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Can a weekly shot tame blood sugar in type 2 diabetes?
NCT ID NCT07754461
First seen Aug 10, 2026 · Last updated Sep 18, 2026 · Updated 6 times
Summary
This phase 3 trial asks whether survodutide, an investigational weekly injection, can help adults with type 2 diabetes lower their blood sugar more than a placebo. Around 600 participants, who also follow diet and exercise or take standard diabetes medications (including insulin), will be randomly assigned to one of two survodutide doses or placebo for about a year. The study tracks changes in HbA1c, a key blood sugar marker, to see if the treatment is effective and safe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- survodutide (BI 456906), an investigational injectable medicine
- What this could lead to
- If it works, survodutide could offer a new weekly injection option to help people with type 2 diabetes better control their blood sugar.
- What could go wrong
- This is an early-phase test in a large group; survodutide may not prove more effective than placebo, and side effects are possible. Results will take time.
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 600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: 1. Male or female, age ≥18 years at the time of signing informed consent, and at least the legal age of consent in countries where it is \>18 years 2. Diagnosed with type 2 diabetes mellitus (T2D) (e.g. American diabetes association (ADA)/European association for the study of diabetes (EASD) guidelines) and must meet requirements for one of background therapy parts A, B or C: 1. Part A: Naïve to insulin therapy and have not used oral or injectable anti-hyperglycaemic (diabetes) medication for at least 90 days prior to screening (Visit 1) and glycosylated haemoglobin A1c (HbA1c) ≥7.0 (≥53 mmol/mol) and \<9.5% (\<80 mmol/mol) as measured by the central laboratory at screening (Visit 1); 2. Part B: Treated with stable dose of oral antidiabetic medication (OAD) for 90 days prior to screening (Visit 1) as monotherapy or combination of: Maximum tolerated dose of metformin and/or Maximum tolerated dose of sulfonylurea and/or Maximum tolerated dose of sodium-glucose cotransporter 2 inhibitor (SGLT2i) and HbA1c ≥7.0% (≥53 mmol/mol) and \<10.5% (\<91 mmol/mol) as measured by the central laboratory at screening (Visit 1); 3. Part C: Stable use of basal insulin at a dose of ≥20 international units (IU)/day with or without stable dose of metformin and/or SGLT2i for 90 days prior to screening (Visit 1) and HbA1c ≥7.0% (≥53 mmol/mol) and \<10.5% (\<91 mmol/mol) as measured by the central laboratory at screening (Visit 1) 3. Body mass index (BMI) ≥23 kg/m2 at screening (Visit 1) 4. Signed and dated written informed consent in accordance with international council for harmonisation - good clinical practice (ICH-GCP) and local legislation prior to admission to the trial 5. Woman (or women) of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per international council for harmonisation of technical requirements for pharmaceuticals for human use M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. 6. In the investigator's opinion, participants are well-motivated, capable, and willing to: Learn how to self-inject the investigational medicinal product (IMP), as required for this protocol (persons with physical limitations who are not able to perform the injections must have the assistance of an individual trained to inject the IMP); Inject the IMP or accept injection from a designated person; Follow study procedures for the duration of the study, including, but not limited to: follow lifestyle advice (for example, dietary restrictions and exercise plan), maintain a diary, complete required questionnaires, and handle the IMP as described in the instructions for use (IFU) Exclusion criteria: 1. Type 1 diabetes mellitus (T1D) or latent autoimmune diabetes in adults (LADA) 2. Treatment within 90 days before screening (Visit 1) up to and including randomisation (Visit 2) with any: glucagon-like peptide-1 receptor (GLP-1R) agonists including GLP-1R agonist/glucose-dependent insulinotropic polypeptide (GIP) combinations, amylin or incretin combinations; Glucose-lowering drugs other than stated in the inclusion criteria for each part (i.e. metformin, Sodium-Glucose Cotransporter 2 Inhibitor (SGLT2i), basal insulin, depending on the background therapy part); Glucose-lowering investigational drug; Any anti-obesity medication including bupropion/naltrexone, orlistat, phentermine, and phentermine/topiramate 3. History of ketoacidosis or hyperosmolar state or coma within the last 6 months before screening (Visit 1) up to and including randomisation (Visit 2) 4. Hypoglycaemia unawareness or a history of severe hypoglycaemia within the last 3 months before screening (Visit 1) up to and including randomisation (Visit 2) 5. Diabetic retinopathy or maculopathy currently under treatment, or that is reasonably anticipated to require such treatment over the duration of the study 6. Body weight change (self-reported) \>5% within 90 days before screening (Visit 1) 7. Previous or planned (during the trial period) treatment for obesity with surgery or a weight loss device, including any prior bariatric surgery. The following are allowed: (1) liposuction and/or abdominoplasty, if performed \>1 year before screening (Visit 1), (2) lap banding, if the band has been removed \>1 year before screening (Visit 1), (3) intragastric balloon, if the balloon has been removed \>1 year before screening (Visit 1), (4) duodenal-jejunal bypass sleeve, if the sleeve has been removed \>1 year before screening (Visit 1). 8. Answered "yes" to any of the suicide-related behaviours (Actual attempt, Interrupted attempt, Aborted attempt, Preparatory act or behaviour) or to the non-suicidal self-injurious behaviour question on the "Suicidal Behaviour" section of the Columbia-Suicide Severity Rating Scale (C-SSRS) related to the past 2 years before screening (Visit 1) up to and including randomisation (Visit 2) 9. Further exclusion criteria 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.
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
121 sites in 6 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
Locations
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AIIMS Bhubaneshwar
NOT_YET_RECRUITINGBhubaneswar, 751019, India
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AIIMS, New Delhi
NOT_YET_RECRUITINGNew Delhi, 110029, India
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AMR Lexington
NOT_YET_RECRUITINGLexington, Kentucky, 40509, United States
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ARK Clinical Research
RECRUITINGLong Beach, California, 90815, United States
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Accel Research Sites - Lakeland
NOT_YET_RECRUITINGLakeland, Florida, 33803, United States
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Advanced Medical Research - Maumee
NOT_YET_RECRUITINGMaumee, Ohio, 43537, United States
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Albion Finch Medical Centre
NOT_YET_RECRUITINGToronto, Ontario, M9V 4B4, Canada
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Albuquerque Clinical Trials
NOT_YET_RECRUITINGAlbuquerque, New Mexico, 87102, United States
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Applied Medical Informatics Research Inc.
NOT_YET_RECRUITINGMontreal, Quebec, H4A 3T2, Canada
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Arcturus Healthcare - Troy Internal Medicine Research Division
NOT_YET_RECRUITINGTroy, Michigan, 48098, United States
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Arizona Liver Health - Peoria 85381
NOT_YET_RECRUITINGPeoria, Arizona, 85381, United States
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Baker Heart and Diabetes Institute
NOT_YET_RECRUITINGMelbourne, Victoria, 3004, Australia
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Balanced Life Health Care Solutions
NOT_YET_RECRUITINGLawrenceville, Georgia, 30046, United States
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Biopharma Informatic, Inc. Research Center
NOT_YET_RECRUITINGHouston, Texas, 77084, United States
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Boeson Research - Missoula
NOT_YET_RECRUITINGMissoula, Montana, 59804, United States
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Cahaba Research, Inc. - Trussville Location
NOT_YET_RECRUITINGBirmingham, Alabama, 35235, United States
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Centricity Research (Bayview)
NOT_YET_RECRUITINGToronto, Ontario, M4G 3E8, Canada
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Centricity Research (Brampton)
RECRUITINGBrampton, Ontario, L6S 0C6, Canada
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Centricity Research (Nepean)
NOT_YET_RECRUITINGNepean, Ontario, K2J 0V2, Canada
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Centricity Research (Vaughan)
NOT_YET_RECRUITINGConcord, Ontario, L4K 4M2, Canada
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Centricity Research - Morehead City
RECRUITINGMorehead City, North Carolina, 28557, United States
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Centricity Research, Endocrine Consultants
RECRUITINGColumbus, Georgia, 31904, United States
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Clinical Investigation Specialists, Inc.-Kenosha-69111
NOT_YET_RECRUITINGKenosha, Wisconsin, 53144, United States
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Clinical Research of Central Florida - Lakeland
NOT_YET_RECRUITINGLakeland, Florida, 33805, United States
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Clinical Research of West Florida, Inc.
RECRUITINGClearwater, Florida, 33765, United States
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Clinical Trials New Zealand Ltd
NOT_YET_RECRUITINGHamilton, 3204, New Zealand
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Clinical Trials Research - Lincoln
NOT_YET_RECRUITINGLincoln, California, 95648, United States
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Conquest Research
RECRUITINGWinter Park, Florida, 32789, United States
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Consano Clinical Research
NOT_YET_RECRUITINGShavano Park, Texas, 78231, United States
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Cotton O'Neil Mulvane
NOT_YET_RECRUITINGTopeka, Kansas, 66606, United States
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Covenant Metabolic Specialists, LLC - Brandon
RECRUITINGRiverview, Florida, 33578, United States
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Covenant Metabolic Specialists, LLC - Fort Myers
RECRUITINGFort Myers, Florida, 33912, United States
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Covenant Metabolic Specialists, LLC - Sarasota
RECRUITINGUniversity Park, Florida, 34201, United States
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Deenanath Mangeshkar Hospital and Research Centre
NOT_YET_RECRUITINGPune, 411004, India
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Diabetes & Endocrinology Associates of Stark County
NOT_YET_RECRUITINGCanton, Ohio, 44718, United States
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Diabetes Care and Research Centre
NOT_YET_RECRUITINGNagpur, 440010, India
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Diabetes Heart Research Centre
NOT_YET_RECRUITINGToronto, Ontario, M6G 1M2, Canada
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Diablo Clinical Research
RECRUITINGWalnut Creek, California, 94598, United States
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ERA Health Research - Redmond
RECRUITINGRedmond, Washington, 98052, United States
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Elite Clinical Trials - Blackfoot
NOT_YET_RECRUITINGBlackfoot, Idaho, 83221, United States
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Ellipsis Research Group - Brooklyn
NOT_YET_RECRUITINGBrooklyn, New York, 11215, United States
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Encompass Clinical Research, Spring Valley
RECRUITINGSpring Valley, California, 91978, United States
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Encore Medical Research
RECRUITINGHollywood, Florida, 33024, United States
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Encore Medical Research - Weston
RECRUITINGWeston, Florida, 33331, United States
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Endocrine and Metabolic Consultants
NOT_YET_RECRUITINGRockville, Maryland, 20852, United States
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Endocrinologie Oasis Inc
RECRUITINGMontreal, Quebec, H4J 1E3, Canada
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Evanston Premier Healthcare Research LLC
NOT_YET_RECRUITINGSkokie, Illinois, 60077, United States
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Family First Clinical Research
NOT_YET_RECRUITINGIdaho Falls, Idaho, 83404, United States
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Focus Clinical Research
RECRUITINGWest Hills, California, 91307, United States
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Fomat Medical Research
NOT_YET_RECRUITINGOxnard, California, 93030, United States
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Fraser Clinical Trials
RECRUITINGNew Westminster, British Columbia, V3L 3W4, Canada
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Gujarat Endocrine Centre
NOT_YET_RECRUITINGAhmedabad, 380006, India
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Helios Clinical Research - Paradise Valley
NOT_YET_RECRUITINGParadise Valley, Arizona, 85253, United States
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Helios Clinical Research - Phoenix
NOT_YET_RECRUITINGPhoenix, Arizona, 85028, United States
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Heritage Valley Medical Group
NOT_YET_RECRUITINGBeaver, Pennsylvania, 15009, United States
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Infinity Clinical Research
NOT_YET_RECRUITINGNorco, California, 92860, United States
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International Diabetes Center
NOT_YET_RECRUITINGMinneapolis, Minnesota, 55416, United States
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Isis Clinical Research Center
NOT_YET_RECRUITINGGuaynabo, 00968, Puerto Rico
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Javara Inc. - Cape Fear Valley Medical Center
NOT_YET_RECRUITINGFayetteville, North Carolina, 28304, United States
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Javara-Fayetteville-67354
RECRUITINGFayetteville, Georgia, 30214, United States
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John Muir Physician Network Clinical Research Center
RECRUITINGConcord, California, 94520, United States
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Jothydev's Diabetes Research Centre
NOT_YET_RECRUITINGTrivandrum, 695032, India
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Juno Research, LLC
NOT_YET_RECRUITINGHouston, Texas, 77040, United States
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LifeDoc Research, PLLC
NOT_YET_RECRUITINGMemphis, Tennessee, 38115, United States
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Logan Health Research - Kalispell
NOT_YET_RECRUITINGKalispell, Montana, 59901, United States
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Logan Hospital
NOT_YET_RECRUITINGMeadowbrook, Queensland, 4131, Australia
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Metabolic Research Institute, Inc.
NOT_YET_RECRUITINGWest Palm Beach, Florida, 33401, United States
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Mission Research Institute - Gilbert
NOT_YET_RECRUITINGGilbert, Arizona, 85296, United States
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Momentum Clinical Research Dunedin
NOT_YET_RECRUITINGCentral Dunedin, Dunedin, 9016, New Zealand
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Neighborhood Healthcare - Escondido
NOT_YET_RECRUITINGEscondido, California, 92025, United States
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New Horizon Research Center-Miami-69732
NOT_YET_RECRUITINGMiami, Florida, 33165, United States
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New Venture Medical Research
NOT_YET_RECRUITINGWadsworth, Ohio, 44281, United States
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New Zealand Clinical Research (NZCR) Christchurch
NOT_YET_RECRUITINGChristchurch Central City, Christchurch, 8011, New Zealand
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Northeast Research Institute
NOT_YET_RECRUITINGFleming Island, Florida, 32003, United States
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Northeast Research Institute
NOT_YET_RECRUITINGJacksonville, Florida, 32204, United States
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Northern Pines Health Center - Buckley
NOT_YET_RECRUITINGBuckley, Michigan, 49620, United States
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Olive Branch Family Medical Center
NOT_YET_RECRUITINGOlive Branch, Mississippi, 38654, United States
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Olympus Family Medicine
RECRUITINGSalt Lake City, Utah, 84117, United States
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Osmania Medical College & Hospital
NOT_YET_RECRUITINGHyderabad, Afzalgunj, 500012, India
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Pacific Diabetes & Endocrine Center
NOT_YET_RECRUITINGHonolulu, Hawaii, 96817, United States
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Palm Research Center
NOT_YET_RECRUITINGLas Vegas, Nevada, 89128, United States
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PanAmerican Clinical Research - Bluffton
NOT_YET_RECRUITINGBluffton, South Carolina, 29910, United States
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PharmQuest Life Sciences
NOT_YET_RECRUITINGGreensboro, North Carolina, 27408, United States
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Pinnacle Clinical Research - Georgetown
RECRUITINGGeorgetown, Texas, 78626, United States
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Pinnacle Clinical Research - San Antonio
RECRUITINGSan Antonio, Texas, 78222, United States
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Pinnacle Clinical Research, LLC
NOT_YET_RECRUITINGSan Antonio, Texas, 78229, United States
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Preferred Primary Care Physicians
NOT_YET_RECRUITINGPittsburgh, Pennsylvania, 15243, United States
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Preferred Primary Care Physicians - Matthew Drive
NOT_YET_RECRUITINGUniontown, Pennsylvania, 15401, United States
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Preferred Primary Care Physicians-Pittsburgh-63932
NOT_YET_RECRUITINGPittsburgh, Pennsylvania, 15236, United States
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Privia Medical Group Gulf Coast, PLLC
RECRUITINGConroe, Texas, 77384, United States
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Recherche Clinique Sigma Inc.
RECRUITINGQuébec, G1G 5X1, Canada
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Research Physicians Network
NOT_YET_RECRUITINGHouston, Texas, 77089, United States
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Revival Research Institute, LLC - Dearborn
RECRUITINGDearborn, Michigan, 48126, United States
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Rophe Adult and Pediatric Medicine
NOT_YET_RECRUITINGUnion City, Georgia, 30291, United States
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Royal Prince Alfred Hospital
NOT_YET_RECRUITINGCamperdown, New South Wales, 2050, Australia
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S.C.B. Medical College & Hospital
NOT_YET_RECRUITINGCuttack, 753007, India
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SKY Clinical Research Network Group - Ridgeland
NOT_YET_RECRUITINGRidgeland, Mississippi, 39157, United States
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San Fernando Valley Health
NOT_YET_RECRUITINGCanoga Park, California, 91304, United States
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Sanjay Gandhi Post Graduate Institute of Medical Sciences
NOT_YET_RECRUITINGLucknow, 226 014, India
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Sardar Vallabhbhai Patel Institute of Medical Sciences and Research
NOT_YET_RECRUITINGAhmedabad, 380006, India
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Shree Mahalaxmi Diatone Institute
NOT_YET_RECRUITINGKolhāpur, 416003, India
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Solaris Clinical Research
NOT_YET_RECRUITINGMeridian, Idaho, 83646, United States
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South Broward Research
NOT_YET_RECRUITINGMiramar, Florida, 33027, United States
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South Texas Research Institute - Brownsville
NOT_YET_RECRUITINGBrownsville, Texas, 78520, United States
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Southern Adelaide Diabetes & Endocrine services
NOT_YET_RECRUITINGOaklands Park, South Australia, 5046, Australia
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Southern Endocrinology Associates
NOT_YET_RECRUITINGMesquite, Texas, 75149, United States
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Spartanburg Medical Research
NOT_YET_RECRUITINGSpartanburg, South Carolina, 29303, United States
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StudyMetrix Research, LLC
NOT_YET_RECRUITINGCity of Saint Peters, Missouri, 63303, United States
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Supe Heart & Diabetes Hospital & Research Centre
NOT_YET_RECRUITINGNashik, 422002, India
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Tampa Bay Medical Research - Largo
RECRUITINGLargo, Florida, 33777, United States
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Tekton Research Oklahoma City
RECRUITINGOklahoma City, Oklahoma, 73134, United States
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Texas Diabetes and Endocrinology - Central Austin
RECRUITINGAustin, Texas, 78731, United States
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Texas Valley Clinical Research
NOT_YET_RECRUITINGWeslaco, Texas, 78596, United States
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Tidewater Physicians Multispecialty Group
NOT_YET_RECRUITINGNewport News, Virginia, 23606, United States
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University Clinical Investigators, Inc.
NOT_YET_RECRUITINGTustin, California, 92780, United States
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University Diabetes & Endocrine Consultants
RECRUITINGChattanooga, Tennessee, 37411, United States
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University of Texas Southwestern Medical Center
NOT_YET_RECRUITINGDallas, Texas, 75390-8837, United States
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Valley Clinical Trials, Inc.
RECRUITINGNorthridge, California, 91325, United States
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Vishakha Institute of Medical Sciences
NOT_YET_RECRUITINGVisakhapatnam, 530040, India
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Waitemata Clinical Research
NOT_YET_RECRUITINGAuckland, 0626, New Zealand
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Woodland International Research Group, Inc.
RECRUITINGLittle Rock, Arkansas, 72211, United States
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