ANZCTR search results

This study intervention proposes EMDR Therapy may facilitate more rapid and effective improvement in mood (anxiety and depression), cognition (attention/concentration, memory) and quality of life for individuals who have experienced a recent concussion when compared to care as usual (CAU). Further aim of the current study intervention is to examine functional connectivity within the Default Mode Network (DMN) and associated neurological changes following EMDR relative to control groups.

Menaquinone in Children (MIC) is a world-first study, being conducted in Western Australia, assessing the bioavailability of a Vitamin K- K2-Mk7 liquid supplement, assessing Vitamin K status using three functional markers as Vitamin K dependent proteins, and determining dietary Vitamin K1 and K2 intake using a new Australian foods Vitamin K database. It is a double-blind randomised control trial for 1 month of Vitamin K versus placebo in 50 healthy children and adolescents aged 4 to 17 years old. The intervention dosing is at 1.5 micrograms per kilogram of bodyweight.

The primary purpose of this study is to identify and treat patients with Ultra-High Risk Large B-Cell Lymphoma (UHR-LBCL) using an early intervention strategy with Axicabtagene Ciloleucel (Axi-cel), a type of CAR-T cell therapy. Who is it for? Patients enrolled onto the NHL34 CLARIFY-Prognostic Platform (ACTR12619001656123) and identified with Ultra-High Risk Large B-Cell Lymphoma (UHR-LBCL), eligible for Car-T cell therapy. Study details All participants in this study will undergo the following treatment. First, participants will have their immune cells collected through a process called leukapheresis. While waiting for their CAR-T cells to be prepared, they may receive optional “bridging” treatment to keep the cancer under control. This treatment can vary from steroids, rituximab monotherapy, localized radiation therapy, to more intensive chemotherapy, depending on the participant. Before the CAR-T infusion, all participants get a short course of chemotherapy. Finally, the modified CAR-T cells (Axi-cel) are infused, and patients are closely monitored for side effects and followed up for up to two years. It is hoped this study will help determine if Axi-cel is a feasible and safe treatment, with the goal of improving progression-free survival and overall survival rates in this high-risk patient population.

A number of neurological disorders such as Parkinson’s disease (PD) are characterised by abnormal brain activity (e.g., unusually large numbers of brain cells (neurons) simultaneously active). A pattern of stimulation which has shown therapeutic benefit is called coordinated reset stimulation (CRS). CRS involves the administration of brief, electrical pulses to the body through multiple electrode contacts, with parameters designed specifically to “reset” the abnormal brain activity associated with disorders such as PD. However, CRS stimulation has mainly been applied to fingers. To address walking impairments in PD, stimulation to the feet would target more appropriate receptors. Our work on people without PD has shown that vibration applied to the feet generates a brain response as measured using electroencephalography (EEG, or brain electrical activity). The aim of this study is to investigate the effect of non-invasive peripheral stimulation to the feet, on gait impairments in PD. Stimulation will be in the form of vibration or mild electrical pulses applied to the feet.

Many individuals with a history of electroconvulsive therapy (ECT) report ongoing difficulties with memory. The current study aims to trial 2-weeks of self-guided online memory strategy training for adults with a history of ECT and memory concerns (N=50). The control group will receive a hand-out with written memory strategies. Tests of memory and self-report questionnaires of mood and memory functioning will be given online before and after the 2-week intervention period. It is anticipated that individuals who access the online memory strategy training will show more improvement in memory and better satisfaction with memory, than the individuals in the control group.

There are different surgical options for people with an ACL injury. The most common is reconstruction, which uses tissue from other parts of the body, such as the hamstrings, to act as a replacement. This is a successful operation but does involve damage to bones from drilling holes, removal of tissue from elsewhere in the body, and does not keep any of the torn ligament which has potentially useful nerve endings. Modern ACL repair (stitching) is relatively new and, despite clear potential, has not been fully evaluated. It remains unknown whether it confers any of the theoretical benefits. We aim to conduct a comparative study to find out which is the best technique, reconstructing the ligament or repairing it. The research question is: For patients with recent proximal ACL ruptures (where the ligament has pulled directly off the bone), is ACL repair superior to ACL reconstruction at 24 months post-surgery? This will be measured by a questionnaire relating to the knee called KOOS-4.

This study is a randomized, double-blind, parallel-group, placebo-controlled study to evaluate the efficacy and safety of FSD202 in adult participants with musculoskeletal nociplastic pain associated with MCAS. The study will be conducted as a decentralized clinical trial. Participants who meet the eligibility criteria will be randomized remotely, via the IVRS system, to receive 300 mg FSD202 or a placebo orally twice daily for 56 days in a ratio of 2:1. The study design consists of up to 17 days screening period, up to 4 days for randomization and initial delivery of IP to participant’s home, a 56-day treatment period, and a 7-day follow-up period. Each participant will participate in the trial for up to 84 days. 1. The study aimes to evaluate the analgesic efficacy of FSD202 compared to placebo in participants with chronic widespread musculoskeletal nociplastic pain associated with Idiopathic Mast Cell Activation Syndrome/ Disorder (MCAS/MCAD).

This interventional pilot and feasibility study will use a multiphase mixed methods process and outcomes evaluation, reported in line with the CONSORT checklist. Prescriptions for Connection, a social prescribing program, will be co-designed and implemented in six Australian primary care practices and three council areas. Implementation outcomes will be evaluated using the Reach, Effectiveness, Adoption, Implementation and Maintenance Framework. Qualitative data collection, via focus groups for health and social care providers and interviews for older people, will be based on the Consolidated Framework for Implementation Research to explore barriers and facilitators, and explain outcomes.

Chronic Obstructive Pulmonary Disease (COPD) is a severe condition causing millions of deaths annually, with late diagnosis and progressive lung damage making current treatments only symptomatic. The trial focuses on the pre-COPD phase, a critical period when lung function begins to decline but before permanent damage occurs, offering an opportunity for intervention. Inhaled Triple Therapy (fluticasone furoate, umeclidinium, and vilanterol) may slow lung function decline and prevent progression to COPD. This double-blind, randomized, placebo-controlled trial will involve 500 participants from the Tasmanian Longitudinal Health Study (TAHS) to evaluate the therapy's effectiveness and cost efficiency. If successful, this groundbreaking study could shift COPD management to prevention, reduce its global burden, and lay the foundation for future research and drug development.

Emestedastat was created to decrease the production of cortisol by the brain. This drug has been previously tested in nearly 400 people, including healthy adults and people with Alzheimer’s Disease and depression. The research project will test what the body does to emestedastat, such as how quickly it enters, moves through, and leaves the body. In particular, the research project will test if eating food has any effect on what happens to emestedastat in the body. If this and other clinical research projects are successful, the treatment being studied may be approved to treat people with Alzheimer’s Disease or depression in the future.