MedPath

Study of Evobrutinib in Participants With RMS (evolutionRMS 1)

Phase 3
Terminated
Conditions
Relapsing Multiple Sclerosis
Interventions
Drug: Placebo (match to Evobrutinib)
Drug: Placebo (match to Teriflunomide)
Registration Number
NCT04338022
Lead Sponsor
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Brief Summary

The study is to evaluate the efficacy and safety of evobrutinib administered orally twice daily versus Teriflunomide (Aubagio®), administered orally once daily in participants with Relapsing Multiple Sclerosis (RMS). Participants who complete the double-blind treatment period (DBTP) and double-blind extension period (DBEP) prior to approval of a separate long-term follow-up study in their country will get an option for evobrutinib treatment continuation through a 96-week open-label extension (OLE) period.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1124
Inclusion Criteria
  • Participants are diagnosed with RMS (relapsing-remitting multiple sclerosis [RRMS] or secondary progressive multiple sclerosis [SPMS] with relapses) in accordance with 2017 Revised McDonald criteria (Thompson 2018)
  • Participants with one or more documented relapses within the 2 years before Screening with either: a. one relapse which occurred within the last year prior to randomization, OR b. the presence of at least 1 gadolinium-enhancing (Gd+) T1 lesion within 6 months prior to randomization
  • Participants have Expanded Disability Status Scale (EDSS) score of 0 to 5.5 at Screening and Baseline (Day 1). Participants with an EDSS score <= 2 at Screening and Baseline (Day 1) are only eligible for participation if their disease duration (time since onset of symptoms) is no more than 10 years
  • Participants are neurologically stable for >= 30 days prior to both screening and baseline (Day 1)
  • Female participants must be neither pregnant nor breast-feeding or must lack child-bearing potential (as defined by either: post-menopausal or surgically sterile), or use an effective method of contraception for the duration of the study and at least 2 years after study intervention due to the long elimination period for teriflunomide of 2 years, unless the participant undergoes an accelerated elimination procedure
  • Male participants must refrain from donating sperm and/or abstain from intercourse with women of child-bearing potential or use an effective method of contraception for the duration of the study and at least 2 years after study intervention due to the long elimination period for teriflunomide of 2 years, unless the participant undergoes an accelerated elimination procedure
  • Participants have given written informed consent prior to any study-related procedure
  • Other protocol defined inclusion criteria could apply.
Exclusion Criteria
  • Participants diagnosed with Progressive MS, in accordance with the 2017 Revised McDonald criteria as follows: a). Participants with Primary Progressive MS. b).

Participants with secondary progressive MS without evidence of relapse

  • Disease duration more than (>) 10 years in participants with an EDSS =< 2.0 at screening and Baseline (Day 1)
  • Immunologic disorder other than MS, or any other condition requiring oral, intravenous (IV) , intramuscular, or intra-articular corticosteroid therapy, with the exception of well-controlled Type 2 diabetes mellitus or well controlled thyroid disease
  • Other protocol defined exclusion criteria could apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Teriflunomide + Evobrutinib matched Placebo: DB PeriodTeriflunomide-
Teriflunomide + Evobrutinib matched Placebo: DB PeriodPlacebo (match to Evobrutinib)-
Evobrutinib + Teriflunomide matched Placebo: DB PeriodPlacebo (match to Teriflunomide)-
Evobrutinib + Teriflunomide matched Placebo: DB PeriodEvobrutinib-
Primary Outcome Measures
NameTimeMethod
DBTP: Annualized Relapse Rate (ARR)Up to 156 weeks

The annualized relapse rates up to 156 weeks will be calculated based on qualified relapses. Qualifying relapse is defined as occurrence of new or worsening neurological symptoms attributable to Multiple Sclerosis (MS) (for more than 24 hours, no fever, infection, injury, adverse events, and preceded by a stable or improving neurological state for greater than or equal to (=\>) 30 days).

DBE Period: ARRUp to 96 weeks

The annualized relapse rates up to 96 weeks will be calculated based on qualified relapses. Qualifying relapse is defined as occurrence of new or worsening neurological symptoms attributable to Multiple Sclerosis (MS) (for more than 24 hours, no fever, infection, injury, adverse events, and preceded by a stable or improving neurological state for greater than or equal to (=\>) 30 days).

OLE Period: Number of Participants with Adverse Events and Serious Adverse Events (SAE)sBaseline OLE up to 96 weeks
Secondary Outcome Measures
NameTimeMethod
DBE Period: Time to First Occurrence of 24-Week CDI as measured by EDSS ImprovementUp to 96 weeks
DBE Period: Change From Baseline in PROMIS MS PF Short Form ScoreBaseline up to 96 weeks
DBE Period: Total Number of New or Enlarging T2 Lesions Assessed on the Last Available MRI Scans Relative to Baseline MRI ScanUp to Week 96
DBE Period: Number of Participants With Adverse Events (AEs) and Adverse Events of Special Interest (AESIs)Baseline up to 96 weeks

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment.

DBE Period: Number of Participants With Clinically Significant Change From Baseline in Vital Signs, Laboratory Parameters and Electrocardiogram FindingsBaseline up to 96 weeks

Number of participants with clinically significant change from baseline in vital signs, laboratory parameters and electrocardiogram findings will be reported.

DBTP: Time to First Occurrence of 24-Week CDP as measured by EDSS ProgressionUp to 156 weeks
OLE Period: PROMIS Fatigue (MS) 8a Score Change Over TimeBaseline OLE up to 96 weeks
DBTP: Time to First Occurrence of 12-Week Confirmed Disability Progression (CDP) as measured by Expanded Disability Status Scale (EDSS) ProgressionUp to 156 weeks
DBTP: Time to First Occurrence of 24-Week Confirmed Disability Improvement (CDI) as measured by EDSS ImprovementUp to 156 weeks
DBTP: Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) MS Physical Function (PF) Short Form ScoreBaseline up to 96 weeks
DBTP: Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) MS Fatigue Short Form ScoreBaseline up to 96 weeks
DBTP: Total Number of Gadolinium-Enhancing (Gd+) T1 Lesions Assessed by all Available Magnetic Resonance Imaging (MRI) ScansUp to Week 156
DBTP: Total Number of New or Enlarging T2 Lesions Assessed by the Last Available Magnetic Resonance Imaging (MRI) Scan Relative to Baseline MRI ScanUp to Week 156
DBTP: Neurofilament light chain (NfL) Serum ConcentrationAt Week 12
DBTP: Number of Participants With Adverse Events (AEs) and Adverse Events of Special Interest (AESIs)Baseline up to 156 weeks

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment.

DBTP: Number of Participants With Clinically Significant Change From Baseline in Vital Signs, Laboratory Parameters and Electrocardiogram FindingsBaseline up to 156 weeks

Number of participants with clinically significant change from baseline in vital signs, laboratory parameters and electrocardiogram findings will be reported.

DBTP: Absolute Concentrations of Immunoglobulin (Ig) LevelsBaseline up to 156 weeks
DBTP: Change From Baseline in Immunoglobulin (Ig) LevelsBaseline up to 156 weeks
DBE Period: Time to First Occurrence of 12-Week CDP as measured by EDSS ProgressionUp to 96 weeks
DBE Period: Time to First Occurrence of 24-Week CDP as measured by EDSS ProgressionUp to 96 weeks
OLE Period: ARR based on protocol-defined qualified relapsesBaseline OLE up to 96 weeks
OLE Period: Symbol Digital Modalities Test Over timeBaseline OLE up to 96 weeks
OLE Period: PROMISnq PF (MS) 15a score change over timeBaseline OLE up to 96 weeks
OLE Period: Number of Participants With Clinically Significant Change From Baseline in Vital Signs, Electrocardiogram (ECG) and Laboratory FindingsBaseline OLE up to 96 weeks
OLE: Change from Baseline in T2 lesion Volume Over TimeBaseline OLE up to 96 weeks
DBE Period: Change From Baseline in PROMIS MS Fatigue Short Form ScoreBaseline up to 96 weeks
DBE Period: Total Number of Gd+ T1 Lesions Assessed by all Available MRI ScansUp to Week 96
OLE Period: Time to first occurrence of 24-week CDP as measured by EDSSBaseline OLE up to 96 weeks
DBE Period: Change From Baseline in Immunoglobulin (Ig) LevelsBaseline up to 96 weeks
OLE Period: Time to first occurrence of 24-week CDI as measured by EDSSBaseline OLE up to 96 weeks
DBE Period: Absolute Concentrations of Immunoglobulin (Ig) LevelsBaseline up to 96 weeks
OLE: Total Number of New or Enlarging T2 Lesions Assessed on the Last Available Magnetic Resonance Imaging (MRI) ScansBaseline OLE up to 96 weeks

Trial Locations

Locations (279)

Research Site 612

🇺🇸

Farmington Hills, Michigan, United States

Research Site 151

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Innsbruck, Austria

Research Site 153

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Vienna, Austria

Research Site 250

🇬🇪

Tbilisi, Georgia

Research Site 263

🇩🇪

Frankfurt, Germany

Research Site 272

🇩🇪

Mannheim, Germany

Research Site 262

🇩🇪

Muenchen, Germany

Research Site 282

🇭🇺

Budapest, Hungary

Research Site 320

🇮🇹

Messina, Italy

Research Site 317

🇮🇹

Napoli, Italy

Research Site 312

🇮🇹

Salerno, Italy

Research Site 432

🇺🇦

Chernivtsi, Ukraine

Research Site 634

🇺🇸

Stamford, Connecticut, United States

Research Site 616

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Boca Raton, Florida, United States

Research Site 476

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Roeselare, Belgium

Research Site 620

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Patchogue, New York, United States

Research Site 647

🇺🇸

Willow Grove, Pennsylvania, United States

Research Site 174

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Pleven, Bulgaria

Research Site 574

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Research Site 177

🇧🇬

Plovdiv, Bulgaria

Research Site 663

🇺🇸

Akron, Ohio, United States

Research Site 667

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Audubon, New Jersey, United States

Research Site 654

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Virginia Beach, Virginia, United States

Research Site 129

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Montreal, Canada

Research Site 676

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Layton, Utah, United States

Reasearch Site 175

🇧🇬

Plovdiv, Bulgaria

Research Site 562

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Research Site 179

🇧🇬

Sofia, Bulgaria

Research Site 561

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Research Site 571

🇦🇷

Salta, Argentina

Research Site 577

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Research Site 178

🇧🇬

Sofia, Bulgaria

Research Site 673

🇺🇸

Alexandria, Virginia, United States

Research Site 124

🇨🇦

Toronto, Canada

Research Site 171

🇧🇬

Pleven, Bulgaria

Research Site 567

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Research Site 172

🇧🇬

Sofia, Bulgaria

Research Site 125

🇨🇦

Levis, Canada

Research Site 579

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Research Site 101

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Liverpool, Australia

Research Site 103

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St Leonards, Australia

Research Site 193

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Osijek, Croatia

Research Site 197

🇭🇷

Rijeka, Croatia

Research Site 473

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Kortrijk, Belgium

Research Site 173

🇧🇬

Sofia, Bulgaria

Research Site 472

🇧🇪

Liège, Belgium

Research Site 511

🇫🇷

Nantes cedex 1, France

Research Site 180

🇧🇬

Sofia, Bulgaria

Research Site 211

🇨🇿

Jihlava, Czechia

Research Site 218

🇨🇿

Brno, Czechia

Research Site 232

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Tartu, Estonia

Research Site 247

🇬🇪

Tbilisi, Georgia

Research Site 504

🇫🇷

Lille cedex, France

Research Site 503

🇫🇷

Toulouse cedex 9, France

Research Site 224

🇨🇿

Praha 5, Czechia

Research Site 176

🇧🇬

Sofia, Bulgaria

Research Site 212

🇨🇿

Brno, Czechia

Research Site 192

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Zagreb, Croatia

Research Site 502

🇫🇷

Grenoble cedex 09, France

Reserach Site 505

🇫🇷

Montpellier, France

Research Site 219

🇨🇿

Hradec Kralove, Czechia

Research Site 216

🇨🇿

Plzen-Bory, Czechia

Research Site 220

🇨🇿

Praha 2, Czechia

Research Site 597

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Barranquilla, Colombia

Research Site 491

🇫🇮

Turku, Finland

Research Site 249

🇬🇪

Tbilisi, Georgia

Research Site 195

🇭🇷

Varazdin, Croatia

Research Site 194

🇭🇷

Zagreb, Croatia

Research Site 264

🇩🇪

Bochum, Germany

Research Site 217

🇨🇿

Praha 10, Czechia

Research Site 231

🇪🇪

Tallinn, Estonia

Research Site 246

🇬🇪

Tbilisi, Georgia

Research Site 342

🇵🇱

Warszawa, Poland

Research Site 383

🇷🇸

Belgrade, Serbia

Research Site 363

🇷🇺

Krasnoyarsk, Russian Federation

Research Site 355

🇷🇺

Kaluga, Russian Federation

Research Site 351

🇷🇺

Ufa, Russian Federation

Research Site 401

🇪🇸

Lleida, Spain

Research Site 284

🇭🇺

Pecs, Hungary

Research Site 291

🇭🇺

Vac, Hungary

Research Site 359

🇷🇺

Moscow, Russian Federation

Research Site 311

🇮🇹

Reggio Calabria, Italy

Research Site 385

🇷🇸

Belgrade, Serbia

Research Site 362

🇷🇺

Pyatigorsk, Russian Federation

Research Site 335

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Gdansk, Poland

Research Site 406

🇪🇸

Barcelona, Spain

Research Site 331

🇵🇱

Oswiecim, Poland

Research Site 425

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Kharkiv, Ukraine

Research Site 436

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Kharkiv, Ukraine

Research Site 437

🇺🇦

Kharkiv, Ukraine

Research Site 382

🇷🇸

Belgrade, Serbia

Research Site 405

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Cadiz, Spain

Research Site 532

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Sittard-Geleen, Netherlands

Research Site 407

🇪🇸

Barcelona, Spain

Research Site 411

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Pozuelo de Alarcon, Spain

Research Site 365

🇷🇺

Barnaul, Russian Federation

Research Site 340

🇵🇱

Knurow, Poland

Research Site 337

🇵🇱

Lublin, Poland

Research Site 711

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Taichung, Taiwan

Research Site 336

🇵🇱

Katowice, Poland

Research Site 316

🇮🇹

Napoli, Italy

Research Site 409

🇪🇸

Madrid, Spain

Research Site 464

🇰🇷

Seoul, Korea, Republic of

Research Site 402

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San Sebastian, Spain

Research Site 354

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Kirov, Russian Federation

Research Site 367

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Perm, Russian Federation

Research Site 339

🇵🇱

Lodz, Poland

Research Site 341

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Warszawa, Poland

Research Site 389

🇷🇸

Kragujevac, Serbia

Research Site 353

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Moscow, Russian Federation

Research Site 404

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Sevilla, Spain

Research Site 338

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Rzeszów, Poland

Research Site 424

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Odesa, Ukraine

Research Site 356

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St.Petersburg, Russian Federation

Research site 713

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Kaohsiung, Taiwan

Research Site 544

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Exeter, United Kingdom

Research Site 426

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Lviv, Ukraine

Research Site 547

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Swansea, United Kingdom

Research Site 633

🇺🇸

Boston, Massachusetts, United States

Research Site 624

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Indianapolis, Indiana, United States

Research Site 631

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Houston, Texas, United States

Research Site 623

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Baltimore, Maryland, United States

Research Site 672

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San Diego, California, United States

Research Site 613

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Detroit, Michigan, United States

Research Site 637

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Nashville, Tennessee, United States

Research Site 126

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Greenfield Park, Canada

Research Site 128

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Moncton, Canada

Research Site 506

🇫🇷

Nice Cedex 1, France

Research Site 368

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Ekaterinburg, Russian Federation

Research Site 358

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Kazan, Russian Federation

Research Site 369

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Saint-Petersburg, Russian Federation

Research Site 360

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Saratov, Russian Federation

Research Site 361

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Smolensk, Russian Federation

Research Site 357

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Ulyanovsk, Russian Federation

Research Site 366

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Yaroslavl, Russian Federation

Research Site 269

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Ulm, Germany

Research Site 564

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Cordoba, Argentina

Research Site 563

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San Miguel de Tucuman, Argentina

Research Site 568

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Godoy Cruz, Argentina

Research Site 569

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Rosario, Argentina

Research Site 427

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Sumy, Ukraine

Research Site 629

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Mobile, Alabama, United States

Research Site 677

🇺🇸

Phoenix, Arizona, United States

Research Site 614

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Phoenix, Arizona, United States

Research Site 642

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Long Beach, California, United States

Research Site 644

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Pasadena, California, United States

Research Site 656

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Washington, District of Columbia, United States

Research site 645

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Saint Petersburg, Florida, United States

Research Site 628

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Rolling Meadows, Illinois, United States

Research Site 675

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Peoria, Illinois, United States

Research Site 290

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Budapest, Hungary

Research Site 635

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Lawrence, Massachusetts, United States

Research Site 636

🇺🇸

Worcester, Massachusetts, United States

Research Site 639

🇺🇸

Foxboro, Massachusetts, United States

Research Site 668

🇺🇸

Omaha, Nebraska, United States

Research Site 307

🇮🇱

Petah Tikva, Israel

Research Site 641

🇺🇸

Oklahoma City, Oklahoma, United States

Research Site 615

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Springfield, Oregon, United States

Research Site 627

🇺🇸

Nashville, Tennessee, United States

Research Site 650

🇺🇸

Lubbock, Texas, United States

Research Site 651

🇺🇸

Milwaukee, Wisconsin, United States

Research Site 566

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Research Site 576

🇦🇷

Guaymallen, Argentina

Research Site 565

🇦🇷

Rosario, Argentina

Research Site 572

🇦🇷

San Juan, Argentina

Research Site 109

🇦🇺

Hobart, Australia

Research Site 104

🇦🇺

Auchenflower, Australia

Research Site 154

🇦🇹

Salzburg, Austria

Research Site 107

🇦🇺

Concord, Australia

Research Site 102

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New Lambton Heights, Australia

Research Site 474

🇧🇪

Bruxelles, Belgium

Research Site 475

🇧🇪

Bruxelles, Belgium

Research Site 471

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La Louvière, Belgium

Research Site 466

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Seoul, Korea, Republic of

Research Site 478

🇧🇪

Overpelt, Belgium

Research Site 222

🇨🇿

Hradec Kralove, Czechia

Research Site 223

🇨🇿

Ostrava, Czechia

Research Site 215

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Pardubice, Czechia

Research Site 456

🇮🇳

Nashik, India

Research Site 510

🇫🇷

Bron cedex, France

Research Site 508

🇫🇷

Lille, France

Research Site 507

🇫🇷

Rennes cedex 09, France

Research Site 501

🇫🇷

Rouen Cedex, France

Research Site 509

🇫🇷

Caen cedex 9, France

Research Site 213

🇨🇿

Praha 4 - Krc, Czechia

Research Site 244

🇬🇪

Tbilisi, Georgia

Research Site 241

🇬🇪

Tbilisi, Georgia

Research Site 242

🇬🇪

Tbilisi, Georgia

Research Site 243

🇬🇪

Tbilisi, Georgia

Research Site 245

🇬🇪

Tbilisi, Georgia

Research Site 248

🇬🇪

Tbilisi, Georgia

Research Site 265

🇩🇪

Bamberg, Germany

Research Site 267

🇩🇪

Bayreuth, Germany

Research Site 271

🇩🇪

Berlin, Germany

Research Site 270

🇩🇪

Erbach, Germany

Research Site 274

🇩🇪

Bonn, Germany

Research Site 268

🇩🇪

Essen, Germany

Research Site 275

🇩🇪

Hannover, Germany

Research Site 266

🇩🇪

Muenster, Germany

Research Site 273

🇩🇪

Siegen, Germany

Research Site 261

🇩🇪

Potsdam, Germany

Research Site 700

🇭🇰

Hong Kong, Hong Kong

Research Site 704

🇭🇰

Hongkong, Hong Kong

Research Site 285

🇭🇺

Budapest, Hungary

Research Site 701

🇭🇰

Shatin, Hong Kong

Research Site 286

🇭🇺

Budapest, Hungary

Research Site 288

🇭🇺

Budapest, Hungary

Research Site 281

🇭🇺

Kistarcsa, Hungary

Research Site 457

🇮🇳

Hyderabad, India

Research Site 289

🇭🇺

Tatabanya, Hungary

Research Site 451

🇮🇳

New Delhi, India

Research Site 303

🇮🇱

Ashkelon, Israel

Research Site 319

🇮🇹

Bologna, Italy

Research Site 304

🇮🇱

Safed, Israel

Research Site 308

🇮🇱

Ramat Gan, Israel

Research Site 301

🇮🇱

Rechovot, Israel

Research Site 321

🇮🇹

Chieti, Italy

Research Site 322

🇮🇹

Genova, Italy

Research Site 315

🇮🇹

Milano, Italy

Research Site 314

🇮🇹

Montichiari, Italy

Research Site 318

🇮🇹

Roma, Italy

Research Site 313

🇮🇹

Verona, Italy

Research Site 462

🇰🇷

Goyang-si, Korea, Republic of

Research Site 467

🇰🇷

Seoul, Korea, Republic of

Research Site 534

🇳🇱

Hoorn, Netherlands

Research Site 531

🇳🇱

Nieuwegein, Netherlands

Research Site 535

🇳🇱

Rotterdam, Netherlands

Research Site 133

🇲🇽

Aguascalientes, Mexico

Research Site 134

🇲🇽

Culiacan, Mexico

Research Site 332

🇵🇱

Bydgoszcz, Poland

Research Site 403

🇪🇸

Madrid, Spain

Research Site 408

🇪🇸

Madrid, Spain

Research Site 410

🇪🇸

Salt, Spain

Research Site 429

🇺🇦

Kharkiv, Ukraine

Research site 715

🇨🇳

Taipei, Taiwan

Research Site 430

🇺🇦

Kharkiv, Ukraine

Research Site 435

🇺🇦

Kharkiv, Ukraine

Research Site 438

🇺🇦

Kyiv, Ukraine

Research Site 423

🇺🇦

Poltava, Ukraine

Research Site 422

🇺🇦

Kropyvnytskyi, Ukraine

Research Site 421

🇺🇦

Zaporizhzhia, Ukraine

Research Site 552

🇬🇧

Newcastle, United Kingdom

Research Site 625

🇺🇸

Maitland, Florida, United States

Research Site 617

🇺🇸

Miami, Florida, United States

Research Site 621

🇺🇸

Elk Grove Village, Illinois, United States

Research Site 649

🇺🇸

Northbrook, Illinois, United States

Research Site 652

🇺🇸

Tallahassee, Florida, United States

Research Site 643

🇺🇸

Ormond Beach, Florida, United States

Research Site 638

🇺🇸

Saint Louis, Missouri, United States

Research Site 619

🇺🇸

Round Rock, Texas, United States

Research Site 626

🇺🇸

Las Vegas, Nevada, United States

Research Site 632

🇺🇸

Kansas City, Kansas, United States

Research Site 352

🇷🇺

Nizhniy Novgorod, Russian Federation

Research Site 461

🇰🇷

Seoul, Korea, Republic of

Research Site 653

🇺🇸

New Orleans, Louisiana, United States

Research Site 611

🇺🇸

Oklahoma City, Oklahoma, United States

Research Site 664

🇺🇸

Saint Louis, Missouri, United States

Research Site 662

🇺🇸

Dallas, Texas, United States

Research Site 630

🇺🇸

Toledo, Ohio, United States

Research Site 305

🇮🇱

Jerusalem, Israel

Research Site 648

🇺🇸

Knoxville, Tennessee, United States

Research Site 463

🇰🇷

Seoul, Korea, Republic of

Research Site 370

🇷🇺

Tomsk, Russian Federation

Research Site 549

🇬🇧

Glasgow, United Kingdom

Research Site 465

🇰🇷

Seoul, Korea, Republic of

Research Site 156

🇦🇹

Linz, Austria

Research Site 592

🇨🇴

Medellin, Colombia

Research Site 388

🇷🇸

Novi Sad, Serbia

Research site 714

🇨🇳

Taipei, Taiwan

Research Site 163

🇧🇦

Mostar, Bosnia and Herzegovina

Research Site 162

🇧🇦

Sarajevo, Bosnia and Herzegovina

Research Site 600

🇨🇴

Medellin, Colombia

Research Site 381

🇷🇸

Valjevo, Serbia

Research Site 161

🇧🇦

Bihac, Bosnia and Herzegovina

Research Site 591

🇨🇴

Barranquilla, Colombia

Research Site 384

🇷🇸

Uzice, Serbia

Research Site 390

🇷🇸

Nis, Serbia

Research Site 431

🇺🇦

Vinnytsia, Ukraine

Research Site 428

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Zaporizhzhia, Ukraine

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