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The main purpose of this 3-part study is to evaluate the safety and efficacy of the study drug known as LY2880070 in participants with advanced or metastatic solid tumors.
Conditions:
Neoplasms | Triple Negative Breast Cancer | Colorectal Cancer | Breast Cancer | Pancreatic Cancer | Colon...Location:
- Cross Cancer Institute, Edmonton, Alberta, Canada
- Jewish General Hospital, Montreal, Quebec, Canada
- Tom Baker Cancer Centre, Calgary, Alberta, Canada
- University Health Network - Princess Margaret Hospital, Toronto, Ontario, Canada
- BC Cancer Agency, Vancouver, British Columbia, Canada
- McGill University Health Centre, Montreal, Quebec, Canada
- Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada
- Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada
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ALLAges:
Over 18In efforts to assist people who have had a concussion (mild traumatic brain injury), the Parkwood Pacing and Planning™ app has been developed and tested and will be released to the public. The app uses a point system where users have a daily point maximum assigned based on symptom severity with daily activities (recorded by the users). Users can then schedule their daily activities based on their allowed points. The goal is to help users with symptom self-management by facilitating activity planning and pacing. Patients and clinicians have provided positive feedback on the initial version of the app. Using this as a foundation, the investigators envision enhancing the app to provide a more personalized user experience and to enable further discovery and innovations in the recovery from concussion. This will be accomplished through data analytics and machine-learning techniques, informed by the results of a large-scale research trial. This strategy will be used to customize the point system to facilitate the user with pacing and planning.
Conditions:
Acquired Brain InjuryLocation:
- Parkwood Institute, London, Ontario, Canada
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ALLAges:
Over 18A prospective open label, multicenter study to evaluate the feasibility and acute toxicity of using molecularly guided therapy in combination with standard therapy followed by a Randomized Controlled Trial of standard immunotherapy with or without DFMO followed by DFMO maintenance for Subjects with Newly Diagnosed High-Risk Neuroblastoma.
Conditions:
NeuroblastomaLocation:
- UHC Sainte-Justine, Montréal, Quebec, Canada
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ALLAges:
Under 22This first-in-human study will evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of TORL-4-500 in patients with advanced cancer. For Part 1, any advanced or metastatic solid tumor malignancy will be evaluated including, for example, adrenocortical carcinoma (ACC).
Conditions:
Advanced Solid Tumor | Hepatocellular CarcinomaLocation:
- University Health Network, Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- McGill University Health Centre, Montréal, Quebec, Canada
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ALLAges:
Over 18A growing body of studies shows that omega-3s act directly in molecular signaling pathways that reduce inflammation and are thought to have a positive effect on cognitive health. Brain fog is a term that has been popularized in the medical world in the wake of the COVID-19 pandemic. A significant proportion of patients with long COVID reported having cognitive sequelae that were like fogginess. It is defined as a cognitive impairment with characteristic symptoms including problems with concentration, attention and memory, confusion, difficulty understanding what others are saying, reduced mental acuity and mental fatigue. These are episodes of reduced cognitive capacity that are not representative of the person's normal state. This condition can be caused by various factors such as stress, lack of sleep, overwork, depression, hormonal changes due to pregnancy or menopause in women, head injuries, migraine, certain diseases or viral infections, certain medications as well as substance abuse (alcohol and/or street drugs). In this study, we want to test whether omega-3 monoglycerides (MAG-EPA) can alter the cognitive health of people with brain fog.
Conditions:
Cognitive Health | Brain FogLocation:
- Institut de recherche clinique du littoral (IRCL), Maria, Quebec, Canada
- Institut de recherche clinique du littoral (IRCL), Rimouski, Quebec, Canada
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ALLAges:
19 - 55Mitral regurgitation may be seen in the setting of cardiogenic shock. Transcatheter edge-to-edge repair (TEER) has been shown to improve outcomes in patients with chronic heart failure. Observational studies suggest improvements in clinical outcomes in patients with mitral regurgitation in the setting of cardiogenic shock; however, there remains a lack of randomized clinical data to support the use of TEER in cardiogenic shock. This study will be a multicenter, open-label, randomized-controlled trial with two study arms: medical therapy and TEER. Patients admitted to the Cardiac Intensive Care Unit (CICU), Cardiac Surgery Intensive Care Unit (CSICU) or Intensive Care Units (ICU) at participating centers will be recruited. The study aims to answer the question: "Does TEER in patients with SCAI stage C or D cardiogenic with concomitant moderate or greater mitral regurgitation improve outcomes as compared to medical therapy?" The study hypothesis is that TEER will lead to an overall improvement in the composite outcome as compared to the medical therapy arm.
Conditions:
Cardiogenic Shock | Mitral RegurgitationLocation:
- St. Michael's Hospital, Toronto, Ontario, Canada
- University of Ottawa Heart Institute, Ottawa, Ontario, Canada
- Sunnybrook Hospital, Toronto, Ontario, Canada
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ALLAges:
Over 18The investigators are studying the effects of exposure to diesel exhaust on lung inflammation in the presence and absence of an inhaled corticosteroid. Although data is mixed, studies show that asthmatics have increased lung inflammation and worse symptoms during periods of higher air pollution despite taking their anti-inflammatory corticosteroid medication. One possible reason is that air pollution exposure may decrease the ability of corticosteroids to combat inflammation. To test this volunteers will inhale either a placebo or a corticosteroid, before sitting in an exposure booth for 2 hours breathing either filtered air or diluted diesel exhaust. Samples will be collected before and after exposure to analyze the effects of budesonide and diesel exhaust exposure.
Conditions:
Exposure to Pollution | Glucocorticoid ResistanceLocation:
- University of British Columbia, Vancouver, British Columbia, Canada
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ALLAges:
19 - 49The goal of this trial is to compare the effect of a web-based educational video about pneumococcal vaccines and a reminder email to get vaccinated (intervention) with a reminder email alone (comparator) in adults aged 65 or older living in any Canadian province who reported not having received a pneumococcal vaccine. The main questions this trial aims to answer are: 1. does the educational intervention improve pneumococcal vaccine uptake, 2. does the educational intervention improve willingness to be vaccinated, 3. does the educational intervention improve knowledge of pneumococcal vaccination, 4. and does the educational intervention improve attitudes towards pneumococcal vaccines/vaccination? Eligible participants who provide electronic consent will: 1. fill out a web-based baseline survey, 2. receive access to the educational video (if assigned to the intervention group), 3. receive an email reminder to be vaccinated (both groups), 4. and fill in a web-based follow-up survey.
Conditions:
Pneumococcal Vaccine Knowledge | Pneumococcal Vaccine Uptake | Pneumococcal Vaccine Attitude | Vaccination WillingnessLocation:
- University of Ottawa, Ottawa, Ontario, Canada
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ALLAges:
Over 65The study will investigate the shortening and collapse of pertrochanteric fractures following surgical management with the TFN-Advanced nailing system. The focus will be on comparing radiographic assessments of nails which have been statically locked versus dynamically locked. This is a randomized control study with the initial invention being randomized to either statically locking or dynamically locking. For a two-month period, all eligible patients will receive the randomized allocated treatment, then treatment will switch to the alternate treatment for the next two months and will continue to alternate treatments for two-month periods until study enrollment has completed.
Conditions:
Pertrochanteric FractureLocation:
- Royal Columbian Hospital/Fraser Health Authority, New Westminster, British Columbia, Canada
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ALLAges:
Over 18The goal of this randomized controlled pilot study is to assess the feasibility, acceptability, and preliminary effects of the PACHA program designed for women having an adjuvant endocrine therapy (AET) after hormone-sensitive breast cancer. PACHA (programme en Pharmacie pour l'ACcompagnement des femmes ayant de l'Hormonothérapie Adjuvante) is a community pharmacy-based program aimed at optimizing the experience of AET and its use. The main questions it aims to answer are : * Does the program have an effect on factors expected to influence AET adherence? * Is the program acceptable? * Is the implementation of the program feasible? * What is the feasibility of procedures for carrying out a full-scale study? Participating community pharmacies will be randomized. Pharmacists working in pharmacies assigned to the PACHA group (33 pharmacies) will receive web-based training and manuals to use during their consultations with women having an AET. Recruited women attending these pharmacies will also have access to information and resources about AET (videos, evidence-based booklet). Pharmacists practicing in pharmacies assigned to the control group (33 pharmacies) will provide usual care.
Conditions:
Breast Cancer | Breast NeoplasmsLocation:
- Centre de recherche du CHU de Québec, Quebec city, Quebec, Canada