MedPath

A Study of TAK-062 in Treatment of Active Celiac Disease in Participants Attempting a Gluten-Free Diet

Phase 2
Completed
Conditions
Celiac Disease
Interventions
Drug: TAK-062
Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar
Drug: TAK-062 Placebo
Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar
Registration Number
NCT05353985
Lead Sponsor
Takeda
Brief Summary

The main aim is to see how TAK-062 works to reduce celiac-related symptoms and improve small intestinal damage due to gluten exposure, in participants with celiac disease (CeD) attempting to maintain a gluten-free diet (GFD) in treated participants versus placebo controls.

Detailed Description

The drug being tested in this study is called TAK-062. TAK-062 is designed to break down gluten in the stomach and is being tested to treat people who have active CeD, attempting to maintain a GFD.

The study will enroll approximately 357 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the two treatment groups in Cohort 1:

1. Cohort 1 (Age 18 and older): TAK-062 Placebo + SIGE Gluten-Bar

2. Cohort 1 (Age 18 and older): TAK-062 Dose 1 + SIGE Gluten-Bar

After the interim analysis (IA), Cohort 1 data will be reviewed by an external independent data monitoring committee (DMC), and based on the Sponsor's decision, adolescent participants will be enrolled in Cohort 2. Adult participants, 18 years and older will be enrolled into Cohort 2 once Cohort 1 has completed enrolment. Adult participants will be randomly assigned to one of the five study drug and SIGE treatment groups (Groups a-e), and approximately 21 adolescent participants will be enrolled and randomly assigned to Groups d, e, and f (adolescents only). Adolescents in Cohort 2 will receive only gluten-free SIGE bars.

1. Cohort 2 (Age 18 and older): TAK-062 Placebo + SIGE Gluten-Bar

2. Cohort 2 (Age 18 and older): TAK-062 Dose 2 + SIGE Gluten-Bar

3. Cohort 2 (Age 18 and older): TAK-062 Dose 3 + SIGE Gluten-Bar

4. Cohort 2 (Age 12 and older): TAK-062 Placebo + Gluten-free SIGE Bar

5. Cohort 2 (Age 12 and older): TAK-062 Dose 1 + Gluten-free SIGE Bar

6. Cohort 2 (Age 12-17): TAK-062 Dose 2 + Gluten-free SIGE Bar

This multi-center trial will be conducted in the United States (US), Canada, United Kingdom and the European Union. The overall time to participate in this study is approximately 36 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
153
Inclusion Criteria
  1. Has an adequate comprehension of a gluten-free diet (GFD) assessed by the site investigator after review of responses to a knowledge test. The final determination of a participant's adequate comprehension of a GFD is at the discretion of the investigator.

  2. Has at least 1 CeD-related GI symptom of moderate or greater severity, as measured by the CDSD, on at least 3 days out of any consecutive 7-day period during the screening period (Week -8 visit until Week -4 visit), felt by the investigator to be related to gluten exposure. The CeD-related symptom(s) may vary day by day as long as the severity of at least 1 symptom is moderate or greater. The participants must meet symptom criteria to undergo esophagogastroduodenoscopy (EGD)/video capsule endoscopy (VCE).

  3. Has been attempting to maintain a GFD for at least 12 months as self-reported by the participant.

  4. Has small intestinal villous atrophy on duodenal biopsy defined as Vh:Cd <2.5 at Week -4.

  5. The participant is human leukocyte antigen (HLA)-DQ2 and/or HLA-DQ8 positive.

  6. The participant is in a good general state of health according to clinical history and physical examination, in the opinion of the investigator.

  7. Have a body mass index (BMI) between 16 and 45 kilogram per meter square (kg/m^2), inclusive.

    Note: Individuals with BMI of 40 to 45 should be discussed with the medical monitor and confirmed to be appropriate for endoscopy according to local site guidelines.

  8. The participant is willing and able to continue any current dietary and/or medical regimens (including gastric acid suppression) in effect at the first visit (Visit 1).

There should be no changes to diet, medications (prescription or over-the-counter) or supplements during study participation.

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Exclusion Criteria
  1. Has the presence of other inflammatory GI disorders or systemic autoimmune diseases that either have the potential to cause persistent GI symptoms similar to CeD or are not well controlled without the use of excluded medication.

    • Examples of conditions that are exclusionary include inflammatory bowel disease, eosinophilic esophagitis, gastroenteritis or colitis, microscopic colitis diagnosed at screening or requiring treatment in the 6 months before screening.
    • Examples of conditions that may be permissible after discussion with the medical monitor include systemic autoimmune disease such as scleroderma, psoriatic or rheumatoid arthritis, or lupus that is stable and without GI involvement; well controlled autoimmune thyroid disease; well-controlled type 1 diabetes; or proton pump inhibitor (PPI) responsive eosinophilic esophagitis in symptomatic and histologically confirmed remission.
  2. Has ongoing systemic immunosuppressant, systemic corticosteroid treatment excluding medication given for the endoscopies, or treatment with systemic immunosuppressants or systemic corticosteroids in the 12 weeks before Screening.

    • The participant is receiving immunosuppressive doses of corticosteroids: 3 mg per day or more of budesonide for more than 3 consecutive days within 3 months before Screening, more than 20 mg of prednisone given daily or on alternative days for 2 weeks or more within 90 days before the first dose, any dose of oral or intravenous (IV) corticosteroids within 30 days of the first dose, or high-dose inhaled corticosteroids (>960 micrograms per day [μg/day] of beclomethasone dipropionate or equivalent), or other systemic immunosuppressive agents.

  3. Has ongoing use of over-the-counter digestive enzymes or digestive supplements, other than lactase, including those for gluten digestion. Probiotics are allowable if they were started before Screening and not discontinued or changed in dose or type during the study.

  4. Has completed the CDSD on ≤75% of the evaluable days during the run-in period until randomization.

  5. Has active microscopic colitis requiring treatment in the 6 months before Screening.

    • Microscopic colitis detected at screening if sigmoidoscopy is performed would exclude the participant.

  6. Has known or suspected type 2 refractory CeD or ulcerative jejunitis.

  7. Has ongoing chronic use (defined as >7 days continuous use) of a nonsteroidal anti-inflammatory drug aside from <100 mg aspirin, daily, for prophylactic use.

  8. Has ongoing use, or use in the 3 months before screening, of medications known to cause villous abnormalities (e.g., mycophenolate mofetil, angiotensin receptor blockers, colchicine).

  9. Has used treatments for GI symptoms including antiemetics, antidiarrheals, antispasmodics, medical marijuana, (use of medical marijuana indicated for non-GI conditions is not exclusionary) within 2 weeks of Screening and during the run-in period. Participants on stable dose (i.e., more than 4 weeks) of an osmotic, bulking-forming or emollient (surface active agent) laxative are eligible, provided symptoms are considered not related to CeD in the opinion of the investigator.

  10. Has a known or suspected severe enteric infection (viral, bacterial, or parasitic) within 6 months before randomization. Severe enteric infection is defined as requiring emergency room visit or hospitalization or treatment with antibiotics or anti-infectives due to infection. Non enteric viral infections, either resolved or well-controlled are not exclusionary.

  11. Has a contraindication to endoscopy with duodenal biopsy.

    --Contraindication to VCE (strictures, anastomoses, etc) is not an exclusion if the participant is able to complete the other aspects of the study.

  12. Has additional food allergies (tapioca syrup, oats, almonds, rice crisp, chocolate, almond, butter, wheat gluten, cocoa butter, oat flour, glycerin, sunflower lecithin, salt, and natural flavors) to nongluten ingredients in the SIGE bar study food or significant symptoms upon ingestion of the gluten-free SIGE bar during screening.

  13. Has a history of intolerance, hypersensitivity, or idiosyncratic reaction to an aminoglycoside.

  14. Has a known human immunodeficiency virus (HIV) infection or positive tests for hepatitis B or C. The participant has a known clinically significant chronically active hepatopathy of any origin, including cirrhosis, and participants with persistent positive hepatitis B virus surface antigen and quantitative hepatitis B virus polymerase chain reaction (PCR), or positive serology for hepatitis C virus (HCV) and quantitative HCV PCR within 6 months before the screening visit.

  15. Is positive for severe acute respiratory syndrome coronavirus 2 at the time of screening and exhibits symptoms that, in the opinion of the investigator, may interfere with study compliance, completion, or accurate assessment of study outcomes or safety.

  16. Has a known hypersensitivity reaction and/or allergy, including anaphylaxis, to wheat and/or gluten.

  17. Has known history of hypersensitivity, idiosyncratic reaction, or intolerance to any ingredients or excipients in TAK-062 and/or placebo.

  18. The participant has a current diagnosis of active malignancy or is receiving treatment for active malignancy (hormone therapy alone is not exclusionary). Participants with fully resected Stage 0 (carcinoma in situ) or Stage 1 tumor without signs of recurrence may participate. All other individuals with malignancies diagnosed in the 5 years prior to screening are excluded.

Region-specific Exclusion Criteria:

  1. Participant enrolling in a study in France is not affiliated to a social security scheme or a beneficiary of such a scheme.

  2. Participant enrolling in a study in France is deprived of their liberty by a judicial or administrative decision.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 1: TAK-062 Dose 1 + SIGE Gluten-BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Placebo + SIGE Gluten-BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Placebo + SIGE Gluten-BarTAK-062 PlaceboTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 2 + SIGE Gluten-BarTAK-062TAK-062 Dose 2, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE BarTAK-062TAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 1: TAK-062 Placebo + SIGE Gluten-BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 1: TAK-062 Placebo + SIGE Gluten-BarTAK-062 PlaceboTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 3 + SIGE Gluten-BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 Dose 3, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Placebo + Gluten-free SIGE BarTAK-062 PlaceboTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarTAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 1: TAK-062 Dose 1 + SIGE Gluten-BarTAK-062TAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 2 + SIGE Gluten-BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 Dose 2, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Placebo + Gluten-free SIGE BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 3 + SIGE Gluten-BarTAK-062TAK-062 Dose 3, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 2 + Gluten-free SIGE BarTAK-062TAK-062 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Cohort 2: TAK-062 Dose 2 + Gluten-free SIGE BarSimulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarTAK-062 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.
Primary Outcome Measures
NameTimeMethod
Change in Weekly Celiac Disease Symptom Diary (CDSD) Gastrointestinal (GI) Symptom Severity Score from Baseline to Week 12Baseline (Week -1) to Week 12

CDSD GI symptom severity score is an average of the daily GI symptom severity scores during the week. The daily GI symptom severity score is the average of the severity score for diarrhea, abdominal pain, bloating and nausea, ranging from 0 to 4. Symptom severity is evaluated using 5-point Likert-type scales (none, mild, moderate, severe, and very severe). Higher scores indicate severe symptoms.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants with Positive Antidrug Antibodies (ADA) in Serum for TAK-062Up to Week 28

A positive ADA participant is defined as a participant who has at least 1 positive ADA result during the study and is further categorized as: Transiently positive- defined as participants with confirmed positive ADA in at least 1 sample and no consecutive samples; Persistently positive- defined as participants with confirmed positive ADA in 2 or more consecutive positive ADA samples.

Change in Villous Height to Crypt Depth Ratio (Vh:Cd) from Baseline to Week 24Baseline (Week -4, Run-in Period) to Week 24

The Vh:Cd ratio represents mucosal architectural changes and a lower Vh:Cd ratio indicates more severe intestinal injury characterized by a flattening of the mucosa.

Percentage of Participants Experiencing at Least One Treatment-Emergent Adverse Event (TEAE), Serious Adverse Events (SAEs) and Treatment-Related TEAEsUp to Week 28

Adverse event (AE)= any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. AE can therefore be any unfavorable and unintended sign (e.g., clinically significant abnormal laboratory value, electrocardiogram\[ECG\] value, or vital sign measurement), symptom, or disease temporally associated with the use of a drug whether or not it is considered related to the drug. TEAE=new onset or worsening AEs after the first dose of study treatment regardless of relationship to study drug. SAE= any untoward medical occurrence at any dose that results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, leads to a congenital anomaly/birth defect, or is an important medical event. TEAEs considered related to the study drug as assessed by the Investigator will be reported.

Trial Locations

Locations (101)

Medical Associates Research Group, Inc.

🇺🇸

San Diego, California, United States

Komisja Bioetyczna przy Okregowej Izbie Lekarskiej w Warszawie

🇵🇱

Warszawa, Poland

Ospedale Umberto I di Torino S.C. Gastroenterologia

🇮🇹

Torino, Italy

Azienda Ospedaliero Universitaria Pisana (Presidio di Cisanello) U.O. Gastroenterologia

🇮🇹

Pisa, Italy

Adobe Clinical Research LLC

🇺🇸

Tucson, Arizona, United States

Nature Coast Clinical Research, LLC

🇺🇸

Inverness, Florida, United States

Stanford University School of Medicine

🇺🇸

Redwood City, California, United States

Asthma and Allergy Associates, PC

🇺🇸

Colorado Springs, Colorado, United States

So. California Research Institute Med Group Inc./West Gastroenterology Med Group

🇺🇸

Los Angeles, California, United States

UCLA

🇺🇸

Los Angeles, California, United States

Gastroenterology and Liver Institute

🇺🇸

Escondido, California, United States

Indiana University -GI

🇺🇸

Indianapolis, Indiana, United States

Om Research LLC

🇺🇸

Lancaster, California, United States

Providence Facey Medical Foundation

🇺🇸

Mission Hills, California, United States

Wellness Clinical Research

🇺🇸

Miami Lakes, Florida, United States

University of Miami Medical Center

🇺🇸

Miami, Florida, United States

Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico

🇮🇹

Milan, Milano, Italy

Fondazione IRCCS Policlinico San Matteo Sezione di Medicina Interna

🇮🇹

Pavia, Italy

Washington University, School of Medicine

🇺🇸

Saint Louis, Missouri, United States

University of Iowa Hospital and Clinics

🇺🇸

Iowa City, Iowa, United States

Fondazione Policlinico Universitario Agostino Gemelli IRCCS UOC Medicina Interna e Gastroenterologia

🇮🇹

Roma, Italy

Revive Research Institute, Inc

🇺🇸

Farmington Hills, Michigan, United States

Hawthorn Medical Associates LLC

🇺🇸

South Dartmouth, Massachusetts, United States

New York University Medical Center PRIME

🇺🇸

New York, New York, United States

Clinical Research Institute of Michigan, LLC

🇺🇸

Chesterfield, Michigan, United States

AZ Maria Middelares

🇧🇪

Gent, Belgium

Biopharma Informatic, LLC

🇺🇸

McAllen, Texas, United States

Carolina Digestive Diseases

🇺🇸

Greenville, North Carolina, United States

Cleveland Clinic - Gastroenterology and Hepatology

🇺🇸

Cleveland, Ohio, United States

Gastro Health Research

🇺🇸

Cincinnati, Ohio, United States

Victoria Gastroenterology

🇺🇸

Victoria, Texas, United States

Rochester Clinical Research

🇺🇸

Rochester, New York, United States

University of Washington Division of Gastroenterology

🇺🇸

Seattle, Washington, United States

University of Virginia Medical Center

🇺🇸

Charlottesville, Virginia, United States

AZ Sint-Lucas

🇧🇪

Brugge, Belgium

St. Boniface Hospital Inc. Section of Nephrology BG 007

🇨🇦

Winnipeg, Manitoba, Canada

Dayton Gastroenterology, Inc

🇺🇸

Englewood, Ohio, United States

Eastern Pennsylvania Gastroeneterology and Liver Specialists

🇺🇸

Allentown, Pennsylvania, United States

Institut des MICI

🇫🇷

Neuilly, Hauts De Seine, France

The Methodist Hospital 150520246

🇺🇸

Houston, Texas, United States

Spring Clinical Research

🇺🇸

Houston, Texas, United States

Swedish Gastroenterology

🇺🇸

Seattle, Washington, United States

Velocity Clinical Research

🇺🇸

Spokane, Washington, United States

Azienda Ospedaliero Universitaria di Ferrara

🇮🇹

Cona, Ferrara, Italy

Azienda Ospedaliero Universitaria Ospedali Riuniti- Ospedale Pediatrico UOC Pediatria - G. Salesi

🇮🇹

Ancona, Italy

Kensington Screening Clinic

🇨🇦

Toronto, Ontario, Canada

Hopital Rangueil Service de Gastro Enterologie et Nutrition

🇫🇷

Toulouse Cedex 09, Haute Garonne, France

Ospedale Valduce 300205849

🇮🇹

Como, Italy

Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Internal Medicine

🇮🇹

Palermo, Italy

Hopital Europeen Georges Pompidou Gastro Enterologie et Oncologie Digestive

🇫🇷

Paris, France

Azienda Ospedaliera Universitaria OO. RR. S. Giovanni di Dio e Ruggi D'Aragona

🇮🇹

Salerno, Italy

Gabinet Lekarski Bartosz Korczowski

🇵🇱

Rzeszow, Poland

King's College Hospital Dept of Gastroenterology

🇬🇧

London, Greater London, United Kingdom

Hospital Universitario Virgen Macarena Digestive Service

🇪🇸

Sevilla, Spain

Vall d'Hebron Research Institute

🇪🇸

Barcelona, Spain

Hospital Universitario Ramon y Cajal Servicio de Gastroenterologia

🇪🇸

Madrid, Spain

ETG Zamosc

🇵🇱

Zamosc, Poland

The Ulster Hospital Department of Gastroenterology

🇬🇧

Belfast, United Kingdom

Hospital Clinico Universitario Virgen de la Victoria Digestive Service

🇪🇸

Malaga, Spain

Royal London Hospital Dept of Gastroenterology

🇬🇧

London, Greater London, United Kingdom

Hospital Universitario Miguel Servet Servicio de Aparato Digestivo

🇪🇸

Zaragoza, Spain

Bradford Teaching Hospitals NHS Foundation Trust

🇬🇧

Bradford, West Yorkshire, United Kingdom

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Royal Hallamshire Hospital Dept of Gastroenterology

🇬🇧

Sheffield, South Yorkshire, United Kingdom

Tryon Medical Partners

🇺🇸

Charlotte, North Carolina, United States

Blair S Lewis MD

🇺🇸

New York, New York, United States

Blue Ridge Medical Research

🇺🇸

Lynchburg, Virginia, United States

Lemah Creek Clinical Research

🇺🇸

Oakbrook Terrace, Illinois, United States

St. Johns Center for Clinical Research

🇺🇸

Saint Augustine, Florida, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Mayo Clinic- Arizona

🇺🇸

Scottsdale, Arizona, United States

One of a Kind Clinical Research Center LLC

🇺🇸

Paradise Valley, Arizona, United States

Agile Clinical Research Trials

🇺🇸

Alpharetta, Georgia, United States

Gastroenterology Associates of Pensacola, PA

🇺🇸

Pensacola, Florida, United States

Manhattan Clinical Research, LLC

🇺🇸

Manhattan, New York, United States

Rapid City Medical Center, LLC

🇺🇸

Rapid City, South Dakota, United States

Gastroenterology Associates, PA

🇺🇸

Greenville, South Carolina, United States

Research Solutions of Arizona, PC

🇺🇸

Litchfield Park, Arizona, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

CHU Saint Etienne - Hopital Nord Service de Gastro-Enterologie et Hepatologie

🇫🇷

Saint Etienne, Loire, France

Lahey Hospital and Medical

🇺🇸

Burlington, Massachusetts, United States

Vitaz

🇧🇪

Sint-Niklaas, Belgium

FutureMeds Krakow prev. Krakowskie Centrum Medyczne Sp. z o.o.

🇵🇱

Krakow, Poland

Centrum Medyczne Medyk

🇵🇱

Rzeszow, Poland

Warsaw IBD Point Profesor Kierkus

🇵🇱

Warszawa, Poland

Gastroenterology and Internal Medicine Research Institute (GIRI)

🇨🇦

Edmonton, Alberta, Canada

McGill University Health Center McGill University

🇨🇦

Montreal, Quebec, Canada

CHU Lille - Hopital Claude Huriez Service des maladies de I'appareil digestif

🇫🇷

Lille cedex, Nord, France

ALLMEDICA sp. z o. o.

🇵🇱

Nowy Targ, Poland

Melita Medical SP . Z O. O.

🇵🇱

Wroclaw, Poland

John Radcliffe Hospital Dept of Gastroenterology

🇬🇧

Oxford, Oxfordshire, United Kingdom

Mayo Clinic - Rochester

🇺🇸

Rochester, Minnesota, United States

GCP Clinical Research, LLC

🇺🇸

Tampa, Florida, United States

University Medical Center New Orleans

🇺🇸

New Orleans, Louisiana, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Clinical Research Partners, LLC

🇺🇸

Richmond, Virginia, United States

Central Connecticut Endoscopy Center

🇺🇸

Plainville, Connecticut, United States

GI Alliance- Sun City

🇺🇸

Sun City, Arizona, United States

Medical Research Center of Connecticut, LLC 300143562

🇺🇸

Hamden, Connecticut, United States

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

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