En undersøgelse for at evaluere virkningen af Efanesoctocog Alfa på langsigtet ledsundhed hos deltagere med hæmofili A
Prospektiv, observationel, multicenter undersøgelse af effektiviteten af Efanesoctocog Alfa på langsigtet ledsundhed hos patienter med hæmofili A
This is a prospective, observational, multi-center longitudinal cohort study to describe the real-world effectiveness, safety and treatment usage of efanesoctocog alfa in patients with hemophilia A treated per standard of care in the US and Japan.
Patients will be enrolled in the study after the introduction of efanesoctocog alfa in the hemophilia treatment landscape in each study country. Decision to initiate treatment with commercially available efanesoctocog alfa will be made by the treating physician independently from the decision to include patients in the study. No study medication is provided. The data related to efanesoctocog alfa effectiveness, safety and usage will be collected prospectively during routine visits (expected annual/semi-annual visits) for up to 5 years following enrollment /treatment initiation.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiesteder
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Arizona
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Gilbert, Arizona, Forenede Stater, 85234-2165
- Banner MD Anderson Cancer Center- Site Number : 8400008
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California
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Loma Linda, California, Forenede Stater, 92354-3450
- Loma Linda University- Site Number : 8400015
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Los Angeles, California, Forenede Stater, 90007
- Orthopedic Institute for Children- Site Number : 8400004
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Orange, California, Forenede Stater, 92868
- The Center for Inherited Blood Disorders- Site Number : 8400001
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Colorado
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Aurora, Colorado, Forenede Stater, 80045-7202
- University of Colorado Hemophilia and Thrombosis Center- Site Number : 8400019
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Florida
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Gainesville, Florida, Forenede Stater, 32610-3003
- William A. Shands Hospital at the University of Florida- Site Number : 8400032
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St. Petersburg, Florida, Forenede Stater, 33701-4804
- Johns Hopkins All Childrens Hospital - Outpatient Care Center - PIN- Site Number : 8400025
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Illinois
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Chicago, Illinois, Forenede Stater, 60612-3863
- Rush University Medical Center -1725 W Harrison St- Site Number : 8400014
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Peoria, Illinois, Forenede Stater, 61615
- The Bleeding and Clotting Disorders Institute- Site Number : 8400005
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Indiana
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Indianapolis, Indiana, Forenede Stater, 46260-1920
- Indiana Hemophilia and Thrombosis Center- Site Number : 8400013
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Iowa
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Iowa City, Iowa, Forenede Stater, 52242-1009
- University Of Iowa Hospitals And Clinics- Site Number : 8400026
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- ~Massachusetts General Hospital- Site Number : 8400017
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Boston, Massachusetts, Forenede Stater, 02215-5418
- Dana Farber and Boston Children's Hospital- Site Number : 8400031
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Michigan
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Ann Arbor, Michigan, Forenede Stater, 48109-5000
- University of Michigan Hospital - 1500 E Medical Center Dr- Site Number : 8400023
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Minnesota
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Minneapolis, Minnesota, Forenede Stater, 55455-4800
- M Health Fairview- Masonic Cancer Clinic - Clinics- Site Number : 8400010
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Rochester, Minnesota, Forenede Stater, 55905-0001
- Mayo Clinic - PPDS- Site Number : 8400035
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Mississippi
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Madison, Mississippi, Forenede Stater, 39110-6115
- Mississippi Center For Advanced Medicine - 7731 Old Canton Rd- Site Number : 8400016
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Nebraska
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Omaha, Nebraska, Forenede Stater, 68114-4113
- University of Nebraska Medical Center - 985400 Nebraska Medical Center- Site Number : 8400009
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Nevada
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Las Vegas, Nevada, Forenede Stater, 89109
- Children's Specialty Center - Las Vegas- Site Number : 8400007
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New York
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New York, New York, Forenede Stater, 10065-4870
- Weill Cornell Medicine-New York Presbyterian Hospital- Site Number : 8400021
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45229-3026
- Cincinnati Children's Hospital Medical Center - PIN- Site Number : 8400006
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Pennsylvania
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Pittsburgh, Pennsylvania, Forenede Stater, 15213-4306
- Hemophilia Center of Western Pennsylvania- Site Number : 8400012
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37232-0011
- Vanderbilt University Medical Center- Site Number : 8400003
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Texas
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Dallas, Texas, Forenede Stater, 75390-7202
- University of Texas Southwestern Medical Center-2001 Inwood Rd- Site Number : 8400020
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Dallas, Texas, Forenede Stater, 75390-8565
- University of Texas Southwestern Medical Center- Site Number : 8400011
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Houston, Texas, Forenede Stater, 77030
- Gulf States Hemophilia and Thrombophilia Center- Site Number : 8400029
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Washington
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Seattle, Washington, Forenede Stater, 98101-3932
- Washington Institute for Coagulation- Site Number : 8400022
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Wisconsin
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Milwaukee, Wisconsin, Forenede Stater, 53233-2121
- Blood Center of Wisconnsin- Site Number : 8400027
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Approximately 200 patients from sites in the US and Japan will be enrolled in the study after the introduction of efanesoctocog alfa in the hemophilia treatment landscape in each of these two countries. To generate data for the broad real-world population of individuals with hemophilia A, eligible patients will include all ages, sexes and hemophilia A severities, whether on prophylactic or on-demand therapy or if efanesoctocog alfa is taken perioperatively.
Beskrivelse
Inclusion Criteria:
- Have a diagnosis of hemophilia A
- Patients starting efanesoctocog alfa treatment as per standard of care no more than one month prior to the enrollment date, for either on demand or prophylaxis. Patients starting efanesoctocog alfa treatment for a surgery event may also be enrolled only if the treatment is prescribed at enrollment.
- Physician's decision to treat the patient with efanesoctocog alfa is made prior to and independently of participation in the study.
- Signed and dated informed consent provided by the patient, or by the patient's legally acceptable representative for patients under the legal age before any study-related activities are undertaken. Assent should be obtained for pediatric patients according to local regulations.
Exclusion Criteria:
Diagnosed with other known bleeding disorder
- Participation in an investigational medicinal product trial at enrollment visit, or intake of an Investigational Medicinal Product within 3 months prior to inclusion in this study
- Current diagnosis of a FVIII inhibitor, defined as inhibitor titer ≥0.60 BU/mL
"The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial."
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: PROSPECTIVE
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Cohort A (Prophylactic treatment)
All participants on efanesoctocog alfa prophylactic treatment fulfilling the overall study inclusion/exclusion criteria. The prophylactic cohort will include the following sub-cohorts: Sub-cohort A1 (Joint imaging): Participants with severe hemophilia A and joint imaging by Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) or Joint Tissue Activity and Damage Exam (JADE) protocol performed within 6 months of initiating treatment with efanesoctocog alfa or within 3 months after initiating treatment with efanesoctocog alfa available. Sub-cohort A2 (Children with no prior joint damage):Participants with severe hemophilia A who have no prior joint damage |
Given per investigator's discretion
Andre navne:
|
|
Cohort B (On-Demand treatment)
Participants receiving on-demand treatment with efanesoctocog alfa who fulfil the overall study inclusion/exclusion criteria |
Given per investigator's discretion
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in Annualized joint bleeding rate (AjBR) for treated bleeds
Tidsramme: Up to 5 years
|
Data will be reported for the effectiveness of efanesoctocog alfa prophylaxis on clinical joint status over 5-years for prophylactic cohort |
Up to 5 years
|
|
Change from baseline in Annualized joint bleeding rate (AjBR) for all (treated and untreated) bleeds
Tidsramme: Up to 5 years
|
Data will be reported for the effectiveness of efanesoctocog alfa prophylaxis on clinical joint status over 5-years for prophylactic cohort |
Up to 5 years
|
|
Number of Target joint development, resolution and/or recurrence
Tidsramme: Up to 5 years
|
Data will be reported for the effectiveness of efanesoctocog alfa prophylaxis on clinical joint status over 5-years for prophylactic coho |
Up to 5 years
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in the Hemophilia Joint Health Score (HJHS v2.1) total/domains scores
Tidsramme: At 1, 2, 3, 4, 5 years
|
HJHS total/domain scores will be reported for prophylactic cohorts (A1 ad A2) |
At 1, 2, 3, 4, 5 years
|
|
Annual Bleeding Rate (ABR) by type for treated bleeds
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
ABR by type all (treated and untreated) bleeds
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
ABR by location for treated bleeds
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
ABR by location for all (treated and untreated) bleeds
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
ABR for all bleeding episodes (including untreated bleeding episodes)
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Percentage of patients with zero joint bleeds
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Annualized factor consumption per participant (IU/kg) assessed by prescription during the follow-up period.
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Annualized injection frequency per participant (assessed by prescription) during the follow- up period
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Treatment adherence (%) as judged by the physician during the follow-up period
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Number of injections of efanesoctocog alfa to treat a bleeding episode.
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (Sub Cohorts A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Total dose of efanesoctocog alfa to treat a bleeding episode.
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (Sub Cohorts A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Number of injections of efanesoctocog alfa to treat a bleeding episode
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Total dose of efanesoctocog alfa to treat a bleeding episode
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Percentage of bleeding episodes treated with a single injection of efanesoctocog alfa.
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Occurrence of a change in treatment regimen (on-demand to prophylactic or prophylactic to on-demand) at baseline and follow-up.
Tidsramme: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Change from baseline in Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) total/domain scores
Tidsramme: At 1, 2, 3, 4 and 5 years
|
HEAD-US total/domain scores will be reported for joint imaging sub cohort |
At 1, 2, 3, 4 and 5 years
|
|
Change from baseline in Hemophilia Early Arthropathy Detection with Joint Tissue Activity and Damage exam (JADE) musculoskeletal ultrasound (MSKUS) (JADE MSKUS)
Tidsramme: At 1, 2, 3, 4 and 5 years
|
Data will be reported for consenting participants from the joint imaging sub-cohort |
At 1, 2, 3, 4 and 5 years
|
|
Change from baseline in synovial hypertrophy by change in mm thickness AND/OR HEAD-US synovitis domain, AND/OR by JADE MSKUS synovial hypertrophy +/- power doppler signal
Tidsramme: At 6 months, 1, 2, 3, 4 and 5 years
|
Data will be reported from the consenting participants from the joint imaging sub-cohort |
At 6 months, 1, 2, 3, 4 and 5 years
|
|
Occurrence of adverse events (AEs) and serious adverse events (SAEs)
Tidsramme: Over 5 year period
|
The safety and tolerability of efanesoctocog alfa over 5 years evaluated in all participants |
Over 5 year period
|
|
Development of inhibitors (neutralizing antibodies directed against factor FVIII as determined via the Nijmegen modified Bethesda assay.
Tidsramme: Over 5 year period
|
The safety and tolerability of efanesoctocog alfa over 5 years assessed in all participants |
Over 5 year period
|
|
Change from baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) pain intensity 3a questionnaire (adults)
Tidsramme: At 3 months, 6 months, 1, 2, 3, 4 and 5 years
|
Effectiveness of efanesoctocog alfa assessed per participants' PROs in all participants |
At 3 months, 6 months, 1, 2, 3, 4 and 5 years
|
|
Change from baseline in Canadian Hemophilia Outcomes-Kids' Life Assessment Tool (CHO-KLAT) 3.0 (boys ≤18 years old) questionnaire (including Parent Proxy)
Tidsramme: At 1, 2, 3, 4 and 5 years
|
Effectiveness of efanesoctocog alfa assessed per participants' PROs in all participants |
At 1, 2, 3, 4 and 5 years
|
|
Change from baseline in the occurrence of inpatient and outpatient visits, and length of hospital stay related to hemophilia A
Tidsramme: At 1, 2, 3, 4 and 5 years
|
Healthcare resource use (HCRU) in efanesoctocog alfa related to hemophilia A over a 5-year period |
At 1, 2, 3, 4 and 5 years
|
|
Hemostatic response/physician reported during peri-operative period for surgery (major, minor) with efanesoctocog alfa.
Tidsramme: Over a 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over a 5 year period
|
|
Number of injections required to maintain hemostasis during perioperative period for surgery (major, minor)
Tidsramme: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Dose per injection required to maintain hemostasis during perioperative period for surgery (major, minor)
Tidsramme: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Total efanesoctocog alfa consumption (IU) during perioperative period for surgery (major, minor)
Tidsramme: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Number of blood component transfusions used during perioperative period for surgery
Tidsramme: Over 5 year Period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year Period
|
|
Type of blood component transfusions used during perioperative period for surgery
Tidsramme: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Estimated blood loss (ml) (intraoperative and post-operative period) for major surgery
Tidsramme: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Number of transfusions required for surgery (intraoperative and post-operative period)
Tidsramme: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Duration of hospitalization (major, minor)
Tidsramme: Over 5 years period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period. |
Over 5 years period
|
|
Dose per injection required to maintain hemostasis during perioperative period for surgery (major, minor)
Tidsramme: Over a 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period for On-demand Cohort |
Over a 5 year period
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Clinical Sciences & Operations, Sanofi
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- OBS17523
- U1111-1281-8840 (Registry Identifier: ICTRP)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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