Safety and Tolerability of Single and Multiple Doses of ISIS 353512 in Healthy Volunteers

July 28, 2010 updated by: Ionis Pharmaceuticals, Inc.

Double Blind, Placebo-Controlled, Dose-Escalation, Phase 1 Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single and Multiple Doses of ISIS 353512 Administered Intravenously and Subcutaneously to Healthy Volunteers

The purpose of this study is to evaluate the safety and tolerability of single and multiple doses of ISIS 353512, to evaluate the blood concentration and rate elimination of ISIS 353512 from the blood, and to evaluate the effectiveness of ISIS 353512 in lowering a protein in the blood associated with inflammation.

Study Overview

Detailed Description

This will be a Phase 1, double blind, placebo-controlled, dose-escalation study conducted at a single center to 1)evaluate the safety and tolerability of single and multiple doses of ISIS 353512 administered intravenously and subcutaneously, 2)evaluate the pharmacokinetic profile of single and multiple doses of ISIS 353512 administered intravenously and subcutaneously, and 3)evaluate the pharmacodynamics of ISIS 353512 in lowering constitutive levels of c-reactive proteins in healthy volunteers.

Study Type

Interventional

Enrollment (Actual)

103

Phase

  • Phase 1

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

    • Quebec
      • Montreal, Quebec, Canada, H3X 2H9
        • Anapharm

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 55 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Age 18 to 55 years
  • Male or female although females must be post-menopausal or surgically sterile
  • In good health
  • BMI < 32 kg/m2
  • Give written informed consent to participate in the study
  • hsCRP at Screening ≥ 0.50 mg/L and ≤ 5.0 mg/L (for 2 measurements ≥ 2 weeks apart; with difference between measurements ≤ 2.5 mg/L)(Multiple Dose Subjects only, not including dose-titration cohorts)

Exclusion Criteria:

  • Pregnant women, nursing mothers or women of childbearing potential
  • Clinically significant abnormalities in medical history or physical examination
  • Clinically significant ECG abnormalities or vital sign abnormalities (systolic blood pressure < 90 mm Hg or > 140 mm Hg, diastolic blood pressure < 50 mm Hg or > 90 mm Hg or heat rate < 50 or > 100 bpm) at Screening
  • Clinically significant abnormalities on laboratory examination, other than hsCRP
  • Clinically significant abnormalities in coagulation parameters
  • Positive test for HIV, TB (PPD test) or hepatitis B or C at Screening
  • History of latent or active tuberculosis or exposure to endemic areas within 8 weeks prior to PPD test at Screening
  • History of positive PPD test or positive PPD test result (≥ 5 mm) indicating possible tuberculosis infection
  • Fasting triglycerides > 400 mg/dL at Screening
  • Malignancy (with the exception of basal or squamous cell carcinoma of the skin if adequately treated and no recurrence for > 1 year)
  • Evidence of ongoing chronic inflammatory condition or infection
  • Any other concurrent condition which, in the opinion of the Investigator, would preclude participation in this study or interfere with compliance
  • Regular use of alcohol within 6 months prior to Screening (> 14 units of alcohol per week; 1 unit = 150 mL of wine, 360 mL of beer, or 45 mL of 40% alcohol)
  • Use of soft drugs (such as marijuana) within 3 months prior to Screening or hard drugs (such as cocaine, phencyclidine [PCP] and crack) within 1 year prior to Screening, or positive urine drug screen at Screening
  • Smoking > 10 cigarettes per day
  • Use of an investigational drug or participation in an investigational study involving a small molecule with 30 days prior to dosing or participation in an investigational study involving biologic compounds within 90 days prior to dosing
  • Regularly taking OTC medications and/or vitamin supplements that may alter CRP, e.g., NSAIDs, aspirin, vitamin E, fish oil, within 14 days prior to Screening
  • Receiving prescription medications, including hormone replacement therapy, statins, TNF-α inhibitors, or other anti-inflammatory or immunosuppressive drugs within 30 days prior to Screening
  • Immunization with a live attenuated vaccine one month prior to dosing or planned vaccination during the course of the study
  • Blood donation of 50 to 499 mL within 30 days of Screening or of > 499 mL within 60 days of Screening

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: Single Group Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: A
single-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 355312 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: B
single-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: C
single-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: AA
multiple-dose cohort (n=4, randomized 3 active : 1 placebo) receiving 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: BB
multiple-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: CC
multiple-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: G
single-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: H
single-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: I
single-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: GG
multiple-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: HH
multiple-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: II
multiple-dose cohort (n=4, randomized 3 active : 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: F (100 mg)
single-dose cohort (n=4, randomized 3 active: 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: Dose-Titration 1
multiple-dose cohort (n=4, randomized 3 active: 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: F (200 mg)
single-dose cohort (n=4, randomized 3 active: 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8
Experimental: Dose-Titration 7
multiple-dose cohort (n=4, randomized 3 active: 1 placebo) receiving ISIS 353512 or placebo
50 mg via 2 hour IV infusion, single dose
50 mg via 2 hour IV infusion, 6 doses over 22 days
50 mg via SC injection, single dose
50 mg via SC injection, 6 doses over 22 days
2 hour IV infusion, 50 mg on day 3, 100 mg on day 5, and 200 mg on day 8
100 mg via 2 hour IV infusion, single dose
200 mg via 2 hour IV infusion, single dose
100 mg via SC injection, single dose
200 mg via SC injection, single-dose
100 mg via 2 hour IV infusion, 6 doses over 22 days
200 mg via 2 hour IV infusion, 6 doses over 22 days
100 mg via SC injection, 6 doses over 22 days
200 mg via SC injection, 6 doses over 22 days
100 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or oral placebo
200 mg via SC injection PLUS an oral treatment of a NSAID, acetaminophen, or steroid
2 hour IV infusion, 50 mg on day 1, 100 mg on day 3, 100 mg on day 5 and 200mg on day 8

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
To evaluate the safety and tolerability of single and multiple doses of ISIS 353512 administered intravenously and subcutaneously.
Time Frame: 14 Days post treatment of each cohort
14 Days post treatment of each cohort

Secondary Outcome Measures

Outcome Measure
Time Frame
To evaluate the pharmacokinetic profile of single and multiple doses of ISIS 353512 administered intravenously and subcutaneously.
Time Frame: 14 Days post treatment of each cohort
14 Days post treatment of each cohort
To evaluate the pharmacodynamics of ISIS 353512 administered intravenously and subcutaneously.
Time Frame: 14 Days post treatment of each cohort
14 Days post treatment of each cohort

Collaborators and Investigators

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

Collaborators

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

July 1, 2008

Primary Completion (Actual)

February 1, 2010

Study Completion (Actual)

March 1, 2010

Study Registration Dates

First Submitted

August 12, 2008

First Submitted That Met QC Criteria

August 12, 2008

First Posted (Estimate)

August 14, 2008

Study Record Updates

Last Update Posted (Estimate)

July 29, 2010

Last Update Submitted That Met QC Criteria

July 28, 2010

Last Verified

July 1, 2010

More Information

Terms related to this study

Other Study ID Numbers

  • ISIS 353512 CS1

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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