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EXERcise during chemoTherapy infusION for people with metastatic Colorectal cancer; a randomised controlled trial (EXERTION-mC)
Expand descriptionThis study is aiming to evaluate whether exercise during chemotherapy infusion can improve outcomes for people with metastatic colorectal cancer Who is it for? You may be eligible to join this study if you are aged 18 years or above, have been diagnosed with metastatic colorectal cancer and have at least 5 remaining months of prescribed chemotherapy for metastatic colorectal cancer. Study details Participants will be randomly allocated (by chance) to one of two groups to receive either: 1) no exercise during chemotherapy (usual care) or 2) exercise during chemotherapy. The exercise group will complete moderate-intensity aerobic exercise for 20 minutes during each chemotherapy infusion over 6 months, supervised by an exercise physiologist. Participants will continuously wear a provided Fitbit Air to monitor their physical activity, as well as undergo routine imaging and testing and complete questionnaires during their routine appointments at the beginning, middle and end of their prescribed chemotherapy, to determine tumour response, progression-free survival, quality of life and the experience of symptoms and side-effects. At the completion of the 6-months intervention, participants will be invited to optionally attend an interview to share their experience of being involved in the study. It is hoped that this research may transform supportive care for people undergoing chemotherapy for cancer, by providing a new opportunity for exercise that addresses many of the barriers commonly experienced, along with the potential to improve clinical outcomes.
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Assessing the Influence of Age on Fluid Consumption Post Exercise Induced Dehydration In Healthy People aged 12 and over
Expand descriptionThirst is the primary mechanism to maintain hydration status in people; a loss of body mass (sweating) should trigger fluid consumption. There is evidence to indicate that age may alter the effect of thirst on fluid consumption. Additionally, there is data to suggest that changing the fluid type with a non-nutritive sweetener may have an impact on thirst; it is unclear how age may impact this. As such, it is hypothesised that fluid consumption of both water and the non-nutritive sweetened beverage will be different between age groups. The study uses a randomised crossover design; participants will serve as their own control as they complete both experimental sessions.
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Psychedelic Experiential Therapist Training: An Open-Label, Randomised, Two-Period Crossover Trial to Assess Changes to Therapist Competencies
Expand descriptionThis is an open-label, randomised, two-period crossover trial, testing the impact of Psychedelic Experiential Therapist Training (PETT) on psychedelic therapists’ clinical competencies. Participants will serve in two roles, with each role comprising a 5-week intervention module. After a specified period, participants will switch to the alternate role. Structured individual, co-therapy team and group support is provided throughout the intervention. Experiencer: Receive the psilocybin exposure, which involves one 30mg psilocybin dosing session and 4 non-drug psychological support sessions. Apprentice: Engage in the supervised co-facilitation module for another participant.
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A study to investigate safety, and pharmacokinetics, of single (SAD) and multiple (MAD) ascending doses of GE8820 in healthy adults
Expand descriptionThis study will be conducted in 2 parts. Part A will examine the safety, and Pharmacokinetics of GE8820 following a single IV or SC administration in sequential dose cohorts of healthy volunteers. Part A is planned to include 5 IV cohorts and 1 SC cohort. Cohorts may be expanded if required by the Safety Review Committee (SRC) to assess safety. Up to 3 additional cohorts may be added, if indicated to meet study objectives. Part B will examine safety and Pharmacokinetics in healthy volunteers. Part B is a multiple dose study with repeated IV and/or SC administration of GE8820 compared to placebo. One cohort is planned with up to 5 additional optional cohorts if required to meet study objectives; the IV and SC doses administered in the additional cohorts will not exceed the planned doses assessed and determined to be below the maximum tolerated dose in Part A.
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REMEDI: Randomised Evaluation of a Mediterranean Dietary Intervention for Anxiety and Depression in Australian Adults
Expand descriptionThis study will evaluate whether a 12-week Mediterranean-style dietary program can reduce symptoms of anxiety and depression in Australian adults. Participants will be randomly allocated to either a Mediterranean diet intervention involving dietitian support, educational resources, food hampers, supermarket vouchers and a dietary tracking app, or a befriending social support program providing equivalent contact time without dietary advice. The study will also examine whether the intervention improves diet quality, social connectedness and quality of life, and explore potential biological changes including gut microbiome composition and fruit and vegetable intake. We hypothesise that participants receiving the Mediterranean diet intervention will experience greater improvements in anxiety symptoms, depressive symptoms, and dietary adherence than those receiving the befriending control condition
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Feasibility and acceptability of an intranasal blank sol-gel administration in healthy adults and individuals diagnosed with schizophrenia.
Expand descriptionThis is a single-centre, two stage, open label study to investigate the tolerability and feasibility of a new intranasal delivery system. 10 healthy controls and 20 schizophrenia consumers will be recruited to self administer an intranasal spray for 14 days and provide feedback on tolerability of the delivery system. We aim to address a gap in the therapeutic options available for individuals using long term antipsychotic treatment.
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Bronchoscopic Tumour Ablation for Immune Priming to Enhance Neoadjuvant Chemotherapy and Immunotherapy in Resectable Non-Small Cell Lung Cancer (IMPRINT Study): A Single-Arm Open Label Feasibility Study
Expand descriptionThis study aims to find out whether bronchoscopic radiofrequency ablation can be safely added to standard chemotherapy and immunotherapy that is given before patients with non-small cell lung cancer undergo surgery (IMPRINT study). Who is it for? You may be eligible to join this study if you are aged 18 years and older with confirmed Stage IIA-IIIA Non-Small-Cell Lung Cancer (NSCLC) and recommended for neoadjuvant Chemo-immunotherapy followed by a lobectomy for resection. Eligible participants will have a pre-ablated parenchymal tumour/lesion size of greater than or equal to 20mm and will have a planned ablation zone margin of greater than or equal to 10mm away from the pleural surface, mediastinum, diaphragm and/or spine. Study details Bronchoscopic radiofrequency ablation (RFA) where a RFA catheter is introduced to the lung cancer via a bronchoscope, will be delivered to patients with confirmed resectable non-small cell lung cancer prior to recieving standard of care neo-adjuvant chemo-immunotherapy followed by resection. One ablative procedure per patient will be performed by a trained interventional pulmonologist. Procedure will be performed in an operating theatre under general anaesthesia. Patients will be followed up from time of ablation to resection. This study will identify whether bronchoscopic thermal ablation prior to neoadjuvant chemo-immunotherapy can be performed without compromising the delivery of standard neoadjuvant care and will assess the proportion of eligible patients (Resectable Stage II–IIIA, candidates for chemo-IO) who consent to the add-on ablation procedure, the rates of patients completing treatment and progressing to surgery, patient pathologic responses, and any side-effects or adverse events. It is hoped that the findings of this study will help to determine if bronchoscopic tumour ablation for immune priming can be used to enhance neoadjuvant chemotherapy and immunotherapy in patients with resectable NSCLC.
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Understanding women's experiences and preferences regarding epidural pain relief during labour: a survey of women who gave birth at University Hospital Geelong
Expand descriptionEpidurals are the most effective form of pain relief during labour, but they can be given in different ways: some provide very strong pain relief but cause heavier legs and less movement, while others provide good pain relief while preserving more movement. Little is known about which of these trade-offs Australian women would prefer. This study will survey women who had an epidural during labour at University Hospital Geelong, 6 weeks to 6 months after birth, by telephone, online or on paper. The survey asks about their experience of the epidural, including the information they received, pain relief, movement, side effects, sense of control and satisfaction, and which epidural option they would prefer for a future labour when presented with a balanced trade-off scenario. The findings will show how many women would prefer a mobility-preserving epidural compared with a stronger, denser epidural, and will help make epidural care better matched to what women value.
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RELIEF trial – Radiofrequency ablation for chronic low back pain, a placebo controlled Randomised trial
Expand descriptionThe aim of this randomised placebo-controlled trial is to establish the efficacy, safety and cost-effectiveness of RFA compared to placebo in people with chronic lumbar facet joint pain. Efficacy will be assessed in relation to pain, function and quality of life.
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Diet-PRO: A neoadjuvant randomised window-of-opportunity trial evaluating the feasibility of a precision nutrition intervention prior to surgery in localised prostate cancer
Expand descriptionThis study is aiming to evaluate the feasibility of a dietary intervention to reduce dietary saturated fat intake in people with localised prostate cancer prior to radical prostatectomy surgery to remove their prostate Who is it for? You may be eligible to join this study if you are aged 18 years or above, have been diagnosed with localised prostate cancer with either intermediate- or high-risk disease planned for prostatectomy, with study treatment both planned and able to start within 7 days of enrollment Study details Participants will undergo baseline dietary assessment by a dietitian, and automated self-administered 24-hour dietary assessment. Based on these assessments, participants will be classified as having high saturated-fat intake or low saturated-fat intake. Those with low saturated fat intake will continue their usual diet for the next 3-4 weeks until their planned prostatectomy. While those in the high saturated-fat intake group will be randomly allocated (by chance) to one of two groups to receive either: 1) no change to their diet (usual care) or 2) change to a low saturated fat diet for the next 3-4 weeks until their planned prostatectomy. The low saturated fat diet group will receive dietary education, supervised by a dietician. Feasibility of the dietary intervention will be evaluated using the rate of recruitment and adherence to the dietary intervention. Participants will also undergo routine biopsies and blood testing to determine changes in the profile of fats in the prostate tissue as well as in the blood before and after the dietary intervention. If this feasibility trial is successful, then we aim to perform a larger, definitive trial attempting to evaluate whether the change in diet can affect prostate cancer growth and outcomes from prostate cancer. This would provide a novel treatment strategy of a precision dietary intervention for people with prostate cancer.