MedPath

Study of BOTOX Injections in Prevention of Migraine in Adult Participants With Episodic Migraine

Phase 3
Completed
Conditions
Episodic Migraine
Interventions
Drug: BOTOX
Drug: Placebo
Registration Number
NCT05028569
Lead Sponsor
AbbVie
Brief Summary

Migraine is a neurological disease characterized by moderate or severe headache, associated with nausea, vomiting, and/or sensitivity to light and sound (ICHD 2018). Migraine can be further categorized according to the frequency of attacks as episodic migraine (EM) or chronic migraine (CM). This study will assess the effects of BOTOX in preventing migraine in adult participants with EM.

BOTOX is being developed for the prevention of migraine in adults with episodic migraine (EM). Participants will be enrolled in 3 different treatment groups. There is 1 in 3 chance that participants will be assigned to receive placebo. Approximately 777 adult participants with EM will be enrolled in approximately 125 sites across the world.

Participants will receive intramuscular injections (injected into the muscle) of BOTOX or Placebo on Week 0 and Week 12. Eligible participants will receive BOTOX on Week 24 and Week 36.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
775
Inclusion Criteria
  • History of migraine headache disorder meeting International Classification of Headache Disorders (ICHD)-3 diagnostic criteria for migraine with aura or migraine without aura for >= 12 months.
  • Onset of migraine before 50 years of age.
  • History of 6 to 14 migraine days/month in each of the 3 months prior to Visit 1.
  • Six to 14 migraine/probable migraine days during the 4-week screening/baseline phase.
  • Less than 15 headache days/month in each of the 3 months prior to Visit 1 and during the 4-week screening/baseline phase.
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Exclusion Criteria
  • Current diagnosis of chronic migraine according to ICHD-3.
  • History or current diagnosis of migraine with brainstem aura, retinal migraine, complications of migraine, chronic tension-type headache, trigeminal autonomic cephalalgias, hypnic headache, hemicrania continua, or new daily persistent headache.
  • History of headache attributed to another disorder (e.g., cervical dystonia, craniotomy, head/neck trauma) with exception that medication overuse headache per ICHD-3 criteria is allowed.
  • History of inadequate response to > 4 prophylactic treatment for migraine, 2 of which have different mechanisms of action.
  • Female who is pregnant, breastfeeding, or considering becoming pregnant during the study or within 90 days after the last dose of study drug.
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Double-Blind, Placebo-Controlled Phase: PlaceboPlaceboParticipants will receive placebo on Week 0 and Week 12.
Double-Blind, Placebo-Controlled Phase: BOTOX Dose ABOTOXParticipants will receive BOTOX Dose A on Week 0 and Week 12.
Double-Blind, Placebo-Controlled Phase: PlaceboBOTOXParticipants will receive placebo on Week 0 and Week 12.
Double-Blind, Placebo-Controlled Phase: BOTOX Dose BBOTOXParticipants will receive BOTOX Dose B on Week 0 and Week 12.
Open-Label Phase: BOTOX Dose ABOTOXEligible participants will receive BOTOX Dose A on Week 24 and Week 36.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in the Frequency of Monthly Migraine Days6 Months

Change from baseline in the frequency of monthly migraine days (i.e., migraine or probable migraine headache days) will be assessed.

Number of Participants with Treatment Emergent Adverse Events (AEs)Up to approximately 52 weeks

An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ v2.1) Role Function - Restrictive (RFR) Domain Score6 Months

Role Function Restrictive (RFR) domain assesses how migraines limit one's daily social and work-related activities using a 6-point scale ranging from "none of the time" to "all of the time".

Change From Baseline in the Activity Impairment in Migraine - Diary (AIM-D) Physical Impairment Domain Score6 Months

AIM-D Physical impairment Domain Score asks participants to rate the level of difficulty experienced with physical impairment using a 6-point rating scale ranging from "not difficult at all" to "I could not do it at all".

Change From Baseline in the Frequency of Monthly Headache Days6 Months

Change from baseline in the frequency of monthly headache days will be assessed.

Responder Status of 50% Reduction From Baseline in the Frequency of Monthly Migraine Days6 Months

Percentage of participants achieving 50% reduction from baseline in the frequency of monthly migraine days will be assessed.

Change From Baseline in the Frequency of Monthly Acute Headache Medication Days6 Months

The change from baseline in acute migraine medication use days will be assessed.

Trial Locations

Locations (133)

Albuquerque Clinical Trials, Inc. /ID# 231101

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Albuquerque, New Mexico, United States

Duplicate_University Of Cincinnati Medical Center /ID# 231739

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Cincinnati, Ohio, United States

Fakultnรญ Nemocnice U Sv. Anny V Brnฤ› /ID# 232213

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Brno, Brno-mesto, Czechia

Universitaetsklinikum Carl Gustav Carus Dresden /ID# 239283

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Dresden, Sachsen, Germany

Neurology and Neurodiagnostics of Alabama /ID# 231918

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Hoover, Alabama, United States

Rehabilitation & Neurological Services /ID# 252441

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Huntsville, Alabama, United States

Alea Research /ID# 233329

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Phoenix, Arizona, United States

Duplicate_Barrow Neurological Institute /ID# 231799

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Phoenix, Arizona, United States

Clinical Endpoints /ID# 232625

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Scottsdale, Arizona, United States

Tucson Neuroscience Research /ID# 232288

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Tucson, Arizona, United States

Arkansas Clinical Research /ID# 231640

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Little Rock, Arkansas, United States

Woodland International Research Group /ID# 231492

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Little Rock, Arkansas, United States

Hope Clinical Research /ID# 232189

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Canoga Park, California, United States

Pharmacology Research Institute (PRI) - Encino (Wake) /ID# 231351

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Encino, California, United States

Neuro Pain Medical Center /ID# 231478

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Fresno, California, United States

Sun Valley Research Center /ID# 231350

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Imperial, California, United States

Wake Research - Pharmacology Research Institute (WR-PRI), LLC (Alamitos) /ID# 231908

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Los Alamitos, California, United States

Pharmacology Research Institute (PRI) - Newport Beach (Wake) /ID# 231337

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Newport Beach, California, United States

Colorado Springs Neurological Associates (CSNA) /ID# 230662

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Colorado Springs, Colorado, United States

Summit Headache and Neurologic Institute /ID# 231809

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Englewood, Colorado, United States

Advanced Neurosciences Research, LLC /ID# 230658

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Fort Collins, Colorado, United States

Georgetown University Hospital /ID# 232129

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Washington, District of Columbia, United States

Neurology Offices of South Florida, PLLC /ID# 232281

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Boca Raton, Florida, United States

Nova Clinical Research, LLC /ID# 245256

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Bradenton, Florida, United States

Velocity Clinical Research - Hallandale Beach /ID# 232442

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Hallandale Beach, Florida, United States

CNS Healthcare - Jacksonville /ID# 231345

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Jacksonville, Florida, United States

Brainstorm Research /ID# 243825

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Miami, Florida, United States

Sensible Healthcare /ID# 231340

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Ocoee, Florida, United States

Clinical Neuroscience Solutions, Inc /ID# 231362

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Orlando, Florida, United States

Pain Relief Centers /ID# 232415

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Sun City Center, Florida, United States

University of South Florida- Neuroscience Institute /ID# 231808

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Tampa, Florida, United States

Olympian Clinical Research - Tampa /ID# 239519

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Tampa, Florida, United States

Accel Research Sites - Tampa Clinical Research Unit /ID# 231670

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Tampa, Florida, United States

Premiere Research Institute - Palm Beach /ID# 230646

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West Palm Beach, Florida, United States

Conquest Research /ID# 232604

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Winter Park, Florida, United States

Accel Research Sites Neurostudies /ID# 230665

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Decatur, Georgia, United States

CenExcel iResearch LLC /ID# 231335

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Decatur, Georgia, United States

Clinical Research Institute /ID# 239517

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Stockbridge, Georgia, United States

Northwest Clinical Trials /ID# 230657

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Boise, Idaho, United States

Velocity Clinical Research - Boise /ID# 230660

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Meridian, Idaho, United States

Robbins Headache Clinic /ID# 230970

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Riverwoods, Illinois, United States

Josephson-Wallack-Munshower Neurology - Northeast /ID# 230654

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Indianapolis, Indiana, United States

Deaconess Clinic - Gateway Health Center /ID# 231329

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Newburgh, Indiana, United States

Accellacare /ID# 231496

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Ames, Iowa, United States

Kansas Institute of Research /ID# 231862

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Overland Park, Kansas, United States

Ochsner Clinic Foundation /ID# 230645

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Covington, Louisiana, United States

Brigham and Women's Faulkner Hospital /ID# 231865

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Boston, Massachusetts, United States

Boston Clinical Trials /ID# 231367

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Boston, Massachusetts, United States

Michigan Headache & Neurological Institute (MHNI) /ID# 230659

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Ann Arbor, Michigan, United States

Minneapolis Clinic of Neurology - Burnsville /ID# 231780

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Burnsville, Minnesota, United States

StudyMetrix Research /ID# 230642

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Saint Peters, Missouri, United States

Clinvest Research LLC /ID# 252440

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Springfield, Missouri, United States

Excel Clinical Research /ID# 232188

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Las Vegas, Nevada, United States

Las Vegas Clinical Trials /ID# 232628

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North Las Vegas, Nevada, United States

Dent Neurosciences Research Center, Inc. /ID# 252442

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Amherst, New York, United States

Montefiore Headache Center /ID# 232130

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Bronx, New York, United States

Fieve Clinical Research, Inc. /ID# 231365

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New York, New York, United States

Upstate Clinical Research Associates /ID# 231343

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Williamsville, New York, United States

Headache Wellness Center /ID# 230819

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Greensboro, North Carolina, United States

M3 Wake Research Inc. /ID# 232285

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Raleigh, North Carolina, United States

Neurology - Triad /ID# 231733

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Winston-Salem, North Carolina, United States

IPS Research Company /ID# 231085

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Oklahoma City, Oklahoma, United States

Lynn Institute of Oklahoma City /ID# 231349

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Oklahoma City, Oklahoma, United States

Cutting Edge Research Group /ID# 231095

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Oklahoma City, Oklahoma, United States

Sooner Clinical Research /ID# 231096

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Oklahoma City, Oklahoma, United States

Abington Neurological Associates - Abington /ID# 231798

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Abington, Pennsylvania, United States

Lehigh Center for Clinical Research /ID# 231355

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Allentown, Pennsylvania, United States

Suburban Research Associates - Media /ID# 231354

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Media, Pennsylvania, United States

Jefferson Hospital for Neuroscience /ID# 230664

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Philadelphia, Pennsylvania, United States

Frontier Clinical Research /ID# 232623

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Smithfield, Pennsylvania, United States

Clinical Trials of SC /ID# 231369

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Charleston, South Carolina, United States

Coastal Carolina Research Center - North Charleston /ID# 231353

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North Charleston, South Carolina, United States

Clinical Neuroscience Solutions - Memphis /ID# 231328

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Memphis, Tennessee, United States

Nashville Neuroscience Group /ID# 231642

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Nashville, Tennessee, United States

Austin Clinical Trial Partners /ID# 231092

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Austin, Texas, United States

Texas Neurology /ID# 230661

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Dallas, Texas, United States

NeuroCare Plus /ID# 252499

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Houston, Texas, United States

Charlottesville Medical Research /ID# 231368

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Charlottesville, Virginia, United States

Integrated Neurology Services - Falls Church /ID# 244776

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Falls Church, Virginia, United States

Tidewater Integr Med Research /ID# 231359

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Virginia Beach, Virginia, United States

Sentara Neurology Specialists - Virginia Beach /ID# 231341

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Virginia Beach, Virginia, United States

Northwest Clinical Research Center /ID# 231336

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Bellevue, Washington, United States

Puget Sound Neurology /ID# 230640

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Tacoma, Washington, United States

Frontier Clinical Research - Kingwood /ID# 234127

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Kingwood, West Virginia, United States

CHAMP Clinic /ID# 231635

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Calgary, Alberta, Canada

Vancouver Island Health Authority /ID# 231992

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Victoria, British Columbia, Canada

Maritime Neurology /ID# 232048

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Halifax, Nova Scotia, Canada

Toronto Memory Program /ID# 240006

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Toronto, Ontario, Canada

Clinique Neuro Levis /ID# 232049

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Lรฉvis, Quebec, Canada

Fakultni Nemocnice Ostrava /ID# 232211

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Ostrava, Ostrava-mesto, Czechia

Nemocnice Jihlava, prispevkova organizace /ID# 232164

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Jihlava, Czechia

Clintrial s.r.o. /ID# 232208

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Prague 10, Czechia

DADO MEDICAL s.r.o. /ID# 232157

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Praha, Czechia

Axon Clinical, s.r.o. /ID# 232212

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Praha, Czechia

Fakultni Thomayerova nemocnice /ID# 232214

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Praha, Czechia

Universitaetsmedizin Rostock /ID# 232471

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Rostock, Mecklenburg-Vorpommern, Germany

Schmerzklinik Kiel /ID# 232480

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Kiel, Schleswig-Holstein, Germany

Zentrum fรผr Neurologie, Neurochirurgie und Psychiatrie /ID# 232472

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Berlin, Germany

Praxis Dr. Gendolla /ID# 232474

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Essen, Germany

Universitaetsklinikum Essen /ID# 232478

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Essen, Germany

Kopfschmerzzentrum Frankfurt /ID# 234066

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Frankfurt am Main, Germany

Universitaetsklinikum Halle (Saale) /ID# 241506

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Halle (Saale), Germany

Vitos Orthopaedische Klinik Kassel gemeinnuetzige GmbH /ID# 232475

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Kassel, Germany

Neurologie Klinikum GroรŸhadern /ID# 232479

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Munich, Germany

Hillel Yaffe Medical Center /ID# 232122

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Hadera, H_efa, Israel

Rambam Health Care Campus /ID# 238732

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Haifa, H_efa, Israel

Maccabi Healthcare Services /ID# 238605

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Kfar Saba, HaMerkaz, Israel

The Chaim Sheba Medical Center /ID# 232119

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Ramat Gan, Tel-Aviv, Israel

Tel Aviv Sourasky Medical Center /ID# 232598

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Tel Aviv, Tel-Aviv, Israel

Shaare Zedek Medical Center /ID# 239485

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Jerusalem, Yerushalayim, Israel

Indywidualna Praktyka Lekarska dr hab. med. Anna Szczepanska-Szerej /ID# 232355

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Lublin, Lubelskie, Poland

Specjalistyczne Gabinety Sp. z o.o. /ID# 233526

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Krakow, Malopolskie, Poland

Linden Sp. z o.o. sp.k. /ID# 245685

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Krakow, Malopolskie, Poland

Instytut Zdrowia Dr Boczarska Jedynak /ID# 251857

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Oล›wiฤ™cim, Malopolskie, Poland

Warszawska Klinika Sp. z o.o. /ID# 240612

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Warszawa, Mazowieckie, Poland

Silmedic Sp. z o.o. /ID# 232358

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Katowice, Slaskie, Poland

Solumed Centrum Medyczne /ID# 238446

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Poznan, Wielkopolskie, Poland

MIGRE Polskie Centrum Leczenia Migreny Anna Gryglas-Dworak /ID# 241887

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Wroclaw, Poland

Hospital Universitario Central de Asturias /ID# 232428

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Oviedo, Asturias, Spain

Clinica Universidad de Navarra - Pamplona /ID# 232270

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Pamplona, Navarra, Spain

Hospital Universitario Vall d'Hebron /ID# 232268

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Barcelona, Spain

CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 233320

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Madrid, Spain

Hospital Universitario La Paz /ID# 232495

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Madrid, Spain

Hospital Clinico Universitario de Valladolid /ID# 232272

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Valladolid, Spain

Linkoping University Hospital /ID# 234040

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Linkoping, Ostergotlands Lan, Sweden

Skaneuro Privatmottagning /ID# 232175

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Lund, Skane Lan, Sweden

Neurology Clinic /ID# 234067

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Stockholm, Stockholms Lan, Sweden

Optimuskliniken /ID# 232174

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Upplands Vasby, Sweden

Hull University Teaching Hospitals NHS Trust /ID# 242763

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Hull, East Riding Of Yorkshire, United Kingdom

Queen Elizabeth University Hospital /ID# 244870

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Glasgow, United Kingdom

NHS Highland /ID# 242855

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Inverness, United Kingdom

Walton Centre /ID# 242857

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Liverpool, United Kingdom

St Pancras Clinical Research /ID# 242764

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London, United Kingdom

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