Study Assessing Double-masked Uveitis Treatment (SAKURA)
Primary Purpose
Uveitis; Posterior, Disorder
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
DE-109 44 ug
DE-109 440 ug
DE-109 880 ug
Sponsored by
About this trial
This is an interventional treatment trial for Uveitis; Posterior, Disorder
Eligibility Criteria
Inclusion Criteria:
- Confirmed diagnosis of active uveitis
- 18 years of age or older
- Sign informed consent
- Meet best corrected ETDRS visual acuity
Exclusion Criteria:
- Uveitis of infectious etiology
- Suspected/confirmed central nervous system or ocular lymphoma
- Primary diagnosis of anterior uveitis
- Uncontrolled glaucoma
- Use of topical oculary medication
- Implanted device
- Significant ocular disease
- Lens/media opacities or obscured ocular media
- Intraocular surgery or treatments
- Capsulotomy
- Ocular or periocular infection
- Pupillary dilation
- History of herpetic infection
- Toxoplasmosis or toxoplasmosis scar
- Ocular malignancy
- Allergy or hypersensitivity to study drug
- Participation in other uveitis trial within 30 days
- Monoclonal antibody treatment or biologic therapy
- Any systemic condition/infection
- Immunosuppressive therapy or immunocompromised
- Malignancy remission
- Females who are pregnant or lactating and females not using adequate contraceptives
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Active Comparator
Active Comparator
Arm Label
Ophthalmic solution low dose
Ophthalmic solution medium dose
Ophthalmic solution high dose
Arm Description
Outcomes
Primary Outcome Measures
The Primary Endpoint, VH 0 Response, Was Defined as Having a VH Score of 0 at Month 5
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification
Vitreous Haze Scale Description VH score 0 = No inflammation
Secondary Outcome Measures
VH 0 or 2-unit Response: Having a Reduction (Improvement) of at Least 2 Units From Baseline in VH Score or a VH Score of 0 at Month 5 (Modified SUN Scale)
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification Vitreous Haze Scale Step Description 0 No inflammation 0.5+ Trace Inflammation (slight blurring of the optic disc margins and or loss of nerve fiber layer reflex)
Mild blurring of the retinal vessels and optic nerve 1.5+ Optic nerve head and posterior retina view obstruction greater than 1+ but less than 2+
Moderate blurring of the optic nerve head
Marked blurring of the optic nerve head
Optic Nerve head not visible
VH 0 or 0.5+ Response: Having a VH Score of 0 or 0.5+ at Month 5 (Modified SUN Scale)
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification Vitreous Haze Scale Description VH score 0.5+=Trace Inflammation (slight blurring of the optic disc margins and or loss of nerve fiber layer reflex)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01358266
Brief Title
Study Assessing Double-masked Uveitis Treatment
Acronym
SAKURA
Official Title
A Phase III, Multinational, Multicenter, Randomized, Double-Masked, Study for the Treatment of Active, Non-Infectious Uveitis of the Posterior Segment of the Eye
Study Type
Interventional
2. Study Status
Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
September 2016 (Actual)
Study Completion Date
December 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Santen Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of intravitreal injections of DE-109 ophthalmic solution.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uveitis; Posterior, Disorder
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
592 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Ophthalmic solution low dose
Arm Type
Active Comparator
Arm Title
Ophthalmic solution medium dose
Arm Type
Active Comparator
Arm Title
Ophthalmic solution high dose
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
DE-109 44 ug
Other Intervention Name(s)
Sirolimus
Intervention Description
Low dose
Intervention Type
Drug
Intervention Name(s)
DE-109 440 ug
Other Intervention Name(s)
Sirolimus
Intervention Description
Medium dose
Intervention Type
Drug
Intervention Name(s)
DE-109 880 ug
Other Intervention Name(s)
Sirolimus
Intervention Description
High dose
Primary Outcome Measure Information:
Title
The Primary Endpoint, VH 0 Response, Was Defined as Having a VH Score of 0 at Month 5
Description
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification
Vitreous Haze Scale Description VH score 0 = No inflammation
Time Frame
Day1 (Baseline) and Month 5 (Day150)
Secondary Outcome Measure Information:
Title
VH 0 or 2-unit Response: Having a Reduction (Improvement) of at Least 2 Units From Baseline in VH Score or a VH Score of 0 at Month 5 (Modified SUN Scale)
Description
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification Vitreous Haze Scale Step Description 0 No inflammation 0.5+ Trace Inflammation (slight blurring of the optic disc margins and or loss of nerve fiber layer reflex)
Mild blurring of the retinal vessels and optic nerve 1.5+ Optic nerve head and posterior retina view obstruction greater than 1+ but less than 2+
Moderate blurring of the optic nerve head
Marked blurring of the optic nerve head
Optic Nerve head not visible
Time Frame
Day1/Baseline and Day150/Month 5
Title
VH 0 or 0.5+ Response: Having a VH Score of 0 or 0.5+ at Month 5 (Modified SUN Scale)
Description
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification Vitreous Haze Scale Description VH score 0.5+=Trace Inflammation (slight blurring of the optic disc margins and or loss of nerve fiber layer reflex)
Time Frame
Day1/Baseline and Day150/Month 5
Other Pre-specified Outcome Measures:
Title
VH 0 Response at Month 6: Having a VH Score of 0 at Month 6 (Modified SUN Scale)
Description
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification
Vitreous Haze Scale Description VH score 0 = No inflammation
Time Frame
Day1/Baseline and Day180/Month 6
Title
VH 0 or 2-unit Response at Month 6: Having a VH Score of 0 or a Decrease (Improvement) of at Least 2 Units From Baseline in VH Score at Month 6 (Modified SUN Scale)
Description
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification Vitreous Haze Scale Step Description 0 No inflammation 0.5+ Trace Inflammation (slight blurring of the optic disc margins and or loss of nerve fiber layer reflex)
Mild blurring of the retinal vessels and optic nerve 1.5+ Optic nerve head and posterior retina view obstruction greater than 1+ but less than 2+
Moderate blurring of the optic nerve head
Marked blurring of the optic nerve head
Optic Nerve head not visible
Time Frame
Day1/Baseline and Day180/Month 6
Title
VH 0 or 0.5+ Response at Month 6: Having a VH Score of 0 or 0.5+ at Month 6 (Modified SUNscale)
Description
At each visit, slit-lamp biomicroscopy was used to assess VH and opacification. For slit-lamp biomicroscopy, a contact or non-contact lens could have been used. The modified SUN scale for VH was used to measure VH and opacification Vitreous Haze Scale Step Description 0 No inflammation 0.5+ Trace Inflammation (slight blurring of the optic disc margins and or loss of nerve fiber layer reflex)
Mild blurring of the retinal vessels and optic nerve 1.5+ Optic nerve head and posterior retina view obstruction greater than 1+ but less than 2+
Moderate blurring of the optic nerve head
Marked blurring of the optic nerve head
Optic Nerve head not visible
Time Frame
Day1/Baseline and Day180/Month 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Confirmed diagnosis of active uveitis
18 years of age or older
Sign informed consent
Meet best corrected ETDRS visual acuity
Exclusion Criteria:
Uveitis of infectious etiology
Suspected/confirmed central nervous system or ocular lymphoma
Primary diagnosis of anterior uveitis
Uncontrolled glaucoma
Use of topical oculary medication
Implanted device
Significant ocular disease
Lens/media opacities or obscured ocular media
Intraocular surgery or treatments
Capsulotomy
Ocular or periocular infection
Pupillary dilation
History of herpetic infection
Toxoplasmosis or toxoplasmosis scar
Ocular malignancy
Allergy or hypersensitivity to study drug
Participation in other uveitis trial within 30 days
Monoclonal antibody treatment or biologic therapy
Any systemic condition/infection
Immunosuppressive therapy or immunocompromised
Malignancy remission
Females who are pregnant or lactating and females not using adequate contraceptives
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Abu Abraham, MD
Organizational Affiliation
Santen Inc.
Official's Role
Study Director
Facility Information:
City
Phoenix
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Arizona
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Tucson
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Beverly Hills
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Loma Linda
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Los Angeles
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Mountain View
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Sacramento
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Torrance
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Aurora
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Colorado Springs
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Golden
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Altamonte Springs
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Jacksonville
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Miami
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Orlando
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Pensacola
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Tampa
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Winter Haven
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Augusta
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Chicago
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Oak Park
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Indianapolis
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Iowa City
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Wichita
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Baltimore
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Boston
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Cambridge
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Peabody
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Ann Arbor
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Grand Rapids
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Jackson
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Royal Oak
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Southfield
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Edina
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Saint Louis
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Missoula
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Lincoln
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Omaha
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Portsmouth
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New Brunswick
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Newark
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Northfield
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Teaneck
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Toms River
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Albany
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New York
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Orchard Park
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Rochester
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Slingerlands
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Southern Pines
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Winston-Salem
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Cleveland
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Eugene
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Philadelphia
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Reading
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West Mifflin
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Columbia
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Ladson
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Rapid City
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Knoxville
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Arlington
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Houston
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McAllen
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San Antonio
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Salt Lake City
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Burlington
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Vermont
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Richmond
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Virginia Beach
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Virginia
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Milwaukee
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Wisconsin
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United States
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Buenos Aires
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Argentina
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Florencio Varela
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Argentina
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Mendoza
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Argentina
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Olivos
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Argentina
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Pilar
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Argentina
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Rosario
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Argentina
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Graz
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Austria
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Klagenfurt
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Austria
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Americana
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Brazil
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Araraquara
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Brazil
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Londrina
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Brazil
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Recife
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Brazil
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Rio de Janeiro
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Brazil
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Sao Paulo
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Brazil
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Sorocaba
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Brazil
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Santiago
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Chile
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Bogota
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Colombia
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Cali
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Colombia
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Floridablanca
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Colombia
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Medellin
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Colombia
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Marseille
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France
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Nantes
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France
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Paris
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France
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Berlin
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Germany
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Freiburg
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Germany
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Heidelberg
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Germany
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Koln
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Germany
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Munchen
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Germany
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Munster
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Germany
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Tubingen
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Germany
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Ahmedabad
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India
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Bangalore
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India
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Bhubaneshwar
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India
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Chennai
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India
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Hyderabad
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India
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Kolkata
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India
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Madurai
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India
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Mumbai
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India
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New Delhi
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India
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Noida
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India
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Afula
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Israel
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Beer Sheva
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Israel
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Haifa
Country
Israel
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Jerusalem
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Israel
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Petaẖ Tiqwa
Country
Israel
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Ramat Gan
Country
Israel
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Rehovot
Country
Israel
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Tel Aviv
Country
Israel
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Bologna
Country
Italy
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Firenze
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Italy
City
Milano
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Italy
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Padova
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Italy
City
Pisa
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Italy
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Reggio Emilia
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Italy
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Hokkaido
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Japan
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Osaka
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Japan
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Sapporo
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Japan
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Sendai
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Japan
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Tokyo
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Japan
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Lima
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Peru
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Trujillo
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Peru
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Lodz
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Poland
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Lublin
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Poland
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Poznan
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Poland
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Wroclaw
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Poland
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Alicante
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Spain
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Barcelona
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Spain
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Madrid
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Spain
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Santiago de Compostela
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Spain
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Torrevieja
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Spain
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Ankara
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Turkey
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Istanbul
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Turkey
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Izmir
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Turkey
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Belfast
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United Kingdom
City
Bradford
Country
United Kingdom
City
Bristol
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United Kingdom
City
London
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
Study Assessing Double-masked Uveitis Treatment
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