Efficacy and Safety of Nemolizumab in Subjects With Moderate-to-Severe Atopic Dermatitis

Last updated: August 9, 2024
Sponsor: Galderma R&D
Overall Status: Completed

Phase

3

Condition

Dermatitis, Atopic

Skin Wounds

Allergy

Treatment

Placebo

Nemolizumab

Clinical Study ID

NCT03985943
RD.06.SPR.118161
  • Ages > 12
  • All Genders

Study Summary

The main purpose of the study was to assess the efficacy and safety of nemolizumab after a 16-week treatment period in adult and adolescent subjects with moderate-to-severe atopic dermatitis (AD) not adequately controlled with topical treatments.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Male or female subjects aged greater than and equal to (>=) 12 years at thescreening visit.

  • Chronic atopic dermatitis (according to American Academy of Dermatology ConsensusCriteria) that has been present for at least 2 years before the screening visit.

  • Eczema Area and Severity Index (EASI) score >=16 at the screening and baselinevisits.

  • Investigator Global Assessment (IGA) score >= 3 (scale of 0 to 4) at the screeningand baseline visits.

  • AD involvement >= 10 percent (%) of body surface area (BSA) at screening andbaseline visits.

  • Peak Pruritus Numerical Rating Scale (PPNRS) score of at least 4.0 at the screeningand baseline visit.

  • Documented recent history of inadequate response to topical medications (topicalcorticosteroids [TCS] with or without Topical calcineurin inhibitors [TCI]).

  • Female subjects of childbearing potential (that is, fertile, following menarche anduntil becoming postmenopausal unless permanently sterile) must agree either to bestrictly abstinent throughout the study and for 12 weeks after the last study druginjection, or to use an adequate and approved method of contraception throughout thestudy and for 12 weeks after the last study drug injection.

Exclusion

Key Exclusion Criteria:

  • Body weight (<) 30 kilograms (kg).

  • Exacerbation of asthma requiring hospitalization in the preceding 12 months.Uncontrolled asthma in the preceding 3 months.

  • Cutaneous infection within 1 week before the baseline visit, any infection requiringtreatment with oral or parenteral antibiotics, antivirals, antiparasitics orantifungals within 2 weeks before the baseline visit, or any confirmed or suspectedcoronavirus disease (COVID)-19 infection within 2 weeks before the screening orbaseline visit.

  • Pregnant women, breastfeeding women, or women planning a pregnancy during theclinical study.

Note: Subjects with chronic, stable use of prophylactic treatment for recurrent herpes viral infection can be included in this clinical study.

  • History of hypersensitivity (including anaphylaxis) to an immunoglobulin product (plasma-derived or recombinant, example, monoclonal antibody) or to any of the studydrug excipients.

  • Any clinically significant issue, based on investigator judgement.

Study Design

Total Participants: 941
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
June 27, 2019
Estimated Completion Date:
August 11, 2022

Study Description

This was a randomized, double-blind, placebo-controlled, multi-center, parallel-group study in adult and adolescent subjects of age 12 years and above with moderate-to-severe AD. Eligible subjects had a documented history of inadequate response to topical AD medication(s). Approximately 750 subjects were randomized in 2:1 to receive either nemolizumab or placebo, stratified by baseline disease severity (Investigator's Global Assessment (IGA) = 3, moderate; IGA = 4, severe) and peak pruritus numeric rating scale (PP NRS) severity (PP NRS >= 7; PP NRS < 7). A minimum of 250 subjects were randomized in each PP NRS strata. All nemolizumab-treated subjects who were clinical responders at Week 16 (i.e., the end of initial treatment [Initial Treatment Period]/beginning of Maintenance Period) were re-randomized (1:1:1) to different treatment regimens (nemolizumab injections Q4W or every 8 weeks (Q8W) [with placebo injections at Weeks 20, 28, 36, and 44 to maintain the blind] or placebo Q4W). A clinical responder was defined as a subject at Week 16 with an IGA of 0 (clear) or 1 (almost clear) or a >= 75% improvement in EASI from baseline (EASI-75). All placebo-treated subjects who responded to placebo during the Initial Treatment Period continued to receive placebo Q4W in the Maintenance Period.

Connect with a study center

  • Galderma Investigational Site 5441

    Darlinghurst, New South Wales 2010
    Australia

    Site Not Available

  • Galderma Investigational Site 5759

    Kogarah, New South Wales 2217
    Australia

    Site Not Available

  • Galderma Investigational Site 6152

    Westmead, New South Wales 2145
    Australia

    Site Not Available

  • Galderma Investigational Site 5638

    Benowa, Queensland 4217
    Australia

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  • Galderma Investigational Site 6161

    Brisbane, Queensland 4102
    Australia

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  • Galderma Investigational Site

    Woolloongabba, Queensland 4102
    Australia

    Site Not Available

  • Galderma Investigational Site 6159

    Woodville, South Australia 5011
    Australia

    Site Not Available

  • Galderma Investigational Site 6131

    Carlton, Victoria 3053
    Australia

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  • Galderma Investigational Site 5366

    East Melbourne, Victoria 3002
    Australia

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  • Galderma Investigational Site 5458

    Parkville, Victoria 3050
    Australia

    Site Not Available

  • Galderma Investigational Site 6160

    Parkville, Victoria 3052
    Australia

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  • Galderma Investigational Site 5453

    Fremantle, Western Australia 6160
    Australia

    Site Not Available

  • Galderma Investigational Site 6153

    Victoria Park, Western Australia 6100
    Australia

    Site Not Available

  • Galderma Investigational Sites 6157

    Graz, Styria 8036
    Austria

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  • Galderma Investigational Site 6194

    Vienna, Wien 1090
    Austria

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  • Galderma Investigational Site

    Fadingerstrabe 1, 4020
    Austria

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  • Galderma Investigational Site 6156

    Linz, 4020
    Austria

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  • Galderma Investigational Site 6158

    Vienna, 1220
    Austria

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  • Galderma Investigational Site

    Wien, 1090
    Austria

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  • Galderma Investigational Site 8085

    Calgary, Alberta T2G 1B1
    Canada

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    Calgary, Alberta T3E 0B2
    Canada

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  • Galderma Investigational Site 8903

    Calgary, Alberta T2J 7E1
    Canada

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  • Galderma Investigational Site 8088

    Edmonton, Alberta T5J 3S9
    Canada

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  • Galderma Investigational Site 8722

    Edmonton, Alberta T6G 1C9
    Canada

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  • Galderma Investigational Site 8824

    Edmonton, Alberta T6G 1C3
    Canada

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  • Galderma Investigational Site 8161

    Surrey, British Columbia V3V 0C6
    Canada

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    Barrie, Ontario L4M 7G1
    Canada

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  • Galderma Investigational Site 8904

    Guelph, Ontario N1L 0B7
    Canada

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    Ottawa, Ontario K1H7X3
    Canada

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    Toronto, Ontario M3H 5Y8
    Canada

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  • Galderma Investigational Site 8899

    Toronto, Ontario M4W 2N4
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  • Galderma Investigational Site 8780

    Niagara Falls, L2H 1H5
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    Ottawa, K1G 6C6
    Canada

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    Richmond Hill, L4B 1A5
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    Saint John, A1C2H5
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    Sudbury, P3E 1H5
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    Waterloo, N2J 1C4
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    Brno, 656 91
    Czechia

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    Náchod, 547 01
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    Olomouc, 779 00
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    Pardubice, 53203
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    Plzen, 305 99
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    Prague, 100 00
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    Prague, 120 00
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    Praha, 11000
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    Praha, 150 06
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    Praha, 110 00
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    Witten, Hesse 58453
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    Berlin, NRW 12203
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    Bonn, NRW 53127
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    Goettigen, Niedersachesen 37075
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    Tuebingen, Niedersachesen 72076
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    Kiel, Schleswig-Holst 24105
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    Gera, Thuringia 7548
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    Aachen, 52074
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    Augsburg, 86179
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    Bad Bentheim, 48455
    Germany

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    Berlin, 13055
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    Bielefeld, 33647
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    Buxtehude, 21614
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    Darmstadt, 64283
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    Dülmen, 48249
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    Halle/saale, 6120
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    Leipzig, 80337
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    Lubeck, 23538
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    Munich, 80337
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    Münster, 48149
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    Busan, 49241
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    Gyeonggi-do, 15355
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    Gyeonggi-do, 18450
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    Incheon, 22332
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    Incheon, 21565
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    Incheon, 21431
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    Seoul, 03080
    Korea, Republic of

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    Seoul, 06591
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    Seoul, 06973
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    Seoul, 07441
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    Seoul, 05030
    Korea, Republic of

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    Seoul, 02841
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    Seoul, 03722
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    Seoul, 04763
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    Seoul, 03722
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  • Galderma Investigational Site 6113

    Liepāja, LV-3401
    Latvia

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  • Galderma Investigational Site 6059

    Riga, LV-1009
    Latvia

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  • Galderma Investigational Site 6134

    Riga, LV-1006
    Latvia

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    Talsi, LV-3201
    Latvia

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    Ventspils, LV-3601
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    Kaunas, LT-50161
    Lithuania

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    Klaipėda, LT-92288
    Lithuania

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    Vilnius, LT-07195
    Lithuania

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    Vilnius, LT-08411
    Lithuania

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    Bergen Op Zoom, 4624 VT
    Netherlands

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    Groningen, 9713
    Netherlands

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    Rotterdam, 3015 GD
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  • Galderma Investigational Site 6027

    Utrecht, 3584 CX
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    Christchurch, 8013
    New Zealand

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    Hamilton, 3204
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    Wellington, 6021
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  • Galderma Investigational Site 6255

    Czestochowa, 42-202
    Poland

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    Gdańsk, 80-462
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    Gdańsk, 80-214
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    Gdańsk, 80-382
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    Gdynia, 81-537
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    Katowice, 40-040
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    Lublin, 20-081
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    Olsztyn, 10-229
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    Ostrowiec Świętokrzyski, 27-400
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    Poznań, 60-702
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    Rzeszów, 35-055
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    Szczecin, 70-332
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  • Galderma Investigational Site 6064

    Warszawa, 02-953
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  • Galderma Investigational Site 6065

    Warszawa, 01-192
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  • Galderma Investigational Site 6122

    Warszawa, 02-507
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  • Galderma Investigational Site 6222

    Warszawa, 02-962
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  • Galderma Investigational Site 6242

    Warszawa, 02-793
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  • Galderma Investigational Site

    Warszawice, 02-953
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  • Galderma Investigational Site 5005

    Wrocław, 53-658
    Poland

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  • Galderma Investigational Site 6047

    Wrocław, 50-381
    Poland

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  • Galderma Investigational Site 5570

    Łódź, 90-265
    Poland

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  • Galderma Investigational Site 6231

    Łódź, 94-050
    Poland

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  • Galderma Investigational Site 6245

    Łódź, 90-127
    Poland

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  • Galderma Investigational Site 6057

    Alicante, 03010
    Spain

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    Barcelona, 08041
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    Barcelona, 8907
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    Barcelona, 08916
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    Barcelona, 08036
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    Las Palmas De Gran Canaria, 35010
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  • Galderma Investigational Site 5551

    Madrid, 28922
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    Madrid, 28034
    Spain

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    Madrid, 28223
    Spain

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    Madrid, 28006
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    Madrid, 28046
    Spain

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    Majadahonda, 28222
    Spain

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    Málaga, 29010
    Spain

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    Pamplona, 31008
    Spain

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    Valencia, 46026
    Spain

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    Zaragoza, 50009
    Spain

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  • Galderma Investigational Site 6202

    Barnsley, S75 3DL
    United Kingdom

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    Blackpool, FY2 0JH
    United Kingdom

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    Cannock, WS11 0BN
    United Kingdom

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    Cardiff, CF15 9SS
    United Kingdom

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    Chorley, PR7 7NA
    United Kingdom

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    Dudley, DY1 2HQ
    United Kingdom

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  • Galderma Investigational Site 6090

    Dudley, DY1 2HQ
    United Kingdom

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    Edgbaston, B15 2SQ
    United Kingdom

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    Glasgow, G3 8SJ
    United Kingdom

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    Lanark, G3 8SJ
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    Liverpool, L34 1BH
    United Kingdom

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    London, SE1 9RT
    United Kingdom

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    Manchester, M13 9NQ
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    Newcastle, NE1 4LP
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    Poole, BH15 2JB
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    Redhill, RH1 5RH
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    Stockton-on-Tees, TS17 6EW
    United Kingdom

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    Birmingham, Alabama 35216
    United States

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  • Galderma Investigational Site 8750

    Little Rock, Arkansas 72205
    United States

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    North Little Rock, Arkansas 72117
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    Beverly Hills, California 90212
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    Cerritos, California 90703
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    Fountain Valley, California 92708
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    Fremont, California 94538
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    Fullerton, California 92835
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    Lomita, California 90717
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    Los Angeles, California 90025
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    North Hollywood, California 91606
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    Palmdale, California 93551
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    San Diego, California 92108
    United States

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    San Francisco, California 94115
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    San Luis Obispo, California 93405
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    Santa Ana, California 92703
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    Santa Monica, California 90404
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    Walnut Creek, California 94598
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    Bridgeport, Connecticut 06606
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    Washington, District of Columbia 20037
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    Boynton Beach, Florida 33437
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    Brandon, Florida 33511
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    Cape Coral, Florida 33991
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    Doral, Florida 33122
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    Hialeah, Florida 33016
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    Jacksonville, Florida 32256
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    Miami, Florida 33176
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    Miami, Florida 33126
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    Miami, Florida 33174
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    Miami, Florida 33145
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    Miami Lakes, Florida 33016
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    Miami Lakes, Florida 33014
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    Oakland Park, Florida 33334
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    Pembroke Pines, Florida 33028
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    Tampa, Florida 33511
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    Albany, Georgia 31707
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    Macon, Georgia 31217
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    Newnan, Georgia 30263
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    Stockbridge, Georgia 30281
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    Union City, Georgia 30291
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    Blackfoot, Idaho 83221
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    Boise, Idaho 83713
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    Nampa, Idaho 83687
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    Rolling Meadows, Illinois 60008
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    Skokie, Illinois 60076
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    Skokie, Illinois 60077
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    Indianapolis, Indiana 46250
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    Louisville, Kentucky 40241
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    Bangor, Maine 04401
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    Site Not Available

  • Galderma Investigational Site 8512

    Bay City, Michigan 48706
    United States

    Site Not Available

  • Galderma Investigational Site

    Clarkston, Michigan 48346
    United States

    Site Not Available

  • Galderma Investigational Site 8155

    Troy, Michigan 48084
    United States

    Site Not Available

  • Galderma Investigational Site 8748

    Ypsilanti, Michigan 48197
    United States

    Site Not Available

  • Galderma Investigational Site 8521

    Saint Joseph, Missouri 64506
    United States

    Site Not Available

  • Galderma Investigational Site 8718

    Missoula, Montana 59808
    United States

    Site Not Available

  • Galderma Investigational Site 8810

    Omaha, Nebraska 68144
    United States

    Site Not Available

  • Galderma Investigational Site 8740

    Henderson, Nevada 89052
    United States

    Site Not Available

  • Galderma Investigational Site

    Las Vegas, Nevada 89119
    United States

    Site Not Available

  • Galderma Investigational Site 8109

    Lebanon, New Hampshire 003766
    United States

    Site Not Available

  • Galderma Investigational Site 8826

    Albuquerque, New Mexico 87106
    United States

    Site Not Available

  • Galderma Investigational Site 8242

    Brooklyn, New York 11203
    United States

    Site Not Available

  • Galderma Investigational Site 8279

    New York, New York 10075
    United States

    Site Not Available

  • Galderma Investigational Site 8620

    New York, New York 10023
    United States

    Site Not Available

  • Galderma Investigational Site 8772

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Galderma Investigational Site 8648

    Wilmington, North Carolina 28405
    United States

    Site Not Available

  • Galderma Investigational Site 8726

    Wilmington, North Carolina 28405-3176
    United States

    Site Not Available

  • Galderma Investigational Site 8702

    Bexley, Ohio 43209
    United States

    Site Not Available

  • Galderma Investigational Site 8595

    Dublin, Ohio 43016
    United States

    Site Not Available

  • Galderma Investigational Site 8206

    Norman, Oklahoma 73071
    United States

    Site Not Available

  • Galderma Investigational Site 8857

    Oklahoma City, Oklahoma 73118
    United States

    Site Not Available

  • Galderma Investigational Site

    Gresham, Oregon 97030
    United States

    Site Not Available

  • Galderma Investigational Site

    Portland, Oregon 97210
    United States

    Site Not Available

  • Galderma Investigational Site

    Hazleton, Pennsylvania 18201
    United States

    Site Not Available

  • Galderma Investigational Site 8255

    Philadelphia, Pennsylvania 19103
    United States

    Site Not Available

  • Galderma Investigational Site 8802

    Plymouth Meeting, Pennsylvania 19462
    United States

    Site Not Available

  • Galderma Investigational Site 8736

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Galderma Investigational Site

    North Charleston, South Carolina 29420
    United States

    Site Not Available

  • Galderma Investigational Site 8818

    Rapid City, South Dakota 57702
    United States

    Site Not Available

  • Galderma Investigational Site

    Chattanooga, Tennessee 37421
    United States

    Site Not Available

  • Galderma Investigational Site 8133

    Arlington, Texas 76011
    United States

    Site Not Available

  • Galderma Investigational Site 8298

    Austin, Texas 78723
    United States

    Site Not Available

  • Galderma Investigational Site

    Cypress, Texas 77433
    United States

    Site Not Available

  • Galderma Investigational Site 8238

    Dallas, Texas 75230
    United States

    Site Not Available

  • Galderma Investigational Site 8827

    Dripping Springs, Texas 78620
    United States

    Site Not Available

  • Galderma Investigational Site 8664

    Frisco, Texas 75034
    United States

    Site Not Available

  • Galderma Investigational Site 8042

    Houston, Texas 77056
    United States

    Site Not Available

  • Galderma Investigational Site 8670

    Houston, Texas 77401
    United States

    Site Not Available

  • Galderma Investigational Site

    San Antonio, Texas 78258
    United States

    Site Not Available

  • Galderma Investigational Site

    Salt Lake City, Utah 84117
    United States

    Site Not Available

  • Galderma Investigational Site 8738

    Burke, Virginia 22015
    United States

    Site Not Available

  • Galderma Investigational Site 8862

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Galderma Investigational Site

    Seattle, Washington 98105
    United States

    Site Not Available

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