试验详情
关于本研究的第一部分,其主要目的为确定BIIB093与安慰剂相比是否可改善LHI受试者第90天的功能结局(采用改良Rankin量表(mRS)评估)。 第1部分次要目的如下:1. 确定BIIB093与安慰剂相比是否可改善改良意向治疗(mITT)人群中第90天的总生存率。 2. 根据以0-4与5-6划分的mRS评分确定BIIB093与安慰剂相比是否可改善改良意向治疗(mITT)人群中第90天的功能结局。 3. 确定在改良意向治疗(mITT)人群中,BIIB093与安慰剂相比是否可减少第72小时(或去骨瓣减压术[DC]或仅姑息治疗[CMO]之时,以先出现者为准)的中线移位。 4. 评价BIIB093在LHI受试者中的安全性和耐受性。关于本研究的第二部分,研究目的是评价发生LHI后的长期残疾和患者结局,以及评估随访期间的安全性。
主要入选标准
1 | 有能力理解本研究的目的和风险,在知情同意书上签字并注明日期,授权根据国家和当地受试者隐私法规使用机密健康信息,或者当地法规允许时可由一名独立医师提供知情同意,和/或可由受试者的法定授权代表(LAR)根据所有当地和国家法规,或根据当地伦理委员会指南,或适用的国家法律和法规以及伦理委员会要求的其他程序提供知情同意。 |
2 | 临床诊断为MCA供血区域内急性缺血性脑卒中(除了主要MCA供血区域卒中以外,累及PCA和/或ACA供血区域亦可接受)。 |
3 | 提供知情同意时的年龄为18-85岁(含)(在中国年龄为18-70岁)。 |
4 | 筛选时NIHSS大于或等于10。 |
5 | 研究者认为发生该次脑卒中之前并无重大残疾(无需看护、配偶或他人协助即能够独立履行所有职责及从事日常活动)。 |
6 | 按照优先顺序,大面积脑梗死定义为:a) 磁共振成像(MRI)弥散加权成像(DWI)获得的病灶体积为80-300 cm3,或者b) 计算机断层灌注成像(CTP)获得的核心病灶体积为80-300 cm3,或者c) 如果利用MRI DWI或CTP获得的病灶体积不可用,利用非对比增强计算机断层扫描(NCCT)获得的Alberta卒中项目早期计算机断层扫描(CT)评分(ASPECTS)为1-5,并累及至少2个规定的皮层区域。如果某特定受试者有一个以上扫描结果不一致,研究者应在考虑所有患者信息的基础上作出合格性判断,这些信息包括但不限于:1)扫描时间和2)研究者认为最能反映梗死尺寸的扫描模式。合格性判断所用的扫描将加以记录。注:应尽可能使用自动化影像分析软件作为标准方法,以协助估计梗死核心体积和/或ASPECTS。将由研究者或当地读片人最终确定ASPECTS,评估入选资格。如果SOC中未纳入适当的基线扫描,则将进行研究专用MRI DWI、CTP或NCCT(按此优先顺序)。如果认为适当且可在输注前实现,可出于研究入选目的重复实施扫描。 |
7 | 对于随机化之前接受机械取栓术的受试者来说,入选研究的基本条件必须为机械取栓术后经MRI-DWI测定梗死体积为80-300 cm3。 |
8 | 应在症状发作后尽快启动研究药物治疗输注,不得迟于症状发作后10小时(如果已知症状发作时间),或最后一次已知正常的时间后10小时(如果症状发作的时间未知)。 |
主要排除标准
1 | 研究者判断,受试者可能在第一天终止支持治疗。 |
2 | 入组前承诺接受去骨瓣减压术(DC)。 |
3 | 研究者认为有对侧半球并发梗死的证据(临床或影像),病变严重到足以影响功能结局。例如,对侧ACA梗死导致双腿麻痹。 |
4 | 存在脑疝形成的临床体征,例如,1侧或2侧瞳孔扩大、固定;脑水肿相关的意识丧失(即,NIHSS项目1a评分大于或等于2);和/或研究者判断由脑水肿或脑疝形成引起的其他脑干反射丧失。 |
5 | NCCT/MRI发现存在脑出血(不包括小瘀斑/点状出血)。 |
6 | 入组前NCCT/MRI表明存在前间隔/松果体偏移大于2 mm的证据。 |
7 | 使用了动脉内溶栓剂,单独使用或结合机械取栓术。 |
8 | 除依达拉奉外,本次脑卒中发作后7天内计划使用任何神经保护剂(包括但不限于DL-3-正丁基苯酞[NBP]和七叶皂苷钠)。 |
9 | 本次脑卒中发作后7天内不愿意/无法停用中药的受试者。 |
10 | 目前考虑接受机械取栓术和/或静脉溶栓治疗的患者,只有待这些手术结束之后或者作出不实施手术的决定之后,方可随机进入本研究。不得由于研究筛选程序而延迟这些治疗。如果在随机化前接受了机械取栓术,则必须使用入选标准#7评估研究入选合格性。 |
11 | 研究者认为非当前LHI病情导致的预期寿命小于3个月的受试者,或者不太可能遵循随访的受试者。 |
12 | 受试者不能放置外周静脉通路。 |
13 | 受试者具有精神残疾(确诊LHI前)或受国家监护。 |
14 | 受试者的脑卒中症状迅速好转,且研究者认为随机化时其无法达到NIHSS大于或等于10。 |
15 | 已知对BIIB093或另一种磺酰脲类降糖药物或BIIB093制剂或匹配安慰剂的任何成分过敏。 |
16 | 已知受试者在过去10小时内口服过格列本脲。 |
17 | 研究者认为已知受试者有具有临床意义的重度肾病或肝病史(例如,透析或肝硬化)。 |
18 | 研究者认为已知受试者有重度(例如,需要家庭输氧)慢性阻塞性肺病史。 |
19 | 基于已知病史或当地实验室筛选评估结果(即,筛选血糖低于70 mg/dL [约3.9 mmol/L]),研究者认为已知受试者存在具有临床意义的低血糖史。 |
20 | 受试者发生或者曾经发生过糖尿病酮症酸中毒或糖尿病性昏迷/前驱昏迷。 |
21 | 过去3个月内,发生了急性ST段抬高型心肌梗塞(MI),和/或急性失代偿性心力衰竭,和/或QTc大于520毫秒,和/或因急性冠脉综合征、MI、心脏骤停住院治疗或非自愿性冠脉干预治疗(经皮冠状动脉介入治疗或冠状动脉手术)。 |
22 | 纽约心脏病协会心力衰竭III/IV级(III级:由于症状导致活动明显受限,即使轻微活动亦受限,例如短距离行走(20-100 m);IV级:重度限制。甚至静息时亦存在症状。多数为卧床患者)。 |
23 | 已知存在室性心动过速。 |
24 | 已知葡萄糖-6-磷酸脱氢酶缺乏症受试者。 |
25 | 研究者认为,筛选前3天内,受试者发生了需要住院治疗或具有临床意义的严重局部感染(例如,蜂窝组织炎,脓肿)或全身性感染(例如,败血症)。 |
26 | 入组时处于妊娠期的女性,或妊娠试验结果为阳性的育龄女性。 |
27 | 研究治疗输注期间和研究治疗输注结束后7天内不能终止哺乳的哺乳期女性。 |
28 | 入组前14天内已知当时正参与或已知曾经参与其他涉及某种试验用药物的试验性研究。 |
29 | 无法遵循研究要求。 |
30 | 研究者或Biogen认为受试者因其他未说明的理由而不适合参与本研究。 |
研究中心所在省份及城市(具体启动情况以后期咨询为准)
研究中心 | 主要研究者 |
首都医科大学附属北京天坛医院 | 刘丽萍 |
序号 | 机构名称 | 主要研究者 | 国家 | 省(州) | 城市 |
---|---|---|---|---|---|
1 | 首都医科大学附属北京天坛医院 | 刘丽萍 | 中国 | 北京市 | 北京市 |
2 | 华中科技大学同济医学院附属同济医院 | 王芙蓉 | 中国 | 湖北省 | 武汉市 |
3 | 复旦大学附属华山医院 | 董强 | 中国 | 上海市 | 上海市 |
4 | 徐州医科大学附属医院 | 耿徳勤 | 中国 | 江苏省 | 徐州市 |
5 | 温州医科大学附属第一医院 | 何金彩 | 中国 | 浙江省 | 温州市 |
6 | 南通大学附属医院 | 季秋虹 | 中国 | 江苏省 | 南通市 |
7 | 上海交通大学医学院附属仁济医院 | 李焰生 | 中国 | 上海市 | 上海市 |
8 | 苏州大学附属第二医院 | 刘春风 | 中国 | 江苏省 | 苏州市 |
9 | 天津医科大学总医院 | 施福东 | 中国 | 天津市 | 天津市 |
10 | 首都医科大学宣武医院 | 王宁 | 中国 | 北京市 | 北京市 |
11 | 南京医科大学第二附属医院 | 吴晋 | 中国 | 江苏省 | 南京市 |
12 | 萍乡市人民医院 | 易飞 | 中国 | 江西省 | 萍乡市 |
13 | 中山大学附属第一医院 | 曾进胜 | 中国 | 广东省 | 广州市 |
14 | 山西医科大学第一医院 | 张金 | 中国 | 山西省 | 太原市 |
15 | 第三军医大学第三附属医院 | 张猛 | 中国 | 重庆市 | 重庆市 |
16 | 吉林大学白求恩第一医院 | 杨弋 | 中国 | 吉林省 | 长春市 |
17 | 北京大学第三医院 | 樊东升 | 中国 | 北京市 | 北京市 |
18 | 江西省人民医院 | 曹文锋 | 中国 | 江西省 | 南昌市 |
19 | 淮安市第一人民医院 | 田向阳 | 中国 | 江苏省 | 淮安市 |
20 | 广州医科大学附属第二医院 | 徐恩 | 中国 | 广东省 | 广州市 |
21 | 南昌大学第一附属医院 | 熊英琼 | 中国 | 江西省 | 南昌市 |
22 | 河北医科大学第二医院 | 刘亚玲 | 中国 | 河北省 | 石家庄市 |
23 | 西安交通大学医学院第二附属医院 | 张桂莲 | 中国 | 陕西省 | 西安市 |
24 | 安徽省立医院 | 王国平 | 中国 | 安徽省 | 合肥市 |
25 | Valley Hospital | Altschul, Dorothea | United States | New Jersey | Ridgewood |
26 | Penn State University Milton S. Hershey Medical Center | Bettermann, Kerstin | United States | Pennsylvania | Hershey |
27 | Brigham and Women's Hospital Department of Neurology | Bevers, Matthew | United States | Massachusetts | Boston |
28 | Saint Luke's Hospital of Kansas City | Boutwell, Christine | United States | Missouri | Kansas City |
29 | UMASS Memorial Medical Center | Carandang, Raphael | United States | Massachusetts | Worcester |
30 | University of Maryland | Cronin, Carolyn | United States | Maryland | Baltimore |
31 | St. John's Hospital | Cullis, Paul | United States | Michigan | Detroit |
32 | Mount Sinai Hospital | Dangayach, Neha | United States | New York | New York |
33 | UC Health, LLC. | Foreman, Brandon | United States | Ohio | Cincinnati |
34 | Valley Baptist Medical Center | Hassan, Ameer | United States | Texas | Harlingen |
35 | Ohio State Univ College Of Medicine | Hinduja, Archana | United States | Ohio | Columbus |
36 | Oregon Health & Science University | Hinson, Holly | United States | Oregon | Portland |
37 | University of North Carolina at Chapel Hill | Huang, David | United States | North Carolina | Chapel Hill |
38 | Lehigh Valley Hospital - Cedar Crest | Isayev, Yevgeniy | United States | Pennsylvania | Allentown |
39 | Arizona Board of Regents, University of Arizona | Kidwell, Chelsea | United States | Arizona | Tucson |
40 | JFK Medical Center | Kirmani, Jawad | United States | New Jersey | Edison |
41 | SUNY Upstate Medical Center | Latorre, Julius (Gene) | United States | New York | Syracuse |
42 | Northwell Health | Temes, Richard | United States | New York | Manhasset |
43 | Beth Israel Deaconess Medical Center, Inc. | Lioutas, Vasileious-Arsenios | United States | Massachusetts | Boston |
44 | Rush University Medical Center | Shepherd, Starane | United States | Illinois | Chicago |
45 | Jersey Shore University Medical Center | Martino, Stephen | United States | New Jersey | Neptune |
46 | Henry Ford Hospital | Howell, Bradley | United States | Michigan | Detroit |
47 | Ochsner Clinic Foundation | McGrade, Harold | United States | Louisiana | New Orleans |
48 | University of Pennsylvania Health System | Messe, Steven | United States | Pennsylvania | Philadelphia |
49 | University of Pittsburgh School of Medicine | Molyneaux, Bradley | United States | Pennsylvania | Pittsburgh |
50 | Maine Medical Center | Muscat, Paul | United States | Maine | Portland |
51 | The Queens Medical Center | Nakagawa, Kazuma | United States | Hawaii | Honolulu |
52 | Yale New Haven Hospital | Petersen, Nils | United States | Connecticut | New Haven |
53 | Grady Memorial Hospital | Ratcliff, Jonathan | United States | Georgia | Atlanta |
54 | University of South Florida | Renati, Swetha | United States | Florida | Tampa |
55 | University of Kansas Medical Center Research Institute, Inc. | Abraham, Michael | United States | Kansas | Kansas City |
56 | Columbia University Medical Center | Roh, David | United States | New York | New York |
57 | Rutgers - Robert Wood Johnson Medical School | Rybinnik, Igor | United States | New Jersey | New Brunswick |
58 | University of Florida, Jacksonville | Silliman, Scott | United States | Florida | Jacksonville |
59 | Fairview Southdale Hospital | Streib, Christopher | United States | Minnesota | Minneapolis |
60 | Allegheny General Hospital | Cerejo, Russell | United States | Pennsylvania | Pittsburgh |
61 | Stanford Stroke Center | Venkatasubramanian, Chitra | United States | California | Palo Alto |
62 | Barrow Neurological Institute | Waters, Michael | United States | Arizona | Phoenix |
63 | Rhode Island Hospital Warren Alpert Medical School Brown University | Wendell, Linda | United States | Rhode Island | Providence |
64 | University of Florida-Gainsville | Khanna, Anna | United States | Florida | Gainesville |
65 | Massachusetts General Hospital | Zafar, Sahar | United States | Massachusetts | Boston |
66 | ProMedica Toledo Hospital | Zaidi, Syed | United States | Ohio | Toledo |
67 | University of Rochester Medical Center | Benesch, Curtis | United States | New York | Rochester |
68 | Providence Brain and Spine Institute | Zurasky, John | United States | Oregon | Portland |
69 | Augusta University | Bruno, Askiel | United States | Georgia | Augusta |
70 | Vanderbilt Medical Center | Mittal, Shilpi | United States | Tennessee | Nashville |
71 | Duke University Medical Center | Shah, Shreyansh | United States | North Carolina | Durham |
72 | University of Utah Neurology | Chung, Lee | United States | Utah | Salt Lake City |
73 | Lyerly Neurosurgery Baptist Health | Naval, Neeraj | United States | Florida | Jacksonville |
74 | University of Louisville | Liu, Wei | United States | Kentucky | Louisville |
75 | NYU Langone Medical Center | Czeisler, Barry | United States | New York | New York |
76 | University Hospitals Cleveland Medical Center | Ramos-Estebanez, Ciro | United States | Ohio | Cleveland |
77 | University of Washington School of Medicine | Tirschwell, David | United States | Washington | Seattle |
78 | Saint Louis University | Ramiro, Joanna Isabelle I. | United States | Missouri | St. Louis |
79 | Wake Forest Baptist Health | Sarwal, Aarti | United States | North Carolina | Winston-Salem |
80 | University of Colorado Hospital | Poisson, Sharon | United States | Colorado | Aurora |
81 | University of California Davis Health System | Ng, Kwan | United States | California | Sacramento |
82 | UCSD Health- La Jolla | Meyer, Brett | United States | California | La Jolla |
83 | University of New Mexico | Torbey, Michel | United States | New Mexico | Albuquerque |
84 | Summa Health System | Bowling, Susana | United States | Ohio | Akron |
85 | University Hospital and UW Health Clinics | Elliott, Jamie | United States | Wisconsin | Madison |
86 | Miami Valley Hospital South | Terry, John | United States | Ohio | Dayton |
87 | St.David's HealthCare Office of Research | Pulido, Angel | United States | Texas | Austin |
88 | Cone Health | Xu, Jindong | United States | North Carolina | Greensboro |
89 | TriStar Skyline Medical Center | Witt, John | United States | Tennessee | Nashville |
90 | PsychCare Consultants Research | Malik, Maheen | United States | Missouri | St. Louis |
91 | Washington University Physicians | Diringer, Michael | United States | Missouri | St. Louis |
92 | Sinai Hospital of Baltimore | Berkeley, Jennifer | United States | Maryland | Baltimore |
93 | University of Buffalo | Ching, Marilou | United States | New York | Buffalo |
94 | University of Tennessee Health Sciences Center | Alexandrov, Andrei | United States | Tennessee | Memphis |
95 | Royal Melbourne Hospital | Campbell, Bruce | Australia | Victoria | Parkville |
96 | The Alfred Hospital | Cloud, Geoffrey | Australia | Victoria | Melbourne |
97 | Monash Medical Centre | Phan, Thanh | Australia | Victoria | Clayton |
98 | Liverpool Hospital | Cordato, Dennis | Australia | New South Wales | Liverpool |
99 | Princess Alexandra Hospital | Brown, Helen | Australia | Queensland | Woolloongabba |
100 | Sunshine Hospital | Wijeratne, Tissa | Australia | Victoria | St Albans |
101 | Royal North Shore Hospital | Krause, Martin | Australia | New South Wales | St Leonards |
102 | John Hunter Hospital | Esperon, Carlos | Australia | New South Wales | New Lambton Heights |
103 | Royal Adelaide Hospital | Kleinig, Timothy | Australia | South Australia | Adelaide |
104 | 武汉大学人民医院 | 卢祖能 | 中国 | 湖北省 | 武汉市 |
105 | 东南大学附属中大医院 | 闫福岭 | 中国 | 江苏省 | 南京市 |
106 | 浙江大学医学院附属邵逸夫医院 | 胡兴越 | 中国 | 浙江省 | 杭州市 |
107 | The Cleveland Clinic Foundation | Gomes, Joao | United States | Ohio | Cleveland |
108 | Clinique CHC MontLégia | Desfontaines, Philippe | Belgium | N/A | Liege |
109 | Universitair Ziekenhuis Gent | Hemelsoet, Dimitri | Belgium | N/A | Gent |
110 | UZ Leuven | Lemmens, Robin | Belgium | N/A | Leuven |
111 | Hospital das Clínicas FMRP-USP | Marques Pontes Neto, Octávio | Brazil | Sao Paulo | Ribeirao Preto |
112 | Hospital de Clínicas de Porto Alegre | Ouriques Martins, Sheila Cristina | Brazil | Rio Grande do Sul | Porto Alegre |
113 | Hospital Sao Paulo | Sampaio Silva, Gisele | Brazil | Sao Paulo | Sao Paulo |
114 | Clinica Neurológica e Neurocirúrgica de Joinville | Cabral Moro, Carla Heloísa | Brazil | Santa Catarina | Joinville |
115 | HGF - Hospital Geral de Fortaleza | Martins Maia Carvalho, Fernanda | Brazil | Ceará | Fortaleza |
116 | University of Alberta Hospital | Shuaib, Ashfaq | Canada | Alberta | Edmonton |
117 | Foothills Medical Centre | Demchuk, Andrew | Canada | Alberta | Calgary |
118 | Fakultni nemocnice Ostrava | Bar, Michal | Czech Republic | N/A | Ostrava-Poruba |
119 | Fakultni nemocnice Hradec Kralove | Herzig, Roman | Czech Republic | N/A | Hradec Kralove |
120 | Fakultni nemocnice u sv. Anny v Brne | Mikulik, Robert | Czech Republic | N/A | Brno |
121 | Fakultni nemocnice Kralovske Vinohrady | Stetkarova, Ivana | Czech Republic | N/A | Praha |
122 | Fakultni nemocnice v Motole | Tomek, Ales | Czech Republic | N/A | Praha 5 |
123 | Fakultni nemocnice Brno | Skorna, Miroslav | Czech Republic | N/A | Brno |
124 | Hopital Roger Salengro - CHU Lille | Henon, Hilde | France | Nord | Lille Cedex |
125 | CHU Nantes - Hopital Nord Laennec | Guillon, Benoit | France | Loire Atlantique | Nantes cedex 1 |
126 | CHU Besancon - Hopital Jean Minjoz | Moulin, Thierry | France | Doubs | Besancon Cedex |
127 | Groupe Hospitalier Pellegrin - Hopital Pellegrin | Sibon, Igor | France | Gironde | Bordeaux Cedex |
128 | CHU de Brest - Hopital de la Cavale Blanche | Timsit, Serge | France | Finistere | Brest cedex 2 |
129 | CHU CAEN - Hopital de la Cote de Nacre | Cogez, Julien | France | Calvados | Caen cedex 9 |
130 | CHU Rennes - Hopital Pontchaillou | Vannier, Stéphane | France | Ille et Vilaine | Rennes |
131 | CHU Nancy - Hopital Central | Richard, Sébastien | France | Meurthe et Moselle | Nancy |
132 | Groupement Hospitalier Sud - Hopital Bicêtre | Denier, Christian | France | Val de Marne | Le Kremlin Bicêtre cedex |
133 | Universitaetsklinikum Carl Gustav Carus TU Dresden | Barlinn, Kristian | Germany | Dresden | Dresden |
134 | Klinikum Altenburger Land GmbH | Berrouschot, Joerg | Germany | Thueringen | Altenburg |
135 | Universitaetsklinikum Essen | Koehrmann, Martin | Germany | Nordrhein Westfalen | Essen |
136 | Universitaetsklinikum Freiburg | Niesen, Wolf-Dirk | Germany | Baden Wuerttemberg | Freiburg |
137 | Klinikum der Johann Wolfgang Goethe-Universitaet | Pfeilschifter, Waltraud | Germany | Hessen | Frankfurt |
138 | Klinikum Augsburg | Schneider, Hauke | Germany | Bayern | Augsburg |
139 | Klinikum Frankfurt Hoechst GmbH | Steiner, Thorsten | Germany | Hessen | Frankfurt |
140 | Klinikum Kassel GmbH | Boesel, Julian | Germany | Hessen | Kassel |
141 | Universitaetsklinikum Muenster | Minnerup, Jens | Germany | Nordrhein Westfalen | Muenster |
142 | Universitaetsklinikum Erlangen | Kallmuenzer, Bernd | Germany | Bayern | Erlangen |
143 | Rhon-Klnikum Campus Bad Neustadt | Soda, Hassan | Germany | Bayern | Bad Neustadt Saale |
144 | Semmelweis Egyetem | Bereczki, Daniel | Hungary | N/A | Budapest |
145 | SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz | Dioszeghy, Peter | Hungary | N/A | Nyiregyhaza |
146 | Pest Megyei Flor Ferenc Korhaz | Panczel, Gyula | Hungary | N/A | Kistarcsa |
147 | Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont | Vecsei, Laszlo | Hungary | N/A | Szeged |
148 | Petz Aladar Megyei Oktato Korhaz | Csanyi, Attila | Hungary | N/A | Gyor |
149 | Somogy Megyei Kaposi Mor Oktato Korhaz | Radai, Ferenc | Hungary | N/A | Kaposvar |
150 | Shaare Zedek Medical Center | Eichel, Roni | Israel | N/A | Jerusalem |
151 | Soroka University Medical Center | Horev, Anat | Israel | N/A | Beer Sheva |
152 | Rambam Health Care Center | Telman, Gregory | Israel | N/A | Haifa |
153 | Tel Aviv Sourasky Medical Center | Hallevi, Hen | Israel | N/A | Tel Aviv |
154 | Rabin MC | Peretz, Shlomi | Israel | N/A | Petah Tikva |
155 | Hadassah University Hospital - Ein Kerem | Leker, Ronen | Israel | N/A | Jerusalem. |
156 | Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza | Toni, Danilo | Italy | Roma | Rome |
157 | Azienda Ospedaliera Universitaria Policlinico Tor Vergata | Diomedi, Marina | Italy | Roma | Rome |
158 | Azienda Ospedaliero Universitaria San Martino | Finocchi, Cinzia | Italy | Genova | Genova |
159 | Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili) | Magoni, Mauro | Italy | Brescia | Brescia |
160 | Ospedale San Raffaele | Roveri, Luisa | Italy | Milano | Milano |
161 | A.O.U. Senese Policlinico Santa Maria alle Scotte | Tassi, Rosanna | Italy | Siena | Siena |
162 | Azienda Socio Sanitaria Territoriale Niguarda (Grande Ospedale Metropolitano Niguarda) | Agostoni, Elio Clemente | Italy | Milano | Milano |
163 | Azienda Ospedaliera Sant'Andrea-Università di Roma La Sapienza | Rasura, Maurizia | Italy | Roma | Roma |
164 | Azienda Ospedaliera Universitaria Careggi | Nencini, Patrizia | Italy | Firenze | Firenze |
165 | Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico | Bonato, Sara | Italy | Milano | Milano |
166 | Istituto Clinico Humanitas | Marcheselli, Simona | Italy | Milano | Rozzano |
167 | Asahikawa Red Cross Hospital | Takizawa, Katsumi | Japan | Hokkaido | Asahikawa-shi |
168 | Nippon Medical School Hospital | Kimura, Kazumi | Japan | Tokyo-To | Bunkyo-ku |
169 | Kobe City Hospital Organization Kobe City Medical Center General Hospital | Sakai, Nobuyuki | Japan | Hyogo-Ken | Kobe-shi |
170 | Southern Tohoku General Hospital | Kaneko, Chikako | Japan | Fukushima-Ken | Koriyama-shi |
171 | Kimitsu Chuo Hospital | Hayasaka, Michihiro | Japan | Chiba-Ken | Kisarazu-shi |
172 | National Cerebral and Cardiovascular Center | Koga, Masatoshi | Japan | Osaka-Fu | Suita-shi |
173 | Kurashiki Central Hospital | Chin, Masaki | Japan | Okayama-Ken | Kurashiki-shi |
174 | NHO Kyushu Medical Center | Yasaka, Masahiro | Japan | Fukuoka-Ken | Fukuoka-shi |
175 | Kyorin University Hospital | Hirano, Teruyuki | Japan | Tokyo-To | Mitaka-shi |
176 | Iwate Prefectural Central Hospital | Kimura, Naoto | Japan | Iwate-Ken | Morioka-shi |
177 | Saitama Medical University International Medical Center | Takahashi, Shinichi | Japan | Saitama-Ken | Hidaka-shi |
178 | Tokyo Metropolitan Tama Medical Center | Ueda, Masayuki | Japan | Tokyo-To | Fuchu-shi |
179 | Tsuchiura Kyodo General Hospital | Machida, Akira | Japan | Ibaraki-Ken | Tsuchiura-shi |
180 | Rinku General Medical Center | Hagihara, Yasushi | Japan | Osaka-Fu | Izumisano-shi |
181 | Showakai Brain Attack Center Ota Memorial Hospital | Sato, Kota | Japan | Hiroshima-Ken | Fukuyama-shi |
182 | Ohnishi Neurological Center | Kuga, Yoshihiro | Japan | Hyogo-Ken | Akashi-shi |
183 | Hachinohe Red Cross Hospital | Konno, Hiromu | Japan | Aomori-Ken | Hachinohe-shi |
184 | NHO Minami Wakayama Medical Center | Kawabata, Masayuki | Japan | Wakayama-Ken | Tanabe-shi |
185 | Gifu Prefectural General Medical Center | Kumagai, Morio | Japan | Gifu-Ken | Gifu-shi |
186 | Yamanashi Prefectural Central Hospital | Nakano, Shin | Japan | Yamanashi-Ken | Kofu-shi |
187 | Seoul National University Bundang Hospital | Han, Moon-Ku | Korea, Republic of | Gyeonggi-do | Seongnam-si |
188 | Dong-A University Hospital | Jeong, Jin-Heon | Korea, Republic of | N/A | Pusan |
189 | Asan Medical Center | Jeon, Sang-Beom | Korea, Republic of | N/A | Seoul |
190 | Kyungpook National University Hospital | Hwang, Yangha | Korea, Republic of | Gyeongsangnam-do | Daegu |
191 | Centro Hospitalar e Universitário de Coimbra E.P.E - Hospitais da Universidade de Coimbra | Santo, Gustavo | Portugal | N/A | Coimbra |
192 | Unidade Local de Saúde de Matosinhos, EPE (Hospital Pedro Hispano) | Tedim Cruz, Vitor | Portugal | N/A | Matosinhos |
193 | Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital de Santa Maria | Pinho e Melo, Teresa | Portugal | N/A | Lisboa |
194 | Hospital Garcia de Orta, EPE | Rodrigues, Miguel | Portugal | N/A | Almada |
195 | Centro Hospitalar de Entre o Douro e Vouga, E.P.E - Hospital de S?o Sebasti?o | Roriz, José Mário | Portugal | N/A | Santa Maria da Feira |
196 | Centro Hospitalar de Lisboa Ocidental, E.P.E. - Hospital de Egas Moniz | Viana Baptista, Miguel | Portugal | N/A | Lisboa |
197 | SBEI HPE | Bogdanov, Enver | Russian Federation | N/A | Kazan |
198 | SBIH of Moscow | Lebedeva, Anna | Russian Federation | N/A | Moscow |
199 | SPb SBIH | Melnikova, Elena | Russian Federation | N/A | Saint-Petersburg |
200 | Saint-Petersburg Scientific-Research Institute of Emergency Care | Voznyuk, Igor | Russian Federation | N/A | Saint-Petersburg |
201 | Hospital Clinico Universitario de Valladolid | Arenillas Lara, Juan Francisco | Spain | Valladolid | Valladolid |
202 | Hospital Universitari de Bellvitge | Cardona Portela, Pedro | Spain | Barcelona | L'Hospitalet de Llobregat |
203 | Hospital Universitari i Politecnic La Fe | Fortea Cabo, Gerardo | Spain | Valencia | Valencia |
204 | Hospital Universitario Ramon y Cajal | Masjuan Vallejo, Jaime | Spain | Madrid | Madrid |
205 | Hospital Universitario Virgen del Rocio | Moniche Alvarez, Francisco | Spain | Sevilla | Sevilla |
206 | Hospital Universitari Vall d'Hebron | Molina Cateriano, Carlos | Spain | Barcelona | Barcelona |
207 | Hospital del Mar | Rodriguez Campello, Ana | Spain | Barcelona | Barcelona |
208 | Hospital Regional Universitario de Malaga | Bustamante, Rafael | Spain | Málaga | Malaga |
209 | Hospital Universitario Virgen Macarena | Gamero Garcia, Miguel Angel | Spain | Sevilla | SEVILLA |
210 | Complejo Hospitalario Universitario de Santiago | Arias Rivas, Susana | Spain | La Coruna | Santiago de Compostela |
211 | Hospital Universitari de Girona Dr Josep Trueta | Serena Leal, Joaquin | Spain | Girona | Girona |
212 | Hospital Universitario Reina Sofia | Agüera Morales, Eduardo | Spain | Córdoba | Cordoba |
213 | Inselspital - Universitaetsspital Bern | Arnold, Marcel | Switzerland | N/A | Bern |
214 | Ospedale Regionale di Lugano | Cereda, Carlo | Switzerland | N/A | Lugano |
215 | Newcastle University- Clinical Ageing Research Unit | Dixit, Anand | United Kingdom | Tyne & Wear | Newcastle upon Tyne |
216 | Charing Cross Hospital | Halse, Omid | United Kingdom | Greater London | London |
217 | Queen Elizabeth University Hospital Campus | Muir, Keith | United Kingdom | Strathclyde | Glasgow |
218 | Nottingham University Hospitals City Campus | Sprigg, Nikola | United Kingdom | Nottinghamshire | Nottingham |
219 | Kings College Hospital NHS Foundation Trust | Sztriha, Laszlo | United Kingdom | Greater London | London |
220 | Addenbrooke's Hospital | Zachariah, George | United Kingdom | Cambridgeshire | Cambridge |
221 | The National Hospital for Neurology & Neurosurgery | Perry, Richard | United Kingdom | Greater London | London |
222 | Helsinki University Hospital | Strbian, Daniel | Finland | N/A | HUS |
223 | Turun yliopistollinen keskussairaala | Ruuskanen, Jori | Finland | N/A | Turku |
224 | Kaohsiung Chang Gung Memorial Hospital | Chang, Chiung-Chih | Taiwan, Republic of China | N/A | Kaohsiung |
225 | National Cheng Kung University Hospital | Chen, Chih-Hung | Taiwan, Republic of China | N/A | Tainan |
226 | National Taiwan University Hospital | Tang, Sung-Chun | Taiwan, Republic of China | N/A | Taipei |
227 | Chang Gung Memorial Hospital, Linkou | Lee, Tsong-Hai | Taiwan, Republic of China | N/A | Taoyuan County |
228 | Bispebjerg og Frederiksberg Hospital | Christensen, Hanne | Denmark | N/A | Copenhagen NV |
229 | Copenhagen University Hospital and Glostrup Hospital | Iversen, Helle | Denmark | N/A | Glostrup |
230 | Sjaellands Universitetshospital | Wienecke, Troels | Denmark | N/A | Roskilde |
231 | St. Marianna University School of Medicine Hospital | Yamano, Yoshihisa | Japan | Kanagawa-Ken | Kawasaki-shi |
232 | Chiyukai Fukuoka Shinmizumaki Hospital | Kin, Shigenari | Japan | Fukuoka-Ken | Onga-gun |
233 | Toyota Memorial Hospital | Ito, Yasuhiro | Japan | Aichi-Ken | Toyota-shi |
234 | Yamaguchi University Hospital | Nomura, Sadahiro | Japan | Yamaguchi-Ken | Ube-shi |
235 | Chiyukai Shin Yukuhashi Hospital | Akaike, Yuji | Japan | Fukuoka-Ken | Yukuhashi-shi |
236 | NHO Sendai Medical Center | Ezura, Masayuki | Japan | Miyagi-Ken | Sendai-shi |
237 | Okayama City General Medical Center Okayama City Hospital | Tokunaga, Koji | Japan | Okayama-Ken | Okayama-shi |
238 | Chiyukai Fukuoka Wajiro Hospital | Fukuyama, Kozo | Japan | Fukuoka-Ken | Fukuoka-shi |
239 | General Hospital Varazdin | Kidjemet-Piskac, Spomenka | Croatia | N/A | Varazdin |
240 | Clinical Hospital Centar Zagreb | Poljakovic, Zdravka | Croatia | N/A | Zagreb |
241 | Clinical Hospital | Roje Bedekovic, Marina | Croatia | N/A | Zagreb |
242 | Vilnius University Hospital Santariskiu Clinic, Public Institution | Jatuzis, Dalius | Lithuania | N/A | Vilnius |
243 | Hospital of Lithuanian University of Health Sciences Kaunas Clinics | Matijosaitis, Vaidas | Lithuania | N/A | Kaunas |
244 | Republican Vilnius University Hospital, Public Institution | Vilionskis, Aleksandras | Lithuania | N/A | Vilnius |