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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00117182
Registration number
NCT00117182
Ethics application status
Date submitted
30/06/2005
Date registered
4/07/2005
Date last updated
20/04/2016
Titles & IDs
Public title
Aridol Challenge as a Tool to Predict Treatment Response to Inhaled Corticosteroids in COPD
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Scientific title
A Phase II Study to Investigate Mannitol Challenge as a Tool to Predict Treatment Response to Inhaled Corticosteroids in COPD
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Secondary ID [1]
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DPM-COPD-201
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lung Diseases, Obstructive
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Forced expiratory volume in one second (FEV1)
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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Response dose ratio (RDR)
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Dose of provoking stimulus causing a 15%, 12% or 10% fall in FEV1 (PD15, PD12, PD10)
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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Lung function values
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Assessment method [3]
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Timepoint [3]
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Secondary outcome [4]
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Quality of life assessed by St. George's Respiratory Questionnaire (SGRQ)- total score
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Assessment method [4]
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Timepoint [4]
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Secondary outcome [5]
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COPD clinical control scores (CCQ)
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Assessment method [5]
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Timepoint [5]
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Secondary outcome [6]
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Exacerbation frequency
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Assessment method [6]
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Timepoint [6]
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Secondary outcome [7]
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Days on antibiotics
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Assessment method [7]
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Timepoint [7]
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Secondary outcome [8]
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Days off work or days unable to carry out normal activities
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Assessment method [8]
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Timepoint [8]
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Secondary outcome [9]
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Reversibility of airflow obstruction
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Assessment method [9]
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Timepoint [9]
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Eligibility
Key inclusion criteria
* Diagnosis of COPD (history, spirometry, symptoms including chronic cough and/or shortness of breath that is worse on exertion and/or excess sputum production)
* Aged 45 - 80 years
* Have pre-bronchodilator FEV1 > 1.4 litres and at least 60% of predicted for height, age and gender and a post-bronchodilator FEV1 <80% of predicted for height, age and gender
* Post-bronchodilator FEV1/FVC < 70 %
* = 10 pack years smoking history
* As determined by the investigator, are capable and willing to:
* perform all of the techniques necessary to measure lung function;
* administer the dry powder mannitol.
* Are capable of, and have given informed consent to, participating in this study in accordance with local regulations.
* The subject must be in stable clinical condition at the time of, and for a period of 14 days prior to, their recruitment into the study. Stable clinical condition is defined as lack of:
* change in sputum production (volume, colour, consistency);
* increased cough;
* worsening dyspnoea;
* increased malaise, fatigue or lethargy;
* reduction in exercise tolerance;
* fever;
* antibiotic treatment (for respiratory infection).
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Minimum age
45
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Investigators, site personnel directly affiliated with this study, and their immediate families. Immediate family is defined as a spouse, parent, child or sibling, whether biologically or legally adopted.
* Subjects receiving treatment with inhaled corticosteroids (including combination therapies, e.g. Seretide®, Symbicort®) or oral corticosteroids within the last 6 weeks.
* Subjects who have had an exacerbation or a chest infection within the 2 weeks prior to the study.
* Subjects receiving antibiotic treatment for respiratory infection.
* Known diagnosis of asthma or allergic rhinitis.
* Myocardial infarction in the six months prior to enrolment.
* Cerebral vascular accident in the six months prior to enrolment.
* Ocular surgery in the three months prior to enrolment.
* Abdominal surgery in the three months prior to enrolment.
* Active tuberculosis (TB).
* Lung cancer or any other malignancies, which are considered by the investigator as a contraindication to participating in the study.
* Lung disease other than COPD (e.g. bronchiectasis).
* Uncontrolled insulin-dependant or non-insulin dependant diabetes, i.e. >10% HbA1c.
* Female subjects of reproductive capability, not using a reliable form of contraception
* Inability to obtain informed consent from the subject or subject's authorised representative.
* Subjects who have participated in another investigative drug study parallel to, or within 4 weeks of, study entry.
* Known intolerance to mannitol.
* Uncontrolled hypertension - systolic blood pressure (BP) > 200 mmHg and or diastolic BP > 100 mmHg.
* Planned pulmonary rehabilitation.
* Have had major abdominal, chest or brain surgery in the three months prior to enrolment.
* Have known cerebral, aortic or abdominal aneurysm.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Respiratory Clinic - Sydney
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Recruitment hospital [2]
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Peninsula Medical Centre - Umina
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Recruitment hospital [3]
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Wesley Medical Centre - Auchenflower
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Recruitment hospital [4]
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Brisbane South Clinical Clinical Research Centre - Brisbane
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Recruitment hospital [5]
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Inala Health Centre - PO BOx 52, Inala
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Recruitment hospital [6]
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Flinders University - Bedford Park
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Recruitment hospital [7]
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Respiratory Research Foundation Clinical Trial Centre - Toorak Gardens
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Recruitment hospital [8]
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Peninsula Chest Clinic - Frankston
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Recruitment hospital [9]
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The rooms of Dr Chris Steinfort - Geelong
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Recruitment hospital [10]
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The Alfred Hospital - Melbourne
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Recruitment hospital [11]
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Rosebud Medical Centre - Rosebud
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Recruitment hospital [12]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment hospital [13]
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Mount Medical Centre - Perth
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Recruitment postcode(s) [1]
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2200 - Sydney
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Recruitment postcode(s) [2]
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2257 - Umina
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Recruitment postcode(s) [3]
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4066 - Auchenflower
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Recruitment postcode(s) [4]
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4152 - Brisbane
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Recruitment postcode(s) [5]
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4077 - PO BOx 52, Inala
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Recruitment postcode(s) [6]
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5042 - Bedford Park
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Recruitment postcode(s) [7]
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5056 - Toorak Gardens
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Recruitment postcode(s) [8]
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3199 - Frankston
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Recruitment postcode(s) [9]
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3220 - Geelong
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Recruitment postcode(s) [10]
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3004 - Melbourne
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Recruitment postcode(s) [11]
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3939 - Rosebud
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Recruitment postcode(s) [12]
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6009 - Nedlands
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Recruitment postcode(s) [13]
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6005 - Perth
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Syntara
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine whether the Aridol (mannitol) challenge test can predict response to treatment with inhaled corticosteroids in COPD subjects. Subjects will undergo an Aridol test and then 3 months of treatment with inhaled corticosteroids. The effect on lung function and quality of life will then be measured and correlated with the Aridol test result.
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Trial website
https://clinicaltrials.gov/study/NCT00117182
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Trial related presentations / publications
Anderson SD, Brannan J, Spring J, Spalding N, Rodwell LT, Chan K, Gonda I, Walsh A, Clark AR. A new method for bronchial-provocation testing in asthmatic subjects using a dry powder of mannitol. Am J Respir Crit Care Med. 1997 Sep;156(3 Pt 1):758-65. doi: 10.1164/ajrccm.156.3.9701113. Brannan JD, Koskela H, Anderson SD, Chan HK. Budesonide reduces sensitivity and reactivity to inhaled mannitol in asthmatic subjects. Respirology. 2002 Mar;7(1):37-44. doi: 10.1046/j.1440-1843.2002.00357.x. Burge PS, Calverley PM, Jones PW, Spencer S, Anderson JA. Prednisolone response in patients with chronic obstructive pulmonary disease: results from the ISOLDE study. Thorax. 2003 Aug;58(8):654-8. doi: 10.1136/thorax.58.8.654. Koskela HO, Hyvarinen L, Brannan JD, Chan HK, Anderson SD. Sensitivity and validity of three bronchial provocation tests to demonstrate the effect of inhaled corticosteroids in asthma. Chest. 2003 Oct;124(4):1341-9. doi: 10.1378/chest.124.4.1341. Leuppi JD, Tandjung R, Anderson SD, Stolz D, Brutsche MH, Bingisser R, Perruchoud AP, Surber C, Knoblauch A, Andersson M, Greiff L, Chan HK, Tamm M. Prediction of treatment-response to inhaled corticosteroids by mannitol-challenge test in COPD. A proof of concept. Pulm Pharmacol Ther. 2005;18(2):83-8. doi: 10.1016/j.pupt.2004.10.005. Epub 2004 Dec 21.
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Public notes
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Contacts
Principal investigator
Name
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Alvin Ing, MBBS
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Address
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Bankstown Hospital
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00117182
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