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The purpose of the study is to determine if knee replacement performed using Journey II implant is different from two other standard-of-care knee replacements using Stryker and Zimmer in terms of knee movements and forces, walking patterns, pain, and function after surgery.

Conditions:
Osteoarthritis, Knee
Location:
  • Edmonton Bone and Joint Centre, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
50 - 75

This is a single center study enrolling up to 10 patients. The primary objective is to Evaluate the feasibility and safety of the DaRT for the treatment of Liver Metastases. The secondary objective is to evaluate the pathological response of liver metastases according to the Modified tumor regression grade\[1\] and to evaluate the radiological response of liver metastases using the RECIST criteria.

Conditions:
Liver Metastases
Location:
  • e McGill University Health Centre (MUHC), Montréal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

The goal of this registry is to gather more information on the efficacy and safety of various antithrombotic regimens. The registry collects data on patients with antiphospholipid syndrome and an arterial event within the past 12 months, on treatment with either A) a VKA with therapeutic range, INR 2.0-3.0 plus low-dose aspirin (75-100 mg daily), B) a VKA alone with therapeutic range, INR 2.0-3.0, C) a VKA with therapeutic range, INR 3.0-4.0, or D) with a dual antiplatelet regimen. The follow-up is 2 years.

Conditions:
Antiphospholipid Syndrome | Arterial Thrombosis
Location:
  • McMaster University, Hamilton, Ontario, Canada
Sex:
ALL
Ages:
Over 18

Patients are being asked to be in this research study because medical researchers hope that by gathering information about a large number of children with pulmonary hypertension over time, their understanding of the disease process will increase and lead to better treatment. Investigators believe that pulmonary hypertension in children is different than pulmonary hypertension in adults and this study will help us understand those differences.

Conditions:
Pulmonary Arterial Hypertension | Pulmonary Vascular Disease
Location:
  • University of Alberta Edmonton, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
1 - 21

Chronic graft-versus-host disease (cGvHD) is one of the most serious complications following BMT (Bone Marrow Transplantation). cGvHD occurs when donor immune cells "attack" the tissues and organs of the person receiving the BMT. cGvHD can be difficult to treat once it is established leading to poor quality of life for recipients of a BMT. The goal of this study is to determine if, by using biomarkers, the investigators can predict which patients are at the highest risk of developing cGvHD after BMT, before cGvHD develops. The ABLE3.0 / CTTC 2201 study will validate and potentially refine the initial predictive biomarker algorithm developed from the original ABLE/PBTMC 1202 study (ABLE1.0), allowing clinicians the ability to pre-emptively predict their patient's future risk of developing both late-acute and chronic GvHD. This will provide the foundation for the later development of clinical trials aimed at reducing immune suppression quicker after transplant for low-risk patients (\<10% risk) and justifying more intensive approaches such as pre-emptive treatments before the onset of chronic GvHD in high-risk patients (\>45% risk).

Conditions:
Leukemia | Allogeneic Hematopoietic Stem Cell Transplantation | Chronic Graft-versus-host-disease | Blood...
Location:
  • CancerCare Manitoba, Winnipeg, Manitoba, Canada
  • UHN Princess Margaret Cancer Centre, Toronto, Ontario, Canada
  • LHSC: Victoria Hospital, London, Ontario, Canada
  • Juravinski Hospital & Cancer Centre, Hamilton, Ontario, Canada
  • McGill University Health Center, Montréal, Quebec, Canada
  • NS Health, Halifax, Nova Scotia, Canada
  • CHU de Québec - Université Laval, Laval, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Blastic Plasmacytoid Dendritic Cell Neoplasm (BPDCN) is a very rare hematologic malignancy. Despite recent advances, at present there is no consensus on the optimal treatment of BPDCN. The optimal therapy of disease remains to be determined, and due to the rarity of cases, there is a need for international collaboration to collect data on BPDCN clinical presentations, diagnostics, treatment regimens and outcomes. Therefore, the objectives of this study are: (1) to build a large database of patients with BPDCN, (2) to investigate the characteristics and outcome of the disease with different treatment regimens, (3) to evaluate prognostic factors, and (4) to generate data-based prospective treatment recommendations.

Conditions:
Blastic Plasmacytoid Dendritic Cell Neoplasm (BPDCN)
Location:
  • University of Calgary, Calgary, Alberta, Canada
  • Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada
Sex:
ALL
Ages:
Any

The purpose of this study is to determine the effect of a 12-week cycling during hemodialysis program on hemodialysis-induced myocardial stunning in adult individuals receiving hemodialysis.

Conditions:
Hemodialysis | End-stage Kidney Disease
Location:
  • University of Manitoba Department of Internal Medicine, Winnipeg, Manitoba, Canada
  • St. Pauls Hospital, Vancouver, British Columbia, Canada
  • University of Alberta Department of Internal Medicine, Edmonton, Alberta, Canada
  • University of Calgary Cumming School of Medicine Department of Internal Medicine, Calgary, Alberta, Canada
  • Western University, London, Ontario, Canada
Sex:
ALL
Ages:
Over 18

Mood disorders such as depression and bipolar disorder affect over 350 million people around the world. While several effective treatments exist, it is often difficult to match the right treatment to an individual person. Repeated efforts to find the right treatment contribute to poor functioning, low quality of life, and prolongs the time it takes to get well. Most areas of medicine are able to use 'biomarkers' or clinical tests, blood tests, or imaging to help diagnose and treat illness. The search for biomarkers in mood disorders is advancing, but one roadblock to progress is the lack of large, standardized studies of mood disorders that are needed to accurately identify biomarkers. The aim of the ENABLE platform is to provide the Canadian neuroscience community a standardized way of collecting biomarker data from individuals with a range of mood disorders symptoms. In addition, this 'master clinical trial platform' framework will provide a pool of participants who can be recruited into biomarker-based clinical trials.

Conditions:
Mood Disorders | Depressive Disorder | Bipolar and Related Disorders
Location:
  • University of British Columbia, Vancouver, British Columbia, Canada
  • University of Ottawa, Ottawa, Ontario, Canada
  • University of Calgary, Calgary, Alberta, Canada
  • Queen's University, Kingston, Ontario, Canada
  • McMaster University, Hamilton, Ontario, Canada
  • Centre for Addiction and Mental Health, Toronto, Ontario, Canada
  • Nova Scotia Health Authority, Halifax, Nova Scotia, Canada
  • University Health Network, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Over 16

Wait times and overcrowding are challenging emergency departments (EDs) around the world. Several countries with advanced healthcare systems cannot keep pace with patient demand, and Canada ranks among the longest wait times compared to peer-industrialized countries. In fact, the Canadian Institute for Health Information (CIHI) identified an 11% increase in ED wait times from 2015-2016 to 2016-2017. This translates to long wait times that deter patients from pursuing necessary care and increases their likelihood of leaving without being seen by an ED physician. In Newfoundland and Labrador (NL), this issue has precipitated strikingly serious situations regarding long wait times that have made the province a case-in-point for ED issues. To counter this, the investigators propose an innovative quality-improvement intervention called SurgeCon that includes a protocol-driven software platform and several other initiatives to reduce wait times and improve the sustainability of health systems without significant workforce changes. The investigators piloted SurgeCon at the ED in Carbonear, Newfoundland and Labrador (NL) and found there was a 32% reduction in ED wait time.

Conditions:
Length of Stay | Emergency Departments
Location:
  • Health Sciences Centre, Saint John's, Newfoundland and Labrador, Canada
  • Dr. G.B. Cross Memorial Hospital, Clarenville, Newfoundland and Labrador, Canada
  • Burin Peninsula Healthcare Centre, Burin, Newfoundland and Labrador, Canada
  • St. Clare's Mercy Hospital, Saint John's, Newfoundland and Labrador, Canada
Sex:
ALL
Ages:
Any

This global study will assess the effect of randomising dialysis sites to one of two default dialysate sodium concentrations in current practice, 140mmol/l and 137mmol/l, on major cardiovascular events and death in patients receiving maintenance haemodialysis.

Conditions:
End-stage Kidney Disease
Location:
  • Chatam-Kent Health Alliance, Chatham, Ontario, Canada
  • London Health Sciences Centre, London, Ontario, Canada
  • Huron Perth Hospital Partnership, Stratford, Ontario, Canada
  • Brantford General Hospital, Brantford, Ontario, Canada
  • Adam Linton Dialysis Unit - Victoria Hospital, London, Ontario, Canada
  • Bluewater Hospital, Sarnia, Ontario, Canada
  • Hanover District Hospital, Hanover, Ontario, Canada
  • Grey Bruce Health Services, Owen Sound, Ontario, Canada
  • Woodstock General Hospital, Woodstock, Ontario, Canada
  • St Joseph's Healthcare, Hamilton, Ontario, Canada
  • Westmount Kidney Care Centre, London, Ontario, Canada
  • Tillsonburg District Memorial Hospital, Tillsonburg, Ontario, Canada
Sex:
ALL
Ages:
Over 18