Venous ThromboembolismPhase 3MAGELLANNCT00571649
Venous Thromboembolic Event (VTE) Prophylaxis in Medically Ill Patients
A Phase 3 study testing Rivaroxaban (Xarelto, BAY59-7939) and Enoxaparin in people with Venous Thromboembolism, run by Bayer at 676 sites in 53 countries.
Trial summary
This study will evaluate if extended therapy with oral rivaroxaban can prevent blood clots in the leg and lung that can occur with patients hospitalized for acute medical illness, and compare these results with those of the standard enoxaparin dose and duration regimen. The safety of rivaroxaban will also be studied. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Venous Thromboembolism
- What is being tested?
- Rivaroxaban (Xarelto, BAY59-7939) and Enoxaparin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 8,101 participants
- Where
- 676 sitesin 53 countries
- Study dates
- Dec 2007to Nov 2010
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male and female patients aged 40 years or more
- Patients at risk of venous thromboembolic events being hospitalized for acute medical conditions as follows:
- Heart failure, New York Heart Association (NYHA) class III or IV
- Active cancer
- Acute ischemic stroke
- Acute infectious and inflammatory diseases, including acute rheumatic diseases
- Acute respiratory insufficiency
- Additional risk factor for VTE, including reduced mobility
Who cannot join
- Conditions that contraindicate the use of antithrombotic therapy with the Low Molecular-Weight Heparin (LMWH) enoxaparin
- Conditions that may increase the risk of bleeding, including intracranial hemorrhage
- Required drugs or procedures which may interfere with the study treatment
- Concomitant conditions or diseases which may increase the risk of study subjects or interfere with the study outcome
- General conditions in which subjects are not suitable to participate in the study
Trial locations and contacts
676 sites in 53 countries.
676 sites in 53 countries
United States121 sites
Study site
Anaconda, Montana, 59711-2718
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Anderson, Indiana, 46011
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Ann Arbor, Michigan, 48106
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Atlanta, Georgia, 30342
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Aventura, Florida, 33180
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Baltimore, Maryland, 21215
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Baltimore, Maryland, 21237
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Bethlehem, Pennsylvania, 18015
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Biddeford, Maine, 04005
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Birmingham, Alabama, 35209
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Birmingham, Alabama, 35235
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Boyton Beach, Florida, 33472
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Brooklyn, New York, 11215
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Buffalo, New York, 14215-3021
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Camp Hill, Pennsylvania, 17011
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Canton, Ohio, 44718
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Charleston, South Carolina, 29425
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Chicago, Illinois, 60611
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Chula Vista, California, 91911
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Clarksburg, West Virginia, 26301
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Clearwater, Florida, 33756
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Columbus, Ohio, 43215
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Corsicana, Texas, 75110
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Dallas, Texas, 75216-7167
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Danville, Pennsylvania, 17822
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Decatur, Georgia, 30030
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Delray Beach, Florida, 33445
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Denver, Colorado, 80204
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Des Moines, Iowa, 50314-2611
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Detroit, Michigan, 48201
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Detroit, Michigan, 48202
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Dothan, Alabama, 36301
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Duarte, California, 91010
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Durham, North Carolina, 27710
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Edinburg, Texas, 78539
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Elizabeth City, North Carolina, 27909
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Encinitas, California, 92024
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Everett, Washington, 98201
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Fargo, North Dakota, 58122
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Farmington, Connecticut, 06030
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Fort Gordon, Georgia, 30905
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Fort Lauderdale, Florida, 33334
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Fountain Valley, California, 92708
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Framingham, Massachusetts, 01702
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Fullerton, California, 92835
Office of Dr. John Simmons, MD
Geneva, Alabama, 36340
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Glendale, California, 91206
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Grand Rapids, Michigan, 49525
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Great Falls, Montana, 59405
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Greensboro, North Carolina, 27403
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Hackensack, New Jersey, 07601-1991
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Hollywood, Florida, 33021
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Houston, Texas, 77024
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Houston, Texas, 77030-4009
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Houston, Texas, 77030
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Idaho Falls, Idaho, 83404
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Jamaica, New York, 11418
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Jupiter, Florida, 33458
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Kansas City, Missouri, 64128
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Lafayette, Louisiana, 70503
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Lansing, Michigan, 48910
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Little Rock, Arkansas, 72205
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Maumee, Ohio, 43537-1899
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McAllen, Texas, 78503
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Memphis, Tennessee, 38104
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Miami, Florida, 33136
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Miami, Florida, 33173-3259
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Miami Springs, Florida, 33166
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Minneapolis, Minnesota, 55417
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Mobile, Alabama, 36608
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Montgomery, Alabama, 36111
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Nashville, Tennessee, 37232-2650
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New Brunswick, New Jersey, 08901
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New Hyde Park, New York, 11040-1496
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New Orleans, Louisiana, 70121
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New York, New York, 10011
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New York, New York, 10065
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Newark, Delaware, 19718
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Noblesville, Indiana, 46060
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Oceanside, California, 92056
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Ogden, Utah, 84403
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Olathe, Kansas, 66061
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Omaha, Nebraska, 68131
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Pasadena, California, 91105
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Pembroke Pines, Florida, 33024
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Petoskey, Michigan, 49770-2297
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Philadelphia, Pennsylvania, 19107
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Philadelphia, Pennsylvania, 19124
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Pontiac, Michigan, 48341
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Port Charlotte, Florida, 33952
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Pueblo, Colorado, 81003
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Redlands, California, 92373
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Richmond, Virginia, 23249
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Richmond, Virginia, 23298
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Rockport, Maine, 04856
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Sacramento, California, 95817
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Saint Clair Shores, Michigan, 48081
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San Antonio, Texas, 78218
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San Diego, California, 92120
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Santa Barbara, California, 93102
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Sarasota, Florida, 34232
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Savannah, Georgia, 31405
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Scranton, Pennsylvania, 18510
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Shreveport, Louisiana, 71130-4228
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Somerville, New Jersey, 08876-2598
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Springfield, Illinois, 62702
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St Louis, Missouri, 63110
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St Louis, Missouri, 63141
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Stony Brook, New York, 11794
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Summit, New Jersey, 07901
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Tacoma, Washington, 98405
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Teaneck, New Jersey, 07666
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Toledo, Ohio, 43606
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Torrance, California, 90502-2004
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Tuscaloosa, Alabama, 35401
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Tuscaloosa, Alabama, 35406
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Valhalla, New York, 10595
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Vero Beach, Florida, 32960
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Washington D.C., District of Columbia, 20037
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Wheat Ridge, Colorado, 80033-6017
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Wilkes-Barre, Pennsylvania, 18711-3752
Japan34 sites
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Amagasaki, Hyōgo, 660-8511
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Chikushino-shi, Fukuoka, 818-8516
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Daitō, Osaka, 574-0074
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Ebina, Kanagawa, 243-0433
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Fukui-shi, Fukui, 910-8561
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Hakodate, Hokkaido, 040-8611
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Hamamatsu, Shizuoka, 432-8580
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Hanamaki, Iwate, 025-0075
National Hospital Organization Ibaraki Higashi Hospital
Ibaraki, Ibaraki, 319-1113
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Ichinomiya, Aichi-ken, 491-8551
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Kamakura, Kanagawa, 247-8533
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Kanazawa, Ishikawa-ken, 920-8650
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Kashiwazaki, Niigata, 945-8585
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Kasugai, Aichi-ken, 487-0013
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Kumamoto, Kumamoto, 860-0008
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Kure, Hiroshima, 737-0023
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Kusatsu, Shiga, 525-8585
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Kyoto, Kyoto, 606-8507
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Matsusaka, Mie-ken, 515-8544
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Matsuyama, Ehime, 790-0024
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Meguro-ku, Tokyo, 152-8902
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Nangoku, Kochi, 783-8509
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Ōbu, Aichi-ken, 474-8511
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Sapporo, Hokkaido, 065-0033
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Shimonoseki, Yamaguchi, 750-0061
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Shinjuku-ku, Tokyo, 162-8655
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Takasaki, Gunma, 370-0829
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Tomigusuku, Okinawa, 901-0243
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Tōon, Ehime, 791-0281
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Tsu, Mie-ken, 514-1101
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Tsu, Mie-ken, 514-8507
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Urasoe, Okinawa, 901-2132
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Yao, Osaka, 581-0011
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Yokohama, Kanagawa, 236-0051
China32 sites
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Beijing, 100005
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Beijing, 100020
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Beijing, 100029
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Beijing, 100034
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Beijing, 100037
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Beijing, 100044
Beijing Friendship Hosp.
Beijing, 100050
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Beijing, 100050
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Beijing, 100053
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Beijing, 100088
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Beijing, 100853
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Changchun, Jilin
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Changsha, Hunan, 410013
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Chengdu, Sichuan, 610041
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Chongqing, 400038
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Chongqing, 400042
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Dalian, Liaoning, 116027
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Guangzhou, Guangdong, 510120
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Guangzhou, Guangdong, 510405
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Guangzhou, Guangdong
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Nanjing, Jiangsu, 210008
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Nanjing, Jiangsu
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Shanghai, 200003
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Shanghai, 200025
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Shanghai, 200127
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Shanghai, 200233
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Shanghai
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Shenyang, Liaoning, 110001
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Shenyang, Liaoning, 110004
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Shenyang, Liaoning, 110015
The 1st Affiliated Hosp of the 4th Military Med Uni
Xi'an, Shaanxi, 710032
1st Affiliated Hosp., Med College Xi'an Jiaotong Univ.
Xi'an, Shaanxi, 710061
Germany31 sites
Study site
Bad Mergentheim, Baden-Wurttemberg, 97980
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Beeskow, Brandenburg, 15848
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Berlin, State of Berlin, 10787
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Bremen, Free Hanseatic City of Bremen, 28177
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Cologne, North Rhine-Westphalia, 50935
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Cologne, North Rhine-Westphalia, 51067
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Cologne, North Rhine-Westphalia, 51109
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Dortmund, North Rhine-Westphalia, 44137
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Dresden, Saxony, 01067
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Dresden, Saxony, 01307
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Esslingen am Neckar, Baden-Wurttemberg, 73730
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Frankfurt (Oder), Brandenburg, 15236
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Halle, Saxony-Anhalt, 06112
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Heidelberg, Baden-Wurttemberg, 69120
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Jülich, North Rhine-Westphalia, 52428
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Karlsbad, Baden-Wurttemberg, 76307
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Leipzig, Saxony, 04289
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Leverkusen, North Rhine-Westphalia, 51375
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Mainz, Rhineland-Palatinate, 55131
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Mönchengladbach, North Rhine-Westphalia, 41063
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Neuss, North Rhine-Westphalia, 41464
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Neuwied, Rhineland-Palatinate, 56564
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Oberhausen, North Rhine-Westphalia, 46045
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Paderborn, North Rhine-Westphalia, 33098
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Pirna, Saxony, 01796
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Soest, North Rhine-Westphalia, 59494
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Stolberg, North Rhine-Westphalia, 52222
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Troisdorf, North Rhine-Westphalia, 53844
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Viersen, North Rhine-Westphalia, 41749
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Weiden, Bavaria, 92637
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Wuppertal, North Rhine-Westphalia, 42109
France28 sites
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Arras, 62000
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Besançon, 25000
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Brest, 29609
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Castelnau-le-Lez, 34170
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Clermont-Ferrand, 63000
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Colombes, 92701
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Dijon, 21000
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Lille, 59037
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Lille, 59307
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Limoges, 87042
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Lomme, 59160
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Lyon, 69003
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Montpellier, 34295
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Nice, 06280
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Nîmes, 30029
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Paris, 75004
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Paris, 75010
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Paris, 75475
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Paris, 75877
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Pierre-Bénite, 69495
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Reims, 51092
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Roubaix, 59100
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Saint-Etienne, 42000
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Saint-Herblain, 44805
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Strasbourg, 67091
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Toulouse, 31403
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Tourcoing, 59208
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Vandœuvre-lès-Nancy, 54511
Italy25 sites
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Acquaviva delle Fonti, Bari, 70021
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Bergamo, 24128
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Campobasso, Molise, 86100
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Catania, Sicily, 95124
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Domodossola, Verbano-Cusio-Ossola, 28845
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Fidenza, Parma, 43036
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Genoa, Liguria, 16128
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Latina, 04100
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Milan, Lombardy, 20089
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Milan, Lombardy, 20133
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Milan, Lombardy, 20162
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Modena, Emilia-Romagna, 41100
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Naples, Campania, 80123
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Palermo, Sicily, 90127
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Parma, Emilia-Romagna, 43100
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Perugia, Umbria, 06024
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Perugia, Umbria, 06156
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Piacenza, Emilia-Romagna, 29121
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Reggio Calabria, 89124
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Reggio Emilia, Emilia-Romagna, 42123
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Rome, Lazio, 00161
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Rome, Lazio, 00168
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Terni, Trentino-Alto Adige, 05019
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Varese, Lombardy, 21100
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Vicenza, 36100
Canada19 sites
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Calgary, Alberta, T2N 2T9
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Cobourg, Ontario, K9A 5W6
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Edmonton, Alberta, T5H 3V9
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Edmonton, Alberta, T6G 2B7
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Edmonton, Alberta, T6L 5X8
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Greenfield Park, Quebec, J4V 2H1
CHUM - Hopital Notre-Dame
Montreal, Quebec, H2L 4M1
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Montreal, Quebec, H2L 4M1
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Montreal, Quebec, H2W 1T8
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Montreal, Quebec, H3T 1M5
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Ottawa, Ontario, K1Y 4E9
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Québec, Quebec, G1J 1Z4
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Québec, Quebec, G1V 4G5
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Saint John, New Brunswick, E2L 4L2
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Scarborough Village, Ontario, M1P 2V5
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Ste-Foy, Quebec, G1V 4G5
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Toronto, Ontario, M5T 2S8
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Vancouver, British Columbia, V5Z 1M9
Hotel Dieu-Grace Hospital
Windsor, Ontario, N9A 1E1
Mexico18 sites
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Aguascalientes, Aguascalientes, 20234
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Chihuahua City, Chihuahua, 31350
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Guadalajara, Jalisco, 44280
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Hermosillo, Sonora, 83000
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Mérida, Yucatán, 97001
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Metepec, State of Mexico, 52140
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Mexico City, Mexico City, 11340
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Mexico City, Mexico City, 15900
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Mexico D. F., Mexico City, 06760
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México, D.F, Mexico City, 07460
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México, D.F., Mexico City, 06729
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México, D.F., Mexico City, 07760
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Monterrey, Nuevo León, 66480
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Morelia, Michoacán, 58270
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Puebla City, Puebla, 72410
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Torreón, Coahuila, 27250
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Tuxtla Gutiérrez, Chiapas, 29000
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Zacatecas City, Zacatecas, 98000
Australia17 sites
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Adelaide, South Australia, 5042
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Auchenflower, Queensland, 4066
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Box Hill, Victoria, 3128
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Brisbane, Queensland, 4066
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Brisbane, Queensland, 4101
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Clayton, Victoria, 3168
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Garran, Australian Capital Territory, 2605
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Kogarah, New South Wales, 2217
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Launceston, Tasmania, 7250
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Lismore, New South Wales, 2480
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Melbourne, Victoria, 3135
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Melbourne, Victoria, 3144
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Perth, Western Australia, 6000
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Redcliffe, Queensland, 4020
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Southport, Queensland, 4215
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Sydney, New South Wales, 2229
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Woollongabba, Queensland, 4102
Austria17 sites
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Gratwein, Styria, 8113
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Graz, Styria, 8036
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Hartberg, Styria, 8230
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Innsbruck, 6020
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Kittsee, Burgenland, 2421
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Leoben, Styria, 8700
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Linz, Upper Austria, 4020
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Linz, 4020
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Mürzzuschlag, 8680
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Oberpullendorf, Burgenland, 7350
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Sankt Pölten, 3100
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Vienna, State of Vienna, 1030
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Vienna, State of Vienna, 1100
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Vienna, 1100
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Vienna, 1140
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Wolfsberg, Carinthia, 9400
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Zams, Tyrol, 6511
Belgium16 sites
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Aalst, 9300
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Bruges, 8000
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Bruxelles - Brussel, 1000
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Dendermonde, 9200
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Hasselt, 3500
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Huy, 4500
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Ieper, 8900
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Leuven, 3000
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Malmedy, 4960
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Mol, 2400
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Montigny S/sambre, 6061
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Mortsel, 2640
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Roeselare, 8800
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Sint-Niklaas, 9100
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Tubize, 1480
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Turnhout, 2300
India16 sites
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Ahmedabad, Gujar?t, 380 054
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Bangalore, Karn?taka, 560052
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Bangalore, Karn?taka, 560099
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Calicut, Kerala, 673 004
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Chennai, Tamil N?du, 600081
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Coimbatore, Tamil N?du, 641 004
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Hyderabad, 500034
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Hyderabad, 500082
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Hyderabad, 600 038
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Kolkata, West Bengal, 700 099
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Ludhiana, Punjab, 141001
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Mumbai, 400022
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Noida
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Pune, Maharashtra, 411001
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Pune, Maharashtra, 411011
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Thiruvananthapuram, Kerala, 695002
Poland15 sites
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Bialystok, 15-276
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Bydgoszcz, 85-681
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Krakow, 31-066
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Krakow, 31-121
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Lublin, 20-178
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Olsztyn, 10-228
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Piotrkow Trybunalski, 97-300
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Siedlce, 08-110
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Starogard Gdański, 83-200
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Szczecin, 70-965
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Tarnów, 33-100
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Warsaw, 03-401
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Warsaw, 04-141
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Warsaw, 04-749
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Włocławek, 87-800
Ukraine15 sites
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Donetsk, 83003
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Donetsk, 83045
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Ivano-Frankivsk, 76000
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Kharkiv, 61037
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Kharkiv, 61070
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Kharkiv, 61178
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Kiev, 02 091
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Kiev, 03680
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Kiev, 04112
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Kyiv, 01105
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Lviv, 790 34
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Odesa, 65009
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Odesa, 65025
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Simferopol, 95 026
Study site
Simferopol, 95023
South Africa14 sites
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Bloemfontein, Freestate, 9301
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Goodwood, Western Cape, 7460
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Johannesburg, Gauteng, 2057
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Johannesburg, Gauteng, 2132
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Johannesburg, Gauteng, 2196
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Kempton Park, Gauteng, 1610
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Pretoria, Gauteng, 0084
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Pretoria, Gauteng, 0157
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Pretoria, Gauteng, 0181
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Roodepoort, Gauteng, 1724
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Sandton, Gauteng, South Africa, 2196
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Somerset West, Western Cape, 7130
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Stellenbosch, Western Cape, 7505
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Worcester, Western Cape, 6850
Portugal13 sites
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Amadora, 2720-276
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Cascais, 2750-349
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Coimbra, 3000-075
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Lisbon, Lisbon District, 1150-199
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Lisbon, Lisbon District, 1649-035
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Lisbon, 1349-019
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Lisbon, 1849- 017
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Matosinhos Municipality, 4454-509
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Porto, Porto District, 4099-001
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Porto, 4200-319
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S. Martinho Do Bispo, Coimbra District, 3041-856
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Santarém, Santarém District, 2005
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Viana do Castelo, 4901-585
Spain13 sites
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Badalona, Barcelona, 08916
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Barcelona, Barcelona, 08023
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Barcelona, Barcelona, 08036
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Cabra, Córdoba, 14940
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Cartagena, Murcia, 30202
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Córdoba, Córdoba, 14004
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Cuenca, Cuenca, 16002
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Girona, Girona, 17007
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Olot, Girona, 17800
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Sabadell, Barcelona, 08208
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Vélez, Málaga, 29700
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Vigo, Pontevedra, 36214
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Zaragoza, Zaragoza, 50009
Hungary12 sites
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Baja, 6500
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Balassagyarmat, 2660
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Budapest, 1076
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Budapest, 1134
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Budapest, 1145
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Debrecen, 4012
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Győr, 9024
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Hódmezővásárhely, 6800
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Kecskemét, 6000
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Székesfehérvár, 8000
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Tatabánya, 2800
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Zalaegerszeg-Pozva, H-8900
Russia12 sites
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Moscow, 103030
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Moscow, 115093
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Moscow, 115516
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Moscow, 117292
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Moscow, 119048
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Moscow, 119435
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Moscow, 125101
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Moscow, 125367
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Nizhny Novgorod, 603001
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Nizhny Novgorod, 603035
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Yaroslavl, 150003
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Yaroslavl, 150030
Sweden12 sites
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Borås, 501 82
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Hässleholm, 281 25
Study site
Karlshamn, 374 80
Study site
Kristianstad, 29185
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Lund, 221 85
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Malmö, 205 02
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Skövde, 541 85
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Stockholm, 171 76
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Stockholm, 182 88
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Sundsvall, 851 86
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Umeå, 90185
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Visby, 62184
United Kingdom11 sites
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Dumfries, Dumfries and Galloway, DG1 4EP
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Glasgow, Stratchclyde, G11 6NT
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Leeds, West Yorkshire, LS9 7TF
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Liverpool, Merseyside, L9 7JU
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London, London, N18 1QX
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London, London, SE5 9RS
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London, W1T 4EU
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Middlesbrough, Cleveland, TS4 3BW
Study site
Newcastle upon Tyne, Tyne and Wear, NE1 4LP
Study site
Nottingham, NG7 2UH
Study site
Sheffield, South Yorkshire, S10 2JF
Czechia10 sites
Study site
Brno, 656 91
Study site
Kutná Hora, 284 30
Study site
Nové Město na Moravě, 592 31
Study site
Olomouc, 775 20
Study site
Pilsen, 305 99
Study site
Prague, 128 08
Study site
Prague, 128 21
Study site
Prague, 12808
Study site
Říčany, 251 49
Study site
Znojmo, 669 02
Lithuania10 sites
Study site
Kaunas, LT-3000
Study site
Kaunas, LT-3002
Study site
Kaunas, LT-3026
Study site
Klaipėda, LT-5800
Study site
Klaipėda, LT-92231
Study site
Šiauliai, 76231
Study site
Utena, LT-28142
Study site
Vilnius, 04130
Study site
Vilnius, 10207
Study site
Vilnius, LT-2001
Greece9 sites
Study site
Abelokipi - Athens, 115 26
Study site
Athens, 106 76
Study site
Athens, 115 26
Study site
Athens, 156 69
Study site
Elefsina, Attica, 19018
Study site
Kifisia / Athens, Attica, 14561
Study site
Nea Ionia, 14233
Study site
Piraeus, 18536
Study site
Rio / Patras, 265 04
Israel9 sites
Study site
Afula, 1834111
Study site
Ashkelon, 7830604
Study site
Haifa, 31048
Study site
Haifa, 3109601
Study site
Holon, 58100
Study site
Kfar Saba, 4428164
Study site
Rehovot, 7610001
Study site
Safed, 1311001
Study site
Tel Aviv, 64239
Netherlands9 sites
Study site
Amersfoort, 3816 CP
Study site
Amsterdam, 1061 AE
Study site
Enschede, 7511 JX
Study site
Heerlen, 6401 CX
Study site
Maastricht, 6229 HX
Study site
Nieuwegein, 3435 CM
Study site
Rotterdam, 3083 AN
Study site
Sittard, 6131 BK
Study site
Utrecht, 3582 KE
Switzerland9 sites
Study site
Baden, 5404
Study site
Basel, Canton of Basel-City, 4031
Study site
Bern, Canton of Bern, 3010
Study site
Bruderholz, Basel-Landschaft, 4101
Study site
Geneva, Canton of Geneva, 1211
Study site
Langenthal, Canton of Bern, 4901
Study site
Liestal, Canton of Basel-City, 4410
Study site
Lucerne, 6000
Study site
Zurich, Canton of Zurich, 8091
Argentina8 sites
Study site
Avellaneda, Buenos Aires, B1870CID
Study site
Buenos Aires, Ciudad Auton. de Buenos Aires, 1221
Hospital Británico
Buenos Aires, Ciudad Auton. de Buenos Aires, 1280
Sanatorio Mitre
Buenos Aires, Ciudad Auton. de Buenos Aires, C1039AAO
Study site
Buenos Aires, Ciudad Auton. de Buenos Aires, C1431FWO
Study site
San Miguel, Buenos Aires, 1663
Hospital de Agudos "Dr. Carlos Bocalandro"
Tres de Febrero, Buenos Aires, 1657
Study site
Vicente López, 1638
Brazil8 sites
Study site
Campinas, São Paulo, 130839 970
Study site
Curitiba, Paraná, 80050-350
Study site
Porto Alegre, Rio Grande do Sul, 90610-000
Study site
Santo André, São Paulo, 09190-610
Study site
São Paulo, São Paulo, 01323-001
Study site
São Paulo, São Paulo, 04039 002
Study site
São Paulo, São Paulo, 05403-900
Study site
São Paulo, São Paulo, 05443000
Finland8 sites
Study site
Hämeenlinna, 13530
Study site
Helsinki, 00290
Study site
Jyväskylä, 40620
Study site
Lahti, 15850
Study site
Lappeenranta, 53130
Study site
Raisio, 21200
Study site
Turku, 20520
Study site
Turku, 20700
Latvia8 sites
Study site
Daugavpils, LV-5417
Study site
Liepāja, 3402
Study site
Riga, 1002
Study site
Riga, 1005
Study site
Riga, LV-1001
Study site
Riga, LV-1038
Study site
Valmiera, LV-4201
Study site
Ventspils, LV-3601
Bulgaria7 sites
Study site
Pleven, 5800
Study site
Rousse, 7002
Study site
Sofia, 1233
Study site
Sofia, 1606
Study site
Stara Zagora, 6000
Study site
Varna, 9010
Study site
Veliko Tarnovo, 5000
South Korea7 sites
Study site
Gyeonggi-do, 463-712
Study site
Gyeongi-do, Korea, 463-707
Study site
Jeollanam-do, 519-763
Seoul National University Hospital
Seoul, Seoul Teugbyeolsi, 110-744
Seoul Metropolitan Boramae Hospital
Seoul, Seoul Teugbyeolsi, 156-707
Study site
Seoul, 135-710
Study site
Seoul, 138736
Colombia6 sites
Study site
Bogotá, Bogota D.C.
Study site
Bogotá
Study site
Cali, Valle del Cauca Department
Study site
Cali
Study site
Medellín, Antioquia
Study site
Medellín
Denmark6 sites
Study site
Esbjerg, 6700
Study site
Frederiksberg C, 2000
Study site
København NV, 2400
Study site
København S, 2300
Study site
Kolding, 6000
Study site
Roskilde, 4000
Peru6 sites
Study site
Callao, CALLAO 2
Study site
Lima, 01
Study site
Lima, 31
Study site
Lima, LIMA 11
Study site
Lima, LIMA 1
Study site
Lima Cercado, LIMA 1
Croatia5 sites
Study site
Osijek, 310 00
Study site
Rijeka, 51000
Study site
Zadar, 23000
Study site
Zagreb, 10000
Study site
Zagreb, 1000
Norway5 sites
Study site
Fredrikstad, 1603
Study site
Gjøvik, 2819
Study site
Hamar, 2326
Study site
Oslo, 0319
Study site
Oslo, 0407
Romania5 sites
Study site
Bucharest, 014461
Study site
Bucharest, 022328
Study site
Bucharest, 041915
Study site
Constanța, 900591
Study site
Suceava, 720237
Singapore5 sites
Study site
Singapore, 119074
Study site
Singapore, 168752
Study site
Singapore, 169608
Study site
Singapore, 308433
Changi General Hospital
Singapore, 529889
Slovakia5 sites
Study site
Bratislava, 813 69
Study site
Bratislava, 826 06
Study site
Lučenec, 984 39
Study site
Martin, 036 59
Study site
Žilina, 012 07
Taiwan5 sites
Study site
Kaohsiung City, 833
Study site
Tainan, 710
Study site
Taipei, 10016
Study site
Taipei, 114
Study site
Taipei
Estonia4 sites
Study site
Tallinn, 10138
Study site
Tallinn, 13419
Study site
Tallinn, EE-10617
Study site
Tartu, EE-51014
New Zealand4 sites
Study site
Auckland, 0622
Study site
Auckland, 1023
Study site
Auckland, 2024
Study site
Christchurch, 8011
Turkey (Türkiye)4 sites
Study site
Istanbul, 34098
Study site
Istanbul, 34304
Study site
Izmir, 35100
Study site
Izmir, 35340
Chile3 sites
Study site
Santiago, 760 0448
Study site
Santiago
Study site
Viña del Mar
Indonesia3 sites
Study site
Jakarta, 10430
Study site
Jakarta, 11420
Study site
Surabaya, 60286
Luxembourg3 sites
Study site
Luxembourg, 1210
Study site
Luxembourg-Kirchberg, 2540
Study site
Niedercorn, 4602
Malaysia3 sites
Study site
Kuala Lumpur, 59100
Study site
Negeri Sembilan,, 70300
Study site
Sarawak, 93400
Pakistan3 sites
Study site
Karachi, 74800
Study site
Karachi, 75500
Study site
Lahore
Slovenia3 sites
Study site
Golnik, 4204
Study site
Ljubljana, 1000
Study site
Novo Mesto, 8000
Thailand3 sites
Study site
Bangkok, Thailand, 10700
Study site
Bangkok, 10400
Study site
Chiang Mai, 50200
About this study
Official title: Multicenter, Randomized, Parallel-group Efficacy and Safety Study for the Prevention of Venous Thromboembolism in Hospitalized Medically Ill Patients Comparing Rivaroxaban With Enoxaparin. The MAGELLAN Study
This study will evaluate if extended therapy with oral rivaroxaban can prevent blood clots in the leg and lung that can occur with patients hospitalized for acute medical illness, and compare these results with those of the standard enoxaparin dose and duration regimen. The safety of rivaroxaban will also be studied.
Read the detailed description
The treatment period was followed by a follow-up period starting the day after the last intake of study medication, regardless of the actual duration of study drug administration and ended on Day 90 (+ 7 days). Participants who did not complete the treatment period also entered the follow-up period. It was also possible that participants did not enter the follow-up period, e.g. due to withdrawal of consent or termination of study participation.
Within the US 'Johnson \& Johnson Pharmaceutical Research \& Development, L.L.C.' is sponsor.
- Conditions
- Venous Thromboembolism
- Being tested
- Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin, Rivaroxaban placebo, Enoxaparin placebo
- Keywords
- Acute medical illnesses with increased risk for VTE., Deep vein thrombosis (DVT), Pulmonary embolism (PE),, Venous Thromboembolic disease (VTE),, Medical illness
- Medical subject headings
- Venous Thromboembolism, Venous Thrombosis, Pulmonary Embolism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rivaroxaban (Xarelto, BAY59-7939)Drug
Oral rivaroxaban 10 mg once daily administered for 35 +/- 4 days
EnoxaparinDrug
Subcutaneous enoxaparin 40 mg once daily (OD) administered for 10 +/- 4 days
Rivaroxaban placeboDrug
Oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days
Enoxaparin placeboDrug
Subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days
| Study group | Role | What they receive |
|---|---|---|
| Rivaroxaban (Xarelto, BAY59-7939) | Experimental | Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Receives: Drug: Rivaroxaban (Xarelto, BAY59-7939); Drug: Enoxaparin placebo |
| Enoxaparin | Active comparator | Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days Receives: Drug: Enoxaparin; Drug: Rivaroxaban placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Composite Endpoint of Venous Thromboembolism [VTE] (Any Deep Vein Thrombosis [DVT], Non Fatal Pulmonary Embolism [PE]) and VTE-related Death up to Day 35 + 6 Days
A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Measured: Up to Day 35 + 6 days
Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days
A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Measured: Up to Day 10 + 5 days
Secondary outcomes (12)
Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and All-cause Mortality up to Day 35 + 6 Days
A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and death (VTE-related and not VTE-related).
Measured: Up to Day 35 + 6 days
Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days Per mITT Population
A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Measured: Up to Day 10 + 5 days
Percentage of Participants With VTE Combined With All-cause Mortality up to Day 10 + 5 Days
A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and death (VTE-related and not VTE-related).
Measured: Up to Day 10 + 5 days
Percentage of Participants With Symptomatic VTE, Including and Excluding VTE-related Death up to Days 10, 35, and 90
Symptomatic VTE (non-fatal PE and DVT in lower extremity), including and excluding VTE-related death (PE and PE cannot be excluded) up to Days 10, 35, and 90
Measured: At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days
Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 35 + 6 Days
Net clinical benefit is a composite of the primary efficacy endpoint (asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death) plus major and clinically relevant non-major bleeding events.
Measured: Up to Day 35 + 6 days
Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 10 + 5 Days
Net clinical benefit is a composite of the primary efficacy endpoint (asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death) plus major and clinically relevant non-major bleeding events
Measured: Up to Day 10 + 5 days
Percentage of Participants With Major Vascular Events up to Days 10, 35, and 90
Major vascular events included cardiovascular death, acute myocardial infarction (MI), or acute ischemic stroke. Participants may have had a vascular event in more than one category.
Measured: At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days
Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 35 + 6 Days
The components of the composite endpoint include asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Measured: Up to Day 35 + 6 days
Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days
The components of the composite endpoint include asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Measured: Up to Day 10 + 5 days
Percentage of Participants With All-cause Mortality up to Day 90 + 7 Days
All deaths, including VTE-related deaths, cardiovascular deaths, and other deaths.
Measured: Up to Day 90 + 7 days
Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Intake of Any Study Medication (Day 35 + 6 Days)
Major bleeding events were defined as events leading to >=2 g/dL fall in hemoglobin; or transfusion of >= 2 units of packed RBCs (Red blood cells) or whole blood; or leading to death. Non-major bleeding events were defined as overt bleeding not meeting the criteria of major bleeding
Measured: Up to Day 35 + 6 days
Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Application of a Study Medication Syringe (Day 10 + 5 Days)
Major bleeding events were defined as events leading to >=2 g/dL fall in hemoglobin or transfusion of >=2 units of packed RBCs or whole blood or leading to death. Non-major bleeding events were defined as overt bleeding not meeting the criteria of major bleeding.
Measured: Up to Day 10 + 5 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2007 (estimated)
- Study startDec 2007
- Primary completionAug 2010
- Study completionNov 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (12)Papers the sponsor has linked to this study.
- Other trials for Venous ThromboembolismStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 8,101 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00571649
- Sponsor's protocol ID
- 12839
- Other IDs
- 2007-004614-14
- Acronym
- MAGELLAN
- Status last verified
- Aug 2016
- First submitted
- 11 Dec 2007
- Last updated
- 15 Sep 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Cohen AT, Spiro TE, Buller HR, Haskell L, Hu D, Hull R, Mebazaa A, Merli G, Schellong S, Spyropoulos A, Tapson V. Extended-duration rivaroxaban thromboprophylaxis in acutely ill medical patients: MAGELLAN study protocol. J Thromb Thrombolysis. 2011 May;31(4):407-16. doi: 10.1007/s11239-011-0549-x.
PubMed 21359646Cohen AT, Spiro TE, Buller HR, Haskell L, Hu D, Hull R, Mebazaa A, Merli G, Schellong S, Spyropoulos AC, Tapson V; MAGELLAN Investigators. Rivaroxaban for thromboprophylaxis in acutely ill medical patients. N Engl J Med. 2013 Feb 7;368(6):513-23. doi: 10.1056/NEJMoa1111096.
PubMed 23388003Sharma A, Chatterjee S, Lichstein E, Mukherjee D. Extended thromboprophylaxis for medically ill patients with decreased mobility: does it improve outcomes? J Thromb Haemost. 2012 Oct;10(10):2053-60. doi: 10.1111/j.1538-7836.2012.04874.x.
PubMed 22863355Mebazaa A, Spiro TE, Buller HR, Haskell L, Hu D, Hull R, Merli G, Schellong SW, Spyropoulos AC, Tapson VF, De Sanctis Y, Cohen AT. Predicting the risk of venous thromboembolism in patients hospitalized with heart failure. Circulation. 2014 Jul 29;130(5):410-8. doi: 10.1161/CIRCULATIONAHA.113.003126. Epub 2014 Jun 26.
PubMed 24970782Cohen AT, Spiro TE, Spyropoulos AC, Desanctis YH, Homering M, Buller HR, Haskell L, Hu D, Hull R, Mebazaa A, Merli G, Schellong S, Tapson VF, Burton P; MAGELLAN Study Group. D-dimer as a predictor of venous thromboembolism in acutely ill, hospitalized patients: a subanalysis of the randomized controlled MAGELLAN trial. J Thromb Haemost. 2014 Apr;12(4):479-87. doi: 10.1111/jth.12515.
PubMed 24460645Spyropoulos 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.
PubMed 35389229Raskob 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.
PubMed 34755519Raskob GE, Spyropoulos AC, Cohen AT, Weitz JI, Ageno W, De Sanctis Y, Lu W, Xu J, Albanese J, Sugarmann C, Weber T, Lipardi C, Spiro TE, Barnathan ES. Association Between Asymptomatic Proximal Deep Vein Thrombosis and Mortality in Acutely Ill Medical Patients. J Am Heart Assoc. 2021 Feb;10(5):e019459. doi: 10.1161/JAHA.120.019459. Epub 2021 Feb 15.
PubMed 33586478Jamil 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.
PubMed 32657973Weitz 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.
PubMed 31975354Chi G, Goldhaber SZ, Kittelson JM, Turpie AGG, Hernandez AF, Hull RD, Gold A, Curnutte JT, Cohen AT, Harrington RA, Gibson CM. Effect of extended-duration thromboprophylaxis on venous thromboembolism and major bleeding among acutely ill hospitalized medical patients: a bivariate analysis. J Thromb Haemost. 2017 Oct;15(10):1913-1922. doi: 10.1111/jth.13783. Epub 2017 Sep 4.
PubMed 28762617Marszalek J, Mehrsefat S, Chi G. The risk of stroke among acutely ill hospitalized medical patients: lessons from recent trials on extended-duration thromboprophylaxis. Expert Rev Hematol. 2017 Aug;10(8):679-684. doi: 10.1080/17474086.2017.1343662. Epub 2017 Jun 21.
PubMed 28617144
Study at a glance
From the registry record, last updated by the sponsor on 15 Sep 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter, Randomized, Parallel-group Efficacy and Safety Study for the Prevention of Venous Thromboembolism in Hospitalized Medically Ill Patients Comparing Rivaroxaban With Enoxaparin. The MAGELLAN Study
- ClinicalTrials.gov ID
- NCT00571649
- Acronym / sponsor ID
- MAGELLAN / 12839
- Conditions
- Venous Thromboembolism
- Keywords
- Acute medical illnesses with increased risk for VTE., Deep vein thrombosis (DVT), Pulmonary embolism (PE),, Venous Thromboembolic disease (VTE),, Medical illness
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 8,101 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Collaborators
- Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
- Study start
- Dec 2007
- Primary completion
- Aug 2010 (actual)
- Study completion
- Nov 2010 (actual)
- First posted
- 12 Dec 2007 (estimated)
- Results
- Posted 27 Jun 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate if extended therapy with oral rivaroxaban can prevent blood clots in the leg and lung that can occur with patients hospitalized for acute medical illness, and compare these results with those of the standard enoxaparin dose and duration regimen. The safety of rivaroxaban will also be studied.
Detailed description
The treatment period was followed by a follow-up period starting the day after the last intake of study medication, regardless of the actual duration of study drug administration and ended on Day 90 (+ 7 days). Participants who did not complete the treatment period also entered the follow-up period. It was also possible that participants did not enter the follow-up period, e.g. due to withdrawal of consent or termination of study participation.
Within the US 'Johnson \& Johnson Pharmaceutical Research \& Development, L.L.C.' is sponsor.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rivaroxaban (Xarelto, BAY59-7939) | Experimental | Drug: Rivaroxaban (Xarelto, BAY59-7939), Drug: Enoxaparin placeboParticipants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days |
| Enoxaparin | Active comparator | Drug: Enoxaparin, Drug: Rivaroxaban placeboParticipants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Male and female patients aged 40 years or more
- Patients at risk of venous thromboembolic events being hospitalized for acute medical conditions as follows:
Key exclusion criteria (5 listed)
- Conditions that contraindicate the use of antithrombotic therapy with the Low Molecular-Weight Heparin (LMWH) enoxaparin
- Conditions that may increase the risk of bleeding, including intracranial hemorrhage
- Required drugs or procedures which may interfere with the study treatment
- Concomitant conditions or diseases which may increase the risk of study subjects or interfere with the study outcome
- General conditions in which subjects are not suitable to participate in the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rivaroxaban (Xarelto, BAY59-7939)Oral rivaroxaban 10 mg once daily administered for 35 +/- 4 days | Drug | Rivaroxaban (Xarelto, BAY59-7939) |
| EnoxaparinSubcutaneous enoxaparin 40 mg once daily (OD) administered for 10 +/- 4 days | Drug | Enoxaparin |
| Rivaroxaban placeboOral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days | Drug | Enoxaparin |
| Enoxaparin placeboSubcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days | Drug | Rivaroxaban (Xarelto, BAY59-7939) |
Primary outcome
Percentage of Participants With Composite Endpoint of Venous Thromboembolism [VTE] (Any Deep Vein Thrombosis [DVT], Non Fatal Pulmonary Embolism [PE]) and VTE-related Death up to Day 35 + 6 Days
Time frame: Up to Day 35 + 6 days
A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days
Time frame: Up to Day 10 + 5 days
A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
12 secondary outcomes
Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and All-cause Mortality up to Day 35 + 6 Days
Time frame: Up to Day 35 + 6 days
Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days Per mITT Population
Time frame: Up to Day 10 + 5 days
Percentage of Participants With VTE Combined With All-cause Mortality up to Day 10 + 5 Days
Time frame: Up to Day 10 + 5 days
Percentage of Participants With Symptomatic VTE, Including and Excluding VTE-related Death up to Days 10, 35, and 90
Time frame: At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days
Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 35 + 6 Days
Time frame: Up to Day 35 + 6 days
Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 10 + 5 Days
Time frame: Up to Day 10 + 5 days
Percentage of Participants With Major Vascular Events up to Days 10, 35, and 90
Time frame: At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days
Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 35 + 6 Days
Time frame: Up to Day 35 + 6 days
Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days
Time frame: Up to Day 10 + 5 days
Percentage of Participants With All-cause Mortality up to Day 90 + 7 Days
Time frame: Up to Day 90 + 7 days
Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Intake of Any Study Medication (Day 35 + 6 Days)
Time frame: Up to Day 35 + 6 days
Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Application of a Study Medication Syringe (Day 10 + 5 Days)
Time frame: Up to Day 10 + 5 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Sep 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 21359646Cohen AT, Spiro TE, Buller HR, Haskell L, Hu D, Hull R, Mebazaa A, Merli G, Schellong S, Spyropoulos A, Tapson V. Extended-duration rivaroxaban thromboprophylaxis in acutely ill medical patients: MAGELLAN study protocol. J Thromb Thrombolysis. 2011 May;31(4):407-16. doi: 10.1007/s11239-011-0549-x.
- Results publication: PubMed 23388003Cohen AT, Spiro TE, Buller HR, Haskell L, Hu D, Hull R, Mebazaa A, Merli G, Schellong S, Spyropoulos AC, Tapson V; MAGELLAN Investigators. Rivaroxaban for thromboprophylaxis in acutely ill medical patients. N Engl J Med. 2013 Feb 7;368(6):513-23. doi: 10.1056/NEJMoa1111096.
- Results publication: PubMed 22863355Sharma A, Chatterjee S, Lichstein E, Mukherjee D. Extended thromboprophylaxis for medically ill patients with decreased mobility: does it improve outcomes? J Thromb Haemost. 2012 Oct;10(10):2053-60. doi: 10.1111/j.1538-7836.2012.04874.x.
- Results publication: PubMed 24970782Mebazaa A, Spiro TE, Buller HR, Haskell L, Hu D, Hull R, Merli G, Schellong SW, Spyropoulos AC, Tapson VF, De Sanctis Y, Cohen AT. Predicting the risk of venous thromboembolism in patients hospitalized with heart failure. Circulation. 2014 Jul 29;130(5):410-8. doi: 10.1161/CIRCULATIONAHA.113.003126. Epub 2014 Jun 26.
- Results publication: PubMed 24460645Cohen AT, Spiro TE, Spyropoulos AC, Desanctis YH, Homering M, Buller HR, Haskell L, Hu D, Hull R, Mebazaa A, Merli G, Schellong S, Tapson VF, Burton P; MAGELLAN Study Group. D-dimer as a predictor of venous thromboembolism in acutely ill, hospitalized patients: a subanalysis of the randomized controlled MAGELLAN trial. J Thromb Haemost. 2014 Apr;12(4):479-87. doi: 10.1111/jth.12515.
- Derived from this study: PubMed 35389229Spyropoulos 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.
- Derived from this study: PubMed 34755519Raskob 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.
- Derived from this study: PubMed 33586478Raskob GE, Spyropoulos AC, Cohen AT, Weitz JI, Ageno W, De Sanctis Y, Lu W, Xu J, Albanese J, Sugarmann C, Weber T, Lipardi C, Spiro TE, Barnathan ES. Association Between Asymptomatic Proximal Deep Vein Thrombosis and Mortality in Acutely Ill Medical Patients. J Am Heart Assoc. 2021 Feb;10(5):e019459. doi: 10.1161/JAHA.120.019459. Epub 2021 Feb 15.
- Derived from this study: PubMed 32657973Jamil 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.
- Derived from this study: PubMed 31975354Weitz 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.
- Derived from this study: PubMed 28762617Chi G, Goldhaber SZ, Kittelson JM, Turpie AGG, Hernandez AF, Hull RD, Gold A, Curnutte JT, Cohen AT, Harrington RA, Gibson CM. Effect of extended-duration thromboprophylaxis on venous thromboembolism and major bleeding among acutely ill hospitalized medical patients: a bivariate analysis. J Thromb Haemost. 2017 Oct;15(10):1913-1922. doi: 10.1111/jth.13783. Epub 2017 Sep 4.
- Derived from this study: PubMed 28617144Marszalek J, Mehrsefat S, Chi G. The risk of stroke among acutely ill hospitalized medical patients: lessons from recent trials on extended-duration thromboprophylaxis. Expert Rev Hematol. 2017 Aug;10(8):679-684. doi: 10.1080/17474086.2017.1343662. Epub 2017 Jun 21.
- Click here and search for results of Bayer Products provided by EMALink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
676 sites in 53 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rivaroxaban (Xarelto, BAY59-7939) and Enoxaparin in people with Venous Thromboembolism, run by Bayer at 676 sites in 53 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 676 sites in United States, Japan, China, Germany, France and 48 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Jun 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Composite Endpoint of Venous Thromboembolism [VTE] (Any Deep Vein Thrombosis [DVT], Non Fatal Pulmonary Embolism [PE]) and VTE-related Death up to Day 35 + 6 Days (time frame: Up to Day 35 + 6 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00571649, which also lists 12 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2016.