Study of Inclisiran to Prevent Cardiovascular (CV) Events in Participants With Established Cardiovascular Disease
- Conditions
- Atherosclerotic Cardiovascular Disease
- Interventions
- Drug: Inclisiran sodium 300 mgDrug: Placebo
- Registration Number
- NCT05030428
- Lead Sponsor
- Novartis Pharmaceuticals
- Brief Summary
Study CKJX839B12302 is a pivotal Phase III trial to evaluate the benefits of inclisiran on major adverse cardiovascular (MACE) events in participants with established cardiovascular disease (CVD).
- Detailed Description
Purpose of this study is to test the hypothesis that treatment with inclisiran sodium 300 mg s.c. administered on Day 1, Month 3 (Day 90), and every 6 months thereafter taken in addition to well-tolerated high-intensity statin therapy in participants with established ASCVD will significantly reduce the risk of 3-Point-Major Adverse Cardiovascular Events (3P-MACE) defined as a composite of CV death, non-fatal myocardial infarction (MI) and non-fatal ischemic stroke. This will be compared to placebo in adjunct to well-tolerated high-intensity statin therapy.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 17004
-
Fasting LDL-C β₯ 70 mg/dL at randomization visit
-
Stable (greater than or equal to 4 weeks) and well-tolerated lipid-lowering regimen (including e.g. with or without Ezetimibe) that must include a high-intensity statin therapy with either atorvastatin greater than or equal to 40 mg QD or rosuvastatin greater than or equal to 20 mg QD
-
Established CV disease defined as ANY of the following three conditions
- Spontaneous Myocardial infarction β₯ 4 weeks from screening visit
- History of ischemic stroke occurred β₯ 4 weeks prior to the Screening visit
- Symptomatic peripheral arterial disease (PAD) evidenced by either intermittent claudication with ankle brachial index (ABI) < 0.85, prior peripheral arterial revascularization procedure, or, amputation due to atherosclerotic disease.
- Acute coronary syndrome, stroke, peripheral arterial revascularization procedure or amputation due to atherosclerotic disease < 4 weeks before screening visit
- Treatment with PCSK9 inhibitors (e.g. evolocumab, alirocumab) within 90 days or planned use post first study visit
- Planned or expected cardiac, cerebrovascular or peripheral artery surgery or re-vascularization within the 6 months after the first study visit
- Heart failure NYHA class III or IV
- Active liver disease defined as any known current infectious, neoplastic, or metabolic pathology of the liver
- Previous exposure to inclisiran or any other non-mAb PCSK9-targeted therapy, either as an investigational or marketed drug within 2 years
- Severe concomitant non-CV disease that is expected to reduce life expectancy to less than 5 years
- History of malignancy that required surgery radiation therapy and/or systemic therapy during the 3 years prior to the first study visit
- Pregnant or nursing (lactating) women
Other protocol-defined inclusion/exclusion criteria may apply.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Inclisiran sodium Inclisiran sodium 300 mg Subcutaneous injection Placebo Placebo Subcutaneous injection
- Primary Outcome Measures
Name Time Method Time to First Occurrence of 3P-MACE (3-Point Major Adverse Cardiovascular Events) From randomization to total follow-up time (up to 72 months) 3P-MACE is a confirmed composite endpoint which includes cardiovascular death, non-fatal myocardial infarction and non-fatal ischemic stroke.
- Secondary Outcome Measures
Name Time Method Time to Occurrence of Cardiovascular (CV) Death From randomization to total follow-up time (up to 72 months) CV death is defined as death due to cardiovascular events
Time to First Occurrence of 4P-MACE (4-Point Major Adverse Cardiovascular Events) From randomization to total follow-up time (up to 72 months) A composite 4P- MACE is defined as CV death, non-fatal MI, non-fatal ischemic stroke and urgent coronary revascularization.
Time to first occurrence of Major Limb Adverse Events (MALE) From randomization to total follow-up time (up to 72 months) Major Limb Adverse Events including acute lower limb ischemia, lower limb amputation due to ischemia, or urgent lower limb revascularization for ischemia
Time to occurrence of all-cause death From randomization to total follow-up time (up to 72 months) All-Cause death is defined as: all deaths from randomization until up to 72 months
Trial Locations
- Locations (267)
CCT Research
πΊπΈOmaha, Nebraska, United States
Pima Heart And Vascular Clin Rch
πΊπΈTucson, Arizona, United States
ARcare Center for Clinical Research
πΊπΈLittle Rock, Arkansas, United States
Arkansas Clinical Research
πΊπΈLittle Rock, Arkansas, United States
Central Cardiology Medical Center
πΊπΈBakersfield, California, United States
John Muir Physician Network Clinical Research Center
πΊπΈConcord, California, United States
ASCADA Research
πΊπΈFullerton, California, United States
Diabetes Lipid Management Center
πΊπΈHuntington Beach, California, United States
University of Calif Irvine Med Cntr
πΊπΈIrvine, California, United States
A&A Research Group Inc
πΊπΈMiami, Florida, United States
Eminat LLC
πΊπΈMiramar, Florida, United States
Ocala Cardiovascular Research
πΊπΈOcala, Florida, United States
Oviedo Medical Research
πΊπΈOviedo, Florida, United States
CTMD Research
πΊπΈPalm Springs, Florida, United States
Broward Research Center
πΊπΈPembroke Pines, Florida, United States
SEC Clinical Research
πΊπΈPensacola, Florida, United States
Southern Clinical Research
πΊπΈZachary, Louisiana, United States
Sinai Ct for Throm Res and Drug Dev
πΊπΈBaltimore, Maryland, United States
Metropolitan Cardiovascular Consultants Llc
πΊπΈBeltsville, Maryland, United States
The Valley Hospital
πΊπΈRidgewood, New Jersey, United States
Bassett Medical Center
πΊπΈCooperstown, New York, United States
NYU Langone Hlth Card Assoc
πΊπΈMineola, New York, United States
Ascension St Vincents
πΊπΈBirmingham, Alabama, United States
Elite Clinical Studies
πΊπΈPhoenix, Arizona, United States
HonorHealth Heart Group Deer Valley
πΊπΈScottsdale, Arizona, United States
Hope Clinical Research
πΊπΈCanoga Park, California, United States
UC San Diego Health
πΊπΈLa Jolla, California, United States
Keck Medical Center USC
πΊπΈLos Angeles, California, United States
VA Palo Alto Health Care System
πΊπΈPalo Alto, California, United States
West Coast Research LLC
πΊπΈSan Ramon, California, United States
Encompass Clinical Research
πΊπΈSpring Valley, California, United States
Stanford University Medical Center
πΊπΈStanford, California, United States
Blue Coast Research Center LLC
πΊπΈVista, California, United States
d-b-a Greenwich Cardio Assoc
πΊπΈGreenwich, Connecticut, United States
Emerson Clinical Research Institute
πΊπΈWashington, District of Columbia, United States
Nova Clinical Research LLC
πΊπΈBradenton, Florida, United States
Westside Center for Clinical Research
πΊπΈJacksonville, Florida, United States
University of Florida Health Science Center
πΊπΈJacksonville, Florida, United States
Advanced Research for Health Improvement LLC
πΊπΈNaples, Florida, United States
Advanced Medical Research Center
π΅π·San Juan, Puerto Rico
James A Haley Veterans Hospital
πΊπΈTampa, Florida, United States
Genesis Clinical Research
πΊπΈTampa, Florida, United States
BayCare Health System
πΊπΈTampa, Florida, United States
Northeast Georgia Medical Center
πΊπΈGainesville, Georgia, United States
Atlanta Heart Specialists LLC
πΊπΈTucker, Georgia, United States
Biofortis Research
πΊπΈAddison, Illinois, United States
Northwest Heart Clinical Rsrch LLC
πΊπΈArlington Heights, Illinois, United States
Gateway Cardiology PC
πΊπΈJerseyville, Illinois, United States
Franciscan Health Services Research Center
πΊπΈIndianapolis, Indiana, United States
Witham Health Services
πΊπΈLebanon, Indiana, United States
Covenant Medical Center
πΊπΈWaterloo, Iowa, United States
University of Kansas Hospital
πΊπΈKansas City, Kansas, United States
Ascension Via Christi Research
πΊπΈWichita, Kansas, United States
University of Kentucky College of Health Sciences
πΊπΈLexington, Kentucky, United States
U of Louisville Rudd Heart and Lung
πΊπΈLouisville, Kentucky, United States
Cambridge Medical Trials
πΊπΈAlexandria, Louisiana, United States
Louisiana Cardiology Associates
πΊπΈBaton Rouge, Louisiana, United States
Grace Research LLC
πΊπΈBossier City, Louisiana, United States
Cardiovascular Associates Research
πΊπΈCovington, Louisiana, United States
Louisiana Heart Center Research
πΊπΈSlidell, Louisiana, United States
Clinical Trials Management LLC
πΊπΈMandeville, Louisiana, United States
Barnum Medical Research Inc
πΊπΈNatchitoches, Louisiana, United States
Crescent City Physicians Inc
πΊπΈNew Orleans, Louisiana, United States
Grace Research Llc
πΊπΈShreveport, Louisiana, United States
Anderson Medical Research
πΊπΈFort Washington, Maryland, United States
Javara Inc
πΊπΈGlenn Dale, Maryland, United States
Tidal Health Peninsula Regional Inc
πΊπΈSalisbury, Maryland, United States
Tufts Medical Center
πΊπΈBoston, Massachusetts, United States
Dana Farber Cancer Institute
πΊπΈBoston, Massachusetts, United States
VA Boston Healthcare System
πΊπΈBoston, Massachusetts, United States
Beth Israel Deaconess Medical Center
πΊπΈBoston, Massachusetts, United States
Henry Ford Hospital
πΊπΈDetroit, Michigan, United States
MyMichigan Medical Center Midland
πΊπΈMidland, Michigan, United States
Traverse Heart and Vascular
πΊπΈTraverse City, Michigan, United States
Trinity Health Michigan Heart
πΊπΈYpsilanti, Michigan, United States
University Of Minnesota
πΊπΈMinneapolis, Minnesota, United States
Regions Hospital
πΊπΈSaint Paul, Minnesota, United States
Cardiology Associates of North MS
πΊπΈTupelo, Mississippi, United States
St Louis V A Medical Center
πΊπΈSaint Louis, Missouri, United States
Mercy South
πΊπΈSaint Louis, Missouri, United States
St Louis Heart and Vascular
πΊπΈSaint Louis, Missouri, United States
Mercy Hospital
πΊπΈSpringfield, Missouri, United States
Physician Research Collaboration
πΊπΈLincoln, Nebraska, United States
VA Medical Center - NWI, Endocrine Studies (R151)
πΊπΈOmaha, Nebraska, United States
Clinical Research of South Nevada
πΊπΈLas Vegas, Nevada, United States
Cooper University Health Care
πΊπΈHaddon Heights, New Jersey, United States
Robert Wood Johnson Medical School
πΊπΈNew Brunswick, New Jersey, United States
Cardio Metabolic Institute
πΊπΈSomerset, New Jersey, United States
New Mexico Heart Institute
πΊπΈAlbuquerque, New Mexico, United States
Albany Medical College
πΊπΈAlbany, New York, United States
Meridian Clinical Research
πΊπΈBinghamton, New York, United States
Meridian Clinical Research LLC
πΊπΈEndwell, New York, United States
Westchester Medical Center
πΊπΈValhalla, New York, United States
Novant Health Heart and Vascular Institute
πΊπΈCharlotte, North Carolina, United States
Lucas Research
πΊπΈMorehead City, North Carolina, United States
Wake Forest University Baptist Medical Center
πΊπΈWinston-Salem, North Carolina, United States
Akron Hospital Summa Health System
πΊπΈAkron, Ohio, United States
University Of Cincinnati
πΊπΈCincinnati, Ohio, United States
University Hospitals Cleveland Medical Center
πΊπΈCleveland, Ohio, United States
Oklahoma Heart Institute
πΊπΈTulsa, Oklahoma, United States
UPMC
πΊπΈPittsburgh, Pennsylvania, United States
Kent County Memorial Hospital
πΊπΈWarwick, Rhode Island, United States
Medical Univ Of South Carolina
πΊπΈCharleston, South Carolina, United States
Prisma Health Upstate
πΊπΈGreenville, South Carolina, United States
Family Medicine of Sayebrook
πΊπΈMyrtle Beach, South Carolina, United States
Sanford University of South Dakota Medical Center
πΊπΈSioux Falls, South Dakota, United States
North Central Heart
πΊπΈSioux Falls, South Dakota, United States
The Jackson Clinic PA
πΊπΈJackson, Tennessee, United States
Turkey Creek Medical Center
πΊπΈKnoxville, Tennessee, United States
Cardiovascular Res of Knoxville LLC
πΊπΈPowell, Tennessee, United States
PharmaTex Research LLC
πΊπΈAmarillo, Texas, United States
North Hills Medical Research Inc
πΊπΈBedford, Texas, United States
VA North Texas Health Care System
πΊπΈDallas, Texas, United States
North Texas Endocrine Center
πΊπΈDallas, Texas, United States
Research Institute of Dallas PA
πΊπΈDallas, Texas, United States
Houston Methodist Hospital
πΊπΈHouston, Texas, United States
FMC Science
πΊπΈLampasas, Texas, United States
CardioVoyage LLC
πΊπΈMcKinney, Texas, United States
Discovery Clinical Trials
πΊπΈPflugerville, Texas, United States
Heartplace-Plano
πΊπΈPlano, Texas, United States
University of Texas Health Science Center At San Antonio
πΊπΈSan Antonio, Texas, United States
South Texas Cardiovascular Consultants PLLC
πΊπΈSan Antonio, Texas, United States
Endeavor Clinical Trials
πΊπΈSan Antonio, Texas, United States
Sherman Clinical Research
πΊπΈSherman, Texas, United States
Progressive Clinical Research
πΊπΈBountiful, Utah, United States
Burke Internal Medicine and Research
πΊπΈBurke, Virginia, United States
York Clinical Research
πΊπΈNorfolk, Virginia, United States
University of Washington
πΊπΈSeattle, Washington, United States
Universal Research Group LLC
πΊπΈTacoma, Washington, United States
Advanced Clinical Research LLC
π΅π·Bayamon, Puerto Rico
Eastern Shore Research Institute
πΊπΈFairhope, Alabama, United States
G and L Research LLC
πΊπΈFoley, Alabama, United States
Alaska Heart and Vascular
πΊπΈAnchorage, Alaska, United States
Mercy Gilbert Medical Center
πΊπΈGilbert, Arizona, United States
Cardiovascular Associates of Mesa
πΊπΈMesa, Arizona, United States
Clinical Research Inst of Arizona
πΊπΈSun City West, Arizona, United States
American Institute of Research
πΊπΈLos Angeles, California, United States
University of California LA
πΊπΈLos Angeles, California, United States
San Diego Veterans Medical Center
πΊπΈSan Diego, California, United States
Helping Hands Medical Associates INC
πΊπΈSanta Ana, California, United States
Syrentis Clinical Research
πΊπΈSanta Ana, California, United States
Manshadi Heart Institute
πΊπΈStockton, California, United States
Uni of California at Los Angeles
πΊπΈTorrance, California, United States
Tilda Research
πΊπΈTustin, California, United States
Interv Cardiology Med Grp
πΊπΈWest Hills, California, United States
Aurora Denver Cardiology Associates
πΊπΈAurora, Colorado, United States
Rocky Mountain Regional VA Med Ctr
πΊπΈAurora, Colorado, United States
Bridgeport Hospital
πΊπΈBridgeport, Connecticut, United States
Chase Medical Research LLC
πΊπΈWaterbury, Connecticut, United States
Excel Medical Clinical Trials LLC
πΊπΈBoca Raton, Florida, United States
Cardiovascular and Vein Center of Florida
πΊπΈBradenton, Florida, United States
Bay Care Medical Group
πΊπΈClearwater, Florida, United States
Cardiology Research Associates
πΊπΈDaytona Beach, Florida, United States
Hillcrest Medical Research
πΊπΈDeLand, Florida, United States
Indago Research and Health Ctr Inc
πΊπΈHialeah, Florida, United States
National Research Institute
πΊπΈHialeah, Florida, United States
Sister Life Research Inc
πΊπΈHialeah, Florida, United States
Zenith Clinical Research
πΊπΈHollywood, Florida, United States
Baptist Heart Specialists
πΊπΈJacksonville Beach, Florida, United States
United Vein and Vascular Centers
πΊπΈLake Worth, Florida, United States
Inpatient Research Clinical LLC
πΊπΈMiami Lakes, Florida, United States
RM Medical Research Inc
πΊπΈMiami Lakes, Florida, United States
Infinite Clinical Research
πΊπΈMiami, Florida, United States
Peace River Cardiovascular Center
πΊπΈPort Charlotte, Florida, United States
New Tampa Health
πΊπΈTampa, Florida, United States
BayCare Medical Group Inc
πΊπΈTampa, Florida, United States
Ravessa Clinical Research
πΊπΈTampa, Florida, United States
Cardiology Partners Clinical Research Institute
πΊπΈWellington, Florida, United States
Javara Research
πΊπΈForest, Virginia, United States
Alta Pharmaceutical Research Center
πΊπΈPeachtree Corners, Georgia, United States
Solaris Clinical Research
πΊπΈMeridian, Idaho, United States
Saltzer Health
πΊπΈNampa, Idaho, United States
Cedar Crosse Research Ct
πΊπΈChicago, Illinois, United States
Chicago Clinical Research Inst
πΊπΈChicago, Illinois, United States
Methodist Med Center Of Illinois
πΊπΈPeoria, Illinois, United States
SIU School of Medicine
πΊπΈSpringfield, Illinois, United States
Prairie Heart Institute
πΊπΈSpringfield, Illinois, United States
Elkhart Cardiology Group
πΊπΈElkhart, Indiana, United States
The Heart Center of Lake County
πΊπΈMerrillville, Indiana, United States
Cardiovascular Research Of Northwest Indiana, Llc
πΊπΈMunster, Indiana, United States
Midwest Heart and Vascular Spec
πΊπΈOverland Park, Kansas, United States
Cotton O Neil Clinical Res Center
πΊπΈTopeka, Kansas, United States
Avant Research Associates LLC
πΊπΈCrowley, Louisiana, United States
Horizon Research Group of Opelousas, LLC
πΊπΈEunice, Louisiana, United States
Cardiovascular Institute South ASC
πΊπΈGray, Louisiana, United States
Heart Clinic of Hammond
πΊπΈHammond, Louisiana, United States
CV Ins of the South
πΊπΈOpelousas, Louisiana, United States
North Shore Heart and Vascular
πΊπΈMandeville, Louisiana, United States
Omega Clinical Research
πΊπΈMetairie, Louisiana, United States
Clinical Trials of America LA LLC
πΊπΈMonroe, Louisiana, United States
Johns Hopkins University
πΊπΈColumbia, Maryland, United States
Capitol Cardiology Associates
πΊπΈLanham, Maryland, United States
MD Medical Research
πΊπΈOxon Hill, Maryland, United States
Adventist HealthCare Shady Grove Medical Center
πΊπΈRockville, Maryland, United States
ActivMed Practices and Research
πΊπΈMethuen, Massachusetts, United States
AA Medical Research Center
πΊπΈFlint, Michigan, United States
Healthy Heart Cardiology
πΊπΈGrand Rapids, Michigan, United States
McLaren Greater Lansing
πΊπΈLansing, Michigan, United States
Ascension St Mary s Hospital
πΊπΈSaginaw, Michigan, United States
Providence Hospital Patient Care Research
πΊπΈSouthfield, Michigan, United States
St Marys Medical Center
πΊπΈDuluth, Minnesota, United States
North Memorial Heart and Vascular Institute
πΊπΈRobbinsdale, Minnesota, United States
CentraCare Heart and Vascular Center
πΊπΈSaint Cloud, Minnesota, United States
Belzoni Clinical Research
πΊπΈBelzoni, Mississippi, United States
Jackson Heart Clinic
πΊπΈJackson, Mississippi, United States
VAMC Research-G V Sonny Montgomery Clinic
πΊπΈJackson, Mississippi, United States
Yazoo Clinical Research .
πΊπΈYazoo City, Mississippi, United States
Kansas City VA Medical Center
πΊπΈKansas City, Missouri, United States
North Kansas City Hospital
πΊπΈNorth Kansas City, Missouri, United States
Gateway Cardiovascular Rsch Ctr Inc
πΊπΈSaint Louis, Missouri, United States
Las Vegas Endocrinology
πΊπΈHenderson, Nevada, United States
AB Clinical Trials
πΊπΈLas Vegas, Nevada, United States
Catholic Medical Center
πΊπΈManchester, New Hampshire, United States
New Jersey Heart
πΊπΈLinden, New Jersey, United States
Garden State Heart Care
πΊπΈManalapan, New Jersey, United States
Newark Beth Israel Medical Center
πΊπΈNewark, New Jersey, United States
Weill Cornell Medical Center
πΊπΈNew York, New York, United States
Icahn School of Med at Mt Sinai
πΊπΈNew York, New York, United States
Northport VA Medical Center
πΊπΈNorthport, New York, United States
Rochester Clinical Research
πΊπΈRochester, New York, United States
State Uni of NY at Stony Brook
πΊπΈStony Brook, New York, United States
Tryon Medical Partners PLLC
πΊπΈCharlotte, North Carolina, United States
NC Heart and Vascular Research LLC
πΊπΈRaleigh, North Carolina, United States
Accellacare
πΊπΈKnoxville, Tennessee, United States
Altru Health Research Dept.
πΊπΈGrand Forks, North Dakota, United States
Velocity Clin Research Springdale
πΊπΈCincinnati, Ohio, United States
Kettering Medical Center
πΊπΈKettering, Ohio, United States
Rama Research LLC
πΊπΈMarion, Ohio, United States
Heart House Research Foundation
πΊπΈSpringfield, Ohio, United States
Mercy Health St Vincent Med Ctr
πΊπΈToledo, Ohio, United States
Premier Cardiovascular Institute
πΊπΈVandalia, Ohio, United States
Bend Memorial Clinic
πΊπΈBend, Oregon, United States
Samaritan Cardiology
πΊπΈCorvallis, Oregon, United States
Abington Memorial Hospital
πΊπΈAbington, Pennsylvania, United States
Butler Memorial Hospital
πΊπΈButler, Pennsylvania, United States
Preferred Primary Care Physicians
πΊπΈPittsburgh, Pennsylvania, United States
Frontier Clinical Research LLC
πΊπΈSmithfield, Pennsylvania, United States
Columbia Heart Clinic
πΊπΈColumbia, South Carolina, United States
Columbia VA Health Care System
πΊπΈColumbia, South Carolina, United States
Bon Secours Medical Group
πΊπΈGreenville, South Carolina, United States
Trident Cardiology
πΊπΈLadson, South Carolina, United States
Wellmont CVA Heart Institute
πΊπΈGreenville, Tennessee, United States
Apex Cardiology Research Associates of Jackson
πΊπΈJackson, Tennessee, United States
Memphis Cardiology and Vein Ct
πΊπΈMemphis, Tennessee, United States
Tennessee Center For Clinical Trials
πΊπΈTullahoma, Tennessee, United States
Soltero Cardiovascular Research Center
πΊπΈDallas, Texas, United States
Texas Health Physicians Group
πΊπΈFort Worth, Texas, United States
SW Family Medicine Associates
πΊπΈDallas, Texas, United States
David Turbay MD PLLC
πΊπΈEl Paso, Texas, United States
UT Physicians Memorial Hermann
πΊπΈHouston, Texas, United States
Orion Medical
πΊπΈHouston, Texas, United States
Village Medical Village MD S Tx
πΊπΈHouston, Texas, United States
East Texas Research Associates Inc.
πΊπΈLivingston, Texas, United States
Privia Medical Group Gulf Coast
πΊπΈSugar Land, Texas, United States
Alina clinical trials .
πΊπΈTexas City, Texas, United States
Alina clinical trials Baxter REsearch LLC
πΊπΈTexas City, Texas, United States
Heart Care Associates P C
πΊπΈHopewell, Virginia, United States
Dominion Medical Associates
πΊπΈRichmond, Virginia, United States
Roanoke Heart Institute
πΊπΈRoanoke, Virginia, United States
Winchester Medical Center
πΊπΈWinchester, Virginia, United States
Virginia Mason Medical Centre
πΊπΈSeattle, Washington, United States
Swedish Medical Center-Cardiovascular Research
πΊπΈSeattle, Washington, United States
Confluence Health Hospital
πΊπΈWenatchee, Washington, United States
Novartis Investigative Site
πΉπ·Konya, Turkey
Research and Cardiovascular Corp
π΅π·Ponce, Puerto Rico
Latin Clinical Trial Center Inc
π΅π·San Juan, Puerto Rico
Barbara Diaz Hernandez Research Inc
π΅π·San Juan, Puerto Rico