Actively Recruiting

Phase 2
Phase 3
Age: 18Years +
All Genders
NCT06788990

FORTIFI-HN01: A Study of Ficerafusp Alfa (BCA101) or Placebo in Combination With Pembrolizumab in First-Line PD-L1-pos, R or M HNSCC

Led by Bicara Therapeutics · Updated on 2026-05-14

650

Participants Needed

161

Research Sites

230 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Ficerafusp alfa is directed against two targets, Epidermal Growth Factor Receptor (EGFR) and Transforming Growth Factor beta (TGF-β). This study intends to evaluate the safety and efficacy of ficerafusp alfa in combination with pembrolizumab versus placebo with pembrolizumab in 1L PD-L1-positive, recurrent or metastatic Head and Neck Squamous Cell Carcinoma (HNSCC).

CONDITIONS

Official Title

FORTIFI-HN01: A Study of Ficerafusp Alfa (BCA101) or Placebo in Combination With Pembrolizumab in First-Line PD-L1-pos, R or M HNSCC

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older at the time of signing informed consent
  • Confirmed diagnosis of recurrent or metastatic Head and Neck Squamous Cell Carcinoma in the oral cavity, hypopharynx, larynx, or oropharynx (HPV-negative if oropharynx)
  • No prior systemic therapy for recurrent or metastatic disease; completed prior systemic therapy over 6 months ago if given for locally advanced disease
  • Available archival tumor tissue or willingness to undergo biopsy at screening
  • PD-L1 combined positive score (CPS) of 1 or higher
  • Measurable disease by RECIST 1.1 criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate organ function as defined by the study protocol
Not Eligible

You will not qualify if you...

  • Disease suitable for local therapy with curative intent
  • Prior treatment with anti-TGF-beta therapy
  • Prior treatment with anti-EGFR antibodies except certain cases for locally advanced disease
  • History of grade 2 or higher intolerance or hypersensitivity to anti-EGFR therapy or murine proteins
  • Prior immune checkpoint inhibitor therapy within 6 months before study treatment
  • Disease progression within 6 months after curative intent systemic therapy for locally advanced disease
  • Life expectancy less than 3 months
  • Active central nervous system metastases or related neurological conditions
  • Active major bleeding or recent major bleeding within 4 weeks
  • Participation in another clinical study or treatment with investigational drug within required washout period
  • Active autoimmune disease requiring systemic treatment in past 2 years
  • Active chronic hepatitis B or untreated hepatitis C infection
  • Known HIV infection
  • History of organ transplantation requiring immunosuppression
  • Other malignancies treated within 2 years except specific low-risk cancers
  • Recent systemic corticosteroid or immunosuppressive medication use within 7 days before first dose
  • Use of live vaccines within 4 weeks prior to screening

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 161 locations

1

Site # 0137

Birmingham, Alabama, United States, 35233

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2

Site #0147

Phoenix, Arizona, United States, 85054

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3

Site #0107

La Jolla, California, United States, 92093

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4

Site #0106

Los Angeles, California, United States, 90095

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5

Site#0144

Sacramento, California, United States, 95817

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6

Site #0130

San Francisco, California, United States, 94143

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7

Site #0150

Stanford, California, United States, 94305

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8

Site #0122

Aurora, Colorado, United States, 80012

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9

Site #0124

Aurora, Colorado, United States, 80045

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10

Site#0121

Aurora, Colorado, United States, 80045

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11

Site#0127

Newark, Delaware, United States, 19713

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12

Site #0148

Jacksonville, Florida, United States, 32224

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13

Site #0136

Palm Bay, Florida, United States, 32901

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14

Site #0105

Tampa, Florida, United States, 33612

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15

Site #0133

Chicago, Illinois, United States, 60064

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16

Site#0140

Iowa City, Iowa, United States, 52242

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17

Site #0149

Westwood, Kansas, United States, 66205

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18

Site#0109

Lexington, Kentucky, United States, 40536

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19

Site#0111

Louisville, Kentucky, United States, 40202

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20

Site#0115

Louisville, Kentucky, United States, 40202

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21

Site #0112

Baltimore, Maryland, United States, 21201

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22

Site #0131

Boston, Massachusetts, United States, 02114

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23

Site#0101

Boston, Massachusetts, United States, 02136

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24

Site #0156

Maplewood, Minnesota, United States, 55109

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25

Site #0146

Rochester, Minnesota, United States, 55905

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26

Site #0114

St Louis, Missouri, United States, 63110

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27

Site #0119

Hackensack, New Jersey, United States, 07601

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28

Site #0145

Newark, New Jersey, United States, 07103

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29

Site #0155

New York, New York, United States, 10003

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30

Site#0142

New York, New York, United States, 10021

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31

Site#0118

Durham, North Carolina, United States, 27703

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32

Site#0154

Canton, Ohio, United States, 44708

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33

Site#0117

Cincinnati, Ohio, United States, 45221

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34

Site #0151

Cleveland, Ohio, United States, 44106

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35

Site #0108

Cleveland, Ohio, United States, 44195

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36

Site #0113

Portland, Oregon, United States, 97213

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37

Site #0103

Pittsburgh, Pennsylvania, United States, 15206

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38

Site #0123

Pittsburgh, Pennsylvania, United States, 15240

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39

Site #0132

Providence, Rhode Island, United States, 02903

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40

Site#0104

Charleston, South Carolina, United States, 29425

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41

Site#0126

Nashville, Tennessee, United States, 37203

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42

Site #0116

Nashville, Tennessee, United States, 37232

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43

Site#0102

Houston, Texas, United States, 77005

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44

Site #0152

Waco, Texas, United States, 676712

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45

Site#0134

Charlottesville, Virginia, United States, 22904

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46

Site #0129

Richmond, Virginia, United States, 23219

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47

Site #0138

Richmond, Virginia, United States, 23249

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48

Site # 0160

Edmonds, Washington, United States, 98026

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49

Site # 0159

Seattle, Washington, United States, 98104

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50

Site #0125

Seattle, Washington, United States, 98109

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51

Site#0120

Vancouver, Washington, United States, 98684

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52

Site #0141

Madison, Wisconsin, United States, 53705

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53

Site #0157

Madison, Wisconsin, United States, 53792

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54

Site # 2301

Buenos Aires, Argentina, C1190

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55

Site # 2306

Buenos Aires, Argentina, C1425

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56

Site # 2305

Rosario, Argentina, CP2000

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57

Site#0302

Camperdown, New South Wales, Australia, 2050

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58

Site #0306

Kingswood, New South Wales, Australia, 2747

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59

Site#0304

Waratah, New South Wales, Australia, 2298

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60

Site #0305

Southport, Queensland, Australia, 4215

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61

Site#0307

Tugun, Queensland, Australia, 4224

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62

Site #0303

Heidelberg, Victoria, Australia, 3084

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63

Site#0301

North Melbourne, Victoria, Australia, 3051

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64

Site#0308

Murdoch, Western Australia, Australia, 6150

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65

Site #1602

Salzburg, Austria, 5020

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66

Site #1601

Vienna, Austria, 1090

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67

Site #1007

Bruges, Belgium, 8000

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68

Site #1005

Mons, Belgium, 7000

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69

Site #1002

Namur, Belgium, 5000

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70

Site #1003

Namur, Belgium, 5530

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71

Site #1001

Sint-Niklaas, Belgium, 9100

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72

Site #1006

Wilrijk, Belgium, 2610

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73

Site #0202

Vancouver, British Columbia, Canada, V5Z 4E6

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74

Site #0203

Montreal, Quebec, Canada, H2X 0C1

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75

Site # 2101

Hradec Králové, Czechia, 500 03

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76

Site #2102

Prague, Czechia, 15006

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77

Site #0809

Amiens, France, 80480

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78

Site # 0812

Bordeaux, France, 33075

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79

Site #0810

Lyon, France, 69004

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80

Site # 0813

Paris, France, 75005

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81

Site #0805

Rennes, France, 35042

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82

Site #0807

Saint-Grégoire, France, 35760

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83

Site #0808

Strasbourg, France, 67200

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84

Site # 0811

Toulouse, France, 31059

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85

Site #0806

Vandœuvre-lès-Nancy, France, 54519

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86

Site #0801

Villejuif, France, 94805

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87

Site #0710

Aachen, Germany, 52074

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88

Site # 0701

Berlin, Germany, 12200

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89

Site # 0714

Berlin, Germany, 12351

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90

Site # 0705

Chemnitz, Germany, 09116

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91

Site #0707

Dresden, Germany, 01067

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92

Site #0706

Düsseldorf, Germany, 40225

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93

Site # 0718

Hanover, Germany, 30625

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94

Site #0717

Karlsruhe, Germany, 76137

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95

Site # 0715

München, Germany, 81675

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96

Site # 0703

Stuttgart, Germany, 70174

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97

Site # 1701

Athens, Greece, 12461

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98

Site # 0603

Cork, Ireland, T12 DC4A

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99

Site #0602

Dublin, Ireland, D08 NHY1

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100

Site #0601

Dublin, Ireland, D09 V2N0

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101

Site #0904

Bologna, Italy, 40138

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102

Site #0911

Florence, Italy, 50134

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103

Site #0907

Milan, Italy, 20132

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104

Site #0901

Milan, Italy, 20133

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105

Site #0905

Milan, Italy, 20142

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106

Site # 0912

Milan, Italy, 20162

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107

Site #0915

Naples, Italy, 80131

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108

Site #0908

Palermo, Italy, 90127

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109

Site # 0903

Pavia, Italy, 27100

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110

Site # 0909

Pisa, Italy, 56126

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111

Site #0917

Rome, Italy, 00161

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112

Site #0918

Rome, Italy, 00168

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113

Site #0906

Rome, Italy, 00186

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114

Site # 0919

Rozzano, Italy, 20089

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115

Site # 0902

Siena, Italy, 53100

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116

Site # 2802

George Town, Malaysia, 11200

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117

Site #0401

Christchurch, New Zealand, 8011

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118

Site#0402

Rotorua, New Zealand, 3010

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119

Site #1401

Gdansk, Poland, 80-214

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120

Site # 1405

Gliwice, Poland, 44-102

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121

Site #1403

Katowice, Poland, 40-519

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122

Site #1407

Konin, Poland, 62-500

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123

Site #1404

Krakow, Poland, 31-826

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124

Site #1402

Siedlce, Poland, 08-110

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125

Site #1406

Warsaw, Poland, 02-781

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126

Site #1506

Braga, Portugal, 4710-243

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127

Site #1503

Coimbra, Portugal

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128

Site #1508

Lisbon, Portugal, 1099-023

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129

Site #1501

Portimão, Portugal, 8500-338

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130

Site #1505

Porto, Portugal, 4200-072

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131

Site #1507

Porto, Portugal, 4200-319

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132

Site #1502

Senhora da Hora, Portugal, 4464-509

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133

Site # 1504

Vila Nova de Gaia, Portugal, 4434-502

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134

Site # 2901

Singapore, Singapore, 168583

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135

Site # 2705

Hwasun, South Korea, 58128

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136

Site # 2706

Seongnam, South Korea, 13620

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137

Site # 2701

Seoul, South Korea, 3080

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138

Site #1301

Barcelona, Spain, 08035

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139

Site #1305

Barcelona, Spain, 08036

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140

Site #1304

Barcelona, Spain, 08041

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141

Site # 1302

Barcelona, Spain, 08908

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142

Site #1310

Madrid, Spain, 28027

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143

Site #1303

Madrid, Spain, 28041

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144

Site #1306

Pamplona, Spain, 31008

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145

Site #1309

Santander, Spain, 39008

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146

Site #1307

Valencia, Spain, 46010

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147

Site #1308

Valencia, Spain, 46014

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148

Site #0504

Aberdeen, United Kingdom, AB25 2ZN

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149

Site #0512

Birmingham, United Kingdom, B15 2TH

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150

Site #0513

Cambridge, United Kingdom, CB2 0QQ

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151

Site # 0510

Glasgow, United Kingdom, G12 0YN

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152

Site #0511

Leeds, United Kingdom, LS9 7TF

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153

Site #0507

Liverpool, United Kingdom, L7 8YA

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154

Site #0505

London, United Kingdom, SW3 6JJ

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155

Site #0502

London, United Kingdom, WC1E 6AG

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156

Site #0508

Manchester, United Kingdom, M20 4BX

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157

Site #0506

Middlesex, United Kingdom, HA6 2RN

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158

Site #0503

Nottingham, United Kingdom, NG5 1PB

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159

Site #0515

Oxford, United Kingdom, OX3 7LE

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160

Site # 0514

Portsmouth, United Kingdom, PO6 3LY

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161

Site # 0501

Sutton, United Kingdom, SM2 5PT

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Research Team

M

Medical Affairs

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

5

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