Phase III Study of Efficacy and Safety of Secukinumab Versus Placebo, in Combination With Glucocorticoid Taper Regimen, in Patients With Polymyalgia Rheumatica (PMR)

NCT ID: NCT05767034

Last Updated: 2025-12-22

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

381 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-22

Study Completion Date

2026-02-17

Brief Summary

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The purpose of this study is to demonstrate the efficacy and safety of secukinumab 300 milligram (mg) and 150 mg administered subcutaneously (s.c.) for 52 weeks in combination with prednisone tapered over 24 weeks in adult participants with PMR who have recently relapsed.

Detailed Description

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This is a multicenter, randomized, double-blind, placebo-controlled, parallel group study with two secukinumab dose regimens in approximately 360 PMR patients who had recently relapsed. The study consists of: screening (up to 6 weeks); treatment period (52 weeks, with last IMP administration at 48 weeks, active drug or placebo) in combination with prednisone tapered over 24 weeks; treatment-free follow-up (up to 24 weeks). Adult males and females of at least 50 years of age with a recent PMR relapse (within 12 weeks from Baseline) will be included. Dosing will be once every week for the first 4 weeks, and once every 4 weeks thereafter via pre-filled syringe.

The primary objective is to demonstrate the efficacy of secukinumab 300 mg subcutaneously in combination with a 24-week glucocorticoid (GC) taper regimen compared with placebo with respect to the proportion of patients in sustained remission at Week 52. Primary secondary objectives are to assess difference in proportion of patients achieving complete sustained remission at Week 52, adjusted annual cumulative GC dose and time to first use of escape treatment or rescue treatment through Week 52. Key safety data will be collected, along with Patient Reported Outcomes.

Conditions

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Polymyalgia Rheumatica

Keywords

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Polymyalgia Rheumatica secukinumab monoclonal antibody prednisone taper regimen glucocorticoid PMR

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Secukinumab 300 mg

randomized in 1:1:1 ratio every 4 weeks

Group Type EXPERIMENTAL

Secukinumab 300 mg

Intervention Type DRUG

Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

Secukinumab 150 mg

randomized in 1:1:1 ratio every 4 weeks

Group Type EXPERIMENTAL

Secukinumab 150 mg

Intervention Type DRUG

Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

Placebo to secukinumab

randomized in 1:1:1 ratio every 4 weeks

Group Type PLACEBO_COMPARATOR

Placebo to secukinumab

Intervention Type OTHER

Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

Interventions

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Secukinumab 300 mg

Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

Intervention Type DRUG

Secukinumab 150 mg

Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

Intervention Type DRUG

Placebo to secukinumab

Taken subcutaneously every 4 weeks until Week 48 in combination with a 24-week prednisone taper regimen

Intervention Type OTHER

Other Intervention Names

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AIN457 AIN457

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent must be obtained prior to participation in the study
* Male or non-pregnant, non-lactating female participants at least 50 years of age.
* Diagnosis of PMR according to the provisional American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria: Participants ≥ 50 years of age with a history of bilateral shoulder pain accompanied by elevated C-reactive protein (CRP) concentration (≥ 10 mg/L) and/or elevated erythrocyte sedimentation rate (ESR) (≥ 30 mm/hr) who scored at least 4 points from the following optional classification criteria:

* Morning stiffness \> 45 minutes (min) (2 points)
* Hip pain or restricted range of motion (1 point)
* Absence of rheumatoid factor and/or anti-citrullinated protein antibodies (2 points)
* Absence of other joint involvement (1 point)
* Participants must have a history of being treated for at least 8 consecutive weeks with prednisone ≥ 10 mg/day, or equivalent dose of another GC at any time prior to screening
* Participants must have had at least one episode of PMR relapse while attempting to taper prednisone at a dose that is ≥ 5 mg/day (or equivalent dose of another GC) within the past 12 weeks prior to BSL. Diagnosis of a PMR relapse is defined as participant meeting both of the following:

* Recurrence of bilateral shoulder girdle and/or bilateral hip girdle pain associated with inflammatory stiffness with or without additional symptoms indicative of PMR relapse (such as constitutional symptoms) within 12 weeks prior to BSL that are in the opinion of the Investigator not due to other diseases that may mimic PMR such as osteoarthritis in shoulders or hips, polyarticular calcium pyrophosphate deposition disease, rotator cuff disease, adhesive capsulitis (frozen shoulder) or fibromyalgia.
* Elevated ESR (≥ 30 mm/hr) and/or elevated CRP (\> upper limit of normal (ULN)) attributable to PMR at the time of relapse and/or at screening
* Participants must have been treated as per local treatment recommendations following the latest PMR relapse and must be on prednisone of at least 7.5 mg/day (or equivalent) and not exceeding 25 mg/day at screening and during the screening period

Exclusion Criteria

* Evidence/history of GCA as indicated by typical (cranial) symptoms (e.g., persistent or recurrent localized headache, temporal artery or scalp tenderness, jaw claudication, blurry or loss of vision, symptoms of stroke), extremity claudication, imaging and/or temporal artery biopsy result
* Concurrent rheumatoid arthritis or other inflammatory arthritis or other connective tissue diseases, such as but not limited to systemic lupus erythematosus, systemic sclerosis, vasculitis, myositis, mixed connective tissue disease, and ankylosing spondylitis
* Concurrent diagnosis or history of neuropathic muscular diseases or fibromyalgia
* Inadequately treated hypothyroidism (e.g., persistence of symptoms, lack of normalization of serum TSH despite regular hormonal replacement treatment)
* Previous exposure to secukinumab or other biologic drug directly targeting IL-17 or IL-17 receptor
Minimum Eligible Age

50 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Arizona Arthritis and Rheumatology Associates PLLC

Avondale, Arizona, United States

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Sun Valley Arthritis Center Ltd

Peoria, Arizona, United States

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AZ Arthritis and Rheumtlgy Rsh PLLC

Phoenix, Arizona, United States

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Precn Comprehensive Clnl Rsch Solns

San Leandro, California, United States

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Providence Saint Johns Health Ctr

Santa Monica, California, United States

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Center for Rheumatology Research

West Hills, California, United States

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Millennium Clinical Trials

Westlake Village, California, United States

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Rheumatology Associates of South Florida

Boca Raton, Florida, United States

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UF Health Cancer Center

Gainesville, Florida, United States

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Sarasota Arthritis Res Ctr

Sarasota, Florida, United States

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West Broward Rheumatology Associates Inc

Tamarac, Florida, United States

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Southeastern Rheumatology Alliance

Gainesville, Georgia, United States

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Klein and Associates

Hagerstown, Maryland, United States

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Massachusetts General Hospital

Boston, Massachusetts, United States

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Clinical Research Inst of MI

Saint Clair Shores, Michigan, United States

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Kansas City Physician Partners

Kansas City, Missouri, United States

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Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

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Paramount Med Rsrch and Consult LLC

Middleburg Heights, Ohio, United States

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Prolato Clinical Research Center

Houston, Texas, United States

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DM Clinical Research

Houston, Texas, United States

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Accurate Clinical Research Inc

San Antonio, Texas, United States

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Advanced Rheumatology of Houston

Spring, Texas, United States

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Novartis Investigative Site

Caba, Buenos Aires, Argentina

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Quilmes, Buenos Aires, Argentina

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Buenos Aires, , Argentina

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Parramatta, New South Wales, Australia

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Southport, Queensland, Australia

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Heidelberg Heights, Victoria, Australia

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Leuven, , Belgium

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Liège, , Belgium

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Porto Alegre, Rio Grande do Sul, Brazil

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São Paulo, São Paulo, Brazil

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São Paulo, , Brazil

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Québec, Quebec, Canada

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Viña del Mar, Región de Valparaíso, Chile

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Santiago, Santiago Metropolitan, Chile

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Santiago, Santiago Metropolitan, Chile

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Santiago, Santiago Metropolitan, Chile

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Barranquilla, Atlántico, Colombia

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Barranquilla, Atlántico, Colombia

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Bogota, Cundinamarca, Colombia

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Cali, Valle del Cauca Department, Colombia

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Prague, Czech Republic, Czechia

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Brno, , Czechia

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Hlučín, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Uherské Hradiště, , Czechia

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Zlín, , Czechia

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Aarhus N, , Denmark

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Esbjerg, , Denmark

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Gandrup, , Denmark

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Vejle, , Denmark

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Limoges, Haute Vienne, France

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Toulon, Val De Marne, France

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Aix-en-Provence, , France

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Brest, , France

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Cholet, , France

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Colmar, , France

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Dijon, , France

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Le Mans, , France

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Montpellier, , France

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Nantes, , France

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Reims, , France

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Strasbourg, , France

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Toulouse, , France

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Freiburg im Breisgau, Baden-Wurttemberg, Germany

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Würzburg, Bavaria, Germany

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Dresden, Saxony, Germany

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Berlin, , Germany

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Berlin, , Germany

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Erlangen, , Germany

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Herne, , Germany

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Ratingen, , Germany

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Rendsburg, , Germany

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Budapest, , Hungary

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Szeged, , Hungary

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Veszprém, , Hungary

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Reykjavik, , Iceland

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Dublin, , Ireland

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Ramat Gan, , Israel

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Tel Aviv, , Israel

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Bolzano, BZ, Italy

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Milan, MI, Italy

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Milan, MI, Italy

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Milan, MI, Italy

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Perugia, PG, Italy

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Pavia, PV, Italy

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Reggio Emilia, RE, Italy

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Ichikawa, Chiba, Japan

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Fukuoka, Fukuoka, Japan

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Asahikawa, Hokkaido, Japan

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Kita-gun, Kagawa-ken, Japan

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Sagamihara, Kanagawa, Japan

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Yokohama, Kanagawa, Japan

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Nagano, Nagano, Japan

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Beppu, Oita Prefecture, Japan

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Kawachi-Nagano, Osaka, Japan

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Osaka, Osaka, Japan

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Bunkyo Ku, Tokyo, Japan

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Fuchū, Tokyo, Japan

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Ōme, Tokyo, Japan

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Shimonoseki, Yamaguchi, Japan

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Chūō, Yamanashi, Japan

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Okayama, , Japan

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Osaka, , Japan

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Beirut, , Lebanon

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Guadalajara, Jalisco, Mexico

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Almelo, Overijssel, Netherlands

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Rotterdam, South Holland, Netherlands

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Groningen, , Netherlands

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Bytom, , Poland

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Lublin, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Cape Town, Western Cape, South Africa

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Cape Town, Western Cape, South Africa

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Stellenbosch, Western Cape, South Africa

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Sabadell, Barcelona, Spain

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Bilbao, Bizkaia, Spain

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A Coruña, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Seville, , Spain

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Valencia, , Spain

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Stockholm, SE, Sweden

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Basel, , Switzerland

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Fribourg, , Switzerland

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Sankt Gallen, , Switzerland

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Barnet, , United Kingdom

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Hull, , United Kingdom

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Wolverhampton, , United Kingdom

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Countries

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Finland Norway Turkey (Türkiye) United States Argentina Australia Belgium Brazil Canada Chile Colombia Czechia Denmark France Germany Hungary Iceland Ireland Israel Italy Japan Lebanon Mexico Netherlands Poland South Africa Spain Sweden Switzerland United Kingdom

References

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Sun MM, Pope JE. Polymyalgia rheumatica and giant cell arteritis: diagnosis and management. Curr Opin Rheumatol. 2025 Jan 1;37(1):32-38. doi: 10.1097/BOR.0000000000001059. Epub 2024 Oct 14.

Reference Type DERIVED
PMID: 39400109 (View on PubMed)

Other Identifiers

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CAIN457C22301

Identifier Type: -

Identifier Source: org_study_id

2022-501895-25-00

Identifier Type: OTHER

Identifier Source: secondary_id