural [animal] membrane [for example, polyurethane]; PLUS one additional barrier method: (a) diaphragm with spermicide; (b) cervical cap with spermicide; or (c) contraceptive sponge with spermicide.
OR
Option 3: Abstinence from sex when it is a lifestyle choice, and not just a social circumstance.
Exclusion Criteria
Subject is not able to provide written, informed consent and comply with the study protocol.
Subject is less than 18 years of age.
Subject has non-plaque type psoriasis on the hands and/or feet.
Patient does not have any evidence of psoriasis elsewhere.
Subject has concurrent cutaneous disease affecting the hands and/or feet that would interfere with assessments.
Subject has a ppPGA < 3 at screening/baseline visit.
Subject refuses to discontinue concomitant prescription medications on hands and/or feet.
Subject has used topical prescription treatments or received phototherapy treatment for psoriasis within 2 weeks of screening/baseline visit.
Subject has used intralesional kenalog within 4 weeks of screening/baseline visit.
Subject has taken oral treatments for psoriasis within 4 weeks of screening/baseline visit.
Subject has received any treatment with biologic medications within 5 half-lives (if known) or 16 weeks prior to screening/baseline, whichever is longer.
Subject refuses to use adequate birth control during the duration of the study period.
Subject is currently pregnant or breastfeeding. | Participants with plaque type psoriasis to be treated with Duobrii® (halobetasol propionate 0.01%/tazarotene 0.045% lotion, HP/TAZ) to be applied thinly once a day on the affected areas of hands and/or feet at weeks 0,2,8,16 for a total of 24 weeks. | Tazarotene | CCOC(=O)c1ccc(C#Cc2ccc3c(c2)C(C)(C)CCS3)nc1 | D05AX05 | D05AX55 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04726969 | NCT04726969_EG001 | No | All | Child | Adult | Phase 3 | 84 | Inclusion Criteria:
Aged between 12 and 60 years
Written informed consent signed by either parents/caregivers for underage adolescents (aged 12-17 years) or by the participant him/herself (18-60 years of age); and written assent by underage participant
Agree to comply with study procedures, including provision of two stool samples at the beginning (baseline) and at follow-up assessment 14-21 days after treatment
Willing to be examined by a study physician prior to treatment
At least two slides of the quadruple Kato-Katz thick smears positive for T. trichiura and infection intensities of at least 48 EPG
Exclusion Criteria:
Presence or signs of major systemic illnesses, e.g. body temperature ≥ 38°C, severe anemia (below 80g/l Hb according to WHO) upon initial clinical assessment
Known or suspected infection with Loa loa
History of acute or severe chronic disease
Abnormal liver function assessed by multiple biochemical blood-based analyses
Recent use of anthelmintic drug (within past 4 weeks)
Attending other clinical trials during the study
Pregnancy, lactating, and/or planning to become pregnant within the next 3 months
Known allergy to study medications (i.e. albendazole, ivermectin or moxidectin)
Taking medication with known contraindication to or interaction with study drugs | Placebo (for moxidectin, 4 tablets) and albendazole (Zentel®, 1 tablet of 400 mg) administered orally at day 0
Albendazole 400 mg Oral Tablet: Tablets of 400 mg albendazole | Albendazole | CCCSc1ccc2nc(NC(=O)OC)[nH]c2c1 | P02CA03 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
NCT04728802 | NCT04728802_EG000 | No | All | Adult | Older Adult | Phase 3 | 317 | Inclusion Criteria:
Admitted to the hospital with symptoms of COVID-19
Male and females age ≥18 years old
Laboratory confirmed positive SARS-CoV-2 rtPCR test within 7 days prior to randomization
Clinical status on the COVID-19 Ordinal Scale (defined in Section 5.1) of 3, 4, 5, or 6
Coagulation: INR ≤ 1.5×ULN, and APTT ≤ 1.5×ULN
Subject (or legally authorized representative) gives written informed consent prior to performing any study procedures
Subject (or legally authorized representative) agree that subject will not participate in another COVID-19 trial while participating in this study
Exclusion Criteria:
Subject enrolled in a study to investigate a treatment for COVID-19
Requires mechanical ventilation
Subject taking an anti-androgen of any type including: androgen depravation therapy, 5-alpha reductase inhibitors, etc…
Patients who are allergic to the investigational product or similar drugs (or any excipients);
Subjects who have malignant tumors in the past 5 years, with the exception of completed resected basal cell and squamous cell skin cancer and completely resected carcinoma in situ of any type
Subjects with known serious cardiovascular diseases, congenital long QT syndrome, torsade de pointes, myocardial infarction in the past 6 months, or arterial thrombosis, or unstable angina pectoris, or congestive heart failure which is classified as New York Heart Association (NYHA) class 3 or higher, or left ventricular ejection fraction (LVEF) < 50%, QTcF > 450 ms
Subjects with uncontrolled medical conditions that could compromise participation in the study(e.g. uncontrolled hypertension, hypothyroidism, diabetes mellitus)
Known diagnosis of human immunodeficiency virus(HIV) , hepatitis C, active hepatitis B, treponema pallidum (testing is not mandatory)
Alanine Transaminase (ALT) or Aspartate Transaminase (AST) > 5 times the upper limit of normal.
Estimated glomerular filtration rate (eGFR) < 30 ml/min
Severe kidney disease requiring dialysis
Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective contraception, as shown below, throughout the study and for 3 months after stopping GT0918 treatment. Highly effective contraception methods include:
Total Abstinence (when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g. calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception, or
Use of one of the following combinations (a+b or a+c or b+c):
Use of oral, injected or implanted hormonal methods of contraception or other forms of hormonal contraception that have comparable efficacy (failure rate < 1%), for example hormone vaginal ring or transdermal hormone contraception.
Placement of an intrauterine device (IUD) or intrauterine system (IUS) ;
Barrier methods of contraception: Condom or Occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/vaginal suppository ;
Female sterilization (have had prior surgical bilateral oophorectomy with or without hysterectomy) or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow-up hormone level assessment ;
Male sterilization (at least 6 months prior to screening). For female patients on the study, the vasectomized male partner should be the sole partner for that patient;
In case of use of oral contraception women should have been stable for a minimum of 3 months before taking study treatment. Women are considered post-menopausal and not of child bearing potential if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g. age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago. In the case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment, is she considered not of child bearing potential;
Sexually active males must use a condom during intercourse while taking the drug and for 3 months after stopping GT0918 treatment and should not father a child in this period. A condom is required to be used also by vasectomized men in order to prevent delivery of the drug via seminal fluid
Subject likely to transfer to another hospital within the next 28 days
Subject (or legally authorized representative) not willing or unable to provide informed consent | Proxalutamide + usual care as determined by care provider
Proxalutamide: Proxalutamide 300mg q.d | Proxalutamide | CC1(C)C(=O)N(c2ccc(C#N)c(C(F)(F)F)c2F)C(=S)N1c1ccc(CCCc2ncco2)nc1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04737187 | NCT04737187_EG001 | No | All | Adult | Older Adult | Phase 3 | 246 | Inclusion Criteria:
Has histologically confirmed unresectable adenocarcinoma of the colon or rectum (all other histological types are excluded).
RAS status must have been previously determined (mutant or wild-type) based on local assessment of tumor biopsy.
Has received a maximum of 2 prior chemotherapy regimens for the treatment of advanced colorectal cancer and had demonstrated progressive disease or intolerance to their last regimen.
Has measurable or non-measurable disease as defined by RECIST version 1.1
Is able to swallow oral tablets.
Estimated life expectancy ≥12 weeks.
Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1
Exclusion Criteria:
More than 2 prior chemotherapy regimens for the treatment of advanced colorectal cancer.
Pregnancy, lactating female or possibility of becoming pregnant during the study.
Patients currently receiving or having received anticancer therapies within 4 weeks prior to randomization.
Has not recovered from clinically relevant non-hematologic CTCAE grade ≥ 3 toxicity of previous anticancer therapy prior to randomization (excluding alopecia, and skin pigmentation).
Has symptomatic central nervous system metastases that are neurologically unstable or requiring increasing doses of steroids to control CNS disease.
Has severe or uncontrolled active acute or chronic infection.
Has active or history of interstitial lung disease and/or pneumonitis, or pulmonary hypertension.
Known Hepatitis B or Hepatitis C Virus infection.
Known carriers of HIV antibodies.
Confirmed uncontrolled arterial hypertension (defined as systolic blood pressure ≥ 150 mm Hg and/or diastolic blood pressure ≥ 100 mm Hg) or uncontrolled or symptomatic arrhythmia.
Deep arterial thromboembolic events including cerebrovascular accident or myocardial infarction within the last 6 months prior to randomization.
Treatment with any of the following within the specified time frame prior to randomization:
major surgery within 4 weeks prior to randomisation (the surgical incision should be fully healed prior to study drug administration), or has not recovered from side effects of previous surgery, or patient that may require major surgery during the study
Prior radiotherapy if completed less than 4 weeks before randomisation, except if provided as a short course for symptoms palliation only.
Drainage for ascites, pleural effusion or pericardial fluid within 4 weeks prior to randomization
Other clinically significant medical conditions.
Other malignancies. | Participants were administered 35 mg/m²/dose of FTD/TPI orally BID, within 1 hour after completion of morning and evening meals, 5 days on (Day 1 to 5 and Day 8 to 12) with 2 days off (Day 6 to 7 and Day 13 to 14), over 2 weeks, followed by a 14-day rest. This treatment cycle was repeated every 4 weeks. | 5-chloro-6-[(2-iminopyrrolidin-1-yl)methyl]-1H-pyrimidine-2,4-dione;1-[(5R)-4-hydroxy-5-(hydroxymethyl)oxolan-2-yl]-5-(trifluoromethyl)pyrimidine-2,4-dione;hydrochloride | Cl.N=C1CCCN1Cc1[nH]c(=O)[nH]c(=O)c1Cl.O=c1[nH]c(=O)n(C2CC(O)C(CO)O2)cc1C(F)(F)F.O=c1[nH]c(=O)n(C2CC(O)C(CO)O2)cc1C(F)(F)F | null | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04737278 | NCT04737278_EG000 | No | All | Adult | Older Adult | Phase 1 | Phase 2 | 26 | Inclusion Criteria:
Male or female age 18-75
If female, subject is not of child bearing potential. Defined as females who have
had a hysterectomy or oophorectomy.
bilateral tubal ligation or are post-menopausal (natural or surgically with > 1 year since last menstruation).
Female subject of childbearing potential must agree to use a medically approved method of birth control and have a negative urine pregnancy test result. Acceptable methods of birth control include: Hormonal contraceptives including oral contraceptives, hormone birth control patch (Ortho Evra), vaginal contraceptive ring (NuvaRing), injectable contraceptives (Depo--Provera, Lunelle), or hormone implant (Norplant System), Intrauterine devices, Vasectomy of partner, Total Abstinence
Subject has unresolved persistent muscle or nerve pain (muscle or nerve pain population)
Subjects using other therapies for nerve/muscle pain (e.g., exercise, TENS, acupuncture, exercise, psychotherapy, massage, physiotherapy, etc), must be used at a stable schedule for 1 month prior to the trial and subject agrees to continue these therapies at the same schedule during the trial avoiding changes in frequency or intensity and to record therapies in the study diary
Agrees to comply with study procedures
Has given voluntary, written, informed consent to participate in
the study
Exclusion Criteria:
Women who are pregnant, breastfeeding, or planning to become pregnant during the course of the trial
Planned surgery during the course of the trial
Use of prescription drugs for fibromyalgia or nerve pain (e.g.Lyrica, Cymbalta and Savella and others).
Use of prescription medications for depression, anxiety or other mental disorders
Requires the use of prescription drugs to control pain (other than provided rescue medication)
Use of oral or topical prescription or over the counter medications or natural health products for pain relief 3 days prior to randomization and during the trial (other than provided rescue medication)
Use of natural health products including vitamins and minerals within 3 days prior to randomization and during the trial
Use of blood thinning medications (e.g. warfarin)
Chronic lyme disease or chronic parasitic infections
Uncontrolled hypertension defined as untreated systolic blood pressure > 160 mmHg and/or diastolic blood pressure > 100 mmHg
Subjects with diabetes
History of bleeding disorders, or significant blood loss in the past 3 months
Alcohol use >2 standard alcoholic drinks per day and/or alcohol or drug abuse within the past year
Allergy or sensitivity to study supplement ingredients or acetaminophen
Participation in a clinical research trial within 30 days prior to randomization
Individuals who are cognitively impaired and/or who are unable to give informed consent
Any other condition which in the Investigator's opinion may adversely affect the subject's ability to complete the study or its measures or which may pose significant risk to the subject | Cunermuspir (Copper Niacin Chelate) 6.06mg per capsule. Non--medicinal ingredients: Organic evaporated cane juice powder, hypromellose, titanium dioxide Two doses per day: one with the morning meal and the other with a mid afternoon snack. The study duration was 28 days.
Cunermuspir: Copper Niacin Chelate, 6.06 mg per capsule Non-medicinal ingredients:
Organic evaporated cane juice powder, hypromellose, titanium dioxide | Cunermuspir | O=C([O-])c1cccnc1.[Cu+] | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04738318 | NCT04738318_EG000 | No | All | Adult | Older Adult | Phase 4 | 3 | Inclusion Criteria
• All adults ≥18 years old with an isolated, intra-articular traumatic elbow fracture to be treated at Vanderbilt University Medical Center with operative intervention and a standardized post-operative rehab protocol.
Intra-articular elbow fracture defined as:
Distal humerus
Proximal ulna
Radial head fracture
Combination fracture of two or more of the above
Radiographs present confirming intra-articular injury
Exclusion Criteria
Patients with bilateral elbow fractures
Patients with an altered mental status
Pregnant
Allergy or contra-indication to glucocorticoid administration
Type 1 or Type 2 diabetes
Pre-injury limitation in elbow range or motion (patient reported)
Unable to provide consent for themselves | Patients will receive a single intraoperative dose of 10mg of intravenous dexamethasone. Following surgery, the participant will be provided with a 1) six-day oral methylprednisolone taper course.
Glucocorticoids: Patients will receive a single intraoperative dose of 10mg of intravenous dexamethasone intraoperatively. Following surgery, the participant will be provided with a six-day oral methylprednisolone taper course. | Betamethasone | CC1CC2C3CCC4=CC(=O)C=CC4(C)C3(F)C(O)CC2(C)C1(O)C(=O)CO | A01AC02 | A07EA04 | C05AA05 | C05AA09 | D07AB19 | D07AC01 | D07BC01 | D07CB04 | D07CC01 | D07XB05 | D07XC01 | D10AA03 | H02AB01 | H02AB02 | R01AD03 | R01AD06 | R01AD53 | R03BA04 | S01BA01 | S01BA06 | S01BB04 | S01CA01 | S01CA05 | S01CB01 | S01CB04 | S02BA06 | S02BA07 | S02CA06 | S03BA01 | S03BA03 | S03CA01 | S03CA06 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04738318 | NCT04738318_EG001 | No | All | Adult | Older Adult | Phase 4 | 3 | Inclusion Criteria
• All adults ≥18 years old with an isolated, intra-articular traumatic elbow fracture to be treated at Vanderbilt University Medical Center with operative intervention and a standardized post-operative rehab protocol.
Intra-articular elbow fracture defined as:
Distal humerus
Proximal ulna
Radial head fracture
Combination fracture of two or more of the above
Radiographs present confirming intra-articular injury
Exclusion Criteria
Patients with bilateral elbow fractures
Patients with an altered mental status
Pregnant
Allergy or contra-indication to glucocorticoid administration
Type 1 or Type 2 diabetes
Pre-injury limitation in elbow range or motion (patient reported)
Unable to provide consent for themselves | Patients will receive a single intraoperative dose of 10 mg of saline. Following surgery, the participant will be provided with a six-day placebo course.
Saline: Patients will receive a single intraoperative dose of 10 mg of saline. Following surgery, the participant will be provided with a six-day placebo course. | SODIUM CHLORIDE | [Cl-].[Na+] | A12CA01 | B05CB01 | B05XA03 | S01XA03 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04739865 | NCT04739865_EG000 | No | All | Adult | Older Adult | Phase 2 | 19 | Inclusion Criteria:
Signed ICF.
18 years of age or older
At least moderate MDD
Hamilton Depression Rating Scale (17 item) score ≥18
Currently receiving treatment with a selective serotonin reuptake inhibitor
Failure to respond to an adequate dose and duration of 2, 3, or 4 pharmacological treatments
McLean Screening Instrument for Borderline Personality Disorder <7 at Screening (V1).
Ability to complete all protocol required assessment tools without any assistance or alteration to the copyrighted assessments, and to comply with all study visits.
Exclusion Criteria:
Psychiatric Exclusion Criteria:
Current or past history of schizophrenia, psychotic disorder (unless substance induced or due to a medical condition), bipolar disorder, delusional disorder, paranoid personality disorder, schizoaffective disorder, or borderline personality disorder, as assessed by medical history, McLean Screening Instrument for Borderline Personality Disorder and a structured clinical interview (version 7.0.2 MINI).
Prior electroconvulsive therapy and/or ketamine for current episode.
Ongoing use of an antidepressant medication, including augmentation or combination therapies, other than a single SSRI
Current psychological therapies that will not remain stable within 21 days of the psilocybin session. Psychological therapies cannot be initiated within 21 days of baseline.
Current (within the last year) alcohol or substance use disorder as informed by DSM 5 (diagnosed by MINI 7.0.2) at Screening (V1).
Significant suicide risk as defined C-SSRS within the past year
Depression secondary to other severe medical conditions according to clinicians' judgement.
Other personal circumstances and behaviour judged to be incompatible with establishment of rapport or safe exposure to psilocybin, including exposure to psilocybin within the past year and use of psychedelics, such as ayahuasca, during the current depressive episode.
General Medical Exclusion Criteria:
Women who are pregnant, nursing or planning a pregnancy.
Cardiovascular conditions
Uncontrolled or insulin dependent diabetes.
Seizure disorder.
Positive urine drug screen for illicit drugs or drugs of abuse
Current enrolment in any investigational drug or device study or participation in such within 30 days prior to Screening (V1).
Current enrolment in another clinical study of an investigational medical or participation in such within 30 days of Screening (V1).
Abnormal and clinically significant results on the physical examination, vital signs, ECG or laboratory tests at Screening (V1).
Any other clinically significant cardiovascular, pulmonary, gastrointestinal, hepatic, renal or any other major concurrent illness that, in the opinion of the investigator, may interfere with the interpretation of the study results or constitute a health risk for the participant if he/she takes part in the study. | 25 mg COMP360 Psilocybin
Psilocybin: Open label | Psilocybin | CN(C)CCc1c[nH]c2cccc(OP(=O)(O)O)c12 | null | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04740827 | NCT04740827_EG001 | No | All | Adult | Older Adult | Phase 3 | 156 | Inclusion Criteria:
At least a 1-year history of migraine with or without aura consistent with a diagnosis according to the ICHD-3, 2018.
Age of the participant at the time of migraine onset < 50 years -History of 4 to 14 migraine days per month on average in the 3 months prior to Visit 1 in the investigator's judgment
Female participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study and follow-up period. Male participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study and follow-up period.
4 to 14 migraine days in the 28-day baseline period per eDiary
Failed oral migraine prophylaxis medications from 2 to 4 medication classes
Exclusion Criteria:
Any clinically significant hematologic, endocrine, pulmonary, hepatic, gastrointestinal, or neurologic disease
Participant has any other concurrent pain condition that, in the opinion of the investigator, may significantly impact the current headache disorder
In the opinion of the investigator, confounding psychiatric conditions, dementia, epilepsy, or significant neurological disorders other than migraine
Has ≥ 15 headache days per month on average across the 3 months prior to Visit 1 in the investigator's judgment
Has ≥ 15 headache days in the 28-day baseline period per eDiary
Clinically significant cardiovascular or cerebrovascular disease
Has a history of migraine accompanied by diplopia or decreased level of consciousness or retinal migraine as defined by ICHD-3, 2018
Has a current diagnosis of chronic migraine, new persistent daily headache, medication overuse headache, trigeminal autonomic cephalgia (eg, cluster headache), or painful cranial neuropathy as defined by ICHD-3, 2018 | Participants received atogepant 60 mg, orally, QD for up to 12 weeks in a DB treatment period. | Atogepant | C[C@@H]1[C@H](c2c(F)ccc(F)c2F)C[C@H](NC(=O)c2cnc3c(c2)C[C@@]2(C3)C(=O)Nc3ncccc32)C(=O)N1CC(F)(F)F | N02CD07 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04741074 | NCT04741074_EG000 | No | All | Adult | Older Adult | Phase 3 | 7 | Inclusion Criteria:
- Age ≥ 18 years
- BMI 25-45 kg/m2
- T2DM
- Advanced CKD* (last eGFR <30 ml/min/1.73m2 in EHR or ESKD on dialysis prior to screening) or stage G3B/A2-3 CKD (eGFR 30 to <45 ml/min/1.73m2 with albumin/creatinine ratio >30 mg/g).
- Fulfill kidney transplant listing criteria except for one or more of the following reasons (1: uncontrolled diabetes [A1c ≥9%); 2: severe obesity (BMI ≥ 40 kg/m2 or BMI 35-40 kg/m2 with waist circumference >120 cm). See exclusion criteria for general contraindications used for transplant listing used by majority of U.S. transplant centers].
- Ability to provide informed consent before any trial-related activities
- Access to a telephone
The cause of the CKD does not need to be due specifically to diabetes
Exclusion Criteria (General contraindications used for transplant listing used by majority of U.S. transplant centers)
- Active malignancy
- History of pancreatitis
- Active substance abuse
- Severe COPD
- Pulmonary fibrosis
- Symptomatic angina or recent myocardial infarction within 6 months
- Severe peripheral vascular disease
- Cirrhosis
- New York Health Association (NYHA) Class III-IV congestive heart failure
- Severe cognitive impairment
- Drug addiction
- History of non-adherence to therapy
- Active infection
- Expected life expectancy < 5 years
Additional exclusion criteria
- Type 1 diabetes mellitus
- History of diabetic ketoacidosis within the last 12 months
- Planning on undergoing bariatric surgery in next 9 months.
- Pregnant, breast-feeding, or planned pregnancy prior to the end of participation or not using adequate contraceptive measures
- Self-reported average consumption of > 21 alcoholic beverages per week or binge drinking
- Psychiatric hospitalization in past year
- Principal investigator discretion (i.e. concerns about safety, compliance)
- Known or suspected allergy to trial medication
- Previous participation (i.e. randomized) in this trial
- Use of GLP1-RA or pramlintide within 90 days prior to screening
- Use of metformin (contraindicated with eGFR < 30 ml/min/1.73m2)
- Use of DPP-4 inhibitors within 30 days prior to screening
- Personal or family history of medullary thyroid cancer, multiple endocrine neoplasia types 2A and 2B syndrome
- Last hemoglobin A1c ≥ 12% or A1c <6% (to avoid risk of hypoglycemia) prior to screening | This arm will receive semaglutide.
Semaglutide 2 mg/1.5 ml (1.34 mg/ml), prefilled pen-injector for subcutaneous injection solution: Dose will be started at 0.25 mg per week. Dose escalation will occur every 4 weeks to mitigate risk of gastrointestinal side effects to a maximum dose of 1.0 mg per week. | Semaglutide | CC[C@H](C)[C@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CCCCNC(=O)COCCOCCNC(=O)COCCOCCNC(=O)CC[C@@H](NC(=O)CCCCCCCCCCCCCCCCC(=O)O)C(=O)O)NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CCC(N)=O)NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](CC(=O)O)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@@H](NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)C(C)(C)NC(=O)[C@@H](N)Cc1cnc[nH]1)[C@@H](C)O)[C@@H](C)O)C(C)C)C(=O)N[C@@H](C)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](C(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)N[C@@H](CCCNC(=N)N)C(=O)NCC(=O)O)C(C)C | A10BJ06 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
NCT04746963 | NCT04746963_EG000 | No | All | Adult | Older Adult | Phase 1 | Phase 2 | 3 | Inclusion Criteria:
Patients 50 years of age or older diagnosed in the study eye with subfoveal choroidal neovascularization (CNV) or juxtafoveal CNV secondary to AMD
Best corrected visual acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score of 65 to 10 in the study eye
Willing and able to comply with clinic visits and study-related procedures
Provide signed inform consent
Exclusion Criteria:
Macular edema or CMV secondary to any causes other than AMD in the study eye
Previously-treated patients who are not responders to anti-VEGF
Any condition that may preclude improvement in visual acuity in the study eye
Previous vitreoretinal surgery, filtration surgery, and cataract surgery within 3 months in the study eye
Note: Other inclusion/exclusion criteria apply | AXT107 0.1 mg/eye
AXT107 0.1 mg: Single intravitreal injection of AXT107 0.1 mg/eye (low dose) | Gersizangitide | CCC(C)C(NC(=O)C(CC(=O)O)NC(=O)C(NC(=O)C(Cc1ccccc1)NC(=O)C(C)NC(=O)C(Cc1ccccc1)NC(=O)C1CCCN1C(=O)C(C)NC(=O)C(NC(=O)C(CO)NC(=O)C(Cc1ccccc1)NC(=O)C(CCCNC(=N)N)NC(=O)C(CCCNC(=N)N)NC(=O)C(N)CC(C)C)C(C)O)C(C)CC)C(=O)NC(CC(N)=O)C(=O)NC(CC(=O)O)C(=O)NC(C(=O)NC(C(=O)NC(CC(N)=O)C(=O)NC(Cc1ccccc1)C(N)=O)C(C)CC)C(C)C | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04748783 | NCT04748783_EG002 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 2 | 2 | Inclusion Criteria:
Subjects must meet all of the following inclusion criteria to be eligible for enrollment in the study:
Diagnosed SARS-CoV-2+ status. Either became symptomatic in the prior 7 days, or if not symptomatic, likely infected/exposed within the prior 7 days. All patients listed from the University of North Carolina at Chapel Hill (UNC) Respiratory Diagnostic Center (RDC) have a confirmed SARS-CoV-2 infection and have consented to be contacted for research purposes. For patients contacting study coordinators for enrollment, who were not tested in the RDC, they must provide written proof of positive SARS-CoV-2 status in the prior 7 days.
Individuals (all sex, all gender) at least 18 years of age and at most 65 years of age and in good oral health without any known allergies to commercial dental products or cosmetics. American Society of Anaesthesiologists (ASA) class I or II prior to SARS-CoV-2 infection.
Evidence of a personally signed and dated informed consent document indicating the subject (or legally acceptable representative) has been informed of all pertinent aspects of the trial and all of their questions have been answered.
Able to comprehend and follow the requirements of the study (including availability on scheduled visit dates) based on research site personnel's assessment.
Females of childbearing potential will have a negative urine pregnancy test (on site) or be physically incapable of pregnancy (implants or injections, Intrauterine device, Bilateral tubal ligation, Hysterectomy, Ovariectomy, Women post-menopausal)
Exclusion Criteria:
Subjects presenting with any of the following will not be included in the study:
Patients who have been eating or drinking within an hour of the study
Patients under 18 years of age and older than 65 years of age
Subjects presenting with and/or self-reporting any of the following will not be included in the study:
history of significant adverse effects following use of oral hygiene products such as toothpastes and mouthrinses. (self-reported)
Self-reported allergy to hydrogen peroxide, peroxyl, chlorhexidine gluconate, periogard, peridex, colgate total zero, colgate total, cetylpyridinium chloride, essential oils (Eucalyptol, Menthol, Methyl salicylate, Thymol), and other components in the mouth rinses (methyl salicylate, ethanol, saccharin sodium, glycerin, propylene glycol, sorbitol, Federal Food, Drug, and Cosmetic (FD&C) blue additive no. 1, Poloxamer 407, Benzoic acid, Zinc chloride, Sodium benzoate, Sucralose, Polyethylene Glycol (PEG-40) sorbitan diisostearate, potassium sorbate, citric acid).
History of serious medical conditions that, at the discretion of the Investigator, will disqualify the subject. (Self-reported)
A history of severe dry mouth (xerostomia), severe drug-induced xerostomia (antidepressants, anticonvulsants, antihypertensives), or Sjogren's syndrome
A history of recent (within the last 30 days) or current recent oral herpes flare up, candida (thrush) infection, apthous ulcer flare up, current/active severe periodontal disease, or other recent oral viral infection or flare up within the past 30 days (self-reported)
Current history of alcohol or drug abuse (self-reported).
History of drinking water or eating food within an hour of the study visit.
History of drinking alcohol within 12 hours of the study visit.
History of using a commercial mouthrinse within 24 hours of the study visit.
Participation in any study involving oral care products, concurrently or within the previous 30 days. (self-reported)
Positive pregnancy test reported pregnancy or lactation (this criterion is due to oral tissue changes related to pregnancy and nursing which can affect interpretation of study results. Additionally, women are advised to check with their physician before using Chlorhexidine Gluconate during pregnancy and lactation, which cannot occur in a blinded, randomized trial.)
Other severe acute or chronic medical or psychiatric conditions or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the Investigator, would make the subject inappropriate for entry into this trial.
Patient with developmental/cognitive disability that cannot self-consent, comprehend and follow the requirements of the study based on research site personnel's assessment.
Patients with sizable mucosal tears, abrasions, growths or burns in the mouth
Patients with kidney dysfunction | Subject participants will rinse mouth one time for 60 seconds with 10 mL Periogard (0.12% Chlorhexidine Gluconate) rinse. | CID 12303048 | NC(=NCCCCCCN=C(N)N=C(N)Nc1ccc(Cl)cc1)N=C(N)Nc1ccc(Cl)cc1.O=C(O)C(O)C(O)C(O)C(O)CO.O=C(O)C(O)C(O)C(O)C(O)CO | S03AA04 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04749797 | NCT04749797_EG000 | No | All | Adult | Older Adult | Phase 4 | 3 | Inclusion Criteria:
≥18 years of age
Need for elective supratentorial craniotomy
Preoperative GCS > 13
Exclusion Criteria:
Preoperative GCS ≤ 13
Child (<18 years of age)
Inability to understand or use the visual analog scale (VAS)
Proven or suspected allergy to local anesthetics
Craniotomy incision extending beyond the field of the block
Patients chronically (more than 2 wk) treated with narcotic medications
Previous scalp incision
Bilateral craniotomies
Allergies to local anesthetics
GCS verbal score < 4 after extubation
Patients whose surgeries extend past 6 hours (will be placed on standard of care and removed from study)
Patients currently on ergot-type oxytoxic drugs, MAOIs, or certain antidepressants
Lactating Mothers | The surgeon will administer injectable saline as a cranial block according to a technique previously described by Pinosky et al (Pinosky et al., 1996). The supraorbital, supratrochlear, zygomaticotemporal, auriculotemporal, postauricular lesser and greater occipital nerve branches on the ipsilateral side of the operation will be blocked with 5-10 cc of solution (with a maximum of 60 cc at all sites) by needle infiltration. This process generally takes 1-2 minutes. Following this, the general anesthesia is lightened and the patient is extubated in usual fashion.
Saline: Used as cranial block for craniotomy surgery | SODIUM CHLORIDE | [Cl-].[Na+] | A12CA01 | B05CB01 | B05XA03 | S01XA03 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04749797 | NCT04749797_EG001 | No | All | Adult | Older Adult | Phase 4 | 4 | Inclusion Criteria:
≥18 years of age
Need for elective supratentorial craniotomy
Preoperative GCS > 13
Exclusion Criteria:
Preoperative GCS ≤ 13
Child (<18 years of age)
Inability to understand or use the visual analog scale (VAS)
Proven or suspected allergy to local anesthetics
Craniotomy incision extending beyond the field of the block
Patients chronically (more than 2 wk) treated with narcotic medications
Previous scalp incision
Bilateral craniotomies
Allergies to local anesthetics
GCS verbal score < 4 after extubation
Patients whose surgeries extend past 6 hours (will be placed on standard of care and removed from study)
Patients currently on ergot-type oxytoxic drugs, MAOIs, or certain antidepressants
Lactating Mothers | The surgeon will administer bupivacaine as a cranial block according to a technique previously described by Pinosky et al (Pinosky et al., 1996). The supraorbital, supratrochlear, zygomaticotemporal, auriculotemporal, postauricular lesser and greater occipital nerve branches on the ipsilateral side of the operation will be blocked with 5-10 cc of solution (with a maximum of 60 cc at all sites) by needle infiltration. This process generally takes 1-2 minutes. Following this, the general anesthesia is lightened and the patient is extubated in usual fashion.
Bupivacaine Injection: Used as cranial block for craniotomy surgery | Bupivacaine | CCCCN1CCCCC1C(=O)Nc1c(C)cccc1C | N01BB01 | N01BB10 | N01BB51 | N01BB59 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04749797 | NCT04749797_EG002 | No | All | Adult | Older Adult | Phase 4 | 4 | Inclusion Criteria:
≥18 years of age
Need for elective supratentorial craniotomy
Preoperative GCS > 13
Exclusion Criteria:
Preoperative GCS ≤ 13
Child (<18 years of age)
Inability to understand or use the visual analog scale (VAS)
Proven or suspected allergy to local anesthetics
Craniotomy incision extending beyond the field of the block
Patients chronically (more than 2 wk) treated with narcotic medications
Previous scalp incision
Bilateral craniotomies
Allergies to local anesthetics
GCS verbal score < 4 after extubation
Patients whose surgeries extend past 6 hours (will be placed on standard of care and removed from study)
Patients currently on ergot-type oxytoxic drugs, MAOIs, or certain antidepressants
Lactating Mothers | The surgeon will administer Exparel (liposomal bupivacine) as a cranial block according to a technique previously described by Pinosky et al (Pinosky et al., 1996). 20 mL of Exparel will be diluted with saline to constitute 60 mL total. The supraorbital, supratrochlear, zygomaticotemporal, auriculotemporal, postauricular lesser and greater occipital nerve branches on the ipsilateral side of the operation will be blocked with 5-10 cc of solution (with a maximum of 60 cc at all sites) by needle infiltration. This process generally takes 1-2 minutes. Following this, the general anesthesia is lightened and the patient is extubated in usual fashion.
Liposomal bupivacaine: Used as cranial block for craniotomy surgery | Bupivacaine | CCCCN1CCCCC1C(=O)Nc1c(C)cccc1C | N01BB01 | N01BB10 | N01BB51 | N01BB59 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04752475 | NCT04752475_EG000 | No | Female | Adult | Older Adult | Phase 3 | 82 | Inclusion Criteria:
Postpartum women
No antenatal diagnosis of hypertensive disorder of pregnancy at the time of admission for delivery, defined as existing chronic hypertension diagnosis or documented blood pressure of ≥140 systolic OR ≥90 diastolic on at least 2 occasions at least 4 hours apart prior to delivery admission who do not go on to get magnesium for seizure prophylaxis by the time of delivery
At least 18 years of age
English or Spanish speakers
One or more high risk factors for development of de novo postpartum hypertension
Exclusion Criteria:
Non-English or Spanish speakers
Women with a contraindication to diuretic therapy
Women who have used diuretics in the two weeks prior to delivery | Furosemide 20 mg, oral, once daily for 5 days
Furosemide: Furosemide 20 mg pill taken daily for 5 days | Furosemide | NS(=O)(=O)c1cc(C(=O)O)c(NCc2ccco2)cc1Cl | C03CA01 | C03CB01 | C03EB01 | G01AE10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04753164 | NCT04753164_EG000 | No | All | Adult | Phase 2 | 68 | Inclusion Criteria:
Criteria assessed at Visit 1:
Signed and dated informed consent form prior to any study-mandated procedure.
Male or female study participants aged 18 to 55 years at the time of signing the informed consent form.
Binge-eating disorder (BED) in accordance with Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria diagnosed using the Structured Clinical Interview for DSM-5 (SCID-5).
Self-reported BED severity of at least moderate level, defined as at least 4 BE episodes per week, on average, for a duration of at least 6 months.
BED in accordance with Eating Disorder Examination Questionnaire (EDE-Q).
Clinical Global Impression of Severity scale (CGI-S) score of ≥ 4.
For women of childbearing potential (WOCBP): Negative serum pregnancy test at Visit 1; agreement to undertake monthly urine or serum pregnancy tests during the study and up to the EOS visit; agreement to use an acceptable contraceptive method.
Criteria assessed at Visit 2:
Reporting ≥3 BE days for each of the 2 weeks prior to randomization as documented in the participant's BE diary and with BE diary entries completed for at least 6 days per week during this 2-week period (between Visit 1 and 2).
CGI-S score of ≥ 4.
For WOCBP: negative urine pregnancy test.
Exclusion Criteria:
Criteria assessed at Visit 1:
BMI < 18.0 kg/m² or > 45 kg/m².
Any acute or chronic-persistent psychiatric disorder other than BED diagnosed in the past, including anorexia nervosa, bulimia, psychotic disorders, bipolar disorder, hypomania, or dementia, as defined by the DSM-5 criteria or by the Mini International Neuropsychiatric Interview (MINI©).
Use of any medications for the treatment of BED (including lisdexamfetamine [Vyvanse®]), any other eating disorder, obesity, or weight gain, or any other medication that could result in weight gain or weight loss, including over-the-counter and herbal products, within 3 months prior to Screening.
Any clinically unstable medical condition, significant medical disorder or acute illness that, in the investigator's opinion, could interfere with the participants ability to comply with study assessments or abide by study restrictions.
Criteria assessed at Visit 1 and Visit 2
HAMD-17 score ≥ 17 points at Visit 1 and/or Visit 2.
Any of the following conditions related to suicidality:
Participant is considered to have a suicide risk in the investigator's opinion or has a previous history of suicide attempt within the past 12 months.
Participant answers "yes" to "suicidal ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS© assessment at Screening (in the past month). Participants who answer "yes" to this question must be referred to the investigator for follow-up evaluation.
Female participants: pregnant, lactating or planning to become pregnant during the projected course of the study. | ACT-539313: ACT-539313 as capsules at a strength of 100 mg, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period. | Nivasorexant | Cc1ccc(C(=O)N2CCOCC2Cc2cccc(-n3nccn3)c2)c(-n2nccn2)c1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04756128 | NCT04756128_EG000 | No | All | Adult | Older Adult | Phase 2 | 34 | Inclusion Criteria:
Male and (non-pregnant, non-breastfeeding) females aged 18 years or older
Requiring admission to Methodist or Regions Hospital due to laboratory-confirmed COVID-19
Meets criteria of only up to moderate COVID-19 disease as defined by a clinical score of 2 or 3 at the time of enrollment, and one or more of the following:
Dyspnea limiting usual activities on baseline O2 needs
Respiratory rate >/= 30/min on O2 or room air
Blood oxygen saturations <94% on room air (or on baseline O2 needs if on supplemental oxygen prior to presentation at the hospital for a condition unrelated to COVID-19).
Requiring supplemental 02 above baseline needs (i.e. prior to presentation at hospital)
COVID-19 contributed to the current hospital admission, per attending provider's clinical assessment of the patient.
Ability to provide written informed consent, or has identifiable LAR that is able to do so on the patient's behalf as defined by study protocol, prior to performing study procedures.
Exclusion Criteria:
Patients meeting criteria for severe/critical COVID-19 as defined by study protocol or requiring O2 supplementation ≥10L nasal cannula at screening
Patients currently in shock as defined by hemodynamic instability requiring vasopressors
Patients with a current hospitalization for COVID-19 that is >/=7 days at the time of screening.
Clinical estimation of attending physician that the patient will require mechanical respiratory support within 48 hours of enrollment
Patients in which EITHER symptom onset OR a positive COVID-19 laboratory test occurred >14 days prior to enrollment.
Patients with concomitant influenza A or B at time of hospitalization if tested as part of ED/hospital admission.
Female patients who are pregnant or breastfeeding at time of hospital admission
Diagnosis of Chronic Kidney Disease stage ≥4 as documented in the patient's problem list (not based on CrCI calculations alone)
CrCl < 30 mL/min or requiring renal replacement therapy (e.g. intermittent hemodialysis, continuous renal replacement therapy, peritoneal dialysis) at screening
History of cirrhosis or advanced liver disease, or active hepatic viral infection
Transplant of kidney, lung, heart, or liver in the past 2 years
Uncontrolled severe gastrointestinal disorders, Crohn's disease, ulcerative colitis, chronic diarrhea, diarrhea predominant irritable bowel syndrome, active stomach or intestinal ulcer, or one that was treated within the last 6 months
Patients currently receiving agents that are p-glycoprotein AND strong CYP3A4 inhibitors with CrCl < 60 mL/min, or any combination of drug interactions that is not amenable to dosage adjustment (refer to list of medications with potential Colchicine and Naltrexone interactions).
Patients actively undergoing chemotherapy for an active malignancy, or history of a hematologic malignancies
Chronic or current use of colchicine or any mu-opioid antagonist.
Chronic, scheduled opioid therapy (i.e. not intermittent as needed use), or, prior to enrollment, an acute condition requiring continued pain control that is unattainable without ongoing opioid therapy.
Pre-existing condition that is being treated with tocilizumab, anakinra, sarilumab, other interleukin-antagonists, TNF-inhibitors, or JAK inhibitors.
NOTE: Patients treated with tocilizumab will be permitted to enroll if their care team is prescribing it for COVID-19. Use of tocilizumab at baseline for another indication will continue to be excluded.
Participation in any other clinical trial of an experimental treatment for COVID-19, note:
While convalescent plasma is no longer recommended within HP, it can be given if deemed appropriate by the medical team once ≥ 24 hours has elapsed since enrollment;
Patients previously enrolled in the C3PO study can enroll in this study, as any convalescent plasma received would have been outpatient;
Remdesivir is allowed per standard protocol;
Dexamethasone is allowed per standard protocol
Patients actively enrolled in hospice or that are DNI or on palliative care
History of hypersensitivity reaction to colchicine or its inactive ingredients
History of hypersensitivity reaction to naltrexone or its inactive ingredients
Incarcerated or a ward of the state
Any patient considered an unsuitable candidate, for any reason, by study investigators. | Patients randomized to a colchicine-containing treatment arm will receive colchicine 0.6 mg twice daily for up to 28 days. Patients experiencing gastrointestinal side effects (nausea, vomiting, and diarrhea) on twice daily dosing may have the dose decreased to 0.6 mg daily. Dosing will continue twice daily unless there is a change that requires a dose adjustment or an exclusion criterion is met. Dosing deviations above the study protocol will be allowed if medically necessary for the treatment of an additional indication (e.g. colchicine for viral pericarditis).
Patients in this arm will also receive the investigating institution's current standard of care (described in detail in the "standard of care" arm) for patients with COVID-19.
Colchicine 0.6 mg: Colchicine is an oral anti-inflammatory agent that is relatively inexpensive, readily available, and has been used for generations. Approved for treatment and prophylaxis of gout flares and Mediterranean fever, it is also used in a variety of other inflammatory conditions (e.g. pericarditis and diffuse vascular inflammation such as Behcet syndrome). Colchicine binds to tubulin causing depolymerization, which interferes with neutrophil chemotaxis, adhesion, and mobilization to sites of inflammation, and contributes to reduction in superoxide production; through interference of the NLRP3 inflammasome protein complex, colchicine inhibits IL-1b, IL-6, and IL-18 production. | Colchicine | COc1cc2c(c(OC)c1OC)-c1ccc(OC)c(=O)cc1[C@@H](NC(C)=O)CC2 | M04AC01 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04756128 | NCT04756128_EG002 | No | All | Adult | Older Adult | Phase 2 | 35 | Inclusion Criteria:
Male and (non-pregnant, non-breastfeeding) females aged 18 years or older
Requiring admission to Methodist or Regions Hospital due to laboratory-confirmed COVID-19
Meets criteria of only up to moderate COVID-19 disease as defined by a clinical score of 2 or 3 at the time of enrollment, and one or more of the following:
Dyspnea limiting usual activities on baseline O2 needs
Respiratory rate >/= 30/min on O2 or room air
Blood oxygen saturations <94% on room air (or on baseline O2 needs if on supplemental oxygen prior to presentation at the hospital for a condition unrelated to COVID-19).
Requiring supplemental 02 above baseline needs (i.e. prior to presentation at hospital)
COVID-19 contributed to the current hospital admission, per attending provider's clinical assessment of the patient.
Ability to provide written informed consent, or has identifiable LAR that is able to do so on the patient's behalf as defined by study protocol, prior to performing study procedures.
Exclusion Criteria:
Patients meeting criteria for severe/critical COVID-19 as defined by study protocol or requiring O2 supplementation ≥10L nasal cannula at screening
Patients currently in shock as defined by hemodynamic instability requiring vasopressors
Patients with a current hospitalization for COVID-19 that is >/=7 days at the time of screening.
Clinical estimation of attending physician that the patient will require mechanical respiratory support within 48 hours of enrollment
Patients in which EITHER symptom onset OR a positive COVID-19 laboratory test occurred >14 days prior to enrollment.
Patients with concomitant influenza A or B at time of hospitalization if tested as part of ED/hospital admission.
Female patients who are pregnant or breastfeeding at time of hospital admission
Diagnosis of Chronic Kidney Disease stage ≥4 as documented in the patient's problem list (not based on CrCI calculations alone)
CrCl < 30 mL/min or requiring renal replacement therapy (e.g. intermittent hemodialysis, continuous renal replacement therapy, peritoneal dialysis) at screening
History of cirrhosis or advanced liver disease, or active hepatic viral infection
Transplant of kidney, lung, heart, or liver in the past 2 years
Uncontrolled severe gastrointestinal disorders, Crohn's disease, ulcerative colitis, chronic diarrhea, diarrhea predominant irritable bowel syndrome, active stomach or intestinal ulcer, or one that was treated within the last 6 months
Patients currently receiving agents that are p-glycoprotein AND strong CYP3A4 inhibitors with CrCl < 60 mL/min, or any combination of drug interactions that is not amenable to dosage adjustment (refer to list of medications with potential Colchicine and Naltrexone interactions).
Patients actively undergoing chemotherapy for an active malignancy, or history of a hematologic malignancies
Chronic or current use of colchicine or any mu-opioid antagonist.
Chronic, scheduled opioid therapy (i.e. not intermittent as needed use), or, prior to enrollment, an acute condition requiring continued pain control that is unattainable without ongoing opioid therapy.
Pre-existing condition that is being treated with tocilizumab, anakinra, sarilumab, other interleukin-antagonists, TNF-inhibitors, or JAK inhibitors.
NOTE: Patients treated with tocilizumab will be permitted to enroll if their care team is prescribing it for COVID-19. Use of tocilizumab at baseline for another indication will continue to be excluded.
Participation in any other clinical trial of an experimental treatment for COVID-19, note:
While convalescent plasma is no longer recommended within HP, it can be given if deemed appropriate by the medical team once ≥ 24 hours has elapsed since enrollment;
Patients previously enrolled in the C3PO study can enroll in this study, as any convalescent plasma received would have been outpatient;
Remdesivir is allowed per standard protocol;
Dexamethasone is allowed per standard protocol
Patients actively enrolled in hospice or that are DNI or on palliative care
History of hypersensitivity reaction to colchicine or its inactive ingredients
History of hypersensitivity reaction to naltrexone or its inactive ingredients
Incarcerated or a ward of the state
Any patient considered an unsuitable candidate, for any reason, by study investigators. | Patients randomized to an LDN-containing treatment arm (including the "combined arm") will receive naltrexone 4.5 mg once daily. The first dose can be given at any time during the day of enrollment/randomization, and will be timed at 08:00 daily thereafter (with AM colchicine dose, if in combined colchicine/LDN arm) for up to 28 days (unless new contraindication or exclusion criteria met).
Patients in this arm will also receive the investigating institution's current standard of care (described in detail in the "standard of care" arm) for patients with COVID-19.
Naltrexone: Most well known as an opioid antagonist, or a treatment for alcohol dependence, naltrexone also possesses immunomodulatory effects. Seen exclusively at low doses, this attribute is being employed in the pain community as a novel anti-inflammatory agent that has been shown to reduce symptom severity in fibromyalgia, Crohn's disease, multiple sclerosis, and complex regional pain syndrome.
For this study, patients enrolled in a naltrexone-containing arm will take their daily dose of the medication (4.5mg) by oral suspension. | Naltrexone | [H][C@@]12Oc3c(O)ccc4c3[C@@]13CCN(CC1CC1)[C@]([H])(C4)[C@]3(O)CCC2=O | A08AA62 | N02AA56 | N07BB04 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04756154 | NCT04756154_EG002 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 3 | 154 | Inclusion Criteria:
Subjects of any race
Subjects in good health
Minimum skin flora baseline requirements on inguinal region
Exclusion Criteria:
Any tattoos, scars, breaks in the skin, or any form of dermatitis, or other skin disorders (including acne) on the applicable test area
Topical antimicrobial exposure within 14 days prior to screening and treatment days
Use of systemic or topical antibiotics, steroid medications, or any other products known to affect the normal microbial flora of the skin within 14 days prior to screening and treatment days | Apply topically to the inguinal region for 2 minutes | SODIUM CHLORIDE | [Cl-].[Na+] | A12CA01 | B05CB01 | B05XA03 | S01XA03 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04756804 | NCT04756804_EG000 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 3 | 25 | Inclusion Criteria:
Be male or female and at least 18 years of age.
Be able to verbalize an understanding of the consent form, able to provide written informed consent, verbalize willingness to complete study procedures, able to understand written and oral instructions in English.
Be planning to undergo clean (class I wound) or clean-contaminated (class II wounds) surgery.
Expect to be available for up to 30-days after the surgery.
Exclusion Criteria:
Active infection or fever including evidence of infection at or adjacent to the operative site.
Immunosuppressed.
Kidney/liver failure.
Immunosuppressive therapy (chemotherapy, steroids) within the previous 1 week.
Any history of allergy to chlorhexidine or isopropyl alcohol or any other component in ZuraGard including citric acid, sodium citrate, methylparaben, or propylparaben, and FD&C Yellow #6. | 70% v/v Isopropyl Alcohol novel preoperative skin antisepsis preparation
70% v/v Isopropyl Alcohol Surgical Solution: Patient preoperative skin preparation | ISOPROPYL ALCOHOL | CC(C)O | D08AX05 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04756804 | NCT04756804_EG001 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 3 | 26 | Inclusion Criteria:
Be male or female and at least 18 years of age.
Be able to verbalize an understanding of the consent form, able to provide written informed consent, verbalize willingness to complete study procedures, able to understand written and oral instructions in English.
Be planning to undergo clean (class I wound) or clean-contaminated (class II wounds) surgery.
Expect to be available for up to 30-days after the surgery.
Exclusion Criteria:
Active infection or fever including evidence of infection at or adjacent to the operative site.
Immunosuppressed.
Kidney/liver failure.
Immunosuppressive therapy (chemotherapy, steroids) within the previous 1 week.
Any history of allergy to chlorhexidine or isopropyl alcohol or any other component in ZuraGard including citric acid, sodium citrate, methylparaben, or propylparaben, and FD&C Yellow #6. | 2% Chlorhexidine Gluconate/70% Isopropyl Alcohol preoperative skin antisepsis preparation
2%w/v Chlorhexidine Gluconate / 70% v/v Isopropyl Alcohol: Patient preoperative skin preparation | Chloraprep | CC(C)O.NC(=NCCCCCCN=C(N)N=C(N)Nc1ccc(Cl)cc1)N=C(N)Nc1ccc(Cl)cc1.O=C(O)C(O)C(O)C(O)C(O)CO.O=C(O)CC(O)C(O)C(O)CO | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04762160 | NCT04762160_EG000 | No | All | Adult | Older Adult | Phase 2 | 5 | Inclusion Criteria:
Men and women of 18 years of age and older
Voluntary agreement to provide written informed consent and the willingness and ability to comply with all aspects of the protocol
Eastern Cooperative Oncology Group (ECOG) score of 0 </=, 1 or 2
Life expectancy (in the opinion of the investigator) of >3 months before enrollment
Have histologically confirmed FL, Grade 1 to 3a. Subjects may have R/R disease following at least 2 standard prior systemic treatment regimens where at least 1 anti- CD20-based regimen was used
Treatment recommended in accordance with the Groupe d'Etude des Lymphomes b Folliculaires (GELF) criteria
Meet the following laboratory parameters:
Absolute neutrophil count (ANC) ≥ 750 cells/μL (0.75 x 109/L), or ≥ 500 cells/μL (0.50 x 109/L) in subjects with documented bone marrow involvement
Platelet count ≥ 50,000 cells/μL (50 x 109/L), or ≥ 30,000 cells/μL (30 x 109/L) in subjects with documented bone marrow involvement, and without transfusion dependence
Hemoglobin ≥ 8 g/dL
Serum alanine aminotransferase (AST) and aspartate aminotransferase (ALT) ≤ Incl3.0 x ULN, unless related to disease involvement
Total bilirubin ≤ 1.5 x ULN, unless due to disease involvement, Gilbert's syndrome, or hemolytic anemia
Estimated creatinine clearance (ie, estimated glomerular filtration rate [eGFR] using Cockcroft-Gault) ≥ 40 mL/min
At least one bi-dimensionally measurable nodal lesion > 1.5 cm in its longest diameter by computed tomography (CT) scan or magnetic resonance imaging (MRI)
Any clinically significant toxicity related to a prior anticancer treatment (ie, chemotherapy, immunotherapy, and/or radiotherapy), except for alopecia, either resolved to ≤ Grade 1 per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 or is clinically stable and no longer clinically significant
Negative serologic or polymerase chain reaction (PCR) test results for acute or chronic hepatitis B virus (HBV) infection
Negative test results for hepatitis C virus (HCV) and human immunodeficiency virus (HIV).
Females of childbearing potential (FCBP) must have a negative serum pregnancy test (beta-human chorionic gonadotropin [β-hCG] test with a minimum sensitivity of 25 mIU/mL or equivalent units of β-hCG) at screening and within 24 hours prior to the first dose of study drug.
FCBP must either practice complete abstinence or agree to use a highly effective method of contraception beginning at least 28 days prior to the first dose of study drug, during study treatment (including during dose interruptions), for 6 months after tazemetostat discontinuation, and for 12 months after rituximab discontinuation. .
Male subjects must have had a successful vasectomy (with medically confirmed azoospermia) OR must either practice complete abstinence or agree to use a latex or synthetic condom during sexual contact with a FCBP from the first dose of study drug, during study treatment (including during dose interruptions), and for 3 months after study drug discontinuation.
Exclusion Criteria:
Prior exposure to Tazemetostat or other inhibitor(s) of EZH2
Grade 2b, mixed histology, or transformed FL
Treatment with any of the following anticancer therapies within the timeframe of a specific treatment prior to first dose of study drug:
Cytotoxic chemotherapy within 21 days
Noncytotoxic chemotherapy (e.g. small molecule inhibitor) within 14 days
Nitrosoureas within 6 weeks
Prior immunotherapy within 4 weeks
Radiotherapy- within 6 weeks from prior radioisotope therapy; within 12 weeks from 50% pelvic or total body irradiation
Any investigational treatment within 4 weeks or at least 5 half lives, whichever is shorter
History of solid organ transplant
Major surgery within 4 weeks of the start of study treatment
Thrombocytopenia, neutropenia, or anemia of Grade > 3 (per CTCAE v5.0 criteria) or any prior history of myeloid malignancies, including MDS/AML or MPN
Prior history of T-LBL/T-ALL
Unwillingness to exclude grapefruit juice-containing products, Seville oranges, and grapefruits from the diet and/ or consumed within 1 week of the first dose of study drug
Subjects taking medications that are known strong cytochrome P450 (CYP)3A inhibitors and strong or moderate CYP3A inducers (including St. John's wort)
Any uncontrolled illness
History of clinically significant cardiovascular abnormalities
History of clinically significant gastrointestinal (GI) conditions
Other diagnosis of cancer that is likely to require treatment in the next 2 years
Females who are pregnant or lactating/breastfeeding
Received a live virus vaccination within 28 days of first dose of rituximab
Concurrent participation in a separate investigational therapeutic study
Psychiatric illness/social situations that would interfere with study compliance | Participants were to receive tazemetostat 800 mg BID starting on Cycle 1 Day 1 until the end of Cycle 24, for 24 months of therapy or until study termination. Participants were also to receive rituximab, administered by either as SC injection or IV infusion according to the regional product prescribing information, labeling, and institutional guidelines. Rituximab was to be administered at a dose of 375 mg/m^2 on Cycle 1 Days 1, 8, 15, and 22 and then on Day 1 of Cycles 3 through 6, accounting for an additional 4 doses (i.e., a total of 8 doses of rituximab in 6 cycles). Each cycle was 28 days. | Tazemetostat | CCN(c1cc(-c2ccc(CN3CCOCC3)cc2)cc(C(=O)NCc2c(C)cc(C)[nH]c2=O)c1C)C1CCOCC1 | L01XX72 | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 |
NCT04762771 | NCT04762771_EG000 | No | All | Adult | Older Adult | Phase 1 | Phase 2 | 1 | Inclusion Criteria:
Men and Women ≥ 18 years of age
Covid-19 Positive
Hospitalized patients able to provide informed consent
Cardiac injury (as evidenced by any of the following)
Elevated troponin level
Elevated BNP level
New ischemic or arrhythmogenic ECG/telemetry changes
New decrease in Left Ventricular Ejection Fraction (LVEF) or new pericardial effusion on echocardiogram
Exclusion Criteria:
Pregnancy, breastfeeding mothers, and women of childbearing age who are unable to use adequate contraception, which includes:
Intrauterine devices (IUD), contraceptive implants, or tubal sterilization
Hormone method with a barrier method
Two barrier methods
If a partner's vasectomy is the chosen method of contraception, a hormone or barrier method must also be used in conjunction
History of severe hematologic or neuromuscular disorder
Co-administration of Cytochrome P450 3A4 (CYPA3A4) and P-glycoprotein transport inhibitor
Severe renal impairment with concomitant hepatic impairment
Concurrent use of colchicine and strong or P-glycoprotein inhibitor with renal or hepatic impairment | Hospitalized covid-19 patients treated with colchicine plus current care per institution treating physicians.
Colchicine: Colchicine dosing = 0.6 mg bid x 30 days Decrease dose to 0.3-0.6 mg daily or every other day in setting of gastrointestinal intolerance (nausea, diarrhea, emesis, abdominal discomfort) Decrease dose to 0.6 mg daily in the setting of weak or moderate CYP3A4 inhibitor Decrease dose to 0.3 mg daily in the setting of strong CYP3A4, P-glycoprotein inhibitors, or protease inhibitors Decrease dose to 0.3 mg daily in the setting of chronic kidney disease (CKD) stage ≥ 4 (CrCl ≤ 30 ml/min) or liver failure (aspartate aminotransferase /alanine aminotransferase > 3x normal).
Decrease dose to 0.6 mg every 14 days in patients with end stage renal disease (ESRD) or requiring dialysis Route of Administration: oral | Colchicine | COc1cc2c(c(OC)c1OC)-c1ccc(OC)c(=O)cc1[C@@H](NC(C)=O)CC2 | M04AC01 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04765553 | NCT04765553_EG001 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 2 | Inclusion Criteria:
Healthy Japanese (male and female) subjects between 20 and 50 years (inclusive).
Body weight greater than 45 kg (female) or 50 kg (male) and a body mass index (BMI) >18 kg/m2 and < 30 kg/m2 (BMI= weight (kg) / height (m)²)
Vital signs in the following range:
Axillary body temperature: 35.2 - 37.5℃
Heart rate (after at least 3 minutes of rest, measured in the supine position): 40-100 bpm
BP < 140/80, mean of 3 readings after 15 minutes rest
Haemoglobin level equal or above 11 g/dL in females and 13 g/dL in males.
Subject having C-reactive protein (CRP) levels within the normal range (local laboratory range).
Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant having agreed to use highly effective methods of contraception during dosing and for 6 months after receiving IMP.
Highly effective contraception methods include:
Total abstinence (when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.
Male sterilization (at least 6 months prior to screening). For female patients on the study, the vasectomized male partner should be the sole partner for that patient, otherwise highly effective methods to be applied.
Use of oral (estrogen and progesterone) hormonal method of contraception, or placement of an intrauterine device (IUD) or intrauterine system (IUS)
In case of use of oral contraception women should have been stable on the same brand (or generic equivalent) for a minimum of 3 months before taking study treatment.
Women are considered post-menopausal and not of child bearing potential if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g., age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago.
Signed informed consent.
Exclusion Criteria:
Any clinically significant abnormality in the results of the safety laboratory tests. Subjects presenting a minor deviation from laboratory ranges could be enrolled if the investigator judge it to be non-clinically significant
Any clinically significant abnormality on the screening electrocardiogram (ECG), as judged by the investigator
History or clinical evidence of any disease and/or existence of any surgical or medical condition that might interfere with the absorption, distribution, metabolism or excretion of the study drugs
Actual presence or occurrence of any bacterial, viral, parasitic or fungal infection within the 4 weeks preceding IMP infusion
Positive results from serology examination for Hepatitis B surface antigen (HBsAg), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), syphilis (TP-antigen and RPR) or pregnancy
Positive stool test for Shigella or salmonella infection.
Positive results from Sars-CoV-2 screening within 96 hours prior to randomization
History or clinical evidence suggestive of active or latent tuberculosis at screening. (i.e. test positive to the interferon gamma (IFNγ)-release assay)
History or presence of any severe allergic reactions
History of hypersensitivity or allergy to any component of emapalumab and/or valaciclovir hydrochloride
History or presence of any malignancy
History or presence of drug or alcohol abuse
Subject with a smoking history within the last 6 months prior to the time of screening
Immunization with a live vaccine within 6 weeks prior to receiving IMP and 12 weeks after IMP infusion
Experience of collected blood corresponding to any of the following
Component blood donation within 2 weeks before the screening test and within 2 weeks before the first study drug administration
Collection of 200 mL or more of blood (blood donation, etc.) from 4 weeks before the screening test until admission
Male subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 12weeks before the screening test until admission.
Female subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 16weeks before the screening test until admission.
Usage of any prescription drugs within 2 weeks or over-the-counter medication including herbal supplements (with the exception of multi-vitamins) within 1 week before IMP administration without prior approval from the investigator
Positive pregnancy test at screening or Day -1
Any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol
Enrollment in another concurrent clinical interventional study, or intake of another IMP, within four months or 5 half-lives (of the other IMP) prior to inclusion in this study | Saline i.v. infusion
Saline: Saline single i.v infusion | SODIUM CHLORIDE | [Cl-].[Na+] | A12CA01 | B05CB01 | B05XA03 | S01XA03 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04770155 | NCT04770155_EG006 | Accepts Healthy Volunteers | All | Adult | Early Phase 1 | 8 | Inclusion Criteria:
Self-identification of their race and the race of their biological parents as being only Black (i.e., African American) or only White (i.e., Caucasian American)
Born and raised in the United States
Exclusion Criteria:
Mixed races
Any chronic or ongoing disease
Prescribed pharmacological treatment
Smoking or tobacco use
Obesity (body mass index > 30 kg / m2) | Upon arriving at the laboratory, participants will ingest a liquid mixture containing Bosentan (125 mg), a non-selective blocker of endothelin-1 receptors ETA and ETB.
Bosentan 125 mg: Bosentan blocks endothelin-1 receptors ETA and ETB, leading to a reduction in vasoconstrictor tone and a greater magnitude of vasodilator responses. | Bosentan | COc1ccccc1Oc1c(NS(=O)(=O)c2ccc(C(C)(C)C)cc2)nc(-c2ncccn2)nc1OCCO | C02KX01 | G01AE10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04770155 | NCT04770155_EG007 | Accepts Healthy Volunteers | All | Adult | Early Phase 1 | 8 | Inclusion Criteria:
Self-identification of their race and the race of their biological parents as being only Black (i.e., African American) or only White (i.e., Caucasian American)
Born and raised in the United States
Exclusion Criteria:
Mixed races
Any chronic or ongoing disease
Prescribed pharmacological treatment
Smoking or tobacco use
Obesity (body mass index > 30 kg / m2) | Upon arriving at the laboratory, participants will ingest a liquid mixture containing a placebo.
Bosentan 125 mg: Bosentan blocks endothelin-1 receptors ETA and ETB, leading to a reduction in vasoconstrictor tone and a greater magnitude of vasodilator responses. | Bosentan | COc1ccccc1Oc1c(NS(=O)(=O)c2ccc(C(C)(C)C)cc2)nc(-c2ncccn2)nc1OCCO | C02KX01 | G01AE10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04776135 | NCT04776135_EG000 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 36 | Inclusion Criteria: Subjects who meet all of the following criteria and who have the capability of giving informed consent will be included in the study.
Healthy adult male or female volunteers
Japanese
Subjects aged between 20 and 45 years at the time of informed consent
Subjects who have thoroughly understood the contents of the study and voluntarily provided written informed consent to participate in the study
Exclusion Criteria: Subjects who meet any of the following criteria between screening and investigational product administration will be excluded from the study.
Subjects with a current or previous history of cardiac, hepatic, renal, gastrointestinal, respiratory, psychiatric/nervous, hematopoietic, or endocrine diseases, and those whom the investigator (or subinvestigator) deems unsuitable for the study
History of drug or food allergies
History of alcohol or drug abuse or dependence
Body mass index (BMI) of <18.0 or >30.0, or a body weight of <50 kg (BMI formula: body weight [kg]/height [m]2, rounded to one decimal place)
Positive test for any of the following at screening: Hepatitis B surface antigen, serological test for syphilis, hepatitis C virus antibody, or human immunodeficiency virus antigen/antibody, subject has a positive COVID-19 virus test on Day -1
Any clinically significant 12-lead ECG abnormality or QTcF interval ≥450 msec
Blood donation or sampling with a total volume of ≥400 mL within 12 weeks, ≥200 mL within 4 weeks, or ≥800 mL within one year before providing informed consent
Blood component donation or blood sampling within 2 weeks before providing informed consent, or blood donation and transfusion from informed consent to the start of investigational product administration
Subjects who have undergone any surgery known to affect the gastrointestinal absorption of drugs (except for appendectomy and herniotomy)
Female subjects of childbearing potential who do not agree to use an effective method of contraception from screening or 2 weeks before the start of investigational product administration, whichever comes earlier, to 14 days after the completion (or discontinuation) of investigational product administration. Male subjects who do not agree to use an effective method of contraception from the start of investigational product administration to 14 days after the completion (or discontinuation) of investigational product administration
Subjects who have previously received edaravone
Subjects who have participated in another clinical study and received an investigational product within 12 weeks before providing informed consent
Subjects who have used any drugs other than the single use of acetylsalicylic acid within 7 days before the initiation of investigational product administration
Use of alcohol or any products containing xanthin or caffeine within 24 hours before screening and visit on Day -1
Use of any nutritional supplement(s) within 7 days before the initiation of investigational product administration
Use of grapefruit, grapefruit juice, or any processed food(s) containing these substances within 24 hours before screening and visit on Day -1
Use of any tobacco or nicotine-containing product(s) within 24 hours before screening and visit on Day -1
Female subjects who have a positive pregnancy test at screening and on Day -1, are pregnant or breast feeding, or plan to get pregnant during the study
Subjects with a history of reconstructive nasal surgery, or any evidence of deformities or asymmetry of the nose, non-patent nares/obstructed nasal airway, or the presence of nasal ulcers or polyps that would prevent an adequate NGT insertion.
Subjects judged by the investigator (or subinvestigator) to be unsuitable for the study for any other reason | Healthy subjects were administered a single dose of Edaravone oral suspension (105 mg) orally under fasted condition. | Edaravone | CC1=NN(c2ccccc2)C(=O)C1 | N07XX14 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04797650 | NCT04797650_EG001 | No | All | Adult | Older Adult | Phase 3 | 256 | Inclusion Criteria:
Clinical presentation compatible with alopecia areata with a current episode lasting at least 6 months and not exceeding 10 years at the time of Screening. Total disease duration greater than 10 years is permitted.
At least 50% scalp hair loss, as defined by a Severity of Alopecia Tool (SALT) score ≥50, at Screening and Baseline.
Willing to comply with the study visits and requirements of the study protocol.
Exclusion Criteria:
Treatment with other medications or agents within 1 month of Baseline or during the study that may affect hair regrowth or immune response.
Active scalp inflammation, psoriasis, or seborrheic dermatitis requiring topical treatment to the scalp, significant trauma to the scalp, or other scalp condition that may interfere with the SALT assessment, or untreated actinic keratosis anywhere on the body at Screening and/or Baseline.
Treatment with systemic immunosuppressive medications within 3 months of Screening or during the study, or biologics within 6 months of Screening or during the study.
Females who are nursing, pregnant, or planning to become pregnant while in the study, and for 30 days after last dose of study drug.
Clinically significant medical condition, psychiatric disease, or social condition, as determined by the Investigator, that may unfavorably alter the risk-benefit of study participation, adversely affect study compliance, or confound interpretation of study results. | Participants received CTP-543 8 mg tablets, orally, BID for up to 24 weeks. | Ruxolitinib | N#CC[C@H](C1CCCC1)n1cc(-c2ncnc3[nH]ccc23)cn1 | D11AH09 | L01EJ01 | L01XE18 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
NCT04797650 | NCT04797650_EG002 | No | All | Adult | Older Adult | Phase 3 | 129 | Inclusion Criteria:
Clinical presentation compatible with alopecia areata with a current episode lasting at least 6 months and not exceeding 10 years at the time of Screening. Total disease duration greater than 10 years is permitted.
At least 50% scalp hair loss, as defined by a Severity of Alopecia Tool (SALT) score ≥50, at Screening and Baseline.
Willing to comply with the study visits and requirements of the study protocol.
Exclusion Criteria:
Treatment with other medications or agents within 1 month of Baseline or during the study that may affect hair regrowth or immune response.
Active scalp inflammation, psoriasis, or seborrheic dermatitis requiring topical treatment to the scalp, significant trauma to the scalp, or other scalp condition that may interfere with the SALT assessment, or untreated actinic keratosis anywhere on the body at Screening and/or Baseline.
Treatment with systemic immunosuppressive medications within 3 months of Screening or during the study, or biologics within 6 months of Screening or during the study.
Females who are nursing, pregnant, or planning to become pregnant while in the study, and for 30 days after last dose of study drug.
Clinically significant medical condition, psychiatric disease, or social condition, as determined by the Investigator, that may unfavorably alter the risk-benefit of study participation, adversely affect study compliance, or confound interpretation of study results. | Participants received CTP-543 12 mg tablets, orally, BID for up to 24 weeks. | Ruxolitinib | N#CC[C@H](C1CCCC1)n1cc(-c2ncnc3[nH]ccc23)cn1 | D11AH09 | L01EJ01 | L01XE18 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
NCT04799782 | NCT04799782_EG000 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 2 | 13 | Inclusion Criteria:
Adults with SCI (>6months after spinal cord injury) at the T6 level/above
Non-injured adults
Exclusion Criteria:
Pregnant and lactating females
Heart failure, vascular disease, or stroke
Advanced chronic obstructive pulmonary disease (COPD), liver disease, and chronic kidney disease
BMI >38 kg/m2
Mechanical ventilation dependence | The drug will be taken for a one week peroid.
Mirtazapine: 15 mg dose before bed-time | Mirtazapine | CN1CCN2c3ncccc3Cc3ccccc3C2C1 | N06AX11 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04800627 | NCT04800627_EG000 | No | All | Adult | Older Adult | Phase 1 | Phase 2 | 2 | Inclusion Criteria:
Patients 18 years or older
Patients must have metastatic or locally advanced unresectable solid tumor
Tumor that is deficient in mismatch repair (dMMR) or microsatellite instability high (MSI-H) as determined by one of three methods:
Immunohistochemistry determined dMMR by complete loss of MLH1, PMS2, MSH2 or MSH6
Polymerase chain reaction (PCR) determined microsatellite instability at > 30% of tested microsatellites
Next-generation determined MSI-H based upon instability at multiple microsatellites as determined by the specific next generation sequencing panel
Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
Hemoglobin >= 8 g/dL (may transfuse to achieve this threshold)
Absolute neutrophil count (ANC) >= 1,500/mm^3
Platelet count >= 100,000/mm^3
Albumin > 2.7 g/dL
Total bilirubin =< 1.5 x upper limit of normal (ULN) except in patients with Gilbert's syndrome. Patients with Gilbert's syndrome may enroll if direct bilirubin =< 3 x ULN of the direct bilirubin
Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =< 3.0 x ULN
Creatinine clearance >= 30 mL/min according to MD Anderson standard, automated laboratory calculation
Human immunodeficiency virus (HIV) patients may be considered as long as they meet the following criteria:
CD4 count > 350 cells/mm^3
Undetectable viral load
No history of acquired immunodeficiency syndrome (AIDS)-defining opportunistic infections
Female patients who:
Are postmenopausal for at least 1 year before the screening visit, OR
Are surgically sterile, OR If they are of childbearing potential:
Agree to practice 1 highly effective method and 1 additional effective (barrier) method of contraception, at the same time, from the time of signing the informed consent through 4 months after the last dose of study drug (female and male condoms should not be used together), or
Agree to practice true abstinence, when this is in line with the preferred and usual lifestyle of the subject. (Periodic abstinence [eg, calendar, ovulation, symptothermal, post-ovulation methods] withdrawal, spermicides only, and lactational amenorrhea are not acceptable methods of contraception.)
Male patients, even if surgically sterilized (i.e., status post-vasectomy), who:
Agree to practice effective barrier contraception during the entire study treatment period and through 4 months after the last dose of study drug (female and male condoms should not be used together), or
Agree to practice true abstinence, when this is in line with the preferred and usual lifestyle of the subject. (Periodic abstinence [e.g., calendar, ovulation, symptothermal, postovulation methods for the female partner] withdrawal, spermicides only, and lactational amenorrhea are not acceptable methods of contraception.)
Voluntary written consent must be given before performance of any study related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care
Demonstrated prior progression on or after anti-PD1/L1 based therapy by radiographic progression. The potential for psuedoprogression should be excluded by concurrent tumor marker (for example carcinoembryonic antigen) or circulating tumor deoxyribonucleic acid [ctDNA] elevation, or clinical symptom progression, or short interval repeat imaging confirming progression. (if uncertain if patient meets eligibility please discuss with study principal investigator [PI])
Must have received at least 2 doses of a PD1/PD-L1 inhibitor
Progressive disease either during therapy or within 2 months of last dose of therapy
Measurable disease by immune modified Response Evaluation Criteria in Solid Tumors (iRECIST) version (v)1.1 by treating investigator or study PI
Tumor that is accessible to biopsy and patient is willing to undergone mandatory tumor biopsies at pre-treatment and on-treatment (unless exception granted by study PI)
Life expectancy >= 12 weeks as judged by treating physician
Exclusion Criteria:
Treatment with any investigational products within 4 weeks before the first dose of any study drug
Any serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of study procedures
Active uncontrolled infection or severe infectious disease, such as severe pneumonia, meningitis, or septicemia
Major surgery within 14 days before the first dose of any study drug or a scheduled surgery during study period
Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
Life-threatening illness unrelated to cancer
Patients with uncontrolled coagulopathy or bleeding disorder
Known hepatitis B surface antigen seropositive or known or suspected active hepatitis C infection
Note: Patients who have isolated positive hepatitis B core antibody (i.e., in the setting of negative hepatitis B surface antigen and negative hepatitis B surface antibody) must have an undetectable hepatitis B viral load. Patients who have positive hepatitis C antibody may be included if they have an undetectable hepatitis C viral load
Known hepatic cirrhosis or severe pre-existing hepatic impairment
Known cardiopulmonary disease defined as:
Unstable angina;
Congestive heart failure (New York Heart Association [NYHA] Class III or IV);
Myocardial infarction (MI) within 6 months prior to first dose (patients who had ischemic heart disease such as a (ACS), MI, and/or revascularization greater than 6 months before screening and who are without cardiac symptoms may enroll);
Symptomatic cardiomyopathy;
Clinically significant arrhythmia:
History of polymorphic ventricular fibrillation or torsade de pointes,
Permanent atrial fibrillation [a fib], defined as continuous a fib for >= 6 months,
Persistent a fib, defined as sustained a fib lasting > 7 days and/or requiring cardioversion in the 4 weeks before screening,
Grade 3 a fib, within 6 months of starting protocol therapy, defined as symptomatic and incompletely controlled medically, and
Patients with paroxysmal a fib or < Gr 3 a fib for period of at least 6 months are permitted to enroll provided that their rate is controlled on a stable regimen.
Clinically significant pulmonary hypertension requiring pharmacologic therapy
Uncontrolled high blood pressure (i.e., systolic blood pressure >= 160 mm Hg, diastolic blood pressure >= 100 mm Hg)
Prolonged rate corrected QT (QTc) interval >= 500 msec, calculated according to institutional guidelines
Left ventricular ejection fraction (LVEF) < 50% as assessed by echocardiogram or radionuclide angiography
Known moderate to severe chronic obstructive pulmonary disease, interstitial lung disease, and pulmonary fibrosis
Known central nervous system (CNS) involvement unless controlled with surgery or radiation therapy and has demonstrated no progression over 3 months from last local modality therapy
Systemic antineoplastic therapy or radiotherapy for other malignant conditions within 14 days before the first dose of any study drug
Female patients who are both lactating and breastfeeding or have a positive serum pregnancy test during the screening period or a positive urine pregnancy test on day 1 before first dose of study drug
Female patients who intend to donate eggs (ova) during the course of this study or 4 months after receiving their last dose of study drug(s)
Male patients who intend to donate sperm during the course of this study or 4 months after receiving their last dose of study drug(s)
Known hypersensitivity to a study agent(s)
Residual adverse events from prior therapy (other than endocrinopathies or alopecia or neuropathy due to chemotherapy) that have not resolved to grade 0-1
Serious adverse immune related adverse events (grade 3 or 4) with previous immune checkpoint therapy, that were symptomatic and required prolong immunosuppression (> 6 weeks) | Patients receive pevonedistat IV over 60 minutes on days 1, 3, and 5, and pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. | Pevonedistat | [H][C@@]1(n2ccc3c(N[C@@]4([H])CCc5ccccc54)ncnc32)C[C@@]([H])(COS(N)(=O)=O)[C@@]([H])(O)C1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04802837 | NCT04802837_EG001 | No | All | Child | Phase 3 | 2 | Inclusion Criteria:
Is aged 12 to <18 years.
Has signs and symptoms of CDI including diarrhea such that in the Investigator's opinion CDI antimicrobial therapy is required, and the subject has tested positive for toxin A and/or B of C. difficile in the stool. Diarrhea is defined as ≥ 3 unformed bowel movements (UBMs) based on types 5, 6, 7 on the Bristol Stool Chart and diarrhea information is within 24 hours prior to randomization.
Exclusion Criteria:
Has had more than the equivalent of 48 hours of dosing of antimicrobial treatment active against the current episode of CDI prior to randomization.
Has received ridinilazole or an investigational vaccine against C. difficile any time in the past, anti-toxic antibodies including bezlotoxumab within the past 6 months, or any other investigational medicinal product for treatment of CDI or fecal microbiota replacement therapy within the past 3 months.
Has a clinically relevant positive stool test for pathogens other than C. difficile, within 48 hours of randomization.
Has life-threatening or fulminant CDI with evidence of hypotension, septic shock, peritoneal signs or absence of bowel sounds, toxic megacolon, or ileus.
Has had major GI surgery (e.g. significant bowel resection or pancreatectomy but not including appendectomy or cholecystectomy) within past 3 months or has the presence of a colostomy or ileostomy or has the likely requirement of an ostomy during the study.
Is receiving treatment that generally is associated with severe diarrhea, intractable vomiting, severe nausea, or inability to swallow that cannot be managed with antiemetics or antidiarrheals and that limits the ability to take oral medications. Cancer treatment that does not comprise ability to take study medication or cause severe diarrhea is allowed. | Vancomycin dosed QID and a Ridinilazole placebo dosed BID, to maintain blind, for 40 doses over 10 days.
Vancomycin: Vancomycin 125mg dosed QID for 10 days. | Vancomycin | CN[C@H](CC(C)C)C(=O)N[C@H]1C(=O)N[C@@H](CC(N)=O)C(=O)N[C@H]2C(=O)N[C@H]3C(=O)N[C@H](C(=O)N[C@H](C(=O)O)c4cc(O)cc(O)c4-c4cc3ccc4O)[C@H](O)c3ccc(c(Cl)c3)Oc3cc2cc(c3O[C@@H]2O[C@H](CO)[C@@H](O)[C@H](O)[C@H]2O[C@H]2C[C@](C)(N)[C@H](O)[C@H](C)O2)Oc2ccc(cc2Cl)[C@H]1O | A07AA09 | J01XA01 | S01AA28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04805983 | NCT04805983_EG000 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 1 | 6 | Inclusion Criteria:
No history of cognitive impairment
Capable of providing written informed consent and willing to comply with all study requirements and procedures
Participant is not pregnant, lactating, or of childbearing potential
Non-childbearing potential for women is defined as postmenopausal (last natural menses greater than 24 months; menopausal status will be documented with serum follicle stimulating hormone (FSH) or documentation of bilateral tubal ligation or hysterectomy
Male participants who are sexually active with a woman of child-bearing potential must agree to use condoms during the trial and for 3 months after the last dose unless the woman is using an acceptable means of birth control. Acceptable forms of birth control include abstinence, birth control pills, or any double combination of: intrauterine device (IUD), male or female condom, diaphragm, sponge, and cervical cap.
Male participants must also agree not to donate sperm for 90 days after the last dose. -
Glasgow Coma Scale Score of 15 (97)
Clinical Dementia Rating Score of 0 (93)
Has a reliable study partner who has frequent contact with the participant (e.g., average of 10 hours per week or more), who can be available for study partner assessments, who can accompany the participant for 48 hours, without absence, after discharge from Visit 2.
Score on the Mini Mental Status Exam > 26 (95)
Objective memory scores within normal range for age evidenced by a score no more than 1.5 standard deviations below the education adjusted cutoff on the Logical Memory II subscale (Delayed Paragraph Recall) from the Wechsler Memory Scale - Revised (the maximum score is 25).
>8 for 16 or more years of education
>4 for 8-15 years of education
>2 for 0-7 years of education
Receptor Occupancy Substudy Eligibility Criteria
Eligibility for and enrollment in Main Study
Participant consent to the optional substudy
Exclusion Criteria:
Body mass index (BMI) ≥ 35 kg/m2 or body weight < 50 kg.
Significant cerebrovascular disease: Modified Hachinski score > 4.
Any significant neurologic disease, such as AD, Parkinson's disease, multi-infarct dementia, Huntington's disease, normal pressure hydrocephalus, brain tumor, progressive supranuclear palsy, seizure disorder, subdural hematoma, multiple sclerosis, or history of significant head trauma followed by persistent neurologic defaults or known structural brain abnormalities.
Major depression, bipolar disorder as described in DSM-IV within the past 1 year.
Psychotic features, agitation or behavioral problems within 3 months, which could lead to difficulty complying with the protocol.
History of schizophrenia (DSM IV criteria).
History of alcohol or substance abuse or dependence within the past 2 years (DSM IV criteria).
Clinically significant or unstable medical condition, including uncontrolled hypertension, uncontrolled diabetes, or significant cardiac, pulmonary, renal, hepatic, endocrine, or other systemic disease in the opinion of the PI, may either put the patient at risk because of participation in the study, or influence the results, or the patient's ability to participate in the study.
Clinically significant abnormalities in B12 or Thyroid Function Tests that might interfere with the study.
Use of psychoactive medications (typical neuroleptics, narcotic analgesics, antiparkinsonian medications, systemic corticosteroids, or medications with significant central anticholinergic activity) within 2 weeks or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of medications with significant CYP1A2, 2D6, or 3A4 inhibitor or inducer activity (See appendix for a list of these medications) within 2 weeks or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of anticoagulants within 30 days or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of investigational amyloid lowering therapies within 2 months prior to study drug administration and for the duration of the trial.
Use of another investigational agent within 30 days or 5 half-lives (whichever is greater) prior to screening and for the duration of the trial.
Neutropenia defined as absolute neutrophils count of < 1,500/microliter.
Thrombocytopenia defined as platelet count < 100,000/microliter.
Clinically significant abnormalities in screening laboratories, including Aspartate aminotransferase (AST) >1.5 times upper limit of normal (ULN); Alanine aminotransferase (ALT) >1.5 times ULN; Total bilirubin >1.5 times ULN; Serum creatinine >2.0 times ULN. | BMS-984923: Day 1: Admission, administration of study drug, and 2 night in-patient stay; Day 3: Discharge following the completion of all scheduled procedures. | Unii-3I1803DK5Z | O=C1NC(c2cncc(C#Cc3ccccc3)c2)C(c2ccccc2Cl)O1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04805983 | NCT04805983_EG004 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 1 | 6 | Inclusion Criteria:
No history of cognitive impairment
Capable of providing written informed consent and willing to comply with all study requirements and procedures
Participant is not pregnant, lactating, or of childbearing potential
Non-childbearing potential for women is defined as postmenopausal (last natural menses greater than 24 months; menopausal status will be documented with serum follicle stimulating hormone (FSH) or documentation of bilateral tubal ligation or hysterectomy
Male participants who are sexually active with a woman of child-bearing potential must agree to use condoms during the trial and for 3 months after the last dose unless the woman is using an acceptable means of birth control. Acceptable forms of birth control include abstinence, birth control pills, or any double combination of: intrauterine device (IUD), male or female condom, diaphragm, sponge, and cervical cap.
Male participants must also agree not to donate sperm for 90 days after the last dose. -
Glasgow Coma Scale Score of 15 (97)
Clinical Dementia Rating Score of 0 (93)
Has a reliable study partner who has frequent contact with the participant (e.g., average of 10 hours per week or more), who can be available for study partner assessments, who can accompany the participant for 48 hours, without absence, after discharge from Visit 2.
Score on the Mini Mental Status Exam > 26 (95)
Objective memory scores within normal range for age evidenced by a score no more than 1.5 standard deviations below the education adjusted cutoff on the Logical Memory II subscale (Delayed Paragraph Recall) from the Wechsler Memory Scale - Revised (the maximum score is 25).
>8 for 16 or more years of education
>4 for 8-15 years of education
>2 for 0-7 years of education
Receptor Occupancy Substudy Eligibility Criteria
Eligibility for and enrollment in Main Study
Participant consent to the optional substudy
Exclusion Criteria:
Body mass index (BMI) ≥ 35 kg/m2 or body weight < 50 kg.
Significant cerebrovascular disease: Modified Hachinski score > 4.
Any significant neurologic disease, such as AD, Parkinson's disease, multi-infarct dementia, Huntington's disease, normal pressure hydrocephalus, brain tumor, progressive supranuclear palsy, seizure disorder, subdural hematoma, multiple sclerosis, or history of significant head trauma followed by persistent neurologic defaults or known structural brain abnormalities.
Major depression, bipolar disorder as described in DSM-IV within the past 1 year.
Psychotic features, agitation or behavioral problems within 3 months, which could lead to difficulty complying with the protocol.
History of schizophrenia (DSM IV criteria).
History of alcohol or substance abuse or dependence within the past 2 years (DSM IV criteria).
Clinically significant or unstable medical condition, including uncontrolled hypertension, uncontrolled diabetes, or significant cardiac, pulmonary, renal, hepatic, endocrine, or other systemic disease in the opinion of the PI, may either put the patient at risk because of participation in the study, or influence the results, or the patient's ability to participate in the study.
Clinically significant abnormalities in B12 or Thyroid Function Tests that might interfere with the study.
Use of psychoactive medications (typical neuroleptics, narcotic analgesics, antiparkinsonian medications, systemic corticosteroids, or medications with significant central anticholinergic activity) within 2 weeks or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of medications with significant CYP1A2, 2D6, or 3A4 inhibitor or inducer activity (See appendix for a list of these medications) within 2 weeks or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of anticoagulants within 30 days or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of investigational amyloid lowering therapies within 2 months prior to study drug administration and for the duration of the trial.
Use of another investigational agent within 30 days or 5 half-lives (whichever is greater) prior to screening and for the duration of the trial.
Neutropenia defined as absolute neutrophils count of < 1,500/microliter.
Thrombocytopenia defined as platelet count < 100,000/microliter.
Clinically significant abnormalities in screening laboratories, including Aspartate aminotransferase (AST) >1.5 times upper limit of normal (ULN); Alanine aminotransferase (ALT) >1.5 times ULN; Total bilirubin >1.5 times ULN; Serum creatinine >2.0 times ULN. | BMS-984923: Day 1: Admission, administration of study drug, and 2 night in-patient stay; Day 3: Discharge following the completion of all scheduled procedures. | Unii-3I1803DK5Z | O=C1NC(c2cncc(C#Cc3ccccc3)c2)C(c2ccccc2Cl)O1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
NCT04805983 | NCT04805983_EG005 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 1 | 6 | Inclusion Criteria:
No history of cognitive impairment
Capable of providing written informed consent and willing to comply with all study requirements and procedures
Participant is not pregnant, lactating, or of childbearing potential
Non-childbearing potential for women is defined as postmenopausal (last natural menses greater than 24 months; menopausal status will be documented with serum follicle stimulating hormone (FSH) or documentation of bilateral tubal ligation or hysterectomy
Male participants who are sexually active with a woman of child-bearing potential must agree to use condoms during the trial and for 3 months after the last dose unless the woman is using an acceptable means of birth control. Acceptable forms of birth control include abstinence, birth control pills, or any double combination of: intrauterine device (IUD), male or female condom, diaphragm, sponge, and cervical cap.
Male participants must also agree not to donate sperm for 90 days after the last dose. -
Glasgow Coma Scale Score of 15 (97)
Clinical Dementia Rating Score of 0 (93)
Has a reliable study partner who has frequent contact with the participant (e.g., average of 10 hours per week or more), who can be available for study partner assessments, who can accompany the participant for 48 hours, without absence, after discharge from Visit 2.
Score on the Mini Mental Status Exam > 26 (95)
Objective memory scores within normal range for age evidenced by a score no more than 1.5 standard deviations below the education adjusted cutoff on the Logical Memory II subscale (Delayed Paragraph Recall) from the Wechsler Memory Scale - Revised (the maximum score is 25).
>8 for 16 or more years of education
>4 for 8-15 years of education
>2 for 0-7 years of education
Receptor Occupancy Substudy Eligibility Criteria
Eligibility for and enrollment in Main Study
Participant consent to the optional substudy
Exclusion Criteria:
Body mass index (BMI) ≥ 35 kg/m2 or body weight < 50 kg.
Significant cerebrovascular disease: Modified Hachinski score > 4.
Any significant neurologic disease, such as AD, Parkinson's disease, multi-infarct dementia, Huntington's disease, normal pressure hydrocephalus, brain tumor, progressive supranuclear palsy, seizure disorder, subdural hematoma, multiple sclerosis, or history of significant head trauma followed by persistent neurologic defaults or known structural brain abnormalities.
Major depression, bipolar disorder as described in DSM-IV within the past 1 year.
Psychotic features, agitation or behavioral problems within 3 months, which could lead to difficulty complying with the protocol.
History of schizophrenia (DSM IV criteria).
History of alcohol or substance abuse or dependence within the past 2 years (DSM IV criteria).
Clinically significant or unstable medical condition, including uncontrolled hypertension, uncontrolled diabetes, or significant cardiac, pulmonary, renal, hepatic, endocrine, or other systemic disease in the opinion of the PI, may either put the patient at risk because of participation in the study, or influence the results, or the patient's ability to participate in the study.
Clinically significant abnormalities in B12 or Thyroid Function Tests that might interfere with the study.
Use of psychoactive medications (typical neuroleptics, narcotic analgesics, antiparkinsonian medications, systemic corticosteroids, or medications with significant central anticholinergic activity) within 2 weeks or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of medications with significant CYP1A2, 2D6, or 3A4 inhibitor or inducer activity (See appendix for a list of these medications) within 2 weeks or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of anticoagulants within 30 days or 5 half-lives (whichever is greater) prior to study drug administration and for the duration of the trial.
Use of investigational amyloid lowering therapies within 2 months prior to study drug administration and for the duration of the trial.
Use of another investigational agent within 30 days or 5 half-lives (whichever is greater) prior to screening and for the duration of the trial.
Neutropenia defined as absolute neutrophils count of < 1,500/microliter.
Thrombocytopenia defined as platelet count < 100,000/microliter.
Clinically significant abnormalities in screening laboratories, including Aspartate aminotransferase (AST) >1.5 times upper limit of normal (ULN); Alanine aminotransferase (ALT) >1.5 times ULN; Total bilirubin >1.5 times ULN; Serum creatinine >2.0 times ULN. | BMS-984923: Day 1: Admission, administration of study drug, and 2 night in-patient stay; Day 3: Discharge following the completion of all scheduled procedures. | Unii-3I1803DK5Z | O=C1NC(c2cncc(C#Cc3ccccc3)c2)C(c2ccccc2Cl)O1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
NCT04806503 | NCT04806503_EG000 | No | All | Adult | Phase 2 | 48 | Inclusion Criteria:
Written informed consent must be obtained before any assessment is performed
Impaired near vision in each eye and when using both eyes, without any near correction
Need a certain level of near correction
Exclusion Criteria:
Impaired distance vision in either eye, with distance correction (if any)
Severe short- or long-sightedness
Any significant medical or clinical conditions affecting vision, the eyes or general health | UNR844 5 mg/mL ophthalmic solution; one drop twice-a-day for three months | (R)-2-((5-(1,2-Dithiolan-3-yl)pentanoyl)oxy)-N,N,N-trimethylethan-1-aminium chloride | C[N+](C)(C)CCOC(=O)CCCCC1CCSS1.[Cl-] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04806503 | NCT04806503_EG001 | No | All | Adult | Phase 2 | 48 | Inclusion Criteria:
Written informed consent must be obtained before any assessment is performed
Impaired near vision in each eye and when using both eyes, without any near correction
Need a certain level of near correction
Exclusion Criteria:
Impaired distance vision in either eye, with distance correction (if any)
Severe short- or long-sightedness
Any significant medical or clinical conditions affecting vision, the eyes or general health | UNR844 13.3 mg/mL ophthalmic solution; one drop twice-a-day for three months | (R)-2-((5-(1,2-Dithiolan-3-yl)pentanoyl)oxy)-N,N,N-trimethylethan-1-aminium chloride | C[N+](C)(C)CCOC(=O)CCCCC1CCSS1.[Cl-] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04806503 | NCT04806503_EG002 | No | All | Adult | Phase 2 | 44 | Inclusion Criteria:
Written informed consent must be obtained before any assessment is performed
Impaired near vision in each eye and when using both eyes, without any near correction
Need a certain level of near correction
Exclusion Criteria:
Impaired distance vision in either eye, with distance correction (if any)
Severe short- or long-sightedness
Any significant medical or clinical conditions affecting vision, the eyes or general health | UNR844 23 mg/mL ophthalmic solution; one drop twice-a-day for three months | (R)-2-((5-(1,2-Dithiolan-3-yl)pentanoyl)oxy)-N,N,N-trimethylethan-1-aminium chloride | C[N+](C)(C)CCOC(=O)CCCCC1CCSS1.[Cl-] | null | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04806503 | NCT04806503_EG003 | No | All | Adult | Phase 2 | 48 | Inclusion Criteria:
Written informed consent must be obtained before any assessment is performed
Impaired near vision in each eye and when using both eyes, without any near correction
Need a certain level of near correction
Exclusion Criteria:
Impaired distance vision in either eye, with distance correction (if any)
Severe short- or long-sightedness
Any significant medical or clinical conditions affecting vision, the eyes or general health | UNR844 30 mg/mL ophthalmic solution; one drop twice-a-day for three months | (R)-2-((5-(1,2-Dithiolan-3-yl)pentanoyl)oxy)-N,N,N-trimethylethan-1-aminium chloride | C[N+](C)(C)CCOC(=O)CCCCC1CCSS1.[Cl-] | null | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04808622 | NCT04808622_EG000 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 5 | Inclusion Criteria:
Healthy male or female, age 18-50
Able and willing to lie quietly supine or semi-recumbent for up to 2.5 hours
Abstinence from exercise, caffeine, alcohol, nicotine, and a heavy meal prior to testing on the day of the Treatment Visit
Subject is able to communicate effectively with the Investigator and to comply with all study requirements, restrictions, and directions from the study staff
Females of childbearing potential must have a negative blood pregnancy test at screening and agree to use one of the accepted contraceptive regimens, or a double method of birth control (e.g. condom and spermicide), during the study and at least 30 days after the last dose of study drug. Females of non-childbearing potential should be surgically sterile or at least one year post-menopausal.
Males who engage in sexual activity that has the risk of pregnancy must agree to use a double barrier method (e.g. condom and spermicide) and agree not to donate sperm during the study and for at least 90 days after the last dose of study drug
Exclusion Criteria:
Allergy to study medication
Pregnant or breastfeeding
Current smoker and/or any nicotine use within 4 hours of the start of tcpO2 procedures, to include e-cigarette vaping, snuff, chew, nicotine gum and nicotine patches
Body Mass Index (BMI) > 30
Positive test results for HIV-1/HIV-2 Antibodies, Hepatitis B surface Antigen (HBsAg), or Hepatitis C Antibody (HCVAb)
Blood donation (excluding plasma donation) of approximately 500 mL within 56 days prior to screening
Plasma donation within 7 days prior to screening
Treatment with an investigational drug within 30 days or 5 times the half-life (whichever is longer) prior to screening
Any skin condition on limbs to be tested that could impair testing (rash, wound, prior radiation therapy, other skin conditions, per Principal Investigator (PI) discretion)
Known cardiovascular disease, including treated or untreated hypertension
Significant respiratory disease and/or any other significant medical condition
Subject has an acute illness (gastrointestinal infection, influenza, or known inflammatory process) at the Treatment Visit
Urine screen positive for drugs or positive breathalyzer for alcohol (at screening and enrollment)
Concomitant medications used to treat a diagnosed medical condition
Subject who, for any reason, is deemed by the Investigator to be unsuitable for the study; or has any condition that would interfere with the evaluation of tissue oxygen measurements or PK of the investigational drug; or is otherwise unable to comply with the protocol | TSC 0.5 mg/kg given as a one-time IV bolus injection
Trans-Sodium Crocetinate: TSC given as a one-time IV bolus injection | Trans sodium crocetinate | CC(C=CC=C(C)C(=O)[O-])=CC=CC=C(C)C=CC=C(C)C(=O)[O-].[Na+].[Na+] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04808622 | NCT04808622_EG001 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 5 | Inclusion Criteria:
Healthy male or female, age 18-50
Able and willing to lie quietly supine or semi-recumbent for up to 2.5 hours
Abstinence from exercise, caffeine, alcohol, nicotine, and a heavy meal prior to testing on the day of the Treatment Visit
Subject is able to communicate effectively with the Investigator and to comply with all study requirements, restrictions, and directions from the study staff
Females of childbearing potential must have a negative blood pregnancy test at screening and agree to use one of the accepted contraceptive regimens, or a double method of birth control (e.g. condom and spermicide), during the study and at least 30 days after the last dose of study drug. Females of non-childbearing potential should be surgically sterile or at least one year post-menopausal.
Males who engage in sexual activity that has the risk of pregnancy must agree to use a double barrier method (e.g. condom and spermicide) and agree not to donate sperm during the study and for at least 90 days after the last dose of study drug
Exclusion Criteria:
Allergy to study medication
Pregnant or breastfeeding
Current smoker and/or any nicotine use within 4 hours of the start of tcpO2 procedures, to include e-cigarette vaping, snuff, chew, nicotine gum and nicotine patches
Body Mass Index (BMI) > 30
Positive test results for HIV-1/HIV-2 Antibodies, Hepatitis B surface Antigen (HBsAg), or Hepatitis C Antibody (HCVAb)
Blood donation (excluding plasma donation) of approximately 500 mL within 56 days prior to screening
Plasma donation within 7 days prior to screening
Treatment with an investigational drug within 30 days or 5 times the half-life (whichever is longer) prior to screening
Any skin condition on limbs to be tested that could impair testing (rash, wound, prior radiation therapy, other skin conditions, per Principal Investigator (PI) discretion)
Known cardiovascular disease, including treated or untreated hypertension
Significant respiratory disease and/or any other significant medical condition
Subject has an acute illness (gastrointestinal infection, influenza, or known inflammatory process) at the Treatment Visit
Urine screen positive for drugs or positive breathalyzer for alcohol (at screening and enrollment)
Concomitant medications used to treat a diagnosed medical condition
Subject who, for any reason, is deemed by the Investigator to be unsuitable for the study; or has any condition that would interfere with the evaluation of tissue oxygen measurements or PK of the investigational drug; or is otherwise unable to comply with the protocol | TSC 1.0 mg/kg given as a one-time IV bolus injection
Trans-Sodium Crocetinate: TSC given as a one-time IV bolus injection | Trans sodium crocetinate | CC(C=CC=C(C)C(=O)[O-])=CC=CC=C(C)C=CC=C(C)C(=O)[O-].[Na+].[Na+] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04808622 | NCT04808622_EG002 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 5 | Inclusion Criteria:
Healthy male or female, age 18-50
Able and willing to lie quietly supine or semi-recumbent for up to 2.5 hours
Abstinence from exercise, caffeine, alcohol, nicotine, and a heavy meal prior to testing on the day of the Treatment Visit
Subject is able to communicate effectively with the Investigator and to comply with all study requirements, restrictions, and directions from the study staff
Females of childbearing potential must have a negative blood pregnancy test at screening and agree to use one of the accepted contraceptive regimens, or a double method of birth control (e.g. condom and spermicide), during the study and at least 30 days after the last dose of study drug. Females of non-childbearing potential should be surgically sterile or at least one year post-menopausal.
Males who engage in sexual activity that has the risk of pregnancy must agree to use a double barrier method (e.g. condom and spermicide) and agree not to donate sperm during the study and for at least 90 days after the last dose of study drug
Exclusion Criteria:
Allergy to study medication
Pregnant or breastfeeding
Current smoker and/or any nicotine use within 4 hours of the start of tcpO2 procedures, to include e-cigarette vaping, snuff, chew, nicotine gum and nicotine patches
Body Mass Index (BMI) > 30
Positive test results for HIV-1/HIV-2 Antibodies, Hepatitis B surface Antigen (HBsAg), or Hepatitis C Antibody (HCVAb)
Blood donation (excluding plasma donation) of approximately 500 mL within 56 days prior to screening
Plasma donation within 7 days prior to screening
Treatment with an investigational drug within 30 days or 5 times the half-life (whichever is longer) prior to screening
Any skin condition on limbs to be tested that could impair testing (rash, wound, prior radiation therapy, other skin conditions, per Principal Investigator (PI) discretion)
Known cardiovascular disease, including treated or untreated hypertension
Significant respiratory disease and/or any other significant medical condition
Subject has an acute illness (gastrointestinal infection, influenza, or known inflammatory process) at the Treatment Visit
Urine screen positive for drugs or positive breathalyzer for alcohol (at screening and enrollment)
Concomitant medications used to treat a diagnosed medical condition
Subject who, for any reason, is deemed by the Investigator to be unsuitable for the study; or has any condition that would interfere with the evaluation of tissue oxygen measurements or PK of the investigational drug; or is otherwise unable to comply with the protocol | TSC 1.5 mg/kg given as a one-time IV bolus injection
Trans-Sodium Crocetinate: TSC given as a one-time IV bolus injection | Trans sodium crocetinate | CC(C=CC=C(C)C(=O)[O-])=CC=CC=C(C)C=CC=C(C)C(=O)[O-].[Na+].[Na+] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04808622 | NCT04808622_EG003 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 5 | Inclusion Criteria:
Healthy male or female, age 18-50
Able and willing to lie quietly supine or semi-recumbent for up to 2.5 hours
Abstinence from exercise, caffeine, alcohol, nicotine, and a heavy meal prior to testing on the day of the Treatment Visit
Subject is able to communicate effectively with the Investigator and to comply with all study requirements, restrictions, and directions from the study staff
Females of childbearing potential must have a negative blood pregnancy test at screening and agree to use one of the accepted contraceptive regimens, or a double method of birth control (e.g. condom and spermicide), during the study and at least 30 days after the last dose of study drug. Females of non-childbearing potential should be surgically sterile or at least one year post-menopausal.
Males who engage in sexual activity that has the risk of pregnancy must agree to use a double barrier method (e.g. condom and spermicide) and agree not to donate sperm during the study and for at least 90 days after the last dose of study drug
Exclusion Criteria:
Allergy to study medication
Pregnant or breastfeeding
Current smoker and/or any nicotine use within 4 hours of the start of tcpO2 procedures, to include e-cigarette vaping, snuff, chew, nicotine gum and nicotine patches
Body Mass Index (BMI) > 30
Positive test results for HIV-1/HIV-2 Antibodies, Hepatitis B surface Antigen (HBsAg), or Hepatitis C Antibody (HCVAb)
Blood donation (excluding plasma donation) of approximately 500 mL within 56 days prior to screening
Plasma donation within 7 days prior to screening
Treatment with an investigational drug within 30 days or 5 times the half-life (whichever is longer) prior to screening
Any skin condition on limbs to be tested that could impair testing (rash, wound, prior radiation therapy, other skin conditions, per Principal Investigator (PI) discretion)
Known cardiovascular disease, including treated or untreated hypertension
Significant respiratory disease and/or any other significant medical condition
Subject has an acute illness (gastrointestinal infection, influenza, or known inflammatory process) at the Treatment Visit
Urine screen positive for drugs or positive breathalyzer for alcohol (at screening and enrollment)
Concomitant medications used to treat a diagnosed medical condition
Subject who, for any reason, is deemed by the Investigator to be unsuitable for the study; or has any condition that would interfere with the evaluation of tissue oxygen measurements or PK of the investigational drug; or is otherwise unable to comply with the protocol | TSC 2.0 mg/kg given as a one-time IV bolus injection
Trans-Sodium Crocetinate: TSC given as a one-time IV bolus injection | Trans sodium crocetinate | CC(C=CC=C(C)C(=O)[O-])=CC=CC=C(C)C=CC=C(C)C(=O)[O-].[Na+].[Na+] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04817332 | NCT04817332_EG000 | No | All | Child | Adult | Older Adult | Phase 3 | 192 | Inclusion Criteria:
6.1. Inclusion criteria
• Male or female
≥16 years of age
SARS-CoV-2 infection (clinically suspected+ or laboratory confirmed*).
Admitted to hospital as in-patient less than 96 hours prior to randomisation^
Illness of any duration, and at least one of the following:
Radiographic infiltrates by imaging (e.g. chest x-ray, computed tomography (CT) scan) OR
Evidence of rales/crackles on physical examination OR
Peripheral capillary oxygen saturation (SpO2) ≤94% on room air prior to randomization OR
Requiring supplemental oxygen. OR
Lymphocyte count <1 x 109 cells per litre (L)
Participant (or legally authorized representative) provides written informed consent
Able to take oral medication
Participant (or legally authorised representative) understands and agrees to comply with planned trial procedures.
Laboratory-confirmed: SARS-CoV-2 infection as determined by polymerase chain reaction (PCR), or other commercial or public health assay in any specimen < 96 hours prior to randomization.
Clinically suspected: in general, SARS-CoV-2 infection should be suspected when a patient presents with (i) typical symptoms (e.g. influenza-like illness with fever and muscle pain, or respiratory illness with cough and shortness of breath); and (ii) compatible chest X-ray findings (consolidation or ground-glass shadowing); and (iii) alternative causes have been considered unlikely or excluded (e.g. heart failure, influenza). However, the diagnosis remains a clinical one based on the opinion of the managing doctor
Where a patient has been admitted to hospital for a non COVID-19 reason and develops COVID-19 symptoms whilst an in-patient, randomisation may occur up to 96 hours from onset of symptoms.
Exclusion Criteria:
Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) > 5 times the upper limit of normal, result within 72 hours of randomization (the result closest to randomization should be used if several results are available).
History of severe liver disease
Stage 4 severe chronic kidney disease or requiring dialysis (i.e. estimated Glomerular Filtration Rate < 30), result within 72 hours of randomization (the result closest to randomization should be used if several results are available)
Absolute neutrophil count less than 1.0 x 109 cells per L within 72 hours of randomization (the result closest to randomization should be used if several results are available)
Current treatments with potent Cyp3A4 inducers/inhibitors (e.g Itraconazole, Ketoconazole, diltiazem, verapamil, phenytoin or rifampicin)
HIV treatments - current treatment with protease/integrase inhibitors or non-nucleoside reverse transcriptase inhibitors*
Pregnant or breast feeding.
Anticipated transfer to another hospital which is not a trial site within 24 hours.
Allergy to Brensocatib
Use of any investigational drug within five times of the elimination half-life after the last trial dose or within 30 days, whichever is longer. Co-enrolment with COVID-19 trials is allowed as per co-enrolment agreements and/or individual decision by the Chief Investigator.
Women of child-bearing potential must be willing to have pregnancy testing prior to trial entry.
*The Liverpool HIV checker (https://www.hiv-druginteractions.org/checker) should be used to check for any HIV drug interactions. Simvastatin could be used as a surrogate for Brensocatib as it metabolised similarly by CYP 3A4 pathway.
- | Brensocatib oral tablet, 25mg once per day for 28 days
Brensocatib: Selective, competitive, and reversible inhibitor of DPP1 | Brensocatib | Cn1c(=O)oc2ccc(-c3ccc(C[C@@H](C#N)NC(=O)[C@@H]4CNCCCO4)cc3)cc21 | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
NCT04818216 | NCT04818216_EG001 | No | All | Adult | Older Adult | Phase 2 | 15 | Inclusion Criteria:
Provision of signed and dated informed consent form from a participant or legally authorized representative (LAR);
Male or female, >18 years old;
Hospitalized participants with a laboratory diagnosis of COVID-19 infection
Evidence of persistent AKI as defined by the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines (Table 3);
Willing to adhere to the study intervention regimen;
Exclusion Criteria:
Hypersensitivity to nicotinamide riboside (NR);
Pregnant or lactating women confirmed with positive laboratory pregnancy tests as per local requirements;
eGFR <15 mL/min/1.73 m2 as per the Chronic Kidney Disease Epidemiology Collaboration equation at admission lab;
Maintenance renal replacement therapy or initiation of renal replacement therapy before randomization
Currently on NR or nicotinamide or vitamin B3 (niacin) supplementation (multivitamins are allowed);
Concomitant cirrhosis of liver or acute liver failure;
Any medical history or condition that might, in the opinion of the attending physician, put the participant at significant risk if he/she were to participate in the trial;
Individuals with kidney transplant;
Individuals with blood platelet count <100,000/microL | Nicotinamide riboside 250mg capsules will be administered 2 capsules twice daily for 10 days
Nicotinamide riboside: 250 mg Nicotinamide riboside capsules | Nicotinamide riboside | NC(=O)c1ccc[n+]([C@@H]2O[C@H](CO)[C@@H](O)[C@H]2O)c1 | null | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04819776 | NCT04819776_EG000 | No | All | Adult | Older Adult | Phase 3 | 206 | Inclusion Criteria:
Male or female patients 18 to 65 years of age (inclusive)
Diagnosed with bipolar I disorder, manic or mixed-type, per DSM-5 criteria
Voluntary hospitalization for current manic episode
Exclusion Criteria:
Patients with a DSM-5 diagnosis of a psychiatric disorder other than bipolar I disorder that was the primary focus of treatment within the previous six months
Patients who are experiencing a first manic episode or meeting criteria for rapid cycling | Iloperidone: Oral iloperidone | Iloperidone | COc1cc(C(C)=O)ccc1OCCCN1CCC(c2noc3cc(F)ccc23)CC1 | N05AX14 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04820842 | NCT04820842_EG001 | No | All | Adult | Older Adult | Phase 2 | 9 | Inclusion Criteria:
1. Participant with a diagnosis of Narcolepsy Type 1 (NT1) who has completed TAK-994-1501 Part B before enrollment (which will occur immediately following the final TAK-994-1501 assessments), and for whom the investigator has no clinical objection they be enrolled.
Exclusion Criteria:
1. Participant has a clinically significant moderate or severe ongoing AE related to the study drug from the prior study. | TAK-994 90 mg, BID, tablets, orally, from Day 1 (Day 57 of previous study) to Day 56 in the Active Drug Extension Period. | N-[(2S,3S)-2-[[3-(3,5-difluorophenyl)-2-fluorophenyl]methyl]-1-(2-hydroxy-2-methylpropanoyl)pyrrolidin-3-yl]methanesulfonamide;hydrate | CC(C)(O)C(=O)N1CCC(NS(C)(=O)=O)C1Cc1cccc(-c2cc(F)cc(F)c2)c1F.O | null | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
NCT04820842 | NCT04820842_EG002 | No | All | Adult | Older Adult | Phase 2 | 9 | Inclusion Criteria:
1. Participant with a diagnosis of Narcolepsy Type 1 (NT1) who has completed TAK-994-1501 Part B before enrollment (which will occur immediately following the final TAK-994-1501 assessments), and for whom the investigator has no clinical objection they be enrolled.
Exclusion Criteria:
1. Participant has a clinically significant moderate or severe ongoing AE related to the study drug from the prior study. | TAK-994 180 mg, BID, tablets, orally, from Day 1 (Day 57 of previous study) to Day 56 in the Active Drug Extension Period. | N-[(2S,3S)-2-[[3-(3,5-difluorophenyl)-2-fluorophenyl]methyl]-1-(2-hydroxy-2-methylpropanoyl)pyrrolidin-3-yl]methanesulfonamide;hydrate | CC(C)(O)C(=O)N1CCC(NS(C)(=O)=O)C1Cc1cccc(-c2cc(F)cc(F)c2)c1F.O | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04820842 | NCT04820842_EG003 | No | All | Adult | Older Adult | Phase 2 | 3 | Inclusion Criteria:
1. Participant with a diagnosis of Narcolepsy Type 1 (NT1) who has completed TAK-994-1501 Part B before enrollment (which will occur immediately following the final TAK-994-1501 assessments), and for whom the investigator has no clinical objection they be enrolled.
Exclusion Criteria:
1. Participant has a clinically significant moderate or severe ongoing AE related to the study drug from the prior study. | Following the Active Drug Extension Period, participants randomized to active treatment 30 mg, BID, meeting eligibility specification and continued to receive same dose (TAK-994, 30 mg, BID, tablets, orally) from Day 57 to Day 84 in the Double-blind Randomized Withdrawal Period. | N-[(2S,3S)-2-[[3-(3,5-difluorophenyl)-2-fluorophenyl]methyl]-1-(2-hydroxy-2-methylpropanoyl)pyrrolidin-3-yl]methanesulfonamide;hydrate | CC(C)(O)C(=O)N1CCC(NS(C)(=O)=O)C1Cc1cccc(-c2cc(F)cc(F)c2)c1F.O | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04820842 | NCT04820842_EG004 | No | All | Adult | Older Adult | Phase 2 | 1 | Inclusion Criteria:
1. Participant with a diagnosis of Narcolepsy Type 1 (NT1) who has completed TAK-994-1501 Part B before enrollment (which will occur immediately following the final TAK-994-1501 assessments), and for whom the investigator has no clinical objection they be enrolled.
Exclusion Criteria:
1. Participant has a clinically significant moderate or severe ongoing AE related to the study drug from the prior study. | Following the Active Drug Extension Period, participants randomized to active treatment 90 mg, BID, meeting eligibility specification and continued to receive same dose (TAK-994, 90 mg, BID, tablets, orally) from Day 57 to Day 84 in the Double-blind Randomized Withdrawal Period. | N-[(2S,3S)-2-[[3-(3,5-difluorophenyl)-2-fluorophenyl]methyl]-1-(2-hydroxy-2-methylpropanoyl)pyrrolidin-3-yl]methanesulfonamide;hydrate | CC(C)(O)C(=O)N1CCC(NS(C)(=O)=O)C1Cc1cccc(-c2cc(F)cc(F)c2)c1F.O | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04820842 | NCT04820842_EG005 | No | All | Adult | Older Adult | Phase 2 | 1 | Inclusion Criteria:
1. Participant with a diagnosis of Narcolepsy Type 1 (NT1) who has completed TAK-994-1501 Part B before enrollment (which will occur immediately following the final TAK-994-1501 assessments), and for whom the investigator has no clinical objection they be enrolled.
Exclusion Criteria:
1. Participant has a clinically significant moderate or severe ongoing AE related to the study drug from the prior study. | Following the Active Drug Extension Period, participants randomized to active treatment 180 mg, BID, meeting eligibility specification and continued to receive same dose (TAK-994, 180 mg, BID, tablets, orally) from Day 57 to Day 84 in the Double-blind Randomized Withdrawal Period. | N-[(2S,3S)-2-[[3-(3,5-difluorophenyl)-2-fluorophenyl]methyl]-1-(2-hydroxy-2-methylpropanoyl)pyrrolidin-3-yl]methanesulfonamide;hydrate | CC(C)(O)C(=O)N1CCC(NS(C)(=O)=O)C1Cc1cccc(-c2cc(F)cc(F)c2)c1F.O | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04821063 | NCT04821063_EG001 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 31 | Inclusion Criteria:
Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening), greater than or equal to (>=) 18 and less than or equal to (<=) 55 years of age, with body mass index (BMI) greater than (>) 18.5 and less than (<) 30.0 kilograms per meter square (kg/m^2) and body weight >=55 kilograms (kg) and <=100 kg for females and body weight >=60 kg and <=100 kg for males.
Healthy as defined by:
The absence of clinically significant illness and major surgery within 4 weeks prior to dosing. Participants vomiting within 24 hours pre-dose will be carefully evaluated for upcoming illness/disease. Inclusion pre-dosing of the patient in the study is at the discretion of the Investigator, depending on his/her clinical judgement.
The absence of clinically significant history of neurological, endocrinal, cardiovascular, pulmonary, hematological, immunologic, psychiatric, gastrointestinal, renal, hepatic, and metabolic disease.
Non-childbearing potential female defined as:
Post-menopausal female (absence of menses for 12 months prior to the first study drug administration, bilateral oophorectomy or hysterectomy with bilateral oophorectomy at least 6 months prior to the first study drug administration); or
Surgically sterile female (hysterectomy or tubal ligation at least 6 months prior to drug administration).
Females of childbearing potential who are sexually active with a male partner must be willing to use one of the following acceptable contraceptive methods throughout the study and for at least 90 days after the last study drug administration:
Simultaneous use of intra-uterine contraceptive device, without hormone release system placed at least 4 weeks prior to study drug administration, and condom for the male partner;
Simultaneous use of diaphragm or cervical cap with intravaginally applied spermicide and male condom for the male partner, started at least 21 days prior to study drug administration;
Male participants who are not vasectomized for at least 6 months, and who are sexually active with a female partner of childbearing potential (childbearing potential females are defined as women that are neither post-menopausal nor surgically sterile) must be willing to use one of the following acceptable contraceptive methods from the first study drug administration until at least 90 days after the last study drug administration:
Simultaneous use of a male condom and, for the female partner, hormonal contraceptives used since at least 4 weeks or intra-uterine contraceptive device placed since at least 4 weeks;
Simultaneous use of a male condom and, for the female partner, a diaphragm or cervical cap with intravaginally applied spermicide.
Male participants (including men who have had a vasectomy) with a pregnant partner must agree to use a condom from the first study drug administration until at least 90 days after the last study drug administration.
Male participants must be willing not to donate sperm until 90 days following the last study drug administration.
Female participants must be willing not to donate ovules until 90 days following the last study drug administration.
Participant's written informed consent obtained prior to any study-related procedure.
Willingness and capability to comply with the requirements of the study and ability to understand the study procedures and the risks involved.
Willing to take out dentures and mouth piercings for study procedures.
Exclusion Criteria:
Any clinically significant abnormality at physical examination, clinically significant abnormal laboratory test results or positive test for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C found during medical screening.
Clinically significant vital sign abnormalities (systolic blood pressure lower than 90 or over 140 millimeter of mercury [mmHg], diastolic blood pressure lower than 60 or over 90 mmHg, or heart rate less than 40 or over 100 beats per minute [bpm]) at screening. For eligibility purposes, not the mean value, but the two single measurements will be considered.
Any of the following abnormalities on 12-lead ECG at screening. PR (PR interval) >210 millisecond (msec); QRS (QRS complex) >120 msec; QTcF >450 msec; any abnormality of cardiac rhythm other than sinus arrhythmia; abnormality of T-wave morphology that will impair the ability to measure the QT interval reliably. The averaged value of three ECGs 5 minutes apart from each other will be used; evaluations have to be used for the evaluation of the QTc interval requested by this exclusion criteria.
Participants with history of sustained and non-sustained cardiac arrhythmias (ECG demonstrated), participants with a family history of sudden cardiac death and participants with a history of additional risk factors for TdP, heart failure, hypokalemia, LQTS).
Any of the following abnormal laboratory test values at screening or at baseline (Day -1) of Period 1:
Platelet count <125*10^9 per liter (/L)
Absolute neutrophil count <1.2*10^9/L
Participants who have cardiovascular condition such as, but not limited to unstable ischemic heart disease, New York Heart Association (NYHA) Class III/IV left ventricular failure, acute ischemic heart disease in the last year prior to study screening, which may impact the safety of the participant or the evaluation of the result of the study according to the Investigator's judgment; cardiovascular conditions should be discarded based on the results obtained on the ECG, medical examination and routine lab test.
Positive urine drug screen, alcohol breath test or urine cotinine test at screening or at baseline (Day -1).
History of anaphylaxis reaction or clinically significant drug hypersensitivity reaction (e.g., angioedema, Stevens-Johnson syndrome, Acute Generalized Exanthematous Pustulosis, Drug-induced hypersensitivity syndrome, Drug-induced neutropenia).
History of allergic reactions to ITF2357, histone deacetylases (HDAC) inhibitors, or other related drugs, moxifloxacin, other quinolones, or to any excipient in the formulation.
Positive pregnancy test at screening or at baseline (Day -1).
Participants with a sorbitol intolerance or sorbitol malabsorption or have fructose intolerance.
Current or recent (within 3 months of study drug administration) clinically significant gastrointestinal disease that can interfere with drug absorption.
Gastrointestinal surgery that interferes with physiological absorption and motility (i.e., gastric bypass, duodenectomy) or gastric bands.
History of significant alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit (more than 14 units of alcohol per week [1 unit = 150 milliliter [mL] of wine, 360 mL of beer, or 45 mL of 40 percent [%] alcohol]).
History of significant drug abuse within 1 year prior to screening or use of soft drugs (such as marijuana) within 3 months prior to the screening visit or hard drugs (such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives) within 1 year prior to screening.
Use of ITF2357 for a medical condition or in the context of another clinical trial within a period of 30 days prior to the first dosing.
Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the first dosing, administration of a biological product in the context of a clinical research study within 90 days prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration.
Use of medications for the timeframes specified below, with the exception of medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the pharmacokinetic profile of the study drug or participant safety (e.g., topical drug products without significant systemic absorption):
Prescription medications within 14 days prior to the first dosing;
OTC products (with the exception of the occasional use of acetaminophen [up to 2 grams [g] daily]) and natural health products (including herbal remedies, homeopathic and traditional medicines, probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements used in sports) within 7 days prior to the first dosing;
Depot injection or implant of any drug within 3 months prior to the first dosing;
Any drugs known to induce or inhibit hepatic drug metabolism (including St. John's wort) within 30 days prior to the first dosing.
Donation of plasma within 7 days prior to dosing. Donation or loss of blood (excluding volume drawn at screening) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to the first dosing.
Breast-feeding participant.
Inability to be venipunctured and/or tolerate catheter venous access;
Inability or difficulty to swallow tablets or suspension.
Any reason which, in the opinion of the Investigator, would prevent the participant from participating in the study.
History or presence of other diseases, metabolic dysfunctions, physical examination findings, or any clinically relevant abnormal laboratory value at screening suggesting an unknown disease and requiring further clinical investigation or which may impact the safety of the participant or the evaluation of the result of the study according to the Investigator's judgment. | Participants received orally a single dose of ITF2357 300 mg (as 10 mg/mL) oral suspension under fasted conditions on Day 1 of Treatment ST in each treatment sequence under each assigned period. Each of the 4 periods were separated by a washout of 7 days. | Givinostat | CCN(CC)Cc1ccc2cc(COC(=O)Nc3ccc(C(=O)NO)cc3)ccc2c1 | M09AX14 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04821063 | NCT04821063_EG003 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 31 | Inclusion Criteria:
Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening), greater than or equal to (>=) 18 and less than or equal to (<=) 55 years of age, with body mass index (BMI) greater than (>) 18.5 and less than (<) 30.0 kilograms per meter square (kg/m^2) and body weight >=55 kilograms (kg) and <=100 kg for females and body weight >=60 kg and <=100 kg for males.
Healthy as defined by:
The absence of clinically significant illness and major surgery within 4 weeks prior to dosing. Participants vomiting within 24 hours pre-dose will be carefully evaluated for upcoming illness/disease. Inclusion pre-dosing of the patient in the study is at the discretion of the Investigator, depending on his/her clinical judgement.
The absence of clinically significant history of neurological, endocrinal, cardiovascular, pulmonary, hematological, immunologic, psychiatric, gastrointestinal, renal, hepatic, and metabolic disease.
Non-childbearing potential female defined as:
Post-menopausal female (absence of menses for 12 months prior to the first study drug administration, bilateral oophorectomy or hysterectomy with bilateral oophorectomy at least 6 months prior to the first study drug administration); or
Surgically sterile female (hysterectomy or tubal ligation at least 6 months prior to drug administration).
Females of childbearing potential who are sexually active with a male partner must be willing to use one of the following acceptable contraceptive methods throughout the study and for at least 90 days after the last study drug administration:
Simultaneous use of intra-uterine contraceptive device, without hormone release system placed at least 4 weeks prior to study drug administration, and condom for the male partner;
Simultaneous use of diaphragm or cervical cap with intravaginally applied spermicide and male condom for the male partner, started at least 21 days prior to study drug administration;
Male participants who are not vasectomized for at least 6 months, and who are sexually active with a female partner of childbearing potential (childbearing potential females are defined as women that are neither post-menopausal nor surgically sterile) must be willing to use one of the following acceptable contraceptive methods from the first study drug administration until at least 90 days after the last study drug administration:
Simultaneous use of a male condom and, for the female partner, hormonal contraceptives used since at least 4 weeks or intra-uterine contraceptive device placed since at least 4 weeks;
Simultaneous use of a male condom and, for the female partner, a diaphragm or cervical cap with intravaginally applied spermicide.
Male participants (including men who have had a vasectomy) with a pregnant partner must agree to use a condom from the first study drug administration until at least 90 days after the last study drug administration.
Male participants must be willing not to donate sperm until 90 days following the last study drug administration.
Female participants must be willing not to donate ovules until 90 days following the last study drug administration.
Participant's written informed consent obtained prior to any study-related procedure.
Willingness and capability to comply with the requirements of the study and ability to understand the study procedures and the risks involved.
Willing to take out dentures and mouth piercings for study procedures.
Exclusion Criteria:
Any clinically significant abnormality at physical examination, clinically significant abnormal laboratory test results or positive test for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C found during medical screening.
Clinically significant vital sign abnormalities (systolic blood pressure lower than 90 or over 140 millimeter of mercury [mmHg], diastolic blood pressure lower than 60 or over 90 mmHg, or heart rate less than 40 or over 100 beats per minute [bpm]) at screening. For eligibility purposes, not the mean value, but the two single measurements will be considered.
Any of the following abnormalities on 12-lead ECG at screening. PR (PR interval) >210 millisecond (msec); QRS (QRS complex) >120 msec; QTcF >450 msec; any abnormality of cardiac rhythm other than sinus arrhythmia; abnormality of T-wave morphology that will impair the ability to measure the QT interval reliably. The averaged value of three ECGs 5 minutes apart from each other will be used; evaluations have to be used for the evaluation of the QTc interval requested by this exclusion criteria.
Participants with history of sustained and non-sustained cardiac arrhythmias (ECG demonstrated), participants with a family history of sudden cardiac death and participants with a history of additional risk factors for TdP, heart failure, hypokalemia, LQTS).
Any of the following abnormal laboratory test values at screening or at baseline (Day -1) of Period 1:
Platelet count <125*10^9 per liter (/L)
Absolute neutrophil count <1.2*10^9/L
Participants who have cardiovascular condition such as, but not limited to unstable ischemic heart disease, New York Heart Association (NYHA) Class III/IV left ventricular failure, acute ischemic heart disease in the last year prior to study screening, which may impact the safety of the participant or the evaluation of the result of the study according to the Investigator's judgment; cardiovascular conditions should be discarded based on the results obtained on the ECG, medical examination and routine lab test.
Positive urine drug screen, alcohol breath test or urine cotinine test at screening or at baseline (Day -1).
History of anaphylaxis reaction or clinically significant drug hypersensitivity reaction (e.g., angioedema, Stevens-Johnson syndrome, Acute Generalized Exanthematous Pustulosis, Drug-induced hypersensitivity syndrome, Drug-induced neutropenia).
History of allergic reactions to ITF2357, histone deacetylases (HDAC) inhibitors, or other related drugs, moxifloxacin, other quinolones, or to any excipient in the formulation.
Positive pregnancy test at screening or at baseline (Day -1).
Participants with a sorbitol intolerance or sorbitol malabsorption or have fructose intolerance.
Current or recent (within 3 months of study drug administration) clinically significant gastrointestinal disease that can interfere with drug absorption.
Gastrointestinal surgery that interferes with physiological absorption and motility (i.e., gastric bypass, duodenectomy) or gastric bands.
History of significant alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit (more than 14 units of alcohol per week [1 unit = 150 milliliter [mL] of wine, 360 mL of beer, or 45 mL of 40 percent [%] alcohol]).
History of significant drug abuse within 1 year prior to screening or use of soft drugs (such as marijuana) within 3 months prior to the screening visit or hard drugs (such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives) within 1 year prior to screening.
Use of ITF2357 for a medical condition or in the context of another clinical trial within a period of 30 days prior to the first dosing.
Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the first dosing, administration of a biological product in the context of a clinical research study within 90 days prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration.
Use of medications for the timeframes specified below, with the exception of medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the pharmacokinetic profile of the study drug or participant safety (e.g., topical drug products without significant systemic absorption):
Prescription medications within 14 days prior to the first dosing;
OTC products (with the exception of the occasional use of acetaminophen [up to 2 grams [g] daily]) and natural health products (including herbal remedies, homeopathic and traditional medicines, probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements used in sports) within 7 days prior to the first dosing;
Depot injection or implant of any drug within 3 months prior to the first dosing;
Any drugs known to induce or inhibit hepatic drug metabolism (including St. John's wort) within 30 days prior to the first dosing.
Donation of plasma within 7 days prior to dosing. Donation or loss of blood (excluding volume drawn at screening) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to the first dosing.
Breast-feeding participant.
Inability to be venipunctured and/or tolerate catheter venous access;
Inability or difficulty to swallow tablets or suspension.
Any reason which, in the opinion of the Investigator, would prevent the participant from participating in the study.
History or presence of other diseases, metabolic dysfunctions, physical examination findings, or any clinically relevant abnormal laboratory value at screening suggesting an unknown disease and requiring further clinical investigation or which may impact the safety of the participant or the evaluation of the result of the study according to the Investigator's judgment. | Participants received orally a single dose of moxifloxacin hydrochloride 400 mg tablets under fasted conditions on Day 1 of Treatment M in each treatment sequence under each assigned period. Each of the 4 periods were separated by a washout of 7 days. | Moxifloxacin Hydrochloride | COc1c(N2CC3CCCNC3C2)c(F)cc2c(=O)c(C(=O)O)cn(C3CC3)c12.Cl | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04822597 | NCT04822597_EG002 | No | Female | Adult | Older Adult | Phase 3 | 167 | Inclusion Criteria:
greater than or equal to 18 years of age
biopsy proven breast cancer
standard radiotracer injection (intradermal injection in the upper outer quadrant of the involved breast)
radiotracer injection occurs on the same day as sentinel lymph node surgery
Exclusion Criteria:
males
pregnancy
local anesthetic allergy or active use of the following medications:
Abametapir (risk X)
Conivaptan (risk X)
Fusidic Acid (risk X)
Idelalisib (risk X)
Mifepristone (risk D)
Stiripentol (risk D)
Amiodarone (risk C)
Dofetilide (risk C)
Dronedarone (risk C)
Ibutilide (risk C)
Sotalol (risk C)
Vernakalant (risk C)
Non-English speaking/reading
Unable to provide informed consent
Unable to participate with surveys
Undergoing radiotracer injection the day prior to surgery or intra-operatively at the time of initial surgical scheduling
If patients are initially scheduled for same-day preoperative injection, complete all enrollment procedures (including randomization), and surgery is re-scheduled for a day prior to surgery or for intra-operative injection, they will be excluded if:
randomized to a lidocaine patch arm (Arms C or D)
re-scheduled for an intra-operative injection • Planned non-standard radiotracer injection site | A lidocaine patch (4% topical) will be placed on the breast for at least one hour prior to radioactive tracer injection. | Lidocaine | CCN(CC)CC(=O)Nc1c(C)cccc1C | C01BB01 | C05AD01 | D04AB01 | N01BB02 | N01BB52 | R02AD02 | S01HA07 | S02DA01 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04824365 | NCT04824365_EG000 | No | All | Adult | Phase 2 | Phase 3 | 30 | Inclusion Criteria:
Individuals with a confirmed COVID-19 viral infection, as determined by a qualified laboratory test. A nasal swab or saliva test analyzed by qPCR for COVID19.
Individuals who agree to abstain from sexual intercourse, or agree to use condoms or vaginal diaphragms or other devices designed to prevent contraception, during the entire course of the study
Exclusion Criteria
Viral infections other than COVID-19.
Clinically significant cardiac disease including uncontrolled congestive heart failure and unstable angina
Pregnancy
Females of child bearing potential age not on adequate contraception or lactating
Subjects receiving systemic corticosteroid treatment within one month of Screening Visit
Subjects Less than 18 years of age
Hospitalization within last 6 months due to acute exacerbation of airway disease
Subjects with a clinically significant abnormal chest x-ray within past 12 months
Medication changes within one month of study entry
Subjects who have participated in another investigation drug treatment study within the previous month.
Subjects with a current history of alcohol or recreational drug abuse.
Subjects who have taken dietary supplements containing pyruvate within 24 hours prior to the screening visit.
Inclusion of Women and Minorities Every attempt will be made to include all genders, and minorities that present with an active COVID-19 infection that are not exempted due to exclusion criteria.
- | In this arm, patients will be provided with N115 sodium pyruvate nasal spray and instructed to use it 3x daily for 14 days. This group will be compared to the placebo control group to determine if sodium pyruvate reduces the symptoms, duration and replication of COVID-19 infections.
Sodium Pyruvate: Subjects will use a sodium pyruvate nasal spray 3x daily for 14 days. | Sodium pyruvate | CC(=O)C(=O)[O-].[Na+] | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04826484 | NCT04826484_EG001 | No | All | Child | Adult | Older Adult | Phase 3 | 52 | Inclusion Criteria:
Pediatric patients 6 years and older undergoing minor pediatric urologic surgery
Patients who are otherwise eligible to receive routine care following minor urologic surgery
Exclusion Criteria:
Contraindication to receiving local anesthetics (i.e. pre-existing cardiac, renal, hepatic dysfunction)
Pediatric patients younger than 6 years of age
Pediatric patients with a history of pain syndromes or are unable to tolerate opiate medication
Unwilling to participate in 48 hours and 10-14 day follow-up phone calls | Participants will receive local wound infiltration with 0.25% Bupivacaine alone.
Bupivacaine Hydrochloride: Local wound infiltration with 0.25% bupivacaine. | Bupivacaine hydrochloride | CCCCN1CCCCC1C(=O)Nc1c(C)cccc1C.Cl | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04829214 | NCT04829214_EG000 | No | All | Adult | Older Adult | Phase 2 | 77 | Inclusion Criteria:
Subject has early-onset subjective unilateral tinnitus that is persistent (consistently aware of their tinnitus throughout much of the waking day).
Subject is able to use the diary to complete their daily tinnitus ratings.
Subject's tinnitus is likely of cochlear origin, e.g., associated with sensorineural hearing loss; acute hearing loss from noise trauma, barotrauma, or traumatic cochlear injury (acute acoustic trauma, blast trauma, middle ear surgery, inner ear barotrauma); age related hearing loss; resolved otitis media; ototoxic drug exposure.
Subject is willing to comply with the protocol and attend all study visits.
Exclusion Criteria:
Subject has pulsatile tinnitus, temporomandibular joint disease (TMJ) associated with tinnitus perception, tinnitus resulting from traumatic head or neck injury, or tinnitus resulting from a tumor or stroke.
Subject is pregnant, lactating, or undergoing fertility treatment.
Subject has other clinically significant illness, medical condition or medical history at Screening or Baseline that, in the Investigator's opinion, would likely reduce the safety of study participation or compliance with study procedures. | Subjects randomized to OTO-313 and received a dose of OTO-313. | Gacyclidine | CC1CCCCC1(c1cccs1)N1CCCCC1 | null | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04829747 | NCT04829747_EG000 | No | All | Adult | Older Adult | Phase 3 | 3 | Inclusion Criteria:
Eligible participants completed the double-blind treatment period, and the safety follow-up period, if applicable, depending on the timing of study initiation, of Study 3101-303-002 without significant protocol deviations and who did not experience an adverse event (AE) that, in the investigator's opinion, may indicate an unacceptable safety risk.
Exclusion Criteria:
Participants requiring any medication, diet, or nonpharmacological treatment on the list of prohibited concomitant medications or treatments, that cannot be discontinued or switched to an allowable alternative. Concomitant medications with demonstrated efficacy for the prevention of migraine is exclusionary, except that participants from lead-in study 3101-303-002 taking 1 medication with demonstrated efficacy for the prevention of migraine may participate in the current study provided that the dose was stable prior to the lead-in study and the participant is willing to continue taking that medication.
Participants with an electrocardiogram (ECG) indicating clinically significant abnormalities at Visit 1.
Participants with hypertension (sitting systolic blood pressure (BP) > 160 mm Hg or sitting diastolic BP > 100 mm Hg) at Visit 1.
Participants with a significant risk of self-harm Columbia-Suicide Severity Rating Scale (C-SSRS), or of harm to others (investigator opinion); participants who report suicidal ideation with intent, with or without a plan, since the last visit, must be excluded.
Participants with clinically significant hematologic, endocrine, cardiovascular, pulmonary, renal, hepatic, gastrointestinal, or neurologic disease. | Participants will receive fixed dose of Atogepant once daily for 12 weeks.
Atogepant: Oral Tablet | Atogepant | C[C@@H]1[C@H](c2c(F)ccc(F)c2F)C[C@H](NC(=O)c2cnc3c(c2)C[C@@]2(C3)C(=O)Nc3ncccc32)C(=O)N1CC(F)(F)F | N02CD07 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04830215 | NCT04830215_EG000 | No | All | Adult | Older Adult | Phase 4 | 120 | Inclusion Criteria:
Male and female participants (outpatients) between the regional age of majority (18 or 19 years of age) to 65 years of age, inclusive, at the time of informed consent.
Primary diagnosis of MDD and in a current non-psychotic major depressive episode (MDE) as defined by Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria, who have been outpatients for at least 4 weeks, and have an inadequate response, per investigator judgment, to 1 or 2 adequate treatments of ADTs in their current MDE, including current ADT.
Participants with a Patient Health Questionnaire 9-item scale (PHQ-9) ≥ 15 at the screening and baseline visits, if separate.
Exclusion Criteria:
Participants currently or previously treated with brexpiprazole including participants who received brexpiprazole in any prior clinical trial.
Participants with a concurrent DSM-5 diagnosis of the following will be excluded:
Schizophrenia or schizoaffective disorder
Bipolar I or bipolar II disorder
Post-traumatic stress disorder
Dementia
Eating disorder
Borderline personality disorder
Antisocial personality disorder
Participants with a suicidality score of 3 based on Inventory of Depressive Symptomatology Self-Report (IDS-SR) suicidality item 18 or participants who, in the opinion of the investigator, presents a serious risk of suicide. | Participants received brexpiprazole as a flexible dose; 0.5 mg to 2 mg, PO, QD, and continued on the stable dose of ADT up to 8 weeks. | Brexpiprazole | O=c1ccc2ccc(OCCCCN3CCN(c4cccc5sccc45)CC3)cc2[nH]1 | N05AX16 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04831047 | NCT04831047_EG000 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 4 | 57 | Inclusion Criteria:
Adults age 18 and above able to provide informed consent to participate
Subject with stable ocular health, defined as no ocular conditions requiring ongoing topical therapy or recent surgical intervention
Exclusion Criteria:
Adults unable to consent
Individuals less than 18 years of age
Prisoners
Pregnant women.
Known contradictions or sensitivities to study medication (oxymetazoline)
Ocular surgery within the past 3 months or refractive surgery within the past six months
Grossly abnormal lid margins, anatomical abnormalities, previous eyelid or orbital surgery
Variable ptosis or eyelid position (e.g., myasthenia gravis, thyroid eye disease, or blepharospasm)
Any ocular or systemic condition that, in the opinion of the investigator, would confound study data, interfere with the subject's study participation, or affected the subject's safety or trial parameters
Presence of an active ocular infection
Prior (within 5 days of beginning study treatment) use of eye whiteners (eg, vasoconstrictors), decongestants, antihistamines (including over the counter and herbal topical ophthalmic medications), phenylephrine dilating drops, any other topical ophthalmic agents
Inability to sit comfortably for 15 - 30 minutes | Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group)
Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye. | Oxymetazoline Hydrochloride | Cc1cc(C(C)(C)C)c(O)c(C)c1CC1=NCCN1.Cl | null | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04831736 | NCT04831736_EG000 | No | Female | Adult | Older Adult | Phase 4 | 31 | Inclusion Criteria:
Adult women, aged 18 to 80 years old, who will undergo mastectomy.
Willing to comply with all study procedures and be available for the duration of the study.
Will be scheduled for elective breast surgery for oncologic indication as follows: mastectomy +/- lymph node dissection, prophylactic mastectomy, unilateral or bilateral, with immediate reconstruction
No distant metastases.
Subject is American Society of Anesthesiologists (ASA) physical status 1, 2, or 3.
Subject is medically stable.
Exclusion Criteria:
Cognitive impairment (by history) or clinical signs of altered mental status such as confusion, amnesia, disorientation, fluctuating levels of alertness, etc. that may interference with adherence to study procedures and/or participant safety.
Past ketamine or phencyclidine misuse or abuse.
Schizophrenia or history of psychosis.
Known sensitivity or allergy to ketamine.
Liver or renal insufficiency.
History of uncontrolled hypertension, chest pain, cardiac arrythmia, stroke, head trauma, intracranial mass or hemorrhage or pressure, glaucoma, acute globe injury, uncontrolled thyroid disease, porphyria, or any other contraindication to ketamine. Use of lamotrigine, alfentanil, physostigmine, and 4-aminopyridine are contraindicated
Pregnancy or nursing women
BMI>35.
Currently participating in another pain interventional trial.
Unwillingness to give informed consent.
Non-English speaking patients as QoR-15 and BCPQ have not been validated in all other languages | Ketamine: Ketamine at a dose of 0.6 mg/kg will be administered intravenously (IV) while the participant is recovering in the PACU. The study drug will be administered over at least 30 minutes at one time point and will be administered after subject has been deemed to be stable (hemodynamically stable, awake) by the study team on POD 0. | Ketamine | CNC1(c2ccccc2Cl)CCCCC1=O | N01AX03 | N01AX14 | N06AX27 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04834362 | NCT04834362_EG001 | No | All | Adult | Older Adult | Phase 4 | 50 | Inclusion Criteria:
• Patients admitted to adult neurology ward with acute stroke with
Patients having hyperglycemia (capillary blood glucose ≥10 mmol/L in 2 or more occasions or having history of treatment for DM)
Patients with age of 18-80 years of both sexes
Patients or their attendants giving consent to take part in the study
Exclusion Criteria:
Patients with hyperglycemic emergencies (hyperglycemic hyperosmolar state or diabetic ketoacidosis)
Pregnant patients
Those not giving consent to participate in the study | Patients treated with human insulin regimen will receive 50% of total daily dose as NPH insulin at around 6 am and 6 pm, while the rest 50% regular human insulin three times a day in 3 equally divided doses at around 6 am, 12 pm and 6 pm
Human insulin: Patients treated with human insulin regimen will receive 50% of total daily dose as NPH insulin at around 6 am and 6 pm, while the rest 50% regular human insulin three times a day in 3 equally divided doses at around 6 am, 12 pm and 6 pm. | Humulin N | CCC(C)C(NC(=O)CN)C(=O)NC(C(=O)NC(CCC(=O)O)C(=O)NC(CCC(N)=O)C(=O)NC1CSSCC2NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C(CSSCC(NC(=O)C(CC(C)C)NC(=O)C(Cc3c[nH]cn3)NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)Cc3ccccc3)C(C)C)C(=O)NCC(=O)NC(CO)C(=O)NC(Cc3c[nH]cn3)C(=O)NC(CC(C)C)C(=O)NC(C(C)C)C(=O)NC(CCC(=O)O)C(=O)NC(C)C(=O)NC(CC(C)C)C(=O)NC(Cc3ccc(O)cc3)C(=O)NC(CC(C)C)C(=O)NC(C(C)C)C(=O)NC(C(=O)NCC(=O)NC(CCC(=O)O)C(=O)NC(CCCNC(=N)N)C(=O)NCC(=O)NC(Cc3ccccc3)C(=O)NC(Cc3ccccc3)C(=O)NC(Cc3ccc(O)cc3)C(=O)NC(C(=O)N3CCCC3C(=O)NC(CCCCN)C(=O)NC(C(=O)O)C(C)O)C(C)O)CSSCC(C(=O)NC(CC(N)=O)C(=O)O)NC(=O)C(Cc3ccc(O)cc3)NC(=O)C(CC(N)=O)NC(=O)C(CCC(=O)O)NC(=O)C(CC(C)C)NC(=O)C(CCC(N)=O)NC(=O)C(Cc3ccc(O)cc3)NC(=O)C(CC(C)C)NC(=O)C(CO)NC2=O)NC1=O)C(C)C | A10AE01 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04847141 | NCT04847141_EG002 | No | All | Adult | Older Adult | Phase 3 | 156 | Inclusion Criteria:
Ambulatory male or female outpatients ≥ 18 years of age who have laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection as determined by qualitative PCR (reverse transcriptase (RT)-PCR), or other commercial or public health assay approved by regulatory authorities as a diagnostic test for COVID-19 (inclusive of SARS-CoV-2 antigen testing or other approved rapid testing platforms) in any specimen ≤ 5 days prior to randomized treatment.
Asymptomatic with no constitutional COVID-19 illness (evident symptoms), specifically no fever, cough, shortness of breath, fatigue, anorexia, vomiting/diarrhea, headache that is unrelated to pre-existing conditions (example, migraine), sore throat that is unrelated to other pre-existing medical conditions (example, allergies, gastroesophageal reflux disease), myalgias, olfactory disorders unrelated with previous medical condition, or evidence of pneumonia at Screening.
Pulse oximetry peripheral oxygen saturation (SpO2) (oxygen saturation) on room air > 94% (i.e., 95% to 100%) at Screening.
National Early Warning Score (NEWS) ≤ 2 points at Screening.
Participant provides informed consent (ICF) prior to initiation of any study procedures.
Exclusion Criteria:
Participants who are admitted to hospital or for whom hospital admission is being planned at the time of Screening.
Participants requiring any form of oxygen supplementation at Screening.
Concurrent or planned treatment with other agents with actual or possible direct antiviral activity against SARS-CoV-2 including remdesivir.
Prior, concurrent or planned treatment with monoclonal antibodies (mAbs) against SARS-CoV-2
Have participated in a previous SARS-CoV-2 vaccine study OR outside of a study have received any SARS-CoV-2 vaccine of any kind.
Have a history of convalescent COVID-19 plasma treatment at Screening.
Fever (temperature ≥38.0° C [≥100.4° F]), measured orally, requirement for antipyretics to reduce temperature (administered for fever), and/or respiratory symptoms (cough, dyspnea) at Screening.
Clinical evidence of any significant acute or chronic disease that, in the opinion of the investigator, may place the participant at undue medical risk for study treatment.
The participant has had a known (documented) history of serious anaphylactic reaction to blood, any blood-derived plasma product or commercial immunoglobulin, or has known selective immunoglobulin A (IgA) deficiency with anti-IgA antibodies.
Decompensated congestive heart failure or renal failure with fluid overload. This includes currently uncontrolled congestive heart failure New York Heart Association Class III or IV stage heart failure.
Participants for whom there is limitation of therapeutic effort such as "Do not resuscitate" status.
Currently participating in another interventional clinical trial with investigational medical product or device.
Participants with known (documented) thrombotic complications to polyclonal intravenous immune globulin (IVIG) therapy in the past.
Participant has medical condition (other than COVID-19) that is projected to limit lifespan to ≤ 1 year.
Participant has history of drug or alcohol abuse within the past 12 months.
Participant is unwilling to commit to follow-up visits.
Women who are pregnant or breastfeeding, or if of childbearing potential, unwilling to practice a highly effective method of contraception (oral, injectable, or implanted hormonal methods of contraception, placement of an intrauterine device or intrauterine system, condom, or occlusive cap with spermicidal foam/gel/cream/suppository, male sterilization, or true abstinence) throughout the study.
True abstinence: When this is in line with the preferred and usual lifestyle of the participant. (Periodic abstinence [e.g., calendar, ovulation, symptothermal, post-ovulation methods], declaration of abstinence for the duration of a trial, and withdrawal are not acceptable methods of contraception).
Note: Women who are >55 years and with the absence of menses in the last 12 months are considered to be not of childbearing potential. Female participants of childbearing potential must have a negative test for pregnancy blood or urine human chorionic gonadotropin (hCG)-based assay at Screening/Baseline Visit. | Participants received C19-IG 20% matching placebo as SC infusion containing two syringes of 5 mL each sterile 0.9% NaCl injection on Day 1. | SODIUM CHLORIDE | [Cl-].[Na+] | A12CA01 | B05CB01 | B05XA03 | S01XA03 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04854551 | NCT04854551_EG000 | Accepts Healthy Volunteers | All | Adult | Phase 1 | Phase 2 | 13 | Inclusion Criteria:
Between 18 and 35 years of age,
Is a moderate drinker (i.e. consumes 1-14 drinks/week for males, or 1-7 drinks/week for females).
Exclusion Criteria:
Non-drinker
Positive result on urine drug screen or breathalyzer at the start of any study visit
Inability to complete MRI (e.g. presence of ferromagnetic objects in body)
Current use of medications that alter the hemodynamic response such as insulin
History of trauma resulting in loss of consciousness longer than 15 minutes
Currently taking opioid medications
Pregnancy | Participants who received Naltrexone capsules for 5 days (25mg for days 1 and 2, then 50mg for days 3, 4, and 5) before either the first or second scanning session. | Naltrexone | [H][C@@]12Oc3c(O)ccc4c3[C@@]13CCN(CC1CC1)[C@]([H])(C4)[C@]3(O)CCC2=O | A08AA62 | N02AA56 | N07BB04 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04859660 | NCT04859660_EG000 | No | Female | Adult | Older Adult | Phase 2 | 81 | Inclusion Criteria:
Women 18-80 undergoing outpatient minimally invasive hysterectomy
Exclusion Criteria:
Inability to provide informed consent
Bladder malignancy
Intra-operative bladder or ureteral injury; anticipated prolonged bladder catheterization
Plan for sling or anterior repair | Tamsulosin arm: Participants will be given Tamsulosin in the pre-op bay | Tamsulosin | CCOc1ccccc1OCCN[C@H](C)Cc1ccc(OC)c(S(N)(=O)=O)c1 | G01AE10 | G04CA02 | G04CA52 | G04CA53 | G04CA54 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04860518 | NCT04860518_EG001 | No | All | Adult | Older Adult | Phase 2 | 3 | Inclusion Criteria:
Age ≥18 years
Positive SARS-CoV-2 test by PCR (polymerase chain reaction) or other diagnostic method within the past 7 days
Admission to hospital with respiratory symptoms of COVID-19 requiring hospital care and oxygen supplementation (≤ 8L/min)
Respiratory symptom onset no more than 7 days prior to hospital arrival
Informed consent from the subject or the subject's personal legal representative or a professional legal representative must be available
Exclusion Criteria:
Unable to screen, randomize and administer study drug within 48 hours from arrival to hospital
Systemic corticosteroid, baricitinib or tofacitinib (or other JAK-STAT signalling pathway inhibitors) therapy within 7 days prior to arrival to hospital or planned for the next days
Known hypersensitivity or contraindication to natural or recombinant IFN-beta-1a or its excipients, or to dexamethasone or its excipients
Currently receiving IFN-beta-1a therapy
Home assisted ventilation (via tracheotomy or non-invasive) except for Continuous Positive Airway Pressure (CPAP) / Bilevel Positive Airway Pressure (BIPAP) used only for sleep-disordered breathing
Participation in another concurrent interventional pharmacotherapy trial during the study period
Decision to withhold life-sustaining treatment; patient not committed to full support (except DNR after cardiac arrest only)
Woman known to be pregnant, lactating or with a positive pregnancy test (urine or serum test)
Subject is not expected to survive for 24 hours
Subject has liver failure (Child-Pugh grade C)
Any clinical condition that in the opinion of the attending clinician or Investigator would present a risk for the subject to participate in the study | Patients receiving active comparator: will receive two separate bolus injections one containing saline and another injection containing Dexamethasone.
Dexamethasone: Treated daily with dexamethasone 6 mg as an IV bolus for 6 days while hospitalised | Betamethasone | CC1CC2C3CCC4=CC(=O)C=CC4(C)C3(F)C(O)CC2(C)C1(O)C(=O)CO | A01AC02 | A07EA04 | C05AA05 | C05AA09 | D07AB19 | D07AC01 | D07BC01 | D07CB04 | D07CC01 | D07XB05 | D07XC01 | D10AA03 | H02AB01 | H02AB02 | R01AD03 | R01AD06 | R01AD53 | R03BA04 | S01BA01 | S01BA06 | S01BB04 | S01CA01 | S01CA05 | S01CB01 | S01CB04 | S02BA06 | S02BA07 | S02CA06 | S03BA01 | S03BA03 | S03CA01 | S03CA06 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04860804 | NCT04860804_EG001 | No | All | Adult | Older Adult | Phase 4 | 60 | Inclusion Criteria:
Patients age 18 and older
acute musculoskeletal pain
initial pain score of 5 or more on a standard 11- point (0 to 10) numeric rating scale.
awake, alert, and oriented to person, place, and time
Exclusion Criteria:
altered mental status,
allergy to aspirin and ketamine,
pregnant
unstable vital signs (systolic blood pressure <90 or>180 mm Hg, pulse rate <50 or >150 beats/ min, and respiration rate <10 or >30 breaths/min)
inability to provide consent
consumption of Aspirin or NSAID's within 6 hours of arrival to the ED
active PUD
history of GI Hemorrhage
history of renal and hepatic insufficiency
past medical history of alcohol or drug abuse
schizophrenia | Drug: Proprietary oral formulation of 0.5mg/kg of ketamine
Oral Ketamine: Proprietary oral formulation of 0.5mg/kg of ketamine | Ketamine | CNC1(c2ccccc2Cl)CCCCC1=O | N01AX03 | N01AX14 | N06AX27 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04870606 | NCT04870606_EG000 | No | All | Adult | Older Adult | Phase 3 | 365 | Inclusion Criteria:
The subject or legally authorized representative give signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
Understand and agree to comply with planned study procedures.
Male subjects with age ≥18 years of age at the time of randomization.
Are currently not hospitalized.
Have one or more mild or moderate symptom(s) COVID-19-related symptoms within 5 days of onset of symptoms onset
Must have first positive SARS-CoV-2 viral infection determination (has laboratory-confirmed SARS-CoV-2 infection as determined by PCR, or other commercial or public health assay in any specimen) ≤3 days prior to start of the first dose.
Regardless of their fertility status, male subjects must agree to either remain abstinent (if this is their preferred and usual lifestyle) or use condoms as well as one additional highly effective method of contraception (less than 1% failure rate) or effective method of contraception with nonpregnant women of childbearing potential partners for the duration of the study and until 90 days after the last dose.
Use an acceptable method of contraception such as:
Highly effective methods of contraception (less than 1% failure rate) comprise, but are not limited to
combination oral contraceptives
implanted contraceptives, or
intrauterine devices.
Effective methods of contraception comprise but are not limited to
diaphragms with spermicide or cervical sponges.
men and their partners may choose to use a double-barrier method of contraception that must include use of a spermicide.
Agree to the collection of nasopharyngeal swabs and venous blood.
Exclusion Criteria:
Have SpO2 ≤ 93% on room air at sea level or PaO2/FiO2 < 300, respiratory rate ≥30 per minute, heart rate ≥125 per minute
Estimated glomerular filtration rate (eGFR) < 30 ml/min
Serum total bilirubin > 1.5 x ULN (upper limit of normal) and AST and ALT >3x ULN
Subjects with significant cardiovascular disease as following:
i. heart failure NYHA class ≥3 ii. left ventricular ejection fraction <50% iii. those with a history of cardiac arrhythmias, including long QT syndrome.
Has been admitted to a hospital prior to randomization, or is hospitalized (inpatient) at randomization, due to COVID-19 or requires treatment with supplemental oxygen.
Have known allergies to any of the components used in the formulation of the interventions.
Have hemodynamic instability requiring use of vasopressors within 24 hours of randomization.
Suspected or proven serious, active bacterial, fungal, viral, or other infection (except COVID-19) that in the opinion of the investigator could constitute a risk when taking intervention (i.e. known history of human immunodeficiency virus [HIV]).
Have any co-morbidity requiring surgery within <7 days, or that is considered life-threatening within 30 days.
Have any serious concomitant systemic disease, condition, or disorder that, in the opinion of the investigator, should preclude participation in this study. | Proxalutamide (GT0918): Proxalutamide (GT0918)+Standard of care determined by PI and local regulatory | Proxalutamide | CC1(C)C(=O)N(c2ccc(C#N)c(C(F)(F)F)c2F)C(=S)N1c1ccc(CCCc2ncco2)nc1 | null | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04870671 | NCT04870671_EG001 | Accepts Healthy Volunteers | Female | Adult | Early Phase 1 | 7 | Inclusion Criteria:
Age 18 to 50 years, inclusive
General good health (by volunteer history and per investigator judgment) without any clinically significant systemic disease (including, but not limited to significant liver disease/hepatitis, gastrointestinal disease, kidney disease, thyroid disease, osteoporosis or bone disease, and diabetes) and with an intact gastrointestinal tract, uterus and cervix.
Estimated calculated creatinine clearance (eCcr) of at least 80 mL/min
Body Mass Index (BMI) of ≥18 and <35kg/m2; and a total body weight >45 kg (99.2 lbs)
Willing to give voluntary consent and sign an informed consent form
Willing and able to comply with protocol requirements, including swallowing tablets
Must be protected from pregnancy by:
Condoms
Hormonal contraceptives
Copper or Levonorgestrel intrauterine device (IUD)
Sterilization of either partner
Heterosexual abstinence
Same sex relationship
If in a relationship, must be in a mutually monogamous relationship with a partner who is not known to be HIV positive and has no known risk of STIs
Exclusion Criteria:
Currently pregnant
Currently breastfeeding or planning to breastfeed during the course of the study
In the last three months, diagnosed with or treated for any STI
Positive test for HIV, or Hepatitis B surface antigen (HBsAg)
Systemic use in the last two weeks or anticipated use during the study of any of the following: antiretrovirals (e.g. Viread®, Atripla®, Emtriva®, or Complera®), or drugs that may interact with TFV (e.g., protease inhibitors, anticonvulsants, antimycobacterials, St. John's Wort).
Participation in any other investigational trial with use of a drug/device within the last 30 days or planned participation in any other investigational trial with use of a drug/device during the study
Grade 2 or higher laboratory abnormality, per the 2014 update of the Division of AIDS, National Institute of Allergy and Infectious Disease (DAIDS) Table for Grading the Severity of Adverse Events, or clinically significant laboratory abnormality as determined by the clinician
Abnormal finding on laboratory or physical examination or a social or medical condition in the volunteer which, in the opinion of the investigator, would make participation in the study unsafe or would complicate interpretation of data | TDF/FTC (300/2200 mg), 3 pills/week. Total of 6 pills
Tenofovir Disoproxil Fumarate: Women will take 1 pill orally according the dosing regimen of the arm to which they are assigned | Tenofovir | C[C@H](Cn1cnc2c(N)ncnc21)OCP(=O)(O)O | null | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
NCT04871425 | NCT04871425_EG000 | Accepts Healthy Volunteers | Female | Child | Adult | Older Adult | Phase 4 | 110 | Inclusion Criteria:
Aged 14 years or older
Voluntarily requesting surgical pregnancy termination
Intrauterine pregnancy up to 13 weeks 6 days by transabdominal or transvaginal ultrasound performed on day of procedure
Eligible for suction curettage
English or Spanish speaking
Able and willing to give informed consent and agree to terms of the study
Exclusion Criteria:
Age less than 14 years
Reaspiration procedure or failed medication abortion
Early pregnancy loss
Alcohol use disorder or acute alcohol intoxication
Currently incarcerated
Gestational age 14 weeks or more
Requesting a specific pain regimen
Premedication with misoprostol
Contraindications or allergies to ketamine or fentanyl | Participant will receive 2mg IV midazolam and 0.2-0.5mg/kg IV ketamine over 2 minutes, which can be repeated q5 minutes until appropriate analgesia is achieved.
Ketamine: IV ketamine | Ketamine | CNC1(c2ccccc2Cl)CCCCC1=O | N01AX03 | N01AX14 | N06AX27 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04880642 | NCT04880642_EG000 | No | All | Adult | Older Adult | Phase 3 | 134 | Inclusion Criteria:
Age ≥18 years or the legal age of consent in the jurisdiction in which the trial was taking place at the time of signing the informed consent (Specific for India; Age ≥18 to ≤65 years at the time of signing the informed consent)
Hospitalized due to SARS-CoV-2 infection confirmed by a hospital-approved polymerase chain reaction (PCR) test, documented by either of the following:
PCR positive in sample collected <72 hours prior to randomization (Visit 2); OR
PCR positive in sample collected ≥72 hours and ≤7 days prior to randomization, documented inability to obtain a repeat sample AND progressive disease suggestive of ongoing SARS-CoV-2 infection
A score of 5 or 6 on the 8-point ordinal scale:
Score 5: Hospitalized, requiring supplemental oxygen
Score 6: Hospitalized, on non-invasive ventilation or high-flow oxygen device
Contraceptive use by men and women of childbearing potential consistent with local regulations regarding the methods of contraception for those participating in clinical studies and according to Appendix 3 in the Protocol (see Section 10.3)
Written informed consent, consistent with International Council for Harmonization Good Clinical Practice Revision 2 and local laws, obtained before the initiation of any trial-related procedure
Capable of giving signed informed consent as described in Appendix 1 in the Protocol (see Section 10.1.3) which includes compliance with the requirements and restrictions listed in the informed consent form and in this Protocol
Country specific:
Specific for India: For subjects with an ordinal scale score of 5, moderate to severe COVID-19 disease confirmed by at an SpO2≤93 % or a respiratory rate≥24/min on room air. Note: If a subject was on supplemental oxygen with SpO2>93% and respiratory rate<24/min, but desaturation to ≤93 % or increase of respiratory rate to ≥24/min on lower supplemental oxygen or room air is documented during screening, the inclusion criterion was considered to be met.
Exclusion Criteria:
Concurrent serious medical condition which in the opinion of the investigator constituted a risk or a contraindication for the participation in the trial or that could interfere with the trial objectives, conduct or evaluation
Known, active tuberculosis, active hepatitis B, C, or human immunodeficiency virus (HIV) infection (i.e., HIV with a CD4 count<500 cells/mm³).
Moderate or severe impairment of hepatic function (e.g., Child-Pugh class B or C where alterations in the score components were not due to another underlying disease (see Section 8.4.5 in the Protocol)).
Severe renal impairment (i.e., estimated glomerular filtration rate (eGFR)≤30 ml/min/1.73m2)
COVID-19 symptom onset >21 days prior to screening (Visit 1).
Hospitalized due to COVID-19 for >72 hours at screening (Visit 1).
Invasive mechanical ventilation or ECMO within 72 hours of screening (Visit 1).
Expected need for invasive mechanical ventilation or ECMO in <48 hours in the opinion of the investigator
Moderate to severe ARDS (e.g., same-day PaO2/FiO2 ≤200 mmHg; or SpO2/FiO2 ≤232 if arterial blood gas test is not available), if on non-invasive mechanical ventilation or high-flow oxygen.
Pregnant or breast-feeding female subjects
Any previous and concurrent experimental treatment for COVID-19 that was not considered local SoC.
Treatment with the medications listed below within 1 week prior to screening (Visit 1) or anticipated need for such medication during the participation in this trial:
Strong Cytochrome P450 (CYP) 3A4 inducers.
P-glycoprotein (P-gp) substrates with narrow therapeutic index.
High dose Breast Cancer Resistance Protein (BCRP) sensitive substrates.
Warfarin.
Sulphasalazine or rosuvastatin.
Current or previous participation in any other clinical trial where the subject had received a dose of IMP within 1 month or 5 half-lives of the IMP, whichever was longest, prior to screening (Visit 1).
Positive pregnancy test (see Section 8.4.6 in the Protocol).
Abnormal laboratory value at screening (Visit 1) indicating a potential risk for the subject if enrolled in the trial as evaluated by the investigator | Oral C21 treatment 100 mg twice daily for 14 days | ASCORBIC ACID | O=C1OC(C(O)CO)C(O)=C1O | A11GA01 | A11GB01 | B03AA10 | G01AD03 | S01XA15 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04881747 | NCT04881747_EG000 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 1 | 47 | Inclusion Criteria:
Are overtly healthy as determined by medical evaluation.
Body mass index (BMI) of 19 to 35 kilograms per meter squared (kg/m²).
Exclusion Criteria:
Have known allergies to lasmiditan, related compounds, or any components of the formulation of lasmiditan, or a history of significant atopy.
Have an abnormal blood pressure and/or pulse rate, as determined by the investigator.
Have clinically significant abnormalities on ECG, as determined by investigator.
Have a history or presence of cardiovascular, respiratory, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study interventions; or of interfering with the interpretation of data.
Have used or are intending to use over-the-counter or prescription medication, including dietary supplements, within 14 days prior to dosing and until study discharge (apart from occasional acetaminophen, hormonal contraception, or hormone-replacement therapy). | Participants received 100 mg lasmiditan as IR tablet formulation administered orally. | Lasmiditan | CN1CCC(C(=O)c2cccc(NC(=O)c3c(F)cc(F)cc3F)n2)CC1 | N02CC08 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04881747 | NCT04881747_EG001 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 1 | 47 | Inclusion Criteria:
Are overtly healthy as determined by medical evaluation.
Body mass index (BMI) of 19 to 35 kilograms per meter squared (kg/m²).
Exclusion Criteria:
Have known allergies to lasmiditan, related compounds, or any components of the formulation of lasmiditan, or a history of significant atopy.
Have an abnormal blood pressure and/or pulse rate, as determined by the investigator.
Have clinically significant abnormalities on ECG, as determined by investigator.
Have a history or presence of cardiovascular, respiratory, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study interventions; or of interfering with the interpretation of data.
Have used or are intending to use over-the-counter or prescription medication, including dietary supplements, within 14 days prior to dosing and until study discharge (apart from occasional acetaminophen, hormonal contraception, or hormone-replacement therapy). | Participants received 100 mg lasmiditan as OD tablet formulation administered orally without water. | Lasmiditan | CN1CCC(C(=O)c2cccc(NC(=O)c3c(F)cc(F)cc3F)n2)CC1 | N02CC08 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04881747 | NCT04881747_EG002 | Accepts Healthy Volunteers | All | Adult | Older Adult | Phase 1 | 47 | Inclusion Criteria:
Are overtly healthy as determined by medical evaluation.
Body mass index (BMI) of 19 to 35 kilograms per meter squared (kg/m²).
Exclusion Criteria:
Have known allergies to lasmiditan, related compounds, or any components of the formulation of lasmiditan, or a history of significant atopy.
Have an abnormal blood pressure and/or pulse rate, as determined by the investigator.
Have clinically significant abnormalities on ECG, as determined by investigator.
Have a history or presence of cardiovascular, respiratory, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study interventions; or of interfering with the interpretation of data.
Have used or are intending to use over-the-counter or prescription medication, including dietary supplements, within 14 days prior to dosing and until study discharge (apart from occasional acetaminophen, hormonal contraception, or hormone-replacement therapy). | Participants received 100 mg lasmiditan as OD tablet formulation administered orally with water. | Lasmiditan | CN1CCC(C(=O)c2cccc(NC(=O)c3c(F)cc(F)cc3F)n2)CC1 | N02CC08 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NCT04882540 | NCT04882540_EG000 | Accepts Healthy Volunteers | All | Adult | Phase 1 | 12 | Inclusion Criteria:
An Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved written Informed Consent form is signed and dated by the subject
Subject is considered reliable and capable of adhering to the protocol (eg, able to understand and complete diaries), visit schedule, or medication intake according to the judgment of the Investigator
Subjects are Chinese males and females born in China between 18 and 45 years of age (both inclusive) whose parents are of Chinese origin
Subjects with body mass index (BMI) from 19 to 24 kg/m^2 (both inclusive). Minimum body weight is equal to or more than 50 kg
Subjects with supine blood pressure levels of between 90 to 150 and 60 to 90 mmHg (inclusive) for systolic and diastolic, respectively, with pulse rate of 50 to 100 beats per minute (bpm) (supine position, inclusive) at Screening Visit
Subjects without clinically relevant abnormalities in a standard 12-lead Electrocardiogram (ECG) at Screening Visit judged by the Investigators
Subjects with laboratory values within the reference range at Screening Visit, or those with values exceeding the reference range but judged by the Investigators to be not clinically significant to their participation in the study
Exclusion Criteria:
Subject has participated in another study of an investigational medicinal product (IMP) (or a medical device) within the previous 30 days or is currently participating in another study of an IMP (or a medical device)
Subject has any medical or psychiatric condition that, in the opinion of the Investigator, could jeopardize or would compromise the subject's ability to participate in this study
Pregnant, lactating, or sexually active women with childbearing potential who are not using a medically accepted birth control method
Subject has a known hypersensitivity to any components of the IMP or any of its excipients
Subjects with any previous or current cardiovascular, respiratory, hepatic, renal, digestive, endocrine, or nervous system disorder that may affect absorption, secretion, metabolism, or excretion of the investigational product per Investigator judgement
Subjects showing a positive result for hepatitis B surface antigen, hepatitis C virus antibody, human immunodeficiency virus antibody, or syphilis test at Screening Visit | Participants received a single dose of BRV 100 mg, orally on Day 1 in the single dose period and received BRV 200 mg/day, orally from Day 5 to 9 and 100 mg on Day 10 in the multiple dose period. | Brivaracetam | CCC[C@@H]1CC(=O)N([C@@H](CC)C(N)=O)C1 | N03AX23 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |