MC200710 Stimulating Immune Response with Neoadjuvant Human Papilloma Virus (HPV)-16 specific Vaccination in HPV-Oropharyngeal Squamous Cell Carcinoma (HPV-OPSCC)
A Vaccine (PDS0101) Alone or in Combination With Pembrolizumab for the Treatment of Locally Advanced Human Papillomavirus-Associated Oropharynx Cancer
- Age >= 18 years
- Locally advanced HPV-OPSCC and high-risk HPV-specific testing with at least one of the following:
- Radiology extranodal extension (ENE) OR
- cN2 (AJCC 8th Edition) disease (contralateral/bilateral nodes) OR
- cN3(AJCC 8th Edition) disease (lymph node [LN] > 6 cm) OR
- Radiographic evidence of 4 or more involved lymph nodes
- Candidate for curative intent surgery or chemo-radiation
- Measurable or unmeasurable disease as defined by RECIST 1.1 criteria
- Eastern Cooperative Oncoloogy Group (ECOG) performance status of 0 or 1
- White blood cell (WBC) count >= 3,000/mm^3 (=< 15 days prior to registration)
- Platelet count >= 75,000/mm^3 (=< 15 days prior to registration)
- Hemoglobin >= 9.0 g/dL (5.6 mmol/L) (=< 15 days prior to registration)
- NOTE: Transfusions are not allowed =< 7 days prior to registration
- Total bilirubin =< 1.5 X upper limit of normal (ULN) (or total bilirubin =< 3.0 X ULN with direct bilirubin =<1.5 X ULN in patients with well-documented Gilbert's Syndrome) (=< 15 days prior to registration)
- Aspartate aminotransferase/serum glutamic-oxaloacetic transaminase (AST/SGOT) =< 2.5 X ULN (=< 15 days prior to registration)
- Creatinine =< 1.5 mg/dL (133 umol/L) OR calculated creatinine clearance >= 30 mL/min/1.73m^2 for patients with creatinine levels above ULN (=< 15 days prior to
registration)
- Prothrombin time (PT)/international normalized ratio (INR)/partial thromboplastin time (PTT) =< 1.5 X ULN OR if patient is receiving anticoagulant therapy and PT or PTT is
within therapeutic range of intended use of anticoagulants (=< 15 days prior to registration)
- Negative pregnancy test done =< 3 days prior to registrationfor persons of childbearing potential only
- Persons of childbearing potential or able to father a child must be willing to use an effective method of contraceptionfor the course of the study starting with the first dose of study therapy through 120 days after the last dose of study medication
- NOTE: Abstinence is acceptable if this is the usual lifestyle and preferred method of contraception for the patient
- Provide written informed consent
- Willing to return to enrolling institution for follow-up (during the Active Monitoring Phase of the study)
- Willingness to provide mandatory blood specimens for correlative research
- Willingness to provide mandatory tissue specimens for correlative research
- Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm
- Active autoimmune disease requiring systemic treatment, documented history of severe autoimmune disease, or a syndrome that requires systemic steroids or immuno-suppressive agents
- NOTE: Exceptions are allowed for:
- Vitiligo
- Resolved childhood asthma/atopy
- Intermittent use of bronchodilators or inhaled steroids
- Daily steroids at dose of =< 10mg of prednisone (or equivalent)
- Local steroid injections
- Stable hypothyroidism on replacement therapy
- Stable diabetes mellitus
- Sjogren's syndrome
- Any prior head or neck chemotherapy, radiotherapy, and/or immunotherapy
- Any of the following prior therapies:
- Live vaccine < 30 days prior to registration, including intranasal flu vaccine (e.g., Flu-Mist) (Note: Seasonal influenza vaccines for injection are generally
killed virus vaccines and are allowed). Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, varicella/zoster (chicken pox), yellow fever, rabies, Bacillus Calmette-Guerin (BCG), and typhoid vaccine. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines (e.g., FluMist) are live attenuated vaccines and are not allowed
- Chemotherapy or targeted small molecule therapy < 21 days prior to registration
- Investigational therapy or investigational device < 30 days prior to registration
- Any prior investigational HPV-specific therapeutic vaccine
- Current or prior use of immunosuppressive medication < 14 days prior to registration
- The following are exceptions to this criterion:
- Intranasal, inhaled, topical steroids, or local steroid injections (e.g., intraarticular injection)
- Systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or its equivalent
- Steroids as premedication for hypersensitivity reactions (e.g., premedication for computed tomography [CT] scans)
- Uncontrolled intercurrent illness including, but not limited to:
- Ongoing or active infection requiring systemic therapy
- Interstitial lung disease
- Serious, chronic gastrointestinal conditions associated with diarrhea (e.g., Crohn's disease or others)
- Known active hepatitis B (i.e., known positive HBV surface antigen (HBsAg) reactive)
- Known active hepatitis C (i.e., positive for HCV ribonucleic acid [RNA] detected by polymerase chain reaction [PCR])
- Known human immunodeficiency virus (HIV) (Note: Patients on stable highly active antiretroviral therapy (HAART) for >= 6 weeks with CD4 counts >= 200 cells/mm^3 undetectable HIV viral load by quantitative PCR and no opportunistic infections Castlemaan's Disease =< 12 months prior to enrollment are allowed)
- Known active tuberculosis (TB)
- Symptomatic congestive heart failure
- Unstable angina pectoris
- Unstable cardiac arrhythmia or
- Psychiatric illness/social situations that would limit compliance with study requirements (e.g., substance abuse)
- History of allogeneic hematopoietic transplant or any solid organ transplant
- Other active malignancy < 2 years prior to registration
- EXCEPTIONS: Non-melanotic skin cancer (SCC/BCC), micropapillary thyroid cancer, Gleason 6 prostate cancer, carcinoma-in-situ of the breast or cervix
- Any of the following conditions =< 6 weeks prior to registration:
- Cerebrovascular accident (CVA)
- Admission for unstable angina
- Cardiac angioplasty or stenting or coronary artery bypass graft surgery
- Untreated pulmonary embolism or untreated deep venous thrombosis (DVT)
- Arterial thrombosis
- Receipt of immunotherapy/immunomodulatory or immunosuppressive agents (e.g., IFNs, tumor necrosis factor, interleukins, immunoglobulins or other biologic response modifiers [GM-CSF, GCSF] =< 6 weeks prior to registration
Note: Other protocol defined Inclusion/Exclusion Criteria may apply.
Eligibility last updated 10/9/23. Questions regarding updates should be directed to the study team contact.
PISTACHIO (PREEMPTIION OF DISRUPTIVE BEHAVIOR IN CHILDREN) REAL-TIME MONITORING OF SLEEP AND BEHAVIOR OF CHILDREN 3-7-YEAR-OLD RECEIVING PARENT CHILD INTERACTION THERAPY AUGMENTED WITH ARTIFICIAL INTELLIGENCE RANDOMIZED CONTROLLED TRIAL. (PISTACHIO)
Monitoring of Sleep and Behavior of Children 3-7 Years Old Receiving Parent-Child Interaction Therapy with the Help of Artificial Intelligence
Inclusion Criteria
•Children:
- Ages 3-7.
- Outpatients or Inpatients.
- Any gender, race or ethnicity.
- Able to provide developmentally appropriate informed assent, and legal guardians able to provide informed consent .
- EBP Severity rated above the clinically significant range (≥120; T-score ≥ 60) (Eyberg Child Behavior Inventory- ECBI; Eyberg & Pincus, 1999).
- Need for more intensive behavioral treatments such as ER visit for behavioral dyscontrol or hospitalization will not be exclusionary or exit criteria.
- Families approached for participation will be asked to commit to complete the treatment.
- At least one primary caregiver and the identified child will have to be able to speak and understand English.
Exclusion Criteria
•Children:
- Formal diagnosis of Severe Intellectual disability, Autistic Spectrum Disorder Level 3, or a psychotic disorder for the child.
- Parents not consenting to the study.
- Parents or child is not able to adhere to the study protocol.
- A Child who is reasonable expected to be unable to tolerate wearing the Garmin device for at least 70% of the time during the day and night 70% of the days during the treatment (12 weeks). This is based on the principal investigator’s discretion.
- Unable to speak and understand English.
- Refusal or withdrawal of consent, inability, or unwillingness to adhere to study procedures.
- Children in foster care.
Inclusion Criteria
•Adults:
- Agree to wear Garmin watch.
- Ages 18-99.
- Any gender, race, ethnicity.
- Able to provide informed consent.
Exclusion Criteria
•Adults:
- Unable to speak and understand English.
- Refusal or withdrawal of consent, inability, or unwillingness to adhere to study procedures.
A Phase 1 Study of Oral LOXO-338, a Selective BCL-2 Inhibitor, in Patients With Advanced Hematologic Malignancies
Study of Oral LOXO-338 in Patients With Advanced Blood Cancers
- B-cell malignancy.
- Patients must have received prior therapy.
- Patients must have an objective indication for therapy.
- Eastern Cooperative Oncology Group performance status (ECOG PS) of 0-1.
- Anticipated life expectancy of greater than or equal to (≥) 12 weeks.
- Adequate bone marrow function.
- Adequate hepatic function.
- Creatinine clearance of ≥ 60 milliliters (mL)/minute.
- Ability to swallow tablets.
- Ability to comply with outpatient treatment, laboratory monitoring, and required
clinic visits for the duration of study participation.
- Prior treatment-related adverse events (AEs) must have recovered to grade less than or
equal to (≤) 1 or pretreatment baseline, with the exception of alopecia.
- Men with partners of childbearing potential or women of childbearing potential (WOCBP)
must agree to use highly effective birth control.
- WOCBP must not be pregnant.
- Additional Inclusion Criteria for Patients with AL Amyloidosis
- In Part 1 Dose Expansion, patients with AL amyloidosis are eligible based on
prior detection of primary systemic light-chain amyloidosis.
- Must have measurable disease of AL amyloidosis.
- Prior local fluorescence in-situ hybridization (FISH) testing results for
t(11;14) are required to be submitted prior to enrollment.
- Prior to identification of an appropriate RP2D (Dose Expansion) of LOXO-338, a history
of known, active or suspected:
- Richter's transformation to diffuse large B-cell lymphoma (DLBCL),
prolymphocyticleukemia, or Hodgkin lymphoma
- Transformed low grade lymphoma
- Burkitt or Burkitt-like lymphoma
- Diffuse large B-cell lymphoma
- AL amyloidosis
- Multiple myeloma
- Lymphoblastic lymphoma or leukemia
- Posttransplant lymphoproliferative disorder
- Known or suspected history of central nervous system (CNS) involvement.
- History of allogeneic or autologous stem cell transplant (SCT) or chimeric antigen
receptor-modified T cell (CAR-T) therapy within the past 60 days and with any of the
following:
- Active graft versus host disease (GVHD)
- Cytopenias from incomplete blood cell count recovery post-transplant or CAR-T
therapy
- Need for anti-cytokine therapy for toxicity from CAR-T therapy; residual symptoms
of neurotoxicity Grade > 1 from CAR-T therapy
- Ongoing immunosuppressive therapy
- Known human immunodeficiency virus (HIV) positive, regardless of cluster of
differentiation 4 (CD4) count. Unknown or negative status eligible.
- Inability to take necessary uric acid lowering agents (i.e., allopurinol, rasburicase,
orfebuxostat).
- Concurrent anticancer therapy.
- Concurrent treatment with strong cytochrome P450 3A4 (CYP3A4) inhibitors or inducers
that can include antifungals.
- Use of ≥ 20 milligrams (mg) prednisone once a day (QD) or equivalent dose of steroid
per day, within 7 days of start of study treatment. Patients may not be on any dose of
prednisone intended for antineoplastic use.
- Vaccination with a live vaccine within 28 days prior to start of study therapy.
- Major surgery within four weeks of planned start of study therapy Prolongation of the
QT interval corrected by Fridericia's Formula for heart rate (QTcF) greater than (>)
470 milliseconds (msec).
- Clinically significant cardiovascular disease.
- Female patient who is pregnant or lactating.
- Active second malignancy which may preclude assessment of DLT.
- Clinically significant active malabsorption syndrome including surgical resection of
small intestine or other condition likely to affect gastrointestinal (GI) absorption
of the orally administered study drugs.
- Active hepatitis B or C infection.
- Evidence of other clinically significant uncontrolled condition(s) including, but not
limited to, uncontrolled systemic infection (viral, bacterial, or fungal) or other
clinically significant active disease process.
- Active uncontrolled auto-immune cytopenia.
- Additional Exclusion Criteria for Patients with AL Amyloidosis (Part 1 Dose-Expansion)
- Previous or current diagnosis of symptomatic MM.
- Heart failure that, in the opinion of the Investigator, is on the basis of
ischemic heart disease.
- Supine systolic blood pressure < 90 mmHg, or symptomatic orthostatic hypotension
in the absence of volume depletion.
- N-terminal pro hormone natriuretic peptide (NT-proBNP) > 8500 ng/L (or BNP > 700
ng/L if NT-proBNP is not available by local or central testing).
- Additional exclusion criteria for patients enrolled to part 2: LOXO-338 and
pirtobrutinib combination
- Prior progression or intolerance to pirtobrutinib.
- Patients requiring therapeutic anticoagulation with warfarin.
- Known hypersensitivity to any component or excipient of pirtobrutinib.
- In patients with history of myocardial infarction or congestive heart failure,
documented left ventricular ejection fraction (LVEF) by any method of ≤ 45
percent (%) in the 12 months prior to planned start of study treatment.
- History of uncontrolled or symptomatic arrhythmias including grade ≥ 3 arrhythmia
on a prior BTK inhibitor.
- History of major bleeding on a prior BTK inhibitor.
- Current treatment with strong permeability glycoprotein (P-gp) inhibitors.
Trigeminal Neuralgia Electrophysiology
• Adults of 18 years or older
• Scheduled to undergo percutaneous rhizotomy for facial pain Exclusion Criteria (TGN):
• Facial pain of unclear origin (i.e. not clearly TGN pain)
• Rhizotomy procedure canceled Inclusion Criteria (Healthy controls)
• Adults of 18 years or older Exclusion Criteria (Healthy Controls)
• Diagnosis or history of facial pain such as TMD or TGN
• History of migraine
• History of any functional pain disorder: fibromyalgia, IBS, CRPS
• Recent chronic pain (within last month)
• Unwilling to participate for two hours in lab
• Current acute pain
Topical Ice-therapy for Intravitreal Injections
• All patients aged 18 or older evaluated by a single retina specialist at the University of Minnesota Department of Ophthalmology with a clinical indication necessitating an anti-VEGF intravitreal injection
• N/A
Pivotal Clinical Study to Establish the Safety and Effectiveness of the Use of BioTraceIO Lite for Assessment of Tissue Damage following Liver Tissue Ablation Procedures (CL000012)
Safety and Effectiveness of BioTraceIO Lite for Tissue Damage Assessment Following Liver Tissue Ablation Procedures
- Scheduled and indicated for standard-of-care liver tissue ablation for either hepatocellular carcinoma (HCC) or metastatic liver tumor(s) using either radiofrequency (RF) or microwave (MW) energy.
- At least 21 years of age.
- Single tumor, or multiple tumors only if the distance between the ablated tumor and all other tumors allows for distinct separation between the necrotic zones (minimum of 1cm), based on the physician’s discretion.
- Distance between the tumor and the edge of any previous necrotic zones allows for distinct separation between the necrotic zones (minimum of 1cm), based on the physician’s discretion.
- Single ablation, using a single ablation needle, per tumor.
- Able and willing to give informed consent.
- Liver tumor that cannot be ablated with a single ablation needle, according to the investigator’s clinical discretion.
- Subject cannot tolerate/undergo contrast-enhanced CT.
- Planned ablation includes adjunctive means other than RF or MW energy (e.g., ethanol, hepatic artery embolization, etc.) or overlapping ablations using a single ablation needle.
- Ablation area cannot be visualized continuously using ultrasound throughout the entire ablation procedure.
- Pregnant or lactating.
- Currently participating in another clinical trial of an unapproved investigational device or drug that has not concluded the follow-up period.
- Unable or unwilling to give informed consent.
Eligibility last updated 5/24/22. Questions regarding updates should be directed to the study team contact.
Assessing the Sexual Health and Well-Being of Female Survivors of Pelvic Malignancies after Radiotherapy
IRB#21-009968: Assessing the Sexual Health and Well-Being of Female Survivors of Pelvic Malignancies after Radiotherapy
- English speaking.
- Ability to complete a questionnaire.
- ≥ 18 years of age.
- Patients treated for endometrial cancer from 2013-2018 (about 590 patients treated between 2013-2018 per Rad Onc Outcomes):
- Status post-surgery +:
- Pelvic +/- para-aortic external beam radiotherapy;
- External beam radiotherapy +/- vaginal cuff brachytherapy;
- Brachytherapy alone.
- Patients treated for cervical cancer from 2013-2018 (62 definitive or adjuvant treated between 2015-2018 per Rad Onc outcomes):
- Status post-surgery and external beam radiotherapy +/- chemotherapy;
- Definitive radiotherapy +/- chemotherapy.
- Patients treated for vulvar cancer from 2013-2018 receiving radiotherapy +/- surgery +/- chemotherapy (40 treated between 2013-2018 per Rad Onc outcomes).
- Patients treated for vaginal cancer from 2013-2018 receiving radiotherapy +/- surgery +/- chemotherapy (34 treated between 2013-2018 per Rad Onc outcomes).
- Patients treated for anal cancer from 2013-2018 receiving radiotherapy +/- chemotherapy +/- surgery (243 treated between 2013-2018 per Rad Onc outcomes).
- Females < 18 years of age.
- Any exception to above Inclusion Criteria.
Eligibility last updated 11/18/21. Questions regarding updates should be directed to the study team contact.
A Phase I Study Evaluating the Safety and Feasibility of Platelet-rich Plasma for the Treatment of Facetogenic Low Back Pain
A Study to Evaluate the Safety and Feasibility of Platelet-rich Plasma to Treat Facetogenic Low Back Pain
- Clinical and radiographic (MRI, CT or lumbar x-ray) evidence of symptomatic facet
arthropathy involving the bilateral bottom two facets (e.g., L4-5 or L5-6 and L5-S1 or
L6-S1).
- Positive response, defined according to current clinical standards for the diagnosis
of facet-mediated low back pain as greater than or equal to 75% pain improvement (as
reported by patient) to diagnostic medial branch nerve blocks, one block with
lidocaine and the other with bupivacaine.
- Low back pain VAS score of greater than or equal to 5 at the clinical visit just prior
to the first medial branch nerve block.
- Prior facet related procedure (intraarticular corticosteroid injection, radiofrequency
ablation (RFA)) in last 6 months or prior fusion in the bottom two facets.
- Current opioid use of greater than 50mg oral morphine milligram equivalents per day.
- No advanced imaging (MRI, CT or lumbar x-ray) of the lumbar spine within the last 6
months.
- BMI > 34.99 (WHO class I obesity).
- Active systemic or local infection as evidenced by fever >100.4 degrees Fahrenheit, or
any other clinical signs or symptoms of infection within 24 hours of the procedure.
- On anticoagulation drug and has been on hold for less than 7 days prior to the
investigational procedure.
- Imaging evidence of high likelihood of failure for intra-articular injection in the
opinion of the PI or delegate review of MRI, CT or lumbar x-ray imaging.
- History of chronic thrombocytopenia (or pre-operative platelet count less than 195,000
per ?l).
- Undergoing chemotherapy at time of injection.
- Pregnant or breastfeeding.
- Use of illicit drugs within 30 days prior to study entry.
- NSAID use during the pre-procedural period (one week before Treatment Day 0).
- Preoperative hematocrit less than 36%.
- History of hemodynamic instability or inability to maintain stable oncotic pressure.
- History of prolonged clotting times.
- Prior history of lumbar procedure.
- Redness, swelling, rash or other concerning lesions at the injection site just prior
to the procedure.
- Prior history of allergy to lidocaine or other local anesthetic agent.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 2/21/23. Questions regarding updates should be directed to the study team contact.
Stimulation of the Larynx to Treat Unexplained Chronic Cough
• Adults aged 18-88
• >8 weeks of cough
• Cough visual analogue scale (VAS): Rating of 30 or greater on a 0-100 cough severity scale
• Ability to provide informed consent and independently complete questionnaires
• Ability to read and speak English
• Electronic implants (e.g., pacemaker)
• Currently doing speech therapy for cough
• Contraindications to safe or effective VTS device use
• No regular access to wifi internet
State Representation in Early Psychosis (STEP)
Our Center will focus on the unifying hypothesis that processes underlying state representation dysfunction are relevant to psychosis, providing a window into pathophysiologic heterogeneity and precision treatment. Our Center will study three species (nonhuman primates, mice, and humans) using eight methodologies (genetic manipulations, slice physiology, ensemble recordings, LFP, behavior, EEG, fMRI, cognitive training). We will use a central computational perspective to translate and integrate across species and methodologies: Changes in neural information processing that affect parameters underlying attractor dynamics and influence state representation processes. Such changes create observable effects in behavior and neurophysiology, which we will study through the lens of attractor network models to inform our understanding of pathophysiologic heterogeneity, clinical trajectories, and precision treatment.
• English proficiency, as determined by staff observation and participant self-report
• Estimated IQ at or above 70, as estimated by the cognitive assessments Additional Inclusion Criteria for Early Psychosis Participants:
• Clinical diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, psychosis NOS, bipolar disorder with psychosis, or major depressive disorder with psychosis, with onset of psychotic symptoms within the previous 5 years
• Achieved clinical stability, defined as outpatient status for at least one month prior to study participation plus clinically stable doses of psychiatry medications for at least one month prior to study participation
• Unable or unwilling to provide informed consent
• The participant is unable to demonstrate adequate decisional capacity, in the judgment of the consenting study staff member, to make a choice about participating in the research study
• Participant is pregnant
• Participant is illiterate
• Cannot pass the CMRR Subject Safety Screen due to MRI contraindications
• Presence of a major neurological disorder
• Previous clinically significant head injury or prolonged unconsciousness, as determined by the PI/Co-Is
• Meets criteria for substance or alcohol dependence within 3 months of enrollment
• The presence of any major medical condition that, in the opinion of the PI/Co-Is, would impede participation in the study or would put the participant at additional risk by participating Additional Exclusion Criteria for Early Psychosis Participants:
• Has participated in significant formal cognitive training programs, as determined by the PI/Co-Is
• Meets criteria for clinical risk of suicidal behavior, as defined by:
• Clinician judgement
• A suicide attempt within 6 months of enrollment
• Active suicidal ideation at screening or baseline, as indicated by the C-SSRS
• Previous intent to act on suicidal ideation with a specific plan and/or preparatory acts within 6 months of enrollment, as indicated by the C-SSRS Additional Exclusion Criteria for Control Participants:
• Meets DSM-5 criteria for psychotic, bipolar, or autism spectrum disorder
• Has a family history (1st degree relative) of psychotic, bipolar, or autism spectrum disorder
Tricuspid Regurgitation due to Atrial Fibrillation – Impact of Rhythm Control and Early Surgery (TR-ES Study) (TR-ES)
A Study to Analyze Rhythm Control and Potential Early Surgery for Tricuspid Regurgitation
- Age ≥ 18 years.
- Moderate-severe to severe TR due to atrial enlargement.
- Ambulatory (not wheelchair/scooter dependent).
- Ejection fraction > 40%.
- Systolic pulmonary artery pressure > 70 mmHg. with a fixed pulmonary vascular resistance > 7 Wood units by catheterization.
- Ejection fraction < 40%.
- Obstructive hypertrophic cardiomyopathy.
- Constrictive pericarditis or tamponade.
- Active myocarditis.
- Complex congenital heart disease.
- Other valve disease requiring surgical intervention.
- Terminal illness (other than HF) with expected survival of less than 1 year.
- Pregnancy or breastfeeding mothers.
Eligibility last updated 4/28/22. Questions regarding updates should be directed to the study team contact.
Clopidogrel Monotherapy in High Bleeding Risk Patients Undergoing Percutaneous Coronary Interventions: A Safety Assessment, Pilot Study to Reduce Post-Discharge Bleeding (CHAMP)
Clopidogrel Monotherapy After PCI in Patients with High Bleeding Risk
- Informed consent in adults
- Successful percutaneous coronary intervention (PCI) [no non-fatal MI/stroke/repeat
target revascularization/bleeding/acute kidney injury].
- Academic research consortium-high bleeding risk (ARC-HBR) score ≥ 4.
- Chronic use of warfarin or direct oral anticoagulant (DOAC).
- Unsuccessful PCI (see above).
- Lesions with angiographic thrombus.
- Prior PCI within 6 months.
- Planned PCI or surgical intervention to treat any cardiac or noncardiac condition
within 6 months.
- High risk lesion/stent characteristics (> 50% unprotected left main disease,
bifurcation disease requiring 2 stents technique, rotational atherectomy.
- Vein graft.
- Unprotected left main intervention or history of definite stent thrombosis.
- Women of child-bearing age unless negative pregnancy test is done.
- Life expectancy < 1 year.
- Known drug/alcohol dependence.
- Assessment that the patient will not be compliant with the study protocol.
A Phase 3, Multi-center, Multi-national, Randomized, Double-blind, Placebo-controlled, Induction and Maintenance Study to Evaluate the Efficacy and Safety of CC-93538 in Adult and Adolescent Subjects with Eosinophilic Esophagitis (CC-93538-EE-001)
A Study to Evaluate the Effectiveness and Safety of CC-93538 to Treat Adults and Adolescents with Eosinophilic Esophagitis
- Subject must be ≥ 18 years and ≤ 75 years of age.
- Body weight of ≥ 40 kg (88.2 lb) at the time of signing the informed consent form (ICF)/assent form.
- Note: Countries or sites with local restrictions that prohibit enrollment of adolescents (aged 12 to 17 years inclusive) will only enroll subjects who are 18 years of age or older. Enrollment of adolescent subjects will begin only after the applicable regulatory requirements for enrolling subjects in that age group have been satisfied and the necessary health authority approvals have been granted. Where national or regional guidelines for the definition of adolescence differ from the definition stated above, the national or regional guidelines may be used to determine eligibility.
- Subject has histologic evidence of EoE, defined as a peak count of ≥ 15 eosinophils per high-power field (hpf) at any 2 levels of the esophagus (proximal, mid, and/or distal) when off anti-inflammatory therapy (eg, corticosteroids, see Exclusion Criterion 7) for EoE. The histologic criterion for diagnosis of EoE must be confirmed by a centrally read histological assessment of an EGD specimen during the Screening Period prior to randomization.
- Subject has symptoms of dysphagia of at least 4 DD, as assessed with the mDSD instrument, over the last 2 consecutive weeks (14 days) prior to Day 1 when off anti- inflammatory therapy (eg, corticosteroids, see Exclusion Criterion 7) for EoE. Subjects are required to have at least 11 days of diary data out of the final 14-day period of screening mDSD collection in order to be enrolled in the study. During these 11 days, responses to questions 2 through 5 of the mDSD instrument must be complete.
- Subject must have previously received an adequate trial of proton-pump inhibitor (PPI) medication (8 weeks per guidance, Dellon, 2013) that did not provide complete response to EoE, or the subject remains symptomatic with continued use (Dellon, 2018b; Lucendo, 2017). Prospective subjects who discontinued use of a PPI must not have received a PPI for at least 4 weeks before their first Screening Visit and must agree not to restart a PPI during the study. If a prospective subject is receiving a PPI medication at screening, he or she must have been receiving a stable dose for at least 4 weeks prior to the first Screening Visit and agree to continue the same dose throughout the study.
- Subject must either:
- be naïve or have had an adequate response to corticosteroid therapy (i.e., classified as Steroid Responders/Naïve); or
- have had an inadequate response to corticosteroid therapy and is not considered to be a candidate for continued corticosteroid therapy, or is intolerant to corticosteroid therapy. For subjects who have previously received systemic or swallowed topical corticosteroids for EoE, designation of the status of Steroid Inadequate Responders/Intolerant will include either of the following definitions. Note that if any of the below criteria are met, a subject will be deemed Steroid Inadequate Responders/Intolerant (approximately 70% of the study population) and cannot be classified as Steroid Responders/Naïve (approximately 30% of the study population).
- Inadequate response to corticosteroid therapy (failed to respond or lost response) and not considered a candidate for continued corticosteroid therapy: subjects who have had a trial of at least 6 weeks of swallowed topical corticosteroid treatment; or
- 4 weeks of systemic corticosteroids at doses in accordance to published guidelines for the management of EoE (Lucendo, 2017), or a trial for the treatment duration specified in the prescribing information for approved products and judged by the treating physician as not achieving clinical improvement or having clinical improvement initially but lost response while on therapy;
-
- Intolerant to corticosteroid therapy: subjects who initiated systemic or swallowed topical corticosteroid treatment but were unable to achieve treatment durations or dose levels due to intolerance because of side effects, including intolerance from use of corticosteroids for conditions other than EoE, or subjects with underlying conditions in which corticosteroid use is not recommended or contraindicated.
- Documentation of type of therapy, treatment duration, and outcome details will be collected when possible.
- Subjects must agree to maintain a stable diet (including any food elimination diet for the treatment of food allergy or EoE) from the first Screening Visit and throughout the duration of the study, and subjects must have maintained a stable diet for at least 4 weeks prior to the first Screening Visit. Subjects must agree not to introduce any changes in their diet while participating in the study.
- Subjects currently receiving inhaled corticosteroids, leukotriene receptor antagonists (e.g., montelukast), or mast cell stabilizers (e.g., cromolyn sodium) for indications other than EoE, or medium potency topical corticosteroids (eg, mometasone furoate cream or lotion) for dermatologic conditions, must maintain stable doses/regimens for at least 4 weeks prior to the first Screening Visit and regimens must remain stable throughout the duration of the study. If recently discontinued, the medication must have been discontinued at least 4 weeks prior to the first Screening Visit.
- Female subjects of childbearing potential must agree to practice a highly effective method of contraception. Highly effective methods of contraception are those that alone or in combination result in a failure rate of a Pearl index of less than 1% per year when used consistently and correctly.
- A female of childbearing potential (FCBP) is a female who:
- has achieved menarche at some point;
- has not undergone a hysterectomy or bilateral oophorectomy; or
- has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (ie, has had menses at any time in the preceding 24 consecutive months) and must:
-
- Have 2 negative pregnancy tests as verified by the Investigator prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study and through the Final 16-week Safety Follow-up Visit. This applies even if the subject practices true abstinence* from heterosexual contact;
- Either commit to true abstinence* from heterosexual contact (which must be reviewed on a monthly basis and source documented) or agree to use, and be able to comply with, highly effective contraception without interruption throughout the study and for 5 months after the last dose of IP. Acceptable methods of birth control in this study are the following (birth control must be effective by the time the FCBP subject is randomized into the study [e.g., hormonal contraception should be initiated at least 28 days before randomization]):
- combined hormonal (estrogen and progestogen containing) contraception, which may be oral, intravaginal, or transdermal;
- progestogen-only hormonal contraception associated with inhibition of ovulation, which may be oral, injectable, or implantable placement of an intrauterine device (IUD);
- placement of an intrauterine hormone-releasing system (IUS);
- bilateral tubal ligation; or bilateral tubal occlusion (if an implantable device was recently placed, the subject must use an additional effective method of birth control until full occlusion has been confirmed and documented);
- vasectomized partner (vasectomized partner is a highly effective birth control method provided that the partner is the sole sexual partner of the FCBP and has received medical assessment of the surgical success);
- sexual abstinence.
- Subject is willing to receive weekly SC injections throughout the study.
- Subject must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted. For subjects less than 18 years of age, subject assent must be obtained, and parental/legal representative consent is required.
- Subject is willing and able to adhere to the study visit schedule and other protocol requirements.
- True abstinence is acceptable when this is the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), and lactational amenorrhea method are not acceptable methods of contraception.
- Subject has clinical or endoscopic evidence of the presence of any other disease that may interfere with or affect the histologic, endoscopic, and clinical symptom endpoints for this study (eg, erosive esophagitis Los Angeles [LA] classification Grade B or above, Barrett's esophagus, esophageal lichen planus, upper gastrointestinal bleed, achalasia, inflammatory bowel disease, diagnosed eosinophilic gastroenteritis [clinical symptoms and/or EGD findings and confirmatory eosinophilia in gastric and/or duodenal mucosa], or significant hiatal hernia [> 3 cm], etc.).
- Subject demonstrates presence of esophageal varices.
- Subject has a known active Helicobacter pylori infection and/or is currently being treated for this condition.
- Subject has evidence of a severe endoscopic structural abnormality in the esophagus (e.g., high-grade stenosis where an 8- to 10-mm endoscope could not pass through the stricture without dilation at the time of the screening EGD).
- Subject had esophageal dilation for symptom relief during the Screening Period or within 8 weeks prior to the first Screening Visit, or esophageal dilation is anticipated to be performed within 48 weeks of dosing during the study.
- Subject demonstrates evidence of immunosuppression or is receiving systemic immunosuppressive or immunomodulating drugs (e.g., anti-IL-13 antibodies [except IP in this study], IL-4 receptor alpha antagonist antibodies [eg, dupilumab], anti-IL-5 antibodies, anti-IL-17 antibodies, anti-immunoglobulin E [IgE] antibodies, α4β7 integrin inhibitor antibodies, or any other monoclonal antibody, methotrexate, cyclosporine, azathioprine, mercaptopurine, interferon alpha [IFNα], tumor necrosis factor alpha [TNFα] inhibitors, etc.) within 5 drug half-lives prior to the first Screening Visit. Any use of these medications will be prohibited during the study.
- Subject is currently receiving systemic or swallowed topical corticosteroid medication. Prospective subjects with EoE previously treated with a corticosteroid must not have received a systemic corticosteroid within 8 weeks or swallowed topical corticosteroid within 4 weeks of the first Screening Visit.
- Subject is currently receiving a high potency topical corticosteroid (e.g., augmented betamethasone dipropionate, clobetasol propionate, etc.) for dermatologic use. Prospective subjects must not have received a high potency topical corticosteroid for dermatologic use within 8 weeks of the first Screening Visit. Any use will be prohibited during the study.
- Subject is currently receiving a leukotriene receptor antagonist (e.g., montelukast) or mast cell stabilizer (e.g., cromolyn sodium) for the indication of EoE. Subjects must not have received a leukotriene receptor antagonist or mast cell stabilizer for EoE within 4 weeks of the first Screening Visit. Any use for the treatment of EoE during the study will be prohibited.
- Subject is currently successfully treated for EoE with dietary modifications (e.g., food elimination diet) and is able to fully adhere to the diet resulting in a complete response to EoE (i.e., the subject does not meet the symptoms of dysphagia requirement of at least 4 DD and histologic criterion for diagnosis of EoE per Section 4.2, Inclusion Criteria 2 and 3).
- Subject has received oral or sublingual immunotherapy within 6 months of the first Screening Visit; any use will be prohibited during the study. Subjects receiving SC immunotherapy may participate but must be on stable doses for at least 3 months prior to the first Screening Visit and during the study.
- Subject is receiving concurrent treatment with another IP, including through participation in an interventional trial for COVID-19. Prospective subjects may not participate in a concurrent IP study or have received an IP within 5 drug half-lives prior to signing the ICF/assent for this study. Further, for subjects who received an investigational COVID-19 vaccine as part of a clinical trial prior to the first Screening Visit, enrollment must be delayed until the biologic impact of the vaccine is stabilized, as determined by discussion between the Investigator and the Clinical Trial Physician.
- Subject has received a live attenuated vaccine within one month prior to the first Screening Visit or anticipates the need to be vaccinated with a live attenuated vaccine during the course of the study. Administration of any live attenuated vaccine will be prohibited during the study through the Final 16-week Safety Follow-up Visit.
- Subject has previously received CC-93538 treatment (formerly known as RPC4046 and ABT-308) through participation in the Phase 2 Study, RPC02-201, or any Phase 1 clinical study.
- Subject has any other disease that would make conduct of the protocol or interpretation of the study results difficult or that would put the prospective subject at risk by participating in the study (eg, severe uncontrolled asthma, infection causing eosinophilia, hypereosinophilic syndrome, gastritis, colitis, celiac disease, Mendelian disorder associated with EoE, or cardiovascular condition, or neurologic or psychiatric illness that compromises the prospective subject's ability to accurately document symptoms of EoE).
- Subject has liver function impairment or persisting elevations of aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT) or alanine aminotransferase/serum glutamic pyruvic transaminase (ALT/SGPT) that are 2 times the upper limit of normal (ULN), or total bilirubin 1.5 times the ULN. Subjects with elevations that are not clinically significant in total bilirubin associated with Gilbert’s syndrome may participate.
- Subject has an active parasitic/helminthic infection or a suspected parasitic/helminthic infection. Subjects with suspected infections may participate if clinical and laboratory assessments, if needed, rule out active infection prior to randomization.
- Subject has an ongoing infection (e.g., hepatitis B or C, human immunodeficiency virus [HIV], or tuberculosis as defined by standard medical guidelines).
- Subject had a previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection within 4 weeks prior to screening. Symptoms must have completely resolved and based on Investigator assessment in consultation with the Clinical Trial Physician, there are no sequelae that would place the participant at a higher risk of receiving investigational treatment.
- Subject has known hereditary fructose intolerance (HFI).
- Subject is pregnant or lactating.
- Subject has a history of idiopathic anaphylaxis or a major immunologic reaction (such as anaphylactic reaction, anaphylactoid reaction, or serum sickness) to an immunoglobulin G (IgG) containing agent.
- Subject has a history of cancer or lymphoproliferative disease, other than a successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma or adequately treated cervical carcinoma in situ, within 5 years of screening.
- Subject has a history of alcohol or drug abuse within 5 years prior to initiation of screening.
- Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
- Subject has any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study.
- Subject has any condition that confounds the ability to interpret data from the study.
A First In Human Evaluation of a Novel Approach to Painless Cardioversion (NAPC) in Patients with Atrial Fibrillation (MediCool)
MediCool Protocol
- Subject must be ≥ 18 years or older.
- Male or female.
- Subject has documented paroxysmal, or persistent atrial fibrillation (AF) with a history of less than one-year duration.
- Must be in AF at time of surgery, or inducible using manual or electrical stimulation.
- Subject is willing and able to provide written informed consent.
- Subject has a life expectancy of at least 1 year.
- Long-standing AF (duration > 1 year).
- Prior AF ablation.
- Left main coronary artery occlusion > 70%.
- Critical aortic stenosis (gradient > 50mm HG).
- Inability to induce patient into AF without drugs at time of surgery.
- Female subjects who are pregnant at time of surgery.
- Subjects with a medical condition or comorbidity that could adversely impact study participation, safety or conduct of the study.
- Permanent pacemaker or implantable cardioverter defibrillator.
- Current cancer treatment that includes radiation of the heart.
- Inability to give informed consent.
- Significant intra-cardiac thrombus
- Subjects not eligible for or considered high risk for anticoagulation
Long-term Outcomes of Patients who Underwent Darrach between the ages of 18-40 years
A Study to Evaluate Long-Term Outcomes of the Darrach in Patients 18-40 Years
- All adults, aged 18-40 years old at time of surgical intervention.
- Had a distal ulnar resection (CPT 25240 or 25150) 5 or more years ago.
- Individuals less than 18 or over 40 years of age at time of surgery.
Validation and Reliability of a Single Operator Technique for Stress Sonography in Healthy Elbow Medial Ulnar Collateral Ligaments (UCLUS)
Ulnar Ligament Ultrasound Stress Test
- Males, age 18-40 years old.
- Staff members and trainees within the Sports Medicine Division and Physical Medicine and Rehabilitation Departments of Mayo Clinic.
- Individuals under 18 or over 40 years old.
- Prior or current history of elbow joint pain, injury, or surgery such as elbow joint arthritis, prior/current elbow ulnar collateral ligament injury that required subject to take time off from sport, or history of any elbow surgery.
Eligibility last updated 8/31/21. Questions regarding updates should be directed to the study team contact.
A Randomized, Double-blind, Placebo-controlled, Phase 3 Study of the Efficacy and Safety of Inhaled Treprostinil in Subjects with Idiopathic Pulmonary Fibrosis (RIN-PF-301)
Study of Efficacy and Safety of Inhaled Treprostinil in Subjects with Idiopathic Pulmonary Fibrosis
1. Subject gives voluntary informed consent to participate in the study.
2. Subject is ≥ 40 years of age, inclusive, at the time of signing informed consent.
3. The subject has a diagnosis of IPF based on the 2018 ATS/ERS/JRS/ALAT Clinical
Practice Guideline (Raghu 2018) and confirmed by central review of high-resolution
computed tomography (HRCT) (performed within the previous 12 months), and if
available, surgical lung biopsy.
4. FVC ≥ 45% predicted at Screening.
5. Subjects on pirfenidone or nintedanib must be on a stable and optimized dose for ≥30
days prior to Baseline. Concomitant use of both pirfenidone and nintedanib is not
permitted.
6. Women of childbearing potential must be non-pregnant (as confirmed by a urine
pregnancy test at Screening and Baseline) and non-lactating, and will abstain from
intercourse (when it is in line with their preferred and usual lifestyle) or use 2
medically acceptable, highly effective forms of contraception for the duration of the
study, and at least 30 days after discontinuing study drug.
7. Males with a partner of childbearing potential must use a condom for the duration of
treatment and for at least 48 hours after discontinuing study drug.
8. In the opinion of the Investigator, the subject is able to communicate effectively
with study personnel, and is considered reliable, willing, and likely to be
cooperative with protocol requirements, including attending all study visits.
1. Subject is pregnant or lactating.
2. Subject has primary obstructive airway physiology: FEV1/FVC <0.70 at Screening.
3. The subject has shown intolerance or significant lack of efficacy to a prostacyclin or
prostacyclin analogue that resulted in discontinuation or inability to effectively
titrate that therapy.
4. The subject has received any PAH-approved therapy, including prostacyclin therapy
(epoprostenol, treprostinil, iloprost, or beraprost; except for acute vasoreactivity
testing), IP receptor agonists (selexipag), endothelin receptor antagonists,
phosphodiesterase type 5 inhibitors (PDE5-Is), or soluble guanylate cyclase
stimulators within 60 days prior to Baseline. As needed use of a PDE5-I for erectile
dysfunction is permitted, provided no doses are taken within 48 hours of any
study-related efficacy assessments.
5. Use of any of the following medications: azathioprine (AZA), cyclosporine,
mycophenolate mofetil, tacrolimus, oral corticosteroids (OCS) >20 mg/day or the
combination of OCS+AZA+N-acetylcysteine within 30 days prior to Baseline;
cyclophosphamide within 60 days prior to Baseline; or rituximab within 6 months prior
to Baseline.
6. The subject is receiving >10 L/min of oxygen supplementation by any mode of delivery
at rest at Baseline.
7. Exacerbation of IPF or active pulmonary or upper respiratory infection within 30 days
prior to Baseline. Subjects must have completed any antibiotic or steroid regimens for
treatment of the infection or acute exacerbation more than 30 days prior to Baseline
to be eligible. If hospitalized for an acute exacerbation of IPF or a pulmonary or
upper respiratory infection, subjects must have been discharged more than 90 days
prior to Baseline to be eligible.
8. Uncontrolled cardiac disease, defined as myocardial infarction within 6 months prior
to Baseline or unstable angina within 30 days prior to Baseline.
9. In the opinion of the Investigator, the subject has any condition that would interfere
with the interpretation of study assessments or would impair study participation or
cooperation.
10. Use of any other investigational drug/device or participation in any investigational
study in which the subject received a medical intervention (ie, procedure, device,
medication/supplement) within 30 days prior to Screening. Subjects participating in
non-interventional, observational, or registry studies are eligible.
11. Life expectancy <6 months due to IPF or a concomitant illness.
12. Acute pulmonary embolism within 90 days prior to Baseline.
Protocol Title: Phase IIR Trial of Single Fraction Stereotactic Radiosurgery (SRS) Compared with Fractionated SRS (FSRS) for Intact Metastatic Brain Disease (FRACTIONATE) (GMROR2163)
FRACTIONATE
Inclusion Criteria
- Age ≥ 18 years old
- Diagnosis of Brain Metastases
- Presence of presumed brain metastases from an extra-cerebral tumor site (e.g. lung, breast, prostate, etc.).
- Note: Dural based metastases (e.g. commonly seen in breast cancer) are eligible.
- Size of Brain Metastases
- At least one intact metastasis (not previously treated with radiosurgery) must measure > 2.0 cm and < 4.0 cm in maximal extent on the contrasted pre-treatment MRI brain scan obtained ≤ 28 days prior to registration.
- If the largest lesion measures ≥ 2.0 to < 4.0 cm in maximal extent the patient will be randomized.
- Able to undergo contrast enhanced MRI Brain
- Negative urine or serum pregnancy test completed ≤7 days prior to registration, for women of childbearing potential only
- Patient willing and able to provide written informed consent
- Karnofsky Performance Status (KPS) ≥ 50
- ECOG Performance Score of (PS) ≥ 2
- Past radiosurgery or resection is allowed as long as no definitive evidence of progression in these locations.
- Note: Repeat radiosurgery to the same location/lesion is not allowed on this protocol.
Exclusion Criteria
- Any patient who has received previous whole brain radiation
- Any brain metastasis that is located in the brainstem measuring ≥ 2.0 cm in maximal extent.
- Any patient with definitive evidence of leptomeningeal metastasis (LMD).
NOTE: For the purposes of exclusion, LMD is a clinical diagnosis, defined as positive CSF cytology and/or unequivocal radiologic or clinical evidence of leptomeningeal involvement. Patients with leptomeningeal symptoms in the setting of leptomeningeal enhancement by imaging (MRI) would be considered to have LMD even in the absence of positive CSF cytology, unless a parenchymal lesion can adequately explain the neurologic symptoms and/or signs. In contrast, an asymptomatic or minimally symptomatic patient with mild or nonspecific leptomeningeal enhancement (MRI) would not be considered to have LMD. In that patient, CSF sampling is not required to formally exclude LMD, but can be performed at the investigator’s discretion based on level of clinical suspicion.{Kim, 2017 #2840}
-
Any patient with an intact brain metastasis measuring > 4.0 cm
Clinical Validation Study for Noninvasive Cardiopulmonary Management Device (Phase II) (ADI 3)
Clinical Validation Study for Noninvasive Cardiopulmonary Management Device
- Adults over the age of 18 and who are willing and able to give informed consent.
- Willing to participate in all activities related to this study, including trimming chest hair and wearing a reference device and the CPM wearable device.
- Volunteers of any race, any gender.
- Range of physiques.
- Injury or skin disturbance in the area of the test device.
- Pregnant.
- Currently smokes cigarettes.
- Has known respiratory conditions such as:
- Flu;
- Pneumonia/bronchitis;
- Shortness of breath/respiratory distress;
- Respiratory or lung surgery;
- Emphysema, COPD, lung disease.
- Has self-reported heart or cardiovascular conditions such as chest pain, AFib, CHF, cardiomyopathy, or other conditions that could interfere with cardiopulmonary function.
- Has other self-reported health conditions that could interfere with the breathing patterns and exercises detailed in the protocol (including wearing a capnography mask).
C4221015 An Open-label, Multi-center, Randomized Phase 3 Study of First-line Encorafenib Plus Cetuximab with or without Chemotherapy Vs. Standard-of-Care Therapy with a Safety Lead-in of Encorafenib and Cetuximab Plus Chemotherapy in Participants with Metastatic BRAF V600E-mutant Colorectal Cancer (BREAKWATER)
A Study to Evaluate Encorafenib Plus Cetuximab with/without Chemotherapy to Treat Metastatic Colorectal Cancer
- Safety Lead-In = Male/female ≥ 18 years old
- Phase 3: Male/female ≥ 16 years old (where permitted locally)
- Histologically or cytologically confirmed Stage IV CRC that contains BRAF V600E
mutation
- Prior systemic treatment in metastatic setting
- SLI: 0-1 regimens
- Phase 3: None
- Prior adjuvant or neoadjuvant therapy considered metastatic treatment if
relapse/metastasis < 6 month from end of adj/neoadjuvant treatment
- Measurable disease (Phase 3)/ Measurable or evaluable disease (Safety Lead-in)
- ECOG PS 0-1
- Adequate organ function
- Tumors that are locally confirmed or unknown MSI-H or dMMR unless participant is
ineligible to receive immune checkpoint inhibitors due to a pre-existing medical
condition
- Active bacterial or viral infections in 2 weeks prior to starting dosing
- Symptomatic brain metastases
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 9/7/22. Questions regarding updates should be directed to the study team contact.
Assessing Renal Health in Patients with Chronic Liver Disease with Multiparametric Hepatorenal MRE/MRI (Hepatorenogram) (Magnetic Resonance Elastography (MRE))
Liver and Kidney Magnetic Resonance Elastography Study
- Primary liver diseases.
- Diagnosis of suspected kidney function insufficient with laboratory test.
- Age ≥ 18 years.
- Patients with kidney congenital diseases, such as renal agenesis, hypoplasia, horseshoe kidney, abnormal location kidney, etc.
- Patients with transplant kidney.
- Patients with HIV infection (lower immune activity).
- History of liver transplantation or hepatic resection.
- Absolute contraindications to MRI including pacemaker, AICD device, cochlear implant, VP shunt, aneurysm clip, a deep brain stimulator, and severe claustrophobia.
- Women who are pregnant or breastfeeding.
- Any severe medical condition that, in the opinion of the Principal Investigator, would serve as exclusion criteria for study enrollment.
Development of a Peptide-Based SARS-CoV-2 Candidate Vaccine (SARS-CoV-2)
Development of a Peptide-Based SARS-CoV-2 Candidate Vaccine
- Age: 18 and over.
- 30 days after a clinical or laboratory diagnosis of COVID-19.
- Willingness and ability to provide written informed consent.
- Generally healthy, as determined by study investigators, and not meeting any of the exclusion criteria listed below.
- Individuals under 18 years of age.
- Currently pregnant.
- Immunocompromising medical conditions (diabetes mellitus, autoimmune diseases, chronic kidney disease, liver disease, HIV infection, malignancy, or other conditions deemed by the study investigators to be immunocompromising).
- Subject has current anticoagulant therapy or history of bleeding diathesis.
- Weighs ≤ 110 lbs.
- Receipt of oral prednisone or other immunosuppressive medications within 30 days prior to the study blood draw (inhaled, intranasal, or intra-articular corticosteroids are permitted).
- Transgender women/men will be excluded due to the potential impact of this status on immune response.
- Recipient of any blood/blood product transfusion within the last 30 days.
A Randomized, Double-blind, Placebo-controlled, Phase 1b Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Multiple Doses of ABBV-181 in HIV-1 Infected Adults (20-004930)
A Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of ABBV-181 (Budigalimab) in Adult Participants With HIV-1
- Body Mass Index (BMI) ≥ 18.0 to < 35 kg/m^2.
- HIV-1 infected on antiretroviral therapy (ART) for at least 12 months prior to screening and on current ART regimen for at least 12 weeks prior to screening.
- Meets HIV-specific laboratory parameters as below:
- Plasma HIV-1 RNA below lower limit of detection (LLOD) at screening and at least 6 months prior to screening;
- CD4+ T cell count ≥ 500 cells/uL at screening and at least once during the 12 months prior to screening;
- CD4+ T cell nadir of ≥ 350 cells/uL during chronic infection.
- Willing to undergo ART interruption.
- Agrees to use an effective barrier method of protection (male and/or female condoms) during sexual activity for protection against HIV-1 transmission throughout the entire study
- Known resistance to ≥ 2 classes of ART.
- History of AIDS-defining illness.
- Active or suspected malignancy or history of malignancy (other than basal cell skin cancer or cervical carcinoma in situ) in the past 5 years.
- History of or active immunodeficiency (other than HIV).
- Active autoimmune disease or history of autoimmune disease that has required systemic treatment.
- Prior receipt of immunomodulatory or immunosuppressive (including intravenous infusion or oral steroids at any dose, but excluding steroids that are inhaled, topical or by local injection) therapy within 6 months prior to the first dose of study drug.
- Current hepatitis B virus or hepatitis C virus infection.
- Female participants must not be pregnant, breastfeeding, or considering becoming pregnant during the study.
Prospective Comparative Effectiveness Trial of Carbon Ion Therapy, Surgery, and Proton Therapy for the Management of Pelvic Sarcomas (Soft Tissue/Bone) Involving the Bone (ROF2181)
A Study to Evaluate Carbon Therapy vs. Proton Therapy for Pelvic Sarcomas (The PROSPER Study)
- Males and females >= 15 years of age
- Newly diagnosed, histologic confirmation of pelvic chordoma, chondrosarcoma,
osteosarcoma, Ewing sarcoma with bone involvement, rhabdomyosarcoma (RMS) with bone
involvement or non-RMS soft tissue sarcoma with bone involvement
- No evidence of distant sarcoma metastases as determined by clinical examination and
any form of imaging
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) =< 2
- Patients capable of childbearing must agree to use adequate contraception
- Ability to complete questionnaire(s) by themselves or with assistance
- Ability to provide written informed consent
- Chemotherapy per institutional guidelines is allowed
- Patients receiving palliative treatment
- Recurrent disease
- Males and females < 15 years of age
- Previous radiation therapy to the site of the sarcoma or area surrounding it such that
it would be partially or completely encompassed by the radiation volume needed to
treat the current sarcoma. In other words, treatment on this study would require
re-irradiation of tissues
- Patients with distant sarcoma metastases
- Benign pelvic bone histologies
- Any of the following:
- Pregnant women
- Nursing women
- Men or women of childbearing potential who are unwilling to employ adequate contraception
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 7/27/22. Questions regarding updates should be directed to the study team contact.
Neuroplasticity in Parkinson's Disease
• Diagnosis of idiopathic PD, as determined by a movement disorders neurologist in accordance with the PD Society Brain Bank diagnostic criteria
• Not receiving levodopa or dopamine agonist to treat PD (at baseline)
• Able to ambulate independently without the use of an assistive device (e.g. cane) for 50 meters Healthy Controls
• Age- (+/- 3 years) and sex-matched to participants with PD
• Able to ambulate independently without the use of an assistive device (e.g. cane) for 50 meters
• Dementia diagnosis and/or a University of California Brief Assessment of Capacity to Consent (UBACC) score and MacCAT-CR score indicating impaired capacity to consent
• History of musculoskeletal disorders that significant affect movement of lower or upper limbs as determined at the time of enrollment
• History of bipolar disorder, post-traumatic stress disorder or major depressive disorder
• Other significant neurological disorders that may affect participation or performance in the study
• Implanted DBS or other neurosurgeries to treat PD
• Pregnancy Additional exclusion criteria for TMS experiments (note that individuals who are excluded from the TMS experiment still have the opportunity to participate in the other data collection sessions):
• History of seizures, epilepsy, stroke, multiple sclerosis, or traumatic brain injury
• Intracranial metallic or magnetic devices (e.g. cochlear implant, deep brain stimulator)
• Pacemaker or any implanted device
• History of surgery on blood vessels, brain, or heart
• Unexplained, recurring headaches or concussion within the last six months
• Severe hearing impairment
Visual Remapping to Aid Reading With Field Loss
Clinical Evaluation of a Transmit/Receive Head Coil for PET/MR Brain Studies
Clinical Evaluation of a Transmit/Receive Head Coil for PET/MR Brain Studies
- 18 years of age or older.
- Patients who are able and willing to sign the informed consent.
- A negative urine pregnancy test within 48 hours prior to PET imaging procedures in females of childbearing potential.
- Patients who are scheduled and considered eligible (according to MRI safety policies) for a clinically-indicated PET/MR epilepsy or dementia study.
- Individuals < 18 years of age.
- Patients who are unable to lay still for an additional 15 minutes.
Eligibility last updated 1/26/22. Questions regarding updates should be directed to the study team contact.
AGAVE-201, A Phase 2, Open-label, Randomized, Multicenter Study to Evaluate the Efficacy, Safety and Tolerability of Axatilimab at 3 Different Doses in Patients with Recurrent or Refractory Active Chronic Graft Versus Host Disease who have Received at least 2 Lines of Systemic Therapy (AGAVE)
A Study of Axatilimab at 3 Different Doses in Patients With Chronic Graft Versus Host Disease (cGVHD)
1. Participants must be 2 years of age or older, at the time of signing the informed
consent.
2. Participants who are allogeneic hematopoietic stem cell transplantation (HSCT)
recipients with active cGVHD requiring systemic immune suppression. Active cGVHD is
defined as the presence of signs and symptoms of cGVHD per 2014 NIH Consensus
Development Project on Criteria for Clinical trials in cGVHD.
3. Participants with refractory or recurrent active cGVHD despite at least 2 lines of
systemic therapy.
- Refractory disease defined as meeting any of the following criteria:
- The development of 1 or more new sites of disease while being treated for
cGVHD.
- Progression of existing sites of disease despite at least 1 month of
standard or investigation therapy for cGVHD.
- Participants who have not achieved a response within 3 months on their prior
therapy for cGVHD and for whom the treating physician believes a new
systemic therapy is required.
- Recurrent cGVHD is active, symptomatic disease (after an initial response to
prior therapy) as defined, based on the NIH 2014 consensus criteria, by
organ-specific or global assessment or for which the physician believes that a
new line of systemic therapy is required.
4. Participants may have persistent, active acute and cGVHD manifestations (overlap
syndrome), as defined by 2014 NIH Consensus Development Project on Criteria for
Clinical trials in cGVHD.
5. Karnofsky Performance Scale of ≥60 (if aged 16 years or older); Lansky Performance
Score of ≥60 (if aged <16 years)
6. Adequate organ and bone marrow functions evaluated during the 14 days prior to
randomization.
7. Creatinine clearance (CrCl) ≥30 milliliter/minute/1.73 square meter based on the
Cockcroft-Gault formula in adult participants and Schwartz formula in pediatric
participants.
8. Contraceptive use by men or women should be consistent with local regulations
regarding the methods of contraception for those participating in clinical studies.
9. Concomitant use a of systemic corticosteroid is allowed but not required. Topical and
inhaled corticosteroid agents are allowed. If a participant is taking corticosteroids
at study randomization, they must be on a stable dose of corticosteroids for at least
2 weeks prior to Cycle 1 Day 1.
10. Concomitant use of CNI or sirolimus is allowed but not required.
11. Capable of giving signed informed consent which includes compliance with the
requirements and restrictions listed in the informed consent form (ICF) and protocol.
A parent/guardian should provide consent for pediatric participants unable to provide
consent themselves; in addition, where applicable pediatric participants should sign
their own assent form.
Participants are excluded from the study if any of the following criteria apply:
1. Has acute GVHD without manifestations of cGVHD.
2. Any evidence (histologic, cytogenetic, molecular, hematologic, or mixed) of relapse of
the underlying cancer or post-transplant lymphoproliferative disease at the time of
screening.
3. History of acute or chronic pancreatitis.
4. History of myositis.
5. History or other evidence of severe illness, uncontrolled infection or any other
conditions that would make the participant, in the opinion of the Investigator,
unsuitable for the study.
6. Participants with acquired immune deficiency syndrome (AIDS).
7. Hepatitis B (defined as hepatitis B virus [HBV] surface antigen positive and HBV core
antibody positive, with positive HBV deoxyribonucleic acid [DNA], or HBV positive core
antibody alone with positive HBV DNA. Hepatitis C (defined as positive hepatitis C
[HCV] antibody with positive HCV ribonucleic acid [RNA]).
8. Diagnosed with another malignancy (other than malignancy for which transplant was
performed) within 3 years of randomization, unless previously treated with curative
intent and approved by Sponsor's Medical Monitor (for example, completely resected
basal cell or squamous cell carcinoma of the skin, resected in situ cervical
malignancy, resected breast ductal carcinoma in situ, or low-risk prostate cancer
after curative resection).
9. Female participant who is pregnant or breastfeeding.
10. Previous exposure to CSF1-R targeted therapies.
11. Taking agents for treatment of cGVHD other than corticosteroids and either a CNI or
sirolimus is prohibited.
12. For approved or commonly used agents, other than corticosteroids, CNI and sirolimus, a
washout of 2 weeks or 5 half-lives, whichever is shorter, is required at study
enrollment.
13. Receiving another investigational treatment within 28 days of randomization.
14. Participants should not be participating in any other interventional study. Pediatric
participants are encouraged to also participate in the ongoing developmental studies
of the Pediatric cGVHD Symptom Scale (PCSS).
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility last updated 11/7/22. Questions regarding updates should be directed to the study team contact.
Analysis of Patients with Polyuria as a Manifestation of Paroxysmal Atrial Tachyarrhythmias (ATACHPOLY)
Analysis of Fast Atrial Rhythm Manifesting with Increased Urination
- Age 18 or older.
- Patients with paroxysmal atrial tachyarrhythmias with and without polyuria as a manifestation of their tachyarrhythmia episode.
- Documentation of their paroxysmal atrial tachyarrhythmia episode.
- Patients who are unable to manage the logistics of participating in the study (coming to Saint Mary’s Hospital ot have their blood drawn and urine sample collected during their atrial tachyarrhythmia episode).
- Chronic kidney disease stage 4 or higher.
- Clinical history of heart failure.
Eligibility last updated 10/1/21. Questions regarding updates should be directed to the study team contact.
Transcatheter Pulmonary Valve Replacement and Catheter Ablation of Ventricular Tachycardia in Tetralogy of Fallot
Transcatheter Pulmonary Valve Replacement and Catheter Ablation of Ventricular Tachycardia in Tetralogy of Fallot
- Patients with TOF or TOF-related variants.
- Age ≥ 18 years.
- Planned transcatheter valve placement in native RVOT.
- Individuals < 18 years.
- Non-TOF related variants (i.e., pulmonary stenosis, PA-IVS, etc.).
- Prior catheter or surgical ablation of ventricular tachycardia (VT).
Eligibility last updated 1/24/22. Questions regarding updates should be directed to the study team contact.