Devices, behavioral programs, diagnostics, and some procedures do not use the drug phase ladder.
The FDA/ICH 1–4 ladder was built around drugs and biologics. Device, diagnostic, surgical-timing, and many behavioral studies are posted as Phase N/A (not applicable).
N/A does not mean “unimportant” or “unregulated.” It means the phase vocabulary does not apply. Read StudyType, intervention type, and eligibility instead.
RecruitingNot a traditional drug phaseBethesda, Maryland
Not a traditional drug phase: Medtronic Activa Tremor Control System for Parkinson's DiseaseBackground: \- Deep brain stimulation (DBS) is an approved surgery for certain movement disorders, like Parkinson's disease, that do not respond well to other treatments. DBS uses a battery-powered device called a neurostimulator (like a pacemaker) that is placed under the skin in the chest.
NCT01581580 · Official ClinicalTrials.gov record · National Institute of Neurological Disorders and Stroke (NINDS)
RecruitingNot a traditional drug phaseLeuven, Vlaams-Brabant
Not a traditional drug phase: Sample collection for IBSAim: More insight in pathogenesis of IBS and IBD. Samples are collected in context of an European research project.
NCT02421705 · Official ClinicalTrials.gov record · KU Leuven
RecruitingNot a traditional drug phaseHouston, Texas
Not a traditional drug phase: testing CD34 Positive Stem Cell Infusion for Blood And Marrow TransplantationObjectives: Primary Objective To provide compassionate access to the Miltenyi device for CD34+ cell infusions to patients who experience poor graft function after stem cell transplantation (SCT).
NCT02438904 · Official ClinicalTrials.gov record · M.D. Anderson Cancer Center
RecruitingNot a traditional drug phaseSan Antonio, Texas
Not a traditional drug phase: testing Dapagliflozin for Diabetes Mellitus, Type 2HYPOTHESIS: Impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) have distinct pathophysiologic etiologies. Therefore, therapeutic interventions designed to correct the specific underlying pathogenic abnormalities in IGT and IFG will be required to optimally prevent the progressive beta cell failure and development of overt type 2 diabetes.
NCT02969798 · Official ClinicalTrials.gov record · The University of Texas Health Science Center at San Antonio
RecruitingNot a traditional drug phaseSacramento, California
Not a traditional drug phase: VR Treatment for ADHDProblems with distraction are widespread in the 21st century, but for people with developmental delays or behavioral challenges they can have more damaging effects. For example, susceptibility to distraction is associated with worse school and social performance, lower high school graduation rates, and increased incidence of serious accidents.
NCT03221244 · Official ClinicalTrials.gov record · University of California, Davis
RecruitingNot a traditional drug phaseNashville, Tennessee
Not a traditional drug phase: testing Placebo for Supine HypertensionSupine hypertension is a common problem that affects at least 50% of patients with primary autonomic failure. Supine hypertension can be severe and complicates the treatment of orthostatic hypotension.
NCT03312556 · Official ClinicalTrials.gov record · Vanderbilt University Medical Center
RecruitingNot a traditional drug phaseAnchorage, Alaska
Not a traditional drug phase: Usual care disease monitoring for Anatomic Stage IV Breast Cancer AJCC v8This randomly assigned research trial studies how well serum tumor marker directed disease monitoring works in monitoring patients with hormone receptor positive Her2 negative breast cancer that has spread to other places in the body. Using markers to prompt when scans should be ordered may be as good as the usual approach to monitoring disease.
NCT03723928 · Official ClinicalTrials.gov record · SWOG Cancer Research Network
RecruitingNot a traditional drug phaseLumezzane, Brescia
Not a traditional drug phase: Maximal strenght training (MST) plus endurance training (ET) for Chronic Obstructive Pulmonary DiseaseIn the context of pulmonary rehabilitation of COPD patients, recent guidelines and metanalysis describe that Resistance Training (RT) can be successfully performed alone or in conjunction with Endurance Training (ET) without evidence of side effects. Maximal Strength Training (MST) is a kind of RT typically performed at \~85-90% of 1RM with maximal velocity to be developed in the concentric phase.
NCT03799354 · Official ClinicalTrials.gov record · Istituti Clinici Scientifici Maugeri SpA
RecruitingNot a traditional drug phaseChicago, Illinois
Not a traditional drug phase: real iTBS for Mild Traumatic Brain InjuryThis study will determine (i) the magnitude of immediate and sustained effects of a current clinical standard interactive computer attention processing training (APT) when combined with intermittent theta burst stimulation (iTBS), a type of repetitive transcranial magnetic stimulation and (ii) determine how APT + iTBS changes the neurocognitive system of attention in individuals with persistent attention deficits related to mTBI +/- PTSD.
NCT03819608 · Official ClinicalTrials.gov record · Northwestern University
RecruitingNot a traditional drug phaseBoston, Massachusetts
Not a traditional drug phase: IVLCM tethered capsule for Barrett EsophagusThe investigators have developed a new technology, termed in-vivo laser capture microdissection (IVLCM), that addresses the limitations of endoscopic biopsy for screening for BE and provides targeted genomic profiling of aberrant tissue for more precise prediction of EAC risk. The device is a tethered capsule endomicroscope (TCE) that implements optical coherence tomography (OCT) to grab 10-mm-resolution, cross-sectional microscopic images of the entire esophagus after the capsule is swallowed.
NCT03830801 · Official ClinicalTrials.gov record · Massachusetts General Hospital
RecruitingNot a traditional drug phaseHouston, Texas
Not a traditional drug phase: testing Indocyanine Green for Anatomic Stage III Breast Cancer AJCC v8This pilot trial studies whether a procedure called lymphovenous bypass would prevent lymphedema (arm swelling) in patients with inflammatory breast cancer or non-inflammatory breast cancer that has spread to nearby tissues or lymph nodes or melanoma. The lymphovenous bypass procedure creates a path for lymphatic fluid to flow away from the arms.
NCT03941756 · Official ClinicalTrials.gov record · M.D. Anderson Cancer Center
RecruitingNot a traditional drug phaseNew York, New York
Not a traditional drug phase: Respiratory Mechanics for ARDSThis is a multicenter randomly assigned controlled clinical trial with an adaptive design assessing the how well it works of setting the ventilator based on measurements of respiratory mechanics (recruitability and effort) to reduce Day 60 mortality in patients with acute respiratory distress syndrome (ARDS). The CAVIARDS study is also a basket trial; a basket trial design examines a single intervention in multiple disease populations.
NCT03963622 · Official ClinicalTrials.gov record · Unity Health Toronto
RecruitingNot a traditional drug phaseMontpellier
Not a traditional drug phase: testing Blood sampling for CancerThe circulating tumoral biomarkers in the blood are the object of numerous researches for several decades. The potential clinical interests of these circulating biomarkers are diagnostic, prognostic, predictive of the efficiency of targeted therapies (according to the mutational profile of the cancer), and could allow the study of the mechanisms of resistance under process.
NCT04025541 · Official ClinicalTrials.gov record · Institut du Cancer de Montpellier - Val d'Aurelle
RecruitingNot a traditional drug phaseNew York, New York
Not a traditional drug phase: Ensure for OsteoarthritisThis study wants to determine the effect on hematological markers of nutritional intervention on nutritionally deficient patients following total joint replacement surgery.
NCT04210284 · Official ClinicalTrials.gov record · NYU Langone Health
RecruitingNot a traditional drug phaseBirmingham, Alabama
Not a traditional drug phase: Bilateral Salpingectomy for Ovarian CarcinomaThis clinical trial evaluates how well two surgical procedures (bilateral salpingectomy and bilateral salpingo-oophorectomy) work in reducing the risk of ovarian cancer for individuals with BRCA1 mutations. Bilateral salpingectomy involves the surgical removal of fallopian tubes, and bilateral salpingo-oophorectomy involves the surgical removal of both the fallopian tubes and ovaries.
NCT04251052 · Official ClinicalTrials.gov record · NRG Oncology
RecruitingNot a traditional drug phaseBenham, Kentucky
Not a traditional drug phase: Stress Management Control for Health BehaviorThe program consists of four interconnected components: (1) app, (2) accelerometer, (3) health coaching, and (4) behavioral incentives to increase food and vegetable intake, reduce saturated fat intake, increase physical activity, and decrease sedentary screen time among adults Appalachia Kentuckians.
NCT04309461 · Official ClinicalTrials.gov record · Nancy Schoenberg
RecruitingNot a traditional drug phaseLondon, Ontario
Not a traditional drug phase: Deep Brain Reorienting (DBR) for PTSDThis study will measure the how well it works of a therapeutic treatment, Deep Brain Reorienting (DBR), for PTSD (Post-traumatic Stress Disorder). you would be randomly assigned to either the DBR treatment, or wait-list condition.
NCT04317820 · Official ClinicalTrials.gov record · London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
RecruitingNot a traditional drug phaseNew Haven, Connecticut
Not a traditional drug phase: testing Vitamin D 4000IU daily for Polycystic Ovarian Syndrome in Adolescent FemalesThis study is a double blind, dummy treatment (placebo) controlled, randomly assigned trial of study subjects with PCOS and low vitamin D to 2 groups- dummy treatment (placebo) and vitamin D replacement. Participants and investigators will be blinded to treatment modality until the end of the trial period
NCT04355572 · Official ClinicalTrials.gov record · Yale University
RecruitingNot a traditional drug phaseClermont-Ferrand
Not a traditional drug phase: Development of a screening algorithm designed to determine a "dysmobility" profile in patients with chronic illness. for Joint OsteoarthritisChronic illness is a public health issue and mobility loss is frequent in this population. Among its' multiple physical and psychological consequences, increased mortality and cardiovascular morbidity seem the main concern.
NCT04375280 · Official ClinicalTrials.gov record · University Hospital, Clermont-Ferrand
RecruitingNot a traditional drug phaseSt Louis, Missouri
Not a traditional drug phase: MRI with DBSI analysis for Prostate CancerDiffusion Basis Spectrum Imaging (DBSI) represents a potential leap forward in improving prostate cancer early detection: a non-invasive and accurate imaging test for clinically significant prostate cancer.
NCT04420702 · Official ClinicalTrials.gov record · Washington University School of Medicine
RecruitingNot a traditional drug phaseScottsdale, Arizona
Not a traditional drug phase: Quality-of-Life Assessment for Cervical CarcinomaThis early phase I trial compares the side effects between patients treated with proton radiation therapy versus intensity modulated radiation therapy after surgery for the treatment of endometrial or cervical cancer. Radiation therapy uses high energy protons or x-rays to kill tumor cells and shrink tumors.
NCT04567771 · Official ClinicalTrials.gov record · Mayo Clinic
RecruitingNot a traditional drug phaseAtlanta, Georgia
Not a traditional drug phase: Communication for Nephrotic Syndrome in ChildrenNEPTUNE Match is an additional opportunity offered to NEPTUNE study participants to prospectively recruit and communicate patient-specific clinical trial matching with kidney patients and their physician investigators.
NCT04571658 · Official ClinicalTrials.gov record · University of Michigan
RecruitingNot a traditional drug phaseCopenhagen
Not a traditional drug phase: CT angiography, FFR-CT and stress CT myocardial perfusion for Coronary Artery DiseaseThe purpose of the DYNAMITE trial (Dynamic CT stress myocardial perfusion, CT fractional flow reserve (FFR-CT) and coronary CT angiography for optimized treatment strategy in patients with chest pain syndromes) is to determine the ability of combined anatomical and functional cardiac CT imaging to improve morbidity and mortality in patients with suspected or known ischemic heart disease.
NCT04709900 · Official ClinicalTrials.gov record · Copenhagen University Hospital, Rigshospitalet
RecruitingNot a traditional drug phaseLa Jolla, California
Not a traditional drug phase: Diet 1 for Rheumatoid ArthritisIn a previous exploratory study, the investigators observed an effect on disease activity outcomes of anti-inflammatory diet. The investigators also observed change in microbiome and circulating metabolites.
NCT04748809 · Official ClinicalTrials.gov record · University of California, San Diego
RecruitingNot a traditional drug phaseHollywood, Florida
Not a traditional drug phase: WEB for Wide Neck Bifurcation Intracranial AneurysmsA prospective, multicenter, single arm, treatment study. The target patient population for this study are adult subjects with WNBAs of the anterior and posterior intracranial circulation.
NCT04839705 · Official ClinicalTrials.gov record · Microvention-Terumo, Inc.
RecruitingNot a traditional drug phaseRichmond, Virginia
Not a traditional drug phase: Antioxidant for Peripheral Vascular DiseasesThe purpose of this research study is to examine the role oxidants, substances produced in the blood that can damage blood vessel function, may play in blood vessel function in healthy individuals as well as individuals with mental health disorders (posttraumatic stress disorder (PTSD) and/or generalized anxiety disorder (GAD)).
NCT04916327 · Official ClinicalTrials.gov record · Virginia Commonwealth University
RecruitingNot a traditional drug phaseMontreal, Quebec
Not a traditional drug phase: EUS-CPN without bupivacaine for Pancreatic CancerEndoscopic ultrasound (EUS) allows EUS-guided trans gastric injection of absolute alcohol around the base of the celiac plexus (celiac plexus neurolysis (EUS-CPN)), to help alleviate pain associated with pancreatic cancer. It is standard procedure to inject bupivacaine immediately before injecting absolute alcohol, to theoretically prevent pain that may occur during and after the procedure.
NCT04951804 · Official ClinicalTrials.gov record · Centre hospitalier de l'Université de Montréal (CHUM)
RecruitingNot a traditional drug phaseOrange, California
Not a traditional drug phase: percutaneous electrical nerve-field stimulation, PENFS for Post-Concussion SyndromeThis study wants to test the effect of Auricular Percutaneous Electrical Nerve Field Stimulation (a Neurostim device) on children with pain and Post Concussion symptoms. An additional purpose of this study is to demonstrate that PENFS improves functioning in children with post Covid-19 symptoms.
NCT04978571 · Official ClinicalTrials.gov record · Children's Hospital of Orange County
RecruitingNot a traditional drug phaseSt Louis, Missouri
Not a traditional drug phase: ChromoSeq for Whole Genome SequencingThis is a single institution, prospective study of the whole genome sequencing assay, ChromoSeq. Using prospectively collected patient data, coupled with physician surveys, the investigators seek to determine the feasibility of implementing ChromoSeq in addition to standard genomic testing, for patients with the diagnoses of acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS).
NCT04986657 · Official ClinicalTrials.gov record · Washington University School of Medicine
RecruitingNot a traditional drug phaseLos Angeles, California
Not a traditional drug phase: Deep Brain Stimulation for FearAnxiety disorders such as post-traumatic stress disorder (PTSD) and generalized anxiety disorder (GAD) affect a large number of individuals with a significant portion of patients failing to improve with current treatments. this study wants to understand the brain mechanisms that produce fear and anxiety in humans.
NCT05120635 · Official ClinicalTrials.gov record · Duke University
RecruitingNot a traditional drug phaseHelsinki
Not a traditional drug phase: Trapeziectomy for Thumb OsteoarthritisA multi-center randomly assigned compared with a dummy treatment clinical trial which determines the how well it works of trapeziectomy in patients with persistent painful osteoarthritis at the base of the thumb. The primary outcome is patient reported evaluation of pain and function of the wrist and hand at 6 months after the randomization to treatment group.
NCT05127005 · Official ClinicalTrials.gov record · Tampere University Hospital
RecruitingNot a traditional drug phaseSan Diego, California
Not a traditional drug phase: Positive Airway Pressure Device for Post Traumatic Stress DisorderSubstance use disorder (SUD) and posttraumatic stress disorder (PTSD) frequently co-occur and having both disorders is associated with greater psychological and functional impairment than having either disorder alone. This is especially true in residential settings where both disorders are more severe than outpatient settings.
NCT05156112 · Official ClinicalTrials.gov record · VA Office of Research and Development
RecruitingNot a traditional drug phaseHershey, Pennsylvania
Not a traditional drug phase: Behavioral Parenting Intervention for ADHDAim: To examine if parental emotion regulation (ER) moderates the response to parent training interventions. H1: Reduced parental ER capacity will predict diminished how well it works for behavioral parent training to improve negative parenting behavior (NPB) and behavior problems in offspring with ADHD.
NCT05299814 · Official ClinicalTrials.gov record · Milton S. Hershey Medical Center
RecruitingNot a traditional drug phaseBuffalo, New York
Not a traditional drug phase: testing Beta-Adrenergic Antagonist for Plasma Cell MyelomaThis clinical trial investigates the effect of non-chemotherapeutic interventions in patients with multiple myeloma or MDS. Non-chemotherapeutic interventions such as physical activity and nutritional interventions (e.g., modifications in diet) have been shown to positively affect the immune system and improve overall quality of life.
NCT05312255 · Official ClinicalTrials.gov record · Roswell Park Cancer Institute
RecruitingNot a traditional drug phaseHellerup, Capital Region
Not a traditional drug phase: Thermotherapy/sauna bath for Lung Diseases, ObstructiveThe aim of this study is to determine whether an intervention with frequent thermotherapy will be able to reduce the amount of colonizing bacteria in the bronchoalveolar lavage sample and eradicate the colonizing bacteria.
NCT05351242 · Official ClinicalTrials.gov record · Chronic Obstructive Pulmonary Disease Trial Network, Denmark
RecruitingNot a traditional drug phaseSalt Lake City, Utah
Not a traditional drug phase: Mitoquinone for Long-COVIDThe proposed focuses on improving both morbidity and mortality in older Veterans and those recovering from COVID-19 by developing rehabilitation therapies to augment vascular endothelial function by combating the oxidative stress and inflammation associated with aging and further induced by COVID-19. The investigators expected outcomes will have an important positive impact because they will provide scientifically sound recommendations for rehabilitation to improve vascular endothelial function and minimize the long-term consequences of COVID-19.
NCT05373043 · Official ClinicalTrials.gov record · VA Office of Research and Development
RecruitingNot a traditional drug phaseNew York, New York
Not a traditional drug phase: Transcranial Magnetic Stimulation for SchizophreniaThis is a single-site, sham-controlled, randomly assigned trial in a total of 40 subjects between ages 18 and 60 years with schizophrenia. This study will investigate the effects of 4-week rTMS treatment on brain and cognitive functions in patients.
NCT05389787 · Official ClinicalTrials.gov record · Northwell Health
RecruitingNot a traditional drug phaseColumbus, Ohio
Not a traditional drug phase: Mid-Ohio Food Farmacy for Diabetes Mellitus, Type 2This is a pragmatic randomly assigned controlled trial (pRCT) that aims to test the effect of produce provision, diabetes education, and community referrals on hemoglobin A1c levels in individuals with type 2 diabetes experiencing food insecurity.
NCT05472441 · Official ClinicalTrials.gov record · Ohio State University
RecruitingNot a traditional drug phaseEdmonton, Alberta
Not a traditional drug phase: Supporting Patients by Family Education in Psychotic Illness Group for Psychotic DisordersBackground: A lack of education, resources, and support for family carers of young adults with psychotic illnesses leaves them ill-equipped to support their loved one. Although family support groups exist, few groups offer evidence-based, skills-focused, psychoeducation taught by certified professionals and provided on a public-health level.
NCT05500001 · Official ClinicalTrials.gov record · University of Alberta
RecruitingNot a traditional drug phaseBaltimore, Maryland
Not a traditional drug phase: testing Nicotine Patch for Major Depressive DisorderBackground: Nicotine dependence leads to about 480,000 deaths every year in the United States. People with major depressive disorder (major depression) are twice as likely to use nicotine compared to the general population.
NCT05538910 · Official ClinicalTrials.gov record · National Institute on Drug Abuse (NIDA)