ANZCTR search results

Functional Neurological Disorder (or ‘FND’ for short) is a common condition in which patients develop neurological symptoms such as paralysis, tremor or seizures. However, FND is different to other neurological conditions such as stroke or multiple sclerosis because standard neurological investigations do not show abnormalities within the brain or nervous system that can explain the patient’s symptoms. FND symptoms often persist for many years and have a major impact on patients' quality of life. There is no effective treatment for FND at present. Recently, it has been shown that a drug called psilocybin, which belongs to a class of drugs known as psychedelics, may be effective in the treatment of some health conditions. There is reason to believe that psychedelic drugs could be particularly effective in the management of FND. These drugs have a unique mechanism of action that may enable the brain to re-learn how to process signals received from the body. In this study we will test if psilocybin (15mg or 1mg), combined with a course of specialised physiotherapy (8 sessions completed in an outpatient setting at the Austin Hospital in Heidelberg, VIC within a 2-week period), is effective in relieving FND motor and related symptoms.

The purpose of this study is to compare a new treatment called electrochemotherapy (ECT) with standard surgical treatment for keratinocyte skin cancers, which are the most common type of skin cancer in Australia. The research team would like to see which approach is more acceptable to patients and easier to deliver in Australian hospitals. Who is it for? You may be eligible for this study if you are aged 18 years or older, you have at least one primary keratinocyte cancer, either basal cell carcinoma (BCC) or squamous cell carcinoma (SCC), and your skin cancer is able to be surgically removed (determined by the study doctor). Study details Participants who choose to enrol in this study will be randomly allocated by chance (similar to flipping a coin) to receive either ECT or surgical removal of their skin cancer. Participants who are allocated to the ECT group will receive up to two doses of bleomycin chemotherapy, delivered with localised electric pulses to their skin cancer. Participants who are allocated to the surgical group will have their skin cancer removed and a skin graft added. Both groups will receive treatment under local or general anaesthesia, depending on the number and size of your lesions. Being allocated to either group will not impact the level of care you receive. It is hoped that this research will show that electrochemotherapy is a feasible and acceptable alternative to surgery for treating keratinocyte cancers that require complex reconstruction. If this small study shows that electrochemotherapy is safe and easy to deliver, it may be expanded to enable a larger number of skin cancer patients to access this treatment.

The purpose of this study is to evaluate the short term effects of selective light filters incorporated into single vision prescription spectacle lenses on short sightedness outcomes. The aim is also to investigate the effect of selective light filter spectacles on vision, colour perception, and comfort and impact on activities of daily living. The resulted will be compared to standard (non-filtering) single vision spectacle lenses in young adults with short-sightedness through a cross-over RCT. We hypothesise that four week exposure will show short term changes to myopia outcomes and have no adverse effects on vision with good safety and minimal interference with activities of daily living.

The research comprises a randomized, placebo-controlled, double-blind trial to evaluate the safety, tolerability, and physiological effects of a hydrogel-encapsulated sodium bicarbonate formulation co-delivered with caffeine and carbohydrates. The study seeks to establish whether this intervention improves exercise tolerance, with minimal adverse effects, in healthy volunteers. Phase 1 will involve 16 healthy adults (8 per group). Participants will complete two test visits. During the first visit participants will undertake a cycling based exercise test (INSCYD lactate test) to define baseline exercise tolerance. During the second visit, 96 hours later, they will ingest either the active hydrogel formulation or a placebo hydrogel before undertaking the same INSCYD lactate test. Physiological responses will be assessed using capillary lactate sampling, venous blood gas (VBG) analysis, and subjective effort ratings. Tolerability will be evaluated using GI symptom questionnaires, palatability scores, and protocol adherence. Performance outcomes will include maximal 4-minute power output, and detailed metabolic profiling via INSCYD software. Statistical analyses will include repeated-measures ANOVA and chi-square tests for tolerability. Both intention-to-treat and per-protocol analyses will be conducted.

Mindfulness training and psilocybin interventions are both promising approaches for supporting mental health and wellbeing, and may have complementary or synergistic effects when used together. The Psil-oMM study aims to examine the combined and independent effects of mindfulness training and psilocybin by comparing three conditions in 45 healthy volunteers: a 4-week mindfulness intervention, a single high-dose psilocybin session with psychological support, and a combined mindfulness plus psilocybin intervention. The primary outcome is wellbeing, assessed using the Warwick–Edinburgh Mental Wellbeing Scale (WEMWBS).

This study will investigate helmet use among riders of e-bikes, pedal bikes, and e-scooters in Canberra and evaluate the impact of safety and legal messaging signage on helmet-wearing behaviour. Helmet use will be observed in public settings using discreet video recording, and de-identified hospital emergency department data will be analysed to assess head injury presentations associated with cycling and e-scooter use. A voluntary survey of adult Canberra residents will explore attitudes toward helmet use and perceptions of deterrent fines. All data will be de-identified, securely stored, and analysed in aggregate to protect participant privacy. The study is expected to provide evidence to inform public safety policy and injury prevention strategies in urban transport settings.

This study aims to implement a clinical transition pathway utilising a collaborative, shared-care model between The Royal Children's Hospital Melbourne (RCH) and Peter MacCallum Cancer Centre (PMCC). Who is it for? You may be eligible to join this study if you are aged 16 years and older, and have a cancer diagnosis or a condition cared for under the RCH Children’s Cancer Centre which is your main medical issue. You need to have finished treatment within the last 2.5 years or be on indefinite, maintenance type treatment. PMCC must be a suitable place to transition to for your ongoing care. Study details All participants who meet the eligibility criteria in this study will begin a clinical pathway for transition from paediatric to adult services for AYA diagnosed with cancer. It will comprise four time points over 3-6 months: Baseline - Orientation and Consent, time points 1, 2, and optional 3 - Transition shared care clinic model. The program will be evaluated throughout intervention period and participants will be assessed for experience of care, client satisfaction, transition readiness, information needs. It is hoped that this research result will help develop and deliver a sustainable model of care that improves the experience of transition for young people with cancer and the skills and systems around transition for adult and paediatric cancer teams.

Exercise is known to support mental well-being during and after pregnancy as well as in times of grief. However, there is very little research on how exercise may support individuals after pregnancy loss. This study will explore the safety and feasibility of a personalised, in-person exercise program aiming to support the mental and physical health of bereaved parents in Australia. Twenty parents who have recently experienced stillbirth will be invited to take part in a 10-week program run by an accredited exercise professional, combining physical activity with education and peer support. The aim of this research is to better understand how exercise and connection with others can help to improve emotional well-being and reduce isolation after pregnancy loss, and to address critical gaps in current research and practice.

This double-blind, placebo-controlled, first-in-human (FIH) study will assess the safety, tolerability, PK, and immunogenicity of TX002100. This study seeks to establish doses of TX002100 that are safe, well tolerated, and exhibit an appropriate PK profile to warrant further clinical investigation. Six cohorts of 8 participants each are planned. Participants will be randomized in a 3:1 ratio to receive a single dose of TX002100 or matching placebo. Planned evaluations will include approximately 48 healthy men or healthy women of non–childbearing potential

Primary objective To quantify pre- to post-season changes in ACL tissue properties using quantitative MRI in youth female rugby league athletes. Hypotheses 1. ACL quantitative MRI indices and morphology will demonstrate measurable changes across the season. 2. The intervention group will show greater favourable changes in ACL morphology and quantitative MRI indices compared with controls. 3. Improvements in strength/power and favourable landing/deceleration mechanics will be associated with favourable ACL MRI changes. 4. Hormonal concentrations will explain inter-individual variability in ACL MRI outcomes and adaptation, consistent with mechanobiological and endocrine influences reported in prior literature .