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Um estudo do talquetamab em participantes com mieloma múltiplo recidivante ou refratário (MonumenTAL-1)

2 de novembro de 2026 atualizado por: Janssen Research & Development, LLC

Um estudo de fase 1/2, primeiro em humanos, aberto, escalonamento de dose de Talquetamab, um anticorpo biespecífico GPRC5D x CD3 humanizado, em indivíduos com mieloma múltiplo recidivante ou refratário

The purpose of this study is to evaluate the efficacy and safety of talquetamab in participants with relapsed or refractory multiple myeloma at the recommended Phase 2 dose(s) (RP2Ds) (Part 3).

Visão geral do estudo

Status

Recrutamento

Condições

Intervenção / Tratamento

Tipo de estudo

Intervencional

Inscrição (Estimado)

510

Estágio

  • Fase 2

Acesso expandido

Aprovado para venda ao público. Consulte registro de acesso expandido.

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Contato de estudo

Locais de estudo

      • Berlin, Alemanha, 12203
        • Ativo, não recrutando
        • Charite Campus Benjamin Franklin
      • Heidelberg, Alemanha, 69120
        • Ativo, não recrutando
        • Universitaetsklinikum Heidelberg
      • Münster, Alemanha, 48149
        • Concluído
        • Universitaetsklinikum Muenster
      • Würzburg, Alemanha, 97080
        • Ativo, não recrutando
        • Universitatsklinikum Wurzburg
      • Edegem, Bélgica, 2650
        • Concluído
        • UZ Antwerpen
      • Leuven, Bélgica, 3000
        • Ativo, não recrutando
        • UZ Leuven
      • Liège, Bélgica, 4000
        • Ativo, não recrutando
        • CHU de Liège - Domaine Universitaire du Sart Tilman
      • Woluwe-Saint-Lambert, Bélgica, 1200
        • Concluído
        • UCL - Saint Luc
      • Beijing, China, 100191
        • Concluído
        • Peking University Third Hospital
      • Guangzhou, China, 510060
        • Ativo, não recrutando
        • Sun Yat Sen University Cancer Center
      • Hangzhou, China, 310003
        • Ativo, não recrutando
        • The 1St Affiliated Hospital of Medical College Zhejiang University
      • Hangzhou, China, 310003
        • Ativo, não recrutando
        • The 1st Affiliated Hospital Of Medical College Zhejiang University 1
      • Suzhou, China, 215006
        • Ativo, não recrutando
        • First Affiliated Hospital SooChow University
      • Tianjin, China, 300320
        • Ativo, não recrutando
        • Institute of Hematology & Blood Disease Hospital Chinese Academy of Medical Science
      • Xi'an, China, 710004
        • Concluído
        • The Second Affiliated Hospital of Xi'an Jiaotong University
      • Xi'an, China, 710063
        • Concluído
        • The First Affiliated Hospital of Xian Jiaotong University
      • Jeollanam-do, Coréia do Sul, 58128
        • Concluído
        • Chonnam National University Hwasun Hospital
      • Seoul, Coréia do Sul, 06351
        • Concluído
        • Samsung Medical Center
      • Seoul, Coréia do Sul, 05505
        • Concluído
        • Asan Medical Center
      • Seoul, Coréia do Sul, 03080
        • Concluído
        • Seoul National University Hospital
      • Seoul, Coréia do Sul, 03722
        • Concluído
        • Severance Hospital Yonsei University Health System
      • Seoul, Coréia do Sul, 06591
        • Concluído
        • The Catholic University of Korea Seoul St Marys Hospital
      • Badalona, Espanha, 08916
        • Concluído
        • Hosp. Univ. Germans Trias I Pujol
      • Barcelona, Espanha, 8908
        • Ativo, não recrutando
        • Inst. Cat. Doncologia-H Duran I Reynals
      • Barcelona, Espanha, 08035
        • Recrutamento
        • Hosp Univ Vall D Hebron
      • Madrid, Espanha, 28041
        • Concluído
        • Hosp. Univ. 12 de Octubre
      • Madrid, Espanha, 28040
        • Concluído
        • Hosp Univ Fund Jimenez Diaz
      • Murcia, Espanha, 30120
        • Ativo, não recrutando
        • Hosp. Univ. Virgen de La Arrixaca
      • Pamplona, Espanha, 31008
        • Recrutamento
        • Clinica Univ. de Navarra
      • Pozuelo de Alarcón, Espanha, 28223
        • Concluído
        • Hosp. Quiron Madrid Pozuelo
      • Salamanca, Espanha, 37007
        • Recrutamento
        • Hosp Clinico Univ de Salamanca
      • Santander, Espanha, 39008
        • Recrutamento
        • Hosp. Univ. Marques de Valdecilla
      • Seville, Espanha, 41013
        • Recrutamento
        • Hosp. Virgen Del Rocio
    • Alabama
      • Birmingham, Alabama, Estados Unidos, 35294
        • Recrutamento
        • University of Alabama Birmingham
    • Arkansas
      • Little Rock, Arkansas, Estados Unidos, 72205
        • Recrutamento
        • University of Arkansas for Medical Sciences
    • California
      • Duarte, California, Estados Unidos, 91010
        • Concluído
        • City of Hope
    • Florida
      • Hollywood, Florida, Estados Unidos, 33021
        • Recrutamento
        • Memorial Healthcare System
    • Georgia
      • Atlanta, Georgia, Estados Unidos, 30322
        • Recrutamento
        • Emory University Winship Cancer Institute
    • Illinois
      • Chicago, Illinois, Estados Unidos, 60637
        • Concluído
        • University of Chicago
    • Kentucky
      • Louisville, Kentucky, Estados Unidos, 40207
        • Recrutamento
        • Norton Cancer Institute
    • Michigan
      • Ann Arbor, Michigan, Estados Unidos, 48109
        • Recrutamento
        • University of Michigan Health System
    • Missouri
      • St Louis, Missouri, Estados Unidos, 63110
        • Recrutamento
        • Washington University School Of Medicine
    • New York
      • New York, New York, Estados Unidos, 10023
        • Recrutamento
        • Mount Sinai Medical Center
      • New York, New York, Estados Unidos, 10016
        • Ativo, não recrutando
        • NYU Langone Health
      • Rochester, New York, Estados Unidos, 14642
        • Recrutamento
        • University of Rochester Medical Center
    • Oregon
      • Portland, Oregon, Estados Unidos, 97213
        • Concluído
        • Providence Portland Medical Center
    • Tennessee
      • Nashville, Tennessee, Estados Unidos, 37203
        • Concluído
        • Tennessee Oncology
      • Créteil, França, 94000
        • Ativo, não recrutando
        • CHU Henri Mondor
      • Lyon, França, 69002
        • Ativo, não recrutando
        • Hospices Civils de Lyon HCL
      • Montpellier, França, 34295
        • Ativo, não recrutando
        • CHU de Montpellier Hopital Saint Eloi
      • Nantes, França, 44093
        • Ativo, não recrutando
        • C.H.U. Hotel Dieu - France
      • Pessac, França, 33604
        • Ativo, não recrutando
        • CHU de Bordeaux - Hospital Haut-Leveque
      • Toulouse, França, 31059
        • Ativo, não recrutando
        • Pôle IUC Oncopole CHU
      • Amsterdam, Holanda, 1081 HV
        • Concluído
        • VU Medisch Centrum
      • Utrecht, Holanda, 3584 CX
        • Concluído
        • UMCU
      • Haifa, Israel, 31096
        • Ativo, não recrutando
        • Rambam Medical Center
      • Haifa, Israel, 3436212
        • Ativo, não recrutando
        • Carmel Medical Center
      • Jerusalem, Israel, 91120
        • Ativo, não recrutando
        • Hadassah Medical Center
      • Ramat Gan, Israel, 52621
        • Ativo, não recrutando
        • Sheba Medical Center
      • Tel Aviv, Israel, 64239
        • Ativo, não recrutando
        • Tel Aviv Sourasky Medical Center
      • Chiba, Japão, 296-8602
        • Concluído
        • Kameda Medical Center
      • Fukuoka, Japão, 814-0180
        • Concluído
        • Fukuoka University Hospital
      • Gifu, Japão, 503-8502
        • Concluído
        • Ogaki Municipal Hospital
      • Hokkaido, Japão, 006-8555
        • Concluído
        • Teine Keijinkai Hospital
      • Kobe, Japão, 650 0047
        • Concluído
        • Kobe City Medical Center General Hospital
      • Koshigaya, Japão, 343-8555
        • Concluído
        • Dokkyo Medical University Saitama Medical Center
      • Kumamoto, Japão, 860-8556
        • Concluído
        • Kumamoto University Hospital
      • Kurashiki, Japão, 710-8602
        • Concluído
        • Kurashiki Central Hospital
      • Matsumoto, Japão, 399-8701
        • Concluído
        • National Hospital Organization Matsumoto Medical Center
      • Okayama, Japão, 701-1192
        • Concluído
        • National Hospital Organization Okayama Medical Center
      • Osaka, Japão, 543 8555
        • Concluído
        • Japanese Red Cross Osaka Hospital
      • Shiwa-gun, Japão, 028-3695
        • Concluído
        • Iwate Medical University Hospital
      • Ōtake, Japão, 739-0696
        • Ativo, não recrutando
        • National Hospital Organization Hiroshima-Nishi Medical Center
      • Gdansk, Polônia, 80 214
        • Ativo, não recrutando
        • Uniwersyteckie Centrum Kliniczne
      • Gliwice, Polônia, 44102
        • Concluído
        • Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut BadawczyOddz w Gliwicach
      • Poznan, Polônia, 60-569
        • Ativo, não recrutando
        • Uniwersytecki Szpital Kliniczny w Poznaniu
      • Warsaw, Polônia, 02-781
        • Concluído
        • Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy
      • Wroclaw, Polônia, 50 367
        • Ativo, não recrutando
        • Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos e mais velhos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  • Documented initial diagnosis of multiple myeloma according to international myeloma working group (IMWG) diagnostic criteria
  • Part 3: Measurable disease cohort A, cohort B, cohort C and cohort D: multiple myeloma must be measurable by central laboratory assessment; Cohort E: Multiple myeloma must be measurable by local laboratory assessment
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
  • Women of childbearing potential must have a negative pregnancy test at screening and prior to the first dose of study drug using a highly sensitive pregnancy test either serum (beta human chorionic gonadotropin [hCG]) or urine
  • Willing and able to adhere to the prohibitions and restrictions specified in this protocol

Exclusion Criteria:

  • Part 3 only: Cohort A and Cohort C only: exposed to a CAR-T or T cell redirection therapy at any time. Cohort B, Cohort D and Cohort E: T cell redirection therapy within 3 months
  • Toxicities from previous anticancer therapies should have resolved to baseline levels or to Grade 1 or less except for alopecia or peripheral neuropathy
  • Received a cumulative dose of corticosteroids equivalent to >= 140 milligram (mg) of prednisone within the 14-day period before the first dose of study drug (does not include pretreatment medication)
  • Stroke or seizure within 6 months prior to signing the informed consent form (ICF)

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Não randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Part 3: Cohort A (Talquetamab)

Cohort A will enroll participants with multiple myeloma who have previously received greater than or equal to (>=) 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to open-label extension (OLE) phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the long-term extension (LTE) and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Outros nomes:
  • JNJ-64407564
Experimental: Part 3: Cohort B (Talquetamab)

Cohort B will enroll participants with multiple myeloma who have previously received >= 3 prior lines of therapy and have been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to OLE phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Outros nomes:
  • JNJ-64407564
Experimental: Part 3: Cohort C (Talquetamab)

Cohort C will enroll participants with multiple myeloma who have previously received >= 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to OLE phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Outros nomes:
  • JNJ-64407564
Experimental: Part 3: Cohort D (Talquetamab)

Cohort D will enroll participants with multiple myeloma who have previously received >= 3 prior lines of therapy. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants in this cohort will receive tocilizumab prophylaxis for cytokine release syndrome (CRS) including all outpatient dosing. Participants will transition to OLE upon communication by the sponsor. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Outros nomes:
  • JNJ-64407564
Experimental: Part 3: Cohort E (Talquetamab)

Cohort E will enroll participants with multiple myeloma who have previously received at least 1 proteasome inhibitor (PI), 1 immunomodulatory imide drug (IMiD), and 1 anti-cluster of differentiation 38 (CD38) monoclonal antibody.

Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants will receive tocilizumab prophylaxis for CRS with consolidated priming dose schedules as well as possible transition to outpatient priming dosing transition to OLE upon communication by the sponsor. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Outros nomes:
  • JNJ-64407564

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Overall Response Rate (ORR)
Prazo: Up to 2 years and 10 months

ORR is defined as the proportion of participants who have a partial response (PR) or better according to the international myeloma working group (IMWG) criteria.

Up to 2 years and 10 months

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Duration of Response (DOR)
Prazo: Up to 2 years and 10 months

DOR is defined as time from date of initial documentation of a response (PR or better) to date of first documented evidence of progressive disease (PD), per IMWG criteria, or death due to PD, whichever occurs first.

Up to 2 years and 10 months
Very Good Partial Response (VGPR) or Better Rate
Prazo: Up to 2 years and 10 months

VGPR or better rate is defined as the percentage of patients who achieve a VGPR or better according to IMWG response criteria.

Up to 2 years and 10 months
Complete Response (CR) or Better Rate
Prazo: Up to 2 years and 10 months

CR or better rate is defined as the percentage of patients who achieve CR or better according to IMWG response criteria.

Up to 2 years and 10 months
Stringent Complete Response (sCR) Rate
Prazo: Up to 2 years and 10 months

sCR rate is defined as the percentage of patients who achieve sCR according to IMWG response criteria.

Up to 2 years and 10 months
Time to Response (TTR)
Prazo: Up to 2 years and 10 months

TTR is defined as the time between date of first dose of study drug and the first efficacy evaluation that the participant has met all criteria for PR or better.

Up to 2 years and 10 months
Progression-Free Survival (PFS)
Prazo: Up to 2 years and 10 months

PFS is defined as time from date of first dose of study drug to date of first documented PD, per IMWG criteria, or death due to any cause, whichever occurs first.

Up to 2 years and 10 months
Overall Survival (OS)
Prazo: Up to 2 years and 10 months

OS is defined as the time from the date of first dose of study drug to the date of the participant's death.

Up to 2 years and 10 months
Minimal Residual Disease (MRD) Negative Rate
Prazo: Up to 2 years and 10 months

MRD negativity rate is measured only for participants who achieve at least a CR but is reported based on all treated similar to the other response data.

Up to 2 years and 10 months
Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
Prazo: Up to 2 years and 10 months

An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.

Up to 2 years and 10 months
Number of Participants with Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability
Prazo: Up to 2 years and 10 months

An SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.

Up to 2 years and 10 months
Number of Participants with AEs by Severity
Prazo: Up to 2 years and 10 months

Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE). Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event.

Up to 2 years and 10 months
Number of Participants with Abnormalities in Clinical Laboratory Values
Prazo: Up to 2 years and 10 months

Number of participants with abnormalities in clinical laboratory values (such as hematology, serum chemistry and coagulation) will be reported.

Up to 2 years and 10 months
Serum Concentration of Talquetamab
Prazo: Up to 2 years and 10 months

Serum samples will be analyzed to determine concentrations of talquetamab.

Up to 2 years and 10 months
Number of Participants with Talquetamab Antibodies
Prazo: Up to 2 years and 10 months

Antibodies to talquetamab will be assessed to evaluate potential immunogenicity.

Up to 2 years and 10 months
Change from Baseline in Health-Related Quality of Life (HRQoL) as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 item (EORTC QLQ-C30)
Prazo: Baseline up to 2 years and 10 months

The EORTC- QLQ-Core-30 includes 30 items that make up 5 functional scales (physical, role, emotional, cognitive, and social), 1 global health status scale, 3 symptom scales (pain, fatigue, and nausea/vomiting), and 6 single symptom items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The recall period is 1 week ("past week") and responses are reported using a verbal and numeric rating scales. The item and scale scores are transformed to a 0 to 100 scale. A higher score represents greater HRQoL, better functioning, and more (worse) symptoms.

Baseline up to 2 years and 10 months
Change from Baseline in HRQoL as Assessed by EuroQol Five Dimension Five Level Questionnaire (EQ-5D-5L)
Prazo: Baseline up to 2 years and 10 months

The EQ-5D-5L is a generic measure of health status. The EQ-5D-5L is a 5-item questionnaire that assesses 5 domains including mobility, self-care, usual activities, pain/discomfort and anxiety/depression plus a visual analog scale rating "health today" with anchors ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). The scores for the 5 separate questions are categorical and cannot be analyzed as cardinal numbers.

Baseline up to 2 years and 10 months
Change from Baseline in HRQoL as Assessed by Patient Global Impression of Severity (PGIS)
Prazo: Baseline up to 2 years and 10 months

The PGIS is a single item that assesses severity of the participant's health state, on a 5-point verbal rating scale. Score ranges from 1 (None) to 5 (Very Severe).

Baseline up to 2 years and 10 months
Overall Response Rate (ORR) in Participants with High-risk Molecular Features
Prazo: Up to 2 years and 10 months

ORR in participants with high risk is defined as the overall response rate among the high risk molecular subgroups or other high-risk molecular subtypes.

Up to 2 years and 10 months

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Investigadores

  • Diretor de estudo: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

Publicações e links úteis

A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.

Publicações Gerais

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

1 de fevereiro de 2021

Conclusão Primária (Estimado)

30 de junho de 2027

Conclusão do estudo (Estimado)

30 de março de 2029

Datas de inscrição no estudo

Enviado pela primeira vez

16 de novembro de 2020

Enviado pela primeira vez que atendeu aos critérios de CQ

16 de novembro de 2020

Primeira postagem (Real)

18 de novembro de 2020

Atualizações de registro de estudo

Última Atualização Postada (Real)

3 de novembro de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

2 de novembro de 2026

Última verificação

1 de novembro de 2026

Mais Informações

Termos relacionados a este estudo

Palavras-chave

Outros números de identificação do estudo

  • CR108920
  • 2017-002400-26 (Número EudraCT)
  • TALMMY1001-PT3 (Outro identificador: Janssen Research & Development, LLC)
  • 2017 (Concessão/Contrato do NIH dos EUA)
  • 2023-504581-29-00 (Identificador de registro: EUCT number)
  • 2023 (Concessão/Contrato do NIH dos EUA)

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

SIM

Descrição do plano IPD

The data sharing policy of Johnson & Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Sim

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .