Study of Bepirovirsen in Nucleos(t)Ide Analogue-treated Participants With Chronic Hepatitis B (B-Well 1)

Last updated: April 22, 2025
Sponsor: GlaxoSmithKline
Overall Status: Active - Not Recruiting

Phase

3

Condition

Hepatitis B

Hepatitis

Liver Disorders

Treatment

Placebo

Bepirovirsen

Clinical Study ID

NCT05630807
202009
2021-005139-22
  • Ages > 18
  • All Genders

Study Summary

This study is intended to confirm the efficacy, safety, pharmacokinetic (PK) profile, and the durability of hepatitis B virus surface antigen (HBsAg) suppression observed with bepirovirsen for 24 weeks (with loading doses) as compared to the placebo arm. This study will have 4 stages: a) Double-blind treatment (bepirovirsen or placebo) for 24 weeks. b) Nucleos(t)ide analogue (NA) treatment for 24 weeks. c) NA cessation stage OR Continue NA for 24 weeks. d) Durability of response and follow up for further 24 weeks for participants who stopped NA treatment at Week 48. The arms will be stratified based on HBsAg level (HBsAg greater than or equal to [≥] 100 international unit per milliliter [IU/mL] to less than or equal [≤]1000 IU/mL or greater than [>] 1000 IU/mL to ≤3000 IU/mL) at screening. The total duration of the study, including screening (up to 60 days), the double-blind treatment stage (24 weeks), the On NA only stage (24 weeks), and the NA cessation and durability stages (48 weeks) is up to approximately 104 weeks at maximum for each participant.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participants who have documented chronic HBV infection ≥6 months prior to screeningand currently receiving stable NA therapy defined as no changes to their NA regimenfrom at least 6 months prior to Screening and with no planned changes to the stableregimen over the duration of the study.

  • Plasma or serum HBsAg concentration >100 IU/mL, but no greater than ≤3000 IU/mL.

  • Plasma or serum HBV DNA concentration must be adequately suppressed, defined asplasma or serum HBV DNA <90 IU/mL.

  • Alanine aminotransferase (ALT) ≤2 × upper limit of normal (ULN).

  • Participants who are willing and able to cease their NA treatment in accordance withthe protocol.

Exclusion

Exclusion criteria:

  • Clinically significant abnormalities, aside from chronic HBV infection in medicalhistory (e.g., moderate severe liver disease other than chronic HBV, acute coronarysyndrome within 6 months of screening, major surgery within 3 months of screening,significant/unstable cardiac disease, uncontrolled diabetes, bleeding diathesis orcoagulopathy) or physical examination.

Co-infection with:

a) Current history of Hepatitis C infection or participants that have been cured for <12 months at the time of screening b) Human immunodeficiency virus (HIV), c) Hepatitis D virus.

  • History of or suspected liver cirrhosis and/or evidence of cirrhosis.

  • Diagnosed or suspected hepatocellular carcinoma.

  • History of malignancy within the past 5 years except for specific cancers that arecured by surgical resection (e.g., skin cancer). Participants under evaluation forpossible malignancy are not eligible.

  • History of vasculitis or presence of symptoms and signs of potential vasculitis (e.g., vasculitic rash, skin ulceration, repeated blood detected in urine withoutidentified cause) current or history of an autoimmune condition or history/presenceof other diseases that may be associated with vasculitis condition (e.g., systemiclupus erythematosus, rheumatoid arthritis, relapsing polychondritis, mononeuritismultiplex).

  • History of extrahepatic disorders possibly related to HBV immune conditions (e.g.,nephrotic syndrome, any type of glomerulonephritis, polyarteritis nodosa,cryoglobulinemia, uncontrolled hypertension).

  • History of alcohol or drug abuse/dependence.

  • Currently taking, or took within 3 months of screening, any immunosuppressing drugs (e.g., prednisone), other than a short course of therapy (≤2 weeks) ortopical/inhaled steroid use.

  • Participants to whom immunosuppressive treatment, including therapeutic doses ofsteroids is contraindicated, should not be considered for enrolment in the study.

  • Currently taking, or has taken within 12 months of Screening, any interferoncontaining therapy.

  • Participants requiring anti coagulation therapies (e.g., warfarin, Factor Xainhibitors) or anti-platelet agents (like clopidogrel or aspirin) unless treatmentcan safely be discontinued throughout duration of the study, by the discretion ofthe investigator. Occasional use is permitted.

  • Prior treatment with any oligonucleotide or siRNA within 12 months prior to thefirst dosing day.

  • Prior treatment with bepirovirsen.

Study Design

Total Participants: 981
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
December 07, 2022
Estimated Completion Date:
May 08, 2026

Connect with a study center

  • GSK Investigational Site

    CABA-Ciudad De Buenos Aires, Buenos Aires C1125ABE
    Argentina

    Site Not Available

  • GSK Investigational Site

    Caba, Buenos Aires 1061
    Argentina

    Site Not Available

  • GSK Investigational Site

    Ciudad Autonoma de Buenos Aires, Buenos Aires C1181ACI
    Argentina

    Site Not Available

  • GSK Investigational Site

    Derqui, Pilar, Buenos Aires B1629AHJ
    Argentina

    Site Not Available

  • GSK Investigational Site

    Buenos Aires, C1061AAS
    Argentina

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  • GSK Investigational Site

    Capital Federal, C1181ACI
    Argentina

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  • GSK Investigational Site

    Pilar, B1629AHJ
    Argentina

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  • GSK Investigational Site

    Rosario, S2002KDT
    Argentina

    Site Not Available

  • GSK Investigational Site

    Aracaju, 49060-010
    Brazil

    Site Not Available

  • GSK Investigational Site

    Campinas, 13034-685
    Brazil

    Site Not Available

  • GSK Investigational Site

    Curitiba, 80810-050
    Brazil

    Site Not Available

  • GSK Investigational Site

    Manaus, 69040-000
    Brazil

    Site Not Available

  • GSK Investigational Site

    Porto Alegre, 90035003
    Brazil

    Site Not Available

  • GSK Investigational Site

    Santa Maria, 97105-900
    Brazil

    Site Not Available

  • GSK Investigational Site

    Sao Paulo, 08270-070
    Brazil

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    São Paulo, 04121-000
    Brazil

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    Vila Mariana, 04121-000
    Brazil

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    Sofia,
    Bulgaria

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    Veliko Tarnovo, 5000
    Bulgaria

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    Vancouver, British Columbia V6Z 2K5
    Canada

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    Victoria, British Columbia V8V 3M9
    Canada

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    Ottawa, Ontario K1H 8L6
    Canada

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    Toronto, Ontario M5G 2C4
    Canada

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    Montreal, Quebec H4A 3J1
    Canada

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    Quebec City, Quebec G1V 4G2
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    Saint Jerome, Quebec J7Z 2V4
    Canada

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    St-Jerome, Quebec J7Z 2V4
    Canada

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    Québec, G1V 4G2
    Canada

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    Urumqi, Xinjiang 830054
    China

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    Beijing,
    China

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    Changchun, 130021
    China

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    Chengdu,
    China

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    Chongqing, 400042
    China

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    Fuzhou, 350025
    China

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    Guangzhou, 510060
    China

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    Hangzhou, 310003
    China

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    Kunming, 650021
    China

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    Nanjing, 210008
    China

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    Shanghai, 200025
    China

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    Shenyang, 110022
    China

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    Shenzhen, 518023
    China

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    Urumchi, 830054
    China

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    Wuhan, 430022
    China

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    Xi'an, 710061
    China

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    Xian, 710061
    China

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    Zhengzhou, 450000
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    Zhenjiang,
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    Clermont-Ferrand, 63003
    France

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    Clermont-Ferrand Cedex 1, 63003
    France

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    Clichy Cedex, 92118
    France

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    Dijon, 21079
    France

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    Dijon Cedex, 21079
    France

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    Lille, 59037
    France

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    Lille cedex, 59037
    France

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    Pessac cedex, 33604
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    Poitiers, 86021
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    Rennes, 35033
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    Rennes cedex 09, 35033
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    Strasbourg, 67091
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    Strasbourg Cedex, 67091
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    Toulouse Cedex 9, 31059
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    Toulouse cedex, 31059
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    Munchen, Bayern 80336
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    Berlin, 10243
    Germany

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    Bochum, 44787
    Germany

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    Duesseldorf, 40225
    Germany

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    Koeln, 50668
    Germany

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    Muenchen, 80336
    Germany

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    Alexandroupolis, 68100
    Greece

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    Athens, 10676
    Greece

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    Periohi Dragana Alexand, 68100
    Greece

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    Rio, 26504
    Greece

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    Rio Patras, 26504
    Greece

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    Kowloon,
    Hong Kong

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    Lai King,
    Hong Kong

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    Pokfulam,
    Hong Kong

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    Shatin,
    Hong Kong

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    Budapest, 1097
    Hungary

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    Eger, 3300
    Hungary

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    Gyula, 5700
    Hungary

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    Miskolc, 3530
    Hungary

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    Belagavi, 590010
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    Coimbatore, 641005
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    Guhawati, 781006
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    Hyderabad, 500033
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    HyderabadTelangana, 500048
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    Jaipur, 302001
    India

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    Ludhiana, 141001
    India

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    Manipal, 576104
    India

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    Manipala, 576104
    India

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    Mumbai, 400012
    India

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    Pune, 411001
    India

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    Surat, 395002
    India

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    Baggiovara (MO), Emilia-Romagna 40126
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    Brescia, 25123
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    Foggia, 71100
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    Messina, 98124
    Italy

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    Milano, 20122
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    Modena, 40126
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    Chiba, 272-8516
    Japan

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    Ehime, 790-8524
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  • GSK Investigational Site

    Fukuoka, 839-0863
    Japan

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  • GSK Investigational Site

    Gifu, 500-8717
    Japan

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  • GSK Investigational Site

    Hiroshima, 737-0023
    Japan

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  • GSK Investigational Site

    Hokkaido, 053-8506
    Japan

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  • GSK Investigational Site

    Hyogo, 660-8550
    Japan

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  • GSK Investigational Site

    Kumamoto, 862-8655
    Japan

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  • GSK Investigational Site

    Miyagi, 980-8574
    Japan

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    Tokyo, 180-8610
    Japan

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    Ansan, 15355
    Korea, Republic of

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    Busan, 47392
    Korea, Republic of

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  • GSK Investigational Site

    Daegu, 42601
    Korea, Republic of

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  • GSK Investigational Site

    Daegu-si, 42601
    Korea, Republic of

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  • GSK Investigational Site

    Daejeon, 35015
    Korea, Republic of

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  • GSK Investigational Site

    Gyeonggi-do, 15355
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Seoul, 03080
    Korea, Republic of

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    Georgetown,
    Malaysia

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    Johor Bahru, 80100
    Malaysia

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    Kota Bharu,
    Malaysia

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  • GSK Investigational Site

    Kota Bharu Kelantan,
    Malaysia

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    Kota Kinabalu,
    Malaysia

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    Kuala Lumpur,
    Malaysia

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    Kuala Lumpur,,
    Malaysia

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    Kuantan,
    Malaysia

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    Monterrey, Nuevo León 64460
    Mexico

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  • GSK Investigational Site

    Guadalajara, 44160
    Mexico

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    Oaxaca, 68000
    Mexico

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  • GSK Investigational Site

    Ciudad de Panama,
    Panama

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    Panama City, 07206
    Panama

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    Bytom, 41-902
    Poland

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  • GSK Investigational Site

    Krakow, 31-202
    Poland

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  • GSK Investigational Site

    Lancut, 37-100
    Poland

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  • GSK Investigational Site

    Bucharest, 20125
    Romania

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  • GSK Investigational Site

    Bucuresti, 20125
    Romania

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  • GSK Investigational Site

    Cluj Napoca, 400162
    Romania

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  • GSK Investigational Site

    Iasi, 700116
    Romania

    Site Not Available

  • GSK Investigational Site

    Suceava, 720224
    Romania

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  • GSK Investigational Site

    Timisoara, 300001
    Romania

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  • GSK Investigational Site

    Singapore, 169608
    Singapore

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  • GSK Investigational Site

    Barcelona, 08036
    Spain

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  • GSK Investigational Site

    Leon, 24080
    Spain

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  • GSK Investigational Site

    León, 24080
    Spain

    Site Not Available

  • GSK Investigational Site

    Madrid, 28041
    Spain

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  • GSK Investigational Site

    Malaga, 29010
    Spain

    Site Not Available

  • GSK Investigational Site

    Málaga, 29010
    Spain

    Site Not Available

  • GSK Investigational Site

    Pontevedra, 36002
    Spain

    Site Not Available

  • GSK Investigational Site

    Salamanca, 37007
    Spain

    Site Not Available

  • GSK Investigational Site

    Santander, 39008
    Spain

    Site Not Available

  • GSK Investigational Site

    Valencia, 46014
    Spain

    Site Not Available

  • GSK Investigational Site

    Valladolid, 47003
    Spain

    Site Not Available

  • GSK Investigational Site

    Vigo, 36002
    Spain

    Site Not Available

  • GSK Investigational Site

    Kaohsiung, 833
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Kaohsiung City, 807
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Taichung, 40705
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Taipei, 104
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Taoyuan, 333
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Tau-Yuan, 333
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Bangkok, 10330
    Thailand

    Site Not Available

  • GSK Investigational Site

    Ankara, 06230
    Turkey

    Site Not Available

  • GSK Investigational Site

    Birmingham, B15 2TH
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Edinburgh, EH4 2XU
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Leeds, LS9 7TF
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Leeds West Yorkshire, LS9 7TF
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    London, SE5 9RS
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Chandler, Arizona 85224
    United States

    Site Not Available

  • GSK Investigational Site

    Tucson, Arizona 85712
    United States

    Site Not Available

  • GSK Investigational Site

    Davis, California 95817
    United States

    Site Not Available

  • GSK Investigational Site

    Los Angeles, California 90027
    United States

    Site Not Available

  • GSK Investigational Site

    Palo Alto, California 94304
    United States

    Site Not Available

  • GSK Investigational Site

    Sacramento, California 95817
    United States

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  • GSK Investigational Site

    San Jose, California 95128
    United States

    Site Not Available

  • GSK Investigational Site

    Littleton, Colorado 80120
    United States

    Site Not Available

  • GSK Investigational Site

    Homestead, Florida 33030
    United States

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    Miami, Florida 33134
    United States

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    Iowa City, Iowa 52242
    United States

    Site Not Available

  • GSK Investigational Site

    Baltimore, Maryland 21287
    United States

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    Detroit, Michigan 48377
    United States

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  • GSK Investigational Site

    Novi, Michigan 48377
    United States

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  • GSK Investigational Site

    Richmond, Virginia 23249
    United States

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  • GSK Investigational Site

    Hanoi,
    Vietnam

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  • GSK Investigational Site

    Ho Chi Minh City, 700000
    Vietnam

    Site Not Available

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