NCT02111564

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of rivaroxaban compared with placebo in the prevention of symptomatic venous thromboembolism (VTE) events and VTE-related death post-hospital discharge in high-risk, medically ill patients.

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
12,024

participants targeted

Target at P75+ for phase_3 heart-failure

Timeline
Completed

Started Jan 2014

Typical duration for phase_3 heart-failure

Geographic Reach
35 countries

551 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

Study Start

First participant enrolled

January 7, 2014

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

March 31, 2014

Completed
11 days until next milestone

First Posted

Study publicly available on registry

April 11, 2014

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 6, 2018

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 3, 2018

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

November 25, 2019

Completed
Last Updated

November 25, 2019

Status Verified

November 1, 2019

Enrollment Period

4.2 years

First QC Date

March 31, 2014

Results QC Date

November 5, 2019

Last Update Submit

November 5, 2019

Conditions

Keywords

Heart FailureRespiratory InsufficiencyStroke AcuteInfectious DiseasesRheumatic DiseasesMedically ill PatientRivaroxabanThromboembolismProphylactic Anti-Coagulation

Outcome Measures

Primary Outcomes (2)

  • Time From Randomization to First Occurrence of Composite of All Symptomatic Venous Thromboembolism (VTE) and VTE Related Death Adjudicated by Clinical Event Committee (CEC)

    Symptomatic VTE included lower extremity deep vein thrombosis (DVT) and non-fatal pulmonary embolism (PE). Event rate was defined as number of events per 100 participants in 45 days of follow up. Participants who did not have events were censored on the minimum of last visit before or on death, or Day 45.

    Up to Day 45

  • Event Rate Based on Time From Randomization to the First Occurrence of Major Bleeding Adjudicated by CEC

    A major bleeding event was defined using validated International Society on Thrombosis and Haemostasis (ISTH) bleeding criteria. A major bleeding event was defined as overt bleeding that was associated with a fall in hemoglobin of 2 gram per deciliter (g/dL) or more, or a transfusion of 2 or more units of packed red blood cells or whole blood, or a critical site defined as intracranial, intraspinal, intraocular, pericardial, intra-articular, intramuscular with compartment syndrome, retroperitoneal, or a fatal outcome. Event rate was defined as number of events per 100 participants in 45 days of follow up. Participants who did not have events were censored on the minimum of last visit before or on death, or last dose + 2 days.

    From randomization to 2 days after the last dose (Day 45)

Secondary Outcomes (5)

  • Event Rate Based on Time From Randomization to First Occurrence of VTE-Related Death Adjudicated by CEC

    Up to Day 45

  • Event Rate Based on Time From Randomization to the First Occurrence of a Symptomatic Venous Thromboembolism Event (VTE) Adjudicated by CEC

    Up to Day 45

  • Event Rate Based on Time From Randomization to the First Occurrence of a Composite of Symptomatic VTE and All-Cause Mortality (ACM) Adjudicated by CEC

    Up to Day 45

  • Event Rate Based on Time From Randomization to the First Occurrence of a Composite of Symptomatic VTE, Myocardial Infarction (MI), Non-Hemorrhagic Stroke, and Cardiovascular (CV) Death Adjudicated by CEC

    Up to Day 45

  • Event Rate Based on Time From Randomization to First Occurrence of All-Cause Mortality (ACM) Adjudicated by CEC

    Up to Day 45

Study Arms (2)

Rivaroxaban

EXPERIMENTAL

Each patient will receive either 10 mg or 7.5 mg rivaroxaban tablet once daily orally (by mouth) for 45 days. The dosing will depend on a creatinine clearance at screening.

Drug: Rivaroxaban, 10 mgDrug: Rivaroxaban, 7.5 mg

Placebo

PLACEBO COMPARATOR

Each patient will receive matching placebo tablet once daily orally (by mouth) for 45 days.

Drug: Placebo

Interventions

Patients, randomly allocated to the rivaroxaban arm, with a creatinine clearance at screening greater than or equal to (\>=)50 mL/min will receive 10 mg rivaroxaban tablet with or without food.

Also known as: Xarelto, BAY59-7939
Rivaroxaban

Patients, randomly allocated to the rivaroxaban arm, with a creatinine clearance at screening from \>=30 to less than (\<)50 mL/min will receive 7.5 mg rivaroxaban tablet with or without food.

Also known as: Xarelto, BAY59-7939
Rivaroxaban

All patients, randomly allocated to the placebo arm, will receive one placebo tablet with or without food.

Placebo

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The duration of the index hospitalization must have been at least 3 and no more than 10 consecutive days
  • Must meet venous thromboembolism (VTE) risk criteria with a total modified Improve VTE Risk Score of: greater than or equal 4, or 3 with D-dimer \> 2\* upper limit of normal (ULN), or 2 with D-dimer \> 2\*ULN

You may not qualify if:

  • Any serious bleeding within 3 months prior to randomization or occurring during index hospitalization
  • Serious trauma (including head trauma) within 4 weeks before randomization
  • History of hemorrhagic stroke at any time in the past
  • Any medical condition that requires chronic use of any parenteral or oral anticoagulation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (595)

Unknown Facility

Birmingham, Alabama, United States

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Mobile, Alabama, United States

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Sheffield, Alabama, United States

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Scottsdale, Arizona, United States

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Fort Smith, Arkansas, United States

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Little Rock, Arkansas, United States

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Anaheim, California, United States

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Beverly Hills, California, United States

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Fullerton, California, United States

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Los Angeles, California, United States

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Newport Beach, California, United States

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Orange, California, United States

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Sacramento, California, United States

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San Jose, California, United States

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San Marino, California, United States

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Santa Ana, California, United States

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Colorado Springs, Colorado, United States

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Bridgeport, Connecticut, United States

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Danbury, Connecticut, United States

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New Haven, Connecticut, United States

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Waterbury, Connecticut, United States

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

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Atlantis, Florida, United States

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Bay Pines, Florida, United States

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Bradenton, Florida, United States

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Brandon, Florida, United States

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Celebration, Florida, United States

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Clearwater, Florida, United States

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Daytona Beach, Florida, United States

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Jacksonville, Florida, United States

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Jacksonville Beach, Florida, United States

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Largo, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Pensacola, Florida, United States

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Saint Cloud, Florida, United States

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Sebring, Florida, United States

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Tampa, Florida, United States

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Vero Beach, Florida, United States

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Wellington, Florida, United States

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West Palm Beach, Florida, United States

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Atlanta, Georgia, United States

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Marietta, Georgia, United States

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Idaho Falls, Idaho, United States

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Chicago, Illinois, United States

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Normal, Illinois, United States

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North Chicago, Illinois, United States

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Hammond, Indiana, United States

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Lafayette, Indiana, United States

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Michigan City, Indiana, United States

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Des Moines, Iowa, United States

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Kansas City, Kansas, United States

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Topeka, Kansas, United States

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Alexandria, Louisiana, United States

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Lafayette, Louisiana, United States

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Metairie, Louisiana, United States

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Minden, Louisiana, United States

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New Orleans, Louisiana, United States

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Shreveport, Louisiana, United States

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Slidell, Louisiana, United States

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Rockport, Maine, United States

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Annapolis, Maryland, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Detroit, Michigan, United States

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Royal Oak, Michigan, United States

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Saginaw, Michigan, United States

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Troy, Michigan, United States

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Minneapolis, Minnesota, United States

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Saint Paul, Minnesota, United States

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Bridgeton, Missouri, United States

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Columbia, Missouri, United States

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St Louis, Missouri, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, United States

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Atlantic City, New Jersey, United States

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Bridgewater, New Jersey, United States

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Marlton, New Jersey, United States

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Newark, New Jersey, United States

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Albuquerque, New Mexico, United States

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Albany, New York, United States

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Buffalo, New York, United States

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Cortlandt Manor, New York, United States

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Jamaica, New York, United States

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Johnson City, New York, United States

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Manhasset, New York, United States

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New Hyde Park, New York, United States

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New York, New York, United States

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Staten Island, New York, United States

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Valhalla, New York, United States

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Durham, North Carolina, United States

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Greensboro, North Carolina, United States

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Raleigh, North Carolina, United States

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Statesville, North Carolina, United States

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Canton, Ohio, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Maumee, Ohio, United States

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Springfield, Ohio, United States

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Willoughby, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Abington, Pennsylvania, United States

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Camp Hill, Pennsylvania, United States

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Chambersburg, Pennsylvania, United States

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Doylestown, Pennsylvania, United States

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Jefferson Hills, Pennsylvania, United States

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Johnstown, Pennsylvania, United States

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Lancaster, Pennsylvania, United States

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Langhorne, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Shippensburg, Pennsylvania, United States

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Pawtucket, Rhode Island, United States

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Columbia, South Carolina, United States

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Summerville, South Carolina, United States

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Athens, Tennessee, United States

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Amarillo, Texas, United States

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Austin, Texas, United States

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Channelview, Texas, United States

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Corsicana, Texas, United States

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Dallas, Texas, United States

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Fort Worth, Texas, United States

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Houston, Texas, United States

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McAllen, Texas, United States

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Tyler, Texas, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Roanoke, Virginia, United States

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Richland, Washington, United States

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Seattle, Washington, United States

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Huntington, West Virginia, United States

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La Crosse, Wisconsin, United States

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Marshfield, Wisconsin, United States

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Bahía Blanca, Argentina

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Buenos Aires, Argentina

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Ciudad de Buenos Aires, Argentina

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Coronel Suárez, Argentina

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Corrientes, Argentina

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Córdoba, Argentina

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Esperanza, Argentina

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La Plata, Argentina

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Merlo, Argentina

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Morón, Argentina

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Munro, Argentina

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Rosario, Argentina

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San Miguel de Tucumán, Argentina

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Santa Fe, Argentina

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Santa Fé, Argentina

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Bedford Park, Australia

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Box Hill, Australia

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Caboolture, Australia

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Cairns, Australia

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Chermside, Australia

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East Saint Kilda, Australia

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Kogarah, Australia

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Launceston, Australia

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Lismore, Australia

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Meadowbrook, Australia

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Milton, Australia

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Nedlands, Australia

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Parkwood, Australia

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Penrith, Australia

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Redcliffe, Australia

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South Brisbane, Australia

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Sydney, Australia

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VIC, Parkville, Australia

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Feldkirch, Austria

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Graz, Austria

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Linz, Austria

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Salzburg, Austria

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Vienna, Austria

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Grodno, Belarus

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Homyel, Belarus

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Minsk, Belarus

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Mogilev, Belarus

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Vitebsk, Belarus

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Vychulki, Brest Region, Brest, Belarus

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Banja Luka, Bosnia and Herzegovina

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Bihać, Bosnia and Herzegovina

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Foča, Bosnia and Herzegovina

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Mostar, Bosnia and Herzegovina

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Sarajevo, Bosnia and Herzegovina

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Tuzla, Bosnia and Herzegovina

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Zenica, Bosnia and Herzegovina

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Belo Horizonte, Brazil

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Blumenau, Brazil

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Brasília, Brazil

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Campina Grande do Sul, Brazil

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Campinas, Brazil

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Canoas, Brazil

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Curitiba, Brazil

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Itajaí, Brazil

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Natal, Brazil

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Passo Fundo, Brazil

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Porto Alegre, Brazil

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Recife, Brazil

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Ribeirão Preto, Brazil

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Salvador, Brazil

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Santo André, Brazil

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São José do Rio Preto, Brazil

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São Paulo, Brazil

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Votuporanga, Brazil

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Blagoevgrad, Bulgaria

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Burgas, Bulgaria

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Dimitrovgrad, Bulgaria

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Gabrovo, Bulgaria

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Kozloduy, Bulgaria

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Lom, Bulgaria

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Lovech, Bulgaria

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Montana, Bulgaria

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Pernik, Bulgaria

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Pleven, Bulgaria

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Plovdiv, Bulgaria

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Razlog, Bulgaria

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Rousse, Bulgaria

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Sandanski, Bulgaria

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Sliven, Bulgaria

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Sofia, Bulgaria

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Veliko Tarnovo, Bulgaria

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Vidin, Bulgaria

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Edmonton, Alberta, Canada

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Saint John, New Brunswick, Canada

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Hamilton, Ontario, Canada

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London, Ontario, Canada

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Ottawa, Ontario, Canada

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Scarborough Village, Ontario, Canada

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Toronto, Ontario, Canada

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Waterloo, Ontario, Canada

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Greenfield Park, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Saint-Jérôme, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Armenia, Colombia

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Barranquilla, Colombia

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Bogotá, Colombia

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Cali, Colombia

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Chía, Colombia

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Floridablanca, Colombia

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Medellín, Colombia

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Villavicencio, Colombia

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Čakovec, Croatia

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Karlovac, Croatia

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Krapinske Toplice, Croatia

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Osijek, Croatia

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Pula, Croatia

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Rijeka, Croatia

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Šibenik, Croatia

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Virovitica, Croatia

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Zabok, Croatia

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Zadar, Croatia

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Zagreb, Croatia

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Boskovice, Czechia

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Brno, Czechia

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Český Krumlov, Czechia

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Fryštát, Czechia

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Jablonec Na Nisou, Czechia

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Kladno, Czechia

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Krnov, Czechia

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Kyjov, Czechia

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Liberec, Czechia

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Litomyšl, Czechia

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Městec Králové, Czechia

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Nové Město na Moravě, Czechia

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Nymburk, Czechia

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Olomouc, Czechia

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Opava, Czechia

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Ostrava, Czechia

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Pardubice, Czechia

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Písek, Czechia

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Prague, Czechia

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Příbram, Czechia

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Slaný, Czechia

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Sternberk, Czechia

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Svitavy, Czechia

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Teplice, Czechia

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Trutnov, Czechia

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Třinec, Czechia

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Uherské Hradiště, Czechia

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Ústí nad Labem, Czechia

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Ústí nad Orlicí, Czechia

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Zlín, Czechia

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Aalborg, Denmark

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Copenhagen, Denmark

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Esbjerg, Denmark

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Frederiksberg, Denmark

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Hellerup, Denmark

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Hilleroed, Denmark

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Hvidovre, Denmark

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København S, Denmark

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Roskilde, Denmark

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Tallinn, Estonia

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Batumi, Georgia

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Kutaisi, Georgia

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Marneuli, Georgia

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Rustavi, Georgia

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Tbilisi, Georgia

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Telavi, Georgia

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Berlin, Germany

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Coburg, Germany

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Dresden, Germany

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Esslingen am Neckar, Germany

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Frankfurt, Germany

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Heidelberg, Germany

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Jülich, Germany

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Karlsbad, Germany

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Leipzig, Germany

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Limburg, Germany

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Mannheim, Germany

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Minden, Germany

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Mönchengladbach, Germany

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Neuwied, Germany

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Troisdorf, Germany

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Witten, Germany

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Achaïa, Greece

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Alexandroupoli, Greece

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Athens, Greece

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Heraklion, Greece

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Ioannina, Greece

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Kifisia, Athens, Greece

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Magoula, Greece

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Pátrai, Greece

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Thessaloniki, Greece

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Thessalonikis, Greece

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Voula, Greece

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Ajka, Hungary

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Baja, Hungary

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Balassagyarmat, Hungary

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Berettyóújfalú, Hungary

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Budapest, Hungary

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Cegléd, Hungary

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Debrecen, Hungary

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Eger, Hungary

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Farkasgyepü, Hungary

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Gödöllő, Hungary

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Gyõr, Hungary

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Gyula, Hungary

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Hódmezővásárhely, Hungary

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Kalocsa, Hungary

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Kaposvár, Hungary

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Kecskemét, Hungary

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Keszthely, Hungary

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Kistarcsa, Hungary

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Komárom, Hungary

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Miskolc, Hungary

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Nagykanizsa, Hungary

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Orosháza, Hungary

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Pécs, Hungary

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Sátoraljaújhely, Hungary

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Szeged, Hungary

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Szekszárd, Hungary

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Szentes, Hungary

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Székesfehérvár, Hungary

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Szolnok, Hungary

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Szombathely, Hungary

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Zalaegerszeg, Hungary

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Beersheba, Israel

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Hadera, Israel

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Haifa, Israel

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Holon, Israel

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Jerusalem, Israel

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Kfar Saba, Israel

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Modiin, Israel

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Nahariya, Israel

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Petah Tikva, Israel

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Rehovot, Israel

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Safed, Israel

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Tel Litwinsky, Israel

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Tiberias, Israel

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Balvi, Latvia

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Daugavpils, Latvia

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Jelgava, Latvia

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Jēkabpils, Latvia

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Krāslavas Apriņķis, Latvia

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Kuldīga, Latvia

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Liepāja, Latvia

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Riga, Latvia

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Ventspils, Latvia

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Kaunas, Lithuania

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Klaipėda, Lithuania

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Panevezys, Lithuania

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Šiauliai, Lithuania

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Tauragė, Lithuania

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Utena, Lithuania

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Vilniaus Apskritis, Lithuania

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Vilnius, Lithuania

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Aguascalientes, Mexico

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Cuernavaca, Mexico

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Guadalajara, Mexico

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Mérida, Mexico

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Monterrey, Mexico

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San Pedro Garza García, Mexico

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's-Hertogenbosch, Netherlands

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Alkmaar, Netherlands

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Almelo, Netherlands

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Amsterdam, Netherlands

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Arnhem, Netherlands

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Harderwijk, Netherlands

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Heerlen, Netherlands

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Hoorn, Netherlands

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Maastricht, Netherlands

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Nieuwegein, Netherlands

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Sittard-Geleen, Netherlands

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Sneek, Netherlands

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The Hague, Netherlands

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Tilburg, Netherlands

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Veldhoven, Netherlands

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Zutphen, Netherlands

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Zwolle, Netherlands

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Bitola, North Macedonia

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Ohrid, North Macedonia

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Shtip, North Macedonia

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Skopje, North Macedonia

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Struga, North Macedonia

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Callao, Peru

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Lima, Peru

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Bialystok, Poland

Location

Unknown Facility

Bielsko-Biala, Poland

Location

Unknown Facility

Bydgoszcz, Poland

Location

Unknown Facility

Bystra, Poland

Location

Unknown Facility

Czeladź, Poland

Location

Unknown Facility

Gdynia, Poland

Location

Unknown Facility

Kielce, Poland

Location

Unknown Facility

Krakow, Poland

Location

Unknown Facility

Kłodzko, Poland

Location

Unknown Facility

Lodz, Poland

Location

Unknown Facility

Lublin, Poland

Location

Unknown Facility

Ostrołęka, Poland

Location

Unknown Facility

Ostrów Mazowiecka, Poland

Location

Unknown Facility

Oława, Poland

Location

Unknown Facility

Pabianice, Poland

Location

Unknown Facility

Poznan, Poland

Location

Unknown Facility

Proszowice, Poland

Location

Unknown Facility

Puławy, Poland

Location

Unknown Facility

Płock, Poland

Location

Unknown Facility

Rabka-Zdrój, Poland

Location

Unknown Facility

Siedlce, Poland

Location

Unknown Facility

Sopot,Gdynia, Poland

Location

Unknown Facility

Sosnowiec, Poland

Location

Unknown Facility

Szczecin, Poland

Location

Unknown Facility

Tarn W N/a, Poland

Location

Unknown Facility

Torun, Poland

Location

Unknown Facility

Warsaw, Poland

Location

Unknown Facility

Węgrów, Poland

Location

Unknown Facility

Wroclaw, Poland

Location

Unknown Facility

Łęczna, Poland

Location

Unknown Facility

Braga, Portugal

Location

Unknown Facility

Coimbra, Portugal

Location

Unknown Facility

Covilha, Portugal

Location

Unknown Facility

Figueira da Foz Municipality, Portugal

Location

Unknown Facility

Guimarães, Portugal

Location

Unknown Facility

Lisbon, Portugal

Location

Unknown Facility

Porto, Portugal

Location

Unknown Facility

Vila Nova de Gaia, Portugal

Location

Unknown Facility

San Juan, Puerto Rico

Location

Unknown Facility

Bacau, Romania

Location

Unknown Facility

Baia Mare, Romania

Location

Unknown Facility

Brasov, Romania

Location

Unknown Facility

Brăila, Romania

Location

Unknown Facility

Bucharest, Romania

Location

Unknown Facility

Cluj-Napoca, Romania

Location

Unknown Facility

Craiova, Romania

Location

Unknown Facility

Focşani, Romania

Location

Unknown Facility

Iași, Romania

Location

Unknown Facility

Oradea, Romania

Location

Unknown Facility

Piteşti, Romania

Location

Unknown Facility

Tg Mures, Romania

Location

Unknown Facility

Timișoara, Romania

Location

Unknown Facility

Arkhangelsk, Russia

Location

Unknown Facility

Chelyabinsk, Russia

Location

Unknown Facility

Irkutsk, Russia

Location

Unknown Facility

Kazan', Russia

Location

Unknown Facility

Kemerovo, Russia

Location

Unknown Facility

Krasnodar, Russia

Location

Unknown Facility

Krasnoyarsk, Russia

Location

Unknown Facility

Moscow, Russia

Location

Unknown Facility

Moskva, Russia

Location

Unknown Facility

Novosibirsk, Russia

Location

Unknown Facility

Orenburg, Russia

Location

Unknown Facility

Penza, Russia

Location

Unknown Facility

Rostov-on-Don, Russia

Location

Unknown Facility

Saint Petersburg, Russia

Location

Unknown Facility

Saratov, Russia

Location

Unknown Facility

Smolensk, Russia

Location

Unknown Facility

Tomsk, Russia

Location

Unknown Facility

Ulyanovsk, Russia

Location

Unknown Facility

Vsevolzhsk, Russia

Location

Unknown Facility

Yaroslavl, Russia

Location

Unknown Facility

Yekaterinburg, Russia

Location

Unknown Facility

Belgrade, Serbia

Location

Unknown Facility

Ćuprija, Serbia

Location

Unknown Facility

Čačak, Serbia

Location

Unknown Facility

Dedinje, Serbia

Location

Unknown Facility

Kamenitz, Serbia

Location

Unknown Facility

Kragujevac, Serbia

Location

Unknown Facility

Leskovac, Serbia

Location

Unknown Facility

Niš, Serbia

Location

Unknown Facility

Novi Sad, Serbia

Location

Unknown Facility

Smederevo, Serbia

Location

Unknown Facility

Subotica, Serbia

Location

Unknown Facility

Šabac, Serbia

Location

Unknown Facility

Valjevo, Serbia

Location

Unknown Facility

Vranje, Serbia

Location

Unknown Facility

Zaječar, Serbia

Location

Unknown Facility

Košice, Slovakia

Location

Unknown Facility

Martin, Slovakia

Location

Unknown Facility

Nitra, Slovakia

Location

Unknown Facility

Bellville, South Africa

Location

Unknown Facility

Bloemfontein, South Africa

Location

Unknown Facility

Cape Town, South Africa

Location

Unknown Facility

Durban, South Africa

Location

Unknown Facility

Durban Kwa Zulu Natal, South Africa

Location

Unknown Facility

Gatesville Cape Town, South Africa

Location

Unknown Facility

Groenkloof, Pretoria, South Africa

Location

Unknown Facility

Johannesburg, South Africa

Location

Unknown Facility

Kempton Park, South Africa

Location

Unknown Facility

Kuils River, South Africa

Location

Unknown Facility

Pretoria, South Africa

Location

Unknown Facility

Somerset West, South Africa

Location

Unknown Facility

Stellenbosch, South Africa

Location

Unknown Facility

Worcester, South Africa

Location

Unknown Facility

Alcalá de Henares, Spain

Location

Unknown Facility

Alicante, Spain

Location

Unknown Facility

Almería, Spain

Location

Unknown Facility

Alzira, Spain

Location

Unknown Facility

Aranjuez, Spain

Location

Unknown Facility

Ávila, Spain

Location

Unknown Facility

Balea, Spain

Location

Unknown Facility

Barcelona, Spain

Location

Unknown Facility

Burgos, Spain

Location

Unknown Facility

Cartagena, Spain

Location

Unknown Facility

Cáceres, Spain

Location

Unknown Facility

Don Benito, Spain

Location

Unknown Facility

Elche, Spain

Location

Unknown Facility

Getafe, Spain

Location

Unknown Facility

Granada, Spain

Location

Unknown Facility

Huelva, Spain

Location

Unknown Facility

Las Palmas de Gran Canaria, Spain

Location

Unknown Facility

Logroño, Spain

Location

Unknown Facility

Madrid, Spain

Location

Unknown Facility

Majadahonda-Madrid, Spain

Location

Unknown Facility

Málaga, Spain

Location

Unknown Facility

Móstoles, Spain

Location

Unknown Facility

Murcia, Spain

Location

Unknown Facility

Olot, Spain

Location

Unknown Facility

Oviedo, Spain

Location

Unknown Facility

Palma de Mallorca, Spain

Location

Unknown Facility

Pamplona, Spain

Location

Unknown Facility

PAU de Sanchinarro, Spain

Location

Unknown Facility

Sabadell, Spain

Location

Unknown Facility

San Cristóbal de La Laguna, Spain

Location

Unknown Facility

San Sebastián de los Reyes, Spain

Location

Unknown Facility

Sant Boi de Llobregat, Spain

Location

Unknown Facility

Sant Joan d'Alacant, Spain

Location

Unknown Facility

Santander, Spain

Location

Unknown Facility

Sarrià, Spain

Location

Unknown Facility

Seville, Spain

Location

Unknown Facility

Torrelavega Cantabria, Spain

Location

Unknown Facility

Valencia, Spain

Location

Unknown Facility

Zaragoza, Spain

Location

Unknown Facility

Adana, Turkey (Türkiye)

Location

Unknown Facility

Ankara, Turkey (Türkiye)

Location

Unknown Facility

Antalya, Turkey (Türkiye)

Location

Unknown Facility

Istanbul, Turkey (Türkiye)

Location

Unknown Facility

Izmir, Turkey (Türkiye)

Location

Unknown Facility

Konya, Turkey (Türkiye)

Location

Unknown Facility

Rize, Turkey (Türkiye)

Location

Unknown Facility

Samsun, Turkey (Türkiye)

Location

Unknown Facility

Cherkasy, Ukraine

Location

Unknown Facility

Chernihiv, Ukraine

Location

Unknown Facility

Dnipropetrovsk, Ukraine

Location

Unknown Facility

Ivano-Frankivsky, Ukraine

Location

Unknown Facility

Kharkiv, Ukraine

Location

Unknown Facility

Kherson, Ukraine

Location

Unknown Facility

Kyiv, Ukraine

Location

Unknown Facility

Lutsk, Ukraine

Location

Unknown Facility

Lviv, Ukraine

Location

Unknown Facility

Odesa, Ukraine

Location

Unknown Facility

Poltava, Ukraine

Location

Unknown Facility

Sumy, Ukraine

Location

Unknown Facility

Uzhhorod, Ukraine

Location

Unknown Facility

Vinnytsia, Ukraine

Location

Unknown Facility

Zaporizhzhia, Ukraine

Location

Unknown Facility

Zaporizhzhya, Ukraine

Location

Unknown Facility

Zhytomyr, Ukraine

Location

Unknown Facility

Angus, United Kingdom

Location

Unknown Facility

Cardiff, United Kingdom

Location

Unknown Facility

Craigavon, United Kingdom

Location

Unknown Facility

Glasgow, United Kingdom

Location

Unknown Facility

Leeds, United Kingdom

Location

Unknown Facility

Manchester, United Kingdom

Location

Unknown Facility

Norwich, United Kingdom

Location

Unknown Facility

Plymouth, United Kingdom

Location

Related Publications (8)

  • Raskob GE, Spyropoulos AC, Zrubek J, Ageno W, Albers G, Elliott CG, Halperin J, Haskell L, Hiatt WR, Maynard GA, Peters G, Spiro T, Steg PG, Suh EY, Weitz JI. The MARINER trial of rivaroxaban after hospital discharge for medical patients at high risk of VTE. Design, rationale, and clinical implications. Thromb Haemost. 2016 Jun 2;115(6):1240-8. doi: 10.1160/TH15-09-0756. Epub 2016 Feb 4.

    PMID: 26842902BACKGROUND
  • Raskob GE, Ageno W, Albers G, Elliott CG, Halperin J, Maynard G, Steg PG, Weitz JI, Albanese J, Yuan Z, Levitan B, Lu W, Suh EY, Spiro T, Lipardi C, Barnathan ES, Spyropoulos AC. Benefit-Risk Assessment of Rivaroxaban for Extended Thromboprophylaxis After Hospitalization for Medical Illness. J Am Heart Assoc. 2022 Oct 18;11(20):e026229. doi: 10.1161/JAHA.122.026229. Epub 2022 Oct 7.

  • Spyropoulos AC, Raskob GE, Cohen AT, Ageno W, Weitz JI, Spiro TE, Lu W, Lipardi C, Albers GW, Elliott CG, Halperin JL, Hiatt WR, Maynard G, Steg PG, Sugarmann C, Barnathan ES. Association of Bleeding Severity With Mortality in Extended Thromboprophylaxis of Medically Ill Patients in the MAGELLAN and MARINER Trials. Circulation. 2022 May 10;145(19):1471-1479. doi: 10.1161/CIRCULATIONAHA.121.057847. Epub 2022 Apr 7.

  • Raskob GE, Spyropoulos AC, Spiro TE, Lu W, Yuan Z, Levitan B, Suh E, Barnathan ES. Benefit-Risk of Rivaroxaban for Extended Thromboprophylaxis After Hospitalization for Medical Illness: Pooled Analysis From MAGELLAN and MARINER. J Am Heart Assoc. 2021 Nov 16;10(22):e021579. doi: 10.1161/JAHA.121.021579. Epub 2021 Nov 10.

  • Jamil A, Jamil U, Singh K, Khan F, Chi G. Extended Thromboprophylaxis With Betrixaban or Rivaroxaban for Acutely Ill Hospitalized Medical Patients: Meta-Analysis of Prespecified Subgroups. Crit Pathw Cardiol. 2021 Mar 1;20(1):16-24. doi: 10.1097/HPC.0000000000000232.

  • Spyropoulos AC, Ageno W, Albers GW, Elliott CG, Halperin JL, Hiatt WR, Maynard GA, Steg PG, Weitz JI, Lu W, Spiro TE, Barnathan ES, Raskob GE. Post-Discharge Prophylaxis With Rivaroxaban Reduces Fatal and Major Thromboembolic Events in Medically Ill Patients. J Am Coll Cardiol. 2020 Jun 30;75(25):3140-3147. doi: 10.1016/j.jacc.2020.04.071.

  • Weitz JI, Raskob GE, Spyropoulos AC, Spiro TE, De Sanctis Y, Xu J, Lu W, Suh E, Argenti D, Yang H, Albanese J, Lipardi C, Barnathan ES. Thromboprophylaxis with Rivaroxaban in Acutely Ill Medical Patients with Renal Impairment: Insights from the MAGELLAN and MARINER Trials. Thromb Haemost. 2020 Mar;120(3):515-524. doi: 10.1055/s-0039-1701009. Epub 2020 Jan 23.

  • Spyropoulos AC, Ageno W, Albers GW, Elliott CG, Halperin JL, Hiatt WR, Maynard GA, Steg PG, Weitz JI, Suh E, Spiro TE, Barnathan ES, Raskob GE; MARINER Investigators. Rivaroxaban for Thromboprophylaxis after Hospitalization for Medical Illness. N Engl J Med. 2018 Sep 20;379(12):1118-1127. doi: 10.1056/NEJMoa1805090. Epub 2018 Aug 26.

MeSH Terms

Conditions

Heart FailureRespiratory InsufficiencyStrokeCommunicable DiseasesRheumatic DiseasesThromboembolism

Interventions

Rivaroxaban

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesRespiration DisordersRespiratory Tract DiseasesCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesInfectionsDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsMusculoskeletal DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesEmbolism and Thrombosis

Intervention Hierarchy (Ancestors)

ThiophenesSulfur CompoundsOrganic ChemicalsMorpholinesOxazinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Limitations and Caveats

Study was stopped prior to achieving preplanned 161 participants with primary outcome events. Other limitations included how VTE-related death was defined and participants with moderate renal impairment may have been under-dosed.

Results Point of Contact

Title
Clinical Leader
Organization
Janssen Research & Development, LLC

Study Officials

  • Janssen Research & Development, LLC Clinical Trial

    Janssen Research & Development, LLC

    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, CARE PROVIDER
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 31, 2014

First Posted

April 11, 2014

Study Start

January 7, 2014

Primary Completion

March 6, 2018

Study Completion

May 3, 2018

Last Updated

November 25, 2019

Results First Posted

November 25, 2019

Record last verified: 2019-11

Locations