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Résultats de recherche
Modulating the gut microbiome to improve response to immune-checkpoint inhibitors is an active area of study. Prebiotic substances (compounds which positively shift the gut microbiome) are a reliable and safe method of gut microbiome modulation. Data suggest that the berry Camu Camu (CC), also known as Myrciaria dubia has prebiotic potential to enrich Akkermansia muciniphila, a bacterium shown to alleviate metabolic disorders and improve ICI efficacy in preclinical models. Our primary objective is to assess the safety and tolerability of CC prebiotic in patients with advanced NSCLC and melanoma in combination with standard-of-care ICI.
Conditions:
NSCLC Stage IV | Melanoma Stage IV | Advanced Non-Small Cell Lung Cancer | Unresectable MelanomaEmplacement:
- CISSS de la Montérégie-Centre- Hôpital Charles-Le Moyne, Longueuil, Quebec, Canada
- Jewish General Hospital, Montreal, Quebec, Canada
- Centre hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, Canada
Sexe:
ALLÂges:
Over 18This study will evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single ascending doses of AZD6912 administered subcutaneously (SC) in healthy participants.
Conditions:
Rheumatoid ArthritisEmplacement:
- Research Site, Montréal, Quebec, Canada
Sexe:
ALLÂges:
18 - 50The incidence of moderate to severe congenital heart disease (CHD) in the United States is estimated to be 6 per 1000 live-born full term infants. Recent advances in pediatric cardiology, surgery and critical care have significantly improved the survival rates of patients with CHD leading to an increase in prevalence in both children and adults. Children with CHD significant enough to require cardiac surgery frequently also undergo non-cardiac surgical procedures. Analysis of the Pediatric Health Information System database between 2004 and 2012 demonstrated that 41% of children who had undergone surgery to correct CHD in the first year of life also underwent at least one non-cardiac surgery by age 5. With this increased demand for non-cardiac procedures, anesthesiologists, pediatricians and other healthcare providers will encounter patients with repaired or unrepaired CHD and other cardiac diseases in their practice. However, the information provided by national databases lack granularity and the information from single institutional data is limited. This project aims to address this knowledge gap in quantifying the risk for cardiac patients coming for noncardiac procedures and identify the health care resource utilization and system to best care for this patient population. To conduct this study, we will create a multi-institutional collaboration between large and small centers to create a unique dataset spanning all the different variables that need to be considered in risk prediction for these patients including patient variables, hospital setting, and providers. The aggregate multiinstitutional data set may be used for benchmarking for national quality improvement efforts.
Conditions:
Congenital Heart Disease in ChildrenEmplacement:
- Hospital for Sick Kids, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Under 21The purpose of this Phase III study is to evaluate the efficacy and safety of tozorakimab administered subcutaneously (SC) in adult participants with symptomatic COPD with a history of ≥ 2 moderate or ≥ 1 severe exacerbations of COPD in the 12 months prior to enrolment. Participants should be receiving optimised treatment with inhaled maintenance therapy (ICS/LABA/LAMA triple therapy, or dual therapy if triple is not considered appropriate) throughout at least the last 3 months prior to enrolment.
Conditions:
Chronic Obstructive Pulmonary Disease (COPD)Emplacement:
- Research Site, Ajax, Ontario, Canada
- Research Site, Levis, Quebec, Canada
- Research Site, Kelowna, British Columbia, Canada
- Research Site, Winchester, Ontario, Canada
- Research Site, Calgary, Alberta, Canada
- Research Site, Burlington, Ontario, Canada
- Research Site, St Charles Borromee, Quebec, Canada
- Research Site, Edmonton, Alberta, Canada
- Research Site, Toronto, Ontario, Canada
- Research Site, Saskatoon, Saskatchewan, Canada
Sexe:
ALLÂges:
40 - 130The main goal of the study is to assess the long-term safety of eptinezumab on children and adolescents ages 6 to 17 with chronic or episodic migraine.
Conditions:
MigraineEmplacement:
- Vancouver Island Health Authority, Victoria, British Columbia, Canada
- The Kids Clinic, Ajax, Ontario, Canada
Sexe:
ALLÂges:
6 - 17The purpose of this study is to establish the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled by non-sedating second generation H1-antihistamines in comparison to placebo.
Conditions:
Chronic Spontaneous UrticariaEmplacement:
- North Bay Dermatology Centre, North Bay, Ontario, Canada
- Joel Liem Medicine Professional Corporation, Windsor, Ontario, Canada
- LEADER research, Hamilton, Ontario, Canada
- North York Research Inc., Toronto, Ontario, Canada
- Ottawa Allergy Research Corporation, Ottawa, Ontario, Canada
- Saskatoon Dermatology Centre, Saskatoon, Saskatchewan, Canada
- York Dermatology Clinic & Research Centre, Richmond Hill, Ontario, Canada
Sexe:
ALLÂges:
Over 18The purpose of this research is to determine whether extra betaine and choline influence metabolic health in adults with overweight and obesity.
Conditions:
Obesity and Obesity-related Medical ConditionsEmplacement:
- Human Nutraceutical Research Unit, Guelph, Ontario, Canada
Sexe:
ALLÂges:
18 - 70Phase 1 will evaluate the safety and tolerability at different dose levels of repotrectinib in pediatric and young adult subjects with advanced or metastatic malignancies harboring anaplastic lymphoma kinase (ALK), receptor tyrosine kinase encoded by the gene ROS1 (ROS1), or neurotrophic receptor kinase genes encoding TRK kinase family (NTRK1-3) alterations to estimate the Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) and select the Pediatric Recommended Phase 2 Dose (RP2D). Phase 2 will determine the anti-tumor activity of repotrectinib in pediatric and young adult subjects with advanced or metastatic malignancies harboring ROS1 or NTRK1-3 alterations.
Conditions:
Lymphoma | Locally Advanced Solid Tumors | Metastatic Solid Tumors | Primary CNS TumorsEmplacement:
- Stollery Children'S Hospital, Edmonton, Alberta, Canada
- University Of Calgary, Calgary, Alberta, Canada
- Local Institution - 2203, Ottawa, Ontario, Canada
- Local Institution - 2205, Montreal, Quebec, Canada
Sexe:
ALLÂges:
Under 25This study will evaluate the efficacy and safety of inavolisib in combination with Phesgo (pertuzumab, trastuzumab, and rHuPH20 injection for subcutaneous use) compared with placebo in combination with Phesgo, as maintenance therapy, after induction therapy in participants with previously untreated HER2-positive advanced breast cancer (ABC).
Conditions:
Metastatic Breast CancerEmplacement:
- Eastern Health - General Hospital, St. John's, Newfoundland and Labrador, Canada
- Hôpital du Sacré-Coeur de Montreal, Montreal, Quebec, Canada
- The Moncton Hospital, Moncton, New Brunswick, Canada
- Jewish General Hospital, Montreal, Quebec, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Hopital du Saint Sacrement, Quebec City, Quebec, Canada
- Allan Blair Cancer Center, Regina, Saskatchewan, Canada
- Centre Hospitalier de l?Université de Montréal (CHUM), Montreal, Quebec, Canada
- Arthur J.E. Child Comprehensive Cancer Center-Calgary, Calgary, Alberta, Canada
Sexe:
ALLÂges:
Over 18The purpose of this study is to collect existing tissue specimens from subjects enrolled in Vasculitis Clinical Research Consortium (VCRC) studies. Analysis of these tissue specimens and linked clinical data collected through VCRC studies may lead to the identification and development of a series of translational research projects. Results of these studies will provide vasculitis researchers with insight into the causes of these diseases and generate new ideas for diagnostic tests and therapies, and will be of great interest to the larger communities of researchers investigating vasculitis and other autoimmune, inflammatory, and vascular diseases.
Conditions:
Giant Cell Arteritis | Takayasu Arteritis | Eosinophilic Granulomatosis With Polyangiitis | Churg-Strauss...Emplacement:
- University of Toronto Mount Sinai Hospital, Toronto, Ontario, Canada
- St. Joseph's Healthcare, Hamilton, Ontario, Canada