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This is a phase 3, randomized, open-label study of opevesostat compared to alternative abiraterone acetate or enzalutamide in participants with metastatic castration-resistant prostate cancer (mCRPC) with respect to overall survival (OS) in participants with mCRPC previously treated with next-generation hormonal agent (NHA) and taxane-based chemotherapy. It is hypothesized that opevesostat is superior with respect to OS in androgen receptor ligand binding domain (AR LBD) mutation-negative and -positive participants.
Conditions:
Prostate Cancer MetastaticLocation:
- Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer, Sherbrooke, Quebec, Canada
- Princess Margaret Cancer Centre ( Site 0330), Toronto, Ontario, Canada
- Sunnybrook Research Institute ( Site 0331), Toronto, Ontario, Canada
- Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0, Quebec City, Quebec, Canada
- The Ottawa Hospital - General Campus-The Ottawa Hospital Cancer Centre ( Site 0336), Ottawa, Ontario, Canada
- Centre Hospitalier de l'Université de Montréal ( Site 0326), Montréal, Quebec, Canada
- Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0327), Québec, Quebec, Canada
- Cross Cancer Institute ( Site 0332), Edmonton, Alberta, Canada
- Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre ( Site 0328), Greenfield Park, Quebec, Canada
- Centre Hospitalier de l'Université de Montréal ( Site 0326), Montreal, Quebec, Canada
- Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer ( Site 0329), Sherbrooke, Quebec, Canada
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AnyThis phase III trial compares early treatment with venetoclax and obinutuzumab versus delayed treatment with venetoclax and obinutuzumab in patients with newly diagnosed high-risk chronic lymphocytic leukemia or small lymphocytic lymphoma. Venetoclax is in a class of medications called B-cell lymphoma-2 (BCL-2) inhibitors. It may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Immunotherapy with monoclonal antibodies, such as obinutuzumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Starting treatment with the venetoclax and obinutuzumab early (before patients have symptoms) may have better outcomes for patients with chronic lymphocytic leukemia or small lymphocytic lymphoma compared to starting treatment with the venetoclax and obinutuzumab after patients show symptoms.
Conditions:
Chronic Lymphocytic Leukemia | Small Lymphocytic LymphomaLocation:
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Ottawa Hospital and Cancer Center-General Campus, Ottawa, Ontario, Canada
- BCCA-Vancouver Cancer Centre, Vancouver, British Columbia, Canada
- Lakeridge Health Oshawa, Oshawa, Ontario, Canada
- QEII Health Sciences Centre/Nova Scotia Health Authority, Halifax, Nova Scotia, Canada
- Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
- Atlantic Health Sciences Corporation-Saint John Regional Hospital, Saint John, New Brunswick, Canada
- Jewish General Hospital, Montreal, Quebec, Canada
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Over 18Substudy 01A is part of a larger research study that is testing experimental treatments for metastatic castration-resistant prostate cancer (mCRPC). The larger study is the umbrella study (U01). The goal of substudy 01A is to evaluate the safety and efficacy of opevesostat-based treatment combinations, or as a single agent, in participants with mCRPC. This substudy will have two phases: a safety lead-in phase and an efficacy phase. The safety lead-in phase will be used to evaluate the safety and tolerability, and to establish a recommended Phase 2 dose (RP2D) for the opevesostat-based treatment combinations. There will be no hypothesis testing in this study.
Conditions:
Prostatic Neoplasms, Castration-ResistantLocation:
- Jewish General Hospital ( Site 0206), Montreal, Quebec, Canada
- Centre Hospitalier de l'Université de Montréal ( Site 0200), Montreal, Quebec, Canada
- Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0207), Québec, Quebec, Canada
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Over 18This study will evaluate the efficacy and safety of ADX-324 in participants with Type 1 or Type 2 hereditary angioedema. The study will also evaluate safety, pharmacokinetics (PK), pharmacodynamics (PD), and health-related quality of life measures.
Conditions:
Hereditary Angioedema | HAE | Hereditary Angioedema - Type 1 | Hereditary Angioedema - Type 2Location:
- ADARx Clinical Site, Ottawa, Ontario, Canada
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Over 18The primary aim of this study is to determine the safety and mechanisms of SGLT2 inhibition in individuals on peritoneal dialysis (PD) with residual kidney function (RKF).
Conditions:
Peritoneal Dialysis Complication | Kidney Dysfunction | End Stage Kidney Disease | Residual Kidney...Location:
- Toronto General Hospital, Toronto, Ontario, Canada
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ALLAges:
Over 18This study seeks to understand the effects of adult day programs on older adults, especially those with dementia, and their caregivers. A prospective cohort study will be conducted in the Canadian provinces of Alberta, British Columbia, Manitoba, and Ontario. Participants will be (1) older adults with dementia who attend a day program, and their caregivers, and (2) older adults with dementia in the community who do not attend a day program, and their caregivers. The objectives are to (1) evaluate the effects of day programs on attendee and caregiver outcomes, and (2) compare day program use patterns, attendee and caregiver social identities, day program characteristics, and day program outcomes between the 4 provinces, and (3) to explore what attendee and caregiver social identities and day program characteristics are associated with study outcomes, and with day program attendance/non-attendance.
Conditions:
Old Age; Dementia | Continuing Care | Adult Day Programs | Family/Friend CaregiversLocation:
- York Region, Multiple, Ontario, Canada
- Interior Health Region, Multiple, British Columbia, Canada
- Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
- Edmonton and Calgary Health Zones, Edmonton & Calgary, Alberta, Canada
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Over 65This study will compare the incidence of postoperative nausea and vomiting during the first 24 hours following corrective jaw surgery (orthognathic surgery) in patients with and without nasogastric tube gastric decompression.
Conditions:
Postoperative Nausea | Postoperative VomitingLocation:
- Victoria General Hospital, Halifax, Nova Scotia, Canada
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Over 16The purpose of this study is to compare how effective and how tolerable two different bowel preparation laxatives are for colonoscopy. The aim is to compare oral sulfate solution (OSS) to another laxative called 2L polyethylene glycol (PEG) solution to see which is more effective and more tolerable by individuals with IBD (Crohn's disease or Ulcerative colitis).
Conditions:
Crohn Disease | Ulcerative ColitisLocation:
- University of Manitoba, Winnipeg, Manitoba, Canada
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Over 18Caudal analgesia is an effective intervention for lumbosacral pain. Some chronic pain patients take anticoagulants for vasculopathy treatment. Anticoagulation limits the use of caudal analgesia because of the risk of epidural bleeding. Caudal analgesia may be safe and effective in anticoagulated chronic pain patients. Quantitative analysis of prospective clinical data. Evaluation of caudal analgesia efficacy and safety in anticoagulated chronic pain patients. Analysis of outcome, and complications.
Conditions:
Anticoagulants and Bleeding Disorders | Lumbar Pain SyndromeLocation:
- Salem Anaesthesia Pain Clinic, Surrey, British Columbia, Canada
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ALLAges:
20 - 99The main objective of this study is to compare the diagnostic performance of two diagnostic methods, namely CESM and MRI, in the evaluation of a lesion suspicious of breast cancer in 300 Quebec women referred for the investigation of breast cancer. breast lesion suspected of cancer. All suspicious lesions will be evaluated by these two diagnostic imaging and by TNM. Then, radiologists will respectively interpret diagnostic imaging, without knowing the result of the other imaging in parallel with the study. The sensitivity, specificity, positive predictive value and negative predictive value for his diagnostic imaging will then be determined. Histopathological confirmation by biopsy or surgery will be used as a standard value.
Conditions:
Breast CancerLocation:
- St-Sacrement Hospital, Quebec City, Quebec, Canada
- St-Sacrement Hospital, Québec, Quebec, Canada