Traitements17programmes
Essais7liés
Publications26liées
SourceDBlocale

Traitements

17
MoléculeIndication / populationPhaseObjectifPaysRésultat
3T Magnetic Resonance Imaging (MRI)The overarching goal of this study is to improve understanding of the long-range natural history of TBI and post-traumatic epilepsy (PTE) by extending follow-up of a previously enrolled cohort (TRACK-TBI) beyond the first 12 months after injury. Épilepsie À vérifier À vérifier United States À vérifier
Blood DrawThe overarching goal of this study is to improve understanding of the long-range natural history of TBI and post-traumatic epilepsy (PTE) by extending follow-up of a previously enrolled cohort (TRACK-TBI) beyond the first 12 months after injury. Épilepsie À vérifier À vérifier United States À vérifier
BRAIN — Biofluid Research on Age-Related or Inherited NeurodegenerationThe aim of this study is to contribute to and continue to sustain a repository of blood samples, nucleic acid (DNA and/or RNA) samples, family history information, and other demographic information from individuals with age-related neurodegenerative conditions, or their family members who may or may not be at risk for similar conditions. This study will continue to further expand research into the molecular and genetic basis of these diseases and their risk factors. Alzheimer, Sclérose latérale amyotrophique À vérifier À vérifier United States À vérifier
Everolimus Oral ProductThe purpose of this research study is to see if simvastatin can be taken safely in patients with either LAM or TSC, who are already being treated with everolimus or sirolimus. This is the first step in looking at simvastatin as a drug that may help patients, by impacting the growth and survival of cells that make up the lung lesions that cause problems in LAM and TSC patients. The study also seeks to learn more about how simvastatin works, when given to patients being treated with everolimus or sirolimus, and to evaluate the safety and any potential benefit to patients taking this 2-drug combination. The primary objective of this study is to determine the safety of simvastatin in the treatment of LAM-S or LAM-TS in patients on a stable (for at least 3 months) dose of sirolimus or everolimus. Secondary objectives include: * To assess the effect of simvastatin on forced expiratory volume in 1 second (FEV1). * To assess the effect of simvastatin on forced vital capacity (FVC). * To assess the effect of simvastatin on diffusing lung capacity (DLCO). * To assess the effect of simvastatin on vascular endothelial growth factor -D (VEGF-D) serum levels. * To assess the effect of simvastatin with questionnaire- based assessments of dyspnea, fatigue, and quality of life (QOL). * Assess signs of clinical benefit. SEP Phase 1 Traitement symptomatique United States À vérifier
Mechanical insufflationDescription non affichée : incohérence de maladie détectée. Consultez l’essai clinique officiel associé. Sclérose latérale amyotrophique Non applicable À vérifier United States À vérifier
Non-invasive ventilationDescription non affichée : incohérence de maladie détectée. Consultez l’essai clinique officiel associé. Sclérose latérale amyotrophique Phase 2 Traitement symptomatique United States À vérifier
SimvastatinThe purpose of this research study is to see if simvastatin can be taken safely in patients with either LAM or TSC, who are already being treated with everolimus or sirolimus. This is the first step in looking at simvastatin as a drug that may help patients, by impacting the growth and survival of cells that make up the lung lesions that cause problems in LAM and TSC patients. The study also seeks to learn more about how simvastatin works, when given to patients being treated with everolimus or sirolimus, and to evaluate the safety and any potential benefit to patients taking this 2-drug combination. The primary objective of this study is to determine the safety of simvastatin in the treatment of LAM-S or LAM-TS in patients on a stable (for at least 3 months) dose of sirolimus or everolimus. Secondary objectives include: * To assess the effect of simvastatin on forced expiratory volume in 1 second (FEV1). * To assess the effect of simvastatin on forced vital capacity (FVC). * To assess the effect of simvastatin on diffusing lung capacity (DLCO). * To assess the effect of simvastatin on vascular endothelial growth factor -D (VEGF-D) serum levels. * To assess the effect of simvastatin with questionnaire- based assessments of dyspnea, fatigue, and quality of life (QOL). * Assess signs of clinical benefit. SEP Phase 1 Traitement symptomatique United States À vérifier
Sirolimus Oral ProductThe purpose of this research study is to see if simvastatin can be taken safely in patients with either LAM or TSC, who are already being treated with everolimus or sirolimus. This is the first step in looking at simvastatin as a drug that may help patients, by impacting the growth and survival of cells that make up the lung lesions that cause problems in LAM and TSC patients. The study also seeks to learn more about how simvastatin works, when given to patients being treated with everolimus or sirolimus, and to evaluate the safety and any potential benefit to patients taking this 2-drug combination. The primary objective of this study is to determine the safety of simvastatin in the treatment of LAM-S or LAM-TS in patients on a stable (for at least 3 months) dose of sirolimus or everolimus. Secondary objectives include: * To assess the effect of simvastatin on forced expiratory volume in 1 second (FEV1). * To assess the effect of simvastatin on forced vital capacity (FVC). * To assess the effect of simvastatin on diffusing lung capacity (DLCO). * To assess the effect of simvastatin on vascular endothelial growth factor -D (VEGF-D) serum levels. * To assess the effect of simvastatin with questionnaire- based assessments of dyspnea, fatigue, and quality of life (QOL). * Assess signs of clinical benefit. SEP Phase 1 Traitement symptomatique United States À vérifier
Using the EHR to Advance Genomic Medicine Across a Diverse Health SystemGiven the expansion of indications for genetic testing and our understanding of conditions for which the results change medical management, it is imperative to consider novel ways to deliver care beyond the traditional genetic counseling visit, which are both amenable to large-scale implementation and sustainable. The investigators propose an entirely new approach for the implementation of genomic medicine, supported by the leadership of Penn Medicine, investigating the use of non-geneticist clinician and patient nudges in the delivery of genomic medicine through a pragmatic randomized clinical trial, addressing NHGRI priorities. Our application is highly conceptually and technically innovative, building upon expertise and infrastructure already in place. Innovative qualities of our proposal include: 1) Cutting edge EHR infrastructure already built to support genomic medicine (e.g., partnering with multiple commercial genetic testing laboratories for direct test ordering and results reporting in the EHR); 2) Automated EHR-based direct ordering or referring by specialist clinicians (i.e., use of replicable modules that enable specialist clinicians to order genetic testing through Epic Smartsets, including all needed components, such as populated gene lists, smartphrases, genetic testing, informational websites and acknowledgement e-forms for patient signature); 3) EHR algorithms for accurate patient identification (i.e., electronic phenotype algorithms to identify eligible patients, none of which currently have phenotype algorithms present in PheKB; 4) Behavioral economics-informed implementation science methods: This trial will be the first to evaluate implementation strategies informed by behavioral economics, directed at clinicians and/or patients, for increasing the use of genetic testing; further it will be the first study in this area to test two forms of defaults as a potential local adaptation to facilitate implementation (ordering vs. referring); and 5) Dissemination: In addition to standard dissemination modalities,PheKB95, GitHub and Epic Community Library, the investigators propose to disseminate via AnVIL (NHGRI's Genomic Data Science Analysis, Visualization, and Informatics Lab-Space). Our results will represent an entirely new paradigm for the provision of genomic medicine for patients in whom the results of genetic testing change medical management. Alzheimer, Cancer, Parkinson, Sclérose latérale amyotrophique Non applicable À vérifier United States À vérifier
Veech Ketone Ester to Support Brain Energy in Mild Cognitive Impairment and Early Alzheimer's DiseaseIt is projected that by 2030, one in every five Americans will be of retirement age, and this demographic shift is expected to result in more people suffering from dementia. A key feature of the brain is its need for a constant supply of glucose and oxygen to meet the high energy costs of mental activity. This study aims to develop clinically practical, noninvasive imaging methods based on combined positron emission tomography and magnetic resonance imaging to assess brain energy in order to better understand how this critical component of brain health is impacted by aging. Alzheimer Non applicable À vérifier Canada À vérifier
SimvastatinThe purpose of this research study is to see if simvastatin can be taken safely in patients with either LAM or TSC, who are already being treated with everolimus or sirolimus. This is the first step in looking at simvastatin as a drug that may help patients, by impacting the growth and survival of cells that make up the lung lesions that cause problems in LAM and TSC patients. The study also seeks to learn more about how simvastatin works, when given to patients being treated with everolimus or sirolimus, and to evaluate the safety and any potential benefit to patients taking this 2-drug combination. The primary objective of this study is to determine the safety of simvastatin in the treatment of LAM-S or LAM-TS in patients on a stable (for at least 3 months) dose of sirolimus or everolimus. Secondary objectives include: * To assess the effect of simvastatin on forced expiratory volume in 1 second (FEV1). * To assess the effect of simvastatin on forced vital capacity (FVC). * To assess the effect of simvastatin on diffusing lung capacity (DLCO). * To assess the effect of simvastatin on vascular endothelial growth factor -D (VEGF-D) serum levels. * To assess the effect of simvastatin with questionnaire- based assessments of dyspnea, fatigue, and quality of life (QOL). * Assess signs of clinical benefit. SEP Phase 1 Traitement symptomatique United States À vérifier
Mechanical insufflationDescription non affichée : incohérence de maladie détectée. Consultez l’essai clinique officiel associé. Sclérose latérale amyotrophique Non applicable À vérifier United States À vérifier
3T Magnetic Resonance Imaging (MRI)The overarching goal of this study is to improve understanding of the long-range natural history of TBI and post-traumatic epilepsy (PTE) by extending follow-up of a previously enrolled cohort (TRACK-TBI) beyond the first 12 months after injury. Épilepsie À vérifier À vérifier United States À vérifier
Non-invasive ventilationDescription non affichée : incohérence de maladie détectée. Consultez l’essai clinique officiel associé. Sclérose latérale amyotrophique Phase 2 Traitement symptomatique United States À vérifier
Using the EHR to Advance Genomic Medicine Across a Diverse Health SystemGiven the expansion of indications for genetic testing and our understanding of conditions for which the results change medical management, it is imperative to consider novel ways to deliver care beyond the traditional genetic counseling visit, which are both amenable to large-scale implementation and sustainable. The investigators propose an entirely new approach for the implementation of genomic medicine, supported by the leadership of Penn Medicine, investigating the use of non-geneticist clinician and patient nudges in the delivery of genomic medicine through a pragmatic randomized clinical trial, addressing NHGRI priorities. Our application is highly conceptually and technically innovative, building upon expertise and infrastructure already in place. Innovative qualities of our proposal include: 1) Cutting edge EHR infrastructure already built to support genomic medicine (e.g., partnering with multiple commercial genetic testing laboratories for direct test ordering and results reporting in the EHR); 2) Automated EHR-based direct ordering or referring by specialist clinicians (i.e., use of replicable modules that enable specialist clinicians to order genetic testing through Epic Smartsets, including all needed components, such as populated gene lists, smartphrases, genetic testing, informational websites and acknowledgement e-forms for patient signature); 3) EHR algorithms for accurate patient identification (i.e., electronic phenotype algorithms to identify eligible patients, none of which currently have phenotype algorithms present in PheKB; 4) Behavioral economics-informed implementation science methods: This trial will be the first to evaluate implementation strategies informed by behavioral economics, directed at clinicians and/or patients, for increasing the use of genetic testing; further it will be the first study in this area to test two forms of defaults as a potential local adaptation to facilitate implementation (ordering vs. referring); and 5) Dissemination: In addition to standard dissemination modalities,PheKB95, GitHub and Epic Community Library, the investigators propose to disseminate via AnVIL (NHGRI's Genomic Data Science Analysis, Visualization, and Informatics Lab-Space). Our results will represent an entirely new paradigm for the provision of genomic medicine for patients in whom the results of genetic testing change medical management. Sclérose latérale amyotrophique Non applicable À vérifier United States À vérifier
Veech Ketone Ester to Support Brain Energy in Mild Cognitive Impairment and Early Alzheimer's DiseaseIt is projected that by 2030, one in every five Americans will be of retirement age, and this demographic shift is expected to result in more people suffering from dementia. A key feature of the brain is its need for a constant supply of glucose and oxygen to meet the high energy costs of mental activity. This study aims to develop clinically practical, noninvasive imaging methods based on combined positron emission tomography and magnetic resonance imaging to assess brain energy in order to better understand how this critical component of brain health is impacted by aging. Alzheimer Non applicable À vérifier Canada À vérifier
BRAIN — Biofluid Research on Age-Related or Inherited NeurodegenerationThe aim of this study is to contribute to and continue to sustain a repository of blood samples, nucleic acid (DNA and/or RNA) samples, family history information, and other demographic information from individuals with age-related neurodegenerative conditions, or their family members who may or may not be at risk for similar conditions. This study will continue to further expand research into the molecular and genetic basis of these diseases and their risk factors. Sclérose latérale amyotrophique À vérifier À vérifier United States À vérifier

Essais cliniques

7
MoléculeIndication / populationPhaseNCTTitreStatut
BRAIN — Biofluid Research on Age-Related or Inherited Neurodegeneration Sclérose latérale amyotrophique À vérifier NCT07798700 BRAIN — Biofluid Research on Age-Related or Inherited Neurodegeneration RECRUITING
Veech Ketone Ester to Support Brain Energy in Mild Cognitive Impairment and Early Alzheimer's Disease Alzheimer Non applicable NCT06767124 Veech Ketone Ester to Support Brain Energy in Mild Cognitive Impairment and Early Alzheimer's Disease NOT_YET_RECRUITING
Using the EHR to Advance Genomic Medicine Across a Diverse Health System Sclérose latérale amyotrophique Non applicable NCT06377033 Using the EHR to Advance Genomic Medicine Across a Diverse Health System RECRUITING
Non-invasive ventilation Sclérose latérale amyotrophique Phase 2 NCT07071935 A Clinical Trial of Early Ventilation in Amyotrophic Lateral Sclerosis (EVENT ALS) RECRUITING
3T Magnetic Resonance Imaging (MRI) Épilepsie À vérifier NCT05823766 Transforming Research and Clinical Knowledge in Traumatic Brain Injury Epileptogenesis Project (TRACK-TBI EPI) ACTIVE_NOT_RECRUITING
Mechanical insufflation Sclérose latérale amyotrophique Non applicable NCT06119087 Mechanical Insufflation in the Philadelphia Amyotrophic Lateral Sclerosis Cohort (MI-PALS) Study COMPLETED
Simvastatin SEP Phase 1 NCT02061397 Safety of Simvastatin in LAM and TSC COMPLETED

Publications

26
MoléculeIndication / populationTitreJournalDate
BRAIN — Biofluid Research on Age-Related or Inherited Neurodegeneration From food to function: Nutraceutical-based modulation of mitochondrial, inflammatory and epigenetic networks in retinal neurodegeneration. Ageing research reviews
BRAIN — Biofluid Research on Age-Related or Inherited Neurodegeneration Spectrum Disorders: Genetic Complexity Beyond Dominant Inheritance. Neurology. Genetics
BRAIN — Biofluid Research on Age-Related or Inherited Neurodegeneration Omics in hereditary optic neuropathies: A systematic review of clinical studies with an integrated point of view. Survey of ophthalmology
Blood Draw Blood metabolomic signatures linking air pollution to lung cancer in the Cancer Prevention Studies. Nature communications
Blood Draw Non-invasive nanoparticle barcoding in nonhuman primates. Nature biotechnology
Blood Draw Serum as an alternative to plasma for determining the ApoE4 phenotype using Pan-ApoE and ApoE4 chemiluminescent enzyme immunoassays. Clinical chemistry and laboratory medicine
3T Magnetic Resonance Imaging (MRI) Freehand 3T MR-guided vacuum-assisted breast biopsy (VAB): a five-year experience. Acta radiologica (Stockholm, Sweden : 1987)
3T Magnetic Resonance Imaging (MRI) A robust broadband fat-suppressing phaser T -preparation module for cardiac magnetic resonance imaging at 3T. Magnetic resonance in medicine
Non-invasive ventilation Optimizing Non-invasive Ventilation in Acute Respiratory Failure. Clinics in chest medicine
Non-invasive ventilation Optimizing Care in Respiratory Infections: Advanced Approaches to Mechanical Ventilation. Critical care nursing clinics of North America
Non-invasive ventilation Prehospital PEEP for Acute Respiratory Distress: Protocol for a Scoping Review. Acta anaesthesiologica Scandinavica
Mechanical insufflation Tracheostomy Tube Decannulation and Noninvasive Ventilatory Support For Traumatic Tetraplegia. American journal of physical medicine & rehabilitation
Mechanical insufflation Reversal of lung consolidation with mechanical insufflation-exsufflation in a brain-dead lung donor. JHLT open
Mechanical insufflation NIV Versus NVS: A Review of Respiratory Principles of Physical Medicine After 60 Years of Neglect. American journal of physical medicine & rehabilitation
Everolimus Oral Product mTOR signaling is required for phagocyte free radical production, GLUT1 expression, and control of infection. mBio
Everolimus Oral Product Imlunestrant Is an Oral, Brain-Penetrant Selective Estrogen Receptor Degrader with Potent Antitumor Activity in ESR1 Wild-Type and Mutant Breast Cancer. Cancer research
Sirolimus Oral Product Pharmacokinetic analysis of intermittent rapamycin administration in early-stage Alzheimer's Disease. GeroScience
Simvastatin Macrophage autophagy in allergic diseases: Regulatory mechanisms, immune crosstalk, and therapeutic implications. International immunopharmacology
Simvastatin Interaction between amphiphilic drugs and biofilms revealed by surface-enhanced Raman spectroscopy. Spectrochimica acta. Part A, Molecular and biomolecular spectroscopy
Simvastatin Mechanisms and Predisposing Conditions for Statin-Induced New-Onset Type 2 Diabetes Mellitus: A Paradox Relative to Their Pleiotropic Metabolic Effects. Endocrinology, diabetes & metabolism
Simvastatin Cholesterol synthesis inhibitors effectively inhibit the replication of African swine fever virus in vitro. Virology
Everolimus Oral Product Analysis of the Main Directions in the Development of Mono and Combination Pharmacotherapy Acting on Hormonal Signaling Pathways of Breast Cancer According to the FDA Databases and Clinicaltrials.gov. Current medicinal chemistry
Sirolimus Oral Product Learnings from Patient Mortality after Delandistrogene Moxeparvovec Administration: A Report of Two Cases and Expert Committee Considerations for Future Mitigation and Management. Human gene therapy
Sirolimus Oral Product Intravenous Everolimus Formulation (Sapu003) for Clinical Trials. International journal of molecular sciences
Simvastatin Pharmacogenomic landscape in Thailand: Array-based profiling and EMR-linked medication exposure. PloS one
Simvastatin Patient-specific iPSC-derived ECs identify QKI-7 as a key regulator of endothelial dysfunction and potential therapeutic target in diabetes. Stem cells translational medicine