HLA DQ Alleles Associated with Increased Risk for Developing Anti-drug Antibodies to Infliximab or Adalimumab
Developing Antidrug Antibodies to Infliximab or Adalimumab in HLA DQ Alleles
- Previously received a positive result from either the antibodies to infliximab (INXAB) OR antibodies to adalimumab (ADLAB) test
- Does not meet inclusion criteria, does not provide consent to participate.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 9/13/22. Questions regarding updates should be directed to the study team contact.
Change in Hertel Exophthalmometry and Quality of Life, Following Balanced Decompression and/or Treatment with Medical Therapy in Patients with Thyroid Eye Disease
Change in Hertel Exophthalmometry and Quality of Life After Balanced Decompression to Treat Thyroid Eye Disease
- Patients ≥ 18 years of age.
- Diagnosis of thyroid eye disease; undergoing balanced decompression surgery at Mayo Clinic Rochester.
- Pediatric patients; i.e., those < than age 18.
- Pregnant women, and those with thyroid eye disease + optic neuropathy.
- Patients unable to understand the study consent form.
- Patients who do not plan on following up in the ENT department at Mayo Clinic for their TED.
Eligibility last updated 9/14/22. Questions regarding updates should be directed to the study team contact.
A Randomized, Double-Blinded, Placebo-Controlled, Multicenter, Phase 2, Dose-Ranging Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of SPR720 as Compared With Placebo for the Treatment of Patients With Mycobacterium Avium Complex (MAC) Pulmonary Disease
A Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of SPR720 as Compared with Placebo for the Treatment of Participants with Mycobacterium Avium Complex (MAC) Pulmonary Disease
1. Has a prior diagnosis of NTM-PD due to MAC.
2. Has at least one prior positive culture (sputum or bronchoalveolar lavage) for MAC in
the previous 6 months.
3. Has an induced sputum culture at screening positive for MAC by at least one of the
following methods performed by the microbiological laboratory: quantitative culture on
solid agar or growth on liquid media using Mycobacteria Growth Indicator Tubes (MGIT).
4. Is either treatment naïve and has not received any prior treatment for MAC, OR if
previously treated for MAC and meets all of the following criteria:
1. Has a history of successful treatment with culture conversion;
2. Has recent culture evidence of persistent, recurrent, or relapsed disease; and
3. Has been off therapy for at least 3 months.
5. Has clinical signs and symptoms within the 6 weeks prior to consent that are
consistent with NTM-PD.
6. Has a measured forced expiratory volume in 1 second (% predicted forced expiratory
volume in 1 second [FEV1]) ≥30% on pulmonary function test within 3 months prior to
consent.
1. In the opinion of the Investigator, is not a candidate for a 4-month delay in
initiation of standard multidrug therapy in order to participate in a placebo- controlled
linical trial or observation (e.g., severe symptoms, extensive disease burden).
2. Has disseminated or extrapulmonary NTM.
3. Has end-stage NTM-PD or treatment-refractory NTM-PD.
4. Has isolation on sputum cultures of any species of Mycobacterium other than a species
included in MAC within the past 6 months.
5. Has any other condition or prior therapy, which, in the opinion of the Investigator,
would make the participant unsuitable for this study, including compliance with all
study assessments and adherence to the protocol schedule.
6. Prior exposure to SPR720. Participants who are unable to comply with the requirements
of the study or who in the opinion of the Investigator should not participate in the
study are not eligible.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 9/15/22. Questions regarding updates should be directed to the study team contact.
A Phase 1/2 Multicenter, Open-label, Dose-escalation, Safety, Pharmacodynamic, and Pharmacokinetic Study of Q901 Administered Via Intravenous Infusion in Adult Patients With Selected Advanced Solid Tumors With a Cohort Expansion at the Recommended Phase 2 Dose
Highly Selective CDK7 Inhibitor Q901 in Selected Advanced Solid Tumors
- Participants with histologically or cytologically confirmed advanced or metastatic
ovarian, CRPC, HR+ HER2- breast, endometrial, colorectal, small-cell lung, or
pancreatic cancer, who have progressed following standard-of-care therapy or for whom
there is no standard therapy that confers clinical benefit
- Measurable disease per RECIST v 1.1
- ECOG performance status 0,1 or 2
- Life expectancy of at least 3 months
- Age ≥ 18 years
- Signed, written IRB-approved informed consent form
- New York Heart Association Class III or IV cardiac disease, or myocardial infarction,
severe unstable angina, coronary/peripheral artery bypass graft, congestive heart
failure within the past 6 months
- Have a corrected QT interval (using Fridericia's correction formula) (QTcF) of >470
msec (females) and >450 msec (males)
- Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic
therapy
- Active, poorly controlled autoimmune or inflammatory diseases
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 5/2/23. Questions regarding updates should be directed to the study team contact.
A Prospective Feasibility Study Evaluating the Use of Wearable Devices to Predict and Track Clinical Outcomes in Chronic Migraine
Wearable Devices to Predict and Track Chronic Migraine Clinical Outcomes
- Age 18 years and older (no upper age limit defined).
- History of chronic migraine as defined by the International Headache Society’s International Classification of Headache Disorders (3rd edition)8.
- Receiving onabotulinum toxin A injections following a PREEMPT protocol for treatment of chronic migraine for ≥ 1 year.
- Response to therapy with onabotulinum toxin A injections of ≥ 50% improvement in the frequency of headache days when compared to baseline.
- 4 to 14 average number of total headaches days per month during peak efficacy of onabotulinum toxin A injections.
- Ability to understand study procedures and to comply with them for the entire length of the study and use study devices as outlined in protocol.
- Patient agrees to maintain a daily electronic headache diary.
- Proficient in the use of electronic devices including Apple HomeKit and Apple Watch. Subjects owns an iPhone 6s or later with iOS 15 or later operating system installed on iPhone. Apple watch with watch OS6 will be provided by the study.
- Women of childbearing potential shall either be surgically sterile or must agree not to become pregnant for the duration of the study. Subjects of childbearing potential must agree to use a medically approved form of birth control (abstinence, intrauterine device (IUD), oral contraception, barrier and spermicide or hormonal implant) throughout the duration of the study.
- If female, the subject may not be pregnant or breastfeeding. As per routine clinical care, patients who become pregnant while receiving onabotulinum toxin A injections will stop receiving the injections and detection of pregnancy will be guided by routine clinical practice.
- Chronic daily headache with no periods of headache freedom.
- ≥ 15 average number of headaches days per month during peak efficacy of onabotulinum toxin A injections.
- Medication overuse headache as defined by the International Headache Society’s International Classification of Headache Disorders (3rd edition)8.
- Daily opioid use for > 3 months (e.g., hydrocodone, oxycodone, fentanyl patch) or other daily analgesic use for chronic pain disorders (e.g., NSAIDS or acetaminophen).
- Inability or unwillingness of individual or legal guardian/representative to give written informed consent.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 9/27/22. Questions regarding updates should be directed to the study team contact.
Characterization of Healthy and Degenerated Facet Joint Articular Cartilage, Bone, and Disc and Endplate Cartilage
Facet Joint Articular Cartilage and Disc and Endplate Cartilage Healthy and Degenerated Characterization
- All adult patients ≥ 18 years of age.
- Undergoing spinal fusion surgery in which the facet articular cartilage or disc and endplate cartilage is removed and discarded to allow for spinal fusion. Cervical, thoracic, and lumbar.
- < 18 years of age.
Eligibility last updated 9/19/22. Questions regarding updates should be directed to the study team contact.
Practical assessment of the radiation dose transmitting through the radioprotective garment of pregnant workers in invasive cardiology
A Study of Radiation Dose Transmitting Through the Radioprotective Garments of Invasive Cardiology Workers
- Cardiologists at Mayo Clinic Rochester in Interventional Cardiology, Heart Rhythm Services, Radiology, and Radiation Safety.
- < 18 years of age.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 9/22/22. Questions regarding updates should be directed to the study team contact.
A Phase 1 Study of KTX-1001, an Oral, First-In-Class, Selective, and Potent MMSET Catalytic Inhibitor that Suppresses H3K36me2 in Patients with Relapsed and Refractory Multiple Myeloma
KTX-100 MMSET Catalytic Inhibitor that Suppresses H3K36me2 in Patients with Relapsed and Refractory Multiple Myeloma
- Voluntarily provide informed consent prior to initiation of study specific activities.
- ≥ 18 years of age.
- Eastern Cooperative Oncology Group (ECOG) score ≤ 2.
- Patients must have a confirmed diagnosis of RRMM (as per IMWG):
- Patients must have received at least 3 prior lines of therapy as defined by IMWG, including a PI, an IMiD, and an anti-CD38 antibody;
- Patients must have exhausted available therapeutic options that are expected to provide a meaningful clinical benefit, either through disease relapse, treatment refractory disease, intolerance, or refusal of the therapy;
- For expansion cohorts in Part B only: Have t(4;14) confirmed by standard of care FISH testing or GOF mutation in MMSET confirmed by local sequencing test.
- Measurable disease, including at least 1 of the following criteria:
- Serum M protein (detected by serum protein electrophoresis [SPEP]) ≥ 0.50 g/dL;
- For patients with immunoglobulin class A (IgA) myeloma whose disease can only be reliably measured by quantitative immunoglobulin measurement, a serum IgA ≥ 0.50 g/dL (IgA will similarly be used for response).
- Urine M protein (detected by urine protein electrophoresis [UPEP]) ≥ 200 mg/24 h;
- Serum free light chain (sFLC) involved light chain ≥ 10 mg/dL (100 mg/L) provided sFLC ratio is abnormal;
- ≥ 1 extramedullary lesion on imaging, including ≥ 1 lesion that is ≥ 1 cm in size and able to be followed by imaging assessments (Dose Escalation Only);
- Bone marrow plasma cells ≥ 10% (Dose Escalation Only).
- Serum M protein (detected by serum protein electrophoresis [SPEP]) ≥ 0.50 g/dL;
- Recovery to Grade ≤ 1 for any nonhematologic toxicities due to prior therapy, excluding alopecia or Grade 2 neuropathy.
- Ability and willingness to adhere to study visit schedule and protocol requirements.
- Treatment with the following therapies in the specified time period:
- Radiation, chemotherapy, immunotherapy, or any other anticancer therapy ≤ 2 weeks prior to C1D1;
- Cellular therapies (eg, chimeric antigen receptor T-cell) ≤ 8 weeks prior to C1D1;
- < 100 days post autologous transplant (prior to first dose);
- ≤ 6 months post allogenic transplant prior to C1D1 or if > than 6 months from allogenic transplant, no active graft-versus-host disease requiring treatment;
- Major surgery ≤ 4 weeks from C1D1.
- History of or current plasma cell leukemia, POEMS (polyneuropathy, organomegaly, endocrinopathy, and skin changes) syndrome, solitary bone lesion or bone lesions as the only evidence for plasma cell dyscrasia, myelodysplastic syndrome or a myeloproliferative neoplasm or light chain amyloidosis.
- Active central nervous system (CNS) disease: patients with previously treated stable CNS disease are eligible.
- Inadequate bone marrow function defined by:
- ANC < 1000 cells/mm^3;
- Platelets (PLT) < 75,000 cells/mm^3;
- Hemoglobin < 8 g/dL (may be transfused provided no evidence of active bleeding).
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.5 × upper limit of normal (ULN).
- Direct bilirubin > 1.5 × ULN, > 2 × ULN for patients with documented Gilbert’s syndrome.
- Prothrombin time (PT) or partial thromboplastin time (PTT) international normalized ratio (INR) > 1.5 × ULN, OR INR > 1.5 × ULN or within target range if on prophylactic anticoagulation.
- Creatinine clearance < 50 mL/min by Cockcroft-Gault formula.
- Active, ongoing, or uncontrolled systemic viral, bacterial, or fungal infection. Prophylactic medications, antimicrobials or antiretroviral therapies are permitted provided the agents are not prohibited per Section 6.4.6 and Appendix 1:
- HIV-positive patients with CD4+ T-cell counts < 350 cells/μL or not on a stable antiretroviral regimen for > 4 weeks with a viral load > 400 copies/mL prior to enrollment may not be enrolled;
- Hepatitis C virus (HCV)-positive patients who have not completed curative antiviral treatment and have a quantifiable viral load may not be enrolled;
- Hepatitis B surface antigen (HBs-AG)-positive and hepatitis B core antigen (anti-HBc)-positive patients may be enrolled following a discussion with the Medical Monitor to discuss anti-hepatitis B virus (HBV) prophylaxis. Patients with chronic HBV infection should complete an anti-HBV therapy regimen with follow-up assessment for response and tolerability prior to initiating study medication.
- Use of prohibited medications, including acid reducing agents and strong inhibitors or inducers of CYP3A4 (Appendix 1), within 14 days or 5 half-lives prior to starting KTX-1001.
- Uncontrolled thromboembolic events or recent severe hemorrhage that, in the opinion of the Investigator or Medical Monitor would pose a risk to patient safety or interfere with the study evaluation, procedures or completion.
- Any history of pulmonary embolism or deep vein thrombosis (DVT) within 1 month of enrollment. Therapeutic dosing of anticoagulants (eg, warfarin, low molecular weight heparin, Factor Xa inhibitors) is allowed for history of DVT if > 3 months from time of enrollment.
- Active, unstable cardiovascular function; presence of any of the following:
- Symptomatic ischemia;
- Uncontrolled clinically significant conduction abnormalities (eg, patients with ventricular tachycardia on antiarrhythmics are excluded; patients with first degree atrioventricular or asymptomatic left anterior fascicular block/right bundle branch block will not be excluded);
- Congestive heart failure or New York Heart Association Class ≥ 3;
- Myocardial infarction within 3 months prior to C1D1;
- Uncontrolled hypertension f. QTc > 470 ms.
- Active malignancy not related to myeloma that has required therapy in the last 3 years prior to enrollment or is not in complete remission. Exceptions to these criteria include successfully treated nonmetastatic basal cell or squamous cell skin carcinoma, or prostate cancer that does not require therapy. Other similar malignant conditions may be discussed with and permitted by the Medical Monitor.
- Malabsorption syndrome or other condition affecting oral absorption.
- Men and women of reproductive potential who are unwilling to practice acceptable methods of effective birth control while on study through 6 months (women) or 3 months (men) after receiving the last dose of study drug. Acceptable methods of effective birth control include sexual abstinence (refraining from heterosexual intercourse; men, women); vasectomy; tubal ligation; or a condom with spermicide (men) in combination with barrier methods, hormonal birth control or intrauterine device (women):
- Pregnancy, or females planning on becoming pregnant while on study or through 6 months after last study drug administration; or females who are lactating/breast feeding or who plan to breastfeed while on study through 6 months after last study drug administration;
- Male patients must refrain from sperm donation, or attempt to conceive from study drug administration until 3 months after last dose of study drug.
- History or evidence of any other clinically significant disorder, condition, or disease (except for those outlined above) that, in the opinion of the Investigator or Medical Monitor would pose a risk to patient safety or interfere with the study evaluation, procedures or completion, including inability to find alternative concomitant medications that may be potential risk for drug-drug interaction (DDI).
Assessing the effect of computer-based auditory training on adult cochlear implant speech and quality-of-life outcomes
Cochlear Implant Speech and Quality-Of-Life Outcomes Using Computer-Based Auditory Training
- Adult patients with a diagnosis of bilateral moderate-to-profound sensorineural hearing loss who are undergoing unilateral or simultaneous bilateral cochlear implantation at the Mayo Clinic in Rochester MN.
- Patients undergoing revision implantation, completion bilateral cochlear implantation, or implantation for unilateral deafness will be excluded from enrollment.
- Patients unable or unwilling to use a computer or similar device will be excluded from enrollment.
- Patients will be excluded if they speak a language not supported by the Sound Success platform.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 9/30/22. Questions regarding updates should be directed to the study team contact.
The Effect of Pars Plana Vitrectomy on Ocular Biomechanics and Aqueous Humor Dynamics
Pars Plana Vitrectomy Effect on Ocular Biomechanics and Aqueous Humor Dynamics
- ≥ 18 years of age.
- Status post unilateral uncomplicated pars plana vitrectomy for epiretinal membrane or internal limiting membrane peel (i.e. for epiretinal membrane, vitreomacular traction, lamellar or macular hole).
- The same phakic status in the fellow eye.
- Prior diagnosis of glaucoma, glaucoma suspect, or ocular hypertension.
- Difference in lens status between the two eyes (phakic, pseudophakic, or aphakic).
- Preoperative anisometropia greater than 2.5 diopters.
- Current use of topical, oral, inhaled, injected, or other corticosteroids.
- Abnormalities of the iridocorneal angle, including neovascular glaucoma, ICE syndrome, peripheral anterior synechiae, and plateau iris, among others.
- Monocular status (fellow eye with visual acuity less than 20/100, or phthisical or enucleated/eviscerated fellow eye).
- History of prior vitreoretinal surgery in either eye.
- Pregnancy.
- Inability to remain supine for the duration of testing.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 9/27/22. Questions regarding updates should be directed to the study team contact.
Disparities in Liver Cancer in Southeast Asian Americans: Interviews about Social Determinants of Health
Interviews About Social Determinants of Health in Southeast Asian Americans to Identify Liver Cancer Disparities
- Patients ≥ 18 years of age with Hepatocellular Carcinoma (HCC) and SEA American self-report (they or their family members are from/had been from Cambodia, Laos, or Vietnam) are eligible.
- Diagnosis of HCC.
- < 18 years of age.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 9/23/22. Questions regarding updates should be directed to the study team contact.
Association between running cadence, 30 second single leg sit to stand test, and stress urinary incontinence during running in parous female athletes.
Studying the Correlation Between Stress Urinary Incontinence Severity and Running Performance on the 30 Second Sit-to-Stand Test in Post-Partum Female Athletes
- Healthy, parous, adult volunteers.
- Self-reported urinary incontinence during running with history of at least one prior delivery after 32 weeks gestation.
- Must regularly run at least 10 minutes per week and be pain-free on the day of data collection.
- Unwillingness to complete all components of the study.
- Urge only urinary incontinence.
- < 3 months postpartum or current pregnancy.
- History of prolapse repair.
- Incontinence surgery.
Eligibility last updated 9/29/22. Questions regarding updates should be directed to the study team contact.
A Phase 1 and Randomized Phase 2 Trial of Selinexor and Temozolomide in Recurrent Glioblastoma
Testing the Addition of an Anti-cancer Drug, Selinexor, to the Usual Chemotherapy Treatment (Temozolomide) for Brain Tumors That Have Returned After Previous Treatment
- Patients must have histologically confirmed glioblastoma (IDH wild-type, MGMT promoter methylated) that has undergone resection or biopsy upon first recurrence. Recurrence at site of prior involvement is defined by histopathological evidence of viable neoplastic cells associated with any of the following: mitotic activity, increased proliferation rate, micro-endothelial proliferation, or pseudo-palisading necrosis.
- Prior to resection or biopsy, patients must have measurable disease, defined as at least one bi-dimensional contrast-enhancing lesion with clearly defined margins, with 2 perpendicular diameters of at least 10 mm, visible on ≥ 2 axial slices.
- Patients must have received first-line treatment of temozolomide plus radiotherapy.
- Patients must not have received any prior therapy aside from resection or biopsy for their recurrent disease.
- Age ≥ 18 years. Because no dosing or adverse event data are currently available on the use of selinexor (KPT-330) in combination with temozolomide in patients < 18 years of age, children are excluded from this study
- Karnofsky performance status ≥ 60% (Eastern Cooperative Oncology Group [ECOG] ≤ 2).
- Absolute neutrophil count ≥ 1,500/mcL.
- Platelets ≥ 100,000/mcL.
- Hemoglobin ≥ 10 g/dL.
- Total bilirubin ≤ 2 x institutional upper limit of normal (ULN).
- Aspartate aminotransferase (AST) serum glutamic oxaloacetic transaminase (SGOT)/alanine transaminase (ALT) serum glutamic-pyruvic transaminase (SGPT) ≤ 3 x
institutional ULN.
- Glomerular filtration rate (GFR) ≥ 30 mL/min/1.73 m^2.
- Human immunodeficiency virus (HIV)-infected patients on effective anti-retro-viral therapy with undetectable viral load within 6 months are eligible for this trial.
- For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated.
- Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load.
- 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.
- Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better.
- The effects of selinexor (KPT-330) and temozolomide on the developing human fetus are unknown. For this reason and because selective nuclear export inhibitors as well as
deoxyribonucleic acid (DNA) alkylating agents are known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or
barrier method of birth control; abstinence) prior to study entry and for the duration of study participation, and for 180 days after the last dose of temozolomide. Should a
woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately. Men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 90 days after completion of study treatment administration.
- Ability to understand and the willingness to sign a written informed consent document. Participants with impaired decision-making capacity who have a legally-authorized representative (LAR) and/or family member available will also be eligible.
- Patients who have had chemotherapy must have full recovery of organ and marrow function following the nadir of the last chemotherapy cycle.
- Patients who have not recovered from adverse events due to prior anti-cancer therapy (i.e., have residual toxicities > grade 1) with the exception of alopecia.
- Patients who are receiving any other investigational agents.
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to selinexor (KPT-330) or temozolomide.
- History of hypersensitivity to dacarbazine (DTIC), since both dacarbazine and temozolomide are metabolized to 5-(3-methyltriazen-1-yl)-imidazole-4-carboxamide (MTIC).
- Patients with uncontrolled intercurrent illness.
- Pregnant women are excluded from this study because selinexor (KPT-330) is a selective inhibitor of nuclear export with the potential for teratogenic or abortifacient effects. Because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with selinexor (KPT-330), breastfeeding is not allowed for mothers during treatment with selinexor (KPT-330) and for 7 days after the last dose. These potential risks may also apply to other agents used in this study.
- Hospitalized patients with severe coronavirus disease of 2019 (COVID-19) who are ≥ 75 years old, or with a high-risk COVID-GRAM score, or with lactate dehydrogenase (LDH) >
370 (U/L) AND D-Dimer > 600 mcg/L FEU should not receive low-dose selinexor (KPT-330) pending additional results.
IDENTIFICATION OF METHYLATED DNA MARKERS IN INVASIVE BLADDER CARCINOMA: WHOLE METHYLOME DISCOVERY, TISSUE VALIDATION, AND FEASIBILITY TESTING IN BLOOD AND URINE
Blood and Urine Identification of Methylated DNA Markers in Invasive Bladder Carcinoma
Inclusion Criteria
•Case Tissue:
- Patient has a histological diagnosis of muscle invasive urothelial cell carcinoma of bladder.
- Age ≥ 18 years.
Exclusion Criteria
•Case Tissue:
- Patient has a recurrence of bladder cancer.
- Patient has undergone any prior radiation therapy (including brachytherapy therapy) to target lesion prior to surgery.
- Patient has received chemotherapy class drugs for the treatment of cancer in the 5 years prior to surgery.
Inclusion Criteria - Control Tissue:
- Patient is undergoing prostatectomy.
- Age ≥ 18 years.
Exclusion Criteria
•Control Tissue:
- Patient has undergone any prior radiation therapy (including brachytherapy therapy) to the bladder prior to surgery.
- Patient has received chemotherapy class drugs for the treatment of cancer in the 5 years prior to surgery.
- Patient has had bladder, urothelial or kidney cancer
Inclusion Criteria
•Control Buffy:
- Age ≥ 18 years.
Exclusion Criteria
•Control Buffy:
- Patient has known primary cancer within the last 5 years prior blood collection (not including basal cell or squamous cell skin cancers).
- Patient has undergone prior radiation therapy in the 5 years prior to blood collection.
- Patient has received chemotherapy class drugs for the treatment of cancer in the 5 years prior to blood collection.
Inclusion Criteria
•Case Urine:
Cases will be enrolled from a cohort of patients undergoing diagnostic evaluation and treatment for bladder cancer collected under IRB 21-009854 (PI: Kisiel).
- Patient has a histological diagnosis of muscle invasive urothelial cell carcinoma of bladder.
- Age ≥ 18 years
Exclusion Criteria
•Case Urine:
- Patient has known cancer outside of the target cancer 5 years prior to current collection (not including basal cell or squamous cell skin cancers; if patient has not been seen or if information is not available, the patient is eligible).
- Patient has recurrent bladder cancer.
- Patient has ever been previously diagnosed with UTUC (Upper Tract Urothelial Carcinoma) prior to bladder resection.
- Patient has prior diagnosis of bladder cancer for which intravesical immunotherapy (BCG) or chemotherapy (Mitomycin, Valrubicin) was provided.
- Patient has received chemotherapy class drugs for the treatment of cancer in the 5 years prior to current collection.
- Patient has had any prior radiation therapy to the target lesion prior to current collection.
- Patient has had a biopsy to the target organ and/or lesion within 3 days before collection.
- Patient has undergone cystectomy.
- Patient has transurethral instrumentation (cystoscopy, placement of urinary catheter) within the 7 days prior to sample collection.
- Patient a has chronic indwelling urinary catheter.
- Patient has had a urinary tract infection within the 14 days prior to sample collection.
Inclusion Criteria
•Disease Control Urine:
- Patient has history of non-muscle invasive bladder cancer and negative surveillance cystoscopy.
- Age ≥ 18 years.
Exclusion Criteria
•Disease Control Urine:
- Patient has known cancer outside of the target cancer 5 years prior to current collection (not including basal cell or squamous cell skin cancers; if patient has not been seen or if information is not available, the patient is eligible).
- Patient has recurrent bladder cancer.
- Patient has ever been previously diagnosed with UTUC (Upper Tract Urothelial Carcinoma) prior to bladder resection.
- Patient has prior diagnosis of bladder cancer for which intravesical immunotherapy (BCG) or chemotherapy (Mitomycin, Valrubicin) was provided.
- Patient has received chemotherapy class drugs for the treatment of cancer in the 5 years prior to current collection.
- Patient has had any prior radiation therapy to the target lesion prior to current collection.
- Patient has had a biopsy to the target organ and/or lesion within 3 days before collection.
- Patient has undergone cystectomy.
- Patient has transurethral instrumentation (cystoscopy, placement of urinary catheter) within the 7 days prior to sample collection.
- Patient a has chronic indwelling urinary catheter.
- Patient has had a urinary tract infection within the 14 days prior to sample collection.
Inclusion Criteria
•Healthy Control Urine:
- Age ≥ 18 years.
Exclusion Criteria
•Healthy Control Urine:
- Patient has had a past or current diagnosis of invasive cancer (this does not include basal or squamous skin cancers).
- Patient has had a solid organ transplant.
- Patient has chronic indwelling urinary catheter.
- Patient has transurethral instrumentation (placement of urinary catheter) within 7 days prior to sample collection.
- Patient has had a urinary tract infection within 14 days prior to urine collection.
Inclusion Criteria - Case Blood:
Cases will be enrolled from a cohort of patients undergoing diagnostic evaluation and treatment for bladder cancer collected under IRB 21-009854 (PI: Kisiel).
- Patient has a histological diagnosis of invasive urothelial cell carcinoma of bladder..
- Age ≥ 18 years.
Exclusion Criteria
•Case Blood:
- Patient has known cancer outside of the target cancer 5 years prior to current collection (not including basal cell or squamous cell skin cancers; if patient has not been seen or if information is not available, the patient is eligible).
- Patient has recurrent bladder cancer.
- Patient has ever been previously diagnosed with UTUC (Upper Tract Urothelial Carcinoma) prior to bladder resection.
- Patient has prior diagnosis of bladder cancer for which intravesical immunotherapy (BCG) or chemotherapy (Mitomycin, Valrubicin) was provided.
- Patient has received chemotherapy class drugs for the treatment of cancer in the 5 years prior to current collection.
- Patient has had any prior radiation therapy to the target lesion prior to current collection.
- Patient has had a biopsy to the target organ and/or lesion within 3 days before collection.
- Patient has undergone cystectomy.
Inclusion Criteria
•Disease Control Blood (Case patients with non-muscle invasive bladder cancer):
- Patient has history of non-muscle invasive bladder cancer and negative surveillance cystoscopy.
- Age ≥ 18 years.
Exclusion Criteria - Disease Control Blood (Case patients with non-muscle invasive bladder cancer):
- Patient has known cancer outside of the target cancer 5 years prior to current collection (not including basal cell or squamous cell skin cancers; if patient has not been seen or if information is not available, the patient is eligible).
- Patient has recurrent bladder cancer.
- Patient has ever been previously diagnosed with UTUC (Upper Tract Urothelial Carcinoma) prior to bladder resection.
- Patient has prior diagnosis of bladder cancer for which intravesical immunotherapy (BCG) or chemotherapy (Mitomycin, Valrubicin) was provided.
- Patient has received chemotherapy class drugs for the treatment of cancer in the 5 years prior to current collection.
- Patient has had any prior radiation therapy to the target lesion prior to current collection.
- Patient has had a biopsy to the target organ and/or lesion within 3 days before collection.
- Patient has undergone cystectomy.
Inclusion Criteria
•Healthy Control Blood:
- Age ≥ 18 years.
Exclusion Criteria
•Healthy Control Blood:
- Patient has had a past or current diagnosis of invasive cancer (this does not include basal or squamous skin cancers).
- Patient has had a solid organ transplant.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 10/4/22. Questions regarding updates should be directed to the study team contact.
Life After Pediatric Intensive Care (PICU) - A Mixed Method Study
A Mixed Method Study of Life After Pediatric Intensive Care
- Parents or guardians of children who were between 4 and 10 years old at the time of PICU admission at Mayo Rochester in 2022 and discharged home afterwards.
- Parents or guardians who do not speak English. This is recognized as a limitation and the need to study non-English-speaking population in the future.
Eligibility last updated 10/24/22. Questions regarding updates should be directed to the study team contact.
Characteristics and Patient-Clinician Communication during Cardiology Telemedicine Clinical Encounters: Opportunities for Intervention
Patient-Clinician Racial and Ethnic Differences during Cardiology Telemedicine
- Patients will be recruited from the random sample of cardiologists with the goal of oversampling racial minorities and other underserved populations.
- Cardiologists from the Mayo Clinic Department of Cardiovascular Medicine will be randomly selected to participate in the proposed study.
- Patients of participating cardiologists will be recruited to form patient-clinician dyads.
- < 18 years of age.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 10/4/22. Questions regarding updates should be directed to the study team contact.
Assessment of a Minimally Invasive Collection Device for Molecular Analysis of Esophageal Samples for the Non-endoscopic detection of Barrett’s esophagus with and without dysplasia (SOS4C TRIAL)
Molecular Analysis of Esophageal Samples Using a Minimally Invasive Collection Device
Subjects with known or suspected Barrett’s Esophagus (BE) (cases):
- Patient between the ages of 18 – 90.
- Patients with a BE segment ≥ 1cm in maximal extent endoscopically or suspected BE in medical record.
- Histology showing evidence of intestinal metaplasia with or without presence of dysplasia or suspected BE in medical record.
- Undergoing clinically indicated endoscopy.
Subjects without known history of BE (controls):
- Undergoing clinically indicated diagnostic endoscopy.
- Subjects with GERD and one or more additional risk factors for BE including:[IPGM1]
- Male sex;
- age ≥ 50 years;
- Caucasian race;
- Presence of central obesity (BMI ≥ 30);
- Current or past history of smoking.
For subjects with known BE
- Patients with prior history of ablation (photodynamic therapy, radiofrequency ablation, cryotherapy, argon plasma coagulation). Patients with history of endoscopic mucosal resection (EMR)/endoscopic submucosal dissection (ESD) alone will not be excluded.
- Patients with history of surgical resection for esophageal carcinoma.
For subjects with or without known evidence of BE (on history or review of medical records):
- Pregnant or lactating females.
- Patients who are unable to consent.
- Patients with current history of uninvestigated dysphagia.
- History of eosinophilic esophagitis, achalasia.
- Patients on oral anticoagulation including Coumadin, Warfarin.
- Patients on antiplatelet agents including Clopidogrel, unless discontinued for three to five days prior to the Cytosponge procedure.
- Patients on oral thrombin inhibitors including Dabigatran and oral factor X a inhibitors such as rivaroxaban, apixaban and edoxaban, unless discontinued for three to five days prior to the Cytosponge procedure.
- Patients with history of known esophageal or gastric varices or cirrhosis.
- Patients with history of surgical esophageal resection for esophageal carcinoma.
- Patients with congenital or acquired bleeding diatheses.
- Patients with a history of esophageal squamous dysplasia.
- Patient has known carcinoma of the foregut (pancreatic, bile duct, ampullary, stomach, or duodenum) within 5 years prior to study enrollment.
- Patient has received chemotherapy class drugs or radiation to treat mediastinal or esophageal cancer.
Eligibility last updated 10/5/22. Questions regarding updates should be directed to the study team contact.
Effects of Time Restricted Eating on Obesity: Comparing Windows of Eating to Achieve Weight Loss in Overweight and Obese Adults; a Pilot Study
A Study of Time Restricted Eating in Obese Adults
- BMI ≥ to 25.
- Regularly skip meals.
- Are unwilling or unable to limit eating to an 8-hour window.
- Have a current cancer diagnosis.
- Currently breastfeeding.
- Pregnant, or planned to be pregnant within 3 months.
- Are taking insulin or sulfonylurea drugs.
- Are taking weight loss medications.
- Have a history of eating disorders.
Effect of Telomere Length and Telomerase Activity on IVF Outcomes
Telomere Length and Telomerase Activity Effect on In Vitro Outcomes
- Women age 18-44 years of age.
- Undergoing autologous IVF planning for monitoring at Mayo Clinic Rochester with an antagonist or long luteal protocol, planned fresh embryo transfer, conventional or ICSI insemination with ejaculate sperm.
- Women undergoing donor oocyte, donor embryo cycles, oocyte cryopreservation cycles, planned freeze all, TESE or micro TESE sperm.
- Patients undergoing cycles for fertility preservation, minimal stimulation in
vitro fertilization, or with planned cleavage stage embryo transfer
Eligibility last updated 10/11/22. Questions regarding updates should be directed to the study team contact.
Mayo Clinic Family Medicine Resident Activity and Wellness Research Study: A Three-Month Tailored Virtual Intervention to Incorporate Workplace and Leisure-Time Physical Activity
Virtual Intervention to Incorporate Workplace and Leisure-Time Physical Activity of Mayo Clinic Family Medicine Residents
- A Family Medicine Resident at the Mayo Clinic Health System of Eau Claire and Mayo Clinic Family Medicine Residency of Rochester in either the PGY-1 Year, PGY-2 Year, or PGY-2 Year
- Participant is not able to wear the devices for the assigned timeframe. Any condition the investigator considers will prevent compliance with study instructions.
Eligibility last updated 10/7/22. Questions regarding updates should be directed to the study team contact.
GIM Healthy Longevity Clinic biobank and biorepository.
Biobank and Biorepository Created From Healthy Longevity Clinic
- Mayo Clinic patients scheduled for or being seen in the Healthy Longevity Clinic in the Division of General Internal Medicine.
- 18 years of age or older at time of consent
- Have the ability to provide informed consent
- Have the ability to complete all aspects of this trial.
- < 18 years of age.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 4/6/23. Questions regarding updates should be directed to the study team contact.
Safety and Efficacy of the Rivet Pulmonary-to-Venous Shunt (PVS) Therapy in Patients With Group 2 Pulmonary Hypertension (PH) Due to Heart Failure With Preserved Ejection Fraction (HFpEF)
Rivet PVS Therapy in Group 2C
Select
- Age ≥ 18 years.
- Prior diagnosis of Group 2 PH due to HFpEF, with the following resting hemodynamic criteria confirmed in the past year by right heart catheterization.
a. mPAP ≥ 25 mmHg at rest or mPAP/CO slope > 3 mmHg/L/min during incremental exercise.
- Confirmation of the following hemodynamic criteria during supine exercise.
a. PCWP ≥ 25 mmHg, or PCWP/CO slope > 2 mmHg/L/min.
- Chronic symptomatic heart failure documented by the following:
1. NYHA HF Class II with history > II, or Class III or ambulatory Class IV.
2. ≥ 1 HF hospitalization, or healthcare facility with IV diuretics or intensification of oral diuresis for HF within 12 months, or NT-pro BNP value > 400 pg/mL in normal sinus rhythm or > 750 pg/mL in atrial fibrillation in past 6
months.
- Ongoing stable guideline directed medical therapy (GDMT) for HF and medically optimized per treating HF physician according to current ACCF/AHA guidelines that is
expected to be maintained without change for 6 months (excluding diuretic dosage changes for HF optimization within 90 days of the Index Procedure).
- 6MWD ≥ 150 m.
Select
- Any therapeutic intracardiac intervention within the last 30 days.
- PH Group 1, 3, 4 or 5.
- Mean RAP >12 mmHg by RHC at rest on room air.
- Right ventricular dysfunction, defined as one or more of the following.
1. Greater than moderate RV dysfunction as assessed by TTE and/or MRI.
2. RV FAC < 35%.
3. TAPSE < 14 mm via TTE.
4. RV size severely enlarged compared to LV size as estimated by TTE and/or MRI.
- Severe tricuspid valve regurgitation.
- Peak systolic pulmonary arterial pressure > 80 mmHg by RHC at rest while awake.
- Mean pulmonary arterial pressure > 50 mmHg by RHC at rest while awake.
- PVR > 6 Wood units at rest while awake on room air or exercise PVR > 2 Wood Units.
- Left ventricular ejection fraction < 50%.
- Severe heart failure, defined as one or more of the following:.
1. ACC/AHA/ESC Stage D heart failure, non-ambulatory NYHA Class IV HF.
2. If BMI < 30, Cardiac Index < 2.0 L/min/m^2.
3. If BMI ≥ 30, Cardiac Index < 1.8 L/min/m^2.
4. Requires continuous intravenous inotropic infusion.
5. Requires mechanical circulatory support.
6. Currently on the cardiac transplant waiting list.
- Chronic renal dysfunction defined as one or more of the following:
1. Currently requiring dialysis; OR
2. eGFR < 35 mL/min/1.73 m2 by the CKD-Epi equation.
- Chronic pulmonary disease defined as one or more of the following:
1. Requires continuous home oxygen therapy;
2. Recent hospitalization for exacerbation within 12 months prior to screening;
3. FEV1 < 50% predicted.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 11/17/22. Questions regarding updates should be directed to the study team contact.
Role Of Lisinopril In Preventing The Progression Of Non-Alcoholic Fatty Liver Disease (NAFLD): RELIEF-NAFLD
Non-Alcoholic Fatty Liver Disease Progression Prevention Using Lisinopril
- Male and female subjects ≥ 18 years of age.
- Clinical diagnosis of nonalcoholic steatohepatitis (NASH) assessed by the presence of
body imaging criteria (ultrasound, computed tomography [CT], or magnetic resonance
imaging [MRI]), or liver biopsy up to six months prior to enrollment without
suspicious nodules or cancer.
- Screening transient elastography (Fibroscan) liver stiffness ≥ 12 kPa (which
correlates with F3 fibrosis and more) and < 25 kPa. Historic transient elastography
(Fibroscan) within 0-4 weeks prior to the date of the screening visit is acceptable.
- Controlled attenuation parameter score of ≥ 270 dB/m or historic liver biopsy within
0-6 months prior to the date of the screening visit consistent with NASH (defined as
the presence of steatosis, inflammation, and ballooning), with stage 3-4 fibrosis
according to the NASH Clinical Research Network classification (or equivalent).
- Leukocytes ≥ 3,000/microliter.
- Absolute neutrophil count ≥ 1,500/microliter.
- Platelets ≥ 75,000/microliter.
- Total bilirubin within normal institutional limits unless the patient has Gilbert's
syndrome.
- Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase
[SGOT])/alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase [SGPT]) ≤
8 x institutional upper limit of institutional limits.
- Glomerular filtration rate > 30 ml/min.
- International normalized ratio (INR) ≤ 1.3 unless the patient is on a therapeutic
medication.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 (Karnofsky ≥ 60%).
- The effects of lisinopril has been shown to be teratogenic in animal models. For this
reason, women of child-bearing potential and men must agree to use adequate
contraception (hormonal or barrier method of birth control; abstinence) prior to study
entry and for the duration of study participation. Should a woman become pregnant or
suspect she is pregnant while participating in this study, she should inform her study
physician immediately.
- Ability to understand and the willingness to sign a written informed consent document.
If a participant has impaired decision-making capacity (IDMC), their legal representative may replace them in this process.
- Systolic blood pressure ≥ 90 and ≤ 160 mm/Hg. Diastolic blood pressure ≥ 60 and ≤ 110 mm/Hg.
- Prior or current use of an angiotensin converting enzyme inhibitor (ACEi) or
angiotensin II receptor antagonist (ARB) within 0-24 weeks prior to enrollment.
- Glomerular filtration rate ≤ 30 ml/min (for both male and female participants).
- History of decompensated liver disease, including ascites, hepatic encephalopathy, or
variceal bleeding.
- History of other causes of liver disease, including but not limited to alcoholic liver
disease, hepatitis B, hepatitis C, autoimmune disorders (primary biliary cholangitis,
primary sclerosing cholangitis, or autoimmune hepatitis), drug-induced hepatotoxicity,
Wilson's disease, iron overload, or alpha-1-antitryspin deficiency.
- History of liver transplantation.
- History of hepatocellular carcinoma (HCC) diagnosis.
- History of weight reduction surgery in the past 2 years or planned during the study.
- Within 6 months prior to the date of the screening visit, there must be no history of
the following cardiac events: unstable angina; myocardial infarction, coronary artery
bypass surgery or coronary angioplasty; transient ischemic attack or cerebrovascular
accident; emergency room visit or hospitalization for confirmed cardiovascular disease.
- Participants taking vitamin E ≥ 800 IU/day must be on a stable dose, defined as no
changes in prescribed dose, new vitamin E-containing medications, or discontinuation
for at least 180 days prior to the date of the screening visit and throughout study
participation.
- Participants taking anti-diabetic medications must be on a stable dose for at least 90
days prior to the date of the screening visit and in the period between the date of
the screening visit and enrollment.
- Current alcohol consumption > 21 oz/week for males or > 14 oz/week for females (1
oz/30 mL of alcohol is present in one 12 oz/360 mL beer, 4 oz/120 mL glass of wine,
and a 1oz/30 mL measure of 40 proof [20%] alcohol).
- Participants may not be receiving any other investigational agents, at the time of the
screening visit, or in the prior 30 days, or within 5 half-lives of the prior
investigational agent (whichever is longer).
- History of allergic reactions attributed to compounds of similar chemical or biologic
composition to lisinopril.
- Uncontrolled intercurrent illness or psychiatric illness/social situations that would
limit compliance with study requirements.
- History of human immunodeficiency virus (HIV) infection. HIV patients may develop
fatty liver as well as advanced fibrosis due to many causes including metabolic
syndrome, hyperuricemia, HIV-related lipodystrophy, genetic polymorphisms,
medications, and HIV itself. As the natural history of fatty liver in this population
is largely unknown, these patients will be excluded from this study.
- Women who are pregnant or breastfeeding. Pregnant women are excluded from this study
because lisinopril is an ACE Inhibitor with the potential for teratogenic or abortifacient effects.
Because there is an unknown but potential risk for adverse events (AEs) in nursing infants
econdary to treatment of the mother with lisinopril. Breastfeeding should be discontinued if
he mother is treated with lisinopril.
- Systolic blood pressure ≥ 161 mm/Hg. Diastolic blood pressure ≥ 111 mm/Hg.
- Participants taking lithium.
Development of a patient-centered quality of life outcome measure after parotidectomy, Phase II
Development of a Patient-Centered Quality of Life Outcome Measure Following Parotidectomy
- ≥ 18 years of age.
- Previously underwent parotidectomy at Mayo Clinic Rochester for benign and malignant tumors.
- Participants not residing in the United States (to avoid potential EU GDPR compliance issues).
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 11/14/22. Questions regarding updates should be directed to the study team contact.
A Phase 3, Multicenter, Multinational, Open-Label Extension Study to Evaluate the Long-Term Safety of CC-93538 in Adult and Adolescent Subjects With Eosinophilic Esophagitis
Safety Study of CC-93538 in Adult and Adolescent Participants With Eosinophilic Esophagitis
- Previously participated in prior clinical study CC-93538-EE-001 and either:
- Subject experienced a severe EoE flare requiring endoscopic intervention and/or concomitant rescue therapy during the Induction Phase and has completed Week 24 of the Induction Phase; OR
- Subject completed the Induction Phase and does not qualify for entry to the Maintenance Phase for reasons other than a severe EoE flare; OR
- Subject experienced a severe EoE flare requiring endoscopic intervention and/or concomitant rescue therapy during the Maintenance Phase and completed Week 48 of the Maintenance Phase; OR
- Subject completed Week 48 of the Maintenance Phase; OR
- Subject must have participated in Study CC-93538-DDI-001 and completed assessments
- through the end of treatment visit.
- Demonstrated ≥ 80% and ≤ 120% overall compliance with required investigational product dosing during the prior studies.
- Did not permanently discontinue investigational product in the prior studies and/or did not experience any clinically significant adverse events related to Investigational Product that would preclude further dosing in the opinion of the
Investigator.
- Females of childbearing potential must have a negative pregnancy test prior to the first dose of open-label CC-93538 and agree to practice a highly effective method of
contraception (as defined in the prior study) until 5 months after the last dose of open-label CC-93538.
- Clinical or endoscopic evidence of other diseases or conditions that may affect or confound the histologic, endoscopic, or clinical symptom evaluation for this study.
- Active Helicobacter pylori infection or esophageal varices.
- Evidence of immunosuppression, or of having received systemic immunosuppressive or immunomodulating drugs within 5 drug half-lives prior to open-label extension study
(OLE) Day 1. Use of these agents is prohibited during the study.
- Treatment with oral or sublingual immunotherapy within 6 months of OLE Day 1. Use of these agents is prohibited during the study.
- Received an investigational product, other than that administered in the CC-93538-EE-001 or CC-93538-DDI-001 studies, within 5 half-lives prior to OLE Day 1 (includes investigational product received during an interventional trial for COVID-19). Those vaccinated with an investigational COVID-19 vaccine during the CC-93538-EE-001 or CC-93538-DDI-001 studies are not eligible to participate, unless
allowed following a discussion with the Clinical Trial Physician.
- Received a live attenuated vaccine within one month prior to OLE Day 1; or anticipates the need for a live attenuated vaccine at any time throughout the course of this study.
- Any disease that would affect the conduct of the protocol or interpretation of the study results, or would put a patient at risk by participating in the study (e.g., colitis, celiac disease, Mendelian disorder associated with EoE, severe uncontrolled
asthma, infection causing eosinophilia, hypereosinophilic syndrome, or cardiovascular condition, or neurologic or psychiatric illness that could compromise the participant's ability to accurately document symptoms of EoE; newly diagnosed malignancy, lymphoproliferative disease, or clinically significant laboratory abnormality).
- Active parasitic/helminthic infection or a suspected parasitic/helminthic infections or chronic infection (viral hepatitis, tuberculosis, or HIV).
- Has had idiopathic anaphylaxis or major immunologic reaction to an immunoglobulin-G containing agent; or any known hypersensitivity to any ingredient in CC-93538.
- Females who are pregnant or lactating.
Eligibility last updated 3/13/23. Questions regarding updates should be directed to the study team contact.
Sonograms Enable Looking Forward- Get Your iNformation 1 Trial (SELF-GYN1)
SELF-GYN1 (Sonograms Enable Looking Forward- Get Your iNformation 1 Trial)
- Woman, as defined by sex at birth.
- Age 22 years or older at the time of eligibility screening.
- Premenopausal.
- BMI < 40 kg/m^2.
- Unlikely to be pregnant during home scan, based on either current intrauterine device (IUD) or other birth control use or recent menstruation, defined as the home scan occurring between day 3 and 10 of the menstrual cycle based on patient self-report.
- English-speaking and able to follow verbal instructions of the remote ultrasound. technologist as determined by the ability to complete the consent process unassisted.
- Ability to manipulate a 1 lb. weight by hand.
- Residence in state where a PI holds a valid license to practice medicine.
- Ability to receive signature delivery of the investigational ultrasound device.
- Ability to return the investigational ultrasound device by specified instructions.
- Pregnant or may be pregnant.
- Has recently given birth, and has had fewer than 3 postpartum menstrual cycles.
- Has recently had a stillbirth or abortion more than 20 weeks (subject to the 3 postpartum menstrual cycles above). Miscarriages or abortions less than 20 weeks are subject to two wait cycles.
- Has changed birth control within the current menstrual cycle (one 'washout' cycle is required).
- Turtle Health employees.
- Has known cancer of a pelvic organ, not currently in remission.
- Not able to schedule a scan while meeting the requirements above prior to the end of the trial. For example, women who change birth control within the last cycle of the trial (and would require a 'washout cycle' that would delay trial close) or who are unable to schedule within the last few weeks of the trial after reasonable scheduling efforts have been made.
- Previous hysterectomy or oophorectomy.
- Does not have one or more of the following anatomic organs: vagina, left ovary, right ovary, or uterus.
- Subjects with prior scanning experience are included in the trial (as they would be in the real world) but excluded from the primary image quality endpoint (due to experience potentially influencing that endpoint) and analyzed separately as a subgroup for that endpoint only. This sub-population is capped at 200 subjects (~20% of trial).
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 10/14/22. Questions regarding updates should be directed to the study team contact.
Transformation of Dormant Spinal Networks to Mitigate Symptoms of Neurogenic Bladder
Transformation of Dormant Spinal Networks to Mitigate Symptoms of Neurogenic Bladder
1. Subject is ≥ 18 and ≤ 70 years old at the time of enrollment/consent.
2. Subject has a diagnosis of NLUTD due to:
- Chronic, spinal cord injury at C3 to T8 classified as ASIA A-D on the AIS scale OR
- Multiple sclerosis OR
- Stroke.
3. Subject has symptoms of urinary urgency (>50% high urge voids) or increased frequency of micturition/self-catheterization (more than once every 2 hours) or incontinence between voids or catheterizations (> 5/day).
4. Subject must demonstrate detrusor overactivity (unintentional detrusor contraction > 10 cm H2O) on clinical urodynamic studies.
5. Subject has sterile urine or asymptomatic bacteriuria.
6. Subject's score is > 28 on NBSS survey.
7. Subject is at least one year post initial diagnosis at the time of enrollment (consent).
8. Subject's medical condition is stable.
9. Subject has adequate social support network to be able to participate in training and assessment sessions for the duration of the study, at the discretion of the Investigator.
10. Subject has been informed of the nature of the study, can understand the requirements of the study, agrees to participate, and has signed the IRB/EC-approved informed
consent.
1. Subject relies on an indwelling catheter (urethral or suprapubic) for bladder drainage.
2. Subject relies on an indwelling catheter (urethral or suprapubic) for bladder drainage.
3. Subject has participated in other transcutaneous or epidural spinal stimulation trials.
4. Subject has congestive heart failure, pulmonary disease necessitating supplemental oxygen use, chronic kidney disease (Stage III or higher), chronic liver disease (Child
Pugh class B or C) or poorly controlled diabetes (if diabetic, HbA1c > 8.0 within the preceding 6 months).
5. Subject has a concurrent neurological disease affecting the central nervous system, other than spinal cord injury or multiple sclerosis or stroke.
6. Subject has an implanted central or peripheral neuromodulator.
7. Subject has symptomatic, clinically significant autonomic dysreflexia attacks (characterized by headache and systolic blood pressure greater than 180 mmHg) more
than once a week.
8. Subject is dependent on an electro-magnetic medical implant (e.g., cardiac pacemaker or implanted drug pump), ventilation support, or other external device.
9. Subject has received intravesical botulinum toxin injection within 12 months preceding enrollment.
10. Subject's BMI is > 35.
11. Subject has history of morphologic bladder outlet obstruction (e.g., due to benign prostatic hyperplasia, urethral stricture and/or bladder neck contracture).
12. Subject has history of frequent symptomatic urinary tract infections, defined as receiving five or more courses of urinary tract infection-directed antibiotics within 12 months prior to enrollment.
13. For non-catheterizing subjects, post-void residual is > 100 mL measured by bladder ultrasound, bladder scanner, or one-time catheterization at the time of enrollment.
14. For female subjects, history or physical exam consistent with > Stage II pelvic organ prolapse as defined by the International Continence Society.
15. For male subjects older than 55 years of age,13,14 physical exam or medical imaging (e.g., transrectal ultrasound, abdominal/pelvic computed tomography or magnetic resonance imaging) consistent with prostate size > 50 cm.
16. Subjects with significant stress incontinence as defined by > 3 stress incontinence episodes per day, defined as incontinence episodes precipitated by increased
intra-abdominal pressure (e.g., cough, sneeze, Valsalva maneuvers, transfers, other forms of physical activity), stress incontinence demonstrated on physical exam or
abdominal leak point pressure < 100 cm H2O at bladder volume less than 200ml per urodynamics study.
17. Subject is pregnant or trying to become pregnant; or is nursing.
18. Subject has limited life expectancy or co-morbid conditions, social/psychological problems, or cognitive impairments that, in the opinion of the Investigator, will
preclude them from participation and completion of study procedures or requirements.
19. Subject has a medical condition or complications related to the use of certain medications that may affect validity of the study as determined by the Investigator.
20. Subject has a medical condition not listed above that may put the subject at risk as determined by the Investigator.
21. Subject is participating in or plans to participate in another research study that may interfere with study endpoints.
22. Subject is known or suspected to be non-compliant; and/or subject is unable or unwilling to comply with study requirements.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 10/19/22. Questions regarding updates should be directed to the study team contact.
Generation of lymphoblastoid cell lines
Generated Lymphoblastoid Cell Lines
- Patients with known or suspected genetic disorders.
- Patients with disorders where the genetic basis is not known.
- Control subjects.
- Patients with no known genetic disorders.
Eligibility last updated 10/20/22 Questions regarding updates should be directed to the study team contact.
Clinical evaluation of the GRIP influenza and SARS-CoV-2 point-of-care assays using fresh patient nasal swab samples
GRIP Influenza and SARS-CoV-2 POC Assays Using Fresh Patient Nasal Swabs
-
Patients ≥ 18 years of age being tested for COVID 19 or Influenza.
- Patients < 18 years of age.
Eligibility last updated 10/27/22. Questions regarding updates should be directed to the study team contact.
A Phase 2, Randomized, Double-Blind, Double-Dummy, Placebo-Controlled Study Evaluating the Safety and Efficacy of Semaglutide, and the Fixed-Dose Combination of Cilofexor and Firsocostat, Alone and in Combination, in Subjects With Compensated Cirrhosis (F4) Due to Nonalcoholic Steatohepatitis (NASH)
Study Evaluating the Safety and Efficacy of Semaglutide, and the Fixed-Dose Combination of Cilofexor and Firsocostat, Alone and in Combination, in Participants With Compensated Cirrhosis (F4) Due to Nonalcoholic Steatohepatitis (NASH)
Key
- Liver biopsy consistent with cirrhosis (F4) due to NASH in the opinion of the central
reader. In participants who have never had a liver biopsy, a screening liver biopsy
may be performed.
- Screening laboratory parameters as determined by the study central laboratory:
- Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m^2, as calculated by
the Modification of Diet in Renal Disease (MDRD) equation;
- HbA1c ≤ 10%;
- INR ≤ 1.4, unless due to therapeutic anticoagulation;
- Platelet count ≥ 125,000/uL;
- Alanine Aminotransferase (ALT) < 5 x ULN;
- Serum albumin ≥ 3.5 g/dL;
- Serum Alkaline Phosphatase (ALP) ≤ 2 x ULN.
- BMI ≥ 23 kg/m^2 at screening.
Key
- Prior history of decompensated liver disease, including ascites, hepatic
encephalopathy (HE), or variceal bleeding.
- Child-Pugh (CP) score > 6 at screening, unless due to an alternative etiology such as
Gilbert's syndrome or therapeutic anticoagulation.
- Model for End-stage Liver Disease (MELD) score > 12 at screening, unless due to an
alternative etiology such as therapeutic anticoagulation.
- Other causes of liver disease based on medical history and/or central reader review of
liver histology, including but not limited to: alcoholic liver disease, autoimmune
disorders (eg, primary biliary cholangitis, primary sclerosing cholangitis, autoimmune
hepatitis), drug-induced hepatotoxicity, Wilson disease, clinically significant iron
overload, or alpha-1-antitrypsin deficiency.
- Chronic HBV infection (HBsAg positive), or Chronic HCV infection (HCV antibody and HCV
RNA positive). Participants cured of HCV infection less than 2 years prior to the
screening visit are not eligible.
- History of liver transplantation.
- Current or prior history of hepatocellular carcinoma (HCC).
- Men who habitually drink greater than 21 units/week of alcohol or women who habitually
drink greater than 14 units/week of alcohol (one unit is equivalent to 12 oz/360 mL of
beer, a 4 oz/120 mL glass of wine, or 1 oz/30 mL of hard liquor).
- For individuals on vitamin E regimen ≥ 800 IU/day, or pioglitazone, dose must be
stable, in the opinion of the investigator for at least 180 days prior to the
historical or screening liver biopsy.
- For individuals on medications for diabetes, dose must be stable, in the opinion
of the investigator, for at least 90 days prior to the historical or screening
liver biopsy.
- History of type 1 diabetes.
- Treatment with a glucagon-like peptide-1 receptor agonist (GLP-1 RA) in the period
from 90 days prior to the screening visit and for individuals with a qualifying
historical liver biopsy, for 90 days prior to the date of the historical liver biopsy.
- For participants who have not completed a series of an authorized COVID-19 vaccination
regimen prior to screening, a positive result for COVID-19 on SARS-CoV-2 RT-PCR test.
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.