New study tests switch from IV to At-Home shots for gut disease
NCT ID NCT06581328
First seen Jun 27, 2026 · Last updated Sep 16, 2026 · Updated 6 times
Summary
This study is testing the drug vedolizumab (Entyvio) in 400 adults with moderate to severe ulcerative colitis or Crohn's disease. Participants first receive the drug through an IV for 6 weeks, then switch to injections under the skin for the rest of the year. The main goal is to see how many people achieve remission (symptoms disappear) after 14 weeks. The study is being done in community clinics to see how well the treatment works in real-world settings.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vedolizumab (Entyvio)
- What this could lead to
- If successful, this study could show that switching from IV to at-home injections of vedolizumab helps people with Crohn's or colitis achieve and maintain remission.
- What could go wrong
- This is a single-arm, open-label study with no placebo group, so results may be less definitive. Some participants may not respond or may experience side effects like infections or allergic reactions.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Jun 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 to 80 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 To be eligible to participate in this study, participants must meet all the following criteria: 1. In the investigator's opinion, the participant can understand and comply with protocol requirements. 2. The participant signs and dates an electronic informed consent form (ICF) and any required privacy authorization prior to any study procedures. 3. The participant is 18 to 80 years of age at the time of signing the ICF. 4. The participant's immunization is up to date per vedolizumab US prescribing information (USPI). 5. Participants must meet the contraception recommendations. 6. The participant has a diagnosis of moderate to severely active UC or CD defined by the following: 1. CD: A Crohn's Disease Activity Index (CDAI) score of 220 to 450 and a SES-CD \>=6 (\>=4 if isolated ileal disease) at screening OR 2. UC: A complete Mayo score (MS) of 6 to 12 with endoscopy sub-score of 2 to 3 at screening. 7. UC or CD diagnosis established prior to screening by clinical and endoscopic evidence and corroborated by a histopathology report. 8. Demonstrated an inadequate response to, loss of response to, or intolerance of at least one of the following agents: corticosteroids, immunomodulators, and/or advanced therapy. Exclusion Criteria Participants who meet any of the following exclusion criteria will be excluded from participation in this study: 1. Received approved or investigational anti-integrin antibodies (i.e., vedolizumab, natalizumab, efalizumab, etrolizumab, abrilumab \[AMG 181\]) at any time prior to screening. 2. Failed (primary or secondary nonresponse) on more than 2 prior advanced treatments. 3. Use of corticosteroid enemas/suppositories within 2 weeks prior to screening (for UC and CD). 4. In the investigator's opinion, the participant meets any contraindication, warnings and precautions, drug interactions, or special population considerations per the vedolizumab USPI, or has a medical history or known allergy, hypersensitivity, or intolerance to vedolizumab or its excipients. 5. Received any investigational biologic therapy \<= 6 months prior to screening. 6. The participant has received an advanced treatment for an approved indication other than CD or UC within 60 days prior to screening. a. Advanced therapies include tumor necrosis factor (TNF) inhibitors, 12/23 antagonists, janus kinase (JAK) inhibitors, and sphingosine-1-phosphate (S1P) receptor modulators. 7. The participant has any evidence of an active infection during screening. 8. Ileostomy, colostomy, severe or symptomatic stenosis of the intestine, or short bowel syndrome. 9. A surgical procedure requiring general anesthesia within 30 days prior to screening or planned or possible major surgery during the study period. 10. History of malignancy, except for adequately treated nonmetastatic basal cell skin cancer; adequately treated squamous cell skin cancer that has not recurred for at least 1 year before screening; and adequately treated cervical carcinoma in situ that has not recurred for at least 3 years before screening. Participants with a remote history of malignancy (e.g., \>10 years since completion of curative therapy without recurrence) will be considered based on the nature of the malignancy and therapy received; this must be discussed with the sponsor on a case-by-case basis before enrollment. 11. Participants with any unstable or uncontrolled cardiovascular conditions, moderate to severe heart failure (New York Heart Association Class III or IV), pulmonary, hepatic, renal, gastrointestinal, genitourinary, hematological, coagulation, immunological, endocrine/metabolic, neurological, or other medical disorders that, in the investigator's opinion, would confound the study results or compromise participant safety. 12. Participants with active cerebral or meningeal disease, signs or symptoms or a history of progressive multifocal leukoencephalopathy (PML), or any other major neurological disorder, including stroke, multiple sclerosis, brain tumor, or neurodegenerative disease. 13. Participant is not on a stable dose of corticosteroid. 14. Has any of the following laboratory abnormalities during the screening period: (a) hemoglobin \<8 grams per deciliter (g/dL); (b) white blood cell (WBC) count \<3.0 × 10\^9 per liter (L); (c) lymphocyte count \<0.5 × 10\^9/L; (d) platelet count \<100 × 10\^9/L or \>1200 × 10\^9/L; (e) alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>3.0 × the upper limit of normal (ULN); or (f) alkaline phosphatase (ALP) \>1.5 × ULN. Historical laboratory data may be used for screening if available in the participant's electronic health record (EHR) within 6 weeks before screening.
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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
78 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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AGA GA Research LLC
RECRUITINGAtlanta, Georgia, 30342, United States
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AZ Gastro Care
RECRUITINGChandler, Arizona, 85225, United States
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Access Research Institute
RECRUITINGBrooksville, Florida, 34613, United States
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Advanced Research Institute
WITHDRAWNReno, Nevada, 89511, United States
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Advanced Research Institute
WITHDRAWNOgden, Utah, 84405, United States
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Amel Med LLC
RECRUITINGGeorgetown, Texas, 78628, United States
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Atlanta Center for Gastroenterology, P.C.
WITHDRAWNDecatur, Georgia, 30033, United States
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Baton Rouge General Medical Center - Bluebonnet Campus
RECRUITINGBaton Rouge, Louisiana, 70809, United States
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Capital Digestive Care
RECRUITINGChevy Chase, Maryland, 20815, United States
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Carolina Digestive Diseases
RECRUITINGGreenville, North Carolina, 27834, United States
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Centricity Research VIR - DBA IACT Health Virginia Gastroenterology Institute Research
WITHDRAWNSuffolk, Virginia, 23435, United States
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Charlotte Gastroenterology and Hepatology, P.L.L.C
RECRUITINGCharlotte, North Carolina, 28207, United States
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Combined Gastro LLC
RECRUITINGLafayette, Louisiana, 70503, United States
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Crystal Run (Optum)
RECRUITINGWest Nyack, New York, 10994, United States
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DSI Research LLC
RECRUITINGSpringboro, Ohio, 45066, United States
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DSI Research Northridge LLC
RECRUITINGDayton, Ohio, 45414, United States
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Delta Gastroenterology and Endoscopy Center
RECRUITINGSouthaven, Mississippi, 38671, United States
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Digestive Disease Medicine
RECRUITINGUtica, New York, 13502, United States
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Digestive Health Institute
WITHDRAWNNewport Beach, California, 92663, United States
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Digestive Healthcare of Georgia
RECRUITINGAtlanta, Georgia, 30327, United States
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Digestive Research of Central Texas, LLC
RECRUITINGWaco, Texas, 76712, United States
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Digestive and Liver Center of Florida
WITHDRAWNOrlando, Florida, 32825, United States
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Digestive and Liver Center of Florida, P.A.
RECRUITINGKissimmee, Florida, 34741, United States
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Doral Medical Research, LLC
WITHDRAWNHialeah, Florida, 33016, United States
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East View Medical Research
RECRUITINGMobile, Alabama, 36608, United States
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Endoscopic Research, Inc.
RECRUITINGOrlando, Florida, 32803, United States
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Five Towns Gastroenterology
RECRUITINGCedarhurst, New York, 11516, United States
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GI Alliance
RECRUITINGMetairie, Louisiana, 70006, United States
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GI Alliance
RECRUITINGBellevue, Washington, 98405, United States
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GI Alliance - Glenview
RECRUITINGGlenview, Illinois, 60026, United States
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GI Alliance - Webster
RECRUITINGWebster, Texas, 77598, United States
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GI Alliance- Sun City
RECRUITINGSun City, Arizona, 85351, United States
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GI Associates Research, LLC
RECRUITINGColumbia, Missouri, 65201, United States
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GI Partners of Illinois - Southwest Gastroenterology
RECRUITINGOak Lawn, Illinois, 60453, United States
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Gastro Florida
RECRUITINGClearwater, Florida, 33762, United States
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Gastro Health
RECRUITINGBirmingham, Alabama, 35243, United States
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Gastro Health & Nutrition
RECRUITINGKaty, Texas, 77494, United States
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Gastro Health Research - Cincinnati
RECRUITINGCincinnati, Ohio, 45219, United States
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Gastro Health Research - Framingham
RECRUITINGFramingham, Massachusetts, 01702, United States
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Gastro Health Research - Liberty Township
RECRUITINGLiberty Township, Ohio, 45044, United States
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Gastro Health Research - Miami
RECRUITINGMiami, Florida, 33176, United States
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Gastro Health Research - Pensacola
RECRUITINGPensacola, Florida, 32504, United States
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Gastroenterology Associates of Western Michigan, P.L.C.
RECRUITINGWyoming, Michigan, 49519, United States
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Gastroenterology Consultants of Southwest Virginia.
RECRUITINGRoanoke, Virginia, 24014, United States
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Gastroenterology Group of Rochester
WITHDRAWNRochester, New York, 14620, United States
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Gastroenterology and Internal Medicine Specialists, SC
RECRUITINGLake Barrington, Illinois, 60010, United States
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Gastroenterology and Liver Institute
RECRUITINGEscondido, California, 92025, United States
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Great Lakes Gastroenterology Research, LLC
RECRUITINGMentor, Ohio, 44060, United States
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Huron Gastro
RECRUITINGYpsilanti, Michigan, 48197, United States
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Hutchinson Clinic
RECRUITINGHutchinson, Kansas, 67502, United States
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IMIDeology
RECRUITINGElmhurst, New York, 11373, United States
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Inland Empire Gastroenterology
WITHDRAWNMurrieta, California, 92562, United States
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Integrity Advanced Therapeutics
WITHDRAWNHouston, Texas, 77090, United States
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Intercity Gastroenterology
RECRUITINGFresh Meadows, New York, 11040, United States
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Kelsey Research Foundation
RECRUITINGHouston, Texas, 77005, United States
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Knowledge Research Center
WITHDRAWNOrange, California, 92868, United States
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Lenox Hill Hospital
WITHDRAWNNew York, New York, 10075, United States
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Lucida Clinical Trials LLC
RECRUITINGNew Bedford, Massachusetts, 02740, United States
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MNGI Digestive Health, P.A.
WITHDRAWNPlymouth, Minnesota, 55446, United States
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Manhattan Clinical Research, LLC
WITHDRAWNNew York, New York, 10279, United States
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MedCare Pharma LLC
RECRUITINGHouston, Texas, 77079, United States
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Medical Associates Research Group, Inc.
WITHDRAWNSan Diego, California, 92123, United States
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Mid America Gastro Intestinal Consultants
RECRUITINGKansas City, Missouri, 64111, United States
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NYU Langone Long Island Clinical Research Associates
WITHDRAWNLake Success, New York, 11042, United States
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New York Gastroenterology Associates
RECRUITINGNew York, New York, 10075, United States
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NorthShore Gastroenterology Research, LLC
RECRUITINGWestlake, Ohio, 44145, United States
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One of a Kind Clinical Research Center LLC
RECRUITINGKingwood, Texas, 77339, United States
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Orlando Health-Orlando Regional Medical Center
RECRUITINGOrlando, Florida, 32806, United States
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Palmetto Primary Care Physician Division of Gastroenterology
RECRUITINGSummerville, South Carolina, 29486, United States
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Peak Gastroenterology Associates
RECRUITINGColorado Springs, Colorado, 80907, United States
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Piedmont Healthcare
RECRUITINGStatesville, North Carolina, 28625, United States
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Pinehurst Medical Clinic Inc
WITHDRAWNPinehurst, North Carolina, 28374, United States
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Portland Gastroenterology Center
RECRUITINGPortland, Maine, 04101, United States
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Presbyterian Health care services
WITHDRAWNAlbuquerque, New Mexico, 87107, United States
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ProHealth (Seaford) (Optum)
RECRUITINGSeaford, New York, 11783, United States
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Rockford Gastroenterology Associates, Ltd.
RECRUITINGRockford, Illinois, 61107, United States
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Rocky Mountain Endocopy Centers LLC
RECRUITINGLittleton, Colorado, 80120, United States
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SSM Health Medical Group
RECRUITINGBridgeton, Missouri, 63044, United States
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Sanford Center for Digestive Health
RECRUITINGSioux Falls, South Dakota, 57105, United States
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Spectrum Research Institute LLC
RECRUITINGGilbert, Arizona, 85297, United States
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Spring Clinical Research
RECRUITINGHouston, Texas, 77090, United States
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Springfield Clinic
RECRUITINGSpringfield, Illinois, 62703, United States
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St Charles Clinical Research
RECRUITINGWeldon Spring, Missouri, 63304, United States
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Suburban Gastroenterology
WITHDRAWNNaperville, Illinois, 60540, United States
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Syracuse VA Medical Center
WITHDRAWNSyracuse, New York, 13210, United States
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TMPG Clinical Research
WITHDRAWNWilliamsburg, Virginia, 23188, United States
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Texas Gastro Consultants
WITHDRAWNTomball, Texas, 77375, United States
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The Clinical Trials Network CTNX LLC
RECRUITINGOrange City, Florida, 32763, United States
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The Clinical Trials Network CTNX LLC
RECRUITINGEl Paso, Texas, 79936, United States
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The Oregon Clinic, P.C.
RECRUITINGPortland, Oregon, 97220, United States
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Tri-Cities Gastroenterology
RECRUITINGKingsport, Tennessee, 37663, United States
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Tri-State Gastroenterology Associates
RECRUITINGCrestview Hills, Kentucky, 41017, United States
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UAMS Health Gastroenterology Clinic
WITHDRAWNLittle Rock, Arkansas, 72205, United States
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United Clinical Research Institute
RECRUITINGMurrieta, California, 92563, United States
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University Gastroenterology
RECRUITINGProvidence, Rhode Island, 02904, United States
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West Central Gastroenterology d/b/a Gastro Florida
RECRUITINGPinellas Park, Florida, 33781, United States
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West Texas Research Institute
RECRUITINGLubbock, Texas, 79424, United States
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Westchester Putnam Gastroenterology PC
RECRUITINGCarmel, New York, 10512, United States
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Wilmington Gastroenterology Associates
RECRUITINGWilmington, North Carolina, 28403, United States
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Woodholme Gastroenterology
RECRUITINGGlen Burnie, Maryland, 21061, United States
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Yapp, Rockford M.D. (Private Practice)
RECRUITINGDowners Grove, Illinois, 60515, United States
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