New hope for kids with weak hearts: long-term safety study launched

NCT ID NCT07192952

Disease control Sponsor: Bayer Source: ClinicalTrials.gov ↗

First seen Jun 27, 2026 · Last updated Jun 30, 2026 · Updated 2 times

Summary

This study tests the long-term safety of finerenone, a medicine that may help the heart pump better by reducing inflammation and scarring. It is for children from birth to 18 years old with heart failure and a weak left ventricle. All participants will take finerenone along with their usual heart treatments for up to 9 months.

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

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

About 117 people

The number the study aims to enrol. It can still change while the study runs.

Started

Jun 2026

Expected to finish

Dec 2030

An estimate. End dates often move.

Lead sponsor

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

Up to 18 years

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * For participants rolling over from randomized controlled trial (RCT): Prior participation in the finerenone Phase 3 study FIORE (21466) and not permanently discontinued from the study intervention prior to the end of treatment (EoT) visit in FIORE. * For newly enrolled infants \<6 months of age: Left ventricular systolic dysfunction (LVSD) with left ventricular ejection fraction (LVEF) ≤ 50% at screening assessed by echocardiography. * For newly enrolled infants \<6 months of age: Elevated NT-pro BNP levels (\> 500 mg/L) at screening. * For newly enrolled infants \<6 months of age: Heart failure (HF) etiologies include congenital heart defects (CHD) with biventricular physiology and systemic LV; idiopathic cardiomyopathy (CM); familial/inherited and/or genetic CM; history of myocarditis (diagnosis of an acute episode at least 3 months prior to treatment assignment); neuromuscular disorder; inborn error of metabolism; mitochondrial disorder; acquired (chemotherapy, iatrogenic, infection, rheumatic, or nutritional); ischemic (e.g., Kawasaki disease and postoperative HF); LV noncompaction. * For newly enrolled infants \<6 months of age: Receiving standard of care (SoC) treatment for heart failure according to local guidelines or investigator´s discretion (on a stable regimen for 30 days before baseline). * Newly enrolled newborns and infants \< 6 months of age must have a body weight of ≥3 kg at Visit 1. Exclusion Criteria: * For participants rolling over from randomized controlled trial (RCT): To roll-over to FIORELLO, all participants: Potassium (K+) \>5.5 mmol/L. After unblinding: * For participants who received finerenone in FIORE: K+ \>5.5 mmol/ L * For participants who received placebo in FIORE: K+ \>5.0 mmol/L for children ≥2 years of age, and \>5.3 mmol/L for children \<2 years of age (if eGFR is \<60 mL/min/1.73m² for participants \<2 years of age, the serum potassium threshold of \>5.0 mmol/L will be used for exclusion) * For newly enrolled newborns and infants \< 6 months of age: Potassium ≥ 5.3 mmol/l (if eGFR is \<60 mL/min/1.73m², the serum potassium threshold of \>5.0 mmol/L will be used for exclusion). * For participants rolling over from RCT: Severe renal dysfunction with estimated glomerular filtration rate (eGFR) \< 30 ml/min/1.73m² at FIORE EoT or Visit 1. * For newly enrolled infants \< 6 months of age: Severe renal dysfunction with eGFR \< 30 ml/min/1.73m2 at screening or Visit 1. * Treatment with a mineralocorticoid receptor antagonist, other than the study intervention, (e.g., spironolactone, eplerenone) within 30 days of Visit 1. * Requirement of any intravenous (IV) vasoactive agents; mechanical ventilation; mechanical circulatory support; sustained or symptomatic arrhythmias not controlled by drug or device therapy within 30 days prior to study treatment.

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Conditions

The condition(s) this trial relates to.

heart failure left ventricular failure Ventricular Dysfunction, Left

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Heart failure (pediatric) Left ventricular systolic dysfunction

How to take part

Only the study team decides who joins. These are the ways to reach them.

The places running it

123 sites in 23 countries. The list below names each one and where it is.
The official record

ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

Open the record ↗
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

A.O.U. Città della Salute e della Scienza di Torino_Regina Margherita - Cadiologia pediatrica
NOT_YET_RECRUITING

Torino, 10126, Italy
ASST Grande Ospedale Metropolitano Niguarda - Struttura semplice dipartimentale cardiologia pediatrica
NOT_YET_RECRUITING

Milan, 20162, Italy
Alder Hey Children's NHS Foundation Trust | Alder Hey Children's Hospital - Clinical Research Facility
NOT_YET_RECRUITING

Liverpool, Merseyside, L122AP, United Kingdom
Ankara Bilkent Sehir Hastanesi
NOT_YET_RECRUITING

Bilkent Ankara, 6800, Turkey (Türkiye)
Athens General Children's Hospital Panagioti And Aglaia Kyriakou -2nd University Department of Pediatrics
NOT_YET_RECRUITING

Athens, 11527, Greece
Athens General Children's Hospital Panagioti And Aglaia Kyriakou, Cardiology Department
NOT_YET_RECRUITING

Athens, 11527, Greece
Azienda Ospedale-Università di Padova - UOC Cardiologia Pediatrica
NOT_YET_RECRUITING

Padova, 35128, Italy
Azienda Ospedaliera Dei Colli_Monaldi - Malattie Rare e Genetiche Cardiovascolari
NOT_YET_RECRUITING

Naples, 80131, Italy
Azienda Ospedaliero-Universitaria di Bologna IRCCS Policlinico Sant'Orsola-Cardiologia pediatrica ed dell'età evolutiva
NOT_YET_RECRUITING

Bologna, 40138, Italy
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII - Cardiologia 2 - Cardiopatie Congenite del bambino e dell'adulto
NOT_YET_RECRUITING

Bergamo, 24127, Italy
BC Children's Hospital | Children's Heart Centre
WITHDRAWN

Vancouver, British Columbia, V6H 3N1, Canada
Belfast Health and Social Care Trust | Royal Belfast Hospital for Sick Children - Paediatric Cardiology
NOT_YET_RECRUITING

Belfast, Northern Ireland, BT12 6BE, United Kingdom
Boston Children's Hospital - Main Campus - Cardiology
NOT_YET_RECRUITING

Boston, Massachusetts, 02215, United States
C.S. Mott Children's Hospital - Cardiology
NOT_YET_RECRUITING

Ann Arbor, Michigan, 48109, United States
CHC MontLegia - Pediatric Cardiology
NOT_YET_RECRUITING

Liège, 4000, Belgium
Campinas Clinical Research Institute (IPECC) | Campinas, Brazil
NOT_YET_RECRUITING

São Paulo, São Paulo, 13060-080, Brazil
Centre hospitalier universitaire Sainte-Justine | Cardiology
NOT_YET_RECRUITING

Montreal, Quebec, H3T 1C5, Canada
Centro Cardiovascular Salta (Torzav SRL)
NOT_YET_RECRUITING

Salta, A4406BPF, Argentina
Centro de Atención e Investigación Cardiovascular del Potosí S.C.
NOT_YET_RECRUITING

San Luis Potosí City, 72300, Mexico
Centro de Estudios Clínicos de Querétaro S.C.
NOT_YET_RECRUITING

Querétaro, 76000, Mexico
Centro de Estudios de Investigacion Metabolicos y Cardiovasculares
NOT_YET_RECRUITING

Ciudad Madero, Tamaulipas, C.P. 89440, Mexico
Centro de Investigación Clínica Médica y Farmacológica S.A de C.V
NOT_YET_RECRUITING

Guadalajara, Jalisco, C.P.44690, Mexico
Centro de Pesquisa Clinica e Populacional Hospitalize
NOT_YET_RECRUITING

Porto Alegre, Rio Grande do Sul, 90810-080, Brazil
Chaim Sheba Medical Center
NOT_YET_RECRUITING

Tel Litwinsky, 52621, Israel
Chang Gung Memorial Hospital (CGMH) - Kaohsiung Branch
NOT_YET_RECRUITING

Guishan, Taoyuan, 83301, Taiwan
Children's Hospital Colorado - Anschutz Medical Campus - Cardiology
NOT_YET_RECRUITING

Aurora, Colorado, 80045, United States
Children's Hospital of Philadelphia - Cardiology
NOT_YET_RECRUITING

Philadelphia, Pennsylvania, 19104, United States
Children's Hospital | Cardiology
NOT_YET_RECRUITING

London, Ontario, N6A 5W9, Canada
Children's Medical Center Dallas - Cardiology
NOT_YET_RECRUITING

Dallas, Texas, 75235, United States
Children's Mercy Hospital Kansas City - Cardiology
NOT_YET_RECRUITING

Kansas City, Missouri, 64108, United States
Cincinnati Children's Hospital Medical Center | Division of Nephrology and Hypertension
NOT_YET_RECRUITING

Cincinnati, Ohio, 45229, United States
Cleveland Clinic Children's
NOT_YET_RECRUITING

Cleveland, Ohio, 44195, United States
Cliniques Universitaires St-Luc (UCL) - Pediatric Cardiology
NOT_YET_RECRUITING

Brussels, Brussels Capital, 1200, Belgium
Columbia University Irving Medical Center - Pediatric Cardiology
NOT_YET_RECRUITING

New York, New York, 10032, United States
Consultorios Integrados Rosario | Instituto Medico de la Fundacion de Estudios Clinicos
NOT_YET_RECRUITING

Rosario, Santa Fe Province, S2000DEJ, Argentina
Consultorios Médicos Dr. Doreski
NOT_YET_RECRUITING

Buenos Aires, C1426ABP, Argentina
Cukurova Universitesi Tip Fakultesi Hastanesi
NOT_YET_RECRUITING

Adana, 1330, Turkey (Türkiye)
Dana-Dwek Children's Hospital
NOT_YET_RECRUITING

Tel Aviv, 6423906, Israel
Eccles Primary Children's Outpatient Services - Cardiology
NOT_YET_RECRUITING

Salt Lake City, Utah, 84113, United States
Edith Wolfson Medical Center (EWMC)
NOT_YET_RECRUITING

Holon, 58100, Israel
Emory University Hospital - Children's Healthcare of Atlanta Cardiology - Atlanta
NOT_YET_RECRUITING

Atlanta, Georgia, 30329, United States
Fakultní nemocnice Brno, Detská nemocnice - Pediatrická klinika
NOT_YET_RECRUITING

Brno, South Moravian, 613 00, Czechia
Fakultní nemocnice Motol a Homolka, Pracovište MOTOL - Detské kardiocentrum 2. LF UK a FN Motol
NOT_YET_RECRUITING

Prague, Prague, 150 06, Czechia
Fundação Universidade de Caxias do Sul
NOT_YET_RECRUITING

Marília, São Paulo, 95070-560, Brazil
Gottsegen Gyorgy Orszagos Kardiovaszkularis Intezet - Gyermeksziv Kozpont
NOT_YET_RECRUITING

Budapest, 1096, Hungary
Górnoslaskie Centrum Zdrowia Dziecka im. sw. Jana Pawla II SPSK Nr 6 Slaskiego UM w Katowicach - Oddzial Kardiologii Dzieciecej
NOT_YET_RECRUITING

Katowice, 40-752, Poland
HUS-Yhtymä, Helsingin yliopistollinen sairaala (HUS) - Uusi lastensairaala, kardiologia
NOT_YET_RECRUITING

Helsinki, Uusimaa, 00290, Finland
Hacettepe Universitesi Tip Fakultesi
NOT_YET_RECRUITING

Ankara, 06230, Turkey (Türkiye)
Hospital General de Ninos Pedro de Elizalde | Nephrology Department
NOT_YET_RECRUITING

Buenos Aires, C1270, Argentina
Hospital General de Ninos Ricardo Gutierrez | Cardiology Department
NOT_YET_RECRUITING

Ciudad Autónoma de Buenos Aire, C1425EFD, Argentina
Hospital Infantil Sabará - Instituto PENSI - Pesquisa e Ensino em Saúde Infantil
NOT_YET_RECRUITING

São Paulo, São Paulo, 01227-200, Brazil
Hospital Infantil de México "Dr. Federico Gómez"
WITHDRAWN

Mexico City, Mexico City, 6720, Mexico
Hospital Italiano de Buenos Aires
NOT_YET_RECRUITING

Buenos Aires, C1199ABB, Argentina
Hospital Pequeno Principe
NOT_YET_RECRUITING

Curitiba, Paraná, 80250-060, Brazil
Hospital Sant Joan De Deu Barcelona | Cardiologia pediatrica
NOT_YET_RECRUITING

Esplugues de Llobregat, Barcelona, 8950, Spain
Hospital Santa Marta | Pediatric Cardiology Department
NOT_YET_RECRUITING

Lisbon, 1169-024, Portugal
Hospital Universitari Vall D Hebron | Cardiologia pediatrica
NOT_YET_RECRUITING

Barcelona, 08035, Spain
Hospital Universitario "Dr. Jose Eleuterio Gonzalez"-Pediatria
NOT_YET_RECRUITING

Monterrey, Nuevo León, C.P. 64460, Mexico
Hospital Universitario 12 De Octubre | Cardiologia pediatrica
NOT_YET_RECRUITING

Madrid, 28041, Spain
Hospital Universitario La Paz | Cardiologia pediatrica
NOT_YET_RECRUITING

Madrid, 28046, Spain
Hospital Universitario Ramon Y Cajal | Cardiologia pediatrica
WITHDRAWN

Madrid, 28034, Spain
Hospital Universitario Regional De Malaga | Cardiologia pediatrica
NOT_YET_RECRUITING

Málaga, 29010, Spain
Hospital Universitario Reina Sofia | Cardiologia pediatrica
NOT_YET_RECRUITING

Córdoba, 14004, Spain
Hospital Universitario Virgen Del Rocio S.L. | Cardiologia pediatrica
NOT_YET_RECRUITING

Seville, 41013, Spain
Hospital de Clínicas da Universidade Federal de Uberlândia Empresa Brasileira de Serviços Hospitalares - EBSERH
WITHDRAWN

Uberlândia, Minas Gerais, 38405-325, Brazil
Hospital de Niños Sor María Ludovica
NOT_YET_RECRUITING

La Plata, Buenos Aires, 1900, Argentina
Hospital de Pediatría Juan P. Garrahan
NOT_YET_RECRUITING

Buenos Aires, C1249ABN, Argentina
Hospital de Santa Cruz | Pediatric Cardiology Department
NOT_YET_RECRUITING

Lisbon, 1449-005, Portugal
IRCCS Istituto Giannina Gaslini - Cardiologia
NOT_YET_RECRUITING

Genova, 16147, Italy
Icahn School of Medicine at Mount Sinai - Pediatric Cardiology
NOT_YET_RECRUITING

New York, New York, 10029, United States
InCor HCFMUSP
NOT_YET_RECRUITING

São Paulo, São Paulo, 54030-000, Brazil
Instituto Dante Pazzanese de Cardiologia | Divisao de Pesquisa
NOT_YET_RECRUITING

São Paulo, São Paulo, 04012-180, Brazil
Instituto De Investigaciones Clinicas Zarate | Zarate, Argentina
NOT_YET_RECRUITING

Zárate, Buenos Aires, B2800DGH, Argentina
Instituto Nacional de Cardiología "Ignacio Chávez"
NOT_YET_RECRUITING

Tlalpan, C.P. 14080, Mexico
Instytut Centrum Zdrowia Matki Polki w Lodzi - Klinika Kardiologii
WITHDRAWN

Lódz, 93-338, Poland
Invecordis Sc.
NOT_YET_RECRUITING

Huixquilucan, State of Mexico, 52763, Mexico
Istanbul Mehmet Akif Ersoy Gogus Kalp Damar Cerrahisi E.A.H.
NOT_YET_RECRUITING

Istanbul, TBC, Turkey (Türkiye)
Izmir Dr. Behcet Uz Cocuk Hastaliklari Hast
NOT_YET_RECRUITING

Izmir, 35210, Turkey (Türkiye)
Joe Dimaggio Children's Hospital - Cardiology
NOT_YET_RECRUITING

Hollywood, Florida, 33021, United States
Kaohsiung Veterans General Hospital
NOT_YET_RECRUITING

Kaohsiung City, 813414, Taiwan
Kepler Universitätsklinikum GmbH - Klinik für Kinderkardiologie
NOT_YET_RECRUITING

Innsbruck, Upper Austria, 6020, Austria
Leeds Teaching Hospitals NHS Trust | Leeds Children's Hospital - Children's Research Facility
NOT_YET_RECRUITING

Leeds, West Yorkshire, LS1 3EX, United Kingdom
Liga Alvaro Bahia Contra a Mortalidade Infantil - Hospital Martagão Gesteira
NOT_YET_RECRUITING

Salvador, São Paulo, 40050050, Brazil
MUSC Shawn Jenkins Children's Hospital - Cardiology
NOT_YET_RECRUITING

North Charleston, South Carolina, 29406, United States
MacKay Children's hospital
NOT_YET_RECRUITING

Taipei, 104217, Taiwan
Marmara Uni. Tip Fak. Pendik EAH Kardiyoloji
NOT_YET_RECRUITING

Istanbul, 34899, Turkey (Türkiye)
Medical Center Nora- Heart ?OOD Child Cardiology
NOT_YET_RECRUITING

Sofia, Sofia City Province, 1431, Bulgaria
Medizinische Universität Wien - Klinik für Kinder- und Jugendheilkunde, Abteilung für Pädiatrische Kardiologie
NOT_YET_RECRUITING

Vienna, State of Vienna, 1090, Austria
NHS Greater Glasgow and Clyde | Royal Hospital for Children - Glasgow Clinical Research Facility
NOT_YET_RECRUITING

Glasgow, Scotland, G51 4TF, United Kingdom
National Cheng Kung University Hospital
NOT_YET_RECRUITING

Tainan, 704, Taiwan
National Heart Hospital (NHH) - Dept. Pediatric Cardiology
NOT_YET_RECRUITING

Sofia, Sofia City Province, 1309, Bulgaria
National Taiwan University Hospital
NOT_YET_RECRUITING

Taipei, 100, Taiwan
Nationwide Children's Hospital - Cardiology
NOT_YET_RECRUITING

Columbus, Ohio, 43205, United States
Nemours Children's Hospital - Delaware - Cardiology
NOT_YET_RECRUITING

Wilmington, Delaware, 19803, United States
Newcastle upon Tyne Hospitals NHS Foundation Trust |Freeman Hospital - Children's Heart Unit
NOT_YET_RECRUITING

Newcastle upon Tyne, Tyne and Wear, NE7 7DN, United Kingdom
Nosokomeio Paidon I Agia Sofia, Cardiology Department
NOT_YET_RECRUITING

Athens, 11527, Greece
Onassis Cardiac Surgery Center, Department of Pediatric Cardiology and Adult Congenital Heart Disease
NOT_YET_RECRUITING

Kallithea, Attica, 17674, Greece
Ospedale Pediatrico Bambino Gesù - Unità Terapie Cardiovascolari Avanzate
NOT_YET_RECRUITING

Roma, 00165, Italy
Pomnik Centrum Zdrowia Dziecka - Klinika Kardiologii
WITHDRAWN

Warsaw, Masovian Voivodeship, 04-730, Poland
Pusan National University Yangsan Children's Hospital
NOT_YET_RECRUITING

Yangsan, Gyeongsangnam-do, 50612, South Korea
Rambam Health Corporation
WITHDRAWN

Haifa, 3109601, Israel
Riley Hospital For Children - Cardiology
NOT_YET_RECRUITING

Indianapolis, Indiana, 46202, United States
Royal University Hospital | Cardiology
NOT_YET_RECRUITING

Saskatoon, Saskatchewan, S7N 0W8, Canada
Samsung Medical Center-Pediatrics
NOT_YET_RECRUITING

Seoul, 06351, South Korea
Sanatorio de la Cañada
NOT_YET_RECRUITING

Córdoba, X5000BSQ, Argentina
Santa Casa de Misericórdia de Belo Horizonte
NOT_YET_RECRUITING

São Paulo, São Paulo, 30150-221, Brazil
Seoul National University Hospital-Pediatrics Department
NOT_YET_RECRUITING

Jongno, Seoul, 03080, South Korea
Severance Hospital, Yonsei University Health System-Pediatrics Department
NOT_YET_RECRUITING

Seodaemun, 03722, South Korea
Shaare Zedek Medical Center
NOT_YET_RECRUITING

Jerusalem, 9103102, Israel
Skånes Universitetssjukhus - Lund - Barnhjärtcentrum
NOT_YET_RECRUITING

Lund, Skåne County, 222 41, Sweden
Stollery Children's Hospital | Cardiology
NOT_YET_RECRUITING

Edmonton, Alberta, T6G 2B7, Canada
Taichung Veterans General Hospital
RECRUITING

Taichung, 40705, Taiwan
Texas Children's Hospital - Cardiology
NOT_YET_RECRUITING

Houston, Texas, 77030, United States
The Children's Hospital at Montefiore - Cardiology
NOT_YET_RECRUITING

The Bronx, New York, 10467, United States
The Hospital for Sick Children (SickKids)
NOT_YET_RECRUITING

Toronto, Ontario, M5G 1X8, Canada
UF Health Shands Hospital - Pediatric Cardiology
NOT_YET_RECRUITING

Gainesville, Florida, 32608, United States
UPMC Children's Hospital of Pittsburgh - Cardiology
NOT_YET_RECRUITING

Pittsburgh, Pennsylvania, 15224, United States
UZ Antwerpen - Pediatric Cardiology
NOT_YET_RECRUITING

Edegem, Antwerp, 2650, Belgium
UZ Gent - Pediatric Cardiology
NOT_YET_RECRUITING

Ghent, East Flanders, 9000, Belgium
UZ Leuven - Pediatric Cardiology
NOT_YET_RECRUITING

Leuven, Flemish Brabant, 3000, Belgium
Unidade Local de Saúde de Coimbra, E.P.E. - Hospital Pediátrico - Serviço de Cardiologia Pediátrica
NOT_YET_RECRUITING

Coimbra, 3004-561, Portugal
Unidade Local de Saúde de Santo António, E.P.E. - Centro Materno Infantil do Norte - Serviço de Cardiologia Pediátrica
NOT_YET_RECRUITING

Porto, 4050-651, Portugal
Unidade Local de Saúde de São João E.P.E. - Hospital São João - Serviço de Pediatria
NOT_YET_RECRUITING

Porto, 4200-319, Portugal
Universitaetsklinikum Giessen und Marburg GmbH - Kinderherzzentrum und Zentrum für angeborene Herzfehler
NOT_YET_RECRUITING

Giessen, Hesse, 35385, Germany
University Hospitals Bristol and Weston NHS Foundation Trust | Bristol Royal Hospital for Children - Clinical Research Facility
NOT_YET_RECRUITING

Bristol, BS2 8AE, United Kingdom
University Hospitals of Leicester NHS Trust | Leicester Children's Hospital - Children's Research Facility
NOT_YET_RECRUITING

Leicester, Leicestershire, LE1 5WW, United Kingdom
University Multiprofile Hospital for Active Treatment 'Sveta Ekaterina' EAD, Sofia
NOT_YET_RECRUITING

Sofia, Sofia City Province, 1431, Bulgaria
University Multiprofile Hospital for Active Treatment 'Sveti Georgi' EAD, Plovdiv Pediatric Clinic
NOT_YET_RECRUITING

Plovdiv, Plovdiv Province, 4000, Bulgaria
Universitätsklinikum Köln - Kinderkardiologie
WITHDRAWN

Cologne, North Rhine-Westphalia, 50937, Germany
Universitätsklinikum Tübingen, Kinderheilkunde II - Kinderkardiologie, Pulmologie, Intensivmedizin
WITHDRAWN

Tübingen, Baden-Wurttemberg, 72076, Germany
Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
NOT_YET_RECRUITING

Wroclaw, 51-124, Poland
Washington University - St. Louis Children's Hospital - Cardiology
NOT_YET_RECRUITING

St Louis, Missouri, 63110, United States

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