A Study to Evaluate the Safety, Tolerability, and Efficacy of Long-Term Gantenerumab Administration in Participants With Alzheimer's Disease (AD)

Phase 3
Terminated
Conditions
Interventions
Registration Number
NCT04374253
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This is an open-label, multicenter, rollover study to evaluate the safety, tolerability, and efficacy of long-term administration of open-label gantenerumab in participants with AD who completed Study WN29922 or WN39658, either the double-blind or open-label extension (OLE) part.

Detailed Description

Participants who were in the active arm in the double blind part and those who have completed OLE part in the parent study, will continue receive open-label gantenerumab 510 mg sub-cutaneously (SC) every 2 weeks (Q2W). Participants who are naive to gantenerumab treatment will be required to undergo the 3 step uptitration scheme as in the parent study before ...

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1382
Inclusion Criteria
  • Completed Study WN29922 or WN39658, either its double-blind part or OLE part, and did not discontinue study drug early
  • The participant should be capable of completing assessments either alone or with the help of the caregiver
  • Availability of a person (referred to as the "caregiver")
  • For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception methods with a failure rate of <1% per year (bilateral tubal ligation, male sterilization, hormonal contraceptives that inhibit ovulation, hormone-releasing intrauterine devices, and copper intrauterine devices) during the treatment period and for at least 16 weeks after the final dose of gantenerumab
  • Agreement not to donate blood or blood products for transfusion for the duration of the study and for 1 year after final dose of study drug
Read More
Exclusion Criteria
  • Pregnant or breastfeeding, or intending to become pregnant during the study or within at least 16 weeks after the final dose of study drug
  • Prematurely discontinued from Study WN29922 or WN39658
  • Any medical condition that may jeopardize the participant's safety if he or she continues to receive study treatment
  • Received any investigational treatment other than gantenerumab during or since completion of Study WN29922 or WN39658, either its double-blind or OLE part
  • Evidence of disseminated leptomeningeal hemosiderosis
  • Evidence of intracerebral macrohemorrhage
  • Use of prohibited medication
  • Evidence of ARIA-E on the last MRI scan report in Study WN29922 or WN39658, either its double-blind or OLE part
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Group 1GantenerumabParticipants, who completed the double-blind part and did not enter the OLE part of Study WN29922 or WN39658, will be enrolled and receive open-label gantenerumab approximately 2 weeks after the Week 116 visit of Study WN29922 or WN39658. This will be considered the OLE baseline visit (OLE Day 1).
Group 2GantenerumabParticipants, who completed the double-blind part and the OLE part of Study WN29922 or WN39658, will be enrolled and receive open-label gantenerumab approximately 2 weeks after the OLE Week 34 visit or the final dose visit in the Study WN29922 or WN39658 OLE.
Primary Outcome Measures
NameTimeMethod
Number of Participants With at Least One Amyloid-Related Imaging Abnormalities-Haemosiderin Deposition (ARIA-H) Confirmed by MRIFrom Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

ARIA are an identified risk with anti-amyloid antibodies, including gantenerumab. These changes can be identified on brain MRI. ARIA-H (H for hemosiderosis) are small foci of signal loss observed on MRI sequences sensitive for paramagnetic tissue properties and comprise cerebral microbleeds (small foci of bleeding in the brain parenchyma) and leptomeningeal ...

Number of Participants With at Least One Amyloid-Related Imaging Abnormalities-Edema (ARIA-E) Confirmed by MRIFrom Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

ARIA are an identified risk with anti-amyloid antibodies, including gantenerumab. These changes can be identified on brain MRI. In ARIA-E, (E for oedema or effusion), oedema can be seen in different areas of the brain on MRI, representing fluid leakage into the brain parenchyma or sulcal spaces. The first dosing visit in the OLE (first dosing in current stud...

Number of Participants With Injection-Site Reactions (ISRs)From Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a pharmaceutical product, regardless of casual attribution. Local injection reactions (or injection site reactions) are defined as AEs related to the injection site that occur during or within 24 hours after study drug administration that are judged to be ...

Number of Participants Who Discontinued the Study Due an AEFrom Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of casual attribution. The first dosing visit in the OLE (first dosing in current study or first dosing in the OLE period of the parent GRADUATE studies) was considered as baseline (OLE Day 1).

Number of Participants With at Least One Adverse Event of Special Interest (AESI)From Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of casual attribution. AEs that were considered to be of special interest for this study included cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin o...

Number of Participants With at Least One Adverse Event (AE) and Serious Adverse Event (SAE)From Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of casual attribution. A SAE is any AE that is fatal, life threatening, requires or prolongs inpatient hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect in a neonate...

Number of Participants With Post-baseline Suicidal Ideation or Suicidal Behavior as Measured Using Columbia-Suicide Severity Rating Scale (C-SSRS) ScoreFrom Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

C-SSRS= assesses lifetime suicidality of participant (at baseline) \& any new instances of suicidality (since last visit). Structured interview prompts recollection of suicidal ideation (intensity of ideation, behavior, \& attempts with actual/potential lethality). Categories have yes/no responses, include Wish to be Dead; Non-specific Active Suicidal Though...

Secondary Outcome Measures
NameTimeMethod
Change From Baseline Over Time in Clinical Dementia Rating - Global Score (CDR-GS)Baseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

CDR was derived through semi-structured interview with the participant and an appropriate informant, and it rated impairment across six domains: memory, orientation, judgment, and problem solving, community affairs, home and hobbies, and personal care on a 5-point scale for which 0=normal, 0.5=very mild dementia, 1=mild dementia, 2=moderate dementia, and 3= ...

Change From Baseline Over Time in Mini-Mental State Examination (MMSE) ScoreBaseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

MMSE is a rater-administered performance-based outcome (PerfO) that includes a set of standardized questions used to evaluate possible cognitive impairment and help stage the severity level of this impairment. The questions target six areas: orientation, registration, attention, short-term recall, language, and constructional praxis/visuospatial abilities. T...

Change From Baseline Over Time in Alzheimer Disease Assessment Scale-Cognition, Subscale 13 (ADAS-Cog13) ScoreBaseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

The ADAS-Cog13 total score includes all of the items in the ADAS-Cog11 in addition to delayed word recall and the number cancellation. For the ADAS-cog 13 the range is 0-85 (score range for Delayed Word Recall \[DWR\] score is 0-10 and for Number Cancellation \[NC\] is 0-5, thus the score is ADAS-cog 11\[0-70\] plus the scores for DWR and NC). A higher score...

Change From Baseline Over Time in Verbal Fluency Task ScoreBaseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

VFT is a rater administered PerfO that measures speed and flexibility of verbal thought with a total score that ranges from 0-99 (lower scores indicating lower performance). A positive change from baseline indicates improvement. The first dosing visit in the OLE (first dosing in current study or first dosing in the OLE period of the parent GRADUATE studies) ...

Change From Baseline Over Time in Clinical Dementia Rating (CDR) - Sum of Boxes (SB)Baseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

CDR was derived through semi-structured interview with the participant and an appropriate informant, and it rated impairment across six domains: memory, orientation, judgment, and problem solving, community affairs, home and hobbies, and personal care on a 5-point scale for which 0=no impairment, 0.5=questionable impairment, and 1, 2, and 3=mild, moderate, a...

Change From Baseline Over Time in Alzheimer Disease Assessment Scale-Cognition, Subscale 11 (ADAS-Cog11) ScoreBaseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

ADAS-Cog11 was designed to measure cognitive symptom change in participants with Alzheimer's Disease (AD) and consisted of 11 tasks. The standard 11 items (and corresponding score range) were: word recall (0-10), commands (0-5), constructional praxis (0-5), naming objects and fingers (0-5), ideational praxis (0-5), orientation (0-8), word recognition (0-12),...

Change From Baseline Over Time in Coding (Digit Symbol Substitution Test [DSST]) SubsetBaseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

Coding, also called DSST is a rater administered PerfO that measures speed of processing and associative memory with a total score that ranges from 0-135 (lower scores indicating lower performance). The DSST was adapted from the Wechsler Adult Intelligence Scale. The 120-second version of the test was used in this study. Positive change from baseline indicat...

Number of Participants With Anti-drug Antibody (ADA) to GantenerumabFrom Baseline (OLE Day 1) up to 14 weeks after the last dose (up to 134 weeks)

The number of participants with positive results for ADA against gantenerumab at any of the post-baseline assessment time-points were reported. Evaluable participant during OLE was participant with an ADA assay result from at least one sample during OLE. Treatment Emergent ADA = A participant with a negative or missing baseline ADA result(s) and at least one...

Change in Functional Activities Questionnaire (FAQ) ScoreBaseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

FAQ is a rater-administered observer-reported outcome (ObsRO) (informant-based measure) that measures a participant's functional ability to perform complex higher-order activities. The observer provides performance ratings of the target person on ten complex higher-order activities. Total score that ranges from 0-30, with higher scores reflecting greater fun...

Change in Alzheimer Disease Cooperative Study Group-Activities of Daily Living (ADCS-ADL) ScoreBaseline (OLE Day 1), Weeks 24, 36, 52, 76 and 104

ADCS-ADL is a 23-item rater-administered, ObsRO that captures a participant's ability to perform basic activities of daily living (e.g., eating and toileting) and more complex ADL or instrumental activities of daily living (iADL, e.g., using the telephone, managing finances, preparing a meal). Total score ranges from 0-78, with higher scores reflecting bette...

Trial Locations

Locations (268)

Research Center for Clinical Studies, Inc.

🇺🇸

Norwalk, Connecticut, United States

Brain Matters Research, Inc.

🇺🇸

Delray Beach, Florida, United States

Infinity Clinical Research, LLC

🇺🇸

Sunrise, Florida, United States

Banner Sun Health Research Insitute

🇺🇸

Sun City, Arizona, United States

Intercoastal Medical Group

🇺🇸

Sarasota, Florida, United States

Renstar Medical Research

🇺🇸

Ocala, Florida, United States

Kerwin Medical Center

🇺🇸

Dallas, Texas, United States

Baycrest Health Sciences

🇨🇦

Toronto, Ontario, Canada

Hospital das Clinicas - UFRGS

🇧🇷

Porto Alegre, RS, Brazil

Alzheimer?s Research and Treatment Center

🇺🇸

Wellington, Florida, United States

Biomedica Research Group

🇨🇱

Santiago, Chile

Neurological Associates of Long Island, PC

🇺🇸

Lake Success, New York, United States

The Cognitive and Research Center of New Jersey

🇺🇸

Springfield, New Jersey, United States

Instituto Kremer

🇦🇷

Córdoba, Argentina

AZ Sint Blasius (Dendermonde)

🇧🇪

Dendermonde, Belgium

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

SUNY Upstate Medical University

🇺🇸

Syracuse, New York, United States

Hospital das Clinicas - FMUSP_X; Neurologia

🇧🇷

Sao Paulo, SP, Brazil

Klinikum rechts der Isar der TU München; Klinik für Psychiatrie und Psychotherapie

🇩🇪

München, Germany

Sunnybrook Health Sciences Centre

🇨🇦

Toronto, Ontario, Canada

CEN Centro Especializado en Neurociencias

🇦🇷

Cordoba, Argentina

Fundación Scherbovsky; General Department

🇦🇷

Mendoza, Argentina

UZ Gent

🇧🇪

Gent, Belgium

St Vincent's Hospital Sydney; Neurology

🇦🇺

Darlinghurst, New South Wales, Australia

Alpha Recherche Clinique

🇨🇦

Quebec, Canada

Especialidades Medicas LYS

🇨🇱

Santiago, Chile

Universitätsklinikum Köln; Klinik und Poliklinik für Psychiatrie und Psychotherapie

🇩🇪

Köln, Germany

Forschungszentrum Ruhr

🇩🇪

Witten, Germany

Devonshire Clinical Research

🇨🇦

Woodstock, Ontario, Canada

Terveystalo Ruoholahti

🇫🇮

Helsinki, Finland

mMED Maciej Czarnecki

🇵🇱

Warszawa, Poland

CHU Strasbourg Hôpital Hautepierre

🇫🇷

Strasbourg, France

PANAKEIA - Arzneimittelforschung Leipzig GmbH

🇩🇪

Leipzig, Germany

Universitätsmedizin derJohannes Gutenberg-Universität Mainz;Klinik für Psychiatrie und Psychotherapi

🇩🇪

Mainz, Germany

Fondazione Santa Lucia IRCCS; Neurologia e Riabilitazione Neurologica

🇮🇹

Roma, Lazio, Italy

Umberto I Policlinico di Roma-Università di Roma La Sapienza

🇮🇹

Roma, Lazio, Italy

Ospedale San Giovanni Calibita Fatebenefratell;Neurologia

🇮🇹

Roma, Lazio, Italy

Ambulates Gesundheitszentrum der Charité GmbH; MVZ Neurologie Campus Benjamin Franklin

🇩🇪

Berlin, Germany

Nuovo Ospedale Civile S. Agostino-Estense; Clinica Neurologica ? Dipartimento di Neuroscienze

🇮🇹

Modena, Emilia-Romagna, Italy

Hopital des Charpennes

🇫🇷

Villeurbanne, France

Universitätsklinikum Münster; Klinik und Poliklinik für Neurologie

🇩🇪

Münster, Germany

Studienzentrum Nordwest Dr med Joachim Springub Herr Wolfgang Schwarz

🇩🇪

Westerstede, Germany

ECRC Experimental and Clinical Research Center, Charité Campus Berlin Buch, Memory Clinic

🇩🇪

Berlin, Germany

IRCCS ?Centro S. Giovanni di Dio? Fatebenefratelli -UO Alzheimer

🇮🇹

Brescia, Lombardia, Italy

Semmelweis University; Department of Neurology

🇭🇺

Budapest, Hungary

National Center for Geriatrics and Gerontology

🇯🇵

Aichi, Japan

Rakuwakai Otowa Hospital

🇯🇵

Kyoto, Japan

Rijikai Medical Corporation Katayama Medical Clinic

🇯🇵

Okayama, Japan

Universitätsklinikum Rostock Zentrum für Nervenheilkunde

🇩🇪

Rostock, Germany

AO Città della Salute e della Scienza Osp.S.Giov.Battista Molinette; SC Geriatria

🇮🇹

Torino, Piemonte, Italy

Uji Takeda Hospital

🇯🇵

Kyoto, Japan

Nozomi Memory Clinic

🇯🇵

Tokyo, Japan

AVIX Investigación Clínica S.C

🇲🇽

Monterrey, Nuevo LEON, Mexico

Brain Research Center B.V

🇳🇱

Amsterdam, Netherlands

Hospital IV Alberto Sabogal Sologuren; Unidad de Investigacion

🇵🇪

Bellavista, Peru

Hospital da Senhora da Oliveira-Guimarães; Serviço de Neurologia

🇵🇹

Guimarães, Portugal

University ?linic of headaches

🇷🇺

Moscow, Moskovskaja Oblast, Russian Federation

Tokyo Bay Advanced Medical and Makuhari Clinic

🇯🇵

Chiba, Japan

Okayama Kyokuto Hospital

🇯🇵

Okayama, Japan

Kishiwada Tokushukai Hospital

🇯🇵

Osaka, Japan

Clinica Universitaria de Navarra

🇪🇸

Pamplona, Navarra, Spain

National Hospital Organization Hizen Psychiatric Medical Center

🇯🇵

Saga, Japan

National Center of Neurology and Psychiatry

🇯🇵

Tokyo, Japan

Fundación ACE; Servicio de Neurología

🇪🇸

Barcelona, Spain

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

IRCCS Ospedale San Raffaele; Centro Disturbi della Memoria

🇮🇹

Milano, Lombardia, Italy

ASST DI MONZA; Neurologia

🇮🇹

Monza, Lombardia, Italy

Dipartimento delle Patologie Emergenti; Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone

🇮🇹

Palermo, Sicilia, Italy

Kagawa Prefectural Central Hospital

🇯🇵

Kagawa, Japan

Nagoya Ekisaikai Hospital

🇯🇵

Aichi, Japan

Matsui Dietary and Dementia Clinic

🇯🇵

Hyogo, Japan

MI Clinic

🇯🇵

Osaka, Japan

Shizuoka City Shimizu Hospital

🇯🇵

Shizuoka, Japan

Tokushima Hospital

🇯🇵

Tokushima, Japan

Tokyo Medical University Hospital

🇯🇵

Tokyo, Japan

Dong-A University Hospital

🇰🇷

Busan, Korea, Republic of

NZOZ WCA

🇵🇱

Wroc?aw, Poland

Re:Cognition Health London

🇬🇧

London, United Kingdom

Hospital Ramon y Cajal; Servicio de Neurologia

🇪🇸

Madrid, Spain

Complejo Asistencial Universitario de Salamanca; Servicio de Psiquiatría

🇪🇸

Salamanca, Spain

Hospital General Universitario de Albacete; Servicio de Neurología

🇪🇸

Albacete, Spain

The Rice Centre; Royal United Hospital

🇬🇧

Bath, United Kingdom

Ninewells Hospital

🇬🇧

Dundee, United Kingdom

University Southampton NHS Foundation Trust; Wessex Neurologica Centre

🇬🇧

Southampton, United Kingdom

CAE OROITU; Servicio de Neurología

🇪🇸

Getxo, Vizcaya, Spain

Hospital Clinic i Provincial; Servicio de Neurologia

🇪🇸

Barcelona, Spain

Surrey and Borders NHS Foundation Trust; Research and Development Department

🇬🇧

Chertsey, United Kingdom

Policlínica Guipuzcoa; Servicio de Neurología

🇪🇸

Donostia-san Sebastian, Guipuzcoa, Spain

Hospital Vall d'Hebron; Servicio de Neurología

🇪🇸

Barcelona, Spain

Re:Cognition Health Birmingham

🇬🇧

Birmingham, United Kingdom

The Fritchie Centre, Charlton Lane Centre, Charlon Lane, Leckhampton; The Fritchie Centre

🇬🇧

Cheltenham, United Kingdom

Hospital del Mar; Servicio de Neurologia

🇪🇸

Barcelona, Spain

Universitario de La Princesa; Servicio de Neurología

🇪🇸

Madrid, Spain

Hospital Universitario de Santa Maria; Servicio de Neurología

🇪🇸

Lleida, Lerida, Spain

Campus for Ageing and Vitality

🇬🇧

Newcastle, United Kingdom

Hospital Universitario 12 de Octubre; Servicio de Neurologia

🇪🇸

Madrid, Spain

Cleveland Clinic; Cleveland Lou Ruvo Center for Brain Health ? Neurological Institute

🇺🇸

Cleveland, Ohio, United States

The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

Brigham and Womens Hospital; Center for Alzheimer Research & Treatment

🇺🇸

Boston, Massachusetts, United States

Alzheimers Disease & Memory Disorders Center; Department of Neurology Baylor College of Medicine

🇺🇸

Houston, Texas, United States

UW Wisconsin-Madison

🇺🇸

Madison, Wisconsin, United States

The Queen Elizabeth Hospital; Neurology

🇦🇺

Woodville, South Australia, Australia

Central Coast Neurosciences Research

🇦🇺

Erina, New South Wales, Australia

Southern Neurology

🇦🇺

Kogarah, New South Wales, Australia

Instituto de Neurologia de Curitiba

🇧🇷

Curitiba, PR, Brazil

Parkwood Hospital; Geriatric Medicine

🇨🇦

London, Ontario, Canada

Aarhus Universitetshospital; Neurologisk Afd. F, Demensklinikken

🇩🇰

Aarhus N, Denmark

CHU Amiens Hopital Sud; Neurologie

🇫🇷

Amiens Cedex1, France

Gerontopole; Centre de Recherche clinique

🇫🇷

Toulouse, France

Kobe University Hospital

🇯🇵

Hyogo, Japan

Juntendo University Urayasu Hospital

🇯🇵

Chiba, Japan

Yachiyo Hospital

🇯🇵

Aichi, Japan

Medical Corporation Hakuyokai Kashiwado Hospital

🇯🇵

Chiba, Japan

Inage Neurology and Memory Clinic

🇯🇵

Chiba, Japan

National Hospital Organization Hiroshima-Nishi Medical Center

🇯🇵

Hiroshima, Japan

Southern Tohoku Medical Clinic

🇯🇵

Fukushima, Japan

Hyogo Prefectural HarimaHimeji General Medical Center

🇯🇵

Hyogo, Japan

Tsukazaki Hospital

🇯🇵

Hyogo, Japan

Hospital Universitario Dr Jose Eleuterio Gonzalez UANL; Depto.de NeurologíaPta.BajaConsulta

🇲🇽

Monterrey, Nuevo LEON, Mexico

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Korea, Republic of

Clinica Internacional; Unidad De Investigacion

🇵🇪

Lima, Peru

Vertebronevrologiya LLC

🇷🇺

Kazan, Tatarstan, Russian Federation

City Polyclinic No. 2 of the Department of Healthcare of the City of Moscow

🇷🇺

Moskva, Moskovskaja Oblast, Russian Federation

Clinica Universitaria de Navarra; Servicio de Neurología

🇪🇸

Pamplona, Navarra, Spain

Hospital Ruber Internacional; Servicio de Neurología

🇪🇸

Madrid, Spain

Complejo Asistencial de Zamora; Servicio Psiquiatria

🇪🇸

Zamora, Spain

Hospital Universitario Dr. Peset; Servicio de Neurologia

🇪🇸

Valencia, Spain

Skånes Universitetssjukhus Malmö, Minneskliniken

🇸🇪

Malmö, Sweden

Queen Elizabeth University Hospital - PPDS

🇬🇧

Glasgow, United Kingdom

Beijing Tian Tan Hospital,Capital Medical University

🇨🇳

Beijing City, China

Hospital Quiron de Madrid; Servicio de Neurologia

🇪🇸

Pozuelo de Alarcon, Madrid, Spain

Australian Alzheimer's Research Foundation

🇦🇺

Nedlands, Western Australia, Australia

Hospital Angeles de Culiacán, Neurociencias Estudios Clínicos SC

🇲🇽

Culiacán, Sinaloa, Mexico

HM Universitario Puerta del Sur CINAC (C.Integ.Neuroc);; Servicio de Psiquiatría

🇪🇸

Móstoles, Madrid, Spain

Via Christi Research

🇺🇸

Wichita, Kansas, United States

IRCCS Neuromed; Neurologia I-Centro studio e cura delle demenze e UVA

🇮🇹

Pozzilli, Molise, Italy

Fullerton Neurology and Headache Center

🇺🇸

Fullerton, California, United States

Neurology Center of North Orange County

🇺🇸

Fullerton, California, United States

Irvine Center for Clinical Research

🇺🇸

Irvine, California, United States

Syrentis Clinical Research

🇺🇸

Santa Ana, California, United States

Desert Valley Research

🇺🇸

Redlands, California, United States

California Neuroscience Research Medical Group, Inc

🇺🇸

Sherman Oaks, California, United States

Southern California Research LLC

🇺🇸

Simi Valley, California, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

Center for Advanced Research & Education

🇺🇸

Gainesville, Georgia, United States

Fort Wayne Neurological Center

🇺🇸

Fort Wayne, Indiana, United States

Southern Illinois University, School of Medicine

🇺🇸

Springfield, Illinois, United States

American Health Network Institute, LLC

🇺🇸

Avon, Indiana, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Missouri Memory Center

🇺🇸

Bolivar, Missouri, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

AD-CARE, University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

Richmond Behavioral Associates

🇺🇸

Staten Island, New York, United States

Behavioral Health Research

🇺🇸

Charlotte, North Carolina, United States

Raleigh Neurology Associates

🇺🇸

Raleigh, North Carolina, United States

Alzheimer's Memory Center

🇺🇸

Matthews, North Carolina, United States

Ohio State University; College of Medicine

🇺🇸

Columbus, Ohio, United States

Abington Neurological Associates

🇺🇸

Abington, Pennsylvania, United States

Neurology Consultants of Dallas; Research Department

🇺🇸

Dallas, Texas, United States

The Clinical Trial Center, LLC

🇺🇸

Jenkintown, Pennsylvania, United States

Sentara Neurology Specialists

🇺🇸

Norfolk, Virginia, United States

University of Virginia

🇺🇸

Charlottesville, Virginia, United States

Rigshospitalet, Hukommelsesklinikken

🇩🇰

København Ø, Denmark

Svendborg Sygehus; Neurologisk afdeling N, Demensklinik Fyn

🇩🇰

Svendborg, Denmark

Royal Hallamshire Hospital Sheffield Teaching Hospitals NHS Foundation Trust

🇬🇧

Sheffield, United Kingdom

Allied Biomedical Research Institute, Inc

🇺🇸

Miami, Florida, United States

Cleveland Clinic Lou Ruvo; Center for Brain Research

🇺🇸

Las Vegas, Nevada, United States

Summit Research Network Inc.

🇺🇸

Portland, Oregon, United States

Wasatch Clinical Research, LLC

🇺🇸

Salt Lake City, Utah, United States

Sahlgrenska Academy University,Neuroscience and Physiology;Departmt of Psychiatry and Neurochemistry

🇸🇪

Mölndal, Sweden

KAROLINSKA UNI HOSPITAL, HUDDINGE; Mottagning Kognitiv Forskning, M54

🇸🇪

Stockholm, Sweden

University of Nebraska Medical Center; Dept of Neurological Sciences

🇺🇸

Omaha, Nebraska, United States

Hospital Virgen del Rocío; Servicio de Neurología

🇪🇸

Sevilla, Spain

Hospital de la Santa Creu i Sant Pau; Servicio de Neurologia

🇪🇸

Barcelona, Spain

Hospital Universitario Reina Sofia; Servicio de Neurologia

🇪🇸

Cordoba, Spain

Hospital Universitario la Fe; Servicio de Neurologia

🇪🇸

Valencia, Spain

Servicio de Neurología Hospital Viamed Montecanal.

🇪🇸

Zaragoza, Spain

Optimus U Corp

🇺🇸

Miami, Florida, United States

Jessa Zkh (Campus Virga Jesse)

🇧🇪

Hasselt, Belgium

Hospital Nossa Senhora das Graças; Setor de Pesquisa em Neurologia

🇧🇷

Curitiba, PR, Brazil

Center for Diagnosis and Research on Alzheimer's disease

🇨🇦

Greenfield Park, Quebec, Canada

Axiom Clinical Research of Florida

🇺🇸

Tampa, Florida, United States

St George?s Hospital

🇬🇧

London, United Kingdom

Hospital Victoria Eugenia; Servico Neurología

🇪🇸

Sevilla, Spain

Sutter Medical Group, Neurology

🇺🇸

Sacramento, California, United States

Yale University School Of Medicine

🇺🇸

New Haven, Connecticut, United States

Wake Forest University

🇺🇸

Winston-Salem, North Carolina, United States

JEM Research LLC

🇺🇸

Atlantis, Florida, United States

Seoul St Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

Konkuk University Medical Center

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Ewha Womans University Hospital (Seoul)

🇰🇷

Seoul, Korea, Republic of

Health Initiatives Research, PLLC

🇺🇸

Fayetteville, Arkansas, United States

Bradenton Research Center

🇺🇸

Bradenton, Florida, United States

Hôpital Lariboisière

🇫🇷

Paris, France

Advanced Memory Research Institute of NJ

🇺🇸

Toms River, New Jersey, United States

Banner Alzheimer?s Institute

🇺🇸

Phoenix, Arizona, United States

Psicomed Estudios Médicos

🇨🇱

Antofagasta, Chile

Groupement Hospitalier Est - Hôpital Neurologique; Neurologie A (U502)

🇫🇷

Bron cedex, France

Fukuoka University Hospital

🇯🇵

Fukuoka, Japan

Georgetown University Medical Center

🇺🇸

Washington, District of Columbia, United States

ClinCloud, LLC

🇺🇸

Maitland, Florida, United States

Accel Research Sites - CRU Tampa

🇺🇸

Bradenton, Florida, United States

Universidad Maimonides

🇦🇷

Caba, Argentina

Clinica Clinilive ltda

🇧🇷

Maringa, PR, Brazil

Itä-Suomen yliopisto, Kuopion kampus

🇫🇮

Kuopio, Finland

Universitätsklinikum Ulm; Klinik für Neurologie

🇩🇪

Ulm, Germany

Medical corporation Ichiekai Itsuki Hospital

🇯🇵

Tokushima, Japan

Tokyo Medical and Dental University Hospital

🇯🇵

Tokyo, Japan

Myongji Hospital

🇰🇷

Gyeonggi-do, Korea, Republic of

The Medical Arts Health Research Group - West Vancouver

🇨🇦

Vancouver, British Columbia, Canada

Hospital Italiano

🇦🇷

Caba, Argentina

Instituto Geriatrico Nuestra Señora de las Nieves

🇦🇷

Capital Federal, Argentina

Instituto de Neurociencias San Agustín S.A.

🇦🇷

La Plata, Argentina

CHU de la Timone - Hopital d Adultes; Service de Neurologie

🇫🇷

Marseille, France

Shonan Kamakura General Hospital

🇯🇵

Kanagawa, Japan

Barrow Neurological Institute

🇺🇸

Phoenix, Arizona, United States

Vilnius University Hospital Santariskiu Clinics; Neurology

🇱🇹

Vilnius, Lithuania

O?rodek Badawczo-Naukowo-Dydaktyczny Chorób Ot?piennych w ?cinawie

🇵🇱

?cinawa, Poland

Podlaskie Centrum Psychogeriatrii

🇵🇱

Bia?ystok, Poland

Pratia S.A.

🇵🇱

Warszawa, Poland

HUC; Servico de Neurologia

🇵🇹

Coimbra, Portugal

Hôpital Avicenne; Centre de Recherche Clinique

🇫🇷

Bobigny Cedex, France

NHO Shizuoka Institute of Epilepsy and Neurological Disorders

🇯🇵

Shizuoka, Japan

Senior Sp. Z O.O. Poradnia Psychogeriatryczna

🇵🇱

Sopot, Poland

Hospital Geral de Santo Antonio; Servico de Neurologia

🇵🇹

Porto, Portugal

Chang Gung Memorial Foundation - Linkou - Neurology

🇨🇳

Taoyuan, Taiwan

Hospital Virgen del Puerto. Servicio de Neurología

🇪🇸

Plasencia, Caceres, Spain

National Taiwan University Hospital; Neurology

🇨🇳

Taipei, Taiwan

CHU Poitiers - Hopital La Miletrie

🇫🇷

Poitiers, France

Jichiidai Station Brain Clinic

🇯🇵

Tochigi, Japan

P-One Clinic

🇯🇵

Tokyo, Japan

Gachon University Gil Medical Center

🇰🇷

Incheon, Korea, Republic of

Mexico Centre for Clinical Research

🇲🇽

Ciudad de México, Mexico CITY (federal District), Mexico

State autonomous institution of healthcare Inter-regional clinical and diagnostic center

🇷🇺

Kazan, Tatarstan, Russian Federation

MHI City Clinical Hospital #2 named after V.I. Razumovsky; Psychiatric

🇷🇺

Saratov, Russian Federation

Nebbiolo Center for Clinical Trials

🇷🇺

Tomsk, Russian Federation

Hospital Universitari de Bellvitge; Servicio de Neurologia

🇪🇸

L'Hospitalet de Llobregat, Barcelona, Spain

Changhua Christian Hospital; Neurology

🇨🇳

Changhua County, Taiwan

Kaohsiung Medical University Hospital; Neurology

🇨🇳

Kaohsiung, Taiwan

Yamagata Tokusyukai Hospital

🇯🇵

Yamagata, Japan

NZOZ Vitamed

🇵🇱

Bydgoszcz, Poland

City Clin Hosp n.a. S.P.Botkin

🇷🇺

Moscow, Moskovskaja Oblast, Russian Federation

Hospital General Universitario de Elche; Servicio de Neurología

🇪🇸

Elche, Alicante, Spain

China Medical University Hospital; Neurology

🇨🇳

North Dist., Taiwan

Ondokuz Mayis Univ. Med. Fac.; Neurology

🇹🇷

Samsun, Turkey

Hospital General De Catalunya; Servicio de Neurologia

🇪🇸

Sant Cugat del Valles, Barcelona, Spain

Hospital Mutua De Terrasa; Servicio de Neurologia

🇪🇸

Terrassa, Barcelona, Spain

Inha University Hospital

🇰🇷

Incheon, Korea, Republic of

Hospital Nacional Dos de Mayo; Unidad de Investigacion de Neurologia

🇵🇪

Lima, Peru

NEURO-CARE Sp. z o.o. Sp. Komandytowa

🇵🇱

Katowice, Poland

KO-MED Centra Kliniczne Lublin II

🇵🇱

Lublin, Poland

Neurologiczny NZOZ Centrum Leczenia SM; Osrodek Badan Klinicznych

🇵🇱

Plewiska, Poland

Hospital de Braga; Servico de Neurologia

🇵🇹

Braga, Portugal

Santa Cruz Behavioral PSC

🇵🇷

Bayamon, Puerto Rico

FSBHI Siberian Clinical Center of the Federal Medical and Biological Agency

🇷🇺

Krasnoyarsk, Krasnojarsk, Russian Federation

Chang Gung Memorial Foundation - Kaohsiung - Neurology

🇨🇳

Niaosong Dist., Taiwan

Hanyang University Seoul Hospital

🇰🇷

Seoul, Korea, Republic of

University of Puerto Rico - Medical Science Campus; Internal Medicine

🇵🇷

San Juan, Puerto Rico

FSBMEI HPE "Military Medical Academy n.a. S.M. Kirov" of the MoD of the RF

🇷🇺

Sankt-peterburg, Sankt Petersburg, Russian Federation

Senior Adults Specialty Research

🇺🇸

Austin, Texas, United States

National Clinical Research Inc.-Richmond

🇺🇸

Richmond, Virginia, United States

Boston Center for Memory

🇺🇸

Newton, Massachusetts, United States

Precise Research Centers

🇺🇸

Flowood, Mississippi, United States

Heidelberg Repatriation Hospital; Medical and Cognitive Research Centre

🇦🇺

Heidelberg West, Victoria, Australia

Hospital Universitario Marques de Valdecilla; Servicio de Neurología

🇪🇸

SANtander, Cantabria, Spain

Hospital San Pedro; Servicio de Neurología

🇪🇸

Logroño, LA Rioja, Spain

Charing Cross Hospital

🇬🇧

London, United Kingdom

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