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The WHEAT International trial is a comparative effectiveness trial exploring whether withholding enteral feeds around the time of blood transfusion in very premature infants (\<30 weeks) will reduce the occurrence of Necrotizing Enterocolitis (NEC). Currently both continued feeding and withholding feeding are approved care practices. The current study will randomize infants from Neonatal Intensive Care Units (NICUs) across Canada and the United Kingdom (UK) into one of the two care approaches (withholding or continued feeds) to determine if any significant outcomes are found.
Conditions:
Necrotizing EnterocolitisEmplacement:
- IWK Health, Halifax, Nova Scotia, Canada
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Under 30The age-related decline in muscle mass and strength are collectively referred to as sarcopenia. However, the tools currently employed to assess skeletal muscle mass (SMM) (e.g., Dual-energy Xray Absorptiometry; DXA) have substantial drawbacks, and it is known that DXA-lean soft tissue (LST) is generally not associated with health outcomes of interest. Thus, the investigators propose using a novel, non-invasive, stable isotope-labelled probe (Deuterium (D)-labelled creatine (D3-creatine; D3-Cr)) to measure skeletal muscle mass in a large cohort of older individuals. The development and employment of new methods to accurately quantify the biological substrate of sarcopenia, skeletal muscle, are critical for the measure to remain clinically relevant. The plan is to measure 350 persons from the recently established (M3) prospective cohort. There will be measurement of lean soft tissue LST and appendicular LST (aLST) using DXA and compared to D3-Cr-measured SMM (D3-Cr-SMM) at baseline, 12mo, and 24mo (2yr) of follow-up. Physical mobility will also be measured (using various instruments).
Conditions:
Aging | Muscle LossEmplacement:
- Exercise Metabolism Research Laboratory, McMaster Univeristy, Hamilton, Ontario, Canada
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Over 60The Effect of Hydration Status on Substrate Oxidation at Rest and During Light and Moderate Exercise
Metabolic flexibility is the ability to properly switch between fat and carbohydrate stores to use for energy under different conditions (rest, feeding, exercise). Impairments in metabolic flexibility, also known as metabolic inflexibility, have been suggested to be an underlying cause of metabolic disease, like type 2 diabetes. Long-term low fluid intake may increase the risk of type 2 diabetes due to insulin resistance, a form of metabolic inflexibility. Further, low fluid intake has been shown to impair the ability to switch fuel preference during exercise. While there is some evidence that low fluid intake may lead to impaired metabolic flexibility, more information is needed. Therefore, the purpose of this study is to evaluate the impact of hydration status on substrate preference at rest and during exercise at varying intensities (light and moderate). Further, we will examine whether biological sex and menstrual cycle phase impact hydration and metabolism under these same conditions.
Conditions:
Hydration Status | Substrate Metabolism During ExerciseEmplacement:
- University Of Ontario Institute Of Technology, Oshawa, Ontario, Canada
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18 - 35The goal of this pilot clinical trial is to test the feasibility of conducting a randomized controlled trial that will examine the use of ropivacaine in the spinal anesthesia for patients undergoing elective 1- or 2-level lower spine surgery. This study aims to: * Determine the rates of eligibility, recruitment, consent, and attrition * Determine the acceptability among patients, surgeons, anesthesiologists, and nurses of doing spine surgery under spinal anesthesia * Gather preliminary data on outcomes relevant to a future dose-finding study Participants will be randomized to one of three treatment groups: * General anesthesia with endotracheal tube * Spinal anesthesia with bupivacaine * Spinal anesthesia with ropivacaine
Conditions:
Ropivacaine | Anesthesia, Spinal | Bupivacaine | NeurosurgeryEmplacement:
- Eagle Ridge Hospital, Port Moody, British Columbia, Canada
- Royal Columbian Hospital, New Westminster, British Columbia, Canada
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19 - 80This study will look at how much cagrilintide helps people with overweight or obesity and type 2 diabetes lower their body weight. Cagrilintide is a new investigational medicine. Doctors may not yet prescribe cagrilintide. Participant will either get cagrilintide or placebo. Which treatment participant get is decided by chance. Participants are two times more likely to get cagrilintide than placebo. Like all medicines, the study medicine may have side effects. For each participant, the study will last for about 1 year and 6 months.
Conditions:
Obesity | Type 2 Diabetes | OverweightEmplacement:
- OCT Research ULC (dba Okanagan Clinical Trials), Kelowna, British Columbia, Canada
- Hamilton Medical Rsrch Grp, Hamilton, Ontario, Canada
- Diex Recherche Victoriaville, Victoriaville, Quebec, Canada
- Nova Scotia Hlth Halifax, Halifax, Nova Scotia, Canada
- Milestone Research, London, Ontario, Canada
- Centricity Research Brampton, Brampton, Ontario, Canada
- Centricity Res Pointe-Claire, Pointe-Claire, Quebec, Canada
- G.A. Research Associates Ltd., Moncton, New Brunswick, Canada
- Wharton Med Clin Trials, Hamilton, Ontario, Canada
- Centricity Research Brampton Endocrinology, Brampton, Ontario, Canada
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Over 18BR36 will evaluate the potential clinical benefit of tailoring immunotherapy treatment based on ctDNA molecular response in non-small cell lung cancer.
Conditions:
Non-Small Cell Lung CancerEmplacement:
- BCCA - Vancouver Cancer Centre, Vancouver, British Columbia, Canada
- University Health Network, Toronto, Ontario, Canada
- Juravinski Cancer Centre at Hamilton Health Sciences, Hamilton, Ontario, Canada
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Kingston Health Sciences Centre, Kingston, Ontario, Canada
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Over 18A Phase 2 study to evaluate the safety and efficacy of TORL-1-23 in patients with advanced ovarian cancer.
Conditions:
Epithelial Ovarian Cancer | Fallopian Tube Cancer | Primary Peritoneal | Endometrioid Ovarian CancerEmplacement:
- British Columbia Cancer Agency (BC Cancer, part of the Provincial Health Services Authority), Vancouver, British Columbia, Canada
- Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada
- Centre Hospitalier de l'Universite de Montreal (CHUM), Montreal, Quebec, Canada
- Princess Margaret Cancer Centre - University Health Network (UHN), Toronto, Ontario, Canada
- Sunnybrook Research Institute, Toronto, Ontario, Canada
- McGill University Health Centre (MUHC) - Royal Victoria Hospital, Montreal, Quebec, Canada
- BC Cancer - Abbotsford, Abbotsford, British Columbia, Canada
- Hospital Maisonneuve Rosemont, Montreal, Quebec, Canada
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Over 18The primary objective of this study is to evaluate efficacy of danicopan as add-on treatment to ravulizumab or eculizumab as assessed by hemoglobin (Hgb) change from Baseline at Week 12 in pediatric participants with paroxysmal nocturnal hemoglobinuria (PNH) and clinically significant extravascular hemolysis (CS-EVH).
Conditions:
Paroxysmal Nocturnal Hemoglobinuria | PNH | Extravascular HemolysisEmplacement:
- Research Site, Saskatoon, Saskatchewan, Canada
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12 - 17This randomized controlled trial will investigate the hypothesis that since balance and executive functions (EFs) require a similar neural circuit and EFs are recruited when trying to maintain balance, that training balance might improve EFs as well as balance. There will be an active control condition (watching music videos) and a no-treatment condition. Children (18-12 years old) will be randomly assigned to one of these conditions for 12 weeks (36 per condition). The balance and music conditions will involve 15-min sessions 3x/week and a weekly check-in session with an investigator. Participants will be assessed pre-intervention, immediately post and 3-months post.
Conditions:
Postural Balance | Executive FunctionsEmplacement:
- Developmental Cognitive Neuroscience Lab, Department of Psychiatry, UBC, Vancouver, British Columbia, Canada
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8 - 12This study evaluates the impact of conjugated estrogens/ bazedoxifene (CE/ BZA) on the mood (depression and anxiety) in peri- and early menopausal women.
Conditions:
Menopause | Sleep | Menopause Related Conditions | Depression, AnxietyEmplacement:
- St Joseph's Healthcare, Hamilton, Ontario, Canada