- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT05329194
Tezepelumabin tehokkuus- ja turvallisuustutkimus aikuisilla ja nuorilla potilailla, joilla on vaikea astma Yhdysvalloissa (PASSAGE)
Monikeskus, yksihaarainen, avoin, luvan myöntämisen jälkeinen, vaiheen 4 tehokkuus- ja turvallisuustutkimus tezepelumabista aikuisilla ja nuorilla, joilla on vaikea astma, mukaan lukien useita alitutkittuja väestöryhmiä Yhdysvalloissa (PASSAGE)
Tutkimuksen yleiskatsaus
Yksityiskohtainen kuvaus
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 4
Yhteystiedot ja paikat
Opiskelupaikat
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Alabama
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Mobile, Alabama, Yhdysvallat, 36608
- Research Site
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Arizona
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Gilbert, Arizona, Yhdysvallat, 85234
- Research Site
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California
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Long Beach, California, Yhdysvallat, 90815
- Research Site
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Los Angeles, California, Yhdysvallat, 90017
- Research Site
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Rancho Mirage, California, Yhdysvallat, 92270
- Research Site
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Westminster, California, Yhdysvallat, 92683
- Research Site
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Colorado
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Colorado Springs, Colorado, Yhdysvallat, 80907
- Research Site
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Connecticut
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New Haven, Connecticut, Yhdysvallat, 06510
- Research Site
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District of Columbia
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Washington D.C., District of Columbia, Yhdysvallat, 20037
- Research Site
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Illinois
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Chicago, Illinois, Yhdysvallat, 60611
- Research Site
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Kentucky
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Lexington, Kentucky, Yhdysvallat, 40509
- Research Site
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Louisiana
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New Orleans, Louisiana, Yhdysvallat, 70112
- Research Site
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Maryland
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Upper Marlboro, Maryland, Yhdysvallat, 20772
- Research Site
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Michigan
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Ann Arbor, Michigan, Yhdysvallat, 48109
- Research Site
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Ypsilanti, Michigan, Yhdysvallat, 48197
- Research Site
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Minnesota
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Saint Paul, Minnesota, Yhdysvallat, 55109
- Research Site
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Missouri
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St Louis, Missouri, Yhdysvallat, 63110
- Research Site
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Nebraska
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Lincoln, Nebraska, Yhdysvallat, 68505
- Research Site
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Omaha, Nebraska, Yhdysvallat, 68114
- Research Site
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New York
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Hollis, New York, Yhdysvallat, 11423
- Research Site
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Horseheads, New York, Yhdysvallat, 14845
- Research Site
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Rochester, New York, Yhdysvallat, 14642
- Research Site
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Valhalla, New York, Yhdysvallat, 10595
- Research Site
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North Carolina
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Chapel Hill, North Carolina, Yhdysvallat, 27514
- Research Site
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Wilmington, North Carolina, Yhdysvallat, 28401
- Research Site
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Ohio
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Toledo, Ohio, Yhdysvallat, 43617
- Research Site
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Oklahoma
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Oklahoma City, Oklahoma, Yhdysvallat, 73120
- Research Site
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Pennsylvania
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Altoona, Pennsylvania, Yhdysvallat, 16602
- Research Site
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Philadelphia, Pennsylvania, Yhdysvallat, 19140
- Research Site
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Rhode Island
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Warwick, Rhode Island, Yhdysvallat, 02886
- Research Site
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South Carolina
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Greenville, South Carolina, Yhdysvallat, 29607
- Research Site
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Tennessee
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Hendersonville, Tennessee, Yhdysvallat, 37075
- Research Site
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Texas
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Fort Worth, Texas, Yhdysvallat, 76104
- Research Site
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McKinney, Texas, Yhdysvallat, 75069
- Research Site
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San Antonio, Texas, Yhdysvallat, 78229
- Research Site
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Virginia
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Charlottesville, Virginia, Yhdysvallat, 22903
- Research Site
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Washington
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Vancouver, Washington, Yhdysvallat, 98664
- Research Site
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Sisällyttämiskriteerit:
- Mies- tai naispuolisen osallistujan tulee olla vähintään 12-vuotias tietoisen suostumuslomakkeen tai suostumuksen allekirjoitushetkellä.
- Dokumentoitu lääkärin diagnosoima astma vähintään 12 kuukauden ajan ja tutkijan vahvistama, että se ei johdu vaihtoehtoisista diagnooseista.
- Dokumentoitu hoito keskisuuren tai suuren annoksen ICS:llä Global Initiative for Asthma (GINA) -ohjeiden (GINA 2021) mukaisesti vähintään 12 kuukauden ajan.
- Ylimääräisten astman ylläpitolääkkeiden käyttö ICS:n lisäksi vähintään 12 kuukauden ajan. Ylimääräinen ylläpitosäädinlääke voi olla yhdistelmätuotteessa (esim. ICS/pitkävaikutteinen β-agonisti (LABA)).
- Dokumentoitu historia vähintään 2 astman pahenemisesta 12 kuukauden aikana.
- Lääkäri päättää, että osallistuja on oikeutettu tezepelumabihoitoon Yhdysvaltain hyväksytyn tuoteselosteen (USPI) mukaisesti.
- Saat tällä hetkellä hoitoa erikoislääkäreiltä (esim. keuhkolääkärit ja/tai allergialääkärit).
- Täysi COVID-19-rokotus on suoritettu vähintään 28 päivää ennen tezepelumabin antamista. Tähän tutkimukseen osallistuminen ei edellytä hyväksytyn rokotteen ottamista.
- Allekirjoitetun ja päivätyn kirjallisen tietoisen suostumuslomakkeen toimittaminen.
Poissulkemiskriteerit:
- Kaikki tezepelumabin vasta-aiheet USA:n hyväksymän tuotteen etiketin tai tutkijan lausunnon mukaan.
- Vaikean tai erittäin vaikean kroonisen obstruktiivisen keuhkosairauden (COPD) samanaikainen diagnoosi GOLD-ohjeiden (GOLD 2021) mukaan.
- Aiempi biologinen käyttö astman hoitoon 4 kuukauden tai 5 puoliintumisajan sisällä (sen mukaan kumpi on pidempi).
- Osallistuminen interventiokliiniseen astman tutkimukseen 12 kuukauden sisällä.
- Tutkijan arvio, jonka mukaan osallistuja ei todennäköisesti noudata tutkimusmenettelyjä, rajoituksia ja vaatimuksia.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Kokeellinen: Tezepelumabi
Osallistujat saavat 210 mg tezepelumabia joka 4. viikko (Q4W) viikosta 0 viikkoon 48.
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Osallistujat saavat ihonalaisen tezepelumabi-injektion.
Muut nimet:
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Annualized Asthma Exacerbation Rate (AAER)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Asthma exacerbations were defined by worsening of asthma symptoms that leads to temporary bolus/burst of systemic corticosteroids for at least 3 consecutive days, or an emergency department (ED) or urgent care visit due to asthma that required systemic corticosteroid (SCS), and/or inpatient hospitalization (≥24 hours) due to asthma. The AAER was based on exacerbations reported by the investigator over 52 weeks. The exacerbation rate was compared between the 12-month period before [baseline period (BP)] and the 12-month period after initiation of tezepelumab [up to study Week 52 (Visit 15) = study period (SP)]. |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Number of Participants With Asthma Exacerbations
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The number of participants with at least one asthma exacerbation in the 12-month period before (baseline period) and after initiation of tezepelumab (study period) (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants Who Completed the 52 -Week Study Period With Any Reduction in Total Number of Asthma Exacerbations
Aikaikkuna: From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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The number of participants who completed the 52 -week study period following tezepelumab initiation with at least 50% reduction, and 100% reduction in total number of asthma exacerbations were assessed.
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From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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Cumulative Asthma Exacerbation Days
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The cumulative asthma exacerbation days over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Time to First Asthma Exacerbation
Aikaikkuna: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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The time to first exacerbation after initiation of tezepelumab was assessed.
Data for median time to event have been presented for this endpoint.
The median is the descriptive statistics median calculated using a subset of Participants with an event.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Rate of Asthma Exacerbations Associated With Hospitalizations
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The rate of asthma exacerbations associated with hospitalization over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Emergency Department /Urgent Care (ED/UC) Visits
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The rate of asthma exacerbations associated with ED/UC visits over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Hospitalizations or ED/UC Visits
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The rate of asthma exacerbations associated with hospitalizations or ED/UC visits over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants With Asthma Exacerbations Associated With Hospitalizations or ED/UC Visits
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The number of participants with asthma exacerbations associated with hospitalizations or ED/UC visits in in the 12-month periods before (baseline period) and after initiation of tezepelumab (study period) (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Cumulative Asthma Exacerbation Days Associated With Hospitalizations or ED/UC Visits
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The cumulative asthma exacerbation days associated with hospitalizations or ED/UC over 52 weeks before (baseline period) and after initiation of tezepelumab (study period) were assessed. Total days of exacerbations resulting in hospitalizations or ED/UC visits have been presented. |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in 1 Second (FEV1)
Aikaikkuna: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Lung function (FEV1) was measured pre-bronchodilator (pre-BD) by spirometry test.
FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Change From Baseline in Pre-bronchodilator FEV1
Aikaikkuna: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change from baseline in pre-bronchodilator FEV1 was assessed after initiation of tezepelumab.
FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Number of Pre-BD FEV1 Responders
Aikaikkuna: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of pre-BD FEV1 responders was defined as participants who achieved either at least 5% or 100 mL improvement from baseline.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Asthma Control Questionnaire (ACQ-6)
Aikaikkuna: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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The Asthma Control Questionnaire-6 (ACQ-6) is a shortened version of the ACQ that assesses the adequacy of asthma control and change in asthma control which occurs spontaneously or as a result of treatment.
ACQ assesses symptoms and rescue bronchodilator use.
Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled), with higher scores indicating worse asthma control.
The mean (average) ACQ-6 score is the mean of the responses.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Asthma Impairment and Risk Questionnaire (AIRQ)
Aikaikkuna: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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The Asthma Impairment and Risk Questionnaire (AIRQ) is a Patient Reported Outcome (PRO) tool intended to identify participants 12 years and older whose health may be at risk because of uncontrolled asthma.
It has 10 questions that ask about respiratory symptoms, activity limitation, sleep, rescue medication use, social activities, exercise, difficulty controlling asthma, and exacerbations.
All items have a yes/no response option and the tool is scored by summing the total number of 'yes' responses.
This sum score is used to assess level of asthma control, ranging from 0 to 10, with higher scores indicating worse asthma control, where: 0-1 is well controlled, 2-4 is not well controlled, and 5-10 is very poorly controlled.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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St. George's Respiratory Questionnaire (SGRQ)
Aikaikkuna: Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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St. George's Respiratory Questionnaire (SGRQ) is a 50-item Patient Reported Outcome (PRO) instrument used to measure health status of participants with airway obstruction diseases.
Questionnaire has 2 parts: part 1 consists of 8 items pertaining to severity of respiratory symptoms in preceding 4 weeks; part 2 consists of 42 items related to daily activity and psychosocial impacts of individual's respiratory condition.
SGRQ yields a total score and 3 components scores (symptoms, activity, and impacts).
Total score indicates impact of disease on overall health status, and it is expressed as percentage of overall impairment, in which 100 represents worst possible health status and 0 indicates best possible health status.
Likewise, domain scores range from 0 to 100, with higher scores indicative of greater impairment.
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Baseline (Week 0), Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Change From Baseline in ACQ-6 Score
Aikaikkuna: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change from baseline in Asthma Control Questionnaire-6 (ACQ-6) score was assessed. The ACQ-6 is a shortened version of the ACQ that assesses the adequacy of asthma control and change in asthma control which occurs spontaneously or as a result of treatment. ACQ assesses symptoms and rescue bronchodilator use. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled), with higher scores indicating worse asthma control. |
Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change From Baseline in AIRQ Score
Aikaikkuna: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change from baseline in Asthma Impairment and Risk Questionnaire (AIRQ) score was assessed.
AIRQ is a Patient Reported Outcome (PRO) tool intended to identify participants 12 years and older whose health may be at risk because of uncontrolled asthma.
It has 10 questions that ask about respiratory symptoms, activity limitation, sleep, rescue medication use, social activities, exercise, difficulty controlling asthma, and exacerbations.
All items have a yes/no response option and the tool is scored by summing the total number of 'yes' responses.
This sum score is used to assess level of asthma control, ranging from 0 to 10, with higher scores indicating worse asthma control, where: 0-1 is well controlled, 2-4 is not well controlled, and 5-10 is very poorly controlled.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change From Baseline in SGRQ Score
Aikaikkuna: Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Change from baseline in St. George's Respiratory Questionnaire (SGRQ) score was assessed.
SGRQ is a 50-item Patient Reported Outcome (PRO) instrument used to measure health status of participants with airway obstruction diseases.
Questionnaire has 2 parts: part 1 consists of 8 items pertaining to severity of respiratory symptoms in preceding 4 weeks; part 2 consists of 42 items related to daily activity and psychosocial impacts of individual's respiratory condition.
SGRQ yields a total score and 3 components scores (symptoms, activity, and impacts).
Total score indicates impact of disease on overall health status, and it is expressed as percentage of overall impairment, in which 100 represents worst possible health status and 0 indicates best possible health status.
Likewise, domain scores range from 0 to 100, with higher scores indicative of greater impairment.
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Baseline (Week 0) to Week 24 (Visit 8 = 6 months) and Week 52 (Visit 15 = 12 months)
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Number of ACQ-6 Responders
Aikaikkuna: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of ACQ-6 responders were assessed.
Individual changes from baseline of ≥ 0.5 were considered to be clinically meaningful (minimum clinically important difference [MCID]).
ACQ-6 responders in this study were defined as participants who achieved ≥ 1 MCID.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of AIRQ Responders
Aikaikkuna: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of AIRQ responders were assessed.
Individual changes from baseline of ≥ 2 were considered to be clinically meaningful (MCID).
AIRQ responders in this study were defined as participants who achieved ≥ 1 MCID.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of SGRQ Responders
Aikaikkuna: Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of SGRQ responders were assessed.
Individual changes from baseline of ≥ 4 were considered to be clinically meaningful (MCID).
SGRQ (total and component score) responders in this study were defined as participants who achieved ≥ 1 MCID.
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Week 24 (Visit 8 = 6 months), Week 52 (Visit 15 = 12 months)
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Number of Participants Who Require Any Systemic Corticosteroid (SCS) Use
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of participants who require any SCS use in the 12-month periods before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Cumulative Annualized SCS Dose
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Cumulative annualized SCS dose in the 12-month periods before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed. Cumulative annualized SCS dose for each participant was calculated as followed: Cumulative annualized SCS dose = [sum of (cumulative SCS dose)/length of the planned treatment period]*365.25 |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants Who Require Longer-term (>30 Consecutive Days) SCS Use
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of participants who require longer-term (>30 consecutive days) SCS use in the 12-month periods before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number and Type of Asthma-related Healthcare Resource Utilization (HRU)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of participants with specific type of asthma-related HRU in the 12-month period before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) were assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Duration of Asthma-related Hospitalizations
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Duration of asthma-related hospitalization in the 12-month period before (baseline period) and after initiation of tezepelumab (up to study Week 52 = study period) was assessed.
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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AAER for Asthma Exacerbations (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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AAER based on asthma exacerbations in the 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] was assessed in following subgroups of participants: Blood eosinophil count (BEC) ≥300 cells/microliter; BEC <300 cells/microliter; With clinically-relevant allergy to perennial aeroallergen; Without clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate chronic obstructive pulmonary disease (COPD); Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants With Asthma Exacerbations (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The number of participants with at least one asthma exacerbations in the 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number of Participants Who Completed the 52-week Study With Any Reduction in Total Number of Asthma Exacerbations (Subgroups of Participants)
Aikaikkuna: From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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The number of participants who completed the 52-week study period following tezepelumab initiation with at least 50% reduction, and 100% reduction in total number of asthma exacerbations were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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From Baseline period (Week -52 to Week 0) to Study period (Week 0 to Week 52)
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Cumulative Asthma Exacerbation Days (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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The cumulative asthma exacerbation days over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Hospitalizations (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of asthma exacerbations associated with hospitalization over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] was assessed in the following subgroups of participants: BEC ≥300 cells/µL; BEC <300 cells/µL; With a clinically-relevant allergy to perennial aeroallergen; Without a clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Emergency Department/Urgent Care (ED/UC) Visits (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of asthma exacerbations associated with ED/UC visits over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] was assessed in following subgroups of participants: BEC ≥300 cells/µL; BEC <300 cells/µL; With a clinically-relevant allergy to perennial aeroallergen; Without a clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of Asthma Exacerbations Associated With Hospitalizations or ED/UC Visits (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Rate of asthma exacerbations associated with hospitalizations or ED/UC visits over 52 weeks before [baseline period (BP)] and after initiation of tezepelumab [study period (SP)] was assessed in following subgroups of participants: BEC ≥300 cells/µL; BEC <300 cells/µL; With clinically-relevant allergy to perennial aeroallergen; Without clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
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Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
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Number and Type of Asthma-related HRU (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
Number of participants with specific type of asthma related HRU in the 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] were assessed in the following subgroups of participants: BEC ≥300 cells/microliter; BEC <300 cells/microliter; With a clinically-relevant allergy to a perennial aeroallergen; Without a clinically-relevant allergy to a perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking). FEIA = Fluorescent enzyme immunoassay |
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
|
Duration of Asthma-related Hospitalizations (Subgroups of Participants)
Aikaikkuna: Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
Duration of asthma-related hospitalization in 12-month period before [baseline period (BP)] and after initiation of tezepelumab [up to study Week 52 = study period (SP)] was assessed in following subgroups of participants: BEC≥300 cells/µL; BEC<300 cells/µL; With clinically-relevant allergy to perennial aeroallergen; Without clinically-relevant allergy to perennial aeroallergen; Participants who identify as Black/African American; Adolescents (12-17 years); Comorbid diagnosis of mild to moderate COPD; Significant smoking history (≥10 pack-years of smoking).
|
Baseline period (Week -52 to Week 0), Study period (Week 0 to Week 52)
|
Muut tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Number of Participants With Serious Adverse Events (SAEs), Adverse Events That Lead to Tezepelumab Treatment Discontinuation (DAEs), and Adverse Events of Special Interest (AESIs)
Aikaikkuna: Up to Week 52
|
The safety and tolerability of tezepelumab were assessed.
Data for adverse events on-treatment period have been presented.
|
Up to Week 52
|
Yhteistyökumppanit ja tutkijat
Sponsori
Yhteistyökumppanit
Tutkijat
- Päätutkija: Njira Lugogo., MD., University of Michigan Health. Michigan, USA
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Lugogo NL, Akuthota P, Sumino K, Mathur SK, Burnette AF, Lindsley AW, Llanos JP, Marchese C, Ambrose CS, Emmanuel B. Effectiveness and Safety of Tezepelumab in a Diverse Population of US Patients with Severe Asthma: Initial Results of the PASSAGE Study. Adv Ther. 2025 Jul;42(7):3334-3353. doi: 10.1007/s12325-025-03231-6. Epub 2025 May 19.
- Lugogo NL, Akuthota P, Sumino K, Burnette AF, Mathur SK, Lindsley AW, Llanos JP, Marchese C, Ambrose CS, Emmanuel B. Tezepelumab in Real-World U.S. Patients with Severe Asthma Across Phenotypes and Underrepresented Populations: The Phase 4 PASSAGE Study. Am J Respir Crit Care Med. 2026 May 18:aamag225. doi: 10.1093/ajrccm/aamag225. Online ahead of print.
Hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- D5180C00032
- 2026-000081-25 (EudraCT-numero)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
Pätevät tutkijat voivat pyytää pääsyä anonymisoituihin yksittäisiin potilastason tietoihin AstraZeneca-yritysryhmän sponsoroimista kliinisistä tutkimuksista pyyntöportaalin kautta. Kaikki pyynnöt arvioidaan AZ:n tiedonantositoumuksen mukaisesti:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Kyllä, osoittaa, että AZ hyväksyy IPD-pyyntöjä, mutta tämä ei tarkoita, että kaikki pyynnöt jaetaan.
IPD-jaon aikakehys
IPD-jaon käyttöoikeuskriteerit
IPD-jakamista tukeva tietotyyppi
- STUDY_PROTOCOL
- MAHLA
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
Yhdysvalloissa valmistettu ja sieltä viety tuote
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