MedPath

Colchicine in High-risk Patients With Acute Minor-to-moderate Ischemic Stroke or Transient Ischemic Attack (CHANCE-3)

Phase 3
Completed
Conditions
Ischemic Stroke
TIA
Interventions
Registration Number
NCT05439356
Lead Sponsor
Beijing Tiantan Hospital
Brief Summary

This study is a multicentre, randomized, double-blind, placebo-controlled, investigator-sponsored study that aims to investigate the efficacy of colchicine in preventing recurrent stroke in the patients with acute minor-to-moderate ischemic stroke or TIA and a hsCRP level of ≥2mg/L.

Detailed Description

This is a multicentre, randomized, double-blind, placebo-controlled trial that aims to investigate the efficacy of colchicine in preventing recurrent stroke in the patients with acute minor-to-moderate ischemic stroke or TIA and a hsCRP level of ≥2mg/L. Patients who were eligible to the inclusion criteria and ineligible to the exclusion criteria will be randomly assigned into two groups by a 1:1 ratio. Patients in one arm will receive colchicine initiated with a dose of 1mg per day on days 1 through 3, and continuing with 0.5 mg per day on days 4 through 90, and those in the other arm will receive an equivalent placebo drug. Study visits will be performed on the day of randomization, at discharge, at day 90 and at 1 year. The primary outcome was stroke (ischemic or hemorrhagic) during 90 days of follow-up in an intention-to treat analysis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
8343
Inclusion Criteria
  1. 40 years or older than 40 years;
  2. Acute cerebral ischemic event due to: Acute minor-to-moderate ischemic stroke (NIHSS≤5 at the time of randomization) or TIA with moderate-to-high risk of stroke (ABCD2 score ≥ 4 at the time of randomization);
  3. With a hsCRP level of ≥2mg/L at randomization;
  4. Can be treated with study drug within 24 hours of symptoms onset*(*Symptom onset is defined by the "last seen normal" principle);
  5. Informed consent signed.
Exclusion Criteria
  1. Malformation, tumor, abscess or other major non-ischemic brain disease (e.g., multiple sclerosis) on baseline head CT or MRI.
  2. Isolated or pure sensory symptoms (e.g., numbness), isolated visual changes, or isolated dizziness/vertigo without evidence of acute infarction on baseline head CT or MRI.
  3. Iatrogenic causes (angioplasty or surgery) of stroke or TIA.
  4. Presumed cardiac source of embolus, such as atrial fibrillation or prosthetic cardiac valve).
  5. A score of ≥ 2 on the modified Rankin scale immediately before the occurrence of the index event.
  6. Usage of colchicine within 30 days before randomization or planning to take colchicine therapy for other indications.
  7. Known allergy or sensitivity or intolerance to colchicine.
  8. Inflammatory bowel disease (Crohn's or ulcerative colitis) or chronic diarrhea.
  9. Symptomatic peripheral neuropathy or pre-existing progressive neuromuscular disease or with creatine kinase (CK) level > 3 times the upper limit of normal as measured within the past 30 days and determined to be non-transient through repeat testing.
  10. A history of cirrhosis, chronic active hepatitis or severe hepatic disease.
  11. Impaired hepatic (ALT or AST > twice the upper limit of normal range) or kidney (creatinine exceeding 1.5 times of the upper limit of normal range or eGFR less than 50 ml/min) function at randomization.
  12. Anemia (haemoglobin <10g/dL), thrombocytopenia (platelet count <100×109/L) or leucopenia (white blood cell <3×109/L) at randomization.
  13. In the acute phase of respiratory tract infection, urinary tract infection, and gastro-enteritis, or currently using or planning to receive oral or intravenous anti-infective therapy for any other infection.
  14. Currently using or planning to begin long-term (>7 days) systemic anti-inflammatory drugs (NSAIDs except for aspirin, oral or intravenous steroid therapy) during the study.
  15. Planning to use moderate or strong CYP3A4 inhibitors (clarithromycin, erythromycin, telithromycin, other macrolide antibiotics, ketoconazole, itraconazole, voriconazole, ritonavir, atazanavir, indinavir, other HIV protease inhibitors, verapamil, diltiazem, quinidine, digoxin, disulfiram, etc) or P-gp inhibitors (cyclosporine) at randomization.
  16. Planned surgery or interventional treatment requiring cessation of the study drug during the study.
  17. Participating in another clinical trial with an investigational drug or device concurrently or during the last 30 days.
  18. Women of childbearing age who were not practicing reliable contraception and did not have a documented negative pregnancy test or severe noncardiovascular coexisting condition.
  19. Severe non-cardiovascular comorbidity with a life expectancy of less than 3 months.
  20. With a history of clinically significant drug or alcohol abuse.
  21. Inability to understand and/or follow research procedures due to mental, cognitive, or emotional disorders, or to be an unsuitable candidate for the study for any other considered by the investigator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo Colchicine GroupPlacebo colchicinePatients in this arm will receive placebo colchicine for 90 days in addition to standard medical care
Colchicine GroupColchicinePatients in this arm will receive colchicine for 90 days in addition to standard medical care
Primary Outcome Measures
NameTimeMethod
Any new stroke eventsany time within 90 days

Incidence of any new ischemic or hemorrhagic stroke

Secondary Outcome Measures
NameTimeMethod
New ischemic strokeany time within 90 days

Incidence of any new ischemic stroke

New vascular eventsany time within 90 days

Incidence of any new vascular events, including ischemic stroke, hemorrhagic stroke, TIA, myocardial infarction and vascular death

Poor functional outcomeat 90 days after randomization

Rate of poor functional outcome defined as a Modified Rankin Scale score of \>1 (Modified Rankin Scale score ranges from 0 (no symptoms) to 6 (death) and higher score means worse outcome)

New stroke and TIAany time within 90 days

Incidence of any new stroke and TIA

Severity of recurrent stroke and TIAwithin 90 days after randomization

Severity is measured using a six-level ordered categorical scale that incorporates the mRS: fatal stroke \[mRS 6\]/severe non-fatal stroke \[mRS 4 or 5\]/moderate stroke \[mRS 2 or 3\]/mild stroke \[mRS 0 or 1\]/TIA/no stroke-TIA

Trial Locations

Locations (244)

Baoding Xushui District People's Hospital

🇨🇳

Baoding, Hebei, China

Hebei Tang County People Hospital

🇨🇳

Baoding, Hebei, China

People's Hospital of Zhongwei

🇨🇳

Zhongwei, Ningxia, China

Xichuan County People's Hospital

🇨🇳

Nanyang, Henan, China

Ruzhou People's Hospital

🇨🇳

Pingdingshan, Henan, China

Puyang County People's Hospital

🇨🇳

Puyang, Henan, China

Shaodong People's Hospital

🇨🇳

Shaoyang, Hunan, China

Qingfeng xinxing hospital

🇨🇳

Puyang, Henan, China

Sui county traditional Chinese medicine hospital

🇨🇳

Shangqiu, Henan, China

Baotou City Central Hospital

🇨🇳

Baotou, Inner Mongolia, China

Suxitong Science and Technology Industrial Park People's Hospital

🇨🇳

Nantong, Jiangsu, China

Yichun People's Hospital

🇨🇳

Yichun, Jiangxi, China

Siping Central People's Hospital

🇨🇳

Siping, Jilin, China

Central Hospital of Zhuanghe City

🇨🇳

Dalian, Liaoning, China

Linyi Central Hospital

🇨🇳

Linyi, Shandong, China

Yantai Penglai People's Hospital

🇨🇳

Yantai, Shandong, China

Yunnan Nujiang Lisu Autonomous Prefecture People's Hospital

🇨🇳

Nujiang, Yunnan, China

Zibo Municipal Hospital

🇨🇳

Zibo, Shandong, China

Jiyuan Hospital of Traditional Chinese Medicine

🇨🇳

Jiyuan, Henan, China

Qinyang People's Hospital

🇨🇳

Jiaozuo, Henan, China

Wuzhi County People's Hospital

🇨🇳

Jiaozuo, Henan, China

Kaifeng Central Hospital

🇨🇳

Kaifeng, Henan, China

The First Affiliated Hospital of Wannan Medical College

🇨🇳

Wuhu, Anhui, China

Huangshan City People's Hospital

🇨🇳

Huangshan, Anhui, China

Linquan County People's Hospital

🇨🇳

Fuyang, Anhui, China

Beijing Tiantan Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

The First People's Hospital of Wuhu

🇨🇳

Wuhu, Anhui, China

Beijing Shunyi Airport Hospital

🇨🇳

Beijing, Beijing, China

Beijing Shunyi Hospital

🇨🇳

Beijing, Beijing, China

Fuxing Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Xiuwu County People's Hospital

🇨🇳

Jiaozuo, Henan, China

The First Hospital of Fangshan District, Beijing

🇨🇳

Beijing, Beijing, China

Chongqing Sanbo Chang 'an Hospital

🇨🇳

Chongqing, Chongqing, China

Chongqing Tungwah Hospital

🇨🇳

Chongqing, Chongqing, China

Chongqing University Fuling Hospital

🇨🇳

Chongqing, Chongqing, China

The Second Affiliated Hospital of Chongqing Medical University

🇨🇳

Chongqing, Chongqing, China

The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College

🇨🇳

Chongqing, Chongqing, China

Ningde People's Hospital

🇨🇳

Ningde, Fujian, China

Xiushan Tujia and Miao Autonomous County People's Hospital

🇨🇳

Chongqing, Chongqing, China

The Sanming First Hospital Affiliated to Fujian Medical University

🇨🇳

Sanming, Fujian, China

The First Affiliated Hospital of Xiamen University

🇨🇳

Xiamen, Fujian, China

The Second affiliated Hospital of Xiamen Medical College

🇨🇳

Xiamen, Fujian, China

The Third Hospital of Xiamen

🇨🇳

Xiamen, Fujian, China

The First People's Hospital of Lanzhou City

🇨🇳

Lanzhou, Gansu, China

Zhangye People's Hospital Affiliated To Hexi University

🇨🇳

Zhangye, Gansu, China

The First People's Hospital of Foshan

🇨🇳

Foshan, Guangdong, China

Guangdong second Provincial Central Hospital

🇨🇳

Guangzhou, Guangdong, China

The Fifth Affiliated Hospital of Jinan University (Heyuan Shenhe People's Hospital)

🇨🇳

Heyuan, Guangdong, China

The First Affiliated Hospital of Jinan University

🇨🇳

Guangzhou, Guangdong, China

Huizhou First Hospital

🇨🇳

Huizhou, Guangdong, China

Guihang Guiyang hospital

🇨🇳

Guizhou, Guiyang, China

Puding County People's Hospital

🇨🇳

Anshun, Guizhou, China

The People's Hospital of Cenxi City

🇨🇳

Wuzhou, Guangxi, China

Zhejiang Provincial People's Hospital Bijie Hospital

🇨🇳

Bijie, Guizhou, China

The Second People's Hospital of Guiyang

🇨🇳

Guiyang, Guizhou, China

The First People's Hospital of Guiyang

🇨🇳

Guiyang, Guizhou, China

The Third People's Hospital of Guiyang

🇨🇳

Guiyang, Guizhou, China

The People's Hospital of the Qiandongnan Miao and Dong Autonomous Prefecture

🇨🇳

Kaili, Guizhou, China

The second Affiliated Hospital of Guizhou Medical University

🇨🇳

Kaili, Guizhou, China

Qianxinan Buyi and Miao Autonomous Prefecture People's Hospital

🇨🇳

Xingyi, Guizhou, China

The Second Affiliated Hospital of Hainan Medical University

🇨🇳

Haikou, Hainan, China

Affiliated Hospital of Hebei University

🇨🇳

Baoding, Hebei, China

The Hospital of Anguo City

🇨🇳

Baoding, Hebei, China

Chengde County Hospital

🇨🇳

Chengde, Hebei, China

Shunping County Hospital

🇨🇳

Baoding, Hebei, China

Wangdu County Hospital,Hebei Province

🇨🇳

Baoding, Hebei, China

Handan First Hospital

🇨🇳

Handan, Hebei, China

Guantao county central Hospital

🇨🇳

Handan, Hebei, China

Affiliated Hospital of Chengde Medical University

🇨🇳

Chengde, Hebei, China

Qiu County Hospital of Traditional Chinese Medicine

🇨🇳

Handan, Hebei, China

Hejian People's Hospital

🇨🇳

Hejian, Hebei, China

Qiu County People's Hospital

🇨🇳

Handan, Hebei, China

Hengshui People's Hospital

🇨🇳

Hengshui, Hebei, China

The No.4 People's Hospital of Hengshui(Department of Neurology ward 1)

🇨🇳

Hengshui, Hebei, China

The No.4 People's Hospital of Hengshui(Department of Neurology ward 2)

🇨🇳

Hengshui, Hebei, China

Shijiazhuang Third Hospital

🇨🇳

Shijiazhuang, Hebei, China

The Second Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

North China University of Science And Technology Affiliated Hospital

🇨🇳

Tangshan, Hebei, China

Qinghe people's hospital

🇨🇳

Xingtai, Hebei, China

Tangshan Gongren Hospital

🇨🇳

Tangshan, Hebei, China

The First Affiliated Hospital of Hebei North University

🇨🇳

Zhangjiakou, Hebei, China

Werixian People's Hospital

🇨🇳

Xingtai, Hebei, China

The 2nd Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

The First Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

Hongxinglong Hospital of Beidahuang Group

🇨🇳

Shuangyashan, Heilongjiang, China

The People's Hospital of Anyang City

🇨🇳

Anyang, Henan, China

Dengzhou Central Hospital

🇨🇳

Dezhou, Henan, China

Hebi Coal Industry (Group) Co., Ltd. General Hospital

🇨🇳

Hebi, Henan, China

Boai People's Hospital

🇨🇳

Jiaozuo, Henan, China

Mengzhou Hospital of Traditional Chinese Medicine

🇨🇳

Jiaozuo, Henan, China

Mengzhou People's Hospital(Department of Neurology ward 1)

🇨🇳

Jiaozuo, Henan, China

Mengzhou People's Hospital(Department of Neurology ward 2)

🇨🇳

Jiaozuo, Henan, China

Qinyang City Hospital of Traditional Chinese Medicine

🇨🇳

Jiaozuo, Henan, China

Lankao County Central Hospital

🇨🇳

Kaifeng, Henan, China

Weishi Central Hospital

🇨🇳

Kaifeng, Henan, China

Luoning County People's Hospital

🇨🇳

Luoyang, Henan, China

Luoyang Central Hospital

🇨🇳

Luoyang, Henan, China

Luoyang First People's Hospital

🇨🇳

Luoyang, Henan, China

Luoyang Dongfang People's Hospital

🇨🇳

Luoyang, Henan, China

Luoyang Mengjin District People's Hospital

🇨🇳

Luoyang, Henan, China

Ruyang People's Hospital

🇨🇳

Luoyang, Henan, China

Neixiang County People's Hospital

🇨🇳

Nanyang, Henan, China

The Second Affiliated Hospital of Henan University of Science and Technology

🇨🇳

Luoyang, Henan, China

Yiyang County People's Hospital

🇨🇳

Luoyang, Henan, China

Nanyang Second General Hospital

🇨🇳

Nanyang, Henan, China

Xixia County People's Hospital

🇨🇳

Nanyang, Henan, China

The second people's hospital of Pingdingshan

🇨🇳

Pingdingshan, Henan, China

Ye County People's Hospital

🇨🇳

Pingdingshan, Henan, China

Fanxian People's Hospital

🇨🇳

Puyang, Henan, China

The First People Hospital of Lingbao

🇨🇳

Sanmenxia, Henan, China

The Fourth People's Hospital of Shangqiu

🇨🇳

Shangqiu, Henan, China

The Shangqiu First People's Hospital

🇨🇳

Shangqiu, Henan, China

Zhecheng People's Hospital

🇨🇳

Shangqiu, Henan, China

Huixian People's Hospital

🇨🇳

Xinxiang, Henan, China

The second People Hospital of Xinxiang Henan

🇨🇳

Xinxiang, Henan, China

The Affiliated Hospital of Xinyang Vocational and Technical College

🇨🇳

Xinyang, Henan, China

Xingyang People's Hospital

🇨🇳

Zhengzhou, Henan, China

Xinxiang tongmeng hospital

🇨🇳

Xinxiang, Henan, China

Central Hospital of Yongcheng

🇨🇳

Yongcheng, Henan, China

Taikang Xian People's Hospital

🇨🇳

Zhoukou, Henan, China

Xinmi Hospital of T.C.M

🇨🇳

Zhengzhou, Henan, China

Shenqiu County People's Hospital

🇨🇳

Zhoukou, Henan, China

Xihua Xian People's Hospital

🇨🇳

Zhoukou, Henan, China

Chenzhou No.1 People's Hospital

🇨🇳

Chenzhou, Hunan, China

Zhumadian TCM Hospital

🇨🇳

Zhumadian, Henan, China

The Third People's Hospital of Chenzhou

🇨🇳

Chenzhou, Hunan, China

The Fourth People's Hospital of Chenzhou

🇨🇳

Chenzhou, Hunan, China

Yueyang People's Hospital

🇨🇳

Yueyang, Hunan, China

Hengyang Central Hospital

🇨🇳

Hengyang, Hunan, China

Sinopharm North Hospital

🇨🇳

Baotou, Inner Mongolia, China

The First Affiliated Hospital of Baotou Medical College

🇨🇳

Baotou, Inner Mongolia, China

Wuyuan County People's Hospital

🇨🇳

Bayan Nur, Inner Mongolia, China

The people's Hospital of Wulateqianqi

🇨🇳

Bayan Nur, Inner Mongolia, China

Huhhot First Hospital

🇨🇳

Hohhot, Inner Mongolia, China

Inner Mongolia International Mongolian Hospital

🇨🇳

Hohhot, Inner Mongolia, China

Inner Mongolia Forestry General Hospital

🇨🇳

Hulunbuir, Inner Mongolia, China

Ordos central hospital

🇨🇳

Ordos, Inner Mongolia, China

Inner Mongolia People's Hospital

🇨🇳

Hohhot, Inner Mongolia, China

The people's Hospital of Wuhai

🇨🇳

Wuhai, Inner Mongolia, China

Nanjing Gaochun People's Hospital

🇨🇳

Nanjing, Jiangsu, China

Affiliated Hospital of Inner Mongolia Minzu University

🇨🇳

Tongliao, Inner Mongolia, China

Ulanpab Central Hospital

🇨🇳

Ulanqab, Inner Mongolia, China

Tongliao City Hospital

🇨🇳

Tongliao, Inner Mongolia, China

Tuoketuo County Hospital

🇨🇳

Hohhot, Inner Mongoria, China

Jiangsu Rudong County People's Hospital

🇨🇳

Nantong, Jiangsu, China

Nantong Tongzhou District No.8 People's Hospital

🇨🇳

Nantong, Jiangsu, China

The People's Hospital of Rugao

🇨🇳

Nantong, Jiangsu, China

Nanjing Drum Tower Hospital Group Suqian Hospital

🇨🇳

Suqian, Jiangsu, China

The Sixth People's Hospital of Nantong

🇨🇳

Nantong, Jiangsu, China

Siyang kangda hospital

🇨🇳

Suqian, Jiangsu, China

Xinghua City People's Hospital

🇨🇳

Taizhou, Jiangsu, China

Jiangyin People's Hospital

🇨🇳

Wuxi, Jiangsu, China

Yixing People's Hospital

🇨🇳

Wuxi, Jiangsu, China

The Second Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

Nanfang Hospital,Ganzhou

🇨🇳

Ganzhou, Jiangxi, China

Jingdezhen No.1 People's Hospital

🇨🇳

Jingdezhen, Jiangxi, China

Jiujiang No.1 People's Hospital

🇨🇳

Jiujiang, Jiangxi, China

Fuzhou First People's Hospital of Jiangxi Province

🇨🇳

Fuzhou, Jiangxi, China

Jiujiang University Affiliated Hospital

🇨🇳

Jiujiang, Jiangxi, China

ShangRao People's Hospital

🇨🇳

Shangrao, Jiangxi, China

Jiangxi Provincial People's Hospital

🇨🇳

Nanchang, Jiangxi, China

Yugan Xinjiang hospital

🇨🇳

Shangrao, Jiangxi, China

Tonggu County People's Hospital

🇨🇳

Yichun, Jiangxi, China

Meihekou Central Hospital

🇨🇳

Meihekou, Jilin, China

China-Japan Union Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Anshan Central Hospital

🇨🇳

Anshan, Liaoning, China

Affiliated Zhongshan Hospital of Dalian University

🇨🇳

Dalian, Liaoning, China

Central Hospital of Wafangdian

🇨🇳

Dalian, Liaoning, China

Dalian Lvshun District People's Hospital

🇨🇳

Dalian, Liaoning, China

Dalian Jinzhou District First People's Hospital

🇨🇳

Dalian, Liaoning, China

Dalian Lvshun District Hospitai of tradition Chinese Medicine

🇨🇳

Dalian, Liaoning, China

Dalian Municipal Central Hospital

🇨🇳

Dalian, Liaoning, China

Dalian PuLanDian central hospital

🇨🇳

Dalian, Liaoning, China

Dalian University Affiliated Xinhua Hospital

🇨🇳

Dalian, Liaoning, China

Shengjing Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

The Second People's Hospital of Huludao

🇨🇳

Huludao, Liaoning, China

Panjin Central Hospital

🇨🇳

Panjin, Liaoning, China

Affiliated Hospital of Liaoning University of Traditional Chinese Medicine

🇨🇳

Shenyang, Liaoning, China

The People's Hospital of Liaoning Province

🇨🇳

Shenyang, Liaoning, China

Ankang Central Hospital

🇨🇳

Ankang, Shaanxi, China

Xianyang Hospital of Yan 'an University

🇨🇳

Xianyang, Shaanxi, China

Xi 'an Fengcheng Hospital

🇨🇳

Xi'an, Shaanxi, China

East District of The First Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, Shaanxi, China

Weihai Wendeng District People's Hospital

🇨🇳

Weihai, Shandogn, China

Zichang People's Hospital

🇨🇳

Yanan, Shaanxi, China

Yangxin County People Hospital

🇨🇳

Binzhou, Shandong, China

Binzhou Central Hospital

🇨🇳

Binzhou, Shandong, China

The Second People's Hospital of Dongying

🇨🇳

Dongying, Shandong, China

Ningjin People's Hospital

🇨🇳

Dezhou, Shandong, China

People's Hospital of Qihe County

🇨🇳

Dezhou, Shandong, China

Yuncheng County People's Hospital

🇨🇳

Heze, Shandong, China

Guanxian People's Hospital

🇨🇳

Liaocheng, Shandong, China

Affiliated Hospital of Shandong University of Traditional Chinese Medicine

🇨🇳

Jinan, Shandong, China

Liaocheng City Central Hospital

🇨🇳

Liaocheng, Shandong, China

Liaocheng People's Hospital(Liaocheng Brain Hospital)

🇨🇳

Liaocheng, Shandong, China

Liaocheng People's Hospital

🇨🇳

Liaocheng, Shandong, China

The people's Hospital of Linqing

🇨🇳

Liaocheng, Shandong, China

The People's Hospital of Gaotang

🇨🇳

Liaocheng, Shandong, China

Third People's Hospital of Liaocheng

🇨🇳

Liaocheng, Shandong, China

The Second People's Hospital of Liaocheng

🇨🇳

Liaocheng, Shandong, China

Yanggu Traditional Chinese Medical Hospital

🇨🇳

Liaocheng, Shandong, China

Linyi People's Hospital

🇨🇳

Linyi, Shandong, China

Linyi Third People's Hospital

🇨🇳

Linyi, Shandong, China

Linyi Traditional Chinese Medicine Hospital

🇨🇳

Linyi, Shandong, China

Qingdao Fuwai Cardiovascular Hospital

🇨🇳

Qingdao, Shandong, China

People's Hospital of Yinan

🇨🇳

Linyi, Shandong, China

Qixia City People's Hospital

🇨🇳

Qixian, Shandong, China

Weihai Central Hospital

🇨🇳

Weihai, Shandong, China

Weihai Municipal Hospital

🇨🇳

Weihai, Shandong, China

Qixia traditional Chinese medicine hospital

🇨🇳

Yantai, Shandong, China

Yantai Affiliated Hospital of Binzhou Medical University

🇨🇳

Yantai, Shandong, China

Yantai Taocun Central Hospital

🇨🇳

Yantai, Shandong, China

Yantai Penglai traditional Chinese medicine hospital

🇨🇳

Yantai, Shandong, China

Yicheng Municipal Hospital of Zaozhuang

🇨🇳

Zaozhuang, Shandong, China

Yantai Yuhuangding Hospital

🇨🇳

Yantai, Shandong, China

Yantai Zhifu hospital

🇨🇳

Yantai, Shandong, China

YEDA hospital

🇨🇳

Yantai, Shandong, China

Zibo Central Hospital

🇨🇳

Zibo, Shandong, China

PKUcare Zibo Hospital

🇨🇳

Zibo, Shandong, China

Zibo Hospital of Traditional Chinese Medicine

🇨🇳

Zibo, Shandong, China

Shanghai Seventh People's Hospital

🇨🇳

Shanghai, Shanghai, China

Linfen Central Hospital(emergency department)

🇨🇳

Linfen, Shanxi, China

Second Hospital of Shanxi Medical University

🇨🇳

Taiyuan, Shanxi, China

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine

🇨🇳

Shanghai, Shanghai, China

Linfen Central Hospital (neurology department)

🇨🇳

Linfen, Shanxi, China

Shanxi Bethune Hospital

🇨🇳

Taiyuan, Shanxi, China

Shanxi Cardiovascular Hospital

🇨🇳

Taiyuan, Shanxi, China

The First People's Hospital of Longquanyi Disdrict,Chengdu

🇨🇳

Chengdu, Sichuan, China

Sichuan Provincial People's Hospital

🇨🇳

Chengdu, Sichuan, China

People's Hospital of Deyang City

🇨🇳

Deyang, Sichuan, China

The Third Hospital of Mianyang

🇨🇳

Mianyang, Sichuan, China

The Second People's Hospital of Neijiang

🇨🇳

Neijiang, Sichuan, China

Panzhihua Central Hospital

🇨🇳

Panzhihua, Sichuan, China

The First Affiliated Hospital of Shihezi University

🇨🇳

Shihezi, Xinjiang, China

People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China

🇨🇳

Urumqi, Xinjiang, China

First Affiliated Hospital of Kunming Medical University

🇨🇳

Kunming, Yunnan, China

Ninger County People's Hospital

🇨🇳

Pu'er, Yunnan, China

Tengchong People's Hospital

🇨🇳

Tengchong, Yunnan, China

The First People's Hospital of jiande

🇨🇳

Hangzhou, Zhejiang, China

People's Hospital of Anji

🇨🇳

Huzhou, Zhejiang, China

Juancheng County People's Hospital

🇨🇳

Heze, China

Haiyan People's Hospital

🇨🇳

Jiaxing, Zhejiang, China

Baise City People's Hospital

🇨🇳

Baise, Guangxi, China

Guyuan people's hospital

🇨🇳

Guyuan, Ningxia, China

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