Trial Condition(s):

Chronic heart failure with preserved ejection fraction

Patient-reported outcomes in vericiguat-treated patients with HFpEF (VITALITY-HFpEF)

Bayer Identifier:

19334

ClinicalTrials.gov Identifier:

NCT03547583

EudraCT Number:

2018-000298-65

EU CT Number:

Not Available

Study Completed

Trial Purpose

The primary hypothesis in this trial is that the treatment with vericiguat 10 mg or 15 mg in patients with HFpEF improves the KCCQ PLS (Kansas City Cardiomyopathy Questionnaire Physical limitation score) compared to placebo after 24 weeks of treatment.

Inclusion Criteria
- Previous diagnosis of chronic heart failure (HF)
- HF decompensation within 6 months prior to randomization, defined as hospitalization for HF or intravenous (IV) diuretic treatment for HF without hospitalization.
- N-terminal pro brain natriuretic peptide (NT-proBNP) ≥300 or brain natriuretic peptide (BNP) ≥100 pg/mL in sinus rhythm, or NT-proBNP
≥600 or BNP ≥200 pg/mL in atrial fibrillation within 30 days prior to randomization
- Diagnostic criteria of HFpEF by echocardiography assessed within 12 months prior to randomization (most recent measurement must be used to determine eligibility with no interim event signaling potential deterioration in ejection fraction)
-- Left ventricular ejection fraction (LVEF) ≥45%
and
-- Structural changes indicated by at least one of the following parameters:
--- Left ventricle (LV) hypertrophy (any of the following: intraventricular septal or posterior wall thickness ≥1.1 cm, and/or LV mass index ≥115 g/m*2 in male and ≥95 g/m*2 in female),
or
--- Left atrium (LA) enlargement (any of the following: left atrial volume (LAV) index ≥29 ml/m*2, or LAV >58 mL in male and >52 mL in female patients, or LA area >20 cm*2, or LA diameter >40 mm in male and >38 mm in female patients)
- NYHA class II or III at randomization
Exclusion Criteria
- Clinical instability at randomization, defined by
-- Any IV treatment within 24h prior to randomization, and/or
-- SBP ≥160 mmHg
-- SBP <110 mmHg and/or DBP <40 mmHg and/or symptomatic hypotension
-- Resting heart rate (HR) <50 or ≥100 beats per minute (bpm)
- Use of IV inotropes at any time between qualifying HF event and randomization
- Previous diagnosis of reduced ejection fraction (EF) (EF <40%)
- Hypertrophic obstructive cardiomyopathy, acute myocarditis, amyloidosis, sarcoidosis, or pericardial disease
- Primary valvular heart disease requiring surgery or intervention, or within 3 months after valvular surgery or intervention, or active endocarditis
- Acute coronary syndrome, including unstable angina, Non ST-elevation myocardial infarction or ST-elevation myocardial infarction, or Coronary artery bypass grafting (CABG) within 60 days prior to randomization, or indication for Percutaneous coronary intervention or CABG at the time of
randomization
- Symptomatic carotid stenosis, or transient ischemic attack or stroke within 60 days prior to randomization
- Complex congenital heart disease
- Non-cardiac comorbidity (any of the following)
-- Estimated glomerular filtration rate (eGFR) <30 ml/min/1.73 m*2 calculated by Modification of Diet in Renal Disease formula
-- Hepatic insufficiency classified as Child-Pugh B or C
-- Morbid obesity with a body mass index >45 kg/m*2
-- Malignancy or other non-cardiac condition limiting life expectancy to <1 year, per physician judgment
-- Requires continuous home oxygen for severe pulmonary disease or
has interstitial lung disease
-- Patients with allergies, intolerance or hypersensitivity to investigational drug or any of the excipients
- Concurrent or anticipated use of nitrates or NO donors, phosphodiesterase type V (PDE5) inhibitors, or a Soluble guanylate cyclase (sGC) stimulator

Trial Summary

Enrollment Goal
789
Trial Dates
black-arrow
Phase
2
Could I receive a placebo?
Yes
Products
Vericiguat (BAY1021189)
Accepts Healthy Volunteers
No

Where to Participate

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Locations
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PACE Cardiology Clinic

Newmarket, Canada, L3Y 2P6

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Oakville Cardiologists, Inc.

Oakville, Canada, L6K 3W7

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UZ Antwerpen

EDEGEM, Belgium, 2650

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AZ St-Jan Brugge Oostende AV

BRUGGE, Belgium, 8000

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AZ Delta

ROESELARE, Belgium, 8800

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H. Hartziekenhuis Mol

MOL, Belgium, 2400

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Algemeen Stedelijk Ziekenhuis Campus Aalst

AALST, Belgium, 9300

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Hospital da Luz - Lisboa

Lisboa, Portugal, 1500-650

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CHTS - Hospital Padre Americo

Guilhufe, Portugal, 4564-007

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Complejo Hospitalario Ntra. Sra. de Valme

Sevilla, Spain, 41014

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Hospital Virgen de la Victoria

Málaga, Spain, 29010

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Hospital Sanitas La Zarzuela

Aravaca, Spain, 28023

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Hospital Universitario Clinica Puerta de Hierro

Majadahonda, Spain, 28222

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Hospital del Mar

Barcelona, Spain, 08003

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Ciutat Sanitària i Universitària de Bellvitge

L'Hospitalet de Llobregat, Spain, 08907

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Hospital Clínico Universitario de Santiago de Compostela

Santiago de Compostela, Spain, 15706

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Hospital Álvaro Cunqueiro

Babio - Beade, Spain, 36312

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Hospital Sant Joan Despi Moises Broggi

Sant Joan Despi, Spain, 08940

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Centro de Especialidades Médicas

Villa Luro, Argentina, C1440CFD

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Wake Forest Baptist Health

Winston Salem, United States, 27157

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Henry Ford Health System

Detroit, United States, 48202

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St. Louis Heart & Vascular, PC

St. Louis, United States, 63136

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Interventional Cardiology Medical Group

West Hills, United States, 91307

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Clinique Sante Cardio MC

Montreal, Canada, H1T 3Y7

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London Health Sciences Centre

London, Canada, N6A 5A5

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Centre De Recherche Du (CRCHUM) - Hotel-Diu

Montreal, Canada, H2X 3H8

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SMH Cardiology Clinical Trials Inc

Surrey, Canada, V3V 0C6

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CardioVasc HR, Inc.

Saint-Jean-sur-Richelieu, Canada, J3A 1J2

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Clínica DIM

Ramos Mejía, Argentina, B1740ETD

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National Heart Centre Singapore

Singapore, Singapore, 169609

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Singapore General Hospital

Singapore, Singapore, 169608

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Klinikum der Universität Würzburg

Würzburg, Germany, 97078

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Kliniken Maria Hilf GmbH

Mönchengladbach, Germany, 41063

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Klinische Forschung Dresden GmbH

Dresden, Germany, 01069

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Zentrum für Klinische Studien Südbrandenburg GmbH

Elsterwerda, Germany, 04910

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Cardiologicum Hamburg - Praxen Wandsbek

Hamburg, Germany, 22041

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Marienhaus Klinikum Mainz

Mainz, Germany, 55131

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ASST Papa Giovanni XXIII

Bergamo, Italy, 24127

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ASST Spedali Civili di Brescia

Brescia, Italy, 25123

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A.O.U. di Sassari

Sassari, Italy, 07100

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ASST Grande Ospedale Metropolitano Niguarda

Milano, Italy, 20162

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A.O.U. di Bologna Policlinico S.Orsola Malpighi

Bologna, Italy, 40138

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IRCCS Fondazione Policlinico San Matteo

Pavia, Italy, 27100

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A.O.U. di Ferrara

Ferrara, Italy, 44124

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ASL ROMA 6

Roma, Italy, 00040

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MHAT Sveta Marina EAD

Varna, Bulgaria, 9010

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NMTH Tzar Boris III

Sofia, Bulgaria, 1233

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Specialized Hospital for Actrive Treatm of Card - Pleven

Pleven, Bulgaria, 5800

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Spec Hosp for Active Treatm in Cardiology Sv Georgi Pernik

Pernik, Bulgaria, 2300

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Second Medical Center Sofia EOOD

Sofia, Bulgaria, 1202

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Multiprofile Hospital for Active Treatment Pazardzhik

Pazardzhik, Bulgaria, 4400

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MHAT "Knyaginya Klementina - Sofia"EAD

Sofia, Bulgaria, 1233

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MHAT Dr. Bratan Shukerov AD

Smolyan, Bulgaria, 4700

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Multiprofile Hospital for Active Treatment Medline Clinic

Plovdiv, Bulgaria, 4000

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CHLO - Hospital Sao Francisco Xavier

Lisboa, Portugal, 1449-005

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CHUP - Hospital Santo Antonio

Porto, Portugal, 4099-001

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CHS - Hospital Sao Bernardo

Setubal, Portugal, 2900-446

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Hospital de Cascais

Alcabideche, Portugal, 2755-009

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Hospital Garcia de Orta

Almada, Portugal, 2801-951

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Herz- und Diabeteszentrum Nordrhein-Westfalen (HDZ NRW)

Bad Oeynhausen, Germany, 32545

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Cardiology Partners

Wellington, United States, 33449

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East Coast Institute for Research, LLC

St. Augustine, United States, 32086

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WestSide Medical

Beverly Hills, United States, 90211

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Capitol Interventional Cardiology

Carmichael, United States, 95608

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Cardiovascular CRO Ltd.

Sudbury, Canada, P3E 5M4

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St. Michael's Hospital Health Centre

Toronto, Canada, M5B 1W8

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Anne Arundel Health System

Annapolis, United States, 21401

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Carolina Heart Specialists

Lancaster, United States, 29720

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Universitätsklinikum AKH Wien

Wien, Austria, 1090

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Universitätsklinikum St. Pölten

St. Pölten, Austria, 3100

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Bryan Heart

Lincoln, United States, 68506

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Fox Valley Clinical Research Center, LLC

Aurora, United States, 60506

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Penrose-St. Francis Health Services

Colorado Springs, United States, 80923

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Centro de Investigaciones Clinicas del Litoral

Santa Fe, Argentina, S3000FWO

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Sanatorio Parque S.A.

Rosario, Argentina, S2000DSV

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Inst. de Cardiología de Corrientes Juana Francisca Cabral

Corrientes, Argentina, 3400

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Instituto de Investigaciones Clínicas San Nicolás

San Nicolás, Argentina, B2900DMH

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IPS Centro Cientifico Asistencial S.A.S

Barranquilla, Colombia

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Caja de Compensación Familiar CAFAM

Bogotá, Colombia, 0

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Fundación Cardiovascular de Colombia

Floridablanca, Colombia

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Hospital General de Medellin

Medellin, Colombia

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Taipei Veterans General Hospital

Taipei, Taiwan, China, 11217

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Szpital Kliniczny Przemienienia Panskiego

Poznan, Poland, 61-848

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IV Wojskowy Szpital Kliniczny z Poliklinika, SPZOZ

Wroclaw, Poland, 50-981

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Twoja Przychodnia - Szczecinskie Centrum Medyczne

Szczecin, Poland, 70-240

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CLINICAL MEDICAL RESEARCH Sp. z o. o.

Katowice, Poland, 40-156

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10 Wojskowy Szpital Kliniczny z Poliklinika SPZOZ

Bydgoszcz, Poland, 85-681

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Dolnoslaski Szp. Spec. im T.M. Centrum Medycyny Ratunkowej

Wroclaw, Poland, 54-049

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SPZOZ Centralny Szpital Kliniczny UM w Lodzi

Lodz, Poland, 92-213

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Uniwersyteckie Centrum Kliniczne Warszawskiego UM

Warszawa, Poland, 02-097

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Uniwersytecki Szpital Kliniczny w Bialymstoku

Bialystok, Poland, 15-276

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Zentrum f. klinische Studien Dr. Hanusch GmbH

Wien, Austria, 1060

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Medizinische Universität Graz

Graz, Austria, 8036

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Ordensklinikum Linz GmbH Elisabethinen

Linz, Austria, 4020

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Klinik Floridsdorf - Krankenhaus Nord

Wien, Austria, 1210

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Magyar Honvedseg Egeszsegugyi Kozpont Honvedkorhaz

Budapest, Hungary

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Magyar Honvedseg Egeszsegugyi Kozpont Honvedkorhaz

Budapest, Hungary, 1134

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Medifarma-98 Egeszsegugyi, Kereskedelmi es Szolgaltato Kft.

Nyiregyhaza, Hungary, 4400

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Kanizsai Dorottya Hospital

Nagykanizsa, Hungary, 8800

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Budai Irgalmasrendi Korhaz

Budapest, Hungary, 1027

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Pharma4Trial Kft.

Gyongyos, Hungary, 3200

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G. GENNIMATAS General State Hospital of Athens

Athens, Greece, 11527

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Konstantopoulio General Hospital of Nea Ionia - AGIA OLGA

Nea Ionia / Athens, Greece, 142 33

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KAT General Hospital of Athens

Kifisia / Athens, Greece, 14561

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University General Hospital of Larissa

Larissa, Greece, 41100

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Hippokration General Hospital of Thessaloniki

Thessaloniki, Greece, 54642

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“AHEPA” University General Hospital of Thessaloniki

Thessaloniki, Greece, 54636

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Glacier View Research Institute

Kalispell, United States, 59901

Locations

Krankenhaus St. Josef Braunau

Braunau, Austria, 5280

Locations

Centro de Investigaciones Clínicas

Buenos Aires, Argentina, C1425DES

Locations

Shamir Medical Center (Assaf Harofeh)

Zrifin, Israel, 7030000

Locations

Kaplan Medical Center

Rehovot, Israel, 7610001

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Rambam Health Corporation

Haifa, Israel, 3109601

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Hillel Yaffe Medical Center

Hadera, Israel, 3810101

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Hadassah Hebrew University Hospital Ein Kerem

Jerusalem, Israel, 9112001

Locations

Chaim Sheba Medical Center

Ramat Gan, Israel, 5262000

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Clalit Health Services through HaEmek Medical Center

Afula, Israel, 1834111

Locations

The Baruch Padeh Medical Center, Poriya

Tiberias, Israel, 1528001

Locations

Health Corporation of the Ziv Medical Center (R.A.)

Zefat, Israel, 1311001

Locations

Capital Area Research, LLC

Camp Hill, United States, 17011

Locations

Research Integrity, LLC

Owensboro, United States, 42303

Locations

Reid Health

Richmond, United States, 47374

Locations

Cardiology Associates Research Company

Daytona Beach, United States, 32117

Locations

Southwest Florida Research

Naples, United States, 34102

Locations

Fukui Prefectural Hospital

Fukui, Japan, 910-8526

Locations

Osaka General Medical Center

Osaka, Japan, 558-8558

Locations

Minamino Cardiovascular Hospital

Hachioji, Japan, 192-0918

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Iwate Prefectural Central Hospital

Morioka, Japan, 020-0066

Locations

Toho University Omori Medical Center

Ota-ku, Japan, 143-8541

Locations

Higashi Takarazuka Satoh Hospital

Takarazuka, Japan, 665-0873

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National Hospital Organization Hamada Medical Center

Hamada, Japan, 697-8511

Locations

Toyama Prefectural Central Hospital

Toyama, Japan, 930-8550

Locations

University of Alberta

Edmonton, Canada, T6G 2B7

Locations

Cardiology Associates of Fairfield County, PC

Trumbull, United States, 06611

Locations

Heart Clinic of Hammond

Hammond, United States, 70403

Locations

Stern Cardiovascular Center

Germantown, United States, 38138

Locations

National Taiwan University Hospital

Taipei, Taiwan, China, 100

Locations

Far Eastern Memorial Hospital

New Taipei City, Taiwan, China, 220

Locations

Sci-Res. Institute of Complex Cardiovascular Disorders

Kemerovo, Russia, 650002

Locations

Research center of therapy and prophylactic medicine

Moscow, Russia, 101990

Locations

City hospital #15

St. Petersburg, Russia, 198205

Locations

Moscow State University n.a. M.V. Lomonosov

Moscow, Russia, 119192

Locations

Centro de Medicina Integral e Investigacion Clínica

CABA, Argentina, C1426EGR

Locations

Cheng Hsin General Hospital

Taipei, Taiwan, China, 112

Locations

Cardiovascular and Vein Center of Florida

Bradenton, United States, 34209

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Durban Medical Centre

Durban, South Africa, 4067

Locations

TREAD Research cc

Cape Town, South Africa, 7500

Locations

Tiervlei Trial Centre

Cape Town, South Africa, 7531

Locations

Nash Ranjith Research Centre

Merebank, South Africa, 4052

Locations

Vergelegen Medi-Clinic

Somerset West, South Africa, 7130

Locations

Clinical Trial Systems

Pretoria, South Africa

Locations

Mediservis del Tolima IPS S.A.S

Ibague, Colombia

Locations

Cardiology Associates Of South Florida PA

Boynton Beach, United States, 33472

Locations

Sarawak Heart Centre

Sarawak, Malaysia, 94300

Locations

Institute Jantung Negara

Kuala Lumpur, Malaysia, 50400

Locations

Hospital Raja Perempuan Zainab II

Kelantan, Malaysia, 15200

Locations

Istituto Clinico Humanitas - Humanitas Mirasole S.p.A.

Milano, Italy, 20089

Locations

Advocate Condell Medical Center

Libertyville, United States, 60048

Locations

Takatsuki Red Cross Hospital

Takatsuki, Japan, 569-1096

Locations

Kishiwada Tokushukai Hospital

Kishiwada, Japan, 596-0042

Locations

Tokyo Women's Medical University Hospital

Shinjuku-ku, Japan, 162-8666

Locations

National Hospital Organization Kanazawa Medical Center

Kanazawa, Japan, 920-8650

Locations

Okayama Rosai Hospital

Okayama, Japan, 702-8055

Locations

Osaka Medical College Hospital

Takatsuki, Japan, 569-8686

Locations

Corporation Lane Research Center

Virginia Beach, United States, 23462

Locations

LifeSpring Research Foundation, LLC

Miami, United States, 33130

Locations

Matsuda Cardiovascular clinic

Sapporo, Japan, 003-0026

Locations

Hirakata kohsai Hospital

Hirakata, Japan, 573-0153

Locations

National Hospital Organization Kobe Medical Center

Kobe, Japan, 654-0155

Locations

Seikeikai New Tokyo Heart Clinic

Matsudo, Japan, 271-0077

Locations

Uji-Tokushukai Medical Center

Uji, Japan, 611-0041

Locations

Steel Memorial Yawata Hospital

Kitakyushu, Japan, 805-8508

Locations

Clinical Advancement Center, PLLC

San Antonio, United States, 78212-4740

Locations

City Pokrovskaya Hospital

St. Petersburg, Russia, 199106

Locations

Samara Regional Clinical Cardiology Dispensary n.a. Polyakov

Samara, Russia, 443070

Locations

Riser Medical Associates

Picayune, United States, 39466

Locations

National Hospital Organization Iwakuni Clinical Center

Iwakuni, Japan, 740-8510

Trial Design