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Restless Legs Syndrome (RLS) is a disorder that causes painful and uncomfortable sensations in the legs, and its symptoms have a significant impact on sleep and quality of life. Cannabis has been used by some RLS patients as a treatment due to its painkilling and drowsiness effects, however there has never been a clinical research trial investigating cannabis in patients with RLS. A controlled trial is needed to establish how safe and feasible cannabis is as a treatment for RLS. The investigators plan to randomize 30 participants with moderate-to-severe RLS to receive either cannabis or placebo for 8 weeks. The investigators will measure patients sleep quality and quality of life at baseline and 8-week follow-up. The investigators will also monitor patients for any adverse reactions to the study drug.
Conditions:
Restless Leg Syndrome (RLS)Location:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- University Health Network, Toronto, Ontario, Canada
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ALLAges:
Over 25This study will assess the effectiveness and accuracy of results of a new device for eye function testing. This will be done by comparing results of four eye tests that are done through the current standard used in eye clinics and that of this new device. Participants of this study will undergo the four eye tests using both the new device and the standard of care devices. The study will be done in one visit to the eye clinic. Thirty days after the eye tests were done, participants will be called by the clinic for a general follow-up and to discuss any problems, if needed.
Conditions:
Visual FunctionLocation:
- Armstrong + Small Eye Care Centre, Winnipeg, Manitoba, Canada
- Brain, Vision and Concussion Clinic, Winnipeg, Manitoba, Canada
- Prairie Eye Care (Northgate), Winnipeg, Manitoba, Canada
- St. Boniface Eye Care Centre, Winnipeg, Manitoba, Canada
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ALLAges:
18 - 65The goal of this clinical trial is to evaluate the safety and initial effectiveness of Magnetic Resonance-guided focused ultrasound neuromodulation using the Next Generation Dome Helmet (NGDH) device in patients with treatment-resistant depression. This is a prospective, single-arm, non-randomized study. Participants will: * Undergo two focused ultrasound treatment sessions targeting nodes of the cortical-striatal-thalamic circuit (CSTC) , spaced four weeks apart. * Return for follow-up visits at 24 hours, 2 weeks, and 4 weeks after each treatment session, during which clinical scales and imaging assessments will be conducted to monitor safety and clinical effects.
Conditions:
Treatment-Resistant Depression | Treatment-resistant Depression (TRD)Location:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
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ALLAges:
18 - 65Background: Caregivers of patients undergoing allogeneic hematopoietic cell transplantation (alloHCT) for hematological malignancies face significant challenges that can impact their well-being. This study aims to evaluate the feasibility and acceptability of an adapted psychoeducational intervention(PEI) designed to support these caregivers. Methods: This study will recruit caregivers of alloHCT patients. Participants will be enrolled during pre-transplant clinic visits, typically 2-4 weeks before the scheduled transplant. The intervention consists of eight sessions over 12 weeks, delivered via Microsoft Teams by a nurse facilitator. In the adapted PEI, participants will learn stress management, coping strategies, energy management, goal-setting, communication skills, and support resource access through interactive exercises. Data Collection: Participants will complete questionnaires at three time points: pre-intervention, one month post-transplant, and three months post-transplant. The final assessment will include additional questions about feasibility, acceptability and the initial efficacy of the adapted PEI. Outcomes: The primary outcomes will be the feasibility and acceptability of the adapted psychoeducational intervention (PEI). Secondary outcomes will include initial efficacy of the adapted PEI on caregiver outcomes such as depression, anxiety, satisfaction with caregiving and quality of life. Significance: This research aims to assess the feasibility, acceptability and initial efficacy of implementing the adapted PEI for alloHCT caregivers. If found feasible and acceptable, this intervention could potentially improve caregivers' ability to manage caregiving stressors and pave the way for larger-scale randomized studies and implementation.
Conditions:
Cancer | Stem Cell Transplant | Caregivers | Coping | PsychoeductionLocation:
- Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
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ALLAges:
Over 18The goal of this clinical study is to investigate the efficacy of a Bragg Apple Cider Vinegar (ACV) liquid on postprandial glucose (PPG) excursion compared to a placebo following a standardized acute carbohydrate load. The main question it aims to answer is: Is there a difference in the incremental area under the curve (iAUC) (from 0 - 120 mins following administration) for venous blood glucose between Bragg ACV liquid and placebo following an acute carbohydrate load. Participants will \[describe the main tasks participants will be asked to consume 750 mg of Bragg Apple Cider Vinegar (ACV) liquid or water and undergo a blood draw to measure glucose, insulin, and future analysis markers.
Conditions:
Healthy | Blood GlucoseLocation:
- KGK Science Inc., London, Ontario, Canada
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ALLAges:
20 - 50This study is being done to answer the following question: Can the chance of gastroesophageal cancer growing or spreading be lowered by adding a drug called zanidatamab to the usual combination of drugs? We are doing this study because we want to find out if this approach is better or worse than the usual approach for this type of cancer. The usual approach is defined as care most people get for gastroesophageal cancer
Conditions:
Gastroesophageal AdenocarcinomaLocation:
- Kingston Health Sciences Centre, Kingston, Ontario, Canada
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- CHUM-Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
- QEII Health Sciences Centre, Halifax, Nova Scotia, Canada
- Lakeridge Health Oshawa, Oshawa, Ontario, Canada
- University Health Network, Toronto, Ontario, Canada
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Verspeeten Family Cancer Centre, London, Ontario, Canada
- St. Michael's Hospital, Toronto, Ontario, Canada
- Saskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada
- Arthur J.E. Child Comprehensive Cancer Centre, Calgary, Alberta, Canada
- Royal Victoria Regional Health Centre, Barrie, Ontario, Canada
- London Health Sciences Centre Research Inc., London, Ontario, Canada
- Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
- BCCA - Vancouver, Vancouver, British Columbia, Canada
- Juravinski Cancer Centre at Hamilton Health Sciences, Hamilton, Ontario, Canada
- Odette Cancer Centre, Toronto, Ontario, Canada
- Waterloo Regional Health Network (WRHN), Kitchener, Ontario, Canada
- Centre Integre Universitaire De Sante Et De Services, Montreal, Quebec, Canada
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ALLAges:
Over 18People who live in rural areas and have hip or knee arthritis can have difficulty receiving physical therapy (PT) close to home. Living with hip or knee arthritis can make doing daily activities and being physically active difficult. This can lead to other health conditions, such as becoming overweight, or lessen enjoyment of life. We will compare 2 programs that allow physical therapists to treat rural residents in their own home to each other and to usual care. Usual care is the care that is typically provided to people living with hip or knee arthritis. For the first 12 weeks, participants will continue usual osteoarthritis (OA) care and then complete the standardized questionnaires again. Then, they will be randomized to either Individual (IPT) or Group-based PT (GPT). Over 12-weeks, therapists will meet virtually with patients using Zoom so that patients and therapists can see each other. The program will be either a class or one-on-one with a therapist. In the class, participants will still receive private one-to-one time with the therapist using a Zoom 'breakout' room. Therapists in both groups will help patients do exercises correctly in their home. Patients can also see and talk to the therapists to discuss their challenges in living with OA and set personalized goals including pain management, participating in valued daily activities, keeping healthy (diet, sleep) and being active. Both programs will allow patients who sometimes cannot access physical therapy to receive care in their home.
Conditions:
Knee Osteoarthritis | Hip OsteoarthritisLocation:
- Edmonton Bone and Joint Centre, Edmonton, Alberta, Canada
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ALLAges:
AnyThis study will include patients with invasive cervical cancer that wish to keep their fertility as much as possible in the future after treatment. Patients who receive surgery alone may experience long-term side effects including infertility. The purpose of this research study is to determine whether giving neo-adjuvant chemotherapy prior to surgery can maintain fertility in patients with invasive cervical cancer. The neo-adjuvant chemotherapy will consist of a platinum-based chemotherapy drug cisplatin or carboplatin, with a chemotherapy drug called paclitaxel. These are common chemotherapy drugs used in the treatment of women with cervical cancers.
Conditions:
Cervical CancerLocation:
- L'Hôtel-Dieu de Québec, Québec, Quebec, Canada
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Sex:
FEMALEAges:
18 - 40The investigators will apply 129Xenon and/or 3He image acquisition and analysis methods in 200 asthma patient volunteers in order to characterize and probe the relationship between lung structure and function using imaging.
Conditions:
AsthmaLocation:
- Robarts Research Institute; The University of Western Ontario; London Health Sciences Centre, London, Ontario, Canada
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ALLAges:
18 - 60Neuroendocrine tumours (NETs) are slow growing cancers, which commonly present as metastatic incurable disease. Some neuroendocrine tumours, termed functional NETs, overproduce hormones which result in a variety of symptoms. However, approximately 75% of NETs are considered non-functional meaning that they do not result in hormone overproduction. The main treatment for both functional and non-functional NETs is somatostatin analogues (SSA, a type of inhibitory hormone). These drugs slow tumour growth and reduce hormone production. Over time, the majority of patients will experience tumour growth despite treatment with SSA therapy. When this occurs, the addition of Peptide Receptor Radionuclide Therapy (PRRT, a type of targeted radiotherapy) in combination with ongoing SSA therapy is given. However, it is not known if continuing SSA therapy after commencement of PRRT is beneficial or not. The aim of this study is to estimate the outcomes of patients with grade 1 and 2 well differentiated mid, hind-gut or pancreatic neuroendocrine tumours who have progressed on SSA therapy and receive subsequent PRRT with or without concurrent SSA.
Conditions:
Neuroendocrine TumorsLocation:
- Odette Cancer Centre Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Saskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada
- BC Cancer Agency, Vancouver Cancer Centre, Vancouver, British Columbia, Canada
- Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
- London Health Sciences Centre Research Institute (LHSCRI), London, Ontario, Canada