BACKGROUND Although it has been claimed that insomnia causes an increased risk for depression, adequate controlled trials testing this hypothesis have not been available. This study contrasted the incidence of depression among subjects receiving hypnotics in randomized controlled trials versus those receiving placebo. METHODS The incidence of depression among patients randomized to hypnotic d...

Clonidine has sedative and analgesic properties. Randomized studies examining these properties in mechanically ventilated ICU patients are scarce. This study was designed to assess the impact of clonidine on sedative agent use in mechanically ventilated patients.In a prospective, randomized, double blind, placebo-controlled study in a general ICU of a university medical center in Tehran, Iran, ...

BackgroundThere are no approved therapies for cough in patients with idiopathic pulmonary fibrosis (IPF). In this small crossover trial we administered nalbuphine extended-release tablets (NAL ER) as a potential therapy such patients.MethodsThis randomized, double-blind, placebo-controlled, involved two 22-day treatment periods ER→placebo and placebo→NAL separated by 2-week washout period. NAL ...

Abstract Background The prevention of COVID-19 in vulnerable populations is a global health priority. EVADE was phase 2/3 multicenter, double-blind, randomized, placebo-controlled trial adintrevimab, an extended–half-life monoclonal antibody, for post-exposure (PEP) and pre-exposure prophylaxis (PrEP) symptomatic COVID-19. Methods Eligible participants (vaccine-naïve, aged ≥12 years) were rando...

BACKGROUND Palmoplantar psoriasis is a difficult to treat variant of plaque psoriasis. OBJECTIVE To study the safety and efficacy of infliximab in non-pustular palmoplantar psoriasis. METHODS Patients with non-pustular palmoplantar psoriasis affecting at least 10% of their palms and soles and with a modified palmoplantar psoriasis area and severity index (m-PPPASI) of at least eight were re...

BackgroundPropranolol hydrochloride is a nonselective beta-adrenergic antagonist that has known activity in the myometrium. Small trials have shown propranolol decreases duration of induced labor, although those studies are limited by methodological variability.ObjectiveOur objective was to determine whether addition single dose induce labor nulliparous women would decrease total time vaginal d...

BACKGROUND Pulmonary arterial hypertension (PAH) is a progressive disease that causes exercise limitation, heart failure, and death. We aimed to determine the safety and efficacy of aspirin and simvastatin in PAH. METHODS AND RESULTS We performed a randomized, double-blind, placebo-controlled 2×2 factorial clinical trial of aspirin and simvastatin in patients with PAH receiving background the...

RESEARCH DESIGN AND METHODSdPatients were randomized to subcutaneous (SC) EQW 2.0 mg + oral placebo (n = 248), MET 2,000 mg/day + SC placebo (n = 246), PIO 45 mg/day + SC placebo (n = 163), or SITA 100 mg/day + SC placebo (n = 163) for 26 weeks. MET and PIO therapies were increased to maximum-tolerated dosages. Injections with EQW or placebo were administered weekly, while oral medication or pl...

BACKGROUND Fatigue is one of many unintended consequences of shift work in the nursing profession. Natural health products (NHPs) for fatigue are becoming an increasingly popular topic of clinical study; one such NHP is Rhodiola rosea. A well-designed, rigorously conducted randomized controlled trial is required before therapeutic claims for this product can be made. OBJECTIVE To compare the ...

Clonidine has sedative and analgesic properties. Randomized studies examining these properties in mechanically ventilated ICU patients are scarce. This study was designed to assess the impact of clonidine on sedative agent use in mechanically ventilated patients.In a prospective, randomized, double blind, placebo-controlled study in a general ICU of a university medical center in Tehran, Iran, ...