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This phase II trial tests effects of nivolumab in combination with chemotherapy drugs prior to radiation therapy patients with nasopharyngeal carcinoma (NPC). Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs, such as gemcitabine and cisplatin, 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. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill cancer cells and shrink tumors. Researchers want to find out what effects, good and/or bad, adding nivolumab to chemotherapy has on patients with newly diagnosed NPC. In addition, they want to find out if children with NPC may be treated with less radiation therapy and whether this decreases the side effects of therapy.
Conditions:
Stage IV Nasopharyngeal Carcinoma AJCC v8 | Stage III Nasopharyngeal Carcinoma AJCC...Location:
- Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
- Alberta Children's Hospital, Calgary, Alberta, Canada
- Hospital for Sick Children, Toronto, Ontario, Canada
- The Montreal Children's Hospital of the MUHC, Montreal, Quebec, Canada
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont, Sherbrooke, Quebec, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
Sex:
ALLAges:
Under 21This 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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ALLAges:
AnyA Trial to Evaluate Efficacy and Safety of Buloxibutid in People With Idiopathic Pulmonary Fibrosis.
The ASPIRE trial is a 52 week randomized, double-blind, placebo-controlled, parallel-group, multicenter trial in which the efficacy, safety, and pharmacokinetics of orally administered buloxibutid, either on top of stable IPF therapy or as monotherapy, are assessed in participants with IPF. Trial website: www.aspire-ipf.com
Conditions:
Idiopathic Pulmonary Fibrosis (IPF)Location:
- Pierre-Le Gardeur, Terrebonne, Quebec, Canada
- Kelowna Respiratory & Allergy Clinic, Kelowna, British Columbia, Canada
- Laval Hospital, Laval, Quebec, Canada
- Diex Research Trois-Riviere Inc., Trois-Rivières, Quebec, Canada
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ALLAges:
Over 40This a Phase 3, prospective, open-label, multicenter study of \[15-O\]-H2O injection for PET imaging of subjects with suspected CAD. Approximately 182 evaluable participants with suspected CAD referred for testing will be included in the study at approximately 10 study sites in the United States and Europe. Approximately 215 participants will be enrolled to account for an estimated 15% drop-out rate. Screening assessments will occur prior to enrollment to confirm eligibility. All participants will receive two doses of \[15-O\]-H2O as part of a single PET imaging session (one dose at rest and one during pharmacological stress with adenosine). A safety follow-up phone call will occur 24 ± 8 hrs after completion of the \[15-O\]-H2O scan.
Conditions:
Coronary Artery DiseaseLocation:
- University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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ALLAges:
Over 18This 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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ALLAges:
Over 18This phase I/II trial tests the safety, side effects, and best dose of selinexor given in combination with standard radiation therapy in treating children and young adults with newly diagnosed diffuse intrinsic pontine glioma (DIPG) or high-grade glioma (HGG) with a genetic change called H3 K27M mutation. It also tests whether combination of selinexor and standard radiation therapy works to shrink tumors in this patient population. Glioma is a type of cancer that occurs in the brain or spine. Glioma is considered high risk (or high-grade) when it is growing and spreading quickly. The term, risk, refers to the chance of the cancer coming back after treatment. DIPG is a subtype of HGG that grows in the pons (a part of the brainstem that controls functions like breathing, swallowing, speaking, and eye movements). This trial has two parts. The only difference in treatment between the two parts is that some subjects treated in Part 1 may receive a different dose of selinexor than the subjects treated in Part 2. In Part 1 (also called the Dose-Finding Phase), investigators want to determine the dose of selinexor that can be given without causing side effects that are too severe. This dose is called the maximum tolerated dose (MTD). In Part 2 (also called the Efficacy Phase), investigators want to find out how effective the MTD of selinexor is against HGG or DIPG. Selinexor blocks a protein called CRM1, which may help keep cancer cells from growing and may kill them. It is a type of small molecule inhibitor called selective inhibitors of nuclear export (SINE). Radiation therapy uses high energy to kill tumor cells and shrink tumors. The combination of selinexor and radiation therapy may be effective in treating patients with newly-diagnosed DIPG and H3 K27M-Mutant HGG.
Conditions:
Malignant GliomaLocation:
- British Columbia Children's Hospital, Vancouver, British Columbia, Canada
- The Montreal Children's Hospital of the MUHC, Montreal, Quebec, Canada
- University of Alberta Hospital, Edmonton, Alberta, Canada
- Hospital for Sick Children, Toronto, Ontario, Canada
- Jim Pattison Children's Hospital, Saskatoon, Saskatchewan, Canada
- IWK Health Centre, Halifax, Nova Scotia, Canada
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont, Sherbrooke, Quebec, Canada
- McMaster Children's Hospital at Hamilton Health Sciences, Hamilton, Ontario, Canada
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
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ALLAges:
1 - 21To find out if eptinezumab is better than placebo (normal saline solution) in lowering the number of days with migraine in young people ages 12 to 17 with chronic migraine.
Conditions:
Chronic Migraine in ChildrenLocation:
- The Kids Clinic, Ajax, Ontario, Canada
- Medical Arts Health Research Group - Penticton, Penticton, British Columbia, Canada
- Vancouver Island Health Authority, Victoria, British Columbia, Canada
- University of Alberta, Edmonton, Alberta, Canada
- London Health Sciences Centre -800 Commissioners Rd E, London, Ontario, Canada
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ALLAges:
12 - 17Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any part of the gut. The purpose of this study is to evaluate the efficacy and safety of TAK-279 versus placebo in participants with moderately to severely active Crohn's disease (CD). The main aim of this study is to learn if the 3 different doses of TAK-279 reduce bowel inflammation and ulcers in the bowel compared to the placebo after 12 weeks of treatment. Another aim is to compare any medical problems that participants have when they take TAK-279 or placebo and how well the participants tolerate medical problems. An endoscopy will be used to check the bowel for inflammation. The participants will be treated with TAK-279 for 52 weeks (1 year). During the study, participants will visit their study clinic 15 times.
Conditions:
Crohn's DiseaseLocation:
- (G.I.R.I) GI Research Institute Foundation, Vancouver, British Columbia, Canada
- Mount Sinai Hospital, Toronto, Ontario, Canada
- Fraser Clinical Trials, New Westminster, British Columbia, Canada
- London Health Sciences Centre - Victoria Hospital, London, Ontario, Canada
- Heritage Medical Research Clinic - University Of Calgary, Calgary, Alberta, Canada
- London Health Sciences Centre - University Hospital, London, Ontario, Canada
- The Research Institute of the McGill University Health Center, Montreal, Quebec, Canada
- University of Toronto - Mount Sinai Hospital - The Lunenfeld-Tanenbaum Research Institute, Toronto, Ontario, Canada
- Nova Scotia Health Authority - Queen Elizabeth II Heath Sciences Centre, Halifax, Nova Scotia, Canada
- Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
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ALLAges:
18 - 75The purpose of this clinical trial (called the FLOTILLA study) is to give continued access to the study medicines, as well as safety follow-up, for participants in prior clinical trials of encorafenib and/or binimetinib. All participants who took part in earlier encorafenib and/or binimetinib studies may participate the FLOTILLA study if they are still benefiting from the use of the study medicines. This will be determined by the study doctor. People may not participate in the FLOTILLA study if they have not enrolled in a prior study of encorafenib or binimetinib. Participants that had enrolled but had stopped receiving the study treatment in a prior study cannot enrolled in this study. Participants in the FLOTILLA study will receive encorafenib and/or binimetinib at the same dose and frequency as in their prior study, for up to about 5 years.
Conditions:
Solid TumorsLocation:
- Jewish General Hospital, Montreal, Quebec, Canada
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
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ALLAges:
Over 18The goal of this clinical trial is to learn if administering a high dose stimulant with Contingency Management reduces days of use in adults who use methamphetamine better than the usual treatment provided by the clinic. The main questions the trial aims to answer are: Is a high dose stimulant better than a placebo and usual treatment at helping reduce the number of days they use methamphetamine? Is a high dose stimulant with contingency management better than placebo and usual treatment at helping people reduce the number of days they use methamphetamine? Participants will be placed randomly into one of four groups: 1. Usual treatment and placebo 2. Usual treatment, placebo and contingency management 3. Usual treatment and high dose stimulant 4. Usual treatment, high dose stimulant and contingency management Participation includes the following: 1. Participants will receive medication or placebo weekly for 15 weeks. 2. Participants will attend the clinic for weekly treatment 3. Participants will attend the clinic once every 2 weeks for study visits. Each visit will take about an hour to complete. At these visits, participants will be asked to provide a urine sample and complete questionnaires.
Conditions:
Addiction | Methamphetamine Abuse | Addiction, Substance | Methamphetamine-dependenceLocation:
- University of Montreal Hospital Research Center, Montréal, Quebec, Canada
- Center for Addiction and Mental Health, Toronto, Ontario, Canada
- River Stone Recovery Centre, Fredericton, New Brunswick, Canada
- Rapid Access Addiction Medicine Clinic, St. Paul's Hospital, Vancouver, British Columbia, Canada
- University of Montreal Hospital Research Center, Montreal, Quebec, Canada