Could a pill tame muscle weakness in myasthenia gravis?
NCT ID NCT06463587
First seen Jun 24, 2026 · Last updated Sep 17, 2026 · Updated 9 times
Summary
This phase 3 trial is testing a new oral form of cladribine, a drug that calms the immune system, in 264 adults with generalized myasthenia gravis. Participants receive either low-dose cladribine, high-dose cladribine, or a placebo in two courses four weeks apart. The main goal is to see if cladribine improves daily activities and muscle strength compared to placebo after 24 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cladribine (oral tablet)
- What this could lead to
- If it works, this could offer a new oral treatment option to control symptoms and improve daily living for people with generalized myasthenia gravis.
- What could go wrong
- This is a phase 3 trial, but cladribine is an immune-suppressing drug with known risks like infections and low blood counts. It may not work better than placebo, and long-term safety is still being studied.
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 264 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2024
- Expected to finish
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Nov 2030
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: * Adults of ≥ 18 years of age at the time of signing the informed consent. * Diagnosis of Myasthenia Gravis with generalized muscle weakness, meeting clinical criteria for Myasthenia Gravis Foundation of America Class II to IVa classification. * In participants positive for Acetylcholine receptor antibody (anti-AChR) or muscle-specific kinase antibody(anti-MuSK) * In participants that are autoantibody seronegative i.e. not positive for anti-AChR and anti-MuSK antibodies and participants who are positive for anti-low-density lipoprotein receptor-related protein 4 antibodies (anti-LRP4) * Has a Screening and Baseline MG-ADL score more than or equal to (\>=) 6 with \>= 50 percentage (%) of the total score due to non-ocular symptoms. Screening and Baseline MG-ADL scores must be stable. The difference between the Screening and Baseline scores should not be more than 2 and there should be no reported MG exacerbation during the Screening period * If treated with oral corticosteroids: should be on a stable daily dose for at least 3 months prior to and during screening. In such case, the daily dose of oral steroids should not exceed 20 milligrams(mg)/day for prednisone/ prednisolone, 16 mg/day for methylprednisolone, 3 mg/day for dexamethasone, or 80 mg for hydrocortisone or equivalent doses for other corticosteroids. * If treated with acetylcholinesterase inhibitor should be on a stable daily dose (pyridostigmine dose ≤ 480 mg/day or neostigmine ≤ 300 mg/day) for at least 3 months prior to and during screening * Have a body weight \>= 40 kilograms * Other protocol defined inclusion criteria could apply Exclusion Criteria: * Immunologic disorder other than MG or any other condition requiring chronic oral, intravenous, intramuscular, or intraarticular corticosteroid therapy. Well-controlled thyroid disease, as per the Treating Investigator or the participants regular treating physician recorded in the source documents, is not exclusionary * Molecularly characterized or suspected congenital myasthenic syndrome, Lambert-Eaton myasthenic syndrome, inherited myopathy, muscular dystrophy, acquired myopathy or any other neurologic or systematic disease that mimics MG muscular weakness * Active, clinically significant viral, bacterial, or fungal infection, including brain MRI or chest X-ray findings consistent with signs of infection such as PML or TB, or any major episode of infection requiring hospitalization or treatment with parenteral anti-infectives within 8 weeks prior or during Screening, or completion of oral anti-infectives within 8 weeks prior or during Screening. Vaginal candidiasis, onychomycosis, and genital or oral herpes simplex virus considered by the Investigator to be sufficiently controlled would not be exclusionary * Has a history of or current diagnosis of active tuberculosis (TB) or is currently undergoing treatment for latent TB infection or has an untreated latent TB infection as determined by documented results within 3 months of the Screening Visit of a positive TB skin test . * Active malignancy, or history of cancer or signs of malignancy in any Screening assessment * Treatment with nonsteroidal immunosuppressants, used in gMG, such as azathioprine, mycophenolate mofetil, methotrexate, cyclosporine, cyclophosphamide, tacrolimus within 4 weeks prior to randomization * Treatment with FcRn or complement inhibitors (such as eculizumab, rozanolixizumab efgartigimod, ravulizumab, zilucoplan or nipocalimab) within 8 weeks prior to randomization * History of thymectomy within 6 months prior to Screening. * History of generalized seizures (except for history of febrile seizures during the participant's childhood). * Negative or indeterminate for Varicella Zoster Virus antibodies at screening * History of myasthenic crisis in the last 12 months prior to and during screening * History of recurrent infections (that is 3 or more infections per year documented in available source data) within the last 2 years * Discontinuation of treatment with any non-steroidal immunosuppressants used in gMG, such as azathioprine, mycophenolate mofetil, methotrexate, cyclosporine, cyclophosphamide, tacrolimus within the last 6 months prior to Screening * If treated with non-steroidal immunosuppressants for gMG, the dose at Screening higher than 50 mg/day for azathioprine, 500 mg/day for mycophenolate mofetil, 1 mg/day for tacrolimus, 50 mg/day for cyclosporine, 25 mg/day for cyclophosphamide, or 7.5 mg/week for methotrexate * Participation in clinical study of any investigational drug within 6 months, or 5 half-lives of the investigational drug used in the previous clinical study prior to randomization, whichever is longer. However, participants with any prior exposure to cladribine may not enter the study regardless of timing of exposure * Other protocol defined exclusion criteria could apply
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Generalized myasthenia gravis are added.
Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
150 sites in 25 countries. 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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AHEPA General Hospital of Thessaloniki
RECRUITINGThessaloniki, 54636, Greece
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ANESC Research
RECRUITINGEl Paso, Texas, 79912, United States
Contact Email: •••••@•••••
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Advanced Neurosciences Research LLC
ACTIVE_NOT_RECRUITINGLongmont, Colorado, 80501, United States
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Affiliated Hospital of Zunyi Medical University
RECRUITINGZunyi, Guizhou, 563099, China
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Arizona Neuroscience Research, LLC
RECRUITINGPhoenix, Arizona, 85032, United States
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Asan Medical Center
RECRUITINGSeoul, 138-736, South Korea
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Atrium Health Wake Forest Baptist
RECRUITINGWinston-Salem, North Carolina, 27157-1078, United States
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Aversi Clinic Ltd
RECRUITINGTbilisi, 0160, Georgia
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Azienda Ospedaliera Universitaria Policlinico Tor Vergata - U.O.C. Neurologia
RECRUITINGRome, 00133, Italy
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Azienda Socio Sanitaria Territoriale Papa Giovanni
RECRUITINGBergamo, 24127, Italy
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Bangalore Medical College and Victoria Hospital - 300148268
RECRUITINGBangalore, Karnataka, 560002, India
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Baylor Scott & White Neurology - McKinney
RECRUITINGMcKinney, Texas, 75071, United States
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Baylor Scott & White Research Institute - Baylor Scott & White Research Institute
RECRUITINGDallas, Texas, 75246, United States
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Box Hill Hospital - PARENT
RECRUITINGBox Hill, Victoria, 3128, Australia
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Brain and Mind Research Institute
RECRUITINGCamperdown, New South Wales, 2050, Australia
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Brainaxy Clinic S.R.L.
RECRUITINGConstanța, 900591, Romania
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Burnaby Hospital - Fraser Health Multiple Sclerosis Clinic
RECRUITINGBurnaby, British Columbia, V5G 2X6, Canada
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C. H. R. de la Citadelle - Account 1
RECRUITINGLiège, 4000, Belgium
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CER San Juan Centro Polivalente de Asistencia e Inv. Clinica
RECRUITINGSan Juan, 5400, Argentina
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CHU Clermont Ferrand - Hopital Gabriel Montpied - service de neurologie B
RECRUITINGClermont-Ferrand, Puy De Dome, 63003, France
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CHU Nice - Hôpital Pasteur - Cardiology
RECRUITINGNice, Alpes Maritimes, 06002, France
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CHU Strasbourg - Hopital Hautepierre - Service Anesthesie-Reanimation&Medecine Peri-Opera
RECRUITINGStrasbourg, Bas Rhin, 67098, France
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CHU de Grenoble - Hôpital Albert Michallon - Centre de Références des Maladies Neuromusculaires
RECRUITINGLa Tronche, Isere, 38700, France
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Centralsjukhuset Karlstad
RECRUITINGKarlstad, 65230, Sweden
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Centro de Investigaciones Medicas Tucuman
RECRUITINGSan Miguel de Tucumán, Argentina
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Charité Universitaetsmedizin Berlin - Campus Charité Mitte - Klinik fuer Neurologie
RECRUITINGBerlin, 10117, Germany
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Chiba University Hospital - Dept of Neurology
RECRUITINGChiba, Chiba, 260-8677, Japan
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China Medical University Hospital
RECRUITINGTaichung, 404327, Taiwan
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China-Japan Union Hospital of Jilin University - 300173736
RECRUITINGChangchun, Jilin, 130033, China
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Chonnam National University Hospital
RECRUITINGGwangju, 61469, South Korea
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Chopda Medicare & Research Centre - 300188248
RECRUITINGNashik, Maharashtra, 422005, India
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Clinical Center of Vojvodina - Department of Neurology
RECRUITINGNovi Sad, 21000, Serbia
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Clinical Trials of South Carolina - Charleston
RECRUITINGCharleston, South Carolina, 29406, United States
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Danderyd Sjukhus - 300147691
RECRUITINGStockholm, 18288, Sweden
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Deenanath Mangeshkar Hospital and Research Centre - Department of Neurology
RECRUITINGPune, Maharashtra, 411030, India
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Dokuz Eylul University Faculty of Medicine - Neurology Department
RECRUITINGIzmir, 35340, Turkey (Türkiye)
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Erlanger Health, Inc. - 1123255
RECRUITINGChattanooga, Tennessee, 37403, United States
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Expertia S.A- Mautalen Salud e Investigación
RECRUITINGCiudad Autonoma Buenos Aires, 1427, Argentina
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Fondation Ophtalmologique Adolphe de Rothschild - Service de neurologie
RECRUITINGParis, Paris, 75940, France
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Fondazione IRCCS Istituto Neurologico Carlo Besta
RECRUITINGMilan, 20133, Italy
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Fondazione Istituto Neurologico Casimiro Mondino - Neurology
RECRUITINGPavia, 27100, Italy
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Fukuoka University Hospital - Dept of Neurology/Health Care
RECRUITINGFukuoka, Fukuoka, 814-0180, Japan
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Fundacion Rosarina de Neurorehabilitacion
RECRUITINGRosario, Argentina
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General Hanamaki Hospital - Dept of Neurology
RECRUITINGHanamaki-shi, Iwate, 025-0082, Japan
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Gold Coast University Hospital - PARENT
RECRUITINGSouthport, Australia
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Groupe Hospitalier Pitie-Salpetriere - Centre Référent Maladies Rares SLA - Neurologie
RECRUITINGParis, 75013, France
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Hacettepe University Medical Faculty - Neurology Department
RECRUITINGAnkara, 06100, Turkey (Türkiye)
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Hakodate Municipal Hospital - Dept of Neurology
RECRUITINGHakodate-shi, Hokkaido, 392006, Japan
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Henan Provincial People's Hospital
RECRUITINGZhengzhou, Henan, 450003, China
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Hopital Neurologique Pierre Wertheimer - Pathologies neuro-musculaires. Electromyographie
RECRUITINGBron, Rhone, 69677, France
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Hospital Cordoba
RECRUITINGCórdoba, Argentina
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Hospital Universitari Germans Trias i Pujol - Servicio de Neurologia
RECRUITINGBadalona, Barcelona, 08916, Spain
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Hospital Universitari Vall d'Hebron - Neurology Dept
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitari i Politecnic La Fe - Pediatry Department
RECRUITINGValencia, 46026, Spain
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Hospital Universitario Central de Asturias - Servicio de Neurologia
RECRUITINGOviedo, Principality of Asturias, 33011, Spain
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Hospital Universitario Reina Sofia - Neurology Dept
RECRUITINGCórdoba, Córdoba, 14004, Spain
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Huashan Hospital, Fudan University - Neurology
RECRUITINGShanghai, Shanghai Municipality, 200040, China
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Hôpital Henri Mondor - Service de Neurologie
RECRUITINGCréteil, Val De Marne, 94010, France
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INECO Neurociencias Oroño
RECRUITINGRosario, Argentina
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IRCCS Istituto delle Scienze Neurologiche di Bologna - Unità Operativa Complessa Clinica Neurologica
RECRUITINGBologna, 40139, Italy
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IRCCS Ospedale Policlinico San Martino - Neuroradiologia
RECRUITINGGenova, 16132, Italy
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IUHW Narita Hospital - Dept of Neurology
RECRUITINGNarita-shi, Chiba, 286-8520, Japan
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Inselspital - Universitaetsspital Bern - Neuropsychologische Rehabilitation, Neurologie
RECRUITINGBern, 3010, Switzerland
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Instituto de Investigaciones Metabolicas (IDIM)
RECRUITINGCiudad Autonoma Buenos Aires, C1012AAR, Argentina
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Instituto de Investigaciones Neurologicas Raul Carrea, FLENI - de Investigaciones Clinicas del área de Cardiología y enfermedades metabólicas asociadas
RECRUITINGCiudad Autonoma Buenos Aires, 1428, Argentina
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Institutul Clinic Fundeni - parent
RECRUITINGBucharest, 022328, Romania
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Integrated Neurology Services - Dr. Simon Fishman's Office
ACTIVE_NOT_RECRUITINGFalls Church, Virginia, 22043, United States
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Istanbul University Istanbul Medical Faculty - Neurology
RECRUITINGIstanbul, 34390, Turkey (Türkiye)
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John Hunter Hospital - PARENT
RECRUITINGCity of Burnside, South Australia, SA 5072, Australia
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Kagawa University Hospital - Dept of Neurology
RECRUITINGKita-gun, Kagawa-ken, 7610793, Japan
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Kaohsiung Chang Gung Memorial Hospital
RECRUITINGKaohsiung City, 83301, Taiwan
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Karadeniz Tecnical Uni. Med. Fac. - Neurology Departmen
RECRUITINGTrabzon, 61080, Turkey (Türkiye)
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Keimyung University Dongsan Hospital
WITHDRAWNSeoul, South Korea
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Kocaeli University Medical Faculty - Neurology Department
RECRUITINGKocaeli, 41380, Turkey (Türkiye)
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Korea University Anam Hospital
RECRUITINGSeoul, 136-705, South Korea
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Krakowska Akademia Neurologii Sp z o.o. Centrum Neurologii Klinicznej
RECRUITINGKrakow, 31-505, Poland
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Kyungpook National University Chilgok Hospital
RECRUITINGDaegu, 41404, South Korea
Contact Email: •••••@•••••
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Ltd. Pineo Medical Ecosystem
RECRUITINGTbilisi, 0114, Georgia
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MHATNP "Sv.Naum", EAD - Third Neurology Clinic
RECRUITINGSofia, 1113, Bulgaria
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MTZ Clinical Research Powered By Pratia
RECRUITINGWarsaw, 02-091, Poland
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Mallikatta Neurocentre
RECRUITINGMangalore, Karnataka, 575001, India
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Medical Center Hera - branch Montana
RECRUITINGMontana, 3400, Bulgaria
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Medizinische Hochschule Hannover - Klinik fur Neurologie mit Klinischer Neurophysiol
RECRUITINGHanover, Lower Saxony, 30625, Germany
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Mersin University Medical Faculty - Neurology Department
RECRUITINGMersin, 33079, Turkey (Türkiye)
Contact Email: •••••@•••••
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Miami Valley Hospital South
RECRUITINGCenterville, Ohio, 45459, United States
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Nagasaki University Hospital - Dept of Neurology
RECRUITINGNagasaki, Nagasaki, 852-8501, Japan
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Neurology Associates, P. A.
RECRUITINGMaitland, Florida, 32751, United States
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Neurology of Central Florida Research Center, LLC
RECRUITINGAltamonte Springs, Florida, 32714, United States
Contact Email: •••••@•••••
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New Hospitals LLC
RECRUITINGTbilisi, 0114, Georgia
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Nizam's Institute of Medical Sciences
RECRUITINGHyderabad, Andhra Pradesh, 500082, India
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Nottingham University Hospitals NHS Trust
RECRUITINGNottingham, Nottinghamshire, NG7 2UH, United Kingdom
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Ondokuz Mayis Univ. Med. Fac. - Neurology
RECRUITINGAtakum/SAMSUN, 55270, Turkey (Türkiye)
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Osaka University Hospital - Dept of Neurology/Stroke Care Unit
RECRUITINGSuita-shi, Japan
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Ospedale ca' Foncello - Neurology
RECRUITINGTreviso, 31100, Italy
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Peking Union Medical College Hospital
RECRUITINGBeijing, Beijing Municipality, 100730, China
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Policlinico Universitario Agostino Gemelli - UOC Neurologia
RECRUITINGRome, 00168, Italy
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Princess Alexandra Hospital - PARENT
RECRUITINGSouth Brisbane, Queensland, 4101, Australia
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Queen Square Centre for Neuromuscular Diseases
RECRUITINGLondon, Greater London, SE1 9RT, United Kingdom
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Royal Hallamshire Hospital - Dept of Neurology
RECRUITINGSheffield, South Yorkshire, S10 2JF, United Kingdom
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S.C Neurocity S.R.L
RECRUITINGBucharest, 040215, Romania
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SFM Clinical Research, LLC
RECRUITINGBoca Raton, Florida, 33487, United States
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SP ZOZ Szpital Uniwersytecki w Krakowie - Zespó
RECRUITINGKrakow, 30-688, Poland
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Sahlgrenska Sjukhuset
RECRUITINGGöteborg, 41345, Sweden
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Saitama Medical University Hospital - Dept of Neurology/Stroke Care Unit
RECRUITINGIruma-gun, Saitama, 350-0495, Japan
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Seoul Metropolitan Government Seoul National University Boramae Medical Center
RECRUITINGSeoul, 156707, South Korea
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Severance Hospital, Yonsei University Health System - Division of Infectious Diseases
RECRUITINGSeoul, 03722, South Korea
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Shengjing Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110004, China
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Shijiazhuang People's Hospital
RECRUITINGShijiazhuang, Hebei, 050000, China
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Shin Kong Wu Ho-Su Memorial Hospital
RECRUITINGTaipei, 111, Taiwan
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Southern Tohoku Medical Clinic - Dept of Neurology
RECRUITINGKoriyama-shi, Fukushima, 963-8563, Japan
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Spitalul Clinic Judetean de Urgenta Targu Mures - Sectia Clinica Neurologie I
RECRUITINGTârgu Mureş, 540136, Romania
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St John's Medical College Hospital
RECRUITINGBangalore, Karnataka, 560034, India
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St. Joseph Hospital - St. Joseph Hospital Haan
RECRUITINGBochum, North Rhine-Westphalia, 44791, Germany
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Sunshine Coast University Hospital
RECRUITINGBirtinya, Queensland, 4575, Australia
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Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont - Neurologiai Klinika
RECRUITINGSzeged, 6725, Hungary
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Taipei Veterans General Hospital
RECRUITINGTaipei, 11217, Taiwan
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The First Affiliated Hospital of Bengbu Medical College
RECRUITINGAnhui Sheng, Anhui, 233000, China
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The First Affiliated Hospital of Guangzhou University of Chinese Medicine - 300164595
RECRUITINGGuangzhou, Guangdong, 510405, China
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The First Hospital of Jilin University - The First Hospital of Jilin University
RECRUITINGChangchun, Jilin, 130021, China
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The George Washington University Medical Faculty Associates Foggy Bottom South Pavilion
RECRUITINGWashington D.C., District of Columbia, 20037, United States
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The University of Vermont Medical Center
RECRUITINGBurlington, Vermont, 05401, United States
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Toho University Ohashi Medical Center - Dept of Neurology
RECRUITINGMeguro-ku, Tokyo-To, 153-8515, Japan
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Tokyo Medical University Hospital - Dept of Neurology
RECRUITINGShinjuku-ku, Tokyo-To, 160-0023, Japan
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Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology
RECRUITINGWuhan, Hubei, 430030, China
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UMHAT "Sv. Georgi", EAD
RECRUITINGPlovdiv, 4000, Bulgaria
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UMHAT 'Dr. Georgi Stranski', EAD
RECRUITINGPleven, 5800, Bulgaria
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UMHATEM 'N.I. Pirogov', EAD
RECRUITINGSofia, 1606, Bulgaria
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UNC Hospitals - PARENT
RECRUITINGChapel Hill, North Carolina, 27599, United States
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UZ Leuven
RECRUITINGLeuven, 3000, Belgium
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Universitaetsklinikum Carl Gustav Carus TU Dresden - Medizinische Klinik I
RECRUITINGDresden, Saxony, 01307, Germany
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Universitaetsklinikum Duesseldorf AoeR - Klinik fuer Neurologie
RECRUITINGDüsseldorf, North Rhine-Westphalia, 40225, Germany
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Universitaetsklinikum Leipzig AoeR - Klinik und Poliklinik fuer Neurologie
RECRUITINGLeipzig, Saxony, 04103, Germany
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Universitaetsklinikum Schleswig-Holstein - Campus Luebeck - Neurologie
RECRUITINGLübeck, Schleswig-Holstein, 23562, Germany
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Universitaetsklinikum Ulm - Klinik fuer Neurologie
RECRUITINGUlm, Baden-Wurttemberg, 89081, Germany
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Universitaetsmedizin Goettingen - Abteilung fuer Nephrologie und Rheumatologie
RECRUITINGGöttingen, Lower Saxony, 37075, Germany
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University Clinical Center Kragujevac - Department of Neurology
RECRUITINGKragujevac, 34000, Serbia
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University Clinical Center Nis - Parent
RECRUITINGNiš, 18000, Serbia
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University Clinical Center of Serbia - Clinic of Neurology
RECRUITINGBelgrade, 11000, Serbia
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University General Hospital of Larissa - Rheumatology Clinic
RECRUITINGLarissa, 41500, Greece
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University Hospital of Patra
RECRUITINGPátrai, 26504, Greece
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University of Cincinnati
RECRUITINGCincinnati, Ohio, 45219, United States
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University of Connecticut Health Center - Department of Medicine
RECRUITINGFarmington, Connecticut, 06030-5550, United States
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University of Florida Health Science Center - 300120311
RECRUITINGJacksonville, Florida, 32209, United States
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University of Kansas Medical Center Research Institute, Inc. - 3901 Rainbow (MAIN)
RECRUITINGKansas City, Kansas, 66160, United States
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University of South Florida - PARENT - PARENT
RECRUITINGTampa, Florida, 33612, United States
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Uniwersyteckie Centrum Kliniczne - Dept of Neurology
RECRUITINGGdansk, 80-214, Poland
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West China Hospital, Sichuan University
RECRUITINGChengdu, Sichuan, 610041, China
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Wielospecjalistyczne Centrum Medyczne Ibismed - Dept of Neurology
RECRUITINGZabrze, Poland
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Xi 'an International Medical Center
RECRUITINGXi’an, Shanxi, 710038, China
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Xiangya Hospital, Central South University
RECRUITINGChangsha, Hu'nan, 410008, China
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Xuanwu Hospital Capital Medical University
RECRUITINGBeijing, Beijing Municipality, 100053, China
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Yashoda Super Speciality Hospital - 300158817
RECRUITINGHyderabad, Andhra Pradesh, 500082, India
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