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This study aims to assess the feasibility of a shared-care model for low-risk differentiated thyroid cancer (DTC) patients, primary care practitioners (PCPs) and the tertiary care center utilizing a digital health-based thyroid cancer assessment reminder system (TCARS) in Medable with an expedited referral to specialists for rapid assessment in case of a concern of recurrence.

Conditions:
Low Risk Differentiated Thyroid Cancer
Location:
  • Nova Scotia Health, Halifax, Nova Scotia, Canada
Sex:
ALL
Ages:
Over 18

The goal of this observational study is to see whether a new virtual reality (VR) program meant to treat phantom limb pain (PLP) is feasible to people immediately following lower limb amputation. This study aims to answer three questions. 1. Is this VR treatment acceptable to people immediately following lower limb amputation? 2. Are the researchers able to recruit participants that represent the population in need of this treatment, and will these participants stay until the end of the study? 3. Do participants who use the VR program more have less severe PLP than participants who use the VR program for fewer sessions? Participants will: * Try the VR program in the hospital, their home, and in physiotherapist clinics daily for about seventeen sessions. * After each session, participants will fill out questionnaires asking about their level of pain, their nausea, and how acceptable they find the program. They will also complete measures asking about how they're feeling and what led to their amputation. * One month following their final VR session, researchers will phone the participants to ask them to rate how severe their PLP is.

Conditions:
Phantom Limb Pain
Location:
  • Health Sciences Center, Winnipeg, Manitoba, Canada
Sex:
ALL
Ages:
18 - 80

During end-stage kidney disease, clinical guidelines suggest reducing elevated phosphate levels in the blood. However, the effect of lowering blood phosphate levels on important patient-centred outcomes has never been tested. This trial will evaluate whether compared to high levels, lowering blood phosphate levels would reduce death or major events due to heart disease, improve physical health, and be cost-effective.

Conditions:
Kidney Failure, Chronic | Hyperphosphatemia
Location:
  • Foothills Hospital/ U of Calgary, Calgary, Alberta, Canada
  • Dalhousie University, Halifax, Nova Scotia, Canada
  • Orillia Soldier's Memorial Hospital, Orillia, Ontario, Canada
  • St Michael's Hospital, Toronto, Ontario, Canada
  • The Charles Lemoyne Hospital, Longueuil, Quebec, Canada
  • Jewish General Hospital, Montréal, Quebec, Canada
  • Vancouver General Hospital, Vancouver, British Columbia, Canada
  • Oakville Trafalgar Memorial Hospital, Oakville, Ontario, Canada
  • Scarborough Hospital Network, Scarborough, Ontario, Canada
  • St. Joseph's Healthcare Toronto, Toronto, Ontario, Canada
  • CHUM, Montréal, Quebec, Canada
  • Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
  • Alberta Health Services, Edmonton, Alberta, Canada
  • Queen's University, Kingston, Ontario, Canada
  • Lakeridge Health, Oshawa, Ontario, Canada
  • University Health Network - University of Toronto, Toronto, Ontario, Canada
  • McGill University Health Centre, Montreal, Quebec, Canada
  • Sacre Coeur Hospital, Montréal, Quebec, Canada
  • St. Paul's Hospital, Vancouver, British Columbia, Canada
  • London Health Sciences Centre, London, Ontario, Canada
  • The Ottawa Hospital, Ottawa, Ontario, Canada
  • St. Joseph's Healthcare Hamilton, Toronto, Ontario, Canada
  • Hopital Maisonneuve Rosemont, Montréal, Quebec, Canada
  • CHU de Quebec Universite Laval, Quebec City, Quebec, Canada
Sex:
ALL
Ages:
Over 18

This study is conducted to see if ziltivekimab reduces the risk of having cardiovascular events (for example heart attack and stroke) in people with cardiovascular disease, chronic kidney disease and inflammation. Participants will either get ziltivekimab (active medicine) or placebo (a dummy medicine which has no effect on the body). This is known as the study medicine. Which treatment participants get is decided by chance. Participants chance of getting ziltivekimab or placebo is the same. Ziltivekimab is not yet approved in any country or region in the world. It is a new medicine doctors cannot prescribe. Participants will get the study medicine in a pre filled syringe. Participants will need to use the pre filled syringe to inject the study medicine into a skinfold once-monthly. The study is expected to last for up to 4 years. Participants will have up to 20 clinic visits. Participants will have blood and urine samples taken at most of the clinic visits. Participants will have their heart examined using sound waves (echocardiography) and electrodes (electrocardiogram). Women cannot take part if pregnant, breast-feeding or planning to get pregnant during the study period.

Conditions:
Chronic Kidney Disease | Inflammation | Cardiovascular Risk
Location:
  • LMC Clin Res Inc. Calgary, Calgary, Alberta, Canada
  • BC Diabetes Canada, Vancouver, British Columbia, Canada
  • Cambridge Cardiac Care Centre, Cambridge, Ontario, Canada
  • One Heart Care, Mississauga, Ontario, Canada
  • Oakville Cardiovascular Research LP, Oakville, Ontario, Canada
  • LMC Endo Centres Ltd.(Bayview), Toronto, Ontario, Canada
  • Ctr de rech Clin de Laval, Laval, Quebec, Canada
  • LMC ClinRsrh Inc.Brampton, Brampton, Ontario, Canada
  • Premier Clinical Trial Research Network (PCTRN), Hamilton, Ontario, Canada
  • North York Diagn & Cardiac Ctr, North York, Ontario, Canada
  • Heart Health Institute Research, Inc., Scarborough, Ontario, Canada
  • Viacar Recherche Clinique Inc., Brossard, Quebec, Canada
  • C-endo Diab Endo Clin Calgery, Calgary, Alberta, Canada
  • Nova Scotia Hlth Halifax, Halifax, Nova Scotia, Canada
  • LMC Clin Res Inc. Thornhill, Concord, Ontario, Canada
  • LMC Clinical Research Inc. Oakville, Oakville, Ontario, Canada
  • LMC Research Inc. Ottawa, Nepean, Ontario, Canada
  • Diabetes Heart Research Centre, Toronto, Ontario, Canada
  • Centre de recherché du CHUS, Sherbrooke, Quebec, Canada
  • LMC Diabetes & Endocrinology (Barrie), Barrie, Ontario, Canada
  • Synergy Wellness Clinic, Sherwood Park, Alberta, Canada
  • Partnrs Adv Cardio Eval (PACE), Newmarket, Ontario, Canada
  • Centricity Research Etobicoke, Etobicoke, Ontario, Canada
  • Clinical Research Solutions Inc., Waterloo, Ontario, Canada
  • Kawartha Cardiology Clinical Trials, Peterborough, Ontario, Canada
  • Centre de santé et de services, Terrebonne, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Carbon Dioxide (CO2) is a by-product of metabolism and is removed from the body when we breathe out. High levels of CO2 can affect the nervous system and cause us to be sleepy or sedated. Research suggests that high levels of CO2 may benefit patients who are asleep under anesthesia, such as by reducing infection rates, nausea, or recovery from anesthesia . CO2 may also reduce pain signals or the medication required to keep patients asleep during anesthesia; this has not been researched in children. During general anesthesia, anesthesiologists keep patients asleep with anesthetic gases or by giving medications into a vein. These drugs can depress breathing; therefore, an anesthesiologist will control breathing (ventilation) with an artificial airway such as an endotracheal tube. Changes in ventilation can alter the amount of CO2 removed from the body. The anesthesiologist may also monitor a patient's level of consciousness using a 'Depth of Anesthesia Monitor' such as the Bispectral Index (BIS), which analyzes a patient's brain activity and generates a number to tell the anesthesiologist how asleep they are. The investigator's study will test if different levels of CO2 during intravenous anesthesia are linked with different levels of sedation or sleepiness in children, as measured by BIS. If so, this could reduce the amount of anesthetic medication the child receives. Other benefits may be decreased medication costs, fewer side effects, and a positive environmental impact by using less disposable anesthesia equipment.

Conditions:
Anesthesia | Hypercapnia | Hypocapnia
Location:
  • BC Children's Hospital, Vancouver, British Columbia, Canada
Sex:
ALL
Ages:
3 - 11

ABBV-RGX-314 (also known as RGX-314) is being developed as a novel one-time gene therapy for the treatment of neovascular (wet) age-related macular degeneration (wet AMD). Wet AMD is characterized by loss of vision due to new, leaky blood vessel formation in the retina. Wet AMD is a significant cause of vision loss in the United States, Europe and Japan, with up to 2 million people living with wet AMD in these geographies alone. Current anti-vascular endothelial growth factor (VEGF) therapies have significantly changed the landscape for treatment of wet AMD, becoming the standard of care due to their ability to prevent progression of vision loss in the majority of patients. These therapies, however, require life-long intraocular injections, typically repeated every four to 12 weeks in frequency, to maintain efficacy. Due to the burden of treatment, patients often experience a decline in vision with reduced frequency of treatment over time. ABBV-RGX-314 is being developed as a potential one-time treatment for wet AMD.

Conditions:
AMD | Wet Age-related Macular Degeneration | WetAMD | CNV | nAMD | wAMD
Location:
  • University of British Columbia - Eye Care Centre, Vancouver General Hospital, Vancouver, British Columbia, Canada
  • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
  • Alberta Retina Consultants, Edmonton, Alberta, Canada
  • Retina Centre of Ottawa, Ottawa, Ontario, Canada
  • Toronto Retina Institute, North York, Ontario, Canada
  • Calgary Retina Consultants, Calgary, Alberta, Canada
  • Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
Sex:
ALL
Ages:
50 - 89

Young children with backward positioned lower jaw/chin will be recruited to have an upper jaw expansion appliance. Previous research showed that the use of similar appliances can lead to lower jaw forward growth. 60 young children aged 9-11 will be recruited to have either active or non-active Wilson type upper arch expansion appliance. Patients will have special x-ray (Cone Beam computed tomography) before and after treatment (after 9 months) of starting the treatment. After participation, routine orthodontic treatment will be continued.

Conditions:
Overbite (Excessive) Horizontal
Location:
  • University of Alberta, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
9 - 11

Atrial Fibrillation (AF) affects 200,000 Canadians and increases risk of stroke, morbidity and mortality. Having a stroke can affect a patient's ability to speak, eat, walk, work, care for themselves, and interact with others. Not only can it ruin one's life, but it can also be fatal. A stroke occurs when blood flow to the brain is blocked by a clot, depriving brain cells of oxygen. In people with atrial fibrillation, blood flow is sluggish in the top chambers of the heart, and blood clots can form there. When a piece of a clot breaks off, it can travel to the brain and cause a stroke. That's where blood thinners come in. Blood thinners, or anticoagulants, decrease the chances of blood clots forming in the heart, reducing the risk of stroke. Studies show that blood thinners are highly effective at reducing the risk of stroke by up to 95%. The conventional blood thinner is warfarin, taken by mouth. Warfarin requires regular blood tests to make sure a patient getting the correct dose. The patient also may have to avoid certain foods since the medication can interact with them. Newer blood thinners, known as direct-oral anticoagulants (DOACs) are available, which do not require regular blood tests and do not interact with foods. Two of the new blood thinners are called rivaroxaban and apixaban. Like warfarin, they can be taken by mouth, and studies have shown them to be as effective as warfarin. Both rivaroxaban and apixaban have been approved for stroke prevention in AF by Health Canada. However, there have been no direct head-to-head comparisons of these two anticoagulants, meaning comparative safety data is not available. Increasing use of DOACs for stroke prevention in AF and patient values around bleeding highlight the need for a comparison trial to ensure patients receive the anticoagulant with the greatest balance of benefit to potential harm. The trial is to assess bleeding rates and superiority of using apixaban versus rivaroxaban in patients with non-valvular atrial fibrillation.

Conditions:
Atrial Fibrillation
Location:
  • CISSS de l'Outaouais, Gatineau, Quebec, Canada
  • QEII Health Science Centre, Halifax, Nova Scotia, Canada
  • Victoria Cardiac Arrhythmia Trials, Victoria, British Columbia, Canada
  • University Ottawa Heart Institute, Ottawa, Ontario, Canada
  • Kingston General Hospital, Kingston, Ontario, Canada
  • CHU de Quebec - Université Laval, Laval, Quebec, Canada
  • The Ottawa Hospital - General Campus, Ottawa, Ontario, Canada
  • Ciusss Nim, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Low grade gliomas (LGGs) are malignant, infiltrative and incurable brain tumours that typically present in the younger population. This project proposes to use non-contrast metabolic "Saturation Transfer" (ST)-MRI to evaluate LGG tumour progression and aims to predict early changes in LGG. Early identification of LGG patients whose tumours will progress will permit early interventions. ST-MRI does not involve any intravenous injection of contrast and which acquires metabolic information not seen by standard MRI.

Conditions:
Low-grade Glioma
Location:
  • St. Michael's Hospital, Toronto, Ontario, Canada
  • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Over 12

This study will investigate the safety and efficacy of using robotic retroperitoneal lymph node dissection (R-RPLND), a minimally invasive surgical approach, as the first-line of treatment for stage IIA/B (or equivalent) seminoma patients. R-RPLND will be trialed as an alternative to chemotherapy, radiation therapy (for seminoma patients) and open RPLND in this study.

Conditions:
Stage II Testicular Seminoma | Lymphadenopathy Retroperitoneal
Location:
  • Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Sex:
MALE
Ages:
Over 18