A Study to Evaluate the Safety and Efficacy of Pumitamig in Combination With Chemotherapy Versus Nivolumab in Combination With Chemotherapy in Participants With Previously Untreated Advanced or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma (ROSETTA Gastric-204)

NCT ID: NCT07221149

Last Updated: 2025-12-08

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

690 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-09

Study Completion Date

2032-09-11

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of Pumitamig in combination with chemotherapy versus Nivolumab in combination with chemotherapy in participants with previously untreated advanced or metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma

Detailed Description

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Conditions

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Untreated Advanced or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma

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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Arm A1

Group Type EXPERIMENTAL

Pumitamig

Intervention Type DRUG

Specified dose on specified days

Folfox

Intervention Type DRUG

Specified dose on specified days

Arm A2

Group Type EXPERIMENTAL

Pumitamig

Intervention Type DRUG

Specified dose on specified days

Folfox

Intervention Type DRUG

Specified dose on specified days

Arm B

Group Type EXPERIMENTAL

Folfox

Intervention Type DRUG

Specified dose on specified days

Nivolumab

Intervention Type DRUG

Specified dose on specified days

Arm C

Group Type EXPERIMENTAL

Pumitamig

Intervention Type DRUG

Specified dose on specified days

Folfox

Intervention Type DRUG

Specified dose on specified days

Capox

Intervention Type DRUG

Specified dose on specified days

Arm D

Group Type EXPERIMENTAL

Folfox

Intervention Type DRUG

Specified dose on specified days

Capox

Intervention Type DRUG

Specified dose on specified days

Nivolumab

Intervention Type DRUG

Specified dose on specified days

Interventions

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Pumitamig

Specified dose on specified days

Intervention Type DRUG

Folfox

Specified dose on specified days

Intervention Type DRUG

Capox

Specified dose on specified days

Intervention Type DRUG

Nivolumab

Specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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BMS-986545 BNT327 PM8002

Eligibility Criteria

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Inclusion Criteria

* Participants must be previously untreated with systemic treatment for advanced/metastatic disease, histologically or cytologically confirmed advanced or metastatic gastric cancer (GC), gastroesophageal junction adenocarcinoma (GEJC) or distal esophageal adenocarcinoma (EAC). GEJ involvement can be confirmed via biopsy, endoscopy, or imaging.
* Participants must have a documented programmed cell death-(ligand)1 (PD-L1) ≥ 1.
* Participants must have documented human epidermal growth factor receptor 2 (HER2)-negative cancer, as determined according to local guidelines.
* Participants must have measurable disease as defined by RECIST v1.1.

Exclusion Criteria

* Participants must not have untreated known central nervous system (CNS) metastases.
* Participants must not have significant cardiovascular disease, such as myocardial infarction, unstable angina, arterial thrombosis, cerebrovascular accident within 6 months prior to randomization, uncontrolled hypertension (≥ 160 systolic, ≥ 100 diastolic mm Hg) despite optimal medical management, or congenital long QT syndrome.
* Participants must not have evidence of major coagulation disorders (eg, hemophilia).
* Participants must not have a history of deep vein thrombosis, pulmonary embolism, or any other significant thromboembolism within 3 months prior to randomization, unless the participant has been fully treated (eg, inferior vena cava filter placed) and/or adequately anticoagulated on a prophylactic dose.
* Participants must not have a history of abdominal fistula or gastrointestinal (GI) perforation within 6 months of randomization.
* Participants must not have had major surgery, open biopsy, or significant traumatic injury within 28 days prior to randomization, or anticipation of the need for major surgery during the course of study intervention.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BioNTech SE

INDUSTRY

Sponsor Role collaborator

Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution - 0284

Phoenix, Arizona, United States

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Local Institution - 0240

Los Angeles, California, United States

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Local Institution - 0277

Orange, California, United States

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Local Institution - 0428

San Francisco, California, United States

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Local Institution - 0429

Fort Myers, Florida, United States

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Local Institution - 0433

Jacksonville, Florida, United States

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Local Institution - 0430

St. Petersburg, Florida, United States

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Local Institution - 0246

Tampa, Florida, United States

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Local Institution - 0377

Atlanta, Georgia, United States

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Local Institution - 0379

Chicago, Illinois, United States

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Local Institution - 0268

Iowa City, Iowa, United States

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Local Institution - 0259

Rochester, Minnesota, United States

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Local Institution - 0426

Columbia, Missouri, United States

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Local Institution - 0286

Omaha, Nebraska, United States

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Local Institution - 0386

Lake Success, New York, United States

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Local Institution - 0242

New York, New York, United States

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Local Institution - 0222

Cleveland, Ohio, United States

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Local Institution - 0432

Eugene, Oregon, United States

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Local Institution - 0419

Portland, Oregon, United States

Site Status

Local Institution - 0407

Pittsburgh, Pennsylvania, United States

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Local Institution - 0417

Nashville, Tennessee, United States

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Local Institution - 0423

Amarillo, Texas, United States

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Local Institution - 0416

Austin, Texas, United States

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Local Institution - 0424

Beaumont, Texas, United States

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Local Institution - 0415

Denison, Texas, United States

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Local Institution - 0421

Grapevine, Texas, United States

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Local Institution - 0233

Houston, Texas, United States

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Local Institution - 0427

San Antonio, Texas, United States

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Local Institution - 0413

Salem, Virginia, United States

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Local Institution - 0271

Madison, Wisconsin, United States

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Local Institution - 0061

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Local Institution - 0066

ABB, Buenos Aires F.D., Argentina

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Local Institution - 0069

Buenos Aires, , Argentina

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Local Institution - 0054

Buenos Aires, , Argentina

Site Status

Local Institution - 0080

Birtinya, Queensland, Australia

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Local Institution - 0077

Elizabeth Vale, South Australia, Australia

Site Status

Local Institution - 0085

Clayton, Victoria, Australia

Site Status

Local Institution - 0400

Melbourne, Victoria, Australia

Site Status

Local Institution - 0083

Perth, Western Australia, Australia

Site Status

Local Institution - 0208

Fortaleza, Ceará, Brazil

Site Status

Local Institution - 0204

Belo Horizonte, Minas Gerais, Brazil

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Local Institution - 0226

Natal/RN, Rio Grande do Norte, Brazil

Site Status

Local Institution - 0210

Porto Alegre, Rio Grande do Sul, Brazil

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Local Institution - 0425

Santa Maria, Rio Grande do Sul, Brazil

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Local Institution - 0221

São José do Rio Preto, , Brazil

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Local Institution - 0088

Calgary, Alberta, Canada

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Local Institution - 0119

Halifax, Nova Scotia, Canada

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Local Institution - 0121

Toronto, Ontario, Canada

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Local Institution - 0175

Sherbrooke, Quebec, Canada

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Local Institution - 0068

Santiago, Santiago Metropolitan, Chile

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Local Institution - 0056

Santiago, Santiago Metropolitan, Chile

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Local Institution - 0055

Santiago, Santiago Metropolitan, Chile

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Local Institution - 0410

Beijing, Beijing Municipality, China

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Local Institution - 0418

Beijing, Beijing Municipality, China

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Local Institution - 0276

Fuzhou, Fujian, China

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Local Institution - 0232

Guangzhou, Guangdong, China

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Local Institution - 0280

Guangzhou, Guangdong, China

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Local Institution - 0231

Nanning, Guangxi, China

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Local Institution - 0237

Harbin, Heilongjiang, China

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Local Institution - 0282

Weihui, Henan, China

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Local Institution - 0249

Zhengzhou, Henan, China

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Local Institution - 0412

Wuhan, Hubei, China

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Local Institution - 0279

Wuhan, Hubei, China

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Local Institution - 0292

Changsha, Hunan, China

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Local Institution - 0409

Nanchang, Jiangxi, China

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Local Institution - 0244

Shenyang, Liaoning, China

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Local Institution - 0266

Xi'an, Shaanxi, China

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Local Institution - 0273

Jinan, Shandong, China

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Local Institution - 0258

Shanghai, Shanghai Municipality, China

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Local Institution - 0243

Taiyuan, Shanxi, China

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Local Institution - 0260

Chengdu, Sichuan, China

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Local Institution - 0248

Tianjin, Tianjin Municipality, China

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Local Institution - 0408

Hangzhou, Zhejiang, China

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Local Institution - 0252

Hangzhou, Zhejiang, China

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Local Institution - 0269

Shanghai, , China

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Local Institution - 0399

Pasto, Departamento de Nariño, Colombia

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Local Institution - 0398

Cali, Valle del Cauca Department, Colombia

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Local Institution - 0064

Brest, Finistère, France

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Local Institution - 0062

Nantes, Pays de la Loire Region, France

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Local Institution - 0051

Lille, , France

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Local Institution - 0058

Lyon, , France

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Local Institution - 0060

Marseille, , France

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Local Institution - 0049

Paris, , France

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Local Institution - 0046

Poitiers, , France

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Local Institution - 0089

Berlin, , Germany

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Local Institution - 0134

Frankfurt, , Germany

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Local Institution - 0090

Hamburg, , Germany

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Local Institution - 0100

Heidelberg, , Germany

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Local Institution - 0112

Leipzig, , Germany

Site Status

Local Institution - 0105

Mainz, , Germany

Site Status

Local Institution - 0101

Mannheim, , Germany

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Local Institution - 0117

Ulm, , Germany

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Local Institution - 0306

Nashik, Dādra and Nagar Haveli and Damān and Diu, India

Site Status

Local Institution - 0305

Mumbai, Maharashtra, India

Site Status

Local Institution - 0404

Mumbai, Maharashtra, India

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Local Institution - 0303

Delhi, , India

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Local Institution - 0403

Delhi, , India

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Local Institution - 0302

Puducherry, , India

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Local Institution - 0310

Pune, , India

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Local Institution - 0167

Napoli, Campania, Italy

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Local Institution - 0171

Milan, , Italy

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Local Institution - 0163

Milan, , Italy

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Local Institution - 0168

Padua, , Italy

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Local Institution - 0170

Roma, , Italy

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Local Institution - 0166

Torino, , Italy

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Local Institution - 0014

Chiba, Chiba, Japan

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Local Institution - 0012

Matsuyama, Ehime, Japan

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Local Institution - 0029

Kurashiki, Okayama-ken, Japan

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Local Institution - 0004

Osaka, Osaka, Japan

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Suita, Osaka, Japan

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Takatsuki, Osaka, Japan

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Local Institution - 0026

Nagaizumi-cho,Sunto-gun, Shizuoka, Japan

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Chuo-ku, Tokyo, Japan

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Local Institution - 0008

Koto-ku, Tokyo, Japan

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Chikusa-ku, , Japan

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Local Institution - 0006

Gifu, , Japan

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Local Institution - 0033

Kashiwa, , Japan

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Local Institution - 0002

Minami-Ku, Fukuoka, , Japan

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Local Institution - 0024

Sendai, , Japan

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Local Institution - 0015

Yokohama, , Japan

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Local Institution - 0396

Mexico City, DIF, Mexico

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Local Institution - 0395

Mexico City, Mexico City, Mexico

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Local Institution - 0397

Mexico City, Mexico City, Mexico

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Local Institution - 0394

Oaxaca City, Oaxaca, Mexico

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Local Institution - 0336

Jelenia Góra, Lower Silesian Voivodeship, Poland

Site Status

Local Institution - 0339

Wieliszew, Masovian Voivodeship, Poland

Site Status

Local Institution - 0342

Krakow, , Poland

Site Status

Local Institution - 0361

Krakow, , Poland

Site Status

Local Institution - 0320

Opole, , Poland

Site Status

Local Institution - 0010

Cluj-Napoca, Cluj, Romania

Site Status

Local Institution - 0019

Cluj-Napoca, , Romania

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Local Institution - 0011

Craiova, , Romania

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Local Institution - 0030

Floresti/ Cluj, , Romania

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Local Institution - 0021

Iași, , Romania

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Local Institution - 0005

Iași, , Romania

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Local Institution - 0034

Seongnam, Kyǒnggi-do, South Korea

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Local Institution - 0027

Seoul, Seoul Teugbyeolsi, South Korea

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Local Institution - 0020

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

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Local Institution - 0001

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

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Local Institution - 0036

Seoul, Seoul-teukbyeolsi, South Korea

Site Status

Local Institution - 0350

Santander, Cantabria, Spain

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Local Institution - 0391

Pamplona, Navarre, Spain

Site Status

Local Institution - 0312

Valencia, Valenciana, Comunitat, Spain

Site Status

Local Institution - 0389

Madrid, , Spain

Site Status

Local Institution - 0358

Madrid, , Spain

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Local Institution - 0360

Madrid, , Spain

Site Status

Local Institution - 0390

Málaga, , Spain

Site Status

Local Institution - 0111

Ankara, , Turkey (Türkiye)

Site Status

Local Institution - 0108

Edirne, , Turkey (Türkiye)

Site Status

Local Institution - 0125

Kadiköy/Istanbul, , Turkey (Türkiye)

Site Status

Local Institution - 0093

Manisa, , Turkey (Türkiye)

Site Status

Local Institution - 0128

Sakarya, , Turkey (Türkiye)

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Local Institution - 0176

Southampton, Hampshire, United Kingdom

Site Status

Local Institution - 0331

Manchester, Lancashire, United Kingdom

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Local Institution - 0316

London, London, City of, United Kingdom

Site Status

Local Institution - 0317

Oxford, Oxfordshire, United Kingdom

Site Status

Local Institution - 0354

Glasgow, , United Kingdom

Site Status

Local Institution - 0357

Sutton, , United Kingdom

Site Status

Countries

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United States Argentina Australia Brazil Canada Chile China Colombia France Germany India Italy Japan Mexico Poland Romania South Korea Spain Turkey (Türkiye) United Kingdom

Central Contacts

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BMS Study Connect www.BMSStudyConnect.com

Role: CONTACT

8559073286

First line of the email MUST contain the NCT# and Site#

Role: CONTACT

Facility Contacts

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Site 0284

Role: primary

Site 0240

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Site 0277

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Site 0428

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Site 0429

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Site 0433

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Site 0430

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Site 0246

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Site 0377

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Site 0379

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Site 0268

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Site 0259

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Site 0426

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Site 0286

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Site 0386

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Site 0242

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Site 0432

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Site 0317

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Site 0354

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Related Links

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Other Identifiers

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2025-523263-37

Identifier Type: OTHER

Identifier Source: secondary_id

U1111-1325-8116

Identifier Type: OTHER

Identifier Source: secondary_id

CA266-0004

Identifier Type: -

Identifier Source: org_study_id

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