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The purpose of this study is to demonstrate that the study drug exposure level of the nivolumab + relatlimab FDC subcutaneous (SC) formulation is not worse than nivolumab + relatlimab FDC intravenous (IV) administration in participants with previously untreated metastatic or unresectable melanoma.
Conditions:
MelanomaLocation:
- Arthur J. E. Child Comprehensive Cancer Centre, Calgary, Alberta, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Juravinski Cancer Centre, Hamilton, Ontario, Canada
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
Sex:
ALLAges:
Over 12SAFE is an international multicentre RCT of concomitant surgical atrial fibrillation (AF) ablation in patients with paroxysmal or persistent AF undergoing cardiac surgery.
Conditions:
Atrial Fibrillation | Heart FailureLocation:
- Hamilton General Hospital, Hamilton, Ontario, Canada
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ALLAges:
Over 18To conduct a randomized controlled trial (N=408) examining the impact of an online cognitive behavioural therapy (CBT)-based workshop on rates of postpartum depression (i.e., EPDS scores at 2-months postpartum) when added to treatment as usual (TAU) compared to TAU alone.
Conditions:
Postpartum Depression | Postpartum AnxietyLocation:
- McMaster University, Hamilton, Ontario, Canada
Sex:
FEMALEAges:
Over 18To document the clinical outcome of Rezūm therapy for BPH patient in Canadian cohort.
Conditions:
Urologic DiseasesLocation:
- Dean Elterman, Toronto, Ontario, Canada
Sex:
MALEAges:
Over 18Infective endocarditis (IE) is a serious infection associated with significant morbidity and mortality. Recent studies demonstrated an increased risk of infective endocarditis in people who inject drugs (PWIDs). PWIDs have a high rate of non-compliance with hospital admissions and leaving against medical advice. A recent landmark randomized controlled trial demonstrated similar outcomes when comparing partial oral antimicrobial therapy to continued intravenous antimicrobial therapy in the general population. Performing a trial to explore the non-inferiority of oral compared to intravenous antimicrobial therapy in PWIDs is essential in advancing patient care in this high risk increasing population.
Conditions:
Infective EndocarditisLocation:
- University Hospital, London, Ontario, Canada
- Victoria Hospital, London, Ontario, Canada
Sex:
ALLAges:
18 - 75Early stage high-grade cancer, endometrial and ovarian, has few, if any, symptoms or signs. When symptoms appear, the disease may be in advanced stage as the disease has left the gynaecological organs and metastasized to the pelvic/abdominal cavity. The McGill research group had showed in the DOvEE trial (NCT02296307), that fast-track assessment with transvaginal ultrasound scans (TVUS) and serial CA125 of women with vague symptoms associated with ovarian and endometrial cancer did diagnose these cancers earlier in the disease trajectory, with low-volume resectable disease, but only after the cancer had already become Stage III. One way to detect these cancers earlier is to screen asymptomatic women. Unfortunately, none of the currently available tests, including TVUS and CA-125 have been shown to be useful for screening for ovarian or endometrial cancer. The McGill team has developed a genomic assay to screen and detect these cancers earlier in the trajectory than is currently the case. The test identifies pathogenic somatic mutations (necessary early steps in the development of these cancers), in an uterine cytological sample. It is able to do so by incorporating a deep machine-learning derived classifier that can discriminate the mutational signature of these cancers from benign disease with a sensitivity of 70% and a specificity of 100% in a population with high background mutational burden. In addition to the intra-uterine cytological sample, the test includes an assay of a saliva sample to identify germline mutations that predispose to hereditary endometrial/ovarian cancers as well as breast and colon cancers. The test was developed in a retrospective population in whom the assay was done pre-operatively and the diagnosis of malignancy versus benign gynecological disease was confirmed by detailed pathological analysis of the uterus, tubes, and ovaries after surgical resection (NCT02288676). The test is now ready to be tested as a phase III diagnostic test in the general population to see if these results are just as promising in the community at large.
Conditions:
Diagnoses DiseaseLocation:
- McGill University Health Centre, Royal Victoria Hospital, Montreal, Quebec, Canada
- Queen Elizabeth Health Complex, Montréal, Quebec, Canada
Sex:
FEMALEAges:
45 - 75This project addresses the problem of adverse drug reactions in the three most frequently prescribed therapeutic classes of drugs in children: antibiotics, analgesics, and mental health medications. We will conduct pilot testing of a pharmacogenomic testing panel and study how the tests and generated test results are utilized and understood by physicians, pharmacists, patients and their families.
Conditions:
Adverse Drug Reaction (ADR)Location:
- Children's and Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
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ALLAges:
AnyThis study will establish the safety and effectiveness of the SAPIEN M3 System in subjects with symptomatic, at least 3+ mitral regurgitation (MR) for whom commercially available surgical or transcatheter treatment options are deemed unsuitable. Following completion of enrollment, subjects will be eligible for enrollment in the continued access phase of the trial.
Conditions:
Mitral Valve Insufficiency | Mitral RegurgitationLocation:
- Laval University, Quebec City, Quebec, Canada
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ALLAges:
Over 18This is a multi-center, open-label, first-in-human Phase 1 study evaluating the anti-programmed death receptor 1 (anti-PD-1) antibody dostarlimab (also known as TSR-042) n participants with advanced solid tumors who have limited available treatment options. The study will be conducted in 2 parts with Part 1 consisting of safety evaluation, pharmacokinetics (PK), and pharmacodynamics (PDy) of escalating doses of dostarlimab. Dose escalation will be based on ascending weight-based dose levels (DLs) of dostarlimab and will continue until the maximum tolerated dose (MTD) is reached or may be stopped at any dose level up to the highest dose of 20 milligrams per kilograms (mg/kg) based on emerging safety and PK/PDy data. Part 2 will be conducted in two subparts, Part 2A (fixed-dose safety evaluation cohorts) and Part 2B (expansion cohorts). Part 2A of the study will evaluate the safety and tolerability of dostarlimab at fixed doses of 500 mg administered every 3 weeks (Q3W) and 1000 mg administered every 6 weeks (Q6W). Part 2B of the study will examine the safety and clinical activity of dostarlimab in cohorts of participants with specific types of advanced solid tumors.
Conditions:
NeoplasmsLocation:
- GSK Investigational Site, Calgary, Alberta, Canada
- GSK Investigational Site, Hamilton, Ontario, Canada
- GSK Investigational Site, Vancouver, British Columbia, Canada
- GSK Investigational Site, Montreal, Quebec, Canada
- GSK Investigational Site, Edmonton, Alberta, Canada
- GSK Investigational Site, London, Ontario, Canada
- GSK Investigational Site, Kelowna, British Columbia, Canada
- GSK Investigational Site, Montreal, Quebec, Canada
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ALLAges:
Over 18Study JSP-CP-012 is designed as a proof of concept, parallel-group, single dose, double blind, placebo-controlled study using an allergen challenge model. A single dose proof of concept approach at a dose level shown to be biologically active should inform the impact of briquilimab on allergic asthma as compared to placebo while minimizing exposure to participants, in a new indication.
Conditions:
Allergic AsthmaLocation:
- McMaster University, Hamilton, Ontario, Canada
- University of British Columbia, Vancouver, British Columbia, Canada
- University of Calgary, Calgary, Alberta, Canada
- University of Laval, Quebec City, Quebec, Canada
- University of Alberta, Edmonton, Alberta, Canada
- University of Saskatchewan, Saskatoon, Saskatchewan, Canada