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This is a first-in-human (FIH) Phase I, multi-center, open-label, study of AZD9592, in patients with advanced solid tumors. The study consists of several study modules, each evaluating the safety, tolerability, preliminary efficacy, pharmacokinetics (PK), pharmacodynamics, anti-tumor activity, and immunogenicity of AZD9592, as monotherapy or in combination with anti-cancer agents.

Conditions:
Colorectal Neoplasms | Advanced Solid Tumours | Head and Neck Neoplasms | Carcinoma Non-small Cell Lung
Emplacement:
  • Research Site, Edmonton, Alberta, Canada
  • Research Site, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

This is a multi-center, prospective clinical trial to assess the effect of TFL for the lithotripsy of kidney stones.

Conditions:
Kidney Stone
Emplacement:
  • Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

The purpose of the registry and biorepository is to provide a mechanism to store clinical data, linked biospecimens and molecular data to support the conduct of future research on Systemic Lupus Erythematosus (SLE), including Lupus Nephritis (LN).

Conditions:
Lupus Nephritis | Systemic Lupus Erythematosus (SLE) | Neuropsychiatric Systemic Lupus Erythematosus
Emplacement:
  • CHU de Québec - Université Laval, Quebec City, Quebec, Canada
  • University Health Network/Toronto Western Hospital, Toronto, Ontario, Canada
  • University of Calgary, Calgary, Alberta, Canada
  • University of Manitoba, Winnipeg, Manitoba, Canada
Sexe:
ALL
Âges:
18 - 110

The purpose of this study is to measure the efficacy and safety of baxdrostat/dapagliflozin in participants ≥ 18 years of age with CKD and HTN. This study consists of a screening, a 4-week dapagliflozin run-in period for participants naïve to SGLT2i at baseline; a 24-month double-blind period in which participants will receive either baxdrostat/dapagliflozin or dapagliflozin; and a 6-week open-label period in which all participants will discontinue baxdrostat/placebo and receive dapagliflozin alone. Site visits will take place at 2-, 4-, 8-, and 16- weeks following randomisation. Thereafter visits will occur approximately every 4 months, until the 24-month visit at which time baxdrostat/placebo will be discontinued. Participants will continue open-label dapagliflozin for another 6-weeks (approximately), where reassessment of GFR will occur for the primary efficacy endpoint. In the event of premature discontinuation of blinded study intervention, participants will continue in the study and receive open-label dapagliflozin monotherapy, unless the participant meets dapagliflozin specific discontinuation criteria, in which case all study interventions will be discontinued.

Conditions:
Chronic Kidney Disease and Hypertension
Emplacement:
  • Research Site, Winnipeg, Manitoba, Canada
  • Research Site, Concord, Ontario, Canada
  • Research Site, Toronto, Ontario, Canada
  • Research Site, Montréal, Quebec, Canada
  • Research Site, Vancouver, British Columbia, Canada
  • Research Site, Brampton, Ontario, Canada
  • Research Site, Toronto, Ontario, Canada
  • Research Site, Montreal, Quebec, Canada
  • Research Site, Edmonton, Alberta, Canada
  • Research Site, Halifax, Nova Scotia, Canada
  • Research Site, London, Ontario, Canada
  • Research Site, Waterloo, Ontario, Canada
  • Research Site, Sherbrooke, Quebec, Canada
  • Research Site, Surrey, British Columbia, Canada
  • Research Site, Sydney, Nova Scotia, Canada
  • Research Site, Oshawa, Ontario, Canada
  • Research Site, Laval, Quebec, Canada
Sexe:
ALL
Âges:
18 - 130

In this triple-blind randomized controlled trial, we ask if targeting intermittent theta burst stimulation (iTBS) based on individual resting state connectivity improves treatment outcomes in major depressive disorder (MDD). For the trial, we will recruit 210 patients with major depressive disorder. Each patient will undergo a 30-40-minute MRI scan, after which they will receive a 6-week standard iTBS treatment. Participants will be randomized to receive iTBS either to the standard neuronavigated target (a technique for treatment location targeting, based on group-average connectivity) or to a personalized connectivity-guided target selected based on individual functional connectivity scans. The main outcome of this trial is response rate as determined by ≥ 50% reduction in Grid HRSD-17 scores. Secondary outcomes include remission rate, change in depression, anxiety and anhedonia symptoms, quality of life, and biological measures of heart rate variability, objective sleep measures and daily activity as a proxy of anhedonia - defined as a reduced ability to experience pleasure.

Conditions:
Depression | Depressive Disorder, Major | Depressive Episode
Emplacement:
  • The Royal's Institute of Mental Health Research, Ottawa, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

The purpose of this study is to assess the anti-tumor activity of amivantamab as a monotherapy (Cohorts A, B, and C), to characterize the safety of amivantamab when added to standard-of care (SoC) chemotherapy in participants with metastatic colorectal cancer (mCRC) (Ph2 cohorts), and to assess the recommended phase 2 combination dose (RP2CD) of amivantamab when added to SoC chemotherapy (Ph1b cohorts).

Conditions:
Advanced or Metastatic Colorectal Cancer
Emplacement:
  • BC Cancer Agency - Vancouver BC, Vancouver, British Columbia, Canada
  • The Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada
  • Princess Margaret Cancer Centre University Health Network, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

The most common types of mature B-cell lymphomas (MBLs) in children are Burkitt lymphoma (BL) and diffuse large B-cell lymphoma (DLBCL). Initial treatment cures 90% - 95% of children with these malignancies, leaving a very small population of relapsed/refractory disease with a poor prognosis. The purpose of this study is to assess the safety and tolerability of epcoritamab in pediatric participants with relapsed/refractory aggressive mature B-cell neoplasms and young adult participants with Burkitt's or Burkitt-like lymphoma/leukemia. Adverse events and change in disease activity will be assessed. Epcoritamab is an investigational drug being developed for the treatment of relapsed/refractory aggressive mature B-cell neoplasms. Participants will receive subcutaneous (SC) of epcoritamab. Approximately 15 pediatric participants with a diagnosis of relapsed/refractory aggressive mature B-cell neoplasms and and young adult participants, ages of 18-25, with a diagnosis of Burkitt's or Burkitt-like lymphoma/leukemia will be enrolled at 50 sites globally. Participants will receive subcutaneous epcoritamab in 28-day cycles. Participants will be followed for a minimum of 3 years after enrollment. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Conditions:
Non-Hodgkin Lymphoma
Emplacement:
  • CHU Sainte-Justine /ID# 240766, Montreal, Quebec, Canada
  • Hospital for Sick Children /ID# 240767, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
1 - 25

The incidence of diabetes in pregnancy is rising, with rates of 1 in 7 pregnancies globally. Metformin is used for type 2 diabetes (T2DM) outside of pregnancy and is now increasingly prescribed during pregnancy. There are some concerns as metformin crosses the placenta and effects on offspring exposed during pregnancy are unknown. Animal and human evidence indicate that metformin may create an atypical in-utero environment similar to under-nutrition which has been associated with adult obesity. This is supported by studies in children of mothers treated with metformin in other populations where an increase in childhood obesity was found at 4-9 years of age. We now have evidence from the MiTy trial, that offspring of metformin-exposed women with T2DM have less large infants and are less adipose at birth, but are also more likely to be small for gestational age (SGA). These effects could lead to benefit or harm in the long-term. Offspring of MiTy mothers are currently being followed up to 2 years. Given that long-term effects may not be evident until 5 years of age, it is imperative to follow these children longer. Goals/Research Aims:To determine whether in-utero exposure to metformin, in offspring of women with T2DM, is beneficial or harmful in the long-term. Research Questions: 1. In offspring of women with T2DM, how does treatment with metformin during pregnancy affect a) adiposity b) growth over time c) metabolic syndrome d) cognitive and behavioral measures:2. What factors predict altered childhood adiposity and insulin resistance in these offspring? Primary Outcome: Body mass index (BMI) z-score. Secondary Outcomes: 1) other measures of adiposity (i.e. skinfolds, 2) growth over time 3) measures of insulin resistance 4) adipocytokines 5)neurodevelopment Expected Outcomes Given these increasing concerns, this study will inform the best treatment for pregnant mothers with diabetes by studying the long-term outcomes of children exposed to metformin during pregnancy.

Conditions:
Diabetes Mellitus, Type 2 | Child Development | Child Obesity | Pregnancy in Diabetic
Emplacement:
  • British Columbia Children's Hospital, Vancouver, British Columbia, Canada
  • The Scarborough Hospital, Scarborough, Ontario, Canada
  • Stollery Children's Hospital, Edmonton, Alberta, Canada
  • St Joseph's Health Care, London, Ontario, Canada
  • Chuq-Chul, Quebec City, Quebec, Canada
  • Children's Health Research Institute of Manitoba (CHRIM), Winnipeg, Manitoba, Canada
  • Mount Sinai Hospital, Toronto, Ontario, Canada
  • Alberta Children's Hospital, Calgary, Alberta, Canada
  • IWK Health Centre, Halifax, Nova Scotia, Canada
  • Hospital Maisonneuve-Rosemont, Montréal, Quebec, Canada
Sexe:
ALL
Âges:
Any

Continuation of the CARRA Registry as described in the protocol will support data collection on patients with pediatric-onset rheumatic diseases. The CARRA Registry will form the basis for future CARRA studies. In particular, this observational registry will be used to answer pressing questions about therapeutics used to treat pediatric rheumatic diseases, including safety questions.

Conditions:
Rheumatic Joint Disease
Emplacement:
  • IWK Health Center, Halifax, Nova Scotia, Canada
  • University of Manitoba - Children's Hospital of Manitoba, Winnipeg, Manitoba, Canada
  • The Hospital for Sick Children, Toronto, Ontario, Canada
  • University of Calgary - Alberta Children's Hospital, Calgary, Alberta, Canada
Sexe:
ALL
Âges:
Under 21

In this study, the hypothesis being explored is that VO2Max and other CPET parameters can be accurately estimated from biosignals (namely, motion from accelerometers and cardiopulmonary variables from EKG) collected during activities of daily living using wearable biosensors worn by study participants. This study will aim to collect development and validation data for a machine learning algorithm and to evaluate the performance of the algorithm. A total of 300 participants will be enrolled including: (Normal) 200 participants, self-reported healthy male and female participants aged 18 to 80 and (Standard of Care) 100 participants

Conditions:
Cardiopulmonary
Emplacement:
  • Eastern Health Cardiac Rehabilitation, St. John's, Newfoundland and Labrador, Canada
Sexe:
ALL
Âges:
Over 18