MedPath

A Study Comparing Risankizumab to Placebo in Participants With Active Psoriatic Arthritis Including Those Who Have a History of Inadequate Response or Intolerance to Biologic Therapy(Ies)

Phase 3
Active, not recruiting
Conditions
Psoriatic Arthritis (PsA)
Interventions
Biological: Placebo
Biological: Risankizumab
Registration Number
NCT03671148
Lead Sponsor
AbbVie
Brief Summary

The purpose of this study is to evaluate the safety and efficacy of risankizumab in adults with moderately to severely active psoriatic arthritis (PsA).

Detailed Description

The study consists of a Screening Period (approximately 35 days), Period 1, Period 2, and a 20-week Follow-up Period. Period 1 is a 24-week randomized, double-blind, placebo-controlled, parallel-group period. Period 2 is the long-term period and starts at Week 24. To maintain the blind to the original treatment allocation, treatment at the Week 24 Visit is blinded: participants randomized to placebo receive blinded risankizumab 150 mg, and participants randomized to risankizumab receive blinded placebo. At Week 28 and for the remaining dosing visits (to Week 316), all participants receive open-label risankizumab 150 mg every 12 weeks. Participants remain blinded to the original randomization allocation for the duration of the study. The total study duration is 336 weeks including a telephone call 140 days (20 weeks) after last dose of study drug.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
444
Inclusion Criteria
  • Clinical diagnosis of psoriatic arthritis (PsA) with symptom onset at least 6 months prior to the Screening Visit and fulfillment of the Classification Criteria for PsA (CASPAR) at Screening Visit.
  • Participant has active disease defined as ≥ 5 tender joints (based on 68 joint counts) and ≥ 5 swollen joints (based on 66 joint counts) at both the Screening Visit and Baseline.
  • Diagnosis of active plaque psoriasis, with at least one psoriatic plaque of ≥ 2 cm diameter or nail changes consistent with psoriasis at Screening Visit.
  • Participant has demonstrated an inadequate response or intolerance to biologic therapy(ies) or conventional synthetic disease modifying anti-rheumatic drugs (csDMARD) therapy(ies).
Read More
Exclusion Criteria
  • Participant is considered by investigator, for any reason, to be an unsuitable candidate for the study.
  • Participant has a known hypersensitivity to risankizumab.
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboRisankizumabParticipants randomized to receive double-blind placebo at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive 150 mg risankizumab followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316.
RisankizumabPlaceboParticipants randomized to receive 150 mg risankizumab administered by subcutaneous injection at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive blinded placebo followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316.
PlaceboPlaceboParticipants randomized to receive double-blind placebo at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive 150 mg risankizumab followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316.
RisankizumabRisankizumabParticipants randomized to receive 150 mg risankizumab administered by subcutaneous injection at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive blinded placebo followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 24Baseline and Week 24

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria:

1. ≥ 20% improvement in 68-tender joint count;

2. ≥ 20% improvement in 66-swollen joint count; and

3. ≥ 20% improvement in at least 3 of the 5 following parameters:

* Physician global assessment of disease activity

* Patient global assessment of disease activity

* Patient assessment of pain

* Health Assessment Questionnaire - Disability Index (HAQ-DI)

* High-sensitivity C-reactive protein (hsCRP).

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With Resolution of Dactylitis at Week 24Week 24

Resolution of dactylitis is defined as a Leeds Dactylitis Index (LDI) score = 0.

The LDI basic is a score based on finger circumference and tenderness, assessed across all digits. The LDI basic measures the ratio of the circumference of the affected digit to the circumference of the digit on the opposite hand or foot, using a minimum difference of 10% to define a dactylitic digit. The ratio of circumference is multiplied by a tenderness score (1 for tender, 0 for non-tender). If both sides of a digit are considered involved, or the circumference of the contralateral digit cannot be obtained, a standard reference table is used.

Scores from each digit are summed to provide the final LDI. A higher LDI indicates worse dactylitis.

Change From Baseline In Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24Baseline and Week 24

The Health Assessment Questionnaire Disability Index is a patient-reported questionnaire that measures the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and errands and chores) over the past week. Participants assessed their ability to do each task on a scale from 0 (without any difficulty) to 3 (unable to do). Scores were averaged to provide an overall score ranging from 0 to 3, where 0 represents no disability and 3 represents very severe, high-dependency disability.

A negative change from Baseline in the overall score indicates improvement.

Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response at Week 24Baseline and Week 24

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR50 response criteria:

1. ≥ 50% improvement in 68-tender joint count;

2. ≥ 50% improvement in 66-swollen joint count; and

3. ≥ 50% improvement in at least 3 of the 5 following parameters:

* Physician global assessment of disease activity

* Patient global assessment of disease activity

* Patient assessment of pain

* Health Assessment Questionnaire - Disability Index (HAQ-DI)

* High-sensitivity C-reactive protein (hsCRP).

Percentage Of Participants Achieving Psoriasis Area Severity Index (PASI) 90 Response at Week 24Baseline and Week 24

PASI is a composite score based on the percentage of the body surface area (BSA) affected by psoriasis and the intensity of erythema (reddening), induration (thickening or hardening of the skin), and desquamation (peeling of the skin) of lesions assessed at 4 anatomic sites (head, upper extremities, trunk, and lower extremities). At each location, the percentage of BSA involvement is assigned a score from 0 (no involvement) to 6 (90% to 100% involvement), and erythema, induration, and desquamation are scored on a scale from 0 (no symptoms) to 4 (very marked).

The PASI score ranges from 0 (no psoriasis) to 72 (very severe psoriasis). A PASI 90 response is the percentage of participants who achieved at least a 90% reduction (improvement) from Baseline in PASI score.

Percentage of Participants With an ACR20 Response at Week 16Baseline and Week 16

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria:

1. ≥ 20% improvement in 68-tender joint count;

2. ≥ 20% improvement in 66-swollen joint count; and

3. ≥ 20% improvement in at least 3 of the 5 following parameters:

* Physician global assessment of disease activity

* Patient global assessment of disease activity

* Patient assessment of pain

* Health Assessment Questionnaire - Disability Index (HAQ-DI)

* High-sensitivity C-reactive protein (hsCRP).

Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response at Week 24Baseline and Week 24

Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR70 response criteria:

1. ≥ 70% improvement in 68-tender joint count;

2. ≥ 70% improvement in 66-swollen joint count; and

3. ≥ 70% improvement in at least 3 of the 5 following parameters:

* Physician global assessment of disease activity

* Patient global assessment of disease activity

* Patient assessment of pain

* Health Assessment Questionnaire - Disability Index (HAQ-DI)

* High-sensitivity C-reactive protein (hsCRP).

Percentage of Participants Achieving Minimal Disease Activity (MDA) at Week 24Week 24

A participant was classified as achieving MDA if 5 of the following 7 criteria were met:

* Tender joint count (out of 68 joints) ≤ 1

* Swollen joint count (out of 66 joints) ≤ 1

* PASI score ≤ 1 (score ranges from 0 - 72) or percent BSA involved with psoriasis ≤ 3%

* Patient's assessment of pain ≤ 15 (VAS from 0 to 100)

* Patient's Global Assessment of disease activity ≤ 20 (VAS from 0 to 100)

* HAQ-DI score ≤ 0.5 (index score ranges from 0 to 3)

* Leeds Enthesitis Index ≤ 1 (assesses the presence or absence of enthesitis at 3 bilateral sites, for an overall score range from 0 to 6)

Change From Baseline in 36-Item Short Form Health Survey (SF-36) Physical Component Summary (PCS) Score at Week 24Baseline and Week 24

The Short Form 36-Item Health Survey (SF-36) Version 2 is a self-administered questionnaire that measures the impact of disease on overall quality of life during the past 4 weeks. The SF-36 consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health).

The physical component summary is a weighted combination of the 8 subscales with positive weighting for physical functioning, role-physical, bodily pain, and general health. The SF-36 PCS ranges from 0 to 100. A linear algorithm was applied to the calculation of the PCS which has a normative mean value of 50. Higher scores are associated with less disability; a score of 100 is equivalent to no disability and a score of 0 is equivalent to maximum disability. A positive change from Baseline score indicates improvement.

Change From Baseline In Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 24Baseline and Week 24

The FACIT-Fatigue questionnaire is a self-administered patient questionnaire that consists of 13 questions designed to measure the degree of fatigue experienced by participants in the previous 7 days, including physical fatigue (e.g., I feel tired), functional fatigue (e.g., trouble finishing things), emotional fatigue (e.g., frustration), and social consequences of fatigue (e.g., limits social activity). Participants respond to the questions on a scale from 0 (not at all) to 4 (very much). The FACIT-Fatigue score is computed by summing the item scores, after reversing those items that are worded in the negative direction. The FACIT-Fatigue score ranges from 0 to 52, where higher scores represent less fatigue. A positive change from Baseline indicates improvement.

Percentage of Participants With Resolution of Enthesitis at Week 24Week 24

Resolution of enthesitis is defined as a Leeds Enthesitis Index (LEI) score = 0.

LEI is an enthesitis measure developed specifically for PsA and assesses the presence or absence of tenderness at the following 3 bilateral enthesial sites: medial femoral condyles, lateral epicondyles of the humerus, and Achilles tendon insertions. Tenderness on examination is recorded as either present (coded as 1), absent (coded as 0), or not assessed for each of the 6 sites. The LEI is calculated by taking the sum of the scores from the 6 sites. The LEI ranges from 0 to 6 (worst).

Trial Locations

Locations (138)

Arthritis and Rheumatology /ID# 169438

🇺🇸

Atlanta, Georgia, United States

Clinic of Robert Hozman/Clinical Investigation Specialists /ID# 166681

🇺🇸

Skokie, Illinois, United States

DM Clinical Research /ID# 208350

🇺🇸

Tomball, Texas, United States

New England Research Associates, LLC /ID# 166525

🇺🇸

Bridgeport, Connecticut, United States

Arthritis Rheumatic and Back Disease Associates. P.A. /ID# 166658

🇺🇸

Voorhees, New Jersey, United States

Precision Comprehensive Clinical Research Solutions /ID# 208156

🇺🇸

Colleyville, Texas, United States

Amarillo Ctr for Clin Research /ID# 208340

🇺🇸

Amarillo, Texas, United States

The Canberra Hospital /ID# 207591

🇦🇺

Garran, Australian Capital Territory, Australia

Griffith University /ID# 207504

🇦🇺

Southport, Queensland, Australia

Emeritus Research /ID# 207195

🇦🇺

Camberwell, Victoria, Australia

University General Hospital of Heraklion PA.G.N.I /ID# 206930

🇬🇷

Heraklion, Kriti, Greece

Malopolskie Centrum Kliniczne /ID# 208011

🇵🇱

Krakow, Malopolskie, Poland

CGM Research Trust /ID# 210596

🇳🇿

Burwood Christchurch, New Zealand

GCM Medical Group PSC - Hato Rey /ID# 208461

🇵🇷

San Juan, Puerto Rico

Rheumatology Clinic of Houston /ID# 166636

🇺🇸

Houston, Texas, United States

Rabin Medical Center /ID# 207470

🇮🇱

Petakh Tikva, Israel

Bispebjerg and Frederiksberg Hospital /ID# 168763

🇩🇰

Frederiksberg, Hovedstaden, Denmark

Health Research of Oklahoma /ID# 166408

🇺🇸

Oklahoma City, Oklahoma, United States

Rheumatic Disease Center, LLP /ID# 166682

🇺🇸

Glendale, Wisconsin, United States

Ochsner Clinic Foundation /ID# 166622

🇺🇸

Baton Rouge, Louisiana, United States

The Arthritis & Diabetes Clinic, Inc. /ID# 166707

🇺🇸

Monroe, Louisiana, United States

UZ Gent /ID# 210037

🇧🇪

Gent, Oost-Vlaanderen, Belgium

Barzilai Medical Center /ID# 207471

🇮🇱

Ashkelon, Israel

Meir Medical Center /ID# 207469

🇮🇱

Kfar Saba, Israel

Universitair Medisch Centrum Groningen /ID# 168450

🇳🇱

Groningen, Netherlands

Centro de Enfermedades del Hígado y Aparato Digestivo /ID# 169151

🇦🇷

Rosario, Santa Fe, Argentina

Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 208138

🇵🇹

Ponte de Lima, Viana Do Castelo, Portugal

Glacier View Research Institute /ID# 169344

🇺🇸

Kalispell, Montana, United States

Naval Hospital of Athens /ID# 206928

🇬🇷

Athens, Greece

Olympion General Clinic SA /ID# 207047

🇬🇷

Patras, Greece

Antonius Ziekenhuis /ID# 208581

🇳🇱

Sneek, Fryslan, Netherlands

Centrum Badan Klinicznych PI-House sp. z o.o. /ID# 208012

🇵🇱

Gdansk, Pomorskie, Poland

Rheumatology and Pulmonary Clinic /ID# 169341

🇺🇸

Beckley, West Virginia, United States

Dartmouth-Hitchcock Medical Center /ID# 169443

🇺🇸

Lebanon, New Hampshire, United States

Hospital Italiano de Buenos Aires /ID# 208473

🇦🇷

Ciudad Autonoma Buenos Aires, Ciuadad Autonoma De Buenos Aires, Argentina

Cimer /Id# 169155

🇦🇷

San Miguel de Tucuman, Argentina

Universitair Ziekenhuis Leuven /ID# 208209

🇧🇪

Leuven, Vlaams-Brabant, Belgium

Hospital General de Agudos J. M. Ramos Mejia /ID# 169152

🇦🇷

Buenos Aires, Ciuadad Autonoma De Buenos Aires, Argentina

DOM Centro de Reumatologia /ID# 208478

🇦🇷

Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma De Buenos Aires, Argentina

Percuro Clinical Research, Ltd /ID# 169530

🇨🇦

Victoria, British Columbia, Canada

West Tennessee Research Institute /ID# 166429

🇺🇸

Jackson, Tennessee, United States

Instituto CAICI /ID# 169156

🇦🇷

Rosario, Santa Fe, Argentina

Centre Rhumatologie de l'Est /ID# 208302

🇨🇦

Rimouski, Quebec, Canada

MediTrials /ID# 207815

🇪🇪

Tartu, Tartumaa, Estonia

Turku University Hospital /ID# 208199

🇫🇮

Turku, Finland

CRU Hungary Egeszsegugyi és Szolgaltato Kft. /ID# 169248

🇭🇺

Miskolc, Borsod-Abauj-Zemplen, Hungary

Sheba Medical Center /ID# 207468

🇮🇱

Ramat Gan, Tel-Aviv, Israel

Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont /ID# 169237

🇭🇺

Szeged, Csongrad, Hungary

Rambam Health Care Campus /ID# 208169

🇮🇱

Haifa, Israel

Consorci Corporacio Sanitaria Parc Tauli Sabadell /ID# 207822

🇪🇸

Sabadell, Barcelona, Spain

Betegapolo Irgalmasrend Budai Irgalmasrendi Korhaz /ID# 209054

🇭🇺

Budapest, Hungary

Centrum Kliniczno-Badawcze /ID# 208014

🇵🇱

Elblag, Warminsko-mazurskie, Poland

Medisch Centrum Leeuwarden /ID# 168449

🇳🇱

Leeuwarden, Netherlands

Centrum Medyczne Reuma Park w Warszawie /ID# 210956

🇵🇱

Warsaw, Mazowieckie, Poland

Arthritis Clinical Research Trials /ID# 167611

🇿🇦

Cape Town, Western Cape, South Africa

Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 208139

🇵🇹

Lisboa, Portugal

Dr Jenny Potts /ID# 167628

🇿🇦

Port Elizabeth, Eastern Cape, South Africa

CIADS Research Co Ltd /ID# 169526

🇨🇦

Winnipeg, Manitoba, Canada

Pinnacle Research Group /ID# 167953

🇺🇸

Anniston, Alabama, United States

St. Jude Heritage /ID# 166842

🇺🇸

Fullerton, California, United States

Newport Huntington Medica /ID# 207423

🇺🇸

Huntington Beach, California, United States

East Bay Rheumatology Medical /ID# 166845

🇺🇸

San Leandro, California, United States

Inland Rheum Clin Trials Inc. /ID# 166621

🇺🇸

Upland, California, United States

Arthritis & Rheumatic Disease Specialties /ID# 212582

🇺🇸

Aventura, Florida, United States

Sweet Hope Research Specialty Inc /ID# 168163

🇺🇸

Hialeah, Florida, United States

Arthritis Center, Inc. /ID# 208116

🇺🇸

Palm Harbor, Florida, United States

Millennium Research /ID# 201627

🇺🇸

Ormond Beach, Florida, United States

West Broward Rheumatology Associates /ID# 201234

🇺🇸

Tamarac, Florida, United States

IRIS Research and Development, LLC /ID# 166351

🇺🇸

Plantation, Florida, United States

BayCare Medical Group /ID# 201630

🇺🇸

Saint Petersburg, Florida, United States

Springfield Clinic /ID# 166345

🇺🇸

Springfield, Illinois, United States

Klein and Associates MD /ID# 166549

🇺🇸

Hagerstown, Maryland, United States

Duplicate_The Center for Rheumatology & Bone Research /ID# 166448

🇺🇸

Wheaton, Maryland, United States

Clinical Pharmacology Study Gr /ID# 166455

🇺🇸

Worcester, Massachusetts, United States

MMP Women's Health /ID# 169334

🇺🇸

Portland, Maine, United States

St. Paul Rheumatology /ID# 166599

🇺🇸

Eagan, Minnesota, United States

Clayton Medical Associates, P.C. dba Saint Louis Rheumatology /ID# 166389

🇺🇸

Saint Louis, Missouri, United States

Clinvest Research LLC /ID# 166745

🇺🇸

Springfield, Missouri, United States

Paramount Medical Research Con /ID# 166334

🇺🇸

Middleburg Heights, Ohio, United States

Ocean Rheumatology, PA /ID# 166561

🇺🇸

Toms River, New Jersey, United States

Clinical Research Ctr Reading /ID# 166354

🇺🇸

Wyomissing, Pennsylvania, United States

Altoona Ctr Clinical Res /ID# 166691

🇺🇸

Duncansville, Pennsylvania, United States

Nashville Arthritis and Rheumatology /ID# 208395

🇺🇸

Nashville, Tennessee, United States

SW Rheumatology Res. LLC /ID# 166587

🇺🇸

Mesquite, Texas, United States

West Texas Clinical Research /ID# 208155

🇺🇸

Lubbock, Texas, United States

Trinity Universal Research Associates, Inc /ID# 208387

🇺🇸

Plano, Texas, United States

Kadlec Clinic Rheumatology /ID# 167667

🇺🇸

Kennewick, Washington, United States

Arthritis Northwest, PLLC /ID# 169535

🇺🇸

Spokane, Washington, United States

Centro Medico Privado de Reumatologia /ID# 208342

🇦🇷

San Miguel de Tucuman, Tucuman, Argentina

Rheumatology Research Unit Sunshine Coast /ID# 207191

🇦🇺

Maroochydore, Queensland, Australia

Monash Medical Centre /ID# 208033

🇦🇺

Clayton, Victoria, Australia

ReumaClinic /ID# 208211

🇧🇪

Genk, Belgium

ZNA - Jan Palfijn /ID# 208210

🇧🇪

Merksem, Belgium

LMK Sevicos Medicos S/S /ID# 169541

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Dermatrials Research /ID# 208303

🇨🇦

Hamilton, Ontario, Canada

Aarhus University Hospital /ID# 168762

🇩🇰

Aarhus C, Midtjylland, Denmark

CIP - Centro Internacional de Pesquisa /ID# 169524

🇧🇷

Goiânia, Goias, Brazil

K. Papp Clinical Research /ID# 169527

🇨🇦

Waterloo, Ontario, Canada

East Tallinn Central Hospital /ID# 208317

🇪🇪

Tallinn, Harjumaa, Estonia

North Estonia Medical Centre /ID# 208319

🇪🇪

Tallinn, Estonia

Ite Pihlajanlinna Kuopio /ID# 208316

🇫🇮

Kuopio, Finland

Duplicate_CHU Bordeaux-Hopital Pellegrin /ID# 211159

🇫🇷

Bordeaux, France

CHRU Tours - Hopital Trousseau /ID# 209343

🇫🇷

Chambray Les Tours, France

Rheumazentrum Ruhrgebiet /ID# 207212

🇩🇪

Herne, Nordrhein-Westfalen, Germany

Immanuel Krankenhaus Berlin /ID# 207214

🇩🇪

Berlin-buch, Germany

Vital-Medicina Kft. /ID# 208123

🇭🇺

Veszprém, Veszprem, Hungary

Center of Innovative Diagnostics and Therapeutics (CIRI GmbH) /ID# 209494

🇩🇪

Frankfurt, Germany

MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH /ID# 209493

🇩🇪

Hamburg, Germany

Duplicate_Azienda Ospedaliero-Universitaria Policlinico di Modena /ID# 207800

🇮🇹

Modena, Emilia-Romagna, Italy

Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona /ID# 207268

🇮🇹

Ancona, Italy

Azienda Ospedaliera Universitaria di Verona/Ospedale Borgo Roma /ID# 207264

🇮🇹

Verona, Italy

Middlemore Clinical Trials /ID# 214293

🇳🇿

Auckland, New Zealand

Waikato Hospital /ID# 214276

🇳🇿

Hamilton, Waikato, New Zealand

Osteo-Medic S.C. /ID# 208013

🇵🇱

Bialystok, Podlaskie, Poland

Instituto Português De Reumatologia /ID# 208140

🇵🇹

Lisboa, Portugal

Changi General Hospital /ID# 208966

🇸🇬

Singapore, Singapore

Winelands Medical Research Centre /ID# 167630

🇿🇦

Stellenbosch, Western Cape, South Africa

Hospital Universitario A Coruna - CHUAC /ID# 207819

🇪🇸

A Coruna, Spain

Hospital Unversitario Marques de Valdecilla /ID# 208541

🇪🇸

Santander, Cantabria, Spain

Hospital Universitario y Politecnico La Fe /ID# 207823

🇪🇸

Valencia, Spain

Hospital Universitario 12 de Octubre /ID# 207820

🇪🇸

Madrid, Spain

Uppsala University Hospital /ID# 169098

🇸🇪

Uppsala, Sweden

Orebro Universitetssjukhuset /ID# 169400

🇸🇪

Orebro, Orebro Lan, Sweden

Duplicate_Vastmanlands Sjukhus /ID# 168620

🇸🇪

Vasteras, Sweden

Duplicate_Karolinska Univ Sjukhuset /ID# 208174

🇸🇪

Solna, Sweden

Duplicate_Barts Health NHS Trust /ID# 210794

🇬🇧

London, London, City Of, United Kingdom

Torbay and South Devon Nhs Foundation Trust /Id# 207926

🇬🇧

Torquay, United Kingdom

Manchester University NHS Foundation Trust /ID# 207923

🇬🇧

Manchester, United Kingdom

Duplicate_Wirral University Teaching Hospital NHS Foundation Trust /ID# 210536

🇬🇧

Wirral, United Kingdom

Arthritis & Osteo Medical Ctr /ID# 166541

🇺🇸

La Palma, California, United States

SIMED Health, LLC /ID# 207457

🇺🇸

Gainesville, Florida, United States

Tekton Research, Inc. /ID# 166493

🇺🇸

Austin, Texas, United States

Denver Arthritis Clinic /ID# 166442

🇺🇸

Denver, Colorado, United States

Yale University /ID# 166330

🇺🇸

New Haven, Connecticut, United States

Rheum Assoc of Central FL /ID# 201629

🇺🇸

Orlando, Florida, United States

HMD Research LLC /ID# 208428

🇺🇸

Orlando, Florida, United States

ForCare Clinical Research /ID# 166375

🇺🇸

Tampa, Florida, United States

University of South Florida /ID# 208467

🇺🇸

Tampa, Florida, United States

© Copyright 2025. All Rights Reserved by MedPath