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Trial · Interventional

CompletedPhase 1Results postedRegistry data

Study of rhPTH(1-84) in Japanese Healthy Subjects Compared With Matched Caucasian Healthy Adult Subjects

Overview

Status
Completed
Phase
Phase 1
Enrollment
24 participants (actual)
Sponsor
Shire · Industry
Design
Randomized · Open label (no masking)
Countries
1 country

United States

Start
16 May 2017
Primary completion
26 Jun 2017
Completion
26 Jun 2017
First posted
12 May 2017
Last update posted
8 Jun 2021
Conditions
Hypoparathyroidism

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20172018
  1. Ph 1

    Study of rhPTH(1-84) in Japanese Healthy Subjects Compared With Matched Caucasian Healthy Adult Subjects

    NCT03150108

    16 May 2017 to 26 Jun 2017

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The purpose of this study is to compare how rhPTH(1-84) affects the body between healthy adults of Japanese descent and matched, healthy Caucasian adults.

Interventions

  • rhPTH(1-84)Drug
  • rhPTH(1-84)Drug
  • rhPTH(1-84)Drug

Arms2

  • Experimental

    Non-Hispanic Caucasians

    Subjects will receive single dose of 100 microgram (mcg) rhPTH(1-84) subcutaneous (SC) injection on Day 1.

  • Experimental

    Participants of Japanese Descent

    Subjects will receive single dose of 100 mcg rhPTH(1-84) SC injection on Day 1; On days 4 and 7, either 25 mcg or 50 mcg SC injection. A washout period of 73 hours will be maintained between each single doses (100 mcg, 50 mcg and 25 mcg) in a cross-over fashion.

Primary outcomes10

Outcomes the sponsor listed as primary.

  1. Baseline-adjusted Cmax of PTH(1-84)

    Time frame · 30 and 90 minutes (min) Pre-dose, 10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours (h) Post-dose

    Registry description

    Baseline-adjusted maximum observed drug concentration (Cmax) of PTH(1-84) in plasma was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  2. Baseline-adjusted Tmax of PTH(1-84)

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted time to reach maximum observed drug concentration (Tmax) of PTH(1-84) in plasma was reported.

  3. Baseline-adjusted AUC(Last) of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted area under the curve from the time of dosing to the last measurable concentration (AUC(last)) of PTH(1-84) was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  4. Baseline-adjusted AUC(0-8) of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted area under the concentration versus time curve from the time of dosing to 8 hours post dose (AUC(0-8)) of PTH(1-84) was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  5. Baseline-adjusted AUC(0-inf) of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted area under the concentration versus time curve extrapolated to infinity (AUC(0-inf)) of PTH(1-84) was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  6. Baseline- Adjusted % of AUC(0-Inf) Extra of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted % of AUC extrapolated from the last measurable concentration to infinity over (AUC(0-Inf)) of PTH(1-84) in plasma was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  7. Baseline-adjusted Lambda_z of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted Lambda z associated with the terminal (log-linear) portion of the curve for PTH(1-84) in plasma was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  8. Baseline-adjusted t1/2 of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted Terminal Half-life (t1/2) of PTH(1-84) in plasma was reported.

  9. Baseline-adjusted CL/F of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted apparent clearance (CL/F) of PTH(1-84) in plasma was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  10. Baseline-adjusted Vdz/F of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Baseline-adjusted apparent volume of distribution (Vdz/F) of PTH(1-84) in plasma was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

Secondary outcomes(11)
  1. Original Cmax of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Original maximum observed drug concentration (Cmax) of PTH(1-84) in plasma was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  2. Original Tmax of PTH(1-84)

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    The original time to reach maximum observed drug concentration (Tmax) of PTH(1-84) in plasma was reported.

  3. Original AUClast of PTH(1-84) in Plasma

    Time frame · 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

    Registry description

    Original area under the curve from the time of dosing to the last measurable concentration (AUClast) of PTH(1-84) was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  4. AUClast of Albumin-corrected Calcium, Serum Total Calcium and Phosphate Levels After Intake of PTH(1-84)

    Time frame · Non-Hispanic Caucasians: 30 mins predose, 4, 8 and 12 h (Day 1),24 h (Day 2) Japanese Descents: 30 mins predose, 4, 8 and 12 h (Days 1, 4, 7), 24 h (Days 2, 5, 8)

    Registry description

    Area under the curve from the time of dosing to the last measurable concentration of albumin-corrected calcium, serum total calcium and phosphate levels after intake of PTH(1-84) was reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  5. TEmax After Intake of PTH(1-84) on Albumin-corrected Calcium, Serum Total Calcium and Serum Phosphate Levels

    Time frame · Non-Hispanic Caucasians: 30 mins predose, 4, 8 and 12 h (Day 1),24 h (Day 2) Japanese Descents: 30 mins predose, 4, 8 and 12 h (Days 1, 4, 7), 24 h (Days 2, 5, 8)

    Registry description

    The time to maximum effect (TEmax) of PTH(1-84) on albumin-corrected calcium, serum total calcium and serum phosphate levels were reported.

  6. Emax of PTH(1-84) on Albumin-corrected Calcium, Serum Total Calcium and Serum Phosphate Levels

    Time frame · Non-Hispanic Caucasians: 30 mins predose, 4, 8 and 12 h (Day 1),24 h (Day 2) Japanese Descents: 30 mins predose, 4, 8 and 12 h (Days 1, 4, 7), 24 h (Days 2, 5, 8)

    Registry description

    The maximum effect (Emax) of PTH(1-84) on albumin-corrected calcium, serum total calcium and serum phosphate levels were reported. The dispersion measure Geometric Coefficient of Variation was reported in percent (%).

  7. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Time frame · From start of study drug administration to follow-up (up to 40 days)

    Registry description

    An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that did not necessarily have a causal relationship with this treatment.

  8. Number of Participants With Clinically Significant Changes in Clinical Laboratory Tests Reported as Treatment-emergent Adverse Events (TEAEs)

    Time frame · Non-Hispanic Caucasians: 30 min pre-dose,24 h,32 days post-dose Japanese Descents: 30 min pre-dose,24 h post-dose on Days 1,4,7 and 32 days after last dose

    Registry description

    Clinical laboratory tests included hematology, chemistry, and urinalysis. Number of participants with clinically significant changes in clinical laboratory tests reported as TEAEs were reported.

  9. Number of Participants With Clinically Significant Changes in Vital Signs Reported as Treatment-emergent Adverse Events (TEAEs)

    Time frame · Non-Hispanic Caucasians: 30 min pre-dose,1,4,8,24 h,32 days post-dose Japanese Descents: 30 min pre-dose,1,4,8,24 h post-dose on Days 1,4,7 and 32 days after last dose

    Registry description

    Vital signs were obtained while participant was supine. Vital signs included hematology, chemistry, and urinalysis. Number of participants with clinically significant changes in vital signs reported as TEAEs were reported.

  10. Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Results Reported as Treatment-emergent Adverse Events (TEAEs)

    Time frame · Non-Hispanic Caucasians: 30 min pre-dose,24 h,32 days post-dose Japanese Descents: 30 min pre-dose,24 h post-dose on Days 1,4,7 and 32 days after last dose

    Registry description

    Twelve-lead ECGs were performed in triplicate at each time point. For numeric ECG variables, the mean of the valid values at each time point was taken. Number of participants with clinically significant changes in ECGs reported as TEAEs were reported.

  11. Number of Participants Who Reported Positive to Anti-Parathyroid Hormone Antibodies

    Time frame · Non-Hispanic Caucasians: 30 min pre-dose,32 days post-dose Japanese Descents: 30 min pre-dose on Days 1,4,7 and 32 days after last dose

    Registry description

    Number of participants who reported positive to anti-parathyroid hormone antibodies were reported.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeGeometric mean· 30 and 90 minutes (min) Pre-dose, 10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours (h) Post-dose

Baseline-adjusted Cmax of PTH(1-84)

GroupValue (Picogram per milliliter (pg/mL))Spread
Non-Hispanic Caucasians: 100 mcg rhPTH(1-84)295.66241.66
Participants of Japanese Descent: 100 mcg rhPTH(1-84)330.82029.44
Participants of Japanese Descent: 50 mcg rhPTH(1-84)175.46835.29
Participants of Japanese Descent: 25 mcg rhPTH(1-84)99.70822.02
Primary outcomeMedian· 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

Baseline-adjusted Tmax of PTH(1-84)

GroupValue (Hour (h))
Non-Hispanic Caucasians: 100 mcg rhPTH(1-84)0.415
Participants of Japanese Descent: 100 mcg rhPTH(1-84)1.000
Participants of Japanese Descent: 50 mcg rhPTH(1-84)1.385
Participants of Japanese Descent: 25 mcg rhPTH(1-84)1.240
Primary outcomeGeometric mean· 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

Baseline-adjusted AUC(Last) of PTH(1-84) in Plasma

GroupValue (Hour*picogram per milliliter (h*pg/mL))Spread
Non-Hispanic Caucasians: 100 mcg rhPTH(1-84)1037.6331.0
Participants of Japanese Descent: 100 mcg rhPTH(1-84)1027.8132.6
Participants of Japanese Descent: 50 mcg rhPTH(1-84)602.0630.6
Participants of Japanese Descent: 25 mcg rhPTH(1-84)255.6728.7
Primary outcomeGeometric mean· 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

Baseline-adjusted AUC(0-8) of PTH(1-84) in Plasma

GroupValue (h*pg/mL)Spread
Non-Hispanic Caucasians:100 mcg rhPTH(1-84)956.6332.8
Participants of Japanese Descent: 100 mcg rhPTH(1-84)1033.6231.4
Participants of Japanese Descent: 50 mcg rhPTH(1-84)554.2330.8
Participants of Japanese Descent: 25 mcg rhPTH(1-84)248.3819.7
Primary outcomeGeometric mean· 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

Baseline-adjusted AUC(0-inf) of PTH(1-84) in Plasma

GroupValue (h*pg/mL)Spread
Non-Hispanic Caucasians: 100 mcg rhPTH(1-84)1028.2937.0
Participants of Japanese Descent: 100 mcg rhPTH(1-84)1039.3429.8
Participants of Japanese Descent: 50 mcg rhPTH(1-84)589.2531.6
Participants of Japanese Descent: 25 mcg rhPTH(1-84)249.5121.9
Primary outcomeGeometric mean· 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

Baseline- Adjusted % of AUC(0-Inf) Extra of PTH(1-84) in Plasma

GroupValue (Percentage of AUC)Spread
Non-Hispanic Caucasians:100 mcg rhPTH(1-84)1.416198.59
Participants of Japanese Descent: 100 mcg rhPTH(1-84)0.932330.55
Participants of Japanese Descent: 50 mcg rhPTH(1-84)1.555173.86
Participants of Japanese Descent: 25 mcg rhPTH(1-84)3.015135.99
Primary outcomeGeometric mean· 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

Baseline-adjusted Lambda_z of PTH(1-84) in Plasma

GroupValue (Per hour (1/h))Spread
Non-Hispanic Caucasians:100 mcg rhPTH(1-84)0.449667.730
Participants of Japanese Descent: 100 mcg rhPTH(1-84)0.667235.835
Participants of Japanese Descent: 50 mcg rhPTH(1-84)0.571465.437
Participants of Japanese Descent: 25 mcg rhPTH(1-84)0.827757.118
Primary outcomeMedian· 30 and 90 min Pre-dose,10, 20, 30, 45 min, 1, 1.25, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 h Post-dose

Baseline-adjusted t1/2 of PTH(1-84) in Plasma

GroupValue (Hour (h))
Non-Hispanic Caucasians:100 mcg rhPTH(1-84)1.390
Participants of Japanese Descent: 100 mcg rhPTH(1-84)1.060
Participants of Japanese Descent: 50 mcg rhPTH(1-84)1.020
Participants of Japanese Descent: 25 mcg rhPTH(1-84)0.950

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Non-Hispanic Caucasians:100 mcg rhPTH(1- 84)Participants received a single SC injection of 100 mcg rhPTH(1-84) on Day 1.0 / 120 / 124 / 12
Participants of Japanese Descent: 100 mcg rhPTH(1-84)Participants received a single SC injection of 100 mcg rhPTH(1-84) on Day 1.0 / 120 / 126 / 12
Participants of Japanese Descent: 50 mcg rhPTH(1-84)Participants received a single SC injection of 50 mcg rhPTH(1-84) on Day 4 or 7.0 / 120 / 121 / 12
Participants of Japanese Descent: 25 mcg rhPTH(1-84)Participants received a single SC injection of 25 mcg rhPTH(1-84) on Day 4 or 7.0 / 120 / 123 / 12

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 65 Years
Healthy volunteers
Accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Ability to voluntarily provide written, signed, and dated informed consent as applicable to participate in the study. * An understanding, ability, and willingness to fully comply with study procedures and restrictions. * Age 18-65 inclusive at the time of consent. The date of signature of the informed consent is defined as the beginning of the screening period. This inclusion criterion will only be assessed at the first screening visit. * Subjects must be either: * A subject of Japanese descent born in Japan, who has resided outside of Japan for no longer than 5 years and is of Japanese parentage, defined as having 2 Japanese parents, and 4 Japanese grandparents, all born in Japan. * A non-hispanic, Caucasian subject who has 2 non-hispanic, Caucasian parents and 4 non-hispanic, Caucasian grandparents. * Male or nonpregnant, nonlactating female who agrees to comply with any applicable contraceptive requirements of the protocol or females of nonchildbearing potential. * Considered "healthy" by the investigator. Healthy status is defined by absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead electrocardiogram (ECG), hematology, blood chemistry, and urinalysis. * Body mass index between 18.5 and 28 kilogram per square meter (kg/m\^2), inclusive, with a body weight greater than or equal to (\>=) 45 kg (99 pounds \[lbs\]). This inclusion criterion will only be assessed at the first screening visit. * Willing and able to consume standardized meals during the confinement period of the study. All subjects will be required to consume the identical meals on study days when serial pharmacokinetic (PK) and pharmacodynamic (PD) blood samples are collected. * A clinical safety laboratory parameter of hemoglobin greater than (\>) 11.7 gram per deciliter (g/dl) (females) or 13.1 g/dl (males) and less than (\<) 16 g/dl (females) or 17.4 g/dl (males) or, if out of this range, deemed not clinically significant by the principal investigator. * Total serum calcium within laboratory normal limits. * Serum parathyroid hormone (PTH) levels within laboratory normal limits. Exclusion Criteria: * History of any hematological, hepatic, respiratory, cardiovascular, renal, neurological or psychiatric disease, gall bladder removal, or current or recurrent disease that could affect the action, absorption, or disposition of the investigational product, or clinical or laboratory assessments. * Current or relevant history of physical or psychiatric illness, any medical disorder that may require treatment or make the subject unlikely to fully complete the study, or any condition that presents undue risk from the investigational product or procedures. * Known or suspected intolerance or hypersensitivity to the investigational product(s), closely-related compounds, or any of the stated ingredients. * Significant illness, as judged by the investigator, within 2 weeks of the first dose of investigational product. * Known history of alcohol or other substance abuse within the last year. * Donation of blood or blood products (Example (eg), plasma or platelets) within 60 days prior to receiving the first dose of investigational product. * Use of the following prior to administration of investigational product within: * 30 days - loop diuretics, lithium, antacids, systemic corticosteroids (medical judgment is required by the investigator. Primarily high doses of systemic corticosteroids \[eg, prednisone\] should be excluded. Stable doses of hydrocortisone \[eg, as treatment for Addison's disease\] may be acceptable). * 3 months - calcitonin, cinacalcet hydrochloride, treatment with rhPTH(1-84) or N-terminal PTH or PTH-related peptide fragments or analogs. * For females: changes in hormone replacement therapy within 3 months are excluded. Stable (≥3 months) hormone replacement therapy is acceptable. * 6 months - fluoride tablets, oral bisphosphonates, methotrexate, growth hormone, digoxin, raloxifene or similar selective estrogen receptor modulators (SERMs). * 12 months - intravenous bisphosphonates, drug or alcohol abuse, as determined by the investigator. * Confirmed systolic blood pressure (BP) \>39 millimeter of mercury (mmHg) or \<89 mmHg, and diastolic BP \>89 mmHg or \<49 mmHg. * Twelve-lead ECG demonstrating measure of time between the start of the Q wave and the end of the T wave using Fridericia's formula in an electrocardiogram (QTcF) \>450 milliseconds (msec) at screening. If QTcF exceeds 450 msec, the ECG should be repeated 2 more times and the average of the 3 QTcF values should be used to determine the subject's eligibility. * Positive screen for drugs of abuse at screening or drugs of abuse or alcohol on Day -1. * Male subjects who consume more than 21 units of alcohol per week or 3 units per day. Female subjects who consume more than 14 units of alcohol per week or 2 units per day. (1 alcohol unit=1 beer or 1 wine (5 ounce (oz) per 150 milliliter (mL)) or 1 liquor (1.5oz/40 mL) or 0.75 oz alcohol). * Positive human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody screen. * Use of tobacco in any form (eg, smoking or chewing) or other nicotine-containing products in any form (eg, gum, patch). Ex-users must report that they have stopped using tobacco for at least 30 days prior to receiving the first dose of investigational product. * Routine consumption of more than 2 units of caffeine per day or subjects who experience caffeine withdrawal headaches. (1 caffeine unit is contained in the following items: one 6 oz (180 mL) cup of coffee, two 12 oz (360 mL) cans of cola, one 12 oz cup of tea, three 1 oz (85 g) chocolate bars. Decaffeinated coffee, tea, or cola are not considered to contain caffeine). * Prior screen failure, randomization, participation, or enrollment in this study or prior exposure to any exogenous PTH, PTH fragments or analogs. * Current use of any medication (including over-the-counter, herbal, or homeopathic preparations; with the exception of hormonal replacement therapy or hormonal contraceptives and occasional use of ibuprofen and acetaminophen). Current use is defined as use within 14 days of the first dose of investigational product. * History of abnormalities of calcium homeostasis including hyperparathyroidism, hypoparathyroidism, hyperthyroidism, osteoporosis, Cushing's syndrome, hypercalcemia, hypocalcemia, or any other calcium disorder.

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