Search results for "multicenter trial"

showing 10 items of 65 documents

ag) Push-and-pull enteroscopy in the small bowel using the double-balloon technique: results of a prospective European multicenter study.

2005

BACKGROUND AND STUDY AIMS The aim of this study was to evaluate the feasibility, safety, and clinical impact of push-and-pull enteroscopy (PPE) in patients with suspected or documented small-bowel diseases, in a prospective multicenter trial in three European medical centers. PATIENTS AND METHODS A total of 100 patients (mean age 56 +/- 16 years; range 13 - 90) were included at the three institutions between July and November 2004. The leading symptoms were: acute recurrent or chronic gastrointestinal bleeding (n = 64), polyposis syndrome (n = 8), chronic abdominal pain (n = 7), chronic diarrhea (n = 7), and others (n = 14). RESULTS No major PPE-associated complications such as perforation,…

EnteroscopyAdultmedicine.medical_specialtyGastrointestinal bleedingAdolescentmedicine.medical_treatmentSettore MED/12 - GASTROENTEROLOGIAArgon plasma coagulationGastroenterologyInternal medicineMulticenter trialmedicineHumansdouble balloonEndoscopy Digestive SystemProspective StudiesAngiodysplasiaAgedAged 80 and overbusiness.industryGastroenterologyMiddle Agedpush-and-pull endoscopymedicine.diseasePolypectomySurgeryEuropeIntestinal Diseasesmedicine.anatomical_structureTreatment OutcomeAbdomenFeasibility StudiesComplicationbusiness
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Prospective Multicenter Trial Comparing Push-and-Pull Enteroscopy With the Single- and Double-Balloon Techniques in Patients With Small-Bowel Disorde…

2010

Prospective Multicenter Trial Comparing Push-and-Pull Enteroscopy With the Single- and Double-Balloon Techniques in Patients With Small-Bowel Disorders

Enteroscopymedicine.medical_specialtyHepatologybusiness.industryGastroenterologySingle-Balloon EnteroscopyBalloon EnteroscopyWeather balloonBalloonSurgerylaw.inventionRandomized controlled triallawMulticenter trialMedicinebusinessProspective cohort studyAmerican Journal of Gastroenterology
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Interferon alfa for chronic hepatitis B infection: Increased efficacy of prolonged treatment

1999

Interferon alfa (IFN-alpha) is the primary treatment for chronic hepatitis B. The standard duration of IFN-alpha therapy is considered 16 weeks; however, the optimal treatment length is still poorly defined. We evaluated the efficacy and acceptability of prolonged IFN-alpha treatment in patients with chronic hepatitis B. To investigate whether treatment prolongation could enhance the rate of hepatitis B e antigen (HBeAg) seroconversion, we conducted a prospective, controlled, multicenter trial in which all patients were treated with a standard regimen of 10 million units IFN-alpha 3 times per week over 16 weeks. Patients who were still HBeAg-positive after 16 weeks of therapy were randomize…

Hepatitis B virusmedicine.medical_specialtyHepatologybusiness.industryAlpha interferonHepatitis Bmedicine.diseasemedicine.disease_causeGastroenterologySurgerylaw.inventionRegimenRandomized controlled trialHBeAglawInternal medicineMulticenter trialmedicinebusinessInterferon alfamedicine.drugHepatology
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alpha-Glycerophosphocholine in the mental recovery of cerebral ischemic attacks. An Italian multicenter clinical trial.

1994

The clinical efficacy and the tolerability of alpha-glycerophosphocholine (alpha-GPC), a drug able to provide high levels of choline for the nervous cells of the brain and to protect their cell walls, have been tested in a clinical open multicenter trial on 2044 patients suffering from recent stroke or transient ischemic attacks. alpha-GPC was administered after the attack at the daily dose of 1000 mg im for 28 days and orally at the dose of 400 mg tid during the following 5 months after the first phase. The evaluation of the efficacy on the psychic recovery was done by the Mathew Scale (MS) during the period of im drug administration, and using the Mini Mental State Test (MMST), the Cricht…

MaleGeneral Biochemistry Genetics and Molecular BiologyBrain IschemiaHistory and Philosophy of ScienceRating scaleOral administrationMulticenter trialmedicineHumansCognitive declineAdverse effectStrokeAgedAged 80 and overbusiness.industryGeneral NeuroscienceDementia VascularHeartburnMiddle Agedmedicine.diseaseGlycerylphosphorylcholineTolerabilityAnesthesiaFemalemedicine.symptombusinessAnnals of the New York Academy of Sciences
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Intraoral electrostimulator for xerostomia relief: a long-term, multicenter, open-label, uncontrolled, clinical trial

2012

Objective A previous sham-controlled multinational study demonstrated the short-term efficacy and safety for xerostomia treatment of an intraoral device that delivers electrostimulation to the lingual nerve. The objective of this study was to test the hypothesis that those beneficial effects would be sustained over an 11-month period. Study Design The device was tested on a mixed sample of 94 patients with xerostomia in an open-label, uncontrolled, prospective multicenter trial. Statutory outcome assessments were done at 5th, 8th, and 11th months and analyzed by multiple comparisons. Results Improvements achieved at month 5 from baseline were sustained throughout the follow-up period for th…

MaleTime FactorsDentistryxerostomia; intraoral saliva electrostimulatorPrimary outcomexerostomia genNarinoMedicineProspective StudiesYoung adultProspective cohort studyLikelihood FunctionsMiddle AgedTreatment OutcomeFemaleOral SurgeryOpen labelAdultSleep Wake DisordersSettore MED/50 - Scienze Tecniche Mediche ApplicateElectric Stimulation TherapyLingual NerveXerostomiaSpeech DisordersXerostomíaNervio lingualPathology and Forensic MedicineSettore MED/01 - Statistica MedicaYoung AdultSwallowingstomatognathic systemSettore MED/28 - Malattie OdontostomatologicheMulticenter trialotorhinolaryngologic diseasesHumansRadiology Nuclear Medicine and imagingDentistry (miscellaneous)SalivaAgedChi-Square Distributionbusiness.industryClinical trialstomatognathic diseasesTherapy Computer-AssistedSurgeryEstimulación eléctrica transcutánea del nerviobusinessDeglutition DisordersSecretory RateChi-squared distributionFollow-Up Studies
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Quadruple-Phase MDCT of the Liver in Patients with Suspected Hepatocellular Carcinoma: Effect of Contrast Material Flow Rate

2006

The purposes of this study were to evaluate the effect of contrast material flow rate (3 mL/sec vs 5 mL/sec) on the detection and visualization of hepatocellular carcinoma (HCC) with MDCT and the safety profile of iodixanol at different injection rates.In a prospective, randomized multicenter trial, 97 patients (83 men and 14 women, with a mean age of 64 years) suspected of having HCC underwent quadruple-phase (double arterial, portal venous, delayed phase) 4-16-MDCT. Patients were randomized to receive iodixanol, 320 mg I/mL (1.5 mL/kg body weight), at a flow rate of 3 mL/sec (48 patients) or 5 mL/sec (49 patients). Qualitative (lesion detection, image quality) and quantitative (liver and …

Malecontrast media; ct; liver disease; mdctCarcinoma Hepatocellularmedia_common.quotation_subjectcontrast mediaLiver diseaseSettore MED/36 - Diagnostica per Immagini e RadioterapiamdctTriiodobenzoic AcidsMulticenter trialCarcinomaHumansMedicineContrast (vision)Radiology Nuclear Medicine and imagingIn patientProspective StudiesProspective cohort studymedia_commonbusiness.industryLiver NeoplasmsGeneral MedicineMiddle Agedmedicine.diseaseIodixanolHepatocellular carcinomaFemaleTomography X-Ray Computedliver diseasebusinessNuclear medicinectmedicine.drugAmerican Journal of Roentgenology
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Aflibercept in Combination With FOLFIRI as First-line Chemotherapy in Patients With Metastatic Colorectal Cancer (mCRC): A Phase II Study (FFCD 1302)

2020

Abstract Background FOLFIRI (irinotecan, 5-fluorouracil, and leucovorin) + aflibercept improves median overall survival (OS) and progression-free survival (PFS) in patients with previously treated metastatic colorectal cancer (mCRC). Our aim was to investigate efficacy and tolerability of this combination in the first line. Patients and Methods Patients with untreated documented mCRC received aflibercept plus FOLFIRI every 14 days until progression or unacceptable toxicity in an open, phase II single-arm, multicenter trial. The primary endpoint was the 6-month PFS rate. Secondary endpoints were OS and tolerability. A 2-step Simon design was used with H0: 55% and H1= 75%. Data were analyzed …

Malemedicine.medical_specialtyColorectal cancerRecombinant Fusion Proteins[SDV]Life Sciences [q-bio]LeucovorinPhases of clinical researchGastroenterology03 medical and health sciences0302 clinical medicineInternal medicineMulticenter trialAntineoplastic Combined Chemotherapy ProtocolsClinical endpointmedicineHumansComputingMilieux_MISCELLANEOUSAgedAfliberceptAged 80 and overDose-Response Relationship Drugbusiness.industryGastroenterologyMiddle Agedmedicine.diseaseProgression-Free Survival3. Good healthIrinotecanReceptors Vascular Endothelial Growth FactorOncologyTolerability030220 oncology & carcinogenesisFOLFIRICamptothecinFemale030211 gastroenterology & hepatologyFluorouracilColorectal NeoplasmsbusinessFollow-Up Studiesmedicine.drug
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Longitudinal relationship between B-type natriuretic peptide and anxiety in coronary heart disease patients with depression.

2018

Patients with coronary heart disease (CHD) suffer from physical limitations, but also from psychological distress. Natriuretic peptides may be involved in the neurobiological processes that modulate psychological adaptation, as they are increased in heart disease and seem to have an anxiolytic-like function. Longitudinal data on this association are scarce.To assess the relationship between NT-proBNP and anxiety (Hospital Anxiety and Depression Scale (HADS)), we used secondary data from a multicenter trial from baseline to 24 months. Patients (N = 308, 80.8% male, mean age 60.1 years) had stable CHD and moderate levels of depression (HADS ≥8).Multiple linear regression adjusted for age, sex…

Malemedicine.medical_specialtyHeart diseasemedicine.drug_classDiseaseCoronary Artery DiseaseAnxietyHospital Anxiety and Depression ScaleCoronary artery disease03 medical and health sciences0302 clinical medicineInternal medicineMulticenter trialNatriuretic Peptide BrainNatriuretic peptideMedicineHumanscardiovascular diseases030212 general & internal medicineLongitudinal StudiesDepression (differential diagnoses)Depressive Disorderbusiness.industryAnxiety ; Coronary Heart Disease ; Depression ; Natriuretic PeptideMiddle Agedmedicine.diseasePeptide FragmentsPsychotherapyPsychiatry and Mental healthClinical PsychologyAnxietyFemalemedicine.symptombusinesshormones hormone substitutes and hormone antagonists030217 neurology & neurosurgeryJournal of psychosomatic research
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Influenza Vaccination After Myocardial Infarction:A Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial

2021

Background: Observational and small, randomized studies suggest that influenza vaccine may reduce future cardiovascular events in patients with cardiovascular disease. Methods: We conducted an investigator-initiated, randomized, double-blind trial to compare inactivated influenza vaccine with saline placebo administered shortly after myocardial infarction (MI; 99.7% of patients) or high-risk stable coronary heart disease (0.3%). The primary end point was the composite of all-cause death, MI, or stent thrombosis at 12 months. A hierarchical testing strategy was used for the key secondary end points: all-cause death, cardiovascular death, MI, and stent thrombosis. Results: Because of the COV…

Malemedicine.medical_specialtyInfluenza vaccineMEDLINEMyocardial Infarction030204 cardiovascular system & hematologyPlacebolaw.invention03 medical and health sciences0302 clinical medicineRandomized controlled trialDouble-Blind MethodlawPhysiology (medical)Multicenter trialInternal medicineinfluenza vaccinesmedicineHumans030212 general & internal medicineMyocardial infarctionbusiness.industryMiddle Agedmedicine.disease3. Good healthVaccinationTreatment Outcomemyocardial infarctionInfluenza Vaccinesrandomized controlled trialObservational studyFemaleCardiology and Cardiovascular Medicinebusiness
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A New Self-Expanding Nitinol Stent (JoStent SelfX) for Palliation of Malignant Biliary Obstruction: a Pilot Study

2004

Background and Study Aims: The JoStent SelfX is a new biliary uncovered self-expanding nitinol stent. The main advantage of this stent in comparison with the gold standard Wallstent is the minimal shortening (< 10%) that occurs during stent deployment. A prospective feasibility study was conducted to evaluate the method of stent implantation and the stent's short-term efficacy. Patients and Methods: Between April 2001 and December 2002, the JoStent SelfX was implanted in 20 patients with inoperable malignant biliary obstructions, mainly caused by pancreatic cancer (12 of 20). All patients underwent sphincterotomy prior to stent insertion. After implantation, laboratory parameters for choles…

Malemedicine.medical_specialtyPalliative caremedicine.medical_treatmentPilot ProjectsPostoperative ComplicationsMulticenter trialAlloysHumansMedicinecardiovascular diseasesBiliary sludgeAgedAged 80 and overBiliary tract neoplasmbusiness.industryPalliative CareGastroenterologyStentMiddle Agedequipment and suppliesmedicine.diseaseSurgeryBiliary Tract Surgical ProceduresStenosisBiliary Tract NeoplasmsTreatment Outcomesurgical procedures operativeBiliary tractFemaleStentsRadiologyBiliary Tract Surgical ProceduresbusinessEndoscopy
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