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Study objectives: To determine whether, in critically ill patients with Acute Kidney Injury requiring renal replacement therapy (AKI-RRT), randomization to receive intravenous hyperoncotic albumin 20-25% (100 mL X two doses) compared to control/placebo normal saline boluses (100 mL X two doses) given during RRT sessions, leads to: 1. An increase in organ support-free days (primary outcome) at 28 days following randomization; and 2. An increase in RRT-free days (principal secondary outcome) at 28 days following randomization.
Conditions:
Acute Kidney Injury | Critical Illness | Renal Replacement Therapy | HypotensionEmplacement:
- Hamilton Health Sciences Corporation, Hamilton, Ontario, Canada
- University of Ottawa Heart Institute, Ottawa, Ontario, Canada
- Sinai Health System, Toronto, Ontario, Canada
- University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Nova Scotia Health Authority, Halifax, Nova Scotia, Canada
- The Ottawa Hospital, Ottawa, Ontario, Canada
- St. Michael's Hospital, Toronto, Ontario, Canada
- Centre Integre Universitaire de Sante et de Services Sociaux de L'Estrie - Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
- The Governors of the University of Calgary, Calgary, Alberta, Canada
- Kingston General Hospital, Kingston, Ontario, Canada
- Scarborough Health Network, Scarborough, Ontario, Canada
- Lakeridge Health, Whitby, Ontario, Canada
- University of Manitoba - Health Sciences Centre, Winnipeg, Manitoba, Canada
- Sunnybrook Health Sciences Centre, North York, Ontario, Canada
- Niagara Health System, St. Catharines, Ontario, Canada
- Centre Integre de Sante et de Services Sociaux de Laval, Laval, Quebec, Canada
Sexe:
ALLÂges:
Over 18This is a multi-centre, open-label RCT at four Emergency Departments (EDs) in British Columbia and Alberta. The purpose of the current study is to compare the effectiveness of buprenorphine/naloxone microdosing and standard dosing take-home induction regimens at enabling patients to successfully complete the induction regimen, and at retaining patients on opioid agonist therapy. We will randomize our enrolled patients to receive take-home microdosing or standard dosing packages of buprenorphine/naloxone. For the microdosing arm, patients immediately start taking low doses that increase to effective levels without requiring them to go into withdrawal. We hypothesize that ED patients provided buprenorphine/naloxone microdosing packages will be more likely to successfully complete the induction period compare to patients provided standard dosing packages. We furthermore hypothesize that those provided microdosing will be more likely to be retained in opioid agonist therapy, and will experience lower overdose, mortality, and healthcare utilization subsequent to their ED visit.
Conditions:
Opioid-use DisorderEmplacement:
- Royal Alexandra Hospital, Edmonton, Alberta, Canada
- Northeast Community Health Centre, Edmonton, Alberta, Canada
- St. Paul's Hospital, Vancouver, British Columbia, Canada
- Vancouver General Hospital, Vancouver, British Columbia, Canada
- Foothills Medical Centre, Calgary, Alberta, Canada
- University of British Columbia Hospital, Vancouver, British Columbia, Canada
Sexe:
ALLÂges:
Over 18The purpose of this Phase 2 study is to evaluate the safety, tolerability, pharmacometrics, and efficacy of DNTH103 in participants with generalized myasthenia gravis (gMG).
Conditions:
Myasthenia Gravis, GeneralizedEmplacement:
- Clinical Study Site, London, Ontario, Canada
Sexe:
ALLÂges:
18 - 75Dental cavities are among the most frequent diseases that affect teeth, particularly in patients who are treated with braces due to the difficulty in maintaining good oral hygiene in the presence of the mouth appliances. The white spot lesion (WSL) is the first clinical sign of cavities that presents itself as a milky-white opacity when located on the front face of the tooth. The aim to manage these early lesions focuses on promoting natural remineralization and preventing further demineralization. Various materials have been introduced for management of WSLs including MI paste and MI paste combined with fluoride (MI paste plus). Recently, a new material called resin infiltration has been found to treat these lesions with high esthetic results and great performance. According to the few numbers of in-vivo studies investigating the effectiveness of remineralization products, the aim of the current study is to clinically compare the outcome of the resin-infiltration and etching + MI paste plus to stop and improve the appearance of the WSL on front teeth in patients after treatment with braces.
Conditions:
Orthodontic Appliance Complication | White Spot Lesions | Smooth Surface Caries | Caries ArrestedEmplacement:
- KAYE Edmonton Clinic, Edmonton, Alberta, Canada
Sexe:
ALLÂges:
12 - 21For participation in this epidemiological study, a single-day visit at the study site is required. Participants will be recruited from Huntington Disease clinics, and they will be asked to answer questions regarding their demographics, including sex, age, race and ethnicity, and their medical and medication history. At the end of the visit, a blood sample will be drawn to allow testing with a sequencing assay that is specifically designed for phasing single nucleotide polymorphisms (SNPs) on the wild-type Huntington (wtHTT) and mutant Huntington (mHTT) alleles.
Conditions:
Huntington DiseaseEmplacement:
- North York General Hospital, Toronto, Ontario, Canada
- Centricity Research, Halifax, Nova Scotia, Canada
- University of Alberta, Edmonton, Alberta, Canada
Sexe:
ALLÂges:
25 - 60To compare the efficacy and safety in subjects with advanced or metastatic LMS previously treated with an anthracycline.
Conditions:
Soft Tissue SarcomaEmplacement:
- UHN - Princess Margaret Cancer Center (Ontario), Toronto, Ontario, Canada
- McGill University Health Centre (Quebec), Montréal, Quebec, Canada
Sexe:
ALLÂges:
18 - 99Patients undergoing spine surgery frequently experience significant pain after surgery. This can limit patient activity and hinder rehabilitation. If inadequately treated, severe pain can result in emotional and psychological distress and ultimately impact long-term function, and increase the risk of developing pain that lasts longer than six months associated with depression, anxiety and disability. More specifically, Erector Spinae Plane (ESP) block is a recently described plane block designed to block the dorsal and ventral rami of the thoracic spinal nerves. It has shown to be an effective modality for postoperative pain management as a part of multimodal analgesia in spinal surgery.
Conditions:
Pain | PostoperativeEmplacement:
- Toronto Western Hospital?UHN, Toronto, Ontario, Canada
Sexe:
ALLÂges:
18 - 80The purpose of this study is to evaluate the effectiveness and safety of Arlocabtagene Autoleucel (BMS-986393) in participants with relapsed or refractory multiple myeloma.
Conditions:
Multiple MyelomaEmplacement:
- Tom Baker Cancer Center, Calgary, Alberta, Canada
- McGill University Health Centre, Montréal, Quebec, Canada
Sexe:
ALLÂges:
Over 18The optimal treatment strategy with hyperbaric oxygen therapy has been the subject of some debate over the past 3 decades. Initial landmark studies showed a decrease in the incidence of DNS with a single treatment and also with three treatments over the course of 24 hours. These two strategies have continued to be used widely without further evidence comparing them in a direct fashion. Retrospective publications in the years since have been largely conflicting about the benefit of additional hyperbaric treatments. The investigators would seek to randomize patients with carbon monoxide poisoning to receive with 1 or 3 treatments with hyperbaric oxygen and measure their neurologic outcomes.
Conditions:
Carbon Monoxide Poisoning | Hyperbaric Oxygen TherapyEmplacement:
- University of Alberta, Edmonton, Alberta, Canada
Sexe:
ALLÂges:
Over 17The main aim of the study is to assess if TAK-101 can reduce gluten related symptoms and immune activation in adult participants with celiac disease (CeD) on a gluten-free diet (GFD). Participants will receive TAK-101 and/or placebo through the vein on Day 1 and Day 8. All participants will receive active treatment at Week 24.
Conditions:
Celiac DiseaseEmplacement:
- PerCuro Clinical Research Ltd., Victoria, British Columbia, Canada
- South Edmonton Gastroenterology, Edmonton, Alberta, Canada
- McMaster University, Hamilton, Ontario, Canada
- Scott Shulman Medicine Professional Corporation, North bay, Ontario, Canada