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This study will assess how the serotonin precursor, 5-HTP, alter nervous system excitability and motor function in individuals with spinal cord injuries of differing chronicity and severity. Participants will visit the lab on 4 separate occasions where they will be administered four different drugs in a randomized, double-blinded, placebo-controlled crossover design.

Conditions:
Spinal Cord Injuries
Location:
  • University of Alberta, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
18 - 65

The goal of this clinical trial is to determine if taking a mineral-enriched powder can raise blood iron levels compared to a placebo powder in reproductive-aged women with iron deficiency. The main questions it aims to answer are: * Does the mineral-enriched powder raise blood iron levels compared to a placebo powder in women when it is taken every day for six months? * How many participants still have iron deficiency after six months of taking the mineral-enriched powder compared to a placebo powder? Participants in this clinical trial will drink the mineral-enriched powder containing ferrous iron and zinc sulphate monohydrate or a placebo powder mixed with 1 litre of water daily for six months. The placebo is a look-alike substance that does not contain active ingredients (iron and zinc). Participants will also have to: * Complete an online "study diary" every two weeks for six months * Provide a blood sample once a month for six months * Attend three in-person visits with a researcher, at enrolment (baseline), midline (three months), and endline (six months) * Complete three sets of online questionnaires (following each in-person visit) * Complete three sets of dietary assessments (following each in-person visit) * Provide three stool samples (following each in-person visit)

Conditions:
Iron Deficiency | Iron Deficiency Anaemia
Location:
  • Carleton University, Ottawa, Ontario, Canada
Sex:
FEMALE
Ages:
18 - 35

The purpose of this study is to determine the effectiveness of therapeutic dose intravenous heparin at improving replantation/revascularization success and its indications (if any) in participants who have suffered traumatic digital amputation. Digital replantation/revascularization success will be assessed in participants who receive continuous intravenous drip of thromboprophylactic heparin at a therapeutic dose (i.e. modifies INR to the desired range) contrasted to those who do not receive therapeutic dose heparin (i.e. does not modify INR to the desired range). In the study, replantation/revascularization success is defined as a clearly viable digit at the time of discharge. Secondary objectives include assessing postoperative complications associated with heparin use, such as bleeding, hematoma or heparin induced thrombocytopenia. The investigators would also assess the impact of categorical variables such as smoking status, mechanism of injury and comorbidities, on digital survival.

Conditions:
Amputation; Traumatic, Hand
Location:
  • CHUM, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 14

Pain is one of the most common symptoms of extreme stress in youth. Without treatment, short-term pain can last for months to years (called 'chronic pain'; CP), a problem already affecting 1 in 5 Canadian youth. The COVID-19 pandemic is one of the greatest threats to youth mental health seen in generations. CP in childhood can trigger a wave of mental health issues that last well into adulthood. In 2019, we learned that "access to pain care" is poor and a priority for youth with CP and their families. Unfortunately, COVID-19 has only made access more difficult. In 2020, we created an online "stepped care" program called the Power over Pain Portal for youth with CP. Stepped care is a promising way to improve access to CP care by tailoring care based on the symptoms each youth is experiencing. Like a ladder, youth start with one type of care and then "step up" or "step down" to more or less intense care depending on what they need. Over the past year, funded by CIHR, we worked with hundreds of youth and healthcare professionals across Canada to understand how the pandemic has affected pain and mental health. We also summarized all online pain self-management programs including peer support for youth to find the best resources to include in the Portal and will translate the portal content into French. Together with a diverse group of youth with CP, we have now co-designed the online Portal. The next step (focus of this grant) is to test the Portal with youth to ensure it can be implemented and is helpful. We will recruit 93 youth with CP waiting for specialist care at 11 CP clinics across Canada to use the Portal for 4 months. We will see how they use the Portal and if it helps to improve their pain and mental health. This study is important because it will allow us to understand how the Portal works in the real world before wide public release (English and French) to support all youth in Canada with CP with accessible, evidence-based pain care.

Conditions:
Chronic Pain
Location:
  • McMaster Children's Hospital, Hamilton, Ontario, Canada
  • Children's Hospital London Health Sciences, London, Ontario, Canada
  • Jim Pattison, Saskatoon, Saskatchewan, Canada
  • CHU Sainte-Justine, Montreal, Quebec, Canada
  • Children's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada
  • IWK Health Center, Halifax, Nova Scotia, Canada
  • Hospital for Sick Children, Toronto, Ontario, Canada
Sex:
ALL
Ages:
12 - 18

Cancers are often treated with external beam radiotherapy. Current radiotherapy treatments are performed using computed tomography (also known as CT) scans which may not always clearly identify the cancer. In some instances, magnetic resonance imaging (MRI) may be able to better identify cancers. Therefore, efforts are currently underway to use the MRI scans to improve radiotherapy treatments or eventually even use radiotherapy equipment that only uses MRI scans to guide treatments. This new technology that will only use MRI scans to guide treatments is called the Linac-MR (linear accelerator with an MRI). The purpose of this pilot phase of the study is to test whether the Alberta linac-MR P3 system at the Cross Cancer Institute can acquire high quality MR images safely. It will allow the researchers to develop the best collection of MR images possible with this new machine, in order to allow them to visualize tumors for future patients that are treated on this machine.

Conditions:
Cancer
Location:
  • Cross Cancer Institute, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
Over 18

The goal of this multi-centre, prospective study is to assess the frequency of asymptomatic brain metastasis in patients with stage II or III Triple Negative or HER2 positive breast cancer. The main questions it aims to answer are: 1. What proportion of patients with stage II or III Triple Negative or HER2 positive breast cancer have asymptomatic brain metastases identified on a screening contrast-enhanced magnetic resonance imaging (or computed tomography when Magnetic resonance is not possible) of the brain? 2. How do patients feel about undergoing brain imaging to screen for asymptomatic Brain metastasis? 3. What clinical and tissue-based biomarkers are associated with asymptomatic detection of Brain metastasis? Participants will undergo a brain imaging, collect one blood sample to perform ctDNA analysis, and fill the Testing Morbidities Index (TMI) after imaging is done. Procedures must take place within one year of initial diagnosis, either prior to or after completion of (neo)-adjuvant systemic therapy.

Conditions:
Breast Cancer
Location:
  • Sunnybrook Health Science Centre, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Over 18

Gold standard for neuromuscular blockade evaluation is accelerometry in three dimensions at the thumb. There are many times that measurement at the hand can be falsely under-estimated intraoperatively secondary to constriction of the upper extremities. We believe that installing the same accelerometer at the first toe will give us similar readings for both neuromuscular blockade and recovery from rocuronium administration. This study focuses on agreement values between two accelerometers installed on the hand and at on the foot.

Conditions:
Neuromuscular Blockade
Location:
  • Maisonneuve-Rosemont Hospital - CIUSSS de l'Est de l'Ile de Montréal, Montréal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

The Canadian Australasian Randomized Trial of Screening Kidney Transplant Candidates for Coronary Artery Disease (CARSK) will test the hypothesis that eliminating the regular use of non-invasive screening tests for CAD AFTER waitlist activation is not inferior to regular (i.e., annual) screening for CAD during wait-listing for the prevention of Major Adverse Cardiac Events. Secondary analyses will assess the impact of screening on the rate of transplantation, and the relative cost-effectiveness of screening.

Conditions:
Cardiovascular Diseases | Kidney Transplantation | End Stage Renal Disease | Dialysis Related Complication
Location:
  • University of British Columbia, Vancouver, British Columbia, Canada
  • London Health Science Centre, London, Ontario, Canada
  • CHU de Quebec-Universite Laval's L'Hotel-Dieu de Quebec, Laval, Quebec, Canada
  • St. Paul's Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  • University of Alberta, Edmonton, Alberta, Canada
  • Kingston Health Science Centre, Kingston, Ontario, Canada
  • St Michael's Hospital, Toronto, Ontario, Canada
  • Universite de Montreal, Hopital Maisonneuve-Rosemont, Montréal, Quebec, Canada
  • Dalhousie University, Halifax, Nova Scotia, Canada
  • The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
  • University of Montreal, Maisonneuve-Rosemont Hospital, Montréal, Quebec, Canada
  • St. Joseph's Healthcare, Hamilton, Ontario, Canada
  • University Health Network, Toronto, Ontario, Canada
  • McGill University Health Centre, Montréal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Radiation is a standard treatment option for patients with liver cancer. Unfortunately, the tumour grows after radiation in many patients and radiation can harm normal tissues. A new treatment using a specialized radiation procedure called Stereotactic body radiotherapy (SBRT) may increase the chance to control liver cancer and reduce the chance of harm to normal tissues. SBRT allows radiation treatments to be focused more precisely, and be delivered more accurately than with older treatments. SBRT has become a routine treatment. Further research has found that specialized computer programs can possibly guide the selection of an appropriate SBRT dose. This is called radiobiological guidance. However, this has not yet been proven to improve outcomes and/or reduce toxicity. Therefore, the purpose of this study is to find out if SBRT at standard dose versus SBRT guided by radiobiological techniques is better for you and your liver cancer.

Conditions:
Hepatocellular Carcinoma | Liver Metastases
Location:
  • London Regional Cancer Program, London, Ontario, Canada
Sex:
ALL
Ages:
Over 18

The goal of this clinical trial (the SIMPLY-SNAP trial) is to compare a simplified layered consent form to a full-length consent form for use during the informed consent process for a larger clinical trial of treatment of Staphylococcus aureus bloodstream infection (the SNAP trial). The main questions it aims to answer are: * Does use of a simplified layered consent form lead to an increased recruitment rate to the SNAP trial? * Does use of a simplified layer consent form lead to increased participant understanding of the SNAP trial and increased participant satisfaction with the informed consent process? Participants will be randomized to either the full-length informed consent form or the simplified layered consent form containing links to optional supplementary information or videos. Research staff will use the assigned form to explain the SNAP trial to participants. After consent, participants will be evaluated on their understanding of the SNAP trial and satisfaction with the consent process using a questionnaire.

Conditions:
Staphylococcus Aureus Bacteremia
Location:
  • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
  • Montreal General Hospital, Montreal, Quebec, Canada
  • The Ottawa Hospital, Ottawa, Ontario, Canada
  • Toronto General Hospital, Toronto, Ontario, Canada
  • Michael Garron Hospital, Toronto, Ontario, Canada
  • Royal Victoria Hospital, Québec, Quebec, Canada
  • Hamilton General Hospital, Hamilton, Ontario, Canada
  • Mount Sinai Hospital, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Any