New shot aims to slash stroke risk by crushing cholesterol
NCT ID NCT07242599
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 3 trial tests a new injectable drug, ongericimab, in about 4,800 people who recently had a stroke due to narrowed arteries. The goal is to see if lowering LDL cholesterol more than current standard care can prevent future strokes, heart attacks, or death from heart disease. Participants will receive either standard cholesterol-lowering therapy or ongericimab injections plus standard therapy, aiming for very low LDL targets.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ongericimab injection
- What this could lead to
- If successful, this could provide a new treatment option to lower cholesterol more aggressively and reduce the risk of another stroke or heart attack in high-risk patients.
- What could go wrong
- This is a large Phase 3 trial, but it is still experimental. The drug may not prove more effective than standard therapy, and side effects from the injection or very low cholesterol levels are possible.
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 4,810 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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: * Obtaining informed consent; * Age ≥18 years; * Patients with ischemic stroke within 3 months( NIHSS\<15 before randomization); * Presence of ≥50% stenosis in major intracranial or extracranial arteries, and related to the symptoms of the current episode or the location of infarction; * LDL-C ≥ 70 mg/dL (1.8 mmol/L) at screening. Exclusion Criteria: * History of cerebral hemorrhage at any time (microhemorrhages present only on SWI are not an exclusion criterion) * Hemorrhage or other pathological neurological conditions on baseline brain CT/MRI (e.g., vascular malformations, tumors, abscesses, or common non-ischemic brain diseases like multiple sclerosis); * Presence of isolated sensory symptoms (e.g., numbness), isolated visual changes, or isolated dizziness or vertigo, but no evidence of recent infarction on baseline head CT or MRI; * Unable to complete the assessment of intracranial and extracranial arterial stenosis before randomization * mRS score≥2 before onset (based on assessment of medical history); * Stroke caused by angioplasty/vascular surgery; * Cardioembolic stroke caused by atrial fibrillation, artificial heart valves, endocarditis, mitral stenosis, sinus node dysfunction, etc. * Most recent fasting triglycerides \>400 mg/dL (4.5 mmol/L) prior to randomization; * Uncontrolled hypertension (SBP \>180 mmHg or DBP \>110 mmHg); * Hypothyroidism diagnosed within 1 month before randomization. * Severe renal impairment (eGFR \<30 mL/min/1.73m²); * Active liver disease or dysfunction (AST/ALT \>3×ULN within 30 days pre-randomization); * NYHA Class III/IV heart failure within 1 year prior to randomization; * Life-limiting non-cardiovascular diseases (life expectancy \<1 years); * Malignancy within 10 years (excluding adequately treated basal cell carcinoma, cervical CIS, DCIS, or stage 1 prostate cancer); * Known hypersensitivity to monoclonal antibody therapies; * PCSK9 inhibitor use within 3 months before randomization. * Participation in other drug/device trials within 30 days; * Women of childbearing potential without contraception, pregnancy, or lactation; * Inability to understand or comply with the study due to mental illness, cognitive, or emotional disorders, or other reasons deemed unsuitable for participation in the study by the investigator.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Intracranial atherosclerotic stenosis are added.
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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
199 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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Affiliated Hospital of Chifeng University
Chifeng, Inner Mongolia, 024000, China
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Affiliated Hospital of Hebei University
Baoding, Hebei, 071000, China
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Affiliated Yueqing Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325600, China
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Baise City People's Hospital
Baise City, Guangxi, 533099, China
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Baotou City Central Hospital
Baotou, Inner Mongolia, 014040, China
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Bayannur Hospital
Bayan Nur, Inner Mongolia, 015000, China
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Beian No.1 People's Hospital
Harbin, Heilongjiang, 164000, China
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Beijing Tiantan Hospital, Capital Medical University
Beijing, China
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Benxi Central Hospital
Benxi, Liaoning, 117100, China
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Binzhou Medical University Hospital
Binzhou, Shandong, 256603, China
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Central Hospital Affiliated to Shenyang Medical College
Shenyang, Liaoning, 110024, China
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Central Hospital of Dalian University of Technology (Dalian Municipal Central Hospital)
Dalian, Liaoning, 116000, China
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Changge People's Hospital
Xuchang, Henan, 461500, China
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Changzhi People's Hospital
Changzhi, Shanxi, 046000, China
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Chenzhou 3rd People's Hospital
Chenzhou, Hunan, 423000, China
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Chenzhou No.1 People's Hospital
Chenzhou, Hunan, 423099, China
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Chifeng City Center Hospital Ningcheng County
Chifeng, Inner Mongolia, 024200, China
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Chifeng Hospital of Traditional Chinese and Mongolian Medicine
Chifeng, Inner Mongolia, 024005, China
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China-Japan Union Hospital of Jilin University
Changchun, Jilin, 130033, China
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Chinese Medicine Hospital Of Puyang
Puyang, Henan, 457000, China
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Chongqing Sanbo Changan Hospital
Chongqing, Chongqing Municipality, 400023, China
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Cixian People's Hospital
Handan, Hebei, 056500, China
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DA QING LongNan Hospital
Daqing, Heilongjiang, 163453, China
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Dalian Jinzhou District First People's Hospital
Dalian, Liaoning, 116199, China
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Dalian University Affiliated Xinhua Hospital
Dalian, Liaoning, 116021, China
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Dalian lvshunkou district traditional Chinese medicine hospital
Dalian, Liaoning, 116041, China
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Dandong Central Hospital
Dandong, Liaoning, 118000, China
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Dandong First Hospital
Dandong, Liaoning, 118000, China
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Daqing No.4 hospital
Daqing, Heilongjiang, 163000, China
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Daqing Oilfield General Hospital
Daqing, Heilongjiang, 163001, China
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Department of Yongjia People's Hospital
Wenzhou, Zhejiang, 325100, China
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First Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030001, China
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First People's Hospital of Tianshui
Tianshui, Gansu, 741000, China
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Fuyang People's Hospital
Fuyang, Anhui, 236004, China
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Gansu Provincial Maternity and Child-care Hospital(Gansu Provincial Central Hospital)
Lanzhou, Gansu, 730070, China
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General Hospital of Benxi Iron
Benxi, Liaoning, 117000, China
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Grand Hospital of Shuozhou
Shuozhou, Shanxi, 036002, China
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Guye District Hospital of Traditional Chinese Medicine, Tangshan
Tangshan, Hebei, 063199, China
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Haiyan People's Hospital
Jiaxing, Zhejiang, 314399, China
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HanDan Central Hospital
Handan, Hebei, 057150, China
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Hebei Tang County People's Hospital
Baoding, Hebei, 071030, China
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Hebi Coal Industry (Group) Co., Ltd. General Hospital
Hebi, Henan, 458031, China
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Hejian People's Hospital
Hejian, Hebei, 062450, China
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Hengshui People's Hospital
Hengshui, Hebei, 053000, China
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Hongxinglong Hospital of Beidahuang Group
Shuangyashan, Heilongjiang, 155811, China
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HuZhou Central Hospital
Huzhou, Zhejiang, 313000, China
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Huidong People'S Hospital
Huizhou, Guangdong, 516300, China
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Huizhou First Hospital
Huizhou, Guangdong, 516003, China
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Huludao Central Hospital
Huludao, Liaoning, 125001, China
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Inner Mongolia Forestry General Hospital
Yakeshi, Inner Mongolia, 022150, China
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Jiang'an County Hospital of Traditional Chinese Medicine
Yibin, Sichuan, 644200, China
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Jiaozuo Coal Mining Group Co., Ltd. Central Hospital
Jiaozuo, Henan, 454001, China
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Jiujiang No.1 People's Hospital
Jiujiang, Jiangxi, 332000, China
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Jiyuan Hospital of Traditional Chinese Medicine
Jiyuan, Henan, 459001, China
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Lianshui County People's Hospital
Huai'an, Jiangsu, 223400, China
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Lianyuan People's Hospital
Loudi, Hunan, 417100, China
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Liaocheng Brain Hospital
Liaocheng, Shandong, 252000, China
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Liaocheng City Central Hospital
Liaocheng, Shandong, 252001, China
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Liaocheng People's Hospital
Liaocheng, Shandong, 252037, China
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Liaoning Health Industry Group Fukuang General Hospital
Fushun, Liaoning, 113008, China
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Linfen Central Hospital
Linfen, Shanxi, 041000, China
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Liqun Hospital, Putuo District, Shanghai
Shanghai, Shanghai Municipality, 200333, China
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Lishui Central Hospital
Lishui, Zhejiang, 323000, China
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Liuyang Jili Hospital
Changsha, Hunan, 410399, China
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Liuzhou Worker's Hospital
Liuzhou, Guangxi, 545005, China
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Luoyang Central Hospital
Luoyang, Henan, 471009, China
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Luoyang First People's Hospital
Luoyang, Henan, 471002, China
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Meihekou Central Hospital
Meihekou, Jilin, 135000, China
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Meishan Cardio Cerebrovascular Disease Hospital
Meishan, Sichuan, 062000, China
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Mengzhou Fuxing hospital
Jiaozuo, Henan, 454750, China
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Mengzhou Hospital of Traditional Chinese Medicine
Jiaozuo, Henan, 454750, China
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Minxian County Hospital of Traditional Chinese Medicine
Dingxi, Gansu, 748400, China
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Mudanjiang Hospital of Beidahuang Group
Jixi, Heilongjiang, 158300, China
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Nanle People's Hospital
Puyang, Henan, 457400, China
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Ningcheng County Hospital of Traditional Chinese and Mongolian Medicine
Chifeng, Inner Mongolia, 024200, China
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Ningde People's Hospital
Ningde, Fujian, 352100, China
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Ninger People's Hospital
Pu'er, Yunnan, 665199, China
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Ningjin People's Hospital
Dezhou, Shandong, 253499, China
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No.1 People'S Hospital of Heihe
Heihe, Heilongjiang, 164300, China
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Northern Theater Command Air Force Hospital
Shenyang, Liaoning, 110042, China
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Northern Theater Command General Hospital
Shenyang, Liaoning, 110016, China
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People'S Hospital of Tanghe
Nanyang, Henan, 473400, China
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People's Hospital of Changle County
Weifang, Shandong, 262400, China
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People's Hospital of Gaomi
Weifang, Shandong, 261500, China
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People's Hospital of Qihe County
Dezhou, Shandong, 251100, China
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People's Hospital of Xixian
Xinyang, Henan, 464399, China
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People's hospital of NingLing
Shangqiu, Henan, 476700, China
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Pingdingshan The second people's hospital
Pingdingshan, Henan, 467000, China
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Puding County People's Hospital
Anshun, Guizhou, 562100, China
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Puyang County People's Hospital
Puyang, Henan, 457161, China
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Puyang Oilfield General Hospital
Puyang, Henan, 457000, China
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Puyang People's Hospital
Puyang, Henan, 457000, China
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Qingdao Cardiovascular Hospital Co., Ltd.
Qingdao, Shandong, 266000, China
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Qinghai Provincial Traffic Hospital
Xining, Qinghai, 810000, China
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Qinghe people's hospital
Xingtai, Hebei, 054899, China
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Qinyang City Hospital of Traditional Chinese Medicine
Jiaozuo, Henan, 454550, China
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Qinyang People's Hospital
Jiaozuo, Henan, 454550, China
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Qiuxian County People's Hospital
Handan, Hebei, 057450, China
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Qixia traditional Chinese medicine hospital
Yantai, Shandong, 265399, China
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Qufu People's Hospital
Jining, Shandong, 273100, China
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Sanmenxia Central Hospital
Sanmenxia, Henan, 472000, China
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Second Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030001, China
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Shang Qiu Hospital of Tcm
Shangqiu, Henan, 476000, China
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Shanghai Fourth People's Hospital, Affiliated to Tongji University
Shanghai, Shanghai Municipality, 200434, China
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Shanghai General Hospital Jiuquan Hospital
Jiuquan, Gansu, 735008, China
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Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 201999, China
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Shanxi Cardiovascular Hospital
Taiyuan, Shanxi, 030024, China
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Shaoguan Qujiang District People's Hospital
Shaoguan, Guangdong, 512100, China
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Shaoxing people's hospital
Shaoxing, Zhejiang, 312000, China
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Shenmu Hospital
Shenmu, Shaanxi, 719300, China
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Sinopharm North Hospital
Baotou, Inner Mongolia, 221116, China
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Siping City Central People's Hospital
Siping, Jilin, 136099, China
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Siyang Kangda Hospital
Suqian, Jiangsu, 223798, China
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Sui county traditional Chinese medicine hospital
Shangqiu, Henan, 476999, China
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Suining Center Hospital
Suining, Sichuan, 629099, China
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Taikang Xian People's Hospital
Zhoukou, Henan, 461499, China
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Taoyuan People'S Hospital
Changde, Hunan, 415700, China
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The 2nd Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150086, China
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The Affiliated Hospital of Yongzhou Vocational and Technical College
Yongzhou, Hunan, 425199, China
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The Fifth People's Hospital of Chongqing
Chongqing, Chongqing Municipality, 400062, China
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The Fifth People's Hospital of Ningxia
Shizuishan, Ningxia, 753000, China
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The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College
Chongqing, Chongqing Municipality, 401334, China
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The First Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150001, China
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The First Affiliated Hospital of Henan Medical University
Xinxiang, Henan, 453100, China
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The First Affiliated Hospital of Henan Polytechnic University (Jiaozuo Second People's Hospital)
Jiaozuo, Henan, 454001, China
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The First Affiliated Hospital of Jiamusi University
Jiamusi, Heilongjiang, 154000, China
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The First Affiliated Hospital of Wannan Medical College
Wuhu, Anhui, 241001, China
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The First Hospital of Fangshan District, Beijing
Beijing, Beijing Municipality, 102499, China
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The First Hospital of Xifeng County
Tieling, Liaoning, 112400, China
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The First People Hospital of Lingbao
Sanmenxia, Henan, 472599, China
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The First People's Hospital Of Shenyang
Shenyang, Liaoning, 110041, China
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The First People's Hospital of Jingdezhen
Jingdezhen, Jiangxi, 333099, China
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The First People's Hospital of Pingdingshan
Pingdingshan, Henan, 467099, China
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The First People's Hospital of Yangquan
Yangquan, Shanxi, 045000, China
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The First People's Hospital of Yuzhong County
Lanzhou, Gansu, 730100, China
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The First People's Hospital of Zhumadian
Zhumadian, Henan, 463000, China
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The Hongda Hospital of Jiamusi University
Jiamusi, Heilongjiang, 154000, China
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The NO.4 People's Hospital of Hengshui
Hengshui, Hebei, 053000, China
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The NO.4 People's Hospital of Hengshui
Hengshui, Hebei, 053000, China
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The No.2 Hospital Of Baoding
Baoding, Hebei, 071051, China
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The People's Hospital Of Biyang County
Zhumadian, Henan, 463799, China
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The People's Hospital of Gaotang
Liaocheng, Shandong, 252899, China
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The People's Hospital of Liaoning Province
Shenyang, Liaoning, 110067, China
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The People's Hospital of Nujiang Lisu Autonomous Prefecture
Nujiang, Yunnan, 673299, China
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The People's Hospital of Queshan County
Zhumadian, Henan, 463200, China
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The People's Hospital of the Qiandongnan Miao and Dong Autonomous Prefecture
Kaili, Guizhou, 556099, China
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The Second Affiliated Hospital of Hainan Medical University
Haikou, Hainan, 570311, China
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The Second Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, 471099, China
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The Second Affiliated Hospital of Qiqihar Medical University
Qiqihar, Heilongjiang, 161000, China
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The Second Affiliated Hospital of Shandong First Medical University
Tai’an, Shandong, 271099, China
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The Second Affiliated Hospital of Xi'an Medical University
Xi'an, Shaanxi, 710038, China
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The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050000, China
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The Second Hospital of Qinhuangdao
Qinhuangdao, Hebei, 066699, China
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The Second People's Hospital of Dongying
Dongying, Shandong, 257335, China
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The Third People Hospital in Liaocheng
Liaocheng, Shandong, 252006, China
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The first affiliated hospital of Dalian Medical University
Dalian, Liaoning, 116011, China
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The people's Hospital of Linqing
Liaocheng, Shandong, 252699, China
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The third hospital of shi zui shan
Shizuishan, Ningxia, 753400, China
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Tianjin Cancer Hospital Qinhuangdao Branch
Qinhuangdao, Hebei, 066002, China
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Tonghua Dongchang District People's Hospital
Tonghua, Jilin, 134001, China
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Tongliao People's Hospital
Tongliao, Inner Mongolia, 028000, China
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Tongren People's Hospital
Tongren, Guizhou, 554300, China
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Tuoketuo County Hospital
Hohhot, Inner Mongolia, 010200, China
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Wafangdian Third Hospital Co., Ltd.
Dalian, Liaoning, 116300, China
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Weifang People's Hospital
Weifang, Shandong, 261000, China
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Weihai Central Hospital
Weihai, Shandong, 264400, China
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Weihai Central Hospital
Weihai, Shandong, 264400, China
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Weihai Wendeng District People's Hospital
Weihai, Shandong, 264499, China
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Weixian People's Hospital
Handan, Hebei, 056800, China
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Weixian People's Hospital
Xingtai, Hebei, 054700, China
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Wuchuan People's Hospital
Zhanjiang, Guangdong, 524557, China
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Wuyuan County People's Hospital
Bayan Nur, Inner Mongolia, 015100, China
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Xi 'an Fengcheng Hospital
Xi'an, Shaanxi, 710016, China
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Xianning Central Hospital
Xianning, Hubei, 437000, China
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Xingtai People's Hospital
Xingtai, Hebei, 054001, China
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Xingtai central hospital
Xingtai, Hebei, 054000, China
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Xingtang County People's Hospital
Shijiazhuang, Hebei, 050699, China
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Xingyang People's Hospital
Zhengzhou, Henan, 450199, China
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Xinji Traditional Chinese Medicine Hospital
Shijiazhuang, Hebei, 052360, China
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Xinjiang Production&Construaction Corps Hospital
Ürümqi, Xinjiang Uygur Autonomous Region, 830002, China
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Xinmi Hospital of T.C.M
Zhengzhou, Henan, 452370, China
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Xiuwu County People's Hospital
Jiaozuo, Henan, 454350, China
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Xuangang Hospital
Zhangjiakou, Hebei, 075199, China
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YEDA hospital
Yantai, Shandong, 264006, China
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Yangxin County People's Hospital
Binzhou, Shandong, 251800, China
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Yantai Hospital of Traditional Chinese Medicine
Yantai, Shandong, 264000, China
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Yantai Penglai traditional Chinese medicine hospital
Yantai, Shandong, 265699, China
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Yantai Taocun Central Hospital
Yantai, Shandong, 265301, China
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Yantai Yuhuangding Hospital
Yantai, Shandong, 264099, China
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Yellow River Sanmenxia Hospital
Sanmenxia, Henan, 472000, China
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Yugan Xinjiang hospital
Shangrao, Jiangxi, 335100, China
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Yuncheng County People's Hospital
Heze, Shandong, 274799, China
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Yutian County Hospital of Traditional Chinese Medicine
Tangshan, Hebei, 064199, China
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Zhalantun Hospital of Traditional Chinese and Mongolian Medicine
Zhalantun, Inner Mongolia, 162650, China
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Zhalantun People's Hospital
Zhalantun, Inner Mongolia, 162650, China
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Zhongnan Hospital of Wuhan University
Wuhan, Hubei, 430071, China
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Zhoukou Yongshan Hospital
Zhoukou, Henan, 461300, China
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Zhumadian Central Hospital
Zhumadian, Henan, 463000, China
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Zichang People's Hospital
Yan’an, Shaanxi, 717399, China
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