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This is a pilot or feasibility study to test the study plan and to find out whether enough participants will join a larger study and accept the study procedures. Eligible participants (adults with newly diagnosed glioblastoma multiforme \[GBM\] and had a good tumour resection \[\>= 70% of initial tumour volume\] and plan to receive 6 weeks of chemoradiation followed by up to 6 months of chemotherapy) are asked to donate their own stool samples at 4 different time points during their treatment course. Participants will also complete a 7-day diet diary and two questionnaires about their health-related quality of life. Glioblastoma multiforme (GBM) is the most common and aggressive form of primary brain cancer in adults. The current best evidence-proven treatment for GBM includes maximum safe tumour resection, brain radiation over a 6-week period given with chemotherapy pills called temozolomide (Brand name: Temodal or Temodar), followed by approximately 6 months / cycles of temozolomide. Despite these treatments, the average life expectancy is generally less than 2 years. Researchers are recognizing that the immune system has an important role in directing the effectiveness of chemotherapy, radiation, and newer therapies such as immunotherapies. Some immunotherapies have been quite successful in improving cancer control and survival in other cancers like melanoma (an aggressive skin cancer), but when these drugs were given to patients with GBM, there appeared to only be a small effect. Therefore, finding ways to make existing and new treatments work better should be a priority. Recent scientific studies have shown that the bacteria that make up our stool, often referred to as the gut microbiome, play a major role in regulating the immune system. For example, researchers were able to make patients with melanoma who previously did not respond to immunotherapy become responsive to the treatment after receiving a stool transplant from responders to immunotherapy. This provides proof of concept that we could modify the body's immune environment to favour cancer killing by changing a person's gut bacteria environment. The role of the gut bacteria in patients with brain cancer is poorly understood as very few studies have been published about it in this population. We believe that understanding the composition of the gut microbiome and how it relates to the effectiveness and side effects of treatments in GBM patients will be an important first step to understanding how we can modify the gut microbiome to improve outcomes for patients living with GBM.

Conditions:
Glioblastoma, IDH-wildtype
Emplacement:
  • The Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

The aim of the study is to compare whether JointRep® plus microfracture is more effective than microfracture alone when treating symptomatic focal articular cartilage lesions in the knee (femoral condyles or trochlea).

Conditions:
Articular Cartilage Defect | Articular Cartilage Disorder of Knee | Chondral Defect
Emplacement:
  • Dartmouth General Hospital, Dartmouth, Nova Scotia, Canada
Sexe:
ALL
Âges:
18 - 65

The goal of this clinical trial is to test the impact of a novel dual-task EMG Biofeedback training method for improving balance in individuals living with multiple sclerosis. The main question\[s\] it aims to answer are: * Does dual-task EMG biofeedback training deliver lasting balance benefits up to 3 months following the intervention? * Are the benefits greater than those for participation in traditional balance training exercises? * Do the benefits vary with the severity of disability? Participants will receive either EMG Biofeedback (EMG-BF) training or traditional balance exercise (BAL-EX) training. Both treatments involve three 30-minute sessions of the training every week for 6 weeks (18 sessions). During the sessions, participants in the EMG-BF treatment group will perform targeted exercises using feedback from adhesive (sticker) sensors on their arms and legs. Participants in the BAL-EX treatment group will following an instructor through balance training movements that are traditionally prescribed by physiotherapists to improve balance. Measurements will be taken at the beginning of the study, after six weeks of training, and three months after the end of training. Researchers will compare the groups to see if balance and related outcomes are improved more by 6-weeks of EMG-BF training than BAL-EX.

Conditions:
Multiple Sclerosis
Emplacement:
  • McMaster University, Hamilton, Ontario, Canada
Sexe:
ALL
Âges:
18 - 80

This is a Phase II prospective sing-arm trial that is recruiting 60 participants from patients that have biochemical failure after radical prostatectomy with local or regional recurrence proven by PSMA PET. Participants of this study will receive molecular imaging informed radiation dose escalation to site of recurrent disease and de-escalation to uninvolved areas. Participants will be follow-up as per standard of care up to 5 years post-treatment.

Conditions:
Prostate Cancer
Emplacement:
  • Princess Margaret Cancer Center, Toronto, Ontario, Canada
Sexe:
MALE
Âges:
Over 18

Alterations in normal serotonin (5-hydroxytryptamine;5-HT) signaling have been reported in ulcerative colitis (UC) and Crohn's disease (CD). Studies report an increase in enterochromaffin (EC) cell, main source of 5-HT in the gut, numbers in CD and UC patients. Up-regulated expression of mucosal Tryptophan hydroxylase (TPH)-1, catalytic enzyme in 5-HT production, messenger RNA (mRNA) have been found in CD patients in remission who are suffering the irritable bowel syndrome (IBS)-like symptoms. Alterations in normal 5-HT signaling has also been reported in animal models of inflammatory bowel disease (IBD). Thus, the aim of the proposed research project will be to study the alterations in 5-HT signalling accompanying GI inflammatory conditions, such as IBD.

Conditions:
Inflammatory Bowel Disease
Emplacement:
  • McMaster University Medical Center, Hamilton, Ontario, Canada
Sexe:
ALL
Âges:
19 - 85

The primary aims of this study is to contrast the effectiveness of CBT-I and pharmacotherapy (lemborexant) compared to placebo on sleep and mental health outcomes in people with insomnia disorder and anxiety/depressive symptoms. In addition, the study will evaluate whether insomnia phenotypes (i.e., +/- 6hrs of sleep) at baseline moderate the effectiveness of the intervention on both sleep and mental health outcomes.

Conditions:
Insomnia Disorder
Emplacement:
  • Université Laval Centre d'étude des troubles du sommeil, Québec, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

The purpose of this biological study is to provide Dr. Samuel Fortin's laboratory with a continuous supply of blood mononuclear cells (PBMCs) so that he can pursue research on the potential beneficial effects of monoglyceride omega-3 fatty acids on the resolution of inflammation.

Conditions:
Resolution of Inflammation | Reduction of Cell Proliferation
Emplacement:
  • SCF Pharma, Rimouski, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

Prospective randomized controlled trial comparing low dose Prednisone(or Prednisolone)/Methotrexate combination to standard dose Prednisone(or Prednisolone) in patients diagnosed with acute active clinically manifest cardiac sarcoidosis and not yet treated. The Investigators hypothesize that low dose Prednisone(or Prednisolone)/Methotrexate combination will be as effective as standard dose Prednisone(or Prednisolone), and result in significantly better quality of life and less toxicity than standard dose Prednisone(or Prednisolone).

Conditions:
Cardiac Sarcoidosis | Sarcoidosis
Emplacement:
  • St. Paul's Hospital, Vancouver, British Columbia, Canada
  • London Health Sciences Centre, London, Ontario, Canada
  • Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Quebec City, Quebec, Canada
  • Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada
  • St. Joseph's Healthcare Centre, Hamilton, Ontario, Canada
  • CIUSSS-Hopital du Sacre-Coeur de Montreal, Montreal, Quebec, Canada
  • QE II Health Sciences Centre, Halifax, Nova Scotia, Canada
  • Montreal Heart Institute, Montreal, Quebec, Canada
  • Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Quebec, Canada
  • Eastern Health Health Sciences Centre, St. John's, Newfoundland and Labrador, Canada
  • University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • CIUSSS de l'Estrie - CHUS - Hôpital Fleurimont, Sherbrooke, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

The objective of the TOmAS Biobank is the conservation of biological material (plasma, saliva, and tissue explanted during surgery), genetic material (DNA, RNA, etc.), and clinical data ("material/data") collected from patients with cardiovascular diseases (CVD) as well as from control participants, in order to allow future studies evaluating novel proteomic, transcriptomic and epigenomic markers (as well as other emerging -omic technologies) for CVD (i.e. aortic stenosis, cardiomyopathy, myorcardial infarction, etc). The study of physiological and genetic factors will allow for the discovery of new genomic and other -omic (including proteomic, transcriptomic and epigenomic) biomarkers associated with CVD which will lead to an improved understanding of the underlying biology of CVD and may provide future insights into the prevention and treatment of this type of disease.

Conditions:
Cardiovascular Diseases | Aortic Valve Stenosis
Emplacement:
  • Montreal General Hospital, Montréal, Quebec, Canada
  • Royal Victoria Hospital, Montreal, Quebec, Canada
  • Montreal General Hospital, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 19

The goal of this prospective controlled study is to measure the reliability of two intraocular pressure (IOP)-measuring instruments in comparison to the gold standard, Goldmann applanation tonometry (GAT) following vitreo-retinal surgery. The main question the current study aims to answer is: are Icare and Accupen as accurate as GAT in measuring IOP one day post eye surgery? Participants in this study will have their IOP measured by the three different instruments one day post-surgery.

Conditions:
Intraocular Pressure
Emplacement:
  • Hôpital du Saint-Sacrement, CHU de Québec - Université Laval, Québec, Quebec, Canada
Sexe:
ALL
Âges:
Over 18