Studies for Veterans of the Gulf War The Department of Veterans Affairs, in conjunction with the Department of Defense, is leading a $20 million effort to learn ways to improve the health of veterans suffering from such symptoms as fatigue, muscle and joint pain and problems with memory and thinking.

Despite the lack of a clinical case definition of the symptom complex called Gulf War illness, the VA has identified subgroups of patients for whom certain therapies may be appropriate.

The two studies that will be completed at the Department of Veterans Affairs New Jersey Health Care System in East Orange are the Antibiotic Therapy Trial (ABT) and the Exercise Therapy and Behavior Therapy Trial (EBT). Subjects will receive Doxycycline or placebo in the antibiotic trial. For the EBT, subjects will receive the aerobic exercise and/or behavior therapy, or the usual and customary care.

Behavioral and exercise therapies have both been shown to be effective in treating various chronic ailments. The antibiotic Doxycycline (a tetracycline) may be effective in relieving symptoms related to mycoplasma infection which has been found in some Gulf War veterans.

To be eligible to participate, subjects must have served in the Persian Gulf War between August 1990 and August 1991. They must currently be suffering from at least two of the three symptoms of fatigue, muscle and joint pain, and memory and other neurologic problems. To participate in the antibiotic treatment trial, subjects must test positive for infection with mycoplasma. This screening will be provided at the initial assessment.

The principal investigator for the ABT is Lisa Dever, MD. Lana Tiersky, PhD, is the principal inves- tigator for the EBT. For referral, contact Donna Heinzen at the VA New Jersey Health Care System in East Orange at 800-248-8005.
New Medication for
High Blood Pressure and
Diabetic Kidney Disease

Hypertension specialists at UMDNJ-Robert Wood Johnson Medical School in New Brunswick are conducting a study to compare the ability of an investigational medication to reduce the amount of protein in the urine of Type II diabetes patients with a medication currently on the market to treat high blood pressure. The study is for 16 weeks and those eligible must be 18 or older with hypertension and Type II diabetes. Participants will receive study medications, physical exams, blood pressure monitoring, laboratory tests, EKGs and chest x-rays at no cost. Monetary compensation is available to those who complete the studies.

The study is under the direction of the principal investigator, Michael C. Ruddy, MD. For more information call Noreen Bradley, RN, at 732-235-7825.

Psoriasis
The Clinical Research Center at UMDNJ-Robert Wood Johnson Medical School in New Brunswick is seeking volunteers with psoriasis to participate in research studies being conducted at the school. Eligible participants will receive physical examinations by board- certified dermatologists, laboratory tests and medication at no cost. Some programs have monetary compensation.

This study is under the direction of Alice B. Gottlieb, MD, PhD. For further details and to find out if you qualify, call study coordinator Amelia Sherr, RN, at 732-418-8474.

Cancer Clinical Trials
Scientists at The Cancer Institute of New Jersey (CINJ) in New Brunswick develop and conduct clinical trials for oncology patients who do not respond to traditional therapies and for those with cancers that do not have a standard treatment. The focus of these studies is to develop new treatment options and drugs, as well as preventive and diagnostic techniques to fight the disease.

CINJ is currently conducting more than 60 clinical trials. For additional information, call the Clinical Research Office at 732-235-8666.

Neck and Shoulder Pain
A seven-week research study is being conducted at the Kessler Medical Rehabilitation Research and Education Corporation (located within Kessler Institute for Rehabilitation) in West Orange on pain or muscle spasm in the shoulders and/or neck. To be eligible to participate, volunteers must be women between the ages of 20 and 45 who suffer from these symptoms. Participants will receive a full medical evaluation and free medication.

Scott Nadler, DO, and Gerard Malanga, MD, are the principal investigators of the study. For more information call 973-972-2802.

Hypertension Studies

Volunteers age 21 and older with high blood pressure are being sought to participate in a study to evaluate the effectiveness of dietary salt restriction on blood pressure variability. The study is being conducted at UMDNJ-Robert Wood Johnson Medical School in New Brunswick by the Section of Hypertension. Volunteers must have high blood pressure or be taking an antihypertensive medication. Participants who complete the study will receive monetary compensation.

A second study is being conducted at the school to determine the effects of an FDA-approved medication, Cardura, for hypertension and blood pressure variability. Volunteers age 18 and older are sought for participation in the study.

Both studies are under the direction of principal investigator Michael C. Ruddy, MD. For additional information call Noreen Bradley, RN, at 732-235-7825.

The Study of Tamoxifen and Raloxifene to Prevent Breast Cancer

The Cooper Cancer Institute in Voorhees has been selected to participate in the National Surgical Adjuvant Breast and Bowel ProjectÕs (NSABP) Study of Tamoxifen and Raloxifene (STAR). The study, sponsored by the National Cancer Institute (NCI), needs 22,000 women to participate nationwide. Volunteers must be postmenopausal women age 35 and older who are at increased risk for developing breast cancer. In STAR, the drugs tamoxifen and raloxifene will be compared for their effectiveness in reducing the occurrence of breast cancer in postmenopausal women. Participants will receive either tamoxifen or raloxifene for five years.

The principal investigator for the study is Generosa Grana, MD. For more information call the Cooper Cancer Institute at 856-325-6757. Head and Neck Cancer A study is being conducted at the Cooper Cancer Institute in Voorhees for individuals with metastatic or recurrent head and neck cancer. The new drug, Cetuximab, not yet approved by the FDA, will be given in conjunction with chemotherapy. The objectives of the study are to examine the safety and effectiveness of the treatment, and to allow the patients a better quality of life. Alex Hageboutros, MD, is the principal investigator of the study. For more information call the Cooper Cancer Institute at 856-325-6757.


A Study for Those at Risk for Cardiovascular Events
The Division of Cardiovascular Disease and Hypertension of UMDNJ-Robert Wood Johnson Medical School in New Brunswick is looking for volunteers to participate in a study for men and women age 65 and older. OPERA (Omapatrilat in Persons with Enhanced Risk of Atherosclerotic Events) is a five-year program designed to find out whether treating persons with borderline blood pressure and additional risk factors will reduce the risk of heart attack, heart failure or stroke. These risk factors include high cholesterol, high blood sugar (diabetes), smoking and blockages in the arteries of the heart (coronaries) or the neck (carotid).

OPERA is an international research project led by investigators at the medical school and sponsored by Bristol-Myers Squibb. The research project will be offered at 900 centers worldwide. It will include approximately 12,600 participants with ÒborderlineÓ high blood pressure. Participants with systolic blood pressure of 140-159 mmHg (130-149 mmHg if diabetic) and normal (below 90 mmHg) diastolic pressure will be given either omapatrilat, an investigational medication, or placebo, an inert substance or Òsugar pill,Ó and will be followed for up to five years. Participants will be given free study medication, electrocardiograms, laboratory tests and periodic checkups. Individuals on medication to lower their high blood pressure, including diuretics (or Òwater pillsÓ), are not eligible.

The principal investigator for the study is John B. Kostis, MD. For more information about the study, call Melissa Levine or Shannon Monahan at 732-235-7871.

Treatment for Resistant Depression
The Department of Psychiatry at UMDNJ-Robert Wood Johnson Medical School in Piscataway is conducting a study on the effectiveness of olanzapine and fluoxetine for depression. The study will test the hypothesis that combined doses of olanzapine and fluoxetine are more effective than separate selective doses of olanzapine, fluoxetine and nortriptyline in the treatment of individuals with depression. Study participants must be between the ages of 18 and 65 and have failed to achieve a satisfactory antidepressant response to a selective serotonin reuptake inhibitor for four weeks at a minimum acceptable dose. Participants will receive study medications, physical exams and laboratory tests at no charge. Maximum study duration is 40 weeks.

Matthew Menza, MD, is the principal investigator for this study. For further information regarding the study, call Karen Jimenez, PhD, at 732-235-4051 or 1-877-RWJ-HOPE.

Investigational Drug Study
Researchers at UMDNJ-Robert Wood Johnson Medical School in New Brunswick are seeking volunteers with diabetes, age 18 and older, to participate in a new investigational drug study. The purpose of the study is to determine the drugÕs effectiveness in improving the bodyÕs response to insulin. Eligible participants will receive a physical examination, study medications and relevant laboratory tests at no cost.

Stephen H. Schneider, MD, is the principal investigator of the study. For more information call Shelley Greenhaus, RN, at 732-235-7751.

Loss of Sexual Desire Associated with Menopause

A research study is being conducted at UMDNJ-Robert Wood Johnson Medical School in New Brunswick to determine the effects of an investigational drug in the treatment of loss of sexual desire associated with menopause. Volunteers in good health between the ages of 40 and 65, who no longer have menstrual periods and have been on estrogen treatment for at least three months are eligible to participate. In addition, participants must be in a stable heterosexual relationship and have experienced the loss of sexual desire since the onset of menopause. The duration of the study is approximately 18 weeks with an optional six-month treatment extension. Those accepted will receive a free physical exam, Pap smear, laboratory tests and medication. Upon completion of the study, participants will receive compensation of $125 for their time and travel.

The principal investigator for this study is Gloria Bachmann, MD. For more information call the WomenÕs Health Research Section, Monday through Friday from 9 am to 5 pm, at 732-235-7799, 732-235-7353 or 732-235-7925.

Treatment Program for Perimenopause
Women in good general health between the ages of 35 and 50, who have recently experienced changes in their menstrual pattern, are not on birth control pills and who may or may not have symptoms such as hot flashes, are eligible to participate in a six-month hormone treatment program for perimenopause. Participants will receive a physical exam and Pap smear, laboratory tests, a mammogram and medication at no cost. Those who complete the study will receive $175.

The studyÕs principal investigators are Gloria Bachmann, MD, and Jeffrey Levine, MD. For additional information call the WomenÕs Health Research Section at UMDNJ-Robert Wood Johnson Medical School in New Brunswick, Monday through Friday from 9 am to 5 pm, at 732-235-7799, 732-235-7353 or 732-235-7925.

Study to Help Prevent Osteoporosis in Postmenopausal Women Postmenopausal women are needed to participate in a 12-week treatment study of a medication to help prevent osteoporosis at UMDNJ-Robert Wood Johnson Medical School in New Brunswick. Volunteers must be age 65 or younger and in good health. Participants will receive a free physical exam, Pap smear and laboratory tests. Upon completion of the study, participants will receive $225.

Gloria Bachmann, MD, is the principal investigator. For more information call the WomenÕs Health Research Section, Monday through Friday from 9 am to 5 pm, at 732-235-7292 or 732-235-7353.

Cholesterol

Volunteers age 18 or older are needed to participate in an investigational drug study at UMDNJ-Robert Wood Johnson Medical School in New Brunswick. The purpose of the study is to evaluate the effectiveness of a new slow-release form of Lescol (an approved medication), which may lower blood cholesterol and risk of heart disease. Participants will receive a physical exam, study medications and relevant laboratory tests at no cost. Monetary compensation will be provided upon completion of the study.

Avedis K. Khachadurian, MD, is the principal investigator. For more information, call Shelley Greenhaus, RN, at 732-235-7751.

New Investigational Medication for Hypertension
Hypertension specialists at UMDNJ-Robert Wood Johnson Medical School in New Brunswick are conducting a study to evaluate the safety and effectiveness of a new investigational medication for high blood pressure. The study is divided into two phases, a short-term phase for approximately 13 weeks and a voluntary long-term extension that will last up to one year. Volunteers age 18 and older are needed to participate in both phases of the study.

Michael C. Ruddy, MD, is the principal investigator for the study. For more information call Noreen Bradley, RN, at 732-235-7825.

Diabetes

The Division of Endocrinology, Metabolism and Nutrition at UMDNJ-Robert Wood Johnson Medical School in New Brunswick is conducting a study for patients, ages 30 through 70, with diabetes that is poorly controlled with pills as the sole therapy. The goal of the study is to evaluate the benefits of a new investigational insulin taken once at night. Participants will receive a physical exam, relevant laboratory tests and study medications at no cost.

Stephen H. Schneider, MD, is the principal investigator for the study. For more information about the study, call Shelley Greenhaus, RN, at 732-235-7751.

COMPILED BY MAMIE HARGROVE

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