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TITRE - Trial of Indication-based Transfusion of Red Blood Cells in ECMO, is a multicenter, prospective, randomized clinical trial. The overarching goal of TITRE is to determine whether restricting red blood cell (RBC) transfusion according to an indication-based strategy for those with bleeding and/or deficit of tissue oxygen delivery, compared with transfusion based on center-specific hemoglobin or hematocrit thresholds, can reduce organ dysfunction and improve later neurodevelopment in critically ill children receiving Extracorporeal Membrane Oxygenation (ECMO) support.

Conditions:
Extracorporeal Membrane Oxygenation | Organ Failure, Multiple | Red Blood Cell Transfusion
Location:
  • The Hospital for Sick Children, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Under 6

This randomized, double-blind, placebo-controlled trial will seek to determine the efficacy of abatacept in GCA. To examine this objective, 62 eligible patients who have newly diagnosed or relapsing GCA within 8 weeks prior to screening will be randomized at a 1:1 ratio to receive subcutaneous abatacept 125mg/week or placebo. Patients who achieve remission will remain on their blinded assignment for 12 months at which time abatacept/placebo will be stopped. Patients who do not achieve remission by Month 3, who experience a relapse within the first 12 months will have the option of receiving open-label abatacept for a maximum of 12 months.

Conditions:
Giant Cell Arteritis
Location:
  • Hôpital du Sacré-Coeur de Montréal Université de Montréal, Montréal, Quebec, Canada
  • Mount Sinai Hospital, Toronto, Ontario, Canada
  • St. Joseph's Healthcare, Hamilton, Ontario, Canada
Sex:
ALL
Ages:
Over 50

The purpose of this study is to measure the efficacy and safety of T-DXd with rilvegostomig or T-DXd monotherapy compared with gemcitabine plus cisplatin and durvalumab in patients with advanced treatment naïve HER2-expressing BTC.

Conditions:
Biliary Tract Cancer
Location:
  • Research Site, Edmonton, Alberta, Canada
  • Research Site, Montreal, Quebec, Canada
  • Research Site, Toronto, Ontario, Canada
  • Research Site, Halifax, Nova Scotia, Canada
  • Research Site, Brampton, Ontario, Canada
Sex:
ALL
Ages:
18 - 99

The primary aim of this study is to extend follow up of TESTING study participants and to assess the long-term effects of a 6-9-month course of oral methylprednisolone on End Stage Kidney Disease (ESKD), according to dose (full-dose vs reduced-dose), ethnicity (Chinese vs other) and kidney function (eGFR above and below 60 mL/min/1.73m2).

Conditions:
ESRD | Kidney Diseases | IgA Nephropathy | Glomerulonephritis
Location:
  • St Pauls Hospital, Vancouver, British Columbia, Canada
  • Toronto General Hospital,, Toronto, Ontario, Canada
  • University of Alberta Hospitals, Edmonton, Alberta, Canada
  • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
  • St. Joseph's Healthcare, Hamiliton, Ontario, Canada
  • Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada
  • University of Calgary/Alberta Health Services, Calgary, Alberta, Canada
  • London Health Sciences Centre, London, Ontario, Canada
Sex:
ALL
Ages:
18 - 100

This study will look if CagriSema can lower kidney damage in people with chronic kidney disease (CKD), type 2 diabetes (T2D) and overweight or obesity. CagriSema is a new investigational medicine. CagriSema cannot yet be prescribed by doctors. The study will compare CagriSema to the 2 medicines semaglutide and cagrilintide, when they are taken alone. It will also compare CagriSema to a "dummy" medicine (also called placebo) without any active ingredient. Participant will either get CagriSema 2.4 mg, semaglutide 2.4 mg, cagrilintide 2.4 mg or placebo. Which treatment participant will get is decided by chance (like flipping a coin). Study doctor will not know which of the study medicines participant will get. For each participant, the study will last for about 35 weeks.

Conditions:
Obesity | Chronic Kidney Disease | Type 2 Diabetes
Location:
  • Centricity Research Brampton, Brampton, Ontario, Canada
  • Bluewater Clin Res Group Inc, Sarnia, Ontario, Canada
  • Centricity Research Calgary, Calgary, Alberta, Canada
  • Hamilton Medical Rsrch Grp, Hamilton, Ontario, Canada
  • Centre Medical Acadie, Montreal, Quebec, Canada
  • Centricity Research Vaughn, Concord, Ontario, Canada
  • UHN-Toronto General Hospital, Toronto, Ontario, Canada
  • Centricity Research Etobicoke, Etobicoke, Ontario, Canada
  • Ctr de rech Clin de Laval, Laval, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Leptomeningeal disease is malignant seeding of the leptomeninges and presents with a variety of symptoms frequently impacting quality of life. With improvement in treatment options, rates of leptomeningeal disease are increasing and currently found in up to 9% of EGFR mutant NSCLC. Systemic therapy may be more effective if it can target the correct molecular aberration. The molecular characterization of central nervous system disease may differ from disease outside of the central nervous system. The aim of this pilot trial is to evaluate for molecular differences between cerebral spinal fluid (CSF) and blood circulating tumor DNA (ctDNA) through the use of ddPCR and BC Cancer NGS panel molecular testing.

Conditions:
Non Small Cell Lung Cancer | EGFR Activating Mutation | Leptomeningeal Metastasis
Location:
  • BC Cancer, Vancouver, British Columbia, Canada
Sex:
ALL
Ages:
Over 18

The primary objective of this study is to access the efficacy of ALXN2220 in the treatment of adult participants with ATTR-CM by evaluating the difference between the ALXN2220 and placebo groups as assessed by the total occurrences of all-cause mortality (ACM) and cardiovascular (CV) clinical events.

Conditions:
Transthyretin Amyloid Cardiomyopathy
Location:
  • Research Site, Calgary, Alberta, Canada
  • Research Site, Toronto, Ontario, Canada
  • Research Site, Rimouski, Quebec, Canada
  • Research Site, London, Ontario, Canada
  • Research Site, Montréal, Quebec, Canada
  • Research Site, Vancouver, British Columbia, Canada
  • Research Site, Chicoutimi, Quebec, Canada
  • Research Site, Winnipeg, Manitoba, Canada
  • Research Site, Montréal, Quebec, Canada
Sex:
ALL
Ages:
18 - 90

The purpose of this study is to evaluate the efficacy of guselkumab in healing of all layers of the digestive tract (transmural healing) with the help of a score called Magnetic Resonance Index of Activity (MaRIA) based on a scan at Week 48.

Conditions:
Crohn's Disease
Location:
  • Western University & London Health Sciences Centre, London, Ontario, Canada
Sex:
ALL
Ages:
Over 18

The investigators are looking to determine the safety and efficacy of non-invasive transcutaneous spinal cord stimulation (TSCS) in promoting recovery of lower urinary tract (LUT), bowel, sexual, and cardiovascular function, as well as spasticity in individuals with subacute SCI (time since injury 3-6 months) and the impact on quality of life. The study will be conducted at two sites; site 1 in Canada and site 2 in the Ukraine. Up to 60 subjects will be enrolled; 10 adults at the ICORD, University of British Columbia (UBC), Vancouver, Canada site and 50 adults at the Rivne Regional War Veterans Hospital, Rivne, Ukraine. Eligible participants will be randomized (1:1 ratio) either to Group 1 (G1) or Group 2 (G2). G1 will receive therapeutic TSCS for 8 weeks (3 times per week; 1 hour per session) in conjunction with conventional rehabilitation (3-4 hours per day; 5 days per week). G2 will receive 8 weeks of sham stimulation in conjunction with conventional rehabilitation. After 8 weeks, G2 will cross over and receive therapeutic TSCS for 8 weeks, whereas G1 will continue to receive TSCS therapy for another 8 weeks, for a total of 16 weeks. Eligible participants enrolled into the study will attend fifty eight (58) visits for assessments, therapy, and follow-up. The expected duration of study participation for each participant will be 33 weeks.

Conditions:
Spinal Cord Injuries | Bowel Dysfunction | Sexual Dysfunction | Autonomic Dysfunction | Urologic Disorders
Location:
  • Blusson Spinal Cord Centre, Vancouver, British Columbia, Canada
Sex:
ALL
Ages:
19 - 65

The purpose of this study is to assess the safety and efficacy of tulisokibart in participants with SSc-ILD.

Conditions:
Interstitial Lung Disease | Diffuse Cutaneous Systemic Sclerosis
Location:
  • St. Joseph's Health Care London ( Site 4701), London, Ontario, Canada
  • University Of Alberta Hospital ( Site 4702), Edmonton, Alberta, Canada
  • Mount Sinai Hospital [Toronto, Canada] ( Site 4700), Toronto, Ontario, Canada
Sex:
ALL
Ages:
Over 18