NCT01920711

Brief Summary

The purpose of this study was to evaluate the effect of LCZ696 compared to valsartan in the reduction of cardiovascular death and heart failure(HF) hospitalizations in patients with HF with preserved ejection fraction.

Trial Health

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
4,822

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jul 2014

Longer than P75 for phase_3

Geographic Reach
40 countries

677 active sites

Status
completed

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

First Submitted

Initial submission to the registry

August 8, 2013

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 12, 2013

Completed
11 months until next milestone

Study Start

First participant enrolled

July 18, 2014

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 7, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 7, 2019

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

September 29, 2020

Completed
Last Updated

September 29, 2020

Status Verified

September 1, 2020

Enrollment Period

4.9 years

First QC Date

August 8, 2013

Results QC Date

May 29, 2020

Last Update Submit

September 8, 2020

Conditions

Keywords

Heart failurepreserved ejection fractiondiastolic heart failure

Outcome Measures

Primary Outcomes (1)

  • Cumulative Number of Primary Composite Events of Cardiovascular (CV) Death and Total (First and Recurrent) HF Hospitalizations.

    The primary objective of this study is to compare LCZ696 to valsartan in reducing the rate of the composite endpoint of CV death and total (first and recurrent) HF hospitalizations, in HF patients (New York Heart Association \[NYHA\] Class II-IV) with preserved ejection fraction (left ventricular ejection fraction \[LVEF\] ≥45%). The treatment arm with the lower rate of events will be deemed as having a successful response.

    Total follow up time (up to 57 months)

Secondary Outcomes (4)

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

    Baseline, 8 months

  • Change From Baseline to Month 8 in New York Heart Association (NYHA) Functional Class

    Baseline, 8 months

  • Participants With First Occurrence of a Composite Renal Endpoint

    Randomization to total follow-up time (up to 57 months)

  • All-cause Mortality

    Randomization to total follow up time (up to 57 months)

Study Arms (2)

LCZ696

EXPERIMENTAL

Single Blind Run-in Period (3-8 weeks): Patients will start on Valsartan 80 mg b.i.d. for 1-2 weeks followed by LCZ696 100 mg b.i.d. for 2-4 weeks prior to randomization into the Double Blind period (up to 57 months). Patients can only be randomized from the run-in period if they meet all of the run-in safety criteria. Target dose of LCZ696 during the double blind period is 200 mg b.i.d.

Drug: LCZ696

Valsartan

ACTIVE COMPARATOR

Single Blind Run-in Period (3-8 weeks): Patients will start on Valsartan 80 mg b.i.d. for 1-2 weeks followed by LCZ696 100 mg b.i.d. for 2-4 weeks prior to randomization into the Double Blind period (up to 57 months). Patients can only be randomized from the run-in period if they meet all of the run-in safety criteria. Target dose of Valsartan during the double blind period is 160 mg b.i.d.

Drug: Valsartan

Interventions

LCZ696DRUG

LCZ696 50mg, 100mg and 200 mg dosage strengths will be available for dose adjustments.

LCZ696

Valsartan 40mg, 80mg and 160mg dosage strengths will be available for dose adjustments.

Valsartan

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Left ventricular ejection fraction (LVEF) ≥45% by echo during screening epoch or within 6 months prior to study entry.
  • Symptom(s) of heart failure (HF) and requiring treatment with diuretic(s) for HF at least 30 days prior to study entry.
  • Current symptom(s) of HF (NYHA class II-IV)
  • Structural heart disease (left atrial enlargement or left ventricular hypertrophy) documented by echocardiogram.
  • Elevated NT-proBNP

You may not qualify if:

  • Any prior measurement of LVEF \< 40%.
  • Acute coronary syndrome (including MI), cardiac surgery, other major CV surgery within 3 months , or urgent percutaneous coronary intervention within 3 months or and elective PCI within 30 days prior to entry.
  • Any clinical event within the 6 months prior to entry could have reduced the LVEF (e.g., MI, CABG), unless an echo measurement performed after the event confirms a LVEF ≥45%.
  • Current acute decompensated HF requiring therapy.
  • Patients who require treatment with 2 or more of the following: an angiotensin converting enzyme inhibitor (ACEI), an angiotensin receptor blocker (ARB) or a renin inhibitor.
  • Alternative reason for shortness of breath such as: significant pulmonary disease or severe COPD, hemoglobin (Hgb) \<10 g/dl, or body mass index (BMI) \> 40 kg/m2.
  • Systolic blood pressure (SBP) ≥ 180 mmHg at entry, or SBP \>150 mmHg and \<180 mmHg at entry unless the patient is receiving 3 or more antihypertensive drugs, or SBP \< 110 mmHg at entry.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (715)

Novartis Investigative Site

Huntsville, Alabama, 35801, United States

Location

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

Little Rock, Arkansas, 72204, United States

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Novartis Investigative Site

Beverly Hills, California, 90211, United States

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Novartis Investigative Site

Los Angeles, California, 90073, United States

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Novartis Investigative Site

Northridge, California, 91325, United States

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Novartis Investigative Site

Orange, California, 92868, United States

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Novartis Investigative Site

San Diego, California, 92161, United States

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Novartis Investigative Site

Santa Ana, California, 92704, United States

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Novartis Investigative Site

Denver, Colorado, 80220, United States

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Novartis Investigative Site

Hartford, Connecticut, 06105, United States

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Novartis Investigative Site

New Haven, Connecticut, 06520-8062, United States

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Novartis Investigative Site

Stamford, Connecticut, 06905, United States

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Novartis Investigative Site

West Haven, Connecticut, 06516, United States

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Novartis Investigative Site

Bradenton, Florida, 34209, United States

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Novartis Investigative Site

Gainesville, Florida, 32608, United States

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Novartis Investigative Site

Lake Worth, Florida, 33461, United States

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Novartis Investigative Site

Miami, Florida, 33143, United States

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Novartis Investigative Site

Tallahassee, Florida, 32308, United States

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Novartis Investigative Site

Atlanta, Georgia, 30309, United States

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Novartis Investigative Site

Atlanta, Georgia, 30310-1495, United States

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Novartis Investigative Site

Covington, Georgia, 30014, United States

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Novartis Investigative Site

Cumming, Georgia, 30041, United States

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Novartis Investigative Site

Chicago, Illinois, 60611, United States

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Novartis Investigative Site

Chicago, Illinois, 60637, United States

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Novartis Investigative Site

Evanston, Illinois, 60201, United States

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Novartis Investigative Site

Hazel Crest, Illinois, 60429, United States

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Novartis Investigative Site

Lombard, Illinois, 60148, United States

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Novartis Investigative Site

Maywood, Illinois, 60153, United States

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Novartis Investigative Site

Oakbrook Terrace, Illinois, 60181, United States

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Novartis Investigative Site

Peoria, Illinois, 61602, United States

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Novartis Investigative Site

Quincy, Illinois, 62301, United States

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Novartis Investigative Site

Louisville, Kentucky, 40206, United States

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Novartis Investigative Site

Baton Rouge, Louisiana, 70808, United States

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Novartis Investigative Site

Hammond, Louisiana, 70403, United States

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Novartis Investigative Site

Lafayette, Louisiana, 70508, United States

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Novartis Investigative Site

Slidell, Louisiana, 70458, United States

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Novartis Investigative Site

Biddeford, Maine, 04005, United States

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Novartis Investigative Site

Portland, Maine, 04102, United States

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Novartis Investigative Site

Baltimore, Maryland, 21229, United States

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Novartis Investigative Site

Baltimore, Maryland, 21287, United States

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Novartis Investigative Site

Columbia, Maryland, 21044, United States

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Novartis Investigative Site

Boston, Massachusetts, 02118, United States

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Novartis Investigative Site

Boston, Massachusetts, United States

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Novartis Investigative Site

Ann Arbor, Michigan, 48105, United States

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Novartis Investigative Site

Detroit, Michigan, 48202, United States

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Novartis Investigative Site

Grand Blanc, Michigan, 48439, United States

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Novartis Investigative Site

Saginaw, Michigan, 48601, United States

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Novartis Investigative Site

Minneapolis, Minnesota, 55417, United States

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Novartis Investigative Site

Minneapolis, Minnesota, 55433, United States

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Novartis Investigative Site

Minneapolis, Minnesota, 55455, United States

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Novartis Investigative Site

Saint Cloud, Minnesota, 56303, United States

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Novartis Investigative Site

Saint Paul, Minnesota, 55102, United States

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Novartis Investigative Site

Belzoni, Mississippi, 39038, United States

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Novartis Investigative Site

Jackson, Mississippi, 39216, United States

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Novartis Investigative Site

St Louis, Missouri, 63110, United States

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Novartis Investigative Site

St Louis, Missouri, 63136, United States

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Novartis Investigative Site

Kalispell, Montana, 59901 3158, United States

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Lincoln, Nebraska, 68506, United States

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Novartis Investigative Site

Lebanon, New Hampshire, 03756, United States

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Novartis Investigative Site

Morristown, New Jersey, 07960, United States

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New Brunswick, New Jersey, 08901, United States

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Ridgewood, New Jersey, 07450, United States

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Novartis Investigative Site

Albuquerque, New Mexico, 87102, United States

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Brooklyn, New York, 11215, United States

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Buffalo, New York, 14203, United States

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Buffalo, New York, 14215, United States

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Flushing, New York, 11355, United States

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Kingston, New York, 12401, United States

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Northport, New York, 11768, United States

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Rochester, New York, 14642, United States

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Novartis Investigative Site

Saratoga Springs, New York, 12866, United States

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The Bronx, New York, 10467, United States

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Novartis Investigative Site

Chapel Hill, North Carolina, 27599-7075, United States

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Winston-Salem, North Carolina, 27157, United States

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Novartis Investigative Site

Grand Forks, North Dakota, 58201, United States

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Canton, Ohio, 44710, United States

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Marion, Ohio, 43302, United States

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Novartis Investigative Site

Tulsa, Oklahoma, 74133, United States

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Portland, Oregon, 97225, United States

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Philadelphia, Pennsylvania, 19107, United States

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Yardley, Pennsylvania, 19067, United States

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Providence, Rhode Island, 02908, United States

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Warwick, Rhode Island, 02886, United States

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Charleston, South Carolina, 29403, United States

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Rapid City, South Dakota, 57701, United States

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Sioux Falls, South Dakota, 57104, United States

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Knoxville, Tennessee, 37917, 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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Beaumont, Texas, 77702, United States

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Novartis Investigative Site

Dallas, Texas, 75216, United States

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Dallas, Texas, 75231, United States

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Novartis Investigative Site

Dallas, Texas, 75235, United States

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Novartis Investigative Site

Houston, Texas, 77030, United States

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Novartis Investigative Site

Houston, Texas, 77094, United States

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Novartis Investigative Site

Livingston, Texas, 77351, United States

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Novartis Investigative Site

McKinney, Texas, 75069, United States

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San Antonio, Texas, 78234, United States

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Tomball, Texas, 77375, United States

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Salt Lake City, Utah, 84124, United States

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Salt Lake City, Utah, 84132, United States

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Novartis Investigative Site

White River Junction, Vermont, 05009, United States

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Seattle, Washington, 98122, United States

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Seattle, Washington, 98195, United States

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Novartis Investigative Site

Madison, Wisconsin, 53705, United States

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Madison, Wisconsin, 53792-1615, United States

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Milwaukee, Wisconsin, 53215, United States

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Novartis Investigative Site

CABA, Buenos Aires, 1407, Argentina

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CABA, Buenos Aires, C1056ABJ, Argentina

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Caba, Buenos Aires, C1280AEB, Argentina

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Novartis Investigative Site

Quilmes, Buenos Aires, B1878GEG, Argentina

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Ramos Mejía, Buenos Aires, B1704ETD, Argentina

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

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Posadas, Misiones Province, N3300AHX, Argentina

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Salta, Salta Province, A4406BPF, Argentina

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San Miguel de Tucumán, San Miguel de Tucuman, T4000ICL, Argentina

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Rosario, Santa Fe Province, 2000, Argentina

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Rosario, Santa Fe Province, 3080, Argentina

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Rosario, Santa Fe Province, S2000DSV, Argentina

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Rosario, Santa Fe Province, S2000QID, Argentina

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San Miguel de Tucumán, Tucumán Province, T4000IFL, Argentina

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Buenos Aires, C1425AGP, Argentina

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Buenos Aires, C1428DCO, Argentina

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CABA, C1119ACN, Argentina

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Córdoba, X5000AAX, Argentina

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Córdoba, X5000EVQ, Argentina

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Córdoba, X5009BSN, Argentina

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Córdoba, X5016KET, Argentina

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Córdoba, X5022CPU, Argentina

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Formosa, P3600, Argentina

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San Luis, D5702JRS, Argentina

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Santa Fe, S3000FWO, Argentina

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Southport, Queensland, 4215, Australia

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Bedford Park, South Australia, 5041, Australia

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Bundoora, Victoria, 3083, Australia

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Epping, Victoria, 3076, Australia

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Geelong, Victoria, 3220, Australia

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Innsbruck, Tyrol, 6020, Austria

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Braunau am Inn, A5280, Austria

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Graz, 8020, Austria

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Graz, A-8036, Austria

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Grossgmain, 5084, Austria

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Linz, 4010, Austria

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Vienna, 1130, Austria

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Vienna, A 1090, Austria

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Novartis Investigative Site

Aalst, 9300, Belgium

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Novartis Investigative Site

Antwerp, 2060, Belgium

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Novartis Investigative Site

Brasschaat, 2930, Belgium

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Novartis Investigative Site

Brussels, 1200, Belgium

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Novartis Investigative Site

De Pinte, 9840, Belgium

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Novartis Investigative Site

Genk, 3600, Belgium

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Novartis Investigative Site

Ghent, 9000, Belgium

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Novartis Investigative Site

Hasselt, 3500, Belgium

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Novartis Investigative Site

Huy, 4500, Belgium

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Kortrijk, 8500, Belgium

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Novartis Investigative Site

Leuven, 3000, Belgium

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Novartis Investigative Site

Ottignies, 1340, Belgium

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Novartis Investigative Site

Goiânia, Goiás, 74605-020, Brazil

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Novartis Investigative Site

Belo Horizonte, Minas Gerais, 30150-221, Brazil

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Novartis Investigative Site

Uberlândia, Minas Gerais, 38411 186, Brazil

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Novartis Investigative Site

Campina Grande do Sul, Paraná, 83430-000, Brazil

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Novartis Investigative Site

Curitiba, Paraná, 80730 150, Brazil

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Novartis Investigative Site

Porto Alegre, Rio Grande do Sul, 90035-003, Brazil

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Novartis Investigative Site

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

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Novartis Investigative Site

Blumenau, Santa Catarina, 89020 430, Brazil

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Novartis Investigative Site

Campinas, São Paulo, 13020-431, Brazil

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Novartis Investigative Site

Campinas, São Paulo, 13060-904, Brazil

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Novartis Investigative Site

Liberdade, São Paulo, 01504-001, Brazil

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Novartis Investigative Site

Ribeirão Preto, São Paulo, 14055-370, Brazil

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Novartis Investigative Site

São José do Rio Preto, São Paulo, 15090 000, Brazil

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Novartis Investigative Site

São Paulo, São Paulo, 08270-070, Brazil

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Novartis Investigative Site

Smolyan, Bulgaria, 4700, Bulgaria

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Novartis Investigative Site

Burgas, 8127, Bulgaria

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Novartis Investigative Site

Pazardzhik, 4400, Bulgaria

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Novartis Investigative Site

Pleven, 5800, Bulgaria

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Plovdiv, 4000, Bulgaria

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Plovdiv, 4002, Bulgaria

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Novartis Investigative Site

Shumen, 9700, Bulgaria

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Silistra, 7500, Bulgaria

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Sliven, 8800, Bulgaria

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Sofia, 1000, Bulgaria

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Sofia, 1202, Bulgaria

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Sofia, 1233, Bulgaria

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Novartis Investigative Site

Sofia, 1309, Bulgaria

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Sofia, 1407, Bulgaria

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Sofia, 1527, Bulgaria

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Sofia, 1606, Bulgaria

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Sofia, 1784, Bulgaria

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Novartis Investigative Site

Varna, 9010, Bulgaria

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Novartis Investigative Site

Veliko Tarnovo, 5000, Bulgaria

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Calgary, Alberta, T2N 4Z6, Canada

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Victoria, British Columbia, V8R4R2, Canada

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Novartis Investigative Site

St. John's, Newfoundland and Labrador, A1B 3V6, Canada

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Halifax, Nova Scotia, B3H 2Y9, Canada

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Novartis Investigative Site

Cambridge, Ontario, N1R 6V6, Canada

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Hamilton, Ontario, L8L 2X2, Canada

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Ottawa, Ontario, K1Y 4W7, Canada

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Toronto, Ontario, M5B 1W8, Canada

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Toronto, Ontario, M5G 1X5, Canada

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Toronto, Ontario, M5S 1B2, Canada

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Weston, Ontario, M9N 1W4, Canada

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Montreal, Quebec, H1T 1C8, Canada

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Montreal, Quebec, H3G 1A4, Canada

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Montreal, Quebec, H3T 1E2, Canada

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Sainte-Foy, Quebec, G1V 4G5, Canada

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Sherbrooke, Quebec, J1G 2E8, Canada

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Thetford-Mines, Quebec, G6G 2V4, Canada

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Trois-Rivières, Quebec, G8Z 3R9, Canada

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Novartis Investigative Site

Beijing, Beijing Municipality, 100037, China

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Beijing, Beijing Municipality, 100039, China

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Beijing, Beijing Municipality, 100044, China

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Beijing, Beijing Municipality, 100730, China

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Chongqing, Chongqing Municipality, 400010, China

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Lanzhou, Gansu, 730030, China

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Guangzhou, Guangdong, 51000, China

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Guangzhou, Guangdong, 510080, China

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Guangzhou, Guangdong, 510515, China

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Nanning, Guangxi, 530021, China

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Changsha, Hunan, 410003, China

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Nanjing, Jiangsu, 210009, China

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Nanjing, Jiangsu, 210029, China

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Suzhou, Jiangsu, 215004, China

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Wuxi, Jiangsu, China

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Nanchang, Jiangxi, 330006, China

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Changchun, Jilin, 130022, China

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Jilin, Jilin, 132000, China

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Shenyang, Liaoning, 110003, China

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Shenyang, Liaoning, 110016, China

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Shanghai, Shanghai Municipality, 200032, China

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Shanghai, Shanghai Municipality, 200120, China

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Shanghai, Shanghai Municipality, China

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Xian, Shanxi, 710061, China

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Xi’an, Shanxi, 710032, China

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Chengdu, Sichuan, 610041, China

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Tianjin, Tianjin Municipality, 300121, China

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Ürümqi, Xinjiang, 830054, China

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Hangzhou, Zhejiang, 310009, China

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Hangzhou, Zhejiang, 310013, China

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Hangzhou, Zhejiang, 310016, China

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Beijing, 100029, China

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Beijing, 100034, China

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Chongqing, 400037, China

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Jinan, 250012, China

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Nanjing, 210036, China

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Shanghai, 200025, China

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Shanghai, 200031, China

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Shanghai, 200080, China

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Medellín, Antioquia, 050036, Colombia

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Barranquilla, Atlántico, Colombia

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Barranquilla, 080020, Colombia

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Barranquilla, Colombia

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Florida Blanca, Colombia

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Novartis Investigative Site

Varaždin, HRV, 42000, Croatia

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Rijeka, 51000, Croatia

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Zadar, 23000, Croatia

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Zagreb, 10000, Croatia

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Brandýs nad Labem, Czech Republic, 250 01, Czechia

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Brno, Czech Republic, 60200, Czechia

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Ivančice, Czech Republic, 66491, Czechia

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Kladno, Czech Republic, 272 80, Czechia

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Liberec, Czech Republic, 460 05, Czechia

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Louny, Czech Republic, Czechia

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Ostrava, Czech Republic, 70200, Czechia

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Pilsen, Czech Republic, 30100, Czechia

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Prague, Czech Republic, 140 21, Czechia

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Novartis Investigative Site

Rožnov pod Radhoštěm, Czech Republic, 756 61, Czechia

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Svitavy, Czech Republic, 568 25, Czechia

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Novartis Investigative Site

Třebíč, Czech Republic, 674 01, Czechia

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Ústí nad Labem, Czech Republic, 400 01, Czechia

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Znojmo, Czech Republic, 66902, Czechia

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Policska, CZE, 57201, Czechia

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Novartis Investigative Site

Prague, CZE, 128 08, Czechia

Location

Novartis Investigative Site

Ústí nad Labem, CZE, 400 01, Czechia

Location

Novartis Investigative Site

CZE, 11000, Czechia

Location

Novartis Investigative Site

Kolín, 280 20, Czechia

Location

Novartis Investigative Site

Mariánské Lázně, 353 01, Czechia

Location

Novartis Investigative Site

Uherské Hradiště, 68601, Czechia

Location

Novartis Investigative Site

Esbjerg, DK-6700, Denmark

Location

Novartis Investigative Site

Glostrup Municipality, 2600, Denmark

Location

Novartis Investigative Site

Herlev, 2730, Denmark

Location

Novartis Investigative Site

Hvidovre, 2650, Denmark

Location

Novartis Investigative Site

Randers, 8930, Denmark

Location

Novartis Investigative Site

Svendborg, 5700, Denmark

Location

Novartis Investigative Site

Viborg, DK-8800, Denmark

Location

Novartis Investigative Site

Jyväskylä, 40620, Finland

Location

Novartis Investigative Site

Oulu, 90220, Finland

Location

Novartis Investigative Site

Tampere, 33520, Finland

Location

Novartis Investigative Site

Bayonne, Bayonne Cedex, 64109, France

Location

Novartis Investigative Site

Montpellier, Herault, 34059, France

Location

Novartis Investigative Site

Besançon, 25030, France

Location

Novartis Investigative Site

Béziers, 34525, France

Location

Novartis Investigative Site

Bordeaux, 33075, France

Location

Novartis Investigative Site

Grenoble, 38043, France

Location

Novartis Investigative Site

Lyon, F-69001, France

Location

Novartis Investigative Site

Paris, 75010, France

Location

Novartis Investigative Site

Poitiers, 86000, France

Location

Novartis Investigative Site

Pontoise, F-95300, France

Location

Novartis Investigative Site

Rennes, 35033, France

Location

Novartis Investigative Site

Toulouse, 31059, France

Location

Novartis Investigative Site

Tourcoing, 59208, France

Location

Novartis Investigative Site

Vandœuvre-lès-Nancy, 54511, France

Location

Novartis Investigative Site

Dresden, Saxony, 01099, Germany

Location

Novartis Investigative Site

Aachen, 52074, Germany

Location

Novartis Investigative Site

Bad Homburg, 61348, Germany

Location

Novartis Investigative Site

Bad Krozingen, 79189, Germany

Location

Novartis Investigative Site

Bamberg, 96049, Germany

Location

Novartis Investigative Site

Berlin, 10789, Germany

Location

Novartis Investigative Site

Berlin, 12157, Germany

Location

Novartis Investigative Site

Berlin, 12683, Germany

Location

Novartis Investigative Site

Berlin, 13086, Germany

Location

Novartis Investigative Site

Berlin, 13353, Germany

Location

Novartis Investigative Site

Berlin, 13405, Germany

Location

Novartis Investigative Site

Buch, 13125, Germany

Location

Novartis Investigative Site

Chemnitz, 09126, Germany

Location

Novartis Investigative Site

Chemnitz, 09130, Germany

Location

Novartis Investigative Site

Cologne, 51065, Germany

Location

Novartis Investigative Site

Dessau, 06846, Germany

Location

Novartis Investigative Site

Dresden, 01277, Germany

Location

Novartis Investigative Site

Dresden, 01307, Germany

Location

Novartis Investigative Site

Dresden, 01309, Germany

Location

Novartis Investigative Site

Duisburg, 47137, Germany

Location

Novartis Investigative Site

Eilenburg, D 04838, Germany

Location

Novartis Investigative Site

Elsterwerda, 04910, Germany

Location

Novartis Investigative Site

Essen, 45355, Germany

Location

Novartis Investigative Site

Frankfurt, 60594, Germany

Location

Novartis Investigative Site

Frankfurt, 65929, Germany

Location

Novartis Investigative Site

Hamburg, 20099, Germany

Location

Novartis Investigative Site

Hamburg, 20246, Germany

Location

Novartis Investigative Site

Hamburg, 22041, Germany

Location

Novartis Investigative Site

Hamburg, 22765, Germany

Location

Novartis Investigative Site

Haßloch, 67454, Germany

Location

Novartis Investigative Site

Heidenau, 01809, Germany

Location

Novartis Investigative Site

Heppenheim an der Bergstrasse, 64646, Germany

Location

Novartis Investigative Site

Homburg, 66421, Germany

Location

Novartis Investigative Site

Ingelheim, 55218, Germany

Location

Novartis Investigative Site

Jena, 07740, Germany

Location

Novartis Investigative Site

Kassel, 34121, Germany

Location

Novartis Investigative Site

Kleve, 47533, Germany

Location

Novartis Investigative Site

Koblenz, 56068, Germany

Location

Novartis Investigative Site

Leipzig, 04103, Germany

Location

Novartis Investigative Site

Löhne, 32584, Germany

Location

Novartis Investigative Site

Ludwigshafen, 67071, Germany

Location

Novartis Investigative Site

Lüneburg, 21339, Germany

Location

Novartis Investigative Site

Mainz, 55116, Germany

Location

Novartis Investigative Site

Meißen, 01662, Germany

Location

Novartis Investigative Site

Memmingen, 87700, Germany

Location

Novartis Investigative Site

Muehldorf Am Inn, 84453, Germany

Location

Novartis Investigative Site

Munich, 80638, Germany

Location

Novartis Investigative Site

Mühldorf, 84453, Germany

Location

Novartis Investigative Site

München, 81675, Germany

Location

Novartis Investigative Site

Münster, 48149, Germany

Location

Novartis Investigative Site

Nienburg, 31582, Germany

Location

Novartis Investigative Site

Northeim, 37154, Germany

Location

Novartis Investigative Site

Oschatz, 04758, Germany

Location

Novartis Investigative Site

Papenburg, 26871, Germany

Location

Novartis Investigative Site

Reinfeld, 23858, Germany

Location

Novartis Investigative Site

Riesa, 01589, Germany

Location

Novartis Investigative Site

Rodgau, 63110, Germany

Location

Novartis Investigative Site

Siegen, 57072, Germany

Location

Novartis Investigative Site

Ulm, 89077, Germany

Location

Novartis Investigative Site

Wermsdorf, 04779, Germany

Location

Novartis Investigative Site

Weyhe, 28844, Germany

Location

Novartis Investigative Site

Witten, 58455, Germany

Location

Novartis Investigative Site

Wittenberg, 06886, Germany

Location

Novartis Investigative Site

Würzburg, 97080, Germany

Location

Novartis Investigative Site

Athens, Attica, 15562, Greece

Location

Novartis Investigative Site

Athens, GR, 14233, Greece

Location

Novartis Investigative Site

Ioannina, GR, 455 00, Greece

Location

Novartis Investigative Site

Larissa, GR, 411 10, Greece

Location

Novartis Investigative Site

Athens, 115 27, Greece

Location

Novartis Investigative Site

Athens, 12462, Greece

Location

Novartis Investigative Site

Thessaloniki, 54642, Greece

Location

Novartis Investigative Site

Thessaloniki, GR 54636, Greece

Location

Novartis Investigative Site

Guatemala City, 01010, Guatemala

Location

Novartis Investigative Site

Guatemala City, 01011, Guatemala

Location

Novartis Investigative Site

Guatemala City, 01015, Guatemala

Location

Novartis Investigative Site

Guatemala City, 10110, Guatemala

Location

Novartis Investigative Site

Zalaegerszeg, Zala County, 8900, Hungary

Location

Novartis Investigative Site

Budapest, 1042, Hungary

Location

Novartis Investigative Site

Budapest, 1085, Hungary

Location

Novartis Investigative Site

Budapest, 1134, Hungary

Location

Novartis Investigative Site

Budapest, 1145, Hungary

Location

Novartis Investigative Site

Budapest, H 1096, Hungary

Location

Novartis Investigative Site

Cegléd, 2700, Hungary

Location

Novartis Investigative Site

Kistarcsa, 2143, Hungary

Location

Novartis Investigative Site

Makó, 6900, Hungary

Location

Novartis Investigative Site

Nyiregyháza, 4400, Hungary

Location

Novartis Investigative Site

Pécs, 7623, Hungary

Location

Novartis Investigative Site

Pécs, 7635, Hungary

Location

Novartis Investigative Site

Szeged, H 6725, Hungary

Location

Novartis Investigative Site

Székesfehérvár, H-8000, Hungary

Location

Novartis Investigative Site

Guntur, Andhra Pradesh, 522001, India

Location

Novartis Investigative Site

Visakhapatnam, Andhra Pradesh, 532 002, India

Location

Novartis Investigative Site

Ahmedabad, Gujarat, 380054, India

Location

Novartis Investigative Site

Surat, Gujarat, 395 002, India

Location

Novartis Investigative Site

Chandīgarh, Haryana, 160 030, India

Location

Novartis Investigative Site

Gurgaon, Haryana, 122001, India

Location

Novartis Investigative Site

Kochi, Kerala, 683 594, India

Location

Novartis Investigative Site

Pune, Maharashtra, 411 030, India

Location

Novartis Investigative Site

New Delhi, National Capital Territory of Delhi, 110 060, India

Location

Novartis Investigative Site

Ludhiana, Punjab, 141002, India

Location

Novartis Investigative Site

Bikaner, Rajasthan, 334003, India

Location

Novartis Investigative Site

Chennai, Tamil Nadu, 600037, India

Location

Novartis Investigative Site

Chennai, Tamil Nadu, 600081, India

Location

Novartis Investigative Site

Madurai, Tamil Nadu, 625107, India

Location

Novartis Investigative Site

Kolkata, West Bengal, 700 020, India

Location

Novartis Investigative Site

New Delhi, 110025, India

Location

Novartis Investigative Site

Lower Galilee, Israel, 15208, Israel

Location

Novartis Investigative Site

Hadera, 38100, Israel

Location

Novartis Investigative Site

Hadera, Israel

Location

Novartis Investigative Site

Haifa, 3339419, Israel

Location

Novartis Investigative Site

Haifa, 3525408, Israel

Location

Novartis Investigative Site

Nahariya, 22100, Israel

Location

Novartis Investigative Site

Petah Tikva, 49100, Israel

Location

Novartis Investigative Site

Ramat Gan, 52621, Israel

Location

Novartis Investigative Site

Rehovot, 76100, Israel

Location

Novartis Investigative Site

Tel Giborim, Holon, 58100, Israel

Location

Novartis Investigative Site

Aosta, AO, 11100, Italy

Location

Novartis Investigative Site

Cortona, AR, 52044, Italy

Location

Novartis Investigative Site

Bergamo, BG, 24127, Italy

Location

Novartis Investigative Site

Treviglio, BG, 24047, Italy

Location

Novartis Investigative Site

Bologna, BO, 40138, Italy

Location

Novartis Investigative Site

Brescia, BS, 25123, Italy

Location

Novartis Investigative Site

Cona, FE, 44100, Italy

Location

Novartis Investigative Site

Pozzilli, IS, 86077, Italy

Location

Novartis Investigative Site

Monza, MB, 20900, Italy

Location

Novartis Investigative Site

Messina, ME, 98125, Italy

Location

Novartis Investigative Site

Milan, MI, 20162, Italy

Location

Novartis Investigative Site

Vimercate, MI, 200059, Italy

Location

Novartis Investigative Site

Padua, PD, 35128, Italy

Location

Novartis Investigative Site

Perugia, PG, 06100, Italy

Location

Novartis Investigative Site

Perugia, PG, 06129, Italy

Location

Novartis Investigative Site

Pavia, PV, 27100, Italy

Location

Novartis Investigative Site

Ariccia, RM, 00041, Italy

Location

Novartis Investigative Site

Roma, RM, 00163, Italy

Location

Novartis Investigative Site

Roma, RM, 00189, Italy

Location

Novartis Investigative Site

Sassari, SS, 07100, Italy

Location

Novartis Investigative Site

Trieste, TS, 34142, Italy

Location

Novartis Investigative Site

Trieste, TS, 34149, Italy

Location

Novartis Investigative Site

Palmanova, UD, 33057, Italy

Location

Novartis Investigative Site

San Daniele del Friuli, UD, 33038, Italy

Location

Novartis Investigative Site

Saronno, Va, 21047, Italy

Location

Novartis Investigative Site

Venezia, VE, 30174, Italy

Location

Novartis Investigative Site

Milan, 20149, Italy

Location

Novartis Investigative Site

Napoli, 80131, Italy

Location

Novartis Investigative Site

Seto, Aichi-ken, 489-8642, Japan

Location

Novartis Investigative Site

Chikushino-shi, Fukuka, 818-8516, Japan

Location

Novartis Investigative Site

Ōgaki, Gifu, 503-8502, Japan

Location

Novartis Investigative Site

Maebashi, Gunma, 371 8511, Japan

Location

Novartis Investigative Site

Amagasaki, Hyōgo, 660 8550, Japan

Location

Novartis Investigative Site

Kanazawa, Ishikawa-ken, 920 8650, Japan

Location

Novartis Investigative Site

Morioka, Iwate, 020 0066, Japan

Location

Novartis Investigative Site

Kan’onjichō, Kagawa-ken, 769-1695, Japan

Location

Novartis Investigative Site

Takamatsu, Kagawa-ken, 760 8557, Japan

Location

Novartis Investigative Site

Yokohama, Kanagawa, 227-8501, Japan

Location

Novartis Investigative Site

Yokohama, Kanagawa, 236 0051, Japan

Location

Novartis Investigative Site

Sendai, Miyagi, 980 8574, Japan

Location

Novartis Investigative Site

Kashihara, Nara, 634 8522, Japan

Location

Novartis Investigative Site

Sayama, Saitama, 350-1305, Japan

Location

Novartis Investigative Site

Kusatsu, Shiga, 525 8585, Japan

Location

Novartis Investigative Site

Chiyoda-ku, Tokyo, 101-8309, Japan

Location

Novartis Investigative Site

Hachiōji, Tokyo, 192-0918, Japan

Location

Novartis Investigative Site

Itabashi-ku, Tokyo, 173-8610, Japan

Location

Novartis Investigative Site

Shinagawa-ku, Tokyo, 142-8666, Japan

Location

Novartis Investigative Site

Torreón, Coahulia, 27000, Mexico

Location

Novartis Investigative Site

León, Guanajuato, 37530, Mexico

Location

Novartis Investigative Site

Zapopan, Jalisco, 45200, Mexico

Location

Novartis Investigative Site

Mexico City, Mexico City, 14080, Mexico

Location

Novartis Investigative Site

San Juan del Río, Querétaro, 76800, Mexico

Location

Novartis Investigative Site

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

Location

Novartis Investigative Site

Culiacán, Sinaloa, 80230, Mexico

Location

Novartis Investigative Site

Aguascalientes, 20230, Mexico

Location

Novartis Investigative Site

Querétaro, 76000, Mexico

Location

Novartis Investigative Site

San Luis Potosí City, 78200, Mexico

Location

Novartis Investigative Site

Apeldoorn, DZ, 7334, Netherlands

Location

Novartis Investigative Site

The Hague, NL, 2597 AX, Netherlands

Location

Novartis Investigative Site

Almelo, PP, 7609, Netherlands

Location

Novartis Investigative Site

Arnhem, 6815 AD, Netherlands

Location

Novartis Investigative Site

Blaricum, 1261 AN, Netherlands

Location

Novartis Investigative Site

Ede, 6716 RP, Netherlands

Location

Novartis Investigative Site

Gouda, 2803 HH, Netherlands

Location

Novartis Investigative Site

Groningen, 9713 GZ, Netherlands

Location

Novartis Investigative Site

Hardenberg, 7770 AA, Netherlands

Location

Novartis Investigative Site

Harderwijk, 3840 AC, Netherlands

Location

Novartis Investigative Site

Nijmegen, 6500 HB, Netherlands

Location

Novartis Investigative Site

Rotterdam, 3015 CE, 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

Loerenskog, NO 1478, Norway

Location

Novartis Investigative Site

Oslo, 0450, Norway

Location

Novartis Investigative Site

Stavanger, 4068, Norway

Location

Novartis Investigative Site

Tromsø, NO-9038, Norway

Location

Novartis Investigative Site

Bellavista, Lima region, CALLAO 02, Peru

Location

Novartis Investigative Site

Jesus Maria, Lima region, 11, Peru

Location

Novartis Investigative Site

Lima Cercado, Lima region, 01, Peru

Location

Novartis Investigative Site

Miraflores, Lima region, 18, Peru

Location

Novartis Investigative Site

San Isidro, Lima region, 27, 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, 1100, Philippines

Location

Novartis Investigative Site

Quezon City, 1102, Philippines

Location

Novartis Investigative Site

Gdynia, 81-157, Poland

Location

Novartis Investigative Site

Gdynia, 81-548, Poland

Location

Novartis Investigative Site

Grodzisk Mazowiecki, 05 825, Poland

Location

Novartis Investigative Site

Katowice, 40-645, Poland

Location

Novartis Investigative Site

Krakow, 30-015, Poland

Location

Novartis Investigative Site

Krakow, 31 501, Poland

Location

Novartis Investigative Site

Lublin, 20-363, Poland

Location

Novartis Investigative Site

Sandomierz, 27 600, Poland

Location

Novartis Investigative Site

Staszów, 28-200, Poland

Location

Novartis Investigative Site

Torun, 87-100, Poland

Location

Novartis Investigative Site

Warsaw, 02-097, Poland

Location

Novartis Investigative Site

Warsaw, 04-154, Poland

Location

Novartis Investigative Site

Warszawa/Anin, 04-761, Poland

Location

Novartis Investigative Site

Zabrze, 41 800, Poland

Location

Novartis Investigative Site

Zamość, 22-400, Poland

Location

Novartis Investigative Site

Lodz, Łódź Voivodeship, 90 549, Poland

Location

Novartis Investigative Site

Piteşti, Argeş, 110438, Romania

Location

Novartis Investigative Site

Bucharest, District 1, 014461, Romania

Location

Novartis Investigative Site

Craiova, Jud. Dolj, 200497, Romania

Location

Novartis Investigative Site

Sibiu, Jud. Iasi, 550371, Romania

Location

Novartis Investigative Site

Timișoara, Timiș County, 300125, Romania

Location

Novartis Investigative Site

Timișoara, Timiș County, 300362, Romania

Location

Novartis Investigative Site

Arad, 310158, Romania

Location

Novartis Investigative Site

Baia Mare, 430222, Romania

Location

Novartis Investigative Site

Bucharest, 050098, Romania

Location

Novartis Investigative Site

Bucharest, 062272, Romania

Location

Novartis Investigative Site

Târgu Mureş, 540142, Romania

Location

Novartis Investigative Site

Târgu Mureş, 540143, Romania

Location

Novartis Investigative Site

Timișoara, 300041, Romania

Location

Novartis Investigative Site

Ivanovo, 153012, Russia

Location

Novartis Investigative Site

Izhevsk, 426009, Russia

Location

Novartis Investigative Site

Izhevsk, 426063, 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

Kirov, 610035, Russia

Location

Novartis Investigative Site

Moscow, 101990, Russia

Location

Novartis Investigative Site

Moscow, 117198, Russia

Location

Novartis Investigative Site

Moscow, 121309, Russia

Location

Novartis Investigative Site

Moscow, 121552, Russia

Location

Novartis Investigative Site

N.Novgorod, 603005, Russia

Location

Novartis Investigative Site

Perm, 614990, Russia

Location

Novartis Investigative Site

Rostov-on-Don, 344022, Russia

Location

Novartis Investigative Site

Rostov-on-Don, 344068, Russia

Location

Novartis Investigative Site

Saint Petersburg, 192257, Russia

Location

Novartis Investigative Site

Saint Petersburg, 194044, Russia

Location

Novartis Investigative Site

Saint Petersburg, 194295, Russia

Location

Novartis Investigative Site

Saint Petersburg, 196601, Russia

Location

Novartis Investigative Site

Saint Petersburg, 197022, Russia

Location

Novartis Investigative Site

Saint Petersburg, 197110, Russia

Location

Novartis Investigative Site

Saint Petersburg, 197341, Russia

Location

Novartis Investigative Site

Saint Petersburg, 199106, Russia

Location

Novartis Investigative Site

Saratov, 410012, Russia

Location

Novartis Investigative Site

Sestroretsk, 197706, Russia

Location

Novartis Investigative Site

Smolensk, 214018, Russia

Location

Novartis Investigative Site

Yaroslavl, 150003, Russia

Location

Novartis Investigative Site

Yekaterinburg, 620028, Russia

Location

Novartis Investigative Site

Yekaterinburg, 620137, Russia

Location

Novartis Investigative Site

Belgrade, 11000, Serbia

Location

Novartis Investigative Site

Belgrade, 11040, Serbia

Location

Novartis Investigative Site

Niš, 18000, Serbia

Location

Novartis Investigative Site

Niška Banja, 18205, Serbia

Location

Novartis Investigative Site

Singapore, 119074, Singapore

Location

Novartis Investigative Site

Singapore, 169609, Singapore

Location

Novartis Investigative Site

Singapore, 308433, Singapore

Location

Novartis Investigative Site

Singapore, 529889, Singapore

Location

Novartis Investigative Site

Singapore, 768828, Singapore

Location

Novartis Investigative Site

Brezno, Slovak Republic, 977 42, Slovakia

Location

Novartis Investigative Site

Komárno, Slovak Republic, 94501, Slovakia

Location

Novartis Investigative Site

Levice, Slovak Republic, 93401, Slovakia

Location

Novartis Investigative Site

Námestovo, Slovak Republic, 02901, Slovakia

Location

Novartis Investigative Site

Považská Bystrica, Slovak Republic, 01701, Slovakia

Location

Novartis Investigative Site

Prešov, Slovak Republic, 08001, Slovakia

Location

Novartis Investigative Site

Bardejov, 085 01, Slovakia

Location

Novartis Investigative Site

Bratislava, 821 07, Slovakia

Location

Novartis Investigative Site

Bratislava, 831 01, Slovakia

Location

Novartis Investigative Site

Bratislava, 833 48, Slovakia

Location

Novartis Investigative Site

Bratislava, 841 07, Slovakia

Location

Novartis Investigative Site

Bratislava, 842 31, Slovakia

Location

Novartis Investigative Site

Bratislava, 851 01, Slovakia

Location

Novartis Investigative Site

Košice, 040 01, Slovakia

Location

Novartis Investigative Site

Levice, 934 01, Slovakia

Location

Novartis Investigative Site

Lučenec, 984 01, Slovakia

Location

Novartis Investigative Site

Lučenec, 98439, Slovakia

Location

Novartis Investigative Site

Nitra, 949 01, Slovakia

Location

Novartis Investigative Site

Nitra, 949 88, Slovakia

Location

Novartis Investigative Site

Nové Zámky, 940 01, Slovakia

Location

Novartis Investigative Site

Nové Zámky, 94002, Slovakia

Location

Novartis Investigative Site

Piešťany, 921 01, Slovakia

Location

Novartis Investigative Site

Prešov, 080 01, Slovakia

Location

Novartis Investigative Site

Svidník, 089 01, Slovakia

Location

Novartis Investigative Site

Trebišov, 075 01, Slovakia

Location

Novartis Investigative Site

Žilina, 012 07, Slovakia

Location

Novartis Investigative Site

Golnik, 4204, Slovenia

Location

Novartis Investigative Site

Ljubljana, 1000, Slovenia

Location

Novartis Investigative Site

Bloemfontein, Free State, 9301, South Africa

Location

Novartis Investigative Site

Soweto, Gauteng, 2013, South Africa

Location

Novartis Investigative Site

Durban, KwaZulu-Natal, 4052, South Africa

Location

Novartis Investigative Site

Alberton, 1449, South Africa

Location

Novartis Investigative Site

Bloemfontein, 9301, South Africa

Location

Novartis Investigative Site

Cape Town, 7500, South Africa

Location

Novartis Investigative Site

Cape Town, 7531, South Africa

Location

Novartis Investigative Site

Cape Town, 7925, South Africa

Location

Novartis Investigative Site

Durban, 4001, South Africa

Location

Novartis Investigative Site

Tongaat, 3300, South Africa

Location

Novartis Investigative Site

Western Cape, 7130, South Africa

Location

Novartis Investigative Site

Worcester, 6850, South Africa

Location

Novartis Investigative Site

Gyeonggi-do, Bucheon Si, 422-711, South Korea

Location

Novartis Investigative Site

Wŏnju, Gangwon-do, 26427, South Korea

Location

Novartis Investigative Site

Bundang Gu, Gyeonggi-do, 13620, South Korea

Location

Novartis Investigative Site

Seoul, Korea, 05505, South Korea

Location

Novartis Investigative Site

Incheon, KOR, 22332, South Korea

Location

Novartis Investigative Site

Seoul, KOR, 08308, South Korea

Location

Novartis Investigative Site

Cheongju-si, North Chungcheong, 28644, South Korea

Location

Novartis Investigative Site

Daegu, 705 718, South Korea

Location

Novartis Investigative Site

Seoul, 02841, South Korea

Location

Novartis Investigative Site

Seoul, 03080, South Korea

Location

Novartis Investigative Site

Seoul, 03722, South Korea

Location

Novartis Investigative Site

Seoul, 06351, South Korea

Location

Novartis Investigative Site

Almería, Andalusia, 04120, Spain

Location

Novartis Investigative Site

Córdoba, Andalusia, 14004, Spain

Location

Novartis Investigative Site

Marbella, Andalusia, 29600, Spain

Location

Novartis Investigative Site

Málaga, Andalusia, 29010, Spain

Location

Novartis Investigative Site

Sanlúcar de Barrameda, Andalusia, 11540, Spain

Location

Novartis Investigative Site

Seville, Andalusia, 41013, Spain

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Novartis Investigative Site

Seville, Andalusia, 41014, Spain

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Novartis Investigative Site

Sant Joan Despí, Barcelona, 08970, Spain

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Novartis Investigative Site

Villamartín, Cadiz, 11650, Spain

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Novartis Investigative Site

Santander, Cantabria, 39008, Spain

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Novartis Investigative Site

Aranda de Duero, Castille and León, 09400, Spain

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Novartis Investigative Site

León, Castille and León, 24071, Spain

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Novartis Investigative Site

Badalona, Catalonia, 08916, Spain

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Novartis Investigative Site

Barcelona, Catalonia, 08003, Spain

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Novartis Investigative Site

Lleida, Catalonia, 25198, Spain

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Novartis Investigative Site

Mérida, Extremadura, 06800, Spain

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Novartis Investigative Site

A Coruña, Galicia, 15006, Spain

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Novartis Investigative Site

Santiago de Compostela, Galicia, 15706, Spain

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Novartis Investigative Site

Olot, Girona, 17800, Spain

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Novartis Investigative Site

Móstoles, Madrid, 28935, Spain

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Novartis Investigative Site

El Palmar, Murcia, 30120, Spain

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Novartis Investigative Site

Alzira, Valencia, 46600, Spain

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Novartis Investigative Site

Valencia, Valencia, 46010, Spain

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Novartis Investigative Site

Valencia, Valencia, 46014, Spain

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Novartis Investigative Site

Valencia, Valencia, 46026, Spain

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Novartis Investigative Site

Ciudad Real, 13005, Spain

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Novartis Investigative Site

Madrid, 28009, Spain

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Novartis Investigative Site

Madrid, 28034, Spain

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Novartis Investigative Site

Madrid, 28040, Spain

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Novartis Investigative Site

Madrid, 28046, Spain

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Novartis Investigative Site

Madrid, 28222, Spain

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Novartis Investigative Site

Danderyd, 182 88, Sweden

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Novartis Investigative Site

Falun, 791 82, Sweden

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Novartis Investigative Site

Gothenburg, 413 45, Sweden

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Novartis Investigative Site

Karlstad, 652 30, Sweden

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Novartis Investigative Site

Lund, 222 21, Sweden

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Novartis Investigative Site

Örebro, 701 85, Sweden

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Novartis Investigative Site

Stockholm, 17176, Sweden

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Novartis Investigative Site

Västerås, 72189, Sweden

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Novartis Investigative Site

Basel, 4031, Switzerland

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Novartis Investigative Site

Bern, 3010, Switzerland

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Novartis Investigative Site

Biel, 2502, Switzerland

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Novartis Investigative Site

Lausanne, 1011, Switzerland

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Novartis Investigative Site

Zurich, 8091, Switzerland

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Novartis Investigative Site

Tainan, Taiwan ROC, 70403, Taiwan

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Novartis Investigative Site

Changhua, 50006, Taiwan

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Novartis Investigative Site

Kaohsiung City, 80756, Taiwan

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Novartis Investigative Site

New Taipei City, 22060, Taiwan

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Novartis Investigative Site

Taichung, 40447, Taiwan

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Novartis Investigative Site

Tainan, 71004, Taiwan

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Novartis Investigative Site

Taipei, 10002, Taiwan

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Novartis Investigative Site

Taipei, 11217, Taiwan

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Novartis Investigative Site

Yilan, 26058, Taiwan

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Novartis Investigative Site

Pendik / Istanbul, Turkey, 34899, Turkey (Türkiye)

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Novartis Investigative Site

Istanbul, TUR, 34098, Turkey (Türkiye)

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Novartis Investigative Site

Haydarpasa Istanbul, 34668, Turkey (Türkiye)

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Novartis Investigative Site

Istanbul, 34304, Turkey (Türkiye)

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Novartis Investigative Site

Izmir, 35040, Turkey (Türkiye)

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Novartis Investigative Site

Izmir, 35340, Turkey (Türkiye)

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Novartis Investigative Site

Kocaeli, 41380, Turkey (Türkiye)

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Novartis Investigative Site

Sivas, 58140, Turkey (Türkiye)

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Novartis Investigative Site

High Wycombe, Buckinghamshire, HP11 2TT, United Kingdom

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Novartis Investigative Site

Stockton-on-Tees, Cleveland, TS19 8PE, United Kingdom

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Novartis Investigative Site

Darlington, Co Durham, DL3 8SQ, United Kingdom

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Novartis Investigative Site

Durham, County Durham, DH1 5TW, United Kingdom

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Novartis Investigative Site

Torquay, Devon, TQ2 7AA, United Kingdom

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Novartis Investigative Site

Dorchester, Dorset, DT1 2JY, United Kingdom

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Novartis Investigative Site

Peterborough, GBR, PE3 6DA, 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

Oldham, Lancashire, OL1 2JH, United Kingdom

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Novartis Investigative Site

Harrow, Middlesex, HA1 3UJ, United Kingdom

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Novartis Investigative Site

Portadown, Nothern Ireland, BT63 5QQ, United Kingdom

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Novartis Investigative Site

Wansford, Peterborough, PE8 6PL, United Kingdom

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Novartis Investigative Site

Glasgow, Scotland, G12 8TA, United Kingdom

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Taunton, Somerset, TA1 5DA, United Kingdom

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Gateshead, Tyne and Wear, NE9 6SX, United Kingdom

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Clydebank, West Dumbartonshire, G81 4HX, United Kingdom

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Cheshire, CW1 4QJ, United Kingdom

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Coventry, CV2 2DX, United Kingdom

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Dundee, DD1 9SY, United Kingdom

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Glasgow, G20 0XA, United Kingdom

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Novartis Investigative Site

Hull, HU16 5JQ, United Kingdom

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Novartis Investigative Site

London, SE5 9RS, United Kingdom

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Novartis Investigative Site

London, SW 6NP, United Kingdom

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Novartis Investigative Site

Newport, NP20 2UB, United Kingdom

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Nottingham, NG5 1PB, United Kingdom

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Sheffield, S5 7AU, United Kingdom

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Swindon, SN3 6BB, United Kingdom

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Wiltshire, SN15 2SB, United Kingdom

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Wrexham, LL13 7TD, United Kingdom

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Related Publications (55)

  • 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.

  • Lu H, Claggett BL, Minamisawa M, Ostrominski JW, Foa A, Pabon MA, Kalayci A, Vaduganathan M, Cikes M, Shah AM, Desai AS, McMurray JJV, Jhund PS, Packer M, Lefkowitz M, Rouleau JL, Zile MR, Zannad F, Hegde SM, Solomon SD, Skali H. Prognostic Significance of Nutritional Scores in Patients With Heart Failure: Insights From the PARAGON-HF Trial. J Am Heart Assoc. 2025 May 6;14(9):e038872. doi: 10.1161/JAHA.124.038872. Epub 2025 Apr 23.

  • Kondo T, Jhund PS, Anand IS, Claggett BL, Desai AS, Docherty KF, Lam CSP, Lefkowitz MP, Maggioni AP, Martinez FA, Redfield MM, Rouleau JL, Van Veldhuisen DJ, Zannad F, Zile MR, Packer M, Solomon SD, McMurray JJV. Effects of Sacubitril/Valsartan According to Natriuretic Peptide Levels in Patients Enrolled in PARADIGM-HF and PARAGON-HF. JACC Heart Fail. 2025 Jun;13(6):927-939. doi: 10.1016/j.jchf.2024.12.010. Epub 2025 Mar 12.

  • Peikert A, Vaduganathan M, Claggett BL, Kulac IJ, Litwin S, Zile M, Desai AS, Jhund PS, Butt JH, Lam CSP, Martinez F, Van Veldhuisen DJ, Zannad F, Rouleau J, Lefkowitz M, McMurray JJV, Solomon SD, Packer M. Near-universal prevalence of central adiposity in heart failure with preserved ejection fraction: the PARAGON-HF trial. Eur Heart J. 2025 Jul 1;46(25):2372-2390. doi: 10.1093/eurheartj/ehaf057.

  • Mc Causland FR, Vaduganathan M, Claggett B, Gori M, Jhund PS, McGrath MM, Neuen BL, Packer M, Pfeffer MA, Rouleau JL, Senni M, Swedberg K, Zannad F, Zile M, Lefkowitz MP, McMurray JJV, Solomon SD. Angiotensin Receptor Neprilysin Inhibition and Cardiovascular Outcomes Across the Kidney Function Spectrum: The PARAGON-HF Trial. JACC Heart Fail. 2025 Jan;13(1):105-114. doi: 10.1016/j.jchf.2024.08.022. Epub 2024 Nov 20.

  • 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, Pabon MA, Pfeffer MA, Lewis EF, Lam CSP, Rouleau J, Zile MR, Lefkowitz M, Desai AS, Jhund PS, McMurray JJV, Solomon SD, Vaduganathan M. Race in Heart Failure: A Pooled Participant-Level Analysis of the Global PARADIGM-HF and PARAGON-HF Trials. JACC Heart Fail. 2025 Jan;13(1):58-71. doi: 10.1016/j.jchf.2024.08.008. Epub 2024 Aug 31.

  • Lu H, Claggett BL, Packer M, Pfeffer MA, Lam CSP, Zile MR, Desai AS, Jhund P, Lefkowitz M, McMurray JJV, Solomon SD, Vaduganathan M. Sacubitril/valsartan reduces incident anaemia and iron therapy utilization in heart failure: The PARAGON-HF trial. Eur J Heart Fail. 2025 Jan;27(1):85-95. doi: 10.1002/ejhf.3414. Epub 2024 Sep 1.

  • Lu H, Chatur S, Lee S, Inciardi RM, Abanda M, Mc Causland FR, Kalayci A, Taheri KK, Shah AM, Cikes M, Claggett BL, Prasad N, Lam CSP, O'Meara E, Wang X, McMurray JJV, Pfeffer MA, Hegde SM, Solomon SD, Skali H. Relationship Between Cardiac Structure and Function With Renal Function Trajectory and Outcomes in Patients With Heart Failure: Insights From the PARAGON-HF Trial. Circ Heart Fail. 2024 Oct;17(10):e011942. doi: 10.1161/CIRCHEARTFAILURE.124.011942. Epub 2024 Aug 30.

  • 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.

  • Yoon M, Kim W, Kook W, Park JJ, Greenberg B. Analysis of the PARAGON-HF Study Results Using Win Ratio. Circ Heart Fail. 2024 Sep;17(9):e011860. doi: 10.1161/CIRCHEARTFAILURE.124.011860. Epub 2024 Aug 28.

  • Lassen MCH, Ostrominski JW, Claggett BL, Packer M, Zile M, Desai AS, Shah AM, Cikes M, Merkely B, Gori M, Wang X, Hegde SM, Pfeffer MA, Lefkowitz M, McMurray JJV, Solomon SD, Vaduganathan M. Cardiovascular-kidney-metabolic overlap in heart failure with preserved ejection fraction: Cardiac structure and function, clinical outcomes, and response to sacubitril/valsartan in PARAGON-HF. Eur J Heart Fail. 2024 Aug;26(8):1762-1774. doi: 10.1002/ejhf.3304. Epub 2024 Jun 26.

  • 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, Beldhuis IE, Claggett BL, McCausland FR, Neuen BL, Desai AS, Rouleau JL, Zile MR, Packer M, Pfeffer MA, Lefkowitz MP, McMurray JJV, Solomon SD, Vaduganathan M. Sacubitril/Valsartan in Patients With Heart Failure and Deterioration in eGFR to <30 mL/min/1.73 m2. JACC Heart Fail. 2024 Oct;12(10):1692-1703. doi: 10.1016/j.jchf.2024.03.014. Epub 2024 Jun 5.

  • Dewan P, Shen L, Pedro Ferreira J, Jhund PS, Anand IS, Chandra A, Chiang LM, Claggett B, Desai AS, Gong J, Lam CSP, Lefkowitz MP, Maggioni AP, Martinez F, Packer M, Redfield MM, Rouleau JL, van Veldhuisen DJ, Zannad F, Zile MR, Solomon SD, McMurray JJV. Effect of Sacubitril/Valsartan on Cognitive Function in Patients With Heart Failure With Preserved Ejection Fraction: A Prespecified Analysis of PARAGON-HF. Circulation. 2024 Jul 23;150(4):272-282. doi: 10.1161/CIRCULATIONAHA.124.068774. Epub 2024 Jun 6.

  • Foa A, Vaduganathan M, Claggett BL, Pabon MA, Lu H, Pfeffer MA, Packer M, Vardeny O, Rouleau JL, Lefkowitz M, Mentz RJ, Jhund PS, Desai AS, McMurray JJV, Solomon SD. Sacubitril/Valsartan-Related Hypotension in Patients With Heart Failure and Preserved or Mildly Reduced Ejection Fraction. J Am Coll Cardiol. 2024 May 7;83(18):1731-1739. doi: 10.1016/j.jacc.2024.02.035. Epub 2024 Mar 25.

  • 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.

  • Butt JH, Jering K, DE Boer RA, Claggett BL, Desai AS, Hernandez AF, Inzucchi SE, Jhund PS, Kober L, Kosiborod MN, Lam CSP, Martinez FA, Ponikowski P, Sabatine MS, Shah SJ, Vaduganathan M, Langkilde AM, Bengtsson O, Petersson M, Sjostrand M, Wilderang U, Solomon SD, McMurray JJV. Heart Failure, Investigator-Reported Sleep Apnea and Dapagliflozin: A Patient-Level Pooled Meta-Analysis of DAPA-HF and DELIVER. J Card Fail. 2024 Mar;30(3):436-448. doi: 10.1016/j.cardfail.2023.08.027. Epub 2023 Dec 15.

  • 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.

  • Kondo T, Jering KS, Jhund PS, Anand IS, Desai AS, Lam CSP, Maggioni AP, Martinez FA, Packer M, Petrie MC, Pfeffer MA, Redfield MM, Rouleau JL, van Veldhuisen DJ, Zannad F, Zile MR, Solomon SD, McMurray JJV. Predicting Stroke in Heart Failure and Preserved Ejection Fraction Without Atrial Fibrillation. Circ Heart Fail. 2023 Jul;16(7):e010377. doi: 10.1161/CIRCHEARTFAILURE.122.010377. Epub 2023 Jun 23.

  • Inciardi RM, Abanda M, Shah AM, Cikes M, Claggett B, Skali H, Vaduganathan M, Prasad N, Litwin S, Merkely B, Kosztin A, Nagy KV, Shah SJ, Mullens W, Zile MR, Lam CSP, Pfeffer MA, McMurray JJV, Solomon SD; PARAGON-HF Investigators. Right Ventricular Function and Pulmonary Coupling in Patients With Heart Failure and Preserved Ejection Fraction. J Am Coll Cardiol. 2023 Aug 8;82(6):489-499. doi: 10.1016/j.jacc.2023.05.010. Epub 2023 May 22.

  • Lyu T, Bornkamp B, Mueller-Velten G, Schmidli H. Bayesian inference for a principal stratum estimand on recurrent events truncated by death. Biometrics. 2023 Dec;79(4):3792-3802. doi: 10.1111/biom.13831. Epub 2023 Jan 30.

  • Curtain JP, Adamson C, Kondo T, Butt JH, Desai AS, Zannad F, Rouleau JL, Rohde LE, Kober L, Anand IS, van Veldhuisen DJ, Zile MR, Lefkowitz MP, Solomon SD, Packer M, Petrie MC, Jhund PS, McMurray JJV. Investigator-reported ventricular arrhythmias and mortality in heart failure with mildly reduced or preserved ejection fraction. Eur Heart J. 2023 Feb 21;44(8):668-677. doi: 10.1093/eurheartj/ehac801.

  • Butt JH, Dewan P, Jhund PS, Anand IS, Atar D, Ge J, Desai AS, Echeverria LE, Kober L, Lam CSP, Maggioni AP, Martinez F, Packer M, Rouleau JL, Sim D, Van Veldhuisen DJ, Vrtovec B, Zannad F, Zile MR, Gong J, Lefkowitz MP, Rizkala AR, Solomon SD, McMurray JJV. Sacubitril/Valsartan and Frailty in Patients With Heart Failure and Preserved Ejection Fraction. J Am Coll Cardiol. 2022 Sep 20;80(12):1130-1143. doi: 10.1016/j.jacc.2022.06.037. Epub 2022 Aug 29.

  • Chatur S, Vaduganathan M, Peikert A, Claggett BL, McCausland FR, Skali H, Pfeffer MA, Beldhuis IE, Kober L, Seferovic P, Lefkowitz M, McMurray JJV, Solomon SD. Longitudinal trajectories in renal function before and after heart failure hospitalization among patients with heart failure with preserved ejection fraction in the PARAGON-HF trial. Eur J Heart Fail. 2022 Oct;24(10):1906-1914. doi: 10.1002/ejhf.2638. Epub 2022 Aug 15.

  • Wijkman MO, Claggett B, Vaduganathan M, Cunningham JW, Rorth R, Jackson A, Packer M, Zile M, Rouleau J, Swedberg K, Lefkowitz M, Shah SJ, Pfeffer MA, McMurray JJV, Solomon SD. Effects of sacubitril/valsartan on glycemia in patients with diabetes and heart failure: the PARAGON-HF and PARADIGM-HF trials. Cardiovasc Diabetol. 2022 Jun 18;21(1):110. doi: 10.1186/s12933-022-01545-1.

  • Vaduganathan M, Claggett BL, Inciardi RM, Fonarow GC, McMurray JJV, Solomon SD. Estimating the Benefits of Combination Medical Therapy in Heart Failure With Mildly Reduced and Preserved Ejection Fraction. Circulation. 2022 Jun 7;145(23):1741-1743. doi: 10.1161/CIRCULATIONAHA.121.058929. Epub 2022 May 23. No abstract available.

  • 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.

  • Cikes M, Planinc I, Claggett B, Cunningham J, Milicic D, Sweitzer N, Senni M, Gori M, Linssen G, Shah SJ, Packer M, Pfeffer M, Zile MR, Anand I, Chiang LM, Lam CSP, Redfield M, Desai AS, McMurray JJV, Solomon SD. Atrial Fibrillation in Heart Failure With Preserved Ejection Fraction: The PARAGON-HF Trial. JACC Heart Fail. 2022 May;10(5):336-346. doi: 10.1016/j.jchf.2022.01.018. Epub 2022 Apr 6.

  • Jackson AM, Rorth R, Liu J, Kristensen SL, Anand IS, Claggett BL, Cleland JGF, Chopra VK, Desai AS, Ge J, Gong J, Lam CSP, Lefkowitz MP, Maggioni AP, Martinez F, Packer M, Pfeffer MA, Pieske B, Redfield MM, Rizkala AR, Rouleau JL, Seferovic PM, Tromp J, Van Veldhuisen DJ, Yilmaz MB, Zannad F, Zile MR, Kober L, Petrie MC, Jhund PS, Solomon SD, McMurray JJV; PARAGON-HF Committees and Investigators. Diabetes and pre-diabetes in patients with heart failure and preserved ejection fraction. Eur J Heart Fail. 2022 Mar;24(3):497-509. doi: 10.1002/ejhf.2403. Epub 2022 Jan 4.

  • Desai AS, Vaduganathan M, Cleland JG, Claggett BL, Barkoudah E, Finn P, McCausland FR, Yilmaz MB, Lefkowitz M, Shi V, Pfeffer MA, McMurray JJV, Solomon SD. Mode of Death in Patients With Heart Failure and Preserved Ejection Fraction: Insights From PARAGON-HF Trial. Circ Heart Fail. 2021 Dec;14(12):e008597. doi: 10.1161/CIRCHEARTFAILURE.121.008597. Epub 2021 Nov 22.

  • Mooney L, Hawkins NM, Jhund PS, Redfield MM, Vaduganathan M, Desai AS, Rouleau JL, Minamisawa M, Shah AM, Lefkowitz MP, Zile MR, Van Veldhuisen DJ, Pfeffer MA, Anand IS, Maggioni AP, Senni M, Claggett BL, Solomon SD, McMurray JJV. Impact of Chronic Obstructive Pulmonary Disease in Patients With Heart Failure With Preserved Ejection Fraction: Insights From PARAGON-HF. J Am Heart Assoc. 2021 Dec 7;10(23):e021494. doi: 10.1161/JAHA.121.021494. Epub 2021 Nov 19.

  • Jackson AM, Jhund PS, Anand IS, Dungen HD, Lam CSP, Lefkowitz MP, Linssen G, Lund LH, Maggioni AP, Pfeffer MA, Rouleau JL, Saraiva JFK, Senni M, Vardeny O, Wijkman MO, Yilmaz MB, Saito Y, Zile MR, Solomon SD, McMurray JJV. Sacubitril-valsartan as a treatment for apparent resistant hypertension in patients with heart failure and preserved ejection fraction. Eur Heart J. 2021 Sep 21;42(36):3741-3752. doi: 10.1093/eurheartj/ehab499.

  • Felker GM, Butler J, Januzzi JL Jr, Desai AS, McMurray JJV, Solomon SD. Probabilistic Readjudication of Heart Failure Hospitalization Events in the PARAGON-HF Study. Circulation. 2021 Jun 8;143(23):2316-2318. doi: 10.1161/CIRCULATIONAHA.121.054496. Epub 2021 Jun 7. No abstract available.

  • Selvaraj S, Claggett BL, Packer M, Zannad F, Anand IS, Pieske B, Zhao Z, Shi VC, Lefkowitz MP, McMurray JJV, Solomon SD. Effects of Sacubitril/Valsartan on Serum Lipids in Heart Failure With Preserved Ejection Fraction. J Am Heart Assoc. 2021 Sep 7;10(17):e022069. doi: 10.1161/JAHA.121.022069. Epub 2021 May 16.

  • 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.

  • Tromp J, Claggett BL, Liu J, Jackson AM, Jhund PS, Kober L, Widimsky J, Boytsov SA, Chopra VK, Anand IS, Ge J, Chen CH, Maggioni AP, Martinez F, Packer M, Pfeffer MA, Pieske B, Redfield MM, Rouleau JL, Van Veldhuisen DJ, Zannad F, Zile MR, Rizkala AR, Inubushi-Molessa A, Lefkowitz MP, Shi VC, McMurray JJV, Solomon SD, Lam CSP; PARAGON-HF Investigators. Global Differences in Heart Failure With Preserved Ejection Fraction: The PARAGON-HF Trial. Circ Heart Fail. 2021 Apr;14(4):e007901. doi: 10.1161/CIRCHEARTFAILURE.120.007901. Epub 2021 Apr 19.

  • Vaduganathan M, Cunningham JW, Claggett BL, Causland FM, Barkoudah E, Finn P, Zannad F, Pfeffer MA, Rizkala AR, Sabarwal S, McMurray JJV, Solomon S, Desai AS. Worsening Heart Failure Episodes Outside a Hospital Setting in Heart Failure With Preserved Ejection Fraction: The PARAGON-HF Trial. JACC Heart Fail. 2021 May;9(5):374-382. doi: 10.1016/j.jchf.2021.01.014. Epub 2021 Apr 7.

  • Gronda E, Vanoli E, Iacoviello M. The PARAGON-HF trial: the sacubitril/valsartan in heart failure with preserved ejection fraction. Eur Heart J Suppl. 2020 Nov 18;22(Suppl L):L77-L81. doi: 10.1093/eurheartj/suaa140. eCollection 2020 Nov.

  • Jering K, Claggett B, Redfield MM, Shah SJ, Anand IS, Martinez F, Sabarwal SV, Seferovic PM, Kerr Saraiva JF, Katova T, Lefkowitz MP, Pfeffer MA, McMurray JJV, Solomon SD. Burden of Heart Failure Signs and Symptoms, Prognosis, and Response to Therapy: The PARAGON-HF Trial. JACC Heart Fail. 2021 May;9(5):386-397. doi: 10.1016/j.jchf.2021.01.011. Epub 2021 Mar 10.

  • Jering KS, Zannad F, Claggett B, Mc Causland FR, Ferreira JP, Desai A, Barkoudah E, McMurray JJV, Pfeffer MA, Solomon SD. Cardiovascular and Renal Outcomes of Mineralocorticoid Receptor Antagonist Use in PARAGON-HF. JACC Heart Fail. 2021 Jan;9(1):13-24. doi: 10.1016/j.jchf.2020.08.014. Epub 2020 Nov 11.

  • Mc Causland FR, Lefkowitz MP, Claggett B, Anavekar NS, Senni M, Gori M, Jhund PS, McGrath MM, Packer M, Shi V, Van Veldhuisen DJ, Zannad F, Comin-Colet J, Pfeffer MA, McMurray JJV, Solomon SD. Angiotensin-Neprilysin Inhibition and Renal Outcomes in Heart Failure With Preserved Ejection Fraction. Circulation. 2020 Sep 29;142(13):1236-1245. doi: 10.1161/CIRCULATIONAHA.120.047643. Epub 2020 Aug 17.

  • Cunningham JW, Claggett BL, O'Meara E, Prescott MF, Pfeffer MA, Shah SJ, Redfield MM, Zannad F, Chiang LM, Rizkala AR, Shi VC, Lefkowitz MP, Rouleau J, McMurray JJV, Solomon SD, Zile MR. Effect of Sacubitril/Valsartan on Biomarkers of Extracellular Matrix Regulation in Patients With HFpEF. J Am Coll Cardiol. 2020 Aug 4;76(5):503-514. doi: 10.1016/j.jacc.2020.05.072.

  • Cunningham JW, Vaduganathan M, Claggett BL, Zile MR, Anand IS, Packer M, Zannad F, Lam CSP, Janssens S, Jhund PS, Kober L, Rouleau J, Shah SJ, Chopra VK, Shi VC, Lefkowitz MP, Prescott MF, Pfeffer MA, McMurray JJV, Solomon SD. Effects of Sacubitril/Valsartan on N-Terminal Pro-B-Type Natriuretic Peptide in Heart Failure With Preserved Ejection Fraction. JACC Heart Fail. 2020 May;8(5):372-381. doi: 10.1016/j.jchf.2020.03.002. Epub 2020 Mar 30.

  • Selvaraj S, Claggett BL, Bohm M, Anker SD, Vaduganathan M, Zannad F, Pieske B, Lam CSP, Anand IS, Shi VC, Lefkowitz MP, McMurray JJV, Solomon SD. Systolic Blood Pressure in Heart Failure With Preserved Ejection Fraction Treated With Sacubitril/Valsartan. J Am Coll Cardiol. 2020 Apr 14;75(14):1644-1656. doi: 10.1016/j.jacc.2020.02.009. Epub 2020 Mar 16.

  • Shah AM, Cikes M, Prasad N, Li G, Getchevski S, Claggett B, Rizkala A, Lukashevich I, O'Meara E, Ryan JJ, Shah SJ, Mullens W, Zile MR, Lam CSP, McMurray JJV, Solomon SD; PARAGON-HF Investigators. Echocardiographic Features of Patients With Heart Failure and Preserved Left Ventricular Ejection Fraction. J Am Coll Cardiol. 2019 Dec 10;74(23):2858-2873. doi: 10.1016/j.jacc.2019.09.063.

  • 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.

  • McMurray JJV, Jackson AM, Lam CSP, Redfield MM, Anand IS, Ge J, Lefkowitz MP, Maggioni AP, Martinez F, Packer M, Pfeffer MA, Pieske B, Rizkala AR, Sabarwal SV, Shah AM, Shah SJ, Shi VC, van Veldhuisen DJ, Zannad F, Zile MR, Cikes M, Goncalvesova E, Katova T, Kosztin A, Lelonek M, Sweitzer N, Vardeny O, Claggett B, Jhund PS, Solomon SD. Effects of Sacubitril-Valsartan Versus Valsartan in Women Compared With Men With Heart Failure and Preserved Ejection Fraction: Insights From PARAGON-HF. Circulation. 2020 Feb 4;141(5):338-351. doi: 10.1161/CIRCULATIONAHA.119.044491. Epub 2019 Nov 17.

  • Vaduganathan M, Claggett BL, Desai AS, Anker SD, Perrone SV, Janssens S, Milicic D, Arango JL, Packer M, Shi VC, Lefkowitz MP, McMurray JJV, Solomon SD. Prior Heart Failure Hospitalization, Clinical Outcomes, and Response to Sacubitril/Valsartan Compared With Valsartan in HFpEF. J Am Coll Cardiol. 2020 Jan 28;75(3):245-254. doi: 10.1016/j.jacc.2019.11.003. Epub 2019 Nov 11.

  • Solomon SD, McMurray JJV, 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, Desai AS, Claggett B, Jhund PS, Boytsov SA, Comin-Colet J, Cleland J, Dungen HD, Goncalvesova E, Katova T, Kerr Saraiva JF, Lelonek M, Merkely B, Senni M, Shah SJ, Zhou J, Rizkala AR, Gong J, Shi VC, Lefkowitz MP; PARAGON-HF Investigators and Committees. Angiotensin-Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction. N Engl J Med. 2019 Oct 24;381(17):1609-1620. doi: 10.1056/NEJMoa1908655. Epub 2019 Sep 1.

  • 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.

  • Solomon SD, Rizkala AR, Lefkowitz MP, Shi VC, Gong J, Anavekar N, Anker SD, Arango JL, Arenas JL, Atar D, Ben-Gal T, Boytsov SA, Chen CH, Chopra VK, Cleland J, Comin-Colet J, Duengen HD, Echeverria Correa LE, Filippatos G, Flammer AJ, Galinier M, Godoy A, Goncalvesova E, Janssens S, Katova T, Kober L, Lelonek M, Linssen G, Lund LH, O'Meara E, Merkely B, Milicic D, Oh BH, Perrone SV, Ranjith N, Saito Y, Saraiva JF, Shah S, Seferovic PM, Senni M, Sibulo AS Jr, Sim D, Sweitzer NK, Taurio J, Vinereanu D, Vrtovec B, Widimsky J Jr, Yilmaz MB, Zhou J, Zweiker R, 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. Baseline Characteristics of Patients With Heart Failure and Preserved Ejection Fraction in the PARAGON-HF Trial. Circ Heart Fail. 2018 Jul;11(7):e004962. doi: 10.1161/CIRCHEARTFAILURE.118.004962.

  • Mutze T, Glimm E, Schmidli H, Friede T. Group sequential designs with robust semiparametric recurrent event models. Stat Methods Med Res. 2019 Aug;28(8):2385-2403. doi: 10.1177/0962280218780538. Epub 2018 Jun 11.

  • Solomon SD, Rizkala AR, Gong J, Wang W, 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, Desai AS, Shi VC, Lefkowitz MP, McMurray JJV. Angiotensin Receptor Neprilysin Inhibition in Heart Failure With Preserved Ejection Fraction: Rationale and Design of the PARAGON-HF Trial. JACC Heart Fail. 2017 Jul;5(7):471-482. doi: 10.1016/j.jchf.2017.04.013. Epub 2017 Jun 26.

  • Rossi A, Gheorghiade M, Triposkiadis F, Solomon SD, Pieske B, Butler J. Left atrium in heart failure with preserved ejection fraction: structure, function, and significance. Circ Heart Fail. 2014 Nov;7(6):1042-9. doi: 10.1161/CIRCHEARTFAILURE.114.001276. No abstract available.

MeSH Terms

Conditions

Heart FailureHeart Failure, Diastolic

Interventions

sacubitril and valsartan sodium hydrate drug combinationValsartan

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

TetrazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsValineAmino Acids, Branched-ChainAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, Essential

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

August 8, 2013

First Posted

August 12, 2013

Study Start

July 18, 2014

Primary Completion

June 7, 2019

Study Completion

June 7, 2019

Last Updated

September 29, 2020

Results First Posted

September 29, 2020

Record last verified: 2020-09

Data Sharing

IPD Sharing
Will share

Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

Locations