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This study will assess the efficacy and safety of dexpramipexole as an adjunctive oral therapy in participants with inadequately controlled asthma with an eosinophilic phenotype and a history of asthma exacerbations.

Conditions:
Asthma | Eosinophilic Asthma | Asthma; Eosinophilic
Location:
  • Research Site 20011-004, Ajax, Ontario, Canada
  • Research Site 20011-016, Ajax, Ontario, Canada
  • Research Site 20011-020, Trois-Rivieres, Quebec, Canada
  • Research Site 20011-019, Winnipeg, Manitoba, Canada
  • Research Site 20011-001, Windsor, Ontario, Canada
  • Research Site 20011-011, Vancouver, British Columbia, Canada
  • Research Site 20011-010, Burlington, Ontario, Canada
Sex:
ALL
Ages:
18 - 99

This phase II trial compares mosunetuzumab to the usual treatment (rituximab) for improving survival in patients with nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL). Rituximab and mosunetuzumab are monoclonal antibodies. They bind to a protein called CD20, which is found on B cells (a type of white blood cell) and some types of cancer cells. This may help the immune system kill cancer cells. Mosunetuzumab may be more effective at extending survival in patients with NLPHL than the usual approach with rituximab.

Conditions:
Recurrent Nodular Lymphocyte Predominant B-Cell Lymphoma | Refractory Nodular Lymphocyte Predominant B-Cell...
Location:
  • University Health Network-Princess Margaret Hospital, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Over 18

This is an open-label, single-arm, multicenter Phase 1/2 study evaluating the safety and efficacy of gene therapy by transplantation of Prime Edited autologous CD34+ stem cells modified ex vivo (PM359) in participants with autosomal recessive Chronic Granulomatous Disease (CGD) caused by mutations in the NCF1 (Neutrophil Cytosolic Factor 1) gene.

Conditions:
Chronic Granulomatous Disease | Granulomatous Disease, Chronic
Location:
  • CHU - Sainte Justine Hospital, Montréal, Quebec, Canada
Sex:
ALL
Ages:
Over 6

This phase III trial compares early treatment with venetoclax and obinutuzumab versus delayed treatment with venetoclax and obinutuzumab in patients with newly diagnosed high-risk chronic lymphocytic leukemia or small lymphocytic lymphoma. Venetoclax is in a class of medications called B-cell lymphoma-2 (BCL-2) inhibitors. It may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Immunotherapy with monoclonal antibodies, such as obinutuzumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Starting treatment with the venetoclax and obinutuzumab early (before patients have symptoms) may have better outcomes for patients with chronic lymphocytic leukemia or small lymphocytic lymphoma compared to starting treatment with the venetoclax and obinutuzumab after patients show symptoms.

Conditions:
Chronic Lymphocytic Leukemia | Small Lymphocytic Lymphoma
Location:
  • CancerCare Manitoba, Winnipeg, Manitoba, Canada
  • Ottawa Hospital and Cancer Center-General Campus, Ottawa, Ontario, Canada
  • BCCA-Vancouver Cancer Centre, Vancouver, British Columbia, Canada
  • Lakeridge Health Oshawa, Oshawa, Ontario, Canada
  • Atlantic Health Sciences Corporation-Saint John Regional Hospital, Saint John, New Brunswick, Canada
  • Jewish General Hospital, Montreal, Quebec, Canada
  • QEII Health Sciences Centre/Nova Scotia Health Authority, Halifax, Nova Scotia, Canada
  • Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
Sex:
ALL
Ages:
Over 18

This study will investigate the effects of drugs called "uterotonics" that help with the contraction of the uterus after a baby is born. This uterine contraction is very important to stop the bleeding after delivery. An uncontracted uterine state is called "uterine atony", which can lead to an excessive amount of post-delivery bleeding. Carbetocin is an uterotonic drug that works well to prevent post-delivery bleeding. In some cases, carbetocin is not enough to contract the uterus, and ongoing bleeding continues. When that happens, there are other uterotonic medications that can be used. In this study, we aim to find which uterotonic drug, amongst those available (oxytocin, carbetocin, ergometrine or carboprost), is more effective to lower the risk of post-delivery bleeding once carbetocin has already been administered. This study will be done by using a very small sample of uterine tissue, taken from the incision site, following delivery by cesarean section. The sample is taken to the laboratory and will be exposed to carbetocin followed by other uterotonic drugs. The information obtained from this study will help modify the treatment for uterine atony and post-delivery bleeding to lower the risk further.

Conditions:
Postpartum Hemorrhage
Location:
  • Mount Sinai Hospital, Toronto, Ontario, Canada
Sex:
FEMALE
Ages:
18 - 45

This study examines the efficacy of Goal Management Therapy (GMT) - a well-established cognitive remediation strategy aimed at improving goal-directed behaviors that are dependent on basic cognitive processes and on executive functioning - among public safety personnel with post-traumatic stress disorder.

Conditions:
Post Traumatic Stress Disorder | Cognitive Deficit
Location:
  • Homewood Research Institute, Guelph, Ontario, Canada
Sex:
ALL
Ages:
18 - 70

A large number of frail older adults have difficulty performing activities of daily living and resuming former roles in the months following hospital discharge. This increases the risk of unplanned hospital readmissions and emergency visits after they return home. Comprehensive, patient-centered discharge planning has been reported to improve older adults' ability to perform activities of daily living and to reduce readmission rates after hospital discharge. However, to our knowledge, no evidence-based discharge protocol is routinely used in Canada with the frail population. An innovative discharge planning intervention called "HOME" was recently developed in Australia, which includes: 1) hospital based partnership with patient and family to establish goal setting and problem solving; 2) pre-discharge home assessment to address safety issues and problems with patient and family; 3) post-discharge home assessment and in-home training to address unmet needs; and 4) follow-up telephone calls to provide ongoing support to patient and family. A Canadian version of HOME has been developed. This will be followed by a large trial to investigate if this intervention increases functioning in daily life activities and decreases hospital and emergency readmissions for frail patients who are discharged home. Our proposed study is a preliminary and necessary step to identify problems that may arise during this large trial and address them proactively. If proven beneficial, the Canadian version of HOME would be an appropriate, applicable and acceptable intervention to improve patients' experiences and outcomes as well as change health practice surroundings discharge planning with frail older adults.

Conditions:
Frail Older Adults
Location:
  • CIUSSS de l'Estrie CHUS, Sherbrooke, Quebec, Canada
Sex:
ALL
Ages:
Over 70

The primary purpose of the study is to understand the effectiveness, safety, and tolerability of encaleret when compared to standard of care (SoC) treatment in participants with Autosomal Dominant Hypocalcemia Type 1 (ADH1).

Conditions:
Autosomal Dominant Hypocalcemia (ADH)
Location:
  • Bone Research & Education Centre, Oakville, Ontario, Canada
Sex:
ALL
Ages:
Over 16

Rates of obesity in patients with schizophrenia-spectrum disorder (SSD)s have reached epidemic proportions, with established contributing effects of antipsychotic (AP) medications. Among agents approved for chronic weight management, glucagon-like peptide-1 receptor agonists (GLP-1RA) are associated with reductions in cardiovascular mortality, with recent FDA approval for once weekly semaglutide for this indication. This study will investigate whether semaglutide is effective in reducing body weight in overweight or obese individuals with SSDs who are on APs and do not demonstrate adequate weight loss on metformin (the first line treatment for weight loss in SSDs).

Conditions:
Schizophrenia Spectrum Disorders
Location:
  • Centre for Addiction and Mental Health, Toronto, Ontario, Canada
Sex:
ALL
Ages:
18 - 70

Total Knee Arthroplasty (TKA) is also known as a knee replacement. It is one of the most common orthopaedic (bone) surgeries performed and is usually very successful, but some people who have had a knee replacement feel pain that lasts for at least 3 months after surgery and thus continue to take pain control/ analgesic (opioids) medication. Opiates are medications like morphine. Pain post-surgery can make it difficult to recover and return to daily activities. A better control of pain before the surgery, can help people feel less pain, recover faster, and use less opioids after surgery. Cryoneurolysis means freezing the nerves that can cause pain. It uses very low temperatures in a specific body part (e.g., nerves to the knee) to freeze the pain nerves and therefore reduce the pain. When applied before the surgery it might help with postoperative pain after knee replacement. This study will evaluate Iovera, a cryoneurolysis handheld device commercially available in Canada that delivers freezing cold to a target nerve by using nitrous oxide. Cryoneurolysis can relieve pain and symptoms associated with osteoarthritis of the knee for up to 90 days.

Conditions:
Osteoarthritis | Knee Pain Chronic
Location:
  • St Michael's Hospital, Toronto, Ontario, Canada
Sex:
ALL
Ages:
18 - 80