NCT01035255

Brief Summary

The study will evaluate the efficacy and safety of LCZ696 compared to enalapril on morbidity and mortality in patients with chronic heart failure (NYHA Class II - IV and EF =\< 35%).

Trial Health

68
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
8,442

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Dec 2009

Typical duration for phase_3

Geographic Reach
46 countries

1009 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2009

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

December 16, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 18, 2009

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2014

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

September 7, 2015

Completed
Last Updated

August 15, 2016

Status Verified

July 1, 2016

Enrollment Period

4.4 years

First QC Date

December 16, 2009

Results QC Date

August 6, 2015

Last Update Submit

July 13, 2016

Conditions

Keywords

chronic heart failurecardiovascular deathhospitalizationoutcome studyBNPKCCQeGFR

Outcome Measures

Primary Outcomes (1)

  • Number of Participants That Had First Occurrence of the Composite Endpoint, Which is Defined as Either Cardiovascular (CV) Death or Heart Failure (HF) Hospitalization

    Number of participants that had first occurrence of the composite endpoint, which is defined as either CV death or HF hospitalization due to HF.

    up to 51 months

Secondary Outcomes (5)

  • Number of Patients - All-cause Mortality

    up to 51 months

  • Number of Patients Reported With Adjudicated Primary Causes of Death

    up to 51 months

  • Change From Baseline to Month 8 for the Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score

    Baseline, Month 8

  • Number of Patients With First Confirmed Renal Dysfunction

    up to 51 months

  • Percentage of Participants With New Onset of Atrial Fibrillation (AF)

    up to 51 months

Study Arms (2)

LCZ696

EXPERIMENTAL

single-blind active run-in period consisted of treatment with enalapril 10 mg bid, followed by LCZ696 100 mg bid, and then LCZ696 200 mg bid over a total duration of 5 to 10 weeks. Temporary down-titration from LCZ696 200 mg bid to LCZ696 100 mg bid was allowed provided the patient was up-titrated back to LCZ696 200 mg bid and tolerated this dose for at least two weeks before being eligible for randomization. LCZ696 200mg BID during double blind treatment period

Drug: LCZ696 200 mg BID

Enalapril

ACTIVE COMPARATOR

single-blind active run-in period consisted of treatment with enalapril 10 mg bid, followed by LCZ696 100 mg bid, and then LCZ696 200 mg bid over a total duration of 5 to 10 weeks. Temporary down-titration from LCZ696 200 mg bid to LCZ696 100 mg bid was allowed provided the patient was up-titrated back to LCZ696 200 mg bid and tolerated this dose for at least two weeks before being eligible for randomization. Enalapril 10 mg BID during double blind treatment period

Drug: Enalapril 10 mg BID

Interventions

LCZ696 200 mg BID

LCZ696

Enalapril 10 mg BID

Enalapril

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients must give written informed consent before any assessment is performed.
  • Outpatients ≥ 18 years of age, male or female.
  • Patients with a diagnosis of CHF NYHA class II-IV and reduced ejection fraction (EF =\< 35%) and elevated BNP.
  • Patients must be on an ACEI or an ARB at a stable dose of at least enalapril 10 mg/d or equivalent for at least 4 weeks.
  • Patients must be treated with a β-blocker, unless contraindicated or not tolerated, at a stable dose for at least 4 weeks.

You may not qualify if:

  • Use of other investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer.
  • History of hypersensitivity or allergy to any of the study drugs, drugs of similar chemical classes, ACEIs, ARBs, or NEP inhibitors as well as known or suspected contraindications to the study drugs.
  • Previous history of intolerance to recommended target doses of ACEIs or ARBs
  • Known history of angioedema.
  • Requirement of treatment with both ACEIs and ARBs.
  • Current acute decompensated HF (exacerbation of chronic HF manifested by signs and symptoms that may require intravenous therapy).
  • Symptomatic hypotension and/or a SBP \< 100 mmHg.
  • Estimated GFR \< 30 mL/min/1.73m2 as measured by the simplified MDRD formula
  • Serum potassium \> 5.2 mmol/L.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1031)

Novartis Investigative Site

Birmingham, Alabama, 35209, United States

Location

Novartis Investigative Site

Birmingham, Alabama, 35211, United States

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Novartis Investigative Site

Huntsville, Alabama, 35801, United States

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Novartis Investigative Site

Mobile, Alabama, 36608, United States

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Novartis Investigative Site

Muscle Shoals, Alabama, 35662, United States

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Novartis Investigative Site

Anchorage, Alaska, 99508, United States

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Novartis Investigative Site

Gilbert, Arizona, 85234, United States

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Novartis Investigative Site

Phoenix, Arizona, 85006, United States

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Novartis Investigative Site

Phoenix, Arizona, 85020, United States

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Novartis Investigative Site

Little Rock, Arkansas, 72204, United States

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Novartis Investigative Site

Little Rock, Arkansas, 72205, United States

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Novartis Investigative Site

Anaheim, California, 92801, United States

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Novartis Investigative Site

Bellflower, California, 90706, United States

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Novartis Investigative Site

Berkley, California, 94705, United States

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Novartis Investigative Site

Loma Linda, California, 92357, United States

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Novartis Investigative Site

Los Angeles, California, 90033, United States

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Novartis Investigative Site

Los Angeles, California, 90073, United States

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Novartis Investigative Site

Mather, California, 95655, United States

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Novartis Investigative Site

Oceanside, California, 92056, United States

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Novartis Investigative Site

Palm Springs, California, 92262, United States

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Novartis Investigative Site

Pomona, California, 91767, United States

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Novartis Investigative Site

Sacramento, California, 95816, United States

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Novartis Investigative Site

San Diego, California, 92103, United States

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Novartis Investigative Site

San Diego, California, 92161, United States

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Novartis Investigative Site

Santa Rosa, California, 95405, United States

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Novartis Investigative Site

Stockton, California, 95204, United States

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Novartis Investigative Site

Tustin, California, 92780, United States

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Novartis Investigative Site

Denver, Colorado, 80206, United States

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Novartis Investigative Site

Denver, Colorado, 80220, United States

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Novartis Investigative Site

Stamford, Connecticut, 06905, United States

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Novartis Investigative Site

Washington D.C., District of Columbia, 20422, United States

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Novartis Investigative Site

Boynton Beach, Florida, 33472-2952, United States

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Novartis Investigative Site

Davie, Florida, 33324, United States

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Novartis Investigative Site

Fort Lauderdale, Florida, 33316, United States

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Novartis Investigative Site

Gainesville, Florida, 32608, United States

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Novartis Investigative Site

Jacksonville, Florida, 32209-6511, United States

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Novartis Investigative Site

Jacksonville, Florida, 32216, United States

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Novartis Investigative Site

Jacksonville, Florida, 32223, United States

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Novartis Investigative Site

Lakeland, Florida, 33805, United States

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Novartis Investigative Site

Leesburg, Florida, 34748, United States

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Novartis Investigative Site

Port Charlotte, Florida, 33952, United States

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Novartis Investigative Site

Tamarac, Florida, 33321, United States

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Novartis Investigative Site

Tampa, Florida, 33609, United States

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Novartis Investigative Site

Covington, Georgia, 30014, United States

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Novartis Investigative Site

Decatur, Georgia, 30030, United States

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Honolulu, Hawaii, 96813, United States

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Novartis Investigative Site

Honolulu, Hawaii, 96817, United States

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Novartis Investigative Site

Chicago, Illinois, 60612, United States

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Novartis Investigative Site

Maywood, Illinois, 60153, United States

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Novartis Investigative Site

Melrose Park, Illinois, 60160, United States

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Novartis Investigative Site

Park Ridge, Illinois, 60068, United States

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Quincy, Illinois, 62301, United States

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Des Moines, Iowa, 50314, United States

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Pratt, Kansas, 67124, United States

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Topeka, Kansas, 66606, United States

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Wichita, Kansas, 67207, United States

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Alexandria, Louisiana, 71301, United States

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Novartis Investigative Site

Covington, Louisiana, 70433, United States

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Lafayette, Louisiana, 70501, United States

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Slidell, Louisiana, 70458, United States

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Biddeford, Maine, 04005, United States

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South Portland, Maine, 04106, United States

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Baltimore, Maryland, 21208, United States

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Beltsville, Maryland, 20705, United States

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Columbia, Maryland, 21044, United States

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Nottingham, Maryland, 21236, United States

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Ayer, Massachusetts, 01432, United States

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Boston, Massachusetts, United States

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Haverhill, Massachusetts, 01830, United States

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Natick, Massachusetts, 01760, United States

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Ann Arbor, Michigan, 48106, United States

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Detroit, Michigan, 48202, United States

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Lapeer, Michigan, 48446, United States

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Saginaw, Michigan, 48601, United States

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Minneapolis, Minnesota, 55417, United States

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Saint Paul, Minnesota, 55102, United States

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Picayune, Mississippi, 39466, United States

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Rolling Fork, Mississippi, 39159, United States

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Springfield, Missouri, 65804, United States

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Springfield, Missouri, 65807, United States

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Fremont, Nebraska, 68025, United States

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Grand Island, Nebraska, 68803, United States

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Omaha, Nebraska, 68131, United States

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Nashua, New Hampshire, 03060, United States

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Elizabeth, New Jersey, 07202, United States

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Hamilton, New Jersey, 08690, United States

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New Brunswick, New Jersey, 08901, United States

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Novartis Investigative Site

Newark, New Jersey, 07103-2714, United States

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Ocean City, New Jersey, 07712, United States

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Albuquerque, New Mexico, 87102, United States

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Novartis Investigative Site

Cordtlandt Manor, New York, 10567, United States

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Laurelton, New York, 11422, United States

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New York, New York, 10032, United States

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Northport, New York, 11768, United States

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Asheboro, North Carolina, 27204, United States

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Asheville, North Carolina, 28803, United States

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Cary, North Carolina, 27511, United States

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Greensboro, North Carolina, 27401, United States

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Raleigh, North Carolina, 27610, United States

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Wilmington, North Carolina, 28401, United States

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Cadiz, Ohio, 43907, United States

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Canton, Ohio, 44710, United States

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Cincinnati, Ohio, 45219, United States

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Cincinnati, Ohio, 45267-0585, United States

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Cleveland, Ohio, 44195, United States

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Columbus, Ohio, 43210, United States

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Marion, Ohio, 43302, United States

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Bartlesville, Oklahoma, 74006, United States

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Oklahoma City, Oklahoma, 73104, United States

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Oklahoma City, Oklahoma, 73120, United States

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Stillwater, Oklahoma, 74074, United States

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Tulsa, Oklahoma, 74104-4243, United States

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Tulsa, Oklahoma, 74136, United States

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Portland, Oregon, 97239-3098, United States

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Aliquippa, Pennsylvania, 15001, United States

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Beaver, Pennsylvania, 15009, United States

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Philadelphia, Pennsylvania, 19102-1192, United States

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Pittsburgh, Pennsylvania, 15206, United States

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Charleston, South Carolina, 29401-5799, United States

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Rapid City, South Dakota, 57701, United States

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Memphis, Tennessee, 38104, United States

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Nashville, Tennessee, 37203, United States

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Nashville, Tennessee, 37212, United States

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Amarillo, Texas, 79106, United States

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Arlington, Texas, 76012, United States

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Beaumont, Texas, 77701, United States

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Beaumont, Texas, 77702, United States

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Brownsville, Texas, 78520, United States

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Dallas, Texas, 75231, United States

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Dallas, Texas, 75235, United States

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Novartis Investigative Site

Dallas, Texas, 75251, United States

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Novartis Investigative Site

Dallas, Texas, 75390, United States

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Grapevine, Texas, 76051, United States

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Houston, Texas, 77024, United States

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Novartis Investigative Site

Houston, Texas, 77025, United States

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Novartis Investigative Site

Houston, Texas, 77030, United States

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Novartis Investigative Site

Houston, Texas, 77070, United States

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Novartis Investigative Site

Houston, Texas, 77081, United States

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Novartis Investigative Site

Kingwood, Texas, 77339, United States

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Livingston, Texas, 77351, United States

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Lufkin, Texas, 75904, United States

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Odessa, Texas, 79761, United States

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Plano, Texas, 75024, United States

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Tyler, Texas, 75701, United States

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Layton, Utah, 84041, United States

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Fredericksburg, Virginia, 22401, United States

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Richmond, Virginia, 23219, United States

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Novartis Investigative Site

Richmond, Virginia, 23249, United States

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Seattle, Washington, 98103, United States

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Spokane, Washington, 99204, United States

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Novartis Investigative Site

Tacoma, Washington, 98405, United States

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Madison, Wisconsin, 53792-1615, United States

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Milwaukee, Wisconsin, 53295, United States

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Waukesha, Wisconsin, 53188, United States

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Novartis Investigative Site

Wausau, Wisconsin, 54401, United States

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Novartis Investigative Site

Buenos Aires, Buenos Aires, C1090AAH, Argentina

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Buenos Aires, Buenos Aires, C1209ABD, Argentina

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Buenos Aires, Buenos Aires, C1405BCH, Argentina

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Buenos Aires, Buenos Aires, C1426EGR, Argentina

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Buenos Aires, Buenos Aires, Argentina

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Caba, Buenos Aires, C1221ADC, Argentina

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Caba, Buenos Aires, C1425DTG, Argentina

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Ciudad Autonoma de Bs As, Buenos Aires, C1119ACN, Argentina

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Lanús, Buenos Aires, B1824ABE, Argentina

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Mar del Plata, Buenos Aires, B7600DHK, Argentina

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Mar del Plata, Buenos Aires, B7600FZD, Argentina

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Mar del Plata, Buenos Aires, B7600FZN, Argentina

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Munro, Buenos Aires, B1605DSX, Argentina

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Pilar, Buenos Aires, B1629AHJ, Argentina

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Quilmes, Buenos Aires, B1878DVB, Argentina

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San Isidro, Buenos Aires, B1642DJG, Argentina

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Zárate, Buenos Aires, 2800, Argentina

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Caba, Buenos Aires F.D., C1179AAB, Argentina

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Caba, Buenos Aires F.D., C1425FVH, Argentina

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Trelew, Chubut Province, U9100AQR, Argentina

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Corrientes, Corrientes Province, W3400CLH, Argentina

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Corrientes, Corrientes Province, W3400, Argentina

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Córdoba, Córdoba Province, 5000, Argentina

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Córdoba, Córdoba Province, X5000AAW, Argentina

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Córdoba, Córdoba Province, X5000AAX, Argentina

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Córdoba, Córdoba Province, X5000BSQ, Argentina

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Córdoba, Córdoba Province, X5003DCP, Argentina

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Córdoba, Córdoba Province, X5006IKK, Argentina

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Córdoba, Córdoba Province, X5009BSN, Argentina

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Córdoba, Córdoba Province, X5014OPO, Argentina

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Córdoba, Córdoba Province, X5016KEH, Argentina

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Córdoba, Córdoba Province, X5016KET, Argentina

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Formosa, Formosa Province, P3600, Argentina

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Formosa, Formosa Province, P3634XAR, Argentina

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San Salvador de Jujuy, Jujuy Province, Y4600ABF, Argentina

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Mendoza, Mendoza Province, M5500AAJ, Argentina

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Mendoza, Mendoza Province, M5500CHC, Argentina

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Mendoza, Mendoza Province, M5500EOB, Argentina

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Cipolletti, Río Negro Province, 8324, Argentina

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Salta, Salta Province, A4400ANG, Argentina

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Buenos Aires, San Juan Province, Argentina

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San Juan, San Juan Province, J5402DIL, Argentina

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San Luis, San Luis Province, D5702JRS, Argentina

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Rosario, Santa Fe Province, 2000, Argentina

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Rosario, Santa Fe Province, S2000AII, Argentina

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Rosario, Santa Fe Province, S2001SBL, Argentina

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Rosario, Santa Fe Province, S2002KDS, Argentina

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Rosario, Santa Fe Province, S200CXP, Argentina

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Santa Fe, Santa Fe Province, S3000EOZ, Argentina

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Santa Fe, Santa Fe Province, S3000FWO, Argentina

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Santiago del Estero, Santiago del Estero Province, G4200AQK, Argentina

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San Miguel de Tucumán, Tucumán Province, T4000EBR, Argentina

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San Miguel de Tucumán, Tucumán Province, T4000IIH, Argentina

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San Miguel de Tucumán, Tucumán Province, T4000JCU, Argentina

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Heusden-Zolder, Belgium, 3550, Belgium

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Antwerp, 2060, Belgium

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Baudour, 7331, Belgium

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Bonheiden, 2820, Belgium

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Brasschaat, 2930, Belgium

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Bruges, 8000, Belgium

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Brussels, 1070, Belgium

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Brussels, 1090, Belgium

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Ghent, 9000, Belgium

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Hasselt, 3500, Belgium

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La Louvière, 7100, Belgium

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Leuven, 3000, Belgium

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Ottignies, 1340, Belgium

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Ronse, 9600, Belgium

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Salvador, Estado de Bahia, 40140-110, Brazil

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Salvador, Estado de Bahia, 41810-010, Brazil

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Brasília, Federal District, 70390-903, Brazil

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Goiânia, Goiás, 74223-130, Brazil

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Goiânia, Goiás, 74605-050, Brazil

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Goiânia, Goiás, 74823-470, Brazil

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São Luís, Maranhão, 65020-070, Brazil

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Belo Horizonte, Minas Gerais, 20180-090, Brazil

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Belo Horizonte, Minas Gerais, 30150-221, Brazil

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Uberlândia, Minas Gerais, 38400-368, Brazil

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Curitiba, Paraná, 80730-150, Brazil

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Belém, Pará, 66087-660, Brazil

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Recife, Pernambuco, 50100-030, Brazil

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Recife, Pernambuco, 50100-130, Brazil

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Recife, Pernambuco, 52051 - 38, Brazil

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Rio de Janeiro, Rio de Janeiro, 21941-590, Brazil

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Rio de Janeiro, Rio de Janeiro, 22261-010, Brazil

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Rio de Janeiro, Rio de Janeiro, 22280-020, Brazil

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Natal, Rio Grande do Norte, 59020-035, Brazil

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Passo Fundo, Rio Grande do Sul, 99010-080, Brazil

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Porto Alegre, Rio Grande do Sul, 90620-001, Brazil

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Porto Alegre, Rio Grande do Sul, 90880-480, Brazil

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Porto Alegre, Rio Grande do Sul, 92425900, Brazil

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Marília, São Paulo, 17515-000, Brazil

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Ribeirão Preto, São Paulo, 14055-370, Brazil

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Santo André, São Paulo, 09030-640, Brazil

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Santo André, São Paulo, 09190-615, Brazil

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São José do Rio Preto, São Paulo, 15015-750, Brazil

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São Paulo, São Paulo, 01327-010, Brazil

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São Paulo, São Paulo, 01506-000, Brazil

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São Paulo, São Paulo, 05403-000, Brazil

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Votuporanga, São Paulo, 15500-003, Brazil

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Burgas, Bulgaria, 8000, Bulgaria

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Plovdiv, Bulgaria, 4000, Bulgaria

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Plovdiv, Bulgaria, 4004, Bulgaria

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Sofia, Bulgaria, 1309, Bulgaria

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Sofia, Bulgaria, 1431, Bulgaria

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Sofia, Bulgaria, 1505, Bulgaria

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Sofia, Bulgaria, 1527, Bulgaria

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Sofia, Bulgaria, 1606, Bulgaria

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Haskovo, 6300, Bulgaria

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Pazardzhik, 4400, Bulgaria

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Pleven, 5800, Bulgaria

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Plovdiv, 4002, Bulgaria

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Rousse, 7002, Bulgaria

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Novartis Investigative Site

Shumen, 9700, Bulgaria

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Novartis Investigative Site

Silistra, 7500, Bulgaria

Location

Novartis Investigative Site

Sofia, 1202, Bulgaria

Location

Novartis Investigative Site

Sofia, 1233, Bulgaria

Location

Novartis Investigative Site

Sofia, 1431, Bulgaria

Location

Novartis Investigative Site

Sofia, 1606, Bulgaria

Location

Novartis Investigative Site

Stara Zagora, 6000, Bulgaria

Location

Novartis Investigative Site

Varna, 9010, Bulgaria

Location

Novartis Investigative Site

Veliko Tarnovo, 5000, Bulgaria

Location

Novartis Investigative Site

New Westminster, British Columbia, V3L 3W4, Canada

Location

Novartis Investigative Site

Surrey, British Columbia, V3V 1N1, Canada

Location

Novartis Investigative Site

Victoria, British Columbia, V8R4R2, Canada

Location

Novartis Investigative Site

Moncton, New Brunswick, E1G 1A7, Canada

Location

Novartis Investigative Site

Halifax, Nova Scotia, B3H 2Y9, Canada

Location

Novartis Investigative Site

Cambridge, Ontario, N1R 6V6, Canada

Location

Novartis Investigative Site

Greater Sudbury, Ontario, P3E 3B8, Canada

Location

Novartis Investigative Site

Kitchener, Ontario, N2M 5N4, Canada

Location

Novartis Investigative Site

London, Ontario, N6A 5A5, Canada

Location

Novartis Investigative Site

Oshawa, Ontario, L1J 2K1, Canada

Location

Novartis Investigative Site

Toronto, Ontario, M5B 1W8, Canada

Location

Novartis Investigative Site

Toronto, Ontario, M5G 1X5, Canada

Location

Novartis Investigative Site

Toronto, Ontario, M5G 2N2, Canada

Location

Novartis Investigative Site

Weston, Ontario, M9N 1W4, Canada

Location

Novartis Investigative Site

Granby, Quebec, J2G 1T7, Canada

Location

Novartis Investigative Site

Lachine, Quebec, H8S 2E4, Canada

Location

Novartis Investigative Site

Laval, Quebec, H7M 3L9, Canada

Location

Novartis Investigative Site

Lévis, Quebec, G6V 4Z5, Canada

Location

Novartis Investigative Site

Longueuil, Quebec, J4M 2X1, Canada

Location

Novartis Investigative Site

Montreal, Quebec, H2W 1T8, Canada

Location

Novartis Investigative Site

Montreal, Quebec, H3A 1A1, Canada

Location

Novartis Investigative Site

Montreal, Quebec, H3G 1A4, Canada

Location

Novartis Investigative Site

Montreal, Quebec, H3T 1E2, Canada

Location

Novartis Investigative Site

Sainte-Foy, Quebec, G1V 4G5, Canada

Location

Novartis Investigative Site

Sherbrooke, Quebec, J1G-2E8, Canada

Location

Novartis Investigative Site

St-Georges Beauce, Quebec, G5Y 4T8, Canada

Location

Novartis Investigative Site

Thetford-Mines, Quebec, G6G 2V4, Canada

Location

Novartis Investigative Site

Regina, Saskatchewan, S4P 0w5, Canada

Location

Novartis Investigative Site

Los Ángeles, Bio Bio, 4440000, Chile

Location

Novartis Investigative Site

Temuco, Cautin, Chile

Location

Novartis Investigative Site

Temuco, Región de la Araucanía, 4780000, Chile

Location

Novartis Investigative Site

San Miguel, Santiago Metropolitan, 8900000, Chile

Location

Novartis Investigative Site

Santiago, Santiago Metropolitan, 8360160, Chile

Location

Novartis Investigative Site

Santiago, Santiago Metropolitan, Chile

Location

Novartis Investigative Site

Vitacura, Santiago Metropolitan, 7630000, Chile

Location

Novartis Investigative Site

Talcahuano, Chile

Location

Novartis Investigative Site

Beijing, Beijing Municipality, 100037, China

Location

Novartis Investigative Site

Harbin, Heilongjiang, 150001, China

Location

Novartis Investigative Site

Changsha, Hunan, 410003, China

Location

Novartis Investigative Site

Nanjing, Jiangsu, 210009, China

Location

Novartis Investigative Site

Nanjing, Jiangsu, 210029, China

Location

Novartis Investigative Site

Nanjing, Jiangsu, China

Location

Novartis Investigative Site

Shenyang, Liaoning, 110003, China

Location

Novartis Investigative Site

Xi’an, Shanxi, 710061, China

Location

Novartis Investigative Site

Chengdu, Sichuan, 610041, China

Location

Novartis Investigative Site

Hangzhou, Zhejiang, 310009, China

Location

Novartis Investigative Site

Baotou, 014040, China

Location

Novartis Investigative Site

Beijing, 100029, China

Location

Novartis Investigative Site

Beijing, 100044, China

Location

Novartis Investigative Site

Beijing, 100730, China

Location

Novartis Investigative Site

Chongqing, 400037, China

Location

Novartis Investigative Site

Shanghai, 200080, China

Location

Novartis Investigative Site

Barranquilla, Atlántico, Colombia

Location

Novartis Investigative Site

Barranquilla, Colombia, Colombia

Location

Novartis Investigative Site

Cali, Colombia, Colombia

Location

Novartis Investigative Site

Cartegena, Colombia, Colombia

Location

Novartis Investigative Site

Bogota, Cundinamarca, 0000, Colombia

Location

Novartis Investigative Site

Cartagena, Departamento de Bolívar, Colombia

Location

Novartis Investigative Site

Bucaramanga, Santander Department, Colombia

Location

Novartis Investigative Site

Floridablanca, Santander Department, 57-7, Colombia

Location

Novartis Investigative Site

Barranquilla, Colombia

Location

Novartis Investigative Site

Bogotá, Colombia

Location

Novartis Investigative Site

Florida Blanca, Colombia

Location

Novartis Investigative Site

Medellín, Colombia

Location

Novartis Investigative Site

Beroun, Czech Republic, 266 01, Czechia

Location

Novartis Investigative Site

Brandýs nad Labem, Czech Republic, 250 01, Czechia

Location

Novartis Investigative Site

Hořovice, Czech Republic, 268 01, Czechia

Location

Novartis Investigative Site

Jablonec nad Nisou, Czech Republic, 466 01, Czechia

Location

Novartis Investigative Site

Karlovy Vary, Czech Republic, 360 09, Czechia

Location

Novartis Investigative Site

Kladno, Czech Republic, 272 80, Czechia

Location

Novartis Investigative Site

Klatovy, Czech Republic, 339 01, Czechia

Location

Novartis Investigative Site

Liberec V Kristianova, Czech Republic, 460 05, Czechia

Location

Novartis Investigative Site

Mělník, Czech Republic, 276 01, Czechia

Location

Novartis Investigative Site

Olomouc, Czech Republic, 779 00, Czechia

Location

Novartis Investigative Site

Pilsen, Czech Republic, 301 00, Czechia

Location

Novartis Investigative Site

Prague, Czech Republic, 142 00, Czechia

Location

Novartis Investigative Site

Prague 10, Vrsovice, Czech Republic, 10100, Czechia

Location

Novartis Investigative Site

Semily, Czech Republic, 513 31, Czechia

Location

Novartis Investigative Site

Strakonice, Czech Republic, 38601, Czechia

Location

Novartis Investigative Site

Třebíč, Czech Republic, 674 01, Czechia

Location

Novartis Investigative Site

Ústí nad Labem, Czech Republic, 400 01, Czechia

Location

Novartis Investigative Site

Bílovec, CZE, 743 01, Czechia

Location

Novartis Investigative Site

Prague, CZE, 128 08, Czechia

Location

Novartis Investigative Site

Kolín, 280 20, Czechia

Location

Novartis Investigative Site

Prague, 110 00, Czechia

Location

Novartis Investigative Site

Prague, 128 08, Czechia

Location

Novartis Investigative Site

Prague, 150 30, Czechia

Location

Novartis Investigative Site

Uherské Hradiště, 686 01, Czechia

Location

Novartis Investigative Site

Uherské Hradiště, 68601, Czechia

Location

Novartis Investigative Site

Hellerup, Denmark, DK-2900, Denmark

Location

Novartis Investigative Site

Aarhus C, DK-8000, Denmark

Location

Novartis Investigative Site

Copenhagen, DK-2100, Denmark

Location

Novartis Investigative Site

Esbjerg, DK-6700, Denmark

Location

Novartis Investigative Site

Herning, DK-7400, Denmark

Location

Novartis Investigative Site

Randers NØ, DK-8930, Denmark

Location

Novartis Investigative Site

Roskilde, DK-4000, Denmark

Location

Novartis Investigative Site

Svendborg, DK-5700, Denmark

Location

Novartis Investigative Site

Vejle, DK-7100, Denmark

Location

Novartis Investigative Site

Viborg, DK-8800, Denmark

Location

Novartis Investigative Site

Santo Domingo, Republica Dominicana, Dominican Republic

Location

Novartis Investigative Site

Santo Domingo, Santo Domingo Province, Dominican Republic

Location

Novartis Investigative Site

Guayaquil, Guayas, 412, Ecuador

Location

Novartis Investigative Site

Guayaquil, Guayas, 559, Ecuador

Location

Novartis Investigative Site

Guayaquil, Guayas, Ecuador

Location

Novartis Investigative Site

Quito, Pichincha, 1701, Ecuador

Location

Novartis Investigative Site

Tallinn, Estonia, 10138, Estonia

Location

Novartis Investigative Site

Haabneeme, Viimsi Vald, 74001, Estonia

Location

Novartis Investigative Site

Tallinn, 13419, Estonia

Location

Novartis Investigative Site

Tartu, 50410, Estonia

Location

Novartis Investigative Site

Kuopio, Finland, 70100, Finland

Location

Novartis Investigative Site

HUS, 00029, Finland

Location

Novartis Investigative Site

Kemi, FIN-94100, Finland

Location

Novartis Investigative Site

Oulu, 90100, Finland

Location

Novartis Investigative Site

Tampere, 33521, Finland

Location

Novartis Investigative Site

Strasbourg, Cedex, 67091, France

Location

Novartis Investigative Site

Abbeville, 80100, France

Location

Novartis Investigative Site

Bayonne, 64100, France

Location

Novartis Investigative Site

Bayonne, 64109, France

Location

Novartis Investigative Site

Béziers, 34525, France

Location

Novartis Investigative Site

Bordeaux, 33075, France

Location

Novartis Investigative Site

Caen, 14000, France

Location

Novartis Investigative Site

Cholet, 49325, France

Location

Novartis Investigative Site

Créteil, 94010, France

Location

Novartis Investigative Site

Essey-lès-Nancy, 54270, France

Location

Novartis Investigative Site

Grenoble, 38043, France

Location

Novartis Investigative Site

Lagny-sur-Marne, 77405, France

Location

Novartis Investigative Site

Langres, 52206, France

Location

Novartis Investigative Site

Le Chesnay, France

Location

Novartis Investigative Site

Le Plessis-Robinson, 92350, France

Location

Novartis Investigative Site

Limoges, 87001, France

Location

Novartis Investigative Site

Lomme, 59462, France

Location

Novartis Investigative Site

Montpellier, 34195, France

Location

Novartis Investigative Site

Nice, 06602, France

Location

Novartis Investigative Site

Paris, 75010, France

Location

Novartis Investigative Site

Paris, 75015, France

Location

Novartis Investigative Site

Reims, 51092, France

Location

Novartis Investigative Site

Rouen, 76031, France

Location

Novartis Investigative Site

Saint-Aubin-lès-Elbeuf, 76410, France

Location

Novartis Investigative Site

Toulouse, 31059, France

Location

Novartis Investigative Site

Tourcoing, 59208, France

Location

Novartis Investigative Site

Valencienne, 59322, France

Location

Novartis Investigative Site

Vandœuvre-lès-Nancy, 54511, France

Location

Novartis Investigative Site

Mannheim, Baden-Wurttemberg, 68305, Germany

Location

Novartis Investigative Site

Berlin, Germany, 10117, Germany

Location

Novartis Investigative Site

Ludwigshafen, Germany, 67061, Germany

Location

Novartis Investigative Site

Ahrensfelde, 16356, Germany

Location

Novartis Investigative Site

Bad Homburg, 61348, Germany

Location

Novartis Investigative Site

Bad Krozingen, 79189, Germany

Location

Novartis Investigative Site

Bad Salzuflen, 32105, Germany

Location

Novartis Investigative Site

Bad Schwartau, 23611, Germany

Location

Novartis Investigative Site

Barsinghausen, 30890, Germany

Location

Novartis Investigative Site

Berlin, 10115, Germany

Location

Novartis Investigative Site

Berlin, 10369, Germany

Location

Novartis Investigative Site

Berlin, 10559, Germany

Location

Novartis Investigative Site

Berlin, 10787, Germany

Location

Novartis Investigative Site

Berlin, 10789, Germany

Location

Novartis Investigative Site

Berlin, 13055, Germany

Location

Novartis Investigative Site

Berlin, 13347, Germany

Location

Novartis Investigative Site

Berlin, 13509, Germany

Location

Novartis Investigative Site

Berlin, 14050, Germany

Location

Novartis Investigative Site

Bernau, 16321, Germany

Location

Novartis Investigative Site

Bitburg, 54634, Germany

Location

Novartis Investigative Site

Bremen, 28277, Germany

Location

Novartis Investigative Site

Buch, 13125, Germany

Location

Novartis Investigative Site

Chemnitz, 09130, Germany

Location

Novartis Investigative Site

Darmstadt, 64287, Germany

Location

Novartis Investigative Site

Dessau, 06846, Germany

Location

Novartis Investigative Site

Dietzenbach, 63128, Germany

Location

Novartis Investigative Site

Dortmund, 44137, Germany

Location

Novartis Investigative Site

Dresden, 01099, Germany

Location

Novartis Investigative Site

Dresden, 01127, Germany

Location

Novartis Investigative Site

Dresden, 01129, Germany

Location

Novartis Investigative Site

Dresden, 01309, Germany

Location

Novartis Investigative Site

Eilenburg, 04838, Germany

Location

Novartis Investigative Site

Elsterwerda, 04910, Germany

Location

Novartis Investigative Site

Erfurt, 99084, Germany

Location

Novartis Investigative Site

Frankfurt, 60488, Germany

Location

Novartis Investigative Site

Frankfurt, 65929, Germany

Location

Novartis Investigative Site

Georgsmarienhütte, 49124, Germany

Location

Novartis Investigative Site

Giengen an der Brenz, 89537, Germany

Location

Novartis Investigative Site

Goch, 47574, Germany

Location

Novartis Investigative Site

Graben-Neudorf, 76676, Germany

Location

Novartis Investigative Site

Hamburg, 21075, Germany

Location

Novartis Investigative Site

Hamburg, 22041, Germany

Location

Novartis Investigative Site

Hamburg, 22291, Germany

Location

Novartis Investigative Site

Hamburg, 22527, Germany

Location

Novartis Investigative Site

Hamburg, 22765, Germany

Location

Novartis Investigative Site

Hamminkeln, 46499, Germany

Location

Novartis Investigative Site

Hanover, 30165, Germany

Location

Novartis Investigative Site

Heidelberg, 69115, Germany

Location

Novartis Investigative Site

Homburg, 66421, Germany

Location

Novartis Investigative Site

Hoppegarten-Dahlwitz, 15366, Germany

Location

Novartis Investigative Site

Huy / OT Anderbeck, 38836, Germany

Location

Novartis Investigative Site

Ingelheim, 55218, Germany

Location

Novartis Investigative Site

Jena, 07740, Germany

Location

Novartis Investigative Site

Jena, 07743, Germany

Location

Novartis Investigative Site

Kallstadt, 67169, Germany

Location

Novartis Investigative Site

Kassel, 34121, Germany

Location

Novartis Investigative Site

Kassel, 34125, Germany

Location

Novartis Investigative Site

Kassel, 34127, Germany

Location

Novartis Investigative Site

Kelkheim, 65779, Germany

Location

Novartis Investigative Site

Köthen, 06366, Germany

Location

Novartis Investigative Site

Künzelsau, 74653, Germany

Location

Novartis Investigative Site

Langen, 63225, Germany

Location

Novartis Investigative Site

Leipzig, 04103, Germany

Location

Novartis Investigative Site

Leipzig, 04109, Germany

Location

Novartis Investigative Site

Leipzig, 04129, Germany

Location

Novartis Investigative Site

Leipzig, 04315, Germany

Location

Novartis Investigative Site

Leipzig, 04357, Germany

Location

Novartis Investigative Site

Löhne, 32584, Germany

Location

Novartis Investigative Site

Ludwigshafen, 67067, Germany

Location

Novartis Investigative Site

Lübeck, 23558, Germany

Location

Novartis Investigative Site

Lütjenburg, 24321, Germany

Location

Novartis Investigative Site

Mainz, 55116, Germany

Location

Novartis Investigative Site

Mainz, 55131, Germany

Location

Novartis Investigative Site

Mannheim, 68165, Germany

Location

Novartis Investigative Site

Meissen, 01662, Germany

Location

Novartis Investigative Site

Meißen, 01662, Germany

Location

Novartis Investigative Site

Mönchengladbach, 41063, Germany

Location

Novartis Investigative Site

Mühldorf, 84453, Germany

Location

Novartis Investigative Site

Mühlheim, 45468, Germany

Location

Novartis Investigative Site

München, 80336, Germany

Location

Novartis Investigative Site

Münster, 48149, Germany

Location

Novartis Investigative Site

Neunkirchen, 57290, Germany

Location

Novartis Investigative Site

Neunkirchen, 66539, Germany

Location

Novartis Investigative Site

Nienburg, 31582, Germany

Location

Novartis Investigative Site

Offenbach, 63073, Germany

Location

Novartis Investigative Site

Oldenburg i.H., 23758, Germany

Location

Novartis Investigative Site

Osnabrück, 49080, Germany

Location

Novartis Investigative Site

Papenburg, 26871, Germany

Location

Novartis Investigative Site

Rhaunen, 55624, Germany

Location

Novartis Investigative Site

Riesa, 01589, Germany

Location

Novartis Investigative Site

Rodgau, 63110, Germany

Location

Novartis Investigative Site

Saint Ingbert - Oberwuerzbach, 66386, Germany

Location

Novartis Investigative Site

Schenklengsfeld, 36277, Germany

Location

Novartis Investigative Site

Schkeuditz, 04435, Germany

Location

Novartis Investigative Site

Schwäbisch Hall, 74523, Germany

Location

Novartis Investigative Site

Unterschneidheim, 73485, Germany

Location

Novartis Investigative Site

Wangen, 88239, Germany

Location

Novartis Investigative Site

Wardenburg, 26203, Germany

Location

Novartis Investigative Site

Weeze, 47652, Germany

Location

Novartis Investigative Site

Wermsdorf, 04779, Germany

Location

Novartis Investigative Site

Westhofen, 67593, Germany

Location

Novartis Investigative Site

Wetzlar-Naunheim, 35584, Germany

Location

Novartis Investigative Site

Weyhe, 28844, Germany

Location

Novartis Investigative Site

Wolmirstedt, 39326, Germany

Location

Novartis Investigative Site

Guatemala City, Departamento de Guatemala, 01010, Guatemala

Location

Novartis Investigative Site

Guatemala City, Departamento de Guatemala, 01011, Guatemala

Location

Novartis Investigative Site

Guatemala City, Departamento de Guatemala, 01015, Guatemala

Location

Novartis Investigative Site

Hong Kong, Hong Kong, Hong Kong

Location

Novartis Investigative Site

Hong Kong, Hong Kong, Hong Kong

Location

Novartis Investigative Site

Hong Kong, Hong Kong

Location

Novartis Investigative Site

Hong Kong SAR, Hong Kong

Location

Novartis Investigative Site

Pécs, Baranya, 7621, Hungary

Location

Novartis Investigative Site

Budapest, Hungary, 1122, Hungary

Location

Novartis Investigative Site

Budapest, Hungary, 1134, Hungary

Location

Novartis Investigative Site

Cegléd, Hungary, 2700, Hungary

Location

Novartis Investigative Site

Miskolc, Hungary, 3526, Hungary

Location

Novartis Investigative Site

Baja, 6500, Hungary

Location

Novartis Investigative Site

Balatonfüred, H-8231, Hungary

Location

Novartis Investigative Site

Budapest, 1021, Hungary

Location

Novartis Investigative Site

Budapest, 1027, Hungary

Location

Novartis Investigative Site

Budapest, 1043, Hungary

Location

Novartis Investigative Site

Budapest, 1085, Hungary

Location

Novartis Investigative Site

Budapest, 1096, Hungary

Location

Novartis Investigative Site

Budapest, 1125, Hungary

Location

Novartis Investigative Site

Budapest, 1134, Hungary

Location

Novartis Investigative Site

Budapest, 1145, Hungary

Location

Novartis Investigative Site

Budapest, H-1032, Hungary

Location

Novartis Investigative Site

Budapest, H-1096, Hungary

Location

Novartis Investigative Site

Budapest, H-1106, Hungary

Location

Novartis Investigative Site

Debrecen, 4032, Hungary

Location

Novartis Investigative Site

Eger, H-3300, Hungary

Location

Novartis Investigative Site

Hódmezővásárhely, 6800, Hungary

Location

Novartis Investigative Site

Kaposvár, 7400, Hungary

Location

Novartis Investigative Site

Nagykanizsa, 8800, Hungary

Location

Novartis Investigative Site

Nyiregyháza, 4400, Hungary

Location

Novartis Investigative Site

Pécs, 7643, Hungary

Location

Novartis Investigative Site

Sopron, 9400, Hungary

Location

Novartis Investigative Site

Szeged, H-6720, Hungary

Location

Novartis Investigative Site

Szekszárd, 7100, Hungary

Location

Novartis Investigative Site

Székesfehérvár, 8000, Hungary

Location

Novartis Investigative Site

Zalaegerszeg, 8900, Hungary

Location

Novartis Investigative Site

Kopavogur, 201, Iceland

Location

Novartis Investigative Site

Reykjavik, IS-101, Iceland

Location

Novartis Investigative Site

Reykjavik, IS-109, Iceland

Location

Novartis Investigative Site

Guntur, Andhra Pradesh, 522001, India

Location

Novartis Investigative Site

Hyderabad, Andhra Pradesh, 500012, India

Location

Novartis Investigative Site

Hyderabad, Andhra Pradesh, 500082, India

Location

Novartis Investigative Site

Tirupati, Andhra Pradesh, 517501, India

Location

Novartis Investigative Site

Visakhapatnam, Andhra Pradesh, 530 013, India

Location

Novartis Investigative Site

Visakhapatnam, Andhra Pradesh, 530002, India

Location

Novartis Investigative Site

Hyderabad, Andhra Pradesh, India, 500034, India

Location

Novartis Investigative Site

Ahmedabad, Gujarat, 380 013, India

Location

Novartis Investigative Site

Ahmedabad, Gujarat, 380014, India

Location

Novartis Investigative Site

Ahmedabad, Gujarat, 380025, India

Location

Novartis Investigative Site

Anand, Gujarat, 388325, India

Location

Novartis Investigative Site

Rajkot, Gujarat, 360001, India

Location

Novartis Investigative Site

Surat, Gujarat, 395001, India

Location

Novartis Investigative Site

Vadodara, Gujarat, 390015, India

Location

Novartis Investigative Site

Gurgaon, Haryana, 122001, India

Location

Novartis Investigative Site

Indore, India, 452014, India

Location

Novartis Investigative Site

Bangalore, Karnataka, 560038, India

Location

Novartis Investigative Site

Bangalore, Karnataka, 560092, India

Location

Novartis Investigative Site

Banglaore, Karnataka, 560054, India

Location

Novartis Investigative Site

Mangalore, Karnataka, 575002, India

Location

Novartis Investigative Site

Mysore, Karnataka, 570004, India

Location

Novartis Investigative Site

Kochi, Kerala, 683572, India

Location

Novartis Investigative Site

Trivandrum, Kerala, 695011, India

Location

Novartis Investigative Site

Trivandrum, Kerala, 695607, India

Location

Novartis Investigative Site

Mumbai, Maharashtra, 400012, India

Location

Novartis Investigative Site

Nagpur, Maharashtra, 400012, India

Location

Novartis Investigative Site

Nagpur, Maharashtra, 440 010, India

Location

Novartis Investigative Site

Nagpur, Maharashtra, 44000033, India

Location

Novartis Investigative Site

Nashik, Maharashtra, 422 005, India

Location

Novartis Investigative Site

Nashik, Maharashtra, 422002, India

Location

Novartis Investigative Site

Nashik, Maharashtra, 422005, India

Location

Novartis Investigative Site

Pune, Maharashtra, 411 005, India

Location

Novartis Investigative Site

Pune, Maharashtra, 411 011, India

Location

Novartis Investigative Site

Pune, Maharashtra, 411011, India

Location

Novartis Investigative Site

Delhi, National Capital Territory of Delhi, 110080, India

Location

Novartis Investigative Site

Ludhiana, Punjab, 141002, India

Location

Novartis Investigative Site

Bikaner, Rajasthan, 334003, India

Location

Novartis Investigative Site

Jaipur, Rajasthan, 302016, India

Location

Novartis Investigative Site

Kota, Rajasthan, 324005, India

Location

Novartis Investigative Site

Chennai, Tamil Nadu, 600004, India

Location

Novartis Investigative Site

Chennai, Tamil Nadu, 600020, India

Location

Novartis Investigative Site

Lucknow, Uttar Pradesh, 226003, India

Location

Novartis Investigative Site

Varanasi, Uttar Pradesh, 221 005, India

Location

Novartis Investigative Site

Ahmedabad, 380052, India

Location

Novartis Investigative Site

Hyderabad, 500 063, India

Location

Novartis Investigative Site

Safed, Israel, 13100, Israel

Location

Novartis Investigative Site

Ashkelon, 78278, Israel

Location

Novartis Investigative Site

Hadera, 38100, Israel

Location

Novartis Investigative Site

Haifa, 31096, Israel

Location

Novartis Investigative Site

Haifa, 3436212, Israel

Location

Novartis Investigative Site

Jerusalem, 91031, Israel

Location

Novartis Investigative Site

Jerusalem, 9112001, Israel

Location

Novartis Investigative Site

Petah Tikva, 49100, Israel

Location

Novartis Investigative Site

Rehovot, 76100, Israel

Location

Novartis Investigative Site

Aosta, AO, 11100, Italy

Location

Novartis Investigative Site

Cortona, AR, 52044, Italy

Location

Novartis Investigative Site

Bergamo, BG, 24128, Italy

Location

Novartis Investigative Site

Seriate, BG, 24068, Italy

Location

Novartis Investigative Site

Treviglio, BG, 24047, Italy

Location

Novartis Investigative Site

San Pietro Vernotico, BR, 72027, Italy

Location

Novartis Investigative Site

Bolzano, BZ, 39100, Italy

Location

Novartis Investigative Site

Cosenza, CS, 87100, Italy

Location

Novartis Investigative Site

Catanzaro, CZ, 88100, Italy

Location

Novartis Investigative Site

Cona, FE, 44100, Italy

Location

Novartis Investigative Site

Florence, FI, 50143, Italy

Location

Novartis Investigative Site

Genova, GE, 16132, Italy

Location

Novartis Investigative Site

Pozzilli, IS, 86077, Italy

Location

Novartis Investigative Site

Lido di Camaiore, LU, 55041, Italy

Location

Novartis Investigative Site

Monza, MB, 20900, Italy

Location

Novartis Investigative Site

Milazzo, ME, 98057, Italy

Location

Novartis Investigative Site

Milan, MI, 20122, Italy

Location

Novartis Investigative Site

Modena, MO, 41100, Italy

Location

Novartis Investigative Site

Piove di Sacco, PD, 35028, Italy

Location

Novartis Investigative Site

Perugia, PG, 06100, Italy

Location

Novartis Investigative Site

Pisa, PI, 56126, Italy

Location

Novartis Investigative Site

Pescia, PT, 51017, Italy

Location

Novartis Investigative Site

Casorate Primo, PV, 27022, Italy

Location

Novartis Investigative Site

Pavia, PV, 27100, Italy

Location

Novartis Investigative Site

Stradella, PV, 27049, Italy

Location

Novartis Investigative Site

Albano Laziale, RM, 00041, Italy

Location

Novartis Investigative Site

Roma, RM, 00163, Italy

Location

Novartis Investigative Site

Battipaglia, SA, 84091, Italy

Location

Novartis Investigative Site

Cava de' Tirreni, SA, 84013, Italy

Location

Novartis Investigative Site

Salerno, SA, 84131, Italy

Location

Novartis Investigative Site

Sassari, SS, 07100, Italy

Location

Novartis Investigative Site

Thiesi, SS, 07047, Italy

Location

Novartis Investigative Site

Palmanova, UD, 33057, Italy

Location

Novartis Investigative Site

San Daniele del Friuli, UD, 33038, Italy

Location

Novartis Investigative Site

Tradate, VA, 21049, Italy

Location

Novartis Investigative Site

Varese, VA, 21100, Italy

Location

Novartis Investigative Site

Vibo Valentia, VV, 89900, Italy

Location

Novartis Investigative Site

Liepāja, LV, LV-3414, Latvia

Location

Novartis Investigative Site

Daugavplis, LV-5417, Latvia

Location

Novartis Investigative Site

Kuldīga, LV-3300, Latvia

Location

Novartis Investigative Site

Preiļi, LV-5301, Latvia

Location

Novartis Investigative Site

Riga, 1002, Latvia

Location

Novartis Investigative Site

Ventspils, LV-3601, Latvia

Location

Novartis Investigative Site

Kaunas, 50009, Lithuania

Location

Novartis Investigative Site

Kaunas, LT-49387, Lithuania

Location

Novartis Investigative Site

Kėdainiai, LT-57164, Lithuania

Location

Novartis Investigative Site

Šiauliai, LT-76231, Lithuania

Location

Novartis Investigative Site

Vilnius, LT-08661, Lithuania

Location

Novartis Investigative Site

Pulau Pinang, Pulau Pinang, 10990, Malaysia

Location

Novartis Investigative Site

Kuching, Sarawak, 94300, Malaysia

Location

Novartis Investigative Site

Kuala Lumpur, 50400, Malaysia

Location

Novartis Investigative Site

Kuala Lumpur, 59100, Malaysia

Location

Novartis Investigative Site

Aguascalientes, Aguascalientes, 20230, Mexico

Location

Novartis Investigative Site

Guadalajara, Jalisco, 44280, Mexico

Location

Novartis Investigative Site

Zapopan, Jalisco, 45200, Mexico

Location

Novartis Investigative Site

Mexico City, Mexico City, 03100, Mexico

Location

Novartis Investigative Site

Mexico City, Mexico City, 06700, Mexico

Location

Novartis Investigative Site

Mexico City, Mexico City, 06720, Mexico

Location

Novartis Investigative Site

Mexico City, Mexico City, 07300, Mexico

Location

Novartis Investigative Site

Monterrey, Nuevo León, 64710, Mexico

Location

Novartis Investigative Site

Querétaro City, Querétaro, 76000, Mexico

Location

Novartis Investigative Site

San Juan del Río, Querétaro, 76800, Mexico

Location

Novartis Investigative Site

San Luis Potosí City, San Luis Potosí, 78200, Mexico

Location

Novartis Investigative Site

San Luis Potosí City, San Luis Potosí, 78240, Mexico

Location

Novartis Investigative Site

Ede, Netherlands, 6716 RP, Netherlands

Location

Novartis Investigative Site

Eindhoven, Netherlands, 5623 EJ, Netherlands

Location

Novartis Investigative Site

Hardenberg, Netherlands, 7770 AA, Netherlands

Location

Novartis Investigative Site

Harderwijk, Netherlands, 3840 AC, Netherlands

Location

Novartis Investigative Site

Oss, NL, 5342 BT, Netherlands

Location

Novartis Investigative Site

's-Hertogenbosch, 5223 GZ, Netherlands

Location

Novartis Investigative Site

Amersfoort, 3813 TZ, Netherlands

Location

Novartis Investigative Site

Arnhem, 6815 AD, Netherlands

Location

Novartis Investigative Site

Blaricum, 1261 AN, Netherlands

Location

Novartis Investigative Site

Breda, 4818 CK, Netherlands

Location

Novartis Investigative Site

Delft, 2625 AD, Netherlands

Location

Novartis Investigative Site

Goes, 4462 RA, Netherlands

Location

Novartis Investigative Site

Gorinchem, 4204 AA, Netherlands

Location

Novartis Investigative Site

Heerenveen, 8441 PW, Netherlands

Location

Novartis Investigative Site

Hengelo, 7555 DL, Netherlands

Location

Novartis Investigative Site

Hoorn, 1625 HV, Netherlands

Location

Novartis Investigative Site

Maastricht, 6229 HX, Netherlands

Location

Novartis Investigative Site

Nijmegen, 6525 GA, Netherlands

Location

Novartis Investigative Site

Sneek, 8601 ZK, Netherlands

Location

Novartis Investigative Site

The Hague, 2512 VA, Netherlands

Location

Novartis Investigative Site

Tilburg, 5022 GC, Netherlands

Location

Novartis Investigative Site

Veldhoven, 5504 DB, Netherlands

Location

Novartis Investigative Site

Panama City, Provincia de Panamá, 0831-02351, Panama

Location

Novartis Investigative Site

Panama City, Provincia de Panamá, Panama

Location

Novartis Investigative Site

Arequipa, Arequipa, Areq01, Peru

Location

Novartis Investigative Site

Bellavista, Lima region, Callao 02, Peru

Location

Novartis Investigative Site

Jesus Maria, Lima region, 11, Peru

Location

Novartis Investigative Site

La Molina, Lima region, 12, Peru

Location

Novartis Investigative Site

Lima Cercado, Lima region, 01, Peru

Location

Novartis Investigative Site

San Borja, Lima region, 41, Peru

Location

Novartis Investigative Site

San Isidro, Lima region, 27, Peru

Location

Novartis Investigative Site

San Miguel, Lima region, 32, Peru

Location

Novartis Investigative Site

Lipa City, Batangas, 4217, Philippines

Location

Novartis Investigative Site

Quezon City, Manila, 1100, Philippines

Location

Novartis Investigative Site

Quezon City, National Capital Region, 1109, Philippines

Location

Novartis Investigative Site

Bulacan, Philippines, 3020, Philippines

Location

Novartis Investigative Site

Manila, Philippines, 1000, Philippines

Location

Novartis Investigative Site

Manila, Philippines, 1003, Philippines

Location

Novartis Investigative Site

San Juan City, Philippines, 1500, Philippines

Location

Novartis Investigative Site

Manila, Philippines

Location

Novartis Investigative Site

Pasig, 1605, Philippines

Location

Novartis Investigative Site

Quezon City, 1100, Philippines

Location

Novartis Investigative Site

Quezon City, 1102, Philippines

Location

Novartis Investigative Site

Bialystok, 15-875, Poland

Location

Novartis Investigative Site

Gdynia, 81-157, Poland

Location

Novartis Investigative Site

Gdynia, 81-472, Poland

Location

Novartis Investigative Site

Gdynia, 81-519, Poland

Location

Novartis Investigative Site

Gdynia, 81-548, Poland

Location

Novartis Investigative Site

Gliwice, 44-100, Poland

Location

Novartis Investigative Site

Golub-Dobrzyń, 87-400, Poland

Location

Novartis Investigative Site

Katowice, 40-084, Poland

Location

Novartis Investigative Site

Katowice, 40-530, Poland

Location

Novartis Investigative Site

Katowice, 40-645, Poland

Location

Novartis Investigative Site

Krakow, 30-015, Poland

Location

Novartis Investigative Site

Krakow, 30-082, Poland

Location

Novartis Investigative Site

Kutno, 99-300, Poland

Location

Novartis Investigative Site

Lodz, 91-302, Poland

Location

Novartis Investigative Site

Lublin, 20-857, Poland

Location

Novartis Investigative Site

Oława, 55-200, Poland

Location

Novartis Investigative Site

Skierniewice, 96-100, Poland

Location

Novartis Investigative Site

Wroclaw, 50-088, Poland

Location

Novartis Investigative Site

Wroclaw, 51-312, Poland

Location

Novartis Investigative Site

Wroclaw, 52-612, Poland

Location

Novartis Investigative Site

Zabrze, 41-800, Poland

Location

Novartis Investigative Site

Porto, Porto District, 4200-319, Portugal

Location

Novartis Investigative Site

Amadora, Portugal, 2720-276, Portugal

Location

Novartis Investigative Site

Covilha, Portugal, 6200-251, Portugal

Location

Novartis Investigative Site

Guimarães, Portugal, 4835-044, Portugal

Location

Novartis Investigative Site

Lisbon, Portugal, 1169-024, Portugal

Location

Novartis Investigative Site

Lisbon, Portugal, 1449-005, Portugal

Location

Novartis Investigative Site

Penafiel, Portugal, 4564-007, Portugal

Location

Novartis Investigative Site

Portalegre, Portugal, 7300-853, Portugal

Location

Novartis Investigative Site

Vila Real, Portuigal, 5000-508, Portugal

Location

Novartis Investigative Site

Setúbal, 2910-446, Portugal

Location

Novartis Investigative Site

Bucharest, District 1, 014461, Romania

Location

Novartis Investigative Site

Bucharest, District 1, Romania

Location

Novartis Investigative Site

Bucharest, District 2, 021345, Romania

Location

Novartis Investigative Site

Bucharest, District 5, 050538, Romania

Location

Novartis Investigative Site

Craiova, Jud. Dolj, 200147, Romania

Location

Novartis Investigative Site

Timișoara, Jud. Timis, 300359, Romania

Location

Novartis Investigative Site

Craiova, Jud.Dolj, 200235, Romania

Location

Novartis Investigative Site

Ploieşti, Jud.Prahova, 100410, Romania

Location

Novartis Investigative Site

Arad, Romania, 310158, Romania

Location

Novartis Investigative Site

Bucharest, Romania, 020054, Romania

Location

Novartis Investigative Site

Bucharest, Romania, 050659, Romania

Location

Novartis Investigative Site

Deva, Romania, 330084, Romania

Location

Novartis Investigative Site

Timișoara, Romania, 300020, Romania

Location

Novartis Investigative Site

Timișoara, Romania, 300041, Romania

Location

Novartis Investigative Site

Timișoara, Romania, 300361, Romania

Location

Novartis Investigative Site

Timișoara, Romania, 300736, Romania

Location

Novartis Investigative Site

Bucharest, 011728, Romania

Location

Novartis Investigative Site

Bucharest, 050098, Romania

Location

Novartis Investigative Site

Bucharest, 060011, Romania

Location

Novartis Investigative Site

Bucharest, 062272, Romania

Location

Novartis Investigative Site

Piteşti, 110114, Romania

Location

Novartis Investigative Site

Timișoara, 300310, Romania

Location

Novartis Investigative Site

Gatchina, 188300, Russia

Location

Novartis Investigative Site

Ivanovo, 153012, Russia

Location

Novartis Investigative Site

Izhevsk, 426063, Russia

Location

Novartis Investigative Site

Kazan', 420012, Russia

Location

Novartis Investigative Site

Kemerovo, 650002, Russia

Location

Novartis Investigative Site

Kemerovo, 650029, Russia

Location

Novartis Investigative Site

Kemerovo, 650099, Russia

Location

Novartis Investigative Site

Kirov, 610027, Russia

Location

Novartis Investigative Site

Krasnodar, 350012, Russia

Location

Novartis Investigative Site

Krasnodar, 350086, Russia

Location

Novartis Investigative Site

Moscow, 101990, Russia

Location

Novartis Investigative Site

Moscow, 105203, Russia

Location

Novartis Investigative Site

Moscow, 105229, Russia

Location

Novartis Investigative Site

Moscow, 109240, Russia

Location

Novartis Investigative Site

Moscow, 111539, Russia

Location

Novartis Investigative Site

Moscow, 115280, Russia

Location

Novartis Investigative Site

Moscow, 115487, Russia

Location

Novartis Investigative Site

Moscow, 115516, Russia

Location

Novartis Investigative Site

Moscow, 117198, Russia

Location

Novartis Investigative Site

Moscow, 117556, Russia

Location

Novartis Investigative Site

Moscow, 119333, Russia

Location

Novartis Investigative Site

Moscow, 119881, Russia

Location

Novartis Investigative Site

Moscow, 119992, Russia

Location

Novartis Investigative Site

Moscow, 121309, Russia

Location

Novartis Investigative Site

Moscow, 121552, Russia

Location

Novartis Investigative Site

Moscow, 125284, Russia

Location

Novartis Investigative Site

Moscow, 127473, Russia

Location

Novartis Investigative Site

N.Novgorod, 603005, Russia

Location

Novartis Investigative Site

N.Novgorod, 603073, Russia

Location

Novartis Investigative Site

Nizhny Novgorod, 603003, Russia

Location

Novartis Investigative Site

Nizhny Novgorod, 603126, Russia

Location

Novartis Investigative Site

Novosibirsk, 630051, Russia

Location

Novartis Investigative Site

Novosibirsk, 630087, Russia

Location

Novartis Investigative Site

Novosibirsk-117, 630117, Russia

Location

Novartis Investigative Site

Orenburg, 460000, Russia

Location

Novartis Investigative Site

Orenburg, 460040, Russia

Location

Novartis Investigative Site

Penza, 440026, Russia

Location

Novartis Investigative Site

Perm, 614097, Russia

Location

Novartis Investigative Site

Petrozavodsk, 185019, Russia

Location

Novartis Investigative Site

Rostov-on-Don, 344022, Russia

Location

Novartis Investigative Site

S-Petersburg, 191144, Russia

Location

Novartis Investigative Site

S.-Petersburg, 194354, Russia

Location

Novartis Investigative Site

S.-Petersburg, 198205, Russia

Location

Novartis Investigative Site

Saint Petersburg, 193163, Russia

Location

Novartis Investigative Site

Saint Petersburg, 194017, Russia

Location

Novartis Investigative Site

Saint Petersburg, 194044, Russia

Location

Novartis Investigative Site

Saint Petersburg, 194295, Russia

Location

Novartis Investigative Site

Saint Petersburg, 195067, Russia

Location

Novartis Investigative Site

Saint Petersburg, 196084, Russia

Location

Novartis Investigative Site

Saint Petersburg, 197022, Russia

Location

Novartis Investigative Site

Saint Petersburg, 197119, Russia

Location

Novartis Investigative Site

Saint Petersburg, 197341, Russia

Location

Novartis Investigative Site

Saint Petersburg, 198013, Russia

Location

Novartis Investigative Site

Saint Petersburg, 199106, Russia

Location

Novartis Investigative Site

Samara, 443070, Russia

Location

Novartis Investigative Site

Samara, 443095, Russia

Location

Novartis Investigative Site

Saratov, 410012, Russia

Location

Novartis Investigative Site

Saratov, 410028, Russia

Location

Novartis Investigative Site

Smolensk, 214018, Russia

Location

Novartis Investigative Site

St-Peterburg, 190000, Russia

Location

Novartis Investigative Site

Syktyvkar, 167981, Russia

Location

Novartis Investigative Site

Tula, 300053, Russia

Location

Novartis Investigative Site

Tver', 170036, Russia

Location

Novartis Investigative Site

Vladimir, 600020, Russia

Location

Novartis Investigative Site

Volgograd, 400008, Russia

Location

Novartis Investigative Site

Voronezh, 394065, Russia

Location

Novartis Investigative Site

Yaroslavl, 150003, Russia

Location

Novartis Investigative Site

Yaroslavl, 150062, Russia

Location

Novartis Investigative Site

Yekaterinburg, 620028, Russia

Location

Novartis Investigative Site

Yekaterinburg, 620102, Russia

Location

Novartis Investigative Site

Yekaterinburg, 620137, Russia

Location

Novartis Investigative Site

Singapore, Singapore, 119074, Singapore

Location

Novartis Investigative Site

Singapore, Singapore, 169609, Singapore

Location

Novartis Investigative Site

Singapore, Singapore, 308433, Singapore

Location

Novartis Investigative Site

Singapore, Singapore, 768825, Singapore

Location

Novartis Investigative Site

Bratislava, Slovak Republic, 841 04, Slovakia

Location

Novartis Investigative Site

Brezno, Slovak Republic, 977 42, Slovakia

Location

Novartis Investigative Site

Košice, Slovak Republic, 040 22, Slovakia

Location

Novartis Investigative Site

Levice, Slovak Republic, 93401, Slovakia

Location

Novartis Investigative Site

Prešov, Slovak Republic, 080 01, Slovakia

Location

Novartis Investigative Site

Prešov, Slovak Republic, 08001, Slovakia

Location

Novartis Investigative Site

Svidník, Slovak Republic, 08901, Slovakia

Location

Novartis Investigative Site

Vranov nad Topľou, Slovak Republic, 09301, Slovakia

Location

Novartis Investigative Site

Bratislava, Slovakia, 821 07, Slovakia

Location

Novartis Investigative Site

Bratislava, Slovakia, 841 04, Slovakia

Location

Novartis Investigative Site

Dunajská Streda, Slovakia, 929 01, Slovakia

Location

Novartis Investigative Site

Košice, Slovakia, 040 01, Slovakia

Location

Novartis Investigative Site

Košice, Slovakia, 04001, Slovakia

Location

Novartis Investigative Site

Kráľovský Chlmec, Slovakia, 077 01, Slovakia

Location

Novartis Investigative Site

Levice, Slovakia, 934 01, Slovakia

Location

Novartis Investigative Site

Levice, Slovakia, 934 05, Slovakia

Location

Novartis Investigative Site

Lučenec, Slovakia, 984 01, Slovakia

Location

Novartis Investigative Site

Martin, Slovakia, 036 01, Slovakia

Location

Novartis Investigative Site

Nitra, Slovakia, 949 88, Slovakia

Location

Novartis Investigative Site

Trnava, Slovakia, 917 01, Slovakia

Location

Novartis Investigative Site

Trnava, Slovakia, 91701, Slovakia

Location

Novartis Investigative Site

Bratislava, 81369, Slovakia

Location

Novartis Investigative Site

Bratislava, 851 07, Slovakia

Location

Novartis Investigative Site

Dolný Kubín, 026 01, Slovakia

Location

Novartis Investigative Site

Mthatha, Eastern Cape, South Africa

Location

Novartis Investigative Site

Bloemfontein, Free State, 9301, South Africa

Location

Novartis Investigative Site

Soweto, Gauteng, 2013, South Africa

Location

Novartis Investigative Site

Middelburg, Mpumalanga, 1050, South Africa

Location

Novartis Investigative Site

Paarl, Western Cape, 7626, South Africa

Location

Novartis Investigative Site

Somerset West, Western Cape, 7130, South Africa

Location

Novartis Investigative Site

Alberton, 1449, South Africa

Location

Novartis Investigative Site

Bloemfontein, 9301, South Africa

Location

Novartis Investigative Site

Bloemfontein, 9317, South Africa

Location

Novartis Investigative Site

Breyten, 2330, South Africa

Location

Novartis Investigative Site

Brits, 250, South Africa

Location

Novartis Investigative Site

Cape Town, 7405, South Africa

Location

Novartis Investigative Site

Cape Town, 7500, South Africa

Location

Novartis Investigative Site

Cape Town, 7505, South Africa

Location

Novartis Investigative Site

Cape Town, 7531, South Africa

Location

Novartis Investigative Site

Cape Town, South Africa

Location

Novartis Investigative Site

Durban, 4001, South Africa

Location

Novartis Investigative Site

Durban, 4052, South Africa

Location

Novartis Investigative Site

Durban, 4110, South Africa

Location

Novartis Investigative Site

East London, South Africa

Location

Novartis Investigative Site

eMkhomazi, 4170, South Africa

Location

Novartis Investigative Site

Gatesville, 7764, South Africa

Location

Novartis Investigative Site

Johannesburg, 2193, South Africa

Location

Novartis Investigative Site

Kempton Park, 1620, South Africa

Location

Novartis Investigative Site

Port Elizabeth, 6014, South Africa

Location

Novartis Investigative Site

Pretoria, 0121, South Africa

Location

Novartis Investigative Site

Pretoria, 0184, South Africa

Location

Novartis Investigative Site

Pretoria, South Africa

Location

Novartis Investigative Site

Witbank, South Africa

Location

Novartis Investigative Site

Worcester, 6850, South Africa

Location

Novartis Investigative Site

Busan, Busan, 602-739, South Korea

Location

Novartis Investigative Site

Wŏnju, Gangwon-do, 220-701, South Korea

Location

Novartis Investigative Site

Gwangju, Gwangju, 501-757, South Korea

Location

Novartis Investigative Site

Suwon, Gyeonggi-do, 443-380, South Korea

Location

Novartis Investigative Site

Seoul, Korea, 120-752, South Korea

Location

Novartis Investigative Site

Seoul, Korea, 137-701, South Korea

Location

Novartis Investigative Site

Seoul, Korea, 138-736, South Korea

Location

Novartis Investigative Site

Daegu, 705-703, South Korea

Location

Novartis Investigative Site

Daegu, 705-718, South Korea

Location

Novartis Investigative Site

Pusan, 614-735, South Korea

Location

Novartis Investigative Site

Seoul, 110-102, South Korea

Location

Novartis Investigative Site

Seoul, 134-701, South Korea

Location

Novartis Investigative Site

Seoul, 156-707, South Korea

Location

Novartis Investigative Site

Almería, Andalusia, 04120, Spain

Location

Novartis Investigative Site

Marbella, Andalusia, 29600, Spain

Location

Novartis Investigative Site

Málaga, Andalusia, 29010, Spain

Location

Novartis Investigative Site

Seville, Andalusia, 41014, Spain

Location

Novartis Investigative Site

Seville, Andalusia, 41017, Spain

Location

Novartis Investigative Site

Mallorca, Balearic Islands, 07198, Spain

Location

Novartis Investigative Site

Barcelona, Catalonia, 08003, Spain

Location

Novartis Investigative Site

Barcelona, Catalonia, 08035, Spain

Location

Novartis Investigative Site

Sant Joan Despí, Catalonia, 08970, Spain

Location

Novartis Investigative Site

Mérida, Extremadura, 06800, Spain

Location

Novartis Investigative Site

A Coruña, Galicia, 15006, Spain

Location

Novartis Investigative Site

Ferrol, Galicia, 15405, Spain

Location

Novartis Investigative Site

Santiago de Compostela, Galicia, 15706, Spain

Location

Novartis Investigative Site

Vigo, Galicia, 36211, Spain

Location

Novartis Investigative Site

Alcalá de Henares, Madrid, 28805, Spain

Location

Novartis Investigative Site

Madrid, Madrid, 28007, Spain

Location

Novartis Investigative Site

Majadahonda, Madrid, 28222, Spain

Location

Novartis Investigative Site

Móstoles, Madrid, 28935, Spain

Location

Novartis Investigative Site

El Palmar, Murcia, 30120, Spain

Location

Novartis Investigative Site

Alicante, Valencia, 03004, Spain

Location

Novartis Investigative Site

Valencia, Valencia, 46010, Spain

Location

Novartis Investigative Site

Valencia, Valencia, 46015, Spain

Location

Novartis Investigative Site

Gothenburg, 416 85, Sweden

Location

Novartis Investigative Site

Gothenburg, Sweden

Location

Novartis Investigative Site

Härnösand, 871 82, Sweden

Location

Novartis Investigative Site

Helsingborg, 25232, Sweden

Location

Novartis Investigative Site

Karlshamn, 37480, Sweden

Location

Novartis Investigative Site

Lund, 221 85, Sweden

Location

Novartis Investigative Site

Motala, 59185, Sweden

Location

Novartis Investigative Site

Stockholm, 141 86, Sweden

Location

Novartis Investigative Site

Vällingby, 162 68, Sweden

Location

Novartis Investigative Site

Taichung, Taiwan, 40447, Taiwan

Location

Novartis Investigative Site

Taipei, Taiwan, 10002, Taiwan

Location

Novartis Investigative Site

Taipei, Taiwan, 114, Taiwan

Location

Novartis Investigative Site

Tainan, Taiwan ROC, Taiwan

Location

Novartis Investigative Site

Taipei, Taiwan, ROC, 112, Taiwan

Location

Novartis Investigative Site

Changhua, 500, Taiwan

Location

Novartis Investigative Site

Kaohsiung City, 82445, Taiwan

Location

Novartis Investigative Site

Yilan, Taiwan

Location

Novartis Investigative Site

Taladkwan, Changwat Nonthaburi, 11000, Thailand

Location

Novartis Investigative Site

Muang, Muang, 65000, Thailand

Location

Novartis Investigative Site

Muang, Thailand, 12120, Thailand

Location

Novartis Investigative Site

Bangkok, 10400, Thailand

Location

Novartis Investigative Site

Khon Kaen, 40002, Thailand

Location

Novartis Investigative Site

Istanbul, Turkey, 34304, Turkey (Türkiye)

Location

Novartis Investigative Site

Izmir, Turkey, 35040, Turkey (Türkiye)

Location

Novartis Investigative Site

Adana, 01250, Turkey (Türkiye)

Location

Novartis Investigative Site

Ankara, 06100, Turkey (Türkiye)

Location

Novartis Investigative Site

Antalya, 07070, Turkey (Türkiye)

Location

Novartis Investigative Site

Balcova / Izmir, 35340, Turkey (Türkiye)

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Novartis Investigative Site

Edirne, 22030, Turkey (Türkiye)

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Novartis Investigative Site

Etlik / Ankara, 06018, Turkey (Türkiye)

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Novartis Investigative Site

Haseki / Istanbul, 34096, Turkey (Türkiye)

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Novartis Investigative Site

Istanbul, 34093, Turkey (Türkiye)

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Novartis Investigative Site

Kocaeli, 41380, Turkey (Türkiye)

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Novartis Investigative Site

Mersin, 33079, Turkey (Türkiye)

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Novartis Investigative Site

Meselik / Eskisehir, 26480, Turkey (Türkiye)

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Novartis Investigative Site

Sivas, 58140, Turkey (Türkiye)

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Novartis Investigative Site

Bristol, Bs2 8hw, United Kingdom

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Novartis Investigative Site

Cambridge, Cambrigdeshire, CB2 0QQ, United Kingdom

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Novartis Investigative Site

Durham, County Durham, DH1 5TW, United Kingdom

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Novartis Investigative Site

Dorchester, Dorset, DT1 2JY, United Kingdom

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Novartis Investigative Site

Brighton, East Sussex, BN2 5BE, United Kingdom

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Novartis Investigative Site

Swansea, England, SA6 6NL, United Kingdom

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Novartis Investigative Site

Romford, Essex, RM7 0AG, United Kingdom

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Novartis Investigative Site

Basingstoke, Hampshire, RG24 9NA, United Kingdom

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Novartis Investigative Site

Portsmouth, Hampshire, PO6 3LY, United Kingdom

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Novartis Investigative Site

Royal Bridge Wells, Kent, TN4 8AT, United Kingdom

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Novartis Investigative Site

Oldham, Lancashire, OL1 2JH, United Kingdom

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Novartis Investigative Site

Leicester, Leicestershire, LE2 7LX, United Kingdom

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Novartis Investigative Site

Craigavon, Northern Ireland, BT63 5QQ, United Kingdom

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Novartis Investigative Site

Dundee, Perthshire, DD1 2BU, United Kingdom

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Novartis Investigative Site

Taunton, Somerset, TA1 5DA, United Kingdom

Location

Novartis Investigative Site

Yeovil, Somerset, BA21 4AT, United Kingdom

Location

Novartis Investigative Site

Sheffield, South Yorkshire, S10 2JF, United Kingdom

Location

Novartis Investigative Site

Redhill, Surrey, RH1 5RH, United Kingdom

Location

Novartis Investigative Site

South Shields, Tyne and Wear, NE34 0PL, United Kingdom

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Novartis Investigative Site

Dudley, West Midlands, DY1 2HQ, United Kingdom

Location

Novartis Investigative Site

Sutton Coldfield, West Midlands, B75 7RR, United Kingdom

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Novartis Investigative Site

Birmingham, B18 7QH, United Kingdom

Location

Novartis Investigative Site

Blackpool, FY3 8NR, United Kingdom

Location

Novartis Investigative Site

Bournemouth, BH7 7DW, United Kingdom

Location

Novartis Investigative Site

Bradford, BD9 6RJ, United Kingdom

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Novartis Investigative Site

Cheshire, CW1 4QJ, United Kingdom

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Novartis Investigative Site

Coventry, CV2 2DX, United Kingdom

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Novartis Investigative Site

Croydon, CR7 7YE, United Kingdom

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Novartis Investigative Site

Darlington, DL3 6HX, United Kingdom

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Novartis Investigative Site

Exeter, EX2 5AX, United Kingdom

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Novartis Investigative Site

Inverness, IV2 3UJ, United Kingdom

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Novartis Investigative Site

Kent, DA2 8DA, United Kingdom

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Novartis Investigative Site

Liverpool, L7 8XP, United Kingdom

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Novartis Investigative Site

London, W1G 8PH, United Kingdom

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Novartis Investigative Site

Londonderry, BT47 1SB, United Kingdom

Location

Novartis Investigative Site

Manchester, M13 9WL, United Kingdom

Location

Novartis Investigative Site

Middlesbrough, TS4 3BW, United Kingdom

Location

Novartis Investigative Site

Milton Keynes, MK6 5LD, United Kingdom

Location

Novartis Investigative Site

Newport, NP20 2UB, United Kingdom

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Novartis Investigative Site

Newport, P030 5TG, United Kingdom

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Novartis Investigative Site

Norwich, NR4 7UY, United Kingdom

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Novartis Investigative Site

Poole, BH15 2JB, United Kingdom

Location

Novartis Investigative Site

Rotherham, S60 2OD, United Kingdom

Location

Novartis Investigative Site

Stevenage, SG1 4AB, United Kingdom

Location

Novartis Investigative Site

Sunderland, SR4 7TP, United Kingdom

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Novartis Investigative Site

Surrey, SM5 1AA, United Kingdom

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Novartis Investigative Site

Vale of Glamorgan, CF64 2XX, United Kingdom

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Novartis Investigative Site

Worcester, WR5 1DD, United Kingdom

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Novartis Investigative Site

York, YO31 8HE, United Kingdom

Location

Novartis Investigative Site

Caracas, Distrito Federal, 1060, Venezuela

Location

Novartis Investigative Site

Caracas, Miranda, 1061, Venezuela

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Novartis Investigative Site

Maturín, Monagas, 6201, Venezuela

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Novartis Investigative Site

Maracaibo, Zulia, 4011, Venezuela

Location

Novartis Investigative Site

Maracaibo, Zulia, Venezuela

Location

Related Publications (52)

  • Yang M, Henderson AD, Anand IS, Desai AS, Lam CSP, Maggioni AP, Martinez FA, Rouleau JL, Swedberg K, Vaduganathan M, van Veldhuisen DJ, Zannad F, Zile MR, Packer M, Rizkala A, Lewis EF, Jhund PS, Solomon SD, McMurray JJV. Sacubitril/valsartan and quality of life assessed using the EuroQol Five-dimension Three-level questionnaire level sum score (EQ-5D-3L-LSS) in patients with HFrEF and HFmrEF/HFpEF. Eur Heart J Cardiovasc Pharmacother. 2025 Nov 4;11(7):574-589. doi: 10.1093/ehjcvp/pvaf064.

  • Chimura M, Butt JH, Matsumoto S, McMurray EGM, Henderson AD, Talebi A, Desai AS, Lefkowitz MP, Rizkala AR, Rouleau JL, Solomon SD, Swedberg K, Zile MR, Packer M, Jhund PS, McMurray JJV. Comprehensive Analysis of the Effects of Sacubitril/Valsartan According to Sex Among Patients With Heart Failure and Reduced Ejection Fraction in PARADIGM-HF. J Am Heart Assoc. 2025 May 6;14(9):e038249. doi: 10.1161/JAHA.124.038249. Epub 2025 Apr 23.

  • Gupta SD, Butt JH, McMurray EGM, Talebi A, Matsumoto S, Rizkala AR, Henderson AD, Desai AS, Lefkowitz M, Packer M, Rouleau JL, Solomon SD, Swedberg K, Zile MR, Jhund PS, McMurray JJV; PARADIGM-HF Investigators and Committees. Effects of sacubitril/valsartan according to background beta-blocker therapy in patients with heart failure and reduced ejection fraction: Insights from PARADIGM-HF. Eur J Heart Fail. 2025 May;27(5):779-787. doi: 10.1002/ejhf.3515. Epub 2024 Nov 19.

  • Lu H, Claggett BL, Packer M, Pfeffer MA, Swedberg K, Rouleau J, Zile MR, Lefkowitz M, Desai AS, Jhund PS, McMurray JJV, Solomon SD, Vaduganathan M. Visit-to-visit changes in heart rate in heart failure: A pooled participant-level analysis of the PARADIGM-HF and PARAGON-HF trials. Eur J Heart Fail. 2025 Jan;27(1):60-68. doi: 10.1002/ejhf.3487. Epub 2024 Oct 22.

  • Lu H, Claggett BL, Packer M, Lam CSP, Swedberg K, Rouleau J, Zile MR, Lefkowitz M, Desai AS, Jhund P, McMurray JJV, Solomon SD, Vaduganathan M. Effects of Sacubitril/Valsartan on All-Cause Hospitalizations in Heart Failure: Post Hoc Analysis of the PARADIGM-HF and PARAGON-HF Randomized Clinical Trials. JAMA Cardiol. 2024 Nov 1;9(11):1047-1052. doi: 10.1001/jamacardio.2024.2566.

  • Patel-Murray NL, Zhang L, Claggett BL, Xu D, Serrano-Fernandez P, Healey M, Wandel S, Chen CW, Jacob J, Xu H, Turner GM, Chutkow W, Yates DP, O'Donnell CJ, Prescott MF, Lefkowitz M, Gimpelewicz CR, Beste MT, Zhao F, Gou L, Desai AS, Jhund PS, Packer M, Pfeffer MA, Redfield MM, Rouleau JL, Zannad F, Zile MR, McMurray JJV, Mendelson MM, Solomon SD, Cunningham JW. Aptamer Proteomics for Biomarker Discovery in Heart Failure With Preserved Ejection Fraction: The PARAGON-HF Proteomic Substudy. J Am Heart Assoc. 2024 Jul 2;13(13):e033544. doi: 10.1161/JAHA.123.033544. Epub 2024 Jun 21.

  • Chatur S, Neuen BL, Claggett BL, Beldhuis IE, Mc Causland FR, Desai AS, Rouleau JL, Zile MR, Lefkowitz MP, Packer M, McMurray JJV, Solomon SD, Vaduganathan M. Effects of Sacubitril/Valsartan Across the Spectrum of Renal Impairment in Patients With Heart Failure. J Am Coll Cardiol. 2024 Jun 4;83(22):2148-2159. doi: 10.1016/j.jacc.2024.03.392. Epub 2024 Apr 6.

  • Bhatt AS, Vaduganathan M, Claggett BL, Kulac IJ, Anand IS, Desai AS, Fang JC, Hernandez AF, Jhund PS, Kosiborod MN, Sabatine MS, Shah SJ, Vardeny O, McMurray JJV, Solomon SD, Gaziano TA. Cost Effectiveness of Dapagliflozin for Heart Failure Across the Spectrum of Ejection Fraction: An Economic Evaluation Based on Pooled, Individual Participant Data From the DELIVER and DAPA-HF Trials. J Am Heart Assoc. 2024 Mar 5;13(5):e032279. doi: 10.1161/JAHA.123.032279. Epub 2024 Feb 23.

  • Curtain JP, Adamson C, Docherty KF, Jhund PS, Desai AS, Lefkowitz MP, Rizkala AR, Rouleau JL, Swedberg K, Zile MR, Solomon SD, Packer M, McMurray JJV. Prevalent and Incident Anemia in PARADIGM-HF and the Effect of Sacubitril/Valsartan. JACC Heart Fail. 2023 Jul;11(7):749-759. doi: 10.1016/j.jchf.2022.12.012. Epub 2023 Apr 12.

  • Kondo T, Dewan P, Anand IS, Desai AS, Packer M, Zile MR, Pfeffer MA, Solomon SD, Abraham WT, Shah SJ, Lam CSP, Jhund PS, McMurray JJV. Clinical Characteristics and Outcomes in Patients With Heart Failure: Are There Thresholds and Inflection Points in Left Ventricular Ejection Fraction and Thresholds Justifying a Clinical Classification? Circulation. 2023 Aug 29;148(9):732-749. doi: 10.1161/CIRCULATIONAHA.122.063642. Epub 2023 Jun 27.

  • Tolomeo P, Butt JH, Kondo T, Campo G, Desai AS, Jhund PS, Kober L, Lefkowitz MP, Rouleau JL, Solomon SD, Swedberg K, Vaduganathan M, Zile MR, Packer M, McMurray JJV. Importance of cystatin C in estimating glomerular filtration rate: the PARADIGM-HF trial. Eur Heart J. 2023 Jun 25;44(24):2202-2212. doi: 10.1093/eurheartj/ehad210.

  • Butt JH, Ibrahim W, Dewan P, Desai AS, Kober L, Prescott MF, Lefkowitz MP, Rouleau JL, Solomon SD, Zile MR, Packer M, Jhund PS, McMurray JJV. Urinary cGMP (Cyclic Guanosine Monophosphate)/BNP (B-Type Natriuretic Peptide) Ratio, Sacubitril/Valsartan, and Outcomes in Heart Failure With Reduced Ejection Fraction: An Analysis of the PARADIGM-HF Trial. Circ Heart Fail. 2023 Mar;16(3):e010111. doi: 10.1161/CIRCHEARTFAILURE.122.010111. Epub 2023 Jan 25.

  • Rohde LE, Zimerman A, Vaduganathan M, Claggett BL, Packer M, Desai AS, Zile M, Rouleau J, Swedberg K, Lefkowitz M, Shi V, McMurray JJV, Solomon SD. Associations Between New York Heart Association Classification, Objective Measures, and Long-term Prognosis in Mild Heart Failure: A Secondary Analysis of the PARADIGM-HF Trial. JAMA Cardiol. 2023 Feb 1;8(2):150-158. doi: 10.1001/jamacardio.2022.4427.

  • Vaduganathan M, Claggett BL, McMurray JJV, Solomon SD. Health Status Trajectories Before and After Hospitalization for Heart Failure. Circulation. 2022 Jun 21;145(25):1872-1874. doi: 10.1161/CIRCULATIONAHA.122.059282. Epub 2022 May 21. No abstract available.

  • Toenges G, Mutze T, Jahn-Eimermacher A. A comparison of semiparametric approaches to evaluate composite endpoints in heart failure trials. Stat Med. 2021 Nov 20;40(26):5702-5724. doi: 10.1002/sim.9149. Epub 2021 Jul 30.

  • Shen L, Claggett BL, Jhund PS, Abraham WT, Desai AS, Dickstein K, Gong J, Kober LV, Lefkowitz MP, Rouleau JL, Shi VC, Swedberg K, Zile MR, Solomon SD, McMurray JJV. Development and external validation of prognostic models to predict sudden and pump-failure death in patients with HFrEF from PARADIGM-HF and ATMOSPHERE. Clin Res Cardiol. 2021 Aug;110(8):1334-1349. doi: 10.1007/s00392-021-01888-x. Epub 2021 Jun 8.

  • Shen L, Jhund PS, Anand IS, Bhatt AS, Desai AS, Maggioni AP, Martinez FA, Pfeffer MA, Rizkala AR, Rouleau JL, Swedberg K, Vaduganathan M, Vardeny O, van Veldhuisen DJ, Zannad F, Zile MR, Packer M, Solomon SD, McMurray JJV. Incidence and Outcomes of Pneumonia in Patients With Heart Failure. J Am Coll Cardiol. 2021 Apr 27;77(16):1961-1973. doi: 10.1016/j.jacc.2021.03.001.

  • Ehteshami-Afshar S, Mooney L, Dewan P, Desai AS, Lang NN, Lefkowitz MP, Petrie MC, Rizkala AR, Rouleau JL, Solomon SD, Swedberg K, Shi VC, Zile MR, Packer M, McMurray JJV, Jhund PS, Hawkins NM. Clinical Characteristics and Outcomes of Patients With Heart Failure With Reduced Ejection Fraction and Chronic Obstructive Pulmonary Disease: Insights From PARADIGM-HF. J Am Heart Assoc. 2021 Feb 16;10(4):e019238. doi: 10.1161/JAHA.120.019238. Epub 2021 Jan 30.

  • Kristensen SL, Castagno D, Shen L, Jhund PS, Docherty KF, Rorth R, Abraham WT, Desai AS, Dickstein K, Rouleau JL, Zile MR, Swedberg K, Packer M, Solomon SD, Kober L, McMurray JJV; PARADIGM-HF and ATMOSPHERE Committees and Investigators.. Prevalence and incidence of intra-ventricular conduction delays and outcomes in patients with heart failure and reduced ejection fraction: insights from PARADIGM-HF and ATMOSPHERE. Eur J Heart Fail. 2020 Dec;22(12):2370-2379. doi: 10.1002/ejhf.1972. Epub 2020 Sep 14.

  • Docherty KF, Shen L, Castagno D, Petrie MC, Abraham WT, Bohm M, Desai AS, Dickstein K, Kober LV, Packer M, Rouleau JL, Solomon SD, Swedberg K, Vazir A, Zile MR, Jhund PS, McMurray JJV. Relationship between heart rate and outcomes in patients in sinus rhythm or atrial fibrillation with heart failure and reduced ejection fraction. Eur J Heart Fail. 2020 Mar;22(3):528-538. doi: 10.1002/ejhf.1682. Epub 2019 Dec 17.

  • Dewan P, Rorth R, Raparelli V, Campbell RT, Shen L, Jhund PS, Petrie MC, Anand IS, Carson PE, Desai AS, Granger CB, Kober L, Komajda M, McKelvie RS, O'Meara E, Pfeffer MA, Pitt B, Solomon SD, Swedberg K, Zile MR, McMurray JJV. Sex-Related Differences in Heart Failure With Preserved Ejection Fraction. Circ Heart Fail. 2019 Dec;12(12):e006539. doi: 10.1161/CIRCHEARTFAILURE.119.006539. Epub 2019 Dec 9.

  • Solomon SD, Vaduganathan M, L Claggett B, Packer M, Zile M, Swedberg K, Rouleau J, A Pfeffer M, Desai A, Lund LH, Kober L, Anand I, Sweitzer N, Linssen G, Merkely B, Luis Arango J, Vinereanu D, Chen CH, Senni M, Sibulo A, Boytsov S, Shi V, Rizkala A, Lefkowitz M, McMurray JJV. Sacubitril/Valsartan Across the Spectrum of Ejection Fraction in Heart Failure. Circulation. 2020 Feb 4;141(5):352-361. doi: 10.1161/CIRCULATIONAHA.119.044586. Epub 2019 Nov 17.

  • Selvaraj S, Claggett B, Pozzi A, McMurray JJV, Jhund PS, Packer M, Desai AS, Lewis EF, Vaduganathan M, Lefkowitz MP, Rouleau JL, Shi VC, Zile MR, Swedberg K, Solomon SD. Prognostic Implications of Congestion on Physical Examination Among Contemporary Patients With Heart Failure and Reduced Ejection Fraction: PARADIGM-HF. Circulation. 2019 Oct 22;140(17):1369-1379. doi: 10.1161/CIRCULATIONAHA.119.039920. Epub 2019 Sep 12.

  • Chandra A, Vaduganathan M, Lewis EF, Claggett BL, Rizkala AR, Wang W, Lefkowitz MP, Shi VC, Anand IS, Ge J, Lam CSP, Maggioni AP, Martinez F, Packer M, Pfeffer MA, Pieske B, Redfield MM, Rouleau JL, Van Veldhuisen DJ, Zannad F, Zile MR, McMurray JJV, Solomon SD; PARAGON-HF Investigators. Health-Related Quality of Life in Heart Failure With Preserved Ejection Fraction: The PARAGON-HF Trial. JACC Heart Fail. 2019 Oct;7(10):862-874. doi: 10.1016/j.jchf.2019.05.015. Epub 2019 Jul 10.

  • Balmforth C, Simpson J, Shen L, Jhund PS, Lefkowitz M, Rizkala AR, Rouleau JL, Shi V, Solomon SD, Swedberg K, Zile MR, Packer M, McMurray JJV. Outcomes and Effect of Treatment According to Etiology in HFrEF: An Analysis of PARADIGM-HF. JACC Heart Fail. 2019 Jun;7(6):457-465. doi: 10.1016/j.jchf.2019.02.015. Epub 2019 May 8.

  • Myhre PL, Vaduganathan M, Claggett B, Packer M, Desai AS, Rouleau JL, Zile MR, Swedberg K, Lefkowitz M, Shi V, McMurray JJV, Solomon SD. B-Type Natriuretic Peptide During Treatment With Sacubitril/Valsartan: The PARADIGM-HF Trial. J Am Coll Cardiol. 2019 Mar 26;73(11):1264-1272. doi: 10.1016/j.jacc.2019.01.018. Epub 2019 Mar 4.

  • Zile MR, O'Meara E, Claggett B, Prescott MF, Solomon SD, Swedberg K, Packer M, McMurray JJV, Shi V, Lefkowitz M, Rouleau J. Effects of Sacubitril/Valsartan on Biomarkers of Extracellular Matrix Regulation in Patients With HFrEF. J Am Coll Cardiol. 2019 Feb 26;73(7):795-806. doi: 10.1016/j.jacc.2018.11.042.

  • Bouabdallaoui N, Claggett B, Zile MR, McMurray JJV, O'Meara E, Packer M, Prescott MF, Swedberg K, Solomon SD, Rouleau JL; PARADIGM-HF Investigators and Committees. Growth differentiation factor-15 is not modified by sacubitril/valsartan and is an independent marker of risk in patients with heart failure and reduced ejection fraction: the PARADIGM-HF trial. Eur J Heart Fail. 2018 Dec;20(12):1701-1709. doi: 10.1002/ejhf.1301. Epub 2018 Sep 11.

  • O'Meara E, Prescott MF, Claggett B, Rouleau JL, Chiang LM, Solomon SD, Packer M, McMurray JJV, Zile MR. Independent Prognostic Value of Serum Soluble ST2 Measurements in Patients With Heart Failure and a Reduced Ejection Fraction in the PARADIGM-HF Trial (Prospective Comparison of ARNI With ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure). Circ Heart Fail. 2018 May;11(5):e004446. doi: 10.1161/CIRCHEARTFAILURE.117.004446.

  • Packer M, Claggett B, Lefkowitz MP, McMurray JJV, Rouleau JL, Solomon SD, Zile MR. Effect of neprilysin inhibition on renal function in patients with type 2 diabetes and chronic heart failure who are receiving target doses of inhibitors of the renin-angiotensin system: a secondary analysis of the PARADIGM-HF trial. Lancet Diabetes Endocrinol. 2018 Jul;6(7):547-554. doi: 10.1016/S2213-8587(18)30100-1. Epub 2018 Apr 13.

  • Chandra A, Lewis EF, Claggett BL, Desai AS, Packer M, Zile MR, Swedberg K, Rouleau JL, Shi VC, Lefkowitz MP, Katova T, McMurray JJV, Solomon SD. Effects of Sacubitril/Valsartan on Physical and Social Activity Limitations in Patients With Heart Failure: A Secondary Analysis of the PARADIGM-HF Trial. JAMA Cardiol. 2018 Jun 1;3(6):498-505. doi: 10.1001/jamacardio.2018.0398.

  • Shen L, Ramires F, Martinez F, Bodanese LC, Echeverria LE, Gomez EA, Abraham WT, Dickstein K, Kober L, Packer M, Rouleau JL, Solomon SD, Swedberg K, Zile MR, Jhund PS, Gimpelewicz CR, McMurray JJV; PARADIGM-HF and ATMOSPHERE Investigators and Committees. Contemporary Characteristics and Outcomes in Chagasic Heart Failure Compared With Other Nonischemic and Ischemic Cardiomyopathy. Circ Heart Fail. 2017 Nov;10(11):e004361. doi: 10.1161/CIRCHEARTFAILURE.117.004361.

  • Kristensen SL, Jhund PS, Mogensen UM, Rorth R, Abraham WT, Desai A, Dickstein K, Rouleau JL, Zile MR, Swedberg K, Packer M, Solomon SD, Kober L, McMurray JJV; PARADIGM-HF and ATMOSPHERE Committees and Investigators. Prognostic Value of N-Terminal Pro-B-Type Natriuretic Peptide Levels in Heart Failure Patients With and Without Atrial Fibrillation. Circ Heart Fail. 2017 Oct;10(10):e004409. doi: 10.1161/CIRCHEARTFAILURE.117.004409.

  • Lewis EF, Claggett BL, McMurray JJV, Packer M, Lefkowitz MP, Rouleau JL, Liu J, Shi VC, Zile MR, Desai AS, Solomon SD, Swedberg K. Health-Related Quality of Life Outcomes in PARADIGM-HF. Circ Heart Fail. 2017 Aug;10(8):e003430. doi: 10.1161/CIRCHEARTFAILURE.116.003430.

  • Zile MR, Claggett BL, Prescott MF, McMurray JJ, Packer M, Rouleau JL, Swedberg K, Desai AS, Gong J, Shi VC, Solomon SD. Prognostic Implications of Changes in N-Terminal Pro-B-Type Natriuretic Peptide in Patients With Heart Failure. J Am Coll Cardiol. 2016 Dec 6;68(22):2425-2436. doi: 10.1016/j.jacc.2016.09.931.

  • Nadruz W Jr, Claggett BL, McMurray JJ, Packer M, Zile MR, Rouleau JL, Desai AS, Swedberg K, Lefkowitz M, Shi VC, Prescott MF, Solomon SD. Impact of Body Mass Index on the Accuracy of N-Terminal Pro-Brain Natriuretic Peptide and Brain Natriuretic Peptide for Predicting Outcomes in Patients With Chronic Heart Failure and Reduced Ejection Fraction: Insights From the PARADIGM-HF Study (Prospective Comparison of ARNI With ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure Trial). Circulation. 2016 Nov 29;134(22):1785-1787. doi: 10.1161/CIRCULATIONAHA.116.024976. No abstract available.

  • Desai AS, Vardeny O, Claggett B, McMurray JJ, Packer M, Swedberg K, Rouleau JL, Zile MR, Lefkowitz M, Shi V, Solomon SD. Reduced Risk of Hyperkalemia During Treatment of Heart Failure With Mineralocorticoid Receptor Antagonists by Use of Sacubitril/Valsartan Compared With Enalapril: A Secondary Analysis of the PARADIGM-HF Trial. JAMA Cardiol. 2017 Jan 1;2(1):79-85. doi: 10.1001/jamacardio.2016.4733.

  • Okumura N, Jhund PS, Gong J, Lefkowitz MP, Rizkala AR, Rouleau JL, Shi VC, Swedberg K, Zile MR, Solomon SD, Packer M, McMurray JJ; PARADIGM-HF Investigators and Committees*. Effects of Sacubitril/Valsartan in the PARADIGM-HF Trial (Prospective Comparison of ARNI with ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure) According to Background Therapy. Circ Heart Fail. 2016 Sep;9(9):e003212. doi: 10.1161/CIRCHEARTFAILURE.116.003212.

  • Solomon SD, Claggett B, Packer M, Desai A, Zile MR, Swedberg K, Rouleau J, Shi V, Lefkowitz M, McMurray JJV. Efficacy of Sacubitril/Valsartan Relative to a Prior Decompensation: The PARADIGM-HF Trial. JACC Heart Fail. 2016 Oct;4(10):816-822. doi: 10.1016/j.jchf.2016.05.002. Epub 2016 Jul 6.

  • Kristensen SL, Martinez F, Jhund PS, Arango JL, Belohlavek J, Boytsov S, Cabrera W, Gomez E, Hagege AA, Huang J, Kiatchoosakun S, Kim KS, Mendoza I, Senni M, Squire IB, Vinereanu D, Wong RC, Gong J, Lefkowitz MP, Rizkala AR, Rouleau JL, Shi VC, Solomon SD, Swedberg K, Zile MR, Packer M, McMurray JJ. Geographic variations in the PARADIGM-HF heart failure trial. Eur Heart J. 2016 Nov 1;37(41):3167-3174. doi: 10.1093/eurheartj/ehw226. Epub 2016 Jun 28.

  • Desai AS, Solomon S, Claggett B, McMurray JJ, Rouleau J, Swedberg K, Zile M, Lefkowitz M, Shi V, Packer M. Factors Associated With Noncompletion During the Run-In Period Before Randomization and Influence on the Estimated Benefit of LCZ696 in the PARADIGM-HF Trial. Circ Heart Fail. 2016 Jun;9(6):e002735. doi: 10.1161/CIRCHEARTFAILURE.115.002735.

  • Okumura N, Jhund PS, Gong J, Lefkowitz MP, Rizkala AR, Rouleau JL, Shi VC, Swedberg K, Zile MR, Solomon SD, Packer M, McMurray JJ; PARADIGM-HF Investigators and Committees*. Importance of Clinical Worsening of Heart Failure Treated in the Outpatient Setting: Evidence From the Prospective Comparison of ARNI With ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure Trial (PARADIGM-HF). Circulation. 2016 Jun 7;133(23):2254-62. doi: 10.1161/CIRCULATIONAHA.115.020729. Epub 2016 Apr 20.

  • Solomon SD, Claggett B, Desai AS, Packer M, Zile M, Swedberg K, Rouleau JL, Shi VC, Starling RC, Kozan O, Dukat A, Lefkowitz MP, McMurray JJ. Influence of Ejection Fraction on Outcomes and Efficacy of Sacubitril/Valsartan (LCZ696) in Heart Failure with Reduced Ejection Fraction: The Prospective Comparison of ARNI with ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure (PARADIGM-HF) Trial. Circ Heart Fail. 2016 Mar;9(3):e002744. doi: 10.1161/CIRCHEARTFAILURE.115.002744.

  • Kristensen SL, Preiss D, Jhund PS, Squire I, Cardoso JS, Merkely B, Martinez F, Starling RC, Desai AS, Lefkowitz MP, Rizkala AR, Rouleau JL, Shi VC, Solomon SD, Swedberg K, Zile MR, McMurray JJ, Packer M; PARADIGM-HF Investigators and Committees. Risk Related to Pre-Diabetes Mellitus and Diabetes Mellitus in Heart Failure With Reduced Ejection Fraction: Insights From Prospective Comparison of ARNI With ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure Trial. Circ Heart Fail. 2016 Jan;9(1):e002560. doi: 10.1161/CIRCHEARTFAILURE.115.002560.

  • Simpson J, Jhund PS, Silva Cardoso J, Martinez F, Mosterd A, Ramires F, Rizkala AR, Senni M, Squire I, Gong J, Lefkowitz MP, Shi VC, Desai AS, Rouleau JL, Swedberg K, Zile MR, McMurray JJV, Packer M, Solomon SD; PARADIGM-HF Investigators and Committees. Comparing LCZ696 with enalapril according to baseline risk using the MAGGIC and EMPHASIS-HF risk scores: an analysis of mortality and morbidity in PARADIGM-HF. J Am Coll Cardiol. 2015 Nov 10;66(19):2059-2071. doi: 10.1016/j.jacc.2015.08.878.

  • Andersen MB, Simonsen U, Wehland M, Pietsch J, Grimm D. LCZ696 (Valsartan/Sacubitril)--A Possible New Treatment for Hypertension and Heart Failure. Basic Clin Pharmacol Toxicol. 2016 Jan;118(1):14-22. doi: 10.1111/bcpt.12453. Epub 2015 Sep 4.

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  • Desai AS, McMurray JJ, Packer M, Swedberg K, Rouleau JL, Chen F, Gong J, Rizkala AR, Brahimi A, Claggett B, Finn PV, Hartley LH, Liu J, Lefkowitz M, Shi V, Zile MR, Solomon SD. Effect of the angiotensin-receptor-neprilysin inhibitor LCZ696 compared with enalapril on mode of death in heart failure patients. Eur Heart J. 2015 Aug 7;36(30):1990-7. doi: 10.1093/eurheartj/ehv186. Epub 2015 May 28.

  • McMurray J, Packer M, Desai A, Gong J, Greenlaw N, Lefkowitz M, Rizkala A, Shi V, Rouleau J, Solomon S, Swedberg K, Zile MR, Andersen K, Arango JL, Arnold M, Belohlavek J, Bohm M, Boytsov S, Burgess L, Cabrera W, Chen CH, Erglis A, Fu M, Gomez E, Gonzalez A, Hagege AA, Katova T, Kiatchoosakun S, Kim KS, Bayram E, Martinez F, Merkely B, Mendoza I, Mosterd A, Negrusz-Kawecka M, Peuhkurinen K, Ramires F, Refsgaard J, Senni M, Sibulo AS Jr, Silva-Cardoso J, Squire I, Starling RC, Vinereanu D, Teerlink JR, Wong R; PARADIGM-HF Committees and Investigators. A putative placebo analysis of the effects of LCZ696 on clinical outcomes in heart failure. Eur Heart J. 2015 Feb 14;36(7):434-9. doi: 10.1093/eurheartj/ehu455.

  • Packer M, McMurray JJ, Desai AS, Gong J, Lefkowitz MP, Rizkala AR, Rouleau JL, Shi VC, Solomon SD, Swedberg K, Zile M, Andersen K, Arango JL, Arnold JM, Belohlavek J, Bohm M, Boytsov S, Burgess LJ, Cabrera W, Calvo C, Chen CH, Dukat A, Duarte YC, Erglis A, Fu M, Gomez E, Gonzalez-Medina A, Hagege AA, Huang J, Katova T, Kiatchoosakun S, Kim KS, Kozan O, Llamas EB, Martinez F, Merkely B, Mendoza I, Mosterd A, Negrusz-Kawecka M, Peuhkurinen K, Ramires FJ, Refsgaard J, Rosenthal A, Senni M, Sibulo AS Jr, Silva-Cardoso J, Squire IB, Starling RC, Teerlink JR, Vanhaecke J, Vinereanu D, Wong RC; PARADIGM-HF Investigators and Coordinators. Angiotensin receptor neprilysin inhibition compared with enalapril on the risk of clinical progression in surviving patients with heart failure. Circulation. 2015 Jan 6;131(1):54-61. doi: 10.1161/CIRCULATIONAHA.114.013748. Epub 2014 Nov 17.

  • McMurray JJ, Packer M, Desai AS, Gong J, Lefkowitz MP, Rizkala AR, Rouleau JL, Shi VC, Solomon SD, Swedberg K, Zile MR; PARADIGM-HF Investigators and Committees. Angiotensin-neprilysin inhibition versus enalapril in heart failure. N Engl J Med. 2014 Sep 11;371(11):993-1004. doi: 10.1056/NEJMoa1409077. Epub 2014 Aug 30.

  • McMurray JJ, Packer M, Desai AS, Gong J, Lefkowitz MP, Rizkala AR, Rouleau J, Shi VC, Solomon SD, Swedberg K, Zile MR; PARADIGM-HF Committees and Investigators. Dual angiotensin receptor and neprilysin inhibition as an alternative to angiotensin-converting enzyme inhibition in patients with chronic systolic heart failure: rationale for and design of the Prospective comparison of ARNI with ACEI to Determine Impact on Global Mortality and morbidity in Heart Failure trial (PARADIGM-HF). Eur J Heart Fail. 2013 Sep;15(9):1062-73. doi: 10.1093/eurjhf/hft052. Epub 2013 Apr 5.

MeSH Terms

Interventions

sacubitril and valsartan sodium hydrate drug combinationBID protein, humanEnalapril

Intervention Hierarchy (Ancestors)

DipeptidesOligopeptidesPeptidesAmino Acids, Peptides, and Proteins

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 16, 2009

First Posted

December 18, 2009

Study Start

December 1, 2009

Primary Completion

May 1, 2014

Study Completion

May 1, 2014

Last Updated

August 15, 2016

Results First Posted

September 7, 2015

Record last verified: 2016-07

Locations