A Study of JNJ-73763989 + Nucleos(t)Ide Analog in Participants Co-Infected With Hepatitis B and Hepatitis D Virus (REEF-D)

April 24, 2025 updated by: Janssen Research & Development, LLC

A Phase 2, Multicenter, Randomized, Double-blind, Placebo-Controlled Study With Deferred Active Treatment to Investigate the Efficacy, Safety, and Pharmacokinetics of JNJ-73763989 + Nucleos(t)Ide Analog in Participants Co-Infected With Hepatitis B and Hepatitis D Virus

The purpose of the study is to evaluate on-treatment efficacy against hepatitis D virus (HDV) of JNJ-73763989 + nucleos(t)ide analog (NA) regimen compared to NA alone.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

JNJ-73763989 is a liver-targeted antiviral therapeutic for subcutaneous injection designed to treat chronic hepatitis B virus (HBV) infection via ribonucleic acid interference mechanism. This phase 2 study is designed to evaluate safety and efficacy of JNJ-73763989 in HBV infected patients who are co-infected with HDV. The study consists of 2 parts: Part 1 will evaluate safety, tolerability and antiviral activity of JNJ-73763989 + NA while Part 2 will evaluate the safety and efficacy of the JNJ-73763989 + NA regimen in the treatment of HBV/HDV co-infection. Each part includes 3 phases: Screening phase (from 4 Week up to maximum of 8 weeks), Intervention phase (144 Week for Arm A and 148 Week for Arm B) and Follow-up phase (48 Week). The duration of individual study participation will be between 196 and 204 weeks. Safety and tolerability (including adverse events [AEs] and Serious AEs, laboratory assessments, electrocardiogram [ECG], vital signs, physical examination), efficacy (including HDV ribonucleic acid [RNA], HBV deoxyribonucleic acid [DNA] and antigens) , and pharmacokinetics will be assessed throughout the study.

Study Type

Interventional

Enrollment (Actual)

52

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Camperdown, Australia, 2050
        • Royal Prince Alfred Hospital
      • Footscray, Australia, 3011
        • Western Health
      • Westmead, Australia, 2145
        • Westmead Hospital
      • Boa Vista, Brazil, 69304015
        • Centro Oncológico de Roraima
      • Manaus, Brazil, 69040-000
        • Fundação de Medicina Tropical Doutor Heitor Vieira Dourado
      • Porto Velho, Brazil, 76812-329
        • Cepem - Centro de Pesquisa Em Medicina Tropical
      • Beijing, China, 100015
        • Beijing Ditan Hospital Capical Medical University
      • Beijing, China, 100044
        • Peking University People s Hospital
      • Changchun, China, 130021
        • The First Bethune Hospital of Jilin University
      • Chengdu, China, 610041
        • West China Hospital Sichuan University
      • Chongqing, China, 400010
        • The Second Affiliated Hospital of Chongqing Medical University
      • Guangzhou, China, 510515
        • Nanfang Hospital
      • Guangzhou, China, 510000
        • Guangzhou Eighth People's Hospital, Guangzhou Medical University
      • Hangzhou, China, 310003
        • The First Affiliated Hospital Zhejiang University College of Medicine
      • Shanghai, China, 200040
        • Huashan Hospital Fudan University
      • Clichy, France, 92110
        • Hôpital Beaujon
      • Lyon, France, 69004
        • Hopital de la croix rousse
      • Nantes, France, 44093
        • CHU de Nantes hotel Dieu
      • Paris, France, 75012
        • CHU Hôpital Saint Antoine
      • Rennes, France, 35033
        • Chu Rennes Hopital Pontchaillou
      • Essen, Germany, 45147
        • Universitätsklinikum Essen
      • Frankfurt, Germany, 60590
        • Universitätsklinikum Johann Wolfgang Goethe- Universität Frankfurt Medizinische Klinik 1
      • Hannover, Germany, 30625
        • Medizinische Hochschule Hannover
      • Milano, Italy, 20122
        • Irccs Ospedale Maggiore Di Milano
      • Pisa, Italy, 56124
        • Azienda Ospedaliero Universitaria Pisana
      • Rome, Italy, 00161
        • Universita degli Studi di Roma 'La Sapienza' - Umberto I Policlinico di Roma
      • Torino, Italy, 10126
        • Ospedale Molinette, AO Città della Salute e della Scienza di
      • Bunkyo Ku, Japan, 113 8519
        • Tokyo Medical and Dental University Hospital
      • Hiroshima, Japan, 730-8619
        • Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
      • Iizuka-shi, Japan, 820-8505
        • National Hospital Organization Shikoku Cancer Center
      • Ikeda, Japan, 563-8510
        • Ikeda City Hospital
      • Kumamoto, Japan, 860-8556
        • Kumamoto University Hospital
      • Kumamoto, Japan, 862 8655
        • Kumamoto Shinto General Hospital
      • Nagasaki, Japan, 852-8501
        • Nagasaki University Hospital
      • Nagasaki, Japan, 856-8562
        • National Hospital Organization Nagasaki Medical Center
      • Nakagami gun, Japan, 903-0215
        • University of the Ryukyus Hospital
      • Okinawa, Japan, 904-2195
        • Nakagami Hospital
      • Suita, Japan, 564-8567
        • Suita Municipal Hospital
      • Suita-shi, Japan, 565-0871
        • Osaka University Hospital
      • Sumida ku, Japan, 130 8575
        • Tokyo Metropolitan Bokutoh Hospital
      • Auckland, New Zealand, 1010
        • New Zealand Clinical Research
      • Krasnoyarsk, Russian Federation, 660049
        • Krasnoyarsk Regional Center For AIDS And Infectious Diseases Treatment And Prophylaxis
      • Saint Petersburg, Russian Federation, 190103
        • St. Petersburg City Center for AIDS and Infectious Diseases Treatment and Prophylaxis
      • Samara, Russian Federation, 443045
        • Medical Company Hepatolog Ltd
      • Barcelona, Spain, 8028
        • Hosp Clinic de Barcelona
      • Barcelona, Spain, 8035
        • Hosp Univ Vall D Hebron
      • Madrid, Spain, 28041
        • Hosp. Univ. 12 de Octubre
      • Santander, Spain, 39008
        • Hosp. Univ. Marques de Valdecilla
      • Danderyd, Sweden, 18288
        • Danderyds Sjukhus
      • Malmö, Sweden, 20502
        • Skanes universitetssjukhus
      • Stockholm, Sweden, 14186
        • Karolinska Universitetssjukhuset Huddinge
      • Kaohsiung, Taiwan, 80756
        • Kaohsiung Medical University Chung Ho Memorial Hospital
      • Taipei, Taiwan, 10002
        • National Taiwan University Hospital
      • Tiachung, Taiwan
        • China Medical University Hospital
      • Istanbul, Turkey, 34098
        • Istanbul University Cerrahpasa Medical Faculty
      • Izmir, Turkey, 35100
        • Ege University Medical of Faculty, Department of Gastroenterology
      • Kocaeli, Turkey, 41001
        • Kocaeli University Medical Faculty
      • Trabzon, Turkey, 61080
        • Karadeniz Teknik University Medical Faculty
      • London, United Kingdom, SE5 9RF
        • Kings College Hospital
    • California
      • Redwood City, California, United States, 94063
        • Stanford University School of Medicine
    • Massachusetts
      • Boston, Massachusetts, United States, 02114
        • Harvard Medical School Massachusetts General Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Medically stable based on physical examination, medical history, vital signs, electrocardiogram (ECG) at screening
  • Chronic hepatitis B virus (HBV) and hepatitis D virus (HDV) co-infection with documentation at least 6 months prior to screening
  • For Part 1: hepatitis D RNA (HDV RNA) greater than or equal to (>=) 1000 international units per milliliter (IU/mL) at screening. For Part 2: must have HDV RNA values >= 500 IU/mL, and must have hepatitis B surface antigen (HBsAg) values less than or equal to (<=) 10000 IU/mL at screening or HDV RNA values at screening are <= 100000 IU/mL
  • Alanine aminotransferase (ALT) greater than upper limit normal (ULN) but less than 10 times (ULN)
  • Body mass index (BMI) between 18.0 and 35.0 kilogram per meter square (kg/m^2), extremes included
  • Highly effective contraceptive measures in place for female participants of childbearing potential or male participants with female partners of childbearing potential
  • Non-cirrhotic participants and participants with compensated cirrhosis (Child Pugh class A) at screening (Part 1) and participants must have absence of cirrhosis and platelet count of >= 140000 per deciliter (dL) for enrollment into Part-2

Exclusion Criteria:

  • Evidence of infection with hepatitis A, C, or E virus infection or evidence of human immunodeficiency, virus type 1 (HIV-1) or HIV-2 infection at screening
  • History or evidence of clinical signs/symptoms of hepatic decompensation including but not limited to: portal hypertension, ascites, hepatic encephalopathy, esophageal varices or any laboratory abnormalities indicating a reduced liver function as defined in the protocol
  • Evidence of liver disease of non-HBV/HDV etiology
  • Signs of hepatocellular carcinoma (HCC)
  • Significant laboratory abnormalities as defined in the protocol at screening
  • Participants with a history of malignancy within 5 years before screening
  • Abnormal sinus rhythm or ECG parameters at screening as defined in the protocol
  • History of or current cardiac arrhythmia or history or clinical evidence of significant or unstable cardiac disease
  • Participants with any current or previous illness for which, in the opinion of the investigator and/or sponsor, participation would not be in the best interest of the participant
  • History of or current clinically significant skin disease or drug rash
  • Participants with known allergies, hypersensitivity, or intolerance to JNJ-3989 or its excipients or excipients of the placebo content
  • Contraindications to the use of entecavir (ETV), tenofovir disoproxil, or tenofovir alafenamide (TAF) per local prescribing information
  • Participants who have taken any therapies disallowed per protocol
  • Female participants who are pregnant, or breast-feeding, or planning to become pregnant while enrolled in this study or within 90 days after the last dose of study intervention
  • Male participants who plan to father a child while enrolled
  • Participants who had or planned major surgery, (example, requiring general anesthesia) or who have received an organ transplant
  • Vulnerable participants (example, incarcerated individuals, individuals under a legal protection measure)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Immediate Active Treatment arm: JNJ-73763989 + NA
Participants will receive JNJ-73763989 subcutaneous (SC) injection every 4 weeks (Q4W) along with NA (entecavir [ETV], tenofovir disoproxil, or tenofovir alafenamide [TAF]) once daily for 144 Weeks in Part 1 and for at least 96 weeks in Part 2.
Tenofovir disoproxil film-coated tablet will be administered orally.
JNJ-73763989 will be administered as a SC injection.
Other Names:
  • JNJ-3989
ETV monohydrate film coated tablet will be administered orally.
TAF film coated tablet will be administered orally.
Placebo Comparator: Deferred Active Treatment arm: Placebo+NA+JNJ-73763989+NA
Participants will receive matching placebo to JNJ-73763989 SC injection Q4W along with NA (ETV, tenofovir disoproxil, or TAF) once daily for 52 Weeks followed by JNJ-73763989 SC injection Q4W along with NA once daily for 96 weeks in Part 1 and for at least 48 weeks in Part 2.
Tenofovir disoproxil film-coated tablet will be administered orally.
JNJ-73763989 will be administered as a SC injection.
Other Names:
  • JNJ-3989
ETV monohydrate film coated tablet will be administered orally.
TAF film coated tablet will be administered orally.
Matching placebo to JNJ-73763989 will be administered as a SC injection.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Double-blind: Part 1: Percentage of Participants With HDV Ribonucleic Acid (RNA) >=2 log10 IU/mL Decline From Baseline or HDV RNA Target Not Detected (TND) in Combination With Normal Alanine Aminotransferase (ALT) at Week 48 (Multiple Imputation Approach)
Time Frame: At Week 48
Percentage of participants with HDV RNA greater than or equal to (>=) 2 log10 International Units Per Milliliter (IU/mL) decline from baseline or HDV RNA TND in combination with normal ALT at Week 48 using multiple imputation approach was reported. Target not detected (TND) was defined as no traces of HBV RNA were detected/found. Normal ALT was defined as ALT less than (<) upper limit of normal (ULN) with ULN = 34 units per liter (U/L) for female and 43 U/L for male. The baseline assessment was defined as the last observed non-missing measurement before the date and time of the first administration of any of study intervention on Day 1. The multiple imputation approach was derived using a longitudinal multiple regression model to impute missing data.
At Week 48
Double-blind: Part 2: Percentage of Participants With HDV RNA >=2 log10 IU/mL Decline From Baseline or HDV RNA TND in Combination With ALT at Week 48 (Multiple Imputation Approach)
Time Frame: At Week 48
Percentage of participants with HDV RNA >=2 log10 IU/mL decline from baseline or HDV RNA TND in combination with normal ALT at Week 48 using multiple imputation approach was reported. TND was defined as no traces of HBV RNA were detected/found. Normal ALT was defined as ALT <ULN with ULN = 34 U/L for female and 43 U/L for male. The baseline assessment was defined as the last observed non-missing measurement before the date and time of the first administration of any of study intervention on Day 1. The multiple imputation approach was derived using a longitudinal multiple regression model to impute missing data.
At Week 48

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percentage of Participants with HDV RNA >=2 log10 IU/mL Decline From Baseline or HDV RNA TND at Week 48
Time Frame: Week 48
Percentage of participants with HDV RNA >=2 log10 IU/mL decline from baseline or HDV RNA TND at Week 48 will be reported.
Week 48
Percentage of Participants With Normal ALT at Week 48
Time Frame: Week 48
Percentage of participants with normal ALT at Week 48 will be reported.
Week 48
Percentage of Participants with HBsAg Seroclearance at Week 48
Time Frame: Week 48
Percentage of participants with hepatitis B s antigen (HBsAg) seroclearance at Week 48 will be reported.
Week 48
Percentage of Participants with >=2 kPa Reduction From Baseline in LSM assessed by VCTE (FibroScan) at Week 48
Time Frame: Week 48
Percentage of participants with >=2 kilopascal (kPa) reduction from baseline in liver stiffness measurement (LSM) assessed by vibration-controlled transient elastography (VCTE) (FibroScan) at Week 48 will be reported.
Week 48
Percentage of Participants with HDV RNA >=2 log10 IU/mL Decline From Baseline or HDV RNA TND in Combination with Normal ALT
Time Frame: Baseline up to Week 196
Percentage of participants with HDV RNA >=2 log10 IU/mL decline from baseline or HDV RNA TND in combination with normal ALT will be reported.
Baseline up to Week 196
Percentage of Participants with HDV RNA >=2 log10 IU/mL Decline From Baseline in Combination with Normal ALT
Time Frame: Up to Week 196
Percentage of participants with HDV RNA >=2 log10 IU/mL decline from baseline in combination with normal ALT will be reported.
Up to Week 196
Percentage of Participants with HDV RNA TND in Combination with Normal ALT
Time Frame: Up to Week 196
Percentage of participants with HDV RNA TND in combination with normal ALT will be reported.
Up to Week 196
Percentage of Participants with HDV RNA >=2 log10 IU/mL Decline From Baseline or HDV RNA TND
Time Frame: Up to Week 196
Percentage of participants with HDV RNA >=2 log10 IU/mL decline from baseline or HDV RNA TND will be reported.
Up to Week 196
Percentage of Participants with HDV RNA >=2 log10 IU/mL Decline From Baseline
Time Frame: Up to Week 196
Percentage of participants with HDV RNA >=2 log10 IU/mL decline from baseline will be reported.
Up to Week 196
Percentage of Participants with HDV RNA TND
Time Frame: Up to Week 196
Percentage of participants with HDV RNA TND will be reported.
Up to Week 196
Percentage of Participants with Normal ALT
Time Frame: Up to Week 196
Percentage of participants with normal ALT will be reported.
Up to Week 196
Time to Reach HDV RNA >=2 log10 IU/mL Decline or HDV RNA TND
Time Frame: Up to Week 196
Time to reach HDV RNA >=2 log10 IU/mL decline or HDV RNA TND will be reported.
Up to Week 196
Change from Baseline in HDV RNA
Time Frame: Baseline and up to Week 196
Change from baseline in HDV RNA will be reported.
Baseline and up to Week 196
Changes from Baseline in ALT
Time Frame: Baseline and up to Week 196
Changes from baseline in ALT will be reported.
Baseline and up to Week 196
Percentage of Participants with Adverse Events (AEs) and Serious AEs
Time Frame: From screening up to Week 196
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
From screening up to Week 196
Percentage of Participants with Abnormalities in Laboratory Parameters
Time Frame: From screening up to Week 196
Percentage of participants with abnormalities in laboratory parameters (hematology, blood biochemistry, blood coagulation, urinalysis, urine chemistry, and renal biomarkers) will be reported.
From screening up to Week 196
Percentage of Participants with Abnormalities in 12-lead Electrocardiogram (ECGs)
Time Frame: From screening up to Week 196
Percentage of participants with abnormalities in 12-lead electrocardiogram (ECGs) will be reported.
From screening up to Week 196
Percentage of Participants with Abnormalities in Vital Signs
Time Frame: From screening up to Week 196
Percentage of participants with abnormalities in vital signs (systolic and diastolic blood pressure, pulse rate, and body temperature) will be reported.
From screening up to Week 196
Percentage of Participants with Abnormalities in Physical Examination
Time Frame: From screening up to Week 196
Percentage of participants with abnormalities in physical examination will be reported.
From screening up to Week 196
Percentage of Participants with HBsAg Seroclearance and/or Seroconversion
Time Frame: Up to Week 196
Percentage of participants with HBsAg seroclearance and/or seroconversion will be reported.
Up to Week 196
Change from Baseline Over Time in HBsAg
Time Frame: Baseline and up to Week 196
Change from baseline over time in HBsAg will be reported.
Baseline and up to Week 196
Change from Baseline Over Time in HBeAg
Time Frame: Baseline and up to Week 196
Change from baseline over time in HBeAg will be reported.
Baseline and up to Week 196
Change from Baseline Over Time in HBV DNA
Time Frame: Baseline and up to Week 196
Change from baseline over time in HBV DNA will be reported.
Baseline and up to Week 196
Percentage of Participants with HBsAg levels below/above different cut-offs
Time Frame: Up to Week 196
Percentage of participants with HBsAg levels below/above different cut-offs will be reported.
Up to Week 196
Percentage of Participants with HBeAg levels below/above different cut-offs
Time Frame: Up to Week 196
Percentage of participants with HBeAg levels below/above different cut-offs will be reported.
Up to Week 196
Percentage of Participants with HBV DNA levels below/above different cut-offs
Time Frame: Up to Week 196
Percentage of participants with HBV DNA levels below/above different cut-offs will be reported.
Up to Week 196
Percentage of Participants with HBsAg Change From Baseline Below/Above Different Cut-offs
Time Frame: Baseline and up to Week 196
Percentage of participants with HBsAg change from baseline below/above different cut-offs will be reported.
Baseline and up to Week 196
Percentage of Participants with HBeAg Change From Baseline Below/Above Different Cut-offs
Time Frame: Baseline and up to Week 196
Percentage of participants with HBeAg change from baseline below/above different cut-offs will be reported.
Baseline and up to Week 196
Percentage of Participants with HBV DNA Change From Baseline Below/Above Different Cut-offs
Time Frame: Baseline and up to Week 196
Percentage of participants with HBV DNA change from baseline below/above different cut-offs will be reported.
Baseline and up to Week 196
Time to Reach Efficacy Thresholds such as HBsAg <1 IU/mL
Time Frame: Up to Week 196
Time to reach efficacy thresholds such as HBsAg <1 IU/mL will be reported.
Up to Week 196
Percentage of Participants with HBV DNA Virologic Breakthrough
Time Frame: Up to Week 196
Percentage of participants with virologic breakthrough (defined as confirmed on-treatment HBV DNA increase by greater than [>] 1 log10 IU/mL from nadir level or confirmed on treatment level >200 IU/mL in participants who had HBV DNA level below < lower limit of quantification [LLOQ] of the HBV DNA assay) will be reported.
Up to Week 196
Percentage of Participants with >=2 kPa Reduction from Baseline in LSM Assessed by VCTE (FibroScan)
Time Frame: Up to Week 196
Percentage of participants with >=2 kPa reduction from baseline in LSM assessed by VCTE (FibroScan) will be reported.
Up to Week 196
Change from Baseline in LSM Over Time Assessed by VCTE (FibroScan)
Time Frame: Baseline and up to Week 196
Change from baseline in LSM over time assessed by VCTE (FibroScan) will be reported.
Baseline and up to Week 196
Percentage of Participants with Sustained HDV Response Off-treatment Post end of JNJ-73763989 Treatment
Time Frame: Up to Week 196
Percentage of participants with sustained HDV response off-treatment post end of JNJ-73763989 treatment will be reported.
Up to Week 196
Percentage of Participants with HDV Relapse Post End of JNJ 73763989 Treatment
Time Frame: Up to Week 196
Percentage of participants with HDV relapse post end of JNJ 73763989 treatment will be reported.
Up to Week 196
Percentage of Participants with Sustained HBV Response Off-Treatment Post End of JNJ-73763989 Treatment.
Time Frame: Up to Week 196
Percentage of participants with sustained HBV response off-treatment post end of JNJ-73763989 treatment will be reported.
Up to Week 196
Percentage of Participants with HBV Flare (Virologic, Biochemical, and Clinical) Post End of Treatment
Time Frame: Up to Week 196
Percentage of participants with HBV flare (virologic, biochemical, and clinical) post end of treatment will be reported.
Up to Week 196

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 17, 2020

Primary Completion (Actual)

October 19, 2023

Study Completion (Actual)

March 5, 2025

Study Registration Dates

First Submitted

August 28, 2020

First Submitted That Met QC Criteria

September 1, 2020

First Posted (Actual)

September 2, 2020

Study Record Updates

Last Update Posted (Actual)

April 25, 2025

Last Update Submitted That Met QC Criteria

April 24, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • CR108868
  • 2020-001249-37 (EudraCT Number)
  • 73763989HPB2004 (Other Identifier: Janssen Research & Development, LLC)
  • 2023-506763-33-00 (Registry Identifier: EUCT number)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at www.janssen.com/clinical-trials/transparency.

As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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