Viewing Study NCT06976203


Ignite Creation Date: 2025-12-24 @ 7:22 PM
Ignite Modification Date: 2026-01-01 @ 5:34 PM
Study NCT ID: NCT06976203
Status: RECRUITING
Last Update Posted: 2025-12-23
First Post: 2025-05-09
Is NOT Gene Therapy: True
Has Adverse Events: False

Brief Title: A Study to Evaluate the Efficacy and Safety of KarXT + KarX-EC for Cognitive Impairment in Alzheimer's Disease (MINDSET 2)
Sponsor:
Organization:

Raw JSON

{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D000544', 'term': 'Alzheimer Disease'}, {'id': 'D003704', 'term': 'Dementia'}, {'id': 'D060825', 'term': 'Cognitive Dysfunction'}], 'ancestors': [{'id': 'D001927', 'term': 'Brain Diseases'}, {'id': 'D002493', 'term': 'Central Nervous System Diseases'}, {'id': 'D009422', 'term': 'Nervous System Diseases'}, {'id': 'D024801', 'term': 'Tauopathies'}, {'id': 'D019636', 'term': 'Neurodegenerative Diseases'}, {'id': 'D019965', 'term': 'Neurocognitive Disorders'}, {'id': 'D001523', 'term': 'Mental Disorders'}, {'id': 'D003072', 'term': 'Cognition Disorders'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE3'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 586}}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2025-07-21', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-12', 'completionDateStruct': {'date': '2029-02-23', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-12-22', 'studyFirstSubmitDate': '2025-05-09', 'studyFirstSubmitQcDate': '2025-05-09', 'lastUpdatePostDateStruct': {'date': '2025-12-23', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2025-05-16', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2028-09-11', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': "Change from baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale 11 (ADAS-Cog11)", 'timeFrame': 'At week 24'}, {'measure': "Clinician's Interview-Based Impression Plus Caregiver Input (CIBIC+)", 'timeFrame': 'At week 24'}], 'secondaryOutcomes': [{'measure': "Change from baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living scale (ADCS-ADL)", 'timeFrame': 'At week 24'}, {'measure': 'Change from baseline in neuro psychiatric inventory (NPI) total score', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with adverse events (AEs)', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with serious adverse events (SAEs)', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with adverse event of special interest (AESIs)', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with AEs leading to study intervention discontinuation', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with AEs leading to study discontinuation', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with AEs leading to death', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with clinically significant changes in vital signs', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with clinically significant changes in electrocardiogram (ECG) tests', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with clinically significant changes in Columbia-Suicide Severity Rating Scale (C-SSRS) tests', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with clinically significant changes in weight', 'timeFrame': 'At week 24'}, {'measure': 'Number of participants with clinically significant changes in safety laboratory tests', 'timeFrame': 'At week 24'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': True, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Dementia', 'Cognitive Impairment', 'Kar-XT', 'KarX-EC', "Mild Alzheimer's Disease", "Moderate Alzheimer's Disease"], 'conditions': ["Alzheimer's Disease"]}, 'referencesModule': {'seeAlsoLinks': [{'url': 'https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html', 'label': 'BMS Clinical Trial Information'}, {'url': 'https://www.bmsclinicaltrials.com/us/en/clinical-trials/NCT06976203.html', 'label': 'BMS Clinical Trial Patient Recruiting'}]}, 'descriptionModule': {'briefSummary': "The purpose of this study is to evaluate the efficacy and safety of KarXT + KarX-EC for cognitive impairment in Alzheimer's Disease"}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '85 Years', 'minimumAge': '60 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Participants must have a confirmed diagnosis of Alzheimer's disease (AD), specifically at the mild (stage 4) or moderate (stage 5) dementia stages, as defined by the National Institute on Aging and Alzheimer's Association (NIA-AA) core clinical criteria. The diagnosis of AD pathology must be confirmed through the 2024 revised NIA-AA Workgroup criteria using a stepwise diagnostic approach.\n* Participants must have an Mini-Mental State Examination (MMSE) score ranging from 12 through 22, inclusive, at the time of screening.\n* Participants must have a designated caregiver who maintains adequate contact (around 10 hours per week or more) and is willing to attend all study visits. The caregiver must also be responsible for reporting on the participant's condition, overseeing medication compliance, and consenting to their involvement in both their own and the participant's study-related activities.\n* Participants on acetyl choline esterase inhibitors (AChEIs) and/or memantine, must have been on a stable dosage for at least 12 weeks prior to screening, and agree to maintain this stable dose for the study duration.\n\nExclusion Criteria:\n\nParticipants must not present with any significant or severe medical conditions that could compromise their safety, the ability to comply with or complete the study, or the integrity of the study results. This includes any grade of hepatic impairment, urinary retention, active biliary disease, moderate-severe renal impairment (eGFR of \\<50 mL/min), and unstable hypertension or tachycardia.\n\n* Participants must not have any primary psychiatric diagnoses such as major depression, schizoaffective disorder, or bipolar disorder, and those with severe psychiatric symptoms that could complicate the interpretation of treatment effects, impair cognitive assessment, or impact study completion.\n* Participants must not have a history of schizophrenia or other chronic psychosis, as well as those who have previously been exposed to KarXT or are currently undergoing treatment with disease-modifying anti-amyloid therapies for AD within the past 6 months prior to screening.\n* Participants must not have significant pathological findings on brain magnetic resonance imaging (MRI) at screening that could affect safety or interfere with study procedures.\n* Other protocol-defined Inclusion/Exclusion criteria apply."}, 'identificationModule': {'nctId': 'NCT06976203', 'acronym': 'MINDSET 2', 'briefTitle': "A Study to Evaluate the Efficacy and Safety of KarXT + KarX-EC for Cognitive Impairment in Alzheimer's Disease (MINDSET 2)", 'organization': {'class': 'INDUSTRY', 'fullName': 'Bristol-Myers Squibb'}, 'officialTitle': "A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of KarXT + KarX-EC for the Treatment of Cognitive Impairment Associated With Mild to Moderate Alzheimer's Disease (MINDSET 2)", 'orgStudyIdInfo': {'id': 'CN012-0052'}, 'secondaryIdInfos': [{'id': '2025-520747-32', 'type': 'OTHER', 'domain': 'EU CTR'}, {'id': 'U1111-1317-4515', 'type': 'OTHER', 'domain': 'WHO'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'ACTIVE_COMPARATOR', 'label': 'KarXT + KarX-EC', 'interventionNames': ['Drug: KarXT', 'Drug: KarX-EC']}, {'type': 'PLACEBO_COMPARATOR', 'label': 'Placebo', 'interventionNames': ['Other: Placebo']}], 'interventions': [{'name': 'KarXT', 'type': 'DRUG', 'otherNames': ['BMS-986510'], 'description': 'Specified dose on specified days', 'armGroupLabels': ['KarXT + KarX-EC']}, {'name': 'KarX-EC', 'type': 'DRUG', 'otherNames': ['BMS-986519'], 'description': 'Specified dose on specified days', 'armGroupLabels': ['KarXT + KarX-EC']}, {'name': 'Placebo', 'type': 'OTHER', 'description': 'Specified dose on specified days', 'armGroupLabels': ['Placebo']}]}, 'contactsLocationsModule': {'locations': [{'zip': '92835', 'city': 'Fullerton', 'state': 'California', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Jack Florin, Site 0072', 'role': 'CONTACT', 'phone': '714-381-0801'}], 'facility': 'Fullerton Neurology and Headache Center', 'geoPoint': {'lat': 33.87029, 'lon': -117.92534}}, {'zip': '90301', 'city': 'Inglewood', 'state': 'California', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Edward Zamrini, Site 0091', 'role': 'CONTACT', 'phone': '706-863-9595'}], 'facility': 'Inglewood Clinical', 'geoPoint': {'lat': 33.96168, 'lon': -118.35313}}, {'zip': '92614', 'city': 'Irvine', 'state': 'California', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Elly Lee, Site 0095', 'role': 'CONTACT', 'phone': '949-753-1663'}], 'facility': 'Irvine Clinical Research', 'geoPoint': {'lat': 33.66946, 'lon': -117.82311}}, {'zip': '94304', 'city': 'Palo Alto', 'state': 'California', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Site 0083', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0083', 'geoPoint': {'lat': 37.44188, 'lon': -122.14302}}, {'zip': '92103', 'city': 'San Diego', 'state': 'California', 'status': 'WITHDRAWN', 'country': 'United States', 'facility': 'Local Institution - 0069', 'geoPoint': {'lat': 32.71571, 'lon': -117.16472}}, {'zip': '80919', 'city': 'Colorado Springs', 'state': 'Colorado', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Site 0088', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0088', 'geoPoint': {'lat': 38.83388, 'lon': -104.82136}}, {'zip': '33912', 'city': 'Fort Myers', 'state': 'Florida', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Jennifer Springer, Site 0090', 'role': 'CONTACT', 'phone': '239-939-7777'}], 'facility': 'Neuropsychiatric Research Center of Southwest Florida', 'geoPoint': {'lat': 26.62168, 'lon': -81.84059}}, {'zip': '33009', 'city': 'Hallandale', 'state': 'Florida', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Beth Safirstein, Site 0086', 'role': 'CONTACT'}], 'facility': 'Velocity Clinical Research, Hallandale Beach', 'geoPoint': {'lat': 25.9812, 'lon': -80.14838}}, {'zip': '32216', 'city': 'Jacksonville', 'state': 'Florida', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Steven Toenjes, Site 0092', 'role': 'CONTACT', 'phone': '904-673-1252'}], 'facility': 'Jacksonville Center for Clinical Research', 'geoPoint': {'lat': 30.33218, 'lon': -81.65565}}, {'zip': '32159', 'city': 'Lady Lake', 'state': 'Florida', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Craig Curtis, Site 0114', 'role': 'CONTACT', 'phone': '407-426-9299'}], 'facility': 'K2 MEDICAL Research THE VILLAGES', 'geoPoint': {'lat': 28.91749, 'lon': -81.92286}}, {'zip': '34239', 'city': 'Sarasota', 'state': 'Florida', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Mauricio Concha, Site 0082', 'role': 'CONTACT', 'phone': '941-203-3750'}], 'facility': 'Intercoastal Medical Group', 'geoPoint': {'lat': 27.33643, 'lon': -82.53065}}, {'zip': '33613', 'city': 'Tampa', 'state': 'Florida', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Amanda Smith, Site 0084', 'role': 'CONTACT', 'phone': '813-974-4355'}], 'facility': "USF Health Byrd Alzheimer's Institute", 'geoPoint': {'lat': 27.94752, 'lon': -82.45843}}, {'zip': '33414', 'city': 'Wellington', 'state': 'Florida', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'David Watson, Site 0089', 'role': 'CONTACT', 'phone': '561-209-2400'}], 'facility': "Alzheimer's Research and Treatment Center", 'geoPoint': {'lat': 26.65868, 'lon': -80.24144}}, {'zip': '60640', 'city': 'Chicago', 'state': 'Illinois', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Jeffrey Ross, Site 0093', 'role': 'CONTACT', 'phone': '847-252-7300'}], 'facility': 'Great Lakes Clinical Trials - Andersonville', 'geoPoint': {'lat': 41.85003, 'lon': -87.65005}}, {'zip': '62702', 'city': 'Springfield', 'state': 'Illinois', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Jennifer Arnold, Site 0070', 'role': 'CONTACT', 'phone': '217-545-7197'}], 'facility': 'Southern Illinois University School of Medicine', 'geoPoint': {'lat': 39.80172, 'lon': -89.64371}}, {'zip': '46256', 'city': 'Indianapolis', 'state': 'Indiana', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Kristi George, Site 0071', 'role': 'CONTACT', 'phone': '317-537-6088'}], 'facility': 'Josephson Wallack Munshower Neurology, PC', 'geoPoint': {'lat': 39.76838, 'lon': -86.15804}}, {'zip': '02472', 'city': 'Watertown', 'state': 'Massachusetts', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Site 0080', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0080', 'geoPoint': {'lat': 42.37093, 'lon': -71.18283}}, {'zip': '48334', 'city': 'Farmington Hills', 'state': 'Michigan', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Aaron Ellenbogen, Site 0073', 'role': 'CONTACT', 'phone': '248-957-8940'}], 'facility': 'QUEST Research Institute', 'geoPoint': {'lat': 42.48531, 'lon': -83.37716}}, {'zip': '39401', 'city': 'Hattiesburg', 'state': 'Mississippi', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Ronald Schwartz, Site 0085', 'role': 'CONTACT', 'phone': '601-606-0911'}], 'facility': 'Private Practice - Dr. Ronald Louis Schwartz', 'geoPoint': {'lat': 31.32712, 'lon': -89.29034}}, {'zip': '07450', 'city': 'Ridgewood', 'state': 'New Jersey', 'status': 'WITHDRAWN', 'country': 'United States', 'facility': 'Local Institution - 0119', 'geoPoint': {'lat': 40.97926, 'lon': -74.11653}}, {'zip': '07081', 'city': 'Springfield', 'state': 'New Jersey', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Michelle Papka, Site 0094', 'role': 'CONTACT', 'phone': '973-850-4622'}], 'facility': 'The Cognitive and Research Center of New Jersey', 'geoPoint': {'lat': 40.70491, 'lon': -74.31723}}, {'zip': '07764', 'city': 'West Long Branch', 'state': 'New Jersey', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Mark Ornstein, Site 0075', 'role': 'CONTACT', 'phone': '732-807-4700'}], 'facility': 'Advanced Clinical Institute', 'geoPoint': {'lat': 40.29039, 'lon': -74.01764}}, {'zip': '12208', 'city': 'Albany', 'state': 'New York', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Richard Holub, Site 0077', 'role': 'CONTACT', 'phone': '518-426-0575'}], 'facility': 'Neurological Associates Albany', 'geoPoint': {'lat': 42.65258, 'lon': -73.75623}}, {'zip': '14226', 'city': 'Amherst', 'state': 'New York', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Site 0068', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0068', 'geoPoint': {'lat': 42.97839, 'lon': -78.79976}}, {'zip': '14203', 'city': 'Buffalo', 'state': 'New York', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Kinga Szigeti, Site 0087', 'role': 'CONTACT', 'phone': '281-630-2316'}], 'facility': 'University at Buffalo - UBMD Neurology', 'geoPoint': {'lat': 42.88645, 'lon': -78.87837}}, {'zip': '11042', 'city': 'Lake Success', 'state': 'New York', 'status': 'WITHDRAWN', 'country': 'United States', 'facility': 'Local Institution - 0078', 'geoPoint': {'lat': 40.77066, 'lon': -73.71763}}, {'zip': '19462', 'city': 'Plymouth Meeting', 'state': 'Pennsylvania', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Cameron Olezene, Site 0105', 'role': 'CONTACT', 'phone': '610-277-8073'}], 'facility': 'Keystone Clinical Studies', 'geoPoint': {'lat': 40.10233, 'lon': -75.27435}}, {'zip': '75231', 'city': 'Dallas', 'state': 'Texas', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Site 0081', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0081', 'geoPoint': {'lat': 32.78306, 'lon': -96.80667}}, {'zip': '78681', 'city': 'Round Rock', 'state': 'Texas', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Elizabeth Peckham, Site 0079', 'role': 'CONTACT', 'phone': '443-852-2085'}], 'facility': 'Central Texas Neurology Consultants, PA', 'geoPoint': {'lat': 30.50826, 'lon': -97.6789}}, {'zip': '98057', 'city': 'Renton', 'state': 'Washington', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Sheryl Marks, Site 0076', 'role': 'CONTACT', 'phone': '425-251-1722'}], 'facility': 'Rainier Clinical Research Center', 'geoPoint': {'lat': 47.48288, 'lon': -122.21707}}, {'zip': '1181', 'city': 'ABB', 'state': 'Buenos Aires F.D.', 'status': 'NOT_YET_RECRUITING', 'country': 'Argentina', 'contacts': [{'name': 'Site 0029', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0029'}, {'zip': 'X5006CBI', 'city': 'Córdoba', 'state': 'Córdoba Province', 'status': 'NOT_YET_RECRUITING', 'country': 'Argentina', 'contacts': [{'name': 'Site 0027', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0027', 'geoPoint': {'lat': -31.40648, 'lon': -64.18853}}, {'zip': 'C1428AQK', 'city': 'Buenos Aires', 'status': 'NOT_YET_RECRUITING', 'country': 'Argentina', 'contacts': [{'name': 'Site 0025', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0025', 'geoPoint': {'lat': -34.61315, 'lon': -58.37723}}, {'zip': '5000', 'city': 'Córdoba', 'status': 'NOT_YET_RECRUITING', 'country': 'Argentina', 'contacts': [{'name': 'Site 0028', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0028', 'geoPoint': {'lat': -31.40648, 'lon': -64.18853}}, {'zip': 'X5003DCE', 'city': 'Córdoba', 'status': 'NOT_YET_RECRUITING', 'country': 'Argentina', 'contacts': [{'name': 'Site 0030', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0030', 'geoPoint': {'lat': -31.40648, 'lon': -64.18853}}, {'zip': '5502', 'city': 'Mendoza', 'status': 'NOT_YET_RECRUITING', 'country': 'Argentina', 'contacts': [{'name': 'Site 0026', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0026', 'geoPoint': {'lat': -32.88946, 'lon': -68.84582}}, {'zip': '4072', 'city': 'Saint Lucia', 'state': 'Queensland', 'status': 'NOT_YET_RECRUITING', 'country': 'Australia', 'contacts': [{'name': 'Site 0055', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0055', 'geoPoint': {'lat': -27.5, 'lon': 153.0}}, {'zip': '4556', 'city': 'Sippy Downs', 'state': 'Queensland', 'status': 'NOT_YET_RECRUITING', 'country': 'Australia', 'contacts': [{'name': 'Site 0053', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0053', 'geoPoint': {'lat': -26.71793, 'lon': 153.05475}}, {'zip': '4222', 'city': 'Southport', 'state': 'Queensland', 'status': 'RECRUITING', 'country': 'Australia', 'contacts': [{'name': 'Philip Morris, Site 0056', 'role': 'CONTACT', 'phone': '+61422545753'}], 'facility': 'Griffith University - Gold Coast Campus', 'geoPoint': {'lat': -27.96724, 'lon': 153.39796}}, {'zip': '3079', 'city': 'Ivanhoe', 'state': 'Victoria', 'status': 'NOT_YET_RECRUITING', 'country': 'Australia', 'contacts': [{'name': 'Site 0054', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0054', 'geoPoint': {'lat': -37.76903, 'lon': 145.04308}}, {'zip': '60135-237', 'city': 'Fortaleza', 'state': 'Ceará', 'status': 'NOT_YET_RECRUITING', 'country': 'Brazil', 'contacts': [{'name': 'Site 0115', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0115', 'geoPoint': {'lat': -3.71722, 'lon': -38.54306}}, {'zip': '87015-180', 'city': 'Maringá', 'state': 'Paraná', 'status': 'NOT_YET_RECRUITING', 'country': 'Brazil', 'contacts': [{'name': 'Site 0101', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0101', 'geoPoint': {'lat': -23.42528, 'lon': -51.93861}}, {'zip': '22270-060', 'city': 'Rio de Janeiro', 'status': 'NOT_YET_RECRUITING', 'country': 'Brazil', 'contacts': [{'name': 'Site 0099', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0099', 'geoPoint': {'lat': -22.90642, 'lon': -43.18223}}, {'zip': '01228-000', 'city': 'São Paulo', 'status': 'NOT_YET_RECRUITING', 'country': 'Brazil', 'contacts': [{'name': 'Site 0100', 'role': 'CONTACT'}], 'facility': 'Local Institution - 0100', 'geoPoint': {'lat': -23.5475, 'lon': -46.63611}}, {'zip': '90100', 'city': 'Oulu', 'state': 'North Ostrobothnia', 'status': 'RECRUITING', 'country': 'Finland', 'contacts': [{'name': 'Hanna Ansakorpi, Site 0022', 'role': 'CONTACT', 'phone': '+358456134142'}], 'facility': 'Terveystalo Oulu', 'geoPoint': {'lat': 65.01236, 'lon': 25.46816}}, {'zip': '20520', 'city': 'Turku', 'state': 'Southwest Finland', 'status': 'NOT_YET_RECRUITING', 'country': 'Finland', 'contacts': [{'name': 'Site 0009', 'role': 'CONTACT'}], 'facility': 'Local Institution - 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