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A Randomized, Double-blind Controlled Study Comparing LCZ696 to Medical Therapy for Comorbidities in HFpEF Patients (PARALLAX)

Primary Purpose

Heart Failure With Preserved Ejection Fraction

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
sacubitril/valsartan
Enalapril
Valsartan
Placebo to match sacubitril/valsartan
Placebo to match enalapril
Placebo to match valsartan
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure With Preserved Ejection Fraction focused on measuring Cardiovascular Diseases, Heart Failure, Heart failure with Preserved Ejection Fraction, NT-proBNP, 6 MWT, KCCQ, SF-36, NYHA Class, LCZ696, Enalapril, Valsartan, Angiotensin-Converting Enzyme Inhibitors (ACEi), Angiotensin II Type 1 Receptor Blockers (ARB), Renin Angiotensin System Inhibitors (RASi)

Eligibility Criteria

45 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Left ventricular ejection fraction (LVEF) >40% by echo within 6 months prior to study entry or during the screening epoch
  • Symptom(s) of heart failure (HF) requiring treatment with diuretics (including loop, or thiazide diuretics, or mineralocorticoid antagonist [MRAs]) for at least 30 days prior to study entry
  • NYHA class II-IV
  • Structural heart disease (left atrial enlargement or left ventricular hypertrophy) documented by echocardiogram.
  • NT-proBNP > 220 pg/mL for patients with no atrial fibrillation/atrial flutter (AF) or >600 pg/mL for patients with AF
  • KCCQ clinical summary score < 75
  • Patients on ACEi or ARB therapy must have a history of HTN

Exclusion Criteria:

  • Any prior measurement of LVEF ≤ 40%, under stable conditions
  • Acute coronary syndrome (including MI), cardiac surgery, other major CV surgery within 3 months , or urgent percutaneous coronary intervention (PCI) within 3 months or an elective PCI within 30 days prior to study entry
  • Any clinical event within the 6 months prior to Visit 1 that could have reduced the LVEF (eg MI, coronary artery bypass graft [CABG]), unless an echo measurement was performed after the event confirming the LVEF to be >40%
  • Current (within 30 days from Visit 1) acute decompensated HF requiring therapy.
  • Current (within 30 days from Visit 1) use of renin inhibitor(s), dual RAS blockade or LCZ696
  • History of hypersensitivity to LCZ696 or its components
  • Patients with a known history of angioedema
  • Walk distance primarily limited by non-cardiac comorbid conditions at study entry
  • Alternative reason for shortness of breath such as: significant pulmonary disease or severe COPD, hemoglobin (Hgb) <10 g/dL males and < 9.5 g/dL females, or body mass index (BMI) > 40 kg/m^2.
  • Systolic blood pressure (SBP) ≥ 180 mmHg at study entry, or SBP >150 mmHg and <180 mmHg at study entry unless the patient is receiving 3 or more antihypertensive drugs, or SBP < 110 mmHg at study entry.
  • Patients with HbA1c > 7.5% not treated for diabetes
  • Patients with prior major organ transplant or intent to transplant (ie on transplant list)
  • eGFR < 30 ml/min/1.73 m^2 as measured by MDRD at screening
  • Serum potassium > 5.2 mmol /L (or equivalent plasma potassium value) at study entry
  • History or presence of any other disease with a life expectancy of < 3 years
  • Pregnant or nursing women or women of child-bearing potential unless they are using highly effective methods of contraception

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

sacubitril/valsartan (LCZ696)

Comparator

Arm Description

All patients who fulfill the inclusion/exclusion criteria will be stratified before randomization based upon prior therapy for comorbidities to one of 3 strata: ACEi, ARB or no RASi. Patients in the ACEi strata will receive LCZ696 or enalapril. Patients in the ARB strata will receive LCZ696 or valsartan. Patients in the no RASi strata will receive LCZ696 or matching placebo. Patients in the ACEi and ARB strata will take two pills twice daily for each dose: one tablet from the LCZ696 pack and one tablet from the comparator pack. Patients in the no RASi strata will take only one tablet twice daily (LCZ696 or matching placebo). In the LCZ696 arm, patients will receive active LCZ696 in titrated doses from level 1 up to level 3 (50 mg, 100 mg and 200 mg twice daily orally).

Patients randomized to the comparator arm will receive either enalapril (ACE stratum) valsartan (ARB stratum) or LCZ696 matching placebo (no RASi stratum). Patients in the ACE stratum randomized to comparator, will receive enalapril in titrated doses from level 1 up to level 3 (2.5 mg, 5 mg and 10 mg twice daily). Patients in the ARB stratum randomized to comparator will receive valsartan in titrated doses from level 1 up to level 3 (40 mg , 80 mg and 160 mg twice daily). Patients in the no RASi stratum randomized to comparator will receive LCZ696 matching placebo.

Outcomes

Primary Outcome Measures

Change From Baseline in N-terminal Pro-brain Natriuretic Peptide (NT-proBNP) at Week 12
To demonstrate that LCZ696 is superior to individualized medical therapy for comorbidities in reducing NT-proBNP from baseline at Week 12 in patients with HFpEF
Change From Baseline in 6 Minute Walk Distance (6MWD) at Week 24
Change from baseline in 6-minute walk distance (6MWD) will be reported at Week 24. The 6 MWT will be performed in accordance with the guidelines of the American Thoracic Society 2002.

Secondary Outcome Measures

Mean Change From Baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score (CSS) at Week 24
The KCCQ is a self-administered questionnaire that requires 4 to 6 minutes to complete. It contains 23 items, covering physical function, clinical symptoms, social function, self-efficacy and knowledge, and Quality of Life (QoL). The CSS is a combined score based upon the clinical symptoms and physical function domains of the questionnaire. Scores are transformed to a range of 0 - 100, in which higher scores reflect better health status.
Percentage of Patients With ≥ 5-points Deterioration in KCCQ Clinical Symptom Score(CSS) at Week 24
Percentage of patients with KCCQ CSS deterioration ≥ 5-points will be reported at Week 24. The KCCQ is a self-administered questionnaire that requires 4 to 6 minutes to complete. It contains 23 items, covering physical function, clinical symptoms, social function, self-efficacy and knowledge, and Quality of Life (QoL). The CSS is a combined score based upon the clinical symptoms and physical function domains of the questionnaire. Scores are transformed to a range of 0 - 100, in which higher scores reflect better health status.
Percentage of Patients With ≥ 5-points Improvement in KCCQ Clinical Symptom Score(CSS) at Week 24
Percentage of patients with KCCQ CSS improvement ≥ 5-points will be reported at Week 24. The KCCQ is a self-administered questionnaire that requires 4 to 6 minutes to complete. It contains 23 items, covering physical function, clinical symptoms, social function, self-efficacy and knowledge, and Quality of Life (QoL). The CSS is a combined score based upon the clinical symptoms and physical function domains of the questionnaire. Scores are transformed to a range of 0 - 100, in which higher scores reflect better health status.
Change From Baseline in NYHA Functional Class at Week 24
NYHA classification is a subjective physician's assessment of patient's functional capacity and symptomatic status and can change frequently over time. Class I - No limitation of physical activity. Ordinary physical activity does not cause symptoms of HF Class II - Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in symptoms of HF Class III - Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes symptoms of HF Class IV - Unable to carry on any physical activity without symptoms of HF, or symptoms of HF at rest The NYHA class change will be analyzed as a three category ordinal variable with levels: "improved", "unchanged", and "worsened", defined by at least one class improvement, no change, at least one class worsening, in NYHA class, respectively.
Change From Baseline in The Short Form 36 Health Survey (SF-36) Physical Component Summary (PCS) Score at Week 24
The SF-36 PCS score reflects the measure of quality of life based on the 36 questions which evaluate the person's physical, emotional, and mental status, including general health. Specifically, the SF-36 PCS score focuses on assessing the person's physical status. The score ranges from 0 to 100 with a higher score indicating a better status of physical wellbeing (range = 0 "worst"-100 "best").

Full Information

First Posted
February 23, 2017
Last Updated
October 7, 2021
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03066804
Brief Title
A Randomized, Double-blind Controlled Study Comparing LCZ696 to Medical Therapy for Comorbidities in HFpEF Patients
Acronym
PARALLAX
Official Title
A 24-week, Randomized, Double-blind, Multi-center, Parallel LCZ696 on NT-proBNP, Exercise Capacity, Symptoms and Safety Compared to Individualized Medical Management of Comorbidities in Patients With Heart Failure and Preserved Ejection Fraction
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
August 22, 2017 (Actual)
Primary Completion Date
October 28, 2019 (Actual)
Study Completion Date
October 28, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to demonstrate the superiority of LCZ696 over individualized medical therapy for comorbidities in reducing N-terminal pro-brain natriuretic peptide (NT-proBNP) and improving exercise capacity and HF symptoms in patients with heart failure with preserved ejection fraction (HFpEF).
Detailed Description
This study was a 24-week, randomized, double-blind, multi-center, parallel group, active controlled study to evaluate sacubitril/valsartan compared to individualized medical therapy on NT proBNP, exercise capacity, symptoms and QoL in patients with heart failure and preserved left ventricular ejection (HFpEF) fraction (LVEF > 40%). Patients were initially stratified into one of three strata according to prior treatment for comorbidities: Angiotensin converting enzyme inhibitor (ACEi), angiotensin receptor blocker (ARB) or no prior renin angiotensin system inhibitors (RASi). Patients in each stratum were randomized in a 1:1 ratio and received either sacubitril/valsartan or comparator (i.e. enalapril for patients in ACEi strata, valsartan for patients in the ARB strata and placebo for patients in the No RASi strata). There was no designated proportion of patients planned in each stratum; the strata were populated based upon the patient's prior treatment regimen. The study consisted of a screening epoch of up to 2 weeks and a randomized treatment epoch of 24 weeks, which included a 1 to 4 week study drug up-titration epoch followed by a 20 to 23 week maintenance epoch. Uptitration to target doses was recommended to occur within the first four weeks of the study, and was performed by Investigator's discretion based on the patient's clinical status.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure With Preserved Ejection Fraction
Keywords
Cardiovascular Diseases, Heart Failure, Heart failure with Preserved Ejection Fraction, NT-proBNP, 6 MWT, KCCQ, SF-36, NYHA Class, LCZ696, Enalapril, Valsartan, Angiotensin-Converting Enzyme Inhibitors (ACEi), Angiotensin II Type 1 Receptor Blockers (ARB), Renin Angiotensin System Inhibitors (RASi)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2572 (Actual)

8. Arms, Groups, and Interventions

Arm Title
sacubitril/valsartan (LCZ696)
Arm Type
Experimental
Arm Description
All patients who fulfill the inclusion/exclusion criteria will be stratified before randomization based upon prior therapy for comorbidities to one of 3 strata: ACEi, ARB or no RASi. Patients in the ACEi strata will receive LCZ696 or enalapril. Patients in the ARB strata will receive LCZ696 or valsartan. Patients in the no RASi strata will receive LCZ696 or matching placebo. Patients in the ACEi and ARB strata will take two pills twice daily for each dose: one tablet from the LCZ696 pack and one tablet from the comparator pack. Patients in the no RASi strata will take only one tablet twice daily (LCZ696 or matching placebo). In the LCZ696 arm, patients will receive active LCZ696 in titrated doses from level 1 up to level 3 (50 mg, 100 mg and 200 mg twice daily orally).
Arm Title
Comparator
Arm Type
Active Comparator
Arm Description
Patients randomized to the comparator arm will receive either enalapril (ACE stratum) valsartan (ARB stratum) or LCZ696 matching placebo (no RASi stratum). Patients in the ACE stratum randomized to comparator, will receive enalapril in titrated doses from level 1 up to level 3 (2.5 mg, 5 mg and 10 mg twice daily). Patients in the ARB stratum randomized to comparator will receive valsartan in titrated doses from level 1 up to level 3 (40 mg , 80 mg and 160 mg twice daily). Patients in the no RASi stratum randomized to comparator will receive LCZ696 matching placebo.
Intervention Type
Drug
Intervention Name(s)
sacubitril/valsartan
Intervention Description
Sacubitril/valsartan is available as 24 mg/26 mg, 49 mg/51 mg, 97 mg/103 mg, respectively in tablet form to be taken orally
Intervention Type
Drug
Intervention Name(s)
Enalapril
Intervention Description
Enalapril is available as 2.5 mg, 5 mg, and 10 mg tablet form to be taken orally
Intervention Type
Drug
Intervention Name(s)
Valsartan
Intervention Description
Valsartan is available as 40 mg, 80 mg, 160 mg tablet form to be taken orally
Intervention Type
Drug
Intervention Name(s)
Placebo to match sacubitril/valsartan
Intervention Description
Placebo to match LCZ696 50 mg, 100 mg, 200 mg tablet form to be taken orally
Intervention Type
Drug
Intervention Name(s)
Placebo to match enalapril
Intervention Description
Placebo to match enalapril 2.5 mg, 5 mg, 10 mg tablet form to be taken orally
Intervention Type
Drug
Intervention Name(s)
Placebo to match valsartan
Intervention Description
Placebo to match valsartan 40 mg, 80 mg, 160 mg tablet form to be taken orally
Primary Outcome Measure Information:
Title
Change From Baseline in N-terminal Pro-brain Natriuretic Peptide (NT-proBNP) at Week 12
Description
To demonstrate that LCZ696 is superior to individualized medical therapy for comorbidities in reducing NT-proBNP from baseline at Week 12 in patients with HFpEF
Time Frame
Baseline, week 12
Title
Change From Baseline in 6 Minute Walk Distance (6MWD) at Week 24
Description
Change from baseline in 6-minute walk distance (6MWD) will be reported at Week 24. The 6 MWT will be performed in accordance with the guidelines of the American Thoracic Society 2002.
Time Frame
Baseline, week 24
Secondary Outcome Measure Information:
Title
Mean Change From Baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score (CSS) at Week 24
Description
The KCCQ is a self-administered questionnaire that requires 4 to 6 minutes to complete. It contains 23 items, covering physical function, clinical symptoms, social function, self-efficacy and knowledge, and Quality of Life (QoL). The CSS is a combined score based upon the clinical symptoms and physical function domains of the questionnaire. Scores are transformed to a range of 0 - 100, in which higher scores reflect better health status.
Time Frame
Baseline, Week 24
Title
Percentage of Patients With ≥ 5-points Deterioration in KCCQ Clinical Symptom Score(CSS) at Week 24
Description
Percentage of patients with KCCQ CSS deterioration ≥ 5-points will be reported at Week 24. The KCCQ is a self-administered questionnaire that requires 4 to 6 minutes to complete. It contains 23 items, covering physical function, clinical symptoms, social function, self-efficacy and knowledge, and Quality of Life (QoL). The CSS is a combined score based upon the clinical symptoms and physical function domains of the questionnaire. Scores are transformed to a range of 0 - 100, in which higher scores reflect better health status.
Time Frame
Baseline, Week 24
Title
Percentage of Patients With ≥ 5-points Improvement in KCCQ Clinical Symptom Score(CSS) at Week 24
Description
Percentage of patients with KCCQ CSS improvement ≥ 5-points will be reported at Week 24. The KCCQ is a self-administered questionnaire that requires 4 to 6 minutes to complete. It contains 23 items, covering physical function, clinical symptoms, social function, self-efficacy and knowledge, and Quality of Life (QoL). The CSS is a combined score based upon the clinical symptoms and physical function domains of the questionnaire. Scores are transformed to a range of 0 - 100, in which higher scores reflect better health status.
Time Frame
Baseline, Week 24
Title
Change From Baseline in NYHA Functional Class at Week 24
Description
NYHA classification is a subjective physician's assessment of patient's functional capacity and symptomatic status and can change frequently over time. Class I - No limitation of physical activity. Ordinary physical activity does not cause symptoms of HF Class II - Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in symptoms of HF Class III - Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes symptoms of HF Class IV - Unable to carry on any physical activity without symptoms of HF, or symptoms of HF at rest The NYHA class change will be analyzed as a three category ordinal variable with levels: "improved", "unchanged", and "worsened", defined by at least one class improvement, no change, at least one class worsening, in NYHA class, respectively.
Time Frame
Baseline, week 24
Title
Change From Baseline in The Short Form 36 Health Survey (SF-36) Physical Component Summary (PCS) Score at Week 24
Description
The SF-36 PCS score reflects the measure of quality of life based on the 36 questions which evaluate the person's physical, emotional, and mental status, including general health. Specifically, the SF-36 PCS score focuses on assessing the person's physical status. The score ranges from 0 to 100 with a higher score indicating a better status of physical wellbeing (range = 0 "worst"-100 "best").
Time Frame
Baseline, Week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Left ventricular ejection fraction (LVEF) >40% by echo within 6 months prior to study entry or during the screening epoch Symptom(s) of heart failure (HF) requiring treatment with diuretics (including loop, or thiazide diuretics, or mineralocorticoid antagonist [MRAs]) for at least 30 days prior to study entry NYHA class II-IV Structural heart disease (left atrial enlargement or left ventricular hypertrophy) documented by echocardiogram. NT-proBNP > 220 pg/mL for patients with no atrial fibrillation/atrial flutter (AF) or >600 pg/mL for patients with AF KCCQ clinical summary score < 75 Patients on ACEi or ARB therapy must have a history of HTN Exclusion Criteria: Any prior measurement of LVEF ≤ 40%, under stable conditions Acute coronary syndrome (including MI), cardiac surgery, other major CV surgery within 3 months , or urgent percutaneous coronary intervention (PCI) within 3 months or an elective PCI within 30 days prior to study entry Any clinical event within the 6 months prior to Visit 1 that could have reduced the LVEF (eg MI, coronary artery bypass graft [CABG]), unless an echo measurement was performed after the event confirming the LVEF to be >40% Current (within 30 days from Visit 1) acute decompensated HF requiring therapy. Current (within 30 days from Visit 1) use of renin inhibitor(s), dual RAS blockade or LCZ696 History of hypersensitivity to LCZ696 or its components Patients with a known history of angioedema Walk distance primarily limited by non-cardiac comorbid conditions at study entry Alternative reason for shortness of breath such as: significant pulmonary disease or severe COPD, hemoglobin (Hgb) <10 g/dL males and < 9.5 g/dL females, or body mass index (BMI) > 40 kg/m^2. Systolic blood pressure (SBP) ≥ 180 mmHg at study entry, or SBP >150 mmHg and <180 mmHg at study entry unless the patient is receiving 3 or more antihypertensive drugs, or SBP < 110 mmHg at study entry. Patients with HbA1c > 7.5% not treated for diabetes Patients with prior major organ transplant or intent to transplant (ie on transplant list) eGFR < 30 ml/min/1.73 m^2 as measured by MDRD at screening Serum potassium > 5.2 mmol /L (or equivalent plasma potassium value) at study entry History or presence of any other disease with a life expectancy of < 3 years Pregnant or nursing women or women of child-bearing potential unless they are using highly effective methods of contraception Other protocol-defined inclusion/exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Andalusia
State/Province
Alabama
ZIP/Postal Code
36420
Country
United States
Facility Name
Novartis Investigative Site
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
Facility Name
Novartis Investigative Site
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Novartis Investigative Site
City
Long Beach
State/Province
California
ZIP/Postal Code
90813
Country
United States
Facility Name
Novartis Investigative Site
City
Santa Ana
State/Province
California
ZIP/Postal Code
92704
Country
United States
Facility Name
Novartis Investigative Site
City
Sylmar
State/Province
California
ZIP/Postal Code
91342
Country
United States
Facility Name
Novartis Investigative Site
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Novartis Investigative Site
City
Stamford
State/Province
Connecticut
ZIP/Postal Code
06905
Country
United States
Facility Name
Novartis Investigative Site
City
Bradenton
State/Province
Florida
ZIP/Postal Code
34209
Country
United States
Facility Name
Novartis Investigative Site
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32608
Country
United States
Facility Name
Novartis Investigative Site
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33312
Country
United States
Facility Name
Novartis Investigative Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33133
Country
United States
Facility Name
Novartis Investigative Site
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Facility Name
Novartis Investigative Site
City
Thomasville
State/Province
Georgia
ZIP/Postal Code
31792
Country
United States
Facility Name
Novartis Investigative Site
City
Arlington Heights
State/Province
Illinois
ZIP/Postal Code
60004
Country
United States
Facility Name
Novartis Investigative Site
City
Alexandria
State/Province
Louisiana
ZIP/Postal Code
71301
Country
United States
Facility Name
Novartis Investigative Site
City
Chalmette
State/Province
Louisiana
ZIP/Postal Code
70043
Country
United States
Facility Name
Novartis Investigative Site
City
Houma
State/Province
Louisiana
ZIP/Postal Code
70360
Country
United States
Facility Name
Novartis Investigative Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Novartis Investigative Site
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68526
Country
United States
Facility Name
Novartis Investigative Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68114
Country
United States
Facility Name
Novartis Investigative Site
City
Rochester
State/Province
New York
ZIP/Postal Code
14621
Country
United States
Facility Name
Novartis Investigative Site
City
Marion
State/Province
Ohio
ZIP/Postal Code
43302
Country
United States
Facility Name
Novartis Investigative Site
City
Corvallis
State/Province
Oregon
ZIP/Postal Code
97330
Country
United States
Facility Name
Novartis Investigative Site
City
Abington
State/Province
Pennsylvania
ZIP/Postal Code
19001
Country
United States
Facility Name
Novartis Investigative Site
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57104
Country
United States
Facility Name
Novartis Investigative Site
City
Jackson
State/Province
Tennessee
ZIP/Postal Code
38301
Country
United States
Facility Name
Novartis Investigative Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75234
Country
United States
Facility Name
Novartis Investigative Site
City
Lufkin
State/Province
Texas
ZIP/Postal Code
75904
Country
United States
Facility Name
Novartis Investigative Site
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
Facility Name
Novartis Investigative Site
City
Falls Church
State/Province
Virginia
ZIP/Postal Code
22042
Country
United States
Facility Name
Novartis Investigative Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98122
Country
United States
Facility Name
Novartis Investigative Site
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1280AEB
Country
Argentina
Facility Name
Novartis Investigative Site
City
Quilmes
State/Province
Buenos Aires
ZIP/Postal Code
B1878GEG
Country
Argentina
Facility Name
Novartis Investigative Site
City
Posadas
State/Province
Misiones
ZIP/Postal Code
N3300AHX
Country
Argentina
Facility Name
Novartis Investigative Site
City
Ciudad de Salta
State/Province
Provincia De Salta
ZIP/Postal Code
A4406BPF
Country
Argentina
Facility Name
Novartis Investigative Site
City
Tucuman
State/Province
San Miguel De Tucuman
ZIP/Postal Code
T4000ICL
Country
Argentina
Facility Name
Novartis Investigative Site
City
Rosario
State/Province
Santa Fe
ZIP/Postal Code
S2000DSV
Country
Argentina
Facility Name
Novartis Investigative Site
City
San Miguel de Tucuman
State/Province
Tucuman
ZIP/Postal Code
T4000IFL
Country
Argentina
Facility Name
Novartis Investigative Site
City
Buenos Aires
ZIP/Postal Code
C1430EGF
Country
Argentina
Facility Name
Novartis Investigative Site
City
Cordoba
ZIP/Postal Code
X5000AAW
Country
Argentina
Facility Name
Novartis Investigative Site
City
Cordoba
ZIP/Postal Code
X5000EVQ
Country
Argentina
Facility Name
Novartis Investigative Site
City
Cordoba
ZIP/Postal Code
X5000
Country
Argentina
Facility Name
Novartis Investigative Site
City
Cordoba
ZIP/Postal Code
X5004BAL
Country
Argentina
Facility Name
Novartis Investigative Site
City
Cordoba
ZIP/Postal Code
X5006CBI
Country
Argentina
Facility Name
Novartis Investigative Site
City
Formosa
ZIP/Postal Code
P3600
Country
Argentina
Facility Name
Novartis Investigative Site
City
San Luis
ZIP/Postal Code
D5702JRS
Country
Argentina
Facility Name
Novartis Investigative Site
City
Santa Fe
ZIP/Postal Code
3080
Country
Argentina
Facility Name
Novartis Investigative Site
City
Santa Fe
ZIP/Postal Code
S2200
Country
Argentina
Facility Name
Novartis Investigative Site
City
Santa Fe
ZIP/Postal Code
S3000FWO
Country
Argentina
Facility Name
Novartis Investigative Site
City
Braunau
ZIP/Postal Code
A5280
Country
Austria
Facility Name
Novartis Investigative Site
City
Graz
ZIP/Postal Code
A-8036
Country
Austria
Facility Name
Novartis Investigative Site
City
Hall in Tirol
ZIP/Postal Code
6060
Country
Austria
Facility Name
Novartis Investigative Site
City
Linz
ZIP/Postal Code
4010
Country
Austria
Facility Name
Novartis Investigative Site
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
Facility Name
Novartis Investigative Site
City
Genk
ZIP/Postal Code
3600
Country
Belgium
Facility Name
Novartis Investigative Site
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Novartis Investigative Site
City
Heusden-Zolder
ZIP/Postal Code
3550
Country
Belgium
Facility Name
Novartis Investigative Site
City
Huy
ZIP/Postal Code
4500
Country
Belgium
Facility Name
Novartis Investigative Site
City
Kortrijk
ZIP/Postal Code
8500
Country
Belgium
Facility Name
Novartis Investigative Site
City
Fortaleza
State/Province
CE
ZIP/Postal Code
60430 370
Country
Brazil
Facility Name
Novartis Investigative Site
City
Goiania
State/Province
GO
ZIP/Postal Code
74223-130
Country
Brazil
Facility Name
Novartis Investigative Site
City
Goiania
State/Province
GO
ZIP/Postal Code
74605 050
Country
Brazil
Facility Name
Novartis Investigative Site
City
Belo Horizonte
State/Province
MG
ZIP/Postal Code
30140 062
Country
Brazil
Facility Name
Novartis Investigative Site
City
Belo Horizonte
State/Province
MG
ZIP/Postal Code
30150-221
Country
Brazil
Facility Name
Novartis Investigative Site
City
Curitiba
State/Province
Parana
ZIP/Postal Code
80230 130
Country
Brazil
Facility Name
Novartis Investigative Site
City
Canoas
State/Province
Rio Grande Do Sul
ZIP/Postal Code
92425 900
Country
Brazil
Facility Name
Novartis Investigative Site
City
Porto Alegre
State/Province
RS
ZIP/Postal Code
90880-480
Country
Brazil
Facility Name
Novartis Investigative Site
City
Blumenau
State/Province
SC
ZIP/Postal Code
89010 500
Country
Brazil
Facility Name
Novartis Investigative Site
City
Campinas
State/Province
SP
ZIP/Postal Code
13060 080
Country
Brazil
Facility Name
Novartis Investigative Site
City
Ribeirao Preto
State/Province
SP
ZIP/Postal Code
14048-900
Country
Brazil
Facility Name
Novartis Investigative Site
City
Sao Jose do Rio Preto
State/Province
SP
ZIP/Postal Code
15015-750
Country
Brazil
Facility Name
Novartis Investigative Site
City
Sao Jose do Rio Preto
State/Province
SP
ZIP/Postal Code
15090-000
Country
Brazil
Facility Name
Novartis Investigative Site
City
Burgas
ZIP/Postal Code
8018
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Pazardzhik
ZIP/Postal Code
4400
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Pernik
ZIP/Postal Code
2300
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Pleven
ZIP/Postal Code
5800
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Plovdiv
ZIP/Postal Code
4000
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Shumen
ZIP/Postal Code
9700
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1233
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1527
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1606
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Veliko Tarnovo
ZIP/Postal Code
5000
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Moncton
State/Province
New Brunswick
ZIP/Postal Code
E1G 1A7
Country
Canada
Facility Name
Novartis Investigative Site
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8L 2X2
Country
Canada
Facility Name
Novartis Investigative Site
City
Oakville
State/Province
Ontario
ZIP/Postal Code
L6K 3W7
Country
Canada
Facility Name
Novartis Investigative Site
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 1C8
Country
Canada
Facility Name
Novartis Investigative Site
City
St-Georges Beauce
State/Province
Quebec
ZIP/Postal Code
G5Y 4T8
Country
Canada
Facility Name
Novartis Investigative Site
City
Medellin
State/Province
Antioquia
ZIP/Postal Code
050036
Country
Colombia
Facility Name
Novartis Investigative Site
City
Cali
State/Province
Valle Del Cauca
ZIP/Postal Code
760001
Country
Colombia
Facility Name
Novartis Investigative Site
City
Barranquilla
ZIP/Postal Code
080020
Country
Colombia
Facility Name
Novartis Investigative Site
City
Barranquilla
Country
Colombia
Facility Name
Novartis Investigative Site
City
Monteria
Country
Colombia
Facility Name
Novartis Investigative Site
City
San Gil
ZIP/Postal Code
684031
Country
Colombia
Facility Name
Novartis Investigative Site
City
Brandys nad Labem
State/Province
Czech Republic
ZIP/Postal Code
250 01
Country
Czechia
Facility Name
Novartis Investigative Site
City
Brno
State/Province
Czech Republic
ZIP/Postal Code
60200
Country
Czechia
Facility Name
Novartis Investigative Site
City
Cesky Krumlov
State/Province
Czech Republic
ZIP/Postal Code
381 01
Country
Czechia
Facility Name
Novartis Investigative Site
City
Jablonec nad Nisou
State/Province
Czech Republic
ZIP/Postal Code
466 60
Country
Czechia
Facility Name
Novartis Investigative Site
City
Kromeriz
State/Province
Czech Republic
ZIP/Postal Code
767 55
Country
Czechia
Facility Name
Novartis Investigative Site
City
Liberec
State/Province
Czech Republic
ZIP/Postal Code
46063
Country
Czechia
Facility Name
Novartis Investigative Site
City
Louny
State/Province
Czech Republic
Country
Czechia
Facility Name
Novartis Investigative Site
City
Pardubice
State/Province
Czech Republic
ZIP/Postal Code
532 03
Country
Czechia
Facility Name
Novartis Investigative Site
City
Plzen
State/Province
Czech Republic
ZIP/Postal Code
30100
Country
Czechia
Facility Name
Novartis Investigative Site
City
Svitavy
State/Province
Czech Republic
ZIP/Postal Code
568 25
Country
Czechia
Facility Name
Novartis Investigative Site
City
Tabor
State/Province
Czech Republic
ZIP/Postal Code
39003
Country
Czechia
Facility Name
Novartis Investigative Site
City
Trebic
State/Province
Czech Republic
ZIP/Postal Code
674 01
Country
Czechia
Facility Name
Novartis Investigative Site
City
JIhlava
State/Province
CZE
ZIP/Postal Code
58633
Country
Czechia
Facility Name
Novartis Investigative Site
City
Policska
State/Province
CZE
ZIP/Postal Code
57201
Country
Czechia
Facility Name
Novartis Investigative Site
City
Kolin
ZIP/Postal Code
280 20
Country
Czechia
Facility Name
Novartis Investigative Site
City
Olomouc Lazce
ZIP/Postal Code
77900
Country
Czechia
Facility Name
Novartis Investigative Site
City
Prerov
ZIP/Postal Code
751 52
Country
Czechia
Facility Name
Novartis Investigative Site
City
Valasske Mezirici
ZIP/Postal Code
75742
Country
Czechia
Facility Name
Novartis Investigative Site
City
Copenhagen NV
ZIP/Postal Code
DK-2400
Country
Denmark
Facility Name
Novartis Investigative Site
City
Hvidovre
ZIP/Postal Code
2650
Country
Denmark
Facility Name
Novartis Investigative Site
City
Randers
ZIP/Postal Code
8930
Country
Denmark
Facility Name
Novartis Investigative Site
City
Tallinn
ZIP/Postal Code
10138
Country
Estonia
Facility Name
Novartis Investigative Site
City
Tallinn
ZIP/Postal Code
13419
Country
Estonia
Facility Name
Novartis Investigative Site
City
Tartu
ZIP/Postal Code
51014
Country
Estonia
Facility Name
Novartis Investigative Site
City
Besancon cedex
ZIP/Postal Code
25030
Country
France
Facility Name
Novartis Investigative Site
City
Chambray les Tours
ZIP/Postal Code
37170
Country
France
Facility Name
Novartis Investigative Site
City
Corbeil Essonnes
ZIP/Postal Code
91100
Country
France
Facility Name
Novartis Investigative Site
City
Le Coudray
ZIP/Postal Code
28630
Country
France
Facility Name
Novartis Investigative Site
City
Le Kremlin Bicetre
ZIP/Postal Code
94275
Country
France
Facility Name
Novartis Investigative Site
City
Limoges cedex
ZIP/Postal Code
87042
Country
France
Facility Name
Novartis Investigative Site
City
Marseille
ZIP/Postal Code
13008
Country
France
Facility Name
Novartis Investigative Site
City
Rennes Cedex 9
ZIP/Postal Code
35033
Country
France
Facility Name
Novartis Investigative Site
City
Tourcoing
ZIP/Postal Code
59200
Country
France
Facility Name
Novartis Investigative Site
City
Valenciennes
ZIP/Postal Code
59300
Country
France
Facility Name
Novartis Investigative Site
City
Regensburg
State/Province
Bavaria
ZIP/Postal Code
93053
Country
Germany
Facility Name
Novartis Investigative Site
City
Essen
State/Province
DEU
ZIP/Postal Code
45138
Country
Germany
Facility Name
Novartis Investigative Site
City
Detmold
State/Province
NRW
ZIP/Postal Code
32756
Country
Germany
Facility Name
Novartis Investigative Site
City
Dresden
State/Province
Sachsen
ZIP/Postal Code
01099
Country
Germany
Facility Name
Novartis Investigative Site
City
Bad Homburg
ZIP/Postal Code
61348
Country
Germany
Facility Name
Novartis Investigative Site
City
Bad Oeynhausen
ZIP/Postal Code
32545
Country
Germany
Facility Name
Novartis Investigative Site
City
Bamberg
ZIP/Postal Code
96049
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin Buch
ZIP/Postal Code
13125
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10787
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10789
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
12157
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
12683
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
13347
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
13353
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
D 10559
Country
Germany
Facility Name
Novartis Investigative Site
City
Bielefeld
ZIP/Postal Code
33604
Country
Germany
Facility Name
Novartis Investigative Site
City
Bochum Wattenscheid
ZIP/Postal Code
44866
Country
Germany
Facility Name
Novartis Investigative Site
City
Brueel
ZIP/Postal Code
19412
Country
Germany
Facility Name
Novartis Investigative Site
City
Chemnitz
ZIP/Postal Code
09130
Country
Germany
Facility Name
Novartis Investigative Site
City
Coburg
ZIP/Postal Code
96450
Country
Germany
Facility Name
Novartis Investigative Site
City
Dortmund
ZIP/Postal Code
44137
Country
Germany
Facility Name
Novartis Investigative Site
City
Dortmund
ZIP/Postal Code
44379
Country
Germany
Facility Name
Novartis Investigative Site
City
Dresden
ZIP/Postal Code
01069
Country
Germany
Facility Name
Novartis Investigative Site
City
Dresden
ZIP/Postal Code
01277
Country
Germany
Facility Name
Novartis Investigative Site
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Novartis Investigative Site
City
Elsterwerda
ZIP/Postal Code
04910
Country
Germany
Facility Name
Novartis Investigative Site
City
Erfurt
ZIP/Postal Code
99097
Country
Germany
Facility Name
Novartis Investigative Site
City
Essen
ZIP/Postal Code
45277
Country
Germany
Facility Name
Novartis Investigative Site
City
Frankfurt
ZIP/Postal Code
60594
Country
Germany
Facility Name
Novartis Investigative Site
City
Frankfurt
ZIP/Postal Code
65929
Country
Germany
Facility Name
Novartis Investigative Site
City
Fuerth
ZIP/Postal Code
90766
Country
Germany
Facility Name
Novartis Investigative Site
City
Fulda
ZIP/Postal Code
36037
Country
Germany
Facility Name
Novartis Investigative Site
City
Halle Saale
ZIP/Postal Code
06120
Country
Germany
Facility Name
Novartis Investigative Site
City
Hamburg
ZIP/Postal Code
21075
Country
Germany
Facility Name
Novartis Investigative Site
City
Hassloch
ZIP/Postal Code
67454
Country
Germany
Facility Name
Novartis Investigative Site
City
Jena
ZIP/Postal Code
07740
Country
Germany
Facility Name
Novartis Investigative Site
City
Kiel
ZIP/Postal Code
24105
Country
Germany
Facility Name
Novartis Investigative Site
City
Koeln-Nippes
ZIP/Postal Code
50733
Country
Germany
Facility Name
Novartis Investigative Site
City
Koln
ZIP/Postal Code
D-51065
Country
Germany
Facility Name
Novartis Investigative Site
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Facility Name
Novartis Investigative Site
City
Lubeck
ZIP/Postal Code
23538
Country
Germany
Facility Name
Novartis Investigative Site
City
Ludwigshafen
ZIP/Postal Code
67067
Country
Germany
Facility Name
Novartis Investigative Site
City
Ludwigshafen
ZIP/Postal Code
67071
Country
Germany
Facility Name
Novartis Investigative Site
City
Lüneburg
ZIP/Postal Code
21339
Country
Germany
Facility Name
Novartis Investigative Site
City
Mainz
ZIP/Postal Code
55116
Country
Germany
Facility Name
Novartis Investigative Site
City
Mannheim
ZIP/Postal Code
68165
Country
Germany
Facility Name
Novartis Investigative Site
City
Muehldorf
ZIP/Postal Code
84453
Country
Germany
Facility Name
Novartis Investigative Site
City
Muenster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Novartis Investigative Site
City
Munich
ZIP/Postal Code
80638
Country
Germany
Facility Name
Novartis Investigative Site
City
Neuruppin
ZIP/Postal Code
16816
Country
Germany
Facility Name
Novartis Investigative Site
City
Nienburg
ZIP/Postal Code
31582
Country
Germany
Facility Name
Novartis Investigative Site
City
Nuremberg
ZIP/Postal Code
90402
Country
Germany
Facility Name
Novartis Investigative Site
City
Papenburg
ZIP/Postal Code
26871
Country
Germany
Facility Name
Novartis Investigative Site
City
Potsdam
ZIP/Postal Code
14471
Country
Germany
Facility Name
Novartis Investigative Site
City
Riesa
ZIP/Postal Code
01589
Country
Germany
Facility Name
Novartis Investigative Site
City
Rodgau
ZIP/Postal Code
63110
Country
Germany
Facility Name
Novartis Investigative Site
City
Rostock
ZIP/Postal Code
18107
Country
Germany
Facility Name
Novartis Investigative Site
City
Rotenburg an der Fulda
ZIP/Postal Code
36199
Country
Germany
Facility Name
Novartis Investigative Site
City
Ruesselsheim
ZIP/Postal Code
65428
Country
Germany
Facility Name
Novartis Investigative Site
City
Schwaebisch Hall
ZIP/Postal Code
74523
Country
Germany
Facility Name
Novartis Investigative Site
City
Siegen
ZIP/Postal Code
57072
Country
Germany
Facility Name
Novartis Investigative Site
City
Stadtlohn
ZIP/Postal Code
48703
Country
Germany
Facility Name
Novartis Investigative Site
City
Ulm
ZIP/Postal Code
89077
Country
Germany
Facility Name
Novartis Investigative Site
City
Ulm
ZIP/Postal Code
89081
Country
Germany
Facility Name
Novartis Investigative Site
City
Wallerfing
ZIP/Postal Code
94574
Country
Germany
Facility Name
Novartis Investigative Site
City
Wedel
ZIP/Postal Code
22880
Country
Germany
Facility Name
Novartis Investigative Site
City
Wismar
ZIP/Postal Code
23966
Country
Germany
Facility Name
Novartis Investigative Site
City
Wuerzburg
ZIP/Postal Code
97080
Country
Germany
Facility Name
Novartis Investigative Site
City
Guatemala City
ZIP/Postal Code
01001
Country
Guatemala
Facility Name
Novartis Investigative Site
City
Guatemala City
ZIP/Postal Code
01010
Country
Guatemala
Facility Name
Novartis Investigative Site
City
Guatemala City
ZIP/Postal Code
01011
Country
Guatemala
Facility Name
Novartis Investigative Site
City
Guatemala City
ZIP/Postal Code
01015
Country
Guatemala
Facility Name
Novartis Investigative Site
City
Guatemala
ZIP/Postal Code
01010
Country
Guatemala
Facility Name
Novartis Investigative Site
City
Budapest
State/Province
HUN
ZIP/Postal Code
1145
Country
Hungary
Facility Name
Novartis Investigative Site
City
Budapest
ZIP/Postal Code
1085
Country
Hungary
Facility Name
Novartis Investigative Site
City
Budapest
ZIP/Postal Code
1134
Country
Hungary
Facility Name
Novartis Investigative Site
City
Mosanmagyarovar
ZIP/Postal Code
9200
Country
Hungary
Facility Name
Novartis Investigative Site
City
Szeged
ZIP/Postal Code
6720
Country
Hungary
Facility Name
Novartis Investigative Site
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110 060
Country
India
Facility Name
Novartis Investigative Site
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110007
Country
India
Facility Name
Novartis Investigative Site
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380 060
Country
India
Facility Name
Novartis Investigative Site
City
Vadodara
State/Province
Gujarat
ZIP/Postal Code
390022
Country
India
Facility Name
Novartis Investigative Site
City
Manipal
State/Province
Karnataka
ZIP/Postal Code
576104
Country
India
Facility Name
Novartis Investigative Site
City
Nagpur
State/Province
Maharashtra
ZIP/Postal Code
440009
Country
India
Facility Name
Novartis Investigative Site
City
Nashik
State/Province
Maharashtra
ZIP/Postal Code
422005
Country
India
Facility Name
Novartis Investigative Site
City
Nashik
State/Province
Maharastra
ZIP/Postal Code
422007
Country
India
Facility Name
Novartis Investigative Site
City
Bikaner
State/Province
Rajasthan
ZIP/Postal Code
334003
Country
India
Facility Name
Novartis Investigative Site
City
Lucknow
State/Province
Uttar Pradesh
ZIP/Postal Code
226003
Country
India
Facility Name
Novartis Investigative Site
City
India
ZIP/Postal Code
560040
Country
India
Facility Name
Novartis Investigative Site
City
Ashkelon
ZIP/Postal Code
78278
Country
Israel
Facility Name
Novartis Investigative Site
City
Be'er Sheva
ZIP/Postal Code
84101
Country
Israel
Facility Name
Novartis Investigative Site
City
Hadera
Country
Israel
Facility Name
Novartis Investigative Site
City
Haifa
ZIP/Postal Code
310 9601
Country
Israel
Facility Name
Novartis Investigative Site
City
Petach Tikva
ZIP/Postal Code
4941492
Country
Israel
Facility Name
Novartis Investigative Site
City
Rehovot
ZIP/Postal Code
76100
Country
Israel
Facility Name
Novartis Investigative Site
City
Cortona
State/Province
AR
ZIP/Postal Code
52044
Country
Italy
Facility Name
Novartis Investigative Site
City
Bergamo
State/Province
BG
ZIP/Postal Code
24127
Country
Italy
Facility Name
Novartis Investigative Site
City
Bologna
State/Province
BO
ZIP/Postal Code
40138
Country
Italy
Facility Name
Novartis Investigative Site
City
Legnano
State/Province
MI
ZIP/Postal Code
20025
Country
Italy
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20132
Country
Italy
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20162
Country
Italy
Facility Name
Novartis Investigative Site
City
Sesto San Giovanni
State/Province
MI
ZIP/Postal Code
20099
Country
Italy
Facility Name
Novartis Investigative Site
City
Palermo
State/Province
PA
ZIP/Postal Code
90127
Country
Italy
Facility Name
Novartis Investigative Site
City
Rovigo
State/Province
RO
ZIP/Postal Code
45100
Country
Italy
Facility Name
Novartis Investigative Site
City
Sassari
State/Province
SS
ZIP/Postal Code
07100
Country
Italy
Facility Name
Novartis Investigative Site
City
Cona
Country
Italy
Facility Name
Novartis Investigative Site
City
San Vito al Tagliamento
Country
Italy
Facility Name
Novartis Investigative Site
City
Liepaja
State/Province
LVA
ZIP/Postal Code
3401
Country
Latvia
Facility Name
Novartis Investigative Site
City
Daugavpils
ZIP/Postal Code
LV-5417
Country
Latvia
Facility Name
Novartis Investigative Site
City
Ogre
ZIP/Postal Code
5001
Country
Latvia
Facility Name
Novartis Investigative Site
City
Riga
ZIP/Postal Code
1012
Country
Latvia
Facility Name
Novartis Investigative Site
City
Kaunas
State/Province
LTU
ZIP/Postal Code
LT 50161
Country
Lithuania
Facility Name
Novartis Investigative Site
City
Kaunas
ZIP/Postal Code
47144
Country
Lithuania
Facility Name
Novartis Investigative Site
City
Vilnius
ZIP/Postal Code
LT-08661
Country
Lithuania
Facility Name
Novartis Investigative Site
City
Guadalajara
State/Province
Jalisco
ZIP/Postal Code
44200
Country
Mexico
Facility Name
Novartis Investigative Site
City
Guadalajara
State/Province
Jalisco
ZIP/Postal Code
44670
Country
Mexico
Facility Name
Novartis Investigative Site
City
Queretaro
ZIP/Postal Code
76000
Country
Mexico
Facility Name
Novartis Investigative Site
City
San Luis Potosi
ZIP/Postal Code
78200
Country
Mexico
Facility Name
Novartis Investigative Site
City
Almelo
ZIP/Postal Code
7609 PP
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Amsterdam
ZIP/Postal Code
1091AC
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Deventer
ZIP/Postal Code
7416 SE
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Doetinchem
ZIP/Postal Code
7009 BL
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Gouda
ZIP/Postal Code
2803 HH
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Hardenberg
ZIP/Postal Code
7770 AA
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Nijmegen
ZIP/Postal Code
6500 HB
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Stadskanaal
ZIP/Postal Code
9501 HE
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Tilburg
ZIP/Postal Code
5022 GC
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Venlo
ZIP/Postal Code
5912 BL
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Trujillo
State/Province
La Libertad
Country
Peru
Facility Name
Novartis Investigative Site
City
Cercado De Lima
State/Province
Lima
ZIP/Postal Code
01
Country
Peru
Facility Name
Novartis Investigative Site
City
Jesus Maria
State/Province
Lima
ZIP/Postal Code
11
Country
Peru
Facility Name
Novartis Investigative Site
City
San Borja
State/Province
Lima
ZIP/Postal Code
41
Country
Peru
Facility Name
Novartis Investigative Site
City
San Isidro
State/Province
Lima
ZIP/Postal Code
27
Country
Peru
Facility Name
Novartis Investigative Site
City
San Miguel
State/Province
Lima
ZIP/Postal Code
32
Country
Peru
Facility Name
Novartis Investigative Site
City
Callao
ZIP/Postal Code
CALLAO 2
Country
Peru
Facility Name
Novartis Investigative Site
City
Braga
ZIP/Postal Code
4710243
Country
Portugal
Facility Name
Novartis Investigative Site
City
Lisboa
ZIP/Postal Code
1495 005
Country
Portugal
Facility Name
Novartis Investigative Site
City
Lisboa
ZIP/Postal Code
1500 650
Country
Portugal
Facility Name
Novartis Investigative Site
City
Lisboa
ZIP/Postal Code
1600190
Country
Portugal
Facility Name
Novartis Investigative Site
City
Penafiel
ZIP/Postal Code
4564-007
Country
Portugal
Facility Name
Novartis Investigative Site
City
Porto
ZIP/Postal Code
4099-001
Country
Portugal
Facility Name
Novartis Investigative Site
City
Viana do Castelo
ZIP/Postal Code
4901858
Country
Portugal
Facility Name
Novartis Investigative Site
City
Vila Real
ZIP/Postal Code
5000-508
Country
Portugal
Facility Name
Novartis Investigative Site
City
Bucuresti
State/Province
District 4
ZIP/Postal Code
4204179
Country
Romania
Facility Name
Novartis Investigative Site
City
Timisoara
State/Province
Timis
ZIP/Postal Code
300041
Country
Romania
Facility Name
Novartis Investigative Site
City
Timisoara
State/Province
Timis
ZIP/Postal Code
300362
Country
Romania
Facility Name
Novartis Investigative Site
City
Bacau
ZIP/Postal Code
600114
Country
Romania
Facility Name
Novartis Investigative Site
City
Baia Mare
ZIP/Postal Code
430123
Country
Romania
Facility Name
Novartis Investigative Site
City
Bucharest
ZIP/Postal Code
021659
Country
Romania
Facility Name
Novartis Investigative Site
City
Bucuresti
ZIP/Postal Code
022328
Country
Romania
Facility Name
Novartis Investigative Site
City
Bucuresti
ZIP/Postal Code
062272
Country
Romania
Facility Name
Novartis Investigative Site
City
Craiova
ZIP/Postal Code
200642
Country
Romania
Facility Name
Novartis Investigative Site
City
Craiova
ZIP/Postal Code
200931
Country
Romania
Facility Name
Novartis Investigative Site
City
Pitesti
ZIP/Postal Code
110084
Country
Romania
Facility Name
Novartis Investigative Site
City
Targu Mures
ZIP/Postal Code
540142
Country
Romania
Facility Name
Novartis Investigative Site
City
Targu Mures
ZIP/Postal Code
540143
Country
Romania
Facility Name
Novartis Investigative Site
City
Timisoara
ZIP/Postal Code
300736
Country
Romania
Facility Name
Novartis Investigative Site
City
Tirgoviste
ZIP/Postal Code
130095
Country
Romania
Facility Name
Novartis Investigative Site
City
Ekaterinburg
ZIP/Postal Code
620028
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Gatchina
ZIP/Postal Code
188300
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Ivanovo
ZIP/Postal Code
153012
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Moscow
ZIP/Postal Code
101953
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Moscow
ZIP/Postal Code
117292
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Moscow
ZIP/Postal Code
117556
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Moscow
ZIP/Postal Code
121309
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Moscow
ZIP/Postal Code
129301
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Nizhnii Novgorod
ZIP/Postal Code
603126
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Perm
ZIP/Postal Code
614097
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Rostov on Don
ZIP/Postal Code
344022
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Rostov on Don
ZIP/Postal Code
344068
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Saint Petersburg
ZIP/Postal Code
199106
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Saint-Petersburg
ZIP/Postal Code
191144
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Saratov
ZIP/Postal Code
410012
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
St Petersburg
ZIP/Postal Code
191015
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
St Petersburg
ZIP/Postal Code
196601
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
St Petersburg
ZIP/Postal Code
197376
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Tyumen
ZIP/Postal Code
625026
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Yaroslavl
ZIP/Postal Code
150047
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Yekaterinburg
ZIP/Postal Code
620109
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Belgrade
ZIP/Postal Code
11 000
Country
Serbia
Facility Name
Novartis Investigative Site
City
Kragujevac
ZIP/Postal Code
34000
Country
Serbia
Facility Name
Novartis Investigative Site
City
Niska Banja
ZIP/Postal Code
18205
Country
Serbia
Facility Name
Novartis Investigative Site
City
Nis
ZIP/Postal Code
18000
Country
Serbia
Facility Name
Novartis Investigative Site
City
Sremska Kamenica
ZIP/Postal Code
21204
Country
Serbia
Facility Name
Novartis Investigative Site
City
Namestovo
State/Province
Slovak Republic
ZIP/Postal Code
02901
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Presov
State/Province
Slovak Republic
ZIP/Postal Code
080 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Bratislava
State/Province
SVK
ZIP/Postal Code
81108
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Handlova
State/Province
SVK
ZIP/Postal Code
97251
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Bardejov
ZIP/Postal Code
085 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Bardejov
ZIP/Postal Code
08501
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Bratislava
ZIP/Postal Code
821 07
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Bratislava
ZIP/Postal Code
842 31
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Dolny Kubin
ZIP/Postal Code
026 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Kosice
ZIP/Postal Code
040 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Lucenec
ZIP/Postal Code
98439
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Moldava nad Bodvou
ZIP/Postal Code
045 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Nitra
ZIP/Postal Code
949 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Nove Zamky
ZIP/Postal Code
940 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Nove Zamky
ZIP/Postal Code
94002
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Povazska Bystrica
ZIP/Postal Code
01701
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Presov
ZIP/Postal Code
08001
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Snina
ZIP/Postal Code
09601
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Svidnik
ZIP/Postal Code
089 01
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Trnava
ZIP/Postal Code
91701
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Cordoba
State/Province
Andalucia
ZIP/Postal Code
14004
Country
Spain
Facility Name
Novartis Investigative Site
City
Huelva
State/Province
Andalucia
ZIP/Postal Code
21005
Country
Spain
Facility Name
Novartis Investigative Site
City
Malaga
State/Province
Andalucia
ZIP/Postal Code
29010
Country
Spain
Facility Name
Novartis Investigative Site
City
Puerto Real
State/Province
Cadiz
ZIP/Postal Code
11510
Country
Spain
Facility Name
Novartis Investigative Site
City
Villamartin
State/Province
Cadiz
ZIP/Postal Code
11650
Country
Spain
Facility Name
Novartis Investigative Site
City
Lerida
State/Province
Cataluna
ZIP/Postal Code
25198
Country
Spain
Facility Name
Novartis Investigative Site
City
Torrevieja (Alicante)
State/Province
Comunidad Valenciana
ZIP/Postal Code
03186
Country
Spain
Facility Name
Novartis Investigative Site
City
Valencia
State/Province
Comunidad Valenciana
ZIP/Postal Code
46010
Country
Spain
Facility Name
Novartis Investigative Site
City
A Coruna
State/Province
Galicia
ZIP/Postal Code
15006
Country
Spain
Facility Name
Novartis Investigative Site
City
San Sebastian de los Reyes
State/Province
Madrid
ZIP/Postal Code
28702
Country
Spain
Facility Name
Novartis Investigative Site
City
El Palmar
State/Province
Murcia
ZIP/Postal Code
30120
Country
Spain
Facility Name
Novartis Investigative Site
City
Manises
State/Province
Valencia
ZIP/Postal Code
46940
Country
Spain
Facility Name
Novartis Investigative Site
City
Alicante
ZIP/Postal Code
03700
Country
Spain
Facility Name
Novartis Investigative Site
City
Las Palmas De Gran Canarias
ZIP/Postal Code
35010
Country
Spain
Facility Name
Novartis Investigative Site
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Novartis Investigative Site
City
Sevilla
ZIP/Postal Code
41014
Country
Spain
Facility Name
Novartis Investigative Site
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Facility Name
Novartis Investigative Site
City
Khon Kaen
State/Province
THA
ZIP/Postal Code
40002
Country
Thailand
Facility Name
Novartis Investigative Site
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Facility Name
Novartis Investigative Site
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
Facility Name
Novartis Investigative Site
City
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Facility Name
Novartis Investigative Site
City
Muang
ZIP/Postal Code
65000
Country
Thailand
Facility Name
Novartis Investigative Site
City
Ubon Ratchathani
ZIP/Postal Code
34000
Country
Thailand
Facility Name
Novartis Investigative Site
City
Eskisehir
State/Province
Meselik
ZIP/Postal Code
26480
Country
Turkey
Facility Name
Novartis Investigative Site
City
Adana
ZIP/Postal Code
01160
Country
Turkey
Facility Name
Novartis Investigative Site
City
Ankara
ZIP/Postal Code
06490
Country
Turkey
Facility Name
Novartis Investigative Site
City
Antalya
ZIP/Postal Code
07070
Country
Turkey
Facility Name
Novartis Investigative Site
City
Aydin
ZIP/Postal Code
09100
Country
Turkey
Facility Name
Novartis Investigative Site
City
Bursa
Country
Turkey
Facility Name
Novartis Investigative Site
City
Istanbul
ZIP/Postal Code
34304
Country
Turkey
Facility Name
Novartis Investigative Site
City
Istanbul
ZIP/Postal Code
34662
Country
Turkey
Facility Name
Novartis Investigative Site
City
Izmir
ZIP/Postal Code
35040
Country
Turkey
Facility Name
Novartis Investigative Site
City
Izmir
ZIP/Postal Code
35340
Country
Turkey
Facility Name
Novartis Investigative Site
City
Kocaeli
ZIP/Postal Code
41380
Country
Turkey
Facility Name
Novartis Investigative Site
City
Mersin
ZIP/Postal Code
33343
Country
Turkey
Facility Name
Novartis Investigative Site
City
Sivas
ZIP/Postal Code
58140
Country
Turkey
Facility Name
Novartis Investigative Site
City
Talas / Kayseri
ZIP/Postal Code
38039
Country
Turkey
Facility Name
Novartis Investigative Site
City
High Wycombe
State/Province
Buckinghamshire
ZIP/Postal Code
HP11 2TT
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Stockton on Tees
State/Province
Cleveland
ZIP/Postal Code
TS19 8PE
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Chesterfield
State/Province
Derbyshire
ZIP/Postal Code
S44 5BL
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Craigavon
State/Province
Northern Ireland
ZIP/Postal Code
BT63 5QQ
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Wansford
State/Province
Peterborough
ZIP/Postal Code
PE8 6PL
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Addlestone
State/Province
Surrey
ZIP/Postal Code
KT15 2BH
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Sunderland
State/Province
Tyne And Wear
ZIP/Postal Code
SR4 7TP
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Leeds
ZIP/Postal Code
LS1 3EX
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
York
ZIP/Postal Code
YO31 8HE
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Citations:
PubMed Identifier
34783839
Citation
Pieske B, Wachter R, Shah SJ, Baldridge A, Szeczoedy P, Ibram G, Shi V, Zhao Z, Cowie MR; PARALLAX Investigators and Committee members. Effect of Sacubitril/Valsartan vs Standard Medical Therapies on Plasma NT-proBNP Concentration and Submaximal Exercise Capacity in Patients With Heart Failure and Preserved Ejection Fraction: The PARALLAX Randomized Clinical Trial. JAMA. 2021 Nov 16;326(19):1919-1929. doi: 10.1001/jama.2021.18463.
Results Reference
derived
Links:
URL
https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=740
Description
A Plain Language Trial Summary is available on novartisclinicaltrials.com

Learn more about this trial

A Randomized, Double-blind Controlled Study Comparing LCZ696 to Medical Therapy for Comorbidities in HFpEF Patients

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