- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT01946204
En studie av Apalutamid (ARN-509) hos menn med ikke-metastatisk kastrasjonsresistent prostatakreft (SPARTAN)
En multisenter, randomisert, dobbeltblind, placebokontrollert, fase III-studie av ARN-509 hos menn med ikke-metastatisk (M0) kastrasjonsresistent prostatakreft
The purpose of this study is to evaluate the efficacy and safety of apalutamide in adult men with high-risk non-metastatic castration-resistant prostate cancer.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
This Phase 3 clinical trial is an essential step in the evaluation of an investigational medication to see if it may be useful in treating prostate cancer. The purpose of the SPARTAN study is to compare the safety and effectiveness of the investigational medication to placebo in delaying prostate cancer from spreading to other parts of the body. A placebo is a pill that looks like the investigational medication but does not contain any active medication, a dummy pill.
Phase 3 studies are performed after preliminary evidence suggesting effectiveness of the drug has been obtained in previous Phase 2 studies. These studies are intended to gather the additional information about effectiveness and safety that is needed to evaluate the overall benefit-risk relationship of the drug.
Study participants will take the oral investigational medication daily. One cycle of study treatment lasts 4 weeks or 28 days. The number of cycles will depend on how you and your cancer respond to the study medication.
In order for the researchers to evaluate and compare the study results, there are two different study groups. Study participants will be randomly (like flipping a coin) assigned to one of these groups:
- One group will receive their current treatment along with the investigational medication
- One group will receive their current medications along with a placebo
The investigational medication will be given to 2 out of every 3 study participants. Neither you nor the study staff will know which group you are in. However, in case of a medical emergency, your study doctor can quickly find out which treatment group you are in.
All participants will continue to receive their current treatment along with either the investigational medication or a placebo. The selections will be random, and you may remain on investigational treatment until your disease worsens, or until significant side effects occur or you can no longer tolerate treatment.
Studietype
Registrering (Faktiske)
Fase
- Fase 3
Kontakter og plasseringer
Studiesteder
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Adelaide, Australia
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Box Hill, Australia
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Camperdown, Australia
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Darlinghurst, Australia
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Geelong, Australia
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Gosford, Australia
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Hobart, Australia
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Kogarah, Australia
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Liverpool, Australia
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Melbourne, Australia
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Nedlands, Australia
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Parkville, Australia
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South Woodville, Australia
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Southport, Australia
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Sydney, Australia
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Tweed Heads, Australia
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Wollongong, Australia
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Brussels, Belgia
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Ghent, Belgia
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Kortrijk, Belgia
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Leuven, Belgia
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Liège, Belgia
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Ottignies, Belgia
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Alberta
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Calgary, Alberta, Canada
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Edmonton, Alberta, Canada
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British Columbia
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Abbotsford British Columbia, British Columbia, Canada
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Kelowna, British Columbia, Canada
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Vancouver, British Columbia, Canada
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Victoria, British Columbia, Canada
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New Brunswick
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Moncton, New Brunswick, Canada
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Saint John, New Brunswick, Canada
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Nova Scotia
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Halifax, Nova Scotia, Canada
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Ontario
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Barrie, Ontario, Canada
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Brampton, Ontario, Canada
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Brantford, Ontario, Canada
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Hamilton, Ontario, Canada
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London, Ontario, Canada
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North York, Ontario, Canada
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Oakville, Ontario, Canada
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Ottawa, Ontario, Canada
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Owen Sound, Ontario, Canada
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Toronto, Ontario, Canada
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Quebec
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Gatineau, Quebec, Canada
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Granby, Quebec, Canada
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Greenfield Park, Quebec, Canada
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Laval, Quebec, Canada
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Montreal, Quebec, Canada
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Pointe-Claire, Quebec, Canada
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Québec, Quebec, Canada
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Sherbrooke, Quebec, Canada
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Aalborg C, Danmark
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Copenhagen, Danmark
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Odense, Danmark
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Roskilde, Danmark
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Helsinki, Finland
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Oulu, Finland
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Seinäjoki, Finland
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Tampere, Finland
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Turku, Finland
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Alabama
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Birmingham, Alabama, Forente stater
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Alaska
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Anchorage, Alaska, Forente stater
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Arizona
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Chandler, Arizona, Forente stater
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Tucson, Arizona, Forente stater
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California
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Duarte, California, Forente stater
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Fullerton, California, Forente stater
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Laguna Woods, California, Forente stater
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Los Angeles, California, Forente stater
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Orange, California, Forente stater
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Roseville, California, Forente stater
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Sacramento, California, Forente stater
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San Bernardino, California, Forente stater
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San Diego, California, Forente stater
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San Francisco, California, Forente stater
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Santa Monica, California, Forente stater
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Sherman Oaks, California, Forente stater
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Stanford, California, Forente stater
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Tarzana, California, Forente stater
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Torrance, California, Forente stater
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Colorado
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Denver, Colorado, Forente stater
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Englewood, Colorado, Forente stater
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Glenwood Springs, Colorado, Forente stater
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Grand Junction, Colorado, Forente stater
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District of Columbia
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Washington D.C., District of Columbia, Forente stater
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Florida
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Aventura, Florida, Forente stater
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Boca Raton, Florida, Forente stater
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Bradenton, Florida, Forente stater
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Daytona Beach, Florida, Forente stater
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Fort Myers, Florida, Forente stater
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Hialeah, Florida, Forente stater
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Jacksonville, Florida, Forente stater
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Miami, Florida, Forente stater
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New Port Richey, Florida, Forente stater
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Orlando, Florida, Forente stater
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Sarasota, Florida, Forente stater
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St. Petersburg, Florida, Forente stater
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Wellington, Florida, Forente stater
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Idaho
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Meridian, Idaho, Forente stater
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Illinois
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Chicago, Illinois, Forente stater
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Decatur, Illinois, Forente stater
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Maywood, Illinois, Forente stater
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Melrose Park, Illinois, Forente stater
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Indiana
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Carmel, Indiana, Forente stater
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Jeffersonville, Indiana, Forente stater
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Muncie, Indiana, Forente stater
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Iowa
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West Des Moines, Iowa, Forente stater
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Kansas
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Westwood, Kansas, Forente stater
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Wichita, Kansas, Forente stater
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Louisiana
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Metairie, Louisiana, Forente stater
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New Orleans, Louisiana, Forente stater
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Maryland
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Annapolis, Maryland, Forente stater
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Baltimore, Maryland, Forente stater
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Rockville, Maryland, Forente stater
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Towson, Maryland, Forente stater
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Massachusetts
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Boston, Massachusetts, Forente stater
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Michigan
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Detroit, Michigan, Forente stater
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Lansing, Michigan, Forente stater
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Minneapolis, Michigan, Forente stater
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Royal Oak, Michigan, Forente stater
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Minnesota
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Duluth, Minnesota, Forente stater
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Mississippi
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Bay Saint Louis, Mississippi, Forente stater
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Southaven, Mississippi, Forente stater
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Missouri
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Kansas City, Missouri, Forente stater
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Montana
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Missoula, Montana, Forente stater
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Nebraska
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Omaha, Nebraska, Forente stater
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Nevada
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Las Vegas, Nevada, Forente stater
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New Hampshire
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Hooksett, New Hampshire, Forente stater
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New Jersey
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Hackensack, New Jersey, Forente stater
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Lawrenceville, New Jersey, Forente stater
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Morristown, New Jersey, Forente stater
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Mount Laurel, New Jersey, Forente stater
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New Brunswick, New Jersey, Forente stater
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Voorhees Township, New Jersey, Forente stater
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New Mexico
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Albuquerque, New Mexico, Forente stater
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New York
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Albany, New York, Forente stater
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Mineola, New York, Forente stater
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New York, New York, Forente stater
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Oneida, New York, Forente stater
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Poughkeepsie, New York, Forente stater
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Syracuse, New York, Forente stater
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The Bronx, New York, Forente stater
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North Carolina
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Concord, North Carolina, Forente stater
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Greensboro, North Carolina, Forente stater
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Greenville, North Carolina, Forente stater
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Salisbury, North Carolina, Forente stater
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Winston-Salem, North Carolina, Forente stater
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Ohio
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Cincinnati, Ohio, Forente stater
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Cleveland, Ohio, Forente stater
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Middleburg Heights, Ohio, Forente stater
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Middletown, Ohio, Forente stater
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Oregon
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Bend, Oregon, Forente stater
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Portland, Oregon, Forente stater
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Tualatin, Oregon, Forente stater
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Pennsylvania
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Bala-Cynwyd, Pennsylvania, Forente stater
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Bryn Mawr, Pennsylvania, Forente stater
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Lancaster, Pennsylvania, Forente stater
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Philadelphia, Pennsylvania, Forente stater
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Pittsburgh, Pennsylvania, Forente stater
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Rhode Island
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Warwick, Rhode Island, Forente stater
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South Carolina
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Charleston, South Carolina, Forente stater
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Greenville, South Carolina, Forente stater
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Myrtle Beach, South Carolina, Forente stater
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West Columbia, South Carolina, Forente stater
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Tennessee
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Memphis, Tennessee, Forente stater
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Nashville, Tennessee, Forente stater
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Texas
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Abilene, Texas, Forente stater
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Amarillo, Texas, Forente stater
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Dallas, Texas, Forente stater
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Fort Sam Houston, Texas, Forente stater
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Houston, Texas, Forente stater
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McAllen, Texas, Forente stater
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San Antonio, Texas, Forente stater
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Virginia
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Norfolk, Virginia, Forente stater
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Richmond, Virginia, Forente stater
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Virginia Beach, Virginia, Forente stater
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Washington
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Burien, Washington, Forente stater
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Edmonds, Washington, Forente stater
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Seattle, Washington, Forente stater
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Tacoma, Washington, Forente stater
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Wisconsin
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Green Bay, Wisconsin, Forente stater
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Madison, Wisconsin, Forente stater
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Milwaukee, Wisconsin, Forente stater
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Angers, Frankrike
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Besançon, Frankrike
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Bordeaux, Frankrike
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Caen Cédex 05, Frankrike
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Clermont-Ferrand, Frankrike
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Hyers, Frankrike
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La Roche-sur-Yon, Frankrike
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Le Mans, Frankrike
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Lille Cedex N/a, Frankrike
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Lyon, Frankrike
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Marseille, Frankrike
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Nice, Frankrike
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Nîmes, Frankrike
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Paris, Frankrike
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Reims, Frankrike
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Rennes, Frankrike
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Rouen, Frankrike
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Saint-Grégoire, Frankrike
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Saint-Herblain, Frankrike
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Strasbourg, Frankrike
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Suresnes, Frankrike
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Tours, Frankrike
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Vandœuvre-lès-Nancy, Frankrike
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Haifa, Israel
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Jeruselem, Israel
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Kfar Saba, Israel
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Petah Tikva, Israel
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Ramat Gan, Israel
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Tel Aviv, Israel
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Tsrifin, Israel
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Akita, Japan
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Fukuoka, Japan
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Gifu, Japan
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Hakodate, Japan
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Hiroshima, Japan
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Hokkaido, Japan
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Kanazawa, Japan
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Kashiwa, Japan
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Kita-Gun, Japan
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Kobe, Japan
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Koshigaya, Japan
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Kumamoto, Japan
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Kurume, Japan
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Matsuyama, Japan
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Nagano, Japan
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Nagasaki, Japan
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Nagoya, Japan
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Niigata, Japan
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Osaka, Japan
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Sagamihara, Japan
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Sakura, Japan
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Sapporo, Japan
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Shinjuku-Ku, Japan
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Tokushima, Japan
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Tokyo, Japan
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Ube, Japan
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Wakayama, Japan
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Yokohama, Japan
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Ōsaka-sayama, Japan
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Alkmaar, Nederland
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Eindhoven, Nederland
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Hoofddorp, Nederland
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Leidschendam, Nederland
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Nijmegen, Nederland
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Rotterdam, Nederland
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Auckland, New Zealand
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Christchurch, New Zealand
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Hamilton, New Zealand
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Nelson, New Zealand
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Tauranga, New Zealand
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Whangarei, New Zealand
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Nordbyhagen, Norge
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Bialystok, Polen
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Bydgoszcz, Polen
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Gdansk, Polen
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Kutno, Polen
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Lodz, Polen
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Poznan, Polen
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Szczecin, Polen
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Torun, Polen
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Warsaw, Polen
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Wroclaw, Polen
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Baia Mare, Romania
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Brasov, Romania
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Bucharest, Romania
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Cluj-Napoca, Romania
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Târgu Mureş, Romania
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Barnaul, Russland
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Ivanovo, Russland
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Moscow, Russland
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Obninsk, Russland
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Omsk, Russland
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Ryazan, Russland
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Saint Petersburg, Russland
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Ufa, Russland
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Yaroslavl, Russland
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Yekaterinburg, Russland
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Banská Bystrica, Slovakia
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Bratislava, Slovakia
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Martin, Slovakia
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Nitra, Slovakia
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Trenčín, Slovakia
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A Coruña, Spania
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Badalona, Spania
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Barcelona, Spania
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Castellon, Spania
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Girona, Spania
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Guadalajara, Spania
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Jerez de la Frontera, Spania
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Las Palmas de Gran Canaria, Spania
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Madrid, Spania
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Murcia, Spania
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Málaga, Spania
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Palma de Mallorca, Spania
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Pamplona, Spania
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Sabadell, Spania
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Salamanca, Spania
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San Sebastián de los Reyes, Spania
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Santander, Spania
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Seville, Spania
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Valencia, Spania
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Blackburn, Storbritannia
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Cambridge, Storbritannia
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Cardiff, Storbritannia
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Dundee, Storbritannia
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Glasgow, Storbritannia
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Guildford, Storbritannia
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Leeds, Storbritannia
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London, Storbritannia
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Maidstone, Storbritannia
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Metropolitan Borough of Wirral, Storbritannia
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Nottingham, Storbritannia
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Plymouth, Storbritannia
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Southampton, Storbritannia
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Surrey, Storbritannia
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Swansea, Storbritannia
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Wolverhampton, Storbritannia
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Gothenburg, Sverige
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Stockholm, Sverige
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Umeå, Sverige
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Uppsala, Sverige
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Örebro, Sverige
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Daegu, Sør -Korea
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Gwangju, Sør -Korea
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Pusan, Sør -Korea
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Seongnam, Sør -Korea
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Seoul, Sør -Korea
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Kaohsiung City, Taiwan
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Taichung, Taiwan
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Taipei, Taiwan
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Taoyuan County, Taiwan
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Liberec, Tsjekkia
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Olomouc, Tsjekkia
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Opava, Tsjekkia
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Pilsen, Tsjekkia
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Prague, Tsjekkia
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Aachen, Tyskland
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Bergisch Gladbach, Tyskland
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Berlin, Tyskland
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Braunschweig, Tyskland
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Cologne, Tyskland
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Duisburg, Tyskland
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Emmendingen, Tyskland
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Frankfurt am Main, Tyskland
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Greifswald, Tyskland
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Göttingen, Tyskland
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Hamburg, Tyskland
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Hanover, Tyskland
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Heidelberg, Tyskland
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Heinsberg, Tyskland
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Homburg/Saar, Tyskland
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Jena, Tyskland
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Kiel, Tyskland
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Kirchheim unter Teck, Tyskland
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Magdeburg, Tyskland
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Mainz, Tyskland
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Mannheim, Tyskland
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Marburg, Tyskland
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Mettmann, Tyskland
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Müllheim, Tyskland
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Münster, Tyskland
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Nürtingen, Tyskland
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Regensburg, Tyskland
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Rostock, Tyskland
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Tübingen, Tyskland
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Weiden, Tyskland
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Wilhelmshaven, Tyskland
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Wuppertan, Tyskland
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Zirndorf, Tyskland
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Budapest, Ungarn
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Miskolc, Ungarn
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Nyíregyhá, Ungarn
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Sopron, Ungarn
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Szentes, Ungarn
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Graz, Østerrike
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Innsbruck, Østerrike
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Linz, Østerrike
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Vienna, Østerrike
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell features with high risk for development of metastases, defined as prostate-specific antigen doubling time (PSADT) less than or equal to (<=) 10 months. PSADT is calculated using at least 3 prostate-specific antigen (PSA) values obtained during continuous ADT (androgen deprivation therapy)
- Castration-resistant prostate cancer demonstrated during continuous ADT, defined as 3 PSA rises, at least 1 week apart, with the last PSA greater than (>) 2 nanogram per milliliter (ng/mL)
- Maintain castrate levels of testosterone within 4 weeks prior to randomization and throughout the study
- Patients currently receiving bone loss prevention treatment with bone-sparing agents must be on stable doses for at least 4 weeks prior to randomization
- Patients who received a first generation anti-androgen (for example, bicalutamide, flutamide, nilutamide) must have at least a 4-week washout prior to randomization AND must show continuing disease (PSA) progression (an increase in PSA) after washout
- At least 4 weeks must have elapsed from the use of 5-alpha reductase inhibitors, estrogens, and any other anti-cancer therapy prior to randomization
- At least 4 weeks must have elapsed from major surgery or radiation therapy prior to randomization
- Eastern Cooperative Oncology Group Performance Status 0 or 1
- Resolution of all acute toxic effects of prior therapy or surgical procedure to Grade <= 1 or baseline prior to randomization
- Adequate organ function according to protocol-defined criteria
- Administration of growth factors or blood transfusions will not be allowed within 4 weeks of the hematology labs required to confirm eligibility
Exclusion Criteria:
- Presence of confirmed distant metastases, including central nervous system and vertebral or meningeal involvement
- Symptomatic local or regional disease requiring medical intervention
- Prior treatment with second generation anti-androgens
- Prior treatment with CYP17 inhibitors
- Prior treatment with radiopharmaceutical agents, or any other investigational agent for non-metastatic castration-resistant prostate cancer
- Prior chemotherapy for prostate cancer except if administered in the adjuvant/neoadjuvant setting
- History of seizure or condition that may pre-dispose to seizure
- Concurrent therapy with protocol-defined excluded medications
- History or evidence of any of the following conditions: any prior malignancy (other than adequately treated basal cell or squamous cell skin cancer, superficial bladder cancer, or any other cancer in situ currently in complete remission) within 5 years prior to randomization; severe/unstable angina, myocardial infarction, symptomatic congestive heart failure, arterial or venous thromboembolic events, or clinically significant ventricular arrhythmias within 6 months prior to randomization; uncontrolled hypertension; gastrointestinal disorder affecting absorption; active infection; and, any other condition that, in the opinion of the investigator, would impair the patient's ability to comply with study procedures
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Trippel
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Behandlingsarm A: Apalutamid
|
240 mg tablets administered by mouth on a continuous once daily dosing regimen |
|
Placebo komparator: Behandlingsarm B: Placebo
|
Matched placebo tablets administered by mouth on a continuous once daily dosing regimen |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Metastasis-Free Survival (MFS) by Blinded Independent Central Review (BICR)
Tidsramme: Up to approximately 43 Months
|
MFS was defined as the time from randomization to the time of first evidence of BICR-confirmed bone or soft tissue distant metastasis or death due to any cause, whichever occurred first. The MFS data for participants without metastasis or death were performed for US or ex-US regulatory purposes. Radiographic scans (bone scans and computerized tomography [CT] or magnetic resonance imaging [MRI] of the chest, abdomen, and pelvis) were performed for detection of metastasis throughout the study. |
Up to approximately 43 Months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to Metastasis (TTM)
Tidsramme: Up to approximately 43 Months
|
Time to metastasis (TTM) was defined as the time from randomization to the time of the scan that showed first evidence of BICR-confirmed radiographically detected bone or soft tissue distant metastasis. The TTM data for participants without metastasis were performed for US or ex-US regulatory purposes. Radiographic scans (bone scans and CT or MRI of the chest, abdomen, and pelvis) were performed for detection of metastasis throughout the study. |
Up to approximately 43 Months
|
|
Progression-free Survival (PFS)
Tidsramme: Up to approximately 43 Months
|
PFS defined as time from randomization to first documentation of BICR-confirmed radiographic progressive disease (PD) (development of distant/local/regional metastasis)/death due to any cause whichever occurred first. PFS data for participants without loco-regional disease were performed for US/ex-US regulatory purposes. Radiographic scans (bone scans and CT/MRI of chest,abdomen,pelvis) performed for detection of metastasis throughout study. PD based on RECIST v1.1; Subjects with one measurable lesion, At least 20% increase in sum of diameters of target lesions taking as reference smallest sum on study. In addition, sum must demonstrate an absolute increase of at least 5 millimeter(mm). Also, appearance of one/more new lesions was also considered PD. Subjects with non-measurable disease as per CT/MRI scans, unequivocal progression/appearance of one or more new lesions was considered PD. For new bone lesions detected on bone scans, second imaging (CT/MRI) was required to confirm PD. |
Up to approximately 43 Months
|
|
Time to Symptomatic Progression
Tidsramme: Up to approximately 43 Months
|
Time to symptomatic progression was defined as the time from randomization to documentation in the CRF of any of the following (whichever occurred earlier): a) development of a skeletal-related event (pathologic fracture, spinal cord compression, or need for surgical intervention or radiation therapy to the bone); b) pain progression or worsening of disease-related symptoms requiring initiation of a new systemic anti-cancer therapy; or c) development of clinically significant symptoms due to loco-regional tumor progression requiring surgical intervention or radiation therapy. |
Up to approximately 43 Months
|
|
Overall Survival
Tidsramme: Up to approximately 43 months
|
Overall survival was defined as the time from randomization to the date of death due to any cause. |
Up to approximately 43 months
|
|
Time to Initiation of Cytotoxic Chemotherapy
Tidsramme: Up to approximately 43 months
|
Time to initiation of cytotoxic chemotherapy was defined as the time from randomization to the date of initiation of cytotoxic chemotherapy for prostate cancer. |
Up to approximately 43 months
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studieleder: Aragon Pharmaceuticals, Inc. Clinical Trial, Aragon Pharmaceuticals, Inc.
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Chowdhury S, Oudard S, Uemura H, Joniau S, Dearden L, Capone C, Van Sanden S, Diels J, Hadaschik BA. Apalutamide Compared with Darolutamide for the Treatment of Non-metastatic Castration-Resistant Prostate Cancer: Efficacy and Tolerability in a Matching-Adjusted Indirect Comparison. Adv Ther. 2022 Jan;39(1):518-531. doi: 10.1007/s12325-021-01885-6. Epub 2021 Nov 19.
- Smith MR, Mehra M, Nair S, Lawson J, Small EJ. Relationship Between Metastasis-free Survival and Overall Survival in Patients With Nonmetastatic Castration-resistant Prostate Cancer. Clin Genitourin Cancer. 2020 Apr;18(2):e180-e189. doi: 10.1016/j.clgc.2019.10.030. Epub 2019 Nov 6.
- Saad F, Cella D, Basch E, Hadaschik BA, Mainwaring PN, Oudard S, Graff JN, McQuarrie K, Li S, Hudgens S, Lawson J, Lopez-Gitlitz A, Yu MK, Smith MR, Small EJ. Effect of apalutamide on health-related quality of life in patients with non-metastatic castration-resistant prostate cancer: an analysis of the SPARTAN randomised, placebo-controlled, phase 3 trial. Lancet Oncol. 2018 Oct;19(10):1404-1416. doi: 10.1016/S1470-2045(18)30456-X. Epub 2018 Sep 10.
- Smith MR, Saad F, Chowdhury S, Oudard S, Hadaschik BA, Graff JN, Olmos D, Mainwaring PN, Lee JY, Uemura H, Lopez-Gitlitz A, Trudel GC, Espina BM, Shu Y, Park YC, Rackoff WR, Yu MK, Small EJ; SPARTAN Investigators. Apalutamide Treatment and Metastasis-free Survival in Prostate Cancer. N Engl J Med. 2018 Apr 12;378(15):1408-1418. doi: 10.1056/NEJMoa1715546. Epub 2018 Feb 8.
- Pollock Y, Smith MR, Saad F, Chowdhury S, Oudard S, Hadaschik B, Olmos D, Lee JY, Uemura H, Bhaumik A, Londhe A, Rooney B, Brookman-May SD, De Porre P, Mundle SD, Small EJ. Clinical characteristics associated with falls in patients with non-metastatic castration-resistant prostate cancer treated with apalutamide. Prostate Cancer Prostatic Dis. 2023 Mar;26(1):156-161. doi: 10.1038/s41391-022-00592-9. Epub 2022 Oct 8.
- Uemura H, Koroki Y, Iwaki Y, Imanaka K, Kambara T, Lopez-Gitlitz A, Smith A, Uemura H. Skin rash following Administration of Apalutamide in Japanese patients with Advanced Prostate Cancer: an integrated analysis of the phase 3 SPARTAN and TITAN studies and a phase 1 open-label study. BMC Urol. 2020 Sep 2;20(1):139. doi: 10.1186/s12894-020-00689-0.
- Karsh LI, Bevans KB, Saad F, Chung BH, Oudard S, Brookman-May SD, McCarthy SA, Smith MR, Chi KN, Small EJ, Agarwal N. Prostate-specific antigen and health-related quality of life in individuals with advanced prostate cancer treated with apalutamide: a plain language summary of the SPARTAN and TITAN studies. Future Oncol. 2024;20(35):2689-2698. doi: 10.1080/14796694.2024.2384257. Epub 2024 Aug 20.
- Shen J, Chowdhury S, Agarwal N, Karsh LI, Oudard S, Gartrell BA, Feyerabend S, Saad F, Pieczonka CM, Chi KN, Brookman-May SD, Rooney B, Bhaumik A, McCarthy SA, Bevans KB, Mundle SD, Small EJ, Smith MR, Graff JN. Apalutamide efficacy, safety and wellbeing in older patients with advanced prostate cancer from Phase 3 randomised clinical studies TITAN and SPARTAN. Br J Cancer. 2024 Jan;130(1):73-81. doi: 10.1038/s41416-023-02492-8. Epub 2023 Nov 11.
- Ni X, Sui J, Wang B, Wang H, Freedland SJ, Ye D, Zhu Y. Lower Testosterone Level and Metastases-Free Survival in Patients With Nonmetastatic Castration-Resistant Prostate Cancer Treated With Novel Antiandrogens: A Post Hoc Analysis of SPARTAN and ARAMIS. J Urol. 2025 Jul;214(1):10-17. doi: 10.1097/JU.0000000000004545. Epub 2025 Mar 25.
- Feng FY, Smith MR, Saad F, Mobadersany P, Tian SK, Yip SSF, Greshock J, Khan N, Yu MK, McCarthy S, Brookman-May SD, Bourla AB, Todorovic T, Yamashita R, Huang HC, Royce TJ, Showalter TN, Griffin J, Mitani A, Esteva A, Small EJ. Digital Pathology-Based Multimodal Artificial Intelligence Scores and Outcomes in a Randomized Phase III Trial in Men With Nonmetastatic Castration-Resistant Prostate Cancer. JCO Precis Oncol. 2025 Jan;9:e2400653. doi: 10.1200/PO-24-00653. Epub 2025 Jan 31.
- Roy S, Malone S, Wing K, Chowdhury S, Kishan AU, Sun Y, Wallis CJD, Mohamad O, Jia AY, Swami U, Zaorsky NG, Morgan SC, Ong M, Agarwal N, Spratt DE, Small EJ, Saad F. Prior Local Therapy and First-Line Apalutamide in Patients With Nonmetastatic Castration-Resistant Prostate Cancer: A Secondary Analysis of the SPARTAN Randomized Clinical Trial. JAMA Netw Open. 2024 Oct 1;7(10):e2439434. doi: 10.1001/jamanetworkopen.2024.39434.
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Datoer for studieregistrering
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Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- CR102931
- 2012-004322-24 (EudraCT-nummer)
- ARN-509-003; 56021927PCR1007 (Annen identifikator: Janssen Research & Development, LLC)
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert enhetsprodukt
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