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Efficacy, Safety, and Tolerability of two administrations of COMP360 in participants with treatment-resistant depression (TRD)

Conditions:
Treatment Resistant Depression
Location:
  • Okanagan Clinical Trials, Kelowna, British Columbia, Canada
  • Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
  • Medical Arts Health Research Centre, Kamloops, Kamloops, British Columbia, Canada
  • St. Michael's Hospital, Toronto, Ontario, Canada
  • Medical Arts Research Group - Penticton, Penticton, British Columbia, Canada
  • Diex Recherche Sherbrooke Inc., Québec, B.C., Canada
  • Chatham-Kent Clnical Trials Centre, Chatham, Ontario, Canada
Sex:
ALL
Ages:
Over 18

Hidradenitis suppurativa (HS) is a chronic and often painful inflammatory skin disease which includes the forming of lumps, abscesses and scars in areas of the skin such as under the breasts, under armpits, inner thighs, groin and buttocks. This study will compare lutikizumab versus placebo for the treatment of adult and adolescent participants with moderate to severe HS . Lutikizumab is an investigational drug being developed for the treatment of HS. During Period 1 of the study, participants will placed in 1 of 2 groups called treatment arms. There is a 1 in 2 chance that participants will be assigned to placebo. Around 1280 adult and adolescent participants with moderate to severe HS will be enrolled in the study at approximately 275 sites world wide. During Period 2, participants that were part of the lutikizumab treatment arm in Period 1 will be re-randomized to 1 of 2 lutikizumab treatment arms. Participants that were part of the Placebo arm in Period 1 will start Period 2 with an initiation of lutikizumab followed by a re-randomization to 1 of 2 lutikizumab treatment arms. In Period 1, participants will receive subcutaneous injections of lutikizumab or placebo every week for 16 weeks. In Period 2, participants that were randomized to lutikizumab in Period 1 will receive subcutaneous injections of lutikizumab every week or every other week for 36-weeks. Participants that were randomized to the placebo arm in Period 1 will receive subcutaneous injections of lutikizumab every week for 16 weeks, then either every week or every other week for 20 weeks There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires and diaries.

Conditions:
Hidradenitis Suppurativa
Location:
  • Leader Research /ID# 266114, Hamilton, Ontario, Canada
  • York Dermatology Clinic & Research Centre /ID# 265265, Richmond Hill, Ontario, Canada
  • Centre de Recherche Saint-Louis /ID# 265855, Québec, Quebec, Canada
  • Brunswick Dermatology Center /ID# 264260, Fredericton, New Brunswick, Canada
  • SKiN Centre for Dermatology /ID# 267735, Peterborough, Ontario, Canada
  • Diex Recherche Québec /ID# 265263, Québec, Quebec, Canada
  • DermEffects /ID# 265262, London, Ontario, Canada
  • FACET Dermatology /ID# 265267, Toronto, Ontario, Canada
  • Private Practice - Dr. Angelique Gagne-Henley /ID# 264263, St-Jérôme, Quebec, Canada
  • Interior Dermatology Centre - Probity - PPDS /ID# 266202, Kelowna, British Columbia, Canada
  • Derm Care Clinic /ID# 265261, Mississauga, Ontario, Canada
  • SkinSense Dermatology /ID# 265964, Saskatoon, Saskatchewan, Canada
  • Private Practice - Dr. Kim Papp Clinical Research /ID# 265266, Waterloo, Ontario, Canada
Sex:
ALL
Ages:
Over 16

Ulcerative colitis (UC) is a type of inflammatory bowel disease that causes inflammation and bleeding from the lining of the rectum and colon (large intestine). The purpose of this study is to assess how safe and effective lutikizumab is in adult participants with moderate to severe UC and how lutikizumab compares to adalimumab in the treatment of UC. Adverse events and changes in disease activity will be assessed. Lutikizumab is an investigational product being developed for the treatment of moderate to severe UC. Participants are placed in groups called treatment arms. Each group receives a different treatment. In the Induction Period, participants will be randomized into 1 of 3 arms receiving lutikizumab Dose 1, lutikizumab Dose 2, or adalimumab. In the Maintenance Period, participants who responded to lutikizumab will be randomized into 1 of 2 arms of lutikizumab maintenance and participants who responded to adalimumab will continue to receive adalimumab. All participants who did not achieve clinical response per modified Mayo Score at the end of the Induction period will receive open label lutikizumab. Around 200 adult participants with UC will be enrolled at approximately 280 sites worldwide. During the 12 week Induction Period, participants will be randomized to receive intravenous (IV) and subcutaneous (SC) lutikizumab or SC adalimumab. At the 12 week mark, participants who are on lutikizumab who have responded to treatment will be re-randomized to receive SC lutikizumab at different intervals until Week 52. Participants who are on adalimumab who are responding to treatment will continue to receive adalimumab. Participants who do not respond to treatment will receive open-label SC lutikizumab. Participants who complete the Week 52 visit and in whom therapeutic benefit to study drug is confirmed by the investigator may roll over into an optional, blinded 52-week long-term extension (LTE). There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Conditions:
Ulcerative Colitis
Location:
  • Toronto Digestive Disease Associates /ID# 260460, Vaughan, Ontario, Canada
Sex:
ALL
Ages:
Over 18

Elderly patients strength and function, specifically the ability to rise from a seat after either operative or non operative treatment of an mayo type 2 olecranon fracture.

Conditions:
Fracture;Elbow
Location:
  • Royal Columbian Hospital, New Westminster, British Columbia, Canada
Sex:
ALL
Ages:
Over 65

Crohn's disease (CD) is a long-lasting disease that causes severe inflammation (redness, swelling), in the digestive tract, most frequently affecting the bowels. It can cause many different symptoms including belly pain, diarrhea, tiredness, and weight loss. Treatments are available but do not work the same for all patients or may stop working over time. This study will evaluate the effectiveness and adverse events of targeted therapies (TaTs) for adult participants with moderate to severe CD. The medicines assessed in this study are risankizumab, ABBV-382 and lutikizumab. When participants join the study, they will be randomized into available study treatment groups. Adult participants with CD will be enrolled. Around 500 participants will be enrolled in the study at approximately 300 sites worldwide. Risankizumab and ABBV-382 are given as an injection under the skin or as an infusion into the vein. Lutikizumab is given as an injection under the skin. Each group includes a 12-week induction period, a 12-week maintenance period, and an optional long-term extension period where medication will be given after the maintenance period. There may be higher treatment burden for participants in this trial compared to their standard of care treatment without participating in this study. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, endoscopies, checking for side effects and completing questionnaires and a daily diary.

Conditions:
Crohn's Disease
Location:
  • Toronto Digestive Disease Associates /ID# 267358, Vaughan, Ontario, Canada
  • University of Calgary /ID# 265524, Calgary, Alberta, Canada
Sex:
ALL
Ages:
18 - 75

The purpose of this study is to complement Study CBYL719C2301 (SOLAR-1) and obtain more comprehensive data on the efficacy and safety of alpelisib (BYL719) in combination with fulvestrant compared with placebo plus fulvestrant in men or postmenopausal women with HR-positive, HER2-negative advanced breast cancer with a PIK3CA mutation who progressed or relapsed on or after treatment with an AI plus a CDK4/6 inhibitor.

Conditions:
Breast Cancer
Location:
  • Novartis Investigative Site, Calgary, Alberta, Canada
  • Novartis Investigative Site, Oshawa, Ontario, Canada
  • Novartis Investigative Site, Ottawa, Ontario, Canada
Sex:
ALL
Ages:
18 - 100

The purpose of this study is to evaluate the long-term safety and efficacy of pembrolizumab (MK-3475) in participants from previous Merck pembrolizumab-based parent studies who transition into this extension study. This study will consist of three phases: 1) First Course Phase, 2) Survival Follow-up Phase or 3) Second Course Phase. Each participant will transition to this extension study in one of the following three phases, depending on the study phase they were in at the completion of the parent study. Participants who were in the First Course Phase of study treatment with pembrolizumab or lenvatinib in their parent study will enter the First Course Phase of this study and complete up to 35 doses or more every 3 weeks (Q3W) or 17 doses or more every 6 weeks (Q6W) of study treatment with pembrolizumab or a pembrolizumab-based combination or lenvatinib according to arm assignment. Participants who were in the Follow-up Phase in the parent study (post-treatment or Survival Follow-up Phase) will enter the Survival Follow-up Phase of this study. Participants who were in the Second Course Phase in their parent study will enter Second Course Phase of this study and complete up to 17 doses Q3W or 8 doses Q6W of study treatment with pembrolizumab or a pembrolizumab-based combination according to arm assignment. Any participant originating from a parent trial where crossover to pembrolizumab was permitted upon disease progression may be eligible for 35 doses as Q3W or 17 doses Q6W of pembrolizumab (approximately 2 years), if they progress while on the control arm and pembrolizumab is approved for the indication in the country where the potential eligible crossover participant is being evaluated.

Conditions:
Solid Tumors | Hematologic Malignancies
Location:
  • Hamilton Health Sciences-Juravinski Cancer Centre ( Site 2801), Hamilton, Ontario, Canada
  • Sunnybrook Research Institute ( Site 2802), Toronto, Ontario, Canada
  • Centre Intégré de Santé et de Services Sociaux (CISSS) de La-Centre intégré de cancérologie de Lava, Laval, Quebec, Canada
  • Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer, Sherbrooke, Quebec, Canada
  • CancerCare Manitoba ( Site 2814), Winnipeg, Manitoba, Canada
  • The Ottawa Hospital - General Campus ( Site 2813), Ottawa, Ontario, Canada
  • Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre-Oncology ( Site 2809), Greenfield Park, Quebec, Canada
  • McGill University Health Centre ( Site 2818), Montreal, Quebec, Canada
  • Arthur J.E. Child Comprehensive Cancer Centre ( Site 2815), Calgary, Alberta, Canada
  • Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 2808), Kingston, Ontario, Canada
  • Mount Sinai Hospital ( Site 2811), Toronto, Ontario, Canada
  • Centre integre universitaire de sante et de services sociaux de la Mauricie-et-du-centre-du-quebec (, Trois-Rivières, Quebec, Canada
  • Centre Hospitalier de l Universite de Montreal - CHUM ( Site 2807), Montreal, Quebec, Canada
  • Cross Cancer Institute ( Site 2804), Edmonton, Alberta, Canada
  • London Regional Cancer Program - LHSC ( Site 2806), London, Ontario, Canada
  • Princess Margaret Cancer Centre ( Site 2803), Toronto, Ontario, Canada
  • Jewish General Hospital ( Site 2800), Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Despite recent medical and technological advances, optimal glycemic control (time in range; TIR) and prevention of hypoglycemia remain significant challenges for people living with type 1 diabetes (T1DM). Automated insulin delivery systems (AIDs) combine an insulin pump coupled via an algorithm with a continuous glucose monitor (CGM), allowing constant adjustment of insulin doses according to blood glucose levels. Despite the significant improvement in blood glucose parameters and quality of life with these systems, they are not available to everyone and more and more people with diabetes are resorting to home-made or do-it-yourself (DIY) systems to access this technology. DIY systems are not approved or regulated by Health Canada, despite the growing interest. There have been no studies looking at this type of system in active people living with DbT1, including the risk of exercise-induced hypoglycemia. The primary objective of this study is to evaluate the safety and efficacy of IDA systems in physically active individuals living with type 1 diabetes.This is a real-life observational study in people with commercial IDA (control group) and IDA-DIY. This study includes only one inclusion visit (which may be virtual) and the observation period is 6 weeks. Participants will be required to wear their own artificial pancreas system and give us access to blood glucose and insulin data at the end of the study. They will be required to wear a watch to record physical activity (FitBit). We will ask them to complete information about their diet at least twice a week for a whole day (Keenoa application). Finally, participants will be asked to complete a physical activity diary to complete data (carbohydrates in prevention of activity, insulin suspension, hypoglycemia during or after exercise, etc.).

Conditions:
Type 1 Diabetes
Location:
  • Institut de Recherches Cliniques de Montréal (IRCM), Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

This phase II trial tests the safety, side effects, best dose and activity of tovorafenib (DAY101) in treating patients with Langerhans cell histiocytosis that is growing, spreading, or getting worse (progressive), has come back (relapsed) after previous treatment, or does not respond to therapy (refractory). Langerhans cell histiocytosis is a type of disease that occurs when the body makes too many immature Langerhans cells (a type of white blood cell). When these cells build up, they can form tumors in certain tissues and organs including bones, skin, lungs and pituitary gland and can damage them. This tumor is more common in children and young adults. DAY101 may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Using DAY101 may be effective in treating patients with relapsed or refractory Langerhans cell histiocytosis.

Conditions:
Recurrent Langerhans Cell Histiocytosis | Refractory Langerhans Cell Histiocytosis
Location:
  • Hospital for Sick Children, Toronto, Ontario, Canada
  • McMaster Children's Hospital at Hamilton Health Sciences, Hamilton, Ontario, Canada
  • Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
  • IWK Health Centre, Halifax, Nova Scotia, Canada
  • Centre Hospitalier Universitaire de Sherbrooke-Fleurimont, Sherbrooke, Quebec, Canada
  • University of Alberta Hospital, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
180 - 22

Small connected devices monitoring vital signs do not exist in children although they could be very useful to monitor patients once they have left the pediatric intensive care unit (PICU) in order to early identify patients at risk of PICU readmission. The main objective of this study is to assess the accuracy of a connected thoracic patch (VT-Patch) for the continuous monitoring of vital signs in PICU patients. This monitoring device will be used to monitor children in PICU for 8 hours and results will be compared to the standard of care in the unit which is the Philips monitoring system. The investigators will assess the device's accuracy for the monitoring of 4 vital signs (SpO2, heart rate, respiratory rate and temperature) and perform exploratory assessment of three additional parameters (EKG, blood pressure and movement capture). The skin colour of each participant will be categorized based on Fitzpatrick scale and non-invasive spectroscopic method.

Conditions:
Vital Signs
Location:
  • CHU Sainte Justin Hospital, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Under 18