MedPath

A Study To Assess Adverse Events and Effectiveness of Upadacitinib Oral Tablets in Adult and Adolescent Participants With Vitiligo

Phase 3
Active, not recruiting
Conditions
Vitiligo
Interventions
Drug: Upadacitinib
Drug: Placebo
Other: NB-UVB (narrow-band ultraviolet B) Phototherapy
Registration Number
NCT06118411
Lead Sponsor
AbbVie
Brief Summary

Vitiligo is a common chronic autoimmune disease that causes the body's immune system to attack its own pigment producing skin cells. This study is to evaluate how safe and effective upadacitinib is in participants with non-segmental vitiligo (NSV). Adverse effects and change in disease activity will be assessed.

Upadacitinib is an approved drug for various immune-mediated inflammatory diseases and is currently being investigated for the treatment of NSV. There will be 2 replicate studies running at the same time (Study 1 and Study 2 with periods A and B) and an optional exploratory Narrow-Band Ultraviolet B (NB-UVB) phototherapy study (Study 3). In Period A, participants are placed in 1 of 2 groups called treatment arms. Each group receives a different treatment. There is a 1 in 3 chance that participants will receive placebo and 2 in 3 chance participants will receive upadacitinib. In Period B, all participants will receive upadacitinib. Approximately 270 adult and adolescent participants with NSV will be enrolled in each main study ((Study 1 and Study 2, 540 subjects total) at approximately 90 sites worldwide with an option for adult participants who completed Period A of either study and did not achieve T-VASI 90 at week 48 while on study drug, to enter Study 3.

In Studies 1 and 2: Period A, participants will receive oral tablets of upadacitinib or placebo once a day for 48 weeks. In Period B, participants will receive oral tablets of upadacitinib 15 mg once a day for 112 weeks. Participants will be followed up for 30 days. Study 3 participants will receive upadacitinib monotherapy or upadacitinib with NB-UBV phototherapy for at least 24 weeks followed by upadacitinib alone.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
614
Inclusion Criteria
  • Documented clinical diagnosis of non-segmented vitiligo (NSV).

  • At Screening and Baseline Visits, participants must satisfy at least 1 of the following criteria:

    • >= 0.5 F-VASI and 5 <= T-VASI < 50 AND have failed at least 1 topical corticosteroid and/or at least 1 topical calcineurin inhibitor for vitiligo; or
    • >= 0.5 F-VASI and 5 <= T-VASI < 50 AND have a sign of actively progressing vitiligo; or
    • >= 0.5 F-VASI and 10 <= T-VASI < 50.
Read More
Exclusion Criteria
  • Segmental or localized vitiligo.
  • History of active skin disease other than vitiligo that could interfere with the assessment of vitiligo.
  • >33% leukotrichia in areas of vitiligo on the face or > 33% leukotrichia in areas of vitiligo on the body (including the face).
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Study 1, Period B: Group 1 Open-Label Extension PeriodUpadacitinibParticipants that were randomized to receive upadacitinib in Period A Group 1, will continue to receive upadacitinib 15 mg once daily for 112 weeks in Period B.
Study 1, Period B: Group 2 Open-Label Extension PeriodUpadacitinibParticipants that were randomized to receive placebo in Period A Group 2, will receive upadacitinib 15 mg once daily for 112 weeks in Period B.
Study 2, Period B: Group 1 Open-Label Extension PeriodUpadacitinibParticipants that were randomized to receive upadacitinib in Period A Group 1, will continue to receive upadacitinib 15 mg once daily for 112 weeks in Period B.
Study 2, Period B: Group 2 Open-Label Extension PeriodUpadacitinibParticipants that were randomized to receive placebo in Period A Group 2, will receive upadacitinib 15 mg once daily for 112 weeks in Period B.
(Optional) Study 3, Period B: Open Label UpadacitinibUpadacitinibOpen Label Upadacitinib Participants will receive upadacitinib 15 mg once daily for 112 weeks
(Optional) Study 3, Period B: Open Label UpadacitinibNB-UVB (narrow-band ultraviolet B) PhototherapyOpen Label Upadacitinib Participants will receive upadacitinib 15 mg once daily for 112 weeks
(Optional) Study 3:UpadacitinibParticipants will receive 15 mg upadacitinib once daily for 112 weeks and NB-UVB for up to 28 weeks
(Optional) Study 3:NB-UVB (narrow-band ultraviolet B) PhototherapyParticipants will receive 15 mg upadacitinib once daily for 112 weeks and NB-UVB for up to 28 weeks
Study 1, Period A: Group 1UpadacitinibParticipants will receive upadacitinib 15 mg once daily for 48 weeks.
Study 1, Period A: Group 2PlaceboParticipants will receive placebo once daily for 48 weeks.
Study 2, Period A: Group 1UpadacitinibParticipants will receive upadacitinib 15 mg once daily for 48 weeks.
Study 2, Period A: Group 2PlaceboParticipants will receive placebo once daily for 48 weeks.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Total Vitiligo Area Scoring Index (T-VASI) 50 (≥ 50% Improvement in T-VASI From Baseline)Week 48

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. It is based on a composite estimate of the overall area of vitiligo patches, measured by the number of hand units (palm plus 5 digits = 1% body surface area \[BSA\]) multiplied by the degree of depigmentation within each affected area (0%, 10%, 25%, 50%, 75%, 90%, or 100%). The T-VASI is calculated using a formula that includes contributions from all body regions, with a possible range from 0 to 100.

Percentage of Participants Achieving Facial-Vitiligo Area Scoring Index (F-VASI) 75 (≥ 75% Improvement in F-VASI From Baseline)Week 48

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving F-VASI 50 (≥ 50% Improvement in F-VASI From Baseline)Week 48

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.

Percentage of Participants Achieving F-VASI 75 (≥ 75% Improvement in F-VASI From Baseline)Week 24

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.

Percent Change from Baseline in F-VASIWeek 24

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.

Percent Change From Baseline in T-VASIWeek 48

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. It is based on a composite estimate of the overall area of vitiligo patches, measured by the number of hand units (palm plus 5 digits = 1% body surface area \[BSA\]) multiplied by the degree of depigmentation within each affected area (0%, 10%, 25%, 50%, 75%, 90%, or 100%). The T-VASI is calculated using a formula that includes contributions from all body regions, with a possible range from 0 to 100.

Percentage of Participants Achieving F-VASI 90 (≥ 90% Improvement in F-VASI From Baseline)Week 48

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.

Percentage of Participants Achieving T-VASI 75 (≥ 75% Improvement in T-VASI From Baseline)Week 48

The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. It is based on a composite estimate of the overall area of vitiligo patches, measured by the number of hand units (palm plus 5 digits = 1% body surface area \[BSA\]) multiplied by the degree of depigmentation within each affected area (0%, 10%, 25%, 50%, 75%, 90%, or 100%). The T-VASI is calculated using a formula that includes contributions from all body regions, with a possible range from 0 to 100.

Percentage of Participants Achieving 3D Imaging Facial Vitiligo 40 (≥ 40% Reduction in Facial Vitiligo Area Measured by 3D Digital Imaging from Baseline) (Study 1 Only)Week 48

3D imaging will be used to objectively quantify the facial vitiligo area.

EU/EMA Only: Percentage of Participants Achieving a Physician's Global Impression of Change - Vitiligo (PhGIC-V) of "Much better (1)"At Week 48

The physician rates the overall change in the patients vitiligo by comparing the severity of vitiligo right now with the severity of vitiligo since the subject started the study treatment. Responses range from 1 = "Much better" to 5 = "Much worse."

EU/EMA Only: Percentage of Participants Achieving a Vitiligo Noticeability Scale (VNS) score of "A lot less noticeable (4)" or "No longer noticeable (5)"At Week 48

The VNS is a single-item, validated questionnaire used in clinical trials to assess the noticeability of vitiligo lesions following therapy. The item is scored on a 5-point scale: 1 = more noticeable; 2 = as noticeable; 3 = slightly less noticeable; 4 = a lot less noticeable; and 5 = no longer noticeable. A score of 4 or 5 represents treatment success

EU/EMA Only: Percentage of Participants Achieving a Patient's Global Impression of Change-Vitiligo (PaGIC-V) of "Much better (1)"At Week 48

The PaGIC-V asks participants to rate the overall change in their vitiligo by comparing the severity of their vitiligo right now with the severity of their vitiligo since they started the study treatment. Responses range from 1 = "Much better" to 5 = "Much worse."

Trial Locations

Locations (148)

Joseph Raoof Md,Inc /Id# 260055

🇺🇸

Encino, California, United States

Alliance Dermatology and Mohs Center /ID# 259926

🇺🇸

Phoenix, Arizona, United States

University of California Irvine /ID# 260080

🇺🇸

Irvine, California, United States

Stanford University /ID# 260081

🇺🇸

Redwood City, California, United States

University of California Davis Health /ID# 260062

🇺🇸

Sacramento, California, United States

Skin Care Research Boca Raton /ID# 260094

🇺🇸

Boca Raton, Florida, United States

Direct Helpers Research Center /ID# 259932

🇺🇸

Hialeah, Florida, United States

Encore Medical Research /ID# 259963

🇺🇸

Hollywood, Florida, United States

Encore Medical Research - Weston /ID# 260542

🇺🇸

Weston, Florida, United States

Cleaver Medical Group Dermatology /ID# 259925

🇺🇸

Dawsonville, Georgia, United States

Indiana University Health University Hospital /ID# 259974

🇺🇸

Indianapolis, Indiana, United States

Tufts Medical Center /ID# 260088

🇺🇸

Boston, Massachusetts, United States

UMass Memorial Medical Center /ID# 259921

🇺🇸

Worcester, Massachusetts, United States

Great Lakes Research Group - Bay City /ID# 260600

🇺🇸

Bay City, Michigan, United States

Clarkston Dermatology /ID# 260069

🇺🇸

Clarkston, Michigan, United States

Henry Ford Medical Center - New Center One /ID# 260059

🇺🇸

Detroit, Michigan, United States

Vivida Dermatology- Flamingo /ID# 260609

🇺🇸

Las Vegas, Nevada, United States

Icahn School of Medicine at Mount Sinai /ID# 259909

🇺🇸

New York, New York, United States

Oregon Medical Research Center /ID# 259911

🇺🇸

Portland, Oregon, United States

Medical University of South Carolina /ID# 259916

🇺🇸

Charleston, South Carolina, United States

Innovative Dermatology - Plano /ID# 260628

🇺🇸

Plano, Texas, United States

Dermatology Clinical Research Center of San Antonio /ID# 260047

🇺🇸

San Antonio, Texas, United States

Instituto de Neumonologia y Dermatologia /ID# 259888

🇦🇷

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

Buenos Aires Skin /ID# 259885

🇦🇷

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

Psoriahue Med Interdisciplinar /ID# 259890

🇦🇷

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

Instituto De Investigaciones Clínicas Córdoba /ID# 260371

🇦🇷

Córdoba, Cordoba, Argentina

Sanatorio 9 de Julio /ID# 260245

🇦🇷

San Miguel de Tucumán, Tucuman, Argentina

Centro de Investigacion y Prevencion Cardiovascular (CIPREC) /ID# 259889

🇦🇷

Buenos Aires, Argentina

Cliniques Universitaires UCL Saint-Luc /ID# 259429

🇧🇪

Woluwe-Saint-Lambert, Bruxelles-Capitale, Belgium

Grand Hopital de Charleroi /ID# 259437

🇧🇪

Charleroi, Hainaut, Belgium

UZ Gent /ID# 259430

🇧🇪

Gent, Oost-Vlaanderen, Belgium

CHU de Liege /ID# 259427

🇧🇪

Liege, Belgium

Medical Center Cordis /ID# 259954

🇧🇬

Pleven, Bulgaria

Ambulatory for Specialized Medical Care for skin and venereal diseases /ID# 259955

🇧🇬

Sofia, Bulgaria

Diagnostic consultative center Focus-5 /ID# 259956

🇧🇬

Sofiya, Bulgaria

XX Diagnostic consultative center Sofia EOOD /ID# 259953

🇧🇬

Sofiya, Bulgaria

Dermatology Research Institute - Blackfoot Trail /ID# 261175

🇨🇦

Calgary, Alberta, Canada

Dr. Chih-ho Hong Medical Inc. /ID# 260239

🇨🇦

Surrey, British Columbia, Canada

Wiseman Dermatology Research /ID# 260236

🇨🇦

Winnipeg, Manitoba, Canada

Brunswick Dermatology Center /ID# 260237

🇨🇦

Fredericton, New Brunswick, Canada

LEADER Research /ID# 260407

🇨🇦

Hamilton, Ontario, Canada

Private Practice - Dr. Kim Papp Clinical Research /ID# 260406

🇨🇦

Waterloo, Ontario, Canada

Centre de Recherche dermatologique du Quebec Metropolitain /ID# 260241

🇨🇦

Québec, Quebec, Canada

Dre Angelique Gagne-Henley M.D. inc. /ID# 260238

🇨🇦

Saint-Jerome, Quebec, Canada

Beijing Tongren Hospital Affiliated To Capital Medical University /ID# 260919

🇨🇳

Beijing, Beijing, China

Dermatology Hospital of Southern Medical University /ID# 260136

🇨🇳

Guangzhou, Guangdong, China

The Second Affiliated Hospital of Guangzhou Medical University /ID# 259929

🇨🇳

Guangzhou, Guangdong, China

Renmin Hospital of Wuhan University /ID# 260477

🇨🇳

Wuhan, Hubei, China

Second Affiliated Hospital of Xian Jiaotong University /ID# 260011

🇨🇳

Xi'an, Shaanxi, China

The First Affiliated Hospital of Xi'an Jiaotong University /ID# 260340

🇨🇳

Xian, Shaanxi, China

Shandong Dermatological Hospital /ID# 260338

🇨🇳

Jinan, Shandong, China

Huashan Hospital, Fudan University /ID# 259823

🇨🇳

Shanghai, Shanghai, China

Chengdu Second Municipal People's Hospital /ID# 260423

🇨🇳

Chengdu, Sichuan, China

West China Hospital, Sichuan University /ID# 260624

🇨🇳

Chengdu, Sichuan, China

Tianjin Medical University General Hospital /ID# 259812

🇨🇳

Tianjin, Tianjin, China

First Affiliated Hospital of Kunming Medical University /ID# 260017

🇨🇳

Kunming, Yunnan, China

Hangzhou Third People's Hospital /ID# 261005

🇨🇳

Hangzhou, Zhejiang, China

Sir Run Run Shaw Hospital Zhejiang University School of Medicine /ID# 260626

🇨🇳

Hangzhou, Zhejiang, China

The First Affiliated Hospital of Wenzhou Medical University /ID# 259822

🇨🇳

Wenzhou, Zhejiang, China

Chu de Nice-Hopital Larchet Ii /Id# 259442

🇫🇷

Nice, Alpes-Maritimes, France

Centre Hospitalier Universitaire de Bordeaux - Groupe Hospitalier Saint-Andre /ID# 259443

🇫🇷

Bordeaux, Gironde, France

Hopitaux Universitaires Henri Mondor - Hopital Henri Mondor /ID# 259446

🇫🇷

Creteil, Paris, France

HCL - Hopital Edouard Herriot /ID# 259444

🇫🇷

Lyon, Rhone, France

Universitaetsklinikum Muenster /ID# 260147

🇩🇪

Muenster, Nordrhein-Westfalen, Germany

CHU Toulouse - Hopital Larrey /ID# 259445

🇫🇷

Toulouse, France

Universitaetsklinikum Erlangen /ID# 260153

🇩🇪

Erlangen, Bayern, Germany

Universitaetsmedizin Mainz /ID# 260151

🇩🇪

Mainz, Rheinland-Pfalz, Germany

Dermatologische Gemeinschaftspraxis Mahlow /ID# 260148

🇩🇪

Blankenfelde-Mahlow, Brandenburg, Germany

MVZ Dermatologisches Zentrum Bonn GmbH /ID# 260287

🇩🇪

Bonn, Hessen, Germany

Universitaetsklinikum Frankfurt /ID# 260288

🇩🇪

Frankfurt am Main, Hessen, Germany

Fachklinik Bad Bentheim /ID# 260293

🇩🇪

Bad Bentheim, Niedersachsen, Germany

Private Practice - Dr. Abdou Zarzour /ID# 260290

🇩🇪

Halle, Sachsen-Anhalt, Germany

Universitaetsklinikum Carl Gustav Carus Dresden /ID# 260289

🇩🇪

Dresden, Sachsen, Germany

Charite Universitaetsmedizin Berlin - Campus Mitte /ID# 260294

🇩🇪

Berlin, Germany

Klinikum rechts der Isar /ID# 260291

🇩🇪

Munich, Germany

DERMA-B Egeszsegugyi es Szolgaltato - Debrecen - Gyepusor Utca /ID# 260072

🇭🇺

Debrecen, Hungary

Rambam Health Care Campus /ID# 259852

🇮🇱

Haifa, H_efa, Israel

The Chaim Sheba Medical Center /ID# 259851

🇮🇱

Ramat Gan, Tel-Aviv, Israel

Tel Aviv Sourasky Medical Center /ID# 259850

🇮🇱

Tel Aviv, Tel-Aviv, Israel

Hadassah Medical Center-Hebrew University /ID# 259849

🇮🇱

Jerusalem, Yerushalayim, Israel

Rabin Medical Center /ID# 260420

🇮🇱

Haifa, Israel

IRCCS Istituti Fisioterapici Ospitalieri-Istituto Dermatologico San Gallicano /ID# 259771

🇮🇹

Rome, Roma, Italy

ASST degli Spedali Civili di Brescia /ID# 259772

🇮🇹

Brescia, Italy

Nagoya City University Hospital /ID# 260551

🇯🇵

Nagoya shi, Aichi, Japan

Osaka University Hospital /ID# 261285

🇯🇵

Suita-shi, Osaka, Japan

Nippon Medical School Hospital /ID# 260550

🇯🇵

Bunkyo-ku, Tokyo, Japan

Chungnam National University Hospital /ID# 260917

🇰🇷

Daejeon, Daejeon Gwang Yeogsi, Korea, Republic of

Soon Chun Hyang University Hospital Bucheon /ID# 260836

🇰🇷

Bucheon-si, Gyeonggido, Korea, Republic of

Ajou University Hospital /ID# 260916

🇰🇷

Suwon-si, Gyeonggido, Korea, Republic of

The Catholic University Of Korea St. Vincent's Hospital /ID# 260880

🇰🇷

Suwon, Gyeonggido, Korea, Republic of

Kyung Hee University Hospital at Gangdong /ID# 260879

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Bravis Ziekenhuis /ID# 259501

🇳🇱

Bergen op Zoom, Noord-Brabant, Netherlands

Amphia Ziekenhuis /ID# 259696

🇳🇱

Breda, Noord-Brabant, Netherlands

Amsterdam UMC, locatie AMC /ID# 259676

🇳🇱

Amsterdam, Noord-Holland, Netherlands

Dermodent Centrum Medyczne Aldona Czajkowska Rafał Czajkowski /ID# 259690

🇵🇱

Osielsko, Kujawsko-pomorskie, Poland

Specjalistyczny Gabinet Dermatologiczny Aplikacyjno Badawczy /ID# 260016

🇵🇱

Krakow, Malopolskie, Poland

Malopolskie Centrum Kliniczne /ID# 259686

🇵🇱

Krakow, Malopolskie, Poland

Krakowskie Centrum Medyczne /ID# 261424

🇵🇱

Krakow, Malopolskie, Poland

Klinika Ambroziak Dermatologia /ID# 260018

🇵🇱

Warszawa, Mazowieckie, Poland

Osteo Medic s.c. Artur Racewicz Jerzy Supronik /ID# 259753

🇵🇱

Bialystok, Podlaskie, Poland

Centrum Medyczne Angelius Provita /ID# 259752

🇵🇱

Katowice, Slaskie, Poland

Twoja Przychodnia SCM /ID# 259757

🇵🇱

Szczecin, Zachodniopomorskie, Poland

Unidade Local de Saude de Coimbra, EPE /ID# 259793

🇵🇹

Coimbra, Portugal

Unidade Local de Saude da Regiao de Leiria, EPE /ID# 259789

🇵🇹

Leiria, Portugal

Royalderm Agnieszka Nawrocka /ID# 259691

🇵🇱

Warsaw, Mazowieckie, Poland

Klinika Osipowicz & Turkowski sp.z.o.o /ID# 259761

🇵🇱

Warszawa, Mazowieckie, Poland

Hospital CUF Descobertas /ID# 259788

🇵🇹

Lisboa, Portugal

Unidade Local de Saude de Santo Antonio, E.P.E. /ID# 259791

🇵🇹

Porto, Portugal

Santa Cruz Behavioral (SCB) Research Center /ID# 260100

🇵🇷

Bayamon, Puerto Rico

Derma therapy spol /ID# 260838

🇸🇰

Bratislava, Bratislavsky Kraj, Slovakia

Fakultna nemocnica Trnava /ID# 260164

🇸🇰

Trnava, Slovakia

Hospital Universitario Clinico San Cecilio /ID# 259374

🇪🇸

Granada, Spain

Grupo Pedro Jaen /ID# 259375

🇪🇸

Madrid, Spain

Hospital Universitario Germans Trias i Pujol /ID# 259371

🇪🇸

Badalona, Barcelona, Spain

Hospital Universitario de Getafe /ID# 259376

🇪🇸

Getafe, Madrid, Spain

Hospital Universitario Quironsalud Madrid /ID# 259377

🇪🇸

Pozuelo de Alarcon, Madrid, Spain

Consorci Hospital General Universitario de Valencia /ID# 259372

🇪🇸

Valencia, Spain

Hospital Clinico Universitario Lozano Blesa /ID# 259373

🇪🇸

Zaragoza, Spain

Advanced Research Associates - Glendale /ID# 259915

🇺🇸

Glendale, Arizona, United States

Dermatology Research Associates /ID# 260056

🇺🇸

Los Angeles, California, United States

Integrative Skin Science and Research /ID# 260060

🇺🇸

Sacramento, California, United States

Clinical Trials Research Institute /ID# 259910

🇺🇸

Thousand Oaks, California, United States

Apex Clinical Trials /ID# 260096

🇺🇸

Brandon, Florida, United States

Vitiligo & Pigmentation Institute of Southern California /ID# 259970

🇺🇸

Los Angeles, California, United States

Florida Academic Dermatology Center /ID# 259919

🇺🇸

Coral Gables, Florida, United States

GSI Clinical Research, LLC /ID# 259918

🇺🇸

Margate, Florida, United States

Skin Care Research - Hollywood /ID# 260101

🇺🇸

Hollywood, Florida, United States

Life Clinical Trials /ID# 260097

🇺🇸

Margate, Florida, United States

Savin Medical Group, LLC /ID# 259968

🇺🇸

Miami Lakes, Florida, United States

Advanced Clinical Research Institute /ID# 260058

🇺🇸

Tampa, Florida, United States

DeNova Research /ID# 260611

🇺🇸

Chicago, Illinois, United States

Dawes Fretzin, LLC /ID# 260068

🇺🇸

Indianapolis, Indiana, United States

Oakland Hills Dermatology /ID# 260602

🇺🇸

Auburn Hills, Michigan, United States

Hamzavi Dermatology - Canton /ID# 260545

🇺🇸

Canton, Michigan, United States

Minnesota Clinical Study Center /ID# 260154

🇺🇸

New Brighton, Minnesota, United States

Schweiger Dermatology, P.C. /ID# 260152

🇺🇸

New York, New York, United States

DermResearchCenter of New York, Inc. /ID# 259906

🇺🇸

Stony Brook, New York, United States

Oregon Dermatology and Research Center /ID# 259917

🇺🇸

Portland, Oregon, United States

Bellaire Dermatology Associates /ID# 260044

🇺🇸

Bellaire, Texas, United States

ClinOhio Research Services /ID# 260300

🇺🇸

Columbus, Ohio, United States

Dermatology Treatment and Research Center /ID# 260078

🇺🇸

Dallas, Texas, United States

Progressive Clinical Research /ID# 260070

🇺🇸

San Antonio, Texas, United States

Dermatology and Ophthalmology Kume Clinic /ID# 260555

🇯🇵

Sakai-shi, Osaka, Japan

Tokyo Medical University Hospital /ID# 260552

🇯🇵

Shinjuku-ku, Tokyo, Japan

Yamagata University Hospital /ID# 260553

🇯🇵

Yamagata-shi, Yamagata, Japan

Yamanashi Prefectural Central Hospital /ID# 260554

🇯🇵

Kofu-shi, Yamanashi, Japan

Dr. Samuel Sanchez PSC /ID# 260090

🇵🇷

Caguas, Puerto Rico

Mindful Medical Research /ID# 260092

🇵🇷

San Juan, Puerto Rico

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