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Intravitreal topotecan has anti-inflammatory, anti-proliferative and anti-fibrotic activity that we hypothesize may exhibit high efficacy for the treatment of proliferative vitreoretinopathy (PVR) in patients with rhegmatogenous retinal detachment (RRD). A high efficacy for intravitreal topotecan has been exhibited in cell cultures of PVR. At the same time, intravitreal topotecan has been routinely used in the treatment of vitreous seeds from retinoblastoma. At doses of 5-30 micrograms per injection, no adverse events have been reported with the use of intravitreal topotecan. Therefore, the current prospective matched phase II trial aims to investigate the efficacy and safety of intravitreal topotecan for severe PVR in patients with RRD.
Conditions:
Proliferative Vitreoretinopathy in Rhegmatogenous Retinal DetachmentLocation:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- St. Michael's Hospital, Toronto, Ontario, Canada
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ALLAges:
Over 18The purpose of Part 1 (Dose Escalation) of the study is to assess the safety and tolerability, and to identify the recommended Phase 2 dose\[s\] (RP2D\[s\]) in participants with relapsed or refractory (R/R) acute myeloid leukemia (AML) (that is a type of blood cancer that has come back after treatment/or has stopped responding to treatment) or R/R higher-risk type of myelodysplastic neoplasms (MDS, type of blood cancer). The purpose of Part 2 (Cohort Expansion) is to further assess the safety, tolerability and efficacy in participants with R/R AML or higher-risk types of MDS.
Conditions:
Leukemia, Myeloid, Acute | Myelodysplastic NeoplasmsLocation:
- Princess Margaret Hospital, Toronto, Ontario, Canada
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ALLAges:
Over 18The purpose of the Pancreatic Cancer Early Detection (PRECEDE) Consortium is to conduct research on multiple aspects of early detection and prevention of pancreatic ductal adenocarcinoma (PDAC) by establishing a multisite cohort of individuals with family history of PDAC and/or individuals carrying pathogenic/likely pathogenic germline variants (PGVs) in genes linked to PDAC risk for longitudinal follow up.
Conditions:
Pancreatic Ductal Adenocarcinoma | Pancreas Cancer | Genetic Predisposition | Pancreas CystLocation:
- British Columbia Cancer Agency, Vancouver, British Columbia, Canada
- University Health Network, Toronto, Ontario, Canada
- McGill University Health Centre, Montreal, Quebec, Canada
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ALLAges:
18 - 90This study will evaluate efficacy and tolerability of iberdomide, bortezomib, dexamethasone and isatuximab on demand administered in combination.
Conditions:
Multiple MyelomaLocation:
- Princess Margaret Hospital, Toronto, Ontario, Canada
- London Health Sciences Centre, London, Ontario, Canada
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ALLAges:
Over 65The goal of this study is to learn if people who receive V940 and pembrolizumab after surgery are cancer-free longer than people who receive placebo and pembrolizumab. Researchers want to know if giving V940 and pembrolizumab after surgery can help prevent the cancer from coming back in people with non-small cell lung cancer (NSCLC) whose tumors did not respond completely to treatment before surgery (neoadjuvant treatment).
Conditions:
Carcinoma, Non-Small-Cell LungLocation:
- McGill University Health Centre ( Site 1103), Montréal, Quebec, Canada
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ALLAges:
Over 18Patients with memory and cognitive deficits following TBI that do not respond to conventional treatments experience a decrease in quality of life. Despite advances in neuroimaging, genetics, pharmacology and psychosocial interventions in the last half century, little progress has been made in altering the natural history of the condition or its outcome. This study would explore whether a surgical therapy is safe and potentially effective in patients who develop refractory memory and cognitive deficits following TBI. Preclinical studies suggest that DBS may improve memory deficits in TBI models. Moreover, DBS delivered to the fornix has shown promising clinical results in patients with Alzheimer's disease. The main mechanism for the improvements induced by DBS in memory tests is the development of multiple forms of plasticity.
Conditions:
TBI Traumatic Brain InjuryLocation:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
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ALLAges:
18 - 70Uncontrolled hypertension is associated with an increased risk of heart disease, stroke, and mortality. Obstructive sleep apnea (OSA) is common in hypertension and treatment using continuous positive airway pressure (CPAP) has been shown to effectively lower blood pressure. Despite its clinical significance, OSA remains underdiagnosed in patients with hypertension, because the current standard of care to diagnose OSA is in-laboratory polysomnography, which is inconvenient and often inaccessible for high-risk populations. An alternative to in-laboratory polysomnography is home sleep apnea testing, which has been validated against in-laboratory polysomnography and may be more convenient, accessible, and potentially cost-effective. The objective of this study is to compare home sleep apnea testing to in-laboratory polysomnography in a randomized controlled trial. The investigators will assess whether the use of home sleep apnea testing, compared to use of in-laboratory polysomnography, leads to higher rates of OSA diagnosis and treatment using CPAP, a reduction in blood pressure, improved sleep-related outcomes, and greater patient satisfaction among patients with hypertension at 6 months. The investigators will also assess whether home testing is cost-effective.
Conditions:
Hypertension | Obstructive Sleep ApneaLocation:
- Citrus Medical Clinic, Toronto, Ontario, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Women's College Hospital, Toronto, Ontario, Canada
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ALLAges:
Over 18The primary objective of the study is to compare V940 plus pembrolizumab to placebo plus pembrolizumab in participants with renal cell carcinoma (RCC) with respect to disease-free survival (DFS) as assessed by the investigator. The primary hypothesis is that V940 plus pembrolizumab is superior to placebo plus pembrolizumab with respect to DFS.
Conditions:
Renal Cell CarcinomaLocation:
- CHU de Quebec - Université Laval - Hotel Dieu de Quebec ( Site 0008), Québec, Quebec, Canada
- BC Cancer Vancouver ( Site 0005), Vancouver, British Columbia, Canada
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ALLAges:
Over 18The primary objective is to determine the safety and efficacy of belzupacap sarotalocan (bel-sar) compared to sham control in patients with primary indeterminate lesions (IL) or small choroidal melanoma (CM).
Conditions:
Uveal Melanoma | Choroidal Melanoma | Ocular Melanoma | Indeterminate LesionsLocation:
- Centre Hospitalier de l'Universite Laval, Québec City, Quebec, Canada
- Princess Margaret Eye Tumour Clinic, Toronto, Ontario, Canada
- Serac Eye and Skin Care Centre, Calgary, Alberta, Canada
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ALLAges:
Over 18This study will assess the effect of Dato-DXd in combination with osimertinib or Dato-DXd monotherapy versus platinum-based doublet chemotherapy in terms of progression-free survival (PFS).
Conditions:
Metastatic Non-small Cell Lung CancerLocation:
- Research Site, Toronto, Ontario, Canada
- Research Site, Toronto, Ontario, Canada
- Research Site, Brampton, Ontario, Canada
- Research Site, Montreal, Quebec, Canada
- Research Site, Newmarket, Ontario, Canada