A Study to Evaluate the Efficacy and Safety of BLI5100 in Patients With Non-Erosive Reflux Disease

NCT ID: NCT05587322

Last Updated: 2024-07-24

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

Clinical Phase

PHASE3

Total Enrollment

800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-06

Study Completion Date

2024-04-23

Brief Summary

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The objective of the Treatment Phase of the study is to evaluate the safety and efficacy of 4 weeks of once daily oral administration of BLI5100 low dose, BLI5100 high dose, or placebo in patients with NERD. The objective of the Extension Phase of the study is to evaluate the safety of extended exposure to once daily oral administration of BLI5100 low dose and BLI5100 high dose in patients with NERD.

Detailed Description

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Conditions

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Non-erosive Reflux Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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BLI5100 Low Dose

During the Treatment Period, patients will take BLI5100 low dose once daily, orally, for 8 weeks. During the Extension Period, patients will continue to take BLI5100 low dose once daily, orally, for 20 weeks.

Group Type EXPERIMENTAL

BLI5100

Intervention Type DRUG

Orally via tablet

BLI5100 High Dose

During the Treatment Period, patients will take BLI5100 high dose once daily, orally, for 8 weeks. During the Extension Period, patients will continue to take BLI5100 high dose once daily, orally, for 20 weeks.

Group Type EXPERIMENTAL

BLI5100

Intervention Type DRUG

Orally via tablet

Placebo

During the Treatment Period, patients will take placebo once daily, orally, for 8 weeks. In the Extension Phase, patients who received placebo in the Treatment Phase will be re-randomized to receive either BLI5100 low dose or BLI5100 high dose to take once daily, orally, for 20 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Orally via tablet

Interventions

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BLI5100

Orally via tablet

Intervention Type DRUG

Placebo

Orally via tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Aged ≥18 years at the time of signing informed consent;
2. Have experienced heartburn (burning sensation, pain at posterior bony thorax) for at least 6 months prior to Screening;
3. Have documented history of symptomatic GERD;
4. Have no mucosal break(s) on the upper GI endoscopy performed during Screening;
5. Have reported heartburn on ≥4 days during any consecutive 7-day period of the Screening Period as recorded in the eDiary;
6. Able to understand and comply with the protocol requirements;
7. Willing and able to provide written informed consent at Screening;
8. A female of reproductive potential defined as a non-post-menopausal female who has not had a bilateral oophorectomy or medically documented ovarian failure; or If a female of childbearing potential, agrees to use an acceptable form of birth control and avoid egg donation from the Screening Visit until 6 months after the last dose of study drug.
9. If a male, agrees to use an acceptable form of birth control from the Screening Visit until 3 months after the last dose of study drug.
10. If a male, agrees to abstain from sperm donation through 3 months after administration of the last dose of study drug.

Exclusion Criteria

1. Unable to undergo an upper GI endoscopy;
2. Presence of esophageal stricture, gastroesophageal varix (including post sclerotherapy or ligation), untreated Barrett's esophagus, gastric bleeding, infection, tumor, or gastric or duodenal ulcer on the upper GI endoscopy;

o Note: Patients with diagnosis of Schatzki's ring (mucosal tissue ring around lower esophageal sphincter) are eligible to participate.
3. Diagnosed with erosive gastroesophageal reflux disease, acute upper GI bleeding, gastric ulcer or duodenal ulcer, or acute gastritis within 2 months prior to the upper GI endoscopy;
4. Alarm symptoms such as odynophagia, severe dysphagia, upper GI bleeding, weight loss, anemia, or hematochezia within 4 weeks prior to Screening, unless the presumed malignancy is ruled out;
5. History or suspicion of functional upper gastrointestinal disorders, such as:

* Functional heartburn, as described in the Rome IV criteria, or
* Functional dyspepsia, as described in the Rome IV criteria.
6. History of a connective tissue disorder associated with GI symptoms (eg, scleroderma or systemic lupus erythematous) or inflammatory bowel disease, or documented history of delayed gastric emptying;
7. History of acid-suppressive, esophageal, or gastric surgery;

o Note: This is not applicable to appendectomy, cholecystectomy, or endoscopic excision of benign tumor.
8. History of malignancy within the past 5 years (with the exception of resected basal cell or squamous cell carcinoma of the skin);

o Note: This is not applicable to patients who had complete response or pathological complete response and whose tumor had not recurred for at least 5 years from the date of last treatment, or patients whose tumor had been removed by endoscopic resection without any findings indicating recurrence of the tumor within 3 years.
9. History of an allergic disease, or hypersensitivity or intolerance to the active ingredient or excipients of the study drug;
10. History of alcoholism, chronic opiate use, or substance addiction in the 12 months before Screening or a positive urine drug screen for opiates or substances of abuse;

* Note: Patients on prescribed opioids are eligible to participate if they have been on a stable dose for \>3 months prior to Screening.
* Note: Retesting of a positive urine drug screen requires Medical Monitor approval. Positive urine drug screen for all drugs will require verification of prescription for the positive tested substance.
11. Presence of manic-depression, anxiety disorder, panic disorder, somatoform disorder, personality disorder, or other psychological disorder;

o Note: A diagnosis of manic-depression, anxiety disorder, panic disorder, somatoform disorder, personality disorder, or other psychological disorder is not exclusionary, as long as the patient is asymptomatic and well-controlled on stable treatment (ie, stable dose for \>6 months prior to Screening), including non-medical therapy.
12. Current use of antipsychotics, antidepressants, anxiolytics, or prescription sleeping medications, with the exception of a stable dose for \>6 months prior to Screening;
13. Use of any gastric acid-suppressive agents, including PPIs, within 2 weeks prior to the upper GI endoscopy at Screening;
14. Use of 2 or more commercial doses of reflux esophagitis-related medications (including H2 blockers, prostaglandins, mucosal protective agents, prokinetics, and antacids) within 1 week prior to the upper GI endoscopy at Screening;
15. Requirement of persistent (\>3 times per week for \>30 days) use of non-steroidal anti-inflammatory drugs (NSAIDs) during the course of the study;

o Note: Low-dose (≤100 mg/day) aspirin is allowed provided that it has been used for prophylaxis prior to study participation.
16. If a female, is pregnant, breastfeeding, or planning to become pregnant during the study or within 6 months after the last dose of study drug;
17. Positive test result for human immunodeficiency virus, hepatitis B surface antigen, or hepatitis C virus at Screening;
18. Positive test result for H. pylori at Screening or diagnosis and treatment of H. pylori within 4 to 6 weeks prior to Randomization;

o Note: Patients who test positive for H. pylori at Screening will be offered treatment according to local standard of care and may be re-screened for eligibility following completion of treatment.
19. Abnormal laboratory results with clinical relevance at Screening as follows:

* Aspartate aminotransferase (AST), alanine aminotransferase (ALT), or alkaline phosphatase level of ≥2 × upper limit of normal (ULN);
* Total bilirubin level of ≥2 × ULN, unless Gilbert's syndrome is confirmed when direct bilirubin is ≤0.3 mg/dL;
* Estimated glomerular filtration rate \<30 mL/min; or
* Serum magnesium \<lower limit of normal.
20. Abnormal ECG of clinical significance (eg, major arrhythmia, multifocal premature ventricular contractions, or 2° atrioventricular block anomaly);
21. Presence of any gastric acid hypersecretory conditions, such as Zollinger-Ellison syndrome;
22. Involvement in another clinical study within 4 weeks of initiation of study drug; or
23. Any other clinically relevant condition that would confound study endpoints or adversely affect patient compliance with the study procedures in the medical judgment of the Investigator or Medical Monitor based on previous medical history or findings on Screening assessments .
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Braintree Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Leah Hollins

Role: STUDY_DIRECTOR

Braintree Laboratories / Sebela Pharmaceuticals

Locations

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Research Site 24

Huntsville, Alabama, United States

Site Status

Research Site 132

Peoria, Arizona, United States

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Research Site 62

Phoenix, Arizona, United States

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Research Site 27

Tucson, Arizona, United States

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Research Site 87

Little Rock, Arkansas, United States

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Research Site 117

North Little Rock, Arkansas, United States

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Research Site 51

Arcadia, California, United States

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Research Site 126

Bakersfield, California, United States

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Research Site 66

Bell Gardens, California, United States

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Research Site 19

Canoga Park, California, United States

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Research Site 94

Chula Vista, California, United States

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Research Site 10

Huntington Park, California, United States

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Research Site 55

La Mesa, California, United States

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Research Site 120

Long Beach, California, United States

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Research Site 72

Los Angeles, California, United States

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Research Site 54

Los Angeles, California, United States

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Research Site 18

Mission Viejo, California, United States

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Research Site 14

San Diego, California, United States

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Research Site 85

Santa Ana, California, United States

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Research Site 13

Santa Ana, California, United States

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Research Site 41

Santa Maria, California, United States

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Research Site 112

Aurora, Colorado, United States

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Research Site 89

Littleton, Colorado, United States

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Research Site 74

Boca Raton, Florida, United States

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Research Site 108

Cooper City, Florida, United States

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Research Site 91

Doral, Florida, United States

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Research Site 03

Hialeah, Florida, United States

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Research Site 78

Homestead, Florida, United States

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Research Site 09

Lake City, Florida, United States

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Research Site 23

Maitland, Florida, United States

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Research Site 38

Miami, Florida, United States

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Research Site 43

Miami, Florida, United States

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Research Site 81

Miami, Florida, United States

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Research Site 67

Miami, Florida, United States

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Research Site 92

Miami, Florida, United States

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Research Site 31

Miami, Florida, United States

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Research Site 71

Miami, Florida, United States

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Research Site 42

Miami Lakes, Florida, United States

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Research Site 17

New Port Richey, Florida, United States

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Research Site 90

Ocoee, Florida, United States

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Research Site 107

Orlando, Florida, United States

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Research Site 05

Palmetto Bay, Florida, United States

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Research Site 95

St. Petersburg, Florida, United States

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Research Site 11

Sunrise, Florida, United States

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Research Site 46

Viera, Florida, United States

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Research Site 04

Marietta, Georgia, United States

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Research Site 59

Sandy Springs, Georgia, United States

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Research Site 101

Idaho Falls, Idaho, United States

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Research Site 102

Downers Grove, Illinois, United States

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Research Site 01

Gurnee, Illinois, United States

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Research Site 113

Northbrook, Illinois, United States

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Research Site 02

Oak Lawn, Illinois, United States

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Research Site 135

South Bend, Indiana, United States

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Research Site 125

Covington, Louisiana, United States

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Research Site 45

Houma, Louisiana, United States

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Research Site 12

Marrero, Louisiana, United States

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Research Site 124

Metairie, Louisiana, United States

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Research Site 48

Metairie, Louisiana, United States

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Research Site 34

New Orleans, Louisiana, United States

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Research Site 25

West Monroe, Louisiana, United States

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Research Site 93

Chesterfield, Michigan, United States

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Research Site 111

Chesterfield, Missouri, United States

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Research Site 137

Columbia, Missouri, United States

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Research Site 06

Las Vegas, Nevada, United States

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Research Site 73

Las Vegas, Nevada, United States

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Research Site 127

Las Vegas, Nevada, United States

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Research Site 64

Reno, Nevada, United States

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Research Site 129

Englewood, New Jersey, United States

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Research Site 130

Freehold, New Jersey, United States

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Research Site 131

Jackson, New Jersey, United States

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Research Site 35

Brooklyn, New York, United States

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Research Site 07

Great Neck, New York, United States

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Research Site 28

Hartsdale, New York, United States

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Research Site 58

New York, New York, United States

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Research Site 49

New York, New York, United States

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Research Site 40

Rochester, New York, United States

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Research Site 75

Fayetteville, North Carolina, United States

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Research Site 69

Mount Airy, North Carolina, United States

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Research Site 116

Salisbury, North Carolina, United States

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Research Site 20

Columbus, Ohio, United States

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Research Site 88

Columbus, Ohio, United States

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Research Site 109

Mentor, Ohio, United States

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Research Site 118

Springboro, Ohio, United States

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Research Site 110

Westlake, Ohio, United States

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Research Site 61

North Charleston, South Carolina, United States

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Research Site 128

Hermitage, Tennessee, United States

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Research Site 114

Kingsport, Tennessee, United States

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Research Site 60

Nashville, Tennessee, United States

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Research Site 103

Nashville, Tennessee, United States

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Research Site 50

Shelbyville, Tennessee, United States

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Research Site 115

Beaumont, Texas, United States

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Research Site 100

Bellaire, Texas, United States

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Research Site 98

Dallas, Texas, United States

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Research Site 99

Forney, Texas, United States

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Research Site 68

Katy, Texas, United States

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Research Site 29

Lewisville, Texas, United States

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Research Site 32

Pearland, Texas, United States

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Research Site 30

Red Oak, Texas, United States

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Research Site 22

San Antonio, Texas, United States

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Research Site 26

San Antonio, Texas, United States

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Research Site 21

San Antonio, Texas, United States

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Research Site 80

Tomball, Texas, United States

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Research Site 134

Waco, Texas, United States

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Research Site 121

Wichita Falls, Texas, United States

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Research Site 105

Ogden, Utah, United States

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Research Site 57

Salt Lake City, Utah, United States

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Research Site 106

Salt Lake City, Utah, United States

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Research Site 65

Sandy City, Utah, United States

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Research Site 16

South Ogden, Utah, United States

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Research Site 77

Chesapeake, Virginia, United States

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Research Site 136

Richmond, Virginia, United States

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Research Site 97

Morgantown, West Virginia, United States

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Countries

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United States

Other Identifiers

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BLI5100-302

Identifier Type: -

Identifier Source: org_study_id

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