A Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of RO7268489 as Add-on Therapy to Ocrelizumab, in Participants With Progressive Forms of Multiple Sclerosis (MS) (Mintaka)
A Multi-center, Double-blind, Placebo-controlled, Phase II Study Evaluating the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of RO7268489, a Monoacylglycerol Lipase Inhibitor, as Add-on Therapy to Ocrelizumab, in Participants With Progressive Forms of Multiple Sclerosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Reference Study ID Number: BP46016 https://forpatients.roche.com/
- Phone Number: 888-662-6728 (U.S. Only)
- Email: global-roche-genentech-trials@gene.com
Study Contact Backup
- Name: Fastest response: use the inquiry form. No email attachments. https://www.gene.com/contact-us/submit-medical-inquiry
Study Locations
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New South Wales
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Camperdown, New South Wales, Australia, 2050
- Recruiting
- Brain and Mind Centre
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Kogarah, New South Wales, Australia, 2217
- Recruiting
- Southern Neurology
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New Lambton Heights, New South Wales, Australia, 2305
- Recruiting
- John Hunter Hospital
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Victoria
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Box Hill, Victoria, Australia, 3128
- Recruiting
- Box Hill Hospital
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Heidelberg, Victoria, Australia, 3084
- Recruiting
- Austin Health
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Bron, France, 69500
- Recruiting
- Hopital Neurologique Pierre Wertheimer
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Paris, France, 75013
- Recruiting
- Groupe Hospitalier Pitie-Salpetriere
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Rennes, France, 35033
- Recruiting
- CHU Rennes - Hôpital Pontchaillou
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Bas Rhin
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Strasbourg, Bas Rhin, France, 67098
- Recruiting
- CHU Strasbourg Hpital Hautepierre
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Gard
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Nîmes, Gard, France, 30029
- Recruiting
- Hopital Caremeau
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Gironde
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Bordeaux, Gironde, France, 33800
- Recruiting
- Groupe Hospitalier Pellegrin
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Haute Garonne
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Toulouse, Haute Garonne, France, 31059
- Recruiting
- Hopital Purpan
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Herault
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Montpellier, Herault, France, 34295
- Recruiting
- Hôpital Gui de Chauliac
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Loire Atlantique
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Saint-Herblain, Loire Atlantique, France, 44800
- Recruiting
- CHU Nantes - Hopital Nord Laënnec
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Meurthe Et Moselle
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Nancy, Meurthe Et Moselle, France, 54035
- Recruiting
- CHU Nancy Hôpital Central
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Puy De Dome
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Clermont-Ferrand, Puy De Dome, France, 63003
- Recruiting
- CHU Hopital Gabriel Montpied
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Berlin, Germany, 10117
- Recruiting
- Charité Universitaetsmedizin Berlin - Campus Ch
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Hamburg, Germany, 20246
- Recruiting
- Universitaetsklinikum Hamburg-Eppendorf
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Baden-Wurttemberg
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Freiburg im Breisgau, Baden-Wurttemberg, Germany, 79106
- Recruiting
- Universitaetsklinikum Freiburg
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Mannheim, Baden-Wurttemberg, Germany, 68167
- Recruiting
- Universitaetsmedizin Mannheim
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Tübingen, Baden-Wurttemberg, Germany, 72076
- Recruiting
- Universitaetsklinikum Tuebingen
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Ulm, Baden-Wurttemberg, Germany, 89081
- Recruiting
- Universitaetsklinikum Ulm
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Ulm, Baden-Wurttemberg, Germany, 89073
- Recruiting
- Studienzentrum Neuropoint GmbH,
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Bavaria
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Erlangen, Bavaria, Germany, 91054
- Recruiting
- Universitaetsklinikum Erlangen
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Munich, Bavaria, Germany, 81675
- Recruiting
- Klinikum rechts der Isar der TU Muenchen
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Munich, Bavaria, Germany, 81377
- Recruiting
- LMU-Campus Grosshadern
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North Rhine-Westphalia
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Bochum, North Rhine-Westphalia, Germany, 44791
- Recruiting
- St. Josef-Hospital Universitaetsklinikum
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Düsseldorf, North Rhine-Westphalia, Germany, 40225
- Recruiting
- Universitaetsklinikum Duesseldorf
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Essen, North Rhine-Westphalia, Germany, 45122
- Recruiting
- Universitaetsklinkm Essen
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Saxony
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Dresden, Saxony, Germany, 01307
- Recruiting
- Universitaetsklinikum Carl Gustav Carus TU Dresden
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Leipzig, Saxony, Germany, 04103
- Recruiting
- Universitaetsklinikum Leipzig
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Budapest, Hungary, 1033
- Recruiting
- Clinexpert Kft.
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Budapest, Hungary, 1106
- Recruiting
- Bajcsy-Zsilinszky Korhaz es Rendelointezet
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Budapest, Hungary, 1145
- Recruiting
- Budapesti Uzsoki Utcai Korhaz
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Budapest, Hungary, 1045
- Recruiting
- S-Medicon Egeszsegugyi Szolgaltato Kft.
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Debrecen, Hungary, 4031
- Recruiting
- Debreceni Egyetem Klinikai Kozpont Kenezy Gyula Campus
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Baranya
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Pécs, Baranya, Hungary, 7623
- Recruiting
- Pécsi Tudományegyetem Klinikai Központ
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Abruzzo
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Chieti, Abruzzo, Italy, 66013
- Recruiting
- Fondazione Università G. D'Annunzio
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Campania
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Naples, Campania, Italy, 80131
- Recruiting
- Azienda Ospedaliera Universitaria Federico II
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Naples, Campania, Italy, 80138
- Recruiting
- Azienda Ospedaliera Universitaria- Universit degli Studi della Campania Luigi Vanvitelli
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Salerno, Campania, Italy, 84131
- Recruiting
- Az. Osp. OO.RR. S. Giovanni di Dio e Ruggi D' Aragona
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Emilia-Romagna
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Roma, Emilia-Romagna, Italy, 00133
- Recruiting
- Azienda Ospedaliera Universitaria Policlinico Tor Vergata
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Liguria
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Genoa, Liguria, Italy, 16132
- Recruiting
- IRCCS AOM Azienda Ospedaliera Metropolitana
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Lombardy
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Milan, Lombardy, Italy, 20132
- Recruiting
- Ospedale San Raffaele
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Milan, Lombardy, Italy, 20133
- Recruiting
- Fondazione IRCCS Istituto Neurologico Carlo Besta
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Milan, Lombardy, Italy, 20162
- Recruiting
- Azienda Socio Sanitaria Territoriale Niguarda (Grande Ospedale Metropolitano Niguarda)
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Pavia, Lombardy, Italy, 27100
- Recruiting
- Fondazione Istituto Neurologico Nazionale Casimiro Mondino
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Auckland, New Zealand, 1010
- Recruiting
- Optimal Clinical Trials - Central
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South Island
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Christchurch Central City, South Island, New Zealand, 8011
- Recruiting
- Optimal Clinical Trials - Christchurch
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?ory, Poland, 44-240
- Recruiting
- ProNeuro Centrum Medyczne
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?ód?, Poland, 90-368
- Recruiting
- SOMED - Lodzkie Centrum Osteoporozy
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Bydgoszcz, Poland, 85-796
- Recruiting
- Neurocentrum Bydgoszcz sp z o.o
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Gda?sk, Poland, 80-803
- Recruiting
- COPERNICUS Podmiot Leczniczy Sp z o o
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Katowice, Poland, 40-571
- Recruiting
- M.A. LEK A.M.Maciejowscy SC.
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Kielce, Poland, 25-726
- Recruiting
- Resmedica NZOZ Kielce
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Krakow, Poland, 31-503
- Recruiting
- Samodzielny Publiczny Zakad Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie
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Krakow, Poland, 31-826
- Recruiting
- Szpital Specjalistyczny im. L. Rydygiera w Krakowie
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Lublin, Poland, 20-410
- Recruiting
- Indywidualna Praktyka Lekarska Prof. Dr Hab. N. Med. Konrad Rejdak.
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Lublin, Poland, 20-601
- Recruiting
- Zanamed Medical Clinic sp z o o
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Rzeszów, Poland, 35-055
- Recruiting
- Centrum Medyczne Medyk
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Warsaw, Poland, 01-684
- Recruiting
- Centrum Medyczne NeuroProtect
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Wroc?aw, Poland, 54-239
- Recruiting
- Penta Hospitals Przychodnie, Wroclaw Wejherowska
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Zabrze, Poland, 41-800
- Recruiting
- Samodzielny Publiczny Szpital Kliniczny Nr 1 im. Prof. Stanislawa SzyszkoSUM w Katowicach
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Greater Poland Voivodeship
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Poznan, Greater Poland Voivodeship, Poland, 61-853
- Recruiting
- NZOZ NEURO-KARD Ilkowski i Partnerzy Sp. Partn. Lek
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Podkarpackie Voivodeship
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Rzeszw, Podkarpackie Voivodeship, Poland, 35-323
- Recruiting
- Nmedis sp. z o.o.
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Silesian Voivodeship
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Katowice, Silesian Voivodeship, Poland, 40-749
- Recruiting
- NEURO-CARE Sp. z o.o. Sp. Komandytowa
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Katowice, Silesian Voivodeship, Poland, 40-081
- Recruiting
- Centrum Medyczne Pratia Katowice I
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Braga, Portugal, 4710-243
- Recruiting
- Hospital de Braga
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Coimbra, Portugal, 3004-561
- Recruiting
- ULS de Coimbra, EPE - Hospitais da Universidade de Coimbra
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Lisbon, Portugal, 1349-019
- Recruiting
- Hospital de Egas Moniz
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Lisbon, Portugal, 1169-050
- Recruiting
- ULS São José - Hospital de Sto António dos Capuchos;CRI Esclerose Múltipla
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Santa Maria da Feira, Portugal, 4520-211
- Recruiting
- Centro Hospitalar Entre o Douro e Vouga E.P.E. - Hospital de São Sebastião
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Albacete, Spain, 02008
- Recruiting
- Complejo Hospitalario Universitario de Albacete
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Barcelona, Spain, 08003
- Recruiting
- Hospital Del Mar
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Barcelona, Spain, 08036
- Recruiting
- Hospital Clinic de Barcelona
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Barcelona, Spain, 08041
- Recruiting
- Hospital de La Santa Creu i Sant Pau
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Barcelona, Spain, 08035
- Recruiting
- Hospital Universitari Vall D Hebron
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Madrid, Spain, 28034
- Recruiting
- Hospital Universitario Ramon y Cajal
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Madrid, Spain, 28040
- Recruiting
- Hospital Clinico San Carlos
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Madrid, Spain, 28007
- Recruiting
- Hospital General Universitario Gregorio Marañón
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Madrid, Spain, 28006
- Recruiting
- Hospital Universitario de La Princesa
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Málaga, Spain, 29010
- Recruiting
- Hospital Regional Universitario de Málaga
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Seville, Spain, 41009
- Recruiting
- Hospital Universitario Virgen Macarena
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Valencia, Spain, 46026
- Recruiting
- Hospital Universitari i Politecnic La Fe
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spain, 08907
- Recruiting
- Hospital Universitari de Bellvitge
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Girona
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Salt, Girona, Spain, 17190
- Recruiting
- Hospital Santa Caterina
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LA Coruna
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Santiago de Compostela, LA Coruna, Spain, 15706
- Recruiting
- Complejo Hospitalario Universitario de Santiago.
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Lerida
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Lleida, Lerida, Spain, 25198
- Recruiting
- Hospital Universitari Arnau de Vilanova
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Madrid
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Pozuelo de Alarcón, Madrid, Spain, 28223
- Recruiting
- Hospital Universitario Quironsalud Madrid
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Murcia
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El Palmar, Murcia, Spain, 30120
- Recruiting
- Hospital Universitario Virgen de la Arrixaca
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Pontevedra
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Vigo, Pontevedra, Spain, 36312
- Recruiting
- Hospital Alvaro Cunqueiro
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Vizcaya
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Barakaldo, Vizcaya, Spain, 48903
- Recruiting
- Hospital De Cruces
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Ankara, Turkey (Türkiye), 06500
- Recruiting
- Gazi University Medical Faculty
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Ankara, Turkey (Türkiye), 06800
- Recruiting
- Ankara City Hospital
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Ankara, Turkey (Türkiye), 06100
- Recruiting
- Hacettepe University of Medicine
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Istanbul, Turkey (Türkiye), 34098
- Recruiting
- Istanbul University Cerrahpasa Medical Faculty
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Istanbul, Turkey (Türkiye), 34093
- Recruiting
- Istanbul University Istanbul Medical Faculty
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Istanbul, Turkey (Türkiye), 34785
- Recruiting
- Sancaktepe Sehit Prof Dr Ilhan Varank Training and Research Hospital
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Izmir, Turkey (Türkiye), 35100
- Recruiting
- Ege University Medical Faculty
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Konya, Turkey (Türkiye), 42075
- Recruiting
- Selcuk Universitesi Selcuklu Tip Fakultesi Hastanesi
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Izmit
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Kocaeli, Izmit, Turkey (Türkiye), 41380
- Recruiting
- Kocaeli University Medical Faculty
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Cardiff, United Kingdom, CF14 4XW
- Recruiting
- University Hospital of Wales
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London, United Kingdom, E1 2AT
- Recruiting
- Royal London Hospital
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Salford, United Kingdom, M6 8HD
- Recruiting
- Salford Care Organisation
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Swansea, United Kingdom, SA6 6NL
- Recruiting
- Morriston Hospital
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Cornwall
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Truro, Cornwall, United Kingdom, TR1 3HD
- Recruiting
- Royal Cornwall Hospital
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Greater London
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London, Greater London, United Kingdom, W6 8RF
- Recruiting
- Charing Cross Hospital
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Strathclyde
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Glasgow, Strathclyde, United Kingdom, G51 4TF
- Recruiting
- Queen Elizabeth University Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- PMS, in accordance with the revised 2017 McDonald criteria
- Expanded disability status scale (EDSS) at screening between 3.0 and 6.0 inclusive
Exclusion Criteria:
- MS relapse during the 6 months preceding the randomization date
- Lack of peripheral venous access
- History of alcohol or other drug abuse, in the opinion of the investigator, within 5 years prior to screening
- Inability to complete an magnetic resonance imaging (MRI)
- Contraindications to ocrelizumab mandatory pre-medications
- Treatment with intravenous immunoglobulin (IV Ig) or plasmapheresis within 12 weeks prior to screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: RO7268489 Dose 1 + Ocrelizumab
Participants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen.
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RO7268489 will be administered per schedule as specified in the arms.
Ocrelizumab will be administered per schedule as specified in the arms.
Other Names:
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Experimental: RO7268489 Dose 2 + Ocrelizumab
Participants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen.
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RO7268489 will be administered per schedule as specified in the arms.
Ocrelizumab will be administered per schedule as specified in the arms.
Other Names:
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Experimental: RO7268489 Dose 3 + Ocrelizumab
Participants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen.
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RO7268489 will be administered per schedule as specified in the arms.
Ocrelizumab will be administered per schedule as specified in the arms.
Other Names:
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Placebo Comparator: Placebo + Ocrelizumab
Participants will receive RO7268489 matching placebo along with ocrelizumab as per the pre-defined regimen.
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Ocrelizumab will be administered per schedule as specified in the arms.
Other Names:
Placebo will be administered per schedule as specified in the arms.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Time From Randomization to the First Occurrence of Composite Confirmed Disability Progression (cCPD) Confirmed for at Least 12 Weeks (cCDP12)
Time Frame: Up to approximately 110 weeks
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Time from randomization to the first occurrence of cCDP12 according to at least one of the following 3 criteria:
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Up to approximately 110 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Time From Randomization to the First Occurrence of 24-Week Confirmed ≥4-Point Decrease (Worsening) in Symbol Digit Modalities Test (SDMT)
Time Frame: Up to approximately 110 weeks
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The SDMT is a performance measure of processing speed that is widely used to assess cognitive function in response to treatment.
It's brief, easy to administer, and involves a simple substitution task that healthy children and adults can easily perform.
Using a reference key, the participant has 90 seconds to pair specific numbers with given geometric figures.
The total SDMT score is the total number of correct responses and ranges from 0 to 110, with a higher score indicating a higher level of processing speed.
A four-point change from baseline is typically considered clinically meaningful.
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Up to approximately 110 weeks
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Change From Baseline in Total Brain Volume
Time Frame: Up to approximately 110 weeks
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Up to approximately 110 weeks
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Time to Onset of 24-Week cCDP (cCDP24)
Time Frame: Up to approximately 110 weeks
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Up to approximately 110 weeks
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Time to Onset of 12-Week Confirmed Disability Progression CDP (CDP12)
Time Frame: Up to approximately 110 weeks
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Up to approximately 110 weeks
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Time to Onset of 24-Week CDP (CDP24)
Time Frame: Up to approximately 110 weeks
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Up to approximately 110 weeks
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Time to ≥ 20% Increase in 12-week Confirmed Timed 25-Foot Walk Test (T25FWT)
Time Frame: Up to approximately 110 weeks
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The time taken to walk 25 feet, typically measured in seconds.
The longer it takes to walk, higher the score, which indicates deterioration and greater impairment.
Lower times indicate better performance and greater mobility.
Lower the mean change in the score over time, the better performance.
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Up to approximately 110 weeks
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Time to ≥ 20% Increase in 24-week Confirmed T25FWT
Time Frame: Up to approximately 110 weeks
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The time taken to walk 25 feet, typically measured in seconds.
The longer it takes to walk, higher the score, which indicates deterioration and greater impairment.
Lower times indicate better performance and greater mobility.
Lower the mean change in the score over time, the better performance.
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Up to approximately 110 weeks
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Time to ≥ 20% Increase in 12-week Confirmed 9-Hole Peg Test (9-HPT)
Time Frame: Up to approximately 110 weeks
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Participants are instructed to place pegs one by one into each of nine holes arranged in a board stabilized with a plastic nonslip sheet on a solid table, and then to remove these pegs from the holes.
Both the dominant and non-dominant hands are tested twice (two consecutive trials for each hand).
The participants are required to complete two successful trials for each hand.
The amount of time (in seconds) required to place and remove all nine pegs is recorded for each trial.
More time = higher raw scores, which indicates deterioration.
The lower mean change in the score over time, the better the performance.
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Up to approximately 110 weeks
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Time to ≥ 20% Increase in 24-week Confirmed 9-HPT
Time Frame: Up to approximately 110 weeks
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Participants are instructed to place pegs one by one into each of nine holes arranged in a board stabilized with a plastic nonslip sheet on a solid table, and then to remove these pegs from the holes.
Both the dominant and non-dominant hands are tested twice (two consecutive trials for each hand).
The participants are required to complete two successful trials for each hand.
The amount of time (in seconds) required to place and remove all nine pegs is recorded for each trial.
More time = higher raw scores, which indicates deterioration.
The lower mean change in the score over time, the better the performance.
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Up to approximately 110 weeks
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Plasma 2-arachidonoylglycerol (2-AG) Levels
Time Frame: Up to approximately 110 weeks
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Up to approximately 110 weeks
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Change From Baseline in Plasma 2-AG Levels
Time Frame: Up to approximately 110 weeks
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Up to approximately 110 weeks
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Number of Participants With Adverse events (AEs)
Time Frame: Up to 5 years
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Up to 5 years
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Number of Participants With Treatment Discontinuations due to AEs
Time Frame: Up to 5 years
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Up to 5 years
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Proportion of Participants With Suicidal Ideation or Behavior, as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS)
Time Frame: Up to 5 years
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C-SSRS is an assessment tool used to assess lifetime suicidality of participant (at baseline) as well as any new instances of suicidality (C-SSRS since last visit).
Structured interview prompts recollection of suicidal ideation, including intensity of ideation, behavior, and attempts with actual/potential lethality.
Categories have binary responses (yes/no) and include Wish to be Dead; Non-specific Active Suicidal Thoughts; Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act; Active Suicidal Ideation with Some Intent to Act, without Specific Plan; Active Suicidal Ideation with Specific Plan and Intent, Preparatory Acts and Behavior; Aborted Attempt; Interrupted Attempt; Actual Attempt (non-fatal); Completed Suicide.
Suicidal ideation/behavior is indicated by a "yes" answer to any of the listed categories.
Score of 0 is assigned if no suicide risk is present.
Score of 1 or higher indicate suicidal ideation or behavior.
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Up to 5 years
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Plasma Concentrations of RO7268489 and Its Metabolite(s)
Time Frame: Up to 5 years
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Up to 5 years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Pathologic Processes
- Chronic Disease
- Disease Attributes
- Autoimmune Diseases
- Immune System Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Pathological Conditions, Signs and Symptoms
- Multiple Sclerosis
- Multiple Sclerosis, Chronic Progressive
- ocrelizumab
Other Study ID Numbers
Other Study ID Numbers
- BP46016
- 2025-521636-10-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.