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Since its launch in 2004, the overarching aim of the Alzheimer's Disease Neuroimaging Initiative (ADNI) has been realized in informing the design of therapeutic trials in AD. ADNI3 continues the previously funded ADNI-1, ADNI-GO, and ADNI-2 studies that have been combined public/private collaborations between academia and industry to determine the relationships between the clinical, cognitive, imaging, genetic and biochemical biomarker characteristics of the entire spectrum of Alzheimer's disease (AD). The overall goal of the study is to continue to discover, optimize, standardize, and validate clinical trial measures and biomarkers used in AD research.
Conditions:
Mild Cognitive Impairment (MCI) | Alzheimer's Disease (AD)Location:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Parkwood Institute, London, Ontario, Canada
- St. Joseph's Health Center - Cognitive Neurology, London, Ontario, Canada
- University of British Columbia, Clinic for AD & Related, Vancouver, British Columbia, Canada
- Jewish General Hospital Memory Clinic, Montreal, Quebec, Canada
Sex:
ALLAges:
55 - 90The DANCE Trial is a multi-centre, randomized controlled trial comparing the safety of direct oral anticoagulants (DOAC) versus vitamin K antagonists (VKA) in the early period (30 days) after cardiac surgery in patients with atrial fibrillation requiring oral anticoagulation.
Conditions:
Bleeding Post Cardiac Surgery | Indication for AnticoagulationLocation:
- St. Boniface Hospital, Winnipeg, Manitoba, Canada
- Montreal Heart Institute, Montréal, Quebec, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
- Toronto General Hospital, Toronto, Ontario, Canada
- Sunnybrook Hospital, Toronto, Ontario, Canada
- Hamilton General Hospital, Hamilton, Ontario, Canada
- Hôpital Sacré-Coeur de Montréal, Montreal, Quebec, Canada
- Health Science Centre, St. John's, Newfoundland and Labrador, Canada
- University of British Columbia, Vancouver, British Columbia, Canada
- Health Sciences North Research Institute, Greater Sudbury, Ontario, Canada
- Montreal Heart Institute, Montreal, Quebec, Canada
- Saint John Regional Hospital, Saint John, New Brunswick, Canada
- IUCPQ-ULaval, Québec, Quebec, Canada
Sex:
ALLAges:
Over 18Background: Bone fragility is a complication of type 2 diabetes. Diabetes treatments may ameliorate or deteriorate bone fragility in this population. Bariatric surgery is gaining in popularity in people with type 2 diabetes and may impact bone health. Objectives: To evaluate the impact of the most popular bariatric procedure worldwide (sleeve gastrectomy (SG)) on vBMD by QCT in patients with type 2 diabetes; Secondary aims: (1) to identify the determinants of vBMD after bariatric surgery in patients with type 2 diabetes; (2) to compare vBMD and its potential determinants after bariatric surgery with obese controls without diabetes as well as with controls without obesity and normoglycemia.
Conditions:
Diabetes Mellitus, Type 2 | Obesity, Morbid | Bariatric Surgery | Bone HealthLocation:
- The Research Institute of the McGill University Health Centre, Montréal, Quebec, Canada
- Centre de recherche de l'IUCPQ, Québec, Quebec, Canada
- The Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
- Centre de recherche du CHU de Québec - Université Laval, Québec, Quebec, Canada
Sex:
ALLAges:
18 - 60The goal of this clinical trial is to determine the clinical effects of two different dietary fibre supplements, acacia gum (AG) and microcrystalline cellulose (MCC), in patients with ulcerative colitis. The main question it aims to answer is: Can the fibre supplements reduce gut inflammation (fecal calprotectin)? Researchers will compare AG and MCC to a placebo (a look-alike substance that contains no fibre) to see if the fibre supplements improve inflammation in ulcerative colitis. Participants will add their assigned fibre supplement or placebo to their usual diet daily for 6 weeks. They will visit the clinic at baseline, week 3, and week 6 to provide samples (stool, blood) and complete various questionnaires.
Conditions:
Ulcerative ColitisLocation:
- University of Alberta Hospital, Edmonton, Alberta, Canada
Sex:
ALLAges:
15 - 60Prospective cohort study of patients receiving standard-care radiotherapy is paramount to a better understanding of radiation effects and longterm outcomes. The primary objective is to determine the feasibility of establishing infrastructure to systematically collect clinical data, patient-reported outcomes, and imaging data from daily radiotherapy practice. Secondary objectives are to provide a control cohort for comparative effectiveness research of investigational interventions through a cmRCT design; compare imaging features with clinical outcomes; understand dose-effect relationships; quantify imaging quality metrics.
Conditions:
Cancer | Radiotherapy Side EffectLocation:
- Centre de santé et de services sociaux de Laval, Laval, Quebec, Canada
- London Health Regional Cancer Centre, London, Ontario, Canada
- CHUQ, Québec, Quebec, Canada
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
Sex:
ALLAges:
Over 18Study CP-MGD019-03 is an open-label study of lorigerlimab in participants with platinum-resistant ovarian cancer (PROC) or clear cell gynecologic cancer (CCGC). Approximately 60 participants will be enrolled. The study will assess the efficacy and safety of lorigerlimab in participants with PROC or CCGC. Participants will receive lorigerlimab by intravenous (IV) infusion on Day 1 of every 21-day treatment cycle. Treatment cycles will continue until progression of cancer, unacceptable side effects, withdrawal of consent by the participant, or the study ends. Participants will be monitored closely for side effects by physical exam and routine laboratory tests every cycle. Tumor status will be checked approximately every 9 weeks for the first year, then every 12 weeks for the duration of treatment. Participants will have a safety followup performed within 30 days after treatment discontinuation. Participants who discontinue study treatment for reasons other than progression of cancer, will continue CA-125 and tumor assessments every 12 weeks. Participants who discontinue study treatment for progression of cancer will enter the 6-month survival follow up portion of the study.
Conditions:
Endometrial Cancer | Platinum-resistant Ovarian Cancer | Platinum-Resistant Fallopian Tube...Location:
- McGill University, Montreal, Quebec, Canada
- Princess Margaret Cancer Center, Toronto, Ontario, Canada
Sex:
FEMALEAges:
Over 18A Phase 3b, open-label, single-arm, rollover study to evaluate the long-term safety of luspatercept, to the following participants: * Participants receiving luspatercept on a parent protocol at the time of their transition to the rollover study, who tolerate the protocol-prescribed regimen in the parent trial and, in the opinion of the investigator, may derive clinical benefit from continuing treatment with luspatercept * Participants in the follow-up phase previously treated with luspatercept or placebo in the parent protocol will continue into long-term post-treatment follow-up in the rollover study until the follow-up commitments are met * The study design is divided into the Transition Phase, Treatment Phase and Follow-up Phase. Participants will enter transition phase and depending on their background will enter either the treatment phase or the Long-term Post-treatment Follow-up (LTPTFU) phase * Transition Phase is defined as one Enrollment visit * Treatment Phase: For participants in luspatercept treatment the dose and schedule of luspatercept in this study will be the same as the last dose and schedule in the parent luspatercept study. This does not apply to participants that are in long-term follow-up from the parent protocol * Follow-up Phase includes: \- 42 Day Safety Follow-up Visit * During the Safety Follow up, the participants will be followed for 42 days after the last dose of luspatercept, for the assessment of safety-related parameters and adverse event (AE) reporting \- Long-term Post-treatment Follow-up (LTPTFU) Phase * Participants will be followed for overall survival every 6 months for at least 5 years from first dose of luspatercept in the parent protocol, or 3 years of post-treatment from last dose, whichever occurs later, or until death, withdrawal of consent, study termination, or until a subject is lost to follow-up. Participants will also be monitored for progression to AML or any malignancies/pre-malignancies. New anticancer or disease related therapies should be collected at the same time schedule Participants transitioning from a parent luspatercept study in post-treatment follow-up (safety or LTPTFU) will continue from the same equivalent point in this rollover study. The ACE-536-LTFU-001 rollover study will be terminated, and relevant participants will discontinue from the study when all participants fulfill 5 years on the study, including treatment and follow-up.
Conditions:
Beta-Thalassemia | Myelodysplastic Syndromes (MDS) | Myeloproliferative Neoplasm(MPN)-Associated MyelofibrosisLocation:
- Local Institution - 262, Toronto, Ontario, Canada
- Local Institution - 263, Toronto, Ontario, Canada
- University Health Network, Toronto, Ontario, Canada
- Local Institution - 260, Toronto, Ontario, Canada
Sex:
ALLAges:
Over 18The Brain In Motion 2 Study is examining the relationship between exercise, cerebral blood flow, and cognition in older adults who are at increased risk of Alzheimer’s Disease and related dementias and the role that exercise might play in the prevention of cognitive decline. We are looking for 264 individuals to volunteer in an 18-month randomized controlled trial, which includes either a six-month aerobic exercise program, or a six-month stretch and strength program. All parking expenses, as well as access and supervised training at the University of Calgary, Mount Royal University, or 1-2 other community-based facilities will be covered by the study.
Conditions:
Alzheimer’s DiseaseLocation:
- University of Calgary, Calgary, Alberta, Canada
- University of Calgary, Calgary, Alberta, Canada
Sex:
Male, Female, IntersexAges:
50 - 80Epidural analgesia was introduced to the world of obstetrics in 1909 by Walter Stoeckel. Over the following 100 years it has developed to become the gold-standard for delivery of intra-partum analgesia, with between 60 and 75% of North American parturients receiving an epidural during their labor. Effective labor analgesia has been shown to improve maternal and fetal outcomes. One aspect of catheter insertion that has not been fully evaluated, and with very little recent work undertaken, is the optimal length of epidural catheter to be left in the epidural space. Dislodgement or displacement of epidural catheter remains a significant cause for failure with analgesia. Novel methods of fixation may further reduce the risk of catheter migration. Another factor is the direction of travel within the epidural space, only 13% of lumbar catheters remain uncoiled after insertion of more than 4 cm into the epidural space. Hypothesis: The investigators hypothesize that catheters inserted to 4 cm will have a lower rate of failure when compared to those inserted to 5 cm. Objective: This study aims to evaluate the difference in quality of labor analgesia delivered by epidural catheters inserted to either 4 or 5 cm into the epidural space. This study will be conducted as an interventional double-blinded randomised control trial to establish best practice.
Conditions:
Labor PainLocation:
- Mount Sinai Hospital, Toronto, Ontario, Canada
Sex:
FEMALEAges:
18 - 50The ACTIONcardioRisk trial is designed to investigate the effect of aerobic and progressive resistance training exercises combined with cognitive training, on neurocognitive functioning of sedentary older adults with and without cardiovascular risk factors.
Conditions:
Aging | Cardiovascular Risk FactorLocation:
- Preventive medicine and physical activity centre (centre EPIC), Montreal Heart Institute, Montreal, Quebec, Canada