Safety, Efficacy and Tolerability of Ianalumab Versus Placebo, Combination With SoC Therapy, in Participants With Active Lupus Nephritis
NCT ID: NCT05126277
Last Updated: 2025-12-22
Study Results
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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RECRUITING
PHASE3
462 participants
INTERVENTIONAL
2022-07-14
2030-11-05
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Arm 1 - ianalumab s.c. q4w
ianalumab s.c. q4w in addition to standard of care (SoC)
ianalumab s.c. q4w
ianalumab s.c. q4w in addition to SoC
Arm 2 - ianalumab s.c. q12w
ianalumab s.c. q12w in addition to SoC
ianalumab s.c. q12w
ianalumab s.c. q12w in addition to SoC
Arm 3 - placebo s.c. q4w
Placebo s.c. q4w in addition to SoC
placebo s.c.
placebo s.c. q4w in addition to SoC
Interventions
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ianalumab s.c. q4w
ianalumab s.c. q4w in addition to SoC
ianalumab s.c. q12w
ianalumab s.c. q12w in addition to SoC
placebo s.c.
placebo s.c. q4w in addition to SoC
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Adult male and female participants aged 18 years or older at the time of screening
* Weigh at least 35 kg at screening
* Have a confirmed clinical diagnosis of SLE according to European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) Systemic Lupus Erythematosus (SLE) classification criteria
* Have a positive anti-nuclear antibody (ANA) test result; ANA titer ≥ 1:80 at screening visit based on central or local laboratory result
* Active LN at screening, as defined by meeting the 3 following criteria:
Exclusion Criteria
* eGFR ≥ 25mL/min/1.73 m2. Participants with eGFR \< 30 mL/min/1.73 m2 require renal biopsy during the screening period showing sclerosis in ≤ 50% of glomeruli
* Newly diagnosed participants as well as pre-treated LN participants (including refractory cases) can be included, as long as they are currently on, or willing to initiate SoC induction therapy for LN using MPA
* Induction therapy, as defined by treatment including both high dose corticosteroids and MPA, should be initiated prior to or on day of randomization
* Anti-malarial treatment at stable dosing prior to randomization is strongly recommended, in the absence of contraindications
* Participants on azathioprine treatment at Screening must be switched to MPA prior to randomization
* Receipt of at least one dose of pulse methylprednisolone i.v. (250 - 1000 mg per day up to 3000 mg cumulative dose) or equivalent for treatment of current episode of active LN within 60 days prior randomization. Participant who cannot take the pulse i.v. corticosteroid therapy should directly start on 0.8-1.0 mg/day (max 80mg/day) oral predniso(lo)ne.
* Able to communicate well with the Investigator to understand and comply with the requirements of the study
Participants meeting any of the following criteria are not eligible for inclusion in this study:
* Severe renal impairment as defined by i.) presence of oliguria (defined as a documented urine volume \<400 mL/24 hrs) or ii.) End-Stage Renal Disease (ESRD) requiring dialysis or transplantation
* Sclerosis in \> 50% of glomeruli on renal biopsy
* Use of other investigational drugs within 5 half-lives of enrollment, or within 30 days or until the expected pharmacodynamic effect has returned to baseline. Use of certain Traditional Chinese Medicines
* Prior use of ianalumab (ever); or prior use other B cell depleting therapy within 36 weeks prior to randomization or if therapy was administered \< 36 weeks prior to randomization, B cell count less than the lower limit of normal or patient's own baseline value prior to having received an earlier B cell-depleting therapy
* Prior treatment with any of the following within 12 weeks prior to randomization
* Belimumab, telitacicept, abatacept, TNF-α mAb, immunoglobulins (i.v./s.c.) plasmapheresis
* Any other immuno-suppressants (i.v. or oral cyclophosphamide, calcineurin inhibitors, JAK inhibitors or other kinase inhibitors)
* Thalidomide treatment and/or methotrexate
* Combination of DMARDs
* Imidazole derivative (e.g., azathioprine, mizoribine) must be discontinued prior to starting treatment with MPA
* Receipt of more than 3000 mg i.v. pulse methylprednisolone (cumulative dose) within 12 weeks prior to randomization
* History of major organ transplant or hematopoietic stem cell/bone marrow transplant or are due to receive transplantation
* Any one of the following laboratory values at screening:
* Hemoglobin levels \< 8.0 g/dL (\< 5 mmol/L), or \< 7.0 g/dL (\< 4.3 mmol/L) if related to participant's SLE such as in active hemolytic anaemia
* Platelet count \< 25 x 1000/µL
* Absolute neutrophil count (ANC) \< 0.8 x 1000/µL
* Active viral, bacterial or other infections requiring intravenous or intramuscular treatment for clinically significant infection or history of recurrent clinically significant infection which in the opinion of the investigator will place the participant at risk for participation.
* History of known intolerance/hypersensitivity to MPA, oral corticosteroids, or any component of the study drug(s) or its excipients
* Receipt of live/attenuated vaccine within a 4-week period prior to randomization
* History of primary or secondary immunodeficiency, including a positive HIV test result
* History of malignancy of any organ system (other than localized basal cell carcinoma or squamous cell carcinoma of the skin or or in-situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases
* Any surgical, medical (e.g., uncontrolled hypertension, heart failure or diabetes), psychiatric or additional physical condition that the Investigator feels may jeopardize the participants in case of participation in this study
* Chronic infection with hepatitis B (HBV) or hepatitis C (HCV). Positive serology for hepatitis B surface antigen (HBsAg) excludes the participant
* Evidence of active tuberculosis (TB) infection (after anti-TB treatment, participants with history of TB may become eligible according to national local guidelines)
* Pregnant or nursing (lactating) women
* Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 6 months after stopping of investigational medication
* Sexually active male participants, who do not agree to use barrier protection during intercourse with women of child-bearing potential while taking study treatment
Other protocol -defined Inclusion/Exclusion may apply.
18 Years
100 Years
ALL
No
Sponsors
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Novartis Pharmaceuticals
INDUSTRY
Responsible Party
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Principal Investigators
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Novartis Pharmaceuticals
Role: STUDY_DIRECTOR
Novartis Pharmaceuticals
Locations
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University Of Alabama
Birmingham, Alabama, United States
Advanced Medical Research
La Palma, California, United States
Wallace Rheumatic Study Center
Los Angeles, California, United States
University of California LA
Los Angeles, California, United States
University of California Irvine
Orange, California, United States
School Of Medicine
Sacramento, California, United States
University of California San Diego
San Diego, California, United States
Kaiser Permanente
San Diego, California, United States
Mayo Clinic Jacksonville
Jacksonville, Florida, United States
University Of Miami
Miami, Florida, United States
Emory University School of Medicine
Atlanta, Georgia, United States
Fides Clinical Research
Atlanta, Georgia, United States
Parris and Associates Rheumatology
Lawrenceville, Georgia, United States
University of Kansas Hospital
Kansas City, Kansas, United States
Accurate Clinical Research
Lake Charles, Louisiana, United States
UMC New Orleans
New Orleans, Louisiana, United States
Wayne State University
Detroit, Michigan, United States
Univ of Nevada School of Med
Las Vegas, Nevada, United States
Sahni Rheumatology and Therapy
West Long Branch, New Jersey, United States
VA NM Healthcare System
Albuquerque, New Mexico, United States
NY Nephrology
Clifton Park, New York, United States
Hospital for Special Surgery
New York, New York, United States
Northwell Health
New York, New York, United States
Circuit Clinical
Orchard Park, New York, United States
James J Peters VA Medical Center
The Bronx, New York, United States
Brookview Hills Research Assoc
Winston-Salem, North Carolina, United States
University Of Cincinnati
Cincinnati, Ohio, United States
Univ of Pennsylvania Medical Center
Philadelphia, Pennsylvania, United States
Arthritis and Rheumatology Ins
Allen, Texas, United States
Precision Comprehensive Research
Colleyville, Texas, United States
Liberty Research Center
Dallas, Texas, United States
Univof Texas Southwestern Med Cntr
Dallas, Texas, United States
University of Texas Medical Branch
Galveston, Texas, United States
Uni of Texas Health Science Center
San Antonio, Texas, United States
Baylor Scott and White Research
Temple, Texas, United States
Northern Assoc of Northern VA
Fairfax, Virginia, United States
Uni Wisconsin School Med Pub Health
Madison, Wisconsin, United States
Novartis Investigative Site
CABA, Buenos Aires, Argentina
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Caba, Buenos Aires, Argentina
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La Plata, Buenos Aires, Argentina
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Caba, , Argentina
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CABA, , Argentina
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San Miguel de Tucumán, , Argentina
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Vitória, Espírito Santo, Brazil
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Salvador, Estado de Bahia, Brazil
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São Luís, Maranhão, Brazil
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Belo Horizonte, Minas Gerais, Brazil
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Juiz de Fora, Minas Gerais, Brazil
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Curitiba, Paraná, Brazil
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Recife, Pernambuco, Brazil
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Porto Alegre, Rio Grande do Sul, Brazil
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Porto Alegre, Rio Grande do Sul, Brazil
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Santo André, São Paulo, Brazil
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Salvador, , Brazil
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Calgary, Alberta, Canada
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Vancouver, British Columbia, Canada
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Winnipeg, Manitoba, Canada
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Etobicoke, Ontario, Canada
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London, Ontario, Canada
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Toronto, Ontario, Canada
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Montreal, Quebec, Canada
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Sherbrooke, Quebec, Canada
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Santiago, RM, Chile
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Temuco, , Chile
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Hefei, Anhui, China
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Guangzhou, Guangdong, China
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Guangzhou, Guangdong, China
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Guangzhou, Guangdong, China
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Shantou, Guangdong, China
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Shenzhen, Guangdong, China
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Shenzhen, Guangdong, China
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Liuchow, Guangxi, China
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Haikou, Hainan, China
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Wuhan, Hubei, China
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Wuhan, Hubei, China
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Changsha, Hunan, China
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Nanjing, Jiangsu, China
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Nanchang, Jiangxi, China
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Changchun, Jilin, China
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Shenyang, Liaoning, China
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Binzhou, Shandong, China
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Linyi, Shandong, China
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Xian, Shanxi, China
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Chengdu, Sichuan, China
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Ningbo, Zhejiang, China
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Beijing, , China
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Chongqing, , China
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Guangzhou, , China
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Guangzhou, , China
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Shanghai, , China
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Shanghai, , China
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Shanghai, , China
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Medellín, Antioquia, Colombia
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Barranquilla, Atlántico, Colombia
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Bogota, Cundinamarca, Colombia
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Olomouc, , Czechia
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Prague, , Czechia
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Tallinn, , Estonia
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Tallinn, , Estonia
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Angers, , France
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Besançon, , France
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Bordeaux, , France
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Grenoble, , France
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Lyon, , France
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Marseille, , France
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Poitiers, , France
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Toulouse, , France
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Vandœuvre-lès-Nancy, , France
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Regensburg, Bavaria, Germany
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Aachen, , Germany
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Bochum, , Germany
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Münster, , Germany
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Guatemala City, , Guatemala
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Guatemala City, , Guatemala
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Quetzaltenango, , Guatemala
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Kwun Tong, Kowloon, Hong Kong
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Tuenmen, , Hong Kong
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Debrecen, Hajdu Bihar Megye, Hungary
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Budapest, , Hungary
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Budapest, , Hungary
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Kaposvár, , Hungary
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Bangalore, Karnataka, India
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Secunderabad, Telangana, India
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Lucknow, Uttar Pradesh, India
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Chandigarh, , India
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Cagliari, CA, Italy
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Foggia, FG, Italy
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Florence, FI, Italy
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Milan, MI, Italy
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Pavia, PV, Italy
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Roma, RM, Italy
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Torino, TO, Italy
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Udine, UD, Italy
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Napoli, , Italy
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Kaunas, LTU, Lithuania
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Vilnius, , Lithuania
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Kuala Lumpur, Kuala Lumpur, Malaysia
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Sibu, Sarawak, Malaysia
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Kuala Terengganu, Terengganu, Malaysia
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León, Guanajuato, Mexico
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Monterrey, Nuevo León, Mexico
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Oaxaca City, , Mexico
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Querétaro, , Mexico
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Querétaro, , Mexico
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Cluj-Napoca, Cluj, Romania
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Oradea, Jud Bihor, Romania
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Timișoara, Timiș County, Romania
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Râmnicu Vâlcea, Vâlcea County, Romania
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Bucharest, , Romania
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Bucharest, , Romania
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Singapore, , Singapore
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Singapore, , Singapore
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Bundang Gu, Gyeonggi-do, South Korea
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Suwon, Gyeonggi-do, South Korea
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Daejeon, Korea, South Korea
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Busan, , South Korea
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Daegu, , South Korea
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Gwangju, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Santiago Compostela, A Coruna, Spain
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Barcelona, Catalonia, Spain
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El Palmar, Murcia, Spain
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Pamplona, Navarre, Spain
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Vigo, Pontevedra, Spain
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San Cristóbal de La Laguna, Santa Cruz De Tenerife, Spain
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Valencia, Valencia, Spain
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Barcelona, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Kaohsiung City, , Taiwan
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Taichung, , Taiwan
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Taichung, , Taiwan
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Taipei, , Taiwan
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Songkhla, Hat Yai, Thailand
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Bangkok, , Thailand
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Bangkok, , Thailand
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Bangkok, , Thailand
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Chiang Mai, , Thailand
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Bradford, West Yorkshire, United Kingdom
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London, , United Kingdom
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Hanoi, , Vietnam
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Ho Chi Minh City, , Vietnam
Countries
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Central Contacts
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Novartis Pharmaceuticals
Role: CONTACT
Phone: +41613241111
Facility Contacts
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Alason Koenig
Role: primary
Reza Azadegan
Role: primary
Aima Ohiwerei
Role: primary
Ahmad Walid Roshan
Role: primary
Chenoa Vargas
Role: primary
Bosco Trinh
Role: primary
Michael D Fechter
Role: primary
Tia Wilkes
Role: primary
Niurka Colina
Role: primary
Karla Caylor
Role: primary
Victoria Givans
Role: primary
Mannai Coutermarsh
Role: primary
Jacob Seep
Role: primary
Cathryn Leggio
Role: primary
Biljana Basic-Panic
Role: primary
Priscilla Herrera
Role: primary
Maria Munoz
Role: primary
Tatiana Cordero
Role: primary
Natasha Zarrin
Role: primary
Radha Puran
Role: primary
Kelly Wettstein
Role: primary
Kathleen Escoto
Role: primary
Leksi Travitz
Role: primary
Rogel Gonzales
Role: primary
Samina Shehzad
Role: primary
Mohammad Sohail
Role: primary
Sri Cheruku
Role: primary
Azza Badr
Role: primary
Jose Restrepo
Role: primary
Sandy Owings
Role: primary
Musirah Khan
Role: primary
Kian Djamali
Role: primary
Other Identifiers
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2020-005830-14
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
2023-508559-37-00
Identifier Type: OTHER
Identifier Source: secondary_id
CVAY736K12301
Identifier Type: -
Identifier Source: org_study_id