Search Clinical Trials
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Ivosidenib as Post-HSCT Maintenance for AML
Massachusetts General Hospital
IDH1 Mutation
Acute Myeloid Leukemia (AML)
Hematopoietic Stem Cell Transplant (HSCT)
This is a Phase 2 study of the study drug, ivosidenib (a mutant IDH1 inhibitor), compared
to placebo, given to patients with IDH1-mutant acute myeloid leukemia (AML) after
hematopoietic stem cell transplantation (HCT). expand
This is a Phase 2 study of the study drug, ivosidenib (a mutant IDH1 inhibitor), compared to placebo, given to patients with IDH1-mutant acute myeloid leukemia (AML) after hematopoietic stem cell transplantation (HCT). Type: Interventional Start Date: Jan 2026 |
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Open-Label Study of BBO-10203 in Subjects With Advanced Solid Tumors
TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics)
Solid Tumor, Adult
Metastatic Breast Cancer
Advanced Breast Cancer
HER2 Mutation-Related Tumors
HER2-positive Metastatic Breast Cancer
First in human study to evaluate the safety, tolerability, and pharmacokinetics (PK) of
BBO-10203, a PI3Kα:RAS breaker, alone and in combination with other anti-cancer agents in
patients with advanced solid tumors. expand
First in human study to evaluate the safety, tolerability, and pharmacokinetics (PK) of BBO-10203, a PI3Kα:RAS breaker, alone and in combination with other anti-cancer agents in patients with advanced solid tumors. Type: Interventional Start Date: Oct 2024 |
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A Multicenter Phase 1b/2 Study of Adagrasib, Cetuximab, and Cemiplimab for Metastatic Colorectal Ca1
M.D. Anderson Cancer Center
Metastatic Colorectal Cancer
KRAS G12C Mutations
To learn if the drug combination of adagrasib, cetuximab, and cemiplimab can help to
control metastatic CRC with KRAS G12C mutations. expand
To learn if the drug combination of adagrasib, cetuximab, and cemiplimab can help to control metastatic CRC with KRAS G12C mutations. Type: Interventional Start Date: Aug 2024 |
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Development of a Transdiagnostic Intervention for Adolescents at Risk for Serious Mental Illness
Massachusetts General Hospital
Anxiety Disorders
Psychotic Disorders
Depressive Disorder
Psychosocial Functioning
This research study aims to develop a brief group-based treatment called Resilience
Training for Teens, then to test how well it protects high school students with mild
symptoms of depression, anxiety, or having unusual feelings from developing mental
illnesses. expand
This research study aims to develop a brief group-based treatment called Resilience Training for Teens, then to test how well it protects high school students with mild symptoms of depression, anxiety, or having unusual feelings from developing mental illnesses. Type: Interventional Start Date: Mar 2024 |
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Individual Closed-Loop Neuromodulation Therapy for Alzheimer's Disease
Massachusetts General Hospital
Alzheimer Disease
Mild Cognitive Impairment
The project is a placebo-controlled study that aims to use closed-loop transcranial
alternating current stimulation (tACS) to study patients with symptoms of mild cognitive
impairment which is likely due to Alzheimer's disease or another form of dementia
(AD-MCI). Patients will undergo an EEG and c1 expand
The project is a placebo-controlled study that aims to use closed-loop transcranial alternating current stimulation (tACS) to study patients with symptoms of mild cognitive impairment which is likely due to Alzheimer's disease or another form of dementia (AD-MCI). Patients will undergo an EEG and complete some questionnaires and computer tasks during each study visit. The project has the following aims and hypotheses: 1.) To determine the impact of closed-loop 40 Hz tACS on the entrainment of natural gamma rhythms in patients with AD-MCI, 2.) To determine the impact of closed-loop 40 Hz tACS on cognitive performance in patients with AD-MCI, and 3.) To assess the relationship between baseline neurodegenerative burden and impact of tACS. [exploratory] Type: Interventional Start Date: Jan 2025 |
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Gamma Light and Sound Stimulation to Prevent Dementia in Cognitively Normal People at Risk for Alzh1
Massachusetts General Hospital
Alzheimer Disease
Family Members
Alzheimer's disease (AD) is characterized by significant memory loss, toxic protein
deposits (amyloid and tau) in the brain, and changes in the gamma frequency band on EEG.
Gamma waves are important for memory, and in patients with AD, there are fewer gamma
waves in the brain. The Tsai lab found th1 expand
Alzheimer's disease (AD) is characterized by significant memory loss, toxic protein deposits (amyloid and tau) in the brain, and changes in the gamma frequency band on EEG. Gamma waves are important for memory, and in patients with AD, there are fewer gamma waves in the brain. The Tsai lab found that boosting gamma waves in AD mouse models using light and sound stimulation at 40Hz not only reduced amyloid and tau in the brain, but also improved memory. A light and sound device was developed for humans that stimulates the brain at 40Hz that can be used safely at home. The goal of this study is to see if using this device can prevent dementia in people who are at risk for developing Alzheimer's disease. Type: Interventional Start Date: Jun 2024 |
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Screening Trial for Pain Relief in Schwannomatosis (STARFISH)
Massachusetts General Hospital
Schwannomatosis
Schwannomas
Pain, Chronic
This is a placebo-controlled, multi-arm phase II platform screening trial designed to
test the safety, pain responses, and pharmacodynamic activity of multiple experimental
therapies simultaneously in participants with moderate-to-severe pain due to
schwannomatosis (SWN).
This Master Study is bein1 expand
This is a placebo-controlled, multi-arm phase II platform screening trial designed to test the safety, pain responses, and pharmacodynamic activity of multiple experimental therapies simultaneously in participants with moderate-to-severe pain due to schwannomatosis (SWN). This Master Study is being conducted as a platform that may allow participants with pain associated with schwannomatosis to receive a novel intervention throughout this study. Embedded within the Master Study are individual drug sub-studies: - Investigational Drug Sub-Study A: Siltuximab - Investigation Drug Sub-Study B: Erenumab-Aooe Type: Interventional Start Date: Aug 2023 |
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A Study to Assess the Efficacy and Safety of FORE8394 in Participants With Cancer Harboring BRAF Al1
Fore Biotherapeutics
Cancer Harboring BRAF Alterations
HGG
LGG
Solid Tumors
The objective of this Master Protocol is to evaluate the efficacy and safety of
plixorafenib in participants with BRAF altered (BRAF V600E or BRAF fusions) locally
advanced or metastatic solid tumors, or recurrent or progressive primary central nervous
system (CNS) tumors, including rare BRAF V600E1 expand
The objective of this Master Protocol is to evaluate the efficacy and safety of plixorafenib in participants with BRAF altered (BRAF V600E or BRAF fusions) locally advanced or metastatic solid tumors, or recurrent or progressive primary central nervous system (CNS) tumors, including rare BRAF V600E-mutated solid tumors, including anaplastic thyroid, ovarian, cholangiocarcinoma or other rare cancers. Type: Interventional Start Date: Feb 2023 |
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A Trial to Evaluate Multiple Regimens in Newly Diagnosed and Recurrent Glioblastoma
Global Coalition for Adaptive Research
Glioblastoma
Glioblastoma (GBM) adaptive, global, innovative learning environment (GBM AGILE) is an
international, seamless Phase II/III response adaptive randomization platform trial
designed to evaluate multiple therapies in newly diagnosed (ND) and recurrent GBM.
All institutions are enrolling Newly Diagnos1 expand
Glioblastoma (GBM) adaptive, global, innovative learning environment (GBM AGILE) is an international, seamless Phase II/III response adaptive randomization platform trial designed to evaluate multiple therapies in newly diagnosed (ND) and recurrent GBM. All institutions are enrolling Newly Diagnosed participants. Institutions also enrolling Recurrent participants are marked with an asterisk (*). Type: Interventional Start Date: Jul 2019 |
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Inotuzumab Ozogamicin and Post-Induction Chemotherapy in Treating Patients With High-Risk B-ALL, Mi1
Children's Oncology Group
B Acute Lymphoblastic Leukemia
B Lymphoblastic Lymphoma
Central Nervous System Leukemia
Mixed Phenotype Acute Leukemia
Testicular Leukemia
This phase III trial studies whether inotuzumab ozogamicin added to post-induction
chemotherapy and immunotherapy (chemo-immunotherapy) for patients with High-Risk B-cell
Acute Lymphoblastic Leukemia (B-ALL) improves outcomes. Inotuzumab ozogamicin is a
monoclonal antibody, which is a type of prote1 expand
This phase III trial studies whether inotuzumab ozogamicin added to post-induction chemotherapy and immunotherapy (chemo-immunotherapy) for patients with High-Risk B-cell Acute Lymphoblastic Leukemia (B-ALL) improves outcomes. Inotuzumab ozogamicin is a monoclonal antibody, which is a type of protein that can bind to certain targets on the surface of cells. Inotuzumab ozogamicin is a monoclonal antibody that is linked to a type of chemotherapy called calicheamicin. Inotuzumab attaches to cancer cells by binding to the CD22 protein on the surface of the cancer cell and delivering calicheamicin inside the cells to kill them. Other drugs used in the chemotherapy regimen, such as cyclophosphamide, cytarabine, dexamethasone, doxorubicin, daunorubicin, methotrexate, leucovorin, mercaptopurine, prednisone, thioguanine, vincristine, and pegaspargase or calaspargase pegol work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Blinatumomab is a specialized type of monoclonal antibody known as a bispecific T-cell engager (BiTE). It works by simultaneously binding to CD19 on cancer cells and CD3 on normal immune cells, bringing them together to destroy leukemia cells. Blinatumomab is a standard part of chemo-immunotherapy treatment for B-ALL. This trial also studies the outcomes of patients with mixed phenotype acute leukemia (MPAL), and B-lymphoblastic lymphoma (B-LLy) when treated with ALL therapy without inotuzumab ozogamicin or blinatumomab. The overall goal of this study is to understand if adding inotuzumab ozogamicin to standard of care chemo-immunotherapy maintains or improves outcomes in High Risk B-cell Acute Lymphoblastic Leukemia (HR B-ALL). The first part of the study includes the first phase of therapy: Induction. This part will collect information on the leukemia, as well as the effects of the initial treatment, to classify patients into post-induction treatment groups. On the second part of this study, patients with HR B-ALL will receive the remainder of the chemotherapy cycles (consolidation, blinatumomab block 1, interim maintenance 1, blinatumomab block 2, delayed intensification, interim maintenance 2, maintenance), with some patients randomized to receive inotuzumab. The patients that receive inotuzumab will not receive part of consolidation or part of delayed intensification. Other aims of this study include evaluating 1) side effects of treatment using patient-reported outcomes and health-related quality of life, 2) the best ways to help patients adhere to oral chemotherapy regimens, 3) the relationship between levels of inotuzumab ozogamicin in the blood and side effects, 4) the impact of chemo-immunotherapy on the immune system and risk of infection, and 5) the impact of social determinants of health on outcomes. Finally, this study will be the first to track the outcomes of subjects with disseminated B-cell Lymphoblastic Leukemia (B-LLy) or Mixed Phenotype Acute Leukemia (MPAL) when treated with B-ALL chemotherapy. Type: Interventional Start Date: Oct 2019 |
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A Prospective, Multi-center, Randomized Controlled Blinded Trial Demonstrating the Safety and Effec1
LivaNova
Treatment Resistant Depression
Objectives of this study are to determine whether active VNS Therapy treatment is
superior to a no stimulation control in producing a reduction in baseline depressive
symptom severity, based on multiple depression scale assessment tools at 12 months from
randomization. expand
Objectives of this study are to determine whether active VNS Therapy treatment is superior to a no stimulation control in producing a reduction in baseline depressive symptom severity, based on multiple depression scale assessment tools at 12 months from randomization. Type: Interventional Start Date: Sep 2019 |
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RESOLVE: Abemaciclib + Letrozole +/- Metformin or Gedatolisib in Endometrial Cancer
Dana-Farber Cancer Institute
Endometrial Cancer
This research study is studying a combination of targeted therapies as a possible
treatment for estrogen-receptor positive (ER+) endometrial cancer.
The drugs involved in this study are:
- Abemaciclib (also known as Verzenio™)
- Letrozole (also known as Femara®)
- Metformin (also known1 expand
This research study is studying a combination of targeted therapies as a possible treatment for estrogen-receptor positive (ER+) endometrial cancer. The drugs involved in this study are: - Abemaciclib (also known as Verzenio™) - Letrozole (also known as Femara®) - Metformin (also known as Glucophage®) - Gedatolisib (also known as PF-05212384) Type: Interventional Start Date: Dec 2018 |
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Effect of Mindfulness-based Neurofeedback for Adolescents With Elevated Repetitive Negative Thinking
Massachusetts General Hospital
Repetitive Negative Thinking
Neurofeedback
This study will test the hypotheses that adolescent with repetitive negative thinking who
at at-risk for serious mental illness will show greater default mode network (DMN)
connectivity than healthy controls, at-risk adolescents will show greater changes in DMN
connectivity than healthy controls, a1 expand
This study will test the hypotheses that adolescent with repetitive negative thinking who at at-risk for serious mental illness will show greater default mode network (DMN) connectivity than healthy controls, at-risk adolescents will show greater changes in DMN connectivity than healthy controls, and that a longer session of mindfulness based neurofeedback will lead to greater reduction in DMN connectivity. To do so, 50 adolescents with elevated repetitive negative thinking and 50 matched healthy control participants will be enrolled into a double-blind randomized clinical trial of a session of mindfulness training with either active mindfulness-basde neurofeedback or sham mindfulness-based neurofeedback. Type: Interventional Start Date: Nov 2025 |
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iNO300 Therapy in Critically Ill Patients With Pneumonia
Massachusetts General Hospital
Critical Illness
Pneumonia
The goal of this clinical trial is to learn the formation and recovery rate of
methemoglobin (MetHb) in severely sick patients with pneumonia who receive high doses of
inhaled nitric oxide (iNO) therapy at 250 parts per million (ppm), not exceeding 300 ppm.
Meanwhile, the benefits of the therapy to1 expand
The goal of this clinical trial is to learn the formation and recovery rate of methemoglobin (MetHb) in severely sick patients with pneumonia who receive high doses of inhaled nitric oxide (iNO) therapy at 250 parts per million (ppm), not exceeding 300 ppm. Meanwhile, the benefits of the therapy to treat severely sick patients with pneumonia will be explored. Patients who are 18 years or older, newly diagnosed with pneumonia, and severely sick with requirement of a breathing machine could be included. The main questions it aims to answer are: How does methemoglobin change through the iNO treatment? Does iNO therapy increase the number of patients recovering from pneumonia? Researchers will compare iNO treatment to placebo, which means using the same device as the treatment group without delivering the study drug. Participants will: - Receive iNO treatment starting at 250 ppm, not exceeding 300 ppm, 40 min, every 6 hours, from day 1 to day 5 - Be followed up for 60 days Type: Interventional Start Date: Feb 2026 |
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BBO-11818 in Adult Subjects With KRAS Mutant Cancer
TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics)
Non-Small Cell Lung Cancer
NSCLC
PDAC - Pancreatic Ductal Adenocarcinoma
CRC (Colorectal Cancer)
Metastatic Non-Small Lung Cell Cancer
A first in human study to evaluate the safety and preliminary antitumor activity of
BBO-11818, a pan-KRAS inhibitor, in subjects with locally advanced unresectable or
metastatic KRAS mutant solid tumors. expand
A first in human study to evaluate the safety and preliminary antitumor activity of BBO-11818, a pan-KRAS inhibitor, in subjects with locally advanced unresectable or metastatic KRAS mutant solid tumors. Type: Interventional Start Date: Mar 2025 |
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Deep Learning Using Chest X-Rays to Identify High Risk Patients for Lung Cancer Screening CT
Massachusetts General Hospital
Lung Cancer
Health Screening
Early Cancer Detection
Deep Learning
The goal of this clinical trial is to evaluate whether an AI tool that alerts providers
to patients at high 6-year risk of lung cancer based on their chest x-ray images will
improve lung cancer screening CT participation. The main question it aims to answer is:
Does the AI tool improve lung cancer1 expand
The goal of this clinical trial is to evaluate whether an AI tool that alerts providers to patients at high 6-year risk of lung cancer based on their chest x-ray images will improve lung cancer screening CT participation. The main question it aims to answer is: Does the AI tool improve lung cancer screening CT participation at 6 months after the baseline outpatient visit? The intervention is an alert to the provider to discuss lung cancer screening CT eligibility, for patients considered at high risk of lung cancer based on CXR-LC AI tool. Intervention and non-intervention arms will be compared to determine if lung cancer screening CT participation increases. Individuals who are considered high-risk by the tool, but who do not meet the Medicare/USPSTF pack-year or quit-date lung screening eligibility criteria may be offered research lung screening CT. Type: Interventional Start Date: May 2025 |
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Flotufolastat F 18 PET in Men With Very Low PSA Recurrence
Massachusetts General Hospital
Prostate Cancer (Adenocarcinoma)
Prostate Specific Antigen
The purpose of this study is to assess detection rate of flotufolastat F 18 positron
emission tomography (PET) for low prostate specific antigen (PSA) recurrence of prostate
cancer (PC) following radical prostatectomy. expand
The purpose of this study is to assess detection rate of flotufolastat F 18 positron emission tomography (PET) for low prostate specific antigen (PSA) recurrence of prostate cancer (PC) following radical prostatectomy. Type: Observational Start Date: May 2025 |
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A Study of Tacrolimus/Methotrexate/Ruxolitinib Versus Post-Transplant Cyclophosphamide/Tacrolimus/M1
Incyte Corporation
Graft-versus-host Disease (GVHD)
The purpose of this study is to assess Tacrolimus/Methotrexate/Ruxolitinib versus
Post-Transplant Cyclophosphamide/Tacrolimus/Mycophenolate Mofetil in
Non-Myeloablative/Reduced Intensity Conditioning Allogeneic Peripheral Blood Stem Cell
Transplantation expand
The purpose of this study is to assess Tacrolimus/Methotrexate/Ruxolitinib versus Post-Transplant Cyclophosphamide/Tacrolimus/Mycophenolate Mofetil in Non-Myeloablative/Reduced Intensity Conditioning Allogeneic Peripheral Blood Stem Cell Transplantation Type: Interventional Start Date: Apr 2025 |
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Tesamorelin as an Adjunct to Exercise for Improving Physical Function in HIV
Massachusetts General Hospital
HIV-1-infection
Frailty
Impaired Physical Function
Abdominal Obesity
Aging
People with HIV experience earlier impairments in physical function compared to people in
the general population. They also exhibit an earlier presentation and more rapid
development of frailty, a multisystemic syndrome of aging characterized by reduced
activity, fatigue, slowness, weakness, and we1 expand
People with HIV experience earlier impairments in physical function compared to people in the general population. They also exhibit an earlier presentation and more rapid development of frailty, a multisystemic syndrome of aging characterized by reduced activity, fatigue, slowness, weakness, and weight loss. While exercise can improve physical function in people with HIV, it is less effective in doing so than in the general population and is difficult to sustain in the long-term. The goal of this clinical trial is to learn whether the medication tesamorelin will improve physical function and muscle health in adults with HIV when combined with exercise. Tesamorelin is a growth hormone-releasing hormone analogue that is FDA-approved to treat abdominal fat accumulation in people with HIV. While tesamorelin has also been shown to increase muscle mass and improve measures of muscle health, its effects on physical performance and muscle strength have not yet been evaluated. During a 24-week intervention phase, half of participants will be randomly assigned to receive tesamorelin and half of participants will be randomly assigned to receive placebo (a look-alike substance that contains no drug). All participants also will engage in a home-based exercise intervention supervised by an exercise coach. During a subsequent 24-week extension phase, individuals will be monitored off study drug and supervised exercise, and be encouraged to continue to exercise independently. The investigators will investigate effects of tesamorelin on physical function, muscle mass and quality, quality of life, and exercise adherence and self-efficacy. They also will evaluate whether effects of tesamorelin are maintained following treatment cessation. This study may identify an important strategy to improve how individuals aging with HIV function and feel with potential applications to other patient populations. Type: Interventional Start Date: Jul 2025 |
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A Phase 1 Study of AJ1-11095 in Patients With Primary Myelofibrosis (PMF), Post-Polycythemia Vera M1
Ajax Therapeutics, Inc.
Primary Myelofibrosis
Post-Essential Thrombocythemia Myelofibrosis
Post-Polycythemia Vera Myelofibrosis
PMF
PPV-MF
AJX-101 is a first-in-human (FIH), phase 1, non-randomized, multi-center, open-label
clinical trial designed to investigate the safety, tolerability, pharmacokinetics (PK),
clinical activity and changes in biomarkers of an orally administered type II JAK2
inhibitor, AJ1-11095, in subjects with prim1 expand
AJX-101 is a first-in-human (FIH), phase 1, non-randomized, multi-center, open-label clinical trial designed to investigate the safety, tolerability, pharmacokinetics (PK), clinical activity and changes in biomarkers of an orally administered type II JAK2 inhibitor, AJ1-11095, in subjects with primary or secondary myelofibrosis previously treated with at least one type I JAK2 inhibitor. Type: Interventional Start Date: Oct 2024 |
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Study of Arlocabtagene Autoleucel (BMS-986393) a GPRC5D-directed CAR T Cell Therapy in Adult Partic1
Juno Therapeutics, Inc., a Bristol-Myers Squibb Company
Multiple Myeloma
The purpose of this study is to evaluate the effectiveness and safety of Arlocabtagene
Autoleucel (BMS-986393) in participants with relapsed or refractory multiple myeloma. expand
The purpose of this study is to evaluate the effectiveness and safety of Arlocabtagene Autoleucel (BMS-986393) in participants with relapsed or refractory multiple myeloma. Type: Interventional Start Date: Mar 2024 |
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Voice Therapy Per the Rehabilitation Treatment Specification System
Massachusetts General Hospital
Muscle Tension Dysphonia
The goal of this study is to evaluate if using evidence-based, standard ingredient and
target codes from the Rehabilitation Treatment Specification System - Voice Therapy
(RTSS-Voice) in standard of care voice therapy documentation can improve outcomes for
patients with muscle tension dysphonia (MT1 expand
The goal of this study is to evaluate if using evidence-based, standard ingredient and target codes from the Rehabilitation Treatment Specification System - Voice Therapy (RTSS-Voice) in standard of care voice therapy documentation can improve outcomes for patients with muscle tension dysphonia (MTD). The main question it aims to answer is: Since the RTSS-Voice will help clinicians think about their treatment more specifically and in relation to nine evidence-based therapies, will its adoption be associated with improved outcomes? Clinicians across five voice centers will be asked to use the RTSS-Voice to document their voice therapy sessions for patients with MTD. Researchers will compare changes in outcomes between two groups of patients: those treated during the clinician's first year using the RTSS-Voice versus those treated during the clinician's second year using the RTSS-Voice. Type: Interventional Start Date: Feb 2026 |
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CAR-T Cell Therapy for Desensitization in Kidney Transplantation
National Institute of Allergy and Infectious Diseases (NIAID)
Kidney Transplant
Kidney Failure
End Stage Renal Failure on Dialysis
This research study is for people who have been waiting for a kidney transplant for at
least one year, and who have a cPRA of 99.5% or higher. Having a cPRA of 99.5% or higher
means that your immune system would reject 99.5% of kidneys available for transplant. The
study will test whether new produ1 expand
This research study is for people who have been waiting for a kidney transplant for at least one year, and who have a cPRA of 99.5% or higher. Having a cPRA of 99.5% or higher means that your immune system would reject 99.5% of kidneys available for transplant. The study will test whether new products called Chimeric Antigen Receptor T Cells (CAR T Cells), when given with chemotherapy, is safe and will reduce cPRA. The main study will last up to 2 years: Participants will have up to 30 clinic or hospital visits over a one-year period. If a transplant takes place, there will be 9 more visits after transplant. Long term follow up is required by the Food and Drug Administration (FDA) for 15 years after receiving CAR T cell. The primary objective is to evaluate the safety and feasibility of administering CART BCMA + huCART-19 following lymphodepletion, including determination of optimal tolerated regimen (OTR) and/or recommended phase 2 regimen, according to the incidence of dose limiting toxicity (DLT) in highly sensitized patients awaiting kidney transplant. Type: Interventional Start Date: May 2024 |
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Mismatch vs. Standard Intervention During Memory Reconsolidation Blockade With Propranolol: Effect1
Massachusetts General Hospital
Stress Disorders, Post-Traumatic
The proposed R21 project will attempt to further develop a novel intervention for
posttraumatic stress symptoms inspired by the science of memory reconsolidation. Work in
normal humans has shown that when a stable, consolidated memory is reactivated (i.e.,
retrieved) under appropriate conditions, i1 expand
The proposed R21 project will attempt to further develop a novel intervention for posttraumatic stress symptoms inspired by the science of memory reconsolidation. Work in normal humans has shown that when a stable, consolidated memory is reactivated (i.e., retrieved) under appropriate conditions, it reverts to an unstable state, a process referred to herein as deconsolidation. In such a state, the memory is susceptible to the action of various "amnestic" agents that may inhibit its reconsolidation, thereby weakening it. The β-adrenergic blocker propranolol (PPNL) possesses such amnestic properties. More recent research has found that in order to initiate deconsolidation, there must be a prediction error, or mismatch, between what is expected and what occurs when the memory is reactivated. Prior placebo-controlled, randomized clinical trials (PBO-RCT) from our laboratory have found that when propranolol is administered concomitant with the reactivation of a psychologically traumatic memory, the memory is weakened, as revealed by subsequent lower physiological (heart rate, skin conductance, facial electromyogram) responding during script-driven mental imagery. Clinical applicability was evaluated in a PBO-RCT, in which PTSD participants receiving propranolol underwent six weekly sessions of 10-20 min of "standard" (STD) traumatic memory reactivation stimulated by reading a narrative. At post-treatment, these participants showed a greater reduction of PTSD symptoms compared to participants who had taken PBO. The goal of the proposed study is to test whether intentionally incorporating innovative mismatch (MM) into traumatic memory reactivation can improve upon physiological responding during script-driven mental imagery. Participants will be randomized to one of 2 treatment arms: STD/PPNL and MM/PPNL. A baseline assessment will measure psychophysiological responsivity to script-driven mental imagery (target measure). PPNL will be administered 90-min prior to each of six weekly 10-20 min. traumatic memory reactivation sessions. In the MM condition, a different, unexpected mismatch (e.g., singing the narrative) will be incorporated into the reactivation. In the STD condition, the participant will read the narrative the same way each time. The focus of the R21 proposal will be to assess whether the MM/PPNL group shows lower subsequent physiological responses than the STD/PPNL group Type: Interventional Start Date: Jun 2023 |
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Microdevice In Ovarian, Fallopian Tube, And Peritoneal Cancer
Brigham and Women's Hospital
Ovarian Cancer
Fallopian Tube Cancer
Peritoneal Cancer
Ovarian Cancer Stage III
Ovarian Cancer Stage IV
This pilot study will assess the feasibility of using an implantable microdevice to
measure local intratumor response to chemotherapy and other clinically relevant drugs in
ovarian, fallopian tube, and primary peritoneal cancer.
The name of the study intervention involved in this study is:
-impla1 expand
This pilot study will assess the feasibility of using an implantable microdevice to measure local intratumor response to chemotherapy and other clinically relevant drugs in ovarian, fallopian tube, and primary peritoneal cancer. The name of the study intervention involved in this study is: -implantable microdevice Type: Interventional Start Date: Nov 2022 |