Trial Condition(s):

Acute myocardial infarction

Study to gather information about the proper dosing and safety of the oral FXIa inhibitor BAY 2433334 in patients following an acute heart attack (PACIFIC-AMI)

Bayer Identifier:

20603

ClinicalTrials.gov Identifier:

NCT04304534

EudraCT Number:

2019-003244-79

EU CT Number:

Not Available

Study Completed

Trial Purpose

The purpose of this study is to try to find the best dose of the new drug BAY 2433334 to give to participants and to look at how well BAY 2433334 works on top of a dual antiplatelet therapy (acetylsalicylic acid +/- clopidogrel) in patients following a recent heart attack (myocardial infarction) that happens when a blood vessel in the heart suddenly becomes blocked. BAY 2433334, works by blocking a step of the blood clotting process in our body and thins the blood and is a so called oral FXIa inhibitor.

Inclusion Criteria
- Participants must be 45 years of age or older, at the time of signing the informed consent
- Acute myocardial infarction  (excluding MI associated with PCI or CABG revascularization procedures) with:
-- clinical symptoms of acute myocardial infarction  AND
-- elevated biomarkers of myocardial necrosis (creatine kinase-muscle and brain isoenzyme [CK-MB] or cardiac troponins) AND
-- at least one of the following risk factors need to be fulfilled:
--- Age ≥ 65 years
--- Prior MI (before the index AMI event)
--- Prior peripheral arterial disease
--- Diabetes Mellitus
--- Prior coronary artery bypass grafting (CABG) 
AND
-- initial angiography and revascularization procedures, either PCI or CABG, as treatment for the index event performed before randomization. (Note: a planned, staged PCI procedure can be performed after randomization)
- Plan for dual antiplatelet therapy (ASA + P2Y12 inhibitor) after hospital discharge for the index AMI 
- Randomization during hospitalization for the index AMI event and latest within 5 days of  hospital admission 
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Written informed consent has to be signed before any study-specific procedure.
Exclusion Criteria
- Hemodynamically significant ventricular arrhythmias or cardiogenic shock at time of randomization
- Active bleeding; known bleeding disorder, history of major bleeding (intracranial, retroperitoneal, intraocular) or clinically significant gastrointestinal bleeding within last 6 months of randomization
- Planned use or requirement of full dose and long term anticoagulation therapy during study conduct.

Trial Summary

Enrollment Goal
1601
Trial Dates
black-arrow
Phase
2
Could I receive a placebo?
Yes
Products
Asundexian (BAY2433334)
Accepts Healthy Volunteers
No

Where to Participate

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Locations
Locations
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Reid Health

Richmond, United States, 47374

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Cardiology Associates Research Company

Daytona Beach, United States, 32117

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Cardiovascular Research of Knoxville

Powell, United States, 37849

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PharmaTex Research, LLC

Amarillo, United States, 79109

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Krankenhaus St. Josef Braunau

Braunau, Austria, 5280

Locations

Universitätsklinikum St. Pölten

St. Pölten, Austria, 3100

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Klinik Floridsdorf - Krankenhaus Nord

Wien, Austria, 1210

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Klinikum Klagenfurt am Wörthersee

Klagenfurt, Austria, 9020

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Klinik Ottakring - Wilhelminenspital

Wien, Austria, 1160

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Medizinische Universität Graz

Graz, Austria, 8036

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Universitätsklinikum AKH Wien

Wien, Austria, 1090

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Landesklinikum Wiener Neustadt

Wiener Neustadt, Austria, 2700

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Kepler Universitätsklinikum Campus III

Linz, Austria, 4021

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

Milano, Italy, 20089

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IRCCS Centro Cardiologico Monzino S.p.A

Milano, Italy, 20138

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ASL TO3 di Collegno e Pinerolo

Torino, Italy, 10098

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A.O.U. di Ferrara

Ferrara, Italy, 44124

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ASST Valle Olona

Varese, Italy, 21047

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IRCCS Ospedale Policlinico San Martino

Genova, Italy, 16132

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ASL Caserta

Caserta, Italy, 81031

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A.O.U. Ospedali Riuniti "Umberto I - G.M.Lancisi - G.Salesi"

Ancona, Italy, 60126

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ASL ROMA 2

Roma, Italy, 00157

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ULSS3 Serenissima

Venezia, Italy, 30035

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A.O. San Pio

Benevento, Italy, 82100

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A.O. S.Croce e Carle

Cuneo, Italy, 12100

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A.O.U. di Sassari

Sassari, Italy

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AUSL Toscana Sud-Est

Grosseto, Italy, 58100

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Southern Clinical Research, LLC

Zachary, United States, 70791

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Cardiovascular Associates Research, LLC

Covington, United States, 70433

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St. Mary's/Duluth Clinic Health System

Duluth, United States, 55805

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Columbus Regional Research Institute

Columbus, United States, 31904

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Midwest Heart & Vascular Specialists

Overland Park, United States, 66211

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North Texas Research Associates

McKinney, United States, 75071

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Methodist Physicians Clinic

Omaha, United States, 68114

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Trinity Medical WNY

Cheektowaga, United States, 14227

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Valley Clinical Trials, Inc. - Covina

Covina, United States, 91723

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Cardiology Partners Clinical Research Institute

Palm Beach Gardens, United States, 33410

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Jefferson Heart Institute

Philadelphia, United States, 19107

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Logan Health Research

Kalispell, United States, 59901

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Centre Hospitalier Universitaire Vaudois (CHUV)

Lausanne, Switzerland, 1011

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Hôpital Cantonal Universitaire de Genève

Genève, Switzerland, 1205

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Ospedale regionale di Lugano

Lugano, Switzerland, 6900

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Luzerner Kantonsspital

Luzern, Switzerland, 6000

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Kantonsspital Aarau

Aarau, Switzerland, 5001

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Kantonsspital Baselland - Standort Liestal

Liestal, Switzerland, 4410

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Kantonsspital Baden

Baden, Switzerland, 5404

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Maryland Cardiovascular Specialists

Baltimore, United States, 21229

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The Valley Hospital, Inc.

Ridgewood, United States, 07450

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Szpital Grochowski im. dr.med. Rafala Masztaka

Warszawa, Poland, 04-073

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Szpital sw. Wincentego a Paulo

Gdynia, Poland, 81-348

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Uniwersytecki Szpital Kliniczny UM we Wroclawiu

Wroclaw, Poland, 50-556

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Uniwersyteckie Centrum Kliniczne Warszawskiego UM

Warszawa, Poland, 02-097

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Uniwersytecki Szpital Kliniczny w Opolu

Opole, Poland, 45-401

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Uniwersytecki Szpital Kliniczny w Bialymstoku

Bialystok, Poland, 15-276

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Samodzielny Publiczny Specjalistyczny Szpital Zachodni

Grodzisk Mazowiecki, Poland, 05-825

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Ziekenhuis Oost-Limburg

GENK, Belgium, 3600

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AZ Sint-Jan Brugge-Oostende | Sint-Jan - Cardiology

BRUGGE, Belgium, 8000

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OL Vrouwziekenhuis - Campus Aalst

AALST, Belgium, 9300

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CU Saint-Luc/UZ St-Luc

BRUXELLES - BRUSSEL, Belgium, 1200

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Sahlgrenska Universitetssjukhuset

Göteborg, Sweden, 413 45

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Danderyds sjukhus

Stockholm, Sweden, 182 88

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Länssjukhuset Ryhov

Jönköping, Sweden, 551 85

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Skånes Universitetssjukhus

Lund, Sweden, 222 42

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Falu Lasarett

Falun, Sweden, 791 82

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Akademiska sjukhuset Hjärtforskningsmottagningen

Uppsala, Sweden, 751 85

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Länssjukhuset Sundsvall-Härnösand

Sundsvall, Sweden, 851 86

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Västmanlands Sjukhus Västerås

Västerås, Sweden, 721 89

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Universitetssjukhuset Örebro

Örebro, Sweden, 701 85

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UZ Leuven Gasthuisberg

LEUVEN, Belgium, 3000

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Imeldaziekenhuis - St-Elisabethkliniek

Bonheiden, Belgium, 2820

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Jessa Ziekenhuis

HASSELT, Belgium, 3500

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CHR de la Citadelle - Cardiology

LIEGE, Belgium, 4000

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Debreceni Egyetem Klinikai Kozpont

Debrecen, Hungary, 4032

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Petz Aladar Megyei Oktato Korhaz

Gyor, Hungary, 9023

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Allami Szivkorhaz

Balatonfured, Hungary, 8230

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Pandy Kalman Korhaz

Gyula, Hungary, 5700

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Eszak-Pesti Centrumkorhaz-Honvedkorhaz

Budapest, Hungary

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Josa Andras Hospital

Nyiregyhaza, Hungary, H-4400

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Zala Megyei Szent Rafael Korhaz

Zalaegerszeg, Hungary, 8900

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University of Semmelweis/ Semmelweis Egyetem

Budapest, Hungary, 1122

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Budai Irgalmasrendi Korhaz

Budapest, Hungary, 1023

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Somogy Megyei Kaposi Mor Oktato Korhaz

Kaposvar, Hungary, 7400

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Nemocnice Slany

Slany, Czech Republic, 274 01

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Fakultni nemocnice u sv. Anny

Brno, Czech Republic, 656 91

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Institut Klinicke a Experimentalni Mediciny

Praha 4, Czech Republic, 140 21

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Fakultni nemocnice Plzen - Lochotin

Plzen, Czech Republic, 304 60

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Vseobecna fakultni nemocnice v Praze

Praha 2, Czech Republic, 12808

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Fakultni nemocnice v Motole

Praha 5, Czech Republic, 150 06

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Nemocnice Ceske Budejovice, a.s. Department of kardiologie

Ceske Budejovice, Czech Republic, 370 01

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Fakultni Nemocnice Hradec Kralove

Hradec Kralove, Czech Republic, 500 05

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Ustredni vojenska nemocnice Praha

Praha 6, Czech Republic, 169 02

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Fakultni nemocnice Brno

Brno, Czech Republic, 625 00

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Fakultni nemocnice Kralovske Vinohrady

Praha 10, Czech Republic, 10034

Locations

Saitama Sekishinkai Hospital

Sayama, Japan, 350-1305

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Ogaki Municipal Hospital

Ogaki, Japan, 503-8502

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Shin-Kuki General Hospital

Kuki, Japan, 346-8530

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Chiba-Nishi General Hospital

Matsudo, Japan, 270-2251

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Tsukuba Medical Center Hospital

Tsukuba, Japan, 305-8558

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Kishiwada Tokushukai Hospital

Kishiwada, Japan, 596-0042

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Kokura Memorial Hospital

Kitakyushu, Japan, 802-8555

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Hyogo Prefectural Harima-Himeji General Medical Center

Himeji, Japan, 670-8560

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Saiseikai Kumamoto Hospital

Kumamoto, Japan, 861-4193

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Oita Prefectural Hospital

Oita, Japan, 870-8511

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Hokkaido Cardiovascular Hospital

Sapporo, Japan, 064-8622

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Daido Hospital, Social Medical Corporation Kojunkai

Nagoya, Japan, 457-8511

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Japanese Red Cross Fukuoka Hospital

Fukuoka, Japan, 815-8555

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Fukui Prefectural Hospital

Fukui, Japan, 910-8526

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Tokyo Medical and Dental University Hospital

Bunkyo-ku, Japan, 113-8519

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Bravis Ziekenhuis

ROOSENDAAL, Netherlands, 4708 AE

Locations

Gelre Ziekenhuizen Zutphen

ZUTPHEN, Netherlands, 7207 AE

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Ikazia Ziekenhuis

Rotterdam, Netherlands, 3083 AN

Locations

Universitair Medisch Centrum St. Radboud

NIJMEGEN, Netherlands, 6500 HB

Locations

Albert Schweitzer Ziekenhuis, Dordwijk

DORDRECHT, Netherlands, 3318 AT

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Elkerliek Ziekenhuis, Lokatie Helmond

HELMOND, Netherlands, 5707 HA

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Reinier de Graaf Gasthuis

DELFT, Netherlands, 2625 AD

Locations

Jeroen Bosch Ziekenhuis

DEN BOSCH, Netherlands, 5223 GZ

Locations

Canisius Wilhelmina Ziekenhuis

NIJMEGEN, Netherlands, 6532 SZ

Locations

Zuyderland Medisch Centrum

HEERLEN, Netherlands, 6419 PC

Locations

Isala

Zwolle, Netherlands, 8025 AZ

Locations

Noord West Ziekenhuisgroep-Medisch Centrum Alkmaar

ALKMAAR, Netherlands, 1815 JD

Locations

Leids Universitair Medisch Centrum

LEIDEN, Netherlands, 2333 ZA

Locations

VieCuri - Medisch Centrum voor Noord-Limburg locatie Venlo

VENLO, Netherlands, 5912 BL

Locations

Universitätsmedizin der Johannes Gutenberg Universität Mainz

Mainz, Germany, 55131

Locations

Universitätsherzzentrum Freiburg - Bad Krozingen

Bad Krozingen, Germany, 79189

Locations

Kliniken Maria Hilf GmbH

Mönchengladbach, Germany, 41063

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Universitätsklinikum Essen

Essen, Germany, 45147

Locations

Universitätsklinikum Hamburg Eppendorf (UKE)

Hamburg, Germany, 20246

Locations

St. Vinzenz-Hospital

Köln, Germany, 50733

Locations

Forschungszentrum Ruhr - KliFoCenter GmbH

Witten, Germany, 58455

Locations

Universitätsklinikum Heidelberg

Heidelberg, Germany, 69120

Locations

Krankenhaus Dresden-Friedrichstadt

Dresden, Germany, 01067

Locations

Kanagawa Cardiovascular and Respiratory Center

Yokohama, Japan, 236-0051

Locations

Nishinomiya Watanabe Cardiovascular Center

Nishinomiya, Japan, 662-0911

Locations

Fukuoka Tokushukai Hospital

Kasuga, Japan, 816-0864

Locations

Takahashi Hospital

Kobe, Japan, 654-0026

Locations

Hospital de la Santa Creu i de Sant Pau | Cardiología

Barcelona, Spain, 08041

Locations

Hospital Clinico Universitario Virgen de la Arrixaca | Neurology Department - Stroke

Murcia, Spain, 30120

Locations

Hospital Universitario Virgen de las Nieves|Cardiologia

Granada, Spain, 18014

Locations

Hospital Gral. Univ. de Valencia | Cardiologia

Valencia, Spain, 46014

Locations

Hospital Universitario Virgen de la Macarena

Sevilla, Spain, 41071

Locations

Hospital Clinico Universitario San Carlos | Cardiologia

Madrid, Spain, 28040

Locations

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Locations

Inst Investigacio Sanitaria Pere Virgili | Hosp Univ Joan XXIII de Tarragona - Neurology - Stroke, No-Cardioembolic-Tia

Tarragona, Spain, 43005

Locations

Hospital Universitari de Bellvitge | Bellvitge Biomedical Research Institute - Cardiology - AF, Stroke Prevention

Barcelona, Spain, 08907

Locations

Ciutat Sanitaria i Universitaria de la Vall d'Hebron

Barcelona, Spain, 08035

Locations

Hospital Ramon y Cajal | Cardiologia

Madrid, Spain, 28034

Locations

Hospital Universitari i Politècnic La Fe | Cardiología

Valencia, Spain, 46026

Locations

Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz

Szolnok, Hungary, 5000

Locations

Osaka General Medical Center

Osaka, Japan, 558-8558

Locations

Kliniczny Szpital Wojewodzki Nr 2 im. Sw. Jadwigi Krolowej

Rzeszow, Poland, 35-301

Locations

Sana-Klinikum Remscheid GmbH

Remscheid, Germany, 42859

Locations

White Oak Medical Center

Silver Spring, United States, 20904

Locations

Clearwater Cardiovascular Associates | Clearwater, FL

Clearwater, United States, 33756

Locations

Florida Premier Cardiology

Boyton Beach, United States, 33437

Locations

Wythenshawe Hospital

Manchester, United Kingdom, M23 9LT

Locations

Worcestershire Acute Hospital Trust

Worcester, United Kingdom, WR5 1DD

Locations

Lister Hospital

Stevenage, United Kingdom, SG1 4AB

Locations

Freeman Hospital

Newcastle Upon Tyne, United Kingdom, NE7 7DN

Locations

Imperial College London

London, United Kingdom, W12 0HS

Locations

Southwest Florida Research

Naples, United States, 34102

Trial Design