New hope for PMR patients: drug may replace long-term steroids
NCT ID NCT05767034
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two doses of secukinumab (a shot) combined with a steroid taper in 381 adults aged 50+ with polymyalgia rheumatica (PMR) who had recently relapsed. The goal was to see if secukinumab helps patients achieve and maintain remission without needing steroids long-term. PMR causes severe pain and stiffness, and current treatment relies on steroids that have serious side effects.
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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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381 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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Feb 2026
- 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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50 to 100 years
- 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: * Signed informed consent must be obtained prior to participation in the study * Male or non-pregnant, non-lactating female participants at least 50 years of age. * Diagnosis of PMR according to the provisional American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria: Participants ≥ 50 years of age with a history of bilateral shoulder pain accompanied by elevated C-reactive protein (CRP) concentration (≥ 10 mg/L) and/or elevated erythrocyte sedimentation rate (ESR) (≥ 30 mm/hr) who scored at least 4 points from the following optional classification criteria: * Morning stiffness \> 45 minutes (min) (2 points) * Hip pain or restricted range of motion (1 point) * Absence of rheumatoid factor and/or anti-citrullinated protein antibodies (2 points) * Absence of other joint involvement (1 point) * Participants must have a history of being treated for at least 8 consecutive weeks with prednisone ≥ 10 mg/day, or equivalent dose of another GC at any time prior to screening * Participants must have had at least one episode of PMR relapse while attempting to taper prednisone at a dose that is ≥ 5 mg/day (or equivalent dose of another GC) within the past 12 weeks prior to BSL. Diagnosis of a PMR relapse is defined as participant meeting both of the following: * Recurrence of bilateral shoulder girdle and/or bilateral hip girdle pain associated with inflammatory stiffness with or without additional symptoms indicative of PMR relapse (such as constitutional symptoms) within 12 weeks prior to BSL that are in the opinion of the Investigator not due to other diseases that may mimic PMR such as osteoarthritis in shoulders or hips, polyarticular calcium pyrophosphate deposition disease, rotator cuff disease, adhesive capsulitis (frozen shoulder) or fibromyalgia. * Elevated ESR (≥ 30 mm/hr) and/or elevated CRP (\> upper limit of normal (ULN)) attributable to PMR at the time of relapse and/or at screening * Participants must have been treated as per local treatment recommendations following the latest PMR relapse and must be on prednisone of at least 7.5 mg/day (or equivalent) and not exceeding 25 mg/day at screening and during the screening period Exclusion Criteria: * Evidence/history of GCA as indicated by typical (cranial) symptoms (e.g., persistent or recurrent localized headache, temporal artery or scalp tenderness, jaw claudication, blurry or loss of vision, symptoms of stroke), extremity claudication, imaging and/or temporal artery biopsy result * Concurrent rheumatoid arthritis or other inflammatory arthritis or other connective tissue diseases, such as but not limited to systemic lupus erythematosus, systemic sclerosis, vasculitis, myositis, mixed connective tissue disease, and ankylosing spondylitis * Concurrent diagnosis or history of neuropathic muscular diseases or fibromyalgia * Inadequately treated hypothyroidism (e.g., persistence of symptoms, lack of normalization of serum TSH despite regular hormonal replacement treatment) * Previous exposure to secukinumab or other biologic drug directly targeting IL-17 or IL-17 receptor * Participants treated with tocilizumab or other IL-6/IL6-receptor inhibitors within 12 weeks or within 5 half-lives (whichever is longer) prior to BSL; participant who did not respond to or experienced a relapse during treatment are excluded from enrollment into the study Other protocol-defined inclusion/exclusion criteria may apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AZ Arthritis and Rheumtlgy Rsh PLLC
Phoenix, Arizona, 85032, United States
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Accurate Clinical Research Inc
Houston, Texas, 77089, United States
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Advanced Rheumatology of Houston
Spring, Texas, 77382, United States
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Arizona Arthritis and Rheumatology Associates PLLC
Avondale, Arizona, 85392, United States
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Center for Rheumatology Research
West Hills, California, 91307, United States
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Clinical Research Inst of MI
Saint Clair Shores, Michigan, 48081, United States
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DM Clinical Research
Houston, Texas, 77070, United States
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Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756, United States
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Kansas City Physician Partners
Kansas City, Missouri, 64111, United States
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Klein and Associates
Hagerstown, Maryland, 21740, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Millennium Clinical Trials
Westlake Village, California, 91361, United States
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Novartis Investigative Site
Caba, Buenos Aires, C1119ACN, Argentina
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Novartis Investigative Site
Quilmes, Buenos Aires, B1878GEG, Argentina
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Novartis Investigative Site
Buenos Aires, C1055AAF, Argentina
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Novartis Investigative Site
Parramatta, New South Wales, 2150, Australia
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Novartis Investigative Site
Southport, Queensland, 4215, Australia
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Novartis Investigative Site
Heidelberg Heights, Victoria, 3081, Australia
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Novartis Investigative Site
Leuven, 3000, Belgium
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Novartis Investigative Site
Liège, 4000, Belgium
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Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90480-000, Brazil
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Novartis Investigative Site
São Paulo, São Paulo, 04038-002, Brazil
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Novartis Investigative Site
São Paulo, 01409-902, Brazil
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Novartis Investigative Site
Québec, Quebec, G1V 3M7, Canada
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Santiago, Santiago Metropolitan, 7500571, Chile
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Novartis Investigative Site
Santiago, Santiago Metropolitan, 8380465, Chile
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Novartis Investigative Site
Santiago, Santiago Metropolitan, 8420383, Chile
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Novartis Investigative Site
Viña del Mar, Valparaiso, 2531172, Chile
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Barranquilla, Atlántico, 080002, Colombia
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Barranquilla, Atlántico, 080020, Colombia
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Bogota, Cundinamarca, 110221, Colombia
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Cali, Valle del Cauca Department, 760042, Colombia
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Prague, Czech Republic, 140 00, Czechia
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Brno, 638 00, Czechia
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Hlučín, 748 01, Czechia
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Prague, 128 00, Czechia
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Novartis Investigative Site
Prague, 140 00, Czechia
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Uherské Hradiště, 686 01, Czechia
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Zlín, 760 01, Czechia
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Aarhus N, 8200, Denmark
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Esbjerg, 6700, Denmark
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Gandrup, 9362, Denmark
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Vejle, DK-7100, Denmark
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Limoges, Haute Vienne, 87000, France
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Toulon, Val De Marne, 83800, France
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Aix-en-Provence, 13616, France
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Novartis Investigative Site
Brest, 29200, France
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Novartis Investigative Site
Cholet, 49325, France
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Colmar, 68024, France
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Dijon, 21000, France
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Le Mans, 72000, France
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Montpellier, 34295, France
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Nantes, 44093, France
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Reims, 51092, France
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Strasbourg, 67000, France
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Toulouse, 31059, France
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Freiburg im Breisgau, Baden-Wurttemberg, 79106, Germany
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Würzburg, Bavaria, 97080, Germany
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Dresden, Saxony, 01307, Germany
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Berlin, 13125, Germany
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Berlin, 13353, Germany
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Erlangen, 91056, Germany
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Herne, 44649, Germany
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Ratingen, 40878, Germany
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Rendsburg, 24768, Germany
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Budapest, 1027, Hungary
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Szeged, 6725, Hungary
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Veszprém, 8200, Hungary
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Dublin, D03 VX82, Ireland
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Ramat Gan, 5265601, Israel
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Tel Aviv, 6423906, Israel
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Bolzano, BZ, 39100, Italy
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Milan, MI, 20100, Italy
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Milan, MI, 20132, Italy
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Milan, MI, 20157, Italy
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Perugia, PG, 06129, Italy
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Pavia, PV, 27100, Italy
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Reggio Emilia, RE, 42123, Italy
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Ichikawa, Chiba, 2728516, Japan
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Fukuoka, Fukuoka, 8140180, Japan
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Asahikawa, Hokkaido, 0708644, Japan
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Kita-gun, Kagawa-ken, 7610793, Japan
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Sagamihara, Kanagawa, 2520392, Japan
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Yokohama, Kanagawa, 222-0036, Japan
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Nagano, Nagano, 3808582, Japan
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Beppu, Oita Prefecture, 8740011, Japan
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Kawachi-Nagano, Osaka, 5868521, Japan
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Osaka, Osaka, 550-0006, Japan
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Bunkyo Ku, Tokyo, 1138431, Japan
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Fuchū, Tokyo, 1838524, Japan
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Ōme, Tokyo, 198-0042, Japan
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Shimonoseki, Yamaguchi, 750-0041, Japan
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Chūō, Yamanashi, 409-3898, Japan
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Okayama, 700-8607, Japan
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Osaka, 5340021, Japan
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Beirut, 1100 2070, Lebanon
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Guadalajara, Jalisco, 44650, Mexico
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Almelo, Overijssel, 7609 PP, Netherlands
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Rotterdam, South Holland, 3079 DZ, Netherlands
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Groningen, 9713 GZ, Netherlands
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Bytom, 41 902, Poland
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Lublin, 20-607, Poland
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Warsaw, 02-118, Poland
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Warsaw, 02-637, Poland
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Warsaw, 02-665, Poland
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Cape Town, Western Cape, 7405, South Africa
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Cape Town, Western Cape, 7500, South Africa
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Stellenbosch, Western Cape, 7600, South Africa
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Sabadell, Barcelona, 08208, Spain
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Bilbao, Bizkaia, 48013, Spain
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A Coruña, 15006, Spain
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Barcelona, 08041, Spain
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Madrid, 28009, Spain
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Seville, 41013, Spain
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Valencia, 46010, Spain
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Stockholm, SE, 113 65, Sweden
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Basel, 4031, Switzerland
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Fribourg, 1708, Switzerland
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Sankt Gallen, 9007, Switzerland
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Barnet, EN5 3DJ, United Kingdom
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Hull, HU3 2RW, United Kingdom
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Novartis Investigative Site
Wolverhampton, WV10 0QP, United Kingdom
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Paramount Med Rsrch and Consult LLC
Middleburg Heights, Ohio, 44130, United States
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Precn Comprehensive Clnl Rsch Solns
San Leandro, California, 94578, United States
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Prolato Clinical Research Center
Houston, Texas, 77054, United States
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Providence Saint Johns Health Ctr
Santa Monica, California, 90404, United States
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Rheumatology Associates of South Florida
Boca Raton, Florida, 33486, United States
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Sarasota Arthritis Res Ctr
Sarasota, Florida, 34239, United States
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Southeastern Rheumatology Alliance
Gainesville, Georgia, 30501, United States
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Sun Valley Arthritis Center Ltd
Peoria, Arizona, 85381, United States
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UF Health Cancer Center
Gainesville, Florida, 32610, United States
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West Broward Rheumatology Associates Inc
Tamarac, Florida, 33321, United States
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