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The purpose of this study is to evaluate the efficacy and safety of selinexor as a maintenance treatment in patients with p53 wt endometrial carcinoma (EC), who have achieved a partial response (PR) or complete response (CR) (per Response Evaluation Criteria in Solid Tumors version 1.1 \[RECIST v 1.1\]) after completing at least 12 weeks of platinum-based therapy. A total of 220 participants will be enrolled in the study and randomized in a 1:1 ratio to maintenance therapy with either selinexor or placebo.

Conditions:
Endometrial Cancer
Emplacement:
  • Princess Margaret, Toronto, Ontario, Canada
  • McGill University Health Centre (MUHC), Montréal, Quebec, Canada
  • Nova Scotia Health / QEII Health Sciences Centre / Atlantic Clinical Cancer Research Unit, Halifax, Nova Scotia, Canada
  • Hospital Maisonneuve-Rosemont, Montreal, Quebec, Canada
  • Sunnybrook Research Institute, Toronto, Ontario, Canada
  • Tom Baker Cancer Centre, Calgary, Alberta, Canada
  • Cross Cancer Institute, Edmonton, Alberta, Canada
  • Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

Phase 1/2, dose escalation and expansion study designed to evaluate the safety and tolerability of NVL-520, determine the recommended phase 2 dose (RP2D), and evaluate the antitumor activity in patients with advanced ROS1-positive (ROS1+) NSCLC and other advanced ROS1-positive solid tumors. Phase 1 will determine the RP2D and, if applicable, the maximum tolerated dose (MTD) of NVL-520 in patients with advanced ROS1-positive solid tumors. Phase 2 will determine the objective response rate (ORR) as assessed by Blinded Independent Central Review (BICR) of NVL-520 at the RP2D. Secondary objectives will include the duration of response (DOR), time to response (TTR), progression-free survival (PFS), overall survival (OS), and clinical benefit rate (CBR) of NVL-520 in patients with advanced ROS1-positive NSCLC and other solid tumors.

Conditions:
Metastatic Solid Tumor | Locally Advanced Solid Tumor
Emplacement:
  • Princess Margaret Cancer Research, Toronto, Ontario, Canada
  • Cross Cancer Institute, Edmonton, Alberta, Canada
Sexe:
ALL
Âges:
Over 12

To find out if eptinezumab is better than placebo (normal saline solution) in lowering the number of days with migraine in young people ages 12 to 17 with chronic migraine.

Conditions:
Chronic Migraine in Children
Emplacement:
  • Vancouver Island Health Authority, Victoria, British Columbia, Canada
  • Medical Arts Health Research Group - Penticton, Penticton, British Columbia, Canada
  • The Kids Clinic, Ajax, Ontario, Canada
  • University of Alberta, Edmonton, Alberta, Canada
Sexe:
ALL
Âges:
12 - 17

The purpose of this study is to investigate behavioral and other co-occurring outcomes with EPID(I/Y)OLEX as an add-on therapy in participants aged 1 to 65 years with tuberous sclerosis complex (TSC) who experience seizures.

Conditions:
Tuberous Sclerosis Complex Associated Neuropsychiatric Disease
Emplacement:
  • BC Children's Hospital, Vancouver, British Columbia, Canada
  • Alberta Children's Hospital, Calgary, Alberta, Canada
  • The Hospital for Sick Children, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
1 - 65

CANTOR SING is a pilot single center double blinded randomized study. The investigators will compare the effect of canagliflozin (300 mg daily - intervention arm) vs. placebo (control group) on the FDG aortic uptake in patients with stable CAD (over 60 days post-myocardial infarction) after a 6-month period of treatment. The investigators plan to enroll 8 patients in each arm (total sample size: 16 patients). Primary endpoint is the change in FDG aortic uptake between baseline and 6 months in each arm.

Conditions:
Coronary Artery Disease | Diabetes Type 2
Emplacement:
  • University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

This study is designed as a prospective comparative randomized clinical study to determine the diagnostic accuracy (sensitivity, specificity, positive predictive value, and negative predictive value) of pulsed fluoroscopy retrograde urethrogram for urethral stricture disease. The target population includes patients scheduled for retrograde urethrogram either new referral or follow up at Thunder Bay Regional Health Sciences Centre (TBRHSC) for treatment of urethral stricture who meet the specific eligibility criteria. The overall number of participants targeted will be 46. Upon presentation to the urology clinic or ambulatory care unit, the treating urologist/investigator will notify the patient of an opportunity to participate in the study. If the patient is interested, a research team member who is not directly involved in the patient care will be invited to discuss the study to the potential participant. The study team member will obtain a full-informed consent form the potential participant. Following informed consent, participants will be screened to ensure they meet the specific eligibility requirements of this study, through consultation with their medical records and the treating urologist. Randomization will be conducted in a 1:1 allocation ratio to either treatment arm: (1) the Pulsed fluoroscopy retrograde urethrogram, or (2) the Traditional retrograde urethrogram. Using an Excel sheet, the RAND function will give a random code. The random code is a figure ranging from 0.00000000 to 0.9999999999. A 0.5 cut-off code will be used, below which we will use the small blocks of 4 cells (4 rows of excel) and above which we will use the large blocks of 8 cells (8 rows of excel). Participants will undergo procedures according to the order of randomization Participants will undergo either Pulsed fluoroscopy retrograde urethrogram or Traditional retrograde urethrogram, depending on the treatment arm they are randomized to. Clinical data such as stricture location, stricture length and possible adverse effects will be recorded. According to the urologist decision based on data obtained during RUG, participant will be scheduled for urethroplasty or cystoscopy. All participants will undergo these procedures according to standard care procedures at TBRHSC. Data collection at baseline will include demographics, and relevant medical history. All retrograde urethrogram data including the type of urethrogram, the urethrogram date, fluoroscopy time, cumulative radiation dose, stricture location, stricture length and intraprocedural complications. Furthermore, we will record intraoperative data such as operative date, stricture location and stricture length. De-identified research files will be maintained in a secure office of a research team member during the conduct of the study. De-identified research data will be input into an electronic database that is password protected and maintained on research team member's computers or encrypted USB devices. An enrolment log, linking Participant ID to identifiable information will be maintained in hard copy in a locked office, or electronically as a password-protected document on the TBRHSC network. Only delegated research team members and the Principal Investigator will have access to research and patient data. Upon study closure, research records will be kept in secure storage in a research team member's office for a period of 5 years. Following this, the files will be securely shredded, and any electronic documents permanently deleted. Data will be analyzed using the commercially available SPSS software version 26 (SPSS Inc., Chicago, IL, USA). For both techniques, data obtained during baseline and postoperative urethrograms will be compared in terms of stricture location, stricture length, fluoroscopy time, cumulative radiation dose and the occurrence of intraprocedural complications. Categorical data will be compared using Chi-squared or Fisher test. Continuous data will be analyzed using the T test or Mann-Whitney U test Data obtained during urethroplasty will set as a standard of comparison to determine sensitivity, specificity, positive predictive value and negative predictive value of pulsed fluoroscopy and traditional urethrograms. For each comparison, 2 × 2 contingency tables were used to present the results and calculate the diagnostic accuracy estimates with 95% confidence intervals Data analysis will be done blindly regarding the type of performed procedure. One procedure will be coded as "1" and the other will "2". Categorical variables will be presented using number and percentage, and continuous variables will be presented using median and ranges. Two-tailed p-values of less than 0.05 will be set for statistical significance.

Conditions:
Urethral Stricture
Emplacement:
  • Thunder Bay Regional Health Science Centre, Thunder Bay, Ontario, Canada
Sexe:
MALE
Âges:
Over 18

The goal of this study is to determine what happens to the heart muscle contraction when people cycle before their hemodialysis treatment. Will pre-dialysis exercise protect the heart from a decrease in pumping of the heart muscle (called stunning) that can happen during hemodialysis. We will study whether pre-dialysis exercise decreases heart stunning, decreases the number and severity of symptoms commonly associated with hemodialysis, and other outcomes

Conditions:
Hemodialysis | Cardioprotection
Emplacement:
  • London Health Sciences Centre, London, Ontario, Canada
Sexe:
ALL
Âges:
18 - 79

This is a parallel group, Phase 3, multinational, multicenter, randomized, double blind, placebo-controlled, 3-arm monotherapy study for treatment of participants diagnosed with moderate to severe atopic dermatitis (AD), whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for SC injection compared with placebo in participants with moderate to severe AD aged 12 years and older. Study details include: At the end of the treatment period, participants will have an option to enter a separate study: the blinded extension study EFC17600 (ESTUARY). For participants not entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 44 weeks including a 2 to 4-week screening, a 24-week randomized double-blind period, and a 16-week safety follow-up. For participants entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 28 weeks including a 2 to 4-week screening and a 24-week randomized double-blind period. The total treatment duration will be up to 24 weeks. The total number of visits will be up to 10 visits (or 9 visits for those entering the blinded extension study EFC17600\] (ESTUARY).

Conditions:
Dermatitis Atopic
Emplacement:
  • Investigational Site Number : 1240040, Surrey, British Columbia, Canada
  • Investigational Site Number : 1241108, Niagara Falls, Ontario, Canada
  • Investigational Site Number : 1240043, Saint-jérôme, Quebec, Canada
  • Investigational Site Number : 1240031, Edmonton, Alberta, Canada
  • Investigational Site Number : 1240029, London, Ontario, Canada
  • Investigational Site Number : 1240035, Toronto, Ontario, Canada
  • Investigational Site Number : 1240033, Ajax, Ontario, Canada
  • Investigational Site Number : 1240034, Ottawa, Ontario, Canada
  • Investigational Site Number : 1240028, Regina, Saskatchewan, Canada
  • Investigational Site Number : 1240055, Hamilton, Ontario, Canada
  • Investigational Site Number : 1240013, Toronto, Ontario, Canada
  • Investigational Site Number : 1240036, Saskatoon, Saskatchewan, Canada
Sexe:
ALL
Âges:
Over 12

Spine fractures are the most common fracture due to osteoporosis. They happen during falls or activities of daily life, like bending to tie shoes. Fractures of the spine can result in pain, which can sometimes last for a long time. Spine fractures can affect breathing, appetite, digestion, and mobility, and can restrict or modify people's work or daily activities. There are no standard rehabilitation programs after spine fracture, and patients often have to pay for rehabilitation. Rehabilitation can be hard to access, especially in rural or remote locations. It can be hard to find health care or rehabilitation providers who specialize in treating spine fractures. After reviewing research and consulting patients and health care providers to understand their experiences with spine fracture rehabilitation, the research team developed a toolkit for a virtual rehabilitation program for people with spine fractures, called VIVA. The research team wants to submit a grant for a clinical trial to implement VIVA in five provinces and determine if VIVA reduces pain and improves physical functioning and quality of life, and if the benefits outweigh the costs. Before this, the team proposes to do a pilot study to test how feasible it is to do a study of VIVA in three provinces.

Conditions:
Osteoporosis | Fractures, Spinal
Emplacement:
  • Unity Health Toronto, Toronto, Ontario, Canada
  • Geras Centre for Aging Research, Hamilton, Ontario, Canada
  • McGill University Health Centre, Montréal, Quebec, Canada
  • Arthritis Research Canada, Vancouver, British Columbia, Canada
Sexe:
ALL
Âges:
Over 50

The proposed study aims to simulate a meal eaten at home, where meals will provide a fixed amount of protein from beef or vegetarian substitute "meat" balls with ad libitum access to one of mashed potatoes, full-fat fries, or pasta. Postprandial glycemia (PPG), insulin, active ghrelin, satiety, amino acid response and food intake (FI) at the meal and again 3h later (after an ad libitum pizza meal) will be measured. In addition, post-meal PPG and satiety will be measured for one hour after the second meal.

Conditions:
Obesity | Diabetes | Appetite Regulation | Satiety Response | Glycemic Control
Emplacement:
  • University of Toronto - Department of Nutritional Sciences, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
18 - 45