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This study is researching a drug called dupilumab. The study is focused on patients who have uncontrolled asthma. Asthma is a condition where the airways narrow and swell, making it difficult to breathe. Uncontrolled asthma means that patients are still having frequent symptoms while taking their current asthma medication. The aim of the study is to see which regimen is more effective: taking dupilumab with an inhaled asthma medication or only taking a higher dose of the inhaled asthma medication. The type of asthma medication that will be used is a combination inhaled corticosteroid and long-acting beta-agonist (referred to as an ICS/LABA). Some patients may also receive an additional asthma medication called a long-acting muscarinic antagonist (referred to as a LAMA) if they are already receiving a LAMA. The study is also looking at: • What side effects may happen from taking dupilumab
Conditions:
AsthmaEmplacement:
- Evidence Based Medical Educator Inc., Toronto, Ontario, Canada
- Dynamic Drug Advancement Ltd., Ajax, Ontario, Canada
- Inspiration Research Limited, Toronto, Ontario, Canada
- Dr. Syed Anees Medicine Professional Corporation, Windsor, Ontario, Canada
Sexe:
ALLÂges:
12 - 80RATIONALE: It is now standard for most breast cancer patients with 1-2 positive sentinel nodes to avoid completion node dissection when eligibility criteria from the American College of Surgeons Oncology Group (ACOSOG) Z0011 trial are met. The National Comprehensive Cancer Network (NCCN) recently proposed to extend this indication to patients that present with biopsy proven node positive disease if only 1 or 2 suspicious nodes are found on imaging, these positive nodes are not palpable clinically, and the other eligibility criteria from the Z0011 study are otherwise met. However, this recommendation is based on an expert consensus and no study has yet confirmed the optimal method to stage the axilla in this patient population. PURPOSE: Evaluate the technical success rate and accuracy of sentinel node biopsy (SNB) and the potential benefits of clipping and removing the biopsy proven node using radioactive seed localisation (RSL) (SNB+RSL = Targeted Axillary Dissection (TAD)) in patients with biopsy proven positive nodes, limited nodal disease in imaging and clinically negative axillary examination.
Conditions:
Breast Cancer Female | Lymph Node Metastases | Sentinel Lymph Node | Early-stage Breast Cancer | Axillary MetastasesEmplacement:
- Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada
- Centre hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
- Jewish General Hospital, Montreal, Quebec, Canada
Sexe:
FEMALEÂges:
Over 18Primary Objective: To evaluate the effect of dazodalibep on systemic manifestations of Sjögren's Syndrome (SS) in participants with moderate-to-severe systemic disease activity. Secondary Objectives: 1. To evaluate the effect of dazodalibep on patient reported outcomes (PROs) in participants with SS. 2. To evaluate the safety and tolerability of dazodalibep in participants with SS
Conditions:
Sjögren's SyndromeEmplacement:
- Centre de Recherche Musculo-Squelettique - 1920 Rue Bellefeuille, Trois Rivieres, Quebec, Canada
Sexe:
ALLÂges:
Over 18The aim of this study is to evaluate the effect of Verity-BCG in patients with intermediate and high-risk non-muscle-invasive bladder cancer (NMIBC) and to compare our findings to the standard of care BCG formulation, OncoTICE (BCG) in order to examine our hypothesis that Verity-BCG is at least non-inferior to OncoTICE in achieving 24-month Recurrence Free Survival in NMIBC patients who are at high risk of recurrence and have never been treated with intradermal or intravesical BCG before, with the exception of tuberculosis vaccination in childhood.
Conditions:
Bladder Cancer | Urothelial Carcinoma Bladder | Neoplasm Recurrence | Bladder Cancer...Emplacement:
- Site 05, Vancouver, British Columbia, Canada
- Site 08, Toronto, Ontario, Canada
- Site 02, Toronto, Ontario, Canada
- Site 04, Kingston, Ontario, Canada
- Site 10, Montreal, Quebec, Canada
- Site 01, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18During the process of labour and delivery, patients may experience a wide range of events in a short time frame. This study focuses on exploring these experiences and aims to incorporate the improvements from these experiences so that in future, the expectations of patients delivering can be met as much as possible. Since every patient and encounter is unique, they might have a variety of experiences, be it during the labour epidural placement or during the delivery of the baby. Our study aims to explore the patients' perspective and learn about their preferences, concerns and suggestions regarding their experience and to then use this information to enhance the quality of future anesthesia care during labour and delivery. Patients who underwent labour and delivery and received labour epidural for pain management will be approached the day following the delivery, while their recollection of their experience is still fresh, and given the opportunity to participate in the study which will involve the completion of a questionnaire as well as an interview lasting approximately 20-25 minutes. In addition to interviewing the patients, the study will also involve several interviews of the obstetricians, anesthesiologists, and nurses with the goals of seeing how the patients' experiences compare to the providers' perspective of the care they are delivering. Following the gathering of this information and identification of potential improvements in current practice, a follow up study will be performed aiming to implement changes and improve the quality of anesthesia care during labour and delivery.
Conditions:
Well-Being, PsychologicalEmplacement:
- Mount Sinai Hospital, Toronto, Ontario, Canada
Sexe:
FEMALEÂges:
18 - 50The purpose of this study is to evaluate the efficacy of lepodisiran in reducing cardiovascular risk in participants with high lipoprotein(a) who have cardiovascular disease or are at risk of a heart attack or stroke. The study drug will be administered subcutaneously (SC) (under the skin).
Conditions:
Elevated Lp(a) | Atherosclerotic Cardiovascular Disease (ASCVD)Emplacement:
- Medical Arts Health Research Group, Penticton, British Columbia, Canada
- Victoria Heart Institute Foundation, Victoria, British Columbia, Canada
- Care Access - Cape Breton, Sydney, Nova Scotia, Canada
- Cardio Health Clinical Trial - London, London, Ontario, Canada
- Diex Recherche Joliette, Joliette, Quebec, Canada
- Corcare, Toronto, Ontario, Canada
- Diex Recherche Trois-Rivieres, Trois-Rivieres, Quebec, Canada
- Fraser Clinical Trials Inc, New Westminster, British Columbia, Canada
- The Medical Arts Health Research Group, Vancouver, British Columbia, Canada
- G A Research Associates, Moncton, New Brunswick, Canada
- Milestone Research Inc., London, Ontario, Canada
- Cardio Health Clinical Trial - St. Thomas, St. Thomas, Ontario, Canada
- Viacar Recherche Clinique, Greenfield Park, Quebec, Canada
- Centre de Medecine Metabolique de Lanaudiere (CMML), Terrebonne, Quebec, Canada
- SMH Cardiology Clinical Trials, Surrey, British Columbia, Canada
- Discovery Clinical Services, Victoria, British Columbia, Canada
- Cardio Health Clinical Trial - Brampton, Brampton, Ontario, Canada
- North York Diagnostic and Cardiac Centre, North York, Ontario, Canada
- Diabetes Heart Research Centre, Toronto, Ontario, Canada
- Clinique des Maladies Lipidiques de Québec, Québec, Quebec, Canada
- ARC Biosystems, Vancouver, British Columbia, Canada
- Winnipeg Clinic, Winnipeg, Manitoba, Canada
- Premier Clinical Trial Network, Hamilton, Ontario, Canada
- Oakville Cardiovascular Research LP, Oakville, Ontario, Canada
- Ecogene-21, Chicoutimi, Quebec, Canada
- Unité de Recherche Clinique du CISSS des Laurentides, St-Jerome, Quebec, Canada
Sexe:
ALLÂges:
Over 18PBFT02 is a gene therapy for frontotemporal dementia intended to deliver a functional copy of the GRN gene to the brain. This study will assess the safety, tolerability and efficacy of this treatment in patients with frontotemporal dementia and mutations in the granulin precursor (GRN) or chromosome 9 open reading frame 72 (C9ORF72) genes
Conditions:
Frontotemporal Dementia | FTD | Dementia Frontotemporal | FTD-GRN | C9orf72Emplacement:
- Montreal Neurological Institute-Hospital, Montréal, Quebec, Canada
- University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada
Sexe:
ALLÂges:
35 - 75The purpose of this study is to characterize cardiac safety of Daratumumab, Cyclophosphamide, Bortezomib, and Dexamethasone (D-VCd) treatment regimens (Arm A: daratumumab + immediate VCd treatment and Arm B: daratumumab + deferred VCd) in newly diagnosed systemic amyloid light chain (AL) amyloidosis with cardiac involvement and to identify potential mitigation strategies for cardiac toxicity (cohort 1); to characterize the pharmacokinetics of subcutaneous (SC) daratumumab, among racial and ethnic minorities, including Black or African American, with newly diagnosed AL amyloidosis treated with D-VCd (cohort 2).
Conditions:
AmyloidosisEmplacement:
- Tom Baker Cancer Center, Calgary, Alberta, Canada
- Cross Cancer Institute, Edmonton, Alberta, Canada
- University Health Network UHN Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18This is a multi-center randomized, double-blind, placebo-controlled, parallel, 4-arm study of nalbuphine ER (NAL ER). After meeting eligibility during the Screening Period, subjects will be randomized (1:1:1:1) to one of four treatment arms with placebo and increasing doses of nalbuphine ER. Each arm will be titrated to their fixed dose during the blinded 2-week Titration period followed by the 4-week Fixed Dose Period for a total of 6 weeks on drug. For more information see the country specific approved websites: Germany, Netherlands, Poland, Spain, Italy, Chile: TheCoralTrial.com United Kingdom, Australia, Canada: CoralCoughTrial.com Turkey: please refer to the list of locations and reach out to the site directly
Conditions:
Idiopathic Pulmonary FibrosisEmplacement:
- CIC Mauricie Inc., Trois-Rivieres, Quebec, Canada
Sexe:
ALLÂges:
Over 18The objective of this study is to investigate if low level laser therapy will do more good than harm for patients with severe refractory fecal incontinence. It is a proof of concept study without a placebo arm.
Conditions:
Fecal IncontinenceEmplacement:
- McMaster University, Hamilton, Ontario, Canada