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The goal of this study was to test whether adalimumab can induce mucosal healing in subjects with moderate to severe ileocolonic Crohn's Disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Double Blind | Placebo Comparator | Blinded study through Week 52. Adalimumab compared to placebo during blinded portion. |
|
| Open Label | Other | Note: No comparator was used in Open-Label portion of study. From Week 8, subjects could have switched to open-label (OL) adalimumab 40mg administered subcutaneously (SC) every other week (eow)or OL adalimumab 40 mg SC every week (ew) dosing to treat disease flare or non-response. At Week 52, all remaining subjects were allowed to switch to the Open-Label portion of the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| adalimumab | Biological | At Baseline (Week 0), subjects received an OL dose of 160 mg adalimumab SC followed by an OL dose of 80 mg adalimumab SC at Week 2 (induction dose). At Week 4, subjects were randomized to either adalimumab 40 mg SC eow or placebo SC eow. Adalimumab 40 mg eow dosing through blinded portion of study, which continued through Week 52. While all subjects began blinded study drug (placebo or adalimumab), subjects could have switched to an OL dose of adalimumab upon disease flare or non-response at or after Week 8. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects Without Mucosal Ulceration at Week 12 | Subjects were to have undergone up to 4 endoscopies to evaluate the presence or absence of mucosal ulceration: at Screening, at Week 12 (subjects who moved to open label (OL) drug between Week 8 and Week 12 because of disease flare or non-response were evaluated by endoscopy prior to receiving OL dosing), at the time of switch from blinded study drug to OL adalimumab at any time after Week 12, and at Week 52 or Early Termination. Subjects who remained blinded for the entire 52-week trial or switched to OL adalimumab between Week 8 and Week 12 were to have undergone 3 endoscopies. | Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Clinical Remission Crohn's Disease Activity Index (CDAI) < 150 at Week 12 | Clinical remission is defined as a CDAI less than 150. A lower score correlates with less severe Crohn's disease activity. The CDAI range for this study was 0 to 961. | Week 12 |
| Number of Subjects Without Mucosal Ulceration at Week 52 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anne Andrée Camez | Abbott | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atlanta | Georgia | 30342 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34546360 | Derived | Sandborn WJ, Lewis JD, Panes J, Loftus EV, D'Haens G, Yu Z, Huang B, Lacerda AP, Pangan AL, Feagan BG. Association Between Proposed Definitions of Clinical Remission/Response and Well-Being in Patients With Crohn's Disease. J Crohns Colitis. 2022 Mar 14;16(3):444-451. doi: 10.1093/ecco-jcc/jjab161. | |
| 29380251 | Derived |
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All subjects (135 subjects) enrolled in the study received an open-label dose of 160 mg adalimumab subcutaneously (SC) at Baseline (Week 0) followed by 80 mg adalimumab SC at Week 2 (induction dose). At Week 4, subjects were randomized to either adalimumab 40 mg SC every other week (eow) or placebo SC eow(129 subjects).
Subjects were to be enrolled in 9 countries. Subjects were enrolled at 19 sites in 8 countries. No subjects were enrolled in Sweden.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | SC dosing eow |
| FG001 | Adalimumab | 40 mg SC eow |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Induction |
|
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| placebo | Biological | At Baseline (Week 0), subjects received an OL dose of 160 mg adalimumab SC followed by an OL dose of 80 mg adalimumab SC at Week 2 (induction dose). At Week 4, subjects were randomized to either adalimumab 40 mg SC eow or placebo SC eow. Placebo SC eow dosing through blinded portion of study, which continued through Week 52. While all subjects began blinded study drug (placebo or adalimumab), subjects could have switched to an OL dose of adalimumab upon disease flare or non-response at or after Week 8. |
|
| adalimumab | Biological | At Baseline (Week 0), subjects received an OL dose of 160 mg adalimumab SC followed by an OL dose of 80 mg adalimumab SC at Week 2 (induction dose). At Week 4, subjects were randomized to either adalimumab 40 mg SC eow or placebo SC eow. Adalimumab or placebo SC eow dosing through blinded portion of study, which continued through Week 52. While all subjects began blinded study drug (placebo or adalimumab), subjects could have switched to an OL dose of adalimumab upon disease flare or non-response at or after Week 8. In the Open-Label arm, interventions were either adalimumab 40 mg SC eow or adalimumab 40 mg SC weekly. There was no placebo intervention post Week 52. |
|
|
The number of subjects receiving blinded study drug in each treatment group who were without mucosal ulceration at Week 52. |
| Week 52 |
| Number of Subjects With Clinical Remission (CDAI < 150) at Week 52 | Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) less than 150. A lower score correlates with less severe Crohn's disease activity. The CDAI range for this study was 0 to 961. | Week 52 |
| Number of Subjects Without Mucosal Ulceration at Both Week 12 and Week 52 | The number of subjects receiving blinded study drug in each treatment group who were without mucosal ulceration at both Week 12 and Week 52. | Weeks 12 and 52 |
| Number of Subjects With Clinical Remission (CDAI < 150) at Both Week 12 and Week 52 | Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) less than 150. A lower score correlates with less severe Crohn's disease activity. The CDAI range for this study was 0 to 961. | Weeks 12 and 52 |
| Chicago |
| Illinois |
| 60637 |
| United States |
| Chevy Chase | Maryland | 20815 | United States |
| Plymouth | Minnesota | 55446 | United States |
| Rochester | Minnesota | 55905-0002 | United States |
| Mexico | Missouri | 65265-3726 | United States |
| Great Neck | New York | 11021 | United States |
| Vienna | A - 1090 | Austria |
| Bonheiden | 2820 | Belgium |
| Leuven | B 3000 | Belgium |
| Roeselare | 8800 | Belgium |
| Calgary | Alberta | T2N 4N1 | Canada |
| Vancouver | British Columbia | V6Z 2K5 | Canada |
| Halifax | Nova Scotia | B3H 1V7 | Canada |
| Toronto | Ontario | M3N 2V7 | Canada |
| Lille | 59 037 | France |
| Berlin | 12200 | Germany |
| Hamburg | 22559 | Germany |
| Kiel | 24105 | Germany |
| Torino | 10128 | Italy |
| Amsterdam | 1105 AZ | Netherlands |
| Ryan C, Sobell JM, Leonardi CL, Lynde CW, Karunaratne M, Valdecantos WC, Hendrickson BA. Safety of Adalimumab Dosed Every Week and Every Other Week: Focus on Patients with Hidradenitis Suppurativa or Psoriasis. Am J Clin Dermatol. 2018 Jun;19(3):437-447. doi: 10.1007/s40257-017-0341-6. |
| 26234693 | Derived | Rutgeerts P, Reinisch W, Colombel JF, Sandborn WJ, D'Haens G, Petersson J, Zhou Q, Iezzi A, Thakkar RB. Agreement of site and central readings of ileocolonoscopic scores in Crohn's disease: comparison using data from the EXTEND trial. Gastrointest Endosc. 2016 Jan;83(1):188-97.e1-3. doi: 10.1016/j.gie.2015.06.018. Epub 2015 Jul 30. |
| 23856361 | Derived | Colombel JF, Rutgeerts PJ, Sandborn WJ, Yang M, Camez A, Pollack PF, Thakkar RB, Robinson AM, Chen N, Mulani PM, Chao J. Adalimumab induces deep remission in patients with Crohn's disease. Clin Gastroenterol Hepatol. 2014 Mar;12(3):414-22.e5. doi: 10.1016/j.cgh.2013.06.019. Epub 2013 Jul 12. |
| COMPLETED |
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| NOT COMPLETED |
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| Double Blind |
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| Open Label |
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Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | At Baseline (Week 0), subjects received an OL dose of 160 mg adalimumab SC followed by an OL dose of 80 mg adalimumab SC at Week 2 (induction dose). At Week 4, subjects were randomized to either adalimumab 40 mg SC eow or placebo SC eow. |
| BG001 | Adalimumab 40 mg Every Other Week | At Baseline (Week 0), subjects received an OL dose of 160 mg adalimumab SC followed by an OL dose of 80 mg adalimumab SC at Week 2 (induction dose). At Week 4, subjects were randomized to either adalimumab 40 mg SC eow or placebo SC eow. |
| 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, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
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| 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 | Number of Subjects Without Mucosal Ulceration at Week 12 | Subjects were to have undergone up to 4 endoscopies to evaluate the presence or absence of mucosal ulceration: at Screening, at Week 12 (subjects who moved to open label (OL) drug between Week 8 and Week 12 because of disease flare or non-response were evaluated by endoscopy prior to receiving OL dosing), at the time of switch from blinded study drug to OL adalimumab at any time after Week 12, and at Week 52 or Early Termination. Subjects who remained blinded for the entire 52-week trial or switched to OL adalimumab between Week 8 and Week 12 were to have undergone 3 endoscopies. | Analysis was on ITT subjects with mucosal ulceration at Screening. Subjects who did not have endoscopy at Week 12 were considered to have mucosal ulceration at Week 12 (NRI). If subjects had endoscopy at Week 8, the endoscopy results from Week 8 were carried forward to Week 12 for the primary efficacy analysis. | Posted | Number | Subjects | Week 12 |
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| Secondary | Number of Subjects With Clinical Remission Crohn's Disease Activity Index (CDAI) < 150 at Week 12 | Clinical remission is defined as a CDAI less than 150. A lower score correlates with less severe Crohn's disease activity. The CDAI range for this study was 0 to 961. | ITT set. NRI method was used to impute the missing values. | Posted | Number | Subjects | Week 12 |
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| Secondary | Number of Subjects Without Mucosal Ulceration at Week 52 | The number of subjects receiving blinded study drug in each treatment group who were without mucosal ulceration at Week 52. | The secondary efficacy analysis included the ITT subjects who had mucosal ulceration at screening. NRI method was used to impute the missing values. | Posted | Number | Subjects | Week 52 |
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| Secondary | Number of Subjects With Clinical Remission (CDAI < 150) at Week 52 | Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) less than 150. A lower score correlates with less severe Crohn's disease activity. The CDAI range for this study was 0 to 961. | ITT set. NRI method was used to impute the missing values. | Posted | Number | Subjects | Week 52 |
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| Secondary | Number of Subjects Without Mucosal Ulceration at Both Week 12 and Week 52 | The number of subjects receiving blinded study drug in each treatment group who were without mucosal ulceration at both Week 12 and Week 52. | Analysis was on ITT subjects who completed the Double Blind period and had Week 52 evaluations while in the Double Blind period. NRI method was used to impute the missing values. | Posted | Number | Subjects | Weeks 12 and 52 |
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| Secondary | Number of Subjects With Clinical Remission (CDAI < 150) at Both Week 12 and Week 52 | Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) less than 150. A lower score correlates with less severe Crohn's disease activity. The CDAI range for this study was 0 to 961. | ITT set. NRI method was used to impute the missing values. | Posted | Number | Subjects | Weeks 12 and 52 |
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Serious adverse events were not assessed for placebo subjects (Total at risk = 0) as all subjects received an OL dose of 160 mg adalimumab at Week 0 followed by an OL induction dose of 80 mg adalimumab at Week 2.
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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 | Placebo | 0 | 0 | 43 | 65 | |||
| EG001 | Adalimumab | All subjects (135 subjects) enrolled in the study received adalimumab 160 mg at Baseline followed by adalimumab 80 mg at Week 2 (Induction dose). | 20 | 135 | 49 | 64 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Coronary artery disease | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Crohn's disease | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ileal stenosis | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Intestinal fistula | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Type IV hypersensitivity reaction | Immune system disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Anal abscess | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Herpes zoster | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Perianal abscess | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Tonsillitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Vulval abscess | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Traumatic brain injury | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
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| Clostridium difficile toxin test positive | Investigations | MedDRA 11.0 | Non-systematic Assessment |
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| Fibromyalgia | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ovarian cyst torsion | Reproductive system and breast disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Infarction | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal distension | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Crohn's disease | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Flatulence | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Fatigue | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Influenza like illness | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Pyrexia | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Influenza | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Pharyngolaryngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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Provide ABBOTT at least sixty (60) days prior to submission for review, ABBOTT shall return within sixty (60) days. Proposed draft shall be delayed an additional sixty (60) days in addition to the Review Period
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Information Specialist | Abbott | 800-633-9110 |
| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
Not provided
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| ID | Term |
|---|---|
| D000068879 | Adalimumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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| Protocol Violation |
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| Lack of Efficacy |
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| Pregnancy |
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| Lost to Follow-up |
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| Lack of Efficacy |
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| Administrative reasons |
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| Subject moved to the United States |
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| Pregnancy |
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| Sponsor decision |
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| >=65 years |
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| Male |
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| United States |
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| Canada |
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| Belgium |
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| Austria |
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| Netherlands |
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| Germany |
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| Italy |
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| No |
| Superiority or Other |
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