MedPath

Dose Ranging Study of Lunsekimig Compared With Placebo-control in Adult Participants With Moderate-to-severe Asthma

Phase 2
Recruiting
Conditions
Asthma
Interventions
Drug: Lunsekimig
Drug: Placebo
Registration Number
NCT06102005
Lead Sponsor
Sanofi
Brief Summary

This is a Phase 2b, global, multicenter, randomized, double-blind, placebo-controlled, parallel group, dose ranging study to assess the efficacy, safety, and tolerability of add-on therapy with SC lunsekimig in adult participants aged 18 to 80 years, (inclusive) with moderate-to-severe asthma.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
630
Inclusion Criteria
  • A physician-diagnosed moderate-to-severe asthma for ≥12 months based on GINA guidelines Steps 4 and 5
  • Participants with existing treatment with moderate-to-high doses of ICS therapy for in combination with at least 1 but no more than 2 additional controller medications at least 3 months with a stable dose ≥1 month prior to Visit 1
  • At least 1 asthma exacerbation in the past year, with at least one exacerbation occurring while on treatment with moderate to high doses of ICS therapy
  • ACQ-5 score more than 1.5 at Screening (Visit 1)
Read More
Exclusion Criteria
  • Chronic obstructive or other lung diseases (eg, COPD, idiopathic pulmonary fibrosis, etc) which may impair lung function, or another diagnosed pulmonary or systemic disease.
  • Current smoker or former smoker with cessation within 6 months of Screening or history of >10 pack-years. Active vaping of any products and/or marijuana smoking within 6 months of Screening.
  • Participants who experience a deterioration of asthma that results in emergency treatment or hospitalization, or treatment with systemic steroids within 1 month prior to the Screening
  • Participants who have experienced an upper or lower respiratory tract infection within the 4 weeks prior to Screening
  • For participants on chronic OCS use for the maintenance treatment of asthma: history of a serious infection requiring hospitalization within the past 12 months prior to Randomization (Visit 2).
  • Participants with active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, or who are at high risk of contracting TB (such as close contact with individuals with active or latent TB) or received Bacillus Calmette-Guérin (BCG)-vaccination within 12 weeks prior to Screening
  • Severe concomitant illness that would in the Investigator's opinion inhibit the participant's participation in the study, including for example, but not limited to, hypertension, renal disease, neurological conditions, heart failure and pulmonary disease
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Lunsekimig Dose1 interval 1LunsekimigParticipants will receive Dose 1 of lunsekimig (subcutaneous injection) according to established dosing interval 1
Lunsekimig Dose 2 interval 2LunsekimigParticipants will receive Dose 2 of lunsekimig (subcutaneous injection) according to established dosing interval 2
Lunsekimig Dose 2 interval 1LunsekimigParticipants will receive Dose 2 of lunsekimig (subcutaneous injection) according to established dosing interval 1
Lunsekimig Dose 1 interval 2LunsekimigParticipants will receive Dose 1 of lunsekimig (subcutaneous injection) according to established dosing interval 2
PlaceboPlaceboParticipants will receive placebo (subcutaneous injection) according to established dosing intervals corresponding to Dose 1 and Dose 2
Primary Outcome Measures
NameTimeMethod
Annualized rate of asthma exacerbation eventsFrom baseline to week 48
Secondary Outcome Measures
NameTimeMethod
Change from baseline in pre-bronchodilator (BD) FEV1From baseline to week 48
The absolute change in the percent predicted FEV1 from baseline (pre-BD and post-BD)From baseline to week 48
Average number of inhalations per day of short-acting beta 2-agoinst (SABA) or Low dose ICS/formoterol for symptom reliefFrom baseline to week 48
Change from baseline in FeNOFrom baseline to week 48
Time to first asthma exacerbationFrom baseline to week 48
Annualized rate of loss of asthma control events (LOAC) eventsFrom baseline to week 48
Time to first LOAC eventFrom baseline to week 48
Change from baseline in post-BD FEV1From baseline to week 48
Proportion of participants with ≥ 0.5-point reduction in ACQ-5 scoreFrom baseline to week 48

ACQ-5 is Asthma control questionnaire assessing symptoms. Lower score shows better asthma control

Change from baseline in ACQ-5 scoreFrom baseline to week 48
Change from baseline in St. George's Respiratory Questionnaire (SGRQ) scoresFrom baseline to week 48

Disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. Scores range from 0 to 100, with higher scores indicating more limitations.

Change from baseline in Asthma Quality of Life Questionnaire Standardized (AQLQ{S}) scoresFrom baseline to week 48
Change from baseline in ACQ scoresFrom baseline to week 48
Annualized rate of severe asthma exacerbations requiring hospitalization or emergency room or urgent care visitFrom baseline to week 48
Serum lunsekimig concentrationsFrom baseline to week 48
Incidence of participants with treatment-emergent adverse events (TEAEs), including local reactions, adverse events of special interests (AESIs), serious adverse events (SAEs)From baseline to week 48
Anti-drug antibodies (ADA) against lunsekimigFrom baseline to week 48

Trial Locations

Locations (149)

Icahn School of Medicine at Mount Si- Site Number : 8400058

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New York, New York, United States

Clinical Research Of Gastonia- Site Number : 8400013

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Gastonia, North Carolina, United States

Bernstein Clinical Research Center- Site Number : 8400016

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Cincinnati, Ohio, United States

Asthma & Allergy Center - Toledo- Site Number : 8400017

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Toledo, Ohio, United States

OK Clinical Research- Site Number : 8400021

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Edmond, Oklahoma, United States

Velocity Clinical Research - Medford- Site Number : 8400059

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Medford, Oregon, United States

Clinical Research Associates of Central PA - Dubois- Site Number : 8400069

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DuBois, Pennsylvania, United States

Allergy & Clinical Immunology Associates Pittsburgh- Site Number : 8400007

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Pittsburgh, Pennsylvania, United States

VitaLink Research - Anderson - East Greenville- Site Number : 8400063

🇺🇸

Anderson, South Carolina, United States

Velocity Clinical Research - Charleston- Site Number : 8400061

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Charleston, South Carolina, United States

South Texas Medical Research Institute - TTS Research- Site Number : 8400010

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Boerne, Texas, United States

Baylor University Medical Center- Site Number : 8400002

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Dallas, Texas, United States

Universidade Federal de Goias- Site Number : 0760007

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Goiânia, Goiás, Brazil

Centro de Estudos em Terapias Inovadoras- Site Number : 0760002

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Curitiba, Paraná, Brazil

Inst de Medicina Integral Professor Fernando Figueira- Site Number : 0760009

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Recife, Pernambuco, Brazil

Hospital São Lucas da PUCRS - Porto Alegre - Avenida Ipiranga- Site Number : 0760001

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Porto Alegre, Rio Grande Do Sul, Brazil

Hospital Dia do Pulmão- Site Number : 0760005

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Blumenau, Santa Catarina, Brazil

CCBR / IBPClin - Instituto Brasil de Pesquisa Clínica- Site Number : 0760006

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Rio de Janeiro, Brazil

Antelope Valley Clinical Trials- Site Number : 8400020

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Lancaster, California, United States

Amicis Research Center- Site Number : 8400032

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Northridge, California, United States

Clinical Trials Management Services, LLC- Site Number : 8400053

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Thousand Oaks, California, United States

Allianz Research Institute CO- Site Number : 8400026

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Aurora, Colorado, United States

Velocity Clinical Research - Denver- Site Number : 8400027

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Denver, Colorado, United States

Beautiful Minds Clinical Research Center- Site Number : 8400049

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Cutler Bay, Florida, United States

Deluxe Health Center- Site Number : 8400045

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Miami Lakes, Florida, United States

Clintex Research Group Inc.- Site Number : 8400048

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Miami, Florida, United States

High Quality Research- Site Number : 8400039

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Miami, Florida, United States

Innovations Biotech- Site Number : 8400040

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Miami, Florida, United States

New Access Research & Medical Center- Site Number : 8400043

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Miami, Florida, United States

Appalachian Clinical Research- Site Number : 8400050

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Calhoun, Georgia, United States

Velocity Clinical Research Lafayette Site Number : 8400060

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Lafayette, Louisiana, United States

Javara Inc- Site Number : 8400033

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Annapolis, Maryland, United States

Javara Inc/Mankato Clinic,- Site Number : 8400051

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Mankato, Minnesota, United States

American Carolina Clinical Research- Site Number : 8400071

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Charlotte, North Carolina, United States

Tryon Medical Research- Site Number : 8400029

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Charlotte, North Carolina, United States

PMSI Comprehensive Healthcare for Life- Site Number : 8400064

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Pottstown, Pennsylvania, United States

Orion Clinical Research- Site Number : 8400001

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Austin, Texas, United States

Western Sky Medical Research- Site Number : 8400023

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El Paso, Texas, United States

Metroplex Pulmonary and Sleep Center- Site Number : 8400022

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McKinney, Texas, United States

VAST Clinical Research- Site Number : 8400062

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Plano, Texas, United States

Investigational Site Number : 0320007

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Berazategui, Buenos Aires, Argentina

Investigational Site Number : 0320003

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La Plata, Buenos Aires, Argentina

Investigational Site Number : 0320006

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Rosario, Santa Fe, Argentina

Investigational Site Number : 0320005

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Buenos Aires, Argentina

Investigational Site Number : 0320004

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Buenos Aires, Argentina

Investigational Site Number : 0320001

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Buenos Aires, Argentina

Investigational Site Number : 0320009

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Mendoza, Argentina

Investigational Site Number : 0320008

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San Miguel de Tucumán, Argentina

Investigational Site Number : 0320010

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Santa Fe, Argentina

Proar- Site Number : 0760003

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Salvador, Bahia, Brazil

Investigational Site Number : 1240005

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Stoney Creek, Ontario, Canada

Investigational Site Number : 1240004

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Sherbrooke, Quebec, Canada

Investigational Site Number : 1240001

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Trois-rivières, Quebec, Canada

Investigational Site Number : 1520010

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Valdivia, Los Ríos, Chile

Investigational Site Number : 1520001

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Talca, Maule, Chile

Investigational Site Number : 1520006

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520005

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520004

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520009

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520002

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520008

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Quillota, Valparaíso, Chile

Investigational Site Number : 1520011

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Viña Del Mar, Valparaíso, Chile

Investigational Site Number : 1560011

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Beijing, China

Investigational Site Number : 1560010

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Changchun, China

Investigational Site Number : 1560017

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Changsha, China

Investigational Site Number : 1560008

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Chengdu, China

Investigational Site Number : 1560001

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Guangzhou, China

Investigational Site Number : 1560009

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Guangzhou, China

Investigational Site Number : 1560006

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Hefei, China

Investigational Site Number : 1560014

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Hohhot, China

Investigational Site Number : 1560018

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Mianyang, China

Investigational Site Number : 1560007

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Nanchang, China

Investigational Site Number : 1560002

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Pingxiang, China

Investigational Site Number : 1560015

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Shenyang, China

Investigational Site Number : 1560005

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Wenzhou, China

Investigational Site Number : 1560003

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Wuhan, China

Investigational Site Number : 1560004

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Xuzhou, China

Investigational Site Number : 1560016

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Yangzhou, China

Investigational Site Number : 1560012

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Zhanjiang, China

Investigational Site Number : 3560002

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Coimbatore, India

Investigational Site Number : 3560009

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Hyderabad, India

Investigational Site Number : 3560008

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Kanpur, India

Investigational Site Number : 3560007

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Kozhikode, India

Investigational Site Number : 3560003

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Lucknow, India

Investigational Site Number : 3560001

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Nagpur, India

Investigational Site Number : 3560004

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Pune, India

Investigational Site Number : 3760006

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Ashkelon, Israel

Investigational Site Number : 3760001

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Haifa, Israel

Investigational Site Number : 3760008

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Haifa, Israel

Investigational Site Number : 3760003

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Jerusalem, Israel

Investigational Site Number : 3760002

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Jerusalem, Israel

Investigational Site Number : 3760010

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Petah Tikva, Israel

Investigational Site Number : 3760009

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Ramat Gan, Israel

Investigational Site Number : 3760004

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Rehovot, Israel

Investigational Site Number : 3760007

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Tel Aviv, Israel

Investigational Site Number : 3920004

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Kamogawa, Chiba, Japan

Investigational Site Number : 3920002

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Sakaide, Kagawa, Japan

Investigational Site Number : 3920010

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Yokohama, Kanagawa, Japan

Investigational Site Number : 3920011

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Chuo, Tokyo, Japan

Investigational Site Number : 3920005

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UBE, Yamaguchi, Japan

Investigational Site Number : 3920008

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Fukushima, Japan

Investigational Site Number : 3920003

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Higashiomi, Japan

Investigational Site Number : 3920006

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Kyoto, Japan

Investigational Site Number : 3920009

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Kyoto, Japan

Investigational Site Number : 3920012

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Miyazaki, Japan

Investigational Site Number : 7920002

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Istanbul, Turkey

Investigational Site Number : 4100002

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Seoul, Seoul-teukbyeolsi, Korea, Republic of

Investigational Site Number : 4100001

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Seoul, Seoul-teukbyeolsi, Korea, Republic of

Investigational Site Number : 4100004

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Seoul, Seoul-teukbyeolsi, Korea, Republic of

Investigational Site Number : 4100006

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Seoul, Seoul-teukbyeolsi, Korea, Republic of

Investigational Site Number : 4100003

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Seoul, Seoul-teukbyeolsi, Korea, Republic of

Investigational Site Number : 4100005

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Seoul, Korea, Republic of

Investigational Site Number : 4840004

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Monterrey, Nuevo León, Mexico

Investigational Site Number : 4840005

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San Juan Del Río, Querétaro, Mexico

Investigational Site Number : 4840002

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Chihuahua, Mexico

Investigational Site Number : 4840003

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Durango, Mexico

Investigational Site Number : 4840007

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Mérida, Mexico

Investigational Site Number : 7100004

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Benoni, South Africa

Investigational Site Number : 7100003

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Cape Town, South Africa

Investigational Site Number : 7100002

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Cape Town, South Africa

Investigational Site Number : 7100001

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Durban, South Africa

Investigational Site Number : 7100005

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Johannesburg, South Africa

Investigational Site Number : 7100006

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Pretoria, South Africa

Investigational Site Number : 7920001

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Akdeniz, Turkey

Investigational Site Number : 7920006

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Bursa, Turkey

Investigational Site Number : 7920003

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Istanbul, Turkey

Investigational Site Number : 7920004

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Izmir, Turkey

Investigational Site Number : 7920005

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Izmit, Turkey

Investigational Site Number : 7920007

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Kayseri, Turkey

Investigational Site Number : 8260001

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Cambridge, Cambridgeshire, United Kingdom

Investigational Site Number : 8260004

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Glasgow, Edinburgh, City Of, United Kingdom

Investigational Site Number : 8260005

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Chertsey, Surrey, United Kingdom

Investigational Site Number : 8260003

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Birmingham, United Kingdom

Investigational Site Number : 8260008

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Bradford, United Kingdom

Investigational Site Number : 8260009

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Bristol, United Kingdom

Allergy, Asthma & Immunology Associates- Site Number : 8400009

🇺🇸

Scottsdale, Arizona, United States

Yuma Pulmonary & Sleep Research, LLC- Site Number : 8400072

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Yuma, Arizona, United States

Optimus Medical- Site Number : 8400046

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San Francisco, California, United States

Allergy and Asthma Associates of Santa Clara Valley Research Center- Site Number : 8400038

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San Jose, California, United States

Western States Clinical Research- Site Number : 8400014

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Wheat Ridge, Colorado, United States

Qway Research - Hialeah- Site Number : 8400015

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Hialeah, Florida, United States

Advanced Research Institute - New Port Richey- Site Number : 8400044

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New Port Richey, Florida, United States

Pines Care Research Center- Site Number : 8400057

🇺🇸

Pembroke Pines, Florida, United States

Windom Allergy, Asthma and Sinus Specialists- Site Number : 8400019

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Sarasota, Florida, United States

PMG Research of Christie Clinic- Site Number : 8400066

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Champaign, Illinois, United States

Brigham & Women's Hospital- Site Number : 8400034

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Boston, Massachusetts, United States

University of Michigan Health System - Ann Arbor- Site Number : 8400004

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Ann Arbor, Michigan, United States

Midwest Clinical Research Center - St. Louis- Site Number : 8400006

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Saint Louis, Missouri, United States

Circuit Clinical - Middletown Medical - 111 Maltese Drive- Site Number : 8400065

🇺🇸

Middletown, New York, United States

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