Sponsor or institution
Clinical trials and research at University Hospital, Montpellier
As of November 12, 2026, Find a Trial lists 120 clinical trials run by University Hospital, Montpellier that are recruiting, at sites in 2 countries (most in France (120), Monaco (1)). By phase: Phase 2 (5), Phase 3 (3), Phase 4 (2). Every study is explained in plain English. Data from ClinicalTrials.gov and NIH RePORTER, updated November 12, 2026.
- 120Clinical trials
- 2Countries
Newest trials
All recruiting trials (120)
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Islet re-transplantation after prior graft failure in adults with type 1 diabetes
This study looks at whether giving another islet transplant after a prior failed graft helps adults with type 1 diabetes who have severe swings in blood sugar.
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Tissue models of systemic sclerosis using patient-derived iPSCs
Researchers will create iPSC lines from people with systemic sclerosis, their healthy relatives, and test them across several cell types to see how the disease affects tissues in the lab.
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L-dopa treatment for a CTNNB1-related neurodevelopmental disorder in children
This study tests whether L-dopa can help children with a CTNNB1-related neurodevelopmental disorder who have dystonia.
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Exploratory look at brain blood flow and metabolism before and after removing unruptured AVMs
This study tests brain perfusion and metabolism with PET imaging and neuropsychological tests in adults before and six months after surgical treatment for unruptured brain AVMs.
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Immun4Cure Cohort of Autoimmune Diseases
A long-term, 500-person database and biobank is being built to study autoimmune diseases like RA, SLE, and scleroderma, plus healthy adults, using deep profiling and regular follow-ups over five years.
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Comparing supra-annular versus intra-annular self-expanding aortic valves in routine TAVR practice
This project will try to see if the supra‑annular Evolut valve or the intra‑annular Navitor valve gives better one‑month procedural success and six‑month clinical and echocardiographic results for patients receiving TAVR with self‑expanding devices.
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Heart-Healthy Rehab for Cardiac Amyloidosis
This study tests whether a 5-week supervised cardiac rehabilitation program can help people with cardiac amyloidosis improve exercise capacity and quality of life.
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Anti-CD19 CAR T-cell therapy for severe systemic sclerosis that didn’t respond to standard treatment
This study tests whether a patient’s own anti-CD19 CAR T-cells can help reduce skin thickening and other disease activity in adults with active, treatment-resistant systemic sclerosis.
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Biopsychosocial factors linked to chronic post‑traumatic pain after ICU care
This project tries to see if clinical details, blood BDNF levels, treatments, and psychosocial factors during hospitalization can predict which adult polytrauma ICU patients will develop chronic post‑traumatic pain.
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Impact of pre-operative sarcopenia on recovery after hip replacement in older adults
This study tests whether low muscle mass and strength before hip replacement affect recovery in people 75 and older who have hip fracture or severe osteoarthritis.
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Kinematic markers of patellar tendinopathy in at-risk athletes using markerless motion capture
Researchers test whether markerless motion capture during vertical jumps can reveal early knee and body movement markers that distinguish athletes at risk for jumper's knee from healthy athletes.
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How classroom indoor air affects children's allergies and wellbeing
This project will test whether continuous classroom and home air pollutant monitoring can identify pollution patterns linked to worse allergy or asthma symptoms in school-age children.
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Blood or CSF test for circulating tumor cells in aggressive meningioma recurrences
This study tests whether circulating tumor cells can be found in the blood or cerebrospinal fluid of adults with aggressive, recurrent meningiomas after surgery.
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UDCA vs steroids for immune therapy–induced cholestatic hepatitis
This study tests whether ursodeoxycholic acid can better help adults with immune therapy–related cholestasis than steroids over 21 days.
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See if Borderline Personality Disorder can be viewed as a Relationship-Use Disorder
Researchers are testing whether BPD symptoms reflect an addiction-like reliance on interpersonal relationships, compared with bipolar disorder and healthy controls.
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Using Xsens wearable sensors to measure lumbar spine movement fluidity before and after rehabilitation
This project will try whether wearable Xsens sensors can detect improvements in lumbar spine movement smoothness in adults aged 18–65 with chronic low back pain who undergo rehabilitation.
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Looking at tiny particles in cord blood of babies born before 28 weeks
The team will test whether extracellular vesicles in umbilical cord blood can help predict serious complications in babies born before 28 weeks of pregnancy.
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Anti-CD20 maintenance vs. de-escalation in relapsing-remitting MS
This trial tests whether continuing anti-CD20 therapy at standard maintenance is as good as a de-escalated approach in people with relapsing-remitting MS who have been on anti-CD20 treatment for at least 3 years.
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Improving interchangeability of reference materials and quality controls for laboratory tests
This project tests whether specially made reference materials and quality controls behave like real patient samples on automated lab machines for adults, including people taking certain immunosuppressant medicines.
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Imaging and modeling blood flow in perforator flaps for reconstructive surgery
This trial tests PeriCam and PeriFlux imaging to map blood flow in skin and fat flaps used for reconstruction in adults with pelvic eschar or traumatic limb injuries.
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Aesthetic and breathing outcomes after secondary rhinoseptoplasty for people with one-sided cleft lip and palate
Adults who had a unilateral cleft lip and palate and later underwent secondary rhinoseptoplasty are asked to complete questionnaires to see if the surgery improved how their nose looks and how well they breathe through it.
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Comparing two bioactive bone substitutes to help spinal fusion after anterior lumbar surgery
This trial tests two osteoinductive bioactive bone substitutes to see which better helps adults with degenerative lumbar disc disease achieve spinal fusion after anterior lumbar interbody surgery.
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How menstrual cycles relate to women's health in southern France
This research will try to see if environmental and socioeconomic differences between rural and urban areas of southern France change luteal progesterone levels and menstrual symptoms in women of reproductive age.
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Blood biomarker plus questionnaire test to help diagnose bipolar disorder
This trial will test whether a blood-based biomarker algorithm combined with the Mood Disorder Questionnaire (MDQ) can accurately identify adults with bipolar disorder who are currently experiencing a major depressive episode in primary care.
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Does flexible proprioception lower the risk of ankle and ACL injuries in pivot-contact sports?
This trial will test whether young high-level soccer, rugby, and handball players with more adaptable (flexible) proprioception have fewer lateral ankle sprains and ACL injuries.
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Early Luteal Phase Hormone Changes After Triggering Ovulation in a Modified Natural Cycle
This pilot test will measure how progesterone rises after hCG-triggered ovulation in women using a modified natural cycle for embryo transfer.
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Eye problems in dominant spinocerebellar ataxias
This project tests whether adults with SCA1, SCA2, SCA3, or SCA27B have retinal or optic nerve changes by doing neurological and eye exams.
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Transverse sinus stenting for people with long-term intracranial hypertension on acetazolamide
This trial will test whether adding a stent in the narrowed transverse sinus helps adults with idiopathic intracranial hypertension who have been on acetazolamide for over a year but still have symptoms.
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Transverse sinus stenting for newly diagnosed idiopathic intracranial hypertension
This will test whether adding transverse venous sinus stenting to standard medical care helps adults with newly diagnosed idiopathic intracranial hypertension improve vision, headaches, or tinnitus.
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Evaluating a specific surgical technique for epilepsy treatment
This study is trying to see how well a specific surgical technique for epilepsy works in helping patients control their seizures and what factors might improve their recovery.
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At-risk rheumatoid arthritis cohort to see if exposures predict early arthritis
This study follows people at high risk for rheumatoid arthritis to see if factors like smoking, diet, or stress can predict the development of arthritis over two years.
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Observing liver injury caused by immune checkpoint inhibitors in cancer patients
This study looks at how certain cancer treatments affect the liver in patients to better understand the types of liver injuries and improve their care.
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Music therapy to ease pain during noninvasive ventilation in children
This trial will try using a structured music program to lower pain and improve comfort for children (0–17) who are starting noninvasive ventilation in the pediatric intensive care unit.
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Consultation with a radiologist before spinal injections
This study is testing if having a chat with a radiologist before spinal injections can help patients feel less anxious and have a better overall experience.
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Evaluating Pacing Dependency After Aortic Valve Replacement
This study looks at patients who had a heart valve replacement and got a pacemaker to see how well the pacemaker works a year later and what types of heart issues they have.
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Epithelial repair in COPD using patient-derived iPS cells
This will try using each patient's own iPS cells to repair damaged bronchial lining in people with COPD, smokers without COPD, and non-smoking controls.
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Using dexmedetomidine to improve pain management in children after surgery
This study is testing if giving children aged 1 to 7 dexmedetomidine during surgery can help reduce pain and the need for opioids afterward.
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Exploring how music affects people with Alzheimer's and Parkinson's diseases
This study looks at how music affects people over 60 with Alzheimer's and Parkinson's diseases compared to healthy older adults to see how it influences their emotions and enjoyment of music.
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Using diaphragmatic ultrasound to diagnose acute respiratory distress in emergency patients
This study is testing if using diaphragmatic ultrasound can help doctors quickly diagnose pneumonia and other breathing problems in emergency patients who are having trouble breathing.
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Examining the link between endocrine disruptors and hypospadias
This study is trying to see if exposure to certain chemicals during pregnancy is linked to hypospadias in baby boys.
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Effects of physical activity on side effects from melanoma immunotherapy
This study is testing whether staying active can help melanoma patients feel better and experience fewer side effects while receiving immunotherapy.
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Motivational interviews to help maintain abstinence after alcohol withdrawal
This study tests if using motivational interviews as extra support can help adults who have just gone through alcohol withdrawal stay sober longer compared to regular care.
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Cellular markers for non-tuberculous mycobacterial infection in adults with cystic fibrosis
This test will try a blood-based IGRA that measures T-cell interferon-gamma response to help detect NTM infection in adults with cystic fibrosis.
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Endoscopic mastectomy for breast cancer patients
This study is testing a new way to perform nipple-sparing mastectomy with immediate breast reconstruction for women with small to medium breasts and breast cancer to see if it is safe and effective while leaving less scarring.
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Measuring treatment compliance for sleep apnea in heart disease patients
This study tests how well heart disease patients with sleep apnea stick to using two different treatments, a CPAP machine and a mouthpiece, to see which one they find easier to use.
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Early detection of fetal chromosomal characteristics using non-invasive methods
This study is testing a new way to check for genetic issues in babies as early as the 7th week of pregnancy by using cells from the cervix of pregnant women.
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Understanding social interaction in individuals with schizophrenia
This study is trying to see how people with schizophrenia communicate and interact with others by looking at their responses during conversations and completing some tests.
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Intervention for liver transplant recipients with alcohol use disorder
This study tests a new support program for liver transplant patients with a history of alcohol problems to see if it helps them avoid drinking again and live longer.
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BOAT structured prevention program to reduce sexual and gender-based violence in middle schools
This project will try the BOAT prevention toolbox with middle school students aged 13–17 to see if it reduces sexual and gender-based violence and builds protective skills.
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Identifying blood biomarkers for hepatitis caused by immune checkpoint inhibitors
This study is trying to find specific blood markers in patients who have liver problems caused by immune checkpoint inhibitors to see how they differ from those with regular autoimmune hepatitis.
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Developing new agents to activate hidden HIV cells
This study is testing new treatments that aim to wake up hidden HIV cells in people on antiretroviral therapy to see if it helps the immune system get rid of the virus for good.
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Screening for neurodevelopmental disorders in children with congenital heart disease
This study tests if regular check-ups can help find neurodevelopmental disorders in young children with congenital heart disease.
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Assessing muscle metabolism and insulin resistance in dialysis patients through exercise
This study is testing how exercise affects muscle metabolism and insulin resistance in dialysis patients compared to those with metabolic syndrome and healthy people to help improve treatment strategies.
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Evaluating bladder catheterization during planned cesarean sections
This study is testing if skipping the use of a bladder catheter during planned cesarean sections for women who can urinate on their own helps reduce urinary problems after surgery.
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Evaluating Trogocytosis as a Predictor for CAR-T Cell Therapy Success in Lymphoma
This study is testing if measuring a process called trogocytosis in immune cells can help predict how well CAR-T cell therapy works for people with lymphoma.
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French testing of blood-based ctDNA to find leftover cancer after surgery in Stage III colorectal cancer
We will test whether blood-based ctDNA can find leftover cancer after surgery in people with Stage III colorectal cancer to help guide additional treatment.
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French test of leftover tumor DNA in the blood after pancreatic cancer surgery
This will test whether a blood test for tumor DNA after surgery or after adjuvant chemotherapy can find pancreatic cancer patients at high risk of relapse.
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ctDNA blood tests to guide treatment in colorectal cancer with liver metastases
A study using blood tests that look for tumor DNA to help decide which patients with colorectal cancer that has spread to the liver need more treatment after surgery.
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Automated insulin therapy for children and adolescents with newly diagnosed Type 1 diabetes
This study is testing if a new automated insulin delivery system can help children and teens with newly diagnosed Type 1 diabetes manage their blood sugar better than standard insulin treatment.
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Testing a new magnetic sensor for measuring blood flow in leg arteries
This study is testing a new magnetic sensor to see if it can measure blood flow in the leg arteries of patients with lower extremity artery disease better than traditional methods.
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Program for preventing risks in patients with uncontrolled epilepsy
This study is testing a new program to help young adults with uncontrolled epilepsy learn better self-management skills by providing extra support and education.
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Analyzing plant-related allergies using skin tests
This study is testing if people with allergies, especially those living in areas with a lot of pollen, are sensitive to certain proteins in peach pollen and other foods by using skin tests.
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Self-Identification Program to restore healthier self-identity in adults with depression
This program tests whether an in-depth third-wave CBT approach focused on correcting self-identification works better than ACT to reduce depressive symptoms and lower relapse risk in adults with a current major depressive episode.
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Nasal High Flow vs NIV for early treatment of AE-COPD with high CO2
This study tests whether nasal high flow can match non-invasive ventilation for adults with an AE-COPD and high carbon dioxide levels treated in the emergency department.
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Genetic testing for Cutis Tricolor
This project uses blood, skin biopsy, and whole-exome sequencing to look for genes that cause Cutis Tricolor in people aged 4–60 and their parents.
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Using continuous glucose monitoring to predict outcomes in acute coronary syndrome
This study is testing if continuous glucose monitoring can help doctors predict outcomes for patients with acute coronary syndrome by looking at their blood sugar levels.
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Cohort study on relapsing-remitting multiple sclerosis using imaging and blood tests
This study is trying to see if stronger treatments for relapsing-remitting multiple sclerosis work better than medium-strength treatments by looking at patients' brain scans and blood tests over time.
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Using daridorexant to improve sleep in patients with mild cognitive impairment and Alzheimer's disease
This study is testing if daridorexant can help improve sleep for people with mild cognitive impairment and Alzheimer's disease.
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Identifying Genetic Variants in Patients with Disorders of Sex Development
This study is testing a new way to find genetic changes in people with Disorders of Sex Development to see if it works better than current methods.
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Multidisciplinary evaluation and whole-genome testing for children with unexplained short stature
We will try whole-genome sequencing plus a team-based clinical review to find genetic causes of unexplained short stature in children aged 4–18.
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Pain neuroscience education program for chronic low back pain
This study tests a new education program to see if it can help people with chronic low back pain become more active without using medication.
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Evaluating endovascular treatment for acute ischemic stroke caused by carotid artery occlusion
This study is testing if a new treatment combining a special procedure for blocked arteries with standard care can help people who have had a stroke feel better and recover more fully.
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Liver cancer immunotherapy guided by multi-omic liquid biopsy
This project will test whether a multi-omic liquid biopsy can predict which adults with advanced (BCLC B or C) hepatocellular carcinoma will benefit from first-line PD-1/PD-L1 immunotherapy.
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Comparing hysteroscopy and aspiration for managing retained tissue after miscarriage
This study tests which method, hysteroscopy or aspiration, works better to remove leftover tissue after a miscarriage and helps women feel better.
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Using a new technique to test asthma in children
This study is testing a new way to check asthma in kids aged 6 to 16 to see if it can predict breathing changes without needing them to cooperate as much as with traditional tests.
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Study on factors influencing neurodevelopmental disorders in mothers and children
This study looks at how both genetics and the environment might affect the development of neurodevelopmental disorders like Autism Spectrum Disorder in mothers and their children.
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Impact of Sedative and Anxiolytic Medication on Children's Experience After Anesthesia
This study is testing if giving kids aged 7 to 18 a sedative before surgery can help reduce their anxiety and improve their recovery after anesthesia compared to a placebo.
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Understanding risk factors and progression of keratoconus
This study is trying to see how keratoconus changes over two years in 200 people with different treatment options, including no treatment, to better understand the condition and its effects.
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Investigating immune responses and biomarkers in patients receiving cochlear implants
This study is trying to understand why some people lose their remaining hearing after getting cochlear implants by looking at their blood and inner ear samples.
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Sleep impairment in people at risk for Alzheimer's disease
This study will test whether sleep problems are linked with early Alzheimer's changes and cognitive decline in people at higher risk of the disease.
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Early prosthesis reimplantation for hip or knee joint infections
This study is testing if putting a new hip or knee joint back in sooner after an infection can help patients recover faster and use their joint better compared to the usual waiting time.
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Exploring the link between sleep patterns and cognitive decline in early Alzheimer's disease
This study is trying to see if sleep problems in people with mild Alzheimer's disease are linked to brain changes and if fixing those sleep issues could help slow down memory loss.
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Electrical stimulation of the brain to treat Parkinson's disease
This study tests if a new way of using electrical stimulation in the brain can help people with Parkinson's disease manage their movement problems better while they keep taking their regular medications.
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Comparing two methods of lung ventilation during lung cancer surgery
This study is testing two different ways of helping patients breathe during lung cancer surgery to see which method works better for keeping their lungs safe and improving recovery.
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Screening siblings of children with autism for neurodevelopmental disorders
This study is testing a new way to check if siblings of children with autism have any neurodevelopmental disorders to better understand their needs.
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Modeling how methadone works in the body for opioid addiction treatment
This study is testing a new way to understand how methadone works in the body to help people with opioid addiction get the right dose and feel better faster.
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Evaluating mobility in patients with severe knee osteoarthritis before knee replacement surgery
This study is testing a new way to measure how well people with severe knee osteoarthritis can move before they have knee replacement surgery to help improve their recovery.
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Sequential treatment strategy for rheumatoid arthritis
This study is testing a new treatment plan for people with rheumatoid arthritis that starts with a specific medication to reduce inflammation and then switches to another medication to see if it helps them feel better when other treatments haven't worked.
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Investigating factors affecting participation in heart failure care interventions
This study looks at how factors affect whether heart failure patients who just left the hospital join two different programs designed to help them get better care at home and avoid going back to the hospital.
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Assessing Lithium Levels and Suicidal Behavior in Depressed Patients
This study is testing whether the amount of lithium in the blood of people with major depression is linked to past suicidal thoughts or behaviors.
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Analysis of glycosylation in lupus anti-DNA antibodies
This study looks at how certain sugars on antibodies in people with lupus might change over time and how those changes relate to their disease activity.
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Liquid biopsy to detect AXL-positive circulating tumor cells in pancreatic cancer
This test tries a blood-based liquid biopsy to see if AXL-positive circulating tumor cells can be found in adults with newly diagnosed metastatic pancreatic cancer who have not yet received treatment.
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Restoring social connection to prevent repeat suicide attempts with VIGILANS
This project will test whether responses to a virtual social stress task can reveal biological, cardiac, and emotional differences that predict which adults in VigilanS will make another suicide attempt.
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Understanding the features of Restless Legs Syndrome.
This study looks at how different factors like symptoms, other health conditions, and medications affect people with Restless Legs Syndrome over time.
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Evaluating a new dressing system for skin grafts after fibula free flap surgery
This study is testing if a new type of dressing can help skin grafts heal better after surgery for people getting a fibula free flap.
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Questionnaire to assess children's satisfaction after surgery
This study is trying to create a questionnaire to see how satisfied children aged 7 and older feel after having surgery.
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Preoperative video support for thyroid surgery
This study is testing if giving patients a personalized video and online information before thyroid surgery can help reduce their anxiety compared to just standard information.
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Detecting prostate cancer early using blood tests
This study is testing whether blood tests can help find prostate cancer earlier in patients who might have it by looking for specific markers in their blood.
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Finding blood-measurable protein and metabolite markers for pancreatic cancer using biopsy rinse samples
This project will try whether proteins and small molecules recovered from the fluid used to rinse fine-needle biopsy samples can identify pancreatic cancer in people with a suspicious pancreatic mass.
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Investigating environmental factors in male congenital testicular conditions
This study is trying to see if certain environmental factors, like chemicals, are linked to the occurrence of undescended testicles in baby boys.
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Comparing treatments for chronic obstructive pulmonary disease exacerbations
This study is testing if a specific antibiotic treatment can help people with COPD have fewer flare-ups and feel better compared to standard care.
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Collecting blood samples from patients treated with CAR-T cells for blood cancers
This study is collecting blood samples from patients with lymphoma and Acute Lymphoblastic Leukemia who have been treated with CAR-T cells to see what factors affect how well the treatment works.
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Evaluating BDNF Biomarkers in Cerebrospinal Fluid for Huntington's Disease
This study is testing if measuring a protein in the spinal fluid can help understand Huntington's Disease better and see how it relates to the disease's severity and brain changes.
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Cohort for chronic sleep disorders causing excessive daytime sleepiness
This study is trying to learn more about the causes of excessive daytime sleepiness in people with chronic sleep disorders to help improve their treatment.
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Understanding shame's role in suicidal behavior in Borderline Personality Disorder
This study looks at how feelings of shame might be linked to suicidal behavior in people with Borderline Personality Disorder to see if understanding this connection can help identify those at risk.
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New biomarkers in pancreatic cancer using EXPEL concept
This study tests a non-destructive biomarker discovery method called EXPEL on patients with suspected pancreatic cancer to identify proteins, RNA, DNA, metabolites, and exosomes from interstitial tissue fluid.
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Identifying early symptoms of hand osteoarthritis
This study is trying to find early signs of hand osteoarthritis in people under 60 using advanced imaging to help identify those at risk for worsening symptoms.
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Outpatient management of early-stage oral cavity cancer
This study is testing a new way to manage early-stage oral cavity cancer in patients by using a technique that could allow them to have surgery and recover at home instead of staying in the hospital.
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Identifying drug-related problems in hospitalized patients
This study looks at how pharmacists can find and fix medication problems for patients who are admitted to the hospital to help keep them safe and improve their health.
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Evaluating adherence to guidelines for managing dyslipidemia
This study looks at how well doctors follow guidelines for treating high cholesterol in hospitalized patients over 18 to see if they can improve care and outcomes for these individuals.
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Hepatic arterial infusion of gemcitabine and oxaliplatin for treating non-resectable intra-hepatic cholangiocarcinoma
This study is testing a new way to deliver two cancer drugs directly to the liver to see if it helps patients with a specific type of liver cancer that can't be surgically removed.
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Comparing sodium levels in dialysis for ICU patients with kidney injury
This study is testing if using a lower sodium level in dialysis can help ICU patients with kidney injury feel more stable and avoid extra fluid buildup.
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Analyzing Sympathetic Activity in Willis-Ekbom Disease
This study is testing how the nervous system works in people with restless legs syndrome to see if it affects their heart health and sleep quality.
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Assessing tissue components in chronic lower limb oedema
This study is testing how the tissue in the legs of people with chronic swelling from different causes affects their treatment with compression therapy.
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Collection of human metabolic tissues from obese patients undergoing bariatric surgery
This study is collecting tissue samples from obese patients having weight loss surgery to see how different metabolic conditions affect type 2 diabetes and obesity.
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Evaluating cardiovascular risks in patients starting dialysis
This study is testing how certain bone markers in people starting dialysis for kidney disease might affect their heart health over two years.
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Evaluating bone mineral metabolism markers as cardiovascular risk factors in chronic kidney disease patients
This study is testing if certain bone health markers can help predict heart problems in people with chronic kidney disease over seven years.
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Mapping brain functions using electric stimulation during surgery
This study is testing how electric impulses during awake surgery for brain tumors can help us understand which parts of the brain are affected and how they work.
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Long-term follow-up of severely obese patients after bariatric surgery
This study is trying to see how well different types of weight loss surgery work for severely obese patients over the long term and how it affects their health and quality of life.
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Cohort study of patients with blood cancers in Languedoc-Roussillon
This study is tracking adults with blood cancers like lymphoma and leukemia to see how these diseases develop over time and improve future treatments.
Quick answers
How many clinical trials run by University Hospital, Montpellier are recruiting right now?
120, as of November 12, 2026. We update this list each time we refresh our data from ClinicalTrials.gov.
Where are these trials running?
In 2 countries. The most sites are in France (120 trials), Monaco (1 trial). Each study page lists its sites and which ones are recruiting.
What phases are they in?
Phase 2: 5, Phase 3: 3, Phase 4: 2. Trials with no phase listed are usually device, behavioural or observational studies.
How do I join one?
Open a study, check the "Is this trial a fit for you?" section, then contact the study team listed on the page. They will ask a few screening questions. Asking is free and does not commit you to anything. Talk it over with your doctor first.
Find the studies that fit you
A list is a starting point. Tell us your situation in your own words and we'll rank the studies that match and explain why. It's free and needs no account.