MedPath

A Study of the Efficacy and Safety of Guselkumab in Participants With Moderately to Severely Active Crohn's Disease

Registration Number
NCT03466411
Lead Sponsor
Janssen Research & Development, LLC
Brief Summary

The purpose of this study is to evaluate the clinical efficacy (GALAXI 1), clinical and endoscopic efficacy (GALAXI 2 and GALAXI 3) and safety of guselkumab in participants with Crohn's disease.

Detailed Description

This program consists of 3 separate studies: a 48-week Phase 2 dose-ranging study (GALAXI 1) and two 48-week Phase 3 confirmatory studies (GALAXI 2 and GALAXI 3). In Phase 2, safety and efficacy of guselkumab dose regimens will be evaluated to support the selection of induction and maintenance dose regimens for confirmatory evaluation in Phase 3. Participants who complete the 48-week Phase 2 or Phase 3 studies may be eligible to enter the long term extension (LTE). Throughout the 3 studies, efficacy, pharmacokinetic, biomarkers, and safety will be assessed.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
1409
Inclusion Criteria
  • Have Crohn's disease (CD) or fistulizing Crohn's disease of at least 3 months duration (defined as a minimum of 12 weeks), with colitis, ileitis, or ileocolitis, confirmed at any time in the past by radiography, histology, and/or endoscopy
  • Have moderate to severe CD as assessed by CDAI, stool frequency (SF), and abdominal pain (AP) scores, and Simple Endoscopic Score for Crohn's Disease (SES-CD)
  • Have screening laboratory test results within the protocol specified parameters
  • A female participant of childbearing potential must have a negative urine pregnancy test result at screening and baseline
  • Demonstrated intolerance or inadequate response to conventional or to biologic therapy for CD
Exclusion Criteria
  • Current diagnosis of ulcerative colitis or indeterminate colitis
  • Has complications of Crohn's disease, such as symptomatic strictures or stenoses, short gut syndrome, or any other manifestation
  • Unstable doses of concomitant Crohn's disease therapy
  • Receipt of Crohn's disease approved biologic agents, investigational agents, or procedures outside of permitted timeframe as specified in the protocol
  • Any medical contraindications preventing study participation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Phase 2 (GALAXI 1): Group 1 (Guselkumab)Guselkumab Dose 1Participants will receive guselkumab (Dose 1) by intravenous (IV) infusion, followed by guselkumab (Dose 2) by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the Long-Term Extension (LTE) phase and continue to receive guselkumab.
Phase 2 (GALAXI 1): Group 1 (Guselkumab)Guselkumab Dose 2Participants will receive guselkumab (Dose 1) by intravenous (IV) infusion, followed by guselkumab (Dose 2) by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the Long-Term Extension (LTE) phase and continue to receive guselkumab.
Phase 2 (GALAXI 1): Group 2 (Guselkumab)Guselkumab Dose 3Participants will receive guselkumab (Dose 3) by intravenous (IV) infusion, followed by guselkumab (Dose 2) by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the LTE phase and continue to receive guselkumab.
Phase 2 (GALAXI 1): Group 3 (Guselkumab)Guselkumab Dose 4Participants will receive guselkumab (Dose 4) by intravenous (IV) infusion, followed by guselkumab (Dose 5) by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the LTE phase and continue to receive guselkumab.
Phase 2 (GALAXI 1): Group 2 (Guselkumab)Guselkumab Dose 2Participants will receive guselkumab (Dose 3) by intravenous (IV) infusion, followed by guselkumab (Dose 2) by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the LTE phase and continue to receive guselkumab.
Phase 2 (GALAXI 1): Group 3 (Guselkumab)Guselkumab Dose 5Participants will receive guselkumab (Dose 4) by intravenous (IV) infusion, followed by guselkumab (Dose 5) by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the LTE phase and continue to receive guselkumab.
Phase 2 (GALAXI 1): Group 4 (Ustekinumab)UstekinumabParticipants will receive ustekinumab by intravenous (IV) infusion, followed by subcutaneous (SC) injection. Participants who are eligible and willing to continue ustekinumab may enter the LTE and continue to receive ustekinumab.
Phase 3 (GALAXI 2 and 3): Group 1 and Group 2 (Guselkumab)GuselkumabParticipants will receive guselkumab by intravenous (IV) infusion, followed by guselkumab by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the LTE phase and continue to receive guselkumab.
Phase 2 (GALAXI 1): Group 5 (Placebo/Ustekinumab)UstekinumabParticipants will receive placebo administered by intravenous (IV) infusion. At Week 12, non-responders will receive active treatment (Ustekinumab) administered by intravenous (IV) infusion followed by subcutaneous (SC) injection. Participants who are eligible and willing to continue placebo/ustekinumab may enter the LTE and continue to receive placebo/ustekinumab.
Phase 2 (GALAXI 1): Group 5 (Placebo/Ustekinumab)PlaceboParticipants will receive placebo administered by intravenous (IV) infusion. At Week 12, non-responders will receive active treatment (Ustekinumab) administered by intravenous (IV) infusion followed by subcutaneous (SC) injection. Participants who are eligible and willing to continue placebo/ustekinumab may enter the LTE and continue to receive placebo/ustekinumab.
Phase 3 (GALAXI 2 and 3): Group 3 (Ustekinumab)UstekinumabParticipants will receive ustekinumab by intravenous (IV) infusion, followed by subcutaneous (SC) injection. Participants who are eligible and willing to continue ustekinumab may enter the LTE phase and continue to receive ustekinumab.
Phase 3 (GALAXI 2 and 3): Group 4 (Placebo/Ustekinumab)UstekinumabParticipants will receive placebo administered by intravenous (IV) infusion. At Week 12, non-responders will receive active treatment (ustekinumab) administered by intravenous (IV) infusion followed by subcutaneous (SC) injection. Participants who are eligible and willing to continue placebo/ustekinumab may enter the LTE and continue to receive placebo/ustekinumab.
Phase 3 (GALAXI 2 and 3): Group 4 (Placebo/Ustekinumab)PlaceboParticipants will receive placebo administered by intravenous (IV) infusion. At Week 12, non-responders will receive active treatment (ustekinumab) administered by intravenous (IV) infusion followed by subcutaneous (SC) injection. Participants who are eligible and willing to continue placebo/ustekinumab may enter the LTE and continue to receive placebo/ustekinumab.
Primary Outcome Measures
NameTimeMethod
GALAXI 1: Change From Baseline in the Crohn's Disease Activity Index (CDAI) Score at Week 12Baseline and Week 12

The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity. Baseline was defined as the last observation prior to or at the date of the first study intervention.

Global: GALAXI 2: Percentage of Participants With Both Clinical Response at Week 12 and Clinical Remission at Week 48Weeks 48

Clinical response was defined as a decrease from baseline (BL) in CDAI score greater than or equal to (\>=) 100 points or CDAI score \<150. Clinical remission was defined as a CDAI score \<150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

Global: GALAXI 2: Percentage of Participants With Both Clinical Response (CR) at Week 12 and Endoscopic Response (ER) at Week 48Weeks 48

CR: decrease from BL in CDAI score \>=100/\<150. ER: \>=50% improvement from BL in SES-CD score/SES-CD score \<=2. CDAI(8 variables):extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid/soft stools, abdominal pain/cramps, general well-being. Last 3 variables scored over 7 eligible days by participant on diary. Total CDAI score ranged:0-600(in general):higher score=higher disease activities. Decrease in total CDAI score over time=improvement in disease. SES-CD evaluated 4 endoscopic components (presence \& size of ulcer, extent of ulcerated surface, extent of affected surface, presence \& type of narrowing) across 5 ileocolonic segments (ileum; right, left \& transverse colon; rectum) each scored 0(best) to 3(worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. SES-CD score: sum of all component scores(all segments) ranged:0-56, higher scores=more severe disease.

Global: GALAXI 3: Percentage of Participants With Both Clinical Response at Week 12 and Clinical Remission at Week 48Weeks 48

Clinical response was defined as a decrease from baseline in CDAI score \>= 100 points or CDAI score \<150. Clinical remission was defined as a CDAI score \<150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

Global: GALAXI 3: Percentage of Participants With Both Clinical Response (CR) at Week 12 and Endoscopic Response (ER) at Week 48Weeks 48

CR: decrease from BL in CDAI score \>=100/\<150. ER: \>=50% improvement from BL in SES-CD score/SES-CD score \<=2. CDAI(8 variables):extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid/soft stools, abdominal pain/cramps, general well-being. Last 3 variables scored over 7 eligible days by participant on diary. Total CDAI score ranged:0-600(in general):higher score=higher disease activities. Decrease in total CDAI score over time=improvement in disease. SES-CD evaluated 4 endoscopic components (presence \& size of ulcer, extent of ulcerated surface, extent of affected surface, presence \& type of narrowing) across 5 ileocolonic segments (ileum; right, left \& transverse colon; rectum) each scored 0(best) to 3(worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. SES-CD score: sum of all component scores(all segments) ranged:0-56, higher scores=more severe disease.

Regional: GALAXI 2: Percentage of Participants With Clinical Remission at Week 12Week 12

Clinical remission was defined as a CDAI score \<150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

Regional: GALAXI 2: Percentage of Participants With Endoscopic Response at Week 12Week 12

Endoscopic response was defined as \>=50% improvement from baseline in SES-CD score or SES-CD score \<=2. SES-CD evaluated 4 endoscopic components (presence and size of ulcer, extent of ulcerated surface, extent of affected surface, presence and type of narrowing) across 5 ileocolonic segments (ileum, right colon, transverse colon, left colon, rectum), each scored 0 (best) to 3 (worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. Total SES-CD score: sum of all component scores across all segments, ranged: 0 to 56, higher scores = more severe disease.

Regional: GALAXI 3: Percentage of Participants With Clinical Remission at Week 12Week 12

Clinical remission was defined as a CDAI score \<150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

Regional: GALAXI 3: Percentage of Participants With Endoscopic Response at Week 12Week 12

Endoscopic response was defined as \>=50% improvement from baseline in SES-CD score or SES-CD score \<=2. SES-CD evaluated 4 endoscopic components (presence and size of ulcer, extent of ulcerated surface, extent of affected surface, presence and type of narrowing) across 5 ileocolonic segments (ileum, right colon, transverse colon, left colon, rectum), each scored 0 (best) to 3 (worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. Total SES-CD score: sum of all component scores across all segments, ranged: 0 to 56, higher scores = more severe disease.

Secondary Outcome Measures
NameTimeMethod
Regional: GALAXI 2 and 3: Percentage of Participants With Corticosteroid-free Remission at Week 48At Week 48
GALAXI 1: Percentage of Participants With Clinical-Biomarker Response at Week 12At Week 12
GALAXI 1: Percentage of Participants With Endoscopic Response at Week 12At Week 12
Global: GALAXI 2 and 3: Percentage of Participants With Clinical Response at Week 4At Week 4
Global: GALAXI 2 and 3: Percentage of Participants With Clinical Remission at Week 12At Week 12
Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Response at Week 12At Week 12
Global: GALAXI 2 and 3: Percentage of Participants With Fatigue Response at Week 12At Week 12
Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Remission and Endoscopic Response at Week 12At Week 12
Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 12At Week 12
Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Response at Week 12 and Corticosteroid-Free Clinical Remission at Week 48At Week 48
Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Response at Week 12 and Endoscopic Remission at Week 48At Week 48
Global: GALAXI 2 and 3: Percentage of Participants With Clinical Remission at Week 48At Week 48
Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Response at Week 48At Week 48
Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Remission and Endoscopic Response at Week 48At Week 48
Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 48At Week 48
Global: GALAXI 2 and 3: Percentage of Participants With Deep Remission at Week 48At Week 48
Regional: GALAXI 2 and 3: Percentage of Participants With PRO-2 Remission at Week 12At Week 12
Regional: GALAXI 2 and 3: Percentage of Participants With Fatigue Response at Week 12At Week 12
Regional: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 12At Week 12
Regional: GALAXI 2 and 3: Percentage of Participants With Corticosteroid-free Clinical Remission at Week 48At Week 48
Regional: GALAXI 2 and 3: Percentage of Participants With Endoscopic Response at Week 48At Week 48
Regional: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 48At Week 48
Regional: GALAXI 2 and 3: Percentage of Participants With Clinical Remission at Week 48At Week 48
Regional: GALAXI 2 and 3: Percentage of Participants With Durable Clinical Remission at Week 48At Week 48
Regional: GALAXI 2 and 3: Percentage of Participants With PRO-2 Remission at Week 48At Week 48
Regional: GALAXI 2 and 3: Percentage of Participants With Both Clinical Remission at Week 48 and Endoscopic Response at Week 48At Week 48
GALAXI 1: Percentage of Participants With Clinical Remission at Week 12At Week 12
GALAXI 1: Percentage of Participants With Clinical Response at Week 12At Week 12
GALAXI 1: Percentage of Participants With Patient-Reported Outcome (PRO) 2 Remission at Week 12At Week 12

Trial Locations

Locations (569)

Sir Run Run Shaw Hospital Zhejiang University School of Medicine

🇨🇳

Hangzhou, China

Tokyo Medical and Dental University Hospital

🇯🇵

Bunkyo Ku, Japan

Internal Medicine Center

🇺🇸

Mobile, Alabama, United States

Paul Wallace MD

🇺🇸

Beverly Hills, California, United States

University Of California San Diego

🇺🇸

La Jolla, California, United States

Peak Gastroenterology Associates

🇺🇸

Colorado Springs, Colorado, United States

InvesClinic, LLC

🇺🇸

Fort Lauderdale, Florida, United States

Elite Research Network - Nature Coast Clinical Research, LLC

🇺🇸

Inverness, Florida, United States

SIH Research

🇺🇸

Kissimmee, Florida, United States

Community Research Foundation, Inc.

🇺🇸

Miami, Florida, United States

Central Florida Internists

🇺🇸

Saint Cloud, Florida, United States

Clinical Research of West Florida

🇺🇸

Tampa, Florida, United States

Florida Hospital Tampa

🇺🇸

Tampa, Florida, United States

Atlanta Gastroenterology Associates

🇺🇸

Atlanta, Georgia, United States

Atlanta Center For Gastroenterology

🇺🇸

Decatur, Georgia, United States

IU Health University Hospital

🇺🇸

Indianapolis, Indiana, United States

The First Affiliated Hospital of Anhui Medical University

🇨🇳

Hefei, China

CHU Saint Etienne

🇫🇷

Saint Etienne, France

Centrum Opieki Zdrowotnej Orkan Med Stec Michalska sj

🇵🇱

Ksawerow, Poland

Uls Alto Ave - Hosp. Sra. Da Oliveira Guimaraes

🇵🇹

Guimarães, Portugal

Allameh Medical Corp

🇺🇸

Mission Viejo, California, United States

UC Davis Medical Center

🇺🇸

Sacramento, California, United States

Auzmer Research

🇺🇸

Lakeland, Florida, United States

Sanchez Clinical Research, Inc

🇺🇸

Miami, Florida, United States

Gastroenterology Group Of Naples

🇺🇸

Naples, Florida, United States

Florida Hospital

🇺🇸

Orlando, Florida, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

Health Science Research Center

🇺🇸

Pratt, Kansas, United States

National Hospital Organization Kanazawa Medical Center

🇯🇵

Ishikawa, Japan

Synexus Polska Sp z o o Oddzial w Katowicach

🇵🇱

Katowice, Poland

GASTROMED Specjalistyczne Centrum Gastrologii i Endoskopii Specjalistyczne Gabinety Lekarskie

🇵🇱

Torun, Poland

Synexus Scm Sp Z o o Oddzial Gdynia

🇵🇱

Gdynia, Poland

Synexus Polska Sp z o o

🇵🇱

Lodz, Poland

1 Wojskowy Szpital Kliniczny Z Poliklinika SPZOZ W Lublinie

🇵🇱

Lublin, Poland

Solumed S C

🇵🇱

Poznan, Poland

Digestive Health Specialists of the Southeast

🇺🇸

Dothan, Alabama, United States

Advanced Research Center Inc

🇺🇸

Anaheim, California, United States

University of Arizona

🇺🇸

Tucson, Arizona, United States

United Gastroenterologists

🇺🇸

Murrieta, California, United States

Om Research LLC

🇺🇸

Lancaster, California, United States

Inland Empire Liver Foundation

🇺🇸

Rialto, California, United States

Clinical Applications Laboratories, Inc

🇺🇸

San Diego, California, United States

Florida Research Center Inc.

🇺🇸

Lakewood Ranch, Florida, United States

Homestead Associates in Research Inc

🇺🇸

Miami, Florida, United States

Omega Research Consultants

🇺🇸

Orlando, Florida, United States

Synexus Clinical Research US Inc

🇺🇸

Anderson, South Carolina, United States

Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Clinnova Research

🇺🇸

Orange, California, United States

Pioneer Research Solutions Inc.

🇺🇸

Coconut Creek, Florida, United States

Harmony Medical Research Institute, Inc.

🇺🇸

Hialeah, Florida, United States

Theia Clincial Research, LLC

🇺🇸

Saint Petersburg, Florida, United States

GCP Clinical Research

🇺🇸

Tampa, Florida, United States

Alliance Clinical Research

🇺🇸

Tampa, Florida, United States

Cleveland Clinic Florida

🇺🇸

Weston, Florida, United States

Gastroenterology Consultants

🇺🇸

Roswell, Georgia, United States

Atlanta Gastroenterology Specialists PC

🇺🇸

Suwanee, Georgia, United States

BVL Clinical Research

🇺🇸

Leawood, Kansas, United States

Visionary Investigators Network

🇺🇸

Miami, Florida, United States

Care Access Research, Orlando

🇺🇸

Orlando, Florida, United States

Synergy Clinical Research

🇺🇸

Saint Petersburg, Florida, United States

Morehouse School of Medicine

🇺🇸

Atlanta, Georgia, United States

Cotton O'Neil Digestive Health Center

🇺🇸

Topeka, Kansas, United States

Gastroenterology Associates

🇺🇸

Baton Rouge, Louisiana, United States

Gastroenterology Clinic of Acadiana

🇺🇸

Lafayette, Louisiana, United States

Tandem Clinical Research

🇺🇸

Marrero, Louisiana, United States

Ochsner Clinic Foundation

🇺🇸

New Orleans, Louisiana, United States

DelRicht Research

🇺🇸

New Orleans, Louisiana, United States

LSUHSC Shreveport Feist-Weiller Cancer Center

🇺🇸

Shreveport, Louisiana, United States

Louisiana Research Center, LLC

🇺🇸

Shreveport, Louisiana, United States

Woodholme Gastroenterology Associates

🇺🇸

Baltimore, Maryland, United States

Digestive Health Specialists PC

🇺🇸

Chelmsford, Massachusetts, United States

Clinical Research Institute of Michigan, LLC

🇺🇸

Chesterfield, Michigan, United States

Huron Gastroenterology Associates Center for Digestive Care

🇺🇸

Ypsilanti, Michigan, United States

Las Vegas Medical Research

🇺🇸

Las Vegas, Nevada, United States

Atlantic Digestive Health Institute/ Atlantic IBD Center

🇺🇸

Morristown, New Jersey, United States

A1 Clinical Research

🇺🇸

Jackson Heights, New York, United States

Weill Cornell Medical College

🇺🇸

New York, New York, United States

New York Gastroenterology Associates

🇺🇸

New York, New York, United States

Care Access Research

🇺🇸

New York, New York, United States

NYU Langone Medical Center

🇺🇸

New York, New York, United States

University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

Syracuse VA Medical Center

🇺🇸

Syracuse, New York, United States

Asheville Gastroenterology Associates

🇺🇸

Asheville, North Carolina, United States

University North Carolina at Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Charlotte Gastroenterology and Hepatology, PLLC

🇺🇸

Charlotte, North Carolina, United States

Onsite Clinical Solutions

🇺🇸

Charlotte, North Carolina, United States

Cumberland Research Associates

🇺🇸

Fayetteville, North Carolina, United States

Care Access Research, Kinston

🇺🇸

Kinston, North Carolina, United States

Clinical Trials of America

🇺🇸

Mount Airy, North Carolina, United States

PMG Research of Winston-Salem

🇺🇸

Winston-Salem, North Carolina, United States

Clinical Inquest Center, LTD

🇺🇸

Beavercreek, Ohio, United States

Ohio State University

🇺🇸

Columbus, Ohio, United States

Great Lakes Gastroenterology Research, LLC

🇺🇸

Mentor, Ohio, United States

Southwoods Health

🇺🇸

Poland, Ohio, United States

Northshore Gastroenterology Research, LLC

🇺🇸

Westlake, Ohio, United States

Integris Baptist Office

🇺🇸

Oklahoma City, Oklahoma, United States

US Digestive Health

🇺🇸

Wyomissing, Pennsylvania, United States

Gastroenterology Associates P.A.

🇺🇸

Greenville, South Carolina, United States

Memorial Health Care System

🇺🇸

Chattanooga, Tennessee, United States

Gastro One

🇺🇸

Germantown, Tennessee, United States

Tennessee State University

🇺🇸

Johnson, Tennessee, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

DHAT Research Institute

🇺🇸

Garland, Texas, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Houston Methodist Hospital

🇺🇸

Houston, Texas, United States

Houston Digestive Diseases Consultants

🇺🇸

Houston, Texas, United States

CliniCore Houston

🇺🇸

Houston, Texas, United States

Caprock Gastro Research

🇺🇸

Lubbock, Texas, United States

Gastroenterology Clinic Of San Antonio P A

🇺🇸

San Antonio, Texas, United States

Gastroenterology Research of America, LLC

🇺🇸

San Antonio, Texas, United States

UT Health Science Center at San Antonio

🇺🇸

San Antonio, Texas, United States

Texas Digestive Disease Consultants

🇺🇸

Southlake, Texas, United States

Texas Gastroenterology Associates - Research

🇺🇸

Spring, Texas, United States

Baylor Scott and White Research Institute

🇺🇸

Temple, Texas, United States

Tyler Research Institute, LLC

🇺🇸

Tyler, Texas, United States

Gastroenterology Associates of Tidewater

🇺🇸

Chesapeake, Virginia, United States

Center for Gastrointestinal Health

🇺🇸

Petersburg, Virginia, United States

Gastroenterology Consultants of Southwest Virginia

🇺🇸

Roanoke, Virginia, United States

Northwest Gastroenterology Associates - USA

🇺🇸

Bellevue, Washington, United States

Washington Gastroenterology, PLLC

🇺🇸

Tacoma, Washington, United States

The Queen Elizabeth Hospital

🇦🇺

Adelaide, Australia

Monash Health, Monash Medical Centre

🇦🇺

Clayton, Australia

Concord Hospital

🇦🇺

Concord, Australia

Austin Hospital

🇦🇺

Heidelberg, Australia

Sir Charles Gairdner Hospital

🇦🇺

Nedlands, Australia

Royal Adelaide Hospital

🇦🇺

North Terrace, Australia

Royal Melbourne Hospital

🇦🇺

Parkville, Australia

Nepean Hospital

🇦🇺

Penrith, Australia

The Alfred Hospital

🇦🇺

Prahran, Australia

Mater Hospital Brisbane

🇦🇺

South Brisbane, Australia

Princess Alexandra Hospital

🇦🇺

Woolloongabba, Australia

Universitaetsklinikum Salzburg Landeskrankenhaus

🇦🇹

Salzburg, Austria

Akh Wien

🇦🇹

Wien, Austria

Gomel Regional Clinical Hospital

🇧🇾

Gomel, Belarus

Republican Research Centre of Radiation Medicine and Human E

🇧🇾

Gomel, Belarus

Grodno University Hospital

🇧🇾

Grodno, Belarus

Healthcare Institution,Minsk Scientific center for surgery,

🇧🇾

Minsk, Belarus

Vitebsk Regional Clinical Hospital

🇧🇾

Vitebsk, Belarus

AZ Klina

🇧🇪

Brasschaat, Belgium

CHU Saint-Pierre

🇧🇪

Bruxelles, Belgium

UZ Gent

🇧🇪

Gent, Belgium

Az Groeninge

🇧🇪

Kortrijk, Belgium

Algemeen Ziekenhuis Delta

🇧🇪

Roeselare, Belgium

Universidade Federal do Rio de Janeiro - Faculdade de Medicina

🇧🇷

Rio de Janeiro, Brazil

Hospital Santa Izabel

🇧🇷

Salvador, Brazil

Pesquisare Saude

🇧🇷

Santo Andre, Brazil

Praxis pesquisa médica

🇧🇷

Santo Andre, Brazil

Hopital Erasme

🇧🇪

Bruxelles, Belgium

Clinical hospital Mostar

🇧🇦

Mostar, Bosnia and Herzegovina

Polyclinic Dr. Al-Tawil

🇧🇦

Sarajevo, Bosnia and Herzegovina

CHwapi

🇧🇪

Tournai, Belgium

Cantonal Hospital Zenica

🇧🇦

Zenica, Bosnia and Herzegovina

University Clinical Centre of the Republic of Srpska

🇧🇦

Banja Luka, Bosnia and Herzegovina

Universidade Estadual Paulista 'Julio De Mesquita Filho'

🇧🇷

Botucatu, Brazil

L2IP Instituto de Pesquisas Clinicas

🇧🇷

Brasilia, Brazil

Sociedade Campineira de Educacao e Instrucao Hospital e Maternidade Celso Pierro

🇧🇷

Campinas, Brazil

Hospital Nossa Senhora Das Gracas

🇧🇷

Curitiba, Brazil

Inst Goiano Gastroenterologia e Endoscopia Digest Ltda - Clinica de Gastro

🇧🇷

Goiania, Brazil

CMIP - Centro Mineiro de Pesquisa Ltda

🇧🇷

Juiz de Fora, Brazil

Clinical Center University of Sarajevo

🇧🇦

Sarajevo, Bosnia and Herzegovina

MK Blumenau Pesquisa Clínica

🇧🇷

Blumenau, Brazil

Centro de Estudos Clínicos do Interior Paulista - CECIP

🇧🇷

Jau, Brazil

Complexo Hospitalar de Niteroi

🇧🇷

Niterói, Brazil

Instituto Mederi de Pesquisa e Saude

🇧🇷

Passo Fundo, Brazil

Hospital das Clinicas de Porto Alegre

🇧🇷

Porto Alegre, Brazil

Instituto do Aparelho Digestivo

🇧🇷

Porto Alegre, Brazil

CEMEC - Centro Multidisciplinar de Estudos Clínicos

🇧🇷

Santo André, Brazil

Irmandade da Santa Casa da Misericórdia de Santos

🇧🇷

Santos São Paulo, Brazil

Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto Hospital de Base

🇧🇷

Sao Jose do Rio Preto, Brazil

Hemomed

🇧🇷

Sao Paulo, Brazil

BR Trials

🇧🇷

Sao Paulo, Brazil

Kaiser Hospta

🇧🇷

São José Do Rio Preto, Brazil

CPCLIN - Centro de Pesquisas Clínicas

🇧🇷

São Paulo, Brazil

Fundacao Universidade Federal do Piaui - Universidade Federal do Piaui

🇧🇷

Teresina, Brazil

University of Calgary

🇨🇦

Calgary, Alberta, Canada

Gastroenterology and Internal Medicine Research Institute (GIRI)

🇨🇦

Edmonton, Alberta, Canada

University of Alberta- Ziedler Ledcor Centre

🇨🇦

Edmonton, Alberta, Canada

Columbia Gastroenterology

🇨🇦

New Westminster, British Columbia, Canada

Health Sciences Centre

🇨🇦

Winnipeg, Manitoba, Canada

Barrie GI Associates

🇨🇦

Barrie, Ontario, Canada

London Health Sciences Centre

🇨🇦

London, Ontario, Canada

MUHC Montreal General Hospital

🇨🇦

Montreal, Quebec, Canada

Royal University Hospital

🇨🇦

Saskatoon, Saskatchewan, Canada

The second Xiangya Hospital of Central South University

🇨🇳

Changsha, China

West China Hospital Sichuan University

🇨🇳

Chengdu, China

The Second Affiliated Hospital of Chongqing Medical University

🇨🇳

Chongqing, China

First Affiliated Hospital of Gannan Medical University

🇨🇳

Ganzhou, China

The First Affiliated Hospital Sun Yat-Sen University

🇨🇳

Guangzhou, China

Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

🇨🇳

Guangzhou, China

ZhuJiang Hospital of Southern Medical University

🇨🇳

Guangzhou, China

Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital

🇨🇳

Guangzhou, China

The Second Affiliated Hospital of Zhejiang University

🇨🇳

Hangzhou, China

Huai'an 1st Hospital

🇨🇳

Huai'an, China

Mount Sinai Hospital-Toronto

🇨🇦

Toronto, Ontario, Canada

Beijing Friendship Hospital

🇨🇳

Beijing, China

The Military General Hospital of Beijing PLA

🇨🇳

Beijing, China

Pharmaceutical Integrated Research Company

🇨🇦

Waterloo, Ontario, Canada

Peking University First Hospital

🇨🇳

Beijing, China

Changzhou No 2 Peoples Hospital

🇨🇳

Changzhou City, China

Peking University Third Hospital

🇨🇳

Beijing, China

The First Affiliated Hospital of NanChang University

🇨🇳

Nanchang, China

Nanjing Drum Tower Hospital

🇨🇳

Nanjing, China

Zhongda Hospital Southeast University

🇨🇳

Nanjing, China

Shanghai Ninth Peoples Hospital

🇨🇳

Shanghai, China

Huashan Hospital Fudan University

🇨🇳

Shanghai, China

Second Military Medical University (SMMU)

🇨🇳

Shanghai, China

Tongji Hospital of Tongji University

🇨🇳

Shanghai, China

Ruijin Hospital Shanghai Jiao Tong University

🇨🇳

Shanghai, China

Shengjing Hospital Of China Medical University

🇨🇳

Shenyang, China

Peking University Shenzhen Hospital

🇨🇳

Shenzhen, China

The first affiliated hospital of suzhou University

🇨🇳

Suzhou, China

The First Affiliated Hospital of Wenzhou Medical University

🇨🇳

Wenzhou, China

Wuhan Union Hospital

🇨🇳

Wuhan, China

Renmin Hospital of Wuhan University

🇨🇳

Wuhan, China

Wuxi People s Hospital

🇨🇳

Wuxi, China

Zhongshan Hospital, Xiamen University

🇨🇳

Xiamen, China

Yangzhou First People's Hospital

🇨🇳

Yangzhou, China

Zhangzhou Municipal Hospital of Fujian Province

🇨🇳

Zhangzhou, China

Medplus Medicina Prepagada S.A.

🇨🇴

Bogota, Colombia

Clinica de la Mujer

🇨🇴

Bogota, Colombia

Endocare Ltda.

🇨🇴

Bogota, Colombia

Centro Médico Imbanaco

🇨🇴

Cali, Colombia

Corporacion para Estudios en Salud Clinica CES - Gastroenterology

🇨🇴

Medellin, Colombia

Opca bolnica Bjelovar

🇭🇷

Bjelovar, Croatia

Opca bolnica Zadar

🇭🇷

Zadar, Croatia

CH Sestre Milosrdnice

🇭🇷

Zagreb, Croatia

Poliklinika Solmed

🇭🇷

Zagreb, Croatia

University Hospital Center Zagreb

🇭🇷

Zagreb, Croatia

University Hospital Dubrava

🇭🇷

Zagreb, Croatia

Nemocnice Ceske Budejovice

🇨🇿

Ceske Budejovice, Czechia

NH Hospital, a.s.

🇨🇿

Horovice, Czechia

Hepato-gastroenterologie HK, s.r.o.

🇨🇿

Hradec Kralove, Czechia

Synexus Czech s.r.o.

🇨🇿

Prague 2, Czechia

Fakultni nemocnice Kralovske Vinohrady

🇨🇿

Praha 10, Czechia

ISCARE a.s.

🇨🇿

Praha 9, Czechia

CHU Amiens

🇫🇷

Amiens, France

Centre Hospitalier de la Cote Basque

🇫🇷

Bayonne, France

CHRU Besancon Hopital Jean Minjoz

🇫🇷

Besançon, France

Centre Hospitalier Universitaire (CHU) de Caen

🇫🇷

Caen, France

CHRU de Tours - Hopital Trousseau

🇫🇷

Chambray Les Tours Centre, France

Centre Hospitalier Universitaire(CHU) - Hopital Henri Mondor

🇫🇷

Créteil, France

CHU Grenoble

🇫🇷

Grenoble, France

CHRU de Lille Hopital Claude Huriez

🇫🇷

Lille, France

Hopital Nord Marseille

🇫🇷

Marseille, France

CHRU Montpellier - Hopital Saint-Eloi

🇫🇷

Montpellier Cedex 5, France

CHU de Nantes hotel Dieu

🇫🇷

Nantes, France

CHU de Nice Hopital de l Archet

🇫🇷

Nice cedex 03, France

CHU Nimes Hopital Caremeau

🇫🇷

Nimes, France

Hôpital Bichat

🇫🇷

Paris, France

Groupement Hospitalier Universitaire Ouest

🇫🇷

Paris, France

Centre Hospitalier Lyon Sud

🇫🇷

Pierre-Bénite, France

Centre Hospitalier Universitaire de Reims, Hôpital Robert Debré

🇫🇷

Reims, France

Hopital D'Instruction Des Armees

🇫🇷

Saint Mandé, France

CHRU de Strasbourg - Hopital de Hautepierre

🇫🇷

Strasbourg Cedex, France

CHU Toulouse - Hopital de Rangueil

🇫🇷

Toulouse, France

Hopital Rangueil

🇫🇷

Toulouse, France

CHU de Nancy_ Hopital Brabois

🇫🇷

Vandoeuvre-les-Nancy, France

LTD 'Aversi Clinic'

🇬🇪

T'bilisi, Georgia

TSMU The First University Clinic

🇬🇪

Tbilisi, Georgia

Institute of Clinical Cardiology, Ltd.

🇬🇪

Tbilisi, Georgia

LTD 'Georgia Archangel St. Michael Multiprofile Clinical Hospital'

🇬🇪

Tbilisi, Georgia

LTD Helsicore

🇬🇪

Tbilisi, Georgia

LTD Unimed Kakheti- Telavi Referral Hospital

🇬🇪

Telavi, Georgia

Klinikum Augsburg

🇩🇪

Augsburg, Germany

Gastroenterologische Spezialpraxis - Berlin-Karlshorst

🇩🇪

Berlin-Karlshorst, Germany

Charite - Campus Mitte

🇩🇪

Berlin, Germany

Synexus Berlin Research Center

🇩🇪

Berlin, Germany

Universitaetsklinikum Charite, Campus Virchow Klinikum

🇩🇪

Berlin, Germany

Krankenhaus Waldfriede Mitte

🇩🇪

Berlin, Germany

Klinikum Dresden

🇩🇪

Dresden, Germany

Agaplesion Frankfurter Diakonie Kliniken GmbH, Markus Krankenhaus

🇩🇪

Frankfurt/Main, Germany

Synexus Clinical Research GmbH

🇩🇪

Frankfurt, Germany

JWG-University Hospital

🇩🇪

Frankfurt, Germany

Martini-Klinik am Universitätsklinikum Hamburg-Eppendorf Urologie

🇩🇪

Hamburg, Germany

Asklepios Westklinikum

🇩🇪

Hamburg, Germany

Medizinische Hochschule Hannover

🇩🇪

Hannover, Germany

Universitaetsklinikum Heidelberg

🇩🇪

Heidelberg, Germany

Universitatsklinikum Schleswig Holstein Kiel

🇩🇪

Kiel, Germany

Eugastro GmbH

🇩🇪

Leipzig, Germany

Gastroenterologie und Hepatologie am Johannisplatz

🇩🇪

Leipzig, Germany

Staedtisches Klinikum Lueneburg

🇩🇪

Lueneburg, Germany

Universitaetsklinikum Mannheim

🇩🇪

Mannheim, Germany

Gemeinschaftspraxis Germania-Campus

🇩🇪

Münster, Germany

Praxiszentrum Alte Mälzerei

🇩🇪

Regensburg, Germany

Zentrum für Gastroenterologie Saar MVZ GmbH

🇩🇪

Saarbrücken, Germany

Universitatsklinikum Ulm

🇩🇪

Ulm, Germany

Laiko General Hospital of Athens

🇬🇷

Athens, Greece

University Hospital of Heraklion

🇬🇷

Heraklion, Greece

Synexus Magyarorszag Kft

🇭🇺

Gyula, Hungary

Péterfy Sándor utcai Kórház

🇭🇺

Budapest, Hungary

Meddica Centre Hungarian Defence Froces

🇭🇺

Budapest, Hungary

Semmelweis Egyetem

🇭🇺

Budapest, Hungary

Réthy Pál Kórház - Rendelőintézet

🇭🇺

Békéscsaba, Hungary

Tolna Megyei Balassa Janos Korhaz

🇭🇺

Szekszárd, Hungary

Apex Hospitals Ltd

🇮🇳

Jaipur, India

Fortis Hospital

🇮🇳

Noida, India

Shree Giriraj Multispeciality Hospital

🇮🇳

Rajkot, India

Nirmal Hospital Pvt. Ltd.

🇮🇳

Surat, India

Surat Institute of Digestive Sciences Hospitals

🇮🇳

Surat, India

BAPS Pramukhswami Hospital

🇮🇳

Surat, India

Unity Hospital

🇮🇳

Surat, India

Ha'Emek Medical Center

🇮🇱

Afula, Israel

Barzilai Medical Center

🇮🇱

Ashkelon, Israel

Soroka Medical Center

🇮🇱

Bear Sheva, Israel

Rambam Medical Center

🇮🇱

Haifa, Israel

Bnai Zion Medical Center

🇮🇱

Haifa, Israel

Shaare Zedek Medical Center

🇮🇱

Jerusalem, Israel

Hadassah Hebrew University Medical Center

🇮🇱

Jerusalem, Israel

Meir Medical Center

🇮🇱

Kfar Saba, Israel

Rabin Med Ctr Beilinson Hosp

🇮🇱

Petah Tikva, Israel

Chaim Sheba Medical Center

🇮🇱

Ramat Gan, Israel

Tel Aviv Sourasky Medical Center

🇮🇱

Tel Aviv, Israel

Assaf Harofeh Medical Center

🇮🇱

Tzrifin, Israel

Policlinico S.Orsola Malpighi, AOU di Bologna

🇮🇹

Bologna, Italy

Azienda Ospedaliero Universitaria di Cagliari - Policlinico Duilio Casula di Monserrato

🇮🇹

Cagliari, Italy

Ospedale Santissima Annunziata

🇮🇹

Cento, Italy

AOU Policlinico G.Martino

🇮🇹

Messina, Italy

Gruppo Ospedaliero San Donato - Istituto di Ricovero e Cura

🇮🇹

Milano, Italy

Universita degli Studi di Padova - Azienda Ospedaliera di Padova

🇮🇹

Padova, Italy

Università Campus Biomedico di Roma

🇮🇹

Roma, Italy

Policlinico Universitario Agostino Gemelli

🇮🇹

Roma, Italy

Complesso Integrato Columbus

🇮🇹

Rome, Italy

IRCCS Humanitas Rozzano-IBD Center Malattie Infiammatorie Croniche Intestinali

🇮🇹

Rozzano, Italy

Casa Sollievo della Sofferenza

🇮🇹

San Giovanni Rotondo, Italy

S.C. Gastroenterologia

🇮🇹

Torino, Italy

Azienda Ospedaliero Universitaria S.Maria Della Misericordia

🇮🇹

Udine, Italy

Policlinico G.B.Rossi

🇮🇹

Verona, Italy

Asahikawa City Hospital

🇯🇵

Asahikawa, Japan

Juntendo University Hospital

🇯🇵

Bunkyo-ku, Japan

Chiba University Hospital

🇯🇵

Chiba, Japan

Fukuoka University Chikushi Hospital

🇯🇵

Chikushino, Japan

Saiseikai Fukuoka General Hospital

🇯🇵

Fukuoka-shi, Japan

Fukuoka University Hospital

🇯🇵

Fukuoka-shi, Japan

Gifu University Hospital

🇯🇵

Gifu, Japan

Tokai University Hachioji Hospital

🇯🇵

Hachioji, Japan

Matsuda Hospital

🇯🇵

Hamamatsu-shi, Japan

Mito Medical Center - Digestive Organs

🇯🇵

Higashiibaraki-gun, Japan

National Hospital Organization Hirosaki General Medical Center

🇯🇵

Hirosaki, Japan

Hiroshima University Hospital

🇯🇵

Hiroshima, Japan

Izumiotsu Municipal Hospital

🇯🇵

Izumiotsu, Japan

Shimane University Hospital

🇯🇵

Izumo, Japan

Kagoshima IBD Gastroenterology Clinic

🇯🇵

Kagoshima, Japan

Sameshima Hospital

🇯🇵

Kagoshima, Japan

Nanpuh Hospital

🇯🇵

Kagoshima, Japan

Kanazawa University Hospital

🇯🇵

Kanazawa, Japan

Nara Medical University Hospital

🇯🇵

Kashihara, Japan

Aoyama Naika Clinic

🇯🇵

Kobe, Japan

Kobe University Hospital

🇯🇵

Kobe, Japan

Kyorin University Hospital

🇯🇵

Mitaka, Japan

Iwate Medical University Hospital

🇯🇵

Morioka, Japan

Tsujinaka Hospital Kashiwanoha

🇯🇵

Kashiwa, Japan

National Hospital Organization Kochi National Hospital

🇯🇵

Kochi, Japan

Kurume University Hospital

🇯🇵

Kurume, Japan

University Hospital Kyoto Prefectural University of Medicine

🇯🇵

Kyoto, Japan

Nagasaki University Hospital

🇯🇵

Nagasaki, Japan

Okayama Saiseikai General Hospital

🇯🇵

Okayama, Japan

Nakagami Hospital

🇯🇵

Okinawa, Japan

Kindai University Hospital

🇯🇵

Osaka-Sayama, Japan

National Hospital Organization Osaka National Hospital

🇯🇵

Osaka-shi, Japan

Kinshukai Infusion Clinic

🇯🇵

Osaka, Japan

Kitano Hospital

🇯🇵

Osaka, Japan

The Jikei University Hospital

🇯🇵

Tokyo, Japan

National Hospital Organization Kure Medical Center and Chugoku Cancer Center

🇯🇵

Kure, Japan

JRC Kyoto Daiichi Hospital

🇯🇵

Kyoto, Japan

Kitasato University Kitasato Institute Hospital

🇯🇵

Minato-ku, Japan

Yamanashi Prefectural Central Hospital

🇯🇵

Kofu, Japan

Kyoto University Hospital

🇯🇵

Kyoto, Japan

National Hospital Organization Kyoto Medical Center

🇯🇵

Kyoto, Japan

Nagoya University Hospital

🇯🇵

Nagoya, Japan

Nagoya City University Hospital

🇯🇵

Nagoya, Japan

The Hospital of Hyogo College of Medicine

🇯🇵

Nishinomiya, Japan

JA Obihiro Kosei Hospital

🇯🇵

Obihiro, Japan

Aichi Medical University Hospital

🇯🇵

Nagakute, Japan

Nagaoka Red Cross Hospital

🇯🇵

Nagaoka, Japan

Oita Red Cross Hospital

🇯🇵

Oita, Japan

Japanese Red Cross Osaka Hospital

🇯🇵

Osaka, Japan

Osaka City University Hospital

🇯🇵

Osaka, Japan

Osaki Citizen Hospital

🇯🇵

Osaki, Japan

National Hospital Organization Higashi Ohmi General Medical Center

🇯🇵

Otsu-shi, Japan

Shiga University of Medical Science Hospital

🇯🇵

Otsu, Japan

Japan Community Health Care Organization Saitama Medical Center

🇯🇵

Saitama, Japan

Tokitokai Tokito Clinic Coloproctology Center

🇯🇵

Saitama, Japan

Saitama Medical University Hospital

🇯🇵

Saitama, Japan

Toho University Sakura Medical Center

🇯🇵

Sakura, Japan

Sapporo IBD Clinic

🇯🇵

Sapporo Chuo-ku, Japan

Hokkaido University Hospital

🇯🇵

Sapporo-shi, Japan

JA Sapporo-Kosei General Hospital - 1st Digestive Organs

🇯🇵

Sapporo, Japan

Sapporo Higashi Tokushukai Hospital

🇯🇵

Sapporo, Japan

Tokyo Yamate Medical Center

🇯🇵

Shinjuku-ku, Japan

Osaka University Hospital

🇯🇵

Suita-shi, Japan

Takamatsu Red Cross Hospital

🇯🇵

Takamatsu, Japan

Kagawa Prefectural Central Hospital

🇯🇵

Takamatsu, Japan

Tokushima University Hospital

🇯🇵

Tokushima, Japan

Yuaikai Tomishiro Central Hospital

🇯🇵

Tomishiro, Japan

Ehime University Hospital

🇯🇵

Toon, Japan

Toyama City Hospital

🇯🇵

Toyama-shi, Japan

Fujita Health University Hospital

🇯🇵

Toyoake, Japan

Mie University Hospital

🇯🇵

Tsu, Japan

Wakayama Medical University Hospital

🇯🇵

Wakayama, Japan

Yokohama City University Medical Center

🇯🇵

Yokohama, Japan

Khalidi Hospital and Medical Center

🇯🇴

Amman, Jordan

Jordan University Hospital

🇯🇴

Amman, Jordan

Irbid Specialty Hospital

🇯🇴

Irbid, Jordan

King Abdullah University Hospital

🇯🇴

Irbid, Jordan

Korea University Ansan Hospital

🇰🇷

Ansan-si, Korea, Republic of

Inje University Haeundae Paik Hospital

🇰🇷

Busan, Korea, Republic of

Dong-A University Hospital

🇰🇷

Busan, Korea, Republic of

Kyongpook national university Medical center

🇰🇷

Daegu, Korea, Republic of

Kyungpook National University Hospital

🇰🇷

Daegu, Korea, Republic of

The Catholic university of Korea, St. Vincent's Hospital

🇰🇷

Gyeonggi-do, Korea, Republic of

Hallym University Dongtan Sacred Heart Hospital

🇰🇷

Hwaseong-si, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Korea, Republic of

CHA Bundang Medical Center, CHA University

🇰🇷

Seongnam, Korea, Republic of

The Catholic Univ. of Korea, DaeJeon St. Mary's Hospital

🇰🇷

Seongnam, Korea, Republic of

Kangbuk Samsung Hospital

🇰🇷

Seoul, Korea, Republic of

Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Chung-Ang University Hospital

🇰🇷

Seoul, Korea, Republic of

Gangnam Severance Hospital

🇰🇷

Seoul, Korea, Republic of

Wonju Christian Hospital

🇰🇷

Wonju, Korea, Republic of

Ewha Womans University Mokdong Hospital

🇰🇷

YangCheon-Gu, Korea, Republic of

Pauls Stradins Clinical University Hospital

🇱🇻

Riga, Latvia

Alda Pukisa arsta prakse

🇱🇻

Riga, Latvia

Ain Wazein Hospital

🇱🇧

Ain Wazein, Lebanon

American Universitty of Beirut Medical Center

🇱🇧

Beirut, Lebanon

St Georges Hospital university medical centre

🇱🇧

Beirut, Lebanon

Hotel Dieu de France Hospital

🇱🇧

Beirut, Lebanon

Bellevue Medical Center

🇱🇧

Beirut, Lebanon

Mount Lebanon Hospital

🇱🇧

Beirut, Lebanon

Rafik Hariri University Hospital

🇱🇧

Beirut, Lebanon

Nini Hospital

🇱🇧

Tripoli, Lebanon

Lietuvos sveikatos mokslų universiteto ligoninė Kauno klinik

🇱🇹

Kaunas, Lithuania

Vilnius University Hospital Santaros Klinikos, Public Institution

🇱🇹

Vilnius, Lithuania

Hospital Ampang

🇲🇾

Ampang, Malaysia

Hospital Raja Permaisuri Bainun

🇲🇾

Ipoh, Malaysia

Hospital Sultanah Aminah

🇲🇾

Johor Bahru, Malaysia

Hospital Raja Perempuan Zainab Ii

🇲🇾

Kota Bahru, Malaysia

University Malaya Medical Centre

🇲🇾

Kuala Lumpur, Malaysia

Hospital Tengku Ampuan Afzan

🇲🇾

Kuantan, Malaysia

Amsterdam UMC locatie VUMC

🇳🇱

Amsterdam, Netherlands

Academisch Ziekenhuis Maastricht

🇳🇱

Maastricht, Netherlands

Stichting Zuyderland Medisch Centrum

🇳🇱

Sittard-Geleen, Netherlands

Auckland City Hospital

🇳🇿

Auckland, New Zealand

Christchurch Hospital

🇳🇿

Christchurch, New Zealand

Dunedin Hospital

🇳🇿

Dunedin, New Zealand

Waikato Hospital

🇳🇿

Hamilton, New Zealand

General City Hospital 8mi Septemvri

🇲🇰

Skopje, North Macedonia

University Clinic of Gastroenterohepatology

🇲🇰

Skopje, North Macedonia

NZOZ Centrum Medyczne KERmed

🇵🇱

Bydgoszcz, Poland

Centrum Medyczne Lukamed

🇵🇱

Chojnice, Poland

Synexus Polska Sp. z o.o. Oddzial w Czestochowie

🇵🇱

Czestochowa, Poland

Synexus Polska Sp. z o.o. Oddzial w Gdansku

🇵🇱

Gdansk, Poland

Prywatna Praktyka Lekarska

🇵🇱

Jelenia Gora, Poland

Malopolskie Centrum Kliniczne

🇵🇱

Krakow, Poland

Centrum Medyczne Plejady

🇵🇱

Krakow, Poland

Centrum Medyczne Promed

🇵🇱

Krakow, Poland

AmiCare Centrum Medyczne

🇵🇱

Lodz, Poland

Gastromed Spotka Z Ograniczona Odpowiedzialnoscia Sp. K.

🇵🇱

Lublin, Poland

Wojewodzki Szpital Specjalistyczny w Olsztynie

🇵🇱

Olsztyn, Poland

Twoja Przychodnia

🇵🇱

Poznan, Poland

Oswiecimskie Centrum Badan Klinicznych

🇵🇱

Oswiecim, Poland

EMC Instytut Medyczny SA

🇵🇱

Poznan, Poland

Synexus Polska Sp. z.o.o. Oddzial w Poznaniu

🇵🇱

Poznan, Poland

Centrum Medyczne 'Medyk' Sp. z o.o. K.

🇵🇱

Rzeszow, Poland

Endoskopia Sp z o.o.

🇵🇱

Sopot, Poland

Kiepury Clinic

🇵🇱

Sosnowiec, Poland

Twoja Przychodnia - Szczecinskie Centrum Medyczne

🇵🇱

Szczecin, Poland

Niepubliczny Zaklad Opieki Zdrowotnej

🇵🇱

Szczecin, Poland

H-T Centrum Medyczne Endoterapia

🇵🇱

Tychy, Poland

NZOZ Vivamed Zespol Lekarzy Specjalistow

🇵🇱

Warsaw, Poland

Wojskowy Instytut Medyczny

🇵🇱

Warszawa, Poland

Centrum Medyczne

🇵🇱

Warszawa, Poland

Centralny Szpital Kliniczny MSWiA w Warszawie

🇵🇱

Warszawa, Poland

Centrum Badawcze Wspolczesnej Terapii

🇵🇱

Warszawa, Poland

Szpital Pomnik Centrum Zdrowia Dziecka

🇵🇱

Warszawa, Poland

Synexus Polska Sp z o o Oddzial w Warszawie

🇵🇱

Warszawa, Poland

Centrum Zdrowia Tuchow

🇵🇱

Wierzchoslawice, Poland

Centrum Diagnostyczno - Lecznicze Barska sp. z o.o. Szpital Specjalistyczny Barska

🇵🇱

Wloclawek, Poland

Synexus Polska Sp z o o Oddzial we Wroclawiu

🇵🇱

Wroclaw, Poland

Przychodnia Vistamed

🇵🇱

Wroclaw, Poland

Futuremeds sp. z o.o.

🇵🇱

Wroclaw, Poland

Melita Medical Sp. z o.o.

🇵🇱

Wroclaw, Poland

ARS MEDICA Rybak Maria, Rybak Zbigniew, s.c.

🇵🇱

Wroclaw, Poland

EuroMediCare Szpital Specjalistyczny z Przychodnia

🇵🇱

Wroclaw, Poland

ETG Zamosc

🇵🇱

Zamosc, Poland

Hospital de Braga

🇵🇹

Braga, Portugal

Centro Hospitalar e Universitário de Coimbra, EPE

🇵🇹

Coimbra, Portugal

Hospital de Portimao-Centro Hospitalar do Barlavento Algarvio

🇵🇹

Portimao, Portugal

H. Santo António - Centro Hospitalar do Porto

🇵🇹

Porto, Portugal

Centro Hospitalar de Entre o Douro e Vouga, E.P.E

🇵🇹

Santa Maria da Feira, Portugal

San Juan Bautista School of Medicine

🇵🇷

Caguas, Puerto Rico

Kazan State Medical University

🇷🇺

Kazan, Russian Federation

KGBUZ 'Regional Clinical Hospital'

🇷🇺

Krasnoyarsk, Russian Federation

State Scientific Centre of Coloproctology

🇷🇺

Moscow, Russian Federation

Novgorod Regional Clinical Hospital n.a. N.A. Semashko

🇷🇺

Nizhny Novgorod, Russian Federation

City Clinical Hospital #12

🇷🇺

Novosibirsk, Russian Federation

FSBI 'Scientific Research Institute of Clinical and Experimental Lymphology' of Siberian Branch

🇷🇺

Novosibirsk, Russian Federation

Clinical Diagnostic Center 'Ultramed'

🇷🇺

Omsk, Russian Federation

GBUZ of Moscow Region City Clinical Hospital #3

🇷🇺

Podolsk, Russian Federation

GBOU VPO Rostov State Medical University

🇷🇺

Rostov-na-Donu, Russian Federation

City Hospital #20

🇷🇺

Rostov-on-Don, Russian Federation

Clinical Hospital #122 n.a. after L.G. Sokolov

🇷🇺

Saint Petersburg, Russian Federation

City Hospital named after St. Martyr Elizabeth

🇷🇺

Saint-Petersburg, Russian Federation

The Limited Liability Company Research center Eco-safety

🇷🇺

Saint-Petersburg, Russian Federation

Medical University Reaviz

🇷🇺

Samara, Russian Federation

NUZ 'Railway Clinical Hospital on Samara station of LLC 'Russian Railways'

🇷🇺

Samara, Russian Federation

Saratov City Hospital #5

🇷🇺

Saratov, Russian Federation

St.Petersburg State Medical University n.a.Pavlov

🇷🇺

St Petersburg, Russian Federation

City Clinical Hospital #31

🇷🇺

St. Petersburg, Russian Federation

Tomsk Regional Clinical Hospital

🇷🇺

Tomsk, Russian Federation

Ulyanovsk Regional Clinical Hospital

🇷🇺

Ulyanovsk, Russian Federation

GUZ Novgorod Regional Clinical Hospital

🇷🇺

Velikiy Novgorod, Russian Federation

King Abdullah Medical City in Holy Capital

🇸🇦

Makkah, Saudi Arabia

King Abdul Aziz Medical City for National Guard Health Affairs

🇸🇦

Riyadh, Saudi Arabia

Special hospital for Internal diseases, Oncomed system

🇷🇸

Belgrade, Serbia

University Clinical Center of Serbia

🇷🇸

Belgrade, Serbia

Zvezdara University Medical Center

🇷🇸

Belgrade, Serbia

Clinical Hospital Center Bezanijska Kosa

🇷🇸

Belgrade, Serbia

University Clinical Center Kragujevac

🇷🇸

Kragujevac, Serbia

General Hospital 'Djordje Joanovic'

🇷🇸

Zrenjanin, Serbia

FNsP F.D.R. Banska Bystrica

🇸🇰

Banska Bystrica, Slovakia

ENDOMED s.r.o

🇸🇰

Kosice, Slovakia

GASTRO I. s.r.o.

🇸🇰

Presov, Slovakia

Hosp Reina Sofia

🇪🇸

Córdoba, Spain

Complejo Hosp Univ. de Ferrol

🇪🇸

Ferrol, Spain

Hosp. Univ. Dr. Josep Trueta

🇪🇸

Girona, Spain

Hosp. Gral. Juan Ramon Jimenez

🇪🇸

Huelva, Spain

Hosp. Univ. La Paz

🇪🇸

Madrid, Spain

Hosp. Univ. Central de Asturias

🇪🇸

Oviedo, Spain

Hosp. Provincial de Pontevedra

🇪🇸

Pontevedra, Spain

Hosp. Virgen Del Rocio

🇪🇸

Sevilla, Spain

Hosp. Univ. de Torrejon

🇪🇸

Torrejón de Ardoz, Spain

Hosp. Alvaro Cunqueiro

🇪🇸

Vigo, Spain

Hosp. Univ. Miguel Servet

🇪🇸

Zaragoza, Spain

Chang-Hua Christian Hospital

🇨🇳

Changhua, Taiwan

China Medical University Hospital

🇨🇳

Taichung, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Chang-Gung Memorial Hospital-Linkou

🇨🇳

Taoyuan, Taiwan

Hopital Regional Mohamed Tahar El Maamouri

🇹🇳

Nabul, Tunisia

Hopital Universitaire Sahloul

🇹🇳

Sousse, Tunisia

Hospital La Rabta

🇹🇳

Tunis Jebbari, Tunisia

Hopital Habib Thameur

🇹🇳

Tunis, Tunisia

Military Hospital of Instruction of Tunis

🇹🇳

Tunis, Tunisia

Hacettepe University Medical Faculty

🇹🇷

Ankara, Turkey

Gulhane Egitim ve Arastirma Hastanesi

🇹🇷

Ankara, Turkey

Firat University Hospital

🇹🇷

Elazig, Turkey

Mustafa Kemal University Research and Practise Hospital

🇹🇷

Hatay, Turkey

Acibadem Fulya Hospital

🇹🇷

Istanbul, Turkey

Sisli Etfal Egitim ve Arastirma Hospital

🇹🇷

Istanbul, Turkey

BAU Medical Park Goztepe Hospital

🇹🇷

Istanbul, Turkey

Marmara University Medical Faculty

🇹🇷

Istanbul, Turkey

Dokuz Eylul University Medical Faculty

🇹🇷

Izmir, Turkey

MNCE City Clinical Hospital No 2 named after prof O O Shalimov of the Kharkiv City Council

🇺🇦

Kharkiv, Ukraine

SE 'National institute therapy named L.T. Maloi NAMS of Ukraine'

🇺🇦

Kharkiv, Ukraine

KZ Khersonska Miska Klinichna Likarnia Im. Ye.Ie.Karabelesha

🇺🇦

Kherson, Ukraine

KNP Kyivska miska klinichna likarnia №18 vykonavchoho orhanu KMR (KMDA)

🇺🇦

Kyiv, Ukraine

LLC Treatment and Diagnostic Center Adonis Plus

🇺🇦

Kyiv, Ukraine

Medical Research and Practice Center Medbud of the Public Joint Stock Holding Company Kyivmiskbud

🇺🇦

Kyiv, Ukraine

Kyiv Railway Clinical Hospital #2 Of Branch 'Health Center' Of The Company 'Ukrainian Railway'

🇺🇦

Kyiv, Ukraine

Kyiv Regional Clinical Hospital

🇺🇦

Kyiv, Ukraine

Odeska oblasna klinichna likarnia

🇺🇦

Odesa, Ukraine

Ternopil municipal hospital #1

🇺🇦

Ternopil, Ukraine

MNCE Zakarpatska Regional Clinical Hospital named after A Novak of Zakarpatska Regional Council

🇺🇦

Uzhgorod, Ukraine

Health Clinic Limited Liability Company

🇺🇦

Vinnytsia, Ukraine

KU 6 miska klinichna likarnia ZMR

🇺🇦

Zaporozhye, Ukraine

Barnsley District General Hospital

🇬🇧

Barnsley, United Kingdom

Addenbrooke's Hospital

🇬🇧

Cambridge, United Kingdom

St George's Healthcare NHS Trust

🇬🇧

London, United Kingdom

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