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This is a Phase III, international, multi-centre, randomised, double-blind, parallel-group, double-dummy, active-controlled, event-driven study in patients with chronic HF and impaired kidney function who had a recent HF event. The aim is to evaluate the effect of balcinrenone/dapagliflozin vs dapagliflozin, given once daily on top of other classes of SoC, on CV death and HF events.
Conditions:
Heart Failure and Impaired Kidney FunctionLocation:
- Research Site, Winnipeg, Manitoba, Canada
- Research Site, Hamilton, Ontario, Canada
- Research Site, Oakville, Ontario, Canada
- Research Site, Toronto, Ontario, Canada
- Research Site, Montreal, Quebec, Canada
- Research Site, St Jean sur Richelieu, Quebec, Canada
- Research Site, Vancouver, British Columbia, Canada
- Research Site, Cambridge, Ontario, Canada
- Research Site, North York, Ontario, Canada
- Research Site, Peterborough, Ontario, Canada
- Research Site, Greenfield Park, Quebec, Canada
- Research Site, Montréal, Quebec, Canada
- Research Site, New Westminster, British Columbia, Canada
- Research Site, Sydney, Nova Scotia, Canada
- Research Site, London, Ontario, Canada
- Research Site, Oshawa, Ontario, Canada
- Research Site, Waterloo, Ontario, Canada
- Research Site, Montreal, Quebec, Canada
- Research Site, Trois-Rivières, Quebec, Canada
- Research Site, North Vancouver, British Columbia, Canada
- Research Site, Cambridge, Ontario, Canada
- Research Site, Newmarket, Ontario, Canada
- Research Site, Ottawa, Ontario, Canada
- Research Site, Chicoutimi, Quebec, Canada
- Research Site, Montréal, Quebec, Canada
Sex:
ALLAges:
18 - 130The purpose of this study is to assess the efficacy and safety of pembrolizumab plus lenvatinib plus chemotherapy compared with pembrolizumab plus chemotherapy as first-line intervention in participants with metastatic esophageal carcinoma. The primary hypotheses are that pembrolizumab plus lenvatinib plus chemotherapy is superior to pembrolizumab plus chemotherapy with respect to overall survival (OS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by blinded independent central review (BICR).
Conditions:
Metastatic Esophageal Squamous Cell CarcinomaLocation:
- Hotel-Dieu de Levis ( Site 0013), Levis, Quebec, Canada
- CancerCare Manitoba ( Site 0001), Winnipeg, Manitoba, Canada
- Princess Margaret Cancer Centre ( Site 0004), Toronto, Ontario, Canada
Sex:
ALLAges:
Over 18In this double-blind phase II randomized controlled trial, patients with lung cancer or ≤2 oligometastatic pulmonary lesions and a concomitant diagnosis of ILD who are planned for radical Radiation Therapy (RT) will be randomized using a 2 x 2 factorial design to oral N-acetylcysteine (NAC) versus placebo, and also to short course corticosteroids versus placebo.
Conditions:
Lung Cancer | Interstitial Lung DiseaseLocation:
- Centre Hospitalier de l'Universite de Montreal (CHUM), Montreal, Quebec, Canada
- London Regional Cancer Program, London Health Sciences Centre, London, Ontario, Canada
Sex:
ALLAges:
Over 18Chronic pain is associated with psychological disorders; which may affect a patient's socioeconomic, legal, domestic, and employment situations. This prospective observational study evaluates the impact of pain management on patients' health, social, economic, and employment status. It explores the impact of pain clinic services on patients' mental health, family health, public health, road safety, addiction situation, public safety, injury rehabilitation and employment situation.
Conditions:
Chronic Pain | Patient Compliance | Safety Issues | Addiction, Substance | Social Functioning | Road InjuryLocation:
- Salem Anaesthesia Pain Clinic, Surrey, British Columbia, Canada
Sex:
ALLAges:
20 - 99Bipolar disorder (BD) is a lifelong condition characterized by recurrent episodes of depression and (hypo)mania. Periods of chronic and recurring depressive episodes are more common and can be severely disabling. Effective treatments exist; however, a significant portion of bipolar depressed patients do not respond to or have difficulty tolerating many of these interventions and thus look beyond established treatments to achieve symptom relief. Cannabidiol (CBD), a chemical from the Cannabis sativa plant, has shown to have some beneficial effects on mood symptoms in a few small studies which assessed its effects in other mental and physical health conditions, but no large studies have been conducted to assess its safety and efficacy in bipolar depression. Additionally, several clinical studies have shown CBD to be safe and tolerable. The primary objective of this study is to assess the effectiveness, safety and tolerability of cannabidiol in patients with bipolar depression (BD I or BD II) who have not responded to adequate trials with at least one first-line treatment for bipolar depression in comparison to those who will be treated with placebo. Placebo is an inactive substance that looks identical to the study medication but contains no therapeutic ingredient. This study is a randomized (like the flip of a coin), double-blind (you and the study team will not know which treatment arm you receive) study in which participants will receive either CBD or placebo added to their current treatment. Participants will have 5 clinical appointments and a phone appointment over a period of 10 weeks.
Conditions:
Bipolar DisorderLocation:
- St. Joseph's Healthcare, Hamilton, Ontario, Canada
- Douglas Mental Health University Institute, Montreal, Quebec, Canada
- UBC Mood Disorders Centre, Vancouver, British Columbia, Canada
- Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
- Providence Care Hospital, Kingston, Ontario, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Sex:
ALLAges:
19 - 70Most chronic pain patients have mood disorders. The mood disorders may improve with better analgesia produced by Ketamine injections. A prospective study of patients undergoing interventional pain therapy using Ketamine injections. Pre-injection and post-injection patient data is collected. Pain is measured using numeric pain rating scale, and change in pain score by 2-points is considered significant. Sleep is measured using Likert sleep scale, and change in sleep score by 2-points is considered significant. Anxiety is measured using general anxiety disorder (GAD-7) scale, and change in anxiety score by 4-points is considered significant. Depression is measured using patient health questionnaire (PHQ-9), and change in depression score by 5-points is considered significant.
Conditions:
Mood Disorder; Opioid | Mood InsomniaLocation:
- Salem Anaesthesia Pain Clinic, Surrey, British Columbia, Canada
Sex:
ALLAges:
20 - 99The purpose of the core phase of the trial is to assess the efficacy, safety and tolerability of remibrutinib (LOU064) 25 milligrams (mg) twice a day (b.i.d.) over placebo for 24 weeks and in comparison to omalizumab 300 mg every 4 weeks (q4w) for 52 weeks in participants with chronic spontaneous urticaria (CSU) inadequately controlled by H1-antihistamines (H1-AH). The purpose of the open-label extension phase is to assess efficacy, safety and tolerability up to two years for patients treated with remibrutinib and patients transitioned from omalizumab to remibrutinib at Week 52. In the extension phase, treatment will be with remibrutinib only (i.e., no background therapy). The extension phase will also fulfill the Novartis commitment to provide post-trial access to participants of the previous core phase.
Conditions:
Chronic Spontaneous UrticariaLocation:
- Novartis Investigative Site, London, Ontario, Canada
- Novartis Investigative Site, Hamilton, Ontario, Canada
- Novartis Investigative Site, Edmonton, Alberta, Canada
- Novartis Investigative Site, Niagara Falls, Ontario, Canada
- Novartis Investigative Site, Hamilton, Ontario, Canada
- Novartis Investigative Site, Verdun, Quebec, Canada
Sex:
ALLAges:
18 - 100Chronic pain is associated with injuries and disabilities. This prospective observational study explores the injury or disability claims made by chronic pain patients. It evaluates the socio-demographics of the patient population. It explores the impact of pain clinic services on the patients' injury rehabilitation, insurance claim outcome, and socioeconomic situation.
Conditions:
Chronic Pain | Disabilities Multiple | Injuries | Social FunctioningLocation:
- Salem Anaesthesia Pain Clinic, Surrey, British Columbia, Canada
Sex:
ALLAges:
20 - 99The purpose of this study is to determine the Recommended Phase 2 Dose and clinical benefit of elranatamab in combination with other anti-cancer therapies in participants with multiple myeloma.
Conditions:
Multiple MyelomaLocation:
- Arthur J.E. Child Comprehensive Cancer Centre, Calgary, Alberta, Canada
- The Ottawa Hospital - General Campus, Ottawa, Ontario, Canada
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Sex:
ALLAges:
Over 18Homocystinuria is a rare and inherited metabolic disorder, people with this condition don't have an enzyme needed to break down an amino acid called homocysteine. When the body can't break down the homocysteine made from another amino acid methionine, it becomes toxic to the heart, brain, and bones. We are constantly eating methionine, a building block of protein, so a common treatment is eating a low-protein diet with medical foods and vitamin pills. This can be hard to follow due to bad tastes and missing out on foods a person enjoys, especially in children. The goal of this study is to provide participants with a supplement containing creatine, another amino acid related to methionine and homocysteine, and learn if it lowers homocysteine production in healthy adult men. We would ultimately like to see if creatine supplements are a potential alternate treatment of Homocystinuria in this proof of concept study, before studying individuals with the condition. Researchers in this study want to know: * How does the bodies digestion of isotope methionine change in breath and urine when creatine is taken in healthy young adult men? * How do levels of homocysteine, methionine and related metabolites change in the blood when creatine is taken by healthy young adult men? Participants will: * Complete two (2), 8-hour study days on-site. * Eat a lower protein diet for one (1) week before the first study day, and eat a lower protein diet with creatine supplements for one (1) week before the second study day. * During both study days eat special hourly meals of controlled amino acids and nutrients, along with a methionine isotope. (An isotope is a stable labelled amino acid that is colourless, odorless, tasteless, and safe for consumption. In the lab we can detect this isotope in breath and urine samples collected during the study day). * Provide samples of breath, urine and blood. (Researchers will also take body measurements (height weight), and use non-invasive tests to measure body composition and energy needs).
Conditions:
HomocystinuriaLocation:
- BC Children's Hospital Research Institute, University of British Columbia, Vancouver, British Columbia, Canada