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The purpose of this study is to evaluate the efficacy and safety of nipocalimab compared to placebo in participants with generalized myasthenia gravis (gMG).

Conditions:
Myasthenia Gravis
Emplacement:
  • Toronto General Hospital, Toronto, Ontario, Canada
  • The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
  • McGill University, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

The proposed studies focus on memory for speech movements and sounds and its relation to learning. Continuous theta-burst transcranial magnetic stimulation (cTBS) will be used to suppress activity in a region of pre-frontal cortex associated with somatic and auditory working memory (Brodmann area 46v) to test its involvement in learning.

Conditions:
Speech | Consolidation
Emplacement:
  • McGill University, Montréal, Quebec, Canada
Sexe:
ALL
Âges:
21 - 40

A registry-based randomized screening phase II trial. A total of 68 patients with metastatic non small cell lung cancer on systemic therapy with oligoprogression to 1-5 extracranial lesions will be randomized using a 1:1 ratio to standard of care (begin next-line systemic therapy, best supportive care, continue current systemic line, based on treating physician decision) vs. receive stereotactic ablative radiotherapy to all oligoprogressive lesions while continuing their current systemic therapy.

Conditions:
Lung Cancer Metastatic
Emplacement:
  • Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

Researchers are looking for a better way to treat men at high-risk of biochemical recurrence (BCR) of prostate cancer. BCR means that in men who had prostate cancer and were treated by either surgery and/ or radiation therapy, the blood level of a specific protein called PSA rises. PSA is a marker of prostate cancer cells activity. The PSA increase means that the cancer has come back even though conventional imaging such as computed tomography (CT) scans, magnetic resonance imaging (MRI) and bone scans does not show any lesion of prostate cancer. Recently a more sensitive imaging method called prostate-specific membrane antigen \[PSMA\] positron emission tomography \[PET\]) /computed tomography \[CT\]) scan may identify prostate cancer lesions not detectable by conventional imaging. Men with BCR have a higher risk of their cancer spreading to other parts of the body, particularly when PSA levels raised to a certain limit within a short period of time after local therapies. Once the cancer spreads to other parts of the body, it can become even harder to treat. In men with prostate cancer, male sex hormones (also called androgens) like testosterone can help the cancer grow and spread. To reduce androgens levels in these patients, there are treatments that block androgens production in the body called androgen deprivation therapy (ADT). ADT is often used to stop prostate cancer. Another way to stop prostate cancer growth and spread is to block the action of androgen receptors on prostate cancer cells called androgen receptor inhibitors (ARIs). The new generation ARIs including darolutamide can block the action of androgens receptors and are available for the treatment of prostate cancer in addition to ADT. It is already known that men with prostate cancer benefit from these treatments. The main objective of this study is to learn if the combination of darolutamide and ADT prolongs the time that the participants live without their cancer getting worse, or to death due to any cause, compared to placebo (which is a treatment that looks like a medicine but does not have any medicine in it) and ADT given for a pre-specified duration of 24 months. To do this, the study team will measure the time from the date of treatment allocation to the finding of new cancer spread in the participants by using PSMA PET/CT, or death due to any cause. The PSMA PET/CT scans is performed using a radioactive substance called a "tracer" that specifically binds to the prostate-specific membrane antigen (PSMA) which is a protein often found in large amounts on prostate cancer cells. To avoid bias in treatment, the study participants will be randomly (by chance) allocated to one of two treatment groups. Based on the allocated treatment group, the participants will either take darolutamide plus ADT or placebo plus ADT twice daily as tablets by mouth. The study will consist of a test (screening) phase, a treatment phase and a follow-up phase. The treatment duration is pre-specified to be 24 months unless the cancer gets worse, the participants have medical problems, or they leave the study for any reason. In addition, image guided radiotherapy (IGRT) or surgery is allowed and your doctor will explain the benefits and risks of this type of therapy. During the study, the study team will: * take blood and urine samples. * measure PSA and testosterone levels in the blood samples * do physical examinations * check the participants' overall health * examine heart health using electrocardiogram (ECG) * check vital signs * check cancer status using PSMA PET/CT scans, CT, MRI and bone scans * take tumor samples (if required) * ask the participants if they have medical problems About 30 days after the participants have taken their last treatment, the study doctors and their team will check the participants' health and if their cancer worsened. The study team will continue to check this and regularly ask the participants questions about medical problems and subsequent therapies until they leave the study for any reason or until they leave the study for any reason or until the end of the study, whatever comes first.

Conditions:
Biochemically Recurrent Prostate Cancer
Emplacement:
  • Vancouver Prostate Centre, Vancouver, British Columbia, Canada
  • London Health Sciences Centre (LHSC) - London Regional Cancer Program (LRCP), London, Ontario, Canada
  • Hopital Maisonneuve-Rosemont, Montreal, Quebec, Canada
  • Kaye Edmonton Clinic - Dianne and Irving Kipnes Urology Centre, Edmonton, Alberta, Canada
  • St. Joseph's Healthcare - Hamilton, Hamilton, Ontario, Canada
  • Urology South Shore Research - Research Department, Greenfield Park, Quebec, Canada
  • BC Cancer - Victoria, Victoria, British Columbia, Canada
  • Sir Mortimer B. Davis Jewish General Hospital - Radiation Oncology, Montreal, Quebec, Canada
  • Princess Margaret Cancer Centre - UHN, Toronto, Ontario, Canada
  • Prostate Cancer Centre, Calgary, Alberta, Canada
  • Nova Scotia Health Authority, Halifax, Nova Scotia, Canada
  • CISSS de l'Outaouais - Hopital de Gatineau - Centre de cancerolgie, Gatineau, Quebec, Canada
  • Centre integre universitaire de sante et de services sociaux de la Mauricie-et-du-Centre-du-Quebec - Radio-oncologie, Trois-rivieres, Quebec, Canada
Sexe:
MALE
Âges:
Over 18

The primary objective of the study is to determine the effect of seralutinib on improving exercise capacity in subjects with WHO Group 1 PAH who are FC II or III. The secondary objective for this trial is to determine time to clinical worsening.

Conditions:
Pulmonary Arterial Hypertension
Emplacement:
  • University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • London Health Science Centre - Victoria Hospital, London, Ontario, Canada
Sexe:
ALL
Âges:
18 - 75

This is a Phase III, global, randomized, open-label, multicenter, study evaluating the efficacy and safety of adjuvant giredestrant compared with endocrine therapy of physician's choice in participants with medium- and high-risk Stage I-III histologically confirmed estrogen receptor (ER)-positive and human epidermal growth factor receptor 2 (HER2)-negative early breast cancer. In addition, an open-label exploratory substudy will explore the safety and efficacy of giredestrant in combination with abemaciclib in a subset of the primary study population.

Conditions:
Early Breast Cancer
Emplacement:
  • British Columbia Cancer Agency, Vancouver, British Columbia, Canada
  • McGill University Health Center, Montreal, Quebec, Canada
  • Hopital Charles Le Moyne, Greenfield Park, Quebec, Canada
  • Cross Cancer Institute, Edmonton, Alberta, Canada
  • Centre Integre Universitaire de Sante et de Services Sociaux du Saguenay Lac Saint Jean, Chicoutimi, Quebec, Canada
  • Sir Mortimer B Davis Jewish General Hospital, Montreal, Quebec, Canada
  • Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
  • The Moncton Hospital, Moncton, New Brunswick, Canada
  • CIUSSS-de-l?Est-de-l?Île-de-Montréal, Montreal, Quebec, Canada
  • St-Jérome Medical Research, Inc., Saint-Jerome, Quebec, Canada
  • Arthur J.E. Child Comprehensive Cancer Center-Calgary, Calgary, Alberta, Canada
  • Sault Area Hospital, Sault Ste. Marie, Ontario, Canada
  • CHUM, Montreal, Quebec, Canada
  • Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

This is a multi arm, single center, investigator initiated study to investigate online adaptive radiotherapy and biomarker development in patients with newly diagnosed HNSCC (Head and Neck Squamous Cell Carcinoma) receiving curative therapy. The study will consist of two prospective arms. In Arm 1 up to 100 HNSCC patients receiving (CT)RT (computed tomography-based radiation therapy) will receive up to weekly non-contrast MRI (magnetic resonance imaging) scans during treatment. Arm 2 consists of two cohorts. In cohort A up to 20 healthy volunteers will undergo non-contrast MRI at two time points. In cohort B up to 53 patients planned to receive curative (chemo) radiotherapy for HNSCC will undergo two baseline MRI scans, one MRI in week 2 and week 4, and final MRI scan 6-8 weeks after completion of treatment.

Conditions:
Head and Neck Squamous Cell Carcinoma
Emplacement:
  • Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

The purpose of this study is to better understand the natural history of Inherited Retinal Disease (IRD) and help inform patient management.

Conditions:
Inherited Retinal Diseases
Emplacement:
  • Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 3

Play is an important activity for children. Almost all children play, but what is play? It is not easy to define play. In the past, people believed that children played to burn their energy. Now, it is known that play is important for children's growth. Some kids with disabilities cannot play. Many experts use play to teach children specific skills. People often forget that play is a child's right. It is important to help all children play. The first step is to define play and find what features are important in helping a child with a disability play. There are some models of play. But they are not complete. They do not look at play as a whole. Some models are just about playfulness, and some are about playing with others. Having a model that defines play helps researchers and clinicians think about play and the different parts of it. Then, when a child cannot play, experts can fix the part that is not working. Investigators want to introduce a model of play in this project. Investigators want to edit and complete it in three steps. First, Investigators will ask parents and children with disabilities about things that help or do not help them play; then, investigators will give Lego robots to kids that they will build with help and play with them for a few weeks. And at the end, investigators will ask therapists and other experts about our model of play. This model will be edited during the study.

Conditions:
Disability Physical | Disabilities Mental
Emplacement:
  • Rehabilitation Centre for Children, Winnipeg, Manitoba, Canada
Sexe:
ALL
Âges:
3 - 8

This is an interventional, single-centre, single-arm, non-randomized, prospective, feasibility trial investigating salvage MR-guided High-Dose-Rate brachytherapy for prostate bed recurrence after postoperative radiotherapy.

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