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A Study to Learn How Well the Treatment Combination of Finerenone and Empagliflozin Works and How Safe it is Compared to Each Treatment Alone in Adult Participants With Long-term Kidney Disease (Chronic Kidney Disease) and Type 2 Diabetes

Registration Number
NCT05254002
Lead Sponsor
Bayer
Brief Summary

Finerenone works by blocking a group of proteins, called mineralocorticoid receptor. An increased stimulation of mineralocorticoid receptor is known to trigger injury and inflammation in the kidney and is therefore thought to play a role in CKD.

Empagliflozin lowers blood sugar levels by increasing the excretion of glucose from the blood into the urine.

In this study, the researchers want to learn how well the combination of finerenone and empagliflozin helps to slow down the worsening of the participants' kidney function compared to either treatment alone. For this, the level of protein in the urine will be measured. The investigators also want to know how safe the combination is compared to either treatment alone.

Depending on the treatment group, the participants will either take the combination of finerenone and empagliflozin, or finerenone together with a placebo, or empagliflozin together with a placebo, once a day as tablets by mouth. A placebo looks like a treatment but does not have any medicine in it. Importantly, the participants will also continue to take their other current medicine for CKD and T2D.

The participants will be in the study for up to 7.5 months and will take the study treatments for 6 months. During the study, participants will visit the study site 7 times.

The study team will:

* collect blood and urine samples

* check the participants' vital signs

* do a physical examination including height and weight

* check the participants' heart health by using an electrocardiogram (ECG)

* monitor the participants' blood pressure

* ask the participants questions about how they are feeling and what adverse events they may be having An adverse event is any problem that happens during the trial. Doctors keep track of all events that happen in trials, even if they do not think the events might be related to the study treatments.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1664
Inclusion Criteria
  • Participant with a clinical diagnosis of chronic kidney disease (CKD) and the following:

    • In Part A: eGFR 40-90 ml/min/1.73m^2 (with no more than 20% having an eGFR >75 ml/min/1.73m^2) using Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) formula at screening visit and at least one historical value of eGFR <60 mL/min/1.73 m^2 within 3 months or have a registered diagnosis of CKD.
    • In Part B: eGFR 30-90 ml/min/1.73m^2 (with no more than 20% having an eGFR >75 ml/min/1.73m^2) using CKD-EPI formula at screening visit and at least one historical value of eGFR <60 mL/min/1.73 m^2 within 3 months or have a registered diagnostic of CKD.
    • 100 ≤UACR <5000 mg/g at screening visit (mean value from 3 morning void samples) and documentation of albuminuria/proteinuria (quantitative or semi-quantitative measurement) in the participant's medical records at least 3 months prior to screening
  • Participant with type 2 diabetes (T2D) as defined by the American Diabetes Association (ADA 2021), with glycated hemoglobin (HbA1c) at screening <11%.

  • Participant treated with the clinically maximum tolerated dose, as per investigator judgment, of angiotensin-converting enzyme inhibitor (ACEi) or angiotensin receptor blocker (ARB), but not both, for more than 1 month at screening visit.

Exclusion Criteria
  • Participants with type 1 diabetes (T1D).
  • Participant with hepatic insufficiency classified as Child-Pugh C.
  • Participant with blood pressure at Day 1 visit (Visit 2) higher than 160 systolic blood pressure (SBP) or 100 diastolic blood pressure (DBP) or SBP lower than 90 mmHg.
  • Participant currently treated with a sodium/glucose cotransporter-2 inhibitor (SGLT2i) or SGLT-1/2i or who received a SGLT2i or SGLT-1/2i which cannot be discontinued at least 8 weeks prior to the screening visit and during study intervention treatment.
  • Participant treated with another mineralocorticoid receptor antagonist (MRA) (e.g., eplerenone, esaxerenone, spironolactone, canrenone), a renin inhibitor, potassium supplements, a potassium sparing diuretic (e.g., amiloride, triamterene), a potassium binder agent, or angiotensin receptor-neprilysin inhibitor (ARNI) which cannot be discontinued at least 8 weeks prior to the screening visit and during study intervention treatment.
  • Participants currently treated or who were treated with Finerenone (Kerendia©) within 8 weeks prior to the screening visit.
  • Participant with serum/plasma potassium (K+) above 4.8 mmol/L at screening visit (central laboratory value).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Finerenone and EmpagliflozinFinerenone (BAY94-8862 ) 20 mgParticipants will take Finerenone (10 or 20 mg once daily \[OD\]) and Empagliflozin (10 mg OD) for up to 180 days.
Finerenone and Empagliflozin placeboEmpagliflozin PlaceboParticipants will take Finerenone (10 or 20 mg OD) and matching placebo to Empagliflozin (OD) for up to 180 days.
Finerenone and Empagliflozin placeboFinerenone (BAY94-8862 ) 20 mgParticipants will take Finerenone (10 or 20 mg OD) and matching placebo to Empagliflozin (OD) for up to 180 days.
Finerenone and Empagliflozin placeboFinerenone (BAY94-8862 ) 10 mgParticipants will take Finerenone (10 or 20 mg OD) and matching placebo to Empagliflozin (OD) for up to 180 days.
Empagliflozin and Finerenone placeboFinerenone PlaceboParticipants will take Empagliflozin (10 mg OD) and matching placebo to Finerenone (OD). for up to 180 days.
Finerenone and EmpagliflozinFinerenone (BAY94-8862 ) 10 mgParticipants will take Finerenone (10 or 20 mg once daily \[OD\]) and Empagliflozin (10 mg OD) for up to 180 days.
Finerenone and EmpagliflozinEmpagliflozinParticipants will take Finerenone (10 or 20 mg once daily \[OD\]) and Empagliflozin (10 mg OD) for up to 180 days.
Empagliflozin and Finerenone placeboEmpagliflozinParticipants will take Empagliflozin (10 mg OD) and matching placebo to Finerenone (OD). for up to 180 days.
Primary Outcome Measures
NameTimeMethod
Mean ratio of change from baseline to Day 180 in UACR for the combination therapy group, to finerenone aloneUp to 180 days
Mean ratio of change from baseline to Day 180 in UACR for the combination therapy group, to empagliflozin aloneUpto 180 days
Relative change from baseline in UACR at 180 days in combination therapy group versus empagliflozin aloneUp to 180 days

Urinary albumin to-creatinine ratio (UACR)

Relative change from baseline in UACR at 180 days in combination therapy group versus finerenone aloneUp to 180 days
Secondary Outcome Measures
NameTimeMethod
Total number of ketoacidosis eventsUp to 180 days
Proportion of participants with symptomatic hypotension eventsUp to 180 days
Proportion of participants with necrotizing fasciitis of the perineum eventsUp to 180 days
Total number of urosepsis and pyelonephritis eventsUp to 180 days
Proportion of participants with severe hypoglycemia eventsUp to 180 days

Severe hypoglycemia is defined as glucose level of \<3.0 mmol/L (\<54 mg/dL).

Relative change in UACR between end of treatment visit (Day 180) and 30 days after end of treatment visit (Day 210)Up to 210 days
Total number of events of severe hypoglycemia eventsUp to 180 days
Relative change in UACR between 30 days after end of treatment visit (Day 210) and baseline (Day 1)Up to 210 days
Relative change in UACR category (>30%, >40%, >50%) at 180 daysUp to 180 days
Ratio of change from baseline in eGFR at 30 daysUp to 30 days

estimated glomerular filtration rate (eGRF)

eGFR decline greater than 30% at 30 days from baselineUp to 30 days
Proportion of participants with of acute kidney injury (AKI) eventsUp to 180 days

AKI is defined as any of the following:

* An increase in serum creatinine by greater than or equal to 0.3 mg/dL within 48 hours; or

* An increase in serum creatinine by greater than or equal to 1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; or

* A urine volume less than 0.5 ml/kg/h for 6 hours

Total number of symptomatic hypotension eventsUp to 180 days
Proportion of participants with genital mycotic eventsUp to 180 days
Ratio of change in eGFR at 180 days and 210 days from Day 30Up to 210 days
Total number of AKI eventsUp to 180 days
Proportion of participants with hyperkalemia events (moderate hyperkalemia [5.5 <K+ ≤6.0 mmol/L], severe hyperkalemia [K+ >6.0 mmol/L])Up to 180 days

serum/plasma potassium (k+)

Total number of hyperkalemia events (moderate hyperkalemia [5.5 <K+ ≤6.0 mmol/L], severe hyperkalemia [K+ >6.0 mmol/L])Up to 180 days
Change from baseline in K+Up to 180 days
Proportion of participants with ketoacidosis eventsUp to 180 days
Total number of necrotizing fasciitis of the perineum eventsUp to 180 days
Proportion of participants with urosepsis and pyelonephritis eventsUp to 180 days
Total number of genital mycotic eventsUp to 180 days

Trial Locations

Locations (181)

Recherche GCP Research

🇨🇦

Montreal, Quebec, Canada

Southwest Kidney Institute, PLC

🇺🇸

Surprise, Arizona, United States

Academic Medical Research Institute

🇺🇸

Los Angeles, California, United States

Northridge Hospital

🇺🇸

Northridge, California, United States

Olive View - UCLA Medical Center

🇺🇸

Sylmar, California, United States

Touro University California

🇺🇸

Vallejo, California, United States

Chase Medical Research, LLC

🇺🇸

Waterbury, Connecticut, United States

Florida Kidney Physicians - Delray Beach Nephrology

🇺🇸

Delray Beach, Florida, United States

West Orange Endocrinology & Clinical Research

🇺🇸

Ocoee, Florida, United States

Innovative Research Institute

🇺🇸

Port Charlotte, Florida, United States

Metabolic Research Institute, Inc.

🇺🇸

West Palm Beach, Florida, United States

Grady Memorial Hospital - Endocrinology

🇺🇸

Atlanta, Georgia, United States

Southeast Kidney Associates

🇺🇸

East Point, Georgia, United States

Velocity Clinical Research - Savannah

🇺🇸

Savannah, Georgia, United States

Versailles Family Medicine

🇺🇸

Versailles, Kentucky, United States

Nola Care Clinical Research

🇺🇸

Metairie, Louisiana, United States

Omega Clinical Research Center

🇺🇸

Metairie, Louisiana, United States

South Shore Nephrology

🇺🇸

Plymouth, Massachusetts, United States

Lake Michigan Nephrology

🇺🇸

Saint Joseph, Michigan, United States

Clinical Research Consultants

🇺🇸

Kansas City, Missouri, United States

Kansas City VA Medical Center - Endocrinology

🇺🇸

Kansas City, Missouri, United States

Washington University School of Medicine in St. Louis

🇺🇸

Saint Louis, Missouri, United States

St. Louis Heart & Vascular, PC

🇺🇸

Saint Louis, Missouri, United States

Somnos Clinical Research

🇺🇸

Lincoln, Nebraska, United States

Meridian Clinical Research- Norfolk

🇺🇸

Norfolk, Nebraska, United States

Healor Primary Care / CCT Research

🇺🇸

Las Vegas, Nevada, United States

Santa Rosa Medical Centers of Nevada / CCT Research

🇺🇸

Las Vegas, Nevada, United States

Circuit Clinical/Crystal Run

🇺🇸

Middletown, New York, United States

Randolph Medical Associates

🇺🇸

Asheboro, North Carolina, United States

University of North Carolina Kidney Center

🇺🇸

Chapel Hill, North Carolina, United States

Eastern Nephrology Associates - Greenville West

🇺🇸

Greenville, North Carolina, United States

Blue Sky, MD/ Lamond Family Medicine

🇺🇸

Hendersonville, North Carolina, United States

Eastern Nephrology Associates - Kinston

🇺🇸

Kinston, North Carolina, United States

Velocity Clinical Research, Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Oakland Medical Center

🇺🇸

Dakota Dunes, South Dakota, United States

Dunes Clinical Research LLC

🇺🇸

Dakota Dunes, South Dakota, United States

DarSalud Care / LifeDOC Research

🇺🇸

Memphis, Tennessee, United States

University of Tennessee Health Science Center

🇺🇸

Memphis, Tennessee, United States

Office of Osvaldo A. Brusco, MD

🇺🇸

Corpus Christi, Texas, United States

Thyroid, Endocrinology, and Diabetes (TED) PA

🇺🇸

Dallas, Texas, United States

DaVita Clinical Research- El Paso

🇺🇸

El Paso, Texas, United States

Global Kidney Center

🇺🇸

Houston, Texas, United States

Victorium Clinical Research

🇺🇸

Houston, Texas, United States

North Texas Kidney Disease Associates, PLLC

🇺🇸

Lewisville, Texas, United States

Biopharma Informatic - McAllen, TX

🇺🇸

McAllen, Texas, United States

Clinical Advancement Center, PLLC

🇺🇸

San Antonio, Texas, United States

University of Texas Health Science Center

🇺🇸

San Antonio, Texas, United States

Olympus Family Medicine

🇺🇸

Salt Lake City, Utah, United States

Salem VA Medical Center - Endocrinology

🇺🇸

Salem, Virginia, United States

MultiCare Rockwood Clinic Diabetes & Endocrinology Center

🇺🇸

Spokane, Washington, United States

CHU de Charleroi Hôpital civil

🇧🇪

Lodelinsart, Hainaut, Belgium

Onze-Lieve-Vrouwziekenhuis (OLVZ) - Campus Aalst

🇧🇪

Aalst, Oost-vlaanderen, Belgium

AZ St-Lucas Campus St-Lucas

🇧🇪

Gent, Belgium

UZ Gent

🇧🇪

Gent, Belgium

Regionaal ZH Jan Yperman Campus Mariaziekenhuis

🇧🇪

Ieper, Belgium

AZ Groeninge Campus Kennedylaan

🇧🇪

Kortrijk, Belgium

UZ Leuven Gasthuisberg

🇧🇪

Leuven, Belgium

AZ Delta

🇧🇪

Roeselare, Belgium

LMC Manna Research - Calgary

🇨🇦

Calgary, Alberta, Canada

Hamilton Medical Research Group

🇨🇦

Hamilton, Ontario, Canada

William Osler Health centre, Sakuara Medical

🇨🇦

Mississauga, Ontario, Canada

Bluewater Clinical Research Group

🇨🇦

Sarnia, Ontario, Canada

Sameh Fikry Professional Corporation

🇨🇦

Waterloo, Ontario, Canada

Clinical Research Solutions, Inc.

🇨🇦

Waterloo, Ontario, Canada

Centre Hospitalier de l'Université de Montréal (CHUM)

🇨🇦

Montreal, Quebec, Canada

LMC Clinical Research Inc. Montreal

🇨🇦

Ville Saint-Laurent, Quebec, Canada

Hospital of South West Jutland | Department of Endocrinology Research

🇩🇰

Esbjerg, Denmark

Steno Diabetes Center Copenhagen | Herlev - Clinical and Translational Research Department

🇩🇰

Herlev, Denmark

Region Midtjylland | Regionshospitalet Godstrup - Nephrology Department

🇩🇰

Herning, Denmark

Bispebjerg Hospital - Hjerteafdeling

🇩🇰

København, Denmark

Hôpital François Mitterrand - Dijon

🇫🇷

Dijon, France

Center Hospitalier Michallon - Grenoble

🇫🇷

Grenoble Cedex 9, France

Hôpital Edouard Herriot - Lyon Cedex

🇫🇷

Lyon Cedex, France

Many Locations

🇨🇳

Multiple Locations, Taiwan

Hopital Carémeau - Nîmes

🇫🇷

Nîmes, France

Hôpital Saint Joseph

🇫🇷

Paris, France

St. Josefskrankenhaus

🇩🇪

Heidelberg, Baden-Württemberg, Germany

ClinPhenomics GmbH&Co. KG

🇩🇪

Frankfurt, Hessen, Germany

Diabetologische Schwerpunkt Praxis Dortmund

🇩🇪

Dortmund, Nordrhein-Westfalen, Germany

Zentrum für Diabetologie und Ernährungsmedizin

🇩🇪

Ludwigshafen, Rheinland-Pfalz, Germany

Cardiologicum Pirna / Dresden-Seidnitz

🇩🇪

Pirna, Sachsen, Germany

Friedrich-Schiller-Uni. Jena

🇩🇪

Jena, Thüringen, Germany

Charité Campus Benjamin Franklin (CBF)

🇩🇪

Berlin, Germany

Diabetes Zentrum Wandsbek

🇩🇪

Hamburg, Germany

King George Hospital

🇮🇳

Visakhapatnam, AP, India

All India Institute of Medical Sciences

🇮🇳

Bhubaneswar, Delhi, India

Indraprastha Apollo Hospital

🇮🇳

New Delhi, Delhi, India

Mavani Dialysis & Kidney Center

🇮🇳

Ahmedabad, GJ, India

K.L.E.S. Dr. Prabhakar Kore Hospital & Medical Research Centre

🇮🇳

Belgaum, Karnataka, India

Manipal Hospital

🇮🇳

Mysore, Karnataka, India

Asian Kidney Hospital and Medical Centre

🇮🇳

Nagapur, MH, India

Eternal Heart Care Centre (EHCC) and Research Institute

🇮🇳

Jaipur, Rajasthan, India

G.S.V.M. Medical College

🇮🇳

Kanpur, Uttar Pradesh, India

Institute of Post-Graduate Medical Education and Research

🇮🇳

Kolkata, West Bengal, India

Dr. Bantwal's Clinic

🇮🇳

Bengaluru, India

Bangalore Medical College & Research Institute

🇮🇳

Bengaluru, India

Government Kilpauk Medical College Hospital

🇮🇳

Chennai, India

Sriram Chandra Bhanj Medical College & Hospital

🇮🇳

Cuttack, India

Nizam's Institute of Medical Sciences (NIMS)

🇮🇳

Hyderabad, India

Sawami Man Singh (SMS) Medical College & Attached Hospitals

🇮🇳

Jaipur, India

Government Medical College

🇮🇳

Kozhikode, India

Vinaya Hospital and Research Centre (A Unit of KIMS)

🇮🇳

Mangalore, India

Seth Gordhandas Sunderdas Medical College (GSMC) - King Edward Memorial (KEM) Hospital

🇮🇳

Mumbai, India

Government Medical College and Hospital (GMCH) Nagpur

🇮🇳

Nagpur, India

Max Super Speciality Hospital (MSSH) - Saket

🇮🇳

New Delhi, India

Grant Medical Foundation - Ruby Hall Clinic (RHC)

🇮🇳

Pune, India

Lifepoint Multispecialty Hospital

🇮🇳

Pune, India

Krishna Institute Of Medical Science

🇮🇳

Secunderabad, India

Osmania General Hospital

🇮🇳

Telangana, India

Vedanta Kidney Care

🇮🇳

Vadodara, India

HaEmek Medical Center | Internal Medicine C Department - Research Unit

🇮🇱

Afula, Israel

Barzilai Medical Center | Department of Nephrology and Hypertension

🇮🇱

Ashkelon, Israel

Clalit Health | Soroka Medical Center - Internal Medicine Department

🇮🇱

Beer Sheva, Israel

Edith Wolfson Medical Center | Internal Medicine Department

🇮🇱

Holon, Israel

Hadassah University Medical Center (HUMC)

🇮🇱

Jerusalem, Israel

Health Corporation of Galilee Medical Center

🇮🇱

Nahariya, Israel

Rabin Medical Center | Beilinson Hospital - Internal Medicine C Department

🇮🇱

Petach Tikva, Israel

Health Corporation of the Ziv Medical Center (R.A.)

🇮🇱

Zefat, Israel

Azienda Ospedaliero Universitaria Parma - SC Nefrologia

🇮🇹

Parma, Emilia-Romagna, Italy

ASL 4 Chiavarese

🇮🇹

Chiavari, Liguria, Italy

Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII - Malattie Endocrine e Diabetologia

🇮🇹

Bergamo, Lombardia, Italy

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico - Endocrinologia

🇮🇹

Milano, Lombardia, Italy

Ospedale San Raffaele s.r.l. - Medicina Generale Indirizzo Diabetologico ed Endocrino-Metabolico

🇮🇹

Milano, Lombardia, Italy

Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo_Ospedale S. Paolo - Gestione integrata della malattia Diabetica

🇮🇹

Milano, Lombardia, Italy

Azienda Socio Sanitaria Territoriale Rhodense

🇮🇹

Rho, Lombardia, Italy

Azienda Ospedaliero-Universitaria San Luigi Gonzaga - Malattie Metaboliche Diabetologia

🇮🇹

Orbassano, Piemonte, Italy

Casa Sollievo della Sofferenza - Endocrinologia

🇮🇹

San Giovanni Rotondo, Puglia, Italy

Azienda Socio Sanitaria Locale N 2 Della Gallura - Diabetologia

🇮🇹

Olbia, Sardegna, Italy

Azienda Ospedaliero Universitaria Pisana_Cisanello - Malattie Metaboliche e Diabetologia

🇮🇹

Pisa, Toscana, Italy

Azienda Ospedaliera Universitaria Integrata Verona_Borgo Roma - Endocrinologia, Diabetologia e Malattie del Metabolismo

🇮🇹

Verona, Veneto, Italy

Università degli Studi "G. D'Annunzio" di Chieti - Endocrinologia

🇮🇹

Chieti, Italy

Saiseikai Matsuyama Hospital

🇯🇵

Matsuyama, Ehime, Japan

Fukuoka University Chikushi Hospital

🇯🇵

Chikushino, Fukuoka, Japan

Kokura Memorial Hospital

🇯🇵

Kitakyushu, Fukuoka, Japan

Hirohata Naika Clinic

🇯🇵

Kitakyushu, Fukuoka, Japan

Jiyugaoka Yamada Internal Medicine Clinic

🇯🇵

Obihiro, Hokkaido, Japan

Naka Kinen Clinic

🇯🇵

Naka-shi, Ibaraki, Japan

Public Central Hospital of Matto Ishikawa | Clinical Trial Management Office

🇯🇵

Hakusan, Ishikawa, Japan

Fukui-ken Saiseikai Hospital

🇯🇵

Fukui, Japan

Social Medical Corporation the Chiyukai foundation Fukuoka Wajiro Hospital

🇯🇵

Fukuoka, Japan

Japanese Red Cross Kumamoto Hospital

🇯🇵

Kumamoto, Japan

Medical Corporation Taifukukai, Osaka Nishiumeda Clinic

🇯🇵

Osaka, Japan

Osaka General Medical Center

🇯🇵

Osaka, Japan

Soon Chun Hyang University Cheonan Hospital

🇰🇷

Cheonan, Chungcheongnamdo, Korea, Republic of

Yonsei University Wonju Christian Hospital

🇰🇷

Wonju, Gang''weondo, Korea, Republic of

Hallym University Sacred Heart Hospital

🇰🇷

Anyang-si, Gyeonggido, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Gyeonggido, Korea, Republic of

Hospital Universitario Dr. Peset

🇪🇸

Valencia, Spain

Hanyang University Guri Hospital

🇰🇷

Guri-si, Gyeonggi, Korea, Republic of

The Catholic University of Korea, Incheon St.Mary's Hospital

🇰🇷

Incheon, Incheon Gwang''yeogsi, Korea, Republic of

Severance Hospital, Yonsei University Health System

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Chung Nam National University Hospital

🇰🇷

Daejeon, Korea, Republic of

Korea University Ansan Hospital

🇰🇷

Gyeonggi-do, Korea, Republic of

Kyung Hee University Hospital at Gangdong

🇰🇷

Seoul, Korea, Republic of

Hallym University Kangnam Sacred Heart Hospital

🇰🇷

Seoul, Korea, Republic of

Meander Medisch Centrum

🇳🇱

Amersfoort, Netherlands

Onze Lieve Vrouwe Gasthuis

🇳🇱

Amsterdam, Netherlands

Gelre Ziekenhuizen

🇳🇱

Apeldoorn, Netherlands

Albert Schweitzer Ziekenhuis | Dordwijk - Cardiology Department

🇳🇱

Dordrecht, Netherlands

Gerencia de Gestion Integrada A Coruna | Department of Endocrinology and Nutrition

🇪🇸

A Coruna, A Coruña, Spain

Complejo Hospitalario Universitario de Ferrol | Hospital Naval - Unidad de Hipertensión Arterial

🇪🇸

Ferrol, A Coruña, Spain

Hospital Principe de Asturias

🇪🇸

Alcalá de Henares, Madrid, Spain

H. Costa del Sol (Marbella)

🇪🇸

Marbella, Malaga, Spain

Hospital Vithas Sevilla | Endocrinology Department

🇪🇸

Castilleja de la Cuesta, Sevilla, Spain

Ciutat Sanitaria i Universitaria de la Vall d'Hebron

🇪🇸

Barcelona, Spain

Hospital Quironsalud Barcelona | Internal Medicine Department

🇪🇸

Barcelona, Spain

Hospital Universitario Virgen de las Nieves | Servicio de Endocrinologia y Nutricion

🇪🇸

Granada, Spain

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

Universidad Autonoma de Madrid (UAM) - Facultad de Medicina - Hospital Universitario Fundacion Jimenez Diaz (UAM-FJD)

🇪🇸

Madrid, Spain

Hospital Universitario Puerta de Hierro Majadahonda | Clinical Pharmacology Department

🇪🇸

Majadahonda, Spain

Hospital Universitario Virgen de la Victoria | Unidad de Investigacion Clinica - Endocrinology Department

🇪🇸

Malaga, Spain

Hospital Clínico Universitario de Valencia

🇪🇸

Valencia, Spain

Changhua Christian Hospital

🇨🇳

Changhua, Taiwan

Chang Gung Memorial Hospital Kaohsiung

🇨🇳

Kaohsiung, Taiwan

Far Eastern Memorial Hospital | Nephrology Department

🇨🇳

New Taipei City, Taiwan

Taipei Medical University - Shuang Ho Hospital

🇨🇳

New Taipei City, Taiwan

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Taichung Veterans General Hospital

🇨🇳

Taichung, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

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