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| ID | Type | Description | Link |
|---|---|---|---|
| 2004-004184-29 | EudraCT Number |
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Ulcerative colitis is a disease of the large bowel (colon) and rectum in which the lining of the bowel becomes red and swollen. Over time, patients with this disease may experience acute episodes of diarrhea, rectal bleeding and abdominal pain followed by periods of time without disease symptoms. 5-ASA drugs are a standard treatment for ulcerative colitis. Mesalazine is an experimental drug designed to gradually release 5-ASA into the areas of large bowel associated with ulcerative colitis. This study will test the safety and efficacy of mesalazine in keeping ulcerative colitis in remission.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SPD476 | Experimental | Mesalazine |
|
| Asacol | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SPD476 | Drug | 2.4 g/day Once Daily (QD) |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Endoscopic Remission of Ulcerative Colitis (UC) at 6 Months | Endoscopic remission is defined as an endoscopy score of less than or equal to 1. Endoscopy score (mucosal appearance) ranges from 0-3 (0 = normal [intact vascular pattern; no friability or granulation], 1 = mild [erythema; decreased vascular pattern; minimal granularity], 2 = moderate [marked erythema; granularity; friability; absent vascular pattern; bleeding with minimal trauma; no ulcerations], 3 = severe [ulceration; spontaneous bleeding]. | 6 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Withdrawal Due to Relapse of UC | Relapse is defined as withdrawal from the study due to lack of efficacy. | Over 6 Months |
| Endoscopic Remission of UC With No or Mild Symptoms at 6 Months | Endoscopic remission with no or mild symptoms is defined as an endoscopy score of less than or equal to 1 and a combined symptom score (stool frequency plus rectal bleeding) of less than or equal to 1. Endoscopy score (mucosal appearance) ranges from 0-3 (0 = normal, 1 = mild , 2 = moderate, 3 = severe). Rectal bleeding is assessed on a scale from 0-3 (0 = no rectal bleeding, 1 = streaks of blood, 2 = obvious blood, 3 = mostly blood). Stool frequency is assessed on a scale of 0-2 (0 = 0-1 more than normal per day, 1 = 2-3 more than normal per day, 2 = 4 or more than normal per day). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Study Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham Gastroenterology Associates | Birmingham | Alabama | 35209 | United States | ||
| Connecticut Gastroenterology Institute |
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| Label | URL |
|---|---|
| FDA-approved label | View source |
| FDA recall information | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | SPD476 | 2.4 g/day once daily (QD) |
| FG001 | Asacol | 1.6g/day administered 800 mg twice daily (BID) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Asacol | Drug | 1.6g/day administered 800 mg Twice Daily (BID) |
|
|
| 6 Months |
| Change From Baseline in Modified Ulcerative Colitis Disease Activity Index (UCDAI) Score at 6 Months | The modified UCDAI score is the sum of the scores of 4 parameters (stool frequency, rectal bleeding, endoscopy score, and physician global assessment), each scoring between 0 and 3, making 12 the worst score. | Baseline and 6 months |
| Short Inflammatory Bowel Disease Questionnaire (SIBDQ) Total Score | Quality of life (QoL) was assessed using the SIBDQ. SIBDQ total score is calculated from the sum of 10 questions. Each question is scored on a scale from 1 (poor QoL) to 7 (good QoL) with total scores ranging from 10 to 70. Higher scores indicate better QoL. | 6 Months |
| Bristol |
| Connecticut |
| 06010 |
| United States |
| Washington Gastroenterology | Washington D.C. | District of Columbia | 20010 | United States |
| Southern Clinical Research Consultants | Hollywood | Florida | 33021 | United States |
| Boorland-Groover Clinic | Jacksonville | Florida | 32256 | United States |
| United Medical Research | New Smyrna Beach | Florida | 32168 | United States |
| Atlanta Gastroenterology Associates | Atlanta | Georgia | 30342 | United States |
| Midwest Clinical Research Center | Moline | Illinois | 61265 | United States |
| Gastrointestinal Clinic of Quad Cities | Davenport | Iowa | 52807 | United States |
| Drug Research Services, Inc. | Metairie | Louisiana | 70006 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Center for Digestive and Liver Diseases, Inc | Mexico | Missouri | 65265 | United States |
| New York Center for Clinical Research | Lake Success | New York | 11042 | United States |
| ClinSearch | Chattanooga | Tennessee | 37404 | United States |
| S D Khan | Houston | Texas | 77090 | United States |
| Hospital Italiano de Buenos Aires | Capital Federal | Buenos Aires | C1181ACH | Argentina |
| Centro Integral De Gastroenterologia | Ciudad de Buenos Aires | C1425EUG | Argentina |
| Hospital Italiano de Mendoza, FINAMED SA | Mendoza | M5519GLU | Argentina |
| Bankstown-Lidcombe Hospital | Bankstown | New South Wales | 2200 | Australia |
| Concord Hospital | Concord | New South Wales | 2139 | Australia |
| Royal Adelaide Hospital | Adelaide | South Australia | 5000 | Australia |
| Eastern Health Hospital | Box Hill | Victoria | 3128 | Australia |
| St Vincent's Hospital | Fitzroy | Victoria | 3065 | Australia |
| Fremantle Hospital | Fremantle | Western Australia | 6160 | Australia |
| Imelda General Hospital | Bonheiden | 2820 | Belgium |
| Ziekenhuis Oost Limburg | Genk | 3600 | Belgium |
| Heilig Hart ziekenhuis vzw Roeselare-Menen | Roeselare | 8800 | Belgium |
| Unigastro | Castelo | 13070-040 | Brazil |
| Hospital de Clinicas | Porto Alegre | Brazil |
| Universidade Federal do Rio de Janeiro | Rio de Janeiro | 21941-290 | Brazil |
| Universidade Federal da Bahia - Hospital | Salvador | 40110-060 | Brazil |
| Hospital Sao Paulo | São Paulo | 01244-020 | Brazil |
| Hospital Israelita Albert Einstein | São Paulo | 05651-901 | Brazil |
| University of Calgary | Calgary | Alberta | T2N 4NI | Canada |
| Toronto Digestive Disease Associates, Inc. | Toronto | Ontario | M3N2V7 | Canada |
| Hopital Maisonneuve-Rosemont | Montreal | Quebec | H1T2M4 | Canada |
| Hópital Hótel-Dieu de Quebec | Québec | Quebec | G1R 2J6 | Canada |
| GI Research | Edmonton | T5H4B9 | Canada |
| Hospital del Salvador | Santiago | 7500922 | Chile |
| Clinica Las Condes | Santiago | 7591046 | Chile |
| Hospital Clinico P.UC | Santiago | 8330024 | Chile |
| Hospital San Juan de Dios | Santiago | 8350533 | Chile |
| Fakultni Nemocnice Plzen | Pilsen | 30460 | Czechia |
| NZZ Online 24 s.r.o | Prague | 120 00 | Czechia |
| Remedis s.r.o | Prague | 140 00 | Czechia |
| Thomavers Hospital | Prague | 14059 | Czechia |
| Klinicke Centrum ISCARE I.V.F | Prague | 170 04 | Czechia |
| Nemocnice Jablonec nad Nisou p.o | Prague | 466 60 | Czechia |
| Oblastni Nemocnice Pribram | Příbram | 261 26 | Czechia |
| Nemocnice Tabor A.S. | Tábor | 390 03 | Czechia |
| Masarykova Nemocnice | Ústí nad Labem | 401 13 | Czechia |
| Bispebjerg Hospital | Copenhagen NV | 1400 | Denmark |
| Hvidovre Hospital | Hvidovre | 2650 | Denmark |
| Koge University Hospital | Køge | 4600 | Denmark |
| CHU de Grenoble | Grenoble | France |
| Hospital De L'Archet | Nice | France |
| Hospital Haut Leveque | Pessac | France |
| Universitatsklinikum Freiburg | Freiburg im Breisgau | Germany |
| Universitat des Saarlandes | Homburg | Germany |
| Gastroenterologische Praxis Prof. Hackelsberger | Wiesbaden | Germany |
| Peterfy Sandor utcai | Budapest | H-1076 | Hungary |
| Semmelweis Egyetem | Budapest | H-1083 | Hungary |
| Debreceni Egyetem OEC - III | Debrecen | H-4012 | Hungary |
| Markhot Ferenc Korhaz-Rendelointeze II. Belgyogyaszat - Gasztroenterologia | Eger | H-3300 | Hungary |
| Pandy Kalman County Hospital | Gyula | H-5700 | Hungary |
| Amrita Institute of Medical Sciences | Kochi | Kerala | 682 026 | India |
| Lifeline Multispeciality Hospital | Chennai | 600096 | India |
| Asian Institute of Gastreoenterology | Hyderabaad | 500082 | India |
| S.R. Kalla Memorial Gastro & General Hospital | Jaipur | 302001 | India |
| Sanjay Gandhi Post Graduate Institute of Medical Sciences | Lucknow | 226 014 | India |
| Dayanand Medical College and Hospital | Ludhiana | 141 001 | India |
| Jaslok Hospital and Research Centre | Mumbai | 400 026 | India |
| All India Institute of Medical Sciences | New Delhi | 110 029 | India |
| Sree Gokulam Medical Centre & Research Foundation | Trivandrum | 695607 | India |
| Unidad Medica de Endoscopia y Cirugia (UNIMEDEC) | La Paz | Baja California Sur | CP23000 | Mexico |
| Hospital San Javier | Guadalajara | 44670 | Mexico |
| Central de Especialidades Medicas (FIDEPAZ) | La Paz | 23090 | Mexico |
| Mexican Institute of Clinical Research | Mexico City | 6700 | Mexico |
| Instituto Nacional de Ciencias médicas y Nutrición Salvador Zubirán | Mexico City | CP 14000 | Mexico |
| Hospital Angeles Torreón | Torreón | 27250 | Mexico |
| Orbis Medical Centre | Sittard | 6162 BG | Netherlands |
| Isala Clinics | Zwolle | 8025 AB | Netherlands |
| Shakespeare Specialist Group | Auckland | 620 | New Zealand |
| Waikato DHB Hospital | Hamilton | 2001 | New Zealand |
| Tauranga Hospital BOP Medical | Tauranga | 3112 | New Zealand |
| Wellington Hospital | Wellington | 6242 | New Zealand |
| Hospital Nacional Edgardo Rebagliati Martins | Lima | Lima-11 | Peru |
| Hospital Nacional Guillermo Alemnara Irigoyen | Lima | Lima-13 | Peru |
| Clinica Anglo America | Lima | Lima-27 | Peru |
| Clinica El Golf | Lima | Lima-27 | Peru |
| Klinika Gastroenterologi | Bialystok | Poland |
| Klinika Gastroenterologii | Lodz | Poland |
| Klinika Gastroenterologii | Szczecin | Poland |
| Miejska Przychodnia Specjalistyczna | Torun | Poland |
| Katedra i Klinika Gastroenterologii | Warsaw | Poland |
| Hospital Sao Marcos | Braga | 4701-965 | Portugal |
| Hospital Egas Moniz | Lisbon | 1349-019 | Portugal |
| Hospital Geral Santo Antonio | Porto | 4099-001 | Portugal |
| Colentina Clinical Hospital | Bucharest | 020125 | Romania |
| Prf. Dr D. Gerota Emergency Hospital | Bucharest | 021392 | Romania |
| Octavian Fodor Clinical Emergency Hospital | Cluj-Napoca | 400162 | Romania |
| County Emergency Hospital | Constanța | 900591 | Romania |
| Institute of Gastronenterology & Hepatology | Iași | 700111 | Romania |
| Clinical County Emergency Hospital | Târgu Mureş | 540103 | Romania |
| City Hospital #24 | Moscow | Russia |
| City Hospital #51 | Moscow | Russia |
| Scientific Centre of Coloproctology | Moscow | Russia |
| City Hospital #122 | Saint Petersburg | Russia |
| Russian Academy of Sciences | Saint Petersburg | Russia |
| Singapore General Hospital | Singapore | 169608 | Singapore |
| Tan Tock Seng Hospital | Singapore | 308433 | Singapore |
| Changi General Hospital | Singapore | 529889 | Singapore |
| Louis Leipoldt Medical Centre | Bellville | Western Cape | 7505 | South Africa |
| New Groote Schuur Hospital | Observatory | Western Cape | 7925 | South Africa |
| Kingsbury Hospital | Cape Town | 7708 | South Africa |
| St Augustine's Hospital | Durban | 4001 | South Africa |
| Parklands Medical Centre | Durban | 4091 | South Africa |
| Milpark Hospital | Johannesburg | 2193 | South Africa |
| Greenacres Hospital | Port Elizabeth | 6057 | South Africa |
| 2H Arun Place | Somerset West | 7130 | South Africa |
| Hallyam University, Sacred Heart Hospital | Anyang-si | 431-070 | South Korea |
| Seoul National University Hospital | Seoul | 110-744 | South Korea |
| Samsung Medical Centre | Seoul | 135-710 | South Korea |
| The Catholic University of Korea Kangnam St Mary's Hospital | Seoul | 137-040 | South Korea |
| Asan Medical Center | Seoul | South Korea |
| Yonsei University, College of Medicine | Seoul | South Korea |
| Hospital Universitario Germans Trias I Pujol | Badalona | 08916 | Spain |
| Hospital Universitario Reina Sofia | Córdoba | 14004 | Spain |
| Hospital Universitario Ramon Y Cajal | Madrid | 28034 | Spain |
| Hospital de Sagunto | Valencia | Spain |
| Sahlgrenska University Hospital | Gothenburg | 41345 | Sweden |
| Sophiahemmet | Stockholm | 11486 | Sweden |
| Karolinska University Hospital | Stockholm | 14186 | Sweden |
| Karolinska University Hospital | Stockholm | 17176 | Sweden |
| Taichung Veterans General Hospital | Taichung | 40705 | Taiwan |
| National Taiwan University Hospital | Taipei | 10002 | Taiwan |
| Taipei Veterans General Hospital | Taipei | 112 | Taiwan |
| St. Mark's Hospital | Harrow | Middlesex | HA1 3UJ | United Kingdom |
| Addenbrookes Hospital Department of Gastroenterology | Cambridge | CB2 2QQ | United Kingdom |
| Imperial College School of Medicine | London | W12 0NN | United Kingdom |
| Royal Victoria Infirmary | Newcastle upon Tyne | NE1 4LP | United Kingdom |
| Royal Hallamshire Hospital | Sheffield | S10 2JF | United Kingdom |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | SPD476 | 2.4 g/day QD |
| BG001 | Asacol | 1.6g/day administered 800 mg BID |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Baseline characteristics were calculated from the Safety Population (n = 826) defined as all randomized subjects who received at least 1 dose of investigational product. | Mean | Standard Deviation | years |
| ||||||||||||||
| Age, Customized | Baseline characteristics were calculated from the Safety Population (n = 826) defined as all randomized subjects who received at least 1 dose of investigational product. | Count of Participants | Participants |
| |||||||||||||||
| Sex: Female, Male | Baseline characteristics were calculated from the Safety Population (n = 826) defined as all randomized subjects who received at least 1 dose of investigational product. | Count of Participants | Participants |
| |||||||||||||||
| Region of Enrollment | Baseline characteristics were calculated from the Safety Population (n = 826) defined as all randomized subjects who received at least 1 dose of investigational product. | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Endoscopic Remission of Ulcerative Colitis (UC) at 6 Months | Endoscopic remission is defined as an endoscopy score of less than or equal to 1. Endoscopy score (mucosal appearance) ranges from 0-3 (0 = normal [intact vascular pattern; no friability or granulation], 1 = mild [erythema; decreased vascular pattern; minimal granularity], 2 = moderate [marked erythema; granularity; friability; absent vascular pattern; bleeding with minimal trauma; no ulcerations], 3 = severe [ulceration; spontaneous bleeding]. | Per Protocol Population (PP) defined as all subjects who either completed the study or withdrew for reasons related to efficacy or AEs and who were deemed to be protocol-compliant. | Posted | Number | percent of participants | 6 Months |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Withdrawal Due to Relapse of UC | Relapse is defined as withdrawal from the study due to lack of efficacy. | PP | Posted | Number | percent of participants | Over 6 Months |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Endoscopic Remission of UC With No or Mild Symptoms at 6 Months | Endoscopic remission with no or mild symptoms is defined as an endoscopy score of less than or equal to 1 and a combined symptom score (stool frequency plus rectal bleeding) of less than or equal to 1. Endoscopy score (mucosal appearance) ranges from 0-3 (0 = normal, 1 = mild , 2 = moderate, 3 = severe). Rectal bleeding is assessed on a scale from 0-3 (0 = no rectal bleeding, 1 = streaks of blood, 2 = obvious blood, 3 = mostly blood). Stool frequency is assessed on a scale of 0-2 (0 = 0-1 more than normal per day, 1 = 2-3 more than normal per day, 2 = 4 or more than normal per day). | PP | Posted | Number | percent of participants | 6 Months |
|
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| Secondary | Change From Baseline in Modified Ulcerative Colitis Disease Activity Index (UCDAI) Score at 6 Months | The modified UCDAI score is the sum of the scores of 4 parameters (stool frequency, rectal bleeding, endoscopy score, and physician global assessment), each scoring between 0 and 3, making 12 the worst score. | PP | Posted | Mean | Standard Deviation | Units on a scale | Baseline and 6 months |
|
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| Secondary | Short Inflammatory Bowel Disease Questionnaire (SIBDQ) Total Score | Quality of life (QoL) was assessed using the SIBDQ. SIBDQ total score is calculated from the sum of 10 questions. Each question is scored on a scale from 1 (poor QoL) to 7 (good QoL) with total scores ranging from 10 to 70. Higher scores indicate better QoL. | Intent to treat (ITT) population defined as all randomized subjects who received at least 1 dose of investigational product. Analysis includes patients who completed an SIBDQ questionnaire at 6 months. | Posted | Mean | Standard Deviation | Units on a scale | 6 Months |
|
|
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Safety population defined as all randomized subjects who received at least 1 dose of investigational medication.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | SPD476 | 2.4 g/day QD | 6 | 415 | 0 | 415 | ||
| EG001 | Asacol | 1.6g/day administered 800 mg BID | 3 | 411 | 0 | 411 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colitis | Gastrointestinal disorders |
| |||
| Colitis ulcerative | Gastrointestinal disorders |
| |||
| Appendicitis | Infections and infestations |
| |||
| Bronchitis | Infections and infestations |
| |||
| Fallopian tube perforation | Injury, poisoning and procedural complications |
| |||
| Post procedural hemorrhage | Injury, poisoning and procedural complications |
| |||
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders |
| |||
| Radiculitis brachial | Nervous system disorders |
| |||
| Ectopic pregnancy | Pregnancy, puerperium and perinatal conditions |
| |||
| Asthma | Respiratory, thoracic and mediastinal disorders |
|
Not provided
If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Shire | +1 866 842 5335 | ClinicalTransparency@shire.com |
| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D015212 | Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
Not provided
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| ID | Term |
|---|---|
| D019804 | Mesalamine |
| ID | Term |
|---|---|
| D062368 | meta-Aminobenzoates |
| D062365 | Aminobenzoates |
| D001565 | Benzoates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000636 | Aminosalicylic Acids |
| D012459 | Salicylates |
| D062385 | Hydroxybenzoates |
| D006880 | Hydroxy Acids |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010636 | Phenols |
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| 18 to 64 years |
|
| >=65 years |
|
| Male |
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| Taiwan |
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| Spain |
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| Chile |
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| Russian Federation |
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| India |
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| France |
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| Denmark |
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| Australia |
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| Peru |
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| South Africa |
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| Netherlands |
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| Korea, Republic of |
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| United Kingdom |
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| Hungary |
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| Czech Republic |
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| Mexico |
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| Canada |
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| Argentina |
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| Brazil |
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| Belgium |
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| Poland |
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| Singapore |
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| Romania |
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| Germany |
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| New Zealand |
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| Sweden |
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