MedPath

A Study to Investigate the Efficacy and Safety of Efgartigimod PH20 SC in Adult Participants With Active Idiopathic Inflammatory Myopathy.

Phase 2
Recruiting
Conditions
Active Idiopathic Inflammatory Myopathy
Myositis
Dermatomyositis
Polymyositis
Immune-Mediated Necrotizing Myopathy
Antisynthetase Syndrome
Interventions
Registration Number
NCT05523167
Lead Sponsor
argenx
Brief Summary

This study's purpose is to measure the treatment response from efgartigimod PH20 SC compared with placebo in participants with Idiopathic Inflammatory Myopathy (IIM). Participants with the IIM subtypes of dermatomyositis (DM), immune-mediated necrotizing myopathy (IMNM), or certain other subtypes of polymyositis (PM; including antisynthetase syndrome \[ASyS\]) will be included in the study. Treatment response will be measured by Total improvement score (TIS). Additional information can be found on https://myositis-study.com/.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Ability to consent in the jurisdiction in which the study is taking place and capable of giving signed informed consent.
  • A definite or probable clinical diagnosis of idiopathic inflammatory myopathy (IIM)
  • One of the following medical histories: Diagnosis of dermatomyositis (DM) or juvenile dermatomyositis (JDM), Diagnosis of polymyositis (PM) (including antisynthetase syndrome (ASyS)), Diagnosis of immune-mediated necrotizing myopathy (IMNM)
  • Diagnosed with active disease as defined by the presence of at least 1 of the following criteria: Abnormal levels of at least 1 of the following enzymes: creatine kinase (CK), aldolase, lactate dehydrogenase, aspartate aminotransaminase (AST), alanine aminotransferase (ALT), based on central laboratory results; Electromyography demonstrating active disease within the past 3 months; Active dermatomyositis (DM) skin rash; Muscle biopsy indicative of active idiopathic inflammatory myopathy (IIM) in the past 3 months; Magnetic resonance imaging within the past 3 months indicative of active inflammation
  • Muscle weakness
  • Receiving a permitted background treatment for idiopathic inflammatory myopathy.
  • Contraceptive use consistent with local regulations, where available, for individuals participating in clinical studies. Women of childbearing potential must have a negative serum pregnancy test during screening and a negative urine pregnancy test at baseline before receiving investigational medicinal product (IMP).

The full list of inclusion criteria can be found in the protocol.

Exclusion Criteria
  • A clinically significant active infection at screening
  • A COVID-19 polymerase chain reaction (PCR)-positive test before enrollment
  • Any other known autoimmune disease that, in the investigator's opinion, would interfere with an accurate assessment of clinical symptoms of idiopathic inflammatory myopathy (IIM) or put the patient at undue risk
  • A history of malignancy unless considered cured by adequate treatment, with no evidence of recurrence for ≥ 3 years before the first administration of the investigational medicinal product (IMP). Adequately treated participants with the following cancers can be included at any time: Basal cell or squamous cell skin cancer ; Carcinoma in situ of the cervix; Carcinoma in situ of the breast; Incidental histological finding of prostate cancer
  • Severe muscle damage
  • Glucocorticoid-induced myopathy that the investigator considers the primary cause of muscle weakness or permanent weakness linked to a non-idiopathic inflammatory myopathy (IIM) cause
  • Juvenile myositis (JDM) diagnosed > 5 years from screening or juvenile myositis with extensive calcinosis or severe calcinosis.
  • Uncontrolled interstitial lung disease or any other uncontrolled idiopathic inflammatory myopathy (IIM) manifestation that, in the opinion of the investigator, would be likely to require treatment with prohibited medication during the study
  • Other inflammatory and noninflammatory myopathies: inclusion body myositis, overlap myositis), metabolic myopathies, muscle dystrophies or a family history of muscle dystrophy, drug-induced or endocrine induced myositis, and juvenile myositis (other than juvenile dermatomyositis (JDM))
  • Clinically significant disease, recent major surgery or intends to have surgery during the study, or has any other condition in the opinion of the investigator that could confound the results of the trial or put the patient at undue risk
  • Known hypersensitivity reaction to investigational medicinal product (IMP) or 1 of its excipients
  • Received a live or live-attenuated vaccine less than 4 weeks before screening.
  • Positive serum test at screening for active viral infection with any of the following conditions: Hepatitis B virus (HBV); Hepatitis C virus (HCV); HIV
  • Participant has previously participated in an efgartigimod clinical trial and received at least 1 dose of investigational medicinal product (IMP).
  • Participant is concurrently participating in any other clinical study, including a noninterventional study.
  • Participant has a current or history (ie, within 12 months of screening) of alcohol, drug, or medication abuse.
  • Participant is pregnant or lactating or intends to become pregnant during the study.
  • Participant has severe renal impairment .
  • Participant is institutionalized by a court or other governmental order or is in a dependent relationship with the sponsor or investigator.

The full list of exclusion criteria can be found in the protocol.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
EFG PH20 SCEFG PH20 SCparticipants receiving efgartigimod PH20 SC on top of background treatment
PBO PH20 SCPBOparticipants receiving placebo PH20 SC on top of background treatment
Primary Outcome Measures
NameTimeMethod
Total improvement score (TIS); measured on a [0,100] scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).phase 2: 24 weeks; phase 3: 52 weeks
Secondary Outcome Measures
NameTimeMethod
Time to reach TIS ≥ 20 (first "minimal clinical improvement")phase 2: up to 24 weeks; phase 3: up to 52 weeks
Percentage of participants with TIS ≥ 20phase 2: 24 weeks; phase 3: 52 weeks
Time to reach TIS ≥ 40 (first "moderate clinical improvement")phase 2: up to 24 weeks; phase 3: up to 52 weeks
Percentage of participants with TIS ≥ 40phase 2: 24 weeks; phase 3: 52 weeks
Change in manual muscle testing-8 (MMT8) scorephase 2: 24 weeks; phase 3: 52 weeks
Change in Patient Global Assessment of Disease Activity (PGA)phase 2: 24 weeks; phase 3: 52 weeks
Change in Physician Global Assessment of Disease Activity (MDGA)phase 2: 24 weeks; phase 3: 52 weeks
Proportion of participants achieving target dose of ≤ 5 mg (prednisone equivalent)Phase 3: 52 weeks

Trial Locations

Locations (213)

The University of Tokyo Hospital

🇯🇵

Tokyo, Japan

Universitatsklinikum Ulm - Standort Oberer Eselsberg

🇩🇪

Ulm, Germany

Juntendo University Hospital - Rheumatology

🇯🇵

Tokyo, Japan

Institute of Rheumatology

🇷🇸

Belgrad, Serbia

Narodny ustav reumatickych chorob

🇸🇰

Piešťany, Slovakia

Hospital General Universitario de Alicante

🇪🇸

Alicante, Spain

Allgemeines Krankenhaus der Stadt Wien (AKH Wien)

🇦🇹

Wien, Austria

AZ Sint Lucas Gent-Campus Sint Lucas

🇧🇪

Gent, Belgium

Universitaetsklinikum Tuebingen (UKT)

🇩🇪

Tuebingen, Germany

Fiona Stanley Hospital

🇦🇺

Murdoch, Australia

Tokyo Medical And Dental University Hospital, Faculty of Medicine

🇯🇵

Bunkyo-ku, Japan

Japan Community Healthcare Organization Chukyo Hospital

🇯🇵

Nagoya, Japan

Neuromuscular Research Center

🇺🇸

Phoenix, Arizona, United States

HonorHealth Neurology - Bob Bove Neuroscience Institute - Neurology

🇺🇸

Scottsdale, Arizona, United States

Attune Health Research, Inc

🇺🇸

Beverly Hills, California, United States

Profound Research LLC - Oceanside

🇺🇸

Oceanside, California, United States

University of California, Irvine

🇺🇸

Orange, California, United States

Eisenhower Medical Center

🇺🇸

Rancho Mirage, California, United States

University of Tsukuba Hospital - Rheumatology

🇯🇵

Tsukuba-shi, Japan

Stanford Medicine Outpatient Center - Stanford Dermatology Clinic-Stanford University School of Medicine

🇺🇸

Redwood City, California, United States

California Pacific Medical Center - Sutter Health

🇺🇸

San Francisco, California, United States

Amyotrophic Lateral Sclerosis (ALS) Treatment Center,University of California San Francisco (UCSF)

🇺🇸

San Francisco, California, United States

Denver Arthritis Clinic

🇺🇸

Denver, Colorado, United States

Yale Cancer Center-Yale University School Of Medicine

🇺🇸

New Haven, Connecticut, United States

Medical University Innsbruck

🇦🇹

Innsbruck, Austria

Georgetown University Hospital

🇺🇸

Washington, District of Columbia, United States

UF Health Rheumatology

🇺🇸

Gainesville, Florida, United States

University of South Florida (USF) - Morsani Center (USF Health Carol and Frank Morsani Center for Advanced Healthcare)

🇺🇸

Tampa, Florida, United States

Emory University Hospital, The Emory Clinic

🇺🇸

Atlanta, Georgia, United States

Augusta University

🇺🇸

Augusta, Georgia, United States

Northwestern Memorial Hospital

🇺🇸

Chicago, Illinois, United States

University Of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

Johns Hopkins Medicine - Johns Hopkins Myositis Center

🇺🇸

Baltimore, Maryland, United States

Harvard Medical School - Brigham and Women's Hospital (BWH) - The Schuster Family Transplantation Research Center (TRC)

🇺🇸

Boston, Massachusetts, United States

Michigan State University - Neurology

🇺🇸

East Lansing, Michigan, United States

St. Paul Rheumatology, PA

🇺🇸

Saint Paul, Minnesota, United States

Northwell Health

🇺🇸

Great Neck, New York, United States

Hospital for Special Surgery

🇺🇸

New York, New York, United States

University of North Carolina (UNC) School of Medicine

🇺🇸

Chapel Hill, North Carolina, United States

Carolina Arthritis Associates

🇺🇸

Wilmington, North Carolina, United States

Cleveland Clinic - Main Campus

🇺🇸

Cleveland, Ohio, United States

The Ohio State University

🇺🇸

Columbus, Ohio, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

University of Pittsburg Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Vanderbilt University Medical Center (VUMC) - Vanderbilt Rheumatology Clinic

🇺🇸

Nashville, Tennessee, United States

Austin Neuromuscular Center

🇺🇸

Austin, Texas, United States

McGovern Medical School -The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

Nerve And Muscle Center Of Texas

🇺🇸

Houston, Texas, United States

University of Vermont Medical Center - Main Campus

🇺🇸

Burlington, Vermont, United States

University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Consultora Integral de Salud

🇦🇷

Córdoba, Argentina

Framingham Centro Medico

🇦🇷

La Plata, Argentina

Dim Clinica Privada

🇦🇷

Ramos Mejía, Argentina

Centro de Investigaciones Medicas Tucuman

🇦🇷

San Miguel De Tucumán, Argentina

Centro Dermatologico Schejtman

🇦🇷

San Miguel, Argentina

The Wesley Medical Research

🇦🇺

Auchenflower, Australia

Universitair Ziekenhuis Leuven Gasthuisberg Campus

🇧🇪

Leuven, Belgium

Centre Hospitalier Universitaire Sart Tilman

🇧🇪

Liège, Belgium

Medical Centre Artmed

🇧🇬

Plovdiv, Bulgaria

Multiprofile hospital for active treatment Kaspela EOOD

🇧🇬

Plovdiv, Bulgaria

Genge Partners

🇨🇦

Montréal, Canada

Ottawa Hospital Research Institute-Civic Campus

🇨🇦

Ottawa, Canada

Cyprus Institute of Neurology and Genetics

🇨🇾

Nicosia, Cyprus

Revmatologicky ustav

🇨🇿

Praha, Czechia

Copenhagen University Hospital-Rigshospitalet University Hospital

🇩🇰

Copenhagen, Denmark

Reference Center Neuro-Muscular Diseases - CHU Paris Group Hospitalier La Pitie Salpetriere-Charles Foix

🇫🇷

Paris, France

Centre Hospitalier Universitaire (CHU) Hopitaux de Rouen

🇫🇷

Rouen, France

Hopitaux Universitaire de Strasbourg-Centre de References des Maladies Autoimmunes

🇫🇷

Strasbourg, France

American Hospital Network

🇬🇪

Tbilisi, Georgia

LTD New Hospitals

🇬🇪

Tbilisi, Georgia

Aversi Clinic

🇬🇪

Tbilisi, Georgia

LLC MediClub Georgia

🇬🇪

Tbilisi, Georgia

The First Medical Center

🇬🇪

Tbilisi, Georgia

LTD Tbilisi Heart Center

🇬🇪

Tbilisi, Georgia

Charite - Universitaetsmedizin Berlin - Campus Charite Mitte (CCM)

🇩🇪

Berlin, Germany

Universitaetsklinikum Duesseldorf

🇩🇪

Düsseldorf, Germany

Universitatsmedizin Gottingen - Georg-August-Universitat

🇩🇪

Göttingen, Germany

Rheumazentrum Ruhrgebiet

🇩🇪

Herne, Germany

Universitatsmedizin Mannheim

🇩🇪

Mannheim, Germany

National and Kapodistrian University of Athens - School of Health Sciences - Faculty of Medicine

🇬🇷

Athens, Greece

National and Kapodistrian University of Athens - Eginition Hospital

🇬🇷

Athens, Greece

Attikon General University Hospital

🇬🇷

Athens, Greece

Athens Medical Center

🇬🇷

Athens, Greece

University of Ioannina Medical School

🇬🇷

Ioánnina, Greece

Semmelweis Egyetem, Institute of Genomic Medicine and Rare Disorders

🇭🇺

Budapest, Hungary

Debreceni Egyetem - University of Debrecen

🇭🇺

Debrecen, Hungary

St. Vincents University Hospital

🇮🇪

Dublin, Ireland

Connolly Hospital Blanchardstown

🇮🇪

Dublin, Ireland

North West Rheumatology Unit - Our Lady's Hospital

🇮🇪

Manorhamilton, Ireland

Bnai Zion Medical Center

🇮🇱

Haifa, Israel

Rambam Health Care Campus

🇮🇱

Haifa, Israel

Sheba Medical Center - Rheumatology

🇮🇱

Ramat Gan, Israel

Azienda Ospedaliera Universitaria Policlinico Consorziale Di Bari - Rheumatology

🇮🇹

Bari, Italy

Azienda Ospedaliero Universitaria Careggi

🇮🇹

Firenze, Italy

Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele Hospital

🇮🇹

Milan, Italy

San Matteo Hospital

🇮🇹

Pavia, Italy

A.O. Universitaria Pisana

🇮🇹

Pisa, Italy

IRCCS Arcispedale Santa Maria Nuova

🇮🇹

Reggio Emilia, Italy

Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Universita Cattolica del Sacro Cuore

🇮🇹

Roma, Italy

Azienda Ospedaliero Universitaria Sant'Andrea

🇮🇹

Roma, Italy

IRCCS Istituto Clinico Humanitas - Rheumatology

🇮🇹

Rozzano, Italy

Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino - Presidio Molinette

🇮🇹

Torino, Italy

ASU FC - Presidio Ospedaliero Universitario Santa Maria della Misericordia

🇮🇹

Udine, Italy

Azienda Ospedaliera Universitaria Integrata di Verona - Ospedale Borgo Roma

🇮🇹

Verona, Italy

Nippon Medical School - Nippon Medical School Hospital

🇯🇵

Bunkyo-ku, Japan

Chiba-Nishi General Hospital

🇯🇵

Matsudo-shi, Japan

Kitasato University Hospital (KUH)

🇯🇵

Sagamihara-shi, Japan

Sapporo City Hospital

🇯🇵

Sapporo-shi, Japan

Hokkaido University Hospital - Rheumatology

🇯🇵

Sapporo-shi, Japan

Sasebo Chuo Hospital

🇯🇵

Sasebo-shi, Japan

Tohoku University Hospital

🇯🇵

Sendai-shi, Japan

Yamaguchi University Hospital

🇯🇵

Ube-shi, Japan

Wakayama Medical University Hospital - Dermatology

🇯🇵

Wakayama-shi, Japan

Chungnam National University Hospital (CNUH)

🇰🇷

Daejeon, Korea, Republic of

Gachon University Gil Medical Center

🇰🇷

Incheon, Korea, Republic of

Kyung Hee University Medical Center

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Hanyang University Seoul Hospital

🇰🇷

Seoul, Korea, Republic of

Ajou University Hospital

🇰🇷

Suwon, Korea, Republic of

Hospital of Lithuanian University of Health Sciences Kauno klinikos

🇱🇹

Kaunas, Lithuania

Vilnius University Hospital Santaros Klinikos

🇱🇹

Vilnius, Lithuania

CITER - Centro de Investigacion y Tratamiento de las Enfermedades Reumaticas S.A. de C.V.

🇲🇽

Mexico City, Mexico

Centro Peninsular De Investigacion Clinica

🇲🇽

Mérida, Mexico

Amsterdam University Medical Center (Amsterdam UMC), Academic Medical Center (AMC)

🇳🇱

Amsterdam, Netherlands

Universitair Medisch Centrum Utrecht (UMC Utrecht)

🇳🇱

Utrecht, Netherlands

Hogar Clinica San Juan de Dios

🇵🇪

Arequipa, Peru

Investigaciones Clinicas S.A.C.

🇵🇪

Lima, Peru

Instituto Peruano Del Hueso Y La Articulacion Sac-Privado-Lima, Centro De Investigacion Iphar

🇵🇪

Lima, Peru

Hospital Nacional Cayetano Heredia

🇵🇪

Lima, Peru

Szpital Uniwersytecki nr 2 im. Dr Jana Biziela w Bydgoszczy

🇵🇱

Bydgoszcz, Poland

Centrum Wsparcia Badan Klinicznych Pomorski Uniwersytet Medyczny w Szczecinie

🇵🇱

Szczecin, Poland

USK-WAM Centralny Szpital Weteranow - Szpital Kniniczny ul. Zeromskiego 113

🇵🇱

Łódź, Poland

Centro Hospitalar Lisboa Norte, E.P.E- Hospital Santa Maria

🇵🇹

Lisboa, Portugal

Centro Hospitalar Universitario de Santo Antonio

🇵🇹

Porto, Portugal

Clinical Center of Serbia

🇷🇸

Belgrade, Serbia

Hospital Clinic de Barcelona - Sede Villarroel - Rheumatology

🇪🇸

Barcelona, Spain

Hospital de la Santa Creu i Sant Pau

🇪🇸

Barcelona, Spain

Hospital Universitario Ramon y Cajal

🇪🇸

Madrid, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

Hospital De Valme

🇪🇸

Sevilla, Spain

Hospital Universitario y Politecnico La Fe

🇪🇸

Valencia, Spain

Hospital Do Meixoeiro

🇪🇸

Vigo, Spain

Karolinska Universitestssjukhus Solna

🇸🇪

Stockholm, Sweden

Neurocenter of Southern Switzerland

🇨🇭

Lugano, Switzerland

Chung Shan Medical University Hospital

🇨🇳

Taichung city, Taiwan

Taichung Veterans General Hospital

🇨🇳

Taichung City, Taiwan

China Medical University and Hospital

🇨🇳

Taichung, Taiwan

Chulalongkorn University - Faculty of Medicine - King Chulalongkorn Memorial Hospital (KCMH)

🇹🇭

Bangkok, Thailand

Phramongkutklao Hospital

🇹🇭

Bangkok, Thailand

Ramathibodi hospital

🇹🇭

Bangkok, Thailand

Siriraj Hospital, Mahidol University of Internal medicine

🇹🇭

Bangkok, Thailand

Khon Kaen University

🇹🇭

Khon Kaen, Thailand

Thammasat University Hospital

🇹🇭

Pathum Thani, Thailand

Ankara University Medical Faculty

🇹🇷

Ankara, Turkey

Ankara City Hospital

🇹🇷

Ankara, Turkey

Necmettin Erbakan University Meram Medical Faculty

🇹🇷

Konya, Turkey

Aintree University Hospital - Liverpool University Hospitals NHS Foundation Trust

🇬🇧

Liverpool, United Kingdom

The Royal Free Hospital - Royal Free London NHS Foundation Trust

🇬🇧

London, United Kingdom

Kings College Hospital NHS Foundation Trust

🇬🇧

London, United Kingdom

The National Hospital for Neurology and Neurosurgery

🇬🇧

London, United Kingdom

James Cook University Hospital - South Tees Hospitals NHS Foundation Trust

🇬🇧

Middlesbrough, United Kingdom

Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust

🇬🇧

Salford, United Kingdom

Universite Libre de Bruxelles (ULB) - Hopital Erasme

🇧🇪

Anderlecht, Belgium

University of Southern California Norris Comprehensive Cancer Center

🇺🇸

Los Angeles, California, United States

University Of California - Los Angeles

🇺🇸

Los Angeles, California, United States

Stanford Neuroscience Health Center

🇺🇸

Palo Alto, California, United States

University of Colorado Denver, Anschutz Medical Campus

🇺🇸

Aurora, Colorado, United States

University Of Miami

🇺🇸

Miami, Florida, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

The University of Chicago Medical Center (UCMC) - Duchossois Center for Advanced Medicine (DCAM)

🇺🇸

Chicago, Illinois, United States

University Of Louisville Healthcare Outpatient Center

🇺🇸

Louisville, Kentucky, United States

Ochsner Medical Center (OMC)

🇺🇸

New Orleans, Louisiana, United States

University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Altoona Center for Clinical Research

🇺🇸

Duncansville, Pennsylvania, United States

Palmetto Primary and Specialty Care Physicians

🇺🇸

Summerville, South Carolina, United States

Texas Neurology, P.A.

🇺🇸

Dallas, Texas, United States

University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

Texas Arthritis Center

🇺🇸

El Paso, Texas, United States

The University of Texas Health Science Center at San Antonio

🇺🇸

San Antonio, Texas, United States

West Virginia University - Physician Office Center Department of Neurology

🇺🇸

Morgantown, West Virginia, United States

West Virginia University School of Medicine (WVUSoM) - Movement Disorder Clinic

🇺🇸

Morgantown, West Virginia, United States

Sanatorio Parque S.A y Consultorios Externos Asociados

🇦🇷

Rosario, Argentina

Kepler University Hospital

🇦🇹

Linz, Austria

Klinikum Wels-Grieskirchen

🇦🇹

Wels, Austria

Hospital Hietzing in Vienna

🇦🇹

Wien, Austria

Universitair Ziekenhuis Gent

🇧🇪

Gent, Belgium

Associacao de Assitencia a Crianca Deficiente(AACD)

🇧🇷

Sao Paulo, Brazil

Multiprofile Hospital for Active Treatment - Plovdiv AD

🇧🇬

Plovdiv, Bulgaria

DCC Sveti Georgi

🇧🇬

Plovdiv, Bulgaria

Clinic of Rheumatology Multiprofile Hospital for Active Treatment Sveti Ivan Rilski

🇧🇬

Sofia, Bulgaria

University of Alberta - Mazankowski Alberta Heart Institute (MAHI)

🇨🇦

Edmonton, Canada

Applied Medical Informatics Research Inc. (A.M.I.R.)

🇨🇦

Montreal, Canada

China-Japan Friendship Hospital

🇨🇳

Beijing, China

Mayo Clinic

🇺🇸

Jacksonville, Florida, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Mercy Hospital - Mercy Clinic Neurology Oklahoma City - Neurology

🇺🇸

Oklahoma City, Oklahoma, United States

Centre Hospitalier Universitaire de Charleroi

🇧🇪

Charleroi, Belgium

Peking University First Hospital

🇨🇳

Beijing, China

Peking University Third Hospital

🇨🇳

Beijing, China

Peking Union Medical College Hospital

🇨🇳

Beijing, China

The First Hospital of Jilin University

🇨🇳

Changchun, China

Xiangya Hospital Central South University

🇨🇳

Changsha, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, China

Sichuan Provincial Peoples Hospital

🇨🇳

Chengdu, China

Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

🇨🇳

Guangzhou, China

Nanfang Hospital, Southern Medical University

🇨🇳

Guangzhou, China

The First Affiliated Hospital - School of Medicine - ZheJiang University

🇨🇳

Hangzhou, China

Anhui Provincial Hospital

🇨🇳

Hefei, China

The Second Affiliated Hospital Of Nanchang University

🇨🇳

Nanchang, China

Nanjing Drum Tower Hospital

🇨🇳

Nanjing, China

Huashan Hospital Affiliated to Fudan University

🇨🇳

Shanghai, China

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