MedPath

RE-COVERY DVT/PE: Global Study on Treatment Secondary Prevention of Acute Venous Thromboembolism

Completed
Conditions
Venous Thromboembolism
Registration Number
NCT02596230
Lead Sponsor
Boehringer Ingelheim
Brief Summary

RE-COVERY is a large, multi-national, multi-center observational study based on new data collection. The study will enroll and characterize patients within 30 days of being diagnosed with an acute DVT and/or PE. The study has two main objectives. Objective 1 will characterize the DVT / PE patient population. All patients with a DVT and/or PE will be enrolled for cross-sectional characterization of the VTE patient population. Objective 2 will compare the safety and effectiveness of dabigatran etexilate regimens for treatment of VTE in comparison to VKA regimens. Patients treated with dabigatran etexilate or VKA will be followed up for the occurrence of outcome events for up to one year.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
7797
Inclusion Criteria

Not provided

Read More
Exclusion Criteria

Not provided

Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Objective 1: Anticoagulant TreatmentBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Type of treatment received following acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen.

The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.

Objective 2: Incidence Rate of ISTH (International Society on Thrombosis and Haemostasis) Major Bleeding and CRNMB (Clinically Relevant Non Major Bleeding) Per 100 Patient-years (Pt-yrs)12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Incidence rate of ISTH (International Society on Thrombosis and Haemostasis) major bleeding and CRNMB (clinically relevant non major bleeding) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model.

For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Objective 2: Symptomatic Recurrent VTE (Venous Thromboembolism) Including VTE Related Mortality12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Incidence rate of Symptomatic Recurrent VTE (Venous Thromboembolism) including VTE related mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model.

For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Objective 1: SexBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Sex of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen.

The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.

Objective 1: Index EventBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Type of index event (e.g., DVT or PE or DVT and PE) diagnosed at the time of acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen.

The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.

Objective 1: AgeBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Age in years of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen.

The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.

Secondary Outcome Measures
NameTimeMethod
Objective 2: Incidence Rate of Recurrent DVT and/or PE12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Incidence rate of Recurrent Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model.

For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Objective 2: Incidence Rate of VTE-related Mortality12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Incidence rate of VTE-related Mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model.

For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Objective 2: Incidence Rate of All-cause Mortality12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Incidence rate of all-cause mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model.

For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Trial Locations

Locations (222)

University General Hospital of Thessaloniki AHEPA

🇬🇷

Thessaloniki, Greece

Dr. Kenessey Albert Kórház-Rendelõintézet, Balassagyarmat

🇭🇺

Balassagyarmat, Hungary

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

University Of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Hospital Italiano

🇦🇷

Caba, Argentina

ICBA

🇦🇷

Caba, Argentina

Clinica Juncal

🇦🇷

Temperley, Argentina

LKH-Univ. Hospital Graz

🇦🇹

Graz, Austria

C.H.U. de Charleroi

🇧🇪

Charleroi, Belgium

UMHAT St. George

🇧🇬

Plovdiv, Bulgaria

Hospital Trakia Park

🇧🇬

Stara Zagora, Bulgaria

Centro de Investigaciones Clinicas S.A.S

🇨🇴

Cali, Colombia

Promotora Medica Las Americas SA

🇨🇴

Medellin, Colombia

General Hospital of Athens "G. Gennimatas"

🇬🇷

Thessaloniki, Greece

Jasz-Nagykun-Szolnok Megyei Hetenyi G. Korhaz-Rendelointezet

🇭🇺

Szolnok, Hungary

Rafik Hariri University Hospital

🇱🇧

Beirut, Lebanon

OLVG, locatie Oosterpark

🇳🇱

Amsterdam, Netherlands

Tweesteden Ziekenhuis, locatie Tilburg

🇳🇱

Tilburg, Netherlands

The University Of Texas at Houston

🇺🇸

Houston, Texas, United States

Health and Life Research Institute, LLC

🇺🇸

Miami, Florida, United States

Cardiovascular Innovation and Research Center

🇺🇸

Long Beach, California, United States

Med-Care Research

🇺🇸

Miami, Florida, United States

Wellstar Cardiovascular Medicine

🇺🇸

Marietta, Georgia, United States

Tampa General Hospital

🇺🇸

Tampa, Florida, United States

Pines Care Research Center

🇺🇸

Pembroke Pines, Florida, United States

Genesys Regional Medical Center

🇺🇸

Grand Blanc, Michigan, United States

Ellipsis Group

🇺🇸

Atlanta, Georgia, United States

Fox Valley Clinical Research Center, LLC

🇺🇸

Aurora, Illinois, United States

Hospital Universitario Austral

🇦🇷

Buenos Aires, Argentina

Cardiology Center of Houston, PA

🇺🇸

Katy, Texas, United States

Vseobecna fakultni nemocnice V Praze

🇨🇿

Praha 2, Czechia

Institute for Clinical and Experimental Medicine

🇨🇿

Praha 4, Czechia

Diagangio s.r.o.

🇨🇿

Brno, Czechia

Sanford Cardiology

🇺🇸

Sanford, North Carolina, United States

Hospital Vera Cruz

🇧🇷

Belo Horizonte, Brazil

Lycoming Internal Medicine, Inc

🇺🇸

Jersey Shore, Pennsylvania, United States

Vidant Multispecialty Clnc Kinston

🇺🇸

Kinston, North Carolina, United States

Research Associates of Jackson

🇺🇸

Jackson, Tennessee, United States

Cardio Voyage

🇺🇸

McKinney, Texas, United States

Juravinski Hospital - Hamilton Health Sciences

🇨🇦

Hamilton, Ontario, Canada

Waukesha Heart Institute

🇺🇸

Waukesha, Wisconsin, United States

Rehabilitacni nemocnice Beroun

🇨🇿

Beroun, Czechia

University Hospital Brno

🇨🇿

Brno, Czechia

Hospital das Clinicas da Faculdade de Medicina - FMUSP

🇧🇷

São Paulo, Brazil

H.-Hartziekenhuis

🇧🇪

Lier, Belgium

Fakultni nemocnice u sv. Anny v Brne

🇨🇿

Brno, Czechia

Hamilton General Hospital

🇨🇦

Hamilton, Ontario, Canada

MUDr. Stanislav Bulir

🇨🇿

Mlada Boleslav, Czechia

Nemocnice Náchod

🇨🇿

Nachod, Czechia

Fakultni nemocnice Plzen

🇨🇿

Plzen, Czechia

Centro de Diagnostico Cardilogico

🇨🇴

Cartagena, Colombia

Universitätsklinikum Heidelberg

🇩🇪

Heidelberg, Germany

Städtisches Klinikum Dresden

🇩🇪

Dresden, Germany

Nemocnice Milosrdnych bratri

🇨🇿

Brno, Czechia

MUDr. Ladislav Busak

🇨🇿

Louny, Czechia

Dr. Ashraf ElGhandour Private Clinic

🇪🇬

Alexandria, Egypt

CTC Hodonin s.r.o.

🇨🇿

Hodonin, Czechia

Universitätsmedizin Greifswald

🇩🇪

Greifswald, Germany

Private Clinic - Dr. Shawky

🇪🇬

Cairo, Egypt

St. Istvan Hospital, Budapest

🇭🇺

Budapest, Hungary

Gen. Hosp. of Chest Diseases "Sotiria", 3rd Internal Med. Cl

🇬🇷

Athens, Greece

Franziskus-Krankenhaus, Berlin

🇩🇪

Berlin, Germany

Jahn Ferenc Del-Pest Hospital

🇭🇺

Budapest, Hungary

University Debrecen Hospital

🇭🇺

Debrecen, Hungary

Csongrad Country Dr Bugyi Istvan Hosp.

🇭🇺

Szentes, Hungary

Osp. Civico e Benfratelli "M. Ascoli e G. Di Cristina"

🇮🇹

Palermo, Italy

Dorottya Kanizsai Hospital

🇭🇺

Nagykanizsa, Hungary

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Inje University Busan Paik Hospital

🇰🇷

Busan, Korea, Republic of

Clinica Villa dei Fiori

🇮🇹

Acerra, Italy

Ospedale Civile degli Infermi

🇮🇹

Faenza (RA), Italy

Pest Megyei Flor Ferenc Hospital

🇭🇺

Kistarcsa, Hungary

Azienda Ospedaliera Vito Fazzi

🇮🇹

Lecce, Italy

Dong-A University Hospital

🇰🇷

Busan, Korea, Republic of

Hallym University Sacred Heart Hospital

🇰🇷

Anyang-si, Korea, Republic of

Ospedali Riuniti di Ancona

🇮🇹

Macerata, Italy

Keimyung University Dongsan Medical Center

🇰🇷

Daegu, Korea, Republic of

Soonchunhyang University Hospital Seoul

🇰🇷

Seoul, Korea, Republic of

Riga East University Hospital

🇱🇻

Riga, Latvia

Ain Wazein Hospital

🇱🇧

El-Chouf, Lebanon

Centre Hospitalier Universitaire Notre Dame de Secours

🇱🇧

Jbeil, Lebanon

Amphia Ziekenhuis

🇳🇱

Breda, Netherlands

Szpital Uniwersytecki nr 2 im.dr J. Biziela

🇵🇱

Bydgoszcz, Poland

4. Military Clinical Hospital with Polyclinic SP ZOZ

🇵🇱

Wroclaw, Poland

Centro Hospitalar Universitário do Porto, EPE - Hospital de Santo António

🇵🇹

Porto, Portugal

Hospital CUF Porto

🇵🇹

Porto, Portugal

Medical Center "Angioline"

🇷🇺

Ekaterinburg, Russian Federation

Centro Hospitalar de Vila Nova de Gaia

🇵🇹

Vila Nova de Gaia, Portugal

Clinical hospital of BGMU

🇷🇺

Ufa, Russian Federation

Clinical emergency hospital #15

🇷🇺

Volgograd, Russian Federation

Institute for Cardiovascular diseases Dedinje

🇷🇸

Belgrade, Serbia

General Hospital MediGroup

🇷🇸

Belgrade, Serbia

Yaroslavl Regional Clin. Hospital

🇷🇺

Yaroslavl, Russian Federation

King Fahad Medical City

🇸🇦

Riyadh, Saudi Arabia

Barnsley Hospital

🇬🇧

Barnsley, United Kingdom

Karaman Government Hospital

🇹🇷

Karaman, Turkey

RTE University Medical Faculty

🇹🇷

Rize, Turkey

Gia Dinh People Hospital

🇻🇳

Ho Chi Minh, Vietnam

Queen's Hospital

🇬🇧

Burton on Trent, United Kingdom

University Hospital of North Durham

🇬🇧

Durham, United Kingdom

Birmingham Heartlands Hospital

🇬🇧

Birmingham, United Kingdom

North Tyneside General Hospital

🇬🇧

North Shields, United Kingdom

Ospedale san Lazzaro

🇮🇹

Alba, Italy

Policlinico di Bari

🇮🇹

Bari, Italy

P.O. di Castelfranco Veneto

🇮🇹

Castelfranco Veneto, Italy

Spedali Riuniti di Livorno

🇮🇹

Livorno, Italy

SUN Seconda Università Napoli

🇮🇹

Napoli, Italy

Ospedale Gaetano Bernabeo

🇮🇹

Ortona (CH), Italy

Azienda Universitaria-Universita' La Sapienza

🇮🇹

Roma, Italy

Univ. Cattolica del Sacro Cuore

🇮🇹

Roma, Italy

A. O. Ospedale Circolo Fond. Macchi

🇮🇹

Varese, Italy

A. O. Ospedale di Vimercate

🇮🇹

Vimercate (Mi), Italy

Bakirköy Dr. Sadi Konuk Egitim ve Arastirma Hastanesi Zuhura

🇹🇷

Istanbul, Turkey

Faculdade de Ciencias Medicas da UNICAMP

🇧🇷

Campinas, Brazil

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

Daegu Catholic University Medical Center

🇰🇷

Daegu, Korea, Republic of

Praxis für Gefäßmedizin

🇩🇪

Goerlitz, Germany

Kyung Hee University Hospital at Gangdong

🇰🇷

Seoul, Korea, Republic of

St. Luke's Medical Center, QC

🇵🇭

Quezon City, Philippines

Emergency University Hospital, Bucharest

🇷🇴

Bucharest, Romania

MUDr. Dalibor Musil

🇨🇿

Olomouc, Czechia

University General Hospital Attikon

🇬🇷

Athens, Greece

Univ. Gen. Hosp. of Ioannina

🇬🇷

Ioannina, Greece

Ospedale Civile

🇮🇹

Sassari, Italy

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

🇰🇷

Seoul, Korea, Republic of

Bellevue Medical Center

🇱🇧

Beirut, Lebanon

Philippine General Hospital

🇵🇭

Manila, Philippines, Philippines

Palmerston North Hospital

🇳🇿

Palmerston North, New Zealand

St. Antonius ziekenhuis, locatie Nieuwegein

🇳🇱

Nieuwegein, Netherlands

Clinical Center Kragujevac

🇷🇸

Kragujevac, Serbia

Clinical Medical Center Zvezdara, Belgrade

🇷🇸

Belgrade, Serbia

General Hospital Valjevo

🇷🇸

Valjevo, Serbia

ALIAN s.r.o., Bardejov, Dzupinova, Maria

🇸🇰

Bardejov, Slovakia

MEDIVASA s.r.o., Outpatient Clinic, Zilina

🇸🇰

Zilina, Slovakia

KARDIO-ANGIO, s.r.o.

🇸🇰

Levice, Slovakia

HeMart, s.r.o.

🇸🇰

Martin, Slovakia

Phramongkutklao Hospital

🇹🇭

Bangkok, Thailand

Ramathibodi Hospital

🇹🇭

Bangkok, Thailand

UCC Maribor

🇸🇮

Maribor, Slovenia

GH Celje

🇸🇮

Celje, Slovenia

ABE-AS, s.r.o.

🇸🇰

Nitra, Slovakia

Univ. Clinic of Respiratory and Allergic Diseases, Golnik

🇸🇮

Golnik, Slovenia

Hospital Topolsica

🇸🇮

Topolsica, Slovenia

Gazi University Medical Faculty

🇹🇷

Ankara, Turkey

Uludag University Medical Faculty

🇹🇷

Bursa, Turkey

Thammasat University Hospital

🇹🇭

Pathum Tani, Thailand

Suleyman Demirel University Medical Faculty

🇹🇷

Isparta, Turkey

Medipol University Medical Faculty

🇹🇷

Istanbul, Turkey

Ankara Atatürk Training and Research Hospital

🇹🇷

Ankara, Turkey

Dicle University Medical Faculty

🇹🇷

Diyarbakir, Turkey

Dr. Ersin Arslan Public Hospital

🇹🇷

Gaziantep, Turkey

Izmir Tepecik Training and Research Hospital

🇹🇷

Izmir, Turkey

Ege University Medical Faculty

🇹🇷

Izmir, Turkey

Kayseri Training And Research Hospital

🇹🇷

Kayseri, Turkey

Ozel Uzmanlar Yalova Hospital

🇹🇷

Yalova, Turkey

Thumbay Hospital

🇦🇪

Dubai, United Arab Emirates

North Hampshire Hospital

🇬🇧

Basingstoke, United Kingdom

Craigavon Area Hospital

🇬🇧

Portadown, United Kingdom

Wythenshawe Hospital

🇬🇧

Manchester, United Kingdom

Bach Mai hospital

🇻🇳

Hanoi, Vietnam

Salisbury District Hospital

🇬🇧

Salisbury, United Kingdom

Cho Ray Hospital

🇻🇳

Ho Chi Minh, Vietnam

115 People Hospital

🇻🇳

Ho Chi Minh, Vietnam

University Medical Center of Ho Chi Minh City

🇻🇳

Ho Chi Minh city, Vietnam

Private Clinic - Dr. Ahmed Hassouna

🇪🇬

Kalyoub, Egypt

Daugavpils Regional Hospital

🇱🇻

Daugavpils, Latvia

Hammoud Hospital University Medical Center

🇱🇧

Saida, Lebanon

Instituto Jalisciense de Metabolismo, SC

🇲🇽

Guadalajara, Mexico

Hospital Ponta Delgada

🇵🇹

Ponta Delgada, Portugal

Novosibirsk Research Institute

🇷🇺

Novosibirsk, Russian Federation

City Clinical Hospital No. 2, St. Petersburg

🇷🇺

St. Petersburg, Russian Federation

Dorozghnaya hospital

🇷🇺

St.Petersburg, Russian Federation

Clinical Centre Nis

🇷🇸

Nis, Serbia

Hospital #15 named after O.M.Filatov

🇷🇺

Moscow, Russian Federation

City Clinical Hospital 1 (1-Gradskaya)

🇷🇺

Moscow, Russian Federation

LKH Feldkirch

🇦🇹

Feldkirch, Austria

MHAT 'Tokuda Hospital Sofia', EAD

🇧🇬

Sofia, Bulgaria

Fundacion Cardiomet CEQUIN

🇨🇴

Armenia, Colombia

Asociacion IPS Medicos Internistas de Caldas

🇨🇴

Manizales, Colombia

"Laiko" Hospital, 1st Vascular Surgery Clinic of UOA

🇬🇷

Athens, Greece

General University Hospital of Larissa

🇬🇷

Larissa, Greece

Private Clinic Dr. Mervat Mattar

🇪🇬

Cairo, Egypt

Hospital Aleman

🇦🇷

Caba, Argentina

Medical University of Innsbruck

🇦🇹

Innsbruck, Austria

ULB Hopital Erasme

🇧🇪

Bruxelles, Belgium

National Heart Hospital, Sofia

🇧🇬

Sofia, Bulgaria

SMOLAM

🇨🇱

Santiago, Chile

Athens Hospital of Chest Diseases "Sotiria"

🇬🇷

Athens, Greece

VSV Centrs, Stalte Private Practice, Talsi

🇱🇻

Talsi, Latvia

Private Clinic Mohamed Moussa

🇪🇬

Cairo, Egypt

Centre Hospitalier Universitaire de Liège

🇧🇪

Liège, Belgium

Unidad de Investigaciones Clínicas

🇨🇴

Cali, Colombia

University Hospital of Alexandroupolis

🇬🇷

Alexandroupolis, Greece

Pecsi Tudomanyegyetem

🇭🇺

Pecs, Hungary

Hospital Raja Perempuan Zainab II, Kota Bharu

🇲🇾

Kota Bahru, Malaysia

Hospital_Angeles Centro Médicodel Potosí

🇲🇽

San Luis Potosí, Mexico

Arke Estudios Clinicos SA de CV

🇲🇽

Veracruz, Mexico

Makati Medical Center

🇵🇭

Makati, Philippines

Mazowiecki Szpital Specjalistyczny im. dr Jozefa Psarskiego

🇵🇱

Ostroleka, Poland

Private Practice Cardiology Dr. Pop Calin Florin

🇷🇴

Baia Mare, Romania

Rostov Medical University

🇷🇺

Rostov on Don, Russian Federation

Liepaja Regional Hospital, Therapy Department

🇱🇻

Liepaja, Latvia

Gita Rancane Doctor Practice in Cardiology

🇱🇻

Ventspils, Latvia

Clemenceau Medical Center

🇱🇧

Beirut, Lebanon

SPZOZ Wojewodzki Szpital Specjalistyczny nr 4

🇵🇱

Bytom, Poland

Spitalul Clinic Municipal Cluj Napoca

🇷🇴

Cluj-Napoca, Romania

LLC Medical Union New Hospital

🇷🇺

Ekaterinburg, Russian Federation

City Hospital Saint Elizaveta, Dept. Endocrinology

🇷🇺

St. Petersburg, Russian Federation

Clinical Center Bezanijska kosa, Belgrade

🇷🇸

Belgrade, Serbia

Inst. for Pulm. Diseases of Vojvodine, Clinic f. Pulm. Oncol

🇷🇸

Sremska Kamenica, Serbia

City Clinical Hospital n.a. V.V. Veresaev

🇷🇺

Moscow, Russian Federation

American University of Beirut Medical Center

🇱🇧

Beirut, Lebanon

University Malaya Medical Centre

🇲🇾

Kuala Lumpur, Malaysia

Clinica Vascular de Guadalajara

🇲🇽

Guadalajara, Mexico

Centro Medico Piura

🇵🇪

Piura, Peru

State Autonomous Institution of Health

🇷🇺

Kemerovo, Russian Federation

St.Petersburg State Medical University n. a. II Mechnikov

🇷🇺

St.Petersburg, Russian Federation

Voronezh Regional Hospital N1

🇷🇺

Voronezh, Russian Federation

Clinical Center of Serbia

🇷🇸

Belgrade, Serbia

Regional Clinical Hospital#3

🇷🇺

Chelyabinsk, Russian Federation

Federal Research and Clinical Center of Special Medical Help

🇷🇺

Moscow, Russian Federation

St Thomas' Hospital

🇬🇧

London, United Kingdom

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