MedPath

Extension Study of Inhaled Treprostinil in Subjects With Idiopathic Pulmonary Fibrosis

Phase 3
Conditions
Idiopathic Pulmonary Fibrosis
Interstitial Lung Disease
Interventions
Device: Treprostinil Ultrasonic Nebulizer
Registration Number
NCT04905693
Lead Sponsor
United Therapeutics
Brief Summary

Study RIN-PF-302 is designed to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis.

Detailed Description

Study RIN-PF-302 is a Phase 3, multicenter, open-label extension (OLE) study for eligible subjects who completed Study RIN-PF-301 or Study RIN-PF-303 to evaluate the long-term safety and tolerability of inhaled treprostinil in subjects with idiopathic pulmonary fibrosis (IPF). Following OLE entry, subjects will return at Week 4, Week 12, and every 12 weeks thereafter for up to 6 years or until the subject prematurely discontinues study treatment due an adverse event (AE)/serious adverse event (SAE) or other reason, inhaled treprostinil becomes commercially available for IPF, or the study is discontinued by the Sponsor (whichever is sooner).

Efficacy assessments will include spirometry (forced expiratory volume in 1 second \[FEV1\] and forced vital capacity \[FVC\]), time to clinical worsening, time to first acute exacerbation of IPF, overall survival, King's Brief Interstitial Lung Disease (K-BILD) Questionnaire, plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) concentration, supplemental oxygen use, and diffusion capacity of lungs for carbon monoxide (DLCO). Safety assessments will include monitoring for the development of AEs/SAEs, vital signs, clinical laboratory parameters, and electrocardiogram (ECG) parameters. In addition, up to 24 eligible subjects may participate in a PK substudy to evaluate the systemic exposure of treprostinil after inhaled administration.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
792
Inclusion Criteria
  1. Subject gives voluntary informed consent to participate in the study.
  2. The subject participated in Study RIN-PF-301 or Study RIN-PF-303 and remained on study drug and completed all scheduled study visits or was enrolled in Study RIN-PF-301 or Study RIN-PF-303 at the time that the study or study subject was discontinued by the Sponsor.
  3. Women of childbearing potential must be non-pregnant (as confirmed by a urine pregnancy test at OLE Entry Visit and Baseline) and non-lactating, and will abstain from intercourse (when it is in line with their preferred and usual lifestyle) or use 2 medically acceptable, highly effective forms of contraception for the duration of the study, and at least 30 days after discontinuing study drug.
  4. Males with a partner of childbearing potential must use a condom for the duration of treatment and for at least 48 hours after discontinuing study drug.
  5. In the opinion of the Investigator, the subject is able to communicate effectively with study personnel, and is considered reliable, willing, and likely to be cooperative with protocol requirements, including attending all study visits.
Exclusion Criteria
  1. Subject is pregnant or lactating.
  2. In the opinion of the Investigator, enrollment in Study RIN-PF-302 would represent a risk to the subject's overall health.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Inhaled TreprostinilInhaled TreprostinilTreprostinil inhalation solution (0.6 mg/mL) delivered via an ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath. Inhaled QID and titrated to a target of 15 breaths QID or until the subject reaches their maximum clinically tolerated dose.
Inhaled TreprostinilTreprostinil Ultrasonic NebulizerTreprostinil inhalation solution (0.6 mg/mL) delivered via an ultrasonic nebulizer which emits a dose of approximately 6 mcg per breath. Inhaled QID and titrated to a target of 15 breaths QID or until the subject reaches their maximum clinically tolerated dose.
Primary Outcome Measures
NameTimeMethod
Long-term safety and tolerability of inhaled treprostinil in subjects with IPFBaseline to 6 years

Incidence of AEs and SAEs, incidence of abnormal clinical laboratory parameters, abnormal vital signs, and abnormal 12-lead ECGs

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (182)

Tulane University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

New Orleans, Louisiana, United States

LSU Health Science Center Shreveport

๐Ÿ‡บ๐Ÿ‡ธ

Shreveport, Louisiana, United States

Johns Hopkins Asthma and Allergy Center

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

Adventist Healthcare White Oak Medical Center

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Silver Spring, Maryland, United States

Tufts Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Brigham and Women's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

University of Michigan Int Med Pulmonary and critical care

๐Ÿ‡บ๐Ÿ‡ธ

Ann Arbor, Michigan, United States

Baylor University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

University of Texas Southwestern Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

vzw AZORG - Aalst - Moorselbaan

๐Ÿ‡ง๐Ÿ‡ช

Aalst, Belgium

Ziekenhuis Aan de Stroom

๐Ÿ‡ง๐Ÿ‡ช

Antwerpen, Belgium

Cliniques Universitaires Saint-Luc

๐Ÿ‡ง๐Ÿ‡ช

Brussels, Belgium

UZ Leuven

๐Ÿ‡ง๐Ÿ‡ช

Leuven, Belgium

CHR de la Citadelle

๐Ÿ‡ง๐Ÿ‡ช

Liรจge, Belgium

CHU de Liรจge

๐Ÿ‡ง๐Ÿ‡ช

Liรจge, Belgium

Dynamic Drug Advancement Limited

๐Ÿ‡จ๐Ÿ‡ฆ

Ajax, Ontario, Canada

St. Joseph's Healthcare Hamilton

๐Ÿ‡จ๐Ÿ‡ฆ

Hamilton, Ontario, Canada

Centre d'investigation Clinique Mauricie

๐Ÿ‡จ๐Ÿ‡ฆ

Trois-Riviรจres, Quebec, Canada

Institut Universitaire de Cardiologie et de Pneumologie de Quebec

๐Ÿ‡จ๐Ÿ‡ฆ

Quรฉbec, Canada

Centro de Investigaciรณn del Maule SpA

๐Ÿ‡จ๐Ÿ‡ฑ

Talca, Maule, Chile

CEC Centro de Estudios Clรญnicos

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Santiago, Metropolitana, Chile

Hopital Larrey

๐Ÿ‡ซ๐Ÿ‡ท

Toulouse, Haute-Garonne, France

Centro de Prevenciรณn y Rehabilitaciรณn de Enfermedades Pulmonares Crรณnicas (CEPREP)

๐Ÿ‡ฒ๐Ÿ‡ฝ

Monterrey, Nuevo Leรณn, Mexico

Unidad de Investigaciรณn Clรญnica en Medicina, S.C.

๐Ÿ‡ฒ๐Ÿ‡ฝ

Monterrey, Nuevo Leรณn, Mexico

Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas

๐Ÿ‡ฒ๐Ÿ‡ฝ

Ciudad de Mexico, Mexico

Zuyderland Medisch Centrum - Heerlen

๐Ÿ‡ณ๐Ÿ‡ฑ

Heerlen, Limburg, Netherlands

Erasmus MC -Dr. Molewaterplein 40

๐Ÿ‡ณ๐Ÿ‡ฑ

Rotterdam, Zuid-Holland, Netherlands

Waikato Hospital

๐Ÿ‡ณ๐Ÿ‡ฟ

Hamilton, Waikato, New Zealand

Canterbury Respiratory Research Group

๐Ÿ‡ณ๐Ÿ‡ฟ

Christchurch, New Zealand

Hospital Nacional Adolfo Guevara Velasco - Red Asistencial Cusco

๐Ÿ‡ต๐Ÿ‡ช

Cusco, Peru

Clinica Ricardo Palma

๐Ÿ‡ต๐Ÿ‡ช

Lima, Peru

The University of Alabama at Birmingham

๐Ÿ‡บ๐Ÿ‡ธ

Birmingham, Alabama, United States

Clinical Trials Center of Middle Tennessee

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Franklin, Arizona, United States

Banner University Medical Center-Phoenix

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Phoenix, Arizona, United States

St. Joseph's Hospital and Medical Center - Norton Thoracic Institute

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Phoenix, Arizona, United States

University of Arizona

๐Ÿ‡บ๐Ÿ‡ธ

Tucson, Arizona, United States

David Geffen School of Medicine at UCLA

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Los Angeles, California, United States

NewportNativeMD, Inc

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Newport Beach, California, United States

Palmtree Clinical Research, Inc.

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Palm Springs, California, United States

UC Davis Health Medical Center

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Sacramento, California, United States

Stanford University School of Medicine

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Stanford, California, United States

National Jewish Health

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Denver, Colorado, United States

University of Florida Health at Shands

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Gainesville, Florida, United States

Ascension St. Vincent's

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Jacksonville, Florida, United States

University of Florida

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Jacksonville, Florida, United States

Mayo Clinic Florida

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Jacksonville, Florida, United States

Pulmonary Disease Specialists, PA d/b/a PDS Research

๐Ÿ‡บ๐Ÿ‡ธ

Kissimmee, Florida, United States

Central Florida Pulmonary Group, PA

๐Ÿ‡บ๐Ÿ‡ธ

Orlando, Florida, United States

Coastal Pulmonary & Critical Care PLC

๐Ÿ‡บ๐Ÿ‡ธ

Saint Petersburg, Florida, United States

University of South Florida Health

๐Ÿ‡บ๐Ÿ‡ธ

Tampa, Florida, United States

Cleveland Clinic Florida

๐Ÿ‡บ๐Ÿ‡ธ

Weston, Florida, United States

Piedmont Healthcare Atlanta

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

Emory University

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

Northwestern Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Chicago, Illinois, United States

Loyola University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Maywood, Illinois, United States

Community Health Network

๐Ÿ‡บ๐Ÿ‡ธ

Indianapolis, Indiana, United States

University of Kansas Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Kansas City, Kansas, United States

Norton Pulmonary Specialists

๐Ÿ‡บ๐Ÿ‡ธ

Louisville, Kentucky, United States

University of Louisville Healthcare Outpatient Center

๐Ÿ‡บ๐Ÿ‡ธ

Louisville, Kentucky, United States

Henry Ford Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Detroit, Michigan, United States

Corewell Health William Beaumont Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Royal Oak, Michigan, United States

University of Minnesota

๐Ÿ‡บ๐Ÿ‡ธ

Minneapolis, Minnesota, United States

Mayo Clinic, Division of Pulmonary and Critical Care Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Rochester, Minnesota, United States

University Mississippi Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Jackson, Mississippi, United States

The Lung Research Center, LLC

๐Ÿ‡บ๐Ÿ‡ธ

Chesterfield, Missouri, United States

Washington University School of Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Saint Louis, Missouri, United States

Creighton University Clinical Research Office

๐Ÿ‡บ๐Ÿ‡ธ

Omaha, Nebraska, United States

University of New Mexico Health Sciences Center

๐Ÿ‡บ๐Ÿ‡ธ

Albuquerque, New Mexico, United States

Montefiore Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Bronx, New York, United States

Northwell Health

๐Ÿ‡บ๐Ÿ‡ธ

New Hyde Park, New York, United States

University of Rochester Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Rochester, New York, United States

PulmonIx, LLC

๐Ÿ‡บ๐Ÿ‡ธ

Greensboro, North Carolina, United States

East Carolina University

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Greenville, North Carolina, United States

Southeastern Research Center

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Winston-Salem, North Carolina, United States

University of Cincinnati Medical Center

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Cincinnati, Ohio, United States

Cleveland Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Cleveland, Ohio, United States

The Ohio State University Wexner Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Columbus, Ohio, United States

University of Oklahoma Health Sciences Center

๐Ÿ‡บ๐Ÿ‡ธ

Oklahoma City, Oklahoma, United States

The Oregon Clinic

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Portland, Oregon, United States

Penn State Milton S.Hershey Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Hershey, Pennsylvania, United States

Hospital of the University of Pennsylvania

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

Thomas Jefferson,Hospital University

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

Temple University Hospital

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Philadelphia, Pennsylvania, United States

Medical University of South Carolina

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, South Carolina, United States

Prisma Health Midlands

๐Ÿ‡บ๐Ÿ‡ธ

Columbia, South Carolina, United States

Clinical Research of Rock Hill

๐Ÿ‡บ๐Ÿ‡ธ

Rock Hill, South Carolina, United States

StatCare Pulmonary Consultants, PLLC

๐Ÿ‡บ๐Ÿ‡ธ

Knoxville, Tennessee, United States

Vanderbilt University Medical Center

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Nashville, Tennessee, United States

Baylor College of Medicine

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Houston, Texas, United States

The University of Texas Health Science Center at Houston

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Houston, Texas, United States

A & A Research Consultants, LLC

๐Ÿ‡บ๐Ÿ‡ธ

McAllen, Texas, United States

Metroplex Pulmonary and Sleep Center PA

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McKinney, Texas, United States

Renovatio Clinical

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The Woodlands, Texas, United States

Intermountain Healthcare

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Murray, Utah, United States

University of Utah Health

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Salt Lake City, Utah, United States

University of Virginia Health Systems

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Charlottesville, Virginia, United States

Inova Fairfax Hospital

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Falls Church, Virginia, United States

Pulmonary Associates of Richmond, Inc.

๐Ÿ‡บ๐Ÿ‡ธ

Richmond, Virginia, United States

University Hospital and UW Health Clinics

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Madison, Wisconsin, United States

Medical College of Wisconsin

๐Ÿ‡บ๐Ÿ‡ธ

Milwaukee, Wisconsin, United States

CINME S.A. - Centro de Investigaciones Metabรณlicas

๐Ÿ‡ฆ๐Ÿ‡ท

Ciudad Autรณnoma de Buenos Aires, Buenos Aires, Argentina

Instituto Ave Pulmo - Fundaciรณn enfisema

๐Ÿ‡ฆ๐Ÿ‡ท

Mar del Plata, Buenos Aires, Argentina

Sanatorio Allende Cerro

๐Ÿ‡ฆ๐Ÿ‡ท

Cรณrdoba, Provincia De Cรณrdoba, Argentina

Instituto Medico Rรญo Cuarto

๐Ÿ‡ฆ๐Ÿ‡ท

Rio Cuarto, Provincia De Cรณrdoba, Argentina

Centro Mรฉdico INSARES

๐Ÿ‡ฆ๐Ÿ‡ท

Mendoza, Provincia De Mendoza, Argentina

Centro Integral de Medicina Respiratoria (CIMER)

๐Ÿ‡ฆ๐Ÿ‡ท

San Miguel de Tucumรกn, Tucumรกn, Argentina

Investigaciones en Patologรญas Respiratorias

๐Ÿ‡ฆ๐Ÿ‡ท

San Miguel de Tucumรกn, Tucumรกn, Argentina

Centro Mรฉdico Dra. De Salvo

๐Ÿ‡ฆ๐Ÿ‡ท

Ciudad Autรณnoma de Buenos Aires, Argentina

Royal Prince Alfred Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Camperdown, New South Wales, Australia

Macquarie University

๐Ÿ‡ฆ๐Ÿ‡บ

Macquarie Park, New South Wales, Australia

Westmead Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Westmead, New South Wales, Australia

Lung Research Qld

๐Ÿ‡ฆ๐Ÿ‡บ

Chermside, Queensland, Australia

The Prince Charles Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Chermside, Queensland, Australia

Mater Misericordiae Ltd

๐Ÿ‡ฆ๐Ÿ‡บ

South Brisbane, Queensland, Australia

Alfred Health

๐Ÿ‡ฆ๐Ÿ‡บ

Melbourne, Victoria, Australia

Hรดpital Erasme

๐Ÿ‡ง๐Ÿ‡ช

Anderlecht, Brussels, Belgium

CHU UCL Namur - Site Godinne

๐Ÿ‡ง๐Ÿ‡ช

Yvoir, Namur, Belgium

Instituto Nacional del tรณrax

๐Ÿ‡จ๐Ÿ‡ฑ

Santiago, Regiรณn Metropolitana, Chile

Fundaciรณn Mรฉdica San Cristobal

๐Ÿ‡จ๐Ÿ‡ฑ

Santiago, Regiรณn Metropolitana, Chile

Centro Respiratorio Integral Limitada

๐Ÿ‡จ๐Ÿ‡ฑ

Quillota, Valparaiso, Chile

Aarhus University Hospital - Department of Respiratory Diseases and Allergy, Research Unit

๐Ÿ‡ฉ๐Ÿ‡ฐ

Aarhus N, Denmark

Gentofte Hospital - Lungemedicinsk forskningsafdeling

๐Ÿ‡ฉ๐Ÿ‡ฐ

Hellerup, Denmark

Odense University Hospital - Department of Respiratory Medicine

๐Ÿ‡ฉ๐Ÿ‡ฐ

Odense C, Denmark

Hopital Nord AP-HM (Assistance Publique Hรดpitaux De Marseille - Centre Hospitalier Rรฉgional de Marseille

๐Ÿ‡ซ๐Ÿ‡ท

Marseille, Bouches-du-Rhรดne, France

CHU Caen Normandie

๐Ÿ‡ซ๐Ÿ‡ท

Caen, Calvados, France

Hรดpital Bretonneau

๐Ÿ‡ซ๐Ÿ‡ท

Tours, Indre-et-Loire, France

CHU Rouen Hopital Charles Nicolle

๐Ÿ‡ซ๐Ÿ‡ท

Rouen, Seine-Maritime, France

CHU Amiens-Picardie

๐Ÿ‡ซ๐Ÿ‡ท

Amiens, France

AP-HP - Hopital Avicenne

๐Ÿ‡ซ๐Ÿ‡ท

Bobigny, France

Hospices Civils De Lyon - Universitรฉ Hospital of Lyon

๐Ÿ‡ซ๐Ÿ‡ท

Bron, France

Tel Aviv Sourasky Medical Center - PPDS

๐Ÿ‡ฎ๐Ÿ‡ฑ

Tel Aviv, Israel

AP-HP - Hรดpital Europรฉen Georges Pompidou

๐Ÿ‡ซ๐Ÿ‡ท

Paris, France

Hรดptial Bichat

๐Ÿ‡ซ๐Ÿ‡ท

Paris, France

Centre Hospitalier Universitaire De Reims - Hรดpital Maison Blanche

๐Ÿ‡ซ๐Ÿ‡ท

Reims, France

Hรดpital Pontchaillou

๐Ÿ‡ซ๐Ÿ‡ท

Rennes, France

SLK Kliniken Heilbronn GmbH Standort Fachklink Lรถwenstein Med. Klinik I Pneumologie Beatmungsmedizin Intensivmedizin

๐Ÿ‡ฉ๐Ÿ‡ช

Lรถwenstein, Baden-Wรผrttemberg, Germany

LMU Klinikum der Universitรคt Mรผnchen

๐Ÿ‡ฉ๐Ÿ‡ช

Mรผnchen, Bayern, Germany

RoMed Klinikum Rosenheim

๐Ÿ‡ฉ๐Ÿ‡ช

Rosenheim, Bayern, Germany

Universitรคtsmedizin Essen Ruhrlandklinik Westdeutsches Lungenzentrum am Universitรคtsklinikum Essen gGmbH

๐Ÿ‡ฉ๐Ÿ‡ช

Essen, Nordrhein-Westfalen, Germany

Prรผfstelle der GWT am Fachkrankenhaus Coswig

๐Ÿ‡ฉ๐Ÿ‡ช

Coswig, Sachsen, Germany

Zentralklinik Bad Berka GmbH Klinik fรผr Pneumologie

๐Ÿ‡ฉ๐Ÿ‡ช

Bad Berka, Thรผringen, Germany

Barzilai Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Ashkelon, HaDarom, Israel

Hillel Yaffe Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Hadera, Haifa, Israel

Kaplan Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Rehovot, HaMerkaz, Israel

Sheba Medical Center - PPDS

๐Ÿ‡ฎ๐Ÿ‡ฑ

Ramat Gan, Tel-Aviv, Israel

Shaare Zedek Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Jerusalem, Yerushalayim, Israel

Hadassah Medical Center - PPDS

๐Ÿ‡ฎ๐Ÿ‡ฑ

Jerusalem, Yerushalayim, Israel

Lady Davis Carmel Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Haifa, Israel

Meir Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Kfar Saba, Israel

Rabin Medical Center - PPDS

๐Ÿ‡ฎ๐Ÿ‡ฑ

Petah Tiqva, Israel

Azienda Ospedaliero Universitaria Di Modena Policlinico

๐Ÿ‡ฎ๐Ÿ‡น

Modena, Emilia-Romagna, Italy

Fondazione Policlinico Universitario A Gemelli-Rome

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Lazio, Italy

Gruppo MultiMedica SpA - Ospedale San Giuseppe

๐Ÿ‡ฎ๐Ÿ‡น

Milan, Lombardia, Italy

A.O.U. Policlinico Vittorio Emanuele presidio "G.Rodolico"

๐Ÿ‡ฎ๐Ÿ‡น

Catania, Sicilia, Italy

Azienda ospedaliero-universitaria Senese

๐Ÿ‡ฎ๐Ÿ‡น

Siena, Toscana, Italy

Azienda Ospedaliero Universitaria delle Marche

๐Ÿ‡ฎ๐Ÿ‡น

Ancona, Italy

Presidio Ospedaliero GB Morgagni L Pierantoni

๐Ÿ‡ฎ๐Ÿ‡น

Forlรฌ, Italy

Fondazione PTV Policlinico Tor Vergata

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

CHA Bundang Medical Center, CHA University

๐Ÿ‡ฐ๐Ÿ‡ท

Seongnam-si, Gyeonggido, Korea, Republic of

Seoul National University Bundang Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Seongnam-Si, Gyeonggido, Korea, Republic of

Gachon University Gil Medical Center

๐Ÿ‡ฐ๐Ÿ‡ท

Incheon, Incheon Gwang'yeogsi, Korea, Republic of

The Catholic University of Korea - Eunpyeong St. Mary's Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Seoul Teugbyeolsi, Korea, Republic of

SMG - SNU Boramae Medical Center

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Samsung Medical Center

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Korea, Republic of

Hospital Central de la Fuerza Aรฉrea del Perรบ

๐Ÿ‡ต๐Ÿ‡ช

Lima, Peru

Hospital Clinico Universitario de Santiago de Compostela

๐Ÿ‡ช๐Ÿ‡ธ

Santiago de Compostela, A Coruรฑa, Spain

Hospital Universitario Central de Asturias

๐Ÿ‡ช๐Ÿ‡ธ

Oviedo, Asturias, Spain

Hospital Universitario Son Espases

๐Ÿ‡ช๐Ÿ‡ธ

Palma de Mallorca, Baleares, Spain

Hospital Universitario de Bellvitge

๐Ÿ‡ช๐Ÿ‡ธ

LยดHospitalet de LLobregat, Barcelona, Spain

Hospital Universitario Virgen de la Victoria

๐Ÿ‡ช๐Ÿ‡ธ

Malaga, Mรกlaga, Spain

Hospital Universitario Vall d'Hebron

๐Ÿ‡ช๐Ÿ‡ธ

Barcelona, Spain

Hospital Clinic de Barcelona

๐Ÿ‡ช๐Ÿ‡ธ

Barcelona, Spain

Hospital Universitario Virgen de Las Nieves

๐Ÿ‡ช๐Ÿ‡ธ

Granada, Spain

Hospital Universitario de La Princesa

๐Ÿ‡ช๐Ÿ‡ธ

Madrid, Spain

Hospital General Universitario Gregorio Maraรฑon

๐Ÿ‡ช๐Ÿ‡ธ

Madrid, Spain

Hospital Clinico San Carlos

๐Ÿ‡ช๐Ÿ‡ธ

Madrid, Spain

Hospital Clinico Universitario Virgen de La Arrixaca

๐Ÿ‡ช๐Ÿ‡ธ

Murcia, Spain

Hospital Universitario Marques de Valdecilla

๐Ÿ‡ช๐Ÿ‡ธ

Santander, Spain

Kaohsiung Medical University - Chung-Ho Memorial Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Kaohsiung, Taiwan

E-DA hospital

๐Ÿ‡จ๐Ÿ‡ณ

Kaohsiung, Taiwan

Far Eastern Memorial Hospital

๐Ÿ‡จ๐Ÿ‡ณ

New Taipei City, Taiwan

Taipei Veterans General Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Taipei, Taiwan

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