MedPath

Selatogrel Outcome Study in Suspected Acute Myocardial Infarction

Phase 3
Conditions
Acute Myocardial Infarction
Interventions
Combination Product: Placebo
Combination Product: Selatogrel
Registration Number
NCT04957719
Lead Sponsor
Idorsia Pharmaceuticals Ltd.
Brief Summary

This study will randomize patients recently discharged from the hospital with a confirmed diagnosis of type 1 acute myocardial infarction (Thygesen et al. 2018) and having additional cardiovascular risk factors.

Detailed Description

The purpose of this study is to assess the clinical efficacy of selatogrel when self-administered upon occurrence of symptoms suggestive of an acute myocardial infarction (AMI) in participants at risk of having a recurrent AMI.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
14000
Inclusion Criteria
  • Confirmed diagnosis of symptomatic type 1 acute myocardial infarction (AMI) ST-Elevation Myocardial Infarction (STEMI) or Non-ST-Elevation Myocardial Infarction (NSTEMI), no longer than 4 weeks prior to randomization.

  • Diagnosis of multivessel coronary artery disease defined as ≥ 50% stenosis on 2 or more coronary artery territories, including the left main artery, during a prior cardiac catheterization or cardiac catheterization during the qualifying AMI event and presence of at least 1 of the following risk factors:

    • Second prior AMI,
    • Diabetes mellitus defined by ongoing glucose lowering treatment,
    • Chronic kidney disease defined as estimated glomerular filtration rate less than 60 mL/min/1.73 m2 and either known history of chronic kidney disease or a biomarker of chronic kidney damage,
    • Peripheral artery disease at any time prior to randomization,
    • Absence of, or unsuccessful coronary revascularization of the qualifying AMI.
  • Successful self-administered placebo according to the autoinjector instruction for use training during screening.

Main

Exclusion Criteria
  • Increased risk of serious bleeding including any of the following:

    • History of intracranial bleed at any time.
    • Known uncorrected intracranial vascular abnormality.
    • Gastrointestinal bleed requiring hospitalization or transfusion within 1 year prior to screening.
    • Already on oral triple antithrombotic therapy (i.e., Dual antiplatelet therapy and oral anticoagulant).
    • Known liver impairment significantly affecting the hepatic function.
    • Current dialysis.
    • Ischemic stroke or transient ischemic attack within 3 months of screening.
  • Chronic anemia with hemoglobin < 10 g/dL.

  • Chronic thrombocytopenia with platelet count < 100,000/mm3.

  • Known hypersensitivity to selatogrel, any of its excipients, or drugs of the P2Y12 class.

  • Previous exposure to an investigational drug within 3 months prior to randomization.

  • Participation in another clinical trial with an investigational product or device within 3 months prior to randomization.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboStudy treatment administration may occur at any time between the randomization visit and the final study visit when the participant experiences symptoms suggestive of an acute myocardial infarction. Study treatment administration triggers protocol pre-defined assessments or visits.
SelatogrelSelatogrelStudy treatment administration may occur at any time between the randomization visit and the final study visit when the participant experiences symptoms suggestive of an acute myocardial infarction. Study treatment administration triggers protocol pre-defined assessments or visits.
Primary Outcome Measures
NameTimeMethod
Clinical status as assessed by a 6-point ordinal scaleTotal duration: up to 7 days

The clinical status will be assessed using a 6-point ordinal scale after any study treatment self-administration. Only the worst clinical outcome will be retained as the primary efficacy outcome. The 6 mutually exclusive outcomes ranked from worst to best are:

1. Death (all causes), within 7 days after study treatment administration.

2. Acute myocardial infarction with compromised electro-hemodynamics, within 2 days after study treatment administration.

3. ST-Elevation Myocardial Infarction (STEMI), within 2 days after study treatment administration.

4. High-risk Non-ST-Elevation Myocardial Infarction (NSTEMI), within 2 days after study treatment administration.

5. NSTEMI with peak cardiac troponin greater than 10 times upper limit of normal, within 2 days after study drug administration.

6. None of the above

Occurrence of Type 3 or 5 treatment-emergent bleeding events according to the Bleeding Academic Research Consortium (BARC) definitionTotal duration: up to 2 days

The number of:

* Type 3 treatment-emergent bleeding events and

* Type 5 treatment-emergent bleeding events

will be assessed according to the Bleeding Academic Research Consortium (BARC) definition (Mehran et al. 2011), within 2 days after study treatment administration.

The Bleeding Academic Research Consortium (BARC) definitions are:

* Type 3, bleeding is divided into 3 categories, a through c, and includes clinical, laboratory, and/or imaging evidence of bleeding with specific healthcare provider responses.

* Type 5, bleeding is fatal.

Secondary Outcome Measures
NameTimeMethod
Occurrence of death, non-fatal acute myocardial infarction, hospitalization or unplanned emergency department visit for heart failure (Composite endpoint)Total duration: up to 30 days

Occurrence death, non-fatal acute myocardial infarction, hospitalization or unplanned emergency department visit for heart failure within 30 days after any self-administration.

Trial Locations

Locations (444)

University Hospital Leuven (UZ Leuven)

🇧🇪

Leuven, Belgium

AZ Delta Campus Rumbeke

🇧🇪

Roeselare, Belgium

Lianyungang First People's Hospital

🇨🇳

Lianyungang, China

Liaocheng people's Hospital

🇨🇳

Liaocheng, China

The North Estonia Medical Centre

🇪🇪

Tallinn, Estonia

Heart Clinic, Tartu University Hospital

🇪🇪

Tartu, Estonia

Jorvi Hospital, Helsinki University Hospital

🇫🇮

Espoo, Finland

Bnai Zion Medical Center, Cardiology

🇮🇱

Haifa, Israel

Edith Wolfson Medical Center

🇮🇱

H̱olon, Israel

Boca Clinical Trials México, SC (Puebla)

🇲🇽

Puebla, Mexico

SMIQ / Boca Clinical Trials México

🇲🇽

Queretaro, Mexico

Klinicko bolnicki centar, Bežanijska kosa

🇷🇸

Belgrade, Serbia

Kliničko Bolnički Centar Bežanijska Kosa

🇷🇸

Belgrade, Serbia

Klinički centar Kragujevac

🇷🇸

Kragujevac, Serbia

Opšta bolnica Leskovac

🇷🇸

Leskovac, Serbia

Klinički Centar Niš

🇷🇸

Niš, Serbia

Premedix Clinic

🇸🇰

Bratislava, Slovakia

University Hospital Bratislava

🇸🇰

Bratislava, Slovakia

Cardiocentre CINRE

🇸🇰

Bratislava, Slovakia

Konstantopouleio - Patision General Hospital of Nea Ionia

🇬🇷

Nea Ionia, Greece

University Hospital of Heraklion

🇬🇷

Heraklion, Greece

Thriasio General Hospital

🇬🇷

Magoula, Greece

Sismanoglio Hospital of GNA "Sismanoglio - Amalia Fleming

🇬🇷

Marousi, Greece

University Hospital of Patras

🇬🇷

Patras, Greece

Aristotle University of Thessaloniki (AUTH) - University General Hospital of Thessaloniki (AHEPA)

🇬🇷

Thessaloníki, Greece

San Donato Hospital, U.O.C. Cardiology

🇮🇹

Arezzo, Italy

Ospedale Maggiore Bologna - Dept. Cardiology

🇮🇹

Bologna, Italy

AORN "Sant'Anna e San Sebastiano"

🇮🇹

Caserta, Italy

Azienda Ospedaliero-Universitaria Policlinico ""G. Rodolico - San Marco

🇮🇹

Catania, Italy

Clin Hosp Ctr Zemun - Cardiology Dept

🇷🇸

Belgrade, Serbia

Department of Cardiology, Clinical Hospital Center Zemun

🇷🇸

Belgrade, Serbia

Viborg Hospital

🇩🇰

Viborg, Denmark

UMHATEM N I Pirogov EAD

🇧🇬

Sofia, Bulgaria

The Third Hospital of Shijiazhuang

🇨🇳

Shijiazhuang, China

Fakultní nemocnice Plzen

🇨🇿

Pilsen, Czechia

Kardiologie Praha s.r.o.

🇨🇿

Prague 10, Czechia

General Faculty Hospital

🇨🇿

Prague 2, Czechia

Hospital Center Departmental Vendée

🇫🇷

La Roche-sur-Yon, France

CH Chartres

🇫🇷

Le Coudray, France

CHU Timone 2

🇫🇷

Marseille, France

Hôpital Arnaud de Villeneuve

🇫🇷

Montpellier, France

Clinique du Millénaire

🇫🇷

Montpellier, France

Univ Hosp de Nimes Carémeau

🇫🇷

Nîmes, France

University Hospitals Pitié Salpêtrière

🇫🇷

Paris, France

Klinikum Klagenfurt am Woerthersse

🇦🇹

Klagenfurt, Austria

Bichat-Claude Bernard Hospital

🇫🇷

Paris, France

Universitätsklinikum St. Pölten

🇦🇹

Sankt Pölten, Austria

Nouvel Hopital Civil

🇫🇷

Strasbourg, France

Klinik Ottakring

🇦🇹

Vienna, Austria

MyMichigan Medical Center - Midland

🇺🇸

Midland, Michigan, United States

Hosp Rangueil - Cardiology A Dept

🇫🇷

Toulouse, France

Karl Landsteiner Institut für Kardiovaskuläre und Intensivmedizinische Forschung

🇦🇹

Vienna, Austria

Ippokrateio (Hyppokration) General Hospital of Athens

🇬🇷

Athens, Greece

Advanced Heart Care, LLC

🇺🇸

Bridgewater, New Jersey, United States

Amarillo Heart Clinical Research Institute Inc.

🇺🇸

Amarillo, Texas, United States

PharmaTex Research

🇺🇸

Amarillo, Texas, United States

OLV Aalst

🇧🇪

Aalst, Belgium

University General Hospital "Attikon"

🇬🇷

Athens, Greece

MHAT South-West Hospital, Cardiology Department

🇧🇬

Sandanski, Bulgaria

Colorado Heart and Vascular PC

🇺🇸

Golden, Colorado, United States

UVA University Hospital

🇺🇸

Charlottesville, Virginia, United States

Tasmanian Health at Royal Hobart Hospital

🇦🇺

Hobart, Australia

Wollongong Hospital - Illawarra Shoalhaven Local Health District

🇦🇺

Wollongong, Australia

Northeast Arkansas Charitable Foundation, Inc.- NEA Baptist Clinic

🇺🇸

Jonesboro, Arkansas, United States

South Denver Cardiology Associates, PC

🇺🇸

Littleton, Colorado, United States

Inova Heart & Vascular Institute

🇺🇸

Falls Church, Virginia, United States

LKH Universitätsklinikum Graz

🇦🇹

Graz, Austria

John Muir Health

🇺🇸

Concord, California, United States

Virginia Heart

🇺🇸

Falls Church, Virginia, United States

Hospital Oost-Limburg (ZOL)

🇧🇪

Genk, Belgium

Long Beach VA Healthcare System

🇺🇸

Long Beach, California, United States

San Francisco VA Health Care System"

🇺🇸

San Francisco, California, United States

SHATC Sveti Georgi

🇧🇬

Pernik, Bulgaria

Advanced Cardiovascular, LLC

🇺🇸

Alexander City, Alabama, United States

Birmingham VA Health Care System

🇺🇸

Birmingham, Alabama, United States

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Cardiovascular Associates of the Southeast

🇺🇸

Birmingham, Alabama, United States

Grandview Medical Center and Affinity Cardiovascular Specialists, LCC

🇺🇸

Birmingham, Alabama, United States

Heart Center Research, LLC

🇺🇸

Huntsville, Alabama, United States

Dignity Health Mercy Gilbert Medical Center

🇺🇸

Gilbert, Arizona, United States

Mayo Clinic Arizona

🇺🇸

Phoenix, Arizona, United States

University of Arizona - Sarver Heart Center

🇺🇸

Tucson, Arizona, United States

Lundquist Institute for Biomedical Innovation at Harbor - UCLA Medical Center

🇺🇸

Torrance, California, United States

Interventional Cardiology Medical Group

🇺🇸

West Hills, California, United States

AZ Sint-Lucas

🇧🇪

Gent, Belgium

Christiana Care Health Services, Inc.

🇺🇸

Newark, Delaware, United States

MedStar Washington Hospital Center

🇺🇸

Washington, District of Columbia, United States

Bay Area Cardiology Associates, P.A.

🇺🇸

Brandon, Florida, United States

Clearwater Cardiovascular Consultants

🇺🇸

Safety Harbor, Florida, United States

Pioneer Clinical Studies (PCS)

🇺🇸

Coral Gables, Florida, United States

University of Florida Health Science Center at Jacksonville

🇺🇸

Jacksonville, Florida, United States

Baptist Health Research Institute

🇺🇸

Jacksonville, Florida, United States

Baptist Health Care, Inc. d/b/a Baptist Hospital Cardiology

🇺🇸

Pensacola, Florida, United States

Ascension Sacred Heart

🇺🇸

Pensacola, Florida, United States

Atlanta VA Medical Center

🇺🇸

Decatur, Georgia, United States

Endeavor Health

🇺🇸

Glenview, Illinois, United States

OSF HealthCare Cardiovascular Institute

🇺🇸

Peoria, Illinois, United States

Indiana University School of Medicine

🇺🇸

Indianapolis, Indiana, United States

Indiana University Health Ball Memorial Hospital

🇺🇸

Muncie, Indiana, United States

Reid Physician Associates

🇺🇸

Richmond, Indiana, United States

St. Elizabeth Healthcare

🇺🇸

Edgewood, Kentucky, United States

University of Louisville

🇺🇸

Louisville, Kentucky, United States

Grace Research, LLC

🇺🇸

Bossier City, Louisiana, United States

Northern Light Eastern Maine Medical Center

🇺🇸

Bangor, Maine, United States

Sinai Hospital Baltimore, LifeBridge Health

🇺🇸

Baltimore, Maryland, United States

Adventist Healthcare White Oak Medical Center

🇺🇸

Silver Spring, Maryland, United States

Regions Hospital

🇺🇸

Saint Paul, Minnesota, United States

Cardiology Associates Research

🇺🇸

Tupelo, Mississippi, United States

University of Missouri Healthcare

🇺🇸

Columbia, Missouri, United States

North Kansas City Hospital

🇺🇸

North Kansas City, Missouri, United States

Saint Michael's Medical Center

🇺🇸

Newark, New Jersey, United States

Rutgers New Jersey Medical School

🇺🇸

Newark, New Jersey, United States

AtlantiCare Regional Medical Center

🇺🇸

Pomona, New Jersey, United States

St. Joseph's Hospital Cardiology

🇺🇸

Liverpool, New York, United States

VA NY Harbor Healthcare System

🇺🇸

New York, New York, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Moses H. Cone Memorial Hospital Operation Corporation d/b/a Cone Health

🇺🇸

Greensboro, North Carolina, United States

University Hospitals Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Wellspan Chambersburg Hospital

🇺🇸

Chambersburg, Pennsylvania, United States

Penn State Health Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Penn State Health Medical Group - Berks Cardiology

🇺🇸

Wyomissing, Pennsylvania, United States

Prisma Health - Upstate

🇺🇸

Greenville, South Carolina, United States

Upstate Cardiology

🇺🇸

Greenville, South Carolina, United States

Monument Health Clinical Research, Monument Health Rapid City Hospital Inc.

🇺🇸

Rapid City, South Dakota, United States

CHI Institute for Research and Innovation

🇺🇸

Chattanooga, Tennessee, United States

Baptist Clinical Research Institute

🇺🇸

Memphis, Tennessee, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Covenant Medical Group d/b/a Parkway Cardiology Associates

🇺🇸

Oak Ridge, Tennessee, United States

Cardiovascular Research of Knoxville

🇺🇸

Powell, Tennessee, United States

Bon Secours St. Mary's Hospital of Richmond, LLC

🇺🇸

Richmond, Virginia, United States

Aurora St. Luke's Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

The Prince Charles Hospital

🇦🇺

Chermside, Australia

Concord Repatriation General Hospital (CRGH) (Concord Hospital)

🇦🇺

Concord, Australia

Hospital de Amor Barretos - Fundação PIO XII

🇧🇷

Barretos, Brazil

Santa Casa de Misericordia de Belo Horizonte

🇧🇷

Belo Horizonte, Brazil

CARDRESEARCH - Cardiologia Assistencial e de Pesquisa

🇧🇷

Belo Horizonte, Brazil

Sociedade Hospitalar Angelina Caron

🇧🇷

Campina Grande do Sul, Brazil

IPECC - Instituto de Pesquisa Clínica de Campinas

🇧🇷

Campinas, Brazil

Ebserh Hospital Universitário Maria Aparecida Pedrossian da Univ.Federal de Mato Grosso-HUMAP-UFMS

🇧🇷

Campo Grande, Brazil

Galileo Medical Research LTDA

🇧🇷

Juiz de Fora, Brazil

Hospital Santa Izabel - Santa Casa de Misericórdia da Bahia

🇧🇷

Salvador, Brazil

Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

🇧🇷

São Paulo, Brazil

Mbal Puls

🇧🇬

Blagoevgrad, Bulgaria

UMHAT Deva Maria

🇧🇬

Burgas, Bulgaria

MHAT Ivan Skenderov EOOD

🇧🇬

Gotse Delchev, Bulgaria

Medical Centre Avitzena

🇧🇬

Kardzhali, Bulgaria

MHAT Cardiolife OOD

🇧🇬

Lovech, Bulgaria

University of Calgary Foothills Medical Centre

🇨🇦

Calgary, Alberta, Canada

Royal Alexandra Hospital

🇨🇦

Edmonton, Alberta, Canada

University of Alberta Hospital

🇨🇦

Edmonton, Alberta, Canada

Grey Nuns Community Hospital

🇨🇦

Edmonton, Alberta, Canada

Queen Elizabeth II Health Sciences Centre

🇨🇦

Halifax, Nova Scotia, Canada

Wiliam Osler Health System

🇨🇦

Brampton, Ontario, Canada

Cambridge Cardiac Care Center

🇨🇦

Cambridge, Ontario, Canada

York PCI Group, Inc.

🇨🇦

Newmarket, Ontario, Canada

Kawartha Cardiology Clinical Trials

🇨🇦

Peterborough, Ontario, Canada

St. Michael's Hospital

🇨🇦

Toronto, Ontario, Canada

Clinique de Cardiologie de Lévis

🇨🇦

Lévis, Quebec, Canada

Montreal Heart Institute

🇨🇦

Montréal, Quebec, Canada

CHUM - Centre hospitalier de l'Universite de Montreal"

🇨🇦

Montréal, Quebec, Canada

Hôpital du Sacré-Coeur de Montréal

🇨🇦

Montréal, Canada

Centre Intégré universitaire de santé et de services sociaux de la Mauricie-et-du-Centre-du-Québec

🇨🇦

Trois-Rivières, Quebec, Canada

University of Ottawa Heart Institute

🇨🇦

Ottawa, Canada

Diex Research, Inc.

🇨🇦

Trois-Rivieres, Canada

Cec-Suecia

🇨🇱

Santiago, Chile

Pontificia Universidad Catolica de Chile

🇨🇱

Santiago, Chile

Clinica Ensenada

🇨🇱

Santiago, Chile

Hospital San Jose de Victoria

🇨🇱

Victoria, Chile

Beijing Anzhen Hospital, Capital Medical University

🇨🇳

Beijing, China

Beijing Luhe Hospital, Capital Medical University

🇨🇳

Beijing, China

Beijing Pinggu Hospital

🇨🇳

Beijing, China

The First Bethune Hospital of Jilin University

🇨🇳

Changchun, China

The Second Hospital of Jilin University

🇨🇳

Changchun, China

Xiangya Hospital Central South University

🇨🇳

Changsha, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, China

The Third Xiangya Hospital of Central South University

🇨🇳

Changsha, China

West China Hospital of Sichuan University

🇨🇳

Chengdu, China

The Second Hospital of Dalian Medical University

🇨🇳

Dalian, China

Daqing Oilfield General hospital

🇨🇳

Daqing, China

Beijing Hospital

🇨🇳

Dongcheng, China

Fujian Provincial Hospital

🇨🇳

Fuzhou, China

Guangdong Provincial People's Hospital

🇨🇳

Guangzhou, China

The First Affiliated Hospital, Zhejiang University School of Medicine

🇨🇳

Hangzhou, China

Sir Run Run Shaw Hospital (SRRSH), affiliated with the Zhejiang University School of Medicine

🇨🇳

Hangzhou, China

The First Affiliated Hospital of USTC(Anhui Provincial Hospital)

🇨🇳

Hefei, China

Shandong University Qilu Hospital

🇨🇳

Jinan, China

The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital)

🇨🇳

Jinan, China

The Second Hospital of Shandong University

🇨🇳

Jinan, China

Jining No.1 People's Hospital

🇨🇳

Jining, China

Linyi People's Hospital

🇨🇳

Linyi, China

Beijing Anzhen Nanchong Hospital, Capital Medical University & Nanchong Central Hospital

🇨🇳

Nanchong, China

Nanjing Drum Tower Hospital

🇨🇳

Nanjing, China

Zhongda Hospital Southeast University

🇨🇳

Nanjing, China

Nanjing Jiangning Hospital

🇨🇳

Nanjing, China

Nanyang Central Hospital

🇨🇳

Nanyang, China

Nanyang Second People's Hospital

🇨🇳

Nanyang, China

Qingdao Municipal Hospital

🇨🇳

Qingdao, China

Shanghai Ninth People's hospital, Shanghai Jiaotong University School of Medicine

🇨🇳

Shanghai, China

Shanghai Chest Hospital ,Shanghai Jiao Tong University School of Medicine

🇨🇳

Shanghai, China

Shanghai General Hospital

🇨🇳

Shanghai, China

Renji Hospital, Shanghai Jiaotong University School of Medicine

🇨🇳

Shanghai, China

The People's Hospital of Liaoning Province

🇨🇳

Shenyang, China

The Second Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, China

Shanxi Cardiovascular Hospital

🇨🇳

Taiyuan, China

Tangshan Central Hospital

🇨🇳

Tangshan, China

Tianjin Medical University General Hospital

🇨🇳

Tianjin, China

Tianjin Chest Hospital

🇨🇳

Tianjin, China

Teda International Cardiovascular Hospital

🇨🇳

Tianjin, China

The Central Hospital of Wuhan

🇨🇳

Wuhan, China

Wuhan Asia Heart Hospital

🇨🇳

Wuhan, China

Renmin Hospital of Wuhan University

🇨🇳

Wuhan, China

The First Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, China

Northern Jiangsu People's Hospital

🇨🇳

YangZhou, China

Yiyang Central Hospital

🇨🇳

Yiyang, China

The First Affiliated Hospital of Zhengzhou University

🇨🇳

Zhengzhou, China

Zibo Central Hospital

🇨🇳

Zibo, China

Cardiomet Cequin S.A.S

🇨🇴

Armenia, Colombia

Administradora Country S.A.S. - Clinica del Country

🇨🇴

Bogota, Colombia

Hospital Universitario San Ignacio

🇨🇴

Bogotá, Colombia

Fundación Cardioinfantil - Instituto de Cardiología

🇨🇴

Bogotá, Colombia

Fundación Valle del Lili

🇨🇴

Cali, Colombia

IPS Centro Médico Julián Coronel S.A.S

🇨🇴

Cali, Colombia

Clinica Imbanaco S.A.S

🇨🇴

Cali, Colombia

Fundación cardiovascular de Colombia

🇨🇴

Floridablanca, Colombia

Hospital Alma Mater de Antioquia

🇨🇴

Medellin, Colombia

Rodrigo Botero SAS

🇨🇴

Medellin, Colombia

Clinica Cardio VID

🇨🇴

Medellín, Colombia

University Hospital Brno

🇨🇿

Brno, Czechia

ICRC St. Anne University Hospital

🇨🇿

Brno, Czechia

University hospital Hradec Králové

🇨🇿

Hradec Kralove, Czechia

Regional Hospital Jihlava

🇨🇿

Jihlava, Czechia

Regional Hospital Liberec

🇨🇿

Liberec, Czechia

Nemocnice Pardubickeho kraje, a.s. - Pardubicka nemocnice

🇨🇿

Pardubice, Czechia

Institutu Klinicke a Experimentalni Mediciny (IKEM) (Institute for Clinical and Experimental Medicine)

🇨🇿

Prague 4, Czechia

Univ. Hospital Vinohrady

🇨🇿

Prague, Czechia

Kardiologie Vinohrady s.r.o.

🇨🇿

Praha 1 - Nové Mesto, Czechia

Všeobecná fakultní nemocnice

🇨🇿

Praha, Czechia

Olomuc Cardiology

🇨🇿

Prostějov, Czechia

University Hospital Ústí nad Labem

🇨🇿

Ústí Nad Labem, Czechia

Regional Hospital Ceské Budejovice

🇨🇿

České Budějovice, Czechia

Aalborg University Hospital Cardiology

🇩🇰

Aalborg, Denmark

Aarhus University Hospital

🇩🇰

Aarhus, Denmark

Esbjerg Hospital

🇩🇰

Esbjerg, Denmark

Rigshospitalet

🇩🇰

Hellerup, Denmark

Goedstrup Region Hospital

🇩🇰

Herning, Denmark

Herning Hospital

🇩🇰

Herning, Denmark

Odense Universitetshospital

🇩🇰

Odense, Denmark

Zealand University Hospital

🇩🇰

Roskilde, Denmark

Svendborg Hospital

🇩🇰

Svendborg, Denmark

Heart and Lung Center, Helsinki University Hospital

🇫🇮

Helsinki, Finland

North Karelian Central Hospital

🇫🇮

Joensuu, Finland

StudyCor

🇫🇮

Jyväskylä, Finland

Kokkola Central Hospital

🇫🇮

Kokkola, Finland

Kuopio University Hospital

🇫🇮

Kuopio, Finland

Oulu University Hospital

🇫🇮

Oulu, Finland

Seinäjoki Central Hospital

🇫🇮

Seinäjoki, Finland

TAYS Tutkimusvastaanotto / TAYS Research Center

🇫🇮

Tampere, Finland

Heart Center, Turku University Hospital

🇫🇮

Turku, Finland

Hopital Cardiologique CHU Bordeaux

🇫🇷

Pessac, Gironde, France

CHRU Brest - Cavale Blanche

🇫🇷

Brest, France

CHU Caen · Unité Cardiologie et Pathologie Vasculaire

🇫🇷

Caen, France

CHRU Nancy

🇫🇷

Vandœuvre-lès-Nancy, France

Aleksandere Aladashvili Clinic

🇬🇪

Tbilisi, Georgia

Acad. G. Chapidze Emergency Cardiology Center

🇬🇪

Tbilisi, Georgia

Bokhua Memorial CardioVascular Center

🇬🇪

Tbilisi, Georgia

Tbilisi Heart and Vascular Clinic Ltd.

🇬🇪

Tbilisi, Georgia

TIM Hospital

🇬🇪

Tbilisi, Georgia

LTD "Tbilisi Heart Center"

🇬🇪

Tbilisi, Georgia

Universitätsklinikum Freiburg; Universitäts-Herzzentrum Freiburg-Bad Krozingen

🇩🇪

Bad Krozingen, Germany

Herz- und Diabeteszentrum NRW

🇩🇪

Bad Oeynhausen, Germany

MedicTRials STUG - Praxis Dr. Toursarkissian

🇩🇪

Berlin, Germany

Vivantes Netzwerk für Gesundheit GmbH

🇩🇪

Berlin, Germany

Vivantes Klinikum Spandau

🇩🇪

Berlin, Germany

St. Johannes Hospital Dortmund

🇩🇪

Dortmund, Germany

Herzzentrum Dresden GmbH; Universitätsklinik an der Technischen Universität Dresden

🇩🇪

Dresden, Germany

Universitätsklinikum Hamburg Eppendorf

🇩🇪

Hamburg, Germany

SRH Klinikum Karlsbad-Langensteinbach GmbH

🇩🇪

Karlsbad, Germany

Krankenhaus der Augustinerinnen Köln gGmbH

🇩🇪

Köln, Germany

Universitätsklinikum Köln

🇩🇪

Köln, Germany

Herzzentrum Leipzig GmbH

🇩🇪

Leipzig, Germany

Gesellschaft für Klinische Forschung mbH Ludwigshafen

🇩🇪

Ludwigshafen, Germany

Uniklinikum Magdeburg A. ö. R.

🇩🇪

Magdeburg, Germany

Universitätsmedizin Mannheim

🇩🇪

Mannheim, Germany

München Klinik Neuperlach

🇩🇪

München, Germany

Studienzentrum Innere Med. II Kardiologie, Universitätsklinikum Regensburg

🇩🇪

Regensburg, Germany

Robert-Bosch Krankenhaus Stuttgart

🇩🇪

Stuttgart, Germany

Krankenhaus der Barmherzigen Brüder

🇩🇪

Trier, Germany

Universitätsklinikum Tübingen, Medizinische Klinik Innere Medizin III Kardiologie und Angiologie

🇩🇪

Tübingen, Germany

Siteworks GmbH Prüfzentrum Völklingen

🇩🇪

Völklingen, Germany

Helios Universitätsklinikum Wuppertal

🇩🇪

Wuppertal, Germany

University General Hospital of Alexandroupolis

🇬🇷

Alexandroupolis, Greece

General Hospital of Thessaloniki G.Papanikolaou

🇬🇷

Thessaloníki, Greece

Asklepeion General Hospital, Voula

🇬🇷

Voula, Greece

Állami Szívkorhaz

🇭🇺

Balatonfüred, Hungary

Betegápoló Irgalmasrend Budai Irgalmasrendi Kórház, Kardiológia

🇭🇺

Budapest, Hungary

Gottsegen György Országos Kardiovaszkuláris Intézet

🇭🇺

Budapest, Hungary

Budapesti Bajcsy-Zsilinszky Hospital

🇭🇺

Budapest, Hungary

Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika Kardiológia

🇭🇺

Budapest, Hungary

Magyar Honvédség Egészségügyi Központ

🇭🇺

Budapest, Hungary

Uzsoki Utcai Kórház

🇭🇺

Budapest, Hungary

Debreceni Egyetem Klinikai Központ Kardiológiai és Szívsebészeti Klinika

🇭🇺

Debrecen, Hungary

Bács-Kiskun Megyei Kórház a Szegedi Tudományegyetem Általános Orvostudományi Kar Oktató Kórháza

🇭🇺

Kecskemét, Hungary

SzSzBV Egyetemi Oktatókórház, Nyíregyházi Jósa András Tagkórház, Kardiológia

🇭🇺

Nyíregyháza, Hungary

Szegedi Tudományegyetem ÁOK Szent-Györgyi Albert Klinikai Központ II.sz. Belgyógyászati Klinika és Kardiológiai Központ

🇭🇺

Szeged, Hungary

Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház-Rendelőintézet

🇭🇺

Szolnok, Hungary

Léda-Platán Magánklinika

🇭🇺

Zalaegerszeg, Hungary

Soroka University Medical Center

🇮🇱

Beer-Sheva, Israel

Hillel Yaffee Medical Center, Cardiology Department

🇮🇱

Hadera, Israel

Rambam Health Care Campus

🇮🇱

Haifa, Israel

Shaare Zedek Medical Center, Cardiology Department

🇮🇱

Jerusalem, Israel

Hadassah Hospital on Mount Scopus

🇮🇱

Jerusalem, Israel

Meir Medical Center

🇮🇱

Kfar Sava, Israel

Galilee Medical Center

🇮🇱

Nahariya, Israel

Rabin Medical Center

🇮🇱

Petah tikva, Israel

Kaplan Medical Center, Intensive Cardiac Care Unit

🇮🇱

Rehovot, Israel

Tel-Aviv Sourasky Medical Center

🇮🇱

Tel Aviv, Israel

Leviev Heart Center, Sheba Medical Center

🇮🇱

Tel Hashomer, Israel

Ziv Medical Center

🇮🇱

Zefat, Israel

Shamir Medical Center (Assaf Harofeh)

🇮🇱

Zerifin, Israel

Azienda Ospedaliero-Universitaria Policlinico "G. Rodolico - San Marco"

🇮🇹

Catania, Italy

AOU Mater Domini

🇮🇹

Catanzaro, Italy

University Hospital of Ferrara, Cardiology Unit

🇮🇹

Cona, Italy

"SOD Cardiologia Interventistica Strutturale, AOU Careggi

🇮🇹

Firenze, Italy

A.O.U. Policlinico Gaetano Martino

🇮🇹

Messina, Italy

University of Naples "Federico II"

🇮🇹

Napoli, Italy

AOU San Luigi Gonzaga Hospital

🇮🇹

Orbassano, Italy

Azienda Ospedaliera di Perugia

🇮🇹

Perugia, Italy

A.O.U.Città della Salute e della Scienza di Torino

🇮🇹

Torino, Italy

Cardiology Department - Santa Chiara Hospital

🇮🇹

Trento, Italy

Infermi Hospital in Rivoli (Turin)

🇮🇹

Turin, Italy

Hospital of Lithuanian University of Health Sciences Kauno Klinikos

🇱🇹

Kaunas, Lithuania

Klaipeda Seamen's Hospital

🇱🇹

Klaipeda, Lithuania

Republican Panevezys Hospital

🇱🇹

Panevezys, Lithuania

Vilnius University Hospital Santaros Klinikos

🇱🇹

Vilnius, Lithuania

Hospital Cardiológica Aguascalientes

🇲🇽

Aguascalientes, Mexico

Boca Clinical Trials México, SC (CDMX)

🇲🇽

Ciudad de Mexico, Mexico

Centro para el desarrollo de la medicina y de asistencia médica especializada S.C.

🇲🇽

Culiacán, Mexico

Instituto Nacional de Cardiología "Ignacio Chávez"

🇲🇽

Mexico City, Mexico

Fundación de Atención e Investigación Médica Lindavista S.C

🇲🇽

Mexico City, Mexico

Centro de Atención e Investigación Cardiovascular del Potosí, S.C.

🇲🇽

San Luis Potosí, Mexico

Centro Potosino de Investigación Médica S.C.

🇲🇽

San Luis Potosí, Mexico

Jeroen Bosch Ziekenhuis

🇳🇱

's-Hertogenbosch, Netherlands

Noordwest Ziekenhuisgroep

🇳🇱

Alkmaar, Netherlands

Meander Medisch Centrum

🇳🇱

Amersfoort, Netherlands

Onze Lieve Vrouwe Gasthuis, locatie Oost

🇳🇱

Amsterdam, Netherlands

Amsterdam UMC

🇳🇱

Amsterdam, Netherlands

Gelre Ziekenhuis Apeldoorn

🇳🇱

Apeldoorn, Netherlands

Deventer Ziekenhuis

🇳🇱

Deventer, Netherlands

Albert Schweitzer Ziekenhuis

🇳🇱

Dordrecht, Netherlands

Gelderse Vallei Ziekenhuis

🇳🇱

Ede, Netherlands

Catharina Hospital

🇳🇱

Eindhoven, Netherlands

UMC Groningen

🇳🇱

Groningen, Netherlands

Zuyderland Medical Center

🇳🇱

Heerlen, Netherlands

Vasculair Onderzoek Centrum Hoorn

🇳🇱

Hoorn, Netherlands

Medisch Centrum Leeuwarden

🇳🇱

Leeuwarden, Netherlands

Radboud UMC

🇳🇱

Nijmegen, Netherlands

Canisius-Wilhelmina Ziekenhuis

🇳🇱

Nijmegen, Netherlands

Bravis Ziekenhuis

🇳🇱

Roosendaal, Netherlands

Ziekenhuis Rivierenland

🇳🇱

Tiel, Netherlands

Elisabeth-TweeSteden Ziekenhuis

🇳🇱

Tilburg, Netherlands

Diakonessenhuis Utrecht

🇳🇱

Utrecht, Netherlands

Máxima Medisch Centrum

🇳🇱

Veldhoven, Netherlands

Waikato Hospital

🇳🇿

Hamilton, New Zealand

Taranaki Base Hospital

🇳🇿

New Plymouth, New Zealand

Akershus University Hospital

🇳🇴

Lørenskog, Norway

Diakonhjemmet Hospital

🇳🇴

Oslo, Norway

Oslo University Hospital Rikshospitalet

🇳🇴

Oslo, Norway

Oslo University Hospital, Ullevål hospital

🇳🇴

Oslo, Norway

Sykehuset Østfold Kalnes (Trust)

🇳🇴

Sarpsborg, Norway

Vestfold Hospital

🇳🇴

Tønsberg, Norway

Invasive Cardiology Department, University Teaching Hospital in Białystok

🇵🇱

Białystok, Poland

Specjalistyczna Praktyka Lekarska Paweł Grzelakowski Centrum Kardiologii Paewł Grzelakowski

🇵🇱

Bydgoszcz, Poland

Uniwersyteckie Centrum Kliniczne

🇵🇱

Gdansk, Poland

Górnośląskie Centrum Medyczne w Katowicach, III Oddział Kardiologii

🇵🇱

Katowice, Poland

Szpital Uniwersytecki w Krakowie, Oddział Kliniczny Kardiologii oraz Interwencji Sercowo-Naczyniowych

🇵🇱

Kraków, Poland

Miedziowe Centrum Zdrowia Regionalny, Ośrodek Kardiologiczny, Pracownia Angiografii i Hemodynamiki

🇵🇱

Lublin, Poland

Wojewodzki Szpital Specj im.W Bieganskiego

🇵🇱

Lódz, Poland

Wojewódzki Szpital Specjalistyczny w Olsztynie, Oddział Kardiologii

🇵🇱

Olsztyn, Poland

INKARD Sp. Z O.O. Sp. JAWNA

🇵🇱

Poznan, Poland

Szpital Kliniczny im. Heliodora Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu

🇵🇱

Poznań, Poland

Oddzial Kardiologii i intensywnej Terapii Kardiologicznej

🇵🇱

Toruń, Poland

Pracownia Kardiologii Inwazyjnej I Katedry i Kliniki Kardiologii Uniwersyteckiego Centrum Klinicznego Warszawskiego Uniwersytetu Medycznego

🇵🇱

Warsaw, Poland

Narodowy Instytut Kardiologii

🇵🇱

Warsaw, Poland

The Provincial Specialist Hospital in Wloclawek

🇵🇱

Wloclawek, Poland

T.Marciniak Hosp

🇵🇱

Wroclaw, Poland

Uniwersytecki Szpital Kliniczny we Wroclawiu

🇵🇱

Wrocław, Poland

SCCS Zabrze I i II Oddział Kardiologii i Angiologii

🇵🇱

Zabrze, Poland

Nzoz Salusmed Jan Zbigniew Peruga Pphu Salus Poradnia Kardiologiczna

🇵🇱

Łódź, Poland

Unidade Local de Saúde de Almada-Seixal, E.P.E.

🇵🇹

Almada, Portugal

Unidade Local de Saúde da Região de Aveiro, E.P.E.

🇵🇹

Aveiro, Portugal

Unidade Local de Saude de Coimbra EPE

🇵🇹

Coimbra, Portugal

Unidade Local de Saúde da Região de Leiria, E.P.E.

🇵🇹

Leiria, Portugal

Unidade Local de Saúde de Santa Maria, E.P.E.

🇵🇹

Lisboa, Portugal

Spitalul Judetean de Urgenta ""Dr. Constantin Opris" Baia Mare

🇷🇴

Baia Mare, Romania

Spitalul Judetean de Urgenta "Dr. Constantin Opris" Baia Mare

🇷🇴

Baia Mare, Romania

County Clinical Emergency Hospital Brasov

🇷🇴

Braşov, Romania

Spitalul Clinic de Urgenta Bucuresti

🇷🇴

Bucharest, Romania

Institutul Inimii de Urgență pentru Boli Cardiovasculare "Niculae Stăncioiu"

🇷🇴

Cluj-Napoca, Romania

Spitalul Clinic Judetean de Urgenta Cluj Napoca

🇷🇴

Cluj-Napoca, Romania

Spitalul Judetean de Urgenta Satu Mare

🇷🇴

Satu Mare, Romania

County Clinical Emergency Hospital Targu Mures

🇷🇴

Targu Mures, Romania

Institute of Cardiovascular Diseases Timisoara

🇷🇴

Timişoara, Romania

Kliničko bolnički centar "Zvezdara"

🇷🇸

Belgrade, Serbia

University Clinical Center of Serbia (Department for Cardiovascular Disease Cardiology Clinic)

🇷🇸

Belgrade, Serbia

University Clinical Center of Serbia (Diagnostic and Catheterization Lab)

🇷🇸

Belgrade, Serbia

University Clinical Center of Serbia (Emergency Cardiology Services)

🇷🇸

Belgrade, Serbia

University Clinical Center of Serbia

🇷🇸

Belgrade, Serbia

University Hospital Centre Dr Dragiša Mišovic - Dedinje

🇷🇸

Belgrade, Serbia

Dedinje Cardiovascular Institute

🇷🇸

Belgrade, Serbia

Institute of Cardiovascular Diseases, Vojvodina

🇷🇸

Sremska Kamenica, Serbia

Opšta bolnica Užice

🇷🇸

Užice, Serbia

Zdravstveni Centar Zajecar

🇷🇸

Zaječar, Serbia

Central Slovak Institute of Cardiovascular Diseases

🇸🇰

Banska Bystrica, Slovakia

Východoslovenský ústav srdcových a cievnych chorôb

🇸🇰

Košice, Slovakia

Kardiocentrum Nitra

🇸🇰

Nitra, Slovakia

Hospital Universitari Germans Trias i Pujol

🇪🇸

Badalona, Spain

Hospital de La Santa Creu I Sant Pau

🇪🇸

Barcelona, Spain

Hospital Clinic. Barcelona

🇪🇸

Barcelona, Spain

Hospital Universitario Virgen de la Arrixaca

🇪🇸

El Palmar, Spain

Hospital Universitari de Bellvitge

🇪🇸

L'Hospitalet De Llobregat, Spain

Hospital Universitario de la Princesa

🇪🇸

Madrid, Spain

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

Hospital Universitario Virgen de la Victoria

🇪🇸

Málaga, Spain

Hospital Clinico Universitario de Santiago

🇪🇸

Santiago De Compostela, Spain

Hospital Clinico Valencia

🇪🇸

Valencia, Spain

Hospital Alvaro Cunqueiro, Cardiovascular Unit

🇪🇸

Vigo, Spain

Universitätsspital Basel; Universitäres Herzzentrum

🇨🇭

Basel, Switzerland

Inselspital, Universitäatspital Bern, Universitäatklinik für Kardiologie

🇨🇭

Bern, Switzerland

Istituto Cardiocentro Ticino

🇨🇭

Lugano, Switzerland

HOCH Health Ostschweiz, Kantonsspital St. Gallen

🇨🇭

Saint Gallen, Switzerland

Kaohsiung Medical University Chung-Ho Memorial Hospital

🇨🇳

Kaohsiung City, Taiwan

Chang Gung Medical Foundation-Kaohsiung

🇨🇳

Kaohsiung, Taiwan

Mackay Memorial Hospital Tamsui

🇨🇳

New Taipei City, Taiwan

Siriraj Hospital

🇹🇭

Bangkok, Thailand

Buddhachinaraj Phitsanulok Hospital

🇹🇭

Phitsanulok, Thailand

Songklanagarind Hospital

🇹🇭

Songkhla, Thailand

Royal Papworth Hospital NHS Foundation Trust

🇬🇧

Cambridge, United Kingdom

Altnagelvin Area Hospital (WHSCT)

🇬🇧

Londonderry, United Kingdom

Freeman Hospital

🇬🇧

Newcastle, United Kingdom

North Tyneside General Hospital, Northumbria Healthcare

🇬🇧

North Shields, United Kingdom

Southern Health & Social Care Trust

🇬🇧

Portadown, United Kingdom

Northern General Hospital

🇬🇧

Sheffield, United Kingdom

Lister Hospital East and North Hertfordshire NHS Trust

🇬🇧

Stevenage, United Kingdom

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