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This study postulates that altered microbiota associated with areas of mucosal inflammation in CD, can be characterized by an increased proteolytic profile. This is clinically important as it may be possible to modulate the proteolytic activity of the CD-associated bacteria by using other bacteria that produce protease inhibitors, such as serpins.
Conditions:
Crohn's Disease of Both Small and Large IntestineLocation:
- McMaster University, Hamilton, Ontario, Canada
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ALLAges:
18 - 70This study is a single center, random participant selection, data analyst is blinded to patient identifiers, controlled clinical trial. The proposed study is intended to establish safety and efficacy of quantifiable electrical biomarkers for migraine that can be used to confirm a diagnosis in people that have already been screened as positive for migraine using the gold standard participative criteria set out in the International Classification of Headache disorders-3 (ICHD-3) criteria. It is hypothesized that specific brain signals can be used to distinguish between migraine patients with and without aura from normal control and tension- type headache control participants by EEG enhanced with machine learning software.
Conditions:
Migraine | Chronic Migraine | Tension-Type HeadacheLocation:
- Headache Sciences Incorporated Laboratory, Toronto, Ontario, Canada
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ALLAges:
18 - 70This clinical trial is a Phase 2/3 study that will evaluate the efficacy and safety of etavopivat and test how well etavopivat works compared to placebo to improve the amount of hemoglobin in the blood and to reduce the number of vaso-occlusive crises (times when the blood vessels become blocked and cause pain).
Conditions:
Sickle Cell DiseaseLocation:
- University Health Network - Toronto General Hospital, Toronto, Ontario, Canada
- The Hospital for Sick Children, Toronto, Ontario, Canada
- CHU Sainte-Justine Mother and Child University Hospital, Montreal, Quebec, Canada
- Providence Hematolgy, Vancouver, British Columbia, Canada
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ALLAges:
12 - 65Pain control after surgery is a crucial component of postoperative recovery. Thus, in open abdominal surgery, the use of TEA (Thoracic epidural analgesia) has become a gold standard. However, analgesia may still remain a challenge, especially in patients with large incision abdominal incisions. To address this problem, the use of the PIEB (Programmed intermittent epidural bolus) mode has been proposed, because it offers a better spread of the epidural medication. Only a few studies have evaluated the superiority of this PIEB mode in open abdominal surgery, yielding conflicting results. However, PIEB showed to be at least as effective in controlling pain as CEI, and clinical experience shows that it can be a valuable tool, especially in patients with a large laparotomy incision. However, the optimal dosage of the PIEB mode has never been determined, Furthermore, it is known whether men and women have the same dosage needs to achieve adequate analgesia since most studies have failed to account for sex-based differences in postoperative analgesia. Hence, the main objective of this study will be to determine the optimal volume dose of the PIEB delivered at a fixed interval of 60 min in patients undergoing surgery using a large midline laparotomy incision. The optimal dose for male and female patients will be determined separately by evaluating men and women in two independent groups. We hypothesize that the optimal dose of the PIEB that will provide effective analgesia in 90% of patients on the first postoperative day will range between 5 and 10 mL, for both groups. The primary outcome in both groups is successful analgesia. It is defined as a requirement of 5 or less patient-controlled epidural boluses between 8 AM and 8 PM on the first postoperative day. Secondary outcomes will be the incidence of motor block and hypotension, comparison of the level of sensory block according to group, comparison of patient satisfaction according to group and comparison of Quality of Recovery-15 score at 48h post-op according to group.
Conditions:
Laparotomy | Epidural Analgesia | Acute Post Operative PainLocation:
- Maisonneuve-Rosemont Hospital, Montréal, Quebec, Canada
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ALLAges:
18 - 85This trial is being completed to compare two commonly used options to treat pain after surgery. Participants that undergo gallbladder removal, hernia repair, and breast lump removal will be eligible to enroll. Eligible participants will be randomized to 1 of 2 groups of medications (Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) plus acetaminophen or low dose opioids plus acetaminophen). It is anticipated that the NSAID group will have superior clinical outcomes and fewer side effects when compared to the opioid group.
Conditions:
Pain, Postoperative | SurgeryLocation:
- Unity Health Toronto, Toronto, Ontario, Canada
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ALLAges:
Over 18ACCEL is a multicenter, open label phase Ia/Ib/II study of \[Ac-225\]-PSMA-62 in participants with prostate-specific membrane antigen (PSMA)-positive prostate cancer.
Conditions:
Prostate Cancer | Metastatic Castration-resistant Prostate Cancer | Hormone Sensitive Prostate...Location:
- Juravinski, Hamilton, Ontario, Canada
- BC Cancer Vancouver, Vancouver, British Columbia, Canada
- Centre Hospitalier Universite de QUEBEC, Québec, Quebec, Canada
- University Health Network - Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- McGill University Health Centre, Montréal, Quebec, Canada
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ALLAges:
Over 18The goal of this interventional study is to demonstrate the feasibility and tolerability of Dalcroze music intervention for children with congenital DM1, while providing indications of its effectiveness in improving brain and heart symptoms of DM1. Additionally, information from the collection of biological samples and wearable devices (accelerometer, EEG headband and ECG chest strap) will be used to identify brain-heart biomarkers and outcome measures for use in future research and trials. Researchers will compare the results of physical and cognitive assessments for each participant to assessments from baseline after 10 weeks of weekly music sessions. Qualitative measures (questionnaires and focus groups) will inform the feasibility of this intervention for this population. The main questions this study aims to answer are: * Are weekly music education sessions feasible for children with DM1? * Are weekly music education sessions tolerable for children with DM1? Participants will: * Attend 45-minute-long music sessions once weekly for 10 weeks. * Attend two clinic visits for cognitive and physical assessments. * Provide blood, saliva, stool and urine samples. * Use wearable devices both at-home and during music sessions. * Parents/caregivers of participants will complete questionnaires and participate in three focus groups.
Conditions:
Myotonic Dystrophy Type 1 | Myotonic Dystrophy, Congenital | Myotonic Dystrophy Type 1...Location:
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
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ALLAges:
6 - 17The study is intended to assess the safety and efficacy of perioperative treatment with Durvalumab in combination with Oleclumab, Monalizumab, or AZD0171 and platinum doublet chemotherapy (CTX); or Volrustomig or Rilvegostomig in combination with CTX; or Datopotamab deruxtecan (Dato-DXd) in combination with Durvalumab or Rilvegostomig and single agent platinum chemotherapy in participants with resectable, early-stage non-small cell lung cancer.
Conditions:
Non-small Cell Lung CancerLocation:
- Research Site, Montréal, Quebec, Canada
- Research Site, Montreal, Quebec, Canada
- Research Site, Edmonton, Alberta, Canada
- Research Site, Winnipeg, Manitoba, Canada
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ALLAges:
18 - 95The primary objective of this study is to determine the safety and tolerability of multiple doses of QRL-201 in people living with ALS
Conditions:
Amyotrophic Lateral SclerosisLocation:
- University of Alberta, Edmonton, Alberta, Canada
- University of Calgary, Calgary, Alberta, Canada
- CHUM - Hopital Notre-Dame, Montréal, Quebec, Canada
- Montreal Neurological Institute-Hospital, Montréal, Quebec, Canada
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ALLAges:
18 - 80The investigators will seek to determine the relationship between heart rate and middle cerebral artery (MCA) cerebral blood flow (CBF), as well as better understand the hemodynamic determinants of MCA CBF velocity. In order to manipulate heart rate, the investigators will recruit patients already scheduled for clinically indicated elective electrophysiological studies, where temporary pacing catheters placed in the right atrium can be used to artificially pace the heart at controlled rates. MCA CBF will be measured by transcranial Doppler ultrasound.
Conditions:
Cerebrovascular Circulation | PhysiologyLocation:
- Foothills Medical Center, Calgary, Alberta, Canada