Can a blood thinner prevent strokes in brain bleed survivors?
NCT ID NCT03907046
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two medicines—apixaban (a blood thinner) and aspirin—in people who have had a brain bleed (intracerebral hemorrhage) and also have an irregular heartbeat (atrial fibrillation). The goal is to see which drug better prevents future strokes or death. About 700 participants will be randomly assigned to take either apixaban or aspirin for up to several years.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- Apixaban (Eliquis) and aspirin
- What this could lead to
- If apixaban works better than aspirin, it could become the preferred treatment to prevent strokes in people who have had a brain bleed and have atrial fibrillation.
- What could go wrong
- This is a large phase 3 trial, but results may not apply to all patients. Apixaban could increase the risk of another brain bleed, and the benefit over aspirin is not yet proven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Abbott Northwestern Hospital
RECRUITINGMinneapolis, Minnesota, 55407, United States
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Albany Medical Center
RECRUITINGAlbany, New York, 12208, United States
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Arrowhead Regional Medical Center
RECRUITINGColton, California, 92324, United States
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Ascension Sacred Heart Pensacola
RECRUITINGPensacola, Florida, 32504, United States
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Ascension St. John Medical Center
RECRUITINGTulsa, Oklahoma, 74104, United States
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Augusta University Medical Center
RECRUITINGAugusta, Georgia, 30912, United States
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Avera Research Institute
RECRUITINGSioux Falls, South Dakota, 57108, United States
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Banner University Medical Center
RECRUITINGTucson, Arizona, 85719, United States
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Baptist Health Lexington
RECRUITINGLexington, Kentucky, 40503, United States
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Barnes Jewish Hospital
RECRUITINGSt Louis, Missouri, 63110, United States
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Baylor College of Medicine Medical Center
WITHDRAWNHouston, Texas, 77030, United States
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Baystate Medical Center
RECRUITINGSpringfield, Massachusetts, 01199, United States
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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02215, United States
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Bon Secours St. Mary's Hospital
RECRUITINGRichmond, Virginia, 23226, United States
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Boston Medical Center
RECRUITINGBoston, Massachusetts, 02118, United States
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Broward Health Medical Center
RECRUITINGFort Lauderdale, Florida, 33316, United States
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Buffalo General Medical Center
ACTIVE_NOT_RECRUITINGBuffalo, New York, 14202, United States
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Burke Rehabilitation Center
RECRUITINGWhite Plains, New York, 10605, United States
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Capital Health Regional Medical Center
WITHDRAWNTrenton, New Jersey, 08638, United States
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Carolinas Medical Center
WITHDRAWNCharlotte, North Carolina, 28204, United States
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Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Central DuPage Hospital
RECRUITINGWinfield, Illinois, 60190, United States
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Chandler Regional Medical Center
WITHDRAWNChandler, Arizona, 85224, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Cleveland Clinic Akron General
RECRUITINGAkron, Ohio, 44307, United States
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Cleveland Clinic Tradition Hospital
RECRUITINGPort Saint Lucie, Florida, 34987, United States
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Community Regional Medical Center of Fresno
RECRUITINGFresno, California, 93720, United States
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Cooperman Barnabas Medical Center
RECRUITINGLivingston, New Jersey, 07052, United States
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Cox Medical Center South
RECRUITINGSpringfield, Missouri, 65807, United States
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Danbury Hospital
SUSPENDEDDanbury, Connecticut, 06810, United States
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Desert Regional Medical Center
RECRUITINGPalm Springs, California, 92262, United States
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Doctors Medical Center Modesto, Modesto, CA
RECRUITINGModesto, California, 95350, United States
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Duke University Hospital
RECRUITINGDurham, North Carolina, 27710, United States
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ECU Health Medical Center
RECRUITINGGreenville, North Carolina, 27834, United States
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Eastern Maine Medical Center
WITHDRAWNBangor, Maine, 04401, United States
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Eden Medical Center, Castro Valley
WITHDRAWNCastro Valley, California, 94546, United States
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Emory University Hospital
RECRUITINGAtlanta, Georgia, 30322, United States
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Erlanger Health System
WITHDRAWNChattanooga, Tennessee, 37403, United States
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Evanston Hospital
RECRUITINGEvanston, Illinois, 60201, United States
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Forsyth Medical Center
RECRUITINGWinston-Salem, North Carolina, 27103, United States
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Fort Sanders Regional Medical Center
RECRUITINGKnoxville, Tennessee, 37916, United States
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Froedtert Hospital
WITHDRAWNMilwaukee, Wisconsin, 53226, United States
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Geisinger Medical Center
WITHDRAWNDanville, Pennsylvania, 17822, United States
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George Washington University Hospital
RECRUITINGWashington D.C., District of Columbia, 20037, United States
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Good Samaritan Hospital
RECRUITINGCincinnati, Ohio, 45220, United States
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Grady Memorial Hospital
RECRUITINGAtlanta, Georgia, 30303, United States
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Greenville Hospital System
RECRUITINGGreenville, South Carolina, 29605, United States
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Hackensack University Medical Center
RECRUITINGHackensack, New Jersey, 07601, United States
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Harborview Medical Center
RECRUITINGSeattle, Washington, 98104, United States
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Hartford Hospital
RECRUITINGHartford, Connecticut, 06102, United States
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HealthPartners Methodist Hospital
ACTIVE_NOT_RECRUITINGSaint Louis Park, Minnesota, 55426, United States
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Henry Ford Hospital
WITHDRAWNDetroit, Michigan, 48202, United States
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Hoag Hospital Newport Beach
WITHDRAWNNewport Beach, California, 92663, United States
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Hospital of the University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Houston Methodist Hospital
RECRUITINGHouston, Texas, 77030, United States
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Huntington Memorial Hospital
WITHDRAWNPasadena, California, 91105, United States
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IU Health Methodist Hospital
RECRUITINGIndianapolis, Indiana, 46202, United States
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Inova Fairfax Hospital
RECRUITINGFalls Church, Virginia, 22042, United States
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J.W. Ruby Memorial Hospital
RECRUITINGMorgantown, West Virginia, 26506, United States
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JFK Medical Center
RECRUITINGEdison, New Jersey, 08820, United States
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Jackson Memorial Hospital
RECRUITINGMiami, Florida, 33136, United States
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Javon Bea Hospital - Riverside
WITHDRAWNRockford, Illinois, 61114, United States
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Jefferson Abington Hospital
RECRUITINGAbington, Pennsylvania, 19001, United States
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Jersey Shore University Medical Center
RECRUITINGNeptune City, New Jersey, 07753, United States
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Kaiser Permanente Fontana Medical Center
RECRUITINGFontana, California, 92335, United States
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Kaiser Permanente Los Angeles Medical Center
RECRUITINGLos Angeles, California, 90027, United States
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Kaiser Permanente Redwood City Medical Center, Redwood City, CA
RECRUITINGRedwood City, California, 94063, United States
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Kaiser Permanente Sacramento Medical Center
RECRUITINGSacramento, California, 95825, United States
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Kings County Hospital Center
RECRUITINGBrooklyn, New York, 11203, United States
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Lahey Hospital & Medical Center
RECRUITINGBurlington, Massachusetts, 01805, United States
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Lehigh Valley Hospital - Cedar Crest
WITHDRAWNAllentown, Pennsylvania, 18103, United States
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Long Beach Memorial Medical Center
WITHDRAWNLong Beach, California, 90806, United States
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Los Alamitos Medical Center
RECRUITINGLos Alamitos, California, 90720, United States
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Loyola University Medical Center
RECRUITINGMaywood, Illinois, 60153, United States
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M Health Fairview University of Minnesota Medical Center
RECRUITINGMinneapolis, Minnesota, 55455, United States
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Maimonides Medical Center
TERMINATEDBrooklyn, New York, 11219, United States
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Maine Medical Center
RECRUITINGPortland, Maine, 04102, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic
TERMINATEDJacksonville, Florida, 32224, United States
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McLaren Flint
WITHDRAWNFlint, Michigan, 48532, United States
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McLaren Macomb
TERMINATEDMount Clemens, Michigan, 48043, United States
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MedStar Georgetown University Hospital
RECRUITINGWashington D.C., District of Columbia, 20007, United States
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MedStar Washington Hospital Center
WITHDRAWNWashington D.C., District of Columbia, 20010, United States
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Medical University of South Carolina University Hospital
RECRUITINGCharleston, South Carolina, 29425, United States
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Memorial Hermann Texas Medical Center
RECRUITINGHouston, Texas, 77030, United States
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Mercy Hospital Oklahoma City
RECRUITINGOklahoma City, Oklahoma, 73120, United States
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Mercy Hospital South
RECRUITINGSt Louis, Missouri, 63128, United States
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Mercy Hospital Springfield
RECRUITINGSpringfield, Missouri, 65804, United States
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Mercy Hospital St. Louis
RECRUITINGSt Louis, Missouri, 63141, United States
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Mercy San Juan Medical Center
RECRUITINGCarmichael, California, 95608, United States
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Methodist University Hospital
RECRUITINGMemphis, Tennessee, 38104, United States
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Metro Health Hospital
WITHDRAWNWyoming, Michigan, 49519, United States
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MetroHealth Medical Center
RECRUITINGCleveland, Ohio, 44109, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10467, United States
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Morton Plant Hospital
RECRUITINGClearwater, Florida, 33756, United States
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Moses H. Cone Memorial Hospital
RECRUITINGGreensboro, North Carolina, 27401, United States
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Mount Sinai West
RECRUITINGNew York, New York, 10019, United States
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Munson Medical Center
RECRUITINGTraverse City, Michigan, 49684, United States
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NCH Hospital, Arlington Heights
RECRUITINGArlington Heights, Illinois, 60005, United States
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NYC Health + Hospitals/Elmhurst
RECRUITINGElmhurst, New York, 11373, United States
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NYP Columbia University Medical Center
RECRUITINGNew York, New York, 10032, United States
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NYP Weill Cornell Medical Center
RECRUITINGNew York, New York, 10065, United States
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NYU Langone Hospital - Brooklyn
RECRUITINGBrooklyn, New York, 11220, United States
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New Hanover Regional Medical Center
RECRUITINGWilmington, Delaware, 28403, United States
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New Hanover Regional Medical Center
RECRUITINGWilmington, North Carolina, 28403, United States
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NewYork-Presbyterian Brooklyn Methodist Hospital
WITHDRAWNBrooklyn, New York, 11215, United States
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North Shore University Hospital
RECRUITINGManhasset, New York, 11030, United States
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OSF St. Francis Medical Center
RECRUITINGPeoria, Illinois, 61637, United States
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OSU Wexner Medical Center
RECRUITINGColumbus, Ohio, 43210, United States
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OU Medical Center
RECRUITINGOklahoma City, Oklahoma, 73104, United States
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Ochsner Medical Center - Main Campus
RECRUITINGNew Orleans, Louisiana, 70121, United States
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Oregon Health & Science University Hospital
RECRUITINGPortland, Oregon, 92739, United States
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Overlook Medical Center
RECRUITINGSummit, New Jersey, 07901, United States
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PIH Health Hospital - Whittier
RECRUITINGWhittier, California, 90602, United States
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PeaceHealth Sacred Heart Medical Center - RiverBend
RECRUITINGSpringfield, Oregon, 97477, United States
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Penn State Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Presbyterian Medical Center
RECRUITINGCharlotte, North Carolina, 28204, United States
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Providence St. Vincent Medical Center
RECRUITINGPortland, Oregon, 97213, United States
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Rancho Los Amigos National Rehabilitation Center
SUSPENDEDDowney, California, 90242, United States
-
Regions Hospital
TERMINATEDSaint Paul, Minnesota, 55101, United States
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Rhode Island Hospital
TERMINATEDProvidence, Rhode Island, 02903, United States
-
Riverside Methodist Hospital
RECRUITINGColumbus, Ohio, 43214, United States
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Ronald Reagan UCLA Medical Center
RECRUITINGLos Angeles, California, 90095, United States
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Rush University Medical Center
RECRUITINGChicago, Illinois, 60612, United States
-
SUNY Upstate Medical University
RECRUITINGSyracuse, New York, 13210, United States
-
Saint Alphonsus Regional Medical Center - Boise
RECRUITINGBoise, Idaho, 83706, United States
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San Francisco General Hospital
RECRUITINGSan Francisco, California, 94110, United States
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Santa Barbara Cottage Hospital
RECRUITINGSanta Barbara, California, 93105, United States
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Semmes Murphey Main Campus
RECRUITINGMemphis, Tennessee, 38120, United States
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St. Cloud Hospital
RECRUITINGSaint Cloud, Minnesota, 56303, United States
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St. David's Medical Center
WITHDRAWNAustin, Texas, 78705, United States
-
St. John Medical Center
RECRUITINGTulsa, Oklahoma, 74104, United States
-
St. John's Hospital
WITHDRAWNSpringfield, Illinois, 62769, United States
-
St. Joseph's Hospital
RECRUITINGTampa, Florida, 33607, United States
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St. Joseph's Hospital and Medical Center
WITHDRAWNPhoenix, Arizona, 85013, United States
-
St. Jude Medical Center
RECRUITINGFullerton, California, 92835, United States
-
St. Mary's Medical Center
WITHDRAWNGrand Junction, Colorado, 81501, United States
-
Stanford University Medical Center
RECRUITINGStanford, California, 94304, United States
-
Staten Island University Hospital - North Campus
WITHDRAWNStaten Island, New York, 10305, United States
-
Stony Brook University Hospital
RECRUITINGStony Brook, New York, 11794, United States
-
Strong Memorial Hospital
RECRUITINGRochester, New York, 14642, United States
-
Swedish Medical Center - Cherry Hill Campus
WITHDRAWNSeattle, Washington, 98122, United States
-
Tampa General Hospital
RECRUITINGTampa, Florida, 33606, United States
-
Temple University Hospital
RECRUITINGPhiladelphia, Pennsylvania, 19140, United States
-
The Mount Sinai Hospital
RECRUITINGNew York, New York, 10029, United States
-
The Queen's Medical Center
RECRUITINGHonolulu, Hawaii, 96813, United States
-
The University of Vermont Medical Center
RECRUITINGBurlington, Vermont, 05401, United States
-
Thomas Jefferson University Hospital
WITHDRAWNPhiladelphia, Pennsylvania, 19107, United States
-
Trinity Health Saint Mary's
WITHDRAWNGrand Rapids, Michigan, 49503, United States
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Trinity Health Saint Mary's
RECRUITINGGrand Rapids, Michigan, 49503, United States
-
Tufts Medical Center
RECRUITINGBoston, Massachusetts, 02111, United States
-
UAMS Medical Center
WITHDRAWNLittle Rock, Arkansas, 77205, United States
-
UC Davis Medical Center
RECRUITINGSacramento, California, 95817, United States
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UC Irvine Medical Center
RECRUITINGOrange, California, 92868, United States
-
UF Health Jacksonville
RECRUITINGJacksonville, Florida, 32209, United States
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UH Cleveland Medical Center
RECRUITINGCleveland, Ohio, 44106, United States
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UMass Memorial Medical Center
RECRUITINGWorcester, Massachusetts, 01655, United States
-
UPMC Presbyterian Hospital
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
-
UT Southwestern Medical Center
WITHDRAWNDallas, Texas, 75390, United States
-
UVA Medical Center
RECRUITINGCharlottesville, Virginia, 22908, United States
-
United Hospital, St. Paul
WITHDRAWNSaint Paul, Minnesota, 55102, United States
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University of Alabama Hospital
RECRUITINGBirmingham, Alabama, 35294, United States
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University of Chicago Medical Center
RECRUITINGChicago, Illinois, 60637, United States
-
University of Cincinnati Medical Center
RECRUITINGCincinnati, Ohio, 45219, United States
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University of Colorado Hospital
RECRUITINGAurora, Colorado, 80045, United States
-
University of Illinois Hospital
RECRUITINGChicago, Illinois, 60612, United States
-
University of Iowa Medical Center
RECRUITINGIowa City, Iowa, 52242, United States
-
University of Kansas Hospital
RECRUITINGKansas City, Kansas, 66160, United States
-
University of Kentucky Hospital
RECRUITINGLexington, Kentucky, 40536, United States
-
University of Louisville Hospital
RECRUITINGLouisville, Kentucky, 40202, United States
-
University of Michigan University Hospital
WITHDRAWNAnn Arbor, Michigan, 48109, United States
-
University of Mississippi Medical Center
WITHDRAWNJackson, Mississippi, 39216, United States
-
University of Missouri Health Care
RECRUITINGColumbia, Missouri, 65212, United States
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68105, United States
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University of New Mexico Hospital
SUSPENDEDAlbuquerque, New Mexico, 87106, United States
-
University of North Carolina Medical Center
RECRUITINGChapel Hill, North Carolina, 27514, United States
-
University of South Alabama University Hospital
RECRUITINGMobile, Alabama, 36604, United States
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University of Texas Health Science Center San Antonio
RECRUITINGSan Antonio, Texas, 78229, United States
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University of Utah Healthcare
RECRUITINGSalt Lake City, Utah, 84112, United States
-
VCU Medical Center
SUSPENDEDRichmond, Virginia, 23298, United States
-
Vanderbilt University Hospital
RECRUITINGNashville, Tennessee, 37232, United States
-
Vassar Brothers Medical Center
TERMINATEDPoughkeepsie, New York, 12601, United States
-
Virginia Mason Medical Center
WITHDRAWNSeattle, Washington, 98101, United States
-
Wake Forest Baptist Medical Center
RECRUITINGWinston-Salem, North Carolina, 27157, United States
-
WellStar Kennestone Hospital
RECRUITINGMarietta, Georgia, 30060, United States
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Westchester Medical Center
RECRUITINGValhalla, New York, 10595, United States
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Yale New Haven Hospital
RECRUITINGNew Haven, Connecticut, 06511, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can blood markers predict brain injury outcomes?
- Could a new injection tame atrial fibrillation?
- Can an ancient herbal pill improve outcomes after a bleeding stroke?
- Which blood thinner is safer for heart patients? a Head-to-Head test
- Can a cholesterol drug keep atrial fibrillation at bay after ablation?