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The goal of this clinical trial is to compare adverse even rates after EMR for large (≥20mm) flat colorectal polyps (so-called laterally spreading lesions, LSLs) when performing complete or no defect closure. It will also evaluate lesion recurrence after EMR for large colorectal LSLs. The hypothesis is that performing complete defect closure following EMR of large colorectal LSLs will result in lower rates of adverse events compared to cases where no defect closure is performed. For participants with planned EMR, endoscopists will perform EMRs as per standard of care and: * prophylactic defect closure will either not be performed (control group), or will be performed (experimental group); * then, patients will be called between 14 and 44 days after EMR to assess for possible adverse events, and electronic medical files will be verified for emergency room visits and healthcare received for an adverse event; * finally, patients will undergo follow-up colonoscopy 6 months and 18 months after randomization.
Conditions:
Colorectal Cancer | Polyp of ColonLocation:
- Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada
Sex:
ALLAges:
Over 18Apathy is a common, early, and disabling symptom in dementias such as Alzheimer's disease (AD) and is characterized by lack of interest and enthusiasm. Both repetitive transcranial magnetic stimulation (rTMS), a form of non-invasive brain stimulation, and methylphenidate, a medication, have been shown to improve apathy. This pilot study will investigate rTMS as a treatment for apathy in AD in individuals receiving methylphenidate and individuals not receiving medication for apathy.
Conditions:
Alzheimer Disease | Apathy in DementiaLocation:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Sex:
ALLAges:
AnySafety and Efficacy of BION-1301 in Adults with IgA Nephropathy
Conditions:
IgA Nephropathy | Immunoglobulin A NephropathyLocation:
- Novartis Investigative Site, Brampton, Ontario, Canada
- Novartis Investigative Site, Montreal, Quebec, Canada
- Novartis Investigative Site, Greenfield Park, Quebec, Canada
- Novartis Investigative Site, East York, Ontario, Canada
- Novartis Investigative Site, London, Ontario, Canada
Sex:
ALLAges:
Over 18This is a study evaluating the safety, pharmacokinetics, and efficacy of MK-1084 alone, and MK-1084 plus other combination therapies in participants with advanced solid tumors with identified kirsten rat sarcoma viral oncogene homolog G12C (KRAS G12C) mutation.
Conditions:
Advanced Solid TumorsLocation:
- Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0030), Hamilton, Ontario, Canada
- The Moncton Hospital ( Site 0037), Moncton, New Brunswick, Canada
- Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 0036), Kingston, Ontario, Canada
- Cross Cancer Institute ( Site 0033), Edmonton, Alberta, Canada
- Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 0032), Toronto, Ontario, Canada
Sex:
ALLAges:
Over 18The purpose of this protocol is to evaluate the efficacy of tulisokibart in participants with moderately to severely active ulcerative colitis. Study 1's primary hypotheses are that at least 1 tulisokibart dose level is superior to Placebo in the proportion of participants achieving clinical remission according to the Modified Mayo Score at Week 12, and that at least 1 tulisokibart dose level is superior to Placebo in the proportion of participants achieving clinical remission according to the Modified Mayo Score at week 52. Study 2's primary hypothesis is that at least 1 tulisokibart dose level is superior to Placebo in the proportion of participants achieving clinical remission according to the Modified Mayo Score at Week 12.
Conditions:
Ulcerative ColitisLocation:
- Barrie GI Associates ( Site 0012), Barrie, Ontario, Canada
- G.I.R.I. GI Research Institute Foundation ( Site 0001), Vancouver, British Columbia, Canada
- Toronto Immune & Digestive Health Institute ( Site 0005), Toronto, Ontario, Canada
- University Hospital - London Health Sciences Centre ( Site 0002), London, Ontario, Canada
- West GTA Research Inc. ( Site 0017), Mississauga, Ontario, Canada
- Heritage Medical Research Clinic ( Site 0004), Calgary, Alberta, Canada
Sex:
ALLAges:
16 - 80This parallel-group randomized controlled trial aims to determine if the location of the lesion(s) in the vestibular system (unilateral versus bilateral, lateral semi-circular canal versus otolith) impacts the effectiveness of adjunct take-home head-mounted display (HMD) virtual reality (VR) therapy in improving patient symptomatology. Fifty patients meeting inclusion criteria will be recruited from the principal investigator's neurotology clinic. Baseline symptomatology questionnaires will be completed, followed by random allocation to virtual reality and control groups. Vestibular rehabilitation and virtual reality protocols will be adhered to for 4 to 8 weeks, followed by symptomatology questionnaires. Data analysis will be conducted to answer the study's objectives.
Conditions:
Benign Paroxysmal Positional Vertigo | Vestibular Neuronitis | Vestibular Neuritis | Meniere Disease |...Location:
- University of British Columbia, Vancouver, British Columbia, Canada
Sex:
ALLAges:
Over 18Clinical Trial of Nabilone for Aggression in Adults with Intellectual and Developmental Disabilities
Innovative treatments are urgently needed for severe behavioural problems (SBPs) in adults with intellectual and developmental disabilities (IDD). Although a synthetic cannabinoid, nabilone may be a plausible and safe alternative to treat SBP, safety and efficacy of nabilone in people with IDD has never been evaluated. The investigators propose to conduct this first-ever Phase I pre-pilot open-label clinical trial to collect data on the tolerability and safety profile of nabilone in adults with IDD, and explore changes in SBP pre- and post-treatment. The results will inform a next-stage pilot randomized controlled trial, followed by a fully powered trial eventually.
Conditions:
Aggression | Behavior Problem | Intellectual Disability | Developmental DisabilityLocation:
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
Sex:
ALLAges:
18 - 65The purpose of this study is to test the feasibility and acceptability of an adapted psychosocial intervention, called Emotion and Symptom-focused Engagement for Caregivers (EASE-CG), to reduce traumatic stress symptoms and other psychological distress and increase well-being in primary caregivers of patients newly diagnosed with acute leukemia.
Conditions:
Leukemia, AcuteLocation:
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- The Hospital for Sick Children, Toronto, Ontario, Canada
Sex:
ALLAges:
Over 18The primary aim of this study is to determine the rate of total metachronous advanced neoplasia (TMAN) detection after index detection of serrated lesions (SL) \[sessile serrated polyps (SSPs), traditional serrated adenomas (TSAs)\], and metachronous high-risk adenoma (HRA) after index detection of high-grade dysplasia (HGD). We will use the database of patients diagnosed with SL or HGD at index colonoscopy with a delay in surveillance and determine the risk of advanced lesions (especially high-risk lesion and CRC detection) of these delayed colonoscopies. The aim is to determine the effects of breach of continuity of care in these patients.
Conditions:
Colorectal Cancer | Colon AdenomaLocation:
- Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada
Sex:
ALLAges:
45 - 80This is a parallel group, Phase 2, randomized, double-blind, placebo controlled, 5-arm, international, multicenter, 12-week proof of concept, dose finding study. It is designed to assess efficacy and safety of treatment with SAR441566 for 12 weeks. It will be conducted in male and female adult participants with moderate-to-severe rheumatoid arthritis (RA) not adequately controlled on methotrexate (MTX) and biologic/targeted synthetic disease modifying anti-rheumatic drug (DMARD) naive. Study treatment includes investigational medicinal product (IMP: SAR441566 or placebo) added-on to a background therapy of MTX. Study details include a run-in period (4 to 6 weeks) before randomization to determine eligibility, a treatment period (12 weeks ± 3 days) and a post-treatment period (safety follow-up) (2 weeks ± 3 days). The total number of scheduled study visits will be 8.
Conditions:
Rheumatoid ArthritisLocation:
- Investigational Site Number : 1240001, Brampton, Ontario, Canada
- Investigational Site Number : 1240006, Calgary, Alberta, Canada
- Investigational Site Number : 1240004, Windsor, Ontario, Canada
- Investigational Site Number : 1240002, Sherbrooke, Quebec, Canada