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Atopic dermatitis (AD) is a skin condition that may cause a rash and itching due to inflammation of the skin. Topical therapies applied over the skin may not be enough to control the AD in trial participants who require systemic anti-inflammatory treatment. This study compares upadacitinib to dupilumab in pediatric participants with moderate to severe AD who are candidates for systemic therapy. Adverse events and change in the disease activity will be assessed. Upadacitinib is an approved drug for treating AD patients aged 12 or older. Participants will receive upadacitinib (given as daily dose) or dupilumab (given at label indicated dose every 2 or 4 weeks). Participants will be stratified depending on disease severity, age and response to previous treatment. There is 1 in 5 chance for participants to receive dupilumab during the randomized cohort. Approximately 675 participants aged 2 to less than 12 years of age will be enrolled in this study at approximately 150 sites worldwide. The study population (As defined by participants age or prior treatment) to be enrolled in the study is dependent on local regulatory requirement and/or agreement. Participants will receive upadacitinib oral tablets once daily (or oral solution twice a day) for 160 weeks, or dupilumab as per its label for 52 weeks, and followed for 30 days after the last dose of upadacitinib and at least 12 weeks after the last dose of dupilumab. There may be higher treatment burden for participants in this trial compared to their standard of care . Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by clinical assessments, blood tests, checking for side effects and completing questionnaires.

Conditions:
Atopic Dermatitis
Location:
  • Dermatology Research Institute - Blackfoot Trail /ID# 266744, Calgary, Alberta, Canada
  • Lynde Institute for Dermatology /ID# 267006, Markham, Ontario, Canada
Sex:
ALL
Ages:
2 - 11

Crohn's Disease (CD) is a gastrointestinal disease that can cause chronic diarrhea with or without gross bleeding, abdominal pain, weight loss, and fever. This study will assess the pharmacokinetics, efficacy, and safety of risankizumab in pediatric participants with moderately to severely active CD aged 2 to \< 18 years old who have had intolerance or inadequate response to other therapies. Risankizumab is an approved drug for adults with plaque psoriasis, psoriatic arthritis, and CD and is being developed for the treatment of CD in pediatrics. This study is comprised of 3 cohorts that may participate in 3 substudies (SS). Cohort 1 will enroll participants with ages from 6 to less than 18 years. Cohort 2 will enroll participants with ages from 2 to less than 6 years. Cohort 3 will enroll participants with ages from 2 to less than 18 years. SS1 is an open-label induction period where participants will receive a weight-based induction regimen of risankizumab. SS2 is a double-blind maintenance period where participants will be randomized to receive 1 of 2 doses of weight-based induction regimen of risankizumab. SS3 is an open-label extension period where participants will receive risankizumab based off of their response in SS2. Around 110 pediatric participants with CD will be enrolled at around 100 sites worldwide. Participants in SS1 will receive risankizumab intravenously during the 12-week induction period. Participants in SS2 will receive risankizumab subcutaneously during the 52-week randomized maintenance period. Participants in SS3 will receive risankizumab subcutaneously during the 208-week open label period. Participants will be followed-up for approximately 140 days. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Conditions:
Crohn's Disease
Location:
  • London Health Sciences Center- University Hospital /ID# 258598, London, Ontario, Canada
  • Alberta Children's Hospital /ID# 255357, Calgary, Alberta, Canada
Sex:
ALL
Ages:
2 - 17

The purpose of this study is to evaluate the safety, tolerability, drug levels, and preliminary efficacy of BMS-986507 combinations in adult participants with advanced solid tumors.

Conditions:
Lung Cancer
Location:
  • Local Institution - 0025, Montreal, Quebec, Canada
  • Local Institution - 0026, Ottawa, Ontario, Canada
  • Local Institution - 0024, Edmonton, Alberta, Canada
  • Local Institution - 0022, Montréal, Quebec, Canada
  • Local Institution - 0023, Ottawa, Ontario, Canada
  • Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada
  • Jewish General Hospital, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

This study aims to compare the efficacy of vericiguat versus placebo on change in n-terminal pro-brain natriuretic peptide (NTproBNP) from baseline to Week 16 of the Base Period. The primary hypothesis is that vericiguat is superior to placebo in reducing NT-proBNP at Week 16 of the Base Period.

Conditions:
Heart Failure | Left Ventricular Systolic Dysfunction
Location:
  • Centre intégré universitaire de santé et de services sociaux-Centre de recherche du CHUS ( Site 0502, Sherbrooke, Quebec, Canada
  • Stollery Children's Hospital ( Site 0501), Edmonton, Alberta, Canada
Sex:
ALL
Ages:
29 - 17

A Study to Investigate the Biological Effects of Saruparib (AZD5305) Alone, Darolutamide Alone, and in Combination Given Prior to Radical Prostatectomy in Men with Newly Diagnosed Prostate Cancer (ASCERTAIN).

Conditions:
Prostate Cancer
Location:
  • Research Site, Vancouver, British Columbia, Canada
  • Research Site, Toronto, Ontario, Canada
  • Research Site, Québec, Quebec, Canada
Sex:
MALE
Ages:
Over 18

Randomized, open-label, multi-center, comparative trial to assess the efficacy and safety in immunocompromised subjects with acyclovir resistant or acyclovir susceptible mucocutaneous HSV infection, treated with pritelivir 100 mg once daily (following a loading dose of 400 mg as first dose to rapidly reach steady-state plasma concentration) or investigators choice, which can be either foscarnet 40 mg/kg every 8 hours or 60 mg/kg every 12 hours, or Cidofovir iv 5 mg/kg body weight given once weekly, or Cidofovir 1% or 3% topical applied 2 to 4 times daily, or Imiquimod 5% topical 3 times per week) (provided the drug is nationally approved).

Conditions:
HSV Infection
Location:
  • Alberta Health Services Cross Cancer Institute at the University of Alberta, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
Over 16

Sodium zirconium cyclosilicate has been shown to be effective and safe in adults for the treatment of hyperkalaemia, and therefore it is expected to be beneficial in children. This study will evaluate the efficacy, safety and tolerability of sodium zirconium cyclosilicate for the treatment of hyperkalaemia in children \<18 years of age. Approximately 140 participants will enter CP at approximately 46 sites in locations including but not limited to Europe and North America for this study. Treatment will include 3 phases: the CP, MP, and LTMP. Enrolment will start in 2 cohorts, ages 6 to \< 12 years and 12 to \< 18 years. After review of accumulated data, the independent Data Monitoring Committee (iDMC) will recommend whether to open enrolment in the ages 2 to \< 6 years cohort and later in the ages 0 to \< 2 years cohort. All eligible participants with hyperkalaemia will enter an open-label Correction Phase (CP) receiving a fixed dose of SZC three times daily (TID) for up to 3 days until normokalaemia is achieved. Within each age cohorts 2 to \< 18 years, initial participants will be allocated to the dose level (DL) based on body weight equivalent to an adult 5 g TID. After recommendation of higher DLs by the iDMC, subsequent participants may be allocated in the CP to on body weight equivalent to an adult 10 g TID and then potentially on body weight equivalent to an adult 15 g TID. All participants in the ages 0 to \< 2 years cohort will be assigned to the same DL which will be decided based on data from older age cohorts. Participants who successfully achieve normokalaemia in the CP will enter a 28-day open-label Maintenance Phase (MP), which will be initiated with once daily administration of the dose received TID in the CP. During MP, the Investigator is able to titrate the dose up or down in the range 2.5 g to 15 g body weight equivalent to maintain normokalaemia. For participants who, at the end of MP, are normokalaemic or hyperkalaemic without being on maximum dose, the MP is followed by the option to continue the study in a long term maintenance phase (LTMP) where the same titration regimen is used as in MP.

Conditions:
Hyperkalaemia
Location:
  • Research Site, Edmonton, Alberta, Canada
  • Research Site, Calgary, Alberta, Canada
Sex:
ALL
Ages:
Under 18

The safety run-in part of the study aims to evaluate the safety and tolerability of blinatumomab alternating with low-intensity chemotherapy. The phase 3 part of the study aims to compare event-free survival (EFS) and overall survival (OS) of participants receiving blinatumomab alternating with low-intensity chemotherapy to EFS and (OS) of participants receiving standard of care (SOC) chemotherapy.

Conditions:
Newly Diagnosed Philadelphia (Ph)-Negative B-cell Precursor Acute Lymphoblastic Leukemia (ALL)
Location:
  • Vancouver General Hospital, Gordon and Leslie Diamond Health Care Centre, Vancouver, British Columbia, Canada
  • Princess Margaret Cancer Centre, Toronto, Ontario, Canada
  • Arthur J E Child Comprehensive Cancer Centre, Calgary, Alberta, Canada
  • The Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada
  • Cancer Care Manitoba, Winnipeg, Manitoba, Canada
  • CEMTL Hopital Maisonneuve Rosemont, Montreal, Quebec, Canada
  • Queen Elizabeth II, Health Sciences Centre, Halifax, Nova Scotia, Canada
Sex:
ALL
Ages:
40 - 100

This study will assess the safety and efficacy of avutometinib (VS-6766) in combination with defactinib versus Investigator's choice of treatments (ICT) in subjects with recurrent LGSOC who have progressed on a prior platinum-based therapy.

Conditions:
Low Grade Serous Ovarian Cancer
Location:
  • Centre Hospitalier de l'Universite de Montreal (CHUM), Montréal, Quebec, Canada
  • Princess Margaret Cancer Center, Toronto, Ontario, Canada
  • McGill University Health Centre, Montreal, Quebec, Canada
Sex:
FEMALE
Ages:
Over 18

The purpose of this study is to demonstrate that the lung function effect from orally inhaled BGF delivered via HFO propellant is equivalent to the lung function effect from orally inhaled BGF delivered via HFA propellant in participants with COPD. The study duration for each participant will be approximately 15 to 16 weeks and consist of: 1. A screening and placebo run-in period of approximately 2 weeks prior to first dosing 2. Three treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) 3. A final safety follow-up visit via telephone contact approximately 1 to 2 weeks after the final dose administration Participants will be provided with rescue SABA (albuterol or salbutamol) to be used as needed throughout the study. Participants will attend in-clinic study visits approximately weekly during the screening/run-in period (Visits 1, 2, and 3), then every 4 weeks (Visits 4, 5, and 6) to receive take-home study treatment, measure their lung function, and assess their health and safety

Conditions:
COPD (Chronic Obstructive Pulmonary Disease)
Location:
  • Research Site, Burlington, Ontario, Canada
  • Research Site, Truro, Nova Scotia, Canada
  • Research Site, Guelph, Ontario, Canada
  • Research Site, St Charles Borromee, Quebec, Canada
Sex:
ALL
Ages:
40 - 80