MedPath

A Study of Adagrasib Plus Pembrolizumab Plus Chemotherapy vs. Placebo Plus Pembrolizumab Plus Chemotherapy in Participants With Previously Untreated Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation (KRYSTAL-4)

Phase 3
Recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Registration Number
NCT06875310
Lead Sponsor
Mirati Therapeutics Inc.
Brief Summary

This is a trial to evaluate the efficacy, safety, and tolerability of adagrasib plus pembrolizumab plus platinum-doublet chemotherapy versus placebo plus pembrolizumab plus platinum-doublet chemotherapy in participants with previously untreated, locally advanced or metastatic NSCLC with KRAS G12C mutation

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
630
Inclusion Criteria
  • Histologically or cytologically confirmed diagnosis of non-squamous NSCLC with evidence of KRAS G12C mutation via tumor tissue and/or circulating tumor deoxyribonucleic acid (ctDNA).
  • Locally advanced or metastatic disease.
  • Measurable disease via computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST v1.1 criteria of at least 1 lesion.
  • No prior systemic anti-cancer therapy given for advanced or metastatic disease.
  • Not a candidate for definitive therapy (eg, chemoradiation or complete surgical resection).
  • Participants with brain metastases are eligible for enrollment, including those with untreated brain metastases. Brain metastases must be asymptomatic and not in need of immediate local therapy. Any untreated brain metastases must be ≤ 20 mm in diameter.
  • Any PD-L1 expression (0 to 100%) as determined by VENTANA PD-L1 (SP263) assay, Agilent PD-L1 IHC 22C3 pharmDx, or Agilent PD-L1 IHC 28-8 pharmDx.
Exclusion Criteria
  • Participants with an active, known, prior documented, or suspected autoimmune or inflammatory disease.
  • Uncontrolled or significant cardiovascular conditions within 6 months prior to enrollment.
  • Inadequate bone marrow or liver function or electrocardiogram (ECG) abnormalities.
  • Ongoing treatment with concomitant medication known to cause prolonged QTc interval and that cannot be switched to alternative treatment prior to study entry.
  • Treatment targeting KRAS G12C mutation (eg, sotorasib, adagrasib) in any setting.
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AdagrasibAdagrasib-
AdagrasibPembrolizumab-
AdagrasibCarboplatin-
AdagrasibPemetrexed-
AdagrasibCisplatin-
PlaceboPembrolizumab-
PlaceboCarboplatin-
PlaceboPemetrexed-
PlaceboPlacebo-
PlaceboCisplatin-
Primary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS) as Assessed per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by Blinded Independent Central Review (BICR)Up to 7 years
Overall Survival (OS)Up to 7 years
Secondary Outcome Measures
NameTimeMethod
Overall Response (OR) as Assessed per RECIST v1.1 by BICRUp to 7 years
Duration of Response (DOR) as Assessed per RECIST 1.1 by BICRUp to 7 years
PFS as Assessed per RECIST v1.1 by InvestigatorUp to 7 years
Number of Participants With Adverse Events (AEs)Up to 90 days from last dose
Number of Participants With Serious Adverse Events (SAEs)Up to 90 days from last dose
Number of Participants With AEs Leading to Dose InterruptionUp to 90 days from last dose
Number of Participants With AEs Leading to Dose ReductionUp to 90 days from last dose
Number of Participants With AEs Leading to Treatment DiscontinuationUp to 90 days from last dose
Number of DeathsUp to 90 days from last dose
Time to Definitive Deterioration by Non-Small Cell Lung Cancer-Symptom Assessment Questionnaire (NSCLC-SAQ) Total ScoreUp to 7 years
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-30) Scale/item ScoreUp to 90 days from last dose

Trial Locations

Locations (325)

Local Institution - 0638

🇲🇽

Puebla, Mexico

Local Institution - 0215

🇧🇪

Hasselt, Limburg, Belgium

Local Institution - 0181

🇲🇽

Puebla, Mexico

Local Institution - 0347

🇺🇸

Birmingham, Alabama, United States

Local Institution - 0581

🇺🇸

Fullerton, California, United States

Local Institution - 0202

🇺🇸

Long Beach, California, United States

Local Institution - 0643

🇺🇸

Newport Beach, California, United States

Local Institution - 0666

🇺🇸

Orange, California, United States

Local Institution - 0623

🇺🇸

Santa Barbara, California, United States

Local Institution - 0442

🇺🇸

Denver, Colorado, United States

Local Institution - 0651

🇺🇸

Gainesville, Florida, United States

Local Institution - 0621

🇺🇸

Palm Bay, Florida, United States

Local Institution - 0377

🇺🇸

Tamarac, Florida, United States

Local Institution - 0647

🇺🇸

Tampa, Florida, United States

Local Institution - 0392

🇺🇸

Fort Eisenhower, Georgia, United States

Local Institution - 0031

🇺🇸

Marietta, Georgia, United States

Local Institution - 0665

🇺🇸

Arlington Heights, Illinois, United States

Local Institution - 0423

🇺🇸

Munster, Indiana, United States

Local Institution - 0366

🇺🇸

Edgewood, Kentucky, United States

Local Institution - 0566

🇺🇸

Louisville, Kentucky, United States

Local Institution - 0644

🇺🇸

Shreveport, Louisiana, United States

Local Institution - 0385

🇺🇸

Columbia, Maryland, United States

Local Institution - 0019

🇺🇸

Boston, Massachusetts, United States

Local Institution - 0437

🇺🇸

Worcester, Massachusetts, United States

Local Institution - 0618

🇺🇸

White Plains, New York, United States

Local Institution - 0624

🇺🇸

Asheville, North Carolina, United States

Local Institution - 0620

🇺🇸

Columbus, Ohio, United States

Local Institution - 0657

🇺🇸

York, Pennsylvania, United States

Local Institution - 0658

🇺🇸

Greenville, South Carolina, United States

Local Institution - 0652

🇺🇸

Laredo, Texas, United States

Local Institution - 0622

🇺🇸

San Antonio, Texas, United States

Local Institution - 0575

🇦🇷

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

IDIM - Instituto de Investigaciones Metabólicas

🇦🇷

Ciudad de Buenos Aires, Buenos Aires, Argentina

Local Institution - 0584

🇦🇷

Pilar, Buenos Aires, Argentina

Hospital Italiano de Buenos Aires

🇦🇷

ABB, Ciudad Autónoma De Buenos Aires, Argentina

Local Institution - 0571

🇦🇷

Buenos Aires, Ciudad Autónoma De Buenos Aires, Argentina

Local Institution - 0573

🇦🇷

Caba, Ciudad Autónoma De Buenos Aires, Argentina

Local Institution - 0595

🇦🇷

Rosario, Santa Fe, Argentina

Local Institution - 0126

🇦🇺

Canberra, Australian Capital Territory, Australia

Tamworth Hospital

🇦🇺

North Tamworth, New South Wales, Australia

Local Institution - 0128

🇦🇺

Orange, New South Wales, Australia

Local Institution - 0127

🇦🇺

Brisbane, Queensland, Australia

Lyell McEwin Hospital

🇦🇺

Elizabeth Vale, South Australia, Australia

Frankston Hospital

🇦🇺

Frankston, Victoria, Australia

Local Institution - 0121

🇦🇺

Melbourne, Victoria, Australia

Local Institution - 0160

🇦🇺

Traralgon, Victoria, Australia

Joondalup Health Campus

🇦🇺

Joondalup, Western Australia, Australia

Local Institution - 0532

🇦🇹

Wels, Oberösterreich, Austria

Local Institution - 0539

🇦🇹

Graz, Steiermark, Austria

Local Institution - 0530

🇦🇹

Linz, Austria

Local Institution - 0533

🇦🇹

Wien, Austria

Local Institution - 0114

🇧🇪

Brussels, Bruxelles-Capitale, Région De, Belgium

Local Institution - 0113

🇧🇪

Brussels, Bruxelles-Capitale, Région De, Belgium

Local Institution - 0216

🇧🇪

Gent, Oost-Vlaanderen, Belgium

Local Institution - 0107

🇧🇪

Leuven, Vlaams-Brabant, Belgium

Local Institution - 0109

🇧🇪

Liège, Belgium

Local Institution - 0257

🇧🇷

Salvador, Bahia, Brazil

Local Institution - 0242

🇧🇷

Vitória, Espírito Santo, Brazil

Local Institution - 0244

🇧🇷

Belo Horizonte, Minas Gerais, Brazil

Local Institution - 0235

🇧🇷

Ijui, Rio Grande Do Sul, Brazil

Local Institution - 0233

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Local Institution - 0238

🇧🇷

Santa Cruz do Sul, Rio Grande Do Sul, Brazil

Local Institution - 0243

🇧🇷

Porto Velho, Rondonia, Brazil

Local Institution - 0237

🇧🇷

Blumenau, Santa Catarina, Brazil

Local Institution - 0245

🇧🇷

Itajaí, Santa Catarina, Brazil

Local Institution - 0240

🇧🇷

Barretos, São Paulo, Brazil

Local Institution - 0254

🇧🇷

Sao Paulo, São Paulo, Brazil

Local Institution - 0241

🇧🇷

São Carlos, São Paulo, Brazil

Local Institution - 0239

🇧🇷

São José do Rio Preto, São Paulo, Brazil

Local Institution - 0236

🇧🇷

Rio de Janeiro, Brazil

Local Institution - 0258

🇧🇷

São Paulo, Brazil

Local Institution - 0629

🇧🇬

Panagyurishte, Pazardzhik, Bulgaria

Local Institution - 0628

🇧🇬

Sofia, Sofia (stolitsa), Bulgaria

Local Institution - 0627

🇧🇬

Ruse, Bulgaria

Local Institution - 0635

🇧🇬

Stara Zagora, Bulgaria

Local Institution - 0074

🇨🇦

Halifax, Nova Scotia, Canada

Local Institution - 0559

🇨🇦

Montreal, Quebec, Canada

Local Institution - 0574

🇨🇱

Recoleta, Región Metropolitana De Santiago, Chile

Local Institution - 0577

🇨🇱

Santiago, Región Metropolitana De Santiago, Chile

Local Institution - 0482

🇨🇳

Bengbu, Anhui, China

Local Institution - 0475

🇨🇳

Hefei, Anhui, China

Local Institution - 0355

🇨🇳

Beijing, Beijing, China

Local Institution - 0491

🇨🇳

Beijing, Beijing, China

Local Institution - 0397

🇨🇳

Beijing, Beijing, China

Local Institution - 0490

🇨🇳

Chongqing, Chongqing, China

Local Institution - 0362

🇨🇳

Fuzhou Fujian, Fujian, China

Local Institution - 0383

🇨🇳

Xiamen, Fujian, China

Local Institution - 0469

🇨🇳

Guangzhou, Guangdong, China

Local Institution - 0625

🇨🇳

Guangzhou, Guangdong, China

Local Institution - 0356

🇨🇳

Shantou, Guangdong, China

Local Institution - 0461

🇨🇳

Shenzhen, Guangdong, China

Local Institution - 0352

🇨🇳

Shenzhen, Guangdong, China

Local Institution - 0464

🇨🇳

Nanning, Guangxi, China

Local Institution - 0472

🇨🇳

Shijiazhuang, Hebei, China

Local Institution - 0465

🇨🇳

Harbin, Heilongjiang, China

Local Institution - 0626

🇨🇳

Nanyang, Henan, China

Local Institution - 0494

🇨🇳

Xinxiang, Henan, China

Local Institution - 0373

🇨🇳

Wuhan, Hubei, China

Local Institution - 0398

🇨🇳

Changsha, Hunan, China

Local Institution - 0371

🇨🇳

Nanjing, Jiangsu, China

Local Institution - 0382

🇨🇳

Suzhou, Jiangsu, China

Local Institution - 0378

🇨🇳

Yangzhou, Jiangsu, China

Local Institution - 0467

🇨🇳

Nanchang, Jiangxi, China

Local Institution - 0483

🇨🇳

Changchun, Jilin, China

Local Institution - 0473

🇨🇳

Shenyang, Liaoning, China

Local Institution - 0479

🇨🇳

Shenyang, Liaoning, China

Local Institution - 0493

🇨🇳

Shenyang, Liaoning, China

Local Institution - 0474

🇨🇳

Jinan, Shandong, China

Local Institution - 0359

🇨🇳

Linyi, Shandong, China

Local Institution - 0470

🇨🇳

Shanghai, Shanghai, China

Local Institution - 0381

🇨🇳

Shanghai, Shanghai, China

Local Institution - 0353

🇨🇳

Taiyuan, Shanxi, China

Local Institution - 0384

🇨🇳

Cheng Du, Sichuan, China

Local Institution - 0667

🇨🇳

Chengdu, Sichuan, China

Local Institution - 0460

🇨🇳

Tianjin, Tianjin, China

Local Institution - 0462

🇨🇳

Hangzhou, Zhejiang, China

Local Institution - 0492

🇨🇳

Hangzhou, Zhejiang, China

Local Institution - 0463

🇨🇳

Hangzhou, Zhejiang, China

Local Institution - 0374

🇨🇳

Linhai, Zhejiang, China

Local Institution - 0354

🇨🇳

Shanghai, China

Local Institution - 0580

🇨🇴

Medellín, Antioquia, Colombia

Local Institution - 0171

🇨🇴

Rionegro, Antioquia, Colombia

Local Institution - 0191

🇨🇴

Puerto Colombia, Atlántico, Colombia

Local Institution - 0253

🇨🇴

Valledupar, Cesar, Colombia

Local Institution - 0167

🇨🇴

Montería, COR, Colombia

Local Institution - 0671

🇨🇴

Bogota, Cundinamarca, Colombia

Local Institution - 0189

🇨🇴

Bogotá, Distrito Capital De Bogotá, Colombia

Local Institution - 0170

🇨🇴

Floridablanca, Santander, Colombia

Local Institution - 0173

🇨🇴

Cali, Valle Del Cauca, Colombia

Local Institution - 0619

🇭🇷

Dubrovnik, Dubrovačko-neretvanska Županija, Croatia

Local Institution - 0664

🇭🇷

Rijeka, Primorsko-goranska Županija, Croatia

Local Institution - 0639

🇭🇷

Split, Splitsko-dalmatinska Županija, Croatia

Local Institution - 0567

🇭🇷

Osijek, Croatia

Local Institution - 0585

🇭🇷

Zagreb, Croatia

Local Institution - 0159

🇫🇷

Mulhouse, Alsace, France

Local Institution - 0296

🇫🇷

Caen, Calvados, France

Local Institution - 0605

🇫🇷

Dijon, Côte-d'Or, France

Local Institution - 0512

🇫🇷

Brest, Finistère, France

Local Institution - 0558

🇫🇷

Montpellier, Hérault, France

Local Institution - 0220

🇫🇷

La Tronche, Isère, France

Local Institution - 0139

🇫🇷

Saint-Herblain, Loire-Atlantique, France

Local Institution - 0560

🇫🇷

Angers, Maine-et-Loire, France

Local Institution - 0589

🇫🇷

Vandoeuvre lès Nancy, Meurthe-et-Moselle, France

Local Institution - 0636

🇫🇷

Marseille, Provence-Alpes-Côte-d'Azur, France

Local Institution - 0552

🇫🇷

Amiens, Somme, France

Local Institution - 0213

🇫🇷

Villejuif, Val-de-Marne, France

Local Institution - 0134

🇫🇷

Clermont-Ferrand, France

Local Institution - 0604

🇫🇷

Limoges, France

Local Institution - 0164

🇫🇷

Marseille, France

Local Institution - 0133

🇫🇷

Paris, France

Local Institution - 0158

🇫🇷

Paris, France

Local Institution - 0513

🇫🇷

Boulogne-Billancourt, Île-de-France, France

Local Institution - 0534

🇩🇪

Esslingen, Baden-Württemberg, Germany

Local Institution - 0670

🇩🇪

Ulm, Baden-Württemberg, Germany

Local Institution - 0557

🇩🇪

München, Bayern, Germany

Local Institution - 0518

🇩🇪

Frankfurt, Hessen, Germany

Local Institution - 0535

🇩🇪

Gießen, Hessen, Germany

Local Institution - 0520

🇩🇪

Hannover, Niedersachsen, Germany

Local Institution - 0527

🇩🇪

Oldenburg, Niedersachsen, Germany

Local Institution - 0603

🇩🇪

Herne, Nordrhein-Westfalen, Germany

Local Institution - 0523

🇩🇪

Köln, Nordrhein-Westfalen, Germany

Local Institution - 0522

🇩🇪

Halle, Sachsen-Anhalt, Germany

Local Institution - 0521

🇩🇪

Flensburg, Schleswig-Holstein, Germany

Local Institution - 0524

🇩🇪

Gera, Thüringen, Germany

Local Institution - 0551

🇩🇪

Jena, Thüringen, Germany

Local Institution - 0526

🇩🇪

Berlin, Germany

Local Institution - 0537

🇩🇪

Berlin, Germany

Local Institution - 0528

🇩🇪

Hemer, Germany

Local Institution - 0517

🇩🇪

Stuttgart, Germany

Local Institution - 0525

🇩🇪

Wuerzburg, Germany

Local Institution - 0608

🇬🇷

Athens, Attikí, Greece

Local Institution - 0612

🇬🇷

Athens, Attikí, Greece

Local Institution - 0609

🇬🇷

Larissa, Thessalía, Greece

Local Institution - 0379

🇭🇰

Hksar, Hong Kong

Local Institution - 0466

🇭🇰

Hksar, Hong Kong

Local Institution - 0601

🇭🇺

Gyor, Győr-Moson-Sopron, Hungary

Local Institution - 0144

🇭🇺

Gyöngyös, Heves, Hungary

Local Institution - 0157

🇭🇺

Tatabánya, Komárom-Esztergom, Hungary

Local Institution - 0593

🇭🇺

Kaposvár, Somogy, Hungary

Local Institution - 0143

🇭🇺

Farkasgyepu, Veszprém, Hungary

Local Institution - 0151

🇭🇺

Budapest, Hungary

Local Institution - 0140

🇭🇺

Budapest, Hungary

Local Institution - 0222

🇮🇳

Visakhapatnam, Andhra Pradesh, India

Local Institution - 0312

🇮🇳

New Delhi, Delhi, India

Local Institution - 0511

🇮🇳

New Delhi, Delhi, India

Local Institution - 0135

🇮🇳

New Delhi, Delhi, India

Local Institution - 0136

🇮🇳

Ahmedabad, Gujarat, India

Local Institution - 0230

🇮🇳

Ahmedabad, Gujarat, India

Local Institution - 0155

🇮🇳

Thiruvananthapuram, Kerala, India

Local Institution - 0154

🇮🇳

Mumbai, Maharashtra, India

Local Institution - 0226

🇮🇳

Bhubaneswar, Odisha, India

Local Institution - 0224

🇮🇳

Madurai, Tamil Nadu, India

Local Institution - 0663

🇮🇳

Hyderabad, Telangana, India

Local Institution - 0153

🇮🇳

Varanasi, Uttar Pradesh, India

Local Institution - 0161

🇮🇳

Howrah, West Bengal, India

Local Institution - 0221

🇮🇳

Kolkata, West Bengal, India

Local Institution - 0661

🇮🇳

Hyderabad, India

Local Institution - 0102

🇮🇪

Cork, Ireland

Local Institution - 0476

🇮🇪

Dublin, Ireland

Local Institution - 0101

🇮🇪

Dublin, Ireland

Local Institution - 0100

🇮🇪

Dublin, Ireland

Local Institution - 0106

🇮🇪

Dublin, Ireland

Local Institution - 0597

🇮🇱

Petah Tikva, HaMerkaz, Israel

Local Institution - 0596

🇮🇱

Ramat Gan, HaMerkaz, Israel

Local Institution - 0600

🇮🇱

Zerifin, HaMerkaz, Israel

Local Institution - 0544

🇮🇱

Jerusalem, Yerushalayim, Israel

Local Institution - 0613

🇮🇱

Haifa, Ḥeifā, Israel

Local Institution - 0067

🇮🇹

Meldola, Emilia-Romagna, Italy

Local Institution - 0066

🇮🇹

Naples, Napoli, Italy

Local Institution - 0070

🇮🇹

Orbassano, Piemonte, Italy

Local Institution - 0071

🇮🇹

Bari, Puglia, Italy

Local Institution - 0068

🇮🇹

Rome, Roma, Italy

Local Institution - 0069

🇮🇹

Firenze, Toscana, Italy

Local Institution - 0588

🇮🇹

Genova, Italy

Local Institution - 0073

🇮🇹

Padova, Italy

Local Institution - 0156

🇮🇹

Parma, Italy

Local Institution - 0543

🇮🇹

Pavia, Italy

Local Institution - 0556

🇮🇹

Varese, Italy

Local Institution - 0607

🇯🇵

Nagoya, Aichi, Japan

Local Institution - 0305

🇯🇵

Nagoya, Aichi, Japan

Local Institution - 0298

🇯🇵

Sapporo, Hokkaido, Japan

Local Institution - 0304

🇯🇵

Kanazawa, Ishikawa, Japan

Local Institution - 0302

🇯🇵

Sagamihara, Kanagawa, Japan

Local Institution - 0369

🇯🇵

Yokohama, Kanagawa, Japan

Local Institution - 0301

🇯🇵

Sendai, Miyagi, Japan

Local Institution - 0306

🇯🇵

Kashihara, Nara, Japan

Local Institution - 0368

🇯🇵

Kurashiki, Okayama, Japan

Local Institution - 0642

🇯🇵

Hirakata, Osaka, Japan

Local Institution - 0303

🇯🇵

Hidaka, Saitama, Japan

Local Institution - 0300

🇯🇵

Ina-machi, Saitama, Japan

Local Institution - 0606

🇯🇵

Hamamatsu, Shizuoka, Japan

Local Institution - 0299

🇯🇵

Shimotsuga, Tochigi, Japan

Local Institution - 0343

🇯🇵

Toyoma, Toyama, Japan

Local Institution - 0542

🇯🇵

Iwakuni, Yamaguchi, Japan

Local Institution - 0307

🇯🇵

Akashi, Japan

Local Institution - 0346

🇯🇵

Aomori, Japan

Local Institution - 0310

🇯🇵

Fukuoka, Japan

Local Institution - 0367

🇯🇵

Fukushima, Japan

Local Institution - 0308

🇯🇵

Kumamoto, Japan

Local Institution - 0297

🇯🇵

Osaka, Japan

Local Institution - 0309

🇯🇵

Osaka, Japan

Local Institution - 0163

🇰🇷

Cheongju-si, Chungcheongbuk-do [Chungbuk], Korea, Republic of

Local Institution - 0227

🇰🇷

Namdong-gu, Incheon-gwangyeoksi [Incheon], Korea, Republic of

Local Institution - 0211

🇰🇷

Yangsan, Kyǒngsangnam-do, Korea, Republic of

Local Institution - 0186

🇰🇷

Busan, Pusan-Kwangyǒkshi, Korea, Republic of

Local Institution - 0165

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0228

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0248

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0146

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0583

🇲🇽

Saltillo, Coahuila, Mexico

Local Institution - 0176

🇲🇽

Mexico City, DIF, Mexico

Local Institution - 0579

🇲🇽

Pachuca, Hidalgo, Mexico

Local Institution - 0178

🇲🇽

Guadalajara, Jalisco, Mexico

Local Institution - 0591

🇲🇽

Monterrey, Nuevo León, Mexico

Local Institution - 0175

🇲🇽

Chihuahua, Mexico

Local Institution - 0180

🇲🇽

Veracruz, Mexico

Local Institution - 0615

🇳🇱

Maastricht, Limburg, Netherlands

Local Institution - 0594

🇳🇱

Amsterdam, Noord-Holland, Netherlands

Local Institution - 0205

🇵🇱

Wrocław, Dolnośląskie, Poland

Local Institution - 0080

🇵🇱

Lublin, Lubelskie, Poland

Local Institution - 0206

🇵🇱

Gorlice, Małopolskie, Poland

Local Institution - 0079

🇵🇱

Kraków, Małopolskie, Poland

Local Institution - 0077

🇵🇱

Prabuty, Pomorskie, Poland

Local Institution - 0209

🇵🇱

Poznan, Wielkopolskie, Poland

Local Institution - 0076

🇵🇱

Bydgoszcz, Poland

Local Institution - 0078

🇵🇱

Katowice, Poland

Local Institution - 0509

🇵🇹

Lisbon, Lisboa, Portugal

Local Institution - 0510

🇵🇹

Coimbra, Portugal

Local Institution - 0553

🇵🇹

Porto, Portugal

Local Institution - 0272

🇷🇴

Bucharest, București, Romania

Local Institution - 0261

🇷🇴

Bucharest, București, Romania

Local Institution - 0276

🇷🇴

Cluj-Napoca, Cluj, Romania

Local Institution - 0268

🇷🇴

Florești, Cluj, Romania

Local Institution - 0275

🇷🇴

Ovidiu, Constanța, Romania

Local Institution - 0271

🇷🇴

Craiova, Dolj, Romania

Local Institution - 0269

🇷🇴

Ploiești, Prahova, Romania

Local Institution - 0270

🇷🇴

Cluj, Romania

Local Institution - 0273

🇷🇴

Cluj, Romania

Local Institution - 0590

🇷🇴

Constanța, Romania

Local Institution - 0266

🇷🇴

Iași, Romania

Local Institution - 0260

🇷🇴

Iași, Romania

Local Institution - 0592

🇷🇴

Timișoara, Romania

Local Institution - 0614

🇸🇦

Jeddah, Makkah Al Mukarramah, Saudi Arabia

Local Institution - 0602

🇸🇦

Riyadh, Saudi Arabia

Local Institution - 0562

🇸🇦

Riyadh, Saudi Arabia

Local Institution - 0499

🇪🇸

A Coruña, A Coruña [La Coruña], Spain

Local Institution - 0506

🇪🇸

Santiago de Compostela, A Coruña [La Coruña], Spain

Local Institution - 0501

🇪🇸

Barcelona, Barcelona [Barcelona], Spain

Local Institution - 0497

🇪🇸

Hospitalet, Barcelona [Barcelona], Spain

Local Institution - 0505

🇪🇸

Barcelona, Catalunya [Cataluña], Spain

Local Institution - 0508

🇪🇸

Palma, Illes Balears [Islas Baleares], Spain

Local Institution - 0500

🇪🇸

Madrid, Madrid, Comunidad De, Spain

Local Institution - 0503

🇪🇸

Madrid, Madrid, Comunidad De, Spain

Local Institution - 0496

🇪🇸

Madrid, Madrid, Comunidad De, Spain

Local Institution - 0498

🇪🇸

Majadahonda, Madrid, Comunidad De, Spain

Local Institution - 0669

🇪🇸

Pontevedra, Pontevedra [Pontevedra], Spain

Local Institution - 0640

🇪🇸

Valencia, València, Spain

Local Institution - 0504

🇪🇸

Madrid, Spain

Local Institution - 0502

🇪🇸

Málaga, Spain

Local Institution - 0507

🇪🇸

Sevilla, Spain

Local Institution - 0495

🇪🇸

València, Spain

Local Institution - 0536

🇨🇭

Münsterlingen, Switzerland

Chi Mei Hospital - Liouying Branch

🇨🇳

Tainan City, Tainan, Taiwan

Local Institution - 0631

🇨🇳

Taipei City, Taipei, Taiwan

Taipei Medical University Shuang Ho Hospital

🇨🇳

New Taipei, Taiwan

Local Institution - 0335

🇨🇳

Tainan, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Local Institution - 0565

🇹🇭

Muang, Khon Kaen, Thailand

Local Institution - 0563

🇹🇭

Bangkok, Krung Thep Maha Nakhon, Thailand

Local Institution - 0564

🇹🇭

Hatyai, Songkhla, Thailand

Local Institution - 0548

🇹🇷

Stanbul, İstanbul, Turkey

Local Institution - 0199

🇹🇷

Izmir, Karsiyaka, İzmir, Turkey

Local Institution - 0197

🇹🇷

Adana, Turkey

Local Institution - 0201

🇹🇷

Ankara, Turkey

Local Institution - 0198

🇹🇷

Ankara, Turkey

Local Institution - 0194

🇹🇷

Ankara, Turkey

Local Institution - 0549

🇹🇷

Istanbul, Turkey

Local Institution - 0200

🇹🇷

Izmir, Turkey

Local Institution - 0550

🇹🇷

Malatya, Turkey

University College London Hospital

🇬🇧

London, London, City Of, United Kingdom

Local Institution - 0091

🇬🇧

London, London, City Of, United Kingdom

Local Institution - 0092

🇬🇧

Birmingham, United Kingdom

Local Institution - 0090

🇬🇧

Guildford, United Kingdom

Local Institution - 0545

🇬🇧

Guildford, United Kingdom

Local Institution - 0093

🇬🇧

Manchester, United Kingdom

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