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The goal of this clinical trial is to determine whether sotatercept is effective in improving diffusing capacity in patients with pulmonary arterial hypertension. Participants will be asked to: * Take Sotatercept every 21 days (±3 days) * Each participant will be enrolled in the study for 29 Weeks * Visit the clinic 18 times * Have a physical exam * Perform assessments of lung function and exercise tests * Have an ultrasound of their heart * Have blood draws done at regular intervals The main objectives of the study are: Primary objective: To assess whether sotatercept will improve recruitment of diffusing membrane capacity (DM) with exercise. Secondary objective: To identify components of the diffusing capacity that respond to treatment with sotatercept in pulmonary arterial hypertension.

Conditions:
Pulmonary Artery Hypertension
Location:
  • Clinical Physiology Laboratory, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
Over 18

The goal of this RCT is to address the feasibility of conducting a 12-week virtual pre-habilitation intervention, which includes exercise and education, in kidney transplant candidates. The intervention also includes a 5-month maintenance phase with independent home exercises (maximum of 8 months of intervention/ended early if the participant undergoes a kidney transplant). The main questions it aims to answer are: * estimate the proportion of screened patients who meet eligibility criteria * estimate the proportion of eligible patients who consent to randomization * estimate the proportion of patients who adhere to the interventions * estimate follow-up completion rates * inform the calculation of sample size requirements for a full-scale RCT * assess the acceptability of the intervention by the participants. Participants in the control group will receive usual outpatient care.

Conditions:
Frailty | Kidney Disease, End-Stage | Transplant;Failure,Kidney
Location:
  • Research Institute - McGill University Health Centre (RI-MUHC), Montreal, Quebec, Canada
  • Centre de recherche - Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Researchers want to learn if sacituzumab tirumotecan (MK-2870) alone or with other treatments can treat certain gastrointestinal (GI) cancers. The GI cancers being studied are either advanced (the cancer has spread to other parts of the body), or unresectable (the cancer cannot be removed with surgery). The goals of this study are to learn: * About the safety of sacituzumab tirumotecan alone or with other treatments and if people tolerate it * How many people have the cancer respond (get smaller or go away) to treatment

Conditions:
Pancreatic Ductal Adenocarcinoma | Colorectal Cancer | Biliary Tract Cancer
Location:
  • Centre Hospitalier de l'Université de Montréal-Unit for Innovative Therapies ( Site 0022), Montréal, Quebec, Canada
  • The Ottawa Hospital Cancer Centre ( Site 0027), Ottawa, Ontario, Canada
  • Centre Hospitalier de l'Université de Montréal-Unit for Innovative Therapies ( Site 0022), Montreal, Quebec, Canada
  • McGill University Health Centre ( Site 0023), Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 18

Researchers want to learn if giving MK-1167 (the study medicine) along with acetylcholinesterase inhibitor (AChEI) therapy can improve symptoms of Alzheimer's disease dementia (AD dementia), such as memory and mental activity. AD dementia is the most common type of dementia. AChEI therapy is the standard treatment for AD dementia. The goals of this study are to learn: * If at least one dose level (amount) of MK-1167 works to improve a person's memory and thinking compared to a placebo * About the safety of MK-1167 and if people tolerate it

Conditions:
Alzheimer Disease | Dementia
Location:
  • Toronto Memory Program ( Site 0006), Toronto, Ontario, Canada
  • Okanagan Clinical Trials ( Site 0001), Kelowna, British Columbia, Canada
  • Ottawa Memory Clinic ( Site 0004), Ottawa, Ontario, Canada
Sex:
ALL
Ages:
55 - 90

The main purpose of this study is to compare the effect of tebapivat versus placebo on anemia and to detect a dose-response for hemoglobin (Hb) response in participants with SCD.

Conditions:
Sickle Cell Disease
Location:
  • Scarborough Health Network - Centenary Hospital, Scarborough Village, Ontario, Canada
  • McGill University Health Center, Montreal, Quebec, Canada
  • CHU Montreal, Montreal, Quebec, Canada
Sex:
ALL
Ages:
Over 16

The investigators plan to conduct a study to find out if giving portable oxygen therapy (during physical activity) to patients with interstitial lung disease will improve quality of life, exercise tolerance, shortness of breath, and blood vessel function. Oxygen will be provided for a period of 8 weeks. Additionally, the investigators plan to investigate if it is helpful to deliver individualized support when providing oxygen therapy, through check-in phone calls with a respiratory therapist and by providing additional educational material.

Conditions:
Fibrotic Interstitial Lung Disease
Location:
  • Clinical Physiology Laboratory, Edmonton, Alberta, Canada
Sex:
ALL
Ages:
18 - 85

This Phase II study aims to evaluate the efficacy and safety of the combination of JSB462 (also known as luxdegalutamide) at 100 mg and 300 mg QD doses + lutetium (177Lu) vipivotide tetraxetan (hereafter referred as AAA617) compared with AAA617 (control) in participants with metastatic Castration Resistant Prostate Cancer (mCRPC) with prior exposure to at least 1 Androgen Receptor Pathway Inhibitor (ARPI) and 0-2 taxane regimens and to select the recommended dose of the combination for phase III. Towards that end, the totality of the efficacy, safety, tolerability and pharmacokinetic (PK) data from participants randomized in the study will be evaluated.

Conditions:
Prostatic Cancer, Castration-Resistant
Location:
  • Novartis Investigative Site, Montreal, Quebec, Canada
Sex:
MALE
Ages:
Over 18

The purpose of this study is to evaluate the efficacy of glofitamab monotherapy compared with an investigator's choice of either rituximab plus bendamustine (BR), or lenalidomide with rituximab (R-Len) in patients with relapsed or refractory (R/R) mantle cell lymphoma (MCL).

Conditions:
Lymphoma
Location:
  • The Ottawa Hospital - General Campus, Ottawa, Ontario, Canada
  • Victoria Hospital - London Health Sciences Centre, London, Ontario, Canada
  • Princess Margaret Cancer Center, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Over 18

This is a prospective observational study using whole genome sequencing (WGS) to investigate whether new strains (other than the initially identified strain(s)) of M. avium are responsible for persistently culture positive sputum during treatment (refractory disease), or the reversion to culture positive sputum after prior conversion to negative. The study will further investigate for differences between participants living in the Toronto/York region versus participants living elsewhere. The primary goal of this prospective observational study is to understand why some patients with M. avium lung disease have persistent or recurrent M. avium in their sputum despite treatment. The aim is to understand whether it is usually due to treatment failure or new infection.

Conditions:
Respiratory Tract Diseases | Mycobacterium Infections, Nontuberculous | Mycobacterium Infections | Mycobacterium...
Location:
  • University Health Network, Toronto, Ontario, Canada
Sex:
ALL
Ages:
Over 18

Cancer therapy-related cardiac dysfunction (CTRCD) is when the heart's ability to pump oxygenated blood to the body is compromised. It is a side effect of cancer therapy which can occur as commonly as in 1 in 5 patients. When this occurs, heart failure medications are started to protect the heart from progressing to heart failure. With early detection and treatment, heart function recovers to normal in \>80% of patients. Unfortunately, heart failure medications are associated with an undesirable long-term pill burden, financial costs, and side-effects (e.g., dizziness and fatigue). As a result, cancer survivors frequently ask if they can safely stop their heart failure medications once their heart function has returned to normal. Currently there is no scientific evidence in this area of Cardio-Oncology. To address this knowledge gap, the investigators have designed a randomized control trial to assess the safety of stopping heart failure medication in patients with CTRCD and recovered heart function. The investigators will enrol patients who have completed their cancer therapy and are on heart medications for their CTRCD, which has now normalized. The investigators will randomize patients with no other reasons to continue heart failure medications (e.g., kidney disease) to continuing or stopping their heart medications safely. All patients will undergo a cardiac MRI at baseline, 1 and 5 years with safety assessments at 6-8 weeks, 6 months and 3 and 5 years. The investigators will determine if stopping medications is non-inferior to continuing medications by counting the numbers of patients who develop heart dysfunction by 1 year in each group.

Conditions:
Cancer | Heart Failure | Cardiotoxicity | Cardiac Toxicity | Antineoplastics Toxicity
Location:
  • Hamilton General Hospital, Hamilton, Ontario, Canada
  • St. Boniface Hospital, Winnipeg, Manitoba, Canada
  • University Health Network, Toronto, Ontario, Canada
  • Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
  • St Michael's Hospital, Toronto, Ontario, Canada
  • Foothills Medical Centre, Calgary, Alberta, Canada
  • University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Sex:
ALL
Ages:
Over 18