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ABLE OA is a Health Canada authorized (phase II/III) trial \[Parent Control #: 263591\]. A multi-center, prospective, double-blinded, randomized, placebo-controlled adaptive trial to evaluate the efficacy of two minimally manipulated autologous cellular preparations i) bone marrow aspirate (BMA) injection; and, ii) combined lipoaspirate micronized (LAM) and leukocyte poor (LP) platelet-rich plasma (PRP) injections for the treatment of knee osteoarthritis (OA). BMA, LAM from lipoaspirate (LA), and LP-PRP from whole blood will be prepared using the Cervos Marrow Cellution™ Bone Marrow Aspiration System, Cervos LIPO-PRO™ Adipose Transfer System, and Cervos KEYPRP Platelet Separator System, respectively. Patient-reported outcome (PRO) measures will be collected using web- or paper-based questionnaires administered at baseline (pre-injection) as well as at 3, 6 and 12 months (post-injection). Blood, synovial fluid, and urine samples will be collected at baseline pre-injection and 6 months post-injection only.
Conditions:
Osteoarthritis, KneeLocation:
- Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada
- Women's College Hospital, Toronto, Ontario, Canada
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ALLAges:
Over 30Patients suffering lung failure, possibly from COVID-19 or hypoxic lung failure, will need life-saving support from a breathing machine. Any patient needing this support requires drugs to keep them sleepy, or "sedated" to be comfortable on this machine. Sedation is made possible by using drugs given through a vein. Unfortunately, these drugs are in short supply worldwide due to the high number of COVID-19 patients needing these machines. Another way to provide sleep is by using gases that are breathed in. These are used every day in operating rooms to perform surgery. These gases, also called "inhaled agents" can also be used in intensive care units and may have several important benefits for patients and the hospital. Research shows they may reduce swelling in the lung and increase oxygen levels, which allows patients to recover faster and reduce the time spent on a breathing machine. In turn, this allows the breathing machine to be used again for the next sick patient. These drugs may also increase the number of patients who live through their illness. Inhaled agents are widely available and their use could dramatically lesson the pressure on limited drug supplies. This research is a study being carried out in a number of hospitals that will compare how well patients recover from these illnesses depending on which type of sedation drug they receive. The plan is to evaluate the number who survive, their time spent on a breathing machine and time in the hospital. This study may show immediate benefits and may provide a cost effective and practical solution to the current challenges caring for patients and the hospital space, equipment and drugs to the greatest benefit. Furthermore, the study will be investigating inflammatory profile and neuro-cognitive profiles in ventilated patients. Finally, this trial will be a team of experts in sedation drugs who care for patients with proven or suspected COVID-19 who need lifesaving treatments.
Conditions:
Hypoxic Respiratory Failure | Covid19Location:
- London Health Sciences Centre - University Hospital, London, Ontario, Canada
- University Health Network - Toronto General Hospital, Toronto, Ontario, Canada
- Hôpital Sacré-Coeur de Montréal, Montréal, Quebec, Canada
- Grey Nuns Community Hospital, Edmonton, Alberta, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- McGill University Health Centre - Royal Victoria Hospital, Montréal, Quebec, Canada
- London Health Sciences Centre - Victoria Hospital, London, Ontario, Canada
- University Health Network - Toronto Western Hopsital, Toronto, Ontario, Canada
- Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ), Québec, Quebec, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
- The Ottawa Hospital, Ottawa, Ontario, Canada
- Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada
- Universite de Sherbrooke, Sherbrooke, Quebec, Canada
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ALLAges:
Over 18Ventricular tachycardia (VT) is a life-threatening cardiac rhythm disturbance which leads to sudden cardiac death (SCD), ventricular fibrillation, electrical storm, hemodynamic collapse, and syncope. VT patients with cardiomyopathy (diseased/scarred cardiac muscle) have the highest risk of SCD (\<1-4%) and recurrent VTs (15-35%). Although an implantable cardiac defibrillator (ICD) is the most effective treatment option to prevent SCD, it does not eliminate it. Without VT prevention, recurrent VT and ICD shocks may increase the risk of heart failure and death. The primary objective is to determine the optimal treatment strategy to maximize event-free survival among cardiomyopathy patients with ventricular tachycardia (VT) by the creation of a prospective, multicenter, longitudinal cohort. Also, the investigators will evaluate the epidemiology of VT, adherence to guidelines, safety, effectiveness, and cost-effectiveness of current treatment options for secondary prevention of VT in the real-world Canadian VT population.
Conditions:
Ventricular Tachycardia | ICD | Implantable Defibrillator UserLocation:
- Montreal Heart Institute,, Montréal, Quebec, Canada
- Providence Health Care Society, Vancouver, British Columbia, Canada
- QEII Health Science Centre, Halifax, Nova Scotia, Canada
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ALLAges:
Over 18Achilles tendinopathy is highly prevalent in runners, but its evolution is not easily predictable. The aim of this study is to evaluate the impact of clinical and social factors on the prognosis of acute (less than 3 months) Achilles tendinopathy in runners. Runners will be evaluated in person twice. At their first visit, data related to their training (frequency, intensity, ...), their running pattern (cadence, foot contact angle) and shoes (minimalist index) will be collected. Moreover, an ultrasound evaluation of Achilles tendon will be performed. At one, two and three months after their initial evaluation, participants will receive a link to complete an online survey about their pain. Three months after their initial evaluation, a second ultrasound of Achilles tendon will be performed.
Conditions:
Achilles TendinopathyLocation:
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, Quebec, Canada
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ALLAges:
Over 18The purpose of this study is to assess the clinical effectiveness of all approved multiple myeloma (MM) therapies in the newly-diagnosed (NDMM) and the relapsed/refractory MM (RRMM) settings in real-world clinical practice.
Conditions:
Multiple MyelomaLocation:
- Local Institution - 0065, Toronto, Ontario, Canada
- Local Institute, Weston, Ontario, Canada
- Local Institute, Toronto, Ontario, Canada
- Local Institution - 0066, Toronto, Ontario, Canada
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ALLAges:
Over 18This study aims to assess the safety of ARGX-109 in healthy adults. Another aim is to measure the amount of ARGX-109 in the blood over time to learn how it moves through the body and acts in the body. Each participant will remain in the study for approximately 20 weeks.
Conditions:
Healthy VolunteerLocation:
- Altasciences - Montreal - Phase I unit, Mount-Royal, Quebec, Canada
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ALLAges:
18 - 65After a patient is diagnosed with colon cancer, they receive a CT of the chest, abdomen, and pelvis to see if the cancer has spread (metastasized) to other parts of the body. A common site for the cancer to spread to is the liver. If an abnormality is seen in the liver on CT, sometimes an MRI of the liver is required to determine a) whether it is cancer or not and b) whether there are small tumours in the liver that were not visible on CT. During the MRI, the patient is injected with intravenous (IV) contrast. This makes liver lesions more conspicuous and also helps determine if they are cancerous or not. The most commonly used IV contrast agent is called Gadovist. However, there is another IV contrast agent called Primovist that is better at detecting liver metastases from colon cancer than Gadovist. This is very important information for surgeons, because if they considering cutting out (resecting) the liver tumours, they want to make sure they get them all. Unfortunately, Primovist is used sparingly in Canadian hospitals because it is more expensive than Gadovist and the MRI takes longer. Some early small studies have suggested that it may be possible to shorten the Primovist MRI significantly (e.g. from 60 minutes to 15 minutes), making it economically feasible to offer Primovist to more patients. However, there have not been any large studies performed to confirm these findings. The purpose of this study is to compare the accuracy of colon cancer liver metastasis detection between a regular, full-length Primovist MRI versus a shortened Primovist MRI protocol. The economic impact will also be assessed.
Conditions:
Liver Metastasis Colon CancerLocation:
- St. Joseph's Healthcare, London, Ontario, Canada
- London Health Sciences Centre, London, Ontario, Canada
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ALLAges:
Over 18This study will examine the effectiveness of the PelvicSense 3-month online program on pain and other outcomes in those with endometriosis. This study is prospective in nature and will involve several assessment points: baseline, immediately post-treatment (at the end of the 3 month program), and 3-month follow up. All aspects of the study will be conducted remotely (e.g., online, email, video calls), and participants will be at least 18 years of age, fluent in English, and experience pain due to endometriosis for at least 3 months with a physician diagnosis. Participants are expected to continue their treatment as usual and this information will be documented throughout the study.
Conditions:
EndometriosisLocation:
- Sexual Health Research Laboratory, Department of Psychology, Queen's University, Kingston, Ontario, Canada
Sex:
FEMALEAges:
Over 18The purpose of this study is to find out what effects new combinations of treatment will have this disease. New promising treatment strategies will be added to this study as they are available to be compared against the standard treatment.
Conditions:
LymphomaLocation:
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- CHUM-Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
- BCCA - Vancouver, Vancouver, British Columbia, Canada
- Kingston Health Sciences Centre, Kingston, Ontario, Canada
- CIUSSS de l'Est-de-I'lle-de-Montreal, Montreal, Quebec, Canada
- Arthur J.E. Child Comprehensive Cancer Centre, Calgary, Alberta, Canada
- QEII Health Sciences Centre, Halifax, Nova Scotia, Canada
- Odette Cancer Centre, Toronto, Ontario, Canada
- CHU de Quebec-Hopital l'Enfant-Jesus (HEJ), Quebec City, Quebec, Canada
- Cross Cancer Institute, Edmonton, Alberta, Canada
- Juravinski Cancer Centre at Hamilton Health Sciences, Hamilton, Ontario, Canada
- University Health Network, Toronto, Ontario, Canada
- Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
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ALLAges:
16 - 65This is a single center project assessing the requirements for three essential amino acids in TPN fed neonates. Using the Carbon Oxidation method (indicator amino oxidation and direct amino acid oxidation method), the investigators will determine the requirement of each of the 3 amino acids. The investigators will first determine the requirement for Phenylalanine, then Methionine and finally Histidine. The investigators will recruit 18 - 20 babies per amino acid study. Breath and urine samples will be collected to determine the oxidation of the indicator amino acid. The response of the indicator amino acid to changes in intake of the test amino acid (phenylalanine, methionine, and histidine) will be analyzed by bi-phase linear mixed effect model to determine the breakpoint or mean requirement for each amino acid. It is hypothesized that the requirement for phenylalanine, methionine and histidine will be at least 50% lower than what is currently available in commercial amino acids solutions used for TPN feeding of neonates.
Conditions:
Stable Neonates | Receiving Total Parenteral Nutrition (TPN)Location:
- Glenda Courtney-Martin, Toronto, Ontario, Canada