- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01952665
A Multi-Center Study Comparing the Clinical Performance of Two Silicone Hydrogel Lenses Over 1 Month of Daily Wear
May 31, 2017 updated by: CooperVision, Inc.
A Multi-Center Study Comparing the Clinical Performance of Two Silicone Hydrogel Lenses Over 1 Month of Daily Wear
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Two-month, single masked, randomized, bilateral, crossover, 1-month of daily wear in each study lens.
Study Type
Interventional
Enrollment (Actual)
63
Phase
- Not Applicable
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
-
-
California
-
Campbell, California, United States, 95008
- Family Eye Care Center
-
Whittier, California, United States, 90606
- Golden Optometric Group
-
-
Georgia
-
Athens, Georgia, United States, 45701
- Drs. Quinn, Foster, &Associates
-
-
Illinois
-
Oak Lawn, Illinois, United States, 60453
- Davis Eyecare Associates
-
-
Kansas
-
Pittsburg, Kansas, United States, 66762
- Kannarr Eye Care LLC
-
-
Minnesota
-
Medina, Minnesota, United States, 55340
- Complete Eye Care of Medina
-
-
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 40 years (ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Is between 18 and 40 years of age (inclusive)
- Have the use of a mobile phone to send and receive text messages throughout the day for the duration of the study
- Has had a self-reported visual exam in the last two years
- Is an adapted soft CL wearer
- Has a Contact Lens (CL) spherical prescription between - 1.00 and - 9.00 (inclusive)
- Has less than 0.75D spectacle cylinder in each eye
- Is correctable to a visual acuity of 20/25 or better in both eyes
- Has clear corneas and no active ocular disease
- Has read, understood and signed the information consent letter
- Is willing to comply with the wear schedule (at least 40 hrs per week)
- Is willing to comply with the visit schedule
Exclusion Criteria:
- Has never worn contact lenses before
- Currently wears rigid gas permeable contact lenses
- Has a history of not achieving comfortable CL wear (5 days per week; > 8 hours/day)
- Has a contact lens prescription outside the range of - 1.00 to -9.00D
- Has a spectacle cylinder greater than -0.50D of cylinder in either eye
- Has best corrected spectacle distance vision worse then 20/25 in either eye
- Has any systemic disease affecting ocular health
- Is using any systemic or topical medications that will affect ocular health
- Has any ocular pathology or severe insufficiency of lacrimal secretion
- Has persistent, clinically significant corneal or conjunctival staining
- Has active neovascularization or any central corneal scars
- Is aphakic
- Is presbyopic
- Has undergone corneal refractive surgery
- Is participating in any other type of eye related clinical or research study
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: CROSSOVER
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: comfilcon A
Daily wear soft contact lens comfilcon A
|
Each subject randomized to wear the test lens (comfilcon A) or the control lens (lotrafilcon B) for one month of daily wear before repeating schedule for the second pair without a washout period.
|
|
Active Comparator: lotrafilcon B
Daily wear soft contact lens lotrafilcon B
|
Each subject randomized to wear the test lens (comfilcon A) or the control lens (lotrafilcon B) for one month of daily wear before repeating schedule for the second pair without a washout period.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Comfort at Insertion
Time Frame: Dispense
|
Participant rating for lens comfort on insertion.
Collected at dispense for both study lens pairs.
(0-10, 0= Very Uncomfortable, 10= Cannot feel).
|
Dispense
|
|
Visual Quality
Time Frame: Dispense
|
Participant rating of visual quality.
Collected at dispense for both study pairs.
(0-10, 0= Very Poor Vision, 10= Perfectly Sharp, Clear Vision)
|
Dispense
|
|
Average Daily Wearing Time
Time Frame: 2 weeks
|
Participants measure of average daily wear time for study lenses at 2 Weeks.
|
2 weeks
|
|
Comfortable Wearing Time
Time Frame: 2 weeks
|
Participant rating of lens Comfortable Wearing Time for both study pairs.
After 2 weeks wear for each pair.
(The hours of average comfortable wearing time)
|
2 weeks
|
|
Comfort
Time Frame: 2 weeks
|
Participant rating for lens comfort.
After 2 weeks wear for each study pair.
(0-10, 0= Very Uncomfortable, 10= Cannot Feel).
|
2 weeks
|
|
Dryness
Time Frame: 2 weeks
|
Participant rating for lens dryness.
After 2 weeks wear for each study pair.
(0-10, 0= Very Dry, 10= No Dryness).
|
2 weeks
|
|
Handling
Time Frame: 2 weeks
|
Participant rating for lens handling.
After 2 weeks wear for each study pair.
(0-10, 0= Very Difficult, 10= Very Easy).
|
2 weeks
|
|
Vision Satisfaction
Time Frame: 2 weeks
|
Participant rating for vision satisfaction.
After 2 weeks wear for each study pair.
(0-10, 0= Very Unsatisfied, 10= Very Satisfied)
|
2 weeks
|
|
Eye Whiteness/Redness
Time Frame: 2 weeks
|
Participant rating for Eye Whiteness/Redness.
After 2 weeks wear for each study pair.
(0-10, 0= Significant Redness, 10= Totally White)
|
2 weeks
|
|
Overall Sensation of Moistness
Time Frame: 2 weeks
|
Participant rating of overall sensation for moistness (hydration).
After 2 weeks wear for each study pair.
5-point Likert Scale; 1=Excellent, 2=Good, 3=Average, 4=Below Average, 5=Poor.
|
2 weeks
|
|
Overall Sensation of Smoothness
Time Frame: 2 weeks
|
Participant rating of overall sensation for smoothness (deposit resistance).
After 2 weeks wear for each study pair.
5-point Likert Scale; 1=Excellent, 2=Good, 3=Average, 4=Below Average, 5=Poor.
|
2 weeks
|
|
Overall Comfort Satisfaction
Time Frame: 2 weeks
|
Participant rating of satisfaction regarding comfort.
After 2 weeks wear for each study pair.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
2 weeks
|
|
Overall Dryness Satisfaction
Time Frame: 2 weeks
|
Participant rating of satisfaction regarding dryness.
After 2 weeks wear for each study pair.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
2 weeks
|
|
Overall Handling Satisfaction
Time Frame: 2 weeks
|
Participant rating of satisfaction regarding handling.
After 2 weeks wear for each study pair.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
2 weeks
|
|
Overall Vision Satisfaction
Time Frame: 2 weeks
|
Participant rating of satisfaction regarding vision.
After 2 weeks wear for each study pair.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
2 weeks
|
|
Overall Satisfaction
Time Frame: 2 weeks
|
Participant rating of satisfaction overall.
After 2 weeks wear for each study pair.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
2 weeks
|
|
Lens Preference, Pair 1 Comfilcon A
Time Frame: 2 weeks
|
Participant preference for habitual lenses or study lenses with regard to comfort, dryness, handling, vision and overall.
Collected at 2 weeks for study pair 1. (Randomized to comfilcon A as pair 1; Forced choice: Pair 1 or Habitual)
|
2 weeks
|
|
Lens Preference, Pair 1 Lotrafilcon B
Time Frame: 2 weeks
|
Participant preference for habitual lenses or study lenses with regard to comfort, dryness, handling, vision and overall.
Collected at 2 weeks for study pair 1. (Randomized to lotrafilcon B as pair 1; Forced choice: Pair 1 or Habitual )
|
2 weeks
|
|
Comfortable Wearing Time
Time Frame: 4 weeks
|
Participant rating of lens Comfortable Wearing Time for both study pairs.
Collected at 4 weeks wear.
(The hours of average comfortable wearing time)
|
4 weeks
|
|
Average Daily Wearing Time
Time Frame: 4 weeks
|
Participants measure of average daily wear time for study lenses at 4 weeks.
|
4 weeks
|
|
Rewetting Drops
Time Frame: 4 weeks
|
Participant use of rewetting drops.
Collected at 4 weeks wear for both study lens pairs.
(Uses rewetting drops / Does not use rewetting drops).
|
4 weeks
|
|
Comfort
Time Frame: 4 weeks
|
Participant rating for lens comfort.
Collected at 4 weeks wear for both study lens pairs.
(0-10, 0= Very Uncomfortable, 10= Cannot Feel).
|
4 weeks
|
|
Dryness
Time Frame: 4 weeks
|
Participant rating for lens dryness.
Collected at 4 weeks wear for both study lens pairs.
(0-10, 0= Very Dry, 10= No Dryness).
|
4 weeks
|
|
Handling
Time Frame: 4 weeks
|
Participant rating for lens handling.
Collected at 4 weeks.
(0-10, 0= Very Difficult, 10= Very Easy).
|
4 weeks
|
|
Vision Satisfaction
Time Frame: 4 weeks
|
Participant rating for vision satisfaction.
Collected at 4 weeks wear for both study lens pairs.
(0-10, 0= Very Unsatisfied, 10= Very Satisfied)
|
4 weeks
|
|
Eye Whiteness/Redness
Time Frame: 4 weeks
|
Participant rating for Eye Whiteness/Redness.
Collected at 4 weeks wear for both study lens pairs.
(0-10, 0= Significant Redness, 10= Totally White)
|
4 weeks
|
|
Overall Sensation of Moistness
Time Frame: 4 weeks
|
Participant rating of overall sensation for moistness (hydration).
Collected at 4 weeks wear for both study lens pairs.
5-point Likert Scale; 1=Excellent, 2=Good, 3=Average, 4=Below Average, 5=Poor.
|
4 weeks
|
|
Overall Sensation of Smoothness
Time Frame: 4 weeks
|
Participant rating of overall sensation for smoothness (deposit resistance).
Collected at 4 weeks wear for both study lens pairs.
5-point Likert Scale; 1=Excellent, 2=Good, 3=Average, 4=Below Average, 5=Poor.
|
4 weeks
|
|
Overall Comfort Satisfaction
Time Frame: 4 weeks
|
Participant rating of satisfaction regarding comfort.
Collected at 4 weeks wear for both study lens pairs.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
4 weeks
|
|
Overall Dryness Satisfaction
Time Frame: 4 weeks
|
Participant rating of satisfaction regarding dryness.
Collected at 4 weeks wear for both study lens pairs.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
4 weeks
|
|
Overall Handling Satisfaction
Time Frame: 4 weeks
|
Participant rating of satisfaction regarding handling.
Collected at 4 weeks wear for both study lens pairs.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
4 weeks
|
|
Overall Vision Satisfaction
Time Frame: 4 weeks
|
Participant rating of overall satisfaction for vision.
Collected at 4 weeks wear for both study lens pairs.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
4 weeks
|
|
Overall Satisfaction
Time Frame: 4 weeks
|
Participant rating of satisfaction overall.
Collected at 4 weeks wear for both study lens pairs.
4-point Likert Scale; 1=Completely Satisfied, 2=Somewhat Satisfied, 3=Somewhat Dissatisfied, 4=Completely Dissatisfied
|
4 weeks
|
|
Lens Preference
Time Frame: 4 weeks
|
Participant lens preference in regard for comfort, dryness, handling, vision and overall.
Collected at 4 weeks.
(Forced Choice; Study Pair 1, Study Pair 2).
|
4 weeks
|
|
Lens Preference Comfort, Dryness, Vision and Overall.
Time Frame: 4 weeks
|
Participant lens preference regarding comfort, dryness, vision and overall.
Collected at study exit.
(Forced Choice; Study Pair 1, Study Pair 2, Habitual).
|
4 weeks
|
|
Lens Preference for Handling
Time Frame: 4 weeks
|
Participant lens preference regarding handling.
Collected at study exit.
(Forced Choice; Study Pair 1, Study Pair 2, Habitual).
|
4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Binocular Visual Acuity logMAR
Time Frame: Dispense
|
Assessment of visual acuity (VA).
Collected at 2 weeks for both study lens pairs.
Binocular High Contrast Distance.
logMAR (negative logMAR values indicates better Visual Acuity (VA)).
0.0 logMAR = 20/20 snellen chart
|
Dispense
|
|
Surface Wetting
Time Frame: Dispense
|
Assessment of surface wetting by slit lamp.
Collected at dispense for both study pairs.
0=Non-wettable surface, 1= > 1 non-wetting area of some magnitude., 2=One non-wetting area of some magnitude, 3=Hazy surface that resolves with a blink.
Typical soft lens appearance with long drying time., 4=Smooth uniformly reflective surface.
Appearance of a healthy cornea (Grade 0-4 in ½ steps)
|
Dispense
|
|
Surface Deposition
Time Frame: Dispense
|
Assessment of surface deposition by slit lamp.
Collected at dispense for both study pairs.
(Grade 0-4 in ½ steps; Clean= 0; Deposited = 4)
|
Dispense
|
|
Centration
Time Frame: Dispense
|
Assessment of lens centration.
Collected at dispense for both study pairs.
Biomicroscopy; by degree and direction in the primary position.
(Rated as Optimal Centration or Not Optimal)
|
Dispense
|
|
Corneal Coverage
Time Frame: Dispense
|
Assessment of lens corneal coverage.
Collected at dispense for both study pairs.
Biomicroscopy; assessed in primary gaze.
(Rated as Normal Coverage or Not Covering)
|
Dispense
|
|
Post Blink Movement
Time Frame: Dispense
|
Assessment of post blink movement.
Collected at dispense for both study lens pairs.
Assessed immediately after the blink.
(0-4, 0=Insufficient, unacceptable movement, 1=Minimal, but acceptable movement, 2=Optimal movement, 3=Moderate, but acceptable movement, 4=Excessive, unacceptable movement)
|
Dispense
|
|
Push Up Test
Time Frame: Dispense
|
Assessment of lens tightness.
Collected at dispense for both study pairs.
Digital push up test.
Continuous Scale (0-100%, 0%=Falls from cornea without lid support, 50%= Optimum, 100%= No movement)
|
Dispense
|
|
Overall Fit Acceptance
Time Frame: Dispense
|
Assessment of overall lens fit acceptance.
Collected at dispense for both study pairs.
(0-4, 0=should not be worn, 1=borderline but unacceptable, 2=minimally acceptable, early review, 3=not perfect but okay to dispense, 4=perfect)
|
Dispense
|
|
Rewetting Drops
Time Frame: 2 weeks
|
Participant use of rewetting drops.
Collected at 2 weeks for both study lens pairs.
(Uses rewetting drops / Does not use rewetting drops).
|
2 weeks
|
|
Binocular Visual Acuity logMAR
Time Frame: 2 Weeks
|
Assessment of visual acuity (VA).
Collected at 2 weeks for both study lens pairs.
Binocular High Contrast Distance.
logMAR (negative logMAR values indicates better Visual Acuity (VA)).
0.0 logMAR = 20/20 snellen chart
|
2 Weeks
|
|
Surface Wetting
Time Frame: 2 Weeks
|
Assessment of surface wetting by slit lamp.
Collected at 2 weeks for both study lens pairs.
0=Non-wettable surface, 1= > 1 non-wetting area of some magnitude., 2=One non-wetting area of some magnitude, 3=Hazy surface that resolves with a blink.
Typical soft lens appearance with long drying time., 4=Smooth uniformly reflective surface.
Appearance of a healthy cornea (Grade 0-4 in ½ steps)
|
2 Weeks
|
|
Surface Deposition
Time Frame: 2 Weeks
|
Assessment of surface deposition by slit lamp.
Collected at 2 weeks for both study lens pairs.
(Grade 0-4 in 1/2 steps; 0=clean, 4=deposited)
|
2 Weeks
|
|
Centration
Time Frame: 2 Weeks
|
Assessment of lens centration.
Collected at 2 weeks.
Biomicroscopy; by degree and direction in the primary position.
Optimal versus not optimal
|
2 Weeks
|
|
Corneal Coverage
Time Frame: 2 Weeks
|
Assessment of lens corneal coverage.
Collected at 2 weeks for both study pairs.
Biomicroscopy; assessed in primary gaze.
(Rated as Normal Coverage or Not Covering)
|
2 Weeks
|
|
Post Blink Movement
Time Frame: 2 Weeks
|
Assessment of post blink movement.
Collected at 2 weeks for both study lens pairs.
Assessed immediately after the blink.
(Graded 0-4, 0=Insufficient, unacceptable movement, 1=Minimal, but acceptable movement, 2=Optimal movement, 3=Moderate, but acceptable movement, 4=Excessive, unacceptable movement)
|
2 Weeks
|
|
Push Up Test
Time Frame: 2 Weeks
|
Assessment of lens tightness.
Collected at 2 weeks for both study pairs.
Digital push up test.
(Continuous Scale 0-100%, 0%=Falls from cornea without lid support, 50%= Optimum, 100%= No movement)
|
2 Weeks
|
|
Overall Fit Acceptance
Time Frame: 2 Weeks
|
Assessment of overall lens fit acceptance.
Collected at 2 weeks for both study pairs.
(0-4, 0=should not be worn, 1=borderline but unacceptable, 2=minimally acceptable, early review, 3=not perfect but OK to dispense, 4=perfect)
|
2 Weeks
|
|
Binocular Visual Acuity logMAR
Time Frame: 4 Weeks
|
Assessment of visual acuity (VA).
Collected at 2 weeks for both study lens pairs.
Binocular High Contrast Distance.
logMAR (negative logMAR values indicates better Visual Acuity (VA)).
0.0 logMAR = 20/20 snellen chart
|
4 Weeks
|
|
Surface Wetting
Time Frame: 4 Weeks
|
Assessment of surface wetting by slit lamp.
Collected at 4 weeks wear for both study lens pairs.
0=Non-wettable surface, 1= > 1 non-wetting area of some magnitude., 2=One non-wetting area of some magnitude, 3=Hazy surface that resolves with a blink.
Typical soft lens appearance with long drying time., 4=Smooth uniformly reflective surface.
Appearance of a healthy cornea (Grade 0-4 in ½ steps)
|
4 Weeks
|
|
Surface Deposition
Time Frame: 4 Weeks
|
Assessment of surface deposition by slit lamp.
Collected at 4 weeks wear for both study lens pairs.
(Grade 0-4 in 1/2 steps; 0=clean, 4=deposited)
|
4 Weeks
|
|
Centration
Time Frame: 4 Weeks
|
Assessment of lens centration.
Collected at 4 weeks wear for both study lens pairs.. Biomicroscopy, by degree and direction in the primary position.
(Optimal Centration or Not Optimal)
|
4 Weeks
|
|
Corneal Coverage
Time Frame: 4 Weeks
|
Assessment of lens corneal coverage.
Collected at 4 weeks.
(Biomicroscopy; assessed in primary gaze, Normal Coverage or Not Covering)
|
4 Weeks
|
|
Post Blink Movement
Time Frame: 4 Weeks
|
Assessment of post blink movement.
Collected at 4 weeks.
Assessed immediately after the blink.
(Graded 0-4, 0=Insufficient, unacceptable movement, 1=Minimal, but acceptable movement, 2=Optimal movement, 3=Moderate, but acceptable movement, 4=Excessive, unacceptable movement)
|
4 Weeks
|
|
Push Up Test
Time Frame: 4 Weeks
|
Assessment of lens tightness.
Collected at 4 weeks.
Digital push up test.
(Continuous Scale 0-100%, 0%=Falls from cornea without lid support, 50%= Optimum, 100%= No movement)
|
4 Weeks
|
|
Overall Fit Acceptance
Time Frame: 4 Weeks
|
Assessment of overall lens fit acceptance.
Collected at 4 weeks.
(0-4, 0=should not be worn, 1=borderline but unacceptable, 2=minimally acceptable, early review, 3=not perfect but OK to dispense, 4=perfect)
|
4 Weeks
|
|
Likelihood of Switching From Habitual Lens to Study Lens
Time Frame: 4 weeks
|
Participant likelihood of switching from their habitual lens to the study lens.
Collected at 4 weeks wear for both study lens pairs.
4-point Likert Scale; 1=very likely, 2=likely, 3=unlikely, 4=very unlikely
|
4 weeks
|
|
Likelihood to Continue Wearing the Study Lens
Time Frame: 4 weeks
|
Participant likelihood of continuing wear of the study lense.
Collected at 4 weeks wear for both study lens pairs.
4-point Likert Scale; 1=Very Likely, 2=Likely, 3=Unlikely, 4=Very Unlikely
|
4 weeks
|
|
Participant Recommendation of a Study Lens
Time Frame: 4 weeks
|
Participant most likely recommendation of which study lens to friends, family or colleagues.
Collected at study exit.
(Forced Choice; Study Pair 1, Study Pair 2).
|
4 weeks
|
|
Participant Likelihood of Recommendation of a Study Lens
Time Frame: 4 weeks
|
Participant likelihood of recommending a study lens to friends.
Collected at study exit.
(1-4; 1=Very Unlikely, 2=Unlikely, 3=Likely, 4=Very Likely).
|
4 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The Number of Trials Needed to Achieve Final Dispensing Pair of Study Lenses.
Time Frame: Dispense
|
The number of trials needed to achieve final dispensing pair of study lenses.
Number of lenses required to dispense the final pair of study lenses.
Collected at dispense for both study lens pairs.
(Number required; 1, 2, 3, >3)
|
Dispense
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Donald Siegel, OD, CooperVision, US
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
October 1, 2013
Primary Completion (Actual)
November 1, 2013
Study Completion (Actual)
March 1, 2014
Study Registration Dates
First Submitted
September 18, 2013
First Submitted That Met QC Criteria
September 25, 2013
First Posted (Estimate)
September 30, 2013
Study Record Updates
Last Update Posted (Actual)
June 26, 2017
Last Update Submitted That Met QC Criteria
May 31, 2017
Last Verified
May 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EX-MKTG-41
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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