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C-sections may result in a lot of pain that is distressing to the mother, and can impact bonding with the baby. Although there are medications used to treat strong pain, they are not good to use after C-sections because they can affect the baby. There is a need for a pain management option that can reduce the use of medications. The investigators are testing the effects of a combined light and laser device (photo-biomodulation therapy; PBMT), used on the wound twice daily, with respect to pain right after surgery, and pain that lasts longer than 6 weeks after surgery.

Conditions:
Pain
Emplacement:
  • St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada
Sexe:
FEMALE
Âges:
Over 18

POAM is a multicenter, randomized, controlled, internal pilot trial, using a conventional, parallel group, two-armed design at 3 cardiac surgery centres in Canada. The study is designed to assess the feasibility of a future, definitive RCT investigating whether, in patients with chronic iron-deficiency anemia undergoing cardiac surgery, IV iron therapy in the postoperative period (initiated shortly after surgery, and repeated at 42 days after surgery, if needed) improves clinical outcomes (days alive and out of hospital at 90 days after surgery; DAOH-90) relative to placebo.

Conditions:
Cardiac Surgery | Chronic Iron Deficiency Anaemia
Emplacement:
  • Toronto General Hospital - University Health Network, Toronto, Ontario, Canada
  • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
  • Kingston Health Sciences Centre, Kingston, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

Breast cancer predominates among cancer diagnoses in Canadian women. It accounts for around 25% of new cases and contributes to 13% of all cancer-related deaths. In 2020, almost 27,400 Canadian women were diagnosed with breast cancer and 5,000 of them died from it. Mammography is still the preferred method for screening for breast cancer. Although progress has been made over the years, mammography does have its drawbacks. These include physical discomfort for patients, exposure to X-rays and reduced effectiveness in dense breasts. The study team is therefore interested in developing a new breast cancer detection method, the BRAVE method. The BRAVE method, short for "BRA-based Visco-Elastography", uses the high contrast of elastic stiffness in malignant breast tumors to detect possible cancer cases without the need for X-rays or breast compression. The first phase, carried out on a small scale pilot study, aimed to assess the method's ability to distinguish a breast with no abnormalities from one with confirmed cancer. The second phase (current phase), carried out on a larger scale, aims to confirm the sensitivity and specificity of the method in detecting malignant lesions, i.e. to determine whether the method is capable of distinguishing between several types of breast masses.

Conditions:
Breast Cancer | Breast Mass
Emplacement:
  • CIUSSS de l'Estrie - CHUS, Sherbrooke, Quebec, Canada
Sexe:
FEMALE
Âges:
Over 18

The purpose of this clinical research study is to learn more about the use of the study medicine, volixibat, for the treatment of pruritus (itching) associated with Primary Sclerosing Cholangitis (PSC), and to assess the possible impact on the disease progression of PSC.

Conditions:
Primary Sclerosing Cholangitis
Emplacement:
  • University of Alberta, Edmonton, Alberta, Canada
  • The Ottawa Hospital - General Campus, Ottawa, Ontario, Canada
  • University Health Network - Toronto General Hospital, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 12

This will be a two-year prospective study to characterize the nature of the remaining asthma exacerbations in patients treated with mepolizumab. Participants will be assessed every six months from pre- until two years of treatment in addition to whenever they experience an exacerbation of asthma during the study period. During these visits, various clinical, physiological and inflammatory outcomes will be assessed.

Conditions:
Asthma
Emplacement:
  • Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Quebec, Canada
Sexe:
ALL
Âges:
18 - 90

This study will be conducted to determine the preliminary efficacy of axatilimab in combination with ruxolitinib and to assess the contribution of axatilimab to the combination treatment effect in participants with cGVHD.

Conditions:
Chronic Graft-versus-host-disease
Emplacement:
  • Chu Sainte-Justine, Montreal, Quebec, Canada
  • Arthur J E Child Comprehensive Cancer Centre, Calgary, Alberta, Canada
  • Princess Margaret Cancer Centre - University Health Network, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 12

This pilot study aims to examine the feasibility of recruiting depressed adolescents to examine changes in emotional processing and in neural responses to emotional stimuli after one session of rTMS (which is followed by an open-label phase of 4 weeks active rTMS).

Conditions:
Recruitment
Emplacement:
  • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
14 - 21

This phase I/Ib trial tests the safety and best dose of ipatasertib in combination with the usual treatment approach using chemotherapy together with radiation therapy ("chemo-radiation") in patients with head and neck cancer. Ipatasertib is in a class of medications called protein kinase B (AKT) inhibitors. It may stop the growth of tumor cells and may kill them. Cisplatin which is a chemotherapy used in this trial is in a class of medications known as platinum-containing compounds. It works by killing, stopping or slowing the growth of cancer cells. Radiation therapy uses high energy to kill tumor cells and shrink tumors. Giving ipatasertib in combination with chemo-radiation may be better than chemo-radiation alone in treating patients with advanced head and neck cancer.

Conditions:
Locally Advanced Head and Neck Squamous Cell Carcinoma | Head and Neck Carcinoma of Unknown...
Emplacement:
  • University Health Network-Princess Margaret Hospital, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

This is a single institutional registry-based, prospective, observational study to describe radiation oncologists' decision making during evaluation of patients and to compare real-world outcomes of SBRT vs CRT. A registry-based trial involves observing the effect of something without manipulating it.

Conditions:
Spinal Metastases
Emplacement:
  • University Health Network, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
18 - 100

Rheumatoid Arthritis (RA) is a chronic inflammatory disease causing pain, stiffness, swelling and loss of joint function. This study will assess how safe and effective upadacitinib is in treating RA when compared to adalimumab in adult participants with inadequate response or intolerance to one TNF-inhibitor who are on a stable dose of methotrexate (MTX). Adverse events and change in disease activity will be assessed. Upadacitinib is an approved drug for the treatment of RA. This study is double-blinded means that neither the participants nor the study doctors will know who will be given upadacitinib and who will be given adalimumab. Study doctors put the participants in 1 of the 2 groups, called treatment arms randomly, to receive either upadacitinib or adalimumab. There is 1 in 2 chance that participants will receive adalimumab. Each group consists of 2 periods. Approximately 480 participants diagnosed with RA will be enrolled in approximately 250 sites across the world. Participants will receive the oral upadacitinib once daily and matching adalimumab placebo every other week, or the subcutaneous adalimumab every other week and matching upadacitinib placebo once daily during Period 1. Eligible participants will continue to receive same study treatment in Period 2 as assigned in Period 1 and will be followed for 30 days and 70 days. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.

Conditions:
Rheumatoid Arthritis
Emplacement:
  • Centre Rhumatologie de l'Est /ID# 254932, Rimouski, Quebec, Canada
  • Manitoba Clinic /ID# 254019, Winnipeg, Manitoba, Canada
  • Dr. Latha Naik Medical Professional Corporation /ID# 254018, Saskatoon, Saskatchewan, Canada
  • Groupe de Recherche en Maladies Osseuses Inc /ID# 253409, Sainte-foy, Quebec, Canada
  • Centre de Recherche Musculo-Squelettique /ID# 256273, Trois-rivières, Quebec, Canada
Sexe:
ALL
Âges:
Over 18