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The purpose of this study is to evaluate sacituzumab tirumotecan versus pemetrexed in combination with carboplatin for the treatment of epidermal growth factor receptor (EGFR)-mutated advanced non-squamous non-small cell lung cancer (NSCLC). Participants in this study have NSCLC that has continued to progress on prior treatment with EGFR tyrosine kinase inhibitors (TKIs). The primary hypotheses of this study are that sacituzumab tirumotecan is better than platinum-based doublet chemotherapy (pemetrexed and carboplatin) in regard to progression-free survival (PFS) and overall survival (OS).
Conditions:
Non-small Cell Lung Cancer (NSCLC)Emplacement:
- Princess Margaret Cancer Centre ( Site 0203), Toronto, Ontario, Canada
- McGill University Health Centre ( Site 0204), Montréal, Quebec, Canada
- Cross Cancer Institute ( Site 0201), Edmonton, Alberta, Canada
Sexe:
ALLÂges:
Over 18Hidradenitis suppurativa (HS) is an inflammatory skin disease that causes painful lesions in the axilla (underarm), inguinal (groin) and anogenital (anal/genital) regions. This study will assess how safe and effective upadacitinib is in treating adult and adolescent participants with moderate to severe HS who have failed to respond to or are intolerant of anti-tumor necrosis factor (TNF) therapy. Adverse events and change in disease activity will be assessed. Upadacitinib is an approved drug for ulcerative colitis, atopic dermatitis, rheumatoid arthritis, psoriatic arthritis, and axial spondylarthritis and is being developed for the treatment of HS. This study is "double-blinded", meaning that neither the trial participants nor the study doctors will know who will be given upadacitinib and who will be given placebo. This study is comprised of 3 periods. In Period 1, participants are randomized into 2 groups called treatment arms where each group receives a different treatment. There is a 1 in 2 chance that participants will be assigned to placebo. In Period 2, participants are placed into 6 different groups depending on their placement and results in Period 1. Period 3 is the long-term extension period where participants will continue treatment from Period 2. Approximately 1328 adult and adolescent participants diagnosed with HS will be enrolled in approximately 275 sites worldwide. Participants will receive oral tablets of upadacitinib or placebo once daily for 36 weeks in Period 1 and Period 2. Eligible participants from Period 1 and Period 2 will enter Period 3 and receive oral tablets of upadacitinib or placebo once daily for 68 weeks. Participants will be followed up for approximately 30 days. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular outpatient visits during the study. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.
Conditions:
Hidradenitis SuppurativaEmplacement:
- Dr. Chih-ho Hong Medical Inc. /ID# 254378, Surrey, British Columbia, Canada
- LEADER Research /ID# 254379, Hamilton, Ontario, Canada
- York Dermatology Clinic and Research Centre /ID# 254115, Richmond Hill, Ontario, Canada
- Dre Angelique Gagne-Henley M.D. inc. /ID# 255632, Saint-Jerome, Quebec, Canada
- Rejuvenation Dermatology - Edmonton Downtown /ID# 254715, Edmonton, Alberta, Canada
- Karma Clinical Trials /ID# 254120, St. John's, Newfoundland and Labrador, Canada
- Dr. S.K. Siddha Medicine Professional Corporation /ID# 254714, Newmarket, Ontario, Canada
- Diex Recherche Québec /ID# 254381, Québec, Quebec, Canada
- Dermatology Research Institute - Blackfoot Trail /ID# 261413, Calgary, Alberta, Canada
- Enverus Medical Research /ID# 254380, Surrey, British Columbia, Canada
- DermEffects /ID# 254116, London, Ontario, Canada
- Research Toronto /ID# 255273, Toronto, Ontario, Canada
- SkinSense Dermatology /ID# 254119, Saskatoon, Saskatchewan, Canada
- Beacon Dermatology Inc /ID# 254564, Calgary, Alberta, Canada
- Wiseman Dermatology Research /ID# 254117, Winnipeg, Manitoba, Canada
- CHU Sainte-Justine /ID# 254118, Montreal, Quebec, Canada
- Lynde Institute for Dermatology /ID# 254713, Markham, Ontario, Canada
Sexe:
ALLÂges:
Over 12This study is being done to see if a drug called disitamab vedotin, alone or with pembrolizumab, works to treat HER2 expressing urothelial cancer. It will also test how safe the drug is for participants. Participants will have cancer that has spread in the body near where it started (locally advanced) and cannot be removed (unresectable) or has spread through the body (metastatic). It will also study what side effects happen when participants get the drug. A side effect is anything a drug does to your body besides treating the disease.
Conditions:
Urothelial CarcinomaEmplacement:
- British Columbia Cancer Agency - Vancouver Centre, Vancouver, British Columbia, Canada
- Tom Baker Cancer Centre, Calgary, Alberta, Canada
- Centre hospitalier universitaire de Sherbrooke (CHUS), Sherbrooke, Quebec, Canada
- CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Jewish General Hospital, Montreal, Quebec, Canada
Sexe:
ALLÂges:
Over 18This clinical trial is studying nonsquamous non-small cell lung cancer (NSCLC). Participants in this study must have cancer that has spread through their body or can't be removed with surgery. Participants in this study must have been treated with no more than a platinum-based chemotherapy and an anti-PD-(L)1 drug. Participants with tumors that have certain treatable genomic alterations must have had at least 1 drug for that genomic alteration, in addition to platinum-based chemotherapy. This clinical trial uses an experimental drug called sigvotatug vedotin, which is a type of antibody drug conjugate or ADC. ADCs are designed to stick to cancer cells and kill them. This clinical trial also uses a drug called docetaxel. Docetaxel is an anticancer drug that has been approved to treat non-small cell lung cancer. It is usually given to patients who previously received another anticancer treatment. In this study, one group of participants will get sigvotatug vedotin on Days 1 and 15 during each 28-day-cycle. A second group of participants will get docetaxel on Day 1 during each 21-day cycle. This study is being done to see if sigvotatug vedotin works better than docetaxel to treat participants with NSCLC. This study will also test what side effects happen when participants take these drugs. A side effect is anything a drug does to the body besides treating the disease.
Conditions:
Carcinoma, Non-Small-Cell LungEmplacement:
- William Osler Health Sciences, East Brampton, Ontario, Canada
- McGill University Department of Oncology / McGill University Health Centre, Montreal, Quebec, Canada
- University of Alberta / Cross Cancer Institute, Edmonton, Alberta, Canada
- Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
- Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada
- Tom Baker Cancer Centre, Calgary, Alberta, Canada
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18This phase I trial tests the safety, side effects, and best dose of sunitinib malate in combination with lutetium Lu 177 dotatate in treating patients with pancreatic neuroendocrine tumors. Sunitinib malate is in a class of medications called kinase inhibitors and a form of targeted therapy that blocks the action of abnormal proteins called VEGFRs that signal tumor cells to multiply. This helps stop or slow the spread of tumor cells. Radioactive drugs, such as lutetium Lu 177 dotatate, may carry radiation directly to tumor cells and not harm normal cells. It is also a form of targeted therapy because it works by attaching itself to specific molecules (receptors) on the surface of tumor cells, known as somatostatin receptors, so that radiation can be delivered directly to the tumor cells and kill them. Giving sunitinib malate and lutetium Lu 177 dotatate in combination may be safer and more effective in treating pancreatic neuroendocrine tumors than giving either drug alone.
Conditions:
Pancreatic Neoplasm | Metastatic Pancreatic Neuroendocrine Tumor | Unresectable Pancreatic Neuroendocrine...Emplacement:
- University Health Network-Princess Margaret Hospital, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18The primary objective of this study is to: * Evaluate the safety and tolerability of AMG 305 in adult participants * Determine the optimal biologically active dose (OBD), at or below the maximum tolerated dose (MTD) with MTD 1 as the maximum tolerated starting dose and MTD 2 as the maximum tolerated target dose * Determine the recommended phase 2 dose (RP2D)
Conditions:
Advanced Solid TumorsEmplacement:
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Sexe:
ALLÂges:
18 - 100The purpose of this study is to evaluate sacituzumab tirumotecan versus chemotherapy (docetaxel or pemetrexed) for the treatment of previously-treated non-small cell lung cancer (NSCLC) with exon 19del or exon 21 L858R EGFR mutations (hereafter referred to as EGFR mutations or EGFR-mutated) or any of the follow genomic alterations: ALK gene rearrangements, ROS1 rearrangements, BRAF V600E mutations, NTRK gene fusions, MET exon 14 skipping mutations, RET rearrangements, or less common EGFR point mutations of exon 20 S768I, exon 21 L861Q, or exon 18 G719X mutations. The primary hypotheses are that sacituzumab tirumotecan is: (1) superior to chemotherapy with respect to progression-free survival (PFS) per RECIST 1.1 as assessed by BICR in NSCLC with EGFR mutations; and (2) superior to chemotherapy with respect to overall survival (OS) in NSCLC with EGFR mutations.
Conditions:
Non-small Cell Lung Cancer (NSCLC)Emplacement:
- Princess Margaret Cancer Centre ( Site 0204), Toronto, Ontario, Canada
- William Osler Health System ( Site 0205), Brampton, Ontario, Canada
Sexe:
ALLÂges:
Over 18This study is open to people with idiopathic pulmonary fibrosis (IPF) or progressive pulmonary fibrosis (PPF). They can only take part if they have completed treatment in a previous study with a medicine called nerandomilast or BI 1015550 (study 1305-0014 or 1305-0023). The goal of this study is to find out how well people with pulmonary fibrosis tolerate long- term treatment with nerandomilast. The study also tests whether nerandomilast improves lung function and prolongs the time until symptoms get worse, participants need to go to the hospital, or die. Every participant takes nerandomilast as tablets for up to 1 year and 10 months. The participants may also continue their regular treatment for pulmonary fibrosis during the study. Participants visit their doctors regularly. During these visits, the doctors collect information on any health problems of the participants. Participants also regularly do lung function tests.
Conditions:
Idiopathic Pulmonary Fibrosis | Progressive Pulmonary FibrosisEmplacement:
- St. Paul's Hospital (Vancouver), Vancouver, British Columbia, Canada
- St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada
- Kelowna Respirology & Allergy Research, Kelowna, British Columbia, Canada
- QEII Health Sciences Centre, Halifax, Nova Scotia, Canada
- CIC Mauricie Inc., Trois-Rivieres, Quebec, Canada
- Vancouver General Hospital, Vancouver, British Columbia, Canada
- Dr. Syed Anees Medicine Professional Corporation, Windsor, Ontario, Canada
- University of Alberta Hospital (University of Alberta), Edmonton, Alberta, Canada
- Dr. Georges-L.-Dumont University Hospital Centre, Moncton, New Brunswick, Canada
- McGill University Health Centre (MUHC), Montreal, Quebec, Canada
- Centre Hospitalier de l'Universite de Montreal (CHUM), Montreal, Quebec, Canada
Sexe:
ALLÂges:
Over 18The primary objective of this study is to compare progression-free survival (PFS) in participants who receive sotorasib with platinum doublet chemotherapy versus participants who receive pembrolizumab with platinum doublet chemotherapy.
Conditions:
Non-small Cell Lung Cancer (NSCLC)Emplacement:
- Queen Elizabeth II, Health Sciences Centre, Halifax, Nova Scotia, Canada
- Institut Universitaire de cardiologie et de pneumologie de Quebec, Quebec City, Quebec, Canada
- CIUSSS - du Nord-de-lIle-de-Montreal / Hopital Sacre-Coeur de Montreal, Montreal, Quebec, Canada
- Sunnybrook Research Institute Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
- McGill University Health Centre Glen Site, Montreal, Quebec, Canada
- Saskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada
Sexe:
ALLÂges:
18 - 100This is a prospective, single-center, phase II trial that will be monitoring the safety and efficacy of using stereotactic ablative radiotherapy (SBRT) to treat patients with a medical condition affecting heart rate and rhythm (refractory arrhythmias) within the University Health Network (Princess Margaret Cancer Centre and Toronto General Hospital). The primary objective will be to prospectively monitor patient cardiac outcomes following SBRT.
Conditions:
Cardiac ArrhythmiaEmplacement:
- Princess Margaret Cancer Center, University Health Network, Toronto, Ontario, Canada