A Phase 3 Clinical Trial of CCX168 (Avacopan) in Patients With ANCA-Associated Vasculitis

Last updated: March 4, 2025
Sponsor: Amgen
Overall Status: Completed

Phase

3

Condition

Circulation Disorders

Dermatomyositis (Connective Tissue Disease)

Vascular Diseases

Treatment

Rituximab

Azathioprine

Prednisone

Clinical Study ID

NCT02994927
CL010_168
ADVOCATE
  • Ages > 12
  • All Genders

Study Summary

The primary objective is to evaluate the efficacy of CCX168 (avacopan) to induce and sustain remission in patients with active anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), when used in combination with cyclophosphamide followed by azathioprine, or in combination with rituximab.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Clinical diagnosis of granulomatosis with polyangiitis (Wegener's) or microscopicpolyangiitis

  • Male and female subjects, aged at least 18 years, with newly-diagnosed or relapsedassociated vasculitis (AAV) where treatment with cyclophosphamide or rituximab isneeded; where approved by Regulatory Agencies, adolescents (12-17 year old) may beenrolled

  • Use of adequate contraception

  • Positive test for anti-proteinase 3 (PR3) or anti-myeloperoxidase (MPO)

  • At least 1 major item, or at least 3 non-major items, or at least the 2 renal itemsof proteinuria and hematuria on Birmingham Vasculitis Activity Score (BVAS)

  • Estimated glomerular filtration rate ≥15 mL/minute/1.73 m^2 at screening

Exclusion

Exclusion Criteria:

  • Pregnant or breast-feeding

  • Alveolar hemorrhage requiring pulmonary ventilation support at screening

  • Any other known multi-system autoimmune disease

  • Required dialysis or plasma exchange within 12 weeks prior to screening

  • Have a kidney transplant

  • Received cyclophosphamide within 12 weeks prior to screening; if on azathioprine,mycophenolate mofetil or methotrexate at the time of screening, these drugs must bewithdrawn prior to receiving the cyclophosphamide or rituximab dose on Day 1

  • Received intravenous glucocorticoids, >3000 mg methylprednisolone equivalent, within 4 weeks prior to screening

  • Have been taking an oral daily dose of a glucocorticoid of more than 10 mgprednisone-equivalent for more than 6 weeks continuously prior to screening

  • Received rituximab or other B-cell antibody within 52 weeks of screening or 26 weeksprovided B cell reconstitution has occurred (i.e., CD19 count > 0.01x10^9/L);received anti-tumor necrosis factor (TNF) treatment, abatacept, alemtuzumab,intravenous immunoglobulin (IVIg), belimumab, tocilizumab, or eculizumab within 12weeks prior to screening

  • For patients scheduled to receive cyclophosphamide treatment, urinary outflowobstruction, active infection (especially varicella zoster infection), or plateletcount <50,000/μL before start of dosing

  • Participated previously in a CCX168 study

Study Design

Total Participants: 331
Treatment Group(s): 5
Primary Treatment: Rituximab
Phase: 3
Study Start date:
March 15, 2017
Estimated Completion Date:
November 01, 2019

Study Description

Complement 5a and its receptor C5aR (CD88) are involved in the pathogenesis of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis.

This is a randomized, double-blind, active-controlled Phase 3 study to evaluate the safety and efficacy of the orally-administered, selective C5aR inhibitor CCX168 (avacopan) in inducing and sustaining remission in patients with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) treated concomitantly with Rituximab or Cyclophosphamide/Azathioprine.

Study acquired by Amgen and all disclosures were done by previous sponsor ChemoCentryx.

Connect with a study center

  • Clinical Trial Site

    Adelaide,
    Australia

    Site Not Available

  • Clinical Trial Site

    Auchenflower,
    Australia

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  • Clinical Trial Site

    Brisbane,
    Australia

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  • Clinical Trial Site

    Clayton,
    Australia

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  • Clinical Trial Site

    Concord,
    Australia

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  • Clinical Trial Site

    Heidelberg,
    Australia

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  • Clinical Trial Site

    Liverpool,
    Australia

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  • Clinical Trial Site

    Nambour,
    Australia

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  • Clinical Trial Site

    Nedlands,
    Australia

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    Randwick,
    Australia

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    Saint Albans,
    Australia

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    Southport,
    Australia

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    St Leonards,
    Australia

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    Westmead,
    Australia

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    Woolloongabba,
    Australia

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    Feldkirch,
    Austria

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    Graz,
    Austria

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    Innsbruck,
    Austria

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    Antwerp,
    Belgium

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    Brussels,
    Belgium

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    Leuven,
    Belgium

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    Liège,
    Belgium

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    Calgary,
    Canada

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    Greenfield Park,
    Canada

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    Hamilton,
    Canada

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    Montréal,
    Canada

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    Québec,
    Canada

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    Sherbrooke,
    Canada

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    Toronto,
    Canada

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    Vancouver,
    Canada

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    Olomouc,
    Czechia

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    Praha,
    Czechia

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    Aalborg,
    Denmark

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    Aarhus,
    Denmark

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    Copenhagen,
    Denmark

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    Odense,
    Denmark

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    Roskilde,
    Denmark

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    Anger,
    France

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    Angers,
    France

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    Bordeaux,
    France

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    Boulogne-sur-Mer,
    France

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    Brest,
    France

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    Bron,
    France

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    Caen,
    France

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    Colmar,
    France

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    Grenoble,
    France

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    Marseille,
    France

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    Metz,
    France

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    Nantes,
    France

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    Nîmes,
    France

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    Paris,
    France

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    Toulouse,
    France

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    Valenciennes,
    France

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    Aachen,
    Germany

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    Bad Bramstedt,
    Germany

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    Berlin,
    Germany

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    Cologne,
    Germany

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    Dresden,
    Germany

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    Essen,
    Germany

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    Freiburg,
    Germany

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    Fulda,
    Germany

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    Hamburg,
    Germany

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    Hannover,
    Germany

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    Hannöver,
    Germany

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    Heidelberg,
    Germany

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    Jena,
    Germany

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    Kirchheim unter Teck,
    Germany

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    Leipzig,
    Germany

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    Ludwigshafen,
    Germany

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    Lübeck,
    Germany

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    Mannheim,
    Germany

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    Munich,
    Germany

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    Tuebingen,
    Germany

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    Villingen-Schwenningen,
    Germany

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    Budapest,
    Hungary

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    Debrecen,
    Hungary

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    Cork,
    Ireland

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    Dublin,
    Ireland

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    Ancona,
    Italy

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    Firenze,
    Italy

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    Genova,
    Italy

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    Milano,
    Italy

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    Monza,
    Italy

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    Parma,
    Italy

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    Reggio Emilia,
    Italy

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    Torino,
    Italy

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    Udine,
    Italy

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    Aichi,
    Japan

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    Akita,
    Japan

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    Chiba,
    Japan

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    Hiroshima,
    Japan

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    Hokkaido,
    Japan

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    Ishikawa,
    Japan

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    Kagawa,
    Japan

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    Kanagawa,
    Japan

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    Kobe,
    Japan

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    Miyazaki,
    Japan

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    Nagoya,
    Japan

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    Okayama,
    Japan

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    Osaka,
    Japan

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    Saitama,
    Japan

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    Shimane,
    Japan

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    Shizuoka,
    Japan

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    Tokyo,
    Japan

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    Toyama,
    Japan

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    Yokohama,
    Japan

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    Groningen,
    Netherlands

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    Leiden,
    Netherlands

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    Rotterdam,
    Netherlands

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    Christchurch,
    New Zealand

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    Dunedin,
    New Zealand

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    Grafton,
    New Zealand

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    Hamilton,
    New Zealand

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    Takapuna,
    New Zealand

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    Nordbyhagen,
    Norway

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    Oslo,
    Norway

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    Tromsø,
    Norway

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    Badalona,
    Spain

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    Barcelona,
    Spain

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    Burela,
    Spain

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    Lleida,
    Spain

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    Madrid,
    Spain

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    San Sebastián,
    Spain

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  • Clinical Trial Site

    Linköping,
    Sweden

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  • Clinical Trial Site

    Lund,
    Sweden

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    Stockholm,
    Sweden

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  • Clinical Trial Site

    Uppsala,
    Sweden

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    Örebro,
    Sweden

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    Basel,
    Switzerland

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    Bern,
    Switzerland

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  • Clinical Trial Site

    Fribourg,
    Switzerland

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  • Clinical Trial Site

    Lausanne,
    Switzerland

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  • Clinical Trial Site

    St. Gallen,
    Switzerland

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    Zürich,
    Switzerland

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  • Clinical Trial Site

    Aberdeen,
    United Kingdom

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    Basildon,
    United Kingdom

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    Birmingham,
    United Kingdom

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    Bristol,
    United Kingdom

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    Cambridge,
    United Kingdom

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    Canterbury,
    United Kingdom

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    Cardiff,
    United Kingdom

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    Carshalton,
    United Kingdom

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    Dorchester,
    United Kingdom

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    Dudley,
    United Kingdom

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    Exeter,
    United Kingdom

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    Glasgow,
    United Kingdom

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    Inverness,
    United Kingdom

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    Kirkcaldy,
    United Kingdom

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    Leeds,
    United Kingdom

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    Leicester,
    United Kingdom

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    Liverpool,
    United Kingdom

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    London,
    United Kingdom

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    Manchester,
    United Kingdom

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    Newcastle,
    United Kingdom

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    Nottingham,
    United Kingdom

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    Oxford,
    United Kingdom

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    Reading,
    United Kingdom

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    Salford,
    United Kingdom

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    Westcliff-on-Sea,
    United Kingdom

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    Huntsville, Alabama 35801
    United States

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    Phoenix, Arizona 85012
    United States

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  • Clinical Trial Site

    Los Angeles, California 90048
    United States

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  • Clinical Trial Site

    Santa Monica, California 90404
    United States

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  • Clinical Trial Site

    Aurora, Colorado 80045
    United States

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    Denver, Colorado
    United States

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  • Clinical Trial Site

    Washington, District of Columbia 20007
    United States

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  • Clinical Trial Site

    Daytona Beach, Florida 32117
    United States

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  • Clinical Trial Site

    Tampa, Florida 33612
    United States

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  • Clinical Trial Site

    Atlanta, Georgia 30322
    United States

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  • Clinical Trial Site

    Meridian, Idaho 83605
    United States

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  • Clinical Trial Site

    Chicago, Illinois 60637
    United States

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  • Clinical Trial Site

    Indianapolis, Indiana 46202
    United States

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  • Clinical Trial Site

    Kansas City, Kansas 66160
    United States

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  • Clinical Trial Site

    Lexington, Kentucky 40536
    United States

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  • Clinical Trial Site

    Shreveport, Louisiana 71101
    United States

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  • Clinical Trial Site

    Baltimore, Maryland 21224
    United States

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  • Clinical Trial Site

    Boston, Massachusetts 02118
    United States

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  • Clinical Trial Site

    Ann Arbor, Michigan 48109
    United States

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  • Clinical Trial Site

    Minneapolis, Minnesota 55414
    United States

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  • Clinical Trial Site

    Rochester, Minnesota 55905
    United States

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    Saint Louis, Missouri 63110
    United States

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    Great Neck, New York 11021
    United States

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    Mineola, New York 11501
    United States

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  • Clinical Trial Site

    New York, New York 10021
    United States

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    Chapel Hill, North Carolina 27599
    United States

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    Greenville, North Carolina 27834
    United States

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    Winston Salem, North Carolina
    United States

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    Winston-Salem, North Carolina 27103
    United States

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    Cleveland, Ohio 44195
    United States

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    Columbus, Ohio 43210
    United States

    Site Not Available

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    Duncansville, Pennsylvania 16635
    United States

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    Philadelphia, Pennsylvania 19104
    United States

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    Pittsburgh, Pennsylvania 15225
    United States

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    Providence, Rhode Island 02903
    United States

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    Charleston, South Carolina 29406
    United States

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    Dallas, Texas 75235
    United States

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    Houston, Texas 77030
    United States

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    Salt Lake City, Utah 84132
    United States

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  • Clinical Trial Site

    Seattle, Washington 98101
    United States

    Site Not Available

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