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Achilles tendon rupture is common, yet the value of popliteal nerve block for postoperative pain control during surgical repair remains uncertain. Despite widespread use, evidence supporting its analgesic effectiveness is limited, and both popliteal nerve block and Achilles tendon repair carry risks of nerve injury. This randomized, placebo-controlled trial will evaluate whether adding a popliteal nerve block to standard systemic analgesia improves postoperative pain and reduces opioid use in patients undergoing acute Achilles tendon rupture repair. Secondary outcomes will examine the incidence and impact of nerve complications on recovery, including return to physical activity and functional performance.

Conditions:
Acute Achilles Tendon Rupture
Emplacement:
  • Women's College Hospital, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
18 - 65

This study is open to adults aged 18 or above legal age with heart failure. People can join the study if they have heart failure symptoms and a left ventricular ejection fraction (LVEF) of 40% or more. The purpose of this study is to find out whether vicadrostat (BI 690517) in combination with empagliflozin helps people with heart failure. Participants are put into 2 groups by chance. Every participant has an equal chance of being in each group. The groups are: * Vicadrostat/empagliflozin group: participants take vicadrostat/empagliflozin as tablets once a day. * Placebo/empagliflozin group: participants take placebo/empagliflozin as tablets once a day. Participants can stay in the study as long as they benefit from treatment and can tolerate it. During this time, they visit their doctors regularly. The doctors regularly check participants' health and take note of any unwanted effects. The study staff may also contact the participants by phone. Participants also regularly answer questions about their well-being. The study does not have a fixed duration. It continues until there is enough data to see if the treatment is working.

Conditions:
Heart Failure
Emplacement:
  • KMH Cardiology Centres (Mississauga), Mississauga, Ontario, Canada
  • CardioQuest Research Centre, Sarnia, Ontario, Canada
  • Jewish General Hospital, Montreal, Quebec, Canada
  • Cambridge Cardiac Care Centre, Cambridge, Ontario, Canada
  • James Cha, MD, Oshawa, Ontario, Canada
  • Diabetes Heart Research Centre, Toronto, Ontario, Canada
  • Curnew Medicine Professional Corporation, Hamilton, Ontario, Canada
  • Kawartha Cardiology Clinical Trials, Peterborough, Ontario, Canada
  • ViaCar Recherches Cliniques Inc. (Greenfield Park), Greenfield Park, Quebec, Canada
  • Oakville Trafalgar Memorial Hospital, Oakville, Ontario, Canada
  • KMH Cardiology Centers (Hamilton), Stoney Creek, Ontario, Canada
  • Diex Recherche (Trois-Rivieres), Trois-Rivières, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

This is a Phase 2 global, multi-center, open-label study to assess the efficacy, safety and tolerability of Surovatamig (AZD0486) monotherapy in adult participants with relapsed/refractory B-cell non-Hodgkin lymphoma (NHL) who have received at least two prior lines of therapies. The study has 2 Modules: Module 1 for FL and Module 2 for LBCL.

Conditions:
Follicular Lymphoma (FL) | B-cell Non-Hodgkin Lymphoma | Large B-Cell Lymphoma (LBCL)
Emplacement:
  • Research Site, Ottawa, Ontario, Canada
  • Research Site, Toronto, Ontario, Canada
  • Research Site, Brampton, Ontario, Canada
  • Research Site, Barrie, Ontario, Canada
Sexe:
ALL
Âges:
Over 18

This is a multi-center evaluation of efruxifermin (EFX) in a randomized, double-blind, placebo-controlled study in subjects with compensated cirrhosis due to NASH/MASH.

Conditions:
NASH - Nonalcoholic Steatohepatitis | MASH - Metabolic Dysfunction-Associated Steatohepatitis
Emplacement:
  • Akero Clinical Study Site, Edmonton, Alberta, Canada
  • Akero Clinical Study Site, Vaughan, Ontario, Canada
  • Akero Clinical Study Site, Montreal, Quebec, Canada
  • Akero Clinical Study Site, Toronto, Ontario, Canada
  • Akero Clinical Study Site, Terrebonne, Quebec, Canada
Sexe:
ALL
Âges:
18 - 80

This is an open-label study to be conducted in adults with hypertriglyceridemia (HTG) and severe hypertriglyceridemia (SHTG). Each participant must have completed all required visits per protocol in the parent study AROAPOC3-2003 (USA and Canada participants only; NCT# 05413135), AROAPOC3-3001(Canada and Japan participants only; NCT05089084), AROAPOC3-3003 (NCT06347003), AROAPOC3-3004 (NCT06347016) or AROAPOC3-3009 (Argentina, Italy, South Africa, and Spain; NCT06347133). Subjects who previously met all eligibility requirements for AROAPOC3-3003 or AROAPOC3-3004 and were not permitted to proceed to randomization per the Sponsor's direction in order to prevent excessive over-enrollment may also be enrolled in this trial. The subjects must meet all other applicable eligibility criteria prior to enrollment and have an HbA1c results of \<=10% within 30 days prior to Day 1. Subjects entering this OLE from AROAPOC3-2003 must meet the following additional criteria to be considered for enrollment in addition to applicable eligibility criteria: 1. HbA1c ≤10% within 30 days prior to Day 1 2. Completed AROAPOC3-2001 prior to entry into AROAPOC3-2003 AND fulfill either (c) or (d) 3. Baseline fasting TG level of ≥500 mg/dL and prior history of acute pancreatitis at the time of enrollment into AROAPOC3-2001 4. Baseline fasting TG level of ≥1000 mg/dL at the time of enrollment into AROAPOC3-2001 All eligible participants will receive plozasiran administered subcutaneously (SC) approximately every 3 months for 24 months. Participants will be counseled to remain on the specified low-fat diet throughout the study in accordance with local standard of care.

Conditions:
Hypertriglyceridemia
Emplacement:
  • Research Site 4, Québec, Quebec, Canada
  • Research Site 6, Chicoutimi, Quebec, Canada
  • Research Site 5, Montreal, Quebec, Canada
  • Research Site 7, London, Ontario, Canada
  • Research Site 20, Victoria, British Columbia, Canada
  • Research Site 19, Québec, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

A Phase 1b/2 study to explore the safety, efficacy and pharmacokinetics of EP-104GI in adults with eosinophilic esophagitis (EoE). Endoscopic and histologic assessments will also be evaluated to understand the local effects of EP-104GI on eosinophilic EoE disease activity. Approximately 27 to 33 participants will be enrolled in dose escalation: 3-6 participants per dose cohort. The number of participants enrolled in escalation will depend on the number of dose escalation cohorts evaluated, and dose cohorts needing to be expanded. An additional 10-24 participants will be enrolled in 1 or 2 cohorts of 10-12 participants each at tolerable dose regimen(s) selected based on the accumulated clinical data to identify the recommended phase 2 dose(s) (RP2D). In the Phase 2 randomized dose optimization portion of the study, approximately 120 subjects will be randomized to Dose A (120 mg total dose), Dose B (160 mg total dose), or matching vehicle control, with an overall assignment ratio of 1:1:1. The total number of participants in both portions of the study will be approximately 160. The study involves 8-10 site visits spread over approximately 52 weeks. Participants in an extended PK sub study will have up to 4 additional visits, to a maximum of 108 weeks post-dose. The participants will either receive the active study drug (EP-104GI) or matching vehicle control. Matching vehicle control will be used only in randomized dose optimization portion of the study. Participants randomized to receive vehicle control may receive EP-104GI (Dose A or Dose B) following the completion of Week 24 providing they meet eligibility criteria for crossover to EP-104GI. Participants randomized to receive EP-104GI on Day 0 will not receive EP-104GI or vehicle control at Week 24. The study drug or matching vehicle control will be administered by qualified personnel during an esophagogastroduodenoscopy (EGD) procedure at the Baseline/Dosing visit. Safety will be assessed throughout the study. Blood and urine samples will be collected at site visits for laboratory assessments and to measure plasma levels of EP-104GI. Participants will complete questionnaires to assess symptoms of dysphagia and odynophagia and will undergo 3-5 EGDs with esophageal biopsies at the Baseline, Week 4 (dose escalation phase only), Week 12, Week 24 (randomized dose optimization phase only), Week 26, and Week 52 (randomized dose optimization phase only).

Conditions:
Eosinophilic Esophagitis
Emplacement:
  • McGill University Health Center, Montréal, Quebec, Canada
  • G.I. Research Institute, Vancouver, British Columbia, Canada
  • McGill University Health Center, Montreal, Quebec, Canada
  • UoA - South Edmonton Gastroenterology Research Clinic, Edmonton, Alberta, Canada
  • University of Calgary, Calgary, Alberta, Canada
Sexe:
ALL
Âges:
18 - 75

The main objective of the study is to characterize safety and efficacy of 2 dose levels of AMG 193 by investigator, and to evaluate AMG 193 monotherapy efficacy by Blinded Independent Central Review (BICR).

Conditions:
MTAP-deleted NSCLC
Emplacement:
  • William Osler Health System - Brampton Civic Hospital, Brampton, Ontario, Canada
  • Princess Margaret Cancer Centre, Toronto, Ontario, Canada
  • Cross Cancer Institute, Edmonton, Alberta, Canada
  • McGill University Health Centre Glen Site, Montreal, Quebec, Canada
  • London Health Sciences Centre, London, Ontario, Canada
Sexe:
ALL
Âges:
18 - 99

Rheumatoid Arthritis (RA) is a chronic inflammatory disease causing pain, stiffness, swelling and loss of joint function. This study will evaluate the efficacy and safety of targeted therapies through a series of substudies for the treatment of moderately to severely active Rheumatoid Arthritis (RA). This study currently includes 3 substudies evaluating different treatments in participants with RA. Substudy 1 will evaluate lutikizumab monotherapy (treatment given alone) compared to placebo (looks like the study treatment but contains no medicine). Substudy 2 will evaluate ravagalimab monotherapy compared to placebo and Substudy 3 will evaluate lutikizumab and ravagalimab combination therapy (treatments given together) compared to placebo. Approximately 180 participants who have failed 1 or 2 biologic/targeted synthetic disease-modifying antirheumatic drug (tsDMARD) therapies will be enrolled in the study at approximately 65 sites worldwide. There may be higher treatment burden for participants in this trial compared to their standard of care treatment without participating in this study. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Conditions:
Rheumatoid Arthritis
Emplacement:
  • Care Clinic - Calgary /ID# 274405, Calgary, Alberta, Canada
  • Dr. Latha Naik Medical Professional Corporation /ID# 274403, Saskatoon, Saskatchewan, Canada
Sexe:
ALL
Âges:
Over 18

The purpose of this study is to compare sacituzumab tirumotecan as a single agent, and in combination with pembrolizumab, versus Treatment of Physician's Choice (TPC) in participants with hormone receptor positive/human epidermal growth factor receptor-2 negative (HR+/HER2-) unresectable locally advanced, or metastatic, breast cancer. The primary hypotheses are that sacituzumab tirumotecan as a single agent and sacituzumab tirumotecan plus pembrolizumab are superior to TPC with respect to progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) by blinded independent central review (BICR) in all participants.

Conditions:
Breast Neoplasms
Emplacement:
  • Princess Margaret Cancer Centre ( Site 0310), Toronto, Ontario, Canada
  • Centre intégré de santé et de services sociaux du Bas Saint-Laurent- Hôpital régional de Rimouski ( Site 0308), Rimouski, Quebec, Canada
  • Jewish General Hospital ( Site 0303), Montreal, Quebec, Canada
  • BC Cancer Surrey ( Site 0315), Surrey, British Columbia, Canada
  • Southlake Regional Health Centre ( Site 0311), Newmarket, Ontario, Canada
  • CHU de Quebec Universite Laval - Hopital du Saint-Sacrement ( Site 0302), Québec, Quebec, Canada
  • CIUSSS de l'Est-de-l'Île-de-Montréal ( Site 0301), Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

This is a multicenter, prospective, randomized clinical trial that aims to assess the safety and efficacy of Aquablation Therapy in men with low-risk to intermediate to high-risk localized prostate cancer who are candidates for, or have opted for, prostatectomy. Participants will be randomized to either Aquablation Therapy or radical prostatectomy and followed up to 10 years.

Conditions:
Localized Prostate Cancer
Emplacement:
  • University of Toronto, Toronto, Ontario, Canada
  • Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
Sexe:
MALE
Âges:
Over 45