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The investigators are interested in determining if there is a meaningful benefit from the use of medications purported to increase the pumping function of the heart (i.e. inotropes) among critically ill patients admitted to the Cardiac Intensive Care Unit (CICU). To do this, the investigators will conduct a multi-centre, double blind, randomized control trial with patients who are deemed to require these medications by their treating physician to one of the two most commonly used agents in Canada (Milrinone or Dobutamine) or placebo. Each patient will be closely monitored by their healthcare team. The dose of medication will be adjusted according to each patients' clinical status. After 12 hours, the participants will move to open label treatment and any continued use of inotropes will be at the discretion of their treating physician.
Conditions:
Shock, CardiogenicEmplacement:
- University of Ottawa Heart Institute, Ottawa, Ontario, Canada
- Hamilton Health Sciences, Hamilton, Ontario, Canada
Sexe:
ALLÂges:
Over 18GLORIOSA is a Phase 3 multicenter, open label study designed to evaluate the safety and efficacy of mirvetuximab Soravtansine + Bevacizumab as maintenance therapy in participants with platinum-sensitive ovarian, primary peritoneal or fallopian tube cancers with high folate receptor-alpha (FRα) expression.
Conditions:
Ovarian Cancer | Fallopian Tube Cancer | Peritoneal CancerEmplacement:
- Tom Baker Cancer Centre, Alberta Health Services, Calgary, Alberta, Canada
- Juravinski Cancer Centre, Hamilton, Ontario, Canada
- Universite de Montreal - Hopital Maisonneuve-Rosemont (HMR), Montreal, Quebec, Canada
- BC Cancer - Vancouver, Vancouver, British Columbia, Canada
- Princess Margaret Cancer Centre, Toronto, Ontario, Canada
- CHUS - Hôpital Fleurimont, Sherbrooke, Quebec, Canada
- BC Cancer Surrey, Surrey, British Columbia, Canada
- The Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada
- McGill University Health Centre, Montreal, Quebec, Canada
- University of Alberta - Cross Cancer Institute (CCI), Edmonton, Alberta, Canada
- Kinston Health Sciences Center - KGH Site, Kingston, Ontario, Canada
- Centre Hospitalier de L'Universite de Montreal - Centre de Recherche, Montreal, Quebec, Canada
- Cross Cancer Institute /ID# 269392, Edmonton, Alberta, Canada
- Kingston General Hospital /ID# 269397, Kingston, Ontario, Canada
- CHUM - Centre hospitalier de l'Universite de Montréal /ID# 269387, Montreal, Quebec, Canada
- BC Cancer - Vancouver /ID# 269394, Vancouver, British Columbia, Canada
- Princess Margaret Cancer Centre /ID# 269390, Toronto, Ontario, Canada
- CIUSSS Estrie - Sherbrooke University Hospital Center /ID# 269393, Sherbrooke, Quebec, Canada
- Arthur J. E. Child Comprehensive Cancer Centre /ID# 269388, Calgary, Alberta, Canada
- Juravinski Cancer Centre - Hamilton Health Sciences /ID# 269396, Hamilton, Ontario, Canada
- Universite de Montreal - Hopital Maisonneuve-Rosemont /ID# 269395, Montreal, Quebec, Canada
- Bc Cancer Agency - Fraser Valley Centre /ID# 269398, Surrey, British Columbia, Canada
- The Ottawa Hospital - General Campus /ID# 269391, Ottawa, Ontario, Canada
- McGill University Health Centre - Glen Site /ID# 269389, Montreal, Quebec, Canada
Sexe:
FEMALEÂges:
Over 18In previous studies, Proton Beam Radiation Therapy (PBRT) has been found to show better results in treating patients with cancer, both because there is better control of where in the body the radiation is directed and because it is associated with less severe long term side effects. However, there is limited published data demonstrating these results. The goal of the Proton and Photon Consortium Registry (PPCR) is to enroll children treated with radiation in order to describe the population that currently receives radiation and better compare the short-term and long-term benefits of different types of radiotherapy. The data collected from this study will help facilitate research on radiation therapy and allow for collaborative research. The PPCR will collect demographic and clinical data that many centers that deliver radiation therapy already collect in routine operations.
Conditions:
Pediatric Patients Treated With Radiation TherapyEmplacement:
- University Health Network - Princess Margaret Hospital, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Under 21Background: Reverse triggering (RT) is a frequent phenomenon observed in sedated patients under a mechanical ventilation mode called assist-control ventilation. RT is when the ventilator would trigger the patient's respiratory effort instead of the correct order of the patient's respiratory effort triggering the ventilator. Reverse triggering can have negative consequences (loss of protective lung ventilation, and causing double breaths - with the ventilator giving two consecutive breaths and not allowing the patient to exhale) but also offer some protective effects (avoid diaphragm disuse atrophy). The balance of its negative vs positive effects depends on its frequency and magnitude of its associated respiratory effort. Respiratory entrainment is the most often referred mechanism involving a change in patient's rate of breathing effort from that of patient's intrinsic rate to the rate of mechanical insufflation. The specific ventilatory settings associated with or responsible for RT remains unknown. Aims: To assess in mechanically ventilated critically ill patients the influence of the set respiratory rate (RR) and tidal volume (Vt) on the presence/development of RT and to describe the pattern of respiratory muscle activity during Reverse Triggering (RT). Methods. 30 adult patients (15 in each group), sedated and under assist-controlled ventilation will be included. Ventilator settings will be modified to modulate the frequency and magnitude of reverse triggering. Initially, with the ventilator on a mode called volume control, which means the ventilator controls the amount of air (tidal volume) and the number of breaths the patients gets every minute (respiratory rate \[RR\]). The tidal volume will be set at the current standard clinical practice setting (6 ml/kg of predicted body weight). The presence of an intrinsic respiratory rate will be assessed with an end-expiratory occlusion maneuver. Next, the number of breaths the ventilator gives per minute (RR) will be changed from 6 breaths less to 6 breaths more, in steps of 2 breaths every minute. The protocol will be repeated again changing the amount of air the patients gets (tidal volume) from 4, 5, 7 and 8 ml/kg. Continuous recordings of airway pressure, flow, esophageal pressure, electrical activity of the diaphragm, main accessory muscles and frontal electroencephalography will be obtained during the protocol and baseline clinical and physiological characteristics and outcomes will be recorded. A validated software will be used to detect RT and measure the intensity and timing of each muscle electrical activity and the magnitude of the inspiratory effort during RT.
Conditions:
Respiration, Artificial | Reverse TriggeringEmplacement:
- Unity Health Toronto - St. Michael's Hospital, Toronto, Ontario, Canada
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ALLÂges:
Over 18The goal of this study is to determine the feasibility of using a psychosocial intervention culturally adapted in China to support perinatal mental well-being of Chinese immigrant pregnant women in Canada. The intervention is adapted from the Thinking Healthy Program (THP), available through a mobile application, and will be offered to Chinese immigrant pregnant women (22 weeks' gestation or greater) residing in Canada, who are over the age of 18, and speak Mandarin. The main questions this study aims to answer are: * Will the Chinese version of the THP be acceptable to Chinese immigrant pregnant women residing in Canada and will they use the program which is delivered through a mobile App? * How well does the process of recruiting, keeping participants in the study and helping them complete the activities work, so it can be used for a future larger study? Women interested in the study and who meet the study criteria will complete a questionnaire at the start of the study, then use the THP for three weeks, complete questionnaires 3-4 weeks after completing the intervention and 6-8 weeks after having their baby(ies). Some may be asked to participate in an individual interview.
Conditions:
Perinatal DepressionEmplacement:
- Queen's University, Kingston, Ontario, Canada
Sexe:
FEMALEÂges:
Over 18This phase 2b study is designed to evaluate the safety and efficacy of KT-621 in adult and adolescent participants with moderate-to-severe atopic dermatitis (AD), a common form of eczema. The main goals of this study are to learn how effective KT-621 is at reducing the severity and extent of AD, the safety and tolerability of KT-621, how KT-621 behaves in the body, and how the body responds to KT-621. This is a 16-week double-blind, placebo-controlled study with a 52-week open-label period.
Conditions:
Atopic DermatitisEmplacement:
- Kymera Investigative Site, Markham, Ontario, Canada
- Kymera Investigative Site, Ottawa, Ontario, Canada
- Kymera Investigative Site, Surrey, British Columbia, Canada
- Kymera Investigative Site, Kelowna, British Columbia, Canada
- Kymera Investigative Site, Toronto, Ontario, Canada
Sexe:
ALLÂges:
12 - 75This study will evaluate the feasibility of repetitive Transcranial Magnetic Stimulation (rTMS) in Autism Spectrum Disorder (ASD) with self-regulation impairment. Baseline and follow-up participant visits will include behavioral assessments of self-regulation and magnetic resonance imaging (MRI) to determine neurophysiological outcomes before and after rTMS treatment.
Conditions:
Autism Spectrum Disorder | Self-Regulation, EmotionEmplacement:
- Bloorivew Research Institute, Toronto, Ontario, Canada
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ALLÂges:
9 - 18The objective of this observational study is to assess the relevance of inflammometry (based on the measurement of fractional exhaled nitric oxide (FeNO) and blood eosinophil count (BEC)) as a tool for prioritizing respiratory diagnostic tests. The study will evaluate the role of inflammometry (FeNO and BEC) in prioritizing diagnostic respiratory tests. It will include patients aged six and older with suspected asthma, referred by non-pulmonologists for diagnostic asthma testing (spirometry or methacholine challenge test) at three hospital centers: Sherbrooke University Hospital Center (CHUS), Sainte-Justine University Hospital Center (CHU Sainte-Justine), and the Montreal Children's Hospital. The hypothesis is that using inflammometry as a prioritization tool would reduce diagnostic delays for high-risk patients with elevated biomarkers. This study could help shorten wait times, relieve congestion in diagnostic testing queues, and improve the diagnostic pathway. Additionally, it would enhance the interpretation of pulmonary function test results by incorporating inflammometry findings, leading to better patient stratification. Patients referred from primary care will undergo pulmonary function testing (spirometry ± methacholine challenge) and, as part of the study: FeNO measurement using a portable device Blood test for eosinophil count Questionnaire on asthma control and quality of life, completed at the visit and at follow-ups at 4, 8, and 12 months
Conditions:
Asthma | Inflammation | Asthma in ChildrenEmplacement:
- Montreal Children's Hospital, Montreal, Quebec, Canada
- CHU Sainte-Justine, Montreal, Quebec, Canada
- CIUSSS de l'Estrie - CHUS, Sherbrooke, Quebec, Canada
Sexe:
ALLÂges:
Over 6The purpose of this study is to see how useful the information provided from Positron Emission Tomography (PET) scans can be in the actual planning and delivery of radiation treatment to patients who have head and neck cancers. Patients participating in this study, will have (in addition to their routine tests) a PET scan before and during their radiation treatment. Following the intervention, patients will be followed as per standard practice.
Conditions:
Head and Neck Squamous Cell CarcinomaEmplacement:
- University Health Network, Princess Margaret Cancer Center, Toronto, Ontario, Canada
Sexe:
ALLÂges:
Over 18The purpose of this study is to evaluate the efficacy and safety of tebentafusp-based regimens, including tebentafusp monotherapy and in combination with anti-PD1 vs investigator choice (including clinical trials of investigational agents, salvage therapy per local standard of care \[SoC\], best supportive care \[BSC\] on protocol survivor follow up) in patients with advanced non-ocular melanoma.
Conditions:
Advanced MelanomaEmplacement:
- Princess Margaret Hospital, Toronto, Ontario, Canada