Migraine drug tested for Long-Term safety in 1,000-Person trial
NCT ID NCT07674654
First seen Jun 29, 2026 · Last updated Aug 28, 2026 · Updated 8 times
Summary
This phase 3 study evaluates the long-term safety of elismetrep (K-304), an oral medication taken as needed for migraine attacks. About 1,000 adults who previously took elismetrep in an earlier trial will continue using it intermittently. Researchers will track side effects over time to see if the drug remains safe for repeated use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- elismetrep (K-304)
- What this could lead to
- If successful, this could confirm that elismetrep is safe for repeated use, offering a new option for treating migraine attacks as they happen.
- What could go wrong
- This is a safety-focused study, not designed to prove how well the drug works. Side effects may emerge with long-term use, and results may not apply to everyone with migraine.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Participant completing an acute treatment trial of elismetrep (Study K-304 P003; attending the EoS Visit 3 within the allowed visit window of the acute treatment study), treated a qualifying migraine in that study, was at least 80% compliant with the daily e-Diary 'check-ins' in the base study and completed the 2-hour and 4-hour post-dose assessments in the eDiary. Note: If a subject treats their qualifying migraine in the base study within 5 days of randomization (i.e. ≤ 4 daily check-ins should have been completed in the eDiary), they are eligible for this study if they missed 1 daily check-in, even though compliance was \<80%; 2. Participant voluntarily agrees to participate in the study by giving written informed consent; 3. Participant is able to read, understand, and complete the study questionnaires and diary; 4. Participant is willing and able to comply with the study schedule of visits, all trial procedures and restrictions; 5. Participant is willing to use his/her own personal, qualified smartphone to download any specific eDiary applications for use for the entire duration of the study; 6. For females of reproductive potential (as determined in the base study), continues to agree to remain abstinent from heterosexual activity or a. Agrees to use (or have their partner use) a birth control method that is acceptable from the first dose of study drug until the EoS visit. Acceptable methods of birth control are: i. Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation: oral, intravaginal, transdermal. ii. Progestogen-only hormonal contraception associated with inhibition of ovulation: oral; injectable; implantable; intrauterine device; intrauterine hormone-releasing system; bilateral tubal occlusion; vasectomized partner; sexual abstinence\*; progestogen-only oral hormonal contraception, where inhibition of ovulation is not the primary mode of action; male or female condom with or without spermicide; cap, diaphragm or sponge with spermicide; a combination of male condom with either cap, diaphragm or sponge with spermicide (double barrier methods). * Abstinence can be used as the sole method of contraception if it is in line with the participant's preferred and usual lifestyle and if considered acceptable by local regulatory agencies and ethics committees. Periodic abstinence (e.g., calendar, ovulation, sympto-thermal, post-ovulation methods, etc.) and withdrawal are not acceptable methods of contraception. Exclusion Criteria: 1. Is a female who is pregnant, breast-feeding, or intends to become pregnant during the planned course of the study. Note: Participants must have a negative urine pregnancy result at the base study EoS/Visit 3 (i.e., pre-randomization for this study); 2. Has, at the time of the base study EoS/Visit 3, had any change in medical history or a laboratory finding since screening in the acute treatment study that in the opinion of the investigator renders the participant unsuitable for this study (e.g., development of a finding that would have precluded participation in the base acute treatment study); 3. Participant is at imminent risk of self-harm, based on clinical interview and responses on the Columbia Suicidality Severity Rating Scale (C-SSRS) taken during the base study E0S/Visit 3, or of harm to others in the opinion of the investigator. Participants must be excluded if they report suicidal ideation with intent, with or without a plan (i.e., Type 4 or 5 on the C-SSRS) in 'since last version' version of the C-SSRS; 4. Participant is currently in violation of study requirements for prohibited and permissible concomitant medications or treatments (not already specified in other criteria) or is anticipated to violate these requirements during trial participation) as assessed for the base study E0S/Visit 3; 5. Has any major surgery scheduled for the duration of the trial; 6. Has any other unwillingness or inability, not covered by any of the other exclusion criteria, which in the investigator's opinion, might jeopardize the participant's safety or compliance with the protocol, or otherwise interfere with the interpretation of efficacy and/or safety results; 7. At Visit 1, has an open/ongoing adverse event from the base study EoS visit; 8. Experienced a serious adverse event in the base study; 9. Has previous participation in this trial. Participation is defined as signed informed consent following completion of the base study EoS/Visit 3 procedures.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
113 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AMR Clinical - Kansas City
RECRUITINGKansas City, Missouri, 64114, United States
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AMR Clinical - Las Vegas
RECRUITINGLas Vegas, Nevada, 89119, United States
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AMR Clinical - Lexington
RECRUITINGLexington, Kentucky, 40509, United States
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AMR Clinical - Norfolk
RECRUITINGNorfolk, Virginia, 23502, United States
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AMR Mobile
RECRUITINGMobile, Alabama, 36608, United States
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APD Clinical Research
RECRUITINGCypress, Texas, 77372, United States
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Access Clinical Trials Inc
RECRUITINGNashville, Tennessee, 37203, United States
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Acclaim Clinical Research
RECRUITINGSan Diego, California, 92120, United States
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Advanced Neurosciences Research
RECRUITINGFort Collins, Colorado, 80528, United States
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Advanced Research Institute
RECRUITINGOgden, Utah, 84405, United States
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Advanced Research Institute-Portland
RECRUITINGPortland, Oregon, 97223, United States
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Advanced Research Institute-Reno
RECRUITINGReno, Nevada, 89511, United States
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Aim Trials, LLC
RECRUITINGPlano, Texas, 75093, United States
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Albuquerque Clinical Trials
RECRUITINGAlbuquerque, New Mexico, 87102, United States
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Arkansas Clinical Research
RECRUITINGLittle Rock, Arkansas, 72205, United States
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Artemis Institute for Clinical Research
RECRUITINGRiverside, California, 92503, United States
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Axiom Research, LLC
RECRUITINGColton, California, 92324, United States
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Axiom Research, Orange County
RECRUITINGIrvine, California, 92604, United States
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Boston Clinical Trials - Alcanza
RECRUITINGBoston, Massachusetts, 02131, United States
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CTI Clinical Research Center
RECRUITINGLexington, Kentucky, 45212, United States
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Carolina Research Center, Inc
RECRUITINGShelby, North Carolina, 28150, United States
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Cedar Crosse Research Center
RECRUITINGChicago, Illinois, 60607, United States
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CenExel Sherman Oaks CA (California Neuroscience Research)
RECRUITINGSherman Oaks, California, 91403, United States
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Central New York Clinical Research
RECRUITINGManlius, New York, 13104, United States
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Central Research Associates, LLC (CRA) dba Flourish Research
RECRUITINGBirmingham, Alabama, 35205, United States
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Chase Medical Research, LLC
RECRUITINGWaterbury, Connecticut, 06708, United States
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Chicago Headache Center & Research Institute
RECRUITINGChicago, Illinois, 60657, United States
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Chicago Headache Center & Research Institute
RECRUITINGNaperville, Illinois, 60563, United States
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CincyScience
RECRUITINGWest Chester, Ohio, 45069, United States
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ClinPoint Trials
RECRUITINGWaxahachie, Texas, 75165, United States
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Clinical Associates Midwest, LLC
RECRUITINGOverland Park, Kansas, 66214, United States
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Clinical Investigation Specialists, Inc.
RECRUITINGKenosha, Wisconsin, 53144, United States
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Clinical Research Associates, Inc.
RECRUITINGNashville, Tennessee, 37203, United States
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Clinical Research Institute
RECRUITINGLos Angeles, California, 90048, United States
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Clinical Research Institute
RECRUITINGMinneapolis, Minnesota, 55402, United States
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Clinical Research Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19114, United States
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Clinvest Headlands LLC
RECRUITINGSpringfield, Missouri, 65807, United States
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Coastal Carolina Research Center
RECRUITINGNorth Charleston, South Carolina, 29405, United States
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Collective Medical Research
RECRUITINGOverland Park, Kansas, 66212, United States
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Crescent City Headache & Neurology Center
RECRUITINGChalmette, Louisiana, 70043, United States
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DM Clinical Research
RECRUITINGHouston, Texas, 77081, United States
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DelRicht Research
RECRUITINGAtlanta, Georgia, 30329, United States
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DelRicht Research
RECRUITINGNew Orleans, Louisiana, 70115, United States
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DelRicht Research
RECRUITINGGulfport, Mississippi, 39503, United States
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DelRicht Research
RECRUITINGTulsa, Oklahoma, 74133, United States
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Dent Neuro Institute, Buffalo
RECRUITINGAmherst, New York, 14226, United States
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Diablo Clinical Research
RECRUITINGWalnut Creek, California, 94598, United States
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Downtown L.A. Research Center, Inc.
RECRUITINGLos Angeles, California, 90017, United States
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Drug Studies America
RECRUITINGMarietta, Georgia, 30060, United States
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Empire Clinical Research
RECRUITINGPomona, California, 91767, United States
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Encompass Clinical Research
RECRUITINGSpring Valley, California, 91978, United States
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Excel Clinical Research
RECRUITINGLas Vegas, Nevada, 89109, United States
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Excell Research
RECRUITINGOceanside, California, 92056, United States
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Eximia Research - NC, LLC
RECRUITINGRaleigh, North Carolina, 27607, United States
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Fieve Clinical Research, Inc
RECRUITINGNew York, New York, 10017, United States
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Focus Clinical Research
RECRUITINGWest Hills, California, 91307, United States
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Frontier Clinical Research
RECRUITINGMorgantown, West Virginia, 26505, United States
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Frontier Clinical Research, LLC
RECRUITINGScottdale, Pennsylvania, 15683, United States
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Frontier Clinical Research, LLC
RECRUITINGSmithfield, Pennsylvania, 15478, United States
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FutureSearch Trials of Dallas, LP
RECRUITINGDallas, Texas, 75251, United States
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FutureSearch Trials of Neurology
RECRUITINGAustin, Texas, 78731, United States
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GMG Clinical Research, LLC dba Radiance Clinical Research
RECRUITINGLampasas, Texas, 76550, United States
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Granger Medical Clinic
RECRUITINGRiverton, Utah, 84096, United States
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Guilford Neurologic Research Partners, LLC
RECRUITINGGreensboro, North Carolina, 27405, United States
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Headache Wellness Center
RECRUITINGGreensboro, North Carolina, 27405, United States
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Headlands Research - PharmaSite
RECRUITINGPikesville, Maryland, 21208, United States
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Health Research of Hampton Roads, Inc. (HRHR)
RECRUITINGNewport News, Virginia, 23606, United States
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Healthcare Research Network
RECRUITINGHazelwood, Missouri, 63042, United States
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Healthcare Research Network II, LLC
RECRUITINGFlossmoor, Illinois, 60447, United States
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Heartland Research Associates, LLC - An AMR Company
RECRUITINGWichita, Kansas, 67207, United States
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Hightower Clinical
RECRUITINGOklahoma City, Oklahoma, 73102, United States
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Hometown Research
RECRUITINGColumbus, Ohio, 43228, United States
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Hometown Research
RECRUITINGMilford, Ohio, 45150, United States
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Horizon Clinical Research and Gill Neuroscience
RECRUITINGCypress, Texas, 77429, United States
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IMA Clinical Research - Las Vegas
RECRUITINGLas Vegas, Nevada, 89102, United States
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IMMUNOe Research Centers
RECRUITINGCentennial, Colorado, 80112, United States
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Integrated Clinical Trials Solution
RECRUITINGWest Des Moines, Iowa, 50265, United States
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J. Lewis Research, Inc. / Foothill Family Clinic
RECRUITINGSalt Lake City, Utah, 84109, United States
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J. Lewis Research, Inc. / Foothill Family Clinic
RECRUITINGSalt Lake City, Utah, 84121, United States
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J. Lewis Research, Inc. / Foothill Family Clinic Draper
RECRUITINGDraper, Utah, 84020, United States
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Kinetic Clinical Research
RECRUITINGWest Covina, California, 91790, United States
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Las Vegas Clinical Trials
RECRUITINGNorth Las Vegas, Nevada, 89030, United States
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Leading Edge Research LA, LLC
RECRUITINGEncino, California, 91316, United States
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Lehigh Center for Clinical Research
RECRUITINGAllentown, Pennsylvania, 18103, United States
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M3 Wake Research - Mission Mental Health (WR-MMH)
RECRUITINGMission Viejo, California, 92691, United States
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MCB Clinical Research Centers
RECRUITINGColorado Springs, Colorado, 80910, United States
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MedVadis Research Corporation, LLC
RECRUITINGWaltham, Massachusetts, 02451, United States
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Michigan Headache Pain & Neurological Institute
RECRUITINGAnn Arbor, Michigan, 48104, United States
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OK Clinical Research, LLC
RECRUITINGEdmond, Oklahoma, 73034, United States
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OnSite Clinical Solutions
RECRUITINGCharlotte, North Carolina, 28277, United States
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Pantheon Clinical Research
RECRUITINGBountiful, Utah, 84010, United States
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Physicians to Children & Adolescents, PSC (Kentucky Pediatric / Adult Research)
RECRUITINGBardstown, Kentucky, 40004, United States
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Preferred Primary Care Physicians, Inc.
RECRUITINGPittsburgh, Pennsylvania, 15236, United States
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ProScience Research Group
RECRUITINGCulver City, California, 90230, United States
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Proven Endpoints
RECRUITINGRidgeland, Mississippi, 39157, United States
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Redbird Research
RECRUITINGLas Vegas, Nevada, 89119, United States
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Rochester Clinical Research
RECRUITINGRochester, New York, 14609, United States
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SPRI Clinical Trials, LLC
RECRUITINGBrooklyn, New York, 11235, United States
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Seattle Clinical Research Center
RECRUITINGSeattle, Washington, 98104, United States
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Sleep Care Research Institute d/b/a Clinical Research Atlanta-Stockbridge
RECRUITINGStockbridge, Georgia, 30281, United States
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StudyMetrix Research
RECRUITINGCity of Saint Peters, Missouri, 63303, United States
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Summit Research Network
RECRUITINGPortland, Oregon, 97210, United States
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Sundance Clinical Research
RECRUITINGSt Louis, Missouri, 63141, United States
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Sunwise Clinical Research
RECRUITINGWalnut Creek, California, 94596, United States
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Tekton Research
RECRUITINGAustin, Texas, 78745, United States
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Tekton Research, Inc.
RECRUITINGYukon, Oklahoma, 73099, United States
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The Neurology Group
RECRUITINGPomona, California, 91767, United States
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TrialSphere
RECRUITINGChandler, Arizona, 85286, United States
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True North Neurology
RECRUITINGCommack, New York, 11725, United States
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Upstate Clinical Research Associates
RECRUITINGWilliamsville, New York, 14221, United States
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Victorium Clinical Research
RECRUITINGHouston, Texas, 77024, United States
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WR-ClinSearch, LLC
RECRUITINGChattanooga, Tennessee, 37421, United States
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Wake Research Las Vegas Rainbow
RECRUITINGLas Vegas, Nevada, 89118, United States
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