Orlando, Florida
- Featured
Hackensack, New Jersey
Recruiting
- Featured
ATH-1017 for Treatment of Mild to Moderate Alzheimer's Disease
The study is designed to evaluate safety and efficacy of ATH-1017 in mild to moderate AD subjects, with randomized, parallel-arm treatment duration of 26 weeks, and based on clinical diagnostic criteria of Alzheimer's disease. Clinical efficacy is demonstrated by improvement in cognition and global/functional assessments comparing treatment to placebo.
Phase
2/3Span
203 weeksSponsor
Athira PharmaHackensack, New Jersey
Recruiting
- Featured
Phase 2 Study of MGCD265 in Patients With Non-Small Cell Lung Cancer With Activating Genetic Alterations in MET
MGCD265 is an orally administered receptor tyrosine kinase inhibitor that targets MET and other receptors. This study is a Phase 2 trial of MGCD265 in patients with locally advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) that has activating genetic changes of the MET gene (mutation or amplification [increase number of gene copies]). Testing for tumor gene changes can be performed in tumor tissue or blood samples. Patients must have previously received treatment with chemotherapy. The number of patients to be enrolled will depend on how many enrolled patients experience tumor size reduction. MGCD265 will be administered orally, twice daily. The study is designed to evaluate whether the number of patients experiencing tumor size reduction is substantially higher than would be expected with other available treatments
Phase
2Span
Sponsor
Mirati TherapeuticsHackensack, New Jersey
Recruiting
- Featured
Electro Cellular Health Solutions, LLC Dementia & Alzheimer’s Disease Pilot Trial Protocol: Effects of PEMF Treatment on Patients with Mild to Moderate Alzheimer’s Disease in a Randomized, Controlled Pilot Study
Hackensack University Medical Center in New Jersey has started a new simple, at-home treatment with a safe, innovative device, to evaluate its impact on the progression of mild to moderate Alzheimer's Dementia. The clinical study is taking place at both Hackensack University Medical Center and Jersey Shore University Medical Center. The clinical trial is a double-blind, randomized, placebo-controlled pilot study. Participants will have five treatment visits, one visit every 30 days for 120 days. At the baseline visit, participants will undergo baseline clinical assessments, related assessments and be trained on the device. They (or caregiver) will treat themselves at home three times a day for 15 minutes over 120 days. At visits, participants will be assessed physically and on the Alzheimer’s Disease Assessment Scale-Cognitive Subscale and the Mini-Mental State Exam. Medical history will be taken or updated and secondary measures completed. Participants will be followed-up with for at least 10 months post-treatment via telephone call.
Phase
N/ASpan
10 weeksSponsor
Electro Cellular Healthcare Solutions, LLCHackensack, New Jersey
Recruiting
- Featured
A Phase 1 Open-Label, Dose-Escalation, Safety and Tolerability Study of INCAGN02385 in Participants With Select Advanced Malignancies
_Contact Incyte Corporation Call Center (US):_ * 1.855.463.3463 * [medinfo@incyte.com](mailto:medinfo@incyte.com)
Phase
1Span
Sponsor
Hackensack, New Jersey
Recruiting
- Featured
A Phase 1, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCAGN02390 in Participants With Select Advanced Malignancies
Contact: * Incyte Corporation Call Center (US) * 1.855.463.3463 * [**medinfo@incyte.com**](mailto:medinfo@incyte.com)
Phase
1Span
Sponsor
Hackensack, New Jersey
Recruiting
- Featured
A Phase 1/2 Study of HDAC Inhibitor, Mocetinostat, in Combination With PD-L1 Inhibitor, Durvalumab, in Advanced or Metastatic Solid Tumors and Non Small Cell Lung Cancer
Advanced tumors evade host immune responses by down regulation of major histocompatibility complex (MHC) molecules and tumor antigens and by creating an immune suppressive microenvironment around the tumor. Histone deacetylases (HDACs) have been implicated in the epigenetic regulation of innate and adaptive immunity. Increasing evidence supports the proposal that spectrum- selective inhibitors of class I HDACs can reverse immune evasion and elicit antitumor host response through immunostimulatory mechanisms. The immunomodulatory properties of class I HDAC inhibitors are reported to be mediated through multiple mechanisms including: 1) induction of programmed cell death ligand 1 (PD-L1) expression on the tumor cell surface, 2) induction of tumor associated antigens (TAAs) and MHC Class I and Class II molecules on tumor cells, 3) induction of immunogenic cell death via activation and cross presentation of tumor antigens by antigen presenting cells (APCs), 4) enhanced function of T effector cells, and 5) decreased function of immunosuppressive cell subsets including T regulatory (Treg) cells and myeloid-derived suppressor cells (MDSCs). In addition, HDAC inhibitors are associated with anticancer effects through inhibiting cell cycle progression and inducing apoptosis in tumor. The combination of a class I HDAC inhibitor with an anticancer immunotherapy has the potential to enhance activity over that observed with either agent alone. Mocetinostat is a spectrum-selective Class I/IV HDAC inhibitor specifically targeting HDACs 1, 2, 3 and 11. Class I and IV HDACs are of particular interest from an immunostimulatory and immune priming perspective. Durvalumab is a human monoclonal antibody (MAb) that inhibits binding of PD-L1 to programmed cell death 1 (PD-1) and CD80 expressed on host immune effector cells, preventing immune suppression signaling. Durvalumab is being developed as a potential anticancer therapy for patients with advanced solid tumors or hematological malignancies. In this study, the treatment regimen will begin with a 7-Day Lead-in Period of mocetinostat followed by start of the combination regimen of mocetinostat and durvalumab. The Recommended Phase 2 Dose (RP2D) of mocetinostat will be established in the Phase 1 dose escalation segment, followed by evaluation of the clinical activity of the combination regimen in patients having NSCLC. Tumor PD-L1 expression will be determined by the PD-L1 (SP263) CDx assay. No/low PD-L1 expression is defined as positivity < 25% of tumor cells; high PD-L1 expression is defined as positivity ≥25% of tumor cells. Tumor samples used to establish PD-L1 expression for eligibility must have been collected after the most recent systemic therapy. The sample sizes for the populations to be enrolled in the Phase 2 portion of the study are based on two-stage Simon Optimal Designs. * Cohorts 1, 3 and 4: Stage 1 of enrollment will include 9 patients. If at least 1 patient having objective response is observed, 8 additional patients will be enrolled, for a total sample size of 17 patients. If at least 3 objective responses are observed, further investigation may be warranted. * Cohort 2: Stage 1 of enrollment will include 17 patients. If at least 6 patients having objective response are observed, 27 additional patients will be enrolled, for a total sample size of 44 patients. If at least 17 objective responses are observed, further investigation may be warranted. The populations included in Cohorts 3 and 4, who have had progression of disease during or following treatment with a checkpoint inhibitor, represent a potential unmet medical need. For this reason, if results in Stage 2 of enrollment are of high interest, enrollment may be expanded to as many as 100 patients total in each cohort to narrow the 95% Confidence Interval (CI) around the ORR point estimate and more fully characterize the secondary endpoints in the population of interest. Disease response and progression as documented by the investigator in the Case Report Form (CRF) will be the basis for patient management and study expansion decision making. Unconfirmed objective responses recorded in the CRF may be used as the initial basis for expansion of study enrollment; however, follow- up evaluations on patients with unconfirmed responses must continue to support the decision to continue to the full number of patients to be included in the next stage. Central radiology review for disease response and progression may be added to the study during Stage 2. If this occurs, central review of all radiologic assessments performed in the study will be expected (including retrospective review of patients enrolled in Stage 1), and central radiology review for disease response will be the basis for the primary statistical analyses to estimate the objective response rate and its confidence interval, as well as the duration of response and PFS.
Phase
N/ASpan
Sponsor
Mirati TherapeuticsHackensack, New Jersey
Recruiting
AMNIOX CORD Study - Radical Prostatectomy With and Without Cryopreserved Umbilical Cord Allograft
One hundred male patients who are scheduled for bilateral, nerve-sparing RARP that meet the eligibility criteria will be enrolled. These patients will be equally randomized (1:1) into two groups (n=50/group): one group will receive adjunctive CLARIX® CORD 1K (Amniox Medical, Inc., Miami, FL) during RARP, while the other group will undergo RARP without adjunctive CLARIX® CORD 1K. Subject stratification will be performed based on the surgeon that will be performing the RARP. All patients will be given the same routine preoperative, perioperative and postoperative evaluation and care aside from the CLARIX CORD 1K placement in the treatment group during RARP. RARP will be performed at Hackensack University Medical Center (30 Prospect Ave, Hackensack, NJ 07601) and follow up visits performed at Hackensack University Medical Group Urology (360 Essex Street, Suite 403, Hackensack, NJ 07601) or New Jersey Urology (255 W. Spring Valley Avenue Suite 101, Maywood, NJ 07607). Two weeks prior to the RARP surgery, subjects are instructed to take low-dose oral phosphodiesterase type 5 inhibitors (i.e. 20 mg q.d. sildenafil citrate or 5 mg q.d. tadalafil) and perform standardized Kegel exercises (3x/day) which is our current standard care protocol. RARP surgery will be performed at Hackensack University Medical Center (Hackensack, NJ). The following are the key aspects of the RARP surgical technique which will be adhered to by all surgeons: 1) dissection of the bladder neck, seminal vesicles and vasa deferentia; 2) dissection of the neuroplexus from the posterior Denonvilliers' fascia and lateral prostatic fascia leaving the nerves intact; 3) division of the prostatic pedicles without cautery; 4) transection of the dorsal venous complex; and 5) urethrovesical anastomosis. More specifically, surgical technique includes exposing the prostate in the space of Retzius with the traditional anterior approach. The prostatovesical tissue is dissected with monopolar electrocautery scissors with entry into the bladder proximal to the prostatovesical junction. The bladder neck is transected in the standard fashion followed by posterior dissection of the seminal vesicles and vasa deferentia. Electrocautery is kept to a minimum when dissecting the seminal vesicles to avoid damage to the neuroplexus. (Note: each step hereafter must be performed by the PI or Sub-investigators, e.g. not a Resident Physician). A posterior surgical plane is then created between the rectum and prostate dorsally working from a medial to lateral direction and maintaining at least 1 layer of Denonvilliers' fascia on the rectal wall. The endopelvic fascia is then excised from lateral prostate and carried to capsule to create a plane of dissection immediately alongside the prostatic capsule and keeping the nerves attached laterally to the endopelvic fascia. Athermal division of each prostatic pedicle will be performed. Clips or suture may be placed on each pedicle at the discretion of the surgeon. The apex of the prostate is then dissected athermally sparing the neuroplexus. The dorsal vein complex is proximally transected with electrocautery while using the fourth arm to place traction on the prostate to define the space between the dorsal vein complex and the apex of the prostate. Apically, the prostate is divided from the urethra (paying special attention to the sphincter muscle and posterior lateral nerve bundle on each side) allowing the prostate to be removed. Once free, the prostate is placed in a collection bag and a drain is used for a certain period at the discretion of the surgeon. Surgical site bleeding is managed using standard surgical techniques with sutures or cellulose polymer. If the patient is randomized to the treatment group, CLARIX CORD 1K is placed flat over the neuroplexis at the 5 and 7 clock position where the largest concentration of nerves exist. Sutures may be used to secure the CLARIX in place if necessary and cellulose polymer (Surgicel, Ethicon, Somerville, NJ) can be placed over the CLARIX CORD at the discretion of the physician. At this point the bladder neck will be reconstructed as necessary to maintain a lumen of approximately 30 french. The vesicourethral anastomosis is performed using a V-lock barbed suture. The anastomosis will be tested by filling bladder to confirm the absence of leakage. If indicated, a bilateral pelvic lymph node dissection is performed (with clips at the discretion of the physician) using standard (borders along the external iliac artery and vein, obturator fossa, obturator nerve and pubic bone) or extended (borders additionally include internal iliac artery) technique at the discretion of the physician. Bleeding will be adequately managed. Postoperatively, all subjects are instructed to take low-dose oral phosphodiesterase type 5 inhibitors (i.e. 20 mg q.d. sildenafil citrate or 5 mg q.d. tadalafil) and perform standardized Kegel exercises (3x/day) following urethral catheter removal. When patients are sexually active, they may increase to full dosage of oral phosphodiesterase type 5 inhibitors up to twice a week. At 3 months after RARP, and if patients have severe or worse incontinence (defined as ICIQ score of >12) and desire additional treatment for urinary incontinence,[42] they will undergo pelvic floor therapy. Subjects will return for follow up visits at 6 weeks (±1 week), 3 months (±2 weeks), 6 months (±3 weeks) and 12 months (±4 weeks) when data will be collected. Patient reported outcomes will be assessed including continence, potency, and satisfaction. Occurrence of adverse events, number of readmissions, and need for reintervention will also be recorded. Measurement of serum PSA levels will also be performed.
Phase
2/3Span
348 weeksSponsor
Hackensack Meridian HealthHackensack, New Jersey
Recruiting
Neuroblastoma Maintenance Therapy Trial
Phase
2Span
891 weeksSponsor
Giselle ShollerHackensack, New Jersey
Recruiting
Pediatric Precision Laboratory Advanced Neuroblastoma Therapy
Phase
2Span
1048 weeksSponsor
Giselle ShollerHackensack, New Jersey
Recruiting