Data Safety Monitoring Committee Ethical and scientific approval will be obtained from the local Institutional Review Boards affiliated with the Cross Cancer Institute and Capital Health Regional Palliative Home Care prior to study commencement. All serious adverse events will be reported to the local IRBs as well as each participant's treating physician. The project coordinator, under the supervision of the principal investigator, will be responsible for reporting any serious adverse events. The local IRBs will oversee the validity and integrity of data by conducting periodic audits of study records.