Search Clinical Trials
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First-Line Ipilimumab Plus Nivolumab and Nogapendekin Alfa Inbakicept (N-803) in Patients With Stag1
Washington University School of Medicine
Non-small Cell Lung Cancer Stage IV
Non-small Cell Lung Cancer Recurrent
This is a single center, phase Ib/II study combining an anti-PD-1 antibody and an
anti-CTLA-4 antibody with IL-15. It is testing the hypothesis that the addition of
nogapendekin alfa inbakicept to nivolumab and ipilimumab will augment the clinical
activity of those two drugs. expand
This is a single center, phase Ib/II study combining an anti-PD-1 antibody and an anti-CTLA-4 antibody with IL-15. It is testing the hypothesis that the addition of nogapendekin alfa inbakicept to nivolumab and ipilimumab will augment the clinical activity of those two drugs. Type: Interventional Start Date: Jul 2026 |
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Ultrasonic Neuromodulation of Cingulate Cortex for Fibromyalgia
SPIRE Therapeutics Inc.
Fibromyalgia
The goal of this clinical trial is to evaluate a new noninvasive brain stimulation
intervention for fibromyalgia and to determine its effectiveness in reducing pain.
Participants will receive four treatments over the course of one month and will complete
surveys at multiple time points throughout t1 expand
The goal of this clinical trial is to evaluate a new noninvasive brain stimulation intervention for fibromyalgia and to determine its effectiveness in reducing pain. Participants will receive four treatments over the course of one month and will complete surveys at multiple time points throughout the 16-week study. Type: Interventional Start Date: Dec 2025 |
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Low-Count Quantitative SPECT for Men Treated With Radium-223
Washington University School of Medicine
Prostate Cancer
Cancer of the Prostate
Internal radiotherapies (radiolabeled molecules that are systemically administered and
localize to sites of disease) provide cancer-ablating doses to diseased cells while
sparing adjacent normal tissues. [223Ra]RaCl2 (Xofigo) is the first FDA-approved
alpha-particle emitting radiopharmaceutical the1 expand
Internal radiotherapies (radiolabeled molecules that are systemically administered and localize to sites of disease) provide cancer-ablating doses to diseased cells while sparing adjacent normal tissues. [223Ra]RaCl2 (Xofigo) is the first FDA-approved alpha-particle emitting radiopharmaceutical therapy (αRPT), providing a survival benefit for men with bone metastatic castration-resistant prostate cancer. Systemically administered radiotherapies distribute throughout the patient, accumulating to unknown levels at sites of disease and in radiosensitive vital organs. The whole-body distribution means that absorbed doses in the patient extend far beyond a pre-defined treatment field. There is a lack of information about αRPT distribution and localization, and this confounds treatment monitoring, complicates dose and schedule personalization, and impedes drug development. Single-photon emission computed tomography (SPECT) imaging offers a mechanism to quantify uptake; however, αRPT administered activities are significantly lower than those used with diagnostic procedures, which presents a challenge for quantitation with conventional methods. Preliminary research shows that low-count quantitative SPECT (LC-QSPECT) imaging demonstrates reliable quantitation of regional uptake for αRPTs. The purpose of this study is to demonstrate the feasibility, tolerability and performance of LC-QSPECT imaging. Type: Interventional Start Date: Sep 2026 |
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A Study of Intismeran Autogene (V940)/Placebo + Pembrolizumab and Chemotherapy in Metastatic Squamo1
Merck Sharp & Dohme LLC
Squamous Non-small Cell Lung Cancer
Researchers want to know if intismeran autogene (the study treatment) given with
pembrolizumab and chemotherapy can treat metastatic treatment-naive squamous non-small
cell lung cancer (NSCLC). Intismeran autogene is designed to help a person's immune
system attack their specific cancer.
The goal1 expand
Researchers want to know if intismeran autogene (the study treatment) given with pembrolizumab and chemotherapy can treat metastatic treatment-naive squamous non-small cell lung cancer (NSCLC). Intismeran autogene is designed to help a person's immune system attack their specific cancer. The goal of this study is to learn if people who receive intismeran autogene with pembrolizumab and chemotherapy live longer overall and without the cancer growing or spreading compared to people who receive placebo with pembrolizumab and chemotherapy. A placebo looks like the study treatment but has no study treatment in it. Using a placebo helps researchers better understand the effects of the study treatment. Type: Interventional Start Date: Dec 2025 |
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Recombinant Human IL-7 (NT-I7) in Relapsed/Refractory Multiple Myeloma Following BCMA CAR-T Therapy1
Washington University School of Medicine
Multiple Myeloma
Multiple Myeloma in Relapse
Multiple Myeloma, Refractory
CAR-T cell therapy is an emerging treatment modality in relapsed and refractory multiple
myeloma (MM). CAR-T therapy in MM relies on directing autologous T-cells to detect and
clear myeloma cells expressing B-cell Maturation Antigen (BCMA). While BCMA CAR-T
cell-treated patients achieve an excellen1 expand
CAR-T cell therapy is an emerging treatment modality in relapsed and refractory multiple myeloma (MM). CAR-T therapy in MM relies on directing autologous T-cells to detect and clear myeloma cells expressing B-cell Maturation Antigen (BCMA). While BCMA CAR-T cell-treated patients achieve an excellent overall response rate, their response is often not durable. NT-I7 promotes CAR-T cell expansion and efficacy in pre-clinical lymphoma models. In patients receiving CD19-directed CAR-T therapy for lymphoma, NT-I7 augmented CAR-T expansion while being safe and tolerable. The impact of NT-I7 on BCMA CAR-T cells in multiple myeloma is unknown. This is a two-stage, multicenter, phase IB study, with a dose escalation stage leading into a two-arm, double blind, placebo-controlled, randomized dose expansion stage testing the safety and toxicity of adding NT-I7 to BCMA CAR-T therapy in patients with relapsed and refractory multiple myeloma. The hypothesis is that NT-I7 will promote CAR-T expansion and persistence which will enhance clearance of MM, while maintaining a favorable safety and toxicity profile. Patients receiving standard of care BCMA CAR-T (cilta-cel) will be randomized to either NT-I7 or placebo. Correlative studies will evaluate CAR-T cell expansion, persistence, immune-phenotype, function and correlate with clinical outcomes. Type: Interventional Start Date: Aug 2026 |
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Diagnosing Epilepsy To EffeCT Change
Epiminder America, Inc.
Epilepsy
Epilepsy (Treatment Refractory)
The purpose of this research is to address the challenges of diagnosing and long-term
management of epilepsy in participants whose seizures are not well captured by standard
electroencephalography (EEG) tests and who cannot use or are not able to use more
standard monitoring techniques. This resear1 expand
The purpose of this research is to address the challenges of diagnosing and long-term management of epilepsy in participants whose seizures are not well captured by standard electroencephalography (EEG) tests and who cannot use or are not able to use more standard monitoring techniques. This research will compare the Minder System to standard of care in providing reliable seizure data. The Minder System was granted De Novo classification by the U.S. Food and Drug Administration (FDA) and is not investigational. Participants will consent to join the study and be implanted with the Minder device; or consent to join the study and continue with their Standard of Care (SOC) as a control group. Participants chose to be implanted with the Minder device will have the device implanted under their scalp. After implantation, participants will be randomly assigned to a group where their treating physician will have access to the EEG data collected by the Minder System or a group where their treating physician does not have access to the EEG data collected by the Minder System. Participants receiving the Minder System will not know which group they are in (blinded) until the study ends. All participants will continue to be followed by their treating physician and undergo assessments and visits until enough information is available to determine a treatment plan or the 6-month follow-up visit. Type: Interventional Start Date: Dec 2025 |
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A Study of the Efficacy and Safety of Lisocabtagene Maraleucel (Liso-cel) as First-Line Therapy in1
Juno Therapeutics, Inc., a Bristol-Myers Squibb Company
Lymphoma
The purpose of this study is to evaluate the safety and efficacy of lisocabtagene
maraleucel (Breyanzi/liso-cel/BMS-986387) in adults as first-line treatment in
transplant-ineligible Primary Central Nervous System Lymphoma (PCNSL). expand
The purpose of this study is to evaluate the safety and efficacy of lisocabtagene maraleucel (Breyanzi/liso-cel/BMS-986387) in adults as first-line treatment in transplant-ineligible Primary Central Nervous System Lymphoma (PCNSL). Type: Interventional Start Date: Nov 2025 |
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Testing the Addition of Docetaxel (Chemotherapy) to the Usual Treatment (Hormonal Therapy and Apalu1
Alliance for Clinical Trials in Oncology
Castration-Sensitive Prostate Carcinoma
Metastatic Prostate Adenocarcinoma
Stage IVB Prostate Cancer AJCC v8
This phase III trial compares the effect of adding docetaxel to hormonal therapy and
apalutamide versus hormonal therapy and apalutamide alone in treating patients with
prostate cancer that has spread from where it first started (primary site) to other
places in the body (metastatic). Docetaxel is1 expand
This phase III trial compares the effect of adding docetaxel to hormonal therapy and apalutamide versus hormonal therapy and apalutamide alone in treating patients with prostate cancer that has spread from where it first started (primary site) to other places in the body (metastatic). Docetaxel is in a class of medications called taxanes. It stops tumor cells from growing and dividing and may kill them. Hormone therapy for prostate cancer, also called androgen deprivation therapy (ADT), uses surgery or drugs to lower the levels of male sex hormones in a man's body. This helps slow the growth of prostate cancer. Apalutamide is in a class of medications called androgen receptor inhibitors. It works by blocking the effects of androgen (a male reproductive hormone) to stop the growth and spread of tumor cells. Giving docetaxel in addition to the usual treatment of hormonal therapy and apalutamide may work better in treating patients with metastatic prostate cancer than the usual treatment alone. Type: Interventional Start Date: Dec 2025 |
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A Study to Evaluate the Efficacy and Safety of Sacituzumab Tirumotecan (MK-2870) Maintenance Treatm1
Merck Sharp & Dohme LLC
Ovarian Cancer
Fallopian Tube Cancer
Primary Peritoneal Cancer
The main goals of this study are to learn about the safety of sacituzumab tirumotecan
with bevacizumab and if people tolerate it; and if people who take sacituzumab
tirumotecan with or without bevacizumab live longer without the cancer getting worse than
those who receive standard of care treatment. expand
The main goals of this study are to learn about the safety of sacituzumab tirumotecan with bevacizumab and if people tolerate it; and if people who take sacituzumab tirumotecan with or without bevacizumab live longer without the cancer getting worse than those who receive standard of care treatment. Type: Interventional Start Date: Apr 2025 |
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Auricular VNS Following Intracerebral Hemorrhage
Washington University School of Medicine
Intracerebral Hemorrhage
This study will evaluate whether non-invasive auricular vagal nerve stimulation lowers
inflammatory markers, and improves outcomes following intracerebral hemorrhage. expand
This study will evaluate whether non-invasive auricular vagal nerve stimulation lowers inflammatory markers, and improves outcomes following intracerebral hemorrhage. Type: Interventional Start Date: Apr 2025 |
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Pacritinib in Vacuoles, E1 Ubiqutin-activating Enzyme, X-linked, Autoinflammatory, Somatic (VEXAS)1
Washington University School of Medicine
E1 Ubiqutin-activating Enzyme, X-linked, Autoinflammatory, Somatic Syndrome
VEXAS
Vexas Syndrome
VEXAS (vacuoles, E1 ubiqutin-activating enzyme, X-linked, autoinflammatory, somatic
syndrome) is a recently described disorder with severe hematologic and rheumatologic
manifestations caused by somatic variants in the ubiquitin- activating enzyme gene, UBA1,
that is acquired in hematopoietic progen1 expand
VEXAS (vacuoles, E1 ubiqutin-activating enzyme, X-linked, autoinflammatory, somatic syndrome) is a recently described disorder with severe hematologic and rheumatologic manifestations caused by somatic variants in the ubiquitin- activating enzyme gene, UBA1, that is acquired in hematopoietic progenitor cells. Patients are often debilitated by autoinflammatory symptoms and there is currently no standard of care available. There is a clinically unmet need for better therapies in VEXAS Syndrome. There have been no prospective clinical trials of JAK-I in VEXAS syndrome. The investigators hypothesize that pacritinib, as a JAK2/IRAK1 inhibitor with a manageable safety profile in myelofibrosis patients with thrombocytopenia, will improve the autoinflammatory and hematologic manifestations of VEXAS syndrome with a tolerable toxicity profile. The investigators propose a single arm, pilot Phase 1 study evaluating the safety and tolerability of pacritinib in patients with VEXAS syndrome with an initial safety run-in phase of 6 patients treated with pacritinib 200mg twice daily (BID) on days 1-28 of a continuous 28 day cycle. If no more than 1 patient experiences a dose-limiting toxicity (DLT), the investigators will enroll an expansion cohort to gain additional toxicity and efficacy data, for a total enrollment of 15 patients. If more than 1 patient experiences a DLT during the safety run-in phase, the investigators will decrease the dose to 100 mg BID, and if no more than 1 of 6 patients experiences a DLT, the investigators will complete the expansion cohort as above for up to a total enrollment of 15 patients. If more than 1 patient experiences a DLT at 100 mg BID, the investigators will discontinue the study. Patients will be treated for up to 12 cycles. Type: Interventional Start Date: Feb 2025 |
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A Study of Sacituzumab Tirumotecan (MK-2870) as a Single Agent and in Combination With Pembrolizuma1
Merck Sharp & Dohme LLC
Breast Neoplasms
The purpose of this study is to compare sacituzumab tirumotecan as a single agent, and in
combination with pembrolizumab, versus Treatment of Physician's Choice (TPC) in
participants with hormone receptor positive/human epidermal growth factor receptor-2
negative (HR+/HER2-) unresectable locally ad1 expand
The purpose of this study is to compare sacituzumab tirumotecan as a single agent, and in combination with pembrolizumab, versus Treatment of Physician's Choice (TPC) in participants with hormone receptor positive/human epidermal growth factor receptor-2 negative (HR+/HER2-) unresectable locally advanced, or metastatic, breast cancer. The primary hypotheses are that sacituzumab tirumotecan as a single agent and sacituzumab tirumotecan plus pembrolizumab are superior to TPC with respect to progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) by blinded independent central review (BICR) in all participants. Type: Interventional Start Date: Apr 2024 |
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A Study of SGT-003 Gene Therapy in Duchenne Muscular Dystrophy (INSPIRE DUCHENNE)
Solid Biosciences Inc.
Duchenne Muscular Dystrophy
This is a multicenter, open-label, non-randomized study to investigate the safety,
tolerability, and efficacy of a single intravenous (IV) infusion of SGT-003 in
participants with Duchenne muscular dystrophy. There will be 5 cohorts in this study.
Cohort 1 will include participants 4 to < 7 years o1 expand
This is a multicenter, open-label, non-randomized study to investigate the safety, tolerability, and efficacy of a single intravenous (IV) infusion of SGT-003 in participants with Duchenne muscular dystrophy. There will be 5 cohorts in this study. Cohort 1 will include participants 4 to < 7 years of age. Cohort 2 will include participants 7 to < 12 years of age. Cohort 3 will include participants 0 to < 4 years of age. Cohort 4 will include participants 12 to < 18 years of age. Cohort 5 will include participants 10 to < 18 years of age. Initiation of participant enrollment in Cohorts 4 and 5 will be subject to the accrual of safety and efficacy data from Cohorts 1-3. All participants will receive SGT-003 and will be enrolled in the study for 5 total years for long-term follow up. Type: Interventional Start Date: May 2024 |
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Testing the Combination of the Anticancer Drug Durvalumab With Chemotherapy (Gemcitabine and Cispla1
National Cancer Institute (NCI)
Resectable Intrahepatic Cholangiocarcinoma
This phase II trial tests how well giving durvalumab with standard chemotherapy,
gemcitabine and cisplatin, before surgery works in treating patients with high risk liver
cancer (cholangiocarcinoma) that can be removed by surgery (resectable). Durvalumab is a
monoclonal antibody that may interfere1 expand
This phase II trial tests how well giving durvalumab with standard chemotherapy, gemcitabine and cisplatin, before surgery works in treating patients with high risk liver cancer (cholangiocarcinoma) that can be removed by surgery (resectable). Durvalumab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs, such as gemcitabine and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving durvalumab with gemcitabine and cisplatin before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed in patients with high risk resectable cholangiocarcinoma. Type: Interventional Start Date: Jul 2024 |
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Alpelisib in Pediatric and Adult Patients With Lymphatic Malformations Associated With a PIK3CA Mut1
Novartis Pharmaceuticals
Lymphatic Malformations
The main purpose of this study in participants with PIK3CA-mutated LyM is to assess the
change in radiological response and symptom severity upon treatment with alpelisib
film-coated tablets (FCT) as compared to placebo. expand
The main purpose of this study in participants with PIK3CA-mutated LyM is to assess the change in radiological response and symptom severity upon treatment with alpelisib film-coated tablets (FCT) as compared to placebo. Type: Interventional Start Date: Nov 2023 |
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Study of CHS-114 in Participants With Advanced Solid Tumors
Coherus Oncology, Inc.
Advanced Solid Tumor
Head and Neck Squamous Cell Carcinoma
This is a Phase 1, open-label, first-in-human, dose-escalation and expansion study of
CHS-114, a monoclonal antibody that targets CCR8, as a monotherapy in patients with solid
tumors. expand
This is a Phase 1, open-label, first-in-human, dose-escalation and expansion study of CHS-114, a monoclonal antibody that targets CCR8, as a monotherapy in patients with solid tumors. Type: Interventional Start Date: Dec 2022 |
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Memory-Like Natural Killer Cells With Nivolumab and Relatlimab in Advanced or Metastatic Melanoma A1
Washington University School of Medicine
Advanced Melanoma
Metastatic Melanoma
This is a Phase 1 open-label, study designed to characterize the safety, tolerability,
and preliminary anti-tumor activity of memory-like natural killer cells (ML NK) in
combination with nivolumab and relatlimab in subjects with advanced and/or metastatic
melanoma. There will be two arms to test th1 expand
This is a Phase 1 open-label, study designed to characterize the safety, tolerability, and preliminary anti-tumor activity of memory-like natural killer cells (ML NK) in combination with nivolumab and relatlimab in subjects with advanced and/or metastatic melanoma. There will be two arms to test the variables of ML NK cell source. ML NK cells from an autologous source will be used for Arm 1, and ML NK cells from an allogeneic source will be used for Arm 2. The investigators hypothesize that ML NK cells from either an autologous source or allogeneic source are safe and tolerable in subjects with advanced and/or metastatic melanoma. Type: Interventional Start Date: Nov 2024 |
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Treatment Monitoring of Patients Receiving CDK 4/6 Inhibitors for Hormone Receptor (HR) Positive, H1
Washington University School of Medicine
Breast Cancer
Cancer of the Breast
Historically, serial testing of patients with metastatic breast cancer has included a
combination of physical exam, symptom evaluation, laboratory testing, and imaging.
Circulating tumor biomarkers are sometimes also incorporated. Frequent testing with
numerous diagnostics at each time point is a s1 expand
Historically, serial testing of patients with metastatic breast cancer has included a combination of physical exam, symptom evaluation, laboratory testing, and imaging. Circulating tumor biomarkers are sometimes also incorporated. Frequent testing with numerous diagnostics at each time point is a significant burden to patients and to healthcare systems. The DiviTum® TKa assay measures TK1 activity. Numerous studies have illustrated the prognostic nature of plasma or serum TK1 activity level in metastatic cancer. The investigators hypothesize that the incorporation of data from DiviTum® TKa measurement into the treatment monitoring schema will be associated with physician desire to change the near-term usage and/or timing of other routine restaging tests, including either standard tumor imaging or tumor marker testing. Given the relatively low rate of disease progression in this first-line population, it is expected that most of this change will be an intended reduction in scheduling of routine treatment surveillance testing with increase in intervals of subsequent tumor restaging imaging by at least 4 weeks. Secondarily, the consequences of rescheduling of routine surveillance testing may ultimately result in an absolute reduction in the number of some tests used during the time period examined. Type: Interventional Start Date: Mar 2022 |
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Study to Evaluate Biological & Clinical Effects of Significantly Corrected CFTR Function in Infants1
Sonya Heltshe
Cystic Fibrosis
This is a two-part, multi-center, prospective longitudinal, exploratory study of highly
effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators and their
impact on children with cystic fibrosis (CF). expand
This is a two-part, multi-center, prospective longitudinal, exploratory study of highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators and their impact on children with cystic fibrosis (CF). Type: Observational Start Date: Nov 2020 |
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Pridopidine Phase 3 Study to Evaluate Efficacy and Safety in ALS
Prilenia
Amyotrophic Lateral Sclerosis
The goal of this clinical trial is to learn if the drug pridopidine works to treat
amyotrophic lateral sclerosis in adults. It will also help to learn about the safety of
pridopidine. The main question it aims to answer is:
Does pridopidine slow disease progression of ALS?
Researchers will compar1 expand
The goal of this clinical trial is to learn if the drug pridopidine works to treat amyotrophic lateral sclerosis in adults. It will also help to learn about the safety of pridopidine. The main question it aims to answer is: Does pridopidine slow disease progression of ALS? Researchers will compare pridopidine to a placebo (a look-alike substance that contains no drug) to see if pridopidine works to treat ALS. Participants will: Take pridopidine or a placebo by mouth every day for 48 weeks. Afterwards, all participants will take pridopidine for another 48 weeks. Visit the clinic once every 1-3 months for checkups and tests Type: Interventional Start Date: Feb 2026 |
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Study to Enable New Diagnostics for Pulmonary Microbes in People With CF
Chris Goss
Cystic Fibrosis (CF)
New Diagnostics
Sputum culture has been the best approach to detect harmful bacteria in the lungs of
people with cystic fibrosis (CF). With the widespread use of new CF therapies (like
Trikafta and Alyftrak), it is more difficult for people with CF to produce sputum even
though they still have harmful bacteria in1 expand
Sputum culture has been the best approach to detect harmful bacteria in the lungs of people with cystic fibrosis (CF). With the widespread use of new CF therapies (like Trikafta and Alyftrak), it is more difficult for people with CF to produce sputum even though they still have harmful bacteria in their lungs. The SEND-CF study is being done to see if there are other ways to detect harmful bacteria in the lungs. Type: Observational Start Date: Mar 2026 |
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Selinexor Maintenance Post CAR-T Cell Therapy for Multiple Myeloma
Washington University School of Medicine
Multiple Myeloma
The outcomes in patients with relapsed multiple myeloma refractory to triple-therapy
(anti-CD38, immunomodulatory drugs (IMiD) and proteasome inhibitors (PI)) remain poor.
These patients are eligible for chimeric antigen receptor T-cells (CAR-T), which rely on
redirecting autologous T-cells to clea1 expand
The outcomes in patients with relapsed multiple myeloma refractory to triple-therapy (anti-CD38, immunomodulatory drugs (IMiD) and proteasome inhibitors (PI)) remain poor. These patients are eligible for chimeric antigen receptor T-cells (CAR-T), which rely on redirecting autologous T-cells to clear myeloma cells by targeting B-cell maturation antigen (BCMA). BCMA CAR-T therapy is not curative, and unlike autologous stem cell transplant, there is currently no standard for maintenance therapy post CAR-T which could potentially increase MRD rates and extend progression-free survival. Selinexor is an exportin (XPO1) inhibitor with direct anti-tumor effect used often as an adjunct with other agents as bridging therapy prior to CAR-T. As selinexor does not affect T-cell yields or fitness, T-cell collection on selinexor for CAR-T manufacturing is safe. The aim of this study is to evaluate the safety and toxicity of selinexor in triple-exposed or refractory multiple myeloma patients with high-risk features (adverse risk cytogenetics, less than complete response (CR) post CAR-T, or extramedullary disease) following BCMA CAR-T therapy. The investigators hypothesize that selinexor as maintenance therapy following CAR-T has the potential to act synergistically with CAR-T cells leading to more durable responses. Type: Interventional Start Date: Mar 2026 |
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Dabrafenib and Trametinib for BRAF V600 Mutant Low-Grade Gliomas
University of California, San Francisco
BRAF V600 Mutation
Low-grade Glioma
Low Grade Glioma of Brain
Recurrent Low Grade Glioma
This phase II trial studies how well de-escalating the drugs dabrafenib and trametinib
works in treating patients with low-grade gliomas that have a BRAF V600 gene mutation.
Dabrafenib and trametinib are in a class of medications called kinase inhibitors. They
work by blocking the action of abnorma1 expand
This phase II trial studies how well de-escalating the drugs dabrafenib and trametinib works in treating patients with low-grade gliomas that have a BRAF V600 gene mutation. Dabrafenib and trametinib are in a class of medications called kinase inhibitors. They work by blocking the action of abnormal proteins that signals tumor cells to multiply. This helps stop the spread of tumor cells. This trial may help doctors determine the best dosing strategy for patients who have received dabrafenib and trametinib for 12-24 months: Either stopping dabrafenib and trametinib completely or slowly reducing the dose for an additional 6 months. Type: Interventional Start Date: Nov 2025 |
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Testing the Addition of Paclitaxel Administered Into the Abdominal Cavity Combined With Chemotherap1
ECOG-ACRIN Cancer Research Group
Gastric Adenocarcinoma
Gastroesophageal Junction Adenocarcinoma
Peritoneal Carcinomatosis
This study is being done to answer the following questions:
Can we lower the chance of your gastric cancer from growing or spreading by administering
paclitaxel chemotherapy directly into your abdominal cavity in addition to chemotherapy
given through a vein in your arm? Will administering paclita1 expand
This study is being done to answer the following questions: Can we lower the chance of your gastric cancer from growing or spreading by administering paclitaxel chemotherapy directly into your abdominal cavity in addition to chemotherapy given through a vein in your arm? Will administering paclitaxel chemotherapy directly into your abdominal cavity, in addition to chemotherapy given through a vein in your arm help you live longer? We are doing this study because we want to find out if this approach is better or worse than the usual approach for your gastric cancer. The usual approach is defined as care most people get for gastric cancer. If you decide to take part in this study, you will first receive a surgical procedure called a diagnostic laparoscopy. This will help the study doctors learn more about your gastric cancer. Laparoscopy is a minimally invasive surgery for which you will be placed under general anesthesia. Then the surgeon will make small incisions (5mm) on your belly through which a camera and thin instruments are introduced to evaluate the abdomen. This procedure takes about 1 hour to complete. Your study group will be assigned during the surgery. The study groups are described further in the 'What are the study groups?' section below. If you are placed into the study group 1, you will not have an intraperitoneal port (a small device which is placed under the skin and fat of your upper abdomen and a tube that is placed into the abdomen). If you are placed into the study group 2, you will have an intraperitoneal port placed. The reason is that in addition to standard chemotherapy, which is given through a vein in your arm, this port will be used to deliver the medication paclitaxel directly inside your abdomen when you are ready to start study treatment. It is important to know that you will not know your study group until after the surgery is over. This is because information that is learned during the surgery will help determine which study group you are put in. Once you have fully healed from this surgery, you will start study treatment. Depending on which study group you are assigned, you will either receive a standard chemotherapy regimen (the regimen will be chosen by you and your doctor) if you are in study group 1, or paclitaxel through a tube in your belly plus chemotherapy given through a vein in your arm if you are in study group 2. All participants will get treatment for three (3) months after which you will undergo reevaluation. If the disease is under control or responding to treatment, you may continue the assigned treatment until your disease gets worse, the side effects become too severe, or you may be offered a surgical procedure to remove the cancer if the amount of disease is low and can be completely removed as determined by a surgeon. There is a very small chance that during the laparoscopy surgical procedure, the doctor might find something called "intra-abdominal adhesions". These are areas where the stomach has healed previously and created scar tissue. If this scar tissue prevents the surgeon from being able to place a port in the correct area, you would be ineligible to receive the study treatment. If this happens, you may still receive standard of care therapy after your surgery, but you will not be able to continue on the study. If you have more questions about this, you can ask your surgeon or the study team to help. After you finish your study treatment, your doctor or study team will watch you for side effects. They will continue to follow your condition every three (3) months during the first two (2) years, then every six (6) months until year 5. You may be reevaluated with Chest/Abdomen/Pelvis scans every three-six (3-6) months for up to five (5) years if decided by your doctor. Type: Interventional Start Date: Aug 2025 |
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Moving Beyond Inflammation as a Therapeutic Target for Crohn's Disease
Washington University School of Medicine
Crohn Disease (CD)
The purpose of this research study is to evaluate what type of treatment will be
beneficial for people with Crohn's disease and difficult to treat inflammation in the
small bowel. Current therapies are used to control the inflammation due to Crohn's
disease in your digestive tract. In some patients1 expand
The purpose of this research study is to evaluate what type of treatment will be beneficial for people with Crohn's disease and difficult to treat inflammation in the small bowel. Current therapies are used to control the inflammation due to Crohn's disease in your digestive tract. In some patients, those therapies are not sufficient to fully treat the disease. This objective of this study is to evaluate the efficacy of a different type of therapy, tirzepatide, that may promote healing of the affected intestinal segment. To evaluate the efficacy of this medication, a member of the research team will ask patients questions about how they feel and observe whether this medication heals the their bowel at colonoscopy. A member of the research team will also use blood samples, stool samples and samples of the small intestine taken during a colonoscopy to understand how tirzepatide helps heal the intestine. Type: Interventional Start Date: May 2025 |