MedPath

A Study of the Efficacy and Safety of Upadacitinib in Participants With Moderately to Severely Active Crohn's Disease Who Have Inadequately Responded to or Are Intolerant to Conventional and/or Biologic Therapies

Phase 3
Completed
Conditions
Crohn's Disease
Interventions
Registration Number
NCT03345849
Lead Sponsor
AbbVie
Brief Summary

The objective of this study is to evaluate the efficacy and safety of upadacitinib compared to placebo as induction therapy in adults with moderately and severely active Crohn's disease (CD).

Detailed Description

This study includes two parts:

* Part 1: a randomized double-blind placebo-controlled induction period and

* Part 2: an extended treatment period for non-responders from Part 1.

In Part 1, participants will be randomized in a 2:1 ratio to upadacitinib 45 mg once daily (QD) or matching placebo for 12 weeks. The randomization will be stratified by baseline corticosteroid use (yes or no), endoscopic disease severity (Simplified Endoscopic Score for Crohn's disease \[SES-CD\] \< 15 and ≥ 15), and number of prior biologics with prior inadequate response or intolerance (0, 1, \> 1).

Participants who do not achieve clinical response at Week 12 will be able to enroll in Part 2 to receive a double-blind extended treatment with upadacitinib until Week 24. Clinical response is defined as a ≥ 30% decrease in average daily very soft or liquid stool frequency (SF) and/or ≥ 30% decrease in average daily abdominal pain (AP) score (both not worse than Baseline).

Participants who achieve clinical response at Week 12 may be eligible to enter the 52-week, double-blind, maintenance portion of Study M14-430 (NCT03345823).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
526
Inclusion Criteria
  • Confirmed diagnosis of CD for at least 3 months prior to Baseline.

  • Confirmed diagnosis of moderate to severe CD as assessed by stool frequency (SF), abdominal pain (AP) score.

  • Evidence of mucosal inflammation based on the Simplified Endoscopic Score for Crohn's disease (SES-CD) on an endoscopy confirmed by a central reader.

  • Demonstrated an inadequate response or intolerance to one or more conventional and/or biologic therapies (oral locally acting steroids, intravenous or oral corticosteroids, immunosuppressants or biologic therapies for CD), in the opinion of the investigator.

    • Note: Participants who have had inadequate response or intolerance to conventional therapy who have received prior biologic may be enrolled; however, participants must have discontinued the biologic for reasons other than inadequate response or intolerance (e.g., change of insurance, well controlled disease).
  • If female, participant must meet the contraception recommendations.

Exclusion Criteria
  • Participant with a current diagnosis of ulcerative colitis or indeterminate colitis.
  • Participant not on stable doses of CD related antibiotics, oral aminosalicylates, corticosteroids or methotrexate (MTX).
  • Participant with the following ongoing known complications of CD: abscess (abdominal or peri-anal), symptomatic bowel strictures, fulminant colitis, toxic megacolon, > 2 entire missing segments of the following 5 segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum, or any other manifestation that might require surgery while enrolled in the study.
  • Participant with ostomy or ileoanal pouch.
  • Participant diagnosed with conditions that could interfere with drug absorption including but not limited to short gut or short bowel syndrome.
  • Screening laboratory and other analyses show abnormal results.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo for UpadacitinibParticipants will receive placebo once daily for 12 weeks in Part 1. Clinical non-responders will receive 45 mg upadacitinib once daily for 12 weeks in Part 2.
PlaceboUpadacitinibParticipants will receive placebo once daily for 12 weeks in Part 1. Clinical non-responders will receive 45 mg upadacitinib once daily for 12 weeks in Part 2.
UpadacitinibUpadacitinibParticipants will receive 45 mg upadacitinib once daily for 12 weeks in Part 1. Clinical non-responders will receive 30 mg upadacitinib once daily for 12 weeks in Part 2.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Clinical Remission Per Patient-Reported Outcomes (PROs) at Week 12Week 12

The co-primary endpoint for European Union (EU)/European Medicines Agency (EMA) regulatory purposes was clinical remission defined based on two patient reported outcomes, average daily stool frequency (SF) and average daily abdominal pain score (APS). Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline.

Participants recorded APS and the number of very soft or liquid SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe).

The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-report outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit.

Percentage of Participants With Clinical Remission Per Crohn's Disease Activity Index (CDAI) at Week 12Week 12

The co-primary endpoint for United States (US)/Food and Drug Administration (FDA) regulatory purposes was clinical remission based on CDAI at Week 12.

CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as a CDAI score less than 150.

Percentage of Participants With Endoscopic Response at Week 12Baseline and Week 12

Endoscopic response at Week 12 was a co-primary endpoint for both the US/FDA and EU/EMA regulatory purposes. Endoscopic response was defined as greater than 50% decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) from Baseline of the induction study (or for participants with an SES-CD of 4 at Baseline, at least a 2-point reduction from Baseline), as scored by independent external and blinded central readers.

The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 in 5 segments assessed during ileocolonoscopy (ileum, right colon, transverse colon, sigmoid and left colon, and rectum). The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores indicate more severe disease.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 12Baseline and Week 12

The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with inflammatory bowel disease. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life. A positive change from Baseline indicates improvement.

Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) at Week 12Baseline and Week 12

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 Achieving Clinical Response 100 (CR-100) at Week 2Baseline and Week 2

Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline.

CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease.

Percentage of Participants With Endoscopic Remission at Week 12Baseline and Week 12

Endoscopic remission is defined as an SES-CD ≤ 4 and at least 2 point reduction from Baseline and no subscore \> 1 in any individual variable,as scored by independent external and blinded central readers.

The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 in 5 segments assessed during ileocolonoscopy (ileum, right colon, transverse colon, sigmoid and left colon, and rectum). The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores indicate more severe disease.

Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per CDAI at Week 12Week 12

Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per CDAI at Week 12, assessed for participants taking corticosteroids for CD at Baseline.

CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150.

Percentage of Participants With Resolution of Extra-Intestinal Manifestation (EIMs) at Week 12Week 12

EIMs are defined as manifestations of Crohn's disease in areas of the body other than the digestive tract, including eyes, skin, joints, mouth, and liver.

Only participants with any EIM present at Baseline were included in the analysis of resolution of EIMs. Resolution of EIMs was defined as absence of all EIMs at the Week 12 visit.

Percentage of Participants Achieving Clinical Response 100 (CR-100) at Week 12Baseline and Week 12

Clinical response 100 (CR-100) is defined as a decrease of at least 100 points in CDAI from Baseline.

CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease.

Percentage of Participants With Clinical Remission Per CDAI at Week 4Week 4

CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease. Clinical remission is defined as CDAI score less than 150.

Percentage of Participants With Hospitalizations Due to Crohn's Disease (CD) During the 12-Week Induction Period12 weeks

This was assessed by reviewing participant's hospitalization data.

Percentage of Participants With Clinical Remission Per PROs at Week 4Week 4

Clinical remission per PROs was defined as average daily very soft or liquid SF ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline.

Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe).

The average daily very soft or liquid SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 4 visit.

Percentage of Participants Who Discontinued Corticosteroid Use for Crohn's Disease and Achieved Clinical Remission Per PROs at Week 12Week 12

Corticosteroid-free clinical remission is defined as participants who discontinued corticosteroid use for CD and achieved clinical remission per PROs at Week 12, assessed for participants taking corticosteroids for CD at Baseline.

Clinical remission per PROs was defined as average daily very soft or liquid stool frequency (SF) ≤ 2.8 and average daily APS ≤ 1.0 and neither worse than Baseline.

Participants recorded APS and the number of liquid or very soft SF daily in an electronic diary. Abdominal pain was rated on a scale from 0 (none) to 3 (severe).

The average daily liquid or very soft SF and APS were calculated using the 4-7 most recent useable days of patient-reported outcomes (i.e., excluding days with missing entries or associated with endoscopy procedures) out of the last 14 days prior to the Week 12 visit.

Trial Locations

Locations (432)

Fiona Stanley Hospital /ID# 171513

🇦🇺

Murdoch, Western Australia, Australia

Velocity Clinical Research - Salt Lake City /ID# 166076

🇺🇸

West Jordan, Utah, United States

Rush University Medical Center /ID# 165497

🇺🇸

Chicago, Illinois, United States

Optimed Research, Ltd. /ID# 205624

🇺🇸

Columbus, Ohio, United States

Johns Hopkins University School of Medicine /ID# 211941

🇺🇸

Baltimore, Maryland, United States

MHAT Trakia /ID# 201679

🇧🇬

Stara Zagora, Bulgaria

Air Force Specialized Hospital /ID# 170996

🇪🇬

Cairo, Egypt

Tokyo Women's Medical University Hospital /ID# 205980

🇯🇵

Shinjuku-ku, Tokyo, Japan

Kanazawa University Hospital /ID# 169218

🇯🇵

Kanazawa-shi, Ishikawa, Japan

Iwate Medical University Uchimaru Medical Center /ID# 202464

🇯🇵

Morioka-shi, Iwate, Japan

Okayama University Hospital /ID# 167356

🇯🇵

Okayama-shi, Okayama, Japan

Tokitokai Tokito clinic /ID# 165962

🇯🇵

Saitama-shi, Saitama, Japan

Shiga University of Medical Science Hospital /ID# 167129

🇯🇵

Otsu-shi, Shiga, Japan

Toyama Prefectural Central Hospital /ID# 217834

🇯🇵

Toyama-shi, Toyama, Japan

Medisch Spectrum Twente /ID# 170298

🇳🇱

Enschede, Netherlands

Hamamatsu University Hospital /ID# 224352

🇯🇵

Hamamatsu-shi, Shizuoka, Japan

Hospital Sultanah Bahiyah /ID# 202626

🇲🇾

Alor Setar, Kedah, Malaysia

Tokai University Hachioji Hospital /ID# 165967

🇯🇵

Hachioji-shi, Tokyo, Japan

City Clinical Hospital No. 31 /ID# 208868

🇷🇺

St. Petersburg, Russian Federation

Military Medical Academy /ID# 168783

🇷🇸

Belgrade, Beograd, Serbia

KL Ling Gastroenterology and Liver Clinic /ID# 217962

🇸🇬

Singapore, Singapore

KM Management, spol. s.r.o. /ID# 170201

🇸🇰

Nitra, Slovakia

Warrington and Halton Hospitals NHS Foundation Trust /ID# 171383

🇬🇧

Warrington, Cheshire West And Chester, United Kingdom

University Clinical Center Tuzla /ID# 210325

🇧🇦

Tuzla, Tuzlanski, Bosnia and Herzegovina

AZ Sint-Lucas /ID# 200302

🇧🇪

Gent, Belgium

University Clinical Centre of the Republic of Srpska /ID# 208051

🇧🇦

Banja Luka, Republika Srpska, Bosnia and Herzegovina

UMHAT Kaspela EOOD /ID# 167613

🇧🇬

Plovdiv, Bulgaria

UHC Split /ID# 171191

🇭🇷

Split, Croatia

The First Hospital of Jilin University /ID# 206868

🇨🇳

Changchun, Jilin, China

The Sixth Affiliated Hosp Sun /ID# 204077

🇨🇳

Guangzhou, Guangdong, China

QEII - Health Sciences Centre /ID# 169307

🇨🇦

Halifax, Nova Scotia, Canada

CISSS de Chaudière-Appalaches, Hôpital Hotel-Dieu de Lévis /ID# 166969

🇨🇦

Levis, Quebec, Canada

CIUSSS de l'Estrie - CHUS /ID# 170940

🇨🇦

Sherbrooke, Quebec, Canada

ResTrial s.r.o. /ID# 208653

🇨🇿

Praha, Czechia

Centre Hospitalier de l'Universite de Montreal - CRCHUM /ID# 170120

🇨🇦

Montreal, Quebec, Canada

Hospital Nossa Senhora das Graças /ID# 166863

🇧🇷

Curitiba, Parana, Brazil

Clinical Center University of Sarajevo /ID# 203887

🇧🇦

Sarajevo, Bosnia and Herzegovina

Hospital Guillermo Grant Benavente de Concepción /ID# 212423

🇨🇱

Concepción, Chile

Zhongshan Hospital Xiamen University /ID# 204984

🇨🇳

Xiamen, Fujian, China

University of Calgary /ID# 166974

🇨🇦

Calgary, Alberta, Canada

Upeclin Fmb - Unesp /Id# 166867

🇧🇷

Botucatu, Sao Paulo, Brazil

Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto - USP /ID# 166866

🇧🇷

Ribeirão Preto, Sao Paulo, Brazil

Scott Shulman Medicine Professional Corporation /ID# 169066

🇨🇦

North Bay, Ontario, Canada

Nanfang Hospital of Southern Medical University /ID# 204083

🇨🇳

Guangzhou, Guangdong, China

CHU Grenoble - Hopital Michallon /ID# 219034

🇫🇷

La Tronche, France

ARTROSCAN s.r.o. /ID# 200790

🇨🇿

Ostrava, Czechia

Instituto Goiano de Gastroenterologia e Endoscopia Digestiva /ID# 166852

🇧🇷

Goiânia, Goias, Brazil

Ottawa Hospital Research Institute /ID# 212414

🇨🇦

Ottawa, Ontario, Canada

Universitatsklinikum Mannheim /ID# 168759

🇩🇪

Mannheim, Baden-Wuerttemberg, Germany

The First Affiliated Hospital, Sun Yat-sen University /ID# 205228

🇨🇳

Guangzhou, Guangdong, China

Nemocnice Ceske Budejovice a.s. /ID# 224389

🇨🇿

Ceske Budejovice, Czechia

Kaiser Clinica e Hospital Dia /ID# 166865

🇧🇷

Sao Jose Do Rio Preto, Sao Paulo, Brazil

Taunton Surgical Centre /ID# 168043

🇨🇦

Oshawa, Ontario, Canada

Universitaetsklinikum Ulm /ID# 203560

🇩🇪

Ulm, Baden-Wuerttemberg, Germany

Herlev Hospital /ID# 202423

🇩🇰

Herlev, Hovedstaden, Denmark

London Health Sciences Center /ID# 221038

🇨🇦

London, Ontario, Canada

The second Affiliated hospital of Zhejiang University school of Medicine /ID# 204073

🇨🇳

Hangzhou, Zhejiang, China

Faculdade de Medicina do ABC /ID# 208323

🇧🇷

Santo André, Sao Paulo, Brazil

Klinicki bolnicki centar Zagreb /ID# 171203

🇭🇷

Zagreb, Grad Zagreb, Croatia

Clinique Jules Verne /ID# 219073

🇫🇷

Nantes, France

CH Valenciennes /ID# 219035

🇫🇷

Valenciennes, France

Agaplesion Markus Krankenhaus /ID# 168758

🇩🇪

Frankfurt am Main, Germany

Medizinisches Versorgungszentrum Portal 10 /ID# 200214

🇩🇪

Muenster, Germany

Hepato-Gastroenterologie HK, s.r.o. /ID# 171401

🇨🇿

Hradec Kralove, Czechia

Universitaetsklinikum Erlangen /ID# 203552

🇩🇪

Erlangen, Bayern, Germany

Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 209564

🇪🇬

Alexandria, Egypt

West Tallinn Central Hospital /ID# 202785

🇪🇪

Tallinn, Estonia

Universitaetsmedizin Essen St. Josef Krankenhaus Werden /ID# 203570

🇩🇪

Essen, Germany

Universitaetsklinikum Frankfurt /ID# 203566

🇩🇪

Frankfurt am Main, Hessen, Germany

Policlinico San Martino/Univer /ID# 168191

🇮🇹

Genova, Italy

Gastroenterologie am Mexikoplatz /ID# 203575

🇩🇪

Berlin, Germany

University General Hospital of Heraklion PA.G.N.I /ID# 167044

🇬🇷

Heraklion, Kriti, Greece

Rabin Medical Center /ID# 202636

🇮🇱

Petakh Tikva, Israel

Fondazione PTV Policlinico Tor Vergata /ID# 168188

🇮🇹

Rome, Roma, Italy

A.O. Per L'Emergenza Cannizzaro /ID# 168190

🇮🇹

Catania, Italy

Presidio Columbus-Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Un /ID# 168182

🇮🇹

Rome, Roma, Italy

Soroka University Medical Center /ID# 169913

🇮🇱

Be'er Sheva, HaDarom, Israel

Kaplan Medical Center /ID# 170276

🇮🇱

Rehovot, Israel

Kyoto University Hospital /ID# 169889

🇯🇵

Kyoto-shi, Kyoto, Japan

Kyungpook National University Hospital /ID# 207019

🇰🇷

Daegu, Korea, Republic of

Asahikawa Medical University Hospital /ID# 167120

🇯🇵

Asahikawa-shi, Hokkaido, Japan

Imamura General Hospital /ID# 227137

🇯🇵

Kagoshima-shi, Kagoshima, Japan

Japanese Red Cross Kyoto Daiichi Hosital /ID# 165972

🇯🇵

Kyoto-shi, Kyoto, Japan

Inje University Haeundae Hospital /ID# 202630

🇰🇷

Busan, Korea, Republic of

VCA Polyclinic Aura /ID# 169498

🇱🇻

Riga, Latvia

LLC Medical Center /ID# 209236

🇷🇺

Novosibirsk, Novosibirskaya Oblast, Russian Federation

Tan Tock Seng Hospital /ID# 203160

🇸🇬

Singapore, Singapore

Hospital Universitario de Girona Doctor Josep Trueta /ID# 202645

🇪🇸

Girona, Spain

Malopolskie Centrum Kliniczne /ID# 202167

🇵🇱

Krakow, Malopolskie, Poland

Hospital Universitari Son Espases /ID# 201998

🇪🇸

Palma de Mallorca, Illes Balears, Spain

Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 200607

🇵🇹

Ponte de Lima, Viana Do Castelo, Portugal

Centro Hospitalar Universitario de Sao Joao, EPE /ID# 170248

🇵🇹

Porto, Portugal

Hospital Universitario A Coruna - CHUAC /ID# 203910

🇪🇸

A Coruna, Spain

Mindful Medical Research /ID# 203358

🇵🇷

San Juan, Puerto Rico

Univ Medical Ctr Ljubljana /ID# 217795

🇸🇮

Ljubljana, Slovenia

Acibadem Kozyatagi Hospital /ID# 209406

🇹🇷

Kadikoy, Istanbul, Turkey

Hospital Universitario La Paz /ID# 201994

🇪🇸

Madrid, Spain

Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi /ID# 171332

🇹🇷

Istanbul, Turkey

Lenasia Clinical Trial Centre /ID# 205145

🇿🇦

Johannesburg, Gauteng, South Africa

Hospital Egas Moniz /ID# 170253

🇵🇹

Lisbon, Porto, Portugal

Hospital Garcia de Orta, EPE /ID# 170241

🇵🇹

Almada, Portugal

Immanuel Kant Baltic Federal University /ID# 203811

🇷🇺

Kaliningrad, Kaliningradskaya Oblast, Russian Federation

Euromedservice /ID# 206610

🇷🇺

Pushkin, Russian Federation

Gleneagles Medical Centre /ID# 206531

🇸🇬

Singapore, Singapore

Universitätsspital Zürich /ID# 170998

🇨🇭

Zürich, Zuerich, Switzerland

Hospital Clinic de Barcelona /ID# 201990

🇪🇸

Barcelona, Spain

Kharkiv City Clinical Hospital No.2 n.a. Prof. O.O. Shalimov /ID# 167907

🇺🇦

Kharkiv, Ukraine

CNE Vinnytsya Regional Clinical Hospital named after N.I.Pirogov /ID# 222110

🇺🇦

Vinnytsia, Ukraine

Sisli Etfal Train & Res Hosp /ID# 171334

🇹🇷

Sisli, Turkey

Istanbul University Istanbul Medical Faculty /ID# 171364

🇹🇷

Istanbul, Turkey

Taichung Veterans General Hospital /ID# 169790

🇨🇳

Taichung, Taiwan

MNI KRC Kyiv Regional Clinical Hospital /ID# 202454

🇺🇦

Kyiv, Ukraine

Mersin University Medical /ID# 171338

🇹🇷

Mersin, Turkey

Gazi Universitesi Tip Fakultes /ID# 217444

🇹🇷

Yenimahalle, Turkey

Hospital Universitario Virgen Macarena /ID# 201993

🇪🇸

Sevilla, Spain

The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 169075

🇬🇧

Newcastle Upon Tyne, United Kingdom

The Royal Wolverhampton NHS Trust /ID# 171382

🇬🇧

Wolverhampton, United Kingdom

Karolinska University Hospital Solna /ID# 224488

🇸🇪

Solna, Stockholms Lan, Sweden

Inselspital, Universitätsspital Bern /ID# 170997

🇨🇭

Bern, Switzerland

China Medical University Hospital /ID# 169791

🇨🇳

Taichung City, Taiwan

Medical Centre of "Ukrainian German Antiulcer Gastroenterology Centre BYK-KYIV" /ID# 203738

🇺🇦

Kyiv, Kyivska Oblast, Ukraine

Mustafa Kemal University Medic /ID# 171336

🇹🇷

Hatay, Turkey

Sodra Alvsborgs sjukhus /ID# 203077

🇸🇪

Boras, Vastra Gotalands Lan, Sweden

National Taiwan University Hospital /ID# 169792

🇨🇳

Taipei City, Taiwan

Lviv Railway Clinical Hospital of branch Healthcare Centers of Public Joint Stoc /ID# 167908

🇺🇦

Lviv, Ukraine

Ankara Univ Medical Faculty /ID# 206409

🇹🇷

Ankara, Turkey

University Hospitals Birmingham NHS Foundation Trust /ID# 169070

🇬🇧

Birmingham, United Kingdom

King's College Hospital NHS Foundation Trust /ID# 169072

🇬🇧

London, United Kingdom

Royal United Hospitals Bath /ID# 169074

🇬🇧

Bath, United Kingdom

The Dudley Group NHS Foundation Trust /ID# 169069

🇬🇧

Dudley, United Kingdom

Stockport NHS foundation trust /ID# 208719

🇬🇧

Stockport, United Kingdom

St George's University Hospitals NHS Foundation Trust /ID# 205552

🇬🇧

Tooting, United Kingdom

Taunton and Somerset NHS Foundation Trust /ID# 209665

🇬🇧

Taunton, United Kingdom

CliniCore International, LLC /ID# 164902

🇺🇸

Houston, Texas, United States

Baylor College of Medicine - Baylor Medical Center /ID# 164947

🇺🇸

Houston, Texas, United States

Ucsd /Id# 164910

🇺🇸

San Diego, California, United States

Las Vegas Medical Research /ID# 168588

🇺🇸

Las Vegas, Nevada, United States

University of Cincinnati /ID# 164825

🇺🇸

Cincinnati, Ohio, United States

Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 204081

🇨🇳

Wuhan, Hubei, China

The First Affiliated Hospital of Nanchang University /ID# 204092

🇨🇳

Nanchang, Jiangxi, China

Beijing Friendship Hospital /ID# 204173

🇨🇳

Beijing, China

Nanjing Drum Tower Hospital /ID# 204900

🇨🇳

Nanjing, Jiangsu, China

Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 204091

🇨🇳

Shanghai, Shanghai, China

Sir Run Run Shaw Hospital,Meical School Zhejiang University /ID# 204076

🇨🇳

Hangzhou, Zhejiang, China

The Second Xiangya Hospital of Central South University /ID# 204082

🇨🇳

Changsha, China

Duplicate_Tianjin Med Univ General Hosp /ID# 206994

🇨🇳

Tianjin, China

Tongji Hospital Tongji Medical College of HUST /ID# 204088

🇨🇳

Wuhan, China

Hospital de Clinicas de Porto Alegre /ID# 166862

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 168757

🇩🇪

Kiel, Schleswig-Holstein, Germany

IRCCS Ospedale Sacro Cuore Don Calabria /ID# 168186

🇮🇹

Negrar, Verona, Italy

East View Medical Research, LLC /ID# 171176

🇺🇸

Mobile, Alabama, United States

CB Flock Research Corporation /ID# 166185

🇺🇸

Mobile, Alabama, United States

Delsol Research Management, Ll /Id# 170145

🇺🇸

Chandler, Arizona, United States

HonorHealth Research Institute - Shea /ID# 164821

🇺🇸

Scottsdale, Arizona, United States

Arizona Arthritis & Rheumatology Research, PLLC /ID# 164803

🇺🇸

Sun City, Arizona, United States

Southern California Res. Ctr. /ID# 169655

🇺🇸

Coronado, California, United States

Citrus Valley Gastroenterology /ID# 166173

🇺🇸

Covina, California, United States

Hoag Memorial Hosp Presbyterian /ID# 222540

🇺🇸

Irvine, California, United States

Gastrointestinal Biosciences Clinical Trials, LLC /ID# 164762

🇺🇸

Los Angeles, California, United States

Facey Medical Foundation /ID# 203136

🇺🇸

Mission Hills, California, United States

United Medical Doctors - Murrieta /ID# 164945

🇺🇸

Murrieta, California, United States

Medical Assoc Research Grp /ID# 169706

🇺🇸

San Diego, California, United States

Peak Gastroenterology Associates, PC /ID# 170143

🇺🇸

Colorado Springs, Colorado, United States

Delta Waves, Inc. /ID# 164776

🇺🇸

Colorado Springs, Colorado, United States

Western States Clinical Res /ID# 164760

🇺🇸

Wheat Ridge, Colorado, United States

Medical Research Center of CT /ID# 164926

🇺🇸

Hamden, Connecticut, United States

Encore Borland-Groover Clinical Research /Id# 203499

🇺🇸

Jacksonville, Florida, United States

Clinical Research of West Florida, Inc /ID# 205827

🇺🇸

Clearwater, Florida, United States

Clinical Research of West Florida, Inc /ID# 208118

🇺🇸

Clearwater, Florida, United States

Advanced Research - Coral Springs /ID# 218021

🇺🇸

Coral Springs, Florida, United States

Crystal Pharmacology Research /ID# 166081

🇺🇸

Miami, Florida, United States

Coral Research Clinic /ID# 164890

🇺🇸

Miami, Florida, United States

Ctr for Advanced Gastroenterol /ID# 165353

🇺🇸

Maitland, Florida, United States

Advanced Research Institute, Inc /ID# 164921

🇺🇸

New Port Richey, Florida, United States

Gastroenterology Associates of Central Georgia, LLC /ID# 165478

🇺🇸

Macon, Georgia, United States

Gastroenterology Consultants PC - Roswell /ID# 218220

🇺🇸

Roswell, Georgia, United States

Atlanta Gastroenterology Spec /ID# 164799

🇺🇸

Suwanee, Georgia, United States

Treasure Valley Medical Research /ID# 215032

🇺🇸

Boise, Idaho, United States

MediSphere Medical Research Center /ID# 166175

🇺🇸

Evansville, Indiana, United States

University of Chicago Medicine /ID# 165503

🇺🇸

Chicago, Illinois, United States

DuPage Medical Group /ID# 205328

🇺🇸

Downers Grove, Illinois, United States

Indianapolis Gastroenterology /ID# 164938

🇺🇸

Indianapolis, Indiana, United States

University of Iowa Hospitals and Clinics /ID# 165436

🇺🇸

Iowa City, Iowa, United States

Tri-State Gastroenterology /ID# 165496

🇺🇸

Crestview Hills, Kentucky, United States

CroNOLA, LLC /ID# 164823

🇺🇸

Houma, Louisiana, United States

Louisana Research Center, LLC /ID# 164894

🇺🇸

Shreveport, Louisiana, United States

Lahey Hospital and Medical Center /ID# 214726

🇺🇸

Burlington, Massachusetts, United States

MGG Group Co, Inc.Chevy Chase Clinical Research /ID# 164935

🇺🇸

Chevy Chase, Maryland, United States

Gastro Center of Maryland /ID# 171161

🇺🇸

Columbia, Maryland, United States

Digestive Health Associates (DHA) - Farmington Hills /ID# 205793

🇺🇸

Farmington Hills, Michigan, United States

Center for Digestive Health /ID# 164822

🇺🇸

Troy, Michigan, United States

Clin Res Inst of Michigan, LLC /ID# 170133

🇺🇸

Troy, Michigan, United States

Southern Therapy and Advanced Research (STAR) LLC /ID# 165343

🇺🇸

Jackson, Mississippi, United States

AGA Clinical Research Associates, LLC /ID# 164769

🇺🇸

Egg Harbor Township, New Jersey, United States

Rutgers Robert Wood Johnson /ID# 166073

🇺🇸

New Brunswick, New Jersey, United States

Advantage Clinical Trials /ID# 168546

🇺🇸

Bronx, New York, United States

Montefiore Medical Center - Moses Campus /ID# 166193

🇺🇸

Bronx, New York, United States

NY Scientific /ID# 164931

🇺🇸

Brooklyn, New York, United States

NYU Langone Long Island Clinical Research Associates /ID# 164927

🇺🇸

Lake Success, New York, United States

The Mount Sinai Hospital /ID# 170257

🇺🇸

New York, New York, United States

Columbia Univ Medical Center /ID# 164782

🇺🇸

New York, New York, United States

Atrium Health Carolinas Medical Center /ID# 164932

🇺🇸

Charlotte, North Carolina, United States

Richmond University Medical Center /ID# 201857

🇺🇸

Staten Island, New York, United States

Gastoenterology Group of Rochester /ID# 166177

🇺🇸

Rochester, New York, United States

PMG Research of Charlotte /ID# 171160

🇺🇸

Charlotte, North Carolina, United States

Wake Radiology UNC REX Healthcare - Raleigh Office /ID# 164904

🇺🇸

Raleigh, North Carolina, United States

Plains Clinical Research Center, LLC /ID# 170140

🇺🇸

Fargo, North Dakota, United States

Gastro Health Research /ID# 164791

🇺🇸

Cincinnati, Ohio, United States

Cleveland Clinic Main Campus /ID# 209231

🇺🇸

Cleveland, Ohio, United States

Hometown Urgent Care and Resea /ID# 201291

🇺🇸

Dayton, Ohio, United States

Dayton Gastroenterology, Inc. /ID# 167627

🇺🇸

Englewood, Ohio, United States

Great Lakes Medical Research, LLC /ID# 202010

🇺🇸

Mentor, Ohio, United States

Options Health Research, LLC /ID# 164820

🇺🇸

Tulsa, Oklahoma, United States

Healthcare Research Consultant /ID# 166195

🇺🇸

Tulsa, Oklahoma, United States

University of Pennsylvania /ID# 168430

🇺🇸

Philadelphia, Pennsylvania, United States

Gastroenterology Associates, P.A. of Greenville /ID# 164771

🇺🇸

Greenville, South Carolina, United States

Rapid City Medical Center - GI Research /ID# 201735

🇺🇸

Rapid City, South Dakota, United States

Gastro One /ID# 164826

🇺🇸

Germantown, Tennessee, United States

TX Clinical Research Institute /ID# 164896

🇺🇸

Arlington, Texas, United States

East Tennessee Research Institute /ID# 203613

🇺🇸

Johnson City, Tennessee, United States

Inquest Clinical Research /ID# 164785

🇺🇸

Baytown, Texas, United States

Texas Digestive Disease Consultants /ID# 209953

🇺🇸

Cedar Park, Texas, United States

Texas Digestive Disease Consultants /ID# 209801

🇺🇸

Cedar Park, Texas, United States

Baylor Scott & White Center for Inflammatory Bowel Diseases /ID# 170144

🇺🇸

Dallas, Texas, United States

Centex Studies, Inc. - Houston /ID# 201214

🇺🇸

Houston, Texas, United States

GI Specialists of Houston /ID# 202339

🇺🇸

Houston, Texas, United States

Caprock Gastro Research, LLC /ID# 215438

🇺🇸

Lubbock, Texas, United States

Carl R. Meisner Medical Clinic /ID# 201061

🇺🇸

Sugar Land, Texas, United States

Tyler Research Institute, LLC /ID# 168687

🇺🇸

Tyler, Texas, United States

HP Clinical Research /ID# 164933

🇺🇸

Bountiful, Utah, United States

Gastro Health & Nutrition - Victoria /ID# 167812

🇺🇸

Victoria, Texas, United States

Advanced Research Institute /ID# 164784

🇺🇸

Ogden, Utah, United States

Washington Gastroenterology /ID# 164824

🇺🇸

Bellevue, Washington, United States

Virginia Mason Medical Center /ID# 164913

🇺🇸

Seattle, Washington, United States

The Vancouver Clinic, INC. PS /ID# 164918

🇺🇸

Vancouver, Washington, United States

Allegiance Research Specialists /ID# 165346

🇺🇸

Wauwatosa, Wisconsin, United States

Cardio Alem /ID# 211285

🇦🇷

San Isidro, Buenos Aires, Argentina

Hospital Italiano de Buenos Aires /ID# 215541

🇦🇷

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

Cemic /Id# 169182

🇦🇷

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

Hospital Provincial del Centenario /ID# 171252

🇦🇷

Rosario, Santa Fe, Argentina

Hospital Privado Univesitario /ID# 169230

🇦🇷

Cordoba, Argentina

Concord Repatriation General Hospital /ID# 171512

🇦🇺

Concord, New South Wales, Australia

Coral Sea Clinical Research institute /ID# 212988

🇦🇺

North Mackay, Queensland, Australia

Mater Misericordiae Limited /ID# 204909

🇦🇺

South Brisbane, Queensland, Australia

Royal Adelaide Hospital /ID# 171514

🇦🇺

Adelaide, South Australia, Australia

Medizinische Universitaet Wien /ID# 169465

🇦🇹

Vienna, Wien, Austria

UCL Saint-Luc /ID# 200303

🇧🇪

Woluwe-Saint-Lambert, Bruxelles-Capitale, Belgium

CHU de Liege Sart Tilman /ID# 217534

🇧🇪

Liège, Liege, Belgium

Zentrum für Gastroenterologie Saar MVZ GmbH /ID# 206741

🇩🇪

Saarbrücken, Saarland, Germany

Universitaetsklinikum Halle (Saale) /ID# 207455

🇩🇪

Halle (Saale), Germany

General Hospital of Chest Diseases of Athens SOTIRIA /ID# 202104

🇬🇷

Athens, Attiki, Greece

Azienda Ospedaliera San Camillo Forlanini /ID# 168184

🇮🇹

Rome, Lazio, Italy

IRCCS Azienda Ospedaliero-Universitaria di Bologna /ID# 168187

🇮🇹

Bologna, Italy

A.O. Ospedali Riuniti Villa Sofia - Cervello /ID# 168189

🇮🇹

Palermo, Italy

National Hospital Organization Hirosaki General Medical Center /ID# 165961

🇯🇵

Hirosaki-shi, Aomori, Japan

Sapporo IBD Clinic /ID# 223561

🇯🇵

Sapporo-shi, Hokkaido, Japan

Aoyama Clinic /ID# 166009

🇯🇵

Kobe-shi, Hyogo, Japan

Sapporo Medical University Hospital /ID# 167124

🇯🇵

Sapporo-shi, Hokkaido, Japan

Idzuro Imamura Hospital /ID# 206654

🇯🇵

Kagoshima-shi, Kagoshima, Japan

Yokohama City University Medical Center /ID# 167128

🇯🇵

Yokohama shi, Kanagawa, Japan

Sameshima Hospital /ID# 206675

🇯🇵

Kagoshima-shi, Kagoshima, Japan

Nara Medical University Hospital /ID# 169219

🇯🇵

Kashihara-shi, Nara, Japan

Wakayama Medical University Hospital /ID# 169482

🇯🇵

Wakayama-shi, Wakayama, Japan

Kangbuk Samsung Hospital /ID# 167586

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Hayang University GuriHospital /ID# 167587

🇰🇷

Guri, Gyeonggido, Korea, Republic of

Morales Vargas Centro de Investigacion S.C. /ID# 203494

🇲🇽

Leon, Guanajuato, Mexico

Onze Lieve Vrouwe Gasthuis /ID# 166929

🇳🇱

Amsterdam, Netherlands

Clinica GASTRO MED SRL /ID# 206369

🇷🇴

Cluj-Napoca, Cluj, Romania

Institutul Clinic Fundeni /ID# 167817

🇷🇴

Sector 2, Bucuresti, Romania

Republican hospital named after V.A. Baranov /ID# 206488

🇷🇺

Petrozavodsk, Russian Federation

X7 Clinical Research Center /ID# 216350

🇷🇺

Saint Petersburg, Russian Federation

University Clinical Center Serbia /ID# 168215

🇷🇸

Belgrade, Beograd, Serbia

Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica /ID# 169958

🇸🇰

Banska Bystrica, Slovakia

Wits Clinical Research Site /ID# 170852

🇿🇦

Johannesburg, Gauteng, South Africa

Dr JP Wright /ID# 170887

🇿🇦

Cape Town, Western Cape, South Africa

Private Practice Dr MN Rajabally /ID# 169853

🇿🇦

Cape Town, Western Cape, South Africa

Hospital Universitario de Salamanca /ID# 206358

🇪🇸

Salamanca, Spain

Hospital Clinico Universitario de Valencia /ID# 209657

🇪🇸

Valencia, Spain

Hospital Universitario y Politecnico La Fe /ID# 201992

🇪🇸

Valencia, Spain

Inonu Universitesi Turgut Ozal /ID# 201268

🇹🇷

Battalgazi/malatya, Turkey

Kyiv Municipal Clinical Hospital #18 /ID# 207889

🇺🇦

Kyiv, Ukraine

Nordsjaellands Hospital /ID# 202424

🇩🇰

Hilleroed, Hovedstaden, Denmark

Kobenhavns Universitet - Hvidovre Hospital (HH) /ID# 202425

🇩🇰

Hvidovre, Hovedstaden, Denmark

Duplicate_Sjaellands Universitets Hospital /ID# 209445

🇩🇰

Roskilde, Sjælland, Denmark

Univ of California San Francis /ID# 164944

🇺🇸

San Francisco, California, United States

Digestive Disease Specialists /ID# 201064

🇺🇸

Oklahoma City, Oklahoma, United States

Quality Medical Research /ID# 205263

🇺🇸

Nashville, Tennessee, United States

Vanderbilt University Medical Center /ID# 164946

🇺🇸

Nashville, Tennessee, United States

Clinical Associates in Research Therapeutics of America, LLC /ID# 164786

🇺🇸

San Antonio, Texas, United States

Southern Star Research Institute, LLC /ID# 169755

🇺🇸

San Antonio, Texas, United States

Duplicate_Care Access Research /ID# 164794

🇺🇸

Salt Lake City, Utah, United States

Hallands Hospital Halmstad /ID# 170828

🇸🇪

Halmstad, Hallands Lan, Sweden

Alingsas lasarett /ID# 170826

🇸🇪

Alingsas, Vastra Gotalands Lan, Sweden

Sahlgrenska University Hospital /ID# 169171

🇸🇪

Gothenburg, Vastra Gotalands Lan, Sweden

Istituto Clinico Humanitas /ID# 168185

🇮🇹

Rozzano, Milano, Italy

ASST Fatebenefratelli Sacco - Ospedale Fatebenefratelli e Oftalmico /ID# 168181

🇮🇹

Milano, Italy

ASST Grande Ospedale Metropolitano Niguarda /ID# 170849

🇮🇹

Milano, Italy

Azienda Ospedaliero-Universitaria di Modena /ID# 201897

🇮🇹

Modena, Italy

Azienda Ospedaliero Universitaria Pisana-Stabilimento di Cisanello /ID# 202421

🇮🇹

Pisa, Italy

University of Alberta - Zeidler Ledcor Centre /ID# 166971

🇨🇦

Edmonton, Alberta, Canada

South Edmonton Gastroenterology Research Clinic /ID# 166978

🇨🇦

Edmonton, Alberta, Canada

Royal Victoria Hospital / McGill University Health Centre /ID# 170119

🇨🇦

Montreal, Quebec, Canada

Medicor Research Inc /ID# 166979

🇨🇦

Sudbury, Ontario, Canada

Toronto Digestive Disease Asso /ID# 166972

🇨🇦

Vaughan, Ontario, Canada

Mayo Clinic - Rochester /ID# 164783

🇺🇸

Rochester, Minnesota, United States

Quality Clinical Research Inc. /ID# 170137

🇺🇸

Omaha, Nebraska, United States

Duplicate_CHI Nebraska d/b/a CHI Health /ID# 168578

🇺🇸

Omaha, Nebraska, United States

Hospital Juan Ramon Jimenez /ID# 201995

🇪🇸

Huelva, Spain

Yonsei University Health System Severance Hospital /ID# 167590

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

CHA University Bundang Medical Center /ID# 167592

🇰🇷

Seongnam si, Gyeonggido, Korea, Republic of

Dong-A University Hospital /ID# 167591

🇰🇷

Busan, Korea, Republic of

Samsung Medical Center /ID# 167588

🇰🇷

Seoul, Korea, Republic of

Pusan National University Hospital /ID# 167589

🇰🇷

Busan, Korea, Republic of

United Health Services Hospitals, Inc /ID# 217485

🇺🇸

Johnson City, New York, United States

Gedyt /ID# 210020

🇦🇷

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

Clinical Research Trials of Florida, Inc. /ID# 203485

🇺🇸

Tampa, Florida, United States

AdventHealth Tampa /ID# 171167

🇺🇸

Tampa, Florida, United States

South Eastern Health and Social Care Trust /ID# 205323

🇬🇧

Belfast, Antrim, United Kingdom

The Ohio State University /ID# 170141

🇺🇸

Columbus, Ohio, United States

Chung-Ang University Hostipal /ID# 207018

🇰🇷

Seoul, Korea, Republic of

Duplicate_Second MHAT Sofia /ID# 167614

🇧🇬

Sofia, Bulgaria

CTR Estudios Clinicos /ID# 203941

🇨🇱

Providencia, Chile

Zadar General Hospital /ID# 205536

🇭🇷

Zadar, Croatia

Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 171012

🇪🇬

Alexandria, Egypt

Mentahaz Maganorvosi Kozpont /ID# 201895

🇭🇺

Szekesfehervar, Hungary

Toho University Sakura Medical Center /ID# 165963

🇯🇵

Sakura-shi, Chiba, Japan

Fukuoka University Chikushi Hospital /ID# 214404

🇯🇵

Chikushino-shi, Fukuoka, Japan

Niigata University Medical & Dental Hospital /ID# 170045

🇯🇵

Niigata-shi, Niigata, Japan

Ishida Clinic of IBD and Gastroenterology /ID# 167121

🇯🇵

Oita-shi, Oita, Japan

NHO Shizuoka Medical Center /ID# 167125

🇯🇵

Sunto-gun, Shizuoka, Japan

Japanese Red Cross Wakayama Medical Center /ID# 200643

🇯🇵

Wakayama-shi, Wakayama, Japan

Academisch Medisch Centrum /ID# 166927

🇳🇱

Amsterdam, Netherlands

Centrum Zdrowia MDM /ID# 200491

🇵🇱

Warszawa, Mazowieckie, Poland

Perm Clinical Center of the Federal Medical and Biological Agency /ID# 202990

🇷🇺

Perm, Permskiy Kray, Russian Federation

P.A. Bayandin Murmansk Regiona /ID# 169639

🇷🇺

Murmansk, Russian Federation

Semmelweis Egyetem /ID# 210167

🇭🇺

Budapest, Hungary

Magyar Honvedseg Egeszsegugyi Kozpont /ID# 201724

🇭🇺

Budapest, Hungary

Instituto de Investigaciones Aplicadas a la Neurociencias A.C. /ID# 207579

🇲🇽

Victoria de Durango, Durango, Mexico

Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 214470

🇦🇹

Salzburg, Austria

Klinicki bolnicki centar Sestre milosrdnice /ID# 205535

🇭🇷

Zagreb, Grad Zagreb, Croatia

Clinical Research Center, Faculty of Medicine, Alexandria university. /ID# 171013

🇪🇬

Alexandria, Egypt

Debreceni Egyetem Klinikai Kozpont /ID# 216419

🇭🇺

Debrecen, Hajdu-Bihar, Hungary

Bugat Pal Korhaz /ID# 201893

🇭🇺

Gyöngyös, Heves, Hungary

Szent Borbala Korhaz /ID# 209897

🇭🇺

Tatabanya, Komarom-Esztergom, Hungary

National Hospital Organization Takasaki General Medical Center /ID# 167127

🇯🇵

Takasaki-shi, Gunma, Japan

NHO Fukuyama Medical Center /ID# 167131

🇯🇵

Fukuyama-shi, Hiroshima, Japan

Hyogo College of Medicine College Hospital /Id# 165973

🇯🇵

Nishinomiya-shi, Hyogo, Japan

Yokkaichi Hazu Medical Center /ID# 167196

🇯🇵

Yokkaichi-shi, Mie, Japan

Tohoku University Hospital /ID# 167122

🇯🇵

Sendai-shi, Miyagi, Japan

Chikuba Hospital for Proctological and Gastrointestinal Diseases /ID# 166010

🇯🇵

Kurashiki-shi, Okayama, Japan

Kinshukai Infusion Clinic /ID# 218872

🇯🇵

Osaka-shi, Osaka, Japan

Osaka Medical and Pharmaceutical University Hospital /ID# 206326

🇯🇵

Takatsuki-shi, Osaka, Japan

Tokyo Medical And Dental University Hospital /ID# 165965

🇯🇵

Bunkyo-ku, Tokyo, Japan

Pauls Stradins Clinical University Hospital /ID# 169519

🇱🇻

Riga, Latvia

WIP Warsaw IBD Point Profesor Kierkus /ID# 224301

🇵🇱

Warsaw, Mazowieckie, Poland

University Clinical Center Kragujevac /ID# 205859

🇷🇸

Kragujevac, Sumadijski Okrug, Serbia

Warrington and Halton Hospitals NHS Foundation Trust /ID# 209086

🇬🇧

Warrington, Cheshire West And Chester, United Kingdom

National Hepatology and Tropical Medicine Research Institute /ID# 170989

🇪🇬

Cairo, Egypt

Polyclinic and Daily Hospital Dr. Al-Tawil /ID# 217842

🇧🇦

Sarajevo, Bosnia and Herzegovina

Clinical Hospital Dubrava /ID# 171185

🇭🇷

Zagreb, Grad Zagreb, Croatia

Poliklinika Solmed /ID# 211519

🇭🇷

Zagreb, Grad Zagreb, Croatia

General Hospital of Athens Ippokratio /ID# 167045

🇬🇷

Athens, Attiki, Greece

Mohacsi Korhaz /ID# 209441

🇭🇺

Mohacs, Baranya, Hungary

CRU Hungary Egeszsegugyi és Szolgaltato Kft. /ID# 205547

🇭🇺

Encs, Borsod-Abauj-Zemplen, Hungary

Obudai Egeszsegugyi Centrum Kft. /ID# 201892

🇭🇺

Budapest, Pest, Hungary

Mercy University Hospital /ID# 206511

🇮🇪

Cork, Ireland

Nagoya City University Hospital /ID# 165970

🇯🇵

Nagoya shi, Aichi, Japan

Nagoya University Hospital /ID# 165969

🇯🇵

Nagoya-shi, Aichi, Japan

Kurume University Hospital /ID# 166012

🇯🇵

Kurume-shi, Fukuoka, Japan

Hiroshima University Hospital /ID# 166014

🇯🇵

Hiroshima-shi, Hiroshima, Japan

Yamagata University Hospital /ID# 200157

🇯🇵

Yamagata-shi, Yamagata, Japan

Digestive Disease Center Gastro /ID# 169508

🇱🇻

Riga, Latvia

Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 206936

🇱🇹

Kaunas, Lithuania

Vilnius University Hospital Santaros Klinikos /ID# 203286

🇱🇹

Vilnius, Lithuania

Universiti Kebangsaan Malaysia (UKM) Medical Centre /ID# 170773

🇲🇾

Kuala Lumpur, Selangor, Malaysia

Universiti Sains Malaysia /ID# 200102

🇲🇾

Kelantan, Malaysia

School of Medicine University of Puerto Rico-Medical Science Campus /ID# 166771

🇵🇷

San Juan, Puerto Rico

LLC Novaya Klinika /ID# 206616

🇷🇺

Pyatigorsk, Stavropol Skiy Kray, Russian Federation

Clinical Hosp Center Zvezdara /ID# 168214

🇷🇸

Belgrade, Beograd, Serbia

Clinical Center Vojvodina /ID# 168213

🇷🇸

Novi Sad, Vojvodina, Serbia

Research Group /ID# 203179

🇨🇱

Santiago, Region Metropolitana De Santiago, Chile

M y F Estudios Clínicos /ID# 169984

🇨🇱

Santiago, Region Metropolitana Santiago, Chile

Hospital Clinico Universidad De Los Andes /ID# 207466

🇨🇱

Santiago, Chile

Hospital Universitario San Vic /ID# 200029

🇨🇴

Medellin, Colombia

National Liver Institute /ID# 170988

🇪🇬

Menoufiya, Egypt

Tzaneio general hospital of Piraeus /ID# 206433

🇬🇷

Piraeus, Attiki, Greece

General Hospital of Thessaloniki Hippokrateio /ID# 208825

🇬🇷

Thessaloniki, Greece

Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz /ID# 201723

🇭🇺

Debrecen, Hungary

Pest Megyei Flor Ferenc Korhaz /ID# 206154

🇭🇺

Kistarcsa, Hungary

Tel Aviv Sourasky Medical Center /ID# 204877

🇮🇱

Tel Aviv-Yafo, Tel-Aviv, Israel

Assaf Harofeh Medical Center /ID# 204872

🇮🇱

Be'Er Ya'Akov, Israel

Hadassah Medical Center-Hebrew University /ID# 169928

🇮🇱

Jerusalem, Israel

Aichi Medical University Hospital /ID# 165971

🇯🇵

Nagakute-shi, Aichi, Japan

Toyohashi Municipal Hospital /ID# 200175

🇯🇵

Toyohashi-shi, Aichi, Japan

Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 165960

🇯🇵

Sapporo-shi, Hokkaido, Japan

Kenseikai Dongo Hospital /ID# 208104

🇯🇵

Yamatotakada-shi, Nara, Japan

Osaka Metropolitan University Hospital /ID# 166015

🇯🇵

Osaka-shi, Osaka, Japan

Osaka University Hospital /ID# 169663

🇯🇵

Suita-shi, Osaka, Japan

GIRI Gastrointestinal Research Institute /ID# 166975

🇨🇦

Vancouver, British Columbia, Canada

Vistamed /ID# 208572

🇵🇱

Wroclaw, Dolnoslaskie, Poland

Centrum Medyczne Reuma Park /ID# 200490

🇵🇱

Warszawa, Mazowieckie, Poland

Hospital da Senhora da Oliveira Guimaraes, EPE /ID# 170245

🇵🇹

Guimaraes, Braga, Portugal

Cabinet Particular Policlinic Algomed /ID# 167818

🇷🇴

Timișoara, Romania

Kazan State Medical University /ID# 169638

🇷🇺

Kazan, Tatarstan, Respublika, Russian Federation

Professor Pasechnikov Gastroenterology and Pankreatology clinic /ID# 202997

🇷🇺

Stavropol, Stavropol Skiy Kray, Russian Federation

Clin Hosp Ctr Bezanijska Kosa /ID# 168750

🇷🇸

Belgrade, Beograd, Serbia

Allergy & Immunology (AIU) /ID# 171431

🇿🇦

Cape Town, Western Cape, South Africa

Olla-Med Clinic /ID# 208720

🇷🇺

Moscow, Russian Federation

University of Louisville /ID# 168572

🇺🇸

Louisville, Kentucky, United States

Endoscopic Research, Inc. /ID# 206136

🇺🇸

Orlando, Florida, United States

Omega Research Maitland, LLC /ID# 203481

🇺🇸

Orlando, Florida, United States

University of Louisville /ID# 165366

🇺🇸

Louisville, Kentucky, United States

Nola Research Works, LLC /ID# 164759

🇺🇸

New Orleans, Louisiana, United States

University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 164943

🇺🇸

Ann Arbor, Michigan, United States

Pharmacorp Clinical Trials /ID# 164916

🇺🇸

Charleston, South Carolina, United States

Wake Forest Baptist Medical Center /ID# 164908

🇺🇸

Winston-Salem, North Carolina, United States

Allen Whey Khye Lim Professional Corporation /ID# 168044

🇨🇦

Edmonton, Alberta, Canada

Box Hill Hospital /ID# 203736

🇦🇺

Box Hill, Victoria, Australia

United Medical Doctors /ID# 207449

🇺🇸

Los Alamitos, California, United States

Care Access Research /ID# 167767

🇺🇸

San Pablo, California, United States

Hospital Pablo Tobon Uribe /ID# 202404

🇨🇴

Medellín, Antioquia, Colombia

Fraser Clinical Trials Inc /ID# 166968

🇨🇦

New Westminster, British Columbia, Canada

The Jikei University Hospital /ID# 167130

🇯🇵

Minato-ku, Tokyo, Japan

Radboud Universitair Medisch Centrum /ID# 166928

🇳🇱

Nijmegen, Gelderland, Netherlands

Zuyderland Medisch Centrum /ID# 169700

🇳🇱

Heerlen, Limburg, Netherlands

Policlinico Universitario Campus Bio-Medico /ID# 168183

🇮🇹

Rome, Lazio, Italy

Kyorin University Hospital /ID# 165966

🇯🇵

Mitaka-shi, Tokyo, Japan

Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 207238

🇲🇽

Guadalajara, Jalisco, Mexico

Farmovs (Pty) Ltd /Id# 207535

🇿🇦

Bloemfontein, Free State, South Africa

Hospital Universitario de Navarra /ID# 202355

🇪🇸

Pamplona, Navarra, Spain

Erciyes University Medical Fac /ID# 171331

🇹🇷

Melikgazi, Kayseri, Turkey

Tuen Mun Hospital /ID# 171218

🇭🇰

Hong Kong, Hong Kong

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