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The mechanism behind postural orthostatic tachycardia syndrome (POTS) involves many causes including a sympathetic nervous system problem. Blood gases, like carbon dioxide (CO2), have an important effect on sympathetic activation. The purpose of this research study is to determine if higher CO2 levels have any effect in lowering heart rate and reducing POTS symptoms when upright/standing. The investigators are also searching for the ideal CO2 concentration to achieve the most effective response
Conditions:
Postural Tachycardia Syndrome | Orthostatic IntoleranceLocation:
- University of Calgary, Calgary, Alberta, Canada
Sex:
ALLAges:
18 - 60The purpose of this study is to test the safety of an investigational drug called CFI-402411 alone and in combination with pembrolizumab and to study its effects in patients with advanced solid tumors who have progressed following previous therapies.
Conditions:
Advanced Solid MalignanciesLocation:
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- The Ottawa Hospital, Ottawa, Ontario, Canada
- Cross Cancer Institute, Edmonton, Alberta, Canada
Sex:
ALLAges:
Over 18This is a multicenter, randomized, placebo-controlled study to evaluate the long-term efficacy and safety of ABX464 50mg and 25mg administered once daily (QD) as maintenance therapy in subjects with moderately to severely active ulcerative colitis who have inadequate response, no response, a loss of response, or an intolerance to either conventional therapies \[corticosteroids, immunosuppressant (i.e. azathioprine, 6-mercaptopurine, methotrexate)\] and/or advanced therapies \[biologics (TNF inhibitors, anti-integrins, anti-IL-23), and/or S1P receptor modulators, and/or JAK inhibitors\]. This study is the maintenance phase of both previous induction studies ABX464-105 and ABX464-106.
Conditions:
Ulcerative ColitisLocation:
- (G.I.R.I.) GI Research Institute, Vancouver, British Columbia, Canada
- Montreal General Hospital, Montréal, Quebec, Canada
- Gastroenterology and Internal Medicine Research Institute (GIRI), Edmonton, Alberta, Canada
- Toronto Immune & Digestive Health Institute, North York, Ontario, Canada
- London Health Sciences Centre (LHSC) - Victoria Hospital, London, Ontario, Canada
- Scott Shulman Medicine Professional Corporation, North Bay, Ontario, Canada
Sex:
ALLAges:
Over 16The purpose of this observational study is to evaluate the impact of daridorexant on quality of life, work productivity and insomnia symptoms in Canadian adults suffering from insomnia.
Conditions:
InsomniaLocation:
- PROxy Network, an initiative of PeriPharm inc., Montreal, Quebec, Canada
Sex:
ALLAges:
Over 18The Effect of Pharmacist-Initiated Home Blood Pressure Monitoring on Blood Pressure Control in Women
To evaluate the impact of home blood pressure monitoring when used in addition to pharmacist care, compared to usual care, in women with elevated blood pressure (BP). Randomized 1:1 two-arm controlled trial. Patients to be identified and screened by pharmacists. Patients with a BP \>140/90mmHg or \>130/80mmHg in those with diabetes will be invited to enroll in the study. Intervention: Patients will have BP assessed at baseline by the pharmacist, and they will receive a home blood pressure monitor in addition to counselling provided by the pharmacist. Patients will measure their BP at home for seven days every four weeks and input their results into a data management system. The pharmacist will follow up with the patient every 4 weeks to review their readings and at 24-weeks the patient will come into the pharmacy for a final follow-up and BP readings. The pharmacist will fax BP readings and suggestions for therapy modification to the patient's prescribing clinician. After 24-weeks patient care is returned to the prescribing clinician with no further pharmacist interventions except for a final post-trial follow-up at week-52 to review ongoing home BP monitor use and BP management by the prescribing clinician. Control: Patients will have BP assessed at baseline, 12-, and 24-weeks in the pharmacy by the pharmacist. Patients will not receive a home blood pressure monitor. Pharmacist will provide usual care, education and counselling on BP management. Pharmacists will fax BP readings to the patient's prescribing clinician but will not provide any suggestions for therapy modification. After 24-weeks patients will be offered a home blood pressure monitor with education on its use. They will then be offered to crossover to the intervention group for the next 24-weeks or have their care returned to their prescribing clinician with no pharmacist specific interventions except for a final post-trial follow-up at week-52 to review ongoing home BP monitor use and BP management by the prescribing clinician. Sample Size: Calculated sample size is 368 participants to achieve 80% power, with 184 patients in the intervention and control groups. Primary Outcome: Difference in change in Systolic Blood Pressure between the home blood pressure monitoring in addition to pharmacist care versus usual care group.
Conditions:
HypertensionLocation:
- Hills Clinic Pharmacy, Aylmer, Ontario, Canada
- Trailside Pharmacy Pharmasave, Fergus, Ontario, Canada
- Guardian MarkhaMack Pharmacy, Markham, Ontario, Canada
- Lifecare Rx Pharmacy, Oakville, Ontario, Canada
- Pharmasave Sally's Pharmacy, Owen Sound, Ontario, Canada
- Springwater Pharmacy, Springwater, Ontario, Canada
- Shopper's Drug Mart #994, Toronto, Ontario, Canada
- Shopper's Drug Mart #646, Collingwood, Ontario, Canada
- Kawartha Lakes Pharmacy, Lindsay, Ontario, Canada
- Sav-ON IDA Pharmacy, Oakville, Ontario, Canada
- Brisson Pharmacy, Ottawa, Ontario, Canada
- Medicine Shopper #297, Scarborough, Ontario, Canada
- Shopper's Drug Mart #500, Toronto, Ontario, Canada
- Eagle Ridge Pharmacy, Barrie, Ontario, Canada
- HealthMax Pharmacy, Hamilton, Ontario, Canada
- Zak's Pharmacy, Milton, Ontario, Canada
- Countryside Pharmacy, Omemee, Ontario, Canada
- Kashyaps Pharmacy Peterborough, Peterborough, Ontario, Canada
- Port Weller Pharmacy, St. Catherines, Ontario, Canada
- Ultima Apothecary, Windsor, Ontario, Canada
- Mcintyre IDA, Blenheim, Ontario, Canada
- Inverary Pharmasave, Kingston, Ontario, Canada
- Custom Health Pharmacy, Mississauga, Ontario, Canada
- The Medicine Shoppe Pharmacy #143, Ottawa, Ontario, Canada
- Hogan at the Bluewater Medical Clinic, Sarnia, Ontario, Canada
- Health Care Pharmacy Pharmasave 683, Sudbury, Ontario, Canada
Sex:
FEMALEAges:
Over 18This study is a single-blind, intraindividual study to evaluate the efficacy of ruxolitinib 1.5 % cream in adult subjects with discoid lupus erythematosus.
Conditions:
Discoid Lupus ErythematosusLocation:
- INNO-6051 Site 03, Fredericton, New Brunswick, Canada
- Innovaderm Research Inc., Montréal, Quebec, Canada
Sex:
ALLAges:
Over 18The study is aimed to determine if changes to the oral microbiome occur after the use of a nitrate rich mouth rinse. Participants with be asked to use either a controlled (water) mouthrinse once daily for 2 weeks while maintaining normal oral hygiene practices, or use the nitrate rich mouthrinse once daily for 2 weeks. Primary Outcome measures: -changes in the composition of the oral microbiome Secondary Outcome measures * Blood Pressure * Salivary Nitric Oxide Levels
Conditions:
Nitric Oxide | Oral MicrobiomeLocation:
- Dalhousie University, Halifax, Nova Scotia, Canada
Sex:
ALLAges:
18 - 40Chronic cough is a common troublesome symptom which has a global prevalence of approximately 10%, but with wide variations across continents. The aim of this study is to evaluate the effectiveness of treatment, patient-reported outcomes and burden of disease in patients with chronic cough referred to a specialist clinic. The proposed study will use pre-defined diagnostic criteria, investigations and treatment algorithms such that all recruited patients will undergo the same investigations and follow a set management algorithm. This study will objectively and subjectively assess coughing at baseline and after treatment in a real-world clinical setting. This will allow us to understand the relationship between any objective reduction in cough after treatment, and whether this translates to any significant improvement in subjective questionnaire scores. We will assess the impact of health conditions on lost productivity in monetary units and assess the amount of absenteeism, presenteeism and daily activity impairment attributable to unexplained chronic cough/refractory chronic cough. Finally, a patient survey at the end of the study will evaluate the patients' satisfaction and experience of investigation, management trials and use of questionnaires.
Conditions:
Chronic CoughLocation:
- Imran Satia, Hamilton, Ontario, Canada
Sex:
ALLAges:
18 - 75A single arm prospective pilot trial evaluating the safety and the 1-year erectile recovery outcomes of patients undergoing a somatic to autonomic nerve grafting procedure for restoration of erectile function in patients who have lost erectile function following radical prostatectomy for prostate cancer. During this study a total of 10 patients who have persistent erectile dysfunction for more than 18 months post prostatectomy will undergo a post radical prostatectomy nerve restoration procedure (PRP-NR).
Conditions:
Prostate Cancer | Erectile Dysfunction Following Radical ProstatectomyLocation:
- Jewish General Hospital, Montréal, Quebec, Canada
Sex:
MALEAges:
Over 18Transcutaneous electrical stimulation (tcES) of the spinal cord has shown great promise in restoring upper extremity function after spinal cord injury (SCI). More recently, the use of invasive, epidural electrical stimulation of the spinal cord has also demonstrated promise in restoring upper extremity function post-stroke. However, the effect of stimulation parameters such as electrode configuration and stimulation frequency on excitability of the nervous system remains unknown preventing the opportunity to fully exploit this noninvasive stimulation paradigm. Additionally, the utility of noninvasive tcES in the stroke population remains unexplored. This project utilizes a comprehensive set of neurophysiological techniques, in combination with carefully chosen motor tasks, to directly link and assess the effects of stimulation parameters on neural excitability and upper extremity function during and following the delivery of cervical tcES in individuals with SCI and stroke. The fundamental knowledge gained from this project will ultimately improve the implementation of this novel and non-invasive neuromodulatory tool through an improved understanding of how tcES can facilitate recovery of function.
Conditions:
Stroke | Spinal Cord InjuriesLocation:
- University of Alberta, Edmonton, Alberta, Canada
- Glenrose Rehabilitation Hospital, Edmonton, Alberta, Canada