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This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm study for treatment of participants diagnosed with moderate-to-severe AD on background TCS who have had inadequate response to prior biologic or oral JAKi therapy. The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for subcutaneous (SC) injection compared with placebo in participants with moderate-to-severe AD aged 12 years and older on background TCS and have had an inadequate response to prior biologic or an oral JAKi therapy. Study details include: At the end of the treatment period, participants will have the option to enter the Long-Term Safety Study LTS17367 (RIVER-AD). The study duration will be up to 56 weeks for participants not entering the long-term safety study (LTS17367 \[RIVER-AD\]) including a 2 to 4-week screening, a 36-week randomized double-blind period, and a 16-week safety follow-up. The study duration will be up to 40 weeks for participants entering the long-term safety study (LTS17367 \[RIVER-AD\]) including a 2 to 4-week screening and a 36-week randomized double-blind period. The total treatment duration will be up to 36 weeks. The total number of visits will be up to 13 visits (or 12 visits for those entering the long-term safety study LTS17367 \[RIVER-AD\] study).
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Dermatitis AtopicLocation:
- Investigational Site Number : 1240020, Hamilton, Ontario, Canada
- Investigational Site Number : 1240028, Regina, Saskatchewan, Canada
- Investigational Site Number : 1240058, Burlington, Ontario, Canada
- Investigational Site Number : 1240054, Toronto, Ontario, Canada
- Investigational Site Number : 1240019, Calgary, Alberta, Canada
- Investigational Site Number : 1240053, London, Ontario, Canada
- Investigational Site Number : 1240016, Edmonton, Alberta, Canada
- Investigational Site Number : 1240012, Toronto, Ontario, Canada
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Over 12This phase III trial compares the effect of open thoracic surgery (thoracotomy) to thoracoscopic surgery (video-assisted thoracoscopic surgery or VATS) in treating patients with osteosarcoma that has spread to the lung (pulmonary metastases). Open thoracic surgery is a type of surgery done through a single larger incision (like a large cut) that goes between the ribs, opens up the chest, and removes the cancer. Thoracoscopy is a type of chest surgery where the doctor makes several small incisions and uses a small camera to help with removing the cancer. This trial is being done evaluate the two different surgery methods for patients with osteosarcoma that has spread to the lung to find out which is better.
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Metastatic Malignant Neoplasm in the Lung | Metastatic Osteosarcoma | OsteosarcomaLocation:
- Alberta Children's Hospital, Calgary, Alberta, Canada
- Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
- The Montreal Children's Hospital of the MUHC, Montreal, Quebec, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont, Sherbrooke, Quebec, Canada
- IWK Health Centre, Halifax, Nova Scotia, Canada
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Under 50This clinical research study investigates the safety, tolerability and efficacy of a peanut SLIT-tablet in adults, adolescents, and children with peanut allergy.
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Peanut AllergyLocation:
- Ottawa Allergy Research Corporation, Ottawa, Ontario, Canada
- Hamilton Allergy, Hamilton, Ontario, Canada
- The Children's Hospital Foundation of Manitoba, Winnipeg, Manitoba, Canada
- The Hospital for Sick Children, Toronto, Toronto, Ontario, Canada
- Halton Pediatric Allergy, Burlington, Ontario, Canada
- CHU-Saint-Justine, Montréal, Quebec, Canada
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4 - 65This study gathers health information for the Project: Every Child for younger patients with cancer. Gathering health information over time from younger patients with cancer may help doctors find better methods of treatment and on-going care.
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Adrenal Gland Pheochromocytoma | Malignant Neoplasm | Myeloproliferative Neoplasm | Carcinoma in...Location:
- Alberta Children's Hospital, Calgary, Alberta, Canada
- Janeway Child Health Centre, Saint John's, Newfoundland and Labrador, Canada
- Children's Hospital, London, Ontario, Canada
- Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Kingston Health Sciences Centre, Kingston, Ontario, Canada
- The Montreal Children's Hospital of the MUHC, Montreal, Quebec, Canada
- Saskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada
- IWK Health Centre, Halifax, Nova Scotia, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont, Sherbrooke, Quebec, Canada
- McMaster Children's Hospital at Hamilton Health Sciences, Hamilton, Ontario, Canada
- British Columbia Children's Hospital, Vancouver, British Columbia, Canada
- Hospital for Sick Children, Toronto, Ontario, Canada
- Jim Pattison Children's Hospital, Saskatoon, Saskatchewan, Canada
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Under 25Background Adults over the age of 60 with symptoms of major depressive disorder are said to have late-life depression (LLD), a condition that usually decreases a person's quality of life and is associated with other risks like physical frailty and dementia. A common feature of more severe LLD is psychomotor slowing, where a person's ability to think and move are impaired. For example, they might not be able to walk or process information as quickly, and they might have problems with their working memory. Psychomotor slowing in LLD might be the result of a problem with the way a person's body produces or responds to the neurotransmitter dopamine. The drug Levodopa (L-DOPA), which can replace missing dopamine in the brain, has been used to treat to treat Parkinson's disease for many decades, and it might also affect psychomotor slowing in LLD. Methods In this study, participants are adults aged 60 years or older with moderate to severe major depression. Participants undergo the "L-DOPA challenge"-a 2-week period where they receive a dose of L-DOPA once a day for the first week and a dose of L-DOPA twice a day for the second week. Before and after a participant completes the L-DOPA challenge, the study team assesses their depressive symptoms and psychomotor function. After the L-DOPA challenge, if a participant still shows signs of moderate or severe depression, they receive an antidepressant for 12 weeks. Aims The first aim of this study is to test the feasibility of the L-DOPA challenge-that is, whether most of the 50 participants recruited for this study will complete the L-DOPA challenge. For example, participants might have to withdraw if they can't make the daily visits to the research site to receive their L-DOPA medication, if they can't tolerate the medication's side effects, or if their depressive symptoms get significantly worse. Our hypothesis is that 80% of the participants will complete the L-DOPA challenge. The second aim of the study is to see if L-DOPA affects participants' depressive symptoms, processing speed, and working memory. Our hypothesis is that L-DOPA response, measured as an improvement in gait speed, is associated with a decrease in depressive symptoms and an increase in processing speed and working memory.
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Major Depressive DisorderLocation:
- St. Paul's Hospital, Vancouver, British Columbia, Canada
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Over 60There are currently no validated tools to specifically measure family engagement in the intensive care unit (ICU). To address this gap, an interdisciplinary team developed a novel instrument to measure family engagement in the ICU. This will be a prospective observational cohort with an embedded qualitative study to validate the FAMily Engagement (FAME) instrument in the ICU setting. This study will also evaluate the association between family activation, engagement, and family-centred outcomes, and exploring factors (age, relationship, sex, gender, race/ethnicity) that may influence family engagement in the ICU.
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Critical Care | Patient-centered Care | Family EngagementLocation:
- Foothills Medical Centre, Calgary, Alberta, Canada
- Royal Victoria Hospital, Montreal, Quebec, Canada
- Montreal General Hospital, Montreal, Quebec, Canada
- St. Michael's Hospital, Toronto, Ontario, Canada
- Jewish General Hospital / Lady Davis Institute, Montréal, Quebec, Canada
- Centre hospitalier de l'Université de Montréal (CHUM), Montreal, Quebec, Canada
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Over 18The goal of this preference-based pilot study will be to assess the feasibility and acceptability, and impact of a 12-week exercise intervention on oncology care provider burnout. Participants self-select to participate into one of two exercise groups. Group assignment will be based on participant preference. Group 1: Supervised circuit-based resistance exercise Group 2: Nature-based walking
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Compassion Fatigue | Burnout, CaregiverLocation:
- Physical Activity and Cancer (PAC) Lab, Halifax, Nova Scotia, Canada
- Physical Activity and Cancer (PAC) Lab, Halifax, Nova Scotia, Canada
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Over 18This phase II trial studies how well combination chemotherapy works in treating patients with newly diagnosed stage II-IV diffuse anaplastic Wilms tumors (DAWT) or favorable histology Wilms tumors (FHWT) that have come back (relapsed). Drugs used in chemotherapy regimens such as UH-3 (vincristine, doxorubicin, cyclophosphamide, carboplatin, etoposide, and irinotecan) and ICE/Cyclo/Topo (ifosfamide, carboplatin, etoposide, cyclophosphamide, and topotecan) work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. This trial may help doctors find out what effects, good and/or bad, regimen UH-3 has on patients with newly diagnosed DAWT and standard risk relapsed FHWT (those treated with only 2 drugs for the initial WT) and regimen ICE/Cyclo/Topo has on patients with high and very high risk relapsed FHWT (those treated with 3 or more drugs for the initial WT).
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Stage II Kidney Wilms Tumor | Stage III Kidney Wilms Tumor | Stage IV Kidney Wilms Tumor | Anaplastic Kidney Wilms...Location:
- British Columbia Children's Hospital, Vancouver, British Columbia, Canada
- McMaster Children's Hospital at Hamilton Health Sciences, Hamilton, Ontario, Canada
- The Montreal Children's Hospital of the MUHC, Montreal, Quebec, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
- IWK Health Centre, Halifax, Nova Scotia, Canada
- Hospital for Sick Children, Toronto, Ontario, Canada
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Children's Hospital, London, Ontario, Canada
- Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
- Alberta Children's Hospital, Calgary, Alberta, Canada
- Janeway Child Health Centre, Saint John's, Newfoundland and Labrador, Canada
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont, Sherbrooke, Quebec, Canada
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Under 30Demonstrate the relationship between dd-cfDNA levels and HLA antibodies in blood transplant recipient and Demonstrate the Molecular Microscope® (MMDx) Diagnostic System results in indication and protocol biopsies from lung transplants.
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Lung TransplantationLocation:
- University Health Network, Toronto General Hospital, Toronto, Ontario, Canada
- Alberta Transplant Applied Genomics Centre, University of Alberta, Edmonton, Alberta, Canada
- Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
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Over 18While remote monitoring (RM) technology is currently available and has permitted surveillance and device assessment from any patient location, the use has been inconsistent in Canada, where only 8500 out of a potential 120 000 patients with cardiac implantable electronic devices (CIEDs) are enrolled in this program. This technology is in widespread use worldwide for all CIEDs but in Canada, it is utilized primarily for implantable defibrillators, but not pacemakers. Whereas most of the trials were designed to evaluate the efficacy of RM in implantable cardioverter defibrillator (ICD) patients, in the pacemaker (PM) population, there has been work performed already to demonstrate an increase in detection of frequency of adverse clinical events and a reduction in reaction time to those events by RM. Based on all the available literature, it appears that RM benefits both patients and healthcare systems. Overall, studies have demonstrated that RM can be used safely in all device patient-populations, with the exception of pacemaker-dependent patients. There have been no studies that have evaluated RM only follow up, nor have there been any studies evaluating pacemaker-dependent patients. This study that will safely assess the use of RM only, with in-clinic visits when necessary, that uses the patient-centered electronic platform developed by the Cardiac Arrhythmia Network of Canada (CANet) to perform PM follow up safely, in a more cost-effective manner.
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PacemakerLocation:
- Foothills Hospital, Calgary, Alberta, Canada
- St. Mary's General Hospital, Kitchener, Ontario, Canada
- Hopital Sacre Coeur, Montréal, Quebec, Canada
- QEII Health Sciences Center, Halifax, Nova Scotia, Canada
- Montreal Heart Institute, Montréal, Quebec, Canada
- Victoria Cardiac Arrhythmia Trials, Victoria, British Columbia, Canada
- London Health Sciences Centre, London, Ontario, Canada
- Hopital Laval, Quebec City, Quebec, Canada
- Memorial University of Newfoundland Hospital, Saint John's, Newfoundland and Labrador, Canada
- Southlake Regional Health Centre, Newmarket, Ontario, Canada
- Centre Hospitalier Universitaire du Sherbrooke, Sherbrooke, Quebec, Canada