
Search Clinical Trials
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Pulmonary Hypertension Association Registry
Pulmonary Hypertension Association, Inc.
Pulmonary Arterial Hypertension
Chronic Thromboembolic Pulmonary Hypertension
Pulmonary Hypertension
The PHA Registry (PHAR) is a national study about people who have pulmonary arterial
hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH). PHAR
collects information from people with PAH and CTEPH who are cared for in participating
PHA-accredited Pulmonary Hypertension Care C1 expand
The PHA Registry (PHAR) is a national study about people who have pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH). PHAR collects information from people with PAH and CTEPH who are cared for in participating PHA-accredited Pulmonary Hypertension Care Centers throughout the U.S. PHAR will determine how people with PAH and CTEPH are evaluated, tested, and treated, and will observe how well these participants do. The goal is to see if people with PH are treated according to recommended guidelines, and to see if there are certain factors that can lead to better or worse outcomes. PHAR will include information about people with PAH and CTEPH in the U.S. who are seen at participating PHA-accredited PH Care Centers. PHAR contains data about patient care and outcomes. Specifically, data in the PHAR includes information on diagnosis; clinical status; socioeconomic status; diagnosis test results; body size; treatment information; interest in participating in clinical trials; family health and social history; and information about smoking, alcohol, or drug use. Participants are followed over time, and provide updates such as changes in therapy, how often participants need to go to the hospital, and survival. Such information may help healthcare providers provide better care. Type: Observational [Patient Registry] Start Date: Oct 2015 |
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Systemic Hypothermia in Acute Cervical Spinal Cord Injury
University of Miami
Spinal Cord Injury, Acute
This study is a prospective multi-center trial designed to determine the safety profile
and efficacy of modest (33ºC) intravascular hypothermia following acute cervical (C1 to
C8) Spinal Cord Injury (SCI). expand
This study is a prospective multi-center trial designed to determine the safety profile and efficacy of modest (33ºC) intravascular hypothermia following acute cervical (C1 to C8) Spinal Cord Injury (SCI). Type: Interventional Start Date: Aug 2017 |
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Liver Transplantation in Patients With CirrHosis and Severe Acute-on-Chronic Liver Failure: iNdicat1
European Foundation for Study of Chronic Liver Failure
Liver Diseases
Liver Cirrhosis
Acute-On-Chronic Liver Failure
Liver Transplant; Complications
Management of ACLF is mainly supportive. The poor outcomes lead physicians to consider
liver transplantation as an option, even if controversial. In sicker recipients, LT
results in immediate survival, but poor medium-term survival rates in some studies. The
scarcity of deceased donors obliges to m1 expand
Management of ACLF is mainly supportive. The poor outcomes lead physicians to consider liver transplantation as an option, even if controversial. In sicker recipients, LT results in immediate survival, but poor medium-term survival rates in some studies. The scarcity of deceased donors obliges to maximize LT success. Alternative strategies, as living-donor LT, should be explored. LDLT has impressive results in Eastern centers, but it is restrained in Western countries, due to potential life-threatening complications in the donor. Type: Observational Start Date: Jul 2021 |
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The Effects of Fluoxetine and/or DHEA
University of Maryland, Baltimore
Type 1 Diabetes Mellitus
(1) To determine how the Selective Serotonin Reuptake Inhibitor (SSRI), fluoxetine
(Prozac), an antidepressant often used to treat depression, stimulates the participant's
body's ability to defend against low blood sugar (hypoglycemia). (2) To learn how a
hormone, dehydroepiandrosterone (DHEA), sti1 expand
(1) To determine how the Selective Serotonin Reuptake Inhibitor (SSRI), fluoxetine (Prozac), an antidepressant often used to treat depression, stimulates the participant's body's ability to defend against low blood sugar (hypoglycemia). (2) To learn how a hormone, dehydroepiandrosterone (DHEA), stimulates the participant's body's ability to defend itself from low blood sugar (hypoglycemia). DHEA is a hormone produced naturally in the human body. However, it can be manufactured and is sold as an over-the-counter dietary supplement. The dose the investigators are giving in this study is higher than the usual recommended dosage taken as a supplement for certain medical conditions. (3) To study combined effects of fluoxetine and DHEA during low blood glucose. In the present study, the investigators will measure the participant's body's responses to hypoglycemia when given fluoxetine or DHEA or fluoxetine and DHEA or a placebo (a pill with no fluoxetine or DHEA). Approximately 64 individuals with type 1 diabetes will take part in this study. Type: Interventional Start Date: Dec 2017 |
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Barriers to Vegetarian Diets
University of Maryland, Baltimore
Chronic Disease
The goal of this observational study is to learn what affects a person's openness to
adopting a vegetarian diet in urban community members with chronic disease.
The main questions it aims to answer are:
How open are individuals to adopting a vegetarian diet? What are the barriers to adopting
a ve1 expand
The goal of this observational study is to learn what affects a person's openness to adopting a vegetarian diet in urban community members with chronic disease. The main questions it aims to answer are: How open are individuals to adopting a vegetarian diet? What are the barriers to adopting a vegetarian diet? Researchers will compare Black and White individuals to see if there are differences. Participants will be asked to fill out a survey about their openness to going vegetarian as well as barriers to going vegetarian such as perceived stigma, tastiness, financial cost, convenience, familiarity, and healthfulness. Type: Observational Start Date: Jan 2024 |
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Robot Aided Rehabilitation - Intervention
University of Maryland, Baltimore
Stroke
Sensorimotor impairments following stroke often involve complex pathological changes
across multiple joints and multiple degrees of freedom of the arm and hand, thereby
rendering them difficult to diagnose and treat. The objective of this study is to
evaluate multi-joint neuromechanical impairments1 expand
Sensorimotor impairments following stroke often involve complex pathological changes across multiple joints and multiple degrees of freedom of the arm and hand, thereby rendering them difficult to diagnose and treat. The objective of this study is to evaluate multi-joint neuromechanical impairments in the arm and hand, then conduct impairment-specific treatment, and determine the effects of arm versus hand training and the effects of passive stretching before active movement training. Type: Interventional Start Date: Oct 2018 |
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Signature Development and Validation Protocol for an Epigenetic Assay in Diagnosing Lung Cancer
University of Maryland, Baltimore
Lung Cancer
Lung Cancer Screening
Healthy Volunteers (HV)
Unhealthy Volunteers
The purpose of this research study is to test a new process for diagnosing lung cancer by
examining changes to your DNA that can be detected from a blood test. The information we
learn by doing this study could potentially help people in the future.
Participants in this study will have blood sampl1 expand
The purpose of this research study is to test a new process for diagnosing lung cancer by examining changes to your DNA that can be detected from a blood test. The information we learn by doing this study could potentially help people in the future. Participants in this study will have blood samples collected, have their medical records reviewed by study personnel and fill out questionnaires at different time points during the study. Blood sample collection will occur during normal routine clinic visits. Participation in this study will last approximately 5 years. Type: Observational Start Date: Mar 2025 |
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A Clinical Study to Evaluate the Effects of Enicepatide (RO7795068) in Participants With Obesity or1
Hoffmann-La Roche
Obesity or Overweight
Type 2 Diabetes Mellitus
The purpose of this study is to assess the efficacy and safety of enicepatide, a dual
glucagon-like peptide-1 (GLP-1)/glucose-dependent insulinotropic polypeptide (GIP)
receptor agonist (RA), at multiple doses compared with placebo for weight management in
participants with obesity or overweight an1 expand
The purpose of this study is to assess the efficacy and safety of enicepatide, a dual glucagon-like peptide-1 (GLP-1)/glucose-dependent insulinotropic polypeptide (GIP) receptor agonist (RA), at multiple doses compared with placebo for weight management in participants with obesity or overweight and Type 2 diabetes mellitus (T2DM). Type: Interventional Start Date: Mar 2026 |
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A Study of Trontinemab in Participants With Early Symptomatic Alzheimer's Disease
Hoffmann-La Roche
Alzheimers Disease
The purpose of this study is to assess the efficacy and safety of trontinemab in
participants with early symptomatic Alzheimer's disease (AD) (mild cognitive impairment
[MCI] to mild dementia due to AD). expand
The purpose of this study is to assess the efficacy and safety of trontinemab in participants with early symptomatic Alzheimer's disease (AD) (mild cognitive impairment [MCI] to mild dementia due to AD). Type: Interventional Start Date: Sep 2025 |
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Treatment of Inflammatory Myelitis and Optic Neuritis With Early vs Rescue Plasma Exchange (TIMELY-1
Mayo Clinic
Optic Neuritis
Myelitis
Myelitis, Transverse
The purpose of this research is to evaluate if early vs rescue Therapeutic Plasma
Exchange (PLEX) treatment algorithm leads to better visual outcomes in severe Optic
Neuritis and leads to better neurological disability outcomes in severe Transverse
Myelitis. expand
The purpose of this research is to evaluate if early vs rescue Therapeutic Plasma Exchange (PLEX) treatment algorithm leads to better visual outcomes in severe Optic Neuritis and leads to better neurological disability outcomes in severe Transverse Myelitis. Type: Interventional Start Date: Jul 2025 |
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A Study to Assess Anti-Tumor Activity of Intravenously (IV) Infused Carboplatin With Mirvetuximab S1
AbbVie
Epithelial Ovarian Cancer
Fallopian Tube Cancer
Primary Peritoneal Cancer
Neoadjuvant
Cancer is a condition where cells in a specific part of body grow and reproduce
uncontrollably. The purpose of this study is to assess the safety and efficacy of
neoadjuvant carboplatin and mirvetuximab soravtansine in participants with folate
receptor alpha (FRα) -expressing advanced-stage serous1 expand
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess the safety and efficacy of neoadjuvant carboplatin and mirvetuximab soravtansine in participants with folate receptor alpha (FRα) -expressing advanced-stage serous epithelial ovarian, fallopian tube or primary peritoneal cancer (EOC). Mirvetuximab Soravtansine (MIRV) is an investigational antibody drug conjugate designed to selectively kill cancer cells. The antibody (protein) part of MIRV targets tumors by delivering a cell-killing drug to cancer cells carrying a protein called folate receptor alpha (FRα). This is a single arm study in adult participants with advanced-stage Fédération Internationale de Gynécologie et d'Obstétrique (FIGO) III-IV FRα-expressing serous EOC. Around 140 participants will be enrolled in the study at approximately 80 sites in the United States. Participants will receive intravenous infusion of MIRV in combination with carboplatin on day 1 of each cycle, every 21 days for up to 6 - 9 Cycles. The total study duration will be approximately 3 years . There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, and scans. Type: Interventional Start Date: Nov 2025 |
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Promoting Neuroplastic Changes of Patients With TBI
University of Maryland, Baltimore
Traumatic Brain Injury
This project will develop a wearable rehabilitation robot suitable for in-bed acute stage
rehabilitation. It involves robot-guided motor relearning, passive and active
motor-sensory rehabilitation early in the acute stage post-TBI including patients who are
paralyzed with no motor output. The early1 expand
This project will develop a wearable rehabilitation robot suitable for in-bed acute stage rehabilitation. It involves robot-guided motor relearning, passive and active motor-sensory rehabilitation early in the acute stage post-TBI including patients who are paralyzed with no motor output. The early acute TBI rehabilitation device will be evaluated in this clinical trial. Type: Interventional Start Date: Jul 2026 |
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A Study on the Safety of TAK-279 and Whether it Can Reduce Inflammation in the Bowel of Participant1
Takeda
Crohn's Disease
Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any
part of the gut. The purpose of this study is to evaluate the efficacy and safety of
TAK-279 versus placebo in participants with moderately to severely active Crohn's disease
(CD). The main aim of this study i1 expand
Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any part of the gut. The purpose of this study is to evaluate the efficacy and safety of TAK-279 versus placebo in participants with moderately to severely active Crohn's disease (CD). The main aim of this study is to learn if the 3 different doses of TAK-279 reduce bowel inflammation and ulcers in the bowel compared to the placebo after 12 weeks of treatment. Another aim is to compare any medical problems that participants have when they take TAK-279 or placebo and how well the participants tolerate medical problems. An endoscopy will be used to check the bowel for inflammation. The participants will be treated with TAK-279 for 52 weeks (1 year). During the study, participants will visit their study clinic 15 times. Type: Interventional Start Date: Mar 2024 |
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Study to evaLuate the effIcacy and Safety of abeLacimab in High-risk Patients With Atrial Fibrillat1
Anthos Therapeutics, Inc.
Atrial Fibrillation (AF)
A study to evaluate the effect of abelacimab relative to placebo on the rate of ischemic
stroke or systemic embolism (SE) in patients with Atrial Fibrillation (AF) who have been
deemed by their responsible physicians or by their own decision to be unsuitable for oral
anticoagulation therapy. expand
A study to evaluate the effect of abelacimab relative to placebo on the rate of ischemic stroke or systemic embolism (SE) in patients with Atrial Fibrillation (AF) who have been deemed by their responsible physicians or by their own decision to be unsuitable for oral anticoagulation therapy. Type: Interventional Start Date: Dec 2022 |
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Pediatric Influence of Cooling Duration on Efficacy in Cardiac Arrest Patients (P-ICECAP)
University of Michigan
Cardiac Arrest, Out-Of-Hospital
Hypothermia, Induced
Hypoxia-Ischemia, Brain
This is a multicenter trial to establish the efficacy of cooling and the optimal duration
of induced hypothermia for neuroprotection in pediatric comatose survivors of cardiac
arrest.
The study team hypothesizes that longer durations of cooling may improve either the
proportion of children that at1 expand
This is a multicenter trial to establish the efficacy of cooling and the optimal duration of induced hypothermia for neuroprotection in pediatric comatose survivors of cardiac arrest. The study team hypothesizes that longer durations of cooling may improve either the proportion of children that attain a good neurobehavioral recovery or may result in better recovery among the proportion already categorized as having a good outcome. Type: Interventional Start Date: Aug 2022 |
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GCC 2546- Motion Management
University of Maryland, Baltimore
Lung Cancer (NSCLC)
Radiation
The purpose of this study is to assess a real time motion tracking of lung tumors and
important organs next to the tumor while breathing during a participant's radiation
treatment. This will be assessed through a four-dimensional magnetic resonance imaging
(MRI) scan before starting your radiation1 expand
The purpose of this study is to assess a real time motion tracking of lung tumors and important organs next to the tumor while breathing during a participant's radiation treatment. This will be assessed through a four-dimensional magnetic resonance imaging (MRI) scan before starting your radiation treatment and x-ray fluoroscopy images that are taken during radiation Type: Interventional Start Date: Apr 2026 |
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Study of Targeted Therapies for the Treatment of Adult Participants With Moderate to Severe Crohn's1
AbbVie
Crohn's Disease
Crohn's disease (CD) is a long-lasting disease that causes severe inflammation (redness,
swelling), in the digestive tract, most frequently affecting the bowels. It can cause
many different symptoms including belly pain, diarrhea, tiredness, and weight loss.
Treatments are available but do not work1 expand
Crohn's disease (CD) is a long-lasting disease that causes severe inflammation (redness, swelling), in the digestive tract, most frequently affecting the bowels. It can cause many different symptoms including belly pain, diarrhea, tiredness, and weight loss. Treatments are available but do not work the same for all patients or may stop working over time. This study will evaluate the effectiveness and adverse events of targeted therapies (TaTs) for adult participants with moderate to severe CD. The medicines assessed in this study are risankizumab, trosunilimab, lutikizumab, and ABBV-8736. When participants join the study, they will be randomized into available study treatment groups. Adult participants with CD will be enrolled. Around 540 participants will be enrolled in the study at approximately 300 sites worldwide. Risankizumab and trosunilimab are given as an injection under the skin or as an infusion into the vein. Lutikizumab is given as an injection under the skin. ABBV-8736 is given as an infusion into the vein. There may be higher treatment burden for participants in this trial compared to their standard of care treatment without participating in this study. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, endoscopies, checking for side effects and completing questionnaires and a daily diary. Type: Interventional Start Date: Sep 2024 |
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BLOCK-SAH - PPF-Block for Post-SAH Headache
University of Florida
Subarachnoid Hemorrhage, Aneurysmal
Headache
BLOCK-SAH is a phase II, multicenter, randomized, double-blinded, placebo-controlled
clinical trial with a sequential parallel comparison design (SPCD) of bilateral
pterygopalatine fossa (PPF) injections with 20mg ropivacaine + 4mg dexamethasone (active,
PPF-block) compared to saline (placebo) for1 expand
BLOCK-SAH is a phase II, multicenter, randomized, double-blinded, placebo-controlled clinical trial with a sequential parallel comparison design (SPCD) of bilateral pterygopalatine fossa (PPF) injections with 20mg ropivacaine + 4mg dexamethasone (active, PPF-block) compared to saline (placebo) for headache in survivors of aneurysmal subarachnoid hemorrhage (SAH), while monitoring intracranial arterial mean flow velocities with transcranial Doppler (TCD) peri-intervention (intervention = PPF-injections: active or placebo) Type: Interventional Start Date: Dec 2023 |
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Measuring Acute Drug Demand in Humans
University of Maryland, Baltimore
Opioid Use Disorder
Opioid Dependence
This research is being done to evaluate whether suvorexant may reduce the use of,
subjective liking, and demand for various drugs. expand
This research is being done to evaluate whether suvorexant may reduce the use of, subjective liking, and demand for various drugs. Type: Interventional Start Date: Aug 2023 |
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PO vs IV Antibiotics for the Treatment of Infected Nonunion of Fractures After Fixation
Major Extremity Trauma Research Consortium
Infections
Infected Wound
Nonunion of Fracture
Injury Leg
Amputation
This is a Phase III clinical randomized control trial to investigate differences between
patient with an infected nonunion treated by PO vs. IV antibiotics. The study population
will be 250 patients, 18 years or older, being treated for infected nonunion after
internal fixation of a fracture with a1 expand
This is a Phase III clinical randomized control trial to investigate differences between patient with an infected nonunion treated by PO vs. IV antibiotics. The study population will be 250 patients, 18 years or older, being treated for infected nonunion after internal fixation of a fracture with a segmental defect less than one centimeter. Patients will be randomly assigned to either the treatment (group 1) PO antibiotics for 6 weeks or the control group (group 2) IV antibiotics for 6 weeks. The primary hypothesis is that the effectiveness of oral antibiotic therapy is equivalent to traditional intravenous antibiotic therapy for the treatment of infected nonunion after fracture internal fixation, when such therapy is combined with appropriate surgical management. Clinical effectiveness will be measured as the primary outcome as the number of secondary re-admissions related to injury and secondary outcomes of treatment failure (re-infection, nonunion, antibiotic complications) within the first one year of follow-up, as defined by specified criteria and determined by a blinded data assessment panel. In addition, treatment compliance, the cost of treatment, the number of surgeries required, the type and incidence of complications, and the duration of hospitalization will be measured. Type: Interventional Start Date: May 2023 |
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Measuring the Effects of Netarsudil, Latanoprost, and Combination Therapy on Episcleral and Retinal1
University of Maryland, Baltimore
Ocular Hypertension
Suspect Glaucoma
The goal of this clinical trial is to compare participants treated with latanoprost to
those treated with Rocklatan (netarsudil/latanoprost) to determine whether the addition
of netarsudil results in greater improvements in episcleral venous blood flow in adults
with glaucoma or ocular hypertension1 expand
The goal of this clinical trial is to compare participants treated with latanoprost to those treated with Rocklatan (netarsudil/latanoprost) to determine whether the addition of netarsudil results in greater improvements in episcleral venous blood flow in adults with glaucoma or ocular hypertension. Episcleral venous blood flow will be measured using erythrocyte-mediated angiography (EMA) and laser speckle contrast imaging (LSCI). The main questions this study aims to answer are: - Does Rocklatan produce greater increases in episcleral venous blood flow than latanoprost alone? - Can EMA and LSCI reliably detect changes in episcleral venous blood flow following treatment with these medications? Participants will: - Be randomized to receive either latanoprost or Rocklatan - Undergo imaging of the episcleral veins using EMA and LSCI before, during, and after treatment, and - Complete study visits that include standard ophthalmic examinations and intraocular pressure measurements. Hypothesis: The investigators hypothesize that latanoprost, which primarily increases uveoscleral outflow, will not significantly affect the distal episcleral circulation. In contrast, Rocklatan, through its netarsudil component, is expected to produce measurable increases in episcleral venous flow. Type: Interventional Start Date: Jul 2026 |
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Trifecta-Kidney cfDNA-MMDx Study
University of Alberta
Kidney Transplant Rejection
Demonstrate the relationship between DD-cfDNA levels and HLA antibodies in blood, and the
Molecular Microscope® (MMDx) Diagnostic System results in indication biopsies. expand
Demonstrate the relationship between DD-cfDNA levels and HLA antibodies in blood, and the Molecular Microscope® (MMDx) Diagnostic System results in indication biopsies. Type: Observational Start Date: Dec 2019 |
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Exablate for LIFU Neuromodulation in Patients With Opioid Use Disorder (OUD) and/or Other Substance1
InSightec
Opioid-use Disorder
Substance Use Disorders
The purpose of this clinical trial is to investigate Low Intensity Focused Ultrasound
(LIFU) using the Exablate® Model 4000 Type 2.0/2.1 as an adjunctive neuromodulatory
treatment for OUD (Opioid Use Disorder) and/or other Substance Use Disorders (SUDs) by
assessing its safety and tolerability in s1 expand
The purpose of this clinical trial is to investigate Low Intensity Focused Ultrasound (LIFU) using the Exablate® Model 4000 Type 2.0/2.1 as an adjunctive neuromodulatory treatment for OUD (Opioid Use Disorder) and/or other Substance Use Disorders (SUDs) by assessing its safety and tolerability in subjects with OUD. Type: Interventional Start Date: Nov 2019 |
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Exploration of Novel Imaging Biomarkers on OCT for Ublituximab Treatment Response in Multiple Scler1
University of Maryland, Baltimore
Multiple Sclerosis (MS) - Relapsing-remitting
The purpose of the research study is to explore new retinal imaging biomarkers of immune
cell activity in MS during use of ublituximab (Briumvi) treatment. A biomarker is a
biological molecule found in blood, other body fluids, or tissues that is a sign of a
normal or abnormal process, or of a cond1 expand
The purpose of the research study is to explore new retinal imaging biomarkers of immune cell activity in MS during use of ublituximab (Briumvi) treatment. A biomarker is a biological molecule found in blood, other body fluids, or tissues that is a sign of a normal or abnormal process, or of a condition or disease. A biomarker may be used to see how well the body responds to a treatment for a disease or condition. This study will evaluate the efficacy of ublituximab to modulate MS pathology in a new manner. In order to assess this new biomarker, a specialized optical coherence tomography (OCT) scan will be performed at enrollment into the study and at 2 other timepoints throughout the study. Subjects asked to take part in this study should have been diagnosed with relapsing multiple sclerosis (MS) and have recently been advised to start the medication ublituximab (Briumvi) or are currently on another medication for the treatment of their MS. We plan to enroll 30 patients into this study. Fifteen (15) patients with Relapsing Remitting Multiple Sclerosis (RRMS) who are being initiated on B-cell depletion therapy by their treating physician at the University of Maryland Center for MS Treatment and Research will be offered enrollment into this study. Additionally, 15 age/sex matched patients with stable RRMS who are not undergoing any change in treatment and are not currently on B-cell depleting therapies will be enrolled as control subjects. Type: Interventional Start Date: May 2026 |
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Sensory-Motor Rehabilitation Post Stroke
University of Maryland, Baltimore
Acute Stroke
Early after stroke, patients often have significant motor impairment and sensory deficit.
Evidence has demonstrated heightened plasticity and significant recovery in the acute
phase (first months) post stroke but there has been a lack of effective and practical
protocols and devices for early inten1 expand
Early after stroke, patients often have significant motor impairment and sensory deficit. Evidence has demonstrated heightened plasticity and significant recovery in the acute phase (first months) post stroke but there has been a lack of effective and practical protocols and devices for early intensive sensorimotor therapy.This research study will conduct a randomized clinical trial of an intensive motor-sensory rehabilitation on patients with acute stroke using a wearable rehabilitation robot. The primary aims are to facilitate sensorimotor recovery, reduce ankle impairments, and improve balance and gait functions. This clinical trial will be conducted on the Study and Control groups of acute stroke survivors. Type: Interventional Start Date: Apr 2019 |