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This is a Phase 3, multicenter, open-label, blinded endpoint study to evaluate the effect of abelacimab relative to dalteparin on venous thromboembolism (VTE) recurrence and bleeding in patients with gastrointestinal (GI)/genitourinary (GU) cancer associated VTE (Magnolia)

Conditions:
Venous Thromboembolism | Deep Venous Thrombosis | Pulmonary Embolism
Location:
  • Ottawa Hospital Research Instituite, Ottawa, Ontario, Canada
  • Ottawa Hospital Research Instituite, Ottawa, Ontario, Canada
  • McGill University Health Centre, Montréal, Quebec, Canada
  • Hamilton Health Sciences, Juravinski Hospital and Cancer Centre, Hamilton, Ontario, Canada
  • Jewish General Hospital, Montréal, Quebec, Canada
  • McGill University Health Centre, Montreal, Quebec, Canada
  • Niagara Health System, St. Catharines, Ontario, Canada
  • Jewish General Hospital, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

This is a multicenter, open-label, non-randomized study to investigate the safety, tolerability, and efficacy of a single intravenous (IV) infusion of SGT-003 in participants with Duchenne muscular dystrophy. There will be 5 cohorts in this study. Cohort 1 will include participants 4 to \< 7 years of age. Cohort 2 will include participants 7 to \< 12 years of age. Cohort 3 will include participants 0 to \< 4 years of age. Cohort 4 will include participants 12 to \< 18 years of age. Cohort 5 will include participants 10 to \< 18 years of age. Initiation of participant enrollment in Cohorts 4 and 5 will be subject to the accrual of safety and efficacy data from Cohorts 1-3. All participants will receive SGT-003 and will be enrolled in the study for 5 total years for long-term follow up.

Conditions:
Duchenne Muscular Dystrophy
Location:
  • The Hospital for Sick Children, Toronto, Ontario, Canada
Sex:
MALE
Ages:
Under 17

The goal of this registry is to gather more information on the efficacy and safety of various antithrombotic regimens. The registry collects data on patients with antiphospholipid syndrome and an arterial event within the past 12 months, on treatment with either A) a VKA with therapeutic range, INR 2.0-3.0 plus low-dose aspirin (75-100 mg daily), B) a VKA alone with therapeutic range, INR 2.0-3.0, C) a VKA with therapeutic range, INR 3.0-4.0, or D) with a dual antiplatelet regimen. The follow-up is 2 years.

Conditions:
Antiphospholipid Syndrome | Arterial Thrombosis
Location:
  • McMaster University, Hamilton, Ontario, Canada
Sex:
ALL
Ages:
Over 18

There is actually no physiologic or clinical data in the literature to clearly define the potential benefits and side effects of sublingual fentanyl in patients with COPD. Therefore, the purpose of this study is to test the hypothesis that sublingual fentanyl will improve exercise capacity and dyspnea control in severe COPD patients experiencing persistent breathlessness despite optimal management.

Conditions:
COPD
Location:
  • Royal University Hospital, Saskatoon, Saskatchewan, Canada
Sex:
ALL
Ages:
Over 40

Problem: Postoperative wound infection following various spinal surgeries is a serious complication. The incidence of post-surgical wounds in spine surgery is high, and various researchers have reported different infection rates. In addition, increased healthcare costs, prolonged lengths of stay in hospital, and reduced quality of life as a result of surgical site infections (SSI) are also major concerns. Several methods for avoiding SSI, such as betadine irrigation, vacuum-assisted closure, and intra-wound vancomycin powder, have been used to reduce the rate of wound infection in spine surgery. Use of local vancomycin has been popular because of its protective effects and lower cost. According to some reports, prophylactic administration of intra-wound vancomycin powder before wound closure is an effective method for decreasing postoperative wound infection rates; however, other studies have revealed a non-significant effect of intra-wound vancomycin use for decreasing the postsurgical wound infection rate. Solution: Therefore, the investigators will prospectively randomize all various types of spinal surgeries to patients who will receive intrawound vancomycin powder and control group who will not receive the powder and to see it's effect in reducing the post-surgical infection.

Conditions:
Spine Disease
Location:
  • Windsor Regional Hospital - Ouellette, Windsor, Ontario, Canada
Sex:
ALL
Ages:
Over 18

Migrant populations represent an increasing proportion of newly referred people living with HIV in Canada, particularly in Quebec. Timely HIV care of newly referred patients has important individual-level health benefits that can result in decreased transmission and benefit the society as a whole. Yet, the timing of events in the HIV care cascade (from linkage to care to sustained viral suppression) together with the specific experience of care of these vulnerable populations (asylum-seekers, international students, patients with no status) who often face specific psycho-social and/or financial issues, has rarely been studied. In particular, little is known about their experience of HIV care whether they are referred to a multidisciplinary clinic or a physician-only clinic. In a context where B/F/TAF will be provided free-of-charge to all enrolled participants including migrant populations, we aim to investigate what model of care can best address current deficiencies in the standard HIV care cascade for newly-referred patients, which often involves delays in linkage to care and starting ART.

Conditions:
HIV Infection
Location:
  • Research Institute of the McGill University Health Centre, Montréal, Quebec, Canada
  • Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

The primary objective of the TRAC-AF Registry is to capture real-world safety and effectiveness data on AtriCure devices used to conduct concomitant open heart and/or hybrid ablation, and management of the Left Atrial Appendage concomitant to a cardiac ablation.

Conditions:
Atrial Fibrillation
Location:
  • Waterloo Regional Health Network, Kitchener, Ontario, Canada
  • Nova Scotia Health Authority, Halifax, Nova Scotia, Canada
Sex:
ALL
Ages:
Over 18

The Thermedical Ablation System and Durablate catheter is indicated for use in patients with recurrent, sustained, monomorphic ventricular tachycardia (SMVT) refractory to drug therapy and conventional (approved) catheter ablation. Subjects with recurrent, SMVT refractory to drug therapy and conventional catheter ablation who are not eligible for, or will not likely benefit from repeat endocardial ablation using an approved catheter.

Conditions:
Refractory Ventricular Tachycardia
Location:
  • McGill University Health Centre, Montréal, Quebec, Canada
  • Montreal Heart Institute - Institut de Cardiologie de Montréal, Montréal, Quebec, Canada
  • Quebec Heart and Lung Institute - Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Quebec, Canada
  • Montreal Heart Institute - Institut de Cardiologie de Montréal, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

People with IDD (intellectual and developmental disability) have very high rates of obesity and die prematurely from cardiometabolic disease. While antipsychotics contribute to this problem, their use is necessary and appropriate in a significant subgroup of individuals with IDD. Exercise and diet interventions have limitations and may not be sufficient, requiring effective adjunctive pharmacological approaches to target obesity and related comorbidities in IDD. However, persons with IDD treated with antipsychotics are systematically excluded from clinical trials hindering development of evidence to help guide safe and effective treatment of these comorbidities. Moreover, evidence from other disorders cannot be extrapolated to IDD given inherent biological differences between disorders. This trial will address the identified gaps, which extend beyond cardiovascular morbidity and negatively impact psychosocial outcomes, in a hugely underserviced population.This is the the first RCT (randomized control trial) to examine the efficacy of metformin in overweight or obese adults with IDD who have experienced antipsychotic-induced weight gain. By generating efficacy data for a very accessible and scalable intervention, allows for guideline and implementation strategies to address a recalcitrant health problem.

Conditions:
Obesity | Intellectual Disability | Developmental Disability
Location:
  • Centre for Addiction and Mental Health, Toronto, Ontario, Canada
Sex:
ALL
Ages:
16 - 65

A prospective, multi-center, double-arm, parallel, interventional, randomized, controlled clinical trial to assess the rate of periprosthetic joint infection (PJI) in patients undergoing primary total knee arthroplasty (TKA), total hip arthroplasty (THA) or hip resurfacing (HR) with XPERIENCE™ (XP) Advanced Surgical Irrigation versus dilute Betadine (DB).

Conditions:
Knee Osteoarthritis | Hip Osteoarthritis | Knee Arthritis | Hip Arthritis
Location:
  • Humber River Health, Toronto, Ontario, Canada
  • McGill University, Montréal, Quebec, Canada
  • The Ottawa Hospital, Ottawa, Ontario, Canada
  • Jewish General Hospital, Montréal, Quebec, Canada
  • Hôpital Maisonneuve-Rosemont, Montréal, Quebec, Canada
  • London Health Sciences Center, London, Ontario, Canada
  • University of British Columbia, Vancouver, British Columbia, Canada
  • St. Joseph's Health Centre, Toronto, Ontario, Canada
  • CHU de Quebec-Université Laval, Québec, Quebec, Canada
  • Jewish General Hospital, Montreal, Quebec, Canada
  • McGill University, Montreal, Quebec, Canada
  • Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18