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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05643573
Registration number
NCT05643573
Ethics application status
Date submitted
30/11/2022
Date registered
8/12/2022
Titles & IDs
Public title
A Study to Learn How Well the Study Treatment Asundexian Works and How Safe it is Compared to Apixaban to Prevent Stroke or Systemic Embolism in People With Irregular and Often Rapid Heartbeat (Atrial Fibrillation), and at Risk for Stroke
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Scientific title
A Multicenter, International, Randomized, Active Comparator-controlled, Double-blind, Double-dummy, Parallel-group, 2-arm, Phase 3 Study to Compare the Efficacy and Safety of the Oral FXIa Inhibitor Asundexian (BAY 2433334) With Apixaban for the Prevention of Stroke or Systemic Embolism in Male and Female Participants Aged 18 Years and Older With Atrial Fibrillation at Risk for Stroke
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Secondary ID [1]
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2023-503794-38-00
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Secondary ID [2]
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19767
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Universal Trial Number (UTN)
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Trial acronym
OCEANIC-AF
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prevention of Stroke or Systemic Embolism
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Atrial Fibrillation
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Condition category
Condition code
Stroke
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Haemorrhagic
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Stroke
0
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0
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Ischaemic
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Cardiovascular
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0
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0
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Other cardiovascular diseases
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Cardiovascular
0
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Blood
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Clotting disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Asundexian (BAY2433334)
Treatment: Drugs - Apixaban
Treatment: Drugs - Asundexian matching placebo
Treatment: Drugs - Apixaban matching placebo
Experimental: Asundexian - Participants will receive asundexian and apixaban matching placebo.
Active comparator: Apixaban - Participants will receive apixaban and asundexian matching placebo.
Treatment: Drugs: Asundexian (BAY2433334)
Once a day
Treatment: Drugs: Apixaban
5 mg or 2.5 mg, twice a day, according to product label.
Treatment: Drugs: Asundexian matching placebo
Placebo to asundexian, once a day
Treatment: Drugs: Apixaban matching placebo
Placebo to apixaban, twice a day
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to first occurrence of composite of stroke or systemic embolism
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Assessment method [1]
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Timepoint [1]
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Up to 34 months
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Primary outcome [2]
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Time to first occurrence of ISTH major bleeding
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Assessment method [2]
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ISTH = International Society on Thrombosis and Hemostasis
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Timepoint [2]
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Up to 34 months
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Primary outcome [3]
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Time to first occurrence of composite of stroke, systemic embolism, or ISTH major bleeding
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Assessment method [3]
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Timepoint [3]
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Up to 34 months
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Secondary outcome [1]
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Time to first occurrence of composite of ischemic stroke or systemic embolism
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Assessment method [1]
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Timepoint [1]
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Up to 34 months
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Secondary outcome [2]
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Time to first occurrence of all-cause mortality
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Assessment method [2]
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Timepoint [2]
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Up to 34 months
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Secondary outcome [3]
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Time to first occurrence of ischemic stroke
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Assessment method [3]
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Timepoint [3]
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Up to 34 months
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Secondary outcome [4]
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Time to first occurrence of CV death
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Assessment method [4]
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CV = cardiovascular
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Timepoint [4]
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Up to 34 months
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Secondary outcome [5]
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Time to first occurrence of composite of CV death, stroke, or myocardial infarction
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Assessment method [5]
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Timepoint [5]
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Up to 34 months
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Secondary outcome [6]
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Time to first occurrence of composite of ISTH major or clinically relevant non-major bleeding
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Assessment method [6]
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Timepoint [6]
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Up to 34 months
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Secondary outcome [7]
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Time to first occurrence of clinically relevant non-major bleeding
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Assessment method [7]
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Timepoint [7]
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Up to 34 months
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Secondary outcome [8]
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Time to first occurrence of hemorrhagic stroke
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Assessment method [8]
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Timepoint [8]
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Up to 34 months
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Secondary outcome [9]
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Time to first occurrence of intracranial hemorrhage
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Assessment method [9]
0
0
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Timepoint [9]
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Up to 34 months
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Secondary outcome [10]
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Time to first occurrence of fatal bleeding
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Assessment method [10]
0
0
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Timepoint [10]
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Up to 34 months
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Secondary outcome [11]
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Time to first occurrence of minor bleeding
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Assessment method [11]
0
0
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Timepoint [11]
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Up to 34 months
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Secondary outcome [12]
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Time to first occurrence of composite of stroke, systemic embolism, ISTH major bleeding, or all-cause mortality
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Assessment method [12]
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0
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Timepoint [12]
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Up to 34 months
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Secondary outcome [13]
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Time to first occurrence of composite of disabling stroke (mRS = 3), critical bleeding, or all-cause mortality
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Assessment method [13]
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mRS = modified Rankin Scale
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Timepoint [13]
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Up to 34 months
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Eligibility
Key inclusion criteria
* 18 years of age or older
* The patient willing and able to understand the Patient information Sheet and provide written informed consent
* Atrial fibrillation with an indication for indefinite treatment with an oral anticoagulant
* CHA2DS2-VASc score = 3 if male or = 4 if female, OR CHA2DS2-VASc score of 2 if male or 3 if female and at least one of the following enrichment criteria:
* age = 70
* previous stroke, transient ischemic attack, or systemic embolism
* renal dysfunction with eGFR < 50 ml/min within 14 days prior to randomization
* prior episode of non-traumatic major bleeding
* current single agent antiplatelet therapy planned to continue for at least 6 months after randomization
* = 6 consecutive weeks of treatment with oral anticoagulant prior to randomization.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Mechanical heart valve prosthesis
* Moderate-to-severe mitral stenosis at the time of study inclusion.
* Atrial fibrillation only due to reversible cause.
* Participants after successful ablation therapy without documented recurrent AF or participants after left atrial appendage occlusion / exclusion or plan for ablation or Left atrial appendage (LAA) occlusion / exclusion within the next 6 months.
* Recent ischemic stroke (within 7 days prior to randomization).
* Active non-trivial bleeding; known chronic bleeding disorder ; history of non-traumatic intracranial hemorrhage.
* Known significant liver disease or known hepatic insufficiency classified as Child-Pugh B or C at randomization.
* Estimated glomerular filtration rate (eGFR) < 25 mL/min/1.73 m2 within 14 days prior to randomization or on dialysis or expected to be started on dialysis within the next 12 months starting from randomization.
* Major surgery during the last 30 days prior to randomization.
* Known allergy, intolerance or hypersensitivity to either of the study interventions.
* Any contraindication for the use of an anticoagulant or listed in the local labelling for apixaban.
* Requirement for chronic anticoagulation for a different indication than AF, e.g. mechanical heart valve or left ventricular cardiac thrombus (atrial thrombus is allowed), or dual antiplatelet therapy (single agent therapy is allowed).
* Treatment with Vitamin K antagonist (VKA) in the 10 days prior to randomization.
* Concomitant use of or anticipated need for:
* daily or near daily (> 5 days per week) therapy with nonsteroidal anti-inflammatory drugs (NSAIDs) for more than 4 weeks during the study
* herbal or traditional medicine, and / or supplements with known anticoagulant and / or antiplatelet effect
* combined P-glycoprotein (P-gp) and strong cytochrome P450 isoenzyme 3A4 (CYP3A4) inhibitors
* combined P-gp and strong / moderate CYP3A4 inducers Respective substances (apart from NSAIDs) must be stopped - in case of combined inhibitors / inducers of CYP3A4 and P-gp for at least 14 days before randomization.
* Previous (within 30 days or 5 half-lives of the investigational drug, whichever is longer) or concomitant participation in another clinical study with investigational medicinal product(s) or device(s). Registries and observational studies are allowed.
* Known current alcohol and / or illicit drug abuse.
* Close affiliation with the investigational site.
* Any other history, condition or therapy, or uncontrolled intercurrent illness which would make the participant unsuitable for the study vulnerable or life expectancy < 12 months.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/12/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/01/2024
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Sample size
Target
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Accrual to date
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Final
14830
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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The Canberra Hospital - Garran
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Recruitment hospital [2]
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Blacktown Hospital - Blacktownn
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Recruitment hospital [3]
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Concord Repatriation General Hospital - Concord
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Recruitment hospital [4]
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South Western Sydney Local Health District | Liverpool Hospital - Stroke and Neurovascular Department - Liverpool
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Recruitment hospital [5]
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John Hunter Hospital - New Lambton
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Recruitment hospital [6]
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Illawarra Shoalhaven Local Health District - Wollongong
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Recruitment hospital [7]
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Advara HealthCare Wesley - Auchenflower
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Recruitment hospital [8]
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Sunshine Coast University Hospital - Birtinya
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Recruitment hospital [9]
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Royal Brisbane & Women's Hospital - Brisbane
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Recruitment hospital [10]
0
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The Prince Charles Hospital - Herston
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Recruitment hospital [11]
0
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Redcliffe District Hospital - Redcliffe
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Recruitment hospital [12]
0
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Gold Coast University Hospital - Southport
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Recruitment hospital [13]
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Core Research Group Pty Ltd. | Brisbane, Australia - Taringa QLD
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Recruitment hospital [14]
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Nightingale Research - Adelaide
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Recruitment hospital [15]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [16]
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Flinders Medical Centre - Bedford Park
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Recruitment hospital [17]
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Advara HealthCare Leabrook - Leabrook
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Recruitment hospital [18]
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Queen Elizabeth Hospital AUS - Woodville South
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Recruitment hospital [19]
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Grampians Health Ballarat - Ballarat
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Recruitment hospital [20]
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Eastern Health - Box Hill
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Recruitment hospital [21]
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Barwon Health - Geelong
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Recruitment hospital [22]
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Baker Heart and Diabetes Institute - Hoppers Crossing
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Recruitment hospital [23]
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Cabrini Malvern - Malvern
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Recruitment hospital [24]
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The Alfred Hospital - Melbourne
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Recruitment hospital [25]
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Royal Melbourne Hospital - Parkville
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Recruitment hospital [26]
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Advara HeartCare Melbourne - Ringwood
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Recruitment hospital [27]
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The Avenue Cardiovascular Centre - St Kilda East
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Recruitment hospital [28]
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Fiona Stanley Hospital - Murdoch
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Recruitment hospital [29]
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Advara HealthCare Joondalup - Perth
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Recruitment hospital [30]
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Nepean Hospital - Kingswood
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Recruitment postcode(s) [1]
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2605 - Garran
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Recruitment postcode(s) [2]
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2148 - Blacktownn
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Recruitment postcode(s) [3]
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2139 - Concord
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Recruitment postcode(s) [4]
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2170 - Liverpool
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Recruitment postcode(s) [5]
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2305 - New Lambton
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Recruitment postcode(s) [6]
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2500 - Wollongong
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Recruitment postcode(s) [7]
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4066 - Auchenflower
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Recruitment postcode(s) [8]
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4575 - Birtinya
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Recruitment postcode(s) [9]
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4029 - Brisbane
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Recruitment postcode(s) [10]
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4029 - Herston
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Recruitment postcode(s) [11]
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4020 - Redcliffe
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Recruitment postcode(s) [12]
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4215 - Southport
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Recruitment postcode(s) [13]
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4068 - Taringa QLD
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Recruitment postcode(s) [14]
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5000 - Adelaide
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Recruitment postcode(s) [15]
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5042 - Bedford Park
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5068 - Leabrook
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5011 - Woodville South
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3350 - Ballarat
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Recruitment postcode(s) [19]
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3128 - Box Hill
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3220 - Geelong
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3029 - Hoppers Crossing
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3144 - Malvern
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3004 - Melbourne
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3050 - Parkville
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3135 - Ringwood
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3183 - St Kilda East
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6961 - Murdoch
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6150 - Perth
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2747 - Kingswood
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Recruitment outside Australia
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Alabama
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0
0
Belgium
Query!
State/province [66]
0
0
Liege
Query!
Country [67]
0
0
Belgium
Query!
State/province [67]
0
0
Liège
Query!
Country [68]
0
0
Belgium
Query!
State/province [68]
0
0
Roeselare
Query!
Country [69]
0
0
Belgium
Query!
State/province [69]
0
0
Sint-Niklaas
Query!
Country [70]
0
0
Brazil
Query!
State/province [70]
0
0
Bahia
Query!
Country [71]
0
0
Brazil
Query!
State/province [71]
0
0
Goiás
Query!
Country [72]
0
0
Brazil
Query!
State/province [72]
0
0
Minas Gerais
Query!
Country [73]
0
0
Brazil
Query!
State/province [73]
0
0
Parana
Query!
Country [74]
0
0
Brazil
Query!
State/province [74]
0
0
Rio Grande Do Sul
Query!
Country [75]
0
0
Brazil
Query!
State/province [75]
0
0
Santa Catarina
Query!
Country [76]
0
0
Brazil
Query!
State/province [76]
0
0
Sao Paulo
Query!
Country [77]
0
0
Brazil
Query!
State/province [77]
0
0
Sergipe
Query!
Country [78]
0
0
Brazil
Query!
State/province [78]
0
0
Rio de Janeiro
Query!
Country [79]
0
0
Bulgaria
Query!
State/province [79]
0
0
Blagoevgrad
Query!
Country [80]
0
0
Bulgaria
Query!
State/province [80]
0
0
Burgas
Query!
Country [81]
0
0
Bulgaria
Query!
State/province [81]
0
0
Kardzhali
Query!
Country [82]
0
0
Bulgaria
Query!
State/province [82]
0
0
Pernik
Query!
Country [83]
0
0
Bulgaria
Query!
State/province [83]
0
0
Plovdiv
Query!
Country [84]
0
0
Bulgaria
Query!
State/province [84]
0
0
Ruse
Query!
Country [85]
0
0
Bulgaria
Query!
State/province [85]
0
0
Shumen
Query!
Country [86]
0
0
Bulgaria
Query!
State/province [86]
0
0
Silistra
Query!
Country [87]
0
0
Bulgaria
Query!
State/province [87]
0
0
Sofia
Query!
Country [88]
0
0
Bulgaria
Query!
State/province [88]
0
0
Stara Zagora
Query!
Country [89]
0
0
Bulgaria
Query!
State/province [89]
0
0
Varna
Query!
Country [90]
0
0
Bulgaria
Query!
State/province [90]
0
0
Veliko Tarnovo
Query!
Country [91]
0
0
Canada
Query!
State/province [91]
0
0
Alberta
Query!
Country [92]
0
0
Canada
Query!
State/province [92]
0
0
British Columbia
Query!
Country [93]
0
0
Canada
Query!
State/province [93]
0
0
New Brunswick
Query!
Country [94]
0
0
Canada
Query!
State/province [94]
0
0
Newfoundland and Labrador
Query!
Country [95]
0
0
Canada
Query!
State/province [95]
0
0
Nova Scotia
Query!
Country [96]
0
0
Canada
Query!
State/province [96]
0
0
Ontario
Query!
Country [97]
0
0
Canada
Query!
State/province [97]
0
0
Quebec
Query!
Country [98]
0
0
Canada
Query!
State/province [98]
0
0
Québec
Query!
Country [99]
0
0
China
Query!
State/province [99]
0
0
Fujian
Query!
Country [100]
0
0
China
Query!
State/province [100]
0
0
Gansu
Query!
Country [101]
0
0
China
Query!
State/province [101]
0
0
Guangdong
Query!
Country [102]
0
0
China
Query!
State/province [102]
0
0
Guangxi
Query!
Country [103]
0
0
China
Query!
State/province [103]
0
0
Hainan
Query!
Country [104]
0
0
China
Query!
State/province [104]
0
0
Hebei
Query!
Country [105]
0
0
China
Query!
State/province [105]
0
0
Heilongjiang
Query!
Country [106]
0
0
China
Query!
State/province [106]
0
0
Henan
Query!
Country [107]
0
0
China
Query!
State/province [107]
0
0
Hubei
Query!
Country [108]
0
0
China
Query!
State/province [108]
0
0
Hunan
Query!
Country [109]
0
0
China
Query!
State/province [109]
0
0
Inner Mongolia
Query!
Country [110]
0
0
China
Query!
State/province [110]
0
0
Jiangsu
Query!
Country [111]
0
0
China
Query!
State/province [111]
0
0
Jiangxi
Query!
Country [112]
0
0
China
Query!
State/province [112]
0
0
Jilin
Query!
Country [113]
0
0
China
Query!
State/province [113]
0
0
Liaoning
Query!
Country [114]
0
0
China
Query!
State/province [114]
0
0
Ningxia
Query!
Country [115]
0
0
China
Query!
State/province [115]
0
0
Qinghai
Query!
Country [116]
0
0
China
Query!
State/province [116]
0
0
Shaanxi
Query!
Country [117]
0
0
China
Query!
State/province [117]
0
0
Shandong
Query!
Country [118]
0
0
China
Query!
State/province [118]
0
0
Shanxi
Query!
Country [119]
0
0
China
Query!
State/province [119]
0
0
Sichuan
Query!
Country [120]
0
0
China
Query!
State/province [120]
0
0
Xinjiang
Query!
Country [121]
0
0
China
Query!
State/province [121]
0
0
Zhejiang
Query!
Country [122]
0
0
China
Query!
State/province [122]
0
0
Beijing
Query!
Country [123]
0
0
China
Query!
State/province [123]
0
0
Shanghai
Query!
Country [124]
0
0
China
Query!
State/province [124]
0
0
Tianjin
Query!
Country [125]
0
0
Czechia
Query!
State/province [125]
0
0
Hlavní Mesto Praha
Query!
Country [126]
0
0
Czechia
Query!
State/province [126]
0
0
Moravskoslezský Kraj
Query!
Country [127]
0
0
Czechia
Query!
State/province [127]
0
0
Zlínský Kraj
Query!
Country [128]
0
0
Czechia
Query!
State/province [128]
0
0
Brno
Query!
Country [129]
0
0
Czechia
Query!
State/province [129]
0
0
Bruntal
Query!
Country [130]
0
0
Czechia
Query!
State/province [130]
0
0
Ceske Budejovice
Query!
Country [131]
0
0
Czechia
Query!
State/province [131]
0
0
Frydek-Mistek
Query!
Country [132]
0
0
Czechia
Query!
State/province [132]
0
0
Hodonin
Query!
Country [133]
0
0
Czechia
Query!
State/province [133]
0
0
Liberec
Query!
Country [134]
0
0
Czechia
Query!
State/province [134]
0
0
Olomouc
Query!
Country [135]
0
0
Czechia
Query!
State/province [135]
0
0
Ostrava-Zabreh
Query!
Country [136]
0
0
Czechia
Query!
State/province [136]
0
0
Plzen
Query!
Country [137]
0
0
Czechia
Query!
State/province [137]
0
0
Praha 10
Query!
Country [138]
0
0
Czechia
Query!
State/province [138]
0
0
Praha 4
Query!
Country [139]
0
0
Czechia
Query!
State/province [139]
0
0
Praha 5
Query!
Country [140]
0
0
Czechia
Query!
State/province [140]
0
0
Praha
Query!
Country [141]
0
0
Czechia
Query!
State/province [141]
0
0
Slany
Query!
Country [142]
0
0
Denmark
Query!
State/province [142]
0
0
Aalborg
Query!
Country [143]
0
0
Denmark
Query!
State/province [143]
0
0
Copenhagen
Query!
Country [144]
0
0
Denmark
Query!
State/province [144]
0
0
Esbjerg
Query!
Country [145]
0
0
Denmark
Query!
State/province [145]
0
0
Frederiksberg
Query!
Country [146]
0
0
Denmark
Query!
State/province [146]
0
0
Hellerup
Query!
Country [147]
0
0
Denmark
Query!
State/province [147]
0
0
Herlev
Query!
Country [148]
0
0
Denmark
Query!
State/province [148]
0
0
Herning
Query!
Country [149]
0
0
Denmark
Query!
State/province [149]
0
0
Hilleroed
Query!
Country [150]
0
0
Denmark
Query!
State/province [150]
0
0
Hjørring
Query!
Country [151]
0
0
Denmark
Query!
State/province [151]
0
0
Holbæk
Query!
Country [152]
0
0
Denmark
Query!
State/province [152]
0
0
Hvidovre
Query!
Country [153]
0
0
Denmark
Query!
State/province [153]
0
0
Kolding
Query!
Country [154]
0
0
Denmark
Query!
State/province [154]
0
0
Roskilde
Query!
Country [155]
0
0
Denmark
Query!
State/province [155]
0
0
Svendborg
Query!
Country [156]
0
0
Denmark
Query!
State/province [156]
0
0
Viborg
Query!
Country [157]
0
0
Denmark
Query!
State/province [157]
0
0
Århus N
Query!
Country [158]
0
0
Estonia
Query!
State/province [158]
0
0
Rapla
Query!
Country [159]
0
0
Estonia
Query!
State/province [159]
0
0
Tallinn
Query!
Country [160]
0
0
Estonia
Query!
State/province [160]
0
0
Tartu
Query!
Country [161]
0
0
Finland
Query!
State/province [161]
0
0
Espoo
Query!
Country [162]
0
0
Finland
Query!
State/province [162]
0
0
Jyvaskyla
Query!
Country [163]
0
0
Finland
Query!
State/province [163]
0
0
Kokkola
Query!
Country [164]
0
0
Finland
Query!
State/province [164]
0
0
Kuopio
Query!
Country [165]
0
0
Finland
Query!
State/province [165]
0
0
Lahti
Query!
Country [166]
0
0
Finland
Query!
State/province [166]
0
0
Oulu
Query!
Country [167]
0
0
Finland
Query!
State/province [167]
0
0
Tampere
Query!
Country [168]
0
0
Finland
Query!
State/province [168]
0
0
Turku
Query!
Country [169]
0
0
France
Query!
State/province [169]
0
0
Angers
Query!
Country [170]
0
0
France
Query!
State/province [170]
0
0
Bayonne
Query!
Country [171]
0
0
France
Query!
State/province [171]
0
0
Bois-Guillaume
Query!
Country [172]
0
0
France
Query!
State/province [172]
0
0
Brest
Query!
Country [173]
0
0
France
Query!
State/province [173]
0
0
Bron Cedex
Query!
Country [174]
0
0
France
Query!
State/province [174]
0
0
CAEN cedex 9
Query!
Country [175]
0
0
France
Query!
State/province [175]
0
0
Chambray-lès-Tours
Query!
Country [176]
0
0
France
Query!
State/province [176]
0
0
Cholet
Query!
Country [177]
0
0
France
Query!
State/province [177]
0
0
Creteil
Query!
Country [178]
0
0
France
Query!
State/province [178]
0
0
GRENOBLE Cedex 09
Query!
Country [179]
0
0
France
Query!
State/province [179]
0
0
LA ROCHE SUR YON cedex
Query!
Country [180]
0
0
France
Query!
State/province [180]
0
0
Le Coudray
Query!
Country [181]
0
0
France
Query!
State/province [181]
0
0
Lens
Query!
Country [182]
0
0
France
Query!
State/province [182]
0
0
Limoges Cedex
Query!
Country [183]
0
0
France
Query!
State/province [183]
0
0
Montpellier
Query!
Country [184]
0
0
France
Query!
State/province [184]
0
0
NANTES cedex 2
Query!
Country [185]
0
0
France
Query!
State/province [185]
0
0
Nantes
Query!
Country [186]
0
0
France
Query!
State/province [186]
0
0
Nice
Query!
Country [187]
0
0
France
Query!
State/province [187]
0
0
Nîmes
Query!
Country [188]
0
0
France
Query!
State/province [188]
0
0
Paris Cedex 15
Query!
Country [189]
0
0
France
Query!
State/province [189]
0
0
Paris
Query!
Country [190]
0
0
France
Query!
State/province [190]
0
0
Pessac
Query!
Country [191]
0
0
France
Query!
State/province [191]
0
0
Rennes
Query!
Country [192]
0
0
France
Query!
State/province [192]
0
0
Saint Brieuc
Query!
Country [193]
0
0
France
Query!
State/province [193]
0
0
Saint Denis
Query!
Country [194]
0
0
France
Query!
State/province [194]
0
0
Strasbourg
Query!
Country [195]
0
0
France
Query!
State/province [195]
0
0
Toulon
Query!
Country [196]
0
0
France
Query!
State/province [196]
0
0
TOULOUSE cedex
Query!
Country [197]
0
0
France
Query!
State/province [197]
0
0
Toulouse
Query!
Country [198]
0
0
France
Query!
State/province [198]
0
0
Tourcoing
Query!
Country [199]
0
0
France
Query!
State/province [199]
0
0
Valenciennes
Query!
Country [200]
0
0
France
Query!
State/province [200]
0
0
Vandoeuvre-les-nancy
Query!
Country [201]
0
0
Germany
Query!
State/province [201]
0
0
Baden-Württemberg
Query!
Country [202]
0
0
Germany
Query!
State/province [202]
0
0
Hessen
Query!
Country [203]
0
0
Germany
Query!
State/province [203]
0
0
Niedersachsen
Query!
Country [204]
0
0
Germany
Query!
State/province [204]
0
0
Nordrhein-Westfalen
Query!
Country [205]
0
0
Germany
Query!
State/province [205]
0
0
Rheinland-Pfalz
Query!
Country [206]
0
0
Germany
Query!
State/province [206]
0
0
Saarland
Query!
Country [207]
0
0
Germany
Query!
State/province [207]
0
0
Sachsen
Query!
Country [208]
0
0
Germany
Query!
State/province [208]
0
0
Thüringen
Query!
Country [209]
0
0
Germany
Query!
State/province [209]
0
0
Hamburg
Query!
Country [210]
0
0
Greece
Query!
State/province [210]
0
0
Attica
Query!
Country [211]
0
0
Greece
Query!
State/province [211]
0
0
Alexandroupolis
Query!
Country [212]
0
0
Greece
Query!
State/province [212]
0
0
Athens
Query!
Country [213]
0
0
Greece
Query!
State/province [213]
0
0
Chaidari
Query!
Country [214]
0
0
Greece
Query!
State/province [214]
0
0
Elefsina
Query!
Country [215]
0
0
Greece
Query!
State/province [215]
0
0
Heraklion
Query!
Country [216]
0
0
Greece
Query!
State/province [216]
0
0
Ioannina
Query!
Country [217]
0
0
Greece
Query!
State/province [217]
0
0
Larissa
Query!
Country [218]
0
0
Greece
Query!
State/province [218]
0
0
Marousi
Query!
Country [219]
0
0
Greece
Query!
State/province [219]
0
0
Nea Ionia
Query!
Country [220]
0
0
Greece
Query!
State/province [220]
0
0
Patra
Query!
Country [221]
0
0
Greece
Query!
State/province [221]
0
0
Thessaloniki
Query!
Country [222]
0
0
Greece
Query!
State/province [222]
0
0
Voula
Query!
Country [223]
0
0
Hungary
Query!
State/province [223]
0
0
Balatonfured
Query!
Country [224]
0
0
Hungary
Query!
State/province [224]
0
0
Budapest
Query!
Country [225]
0
0
Hungary
Query!
State/province [225]
0
0
Debrecen
Query!
Country [226]
0
0
Hungary
Query!
State/province [226]
0
0
Gyor
Query!
Country [227]
0
0
Hungary
Query!
State/province [227]
0
0
Gyula
Query!
Country [228]
0
0
Hungary
Query!
State/province [228]
0
0
Kaposvar
Query!
Country [229]
0
0
Hungary
Query!
State/province [229]
0
0
Komarom
Query!
Country [230]
0
0
Hungary
Query!
State/province [230]
0
0
Miskolc
Query!
Country [231]
0
0
Hungary
Query!
State/province [231]
0
0
Mosonmagyarovar
Query!
Country [232]
0
0
Hungary
Query!
State/province [232]
0
0
Nagykanizsa
Query!
Country [233]
0
0
Hungary
Query!
State/province [233]
0
0
Nyiregyhaza
Query!
Country [234]
0
0
Hungary
Query!
State/province [234]
0
0
Oroshaza
Query!
Country [235]
0
0
Hungary
Query!
State/province [235]
0
0
Pecs
Query!
Country [236]
0
0
Hungary
Query!
State/province [236]
0
0
Szekesfehervar
Query!
Country [237]
0
0
Hungary
Query!
State/province [237]
0
0
Szekszárd
Query!
Country [238]
0
0
Hungary
Query!
State/province [238]
0
0
Szombathely
Query!
Country [239]
0
0
Hungary
Query!
State/province [239]
0
0
Zalaegerszeg
Query!
Country [240]
0
0
India
Query!
State/province [240]
0
0
Kerala
Query!
Country [241]
0
0
India
Query!
State/province [241]
0
0
Maharashtra
Query!
Country [242]
0
0
India
Query!
State/province [242]
0
0
Hyderabad
Query!
Country [243]
0
0
India
Query!
State/province [243]
0
0
Pune
Query!
Country [244]
0
0
Israel
Query!
State/province [244]
0
0
Afula
Query!
Country [245]
0
0
Israel
Query!
State/province [245]
0
0
Ashdod
Query!
Country [246]
0
0
Israel
Query!
State/province [246]
0
0
Ashkelon
Query!
Country [247]
0
0
Israel
Query!
State/province [247]
0
0
Beer Sheva
Query!
Country [248]
0
0
Israel
Query!
State/province [248]
0
0
Hadera
Query!
Country [249]
0
0
Israel
Query!
State/province [249]
0
0
Haifa
Query!
Country [250]
0
0
Israel
Query!
State/province [250]
0
0
Holon
Query!
Country [251]
0
0
Israel
Query!
State/province [251]
0
0
Jerusalem
Query!
Country [252]
0
0
Israel
Query!
State/province [252]
0
0
Lower Galilee
Query!
Country [253]
0
0
Israel
Query!
State/province [253]
0
0
Nahariya
Query!
Country [254]
0
0
Israel
Query!
State/province [254]
0
0
Petach Tikva
Query!
Country [255]
0
0
Israel
Query!
State/province [255]
0
0
Petah Tikva
Query!
Country [256]
0
0
Israel
Query!
State/province [256]
0
0
Rehovot
Query!
Country [257]
0
0
Israel
Query!
State/province [257]
0
0
Rishon LeZion
Query!
Country [258]
0
0
Israel
Query!
State/province [258]
0
0
Tel Aviv
Query!
Country [259]
0
0
Israel
Query!
State/province [259]
0
0
Zefat
Query!
Country [260]
0
0
Italy
Query!
State/province [260]
0
0
Abruzzo
Query!
Country [261]
0
0
Italy
Query!
State/province [261]
0
0
Campania
Query!
Country [262]
0
0
Italy
Query!
State/province [262]
0
0
Emilia-Romagna
Query!
Country [263]
0
0
Italy
Query!
State/province [263]
0
0
Lazio
Query!
Country [264]
0
0
Italy
Query!
State/province [264]
0
0
Lombardia
Query!
Country [265]
0
0
Italy
Query!
State/province [265]
0
0
Marche
Query!
Country [266]
0
0
Italy
Query!
State/province [266]
0
0
Piemonte
Query!
Country [267]
0
0
Italy
Query!
State/province [267]
0
0
Puglia
Query!
Country [268]
0
0
Italy
Query!
State/province [268]
0
0
Sicilia
Query!
Country [269]
0
0
Italy
Query!
State/province [269]
0
0
Toscana
Query!
Country [270]
0
0
Italy
Query!
State/province [270]
0
0
Umbria
Query!
Country [271]
0
0
Italy
Query!
State/province [271]
0
0
Veneto
Query!
Country [272]
0
0
Japan
Query!
State/province [272]
0
0
Aichi-ken
Query!
Country [273]
0
0
Japan
Query!
State/province [273]
0
0
Aichi
Query!
Country [274]
0
0
Japan
Query!
State/province [274]
0
0
Chiba
Query!
Country [275]
0
0
Japan
Query!
State/province [275]
0
0
Ehime
Query!
Country [276]
0
0
Japan
Query!
State/province [276]
0
0
Fukuoka-ken
Query!
Country [277]
0
0
Japan
Query!
State/province [277]
0
0
Fukuoka
Query!
Country [278]
0
0
Japan
Query!
State/province [278]
0
0
Fukushima-ken
Query!
Country [279]
0
0
Japan
Query!
State/province [279]
0
0
Gunma
Query!
Country [280]
0
0
Japan
Query!
State/province [280]
0
0
Hiroshima
Query!
Country [281]
0
0
Japan
Query!
State/province [281]
0
0
Hokkaido
Query!
Country [282]
0
0
Japan
Query!
State/province [282]
0
0
Hyogo
Query!
Country [283]
0
0
Japan
Query!
State/province [283]
0
0
Ibaraki
Query!
Country [284]
0
0
Japan
Query!
State/province [284]
0
0
Ishikawa Ken
Query!
Country [285]
0
0
Japan
Query!
State/province [285]
0
0
Ishikawa
Query!
Country [286]
0
0
Japan
Query!
State/province [286]
0
0
Iwate
Query!
Country [287]
0
0
Japan
Query!
State/province [287]
0
0
Kagawa
Query!
Country [288]
0
0
Japan
Query!
State/province [288]
0
0
Kagoshima
Query!
Country [289]
0
0
Japan
Query!
State/province [289]
0
0
Kanagawa
Query!
Country [290]
0
0
Japan
Query!
State/province [290]
0
0
Mie
Query!
Country [291]
0
0
Japan
Query!
State/province [291]
0
0
Miyagi-ken
Query!
Country [292]
0
0
Japan
Query!
State/province [292]
0
0
Miyagi
Query!
Country [293]
0
0
Japan
Query!
State/province [293]
0
0
Nagano-ken
Query!
Country [294]
0
0
Japan
Query!
State/province [294]
0
0
Nagano
Query!
Country [295]
0
0
Japan
Query!
State/province [295]
0
0
Okinawa
Query!
Country [296]
0
0
Japan
Query!
State/province [296]
0
0
Osaka
Query!
Country [297]
0
0
Japan
Query!
State/province [297]
0
0
Saitama
Query!
Country [298]
0
0
Japan
Query!
State/province [298]
0
0
Shiga
Query!
Country [299]
0
0
Japan
Query!
State/province [299]
0
0
Shimane
Query!
Country [300]
0
0
Japan
Query!
State/province [300]
0
0
Tochigi
Query!
Country [301]
0
0
Japan
Query!
State/province [301]
0
0
Tokyo
Query!
Country [302]
0
0
Japan
Query!
State/province [302]
0
0
Yamaguchi
Query!
Country [303]
0
0
Japan
Query!
State/province [303]
0
0
Yamanashi
Query!
Country [304]
0
0
Japan
Query!
State/province [304]
0
0
Fukui
Query!
Country [305]
0
0
Japan
Query!
State/province [305]
0
0
Gifu
Query!
Country [306]
0
0
Japan
Query!
State/province [306]
0
0
Kochi
Query!
Country [307]
0
0
Japan
Query!
State/province [307]
0
0
Kumamoto
Query!
Country [308]
0
0
Japan
Query!
State/province [308]
0
0
Kyoto
Query!
Country [309]
0
0
Japan
Query!
State/province [309]
0
0
Miyazaki
Query!
Country [310]
0
0
Japan
Query!
State/province [310]
0
0
Oita
Query!
Country [311]
0
0
Japan
Query!
State/province [311]
0
0
Okayama
Query!
Country [312]
0
0
Japan
Query!
State/province [312]
0
0
Saga
Query!
Country [313]
0
0
Japan
Query!
State/province [313]
0
0
Shizuoka
Query!
Country [314]
0
0
Japan
Query!
State/province [314]
0
0
Wakayama
Query!
Country [315]
0
0
Korea, Republic of
Query!
State/province [315]
0
0
Busan Gwang''yeogsi
Query!
Country [316]
0
0
Korea, Republic of
Query!
State/province [316]
0
0
Daegu Gwang''yeogsi
Query!
Country [317]
0
0
Korea, Republic of
Query!
State/province [317]
0
0
Gang''weondo
Query!
Country [318]
0
0
Korea, Republic of
Query!
State/province [318]
0
0
Gyeonggido
Query!
Country [319]
0
0
Korea, Republic of
Query!
State/province [319]
0
0
Seoul Teugbyeolsi
Query!
Country [320]
0
0
Korea, Republic of
Query!
State/province [320]
0
0
Busan
Query!
Country [321]
0
0
Korea, Republic of
Query!
State/province [321]
0
0
Daegu
Query!
Country [322]
0
0
Korea, Republic of
Query!
State/province [322]
0
0
Gwangju
Query!
Country [323]
0
0
Korea, Republic of
Query!
State/province [323]
0
0
Incheon
Query!
Country [324]
0
0
Korea, Republic of
Query!
State/province [324]
0
0
Seoul
Query!
Country [325]
0
0
Latvia
Query!
State/province [325]
0
0
Daugavpils
Query!
Country [326]
0
0
Latvia
Query!
State/province [326]
0
0
Kuldiga
Query!
Country [327]
0
0
Latvia
Query!
State/province [327]
0
0
Liepaja
Query!
Country [328]
0
0
Latvia
Query!
State/province [328]
0
0
Ogre
Query!
Country [329]
0
0
Latvia
Query!
State/province [329]
0
0
Riga
Query!
Country [330]
0
0
Latvia
Query!
State/province [330]
0
0
Valmiera
Query!
Country [331]
0
0
Latvia
Query!
State/province [331]
0
0
Ventspils
Query!
Country [332]
0
0
Lithuania
Query!
State/province [332]
0
0
Kaunas
Query!
Country [333]
0
0
Lithuania
Query!
State/province [333]
0
0
Klaipeda
Query!
Country [334]
0
0
Lithuania
Query!
State/province [334]
0
0
Siauliai
Query!
Country [335]
0
0
Lithuania
Query!
State/province [335]
0
0
Vilnius
Query!
Country [336]
0
0
Malaysia
Query!
State/province [336]
0
0
Alor Setar
Query!
Country [337]
0
0
Malaysia
Query!
State/province [337]
0
0
Cheras
Query!
Country [338]
0
0
Malaysia
Query!
State/province [338]
0
0
Johor Bahru
Query!
Country [339]
0
0
Malaysia
Query!
State/province [339]
0
0
Kelantan
Query!
Country [340]
0
0
Malaysia
Query!
State/province [340]
0
0
Kuala Lumpur
Query!
Country [341]
0
0
Malaysia
Query!
State/province [341]
0
0
Pahang
Query!
Country [342]
0
0
Malaysia
Query!
State/province [342]
0
0
Pulau Pinang
Query!
Country [343]
0
0
Malaysia
Query!
State/province [343]
0
0
Sarawak
Query!
Country [344]
0
0
Malaysia
Query!
State/province [344]
0
0
Selangor
Query!
Country [345]
0
0
Malaysia
Query!
State/province [345]
0
0
Seremban
Query!
Country [346]
0
0
Netherlands
Query!
State/province [346]
0
0
Zeeland
Query!
Country [347]
0
0
Netherlands
Query!
State/province [347]
0
0
Amstelveen
Query!
Country [348]
0
0
Netherlands
Query!
State/province [348]
0
0
Amsterdam
Query!
Country [349]
0
0
Netherlands
Query!
State/province [349]
0
0
Apeldoorn
Query!
Country [350]
0
0
Netherlands
Query!
State/province [350]
0
0
Arnhem
Query!
Country [351]
0
0
Netherlands
Query!
State/province [351]
0
0
Beverwijk
Query!
Country [352]
0
0
Netherlands
Query!
State/province [352]
0
0
Blaricum
Query!
Country [353]
0
0
Netherlands
Query!
State/province [353]
0
0
Breda
Query!
Country [354]
0
0
Netherlands
Query!
State/province [354]
0
0
Den Haag
Query!
Country [355]
0
0
Netherlands
Query!
State/province [355]
0
0
Dirksland
Query!
Country [356]
0
0
Netherlands
Query!
State/province [356]
0
0
Dordrecht
Query!
Country [357]
0
0
Netherlands
Query!
State/province [357]
0
0
Eindhoven
Query!
Country [358]
0
0
Netherlands
Query!
State/province [358]
0
0
Emmen
Query!
Country [359]
0
0
Netherlands
Query!
State/province [359]
0
0
Enschede
Query!
Country [360]
0
0
Netherlands
Query!
State/province [360]
0
0
Gorinchem
Query!
Country [361]
0
0
Netherlands
Query!
State/province [361]
0
0
Groningen
Query!
Country [362]
0
0
Netherlands
Query!
State/province [362]
0
0
Haarlem
Query!
Country [363]
0
0
Netherlands
Query!
State/province [363]
0
0
Hardenberg
Query!
Country [364]
0
0
Netherlands
Query!
State/province [364]
0
0
Roosendaal
Query!
Country [365]
0
0
Netherlands
Query!
State/province [365]
0
0
Tiel
Query!
Country [366]
0
0
Netherlands
Query!
State/province [366]
0
0
Venlo
Query!
Country [367]
0
0
Netherlands
Query!
State/province [367]
0
0
Zaandam
Query!
Country [368]
0
0
Norway
Query!
State/province [368]
0
0
Bodø
Query!
Country [369]
0
0
Norway
Query!
State/province [369]
0
0
Drammen
Query!
Country [370]
0
0
Norway
Query!
State/province [370]
0
0
Elverum
Query!
Country [371]
0
0
Norway
Query!
State/province [371]
0
0
Fredrikstad
Query!
Country [372]
0
0
Norway
Query!
State/province [372]
0
0
Gjettum
Query!
Country [373]
0
0
Norway
Query!
State/province [373]
0
0
Gjøvik
Query!
Country [374]
0
0
Norway
Query!
State/province [374]
0
0
Harstad
Query!
Country [375]
0
0
Norway
Query!
State/province [375]
0
0
Lillehammer
Query!
Country [376]
0
0
Norway
Query!
State/province [376]
0
0
Molde
Query!
Country [377]
0
0
Norway
Query!
State/province [377]
0
0
Nordbyhagen
Query!
Country [378]
0
0
Norway
Query!
State/province [378]
0
0
Oslo
Query!
Country [379]
0
0
Norway
Query!
State/province [379]
0
0
Skedsmokorset
Query!
Country [380]
0
0
Norway
Query!
State/province [380]
0
0
Stavanger
Query!
Country [381]
0
0
Norway
Query!
State/province [381]
0
0
Tromsø
Query!
Country [382]
0
0
Norway
Query!
State/province [382]
0
0
Ålesund
Query!
Country [383]
0
0
Poland
Query!
State/province [383]
0
0
Bialystok
Query!
Country [384]
0
0
Poland
Query!
State/province [384]
0
0
Bydgoszcz
Query!
Country [385]
0
0
Poland
Query!
State/province [385]
0
0
Gdansk
Query!
Country [386]
0
0
Poland
Query!
State/province [386]
0
0
Grodzisk Mazowiecki
Query!
Country [387]
0
0
Poland
Query!
State/province [387]
0
0
Katowice
Query!
Country [388]
0
0
Poland
Query!
State/province [388]
0
0
Krakow
Query!
Country [389]
0
0
Poland
Query!
State/province [389]
0
0
Lodz
Query!
Country [390]
0
0
Poland
Query!
State/province [390]
0
0
Lowicz
Query!
Country [391]
0
0
Poland
Query!
State/province [391]
0
0
Lublin
Query!
Country [392]
0
0
Poland
Query!
State/province [392]
0
0
Olsztyn
Query!
Country [393]
0
0
Poland
Query!
State/province [393]
0
0
Piaseczno
Query!
Country [394]
0
0
Poland
Query!
State/province [394]
0
0
Piotrkow Trybunalski
Query!
Country [395]
0
0
Poland
Query!
State/province [395]
0
0
Poznan
Query!
Country [396]
0
0
Poland
Query!
State/province [396]
0
0
Pulawy
Query!
Country [397]
0
0
Poland
Query!
State/province [397]
0
0
Rzeszow
Query!
Country [398]
0
0
Poland
Query!
State/province [398]
0
0
Skierniewice
Query!
Country [399]
0
0
Poland
Query!
State/province [399]
0
0
Staszow
Query!
Country [400]
0
0
Poland
Query!
State/province [400]
0
0
Warszawa
Query!
Country [401]
0
0
Poland
Query!
State/province [401]
0
0
Zamosc
Query!
Country [402]
0
0
Portugal
Query!
State/province [402]
0
0
Braga
Query!
Country [403]
0
0
Portugal
Query!
State/province [403]
0
0
Castelo Branco
Query!
Country [404]
0
0
Portugal
Query!
State/province [404]
0
0
Lisboa
Query!
Country [405]
0
0
Portugal
Query!
State/province [405]
0
0
Porto
Query!
Country [406]
0
0
Portugal
Query!
State/province [406]
0
0
Santarém
Query!
Country [407]
0
0
Portugal
Query!
State/province [407]
0
0
Setúbal
Query!
Country [408]
0
0
Portugal
Query!
State/province [408]
0
0
Coimbra
Query!
Country [409]
0
0
Portugal
Query!
State/province [409]
0
0
Guilhufe
Query!
Country [410]
0
0
Portugal
Query!
State/province [410]
0
0
Leiria
Query!
Country [411]
0
0
Portugal
Query!
State/province [411]
0
0
Vila Real
Query!
Country [412]
0
0
Romania
Query!
State/province [412]
0
0
Dolj
Query!
Country [413]
0
0
Romania
Query!
State/province [413]
0
0
Mures
Query!
Country [414]
0
0
Romania
Query!
State/province [414]
0
0
Timis
Query!
Country [415]
0
0
Romania
Query!
State/province [415]
0
0
Baia Mare
Query!
Country [416]
0
0
Romania
Query!
State/province [416]
0
0
Braila
Query!
Country [417]
0
0
Romania
Query!
State/province [417]
0
0
Brasov
Query!
Country [418]
0
0
Romania
Query!
State/province [418]
0
0
Bucharest
Query!
Country [419]
0
0
Romania
Query!
State/province [419]
0
0
Bucuresti
Query!
Country [420]
0
0
Romania
Query!
State/province [420]
0
0
Cluj Napoca
Query!
Country [421]
0
0
Romania
Query!
State/province [421]
0
0
Iasi
Query!
Country [422]
0
0
Romania
Query!
State/province [422]
0
0
Pitesti
Query!
Country [423]
0
0
Romania
Query!
State/province [423]
0
0
Satu Mare
Query!
Country [424]
0
0
Romania
Query!
State/province [424]
0
0
Suceava
Query!
Country [425]
0
0
Romania
Query!
State/province [425]
0
0
Targu Mures
Query!
Country [426]
0
0
Romania
Query!
State/province [426]
0
0
Timisoara
Query!
Country [427]
0
0
Singapore
Query!
State/province [427]
0
0
Singapore
Query!
Country [428]
0
0
Slovakia
Query!
State/province [428]
0
0
Bardejov
Query!
Country [429]
0
0
Slovakia
Query!
State/province [429]
0
0
Bratislava
Query!
Country [430]
0
0
Slovakia
Query!
State/province [430]
0
0
Brezno
Query!
Country [431]
0
0
Slovakia
Query!
State/province [431]
0
0
Kosice
Query!
Country [432]
0
0
Slovakia
Query!
State/province [432]
0
0
Levice
Query!
Country [433]
0
0
Slovakia
Query!
State/province [433]
0
0
Levoca
Query!
Country [434]
0
0
Slovakia
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Lucenec
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Slovakia
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Namestovo
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Slovakia
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Nitra
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Slovakia
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Nove Zamky
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Slovakia
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Piestany
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Slovakia
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Presov
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Slovakia
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Svidnik
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Slovakia
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Trnava
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Slovakia
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Zilina
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Spain
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A Coruña
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Spain
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Asturias
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Spain
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Barcelona
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Spain
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Cádiz
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Spain
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Madrid [es-m]
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Spain
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Sevilla
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Spain
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Alicante
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Spain
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Madrid
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Spain
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Murcia
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Spain
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Valencia
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Sweden
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Borås
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Sweden
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Falun
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Sweden
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Helsingborg
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Sweden
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Linköping
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Lund
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Sweden
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Sweden
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Norrköping
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Sweden
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Skellefteå
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Sweden
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Stockholm
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Sweden
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Umea
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Sweden
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Uppsala
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Sweden
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Sweden
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Örebro
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Switzerland
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Aargau
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Switzerland
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Switzerland
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Switzerland
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Bern
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Switzerland
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Lugano
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Zürich
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Taiwan
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Ilan
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Taiwan
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Kaohsiung
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Tainan
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Taiwan
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Taipei
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Changhua
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Taoyuan
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Turkey
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Corum
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Istanbul
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Samsun
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Yüregir
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bayer
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Ethics approval
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Summary
Brief summary
Researchers are looking for a better way to treat people with atrial fibrillation (AF) and prevent stroke or systemic embolism (blood clots travelling through the blood stream to plug another vessel). Atrial fibrillation is a condition of having irregular and often rapid heartbeat. It can lead to the formation of blood clots in the heart which can travel through the blood stream to plug another vessel, and like this lead to serious and life-threatening conditions, such as a stroke. A stroke occurs because the brain tissue beyond the blockage no longer receives nutrients and oxygen so that brain cells die. As strokes arising from atrial fibrillation can involve extensive areas of the brain, it is important to prevent them. Blood clots are formed in a process known as coagulation. Medications are already available to prevent the formation of blood clots. When taken by mouth (orally), they are known as oral anticoagulants (OACs) including apixaban. OACs decrease the risk of the above-mentioned serious and life-threatening conditions. The main side effect of OACs is an increase of the risk of bleeding. The study treatment asundexian is a new type of anticoagulant currently under development to provide further treatment options. Asundexian aims to further improve the standard of care with regard to the risk of bleeding. The main purpose of this study is to collect more data about how well asundexian works to prevent stroke and systemic embolism and how safe it is compared to apixaban in people with atrial fibrillation and at high risk for stroke. To see how well the study treatment asundexian works researchers compare: * how long asundexian works well and * how long apixaban works well after the start of the treatment. Working well means that the treatments can prevent the following from happening: * stroke and/or * systemic embolism. The study will keep collecting data until a certain number of strokes or embolisms happen in the study. To see how safe asundexian is, the researchers will compare how often major bleedings occur after taking the study treatments asundexian and apixaban, respectively. Major bleedings are bleedings that have a serious or even life-threatening impact on a person's health. The study participants will be randomly (by chance) assigned to 1 of 2 treatment groups, A and B. Dependent on the treatment group, the participants will either take the study treatment asundexian by mouth once a day or apixaban by mouth twice a day for approximately 9 - 33 months. Each participant will be in the study for approximately 9 - 34 months. There will be visits to the study site every 3 to 6 months and up to 7 phone calls. Those participants who do not want or are unable to have visits to the study site may join the study remotely in selected locations. The location name contains the abbreviation - DCT in such cases. During the study, the study team will: * take blood samples * do physical examinations * examine heart health using an electrocardiogram (ECG) * check vital signs such as blood pressure and heart rate * do pregnancy tests * ask the participants questions about their quality of life * ask the participants questions about how they are feeling and what adverse events they are having. An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events that happen in studies, even if they do not think the adverse events might be related to the study treatments.
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Trial website
https://clinicaltrials.gov/study/NCT05643573
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Trial related presentations / publications
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Public notes
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Contacts
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014.
Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05643573