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The primary goal of this study is to evaluate the effectiveness of elacestrant versus standard endocrine therapy in participants with node-positive, Estrogen Receptor-positive (ER+), Human Epidermal Growth Factor-2 negative (HER2-) early breast cancer with high risk of recurrence.

Conditions:
Breast Cancer
Emplacement:
  • Royal Victoria Regional Health Centre; c/o Oncology Clinical Trials, Barrie, Ontario, Canada
  • Jewish General Hospital, Montreal, Quebec, Canada
  • BC Cancer -Surrey, Surrey, British Columbia, Canada
  • St. Michaels Hospital, Toronto, Ontario, Canada
  • Regional Hospital Saint-Jerome, Saint-Jérôme, Quebec, Canada
  • BC Cancer Agency, Vancouver, British Columbia, Canada
  • Mount Sinai Hospital - Study Supplies, Toronto, Ontario, Canada
  • London Health Sciences Centre, London, Ontario, Canada
  • Centre hospitalier régional de Lanaudière, Saint-Charles-Borromée, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

This is a Phase 3, parallel group, 2-arm, randomized, double blind, placebo-controlled, 52-week treatment study to assess the efficacy and safety of rilzabrutinib as a treatment for adult patients with active IgG4-RD. The purpose of this study is to measure time to IgG4-RD clinical disease flare, and other relevant efficacy endpoints including flare-free rate, control of IgG4-RD disease activity, use of GC rescue and safety parameters such as treatment-emergent adverse events, clinical laboratory values and electrocardiograms (ECG) in participants aged 18 years and above, diagnosed with IgG4-RD and treated with rilzabrutinib tablets over a 52-week placebo-controlled period. Study details include: The study duration will be up to 60 weeks, including a 4-6-week screening period, a 52-week double blind treatment period, and 2 weeks of follow up (plus an optional OLE of 108 weeks). The number of visits will be 16 (plus an optional 9 visits during the OLE).

Conditions:
Immunoglobulin G4 Related Disease
Emplacement:
  • Investigational Site Number : 1240001, Sherbrooke, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

This phase II trial compares the effect of retreatment with 177Lu-DOTATATE peptide receptor radionuclide therapy (PRRT) to the usual approach of treatment with everolimus, sunitinib, or cabozantinib in patients who have previously received 177Lu-DOTATATE for gastroenteropancreatic neuroendocrine tumor (GEPNET) that has spread from where it first started (primary site) to other places in the body (metastatic) and that cannot be removed by surgery (unresectable). PRRT is a type of radiation therapy for which a radioactive chemical is linked to a peptide (small protein) that targets tumor cells. When this radioactive peptide is injected into the body, it binds to a specific receptor found on some tumor cells. The radioactive peptide builds up in these cells and helps kill the tumor cells without harming normal cells. In this trial 177Lu-DOTATATE is used for PRRT. 177Lu-DOTATATE PRRT may increase the length of time until worsening of the GEPNET compared to the usual approach. Everolimus is in a class of medications called kinase inhibitors. It is also a type of angiogenesis inhibitor. Everolimus works by stopping tumor cells from reproducing and by decreasing blood supply to the tumor cells. Sunitinib and cabozantinib, block certain proteins, which may help keep tumor cells from growing. They may also prevent the growth of new blood vessels that tumors need to grow. Sunitinib malate is a type of tyrosine kinase inhibitor and a type of antiangiogenesis agent. Retreating with 177Lu-DOTATATE may work better than everolimus, sunitinib or cabozantinib in shrinking or stabilizing tumors in patients with metastatic and unresectable GEPNET who were previously treated with 177Lu-DOTATATE.

Conditions:
Metastatic Digestive System Neuroendocrine Tumor G1 | Unresectable Digestive System Neuroendocrine Tumor...
Emplacement:
  • BCCA-Vancouver Cancer Centre, Vancouver, British Columbia, Canada
  • Odette Cancer Centre- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
  • Ottawa Hospital and Cancer Center-General Campus, Ottawa, Ontario, Canada
  • CancerCare Manitoba, Winnipeg, Manitoba, Canada
Sexe:
ALL
Âges:
Over 18

This study aims to investigate how sepsis and critical illness can impair the cardiovascular system and microcirculation in intensive care unit (ICU) patients, which can lead to long-lasting muscle weakness/dysfunction or ICU-Acquired Weakness (ICU-AW) and exercise limitations.

Conditions:
Sepsis | Shock | Critical Illness | Microcirculation | ICU Acquired Weakness
Emplacement:
  • Health Sciences Centre Winnipeg, Winnipeg, Manitoba, Canada
Sexe:
ALL
Âges:
Over 18

EFC18418 is a multinational, randomized, double-blind, placebo-controlled, parallel-group, Phase 3 study with 3 treatment groups. The purpose of the study is to evaluate the efficacy, safety and tolerability of 2 dosing regimens of itepekimab compared to placebo as add-on therapy to intranasal corticosteroids (INCS) in male and female participants with chronic rhinosinusitis with nasal polyps (CRSwNP) aged 18 years of age and older. Study details include: * The study duration per participant (4-week screening, 52-week treatment, 20-week safety follow-up) will be up to 76 weeks. For participants transitioning to the LTS18420 study, the study duration will be 56 weeks. * The treatment duration will be up to 52 weeks. * The number of visits will be 9 site visits and 20 phone/home visits.

Conditions:
Chronic Rhinosinusitis With Nasal Polyps
Emplacement:
  • Investigational Site Number : 1240001, Québec, Quebec, Canada
  • Investigational Site Number : 1240005, London, Ontario, Canada
  • Investigational Site Number : 1240002, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 18

Primary Objective: To describe the pharmacokinetic (PK) profile of sarilumab in patients aged 1-17 years with Systemic Juvenile Idiopathic Arthritis (sJIA) in order to identify the dose and regimen for adequate treatment of this population. Secondary Objective: To describe the pharmacodynamics (PD) profile, the efficacy, and the long term safety of sarilumab in patients with sJIA.

Conditions:
Juvenile Idiopathic Arthritis
Emplacement:
  • Investigational Site Number : 1240110, Calgary, Alberta, Canada
  • Investigational Site Number : 1240112, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
1 - 17

This study evaluates the efficacy and safety of benralizumab as an add-on therapy in uncontrolled eosinophilic asthma participants treated with medium-dose ICS-LABA compared to the conventional treatment step of escalation of inhaled therapy to high-dose ICS-LABA.

Conditions:
Eosinophilic Asthma
Emplacement:
  • Research Site, Ajax, Ontario, Canada
  • Research Site, Sainte-Foy, Quebec, Canada
  • Research Site, Kamloops, British Columbia, Canada
  • Research Site, Windsor, Ontario, Canada
  • Research Site, Vancouver, British Columbia, Canada
  • Research Site, Québec, Quebec, Canada
  • Research Site, Edmonton, Alberta, Canada
  • Research Site, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
12 - 75

The PREP and GO study is an international multicentre prospective cohort evaluating anticoagulation management strategies around labor and delivery and the postpartum period.

Conditions:
Venous Thromboembolism | Pregnancy Related
Emplacement:
  • Foothills Medical Centre, Calgary, Alberta, Canada
  • Foothills Medical Centre, Calgary, Alberta, Canada
  • McMaster University Medical Centre, Hamilton, Ontario, Canada
  • CHU Sainte-Justine, Montreal, Quebec, Canada
  • BC Women's Hospital and Health Centre, Vancouver, British Columbia, Canada
  • Montfort Hospital, Ottawa, Ontario, Canada
  • St. Boniface Hospital, Winnipeg, Manitoba, Canada
  • Mount Sinai Hospital, Toronto, Ontario, Canada
  • Royal Alexandra Hospital, Edmonton, Alberta, Canada
  • The Ottawa Hospital - General Campus, Ottawa, Ontario, Canada
  • The Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada
Sexe:
FEMALE
Âges:
18 - 60

The liver produces a protein called alpha-1 antitrypsin (AAT). AAT is normally released into the bloodstream. In some people, the liver makes an abnormal version of the AAT protein, called Z-AAT. Making an abnormal version of the AAT protein can result in liver disease as Z-AAT builds up in liver cells, which leads to liver problems such as liver scarring (fibrosis), continuing liver damage (cirrhosis), and eventually end stage liver disease. Fazirsiran is a medicine that reduces the creation of the Z-AAT protein and thus the build-up of this abnormal protein in the liver. People with this type of liver disease who already have mild liver scarring will take part in the study. They will be treated with fazirsiran or a placebo for about 2 years. This study will check the long-term safety of fazirsiran, whether participants tolerate the treatment and if there are any effects on liver scarring. A liver biopsy, a way of collecting a small tissue sample from the liver, will be taken twice during the study.

Conditions:
Alpha1-antitrypsin Deficiency
Emplacement:
  • Inspiration Research Limited, Toronto, Ontario, Canada
Sexe:
ALL
Âges:
18 - 75

Thumb osteoarthritis or trapeziometacarpal osteoarthritis (TMO) is a common and painful form of hand arthritis that limits thumb mobility and hand function, affecting patients' quality of life. Although corticosteroids injections are a typical treatment, their effectiveness has been challenged, and side effects have been reported. Recent studies suggest that saline injections, usually considered inactive, might be a viable treatment option. The primary goal of this study is to compare the effectiveness of saline injections versus corticosteroids injections in reducing TMO-related pain and improving hand function. In this study, 40 people with TMO will be randomly assigned to receive either a corticosteroids or a saline injection, without them or the doctors performing the injection knowing which one was administered (double blind). If saline injections prove more effective, they could provide a less harmful and cheaper therapeutic alternative for TMO patients.

Conditions:
Trapeziometacarpal Osteoarthritis
Emplacement:
  • Centre Hospitalier de l'Université de Montréal - Physiatry, Montreal, Quebec, Canada
  • Centre Hospitalier de l'Université de Montréal - Chirurgie plastique, Montreal, Quebec, Canada
Sexe:
ALL
Âges:
Over 18