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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-005454-30 | EudraCT Number |
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The primary objective of this study was to assess the long term safety of fostamatinib in subjects with persistent/chronic ITP
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fostamatinib Disodium | Experimental | Fostamatinib Disodium tablet 100 mg or 150 mg by mouth twice a day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fostamatinib Disodium | Drug | Fostamatinib Disodium tablet 100 mg or 150 mg by mouth twice a day |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects Who Achieved Platelet Count of at Least 50,000/µL Within 12 Weeks of Beginning Treatment up to 12 Months (Fostamatinib in 047/048 or 049):Version 1 | Percentage of subjects who achieved platelet count of at least 50,000/µL within 12 Weeks of beginning treatment up to 12 months was analyzed among all subjects who received active treatment in one of the prior studies (C788-047 or C788-048), in the current extension study (C788-049), or in both prior and current studies. Treated Population was defined as all enrolled and treated subjects. | Up to 12 months |
| Percentage of Subjects Who Achieved Platelet Count of at Least 50,000/µL Within 12 Weeks of Beginning Treatment up to 12 Months (Placebo in 047/048 and Fostamatinib 049): Version 2 | A within-subject, between-study comparison of platelet counts for subjects who were previously treated with placebo in one of the prior studies (C788-047 or C788-048) was prospectively defined in the protocol (version 2). Achievement of platelet response by 12 weeks and maintenance of platelet response for 12 weeks was analyzed among subjects who had been randomized to placebo in one of the prior studies (C788-047 or C788-048). Treated Population was defined as all enrolled and treated subjects. | Up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of Platelet Response Based on Platelet Count and Rescue Medication | The duration of platelet response was defined as the time from when the subject first achieved a platelet count of at least 50,000/µL, until the first of 2 visits with platelet counts < 50,000/µL that were at least 4 weeks apart without an intervening visit with a platelet count less than equal to (<=) 50,000/µL unrelated to rescue therapy. Duration of platelet response was analyzed using the Kaplan-Meier method. Treated Population was defined as all enrolled and treated subjects. Here, a number of subjects analyzed included all subjects evaluable for this endpoint. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rigel Pharmaceuticals, Inc. | Rigel Pharmaceuticals,Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arizona Oncology Associates | Tucson | Arizona | 85710 | United States | ||
| Bleeding & Clotting Disorders Institute |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33995988 | Derived | Cooper N, Altomare I, Thomas MR, Nicolson PLR, Watson SP, Markovtsov V, Todd LK, Masuda E, Bussel JB. Assessment of thrombotic risk during long-term treatment of immune thrombocytopenia with fostamatinib. Ther Adv Hematol. 2021 Apr 30;12:20406207211010875. doi: 10.1177/20406207211010875. eCollection 2021. |
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A total of 124 subjects were screened from studies C788-047/ C788-048 for this extension study. Out of which, 123 subjects were enrolled and treated with study drug.
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| ID | Title | Description |
|---|---|---|
| FG000 | Fostamatinib Disodium | Fostamatinib was self-administered twice daily (bid) by orally, once in the morning and once in the evening for up to 5 years or until commercial availability of fostamatinib for all subjects, whichever occurred first, in 2 dosage strengths: 100 milligram (mg) and 150 mg. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 11, 2019 | Dec 5, 2023 |
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| Up to 12 months |
| Percentage of Subjects in Whom a Reduction in the Dose of Concomitant ITP Therapy Can be Achieved While Maintaining an Adequate Platelet Count | The percentage of subjects in whom a reduction in the dose of concomitant ITP therapy could be achieved while maintaining an adequate platelet count, the reduction event was clarified to apply only to reductions in the dose of concomitant ITP therapy occurring within a period of platelet response and the reduction event was not be prompted by an adverse event. | Up to 12 months |
| Peoria |
| Illinois |
| 61615 |
| United States |
| Horizon Oncology Research, Inc | Lafayette | Indiana | 47905 | United States |
| Center for Cancer and Blood Disorders | Bethesda | Maryland | 20817 | United States |
| Weill Cornell Medical College/New York Presbyterian Hospital | New York | New York | 10065 | United States |
| Weill Cornell Medicine | New York | New York | 10065 | United States |
| East Carolina University, Brody School of Medicine | Greenville | North Carolina | 27834 | United States |
| W.G. "Bill" Hefner VA Medical Center | Salisbury | North Carolina | 28144 | United States |
| Signal Point Clinical Research Center LLC | Middletown | Ohio | 45042 | United States |
| Concord Repatriation General Hospital | Concord | New South Wales | 2139 | Australia |
| Liverpool Hospital | Liverpool | New South Wales | 2170 | Australia |
| Prince of Wales Hospital | Randwick | New South Wales | 2031 | Australia |
| Westmead Hospital | Westmead | New South Wales | 2145 | Australia |
| Launceston General Hospital | Launceston | Tasmania | 7250 | Australia |
| The Alfred | Melbourne | Victoria | 3004 | Australia |
| Perth Blood Institute | Nedlands | Western Australia | 6009 | Australia |
| Hanusch-Krankenhaus Wiener Gebietskrankenkasse | Vienna | 1140 | Austria |
| Specialized Hospital for Active Treatment of Hematology Diseases, EAD, Sofia, Department of Chemotherapy, Hemotherapy and Blood Inherited Diseases to Clinic of Clinical Hematology; | Sofia | BG | 1756 | Bulgaria |
| UMHAT Dr. Georgi Stranski, EAD, Pleven, Clinic of Hematology | Pleven | 5800 | Bulgaria |
| UMHAT Aleksandrovska, EAD | Sofia | 1431 | Bulgaria |
| MHAT Hristo Botev, AD, Vratsa, First Internal Department | Vratsa | 3000 | Bulgaria |
| Hamilton Health Sciences Corporation | Hamilton | Ontario | L8N 3Z5 | Canada |
| St. Michael's Hospital | Toronto | Ontario | M5B1W8 | Canada |
| Fakultni nemocnice Brno | Brno | 625 00 | Czechia |
| Fakultni nemocnice Ostrava | Ostrava-Poruba | 708 52 | Czechia |
| Herlev Hospital | Herlev | DK | 2730 | Denmark |
| Pecsi Tudomanyegyetem Klinikai Kozpont, I. sz. Belgyogyaszati Klinika | Pécs | H-7624 | Hungary |
| Istituto di Ematologia "Lorenzo e Ariosto Seràgnoli" | Bologna | BO | 40138 | Italy |
| Azienda Ospedaliero-Universitaria "Santa Maria della Misericordia" - Clinica Ematologica | Udine | 33100 | Italy |
| HAGA ziekenhuis | The Hague | NL | 2545 CH | Netherlands |
| Haukeland universitetssykehus, Helse Bergen HF | Bergen | 5021 | Norway |
| Sykehuset Østfold Kalnes | Grålum | 1714 | Norway |
| Samodzielny Publiczny Szpital Kliniczny Nr 1 we Wrocrlaw | Wroclaw | Dolnoslaski | 50-367 | Poland |
| Wojewodzki Szpital Specjalistyczny im. J. Korczaka | Słupsk | PO | 76-200 | Poland |
| Lkinika Hematologii I Transplantologii Uniwersyteckie Centrum Kliniczne | Gdansk | 80-952 | Poland |
| SPZOZ Szpital Uniwersytecki w Krakowie Pracownia Separacji Krwinek i Bank Komórek Krwiotwórczych Klinika Hematologii | Krakow | 31-501 | Poland |
| Wojewódzki Szpital Specjalistyczny im. M. Kopernika w Łodzi | Lodz | 93-510 | Poland |
| Specjalistyczny Gabinet Lekarski | Lublin | 20-601 | Poland |
| Szpital Wojewodzki w Opolu | Opole | 45-061 | Poland |
| Instytut Hematologii I Transfuzjologii | Warsaw | 02-776 | Poland |
| Spitalul Clinic Colentina, Hematologie | Bucharest | 020125 | Romania |
| Hospital Universitari Vall d'Hebron | Barcelona | 08035 | Spain |
| Hospital Universitario La Paz | Madrid | 28046 | Spain |
| Hospital Universitari i Politécnic La Fe de Valencia | Valencia | 46026 | Spain |
| Colchester General Hospital | Colchester | Essex | CO4 5JL | United Kingdom |
| Royal Victoria Infirmary | Newcastle upon Tyne | UK | NE1 4LP | United Kingdom |
| Kent & Canterbury Hospital | Canterbury | CT1 3NG | United Kingdom |
| James Paget University Hospital | Great Yarmouth | NR31 6LA | United Kingdom |
| St. James's Hospital | Leeds | LS9 7TF | United Kingdom |
| Leicester Royal Infirmary | Leicester | LE1 5WW | United Kingdom |
| Royal Liverpool University Hospital | Liverpool | L78XP | United Kingdom |
| Imperial College Healthcare NHS Trust | London | W12 0HS | United Kingdom |
| University College Hospital | London | WC1E 6AG | United Kingdom |
| Cancer and Haematology Centre | Oxford | OX3 7LE | United Kingdom |
| University Hospital of North Midlands NHS Trust, Royal Stoke University Hospital | Stoke-on-Trent | ST4 6QG | United Kingdom |
| COMPLETED |
|
| NOT COMPLETED |
|
Baseline characteristics are analyzed with treated population data analysis set which was defined as all enrolled and treated subjects.
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall Study | Baseline characteristics are analyzed with treated population data analysis set which was defined as all enrolled and treated subjects. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Full Range | years |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| |||||||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| |||||||||||||||||||||||
| Region of Enrollment | 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 | Percentage of Subjects Who Achieved Platelet Count of at Least 50,000/µL Within 12 Weeks of Beginning Treatment up to 12 Months (Fostamatinib in 047/048 or 049):Version 1 | Percentage of subjects who achieved platelet count of at least 50,000/µL within 12 Weeks of beginning treatment up to 12 months was analyzed among all subjects who received active treatment in one of the prior studies (C788-047 or C788-048), in the current extension study (C788-049), or in both prior and current studies. Treated Population was defined as all enrolled and treated subjects. | Posted | Number | 95% Confidence Interval | Percentage of Subjects | Up to 12 months |
|
|
| ||||||||||||||||||||||||||
| Primary | Percentage of Subjects Who Achieved Platelet Count of at Least 50,000/µL Within 12 Weeks of Beginning Treatment up to 12 Months (Placebo in 047/048 and Fostamatinib 049): Version 2 | A within-subject, between-study comparison of platelet counts for subjects who were previously treated with placebo in one of the prior studies (C788-047 or C788-048) was prospectively defined in the protocol (version 2). Achievement of platelet response by 12 weeks and maintenance of platelet response for 12 weeks was analyzed among subjects who had been randomized to placebo in one of the prior studies (C788-047 or C788-048). Treated Population was defined as all enrolled and treated subjects. | Posted | Number | 95% Confidence Interval | Percentage of Subjects | Up to 12 months |
|
| |||||||||||||||||||||||||||
| Secondary | Duration of Platelet Response Based on Platelet Count and Rescue Medication | The duration of platelet response was defined as the time from when the subject first achieved a platelet count of at least 50,000/µL, until the first of 2 visits with platelet counts < 50,000/µL that were at least 4 weeks apart without an intervening visit with a platelet count less than equal to (<=) 50,000/µL unrelated to rescue therapy. Duration of platelet response was analyzed using the Kaplan-Meier method. Treated Population was defined as all enrolled and treated subjects. Here, a number of subjects analyzed included all subjects evaluable for this endpoint. | Posted | Median | 95% Confidence Interval | Days | Up to 12 months |
|
| |||||||||||||||||||||||||||
| Secondary | Percentage of Subjects in Whom a Reduction in the Dose of Concomitant ITP Therapy Can be Achieved While Maintaining an Adequate Platelet Count | The percentage of subjects in whom a reduction in the dose of concomitant ITP therapy could be achieved while maintaining an adequate platelet count, the reduction event was clarified to apply only to reductions in the dose of concomitant ITP therapy occurring within a period of platelet response and the reduction event was not be prompted by an adverse event. | insufficient of number participants with events to perform the analysis | Posted | Up to 12 months |
|
|
Baseline up to 62 months
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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 | Fostamatinib Disodium | Fostamatinib was self-administered twice daily (bid) by orally, once in the morning and once in the evening for up to 5 years or until commercial availability of fostamatinib for all subjects, whichever occurred first, in 2 dosage strengths: 100 milligram (mg) and 150 mg. | 4 | 123 | 34 | 123 | 98 | 123 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Aortic stenosis | Vascular disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Mucosal haemorrhage | General disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Menorrhagia | Reproductive system and breast disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Muscle rupture | Injury, poisoning and procedural complications | MedDRA (18.1) | Non-systematic Assessment |
| |
| Thoracic vertebral fracture | Injury, poisoning and procedural complications | MedDRA (18.1) | Non-systematic Assessment |
| |
| Transaminases increased | Investigations | MedDRA (18.1) | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Cardio-respiratory arrest | Cardiac disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Loss of consciousness | Nervous system disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Gastric antral vascular ectasia | Gastrointestinal disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Hemorrhoids | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Hematochezia | Gastrointestinal disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Melaena | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Mouth haemorrhage | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Rectal haemorrhage | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Nephrolithiasis | Renal and urinary disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Cholecystitis | Hepatobiliary disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Petechiae | Skin and subcutaneous tissue disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Purpura | Skin and subcutaneous tissue disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Cellulitis staphylococcal | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Endocarditis bacterial | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Erythema induratum | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Mastoiditis | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Oral candidiasis | Infections and infestations | MedDRA (18.1) | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Tuberculosis | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Viral Infection | Infections and infestations | MedDRA (18.1) | Non-systematic Assessment |
| |
| Chondrocalcinosis pyrophosphate | Musculoskeletal and connective tissue disorders | MedDRA (18.1) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypertension | Vascular disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA (18.1) | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (18.1) | Non-systematic Assessment |
| |
| Petechiae | Skin and subcutaneous tissue disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (18.1) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Edema peripheral | General disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (18.1) | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA (18.1) | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Clinical Operations | Rigel Pharmaceuticals, Inc. | (650) 624-1100 | clinicaltrials@rigel.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 27, 2020 | Dec 5, 2023 | SAP_001.pdf |
| ID | Term |
|---|---|
| D016553 | Purpura, Thrombocytopenic, Idiopathic |
| ID | Term |
|---|---|
| D011696 | Purpura, Thrombocytopenic |
| D011693 | Purpura |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D057049 | Thrombotic Microangiopathies |
| D013921 | Thrombocytopenia |
| D001791 | Blood Platelet Disorders |
| D000095542 | Cytopenia |
| D006474 | Hemorrhagic Disorders |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| C523665 | fostamatinib |
Not provided
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Not provided
| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| United States |
|
| Czechia |
|
| United Kingdom |
|
| Spain |
|
| Canada |
|
| Austria |
|
| Netherlands |
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| Norway |
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| Poland |
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| Denmark |
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| Italy |
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| Bulgaria |
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| Australia |
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