A Study of the Change in Early and Sustained Pain Control in Axial Spondylarthritis in Adult Participants Receiving Upadacitinib

NCT ID: NCT04846244

Last Updated: 2025-04-03

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

COMPLETED

Total Enrollment

708 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-30

Study Completion Date

2025-03-24

Brief Summary

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Axial spondyloarthritis (axSpA) is an immune-mediated inflammatory disease primarily affecting the axial skeleton. The most frequent axSpA symptom is chronic, often inflammatory back pain (IBP) that might be difficult to distinguish from other causes of chronic back pain (CBP). Many participants report persistent pain, including back pain, which impacts disease activity and quality of life including creating burdens such as sleep disturbance, social isolation, loss of productivity, as well as anxiety and depression. This study will assess the real-world effectiveness of upadacitinib on early and sustained pain control, and the association between pain and clinical/patient-reported outcomes in axSpA participants.

Upadacitinib is being developed for the treatment of axSpA. Approximately 650 adult participants with active-axSpA will be enrolled across approximately 19 countries in Europe, North America, South America, and Asia-Pacific.

Participants will receive oral upadacitinib tablets as prescribed by the physician prior to enrolling in this study in accordance with the terms of the local marketing authorization and professional and reimbursement guidelines with regards to dose, population and indication. Participants will be followed for 12 months.

There may be a higher burden for participants in this study compared to usual standard of care. Participants will attend regular visits per routine clinical practice. The effect of the treatment will be checked by medical assessments, checking for side effects, and questionnaires.

Detailed Description

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Conditions

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Axial Spondylarthritis (axSpA)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Participants Receiving Upadacitinib

Participants receiving Upadacitinib for axial spondyloarthritis (axSpA).

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of Axial Spondylarthritis (axSpA) according to the ASAS criteria.
* Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score \>= 4 at Baseline.
* Total back pain score \>= 4 at Baseline.
* Inadequate response to at least two nonsteroidal anti-inflammatory drugs (NSAIDs) over an at least 4-week period in total at maximum recommended or tolerated doses, or participant has an intolerance to contraindication for NSAIDs as defined by the investigator.
* Upadacitinib prescribed in accordance with the applicable approved label and local regulatory and reimbursement policies.

Exclusion Criteria

* Prior exposure to any Janus kinase (JAK) inhibitor.
* Participants demonstrating active symptoms of fibromyalgia as per clinical diagnosis.
* Participation in a clinical trial of an investigational drug, concurrently or within the last 30 days.
* Unwillingness or inability to comply with the study requirements, including completion of patient reported outcome questionnaires.
* Participants who cannot be treated with upadacitinib according to the applicable approved label (e.g., contraindications).
* Vulnerable or protected adult patients with lack of capability to give informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Hospital Italiano La Plata /ID# 230779

La Plata, Buenos Aires, Argentina

Site Status

CER Instituto Medico /ID# 230782

Quilmes, Buenos Aires, Argentina

Site Status

Instituto CAICI S.R.L /ID# 230781

Rosario, Santa Fe Province, Argentina

Site Status

Duplicate_CIMER /ID# 230780

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Clinica Regional del Sud /ID# 248866

Río Cuarto, , Argentina

Site Status

Paratus Clinical Research Woden /ID# 231460

Phillip, Australian Capital Territory, Australia

Site Status

Genesis Research Services /ID# 231593

Broadmeadow, New South Wales, Australia

Site Status

Campbelltown Hospital /ID# 231462

Campbelltown, New South Wales, Australia

Site Status

Royal Prince Alfred Hospital /ID# 232417

Camperdown, New South Wales, Australia

Site Status

BJC Health /ID# 230066

Paramatta, New South Wales, Australia

Site Status

Barwon Rheumatology Services /ID# 230068

Geelong, Victoria, Australia

Site Status

Peninsula Rheumatology /ID# 240172

Langwarrin, Victoria, Australia

Site Status

Joint West Rheumatology /ID# 231461

Murdoch, Western Australia, Australia

Site Status

Université Libre de Bruxelles - Hôpital Erasme /ID# 238961

Anderlecht, Brussels Capital, Belgium

Site Status

Rhumaconsult SPRL /ID# 231439

Charleroi, Hainaut, Belgium

Site Status

CHU de Liège /ID# 231440

Liège, Liege, Belgium

Site Status

AZ-Delta /ID# 238966

Roeselare, West-Vlaanderen, Belgium

Site Status

Onze Lieve Vrouw Hospital /ID# 238963

Aalst, , Belgium

Site Status

AZ Sint-Jan Brugge /ID# 238964

Bruges, , Belgium

Site Status

CHU Brugmann /ID# 238962

Brussels, , Belgium

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Reumacentrum /ID# 231437

Genk, , Belgium

Site Status

ReumaClinic /ID# 231438

Genk, , Belgium

Site Status

AZ Damiaan /ID# 231441

Ostend, , Belgium

Site Status

Prof. Anastas Batalov AIPSMP-VBR EOOD /ID# 249788

Plovdiv, , Bulgaria

Site Status

Medical center Unimed /ID# 249618

Plovdiv, , Bulgaria

Site Status

"Ambulatory for individual practice of specialized medical help for internal dis /ID# 249791

Sofia, , Bulgaria

Site Status

ASIMP Rheumatology Centre "St. Irina" EOOD /ID# 249789

Sofia, , Bulgaria

Site Status

AIPSMPR -d-r Gerganov /ID# 249749

Varna, , Bulgaria

Site Status

Artus Health Center /ID# 241966

Vancouver, British Columbia, Canada

Site Status

Manitoba Clinic /ID# 246217

Winnipeg, Manitoba, Canada

Site Status

CIADS Research Co Ltd /ID# 247520

Winnipeg, Manitoba, Canada

Site Status

Dr. Juris Lazovskis Inc. /ID# 246574

Sydney, Nova Scotia, Canada

Site Status

Dr. Chrisostomos Kouroukis & Dr. Pauline Boulos MPC /ID# 246213

Dundas, Ontario, Canada

Site Status

Arthur Karasik Medicine Professional Corporation /ID# 241932

Etobicoke, Ontario, Canada

Site Status

Lau Bacchus Professional Medicine Corp /ID# 242591

Hamilton, Ontario, Canada

Site Status

Credit Valley Rheumatology /ID# 241948

Mississauga, Ontario, Canada

Site Status

The Waterside Clinic /ID# 248678

Orillia, Ontario, Canada

Site Status

Dr. Sabeen Anwar Medicine Professional Corporation /ID# 241933

Windsor, Ontario, Canada

Site Status

CIUSSS de l'est de l'Ile-de-Montreal - Hopital Maisonneuve-Rosemont /ID# 249765

Montreal, Quebec, Canada

Site Status

Applied Medical Informatics Research Inc. (AMIR) /ID# 246284

Montreal, Quebec, Canada

Site Status

Groupe de Recherche en Maladies Osseuses Inc /ID# 241111

Sainte-Foy, Quebec, Canada

Site Status

CIUSSS de l'Estrie - CHUS /ID# 247572

Sherbrooke, Quebec, Canada

Site Status

Dr Naik-Medical Professional Corporation-Alliance Health /ID# 246516

Saskatoon, Saskatchewan, Canada

Site Status

CHU de Besancon - Jean Minjoz /ID# 230528

Besançon, Doubs, France

Site Status

CHU de Besancon - Jean Minjoz /ID# 242499

Besançon, Doubs, France

Site Status

Cabinet de rhumatologie /ID# 229091

Mennecy, Essonne, France

Site Status

CHU Limoges - Dupuytren 1 /ID# 229094

Limoges, Franche-Comte, France

Site Status

CHU Bordeaux - Hopital Pellegrin /ID# 230548

Bordeaux, Gironde, France

Site Status

CHU Toulouse - Hopital Purpan /ID# 228818

Toulouse, Haute-Garonne, France

Site Status

CHU Montpellier - Hôpital Saint Eloi /ID# 228829

Montpellier, Herault, France

Site Status

CHU Montpellier - Hôpital Saint Eloi /ID# 240980

Montpellier, Herault, France

Site Status

Polyclinique Courlancy /ID# 229093

Reims, Marne, France

Site Status

Hopitaux Universitaires Paris Centre-Hopital Cochin /ID# 244006

Paris, Paris, France

Site Status

CHU de SAINT ETIENNE - Hopital Nord /ID# 228836

Saint Priest EN Jarez, Pays de la Loire Region, France

Site Status

CHU Nice -Hopital Pasteur /ID# 229088

Nice, Provence-Alpes-Côte d'Azur Region, France

Site Status

Infirmerie Protestante /ID# 228794

Caluire-et-Cuire, Rhone, France

Site Status

HCL - Hopital Lyon Sud /ID# 228819

Pierre-Bénite, Rhone, France

Site Status

CHU Amiens-Picardie Site Sud /ID# 228821

Amiens, Somme, France

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CH du Pays d'AIX /ID# 229095

Aix-en-Provence, , France

Site Status

Centre Hospitalier d'Arras /ID# 228833

Arras, , France

Site Status

CHU Clermont Ferrand - Hopital Gabriel Montpied /ID# 229092

Clermont-Ferrand, , France

Site Status

C. H. Sud Francilien /ID# 228826

Corbeil-Essonnes, , France

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CHD Vendée- La Roche-sur-Yon - Les Oudairies /ID# 230947

La Roche-sur-Yon, , France

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CHU Grenoble - Hopital Michallon /ID# 228792

La Tronche, , France

Site Status

CHU Lille - Hôpital Roger Salengro /ID# 228820

Lille, , France

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Clinique de la Sauvegarde /ID# 229087

Lyon, , France

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Centre Hospitalier Régional d'Orléans - Hôpital de la Source /ID# 234258

Orléans, , France

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AP-HP - Hopital Saint-Antoine /ID# 228795

Paris, , France

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Hopital Pitie Salpetriere /ID# 243309

Paris, , France

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Centre de Soins Osteoarticulaires Ambulatoires /ID# 244737

Paris, , France

Site Status

AP-HP - Hopital Bichat - Claude-Bernard /ID# 228837

Paris, , France

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GH Diaconesses Croix Saint-Simon /ID# 238548

Paris, , France

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CHU de Rennes - Hospital Sud /ID# 228842

Rennes, , France

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Hôpital Charles-Nicolle /ID# 229096

Rouen, , France

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CH Saint Nazaire /ID# 233186

Saint-Nazaire, , France

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General Hospital of Athens Ippokratio /ID# 241133

Athens, Attica, Greece

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General Hospital of Athens Laiko /ID# 241128

Athens, Attica, Greece

Site Status

University General Hospital of Heraklion PA.G.N.I /ID# 241124

Heraklion, Crete, Greece

Site Status

424 General MILITARY Hospital /ID# 241127

Efkarpia (Thessalonikis), Thessaloniki, Greece

Site Status

Vougiouklakeio S.A. /ID# 246476

Aigáleo, , Greece

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Naval Hospital of Athens /ID# 241129

Athens, , Greece

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KAT Atttica General Hospital /ID# 243063

Athens, , Greece

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Duplicate_General Hospital of Thessaloniki Agios Pavlos /ID# 243823

Kalamaria, , Greece

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Iaso /ID# 245137

Marousi, , Greece

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Olympion General Clinic SA /ID# 251794

Pátrai, , Greece

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University General Hospital of Patras /ID# 243795

RION Patras Achaia, , Greece

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Euromedica Blue Cross Gen Clin /ID# 244945

Thessaloniki, , Greece

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General Hospital of Thessaloniki Hippokrateio /ID# 243796

Thessaloniki, , Greece

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Euromedica General Clinic /ID# 241126

Thessaloniki, , Greece

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Debreceni Egyetem Klinikai Kozpont /ID# 239936

Debrecen, Hajdú-Bihar, Hungary

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Magyar Honvedseg Egeszsegugyi Kozpont /ID# 239939

Budapest, , Hungary

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Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz /ID# 239937

Debrecen, , Hungary

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Hevizgyogyfurdo es Szent Andras Reumakorhaz /ID# 239940

Hévíz, , Hungary

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Bács-Kiskun Megyei Kórház Szegedi Tudományegyetem AOK Oktató Kórháza /ID# 239938

Kecskemét, , Hungary

Site Status

Meir Medical Center /ID# 241868

Kfar Saba, Central District, Israel

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Hillel Yaffe Medical Center /ID# 241869

Hadera, H_efa, Israel

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Bnai Zion Medical Center /ID# 241866

Haifa, H_efa, Israel

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The Lady Davis Carmel Medical Center /ID# 241867

Haifa, H_efa, Israel

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Galilee Medical Center /ID# 241870

Nahariya, Northern District, Israel

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The Baruch Padeh Medical Center Poriya /ID# 249797

Tiberias, Northern District, Israel

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The Chaim Sheba Medical Center /ID# 241305

Ramat Gan, Tel Aviv, Israel

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Tel Aviv Sourasky Medical Center /ID# 241864

Tel Aviv, Tel Aviv, Israel

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Adan Hospital /ID# 229679

ADAN, , Kuwait

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Jahra Hospital /ID# 229671

Al Jahra, , Kuwait

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Mubarak Hospital /ID# 250478

Hawalli, , Kuwait

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Mubarak Hospital /ID# 251777

Hawalli, , Kuwait

Site Status

Farwaniya Hospital /ID# 231445

Kuwait City, , Kuwait

Site Status

Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 238815

Guadalajara, Jalisco, Mexico

Site Status

Private Office Dr. Orozco /ID# 255210

Guadalajara, Jalisco, Mexico

Site Status

Ortopedyczno-Rehabilitacyjny Szpital Kliniczny im. Wiktora Degi /ID# 243225

Poznan, Greater Poland Voivodeship, Poland

Site Status

Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji /ID# 243232

Warsaw, Masovian Voivodeship, Poland

Site Status

Ma?opolskie Badania Kliniczne Sp. z o.o. /ID# 255509

Krakow, , Poland

Site Status

Jerzy ?wierkot Indywidualna Specjalistyczna Praktyka Lekarska /ID# 244289

Oława, , Poland

Site Status

ChUZ Clinical Hospital RZD-Medicine /ID# 233185

Ulan-Ude, Buryatiya, Respublika, Russia

Site Status

Chelyabinsk Regional Clinical Hospital /ID# 244741

Chelyabinsk, Chelyabinsk Oblast, Russia

Site Status

Regional Clinical Hospital of Kaliningrad region /ID# 238475

Kaliningrad, Kaliningrad Oblast, Russia

Site Status

LLC MC RevmaMed /ID# 238478

Syktyvkar, Komi, Russia

Site Status

GBUZ RM Mordovia Republican Central Clinical Hospital /ID# 244738

Saransk, Mordoviya, Respublika, Russia

Site Status

Research Institute of Rheumatology named after V.A. Nasonova /ID# 238479

Moscow, Moscow, Russia

Site Status

Moscow Regional Research and Clinical Institute n.a. Vladimirskiy (MONIKI) /ID# 232510

Moscow, Moscow Oblast, Russia

Site Status

Samara Regional Clinical Hospital n.a. V. D. Seredavin /ID# 231169

Samara, Samara Oblast, Russia

Site Status

Nort-Western State Medical University n.a. Mechnikov /ID# 231172

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

City Clinical Hospital #52 /ID# 238477

Moscow, , Russia

Site Status

Orenburg State Medical University /ID# 233183

Orenburg, , Russia

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Republican hospital named after V.A. Baranov /ID# 231173

Petrozavodsk, , Russia

Site Status

Clinical Rheumatologic Hospital No 25 /ID# 231171

Saint Petersburg, , Russia

Site Status

Military Medical Academy n.a. Kirov /ID# 242363

Saint Petersburg, , Russia

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Clinic of Samara State Medical University /ID# 241166

Samara, , Russia

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Budgetary Institution of the Khanty-Mansiysk Autonomous Okrug-Yugra Surgut Dist /ID# 242369

Surgut, , Russia

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Nebbiolo Clinical Research Center /ID# 231167

Tomsk, , Russia

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Ulyanovsk Regional Clinical Hospital /ID# 238334

Ulyanovsk, , Russia

Site Status

Yaroslavl State Medicat University /ID# 231168

Yaroslavl, , Russia

Site Status

Complejo Hospitalario Universitario de Santiago /ID# 249025

Santiago de Compostela, A Coruna, Spain

Site Status

Hospital de Mérida /ID# 249037

Mérida, Badajoz, Spain

Site Status

Hospital Universitario Germans Trias i Pujol /ID# 249030

Badalona, Barcelona, Spain

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Hospital Universitario Mutua Terrassa /ID# 249031

Terrassa, Barcelona, Spain

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Hospital San Pedro /ID# 249028

Logroño, La Rioja, Spain

Site Status

Hospital Universitario Son Llàtzer /ID# 249032

Palma de Mallorca, Las Palmas, Spain

Site Status

Hospital Infanta Sofia /ID# 249034

San Sebastián de los Reyes, Madrid, Spain

Site Status

Hospital Clinico Universitario Virgen de la Arrixaca /ID# 249042

El Palmar, Murcia, Spain

Site Status

Hospital Universitario Canarias /ID# 249043

San Cristóbal de La Laguna, Santa Cruz De Tenerife, Spain

Site Status

Hospital Universitario Torrecardenas /ID# 252804

Almería, , Spain

Site Status

Complejos Hospitalario Universitario de Badajoz /ID# 249036

Badajoz, , Spain

Site Status

Hospital Campus de la Salud /ID# 252805

Granada, , Spain

Site Status

Hospital Juan Ramon Jimenez /ID# 249040

Huelva, , Spain

Site Status

Hospital Universitario de Jaen /ID# 249041

Jaén, , Spain

Site Status

Hospital Universitario Lucus Augusti /ID# 255820

Lugo, , Spain

Site Status

Hospital Universitario Ramon y Cajal /ID# 249035

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre /ID# 249033

Madrid, , Spain

Site Status

Hospital Río Carrión /ID# 249027

Palencia, , Spain

Site Status

Hospital Universitario Nuestra Señora de Candelaria /ID# 249044

Santa Cruz de Tenerife, , Spain

Site Status

Hospital Universitario Virgen Macarena /ID# 249039

Seville, , Spain

Site Status

Hospital Universitario Virgen del Rocio /ID# 249038

Seville, , Spain

Site Status

Hospital Clinico Universitario de Valladolid /ID# 252001

Valladolid, , Spain

Site Status

Hospital Virgen de la Concha /ID# 249026

Zamora, , Spain

Site Status

Kantonsspital St. Gallen /ID# 230696

Sankt Gallen, Canton of St. Gallen, Switzerland

Site Status

Studio Zanisi /ID# 255681

Locarno, Canton Ticino, Switzerland

Site Status

Rheumatologisches Versorgungszentrum Weinfelden /ID# 239435

Weinfelden, Thurgau, Switzerland

Site Status

Cleveland Clinic Abu Dhabi /ID# 256292

Abu Dhabi, , United Arab Emirates

Site Status

AlAin Hospital /ID# 233803

Dubai, , United Arab Emirates

Site Status

Countries

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Argentina Australia Belgium Bulgaria Canada France Greece Hungary Israel Kuwait Mexico Poland Russia Spain Switzerland United Arab Emirates

Related Links

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Other Identifiers

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P20-410

Identifier Type: -

Identifier Source: org_study_id

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