Type 2 DiabetesPhase 3NCT01609582
Study of TAK-875 in Adults With Type 2 Diabetes and Cardiovascular Disease or Risk Factors for Cardiovascular Disease
A Phase 3 study testing TAK-875 in people with Type 2 Diabetes and Cardiovascular Disease, run by Takeda at 584 sites in 32 countries.
Trial summary
The purpose of this study is to demonstrate no excess risk of cardiovascular (CV) composite events exists following long term treatment with TAK-875 compared with placebo. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes, Cardiovascular Disease
- What is being tested?
- TAK-875
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 3,207 participants
- Where
- 584 sitesin 32 countries
- Study dates
- Jun 2012to May 2014
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- In the opinion of the investigator, the patient is capable of understanding and complying with protocol requirements, including scheduled clinic appointments.
- The patient or, when applicable, the patient's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
- Has a diagnosis of type 2 diabetes mellitus.
- Has an glycosylated hemoglobin (HbA1c) level between 7.0% and 10.5%, inclusive, at Screening. HbA1c testing may be repeated once during Screening.
- Meets at least one (1) of the following three (3) High Risk Categories (a-c ):
- A documented history of myocardial infarction (MI) occurring no less than 2 months (60 days) and no greater than 24 months prior to Screening.
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- Documented symptomatic peripheral arterial disease (PAD) (at least one (1) of the following three (3) criteria must be satisfied): i) Current intermittent claudication together with documented ankle-brachial index ≤0.85. ii) History of previous vascular intervention for intermittent claudication or resting limb ischemia (example: amputation for arterial disease, peripheral bypass, or history of angioplasty/stenting). iii) History of symptomatic carotid artery disease (requiring revascularization with carotid endarterectomy (CEA) or stenting).
- Documented cerebrovascular disease (at least one (1) of the following two (2) criteria must be satisfied): i) A history of transient ischemic attack (TIA) confirmed by a neurologist no greater than 24 months prior to screening and clinically and neurologically stable at randomization. ii) A history of ischemic stroke (IS) (with a Modified Rankin Scale Score ≤3 documented prior to Randomization) not less than 2 months (60 days) and no greater than 24 months prior to Screening, and clinically and neurologically stable at Randomization. The Modified Rankin Scale is located in appendix in protocol.
- Or meets at least one (1) of the following five (5) Intermediate Risk Categories (d-h):
- Stable angina with coronary disease documented by the presence of inducible ischemia or scar by stress myocardial perfusion imaging (MPI), echocardiogram or magnetic resonance imaging (MRI) in the past 24 months.
- Multi vessel coronary disease, based on coronary angiography, with or without angina, documented by >50% diameter stenosis in at least 2 of the 3 major coronary distributions.
- A history of percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) at least 2 months prior to Screening.
- The subject has diabetic nephropathy plus (2) of the clinical criteria listed below (i. to vi.). Diabetic nephropathy is defined as either urinary albumin excretion ≥ 30 µg/mg creatinine (3.4 mg/mmol creatinine) (based on a random spot collection) or urinary albumin excretion ≥ 30 mg/24h (based on a 24 h or timed collection). Results must be confirmed on at least two specimens collected within 12 months prior to Screening and no more than 6 months apart: i)Duration of diabetes ≥ 10 years on pharmacological treatment documented within medical records. ii) Confirmed systolic blood pressure (SBP) ≥150 mm Hg on 2 separate days during Screening despite treatment with at least 2 anti-hypertensive medications administered at doses considered optimal by local standard of care. iii) Presence of dyslipidemia as defined by any one (1) of the following confirmed at screening: A. Low density lipoprotein (LDL) > 100 mg/dl (2.59 mmol/L) while on statin therapy administered at maximum tolerated dose or optimal dose based on local standard of care for at least 4 weeks prior to screening. B. LDL > 130 mg/dL (3.37 mmol/L) when not on statin therapy. C. High density lipoprotein (HDL) < 40 mg/dL (1.04 mmol/L) in males or < 45 mg/dL (1.17 mmol/L) in females. D. Fasting Triglyceride >200 mg/dL(2.26 mmol/L). iv) Currently smoking >10 cigarettes per day at Screening. v) Male ≥65 years of age or female ≥70 years of age. vi) Highly selective C-reactive protein (hs-CRP) > 2.0 mg/L in the absence of intercurrent infection or acute process.
- h.) The subject meets at least five (5) of the following clinical criteria: i.) Duration of diabetes ≥10 years on pharmacological treatment documented within medical records. ii) Confirmed systolic blood pressure (SBP) ≥150 mm Hg on 2 separate days during Screening despite treatment with at least 2 anti-hypertensive medications administered at doses considered optimal by local standard of care. iii) Presence of dyslipidemia as defined by any one (1) of the following confirmed at screening: A. Low density lipoprotein (LDL) > 100 mg/dl (2.59 mmol/L) while on statin therapy administered at maximum tolerated dose or optimal dose based on local standard of care for at least 4 weeks prior to screening. B. LDL > 130 mg/dL (3.37 mmol/L) when not on statin therapy. C. High density lipoprotein (HDL) < 40 mg/dL (1.04 mmol/L) in males or < 45 mg/dL (1.17 mmol/L) in females. D. Fasting Triglyceride >200 mg/dL(2.26 mmol/L). iv) Currently smoking >10 cigarettes per day at Screening. v) Male ≥65 years of age or female ≥70 years of age. vi) Highly selective C-reactive protein (hs-CRP) > 2.0 mg/L in the absence of intercurrent infection or acute process.
- Is able and willing to monitor glucose with a home glucose monitor and consistently record his or her own blood glucose concentrations in patient diaries.
- A female of childbearing potential who is sexually active with a non-sterilized male partner agrees to routinely use adequate contraception from signing of informed consent throughout the duration of the study and for 30 days after the last dose of study drug.
- Subjects with alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≤3x upper limit of normal (ULN) and if ALT or AST elevated above ULN, have chronic, well-compensated liver disease documented by usual clinical parameters.
Who cannot join
- Has received any investigational medication within 30 days prior to Screening or any investigational antidiabetic medication or excluded medications within 3 months prior to Screening.
- Has been randomized into a previous TAK-875 study.
- Is an immediate family member, study site employee, or is in a dependant relationship with a study site employee who is involved in conduct of this study (eg, spouse, parent, biological or legally adopted child, or sibling) or may consent under duress
- Is diagnosed with type 1 diabetes mellitus or latent autoimmune diabetes in adults.
- Is hemodynamically unstable, including severe heart failure (New York Heart Association Class IV) at Screening.
- Is hospitalized at the Screening Visit for the event associated with the CV inclusion criteria. (Patients who have been discharged from an acute hospital to a cardiac rehabilitation center or nursing home at the time of the Screening Visit or Randomization Visit are not excluded).
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- Has ALT and/or AST levels >3.0x ULN at Screening.
- Has a total bilirubin level >ULN at Screening. Exception: if a patient has documented Gilbert's Syndrome, the patient will be allowed with an elevated bilirubin level per the investigator's discretion.
- Has an glomerular filtration rate (estimated) (eGFR) ≤ 15 mL/min/1.73m2 based on Modification of Diet in Renal Disease (MDRD) calculation at Screening and is currently on dialysis or expected to start dialysis within the next 6 months.
- Has uncontrolled thyroid disease, as determined by the investigator and/or clinical investigation.
- Has a known history of infection with human immunodeficiency virus (HIV).
- Has a known active infection with Hepatitis B virus (HBV), or Hepatitis C virus (HCV) requiring antiviral treatment.
- Has a history of drug abuse (defined as illicit drug use) or a history of alcohol abuse within 2 years prior to Screening.
- Has any major illness or condition that, in the investigator's opinion, prohibits the patient from participating in the study or meeting the planned visit schedule.
- Has a history of hypersensitivity, allergies, or has had an anaphylactic reaction(s) to TAK-875.
- If female, is pregnant (confirmed by laboratory testing, ie, serum or urine human chorionic gonadotropin (hCG), in females of childbearing potential) or lactating or intending to become pregnant before, during, or within 30 days after participating in this study; or intending to donate ova during such time period.
- Is unable to understand verbal or written English or any other language for which a certified translation of the approved informed consent is available.
- Has a history of cancer that has been in remission for <5 years prior to Screening. A history of basal cell carcinoma or Stage 1 squamous cell carcinoma of the skin is allowed.
Trial locations and contacts
584 sites in 32 countries.
584 sites in 32 countries
United States218 sites
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Akron, Ohio
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Albuquerque, New Mexico
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Alexandria, Virginia
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Ames, Iowa
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Anaheim, California
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Anderson, Indiana
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Annapolis, Maryland
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Atlanta, Georgia
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Augusta, Georgia
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Augusta, Kansas
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Austin, Texas
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Avon, Indiana
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Balitmore, Maryland
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Baltimore, Maryland
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Baxter, Minnesota
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Bay City, Michigan
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Birmingham, Alabama
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Bountiful, Utah
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Boynton Beach, Florida
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Brandon, Florida
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Bridgeport, Connecticut
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Bridgewater, New Jersey
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Bristol, Tennessee
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Brooklyn, New York
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Buffalo, New York
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Burlington, North Carolina
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Cadillac, Michigan
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Calabash, North Carolina
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Calhoun, Georgia
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Canton, Ohio
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Carrollton, Texas
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Chambersburg, Pennsylvania
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Charlotte, North Carolina
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Chicago, Illinois
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Chipley, Florida
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Cincinnati, Ohio
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Clearwater, Florida
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Cleveland, Ohio
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Cocoa, Florida
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Columbia, Missouri
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Columbia, South Carolina
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Columbus, Ohio
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Conyers, Georgia
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Coral Gables, Florida
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Coral Springs, Florida
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Council Bluffs, Iowa
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Crossville, Tennessee
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Crystal River, Florida
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Cumming, Georgia
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Dallas, Texas
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Danbury, Connecticut
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Danville, Virginia
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Delray Beach, Florida
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Denver, Colorado
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Dothan, Alabama
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Durham, North Carolina
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East Providence, Rhode Island
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El Cajon, California
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Elizabeth, New Jersey
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Elizabethtown, Kentucky
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Elkhart, Indiana
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Fairview Park, Ohio
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Fall River, Massachusetts
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Falls Church, Virginia
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Flint, Michigan
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Fort Worth, Texas
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Fresno, California
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Fullerton, California
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Gallipolis, Ohio
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Goodyear, Arizona
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Greenfield, Indiana
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Greensboro, North Carolina
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Greer, South Carolina
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Haddon Heights, New Jersey
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Hampton, Virginia
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Hanleysville, Pennsylvania
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Harleysville, Pennsylvania
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Hialeah, Florida
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Hickory, North Carolina
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Hollywood, Florida
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Houston, Texas
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Huntington, West Virginia
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Hutchinson, Kansas
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Hyannis, Massachusetts
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Indianapolis, Indiana
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Inverness, Florida
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Irving, Texas
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Jackson, Tennessee
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Jacksonville, Florida
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Jacksonville Beach, Florida
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Kalamazoo, Michigan
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Kansas City, Missouri
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Katy, Texas
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Kettering, Ohio
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Kingsport, Tennessee
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La Crosse, Wisconsin
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La Mesa, California
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LaGrange, Illinois
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Laguna Hills, California
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Lakewood, Colorado
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Las Vegas, Nevada
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Laurens, South Carolina
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Layton, Utah
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Lenoir, North Carolina
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Levittown, Pennsylvania
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Lewisburg, West Virginia
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Linden, New Jersey
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Little Rock, Arkansas
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Los Angeles, California
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Madison, Wisconsin
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Manassas, Virginia
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Marion, Ohio
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Marrero, Louisiana
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Melbourne, Florida
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Miami, Florida
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Middleburg Heights, Ohio
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Midland, Texas
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Milwaukee, Wisconsin
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Mine Hill, New Jersey
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Mineola, New York
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Mission Hills, California
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Mobile, Alabama
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Monroe, Louisiana
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Mooresville, North Carolina
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Morganton, North Carolina
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Mount Clemens, Michigan
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Muncie, Indiana
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Muscle Shoals, Alabama
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Nashua, New Hampshire
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Nashville, Tennessee
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Natchitoches, Louisiana
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Natick, Massachusetts
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National City, California
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New Orleans, Louisiana
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New York, New York
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Newport Beach, California
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Newton, Kansas
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Norcross, Georgia
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Norman, Oklahoma
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Norristown, Pennsylvania
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North Miami Beach, Florida
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Novi, Michigan
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Oak Ridge, Tennessee
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Ocala, Florida
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Odessa, Texas
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Oklahoma City, Oklahoma
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Omaha, Nebraska
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Orange, California
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Oviedo, Florida
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Paramount, California
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Pawtucket, Rhode Island
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Pearland, Texas
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Pell City, Alabama
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Pembroke Pines, Florida
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Perrysburg, Ohio
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Philadelphi, Pennsylvania
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Philadelphia, Pennsylvania
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Phoenix, Arizona
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Pismo Beach, California
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Pontiac, Michigan
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Portland, Maine
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Portland, Oregon
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Raleigh, North Carolina
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Redondo Beach, California
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Rocky Mount, North Carolina
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Roswell, Georgia
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Saginaw, Michigan
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Saint Cloud, Minnesota
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Saint Paul, Minnesota
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Salt Lake City, Utah
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San Antonio, Texas
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San Diego, California
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San Francisco, California
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San Franciso, California
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Sarasota, Florida
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Saratoga Springs, New York
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Scotland, Pennsylvania
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Seaford, Delaware
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Sherveport, Louisiana
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Simpsonville, South Carolina
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Smithtown, New York
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Somerset, New Jersey
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South Plainfield, New Jersey
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Spring, Texas
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Springfield, Illinois
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Springfield, Massachusetts
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Springfield, Ohio
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St Louis, Missouri
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St. Petersburg, Florida
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Stockton, California
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Suwanee, Georgia
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Syracuse, New York
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Tampa, Florida
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Tempe, Arizona
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Thousand Oaks, California
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Toledo, Ohio
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Tomball, Texas
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Toms Rivers, New Jersey
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Topeka, Kansas
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Torrance, California
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Trinity, Florida
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Troy, Michigan
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Tucson, Arizona
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Tullahoma, Tennessee
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Tulsa, Oklahoma
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Uniontown, Pennsylvania
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Valley Village, California
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Vero Bearch, Florida
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Victoria, Texas
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Washington D.C., District of Columbia
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Waterloo, Iowa
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Wauwatosa, Wisconsin
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Wenatchee, Washington
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Westlake Village, California
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Wichita, Kansas
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Willoughby Hills, Ohio
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Winston-Salem, North Carolina
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Woodstock, Georgia
Argentina27 sites
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Bahía Blanca, Buenos Aires
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Buenos Aires, Ciudad Autonoma Buenos Aires
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Cipolletti, Río Negro Province
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Ciudad Autonoma Buenos Aires, Ciudad Autonoma Buenos Aires
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Córdoba, Córdoba Province
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Córdoba
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Corrientes, Corrientes Province
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Godoy Cruz, Mendoza Province
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Haedo, Buenos Aires
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La Plata, Buenos Aires
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Loma Hermosa, Buenos Aires
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Mar del Plata, Buenos Aires
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Mendoza, Mendoza Province
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Quilmes, Buenos Aires
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Rosario, Santa Fe Province
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Rosario
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Salta, Salta Province
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San Miguel de Tucumán, Tucumán Province
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San Nicolás de los Arroyos, Buenos Aires
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San Salvador de Jujuy, Jujy
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Santa Fe, Santa Fe Province
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Santiago del Estero, Santiago del Estero Province
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Trelew, Chubut Province
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Venado Tuerto, Santa Fe Province
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Villa Cabrera, Córdoba Province
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Villa María, Córdoba Province
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Zárate, Buenos Aires
Mexico22 sites
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Acapulco de Juárez, Guerrero
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Aguascalientes, Aguascalientes
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Chihuahua City, Chihuahua
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Cuauhtémoc, Mexico City
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Cuautitlán Izcalli, State of Mexico
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Cuernavaca, Morelos
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Culiacán, Sinaloa
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Durango, Durango
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Guadalajara, Jalisco
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Mérida, Yucatán
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Metepec, State of Mexico
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Mexico City, Mexico City
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Monterrey, Nuevo Le=n
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Monterrey, Nuevo León
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Morelia, Michoacán
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Pachuca, Hidalgo
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San Luis Potosí City, San Luis Potos
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Tamaulipas, Tamaulipas
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Tijuana, Baja California Norte
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Torreón, Coahuila
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Xalapa, Veracruz
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Zapopan, Jalisco
Australia21 sites
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Adelaide, South Australia
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Brisbane, Queensland
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Bruce, Australian Capital Territory
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Bruce
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Canberra, Australian Capital Territory
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Clayton, Victoria
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Daw Park, South Australia
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Elizabeth Vale, South Australia
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Fitzroy, Victoria
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Garran, Australian Capital Territory
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Garran
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Geelong, Victoria
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Joondalup, Western Australia
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Meadowbrook, Queensland
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Melbourne, Victoria
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Milton, Queensland
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Sale, Victoria
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Townsville, Queensland
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Westmead, New South Wales
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Wollongong, New South Wales
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Woolloongabba, Queensland
Canada21 sites
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Brampton, Ontario
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Calgary, Alberta
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Etobicoke, Ontario
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Gatineau, Quebec
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Greater Sudbury, Ontario
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Hamilton, Ontario
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Laval, Quebec
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Longueuil, Quebec
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Markham, Ontario
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Montreal, Quebec
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Oakville, Ontario
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Ottawa, Ontario
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Pointe-Claire, Quebec
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Québec, Quebec
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Saint-Jérôme, Quebec
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Saint-Laurent, Quebec
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Spruce Grove, Alberta
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Thornhill, Ontario
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Toronto, Ontario
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Victoria, British Columbia
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Winnipeg, Manitoba
Hungary20 sites
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Baja
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Balatonfüred
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Budaörs
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Budapest
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Debrecen
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Eger
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Gödöllő
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Gyula
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Kecskemét
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Kistelek
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Komárom
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Makó
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Pécs
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Szeged
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Szekszárd
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Szikszó
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Szombathely
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Úrhida
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Veszprém
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Zalaegerszeg
Poland17 sites
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Bialystok
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Gdansk
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Gliwice
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Grodzisk Mazowiecki
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Kamieniec Ząbkowicki
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Łęczyca
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Lodz
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Lublin
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Oświęcim
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Parczew
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Poznan
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Puławy
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Radom
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Ruda Śląska
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Rzeszów
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Warsaw
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Wroclaw
United Kingdom17 sites
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Bexhill-on-Sea, East Sussex
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Cardiff, Cardiff
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Exeter, Devon
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Gillingham, Kent
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Harrow, Middlesex
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Hull, East Riding of Yorkshire
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Leicester, Leicestershire
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Liverpool, Merseyside
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Northwood, Middlesex
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Plymouth, Devon
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Portsmouth, Hampshire
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Stoke-on-Trent, Staffordshire
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Swansea, West Glamorgan
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Thornton-Cleveleys, Lancashire
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Torquay, Devon
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Truro, Cornwall
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Watford, Hertfordshire
Czechia15 sites
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České Budějovice
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Choceň
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Jindřichův Hradec
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Kroměříž
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Mariánské Lázně
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Moravský Krumlov
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Olomouc
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Ostrava
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Ostrava - Moravska Ostrava
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Ostrava - Vitkovice
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Prague
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Praha 4 - Krc
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Slaný
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Trutnov
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Ústí nad Labem
Malaysia15 sites
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Alor Star, Kedah
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Ipoh, Perak
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Johor Bahru, Johor
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Kelantan, Kelantan
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Kota Bharu, Kelantan
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Kuala Lumpur, Kuala Lumpur
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Kuala Selangor, Selangor
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Kuala Selangor
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Lembah Pantai, Kuala Lumpur
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Malacca, Melaka
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Petaling Jaya, Selangor
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Taiping, Perak
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Taiping, Perak, Perak
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Terengganu, Terengganu
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Terengganu
Brazil14 sites
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Belém, Pará
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Brasília, Federal District
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Campina Grande do Sul, Paraná
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Canoas, Rio Grande do Sul
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Caxias do Sul, Rio Grande do Sul
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Curitiba, Paraná
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Fortaleza, Ceará
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Goiânia, Goiás
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Marília, São Paulo
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Passo Fundo, Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul
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Recife, Pernambuco
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Santa Maria, Rio Grande do Sul
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São Paulo, São Paulo
Germany14 sites
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Bad Kreuznach, Rhineland-Palatinate
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Berlin, State of Berlin
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Cologne, North Rhine-Westphalia
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Dippoldiswalde, Saxony
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Dortmund, North Rhine-Westphalia
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Dresden, Saxony
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Essen, North Rhine-Westphalia
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Falkensee, Brandenburg
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Friedrichstal, Baden-Wurttemberg
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Goch, North Rhine-Westphalia
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Hamburg, Free and Hanseatic City of Hamburg
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Hohenmölsen, Saxony-Anhalt
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Kamp-Lintfort, North Rhine-Westphalia
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Kelkheim, Hesse
Israel13 sites
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Ashkelon
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Beer Yaakov
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Beersheba
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Giv‘atayim
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Hadera
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Haifa
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Holon
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Jerusalem
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Kfar Saba
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Petah Tikva
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Raanana
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Safed
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Tel Aviv
Slovakia13 sites
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Bratislava
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Komárno
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Košice
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Levice
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Lučenec
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Martin
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Nitra
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Nové Mesto nad Váhom
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Prešov
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Šahy
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Svidník
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Trenčín
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Žilina
Croatia12 sites
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Čakovec
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Karlovac
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Koprivnica
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Krapinske Toplice
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Osijek
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Rijeka
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Sisak
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Slavonski Brod
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Split
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Virovitica
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Zadar
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Zagreb
Ukraine12 sites
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Donetsk
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Kharkiv
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Kyiv
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Luhansk
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Mykolayiv
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Odesa
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Poltava
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Simferopol
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Ternopil
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Vinnycia
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Vinnytsia
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Zaporizhzhya
Russia11 sites
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Arkhangelsk
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Barnaul
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Kazan'
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Kemerovo
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Moscow
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Nizhny Novgorod
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Novosibirsk
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Pushkin
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Saint Petersburg
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Saratov
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Yaroslavl
South Africa11 sites
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Bloemfontein, Free State
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Cape Town, Western Cape
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Durban, KwaZulu-Natal
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Johannesburg, Gauteng
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Kempton Park, Gauteng
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Krugersdorp, Gauteng
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Lenasia, Gauteng
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Port Elizabeth, Eastern Cape
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Pretoria, Gauteng
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Stellenbosch, Western Cape
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Worcester, Western Cape
Romania10 sites
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Bacau
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Baia Mare
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Brasov
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Bucharest
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Galati
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Thailand10 sites
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Muang, Changwat Chiang Rai
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Muang, Changwat Khon Kaen
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Bulgaria9 sites
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Philippines9 sites
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France7 sites
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Corbeil Essonne, Essonne
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Nanterre, Hauts de Seine
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Nantes, Loire Atlantique
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Paris, Paris
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Pessac, Gironde
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Latvia7 sites
Study site
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Study site
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South Korea7 sites
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Study site
Yangsan, Gyeongsangnam-do
New Zealand6 sites
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Study site
Palmerston North
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Douliu
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Taichung
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Italy5 sites
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Florence, Firenze
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Milan, Milano
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Pavia, Pavia
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San Donato Milanese, Milano
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Sesto San Giovanni, Milano
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Evaluate Cardiovascular Outcomes of TAK-875, 50 mg in Addition to Standard of Care in Subjects With Type 2 Diabetes and With Cardiovascular Disease or Multiple Risk Factors for Cardiovascular Events
The purpose of this study is to demonstrate no excess risk of cardiovascular (CV) composite events exists following long term treatment with TAK-875 compared with placebo.
Read the detailed description
The drug being tested in this study is called TAK-875. TAK-875 is being tested to treat people who have diabetes. This study will look at the number of cardiovascular events (for example, heart attacks) of people who take TAK-875 in comparison to placebo in addition to standard care.
The study will enroll approximately 5000 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the two treatment groups-which will remain undisclosed to the patient and study doctor during the study (unless there is an urgent medical need):
- TAK-875 50 mg.
- Placebo (dummy inactive pill) - this is a tablet that looks like the study drug but has no active ingredient.
All participants will be asked to take one tablet at the same time each day throughout the study. All participants will be asked to record any time they have low blood sugar symptoms in a diary.
This multi-centre trial will be conducted worldwide, in approximately 700 sites. The overall time to participate in this study is 6 years. Participants will make up to approximately 24 visits to the clinic, with telephone visits conducted on an alternate 6 month schedule starting from Month 27.
Due to potential concerns about liver safety, on balance, the benefits of treating patients with fasiglifam (TAK-875) do not outweigh the potential risks.
For this reason, Takeda has decided voluntarily to terminate the development activities for fasiglifam.
- Conditions
- Type 2 Diabetes, Cardiovascular Disease
- Being tested
- TAK-875, TAK-875 Placebo
- Keywords
- Drug therapy
- Medical subject headings
- Diabetes Mellitus, Type 2, Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TAK-875Drug
TAK-875 tablets
TAK-875 PlaceboDrug
TAK-875 placebo-matching tablets
| Study group | Role | What they receive |
|---|---|---|
| TAK-875 50 mg | Experimental | TAK-875 50 mg tablets, orally, once daily for up to 6 years. Receives: Drug: TAK-875 |
| Placebo | Placebo comparator | TAK-875 placebo-matching tablets, orally, once daily for up to 6 years. Receives: Drug: TAK-875 Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Occurrence of Any Component of Primary Major Adverse Cardiovascular Event (MACE) Composite
The time from randomization to the first occurrences of any event in the primary MACE composite was evaluated using Kaplan-Meier analysis. The primary MACE composite comprised cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, and hospitalization for unstable angina (with or without revascularization).
Measured: Baseline up to end of study (up to Day 588)
Secondary outcomes (1)
Time to First Occurrence of Any Component of Secondary Major Adverse Cardiovascular Event (MACE) Composite
The time from randomization to the first occurrences of any event in the secondary MACE composite was evaluated using Kaplan-Meier analysis. The secondary MACE composite comprised CV death, nonfatal MI, and nonfatal stroke.
Measured: Baseline up to end of study (up to Day 588)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2012 (estimated)
- Study startJun 2012
- Primary completionMay 2014
- Study completionMay 2014
Why it stopped: Due to potential concerns about liver safety (See Detailed Description)
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 (2)Papers the sponsor has linked to this study.
- Other trials for Type 2 DiabetesStudies of the same condition, open and under way.
- More trials run by TakedaThe 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 3,207 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Sr. Medical Director Clinical Science, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01609582
- Sponsor's protocol ID
- TAK-875_306
- Other IDs
- 2011-001732-37, U1111-1129-7824, TAK-875_306CTIL, DOH-27-0313-4117, 12/SC/0504, NMRR-12-433-12087, PHRR130916-000119, 1015031332
- Status last verified
- Oct 2015
- First submitted
- 29 May 2012
- Last updated
- 19 Oct 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Shavadia JS, Sharma A, Gu X, Neaton J, DeLeve L, Holmes D, Home P, Eckel RH, Watkins PB, Granger CB. Determination of fasiglifam-induced liver toxicity: Insights from the data monitoring committee of the fasiglifam clinical trials program. Clin Trials. 2019 Jun;16(3):253-262. doi: 10.1177/1740774519836766. Epub 2019 Mar 18.
PubMed 30880443Menon V, Lincoff AM, Nicholls SJ, Jasper S, Wolski K, McGuire DK, Mehta CR, Rosenstock J, Lopez C, Marcinak J, Cao C, Nissen SE; GRAND 306 Investigators. Fasiglifam-Induced Liver Injury in Patients With Type 2 Diabetes: Results of a Randomized Controlled Cardiovascular Outcomes Safety Trial. Diabetes Care. 2018 Dec;41(12):2603-2609. doi: 10.2337/dc18-0755.
PubMed 30459247
Study at a glance
From the registry record, last updated by the sponsor on 19 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Evaluate Cardiovascular Outcomes of TAK-875, 50 mg in Addition to Standard of Care in Subjects With Type 2 Diabetes and With Cardiovascular Disease or Multiple Risk Factors for Cardiovascular Events
- ClinicalTrials.gov ID
- NCT01609582
- Acronym / sponsor ID
- TAK-875_306
- Conditions
- Type 2 Diabetes, Cardiovascular Disease
- Keywords
- Drug therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Due to potential concerns about liver safety (See Detailed Description)
- Enrolment
- 3,207 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Jun 2012
- Primary completion
- May 2014 (actual)
- Study completion
- May 2014 (actual)
- First posted
- 1 Jun 2012 (estimated)
- Results
- Posted 21 Aug 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to demonstrate no excess risk of cardiovascular (CV) composite events exists following long term treatment with TAK-875 compared with placebo.
Detailed description
The drug being tested in this study is called TAK-875. TAK-875 is being tested to treat people who have diabetes. This study will look at the number of cardiovascular events (for example, heart attacks) of people who take TAK-875 in comparison to placebo in addition to standard care.
The study will enroll approximately 5000 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the two treatment groups-which will remain undisclosed to the patient and study doctor during the study (unless there is an urgent medical need):
- TAK-875 50 mg.
- Placebo (dummy inactive pill) - this is a tablet that looks like the study drug but has no active ingredient.
All participants will be asked to take one tablet at the same time each day throughout the study. All participants will be asked to record any time they have low blood sugar symptoms in a diary.
This multi-centre trial will be conducted worldwide, in approximately 700 sites. The overall time to participate in this study is 6 years. Participants will make up to approximately 24 visits to the clinic, with telephone visits conducted on an alternate 6 month schedule starting from Month 27.
Due to potential concerns about liver safety, on balance, the benefits of treating patients with fasiglifam (TAK-875) do not outweigh the potential risks.
For this reason, Takeda has decided voluntarily to terminate the development activities for fasiglifam.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| TAK-875 50 mg | Experimental | Drug: TAK-875TAK-875 50 mg tablets, orally, once daily for up to 6 years. |
| Placebo | Placebo comparator | Drug: TAK-875 PlaceboTAK-875 placebo-matching tablets, orally, once daily for up to 6 years. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- In the opinion of the investigator, the patient is capable of understanding and complying with protocol requirements, including scheduled clinic appointments.
- The patient or, when applicable, the patient's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
- Has a diagnosis of type 2 diabetes mellitus.
- Has an glycosylated hemoglobin (HbA1c) level between 7.0% and 10.5%, inclusive, at Screening. HbA1c testing may be repeated once during Screening.
- Meets at least one (1) of the following three (3) High Risk Categories (a-c ):
Key exclusion criteria (18 listed)
- Has received any investigational medication within 30 days prior to Screening or any investigational antidiabetic medication or excluded medications within 3 months prior to Screening.
- Has been randomized into a previous TAK-875 study.
- Is an immediate family member, study site employee, or is in a dependant relationship with a study site employee who is involved in conduct of this study (eg, spouse, parent, biological or legally adopted child, or sibling) or may consent under duress
- Is diagnosed with type 1 diabetes mellitus or latent autoimmune diabetes in adults.
- Is hemodynamically unstable, including severe heart failure (New York Heart Association Class IV) at Screening.
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 |
|---|---|---|
| TAK-875TAK-875 tablets | Drug | TAK-875 50 mg |
| TAK-875 PlaceboTAK-875 placebo-matching tablets | Drug | Placebo |
Primary outcome
Time to First Occurrence of Any Component of Primary Major Adverse Cardiovascular Event (MACE) Composite
Time frame: Baseline up to end of study (up to Day 588)
The time from randomization to the first occurrences of any event in the primary MACE composite was evaluated using Kaplan-Meier analysis. The primary MACE composite comprised cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, and hospitalization for unstable angina (with or without revascularization).
1 secondary outcome
Time to First Occurrence of Any Component of Secondary Major Adverse Cardiovascular Event (MACE) Composite
Time frame: Baseline up to end of study (up to Day 588)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Oct 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30880443Shavadia JS, Sharma A, Gu X, Neaton J, DeLeve L, Holmes D, Home P, Eckel RH, Watkins PB, Granger CB. Determination of fasiglifam-induced liver toxicity: Insights from the data monitoring committee of the fasiglifam clinical trials program. Clin Trials. 2019 Jun;16(3):253-262. doi: 10.1177/1740774519836766. Epub 2019 Mar 18.
- Derived from this study: PubMed 30459247Menon V, Lincoff AM, Nicholls SJ, Jasper S, Wolski K, McGuire DK, Mehta CR, Rosenstock J, Lopez C, Marcinak J, Cao C, Nissen SE; GRAND 306 Investigators. Fasiglifam-Induced Liver Injury in Patients With Type 2 Diabetes: Results of a Randomized Controlled Cardiovascular Outcomes Safety Trial. Diabetes Care. 2018 Dec;41(12):2603-2609. doi: 10.2337/dc18-0755.
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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.
Sr. Medical Director Clinical Science study director
Takeda
584 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing TAK-875 in people with Type 2 Diabetes and Cardiovascular Disease, run by Takeda at 584 sites in 32 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 17 inclusion and 18 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: stopped early, as of the sponsor's last update on 19 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 584 sites in United States, Argentina, Mexico, Australia, Canada and 27 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. Some participants in this study may receive a placebo. 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 21 Aug 2015). 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?
Time to First Occurrence of Any Component of Primary Major Adverse Cardiovascular Event (MACE) Composite (time frame: Baseline up to end of study (up to Day 588)). 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 NCT01609582, which also lists 2 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 19 Oct 2015.