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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-002731-17 | EudraCT Number |
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The primary objective of this study is to evaluate the safety of ENTO with VCR in participants with relapsed or refractory B-cell NHL.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation: ENTO | Experimental | Participants will be enrolled sequentially in a 3 + 3 dose escalation design to receive escalating dose of ENTO+VCR at dose levels 1 to 4 with the objective of defining the maximum tolerated dose (MTD) or recommended dose for the dose expansion stage. Following the determination of the MTD of the dose levels 1 to 4 (or concurrently with the opening of dose level 4), the safety of administering ENTO with VCR when administered as a 4-day prolonged continuous infusion may be evaluated in the continuous infusion dose escalation level (dose level C1) with the objective of investigating the schedule of dosing ENTO when administered with VCR as a continuous infusion. |
|
| Dose Expansion: VCR+ENTO (Cohort A) | Experimental | Based on the tolerability, safety, and efficacy data from the dose escalation phase, participants with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) may receive VCR+ENTO. |
|
| Dose Expansion: VCR+ENTO (Cohort B) | Experimental | Based on the tolerability, safety, and efficacy data from the dose escalation phase, participants with relapsed or refractory B-cell NHL (non-DLBCL) may receive VCR+ENTO. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Entospletinib | Drug | ENTO spray dried dispersion tablets administered orally twice daily while in a fasted state |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events (AEs) and Laboratory (Lab) Abnormalities Defined as Dose Limiting Toxicities (DLTs) in Participants With Relapsed or Refractory B-cell NHL: Dose Escalation Stage | Occurrence of any of the following toxicities during Cycle 1 was considered DLT if judged by the Investigator to be possibly, probably, or definitely related to the administration of any drug in the treatment regimen:
| Cycle 1 (28-day cycle) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With AEs and Lab Abnormalities Not Defined as DLTs in Participants With Relapsed or Refractory B-cell NHL: Dose Escalation Stage | The number of participants with AEs and lab abnormalities not defined as DLTs in participants in the dose escalation stage with relapsed or refractory B-cell NHL are presented. | Cycle 1 (28-day cycle) |
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Key Inclusion Criteria:
Measurable disease by computed tomograph (CT)/ and/or positron-emission tomography CT (PET-CT)
A) Dose Escalation Stage: Confirmed diagnosis of relapsed or refractory B-Cell NHL treated with prior treatment for lymphoid malignancy comprising of at least 1 regimen containing a therapeutic anti-CD20 antibody (eg, rituximab, ofatumumab, GA-101) and at least 2 prior combination chemotherapy regimens (or autologous stem cell transplant) , or treated with 1 prior combination chemotherapy regimen in patients without an approved second-line therapy option, requiring treatment in the opinion of the treating physician
B) Dose Expansion Cohorts:
Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 or Karnofsky performance status ≥ 70
Required screening laboratory data (within 2 weeks prior to administration of study drug) as defined in study protocol.
Adequate organ function defined by the screening laboratory inclusion and Left Ventricular Ejection Fraction (LVEF) ≥ 45% confirmed by echocardiogram (ECHO) or multigated acquisition (MUGA)
Discontinuation of all therapy (including radiotherapy, chemotherapy, tyrosine kinase inhibitors (TKIs), immunotherapy, or investigational therapy for the treatment of cancer at least 2 weeks prior to the initiation of study therapy
All acute toxic effects of any prior antitumor therapy resolved to Grade ≤ 1 before enrollment, with the exception of alopecia (any grade permitted)
For female individuals of childbearing potential, willingness to use a protocol-recommended method of contraception from the Screening visit throughout the study and 30 days from the last dose of ENTO or VCR, whichever is later.
For male individuals having intercourse with females of childbearing potential, willingness to abstain from heterosexual intercourse or use a protocol-recommended method of contraception from the start of study drug throughout the study treatment period and for 90 days following the last dose of ENTO or VCR, whichever is later and to refrain from sperm donation from the start of the study drug throughout the study treatment period and for 90 days following the last dose of ENTO or VCR, whichever is later.
In the judgment of the investigator, participation in the protocol offers an acceptable benefit-to-risk ratio when considering current disease status, medical condition, and the potential benefits and risks of alternative treatments for the individual's NHL
Willingness to comply with scheduled visits, drug administration plan, imaging studies, laboratory tests, other study procedures, and study restrictions
Have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Gilead Study Director | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Forrest General Hospital | Hattiesburg | Mississippi | United States | |||
| Medical University of South Carolina |
13 participants were screened.
Participants were enrolled at study sites in the United States and France. The first participant was screened on 11 February 2016. The last study visit occurred on 22 June 2017.
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| ID | Title | Description |
|---|---|---|
| FG000 | ENTO 200 mg | Participants received entospletinib (ENTO) 200 mg tablet twice daily + vincristine (VCR) 1.0 mg/m^2 administered via intravenous infusion every 14 days; up to 24 weeks. |
| FG001 | ENTO 400 mg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Vincristine | Drug | VCR administered intravenously |
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| Duration of Exposure to ENTO | Baseline to end of study (maximum: 24 weeks) |
| Number of VCR Doses | Baseline to end of study (maximum: 24 weeks) |
| Charleston |
| South Carolina |
| United States |
| Groupe Hospitalier du Haut Leveque | Pessac | Aquitaine | France |
| Centre Hospitalier Régional Universitaire de Lille (CHRU de Lille) | Lille | Hauts-de-France | France |
| Institut Paoli Calmettes | Marseille | Provence-Alpes-Côte d'Azur Region | France |
| Centre Hospitalier Universitaire de Dijon Hôpital du Bocage | Dijon | France |
| Centre Hospital Lyon Sud | Pierre-Bénite | France |
Participants received ENTO 400 mg tablet twice daily + VCR 1.0 mg/m^2 administered via intravenous infusion every 14 days; up to 8 weeks.
| COMPLETED |
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| NOT COMPLETED |
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Full Analysis Set included all participants who received at least 1 dose of ENTO.
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| ID | Title | Description |
|---|---|---|
| BG000 | ENTO 200 mg | Participants received ENTO 200 mg tablet twice daily + VCR 1.0 mg/m^2 administered via intravenous infusion every 14 days; up to 24 weeks. |
| BG001 | ENTO 400 mg | Participants received ENTO 400 mg tablet twice daily + VCR 1.0 mg/m^2 administered via intravenous infusion every 14 days; up to 8 weeks. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | 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 Participants With Adverse Events (AEs) and Laboratory (Lab) Abnormalities Defined as Dose Limiting Toxicities (DLTs) in Participants With Relapsed or Refractory B-cell NHL: Dose Escalation Stage | Occurrence of any of the following toxicities during Cycle 1 was considered DLT if judged by the Investigator to be possibly, probably, or definitely related to the administration of any drug in the treatment regimen:
| DLT Analysis Set included participants in the Full Analysis Set (included all participants who received at least 1 dose of ENTO) who received 37 of 56 Cycle 1 doses of ENTO and completed the full Cycle 1 dose of VCR or who experienced a DLT during the DLT assessment window. | Posted | Count of Participants | Participants | Cycle 1 (28-day cycle) |
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| Secondary | Number of Participants With AEs and Lab Abnormalities Not Defined as DLTs in Participants With Relapsed or Refractory B-cell NHL: Dose Escalation Stage | The number of participants with AEs and lab abnormalities not defined as DLTs in participants in the dose escalation stage with relapsed or refractory B-cell NHL are presented. | Participants in the Full Analysis Set were analyzed. | Posted | Count of Participants | Participants | Cycle 1 (28-day cycle) |
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| Secondary | Duration of Exposure to ENTO | Participants in the Full Analysis Set were analyzed. | Posted | Mean | Standard Deviation | weeks | Baseline to end of study (maximum: 24 weeks) |
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| Secondary | Number of VCR Doses | Participants in the Full Analysis Set were analyzed. | Posted | Mean | Standard Deviation | doses | Baseline to end of study (maximum: 24 weeks) |
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Baseline up to the last dose date plus 30 days (maximum exposure: 200 mg ENTO = 24 weeks; 400 mg ENTO = 8 weeks)
Full Analysis Set included all participants who received at least 1 dose of ENTO.
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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 | ENTO 200 mg | Participants received ENTO 200 mg tablet twice daily + VCR 1.0 mg/m^2 administered via intravenous infusion every 14 days; up to 24 weeks. | 1 | 6 | 6 | 6 | ||
| EG001 | ENTO 400 mg | Participants received ENTO 400 mg tablet twice daily + VCR 1.0 mg/m^2 administered via intravenous infusion every 14 days; up to 8 weeks. | 1 | 4 | 4 | 4 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pyrexia | General disorders | MedDRA 20 | Systematic Assessment |
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| Sinus pain | Respiratory, thoracic and mediastinal disorders | MedDRA 20 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 20 | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | MedDRA 20 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Dysphagia | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Ileus | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Odynophagia | Gastrointestinal disorders | MedDRA 20 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA 20 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA 20 | Systematic Assessment |
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| Feeling drunk | General disorders | MedDRA 20 | Systematic Assessment |
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| Ill-defined disorder | General disorders | MedDRA 20 | Systematic Assessment |
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| Malaise | General disorders | MedDRA 20 | Systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA 20 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 20 | Systematic Assessment |
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| Seasonal allergy | Immune system disorders | MedDRA 20 | Systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA 20 | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA 20 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 20 | Systematic Assessment |
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| Blood alkaline phosphatase increased | Investigations | MedDRA 20 | Systematic Assessment |
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| Blood creatinine increased | Investigations | MedDRA 20 | Systematic Assessment |
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| Gamma-glutamyltransferase increased | Investigations | MedDRA 20 | Systematic Assessment |
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| Weight decreased | Investigations | MedDRA 20 | Systematic Assessment |
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| Decreased appetite | Metabolism and nutrition disorders | MedDRA 20 | Systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | MedDRA 20 | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 20 | Systematic Assessment |
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| Groin pain | Musculoskeletal and connective tissue disorders | MedDRA 20 | Systematic Assessment |
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| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 20 | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 20 | Systematic Assessment |
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| Disturbance in attention | Nervous system disorders | MedDRA 20 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 20 | Systematic Assessment |
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| Hypoaesthesia | Nervous system disorders | MedDRA 20 | Systematic Assessment |
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| Neuropathy peripheral | Nervous system disorders | MedDRA 20 | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | MedDRA 20 | Systematic Assessment |
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| Agitation | Psychiatric disorders | MedDRA 20 | Systematic Assessment |
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| Confusional state | Psychiatric disorders | MedDRA 20 | Systematic Assessment |
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| Mental status changes | Psychiatric disorders | MedDRA 20 | Systematic Assessment |
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| Dysuria | Renal and urinary disorders | MedDRA 20 | Systematic Assessment |
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| Pollakiuria | Renal and urinary disorders | MedDRA 20 | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 20 | Systematic Assessment |
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| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA 20 | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 20 | Systematic Assessment |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 20 | Systematic Assessment |
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| Night sweats | Skin and subcutaneous tissue disorders | MedDRA 20 | Systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 20 | Systematic Assessment |
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| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 20 | Systematic Assessment |
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Because the study was terminated after enrolling only 10 participants, the dose expansion stage and the planned efficacy analyses were not conducted.
After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met:
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gilead Clinical Study Information Center | Gilead Sciences | 1-833-445-3230 (GILEAD-0) | GileadClinicalTrials@gilead.com |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C000589391 | 6-(1H-indazol-6-yl)-N-(4-morpholinophenyl)imidazo(1,2-a)pyrazin-8-amine |
| D014750 | Vincristine |
| ID | Term |
|---|---|
| D014748 | Vinca Alkaloids |
| D046948 | Secologanin Tryptamine Alkaloids |
| D026121 | Indole Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D054836 | Indolizidines |
| D007212 | Indolizines |
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| Male |
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| Not Permitted |
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| Not Permitted |
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