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This is a first-in-human, Phase 1/2 study to evaluate LCB84, a TROP2-directed antibody-drug conjugate, alone and in combination with an anti-PD-1 Ab, in dose escalation (Phase 1) followed by dose expansion (Phase 2). The study population in dose escalation (Phase 1) consists of patients with advanced solid tumors refractory to standard of care, or for whom no standard of care exists. After the MTD and/or RP2D for single agent LCB84 is determined, dose escalation cohorts with select tumor types will be enrolled. Combination LCB84 and anti-PD-1 Ab will be evaluated in dose escalation after a minimum of 2 dose levels of single agent LCB84 have established DLT safety, to determine the MTD and/or RP2D of combination LCB84 and anti-PD-1 Ab, and to continue into dose expansion cohorts in select tumor types.
Conditions:
Advanced Solid TumorsEmplacement:
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18At present, it is not clear whether performing a hip arthroscopy at the same time as a PAO improves patient outcomes after surgery compared to a PAO alone. This research project will randomize patients to receive either a PAO alone, or a PAO and a hip arthroscopy at the same time.
Conditions:
Hip DysplasiaEmplacement:
- Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
Sexe:
ALLÂges:
16 - 50HDClarity will seek at least 2500 research participants at different stages of Huntington's disease (HD). The primary objective is to collect a high quality CSF sample for evaluation of biomarkers and pathways that will enable the development of novel treatments for HD. The secondary objective is to generate a high quality plasma sample collection matching the CSF collections, which will also be used to evaluate biomarkers and pathways of relevance to HD research and development.
Conditions:
Huntington's DiseaseEmplacement:
- Centre for Movement Disorders, Toronto, Ontario, Canada
- North York General Hospital, Toronto, Ontario, Canada
- University of British Columbia, The Centre for Huntingtons Disease, Vancouver, British Columbia, Canada
- The Ottawa Hospital, Ottawa, Ontario, Canada
Sexe:
ALLÂges:
11 - 75This proposal aims to adapt an evidence-based comprehensive psychosocial and mental health support program, the Optimal Health Program (OHP), to improve functioning, reduce distress, and build resiliency in youth who are at clinical risk of developing psychosis (CHR). The main aims of the studies are 1). To adapt an existing, effective, validated psychological intervention for use in young people with CHR; 2). To evaluate the acceptability of OHP and the feasibility of conducting a clinical trial of OHP in individuals with CHR; 3). To assess the preliminary efficacy of OHP in enhancing resiliency, reducing depression and anxiety, and improving functioning in individuals with CHR in a single-arm exploratory clinical trial. Participants will be delivered OHP intervention over 12-weeks. Measures will be completed at study entry and repeated immediately post-treatment at 12-weeks.
Conditions:
Psychosis | Psychosocial FunctioningEmplacement:
- Center for Addiction and Mental Health, Toronto, Ontario, Canada
Sexe:
ALLÂges:
16 - 29This is a prospective, observational, multi-center study examining the long-term outcomes of patients with small, low risk papillary thyroid cancer who offered the choice of active surveillance (close follow-up to monitor for potential disease progression) or immediate surgery.
Conditions:
Papillary Thyroid Carcinoma | Papillary Thyroid Cancer | Papillary Microcarcinoma of the ThyroidEmplacement:
- St. Joseph's Healthcare, Hamilton, Ontario, Canada
- CHU de Québec - Université Laval, Québec, Quebec, Canada
- Nova Scotia Health, Halifax, Nova Scotia, Canada
- Division chirurgie ORL et cervico-faciale, Montreal, Quebec, Canada
- University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada
- Lawson Health Research Institute, London, Ontario, Canada
- University of British Columbia, Vancouver, British Columbia, Canada
- University Health Network, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18Myofunctional therapy has been shown to be effectively reduce symptoms of paediatric obstructive sleep apnea, usually performed after adenotonsillectomy. This study aims to evaluate the effectiveness of Passive Oral Myofunctional Reeducation (using a flexible oral appliance) compared to nasal hygiene alone (control group), in a population of children scheduled for adenotonsillectomy.
Conditions:
Sleep-Disordered Breathing | Obstructive Sleep Apnea of Child | Adenotonsillar HypertrophyEmplacement:
- CHU Sainte Justine, Université de Montréal, Montréal, Quebec, Canada
Sexe:
ALLÂges:
4 - 14The goal of this Pilot Randomized Control Trial (RCT) is to determine if a larger RCT evaluating the effect of self-scar tissue massage of episiotomy and/or vagina/perineal tear scar tissue on pelvic health outcomes is feasible. The main questions it aims to answer are: Can the investigators recruit 130 participants and aim for 80% retention of participants in this study? Are the response rates to questionnaires and completeness of questionnaires acceptable? Do the participants find the self-scar tissue massage intervention easy and acceptable to perform and do they adhere to the protocol? Type of Study: Clinical Trial Participant Population/Health Conditions: The participant population will be 18 years of age or older, primiparous, within 1 year postpartum after vaginal delivery with healed episiotomy and/or vaginal perineal tear(s) as confirmed to them by their maternity care provider or family doctor at their 6 week postpartum check or other appointment. The participants will also need to have sufficient proficiency in English to understand intervention instructional video and complete written questionnaires. Investigators will compare the scores on two reliable and validated pelvic health questionnaires in those in the intervention and control groups. The intervention group will be provided an instructional video on self-scar tissue massage and asked to perform self-scar massage and record their intervention and experience over a 6-week period. The control group will receive routine postnatal care (no self-scar massage training or performance). Patient medical records will be used to collect demographic data and labour and delivery characteristics. Two reliable and validated pelvic health questionnaires will be used for outcome measures. Baseline outcomes will be performed at the start of the study and then repeated 6 weeks later and again 18 weeks later.
Conditions:
Perineal Tear | Scar Tissue | Episiotomy; Complications | Vaginal Tear Resulting From ChildbirthEmplacement:
- University of Calgary, Calgary, Alberta, Canada
Sexe:
FEMALEÂges:
Over 18Dyspnea (i.e. breathlessness) and exercise intolerance are common symptoms for patients with interstitial lung disease (ILD), yet it is not known why. It has been suggested that muscle dysfunction may contribute to dyspnea and exercise intolerance in ILD. Our study aims to: i) examine differences in the structure and function of the leg muscles in ILD patients, ii) determine if leg muscle fatigue contributes to dyspnea and exercise limitation in patients with ILD, and iii) determine the effects of breathing extra oxygen on leg muscle fatigue, as well as ability to exercise in ILD patients.
Conditions:
Idiopathic Pulmonary Fibrosis | Interstitial Lung Disease | Scleroderma | Nonspecific Interstitial...Emplacement:
- St. Paul's Hospital, Vancouver, British Columbia, Canada
Sexe:
ALLÂges:
40 - 80The investigators will utilize a systematic approach for the diagnostic evaluation of patients to identify characteristics which may distinguish between Primary Immunodeficiency (PID) disorders versus Primary Ciliary Dyskinesia (PCD).
Conditions:
Primary Ciliary Dyskinesia | Primary Immune Deficiency | Kartagener SyndromeEmplacement:
- The Hospital for Sick Children, Toronto, Ontario, Canada
- McGill University, Montréal, Quebec, Canada
Sexe:
ALLÂges:
5 - 45This study is to see if the standard of care subcutaneous injection of bortezomib can safely be administered at home by the patient or caregiver. All tests and assessments are based on standard of care procedures.
Conditions:
Myeloma | Myeloma MultipleEmplacement:
- Tom Baker Cancer Centre, Calgary, Alberta, Canada