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Trial Title: Phase 3 Study of T-DXd and Rilvegostomig Versus SoC in Advanced HER2-expressing Biliary Tract Cancer

NCT ID: NCT06467357

Condition: Biliary Tract Cancer

Conditions: Official terms:
Biliary Tract Neoplasms
Gemcitabine
Trastuzumab
Durvalumab
Trastuzumab deruxtecan

Conditions: Keywords:
Biliary Tract Cancer
HER2
HER2 expressing BTC
Trastuzumab deruxtecan
T-DXd
Rilvegostomig

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Masking description: This is an open-label, Sponsor-blinded study. To maintain the integrity of the study, Sponsor personnel directly involved in study conduct will not undertake or have access to efficacy data aggregated by treatment group prior to final data readout for the primary endpoint.

Intervention:

Intervention type: Drug
Intervention name: Gemcitabine
Description: Standard of care chemotherapy by intravenous infusion
Arm group label: Standard of Care

Intervention type: Drug
Intervention name: Cisplatin
Description: Standard of care chemotherapy by intravenous infusion
Arm group label: Standard of Care

Intervention type: Drug
Intervention name: Durvalumab
Description: Standard of care immunotherapy by intravenous infusion
Arm group label: Standard of Care

Intervention type: Drug
Intervention name: Trastuzumab deruxtecan
Description: Experimental therapy by intravenous infusion
Arm group label: Trastuzumab deruxtecan
Arm group label: Trastuzumab deruxtecan + rilvegostomig

Other name: DS-8201a; T-DXd

Intervention type: Drug
Intervention name: Rilvegostomig
Description: Experimental therapy by intravenous infusion
Arm group label: Trastuzumab deruxtecan + rilvegostomig

Intervention type: Diagnostic Test
Intervention name: Agilent HercepTest™ mAb pharmDx
Description: A semi-quantitative immunohistochemical assay to determine HER2 overexpression in FFPE breast cancer tissues routinely processed for histological evaluation. Based on a primary monoclonal rabbit antibody which visualises Her2 overexpression utilising a fully automated IHC platform (Dako Omnis).
Arm group label: Standard of Care
Arm group label: Trastuzumab deruxtecan
Arm group label: Trastuzumab deruxtecan + rilvegostomig

Intervention type: Diagnostic Test
Intervention name: Ventana PD-L1 SP263 assay
Description: A qualitative immunohistochemical assay to determine the level of PD-L1 expression in FFPE non-small cell lung cancer (NSCLC) tissues routinely processed for histological evaluation. Based on a rabbit monoclonal anti-PD-L1 clone SP263 which visualises PD-L1 protein using a VENTANA BenchMark ULTRA instrument
Arm group label: Standard of Care
Arm group label: Trastuzumab deruxtecan
Arm group label: Trastuzumab deruxtecan + rilvegostomig

Summary: The purpose of this study is to measure the efficacy and safety of T-DXd with rilvegostomig or T-DXd monotherapy compared with gemcitabine plus cisplatin and durvalumab in patients with advanced treatment naïve HER2-expressing BTC.

Criteria for eligibility:
Criteria:
Key Inclusion Criteria: - Participants must be ≥ 18 years of age at the time of screening. Other age restrictions may apply as per local regulations; - Male and female; - Unresectable, previously untreated, locally advanced or metastatic BTC. Prior treatment in the perioperative and/or adjuvant setting is permissible provided there is > 6 months (180 days) between the end of adjuvant treatment and the diagnosis of locally advanced or metastatic disease. - histologically confirmed HER2-expressing (IHC 3+ or IHC 2+) BTC; - Provision of FFPE tumor sample that is no older than 3 years; - At least one target lesion assessed by the Investigator based on RECIST v1.1 (randomized portion only); - WHO/ECOG performance status of 0 or 1; - Adequate organ and bone marrow function within 14 days before randomization; - Evidence of post-menopausal status or negative serum pregnancy test for females of childbearing potential; Key Exclusion Criteria: - Prior exposure to other HER2 targeting therapies, ADCs, immune checkpoint inhibitors and therapeutic anticancer vaccines; - histologically confirmed ampullary carcinoma; - history of substance abuse or any other medical conditions such as clinically significant cardiac or psychological conditions; - spinal cord compression or clinically active central nervous system metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms; - medical history of myocardial infarction within 6 months before randomization/enrollment, symptomatic congestive heart failure (New York Heart Association Class II to IV), unstable angina pectoris, clinically important cardiac arrhythmias, or a recent (< 6 months) cardiovascular event including stroke; - Serious chronic gastrointestinal conditions associated with diarrhea (eg, active inflammatory bowel disease); active non-infectious skin disease (including any grade rash, urticaria, dermatitis, ulceration, or psoriasis) requiring systemic treatment; - active autoimmune, connective tissue or inflammatory disorders that has required systemic treatment in the past 2 years, or where there is documented, or a suspicion of pulmonary involvement at the time of screening; - Corrected QT interval (QTcF) prolongation to > 470 msec (females) or > 450 msec (males) based on average of the screening triplicate 12-lead ECG; - History of (non-infectious) ILD/pneumonitis, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening; - Lung-specific intercurrent clinically significant illnesses including, but not limited to, any underlying pulmonary disorder; - Prior pneumonectomy (complete); - Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals; - Active primary immunodeficiency, known uncontrolled active HIV infection or HCV; - Pregnant or breastfeeding female patients, or patients who are planning to become pregnant; - Participation in another clinical study with a study intervention or investigational medicinal device administered in the last 6 months prior to randomization, or concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study (only randomized portion).

Gender: All

Minimum age: 18 Years

Maximum age: 99 Years

Healthy volunteers: No

Locations:

Facility:
Name: Research Site

Address:
City: Scottsdale
Zip: 85259
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Tucson
Zip: 85710
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Fullerton
Zip: 92835
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Glendale
Zip: 91204
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: La Jolla
Zip: 92093
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Los Angeles
Zip: 90033
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: San Francisco
Zip: 94143
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Fort Myers
Zip: 33901
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Jacksonville
Zip: 32224
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Saint Petersburg
Zip: 33705
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: West Palm Beach
Zip: 33401
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Atlanta
Zip: 30309
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Niles
Zip: 60714
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Detroit
Zip: 48202
Country: United States

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Grand Rapids
Zip: 49503
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Rochester
Zip: 55905
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Saint Louis
Zip: 63110
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Albuquerque
Zip: 87102
Country: United States

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: New York
Zip: 10032
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Greenville
Zip: 29605
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Nashville
Zip: 37203
Country: United States

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Dallas
Zip: 75246
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Fort Worth
Zip: 76104
Country: United States

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Houston
Zip: 77030
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Clayton
Zip: 3168
Country: Australia

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Nedlands
Zip: 6009
Country: Australia

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Linz
Zip: 4010
Country: Austria

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Salzburg
Zip: 5020
Country: Austria

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Wiener Neustadt
Zip: 2700
Country: Austria

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Wien
Zip: 1090
Country: Austria

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Anderlecht
Zip: 1070
Country: Belgium

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Edegem
Zip: 2650
Country: Belgium

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Leuven
Zip: 3000
Country: Belgium

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Liège
Zip: 4000
Country: Belgium

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Roeselare
Zip: 8800
Country: Belgium

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Natal
Zip: 59012-300
Country: Brazil

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Porto Alegre
Zip: 90035-000
Country: Brazil

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Porto Alegre
Zip: 91350-200
Country: Brazil

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Sao Paulo
Zip: 01246-000
Country: Brazil

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Sao Paulo
Zip: 05652-9000
Country: Brazil

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Vitória
Zip: 29043-272
Country: Brazil

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Edmonton
Zip: T6G 1Z2
Country: Canada

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Halifax
Zip: B3H 1V7
Country: Canada

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Brampton
Zip: L6R 3J7
Country: Canada

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Toronto
Zip: M5G 2M9
Country: Canada

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Montreal
Zip: H3A 1A1
Country: Canada

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Beijing
Zip: 100021
Country: China

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Beijing
Zip: 100142
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Beijing
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Bengbu
Zip: 233060
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Changsha
Zip: 410013
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Chengdu
Zip: 610041
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Fuzhou
Zip: 350005
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Guangzhou
Zip: 510080
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Guangzhou
Zip: 510515
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hangzhou
Zip: 310016
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Harbin
Zip: 150081
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hefei
Zip: 230001
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hefei
Zip: 230601
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Nantong
Zip: 226001
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Shandong
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Shanghai
Zip: 200001
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Shanghai
Zip: 201114
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Shenyang
Zip: 110004
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Xi'an
Zip: 710061
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Zhengzhou
Zip: 450008
Country: China

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Brno
Zip: 625 00
Country: Czechia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Brno
Zip: 656 53
Country: Czechia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hradec Kralove
Zip: 500 05
Country: Czechia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Olomouc
Zip: 77900
Country: Czechia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Praha 10
Zip: 100 34
Country: Czechia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Praha 5
Zip: 150 06
Country: Czechia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Berlin
Zip: 13353
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Dresden
Zip: 01370
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Frankfurt
Zip: 60488
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Freiburg
Zip: 79106
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Göttingen
Zip: 37075
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hamburg
Zip: 22763
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Köln
Zip: 50937
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Leipzig
Zip: 4103
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Lübeck
Zip: 23538
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Munchen
Zip: 81377, DE
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Ulm
Zip: 89081
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Wuerzburg
Zip: 97080
Country: Germany

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Firenze
Zip: 50134
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Milano
Zip: 20132
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Milano
Zip: 20162
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Naples
Zip: 80131
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Napoli
Zip: 80128
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Padova
Zip: 35128
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Roma
Zip: 00133
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Rozzano
Zip: 20089
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Tricase
Zip: 73039
Country: Italy

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Kashiwa
Zip: 227-8577
Country: Japan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Koto-ku
Zip: 135-8550
Country: Japan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Osaka-shi
Zip: 541-8567
Country: Japan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Suita-city
Zip: 565-0871
Country: Japan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Yokohama-shi
Zip: 241-8515
Country: Japan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Seoul
Zip: 120-752
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Research Site

Address:
City: George Town
Zip: 10990
Country: Malaysia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Johor Bahru
Zip: 81100
Country: Malaysia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Kuala Lumpur
Zip: 50586
Country: Malaysia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Kuala Lumpur
Zip: 59100
Country: Malaysia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Kuching
Zip: 93586
Country: Malaysia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Rotterdam
Zip: 3015 GD
Country: Netherlands

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Makati
Zip: 1229
Country: Philippines

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Pasig City
Zip: 1605
Country: Philippines

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Quezon City
Zip: 1112
Country: Philippines

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Białystok
Zip: 15-027
Country: Poland

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Katowice
Zip: 40-514
Country: Poland

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Kraków
Zip: 31-501
Country: Poland

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Lublin
Zip: 20-081
Country: Poland

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Warszawa
Zip: 02-034
Country: Poland

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Wrocław
Zip: 50-556
Country: Poland

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Ar Riyāḑ
Zip: 11426
Country: Saudi Arabia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Dammam
Zip: 31444
Country: Saudi Arabia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Riyadh
Zip: 11525
Country: Saudi Arabia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Riyadh
Zip: 12713
Country: Saudi Arabia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Banska Bystrica
Zip: 974 01
Country: Slovakia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Bratislava
Zip: 833 10
Country: Slovakia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Kosice
Zip: 041 91
Country: Slovakia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Martin
Zip: 036 59
Country: Slovakia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Trnava
Zip: 917 75
Country: Slovakia

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Barcelona
Zip: 08035
Country: Spain

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Madrid
Zip: 28007
Country: Spain

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Madrid
Zip: 28040
Country: Spain

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Madrid
Zip: 28041
Country: Spain

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Málaga
Zip: 29010
Country: Spain

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Kaohsiung
Zip: 833
Country: Taiwan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Taipei
Zip: 10002
Country: Taiwan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Taipei
Zip: 112
Country: Taiwan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Taoyuan
Zip: 333
Country: Taiwan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Bangkok
Zip: 10400
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hat Yai
Zip: 90110
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Khon Kaen
Zip: 40002
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Muang
Zip: 50200
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Mueang
Zip: 47000
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Naimuang
Zip: 30000
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Ongkharak
Zip: 26120
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Sisaket
Zip: 33000
Country: Thailand

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hanoi
Zip: 100000
Country: Vietnam

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Ho Chi Minh
Zip: 700000
Country: Vietnam

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Vinh
Zip: 460000
Country: Vietnam

Status: Not yet recruiting

Start date: August 12, 2024

Completion date: May 16, 2029

Lead sponsor:
Agency: AstraZeneca
Agency class: Industry

Source: AstraZeneca

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06467357

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