Gan & Lee Evaluation of New Biosimilar for Type 1 Lispro

NCT ID: NCT04254380

Last Updated: 2020-02-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-04

Study Completion Date

2020-01-27

Brief Summary

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Primary Objective:

• To compare the immunogenicity of Gan \& Lee Insulin Lispro Injection and EU-authorized Humalog following treatment in adult subjects with T1DM

Secondary Objectives:

* To evaluate the safety of Gan \& Lee Insulin Lispro Injection in comparison with that of EU authorized Humalog following treatment in adult subjects with T1DM
* To evaluate the efficacy of Gan \& Lee Insulin Lispro Injection in comparison with that of EU authorized Humalog following treatment in adult subjects with T1DM

Detailed Description

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Conditions

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Diabetes Mellitus, Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects who meet the eligibility criteria will be centrally randomized 1:1 in an open-label fashion to receive either Gan \& Lee Insulin Lispro Injection or Humalog for 26 weeks. Randomization will be stratified by country.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental: Gan & Lee Insulin Lispro Injection

Gan \& Lee Insulin Lispro Injection for subcutaneous injection, 100 U/mL, in a disposable multidose pen injector with a pre-filled 3-mL type I glass cartridge. Subjects randomized to the Gan \& Lee Insulin Lispro Injection group will participate in the study for 26 weeks.

Group Type EXPERIMENTAL

Gan & Lee Insulin Lispro Injection

Intervention Type BIOLOGICAL

Route of administration: subcutaneous injection

Active Comparator: Humalog

EU-authorized Humalog KwikPen® - insulin lispro injection, solution for subcutaneous injection, 100 U/mL (pre-filled). Subjects randomized to the Humalog group will participate in the study for 26 weeks.

Group Type ACTIVE_COMPARATOR

Humalog

Intervention Type BIOLOGICAL

Route of administration: subcutaneous injection

Interventions

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Gan & Lee Insulin Lispro Injection

Route of administration: subcutaneous injection

Intervention Type BIOLOGICAL

Humalog

Route of administration: subcutaneous injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Male or nonpregnant, non-lactating female subjects between the ages of 18 and 75 years, inclusive.
2. Female subjects of child-bearing potential, willing to use contraceptive method(s), agreed by the Investigator, to prevent pregnancy during the study.
3. Ability to provide written, personally signed, and dated informed consent to participate in the study, in accordance with the ICH GCP Guideline E6 and all applicable regulations, before initiating any study related procedures.
4. Ability to understand and fully comply with all study procedures and restrictions.
5. A confirmed diagnosis of T1DM and who have been on an approved basal-bolus insulin regimen for at least 6 months prior to Screening. The type or brand of insulins should not have changed in the 6 months before Screening.
6. Do not expect to change the brand or type of their basal insulin during the study.
7. C-peptide ≤ 1.0 ng/mL
8. HbA1c ≤ 10.0%
9. Body mass index (BMI) ≥ 19 kg/m2 and ≤ 35 kg/m2
10. Adherence to a prudent diet and exercise regimen recommended by the medical provider in accordance with local standard of care or American Diabetes Association recommendations, and willingness to maintain this regimen consistently for the duration of the study.

Exclusion Criteria

1. Participation in another clinical study within 30 days or 5 half-lives of last dose of experimental medication before Screening, whichever is longer.
2. Previous use of Gan \& Lee Insulin Lispro Injection.
3. Use of insulin neutral protamine hagedorn or insulin detemir within 6 months prior to study entry.
4. Current or expected use of an insulin pump or use of continuous glucose measurement to monitor blood glucose during the study.
5. Diabetic ketoacidosis (DKA) within 6 months before Screening.
6. Brittle T1DM within 1 year before Screening, defined as more than 2 hospitalizations related to diabetes mellitus (excluding hospitalizations for diagnostic purposes), and/or severe hypoglycemia for which the subject experiences severe cognitive impairment requiring external assistance for recovery.
7. Renal replacement therapy required or with an estimated (or measured) glomerular filtration rate \< 15 mL/min (Modification of Diet in Renal Disease calculation).
8. Any clinically significant cardiovascular (CV) or cerebrovascular event, e.g., myocardial infarction (MI), acute coronary syndrome (ACS), recent revascularization (including coronary artery bypass graft procedures \[CABG\], percutaneous coronary intervention \[PCI\]), transient ischemic attack (TIA), or hemorrhagic or ischemic stroke within 3 months before Screening.
9. History of congestive heart failure defined as New York Heart Association (NYHA) Stage III or IV.
10. Inadequately controlled or unstable hypertension as defined by a systolic blood pressure (SBP) \> 160 mmHg or diastolic blood pressure (DBP) \> 100 mmHg at Screening and/or Randomization.
11. Inadequately controlled thyroid disease, as reflected by abnormal TSH and free T4 values. (Hypothyroid or hyperthyroid conditions should be resolved or stabilized before Screening according to local standard of care).
12. Any clinically significant (in the opinion of the Investigator) hematology, chemistry, or urinalysis test results at Screening, including any liver function test \> 3X of the upper limit of normal (ULN) or bilirubin \> 1.5X of the ULN (subjects with elevated bilirubin due to Gilbert syndrome are eligible to participate, if such tests were performed in the past).
13. Autonomic neuropathy resulting in a diagnosis of gastroparesis.
14. Hemoglobin \< 12 g/dL for males or \< 11 g/dL for females at Screening.
15. Hospitalization within the 14 days before Screening, or planned hospitalization at any time during the study.
16. Newly prescribed or high-dose (60 mg/day prednisone or equivalent) treatment with glucocorticosteroids, immunosuppressants, or cytostatic agents due to disorders of the immunological system, such as rheumatoid arthritis, psoriasis, spondyloarthritis, and asthma, within 60 days before Screening (Medications under following scenario are allowed: chronically administered oral, inhaled, topical, or intra-articular corticosteroids at a stable dosage; stable therapy with disease modifying agents \[e.g., methotrexate, sulfasalazine\]; disease is inactive \[e.g., remission, well controlled stable phase\]; and no significant changes in treatment scheme are expected).
17. History of human immunodeficiency virus (HIV) or Hepatitis B or Hepatitis C infections.
18. Any unresolved infection or a history of active infection within 30 days before screening other than mild viral illness (as judged by the Investigator).
19. Current use of other medications for diabetes treatment, such as dipeptidyl peptidase 4 inhibitors (DPP4i), glucagon-like peptide 1 receptor agonists (GLP1-R), or sodium glucose cotransporter 2 inhibitors (SGLT2i) (See Appendix 1 \[Section 16.1\] for a list of prohibited medications).
20. A history of alcohol use of more than two drinks a day on average for the last year, or a history of alcohol or substance abuse within 2 years before Screening.
21. Previous (within 3 months before Screening) or anticipated treatment with interferons.
22. History of malignancy (except for treated non-melanoma skin cancer and treated cervical adenocarcinoma in situ) within 5 years before Screening
23. Receiving blood transfusion or undergoing plasmapheresis within 6 months before Screening.
24. History of splenectomy.
25. Intolerance or history of hypersensitivity to insulin lispro or any excipient of the study drugs.
26. Any other clinically significant medical or psychiatric condition, or one requiring further evaluation that in the opinion of the Investigator could interfere with conduct of the study or interpretation of the data.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gan and Lee Pharmaceuticals, USA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jia Lu, PhD

Role: STUDY_DIRECTOR

Gan & Lee Pharmaceuticals, USA

Locations

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Trantor 99 Bt Anyagcsere Centrum

Budapest, , Hungary

Site Status

Debreceni Egyetem Kenézy Gyula Egyetemi Kórház

Debrecen, , Hungary

Site Status

Békés Megyei Központi Kórház Pándy Kálmán Tagkórház

Gyula, , Hungary

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Somogy Megyei Kaposi Mór Oktató Kórház

Kaposvár, , Hungary

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Kanizsai Dorottya Kórház

Nagykanizsa, , Hungary

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Markusovszky Egyetemi Oktatokorhaz

Szombathely, , Hungary

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Medical-Expert Kutatási - Kísérleti és Szolgáltató Kft

Veszprém, , Hungary

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Zala Megyei Szent Rafael Kórház

Zalaegerszeg, , Hungary

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Advanced Research Center

Anaheim, California, United States

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Valley Research

Fresno, California, United States

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Angel City Research, Inc.

Los Angeles, California, United States

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California Medical Research Association

Northridge, California, United States

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Centrum Badań Klinicznych PI-House

Gdansk, , Poland

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Mills-Peninsula Health Services

San Mateo, California, United States

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Care Access Research - Santa Clarita

Santa Clarita, California, United States

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Metabolic Institute of America

Tarzana, California, United States

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University of Colorado School of Medicine

Aurora, Colorado, United States

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IMMUNOe International Research Centers - Longmont

Longmont, Colorado, United States

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Chase Medical Research of Greater New Haven

Hamden, Connecticut, United States

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The Center for Diabetes and Endocrine Care

Fort Lauderdale, Florida, United States

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M & O Clinical Research

Fort Lauderdale, Florida, United States

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Sweet Hope Research Specialty Inc.

Hialeah, Florida, United States

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Homestead Associates in Research

Homestead, Florida, United States

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Med Research of Florida

Miami, Florida, United States

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Suncoast Clinical Research - Pasco County

New Port Richey, Florida, United States

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Florida Institute for Clinical Research, LLC

Orlando, Florida, United States

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Ormond Beach Clinical Research

Ormond Beach, Florida, United States

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Suncoast Clinical Research - Pinellas County

Palm Harbor, Florida, United States

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Meridien Research - Spring Hill

Spring Hill, Florida, United States

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Metabolic Research Institute

West Palm Beach, Florida, United States

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Atlanta Diabetes Associates

Atlanta, Georgia, United States

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IACT Health - Columbus Regional Medical Group Endocrine Consultants - Columbus

Columbus, Georgia, United States

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IACT Health - Columbus Regional Medical Group Endocrine Consultants

Newnan, Georgia, United States

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Endocrine Research Solutions

Roswell, Georgia, United States

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Cedar Crosse Research Center

Chicago, Illinois, United States

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Midwest CRC

Crystal Lake, Illinois, United States

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Iowa Diabetes and Endocrinology Research Center

West Des Moines, Iowa, United States

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Kentucky Diabetes Endocrinology Center

Lexington, Kentucky, United States

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Bay West Endocrinology Associates

Baltimore, Maryland, United States

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BTC Network - Capital Diabetes and Endocrine Associates - Camp Springs

Camp Springs, Maryland, United States

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Endocrine & Metabolic Consultants

Rockville, Maryland, United States

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Quality Clinical Research

Omaha, Nebraska, United States

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Palm Research Center

Las Vegas, Nevada, United States

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BTC Network - Garden State Endocrinology - Brick

Brick, New Jersey, United States

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The Endocrine Group, LLP

Albany, New York, United States

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North Shore Diabetes and Endocrine Associates

New Hyde Park, New York, United States

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University Physicians Group

Staten Island, New York, United States

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PharmQuest

Greensboro, North Carolina, United States

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Physicians East - Greenville

Greenville, North Carolina, United States

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Carteret Medical Group - Morehead City

Morehead City, North Carolina, United States

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Endocrinology Research Associates

Columbus, Ohio, United States

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Your Diabetes Endocrine Nutrition Group, Inc.

Mentor, Ohio, United States

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Intend Research

Norman, Oklahoma, United States

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Lynn Institute of Stillwater

Stillwater, Oklahoma, United States

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Care Access Research - Warwick

Warwick, Rhode Island, United States

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University Diabetes & Endocrine Consultants

Chattanooga, Tennessee, United States

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Amarillo Medical Specialists

Amarillo, Texas, United States

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Austin Regional Clinic

Austin, Texas, United States

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Texas Diabetes & Endocrinology - Central Austin

Austin, Texas, United States

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Research Institute of Dallas

Dallas, Texas, United States

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University of Texas Southwestern Medical Center

Dallas, Texas, United States

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El Paso Medical Research Institute

El Paso, Texas, United States

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Pioneer Research Solutions

Houston, Texas, United States

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Austin Regional Clinic - Kelly Lane

Pflugerville, Texas, United States

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Clinical Trials of Texas, Inc.

San Antonio, Texas, United States

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Northeast Clinical Research of San Antonio

Schertz, Texas, United States

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Crossroads Clinical Research

Victoria, Texas, United States

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Diabetologie České Budějovice s.r.o

České Budějovice, Jihočeský kraj, Czechia

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Diahaza s.r.o.

Holešov, , Czechia

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StefaMed

Hradec Králové, , Czechia

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Clintrial

Prague, , Czechia

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Milan Kvapil s.r.o

Prague, , Czechia

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Diabeteszentrum DO

Dortmund, , Germany

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Diabetes Schwerpunktpraxis

Duisburg, , Germany

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Diabetes-falkensee.de - Zentrum für klinische Studien

Falkensee, , Germany

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RED-Institut GmbH

Oldenburg, , Germany

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Diabetologische Praxis

Saarlouis, , Germany

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Lausmed Egeszsegugyi es Szolgaltato Kft.

Baja, , Hungary

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Dél-pesti Centrumkórház - Országos Hematológiai és Infektológiai Intézet

Budapest, , Hungary

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Bajcsy-Zsilinszky Kórház és Rendelőintézet

Budapest, , Hungary

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Niepubliczny Zaklad Opieki Zdrowotnej Gdanska Poradnia Cukrzycowa

Gdansk, , Poland

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Centrum Medyczne Pratia Gdynia

Gdynia, , Poland

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Centrum Medyczne Pratia Katowice

Katowice, , Poland

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Pratia MCM Kraków

Krakow, , Poland

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NZOZ Medyczne Centrum Diabetologiczno-Endokrynologiczno-Metaboliczne "Diab-Endo-Met"

Krakow, , Poland

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CenterMed Lublin Sp. z o.o

Lublin, , Poland

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KO-MED Centra Kliniczne Lublin - Królewska

Lublin, , Poland

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Bogdan Walko Niepubliczny Zakład Opieki Zdrowotnej Przychodnia Specjalistyczna MEDICA

Lublin, , Poland

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Centrum Medyczne Grunwald

Poznan, , Poland

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Nasz Lekarz Przychodnie Medyczne

Torun, , Poland

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AMED Centrum Medyczne

Warsaw, , Poland

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Centralny Szpital Kliniczny Ministerstwa Spraw Wewnętrznych i Administracji w Warszawie

Warsaw, , Poland

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Centrum Medyczne K2J2

Wołomin, , Poland

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Regionalna Poradnia Diabetologiczna

Wroclaw, , Poland

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Centrum Medyczne Oporów

Wroclaw, , Poland

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Complejo Hospitalario Universitario La Coruña (Gerencia de Gestión Integrada de A Coruña)

A Coruña, , Spain

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Hospital de la Santa Creu i de Sant Pau

Barcelona, , Spain

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Hospital Universitari Vall d'Hebrón

Barcelona, , Spain

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Complejo Hospitalario Universitario de Ferrol

Ferrol, , Spain

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Hospital Universitari Arnau de Vilanova

Lleida, , Spain

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Hospital Universitario de La Princesa

Madrid, , Spain

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Hospital Universitario Ramón Y Cajal

Madrid, , Spain

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Hospital Universitario Virgen de la Victoria

Málaga, , Spain

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Fundació Hospital de l'Esperit Sant

Santa Coloma de Gramenet, , Spain

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Nuevas Tecnologías en Diabetes y Endocrinología

Seville, , Spain

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Hospital Universitario Virgen Macarena

Seville, , Spain

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Hospital Universitario Virgen de Valme

Seville, , Spain

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Countries

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United States Czechia Germany Hungary Poland Spain

Other Identifiers

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GL-LSPT1-3003

Identifier Type: -

Identifier Source: org_study_id

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