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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-000334-35 | EudraCT Number |
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To evaluate the long-term safety of BI 655130 (SPESOLIMAB) in patients with moderate to severely active ulcerative colitis, who have completed treatment in previous trials
To evaluate the long-term efficacy of BI 655130 (SPESOLIMAB) in patients with moderate to severely active ulcerative colitis, who have completed treatment in previous trials
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Spesolimab IV infusion | Experimental | Spesolimab IV infusion |
|
| Spesolimab SC solution for injection | Experimental | Spesolimab SC solution for injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Spesolimab | Drug | Solution |
|
| Measure | Description | Time Frame |
|---|---|---|
| Exposure Adjusted Rate of Participants Reporting a Treatment Emergent Adverse Event (TEAE) | Exposure adjusted rate of participants reporting a treatment emergent adverse event (TEAE). The exposure adjusted incidence rate (per 100 subject years) of a selected treatment emergent adverse event is defined as the number of subjects experiencing the adverse event per treatment group during time at risk divided by the total time of subjects at risk in that treatment group to contribute the event to the analysis multiplied by 100 (per 100 subject years). Only participants receiving maintenance treatment were analysed for this endpoint. | From first maintenance treatment until last maintenance treatment, plus residual effect period (REP) of 112 days, up to 1550 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Patients With Clinical Remission at Week 336 of Maintenance Treatment | Proportion of patients with clinical remission at Week 336 of maintenance treatment. Clinical remission was defined as rectal bleeding score (RBS) = 0, modified endoscopic subscore [mESS] ≤1, stool frequency score (SFS) = 0 or 1 and drop ≥1 from baseline, and modified mayo clinical score ((MCS) ≤2). | Up to 336 weeks |
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Inclusion Criteria:
Exclusion Criteria:
Have experienced study treatment-limiting adverse events during induction treatment with study drug
Have developed any of the exclusion criteria from the original induction study with the following exceptions:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical Research Center of Connecticut, LLC | Hamden | Connecticut | 06518 | United States | ||
| Emory University |
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| Label | URL |
|---|---|
| Related Info | View source |
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Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization).
For more details refer to: https://www.mystudywindow.com/msw/datatransparency
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Only subjects that met the study inclusion and none of the exclusion criteria were to be entered in the study. All subjects were free to withdraw from the clinical trial at any time for any reason given. Close monitoring of all subjects was adhered to throughout the trial conduct. Rescue medication was allowed for all subjects as required.
An open-label 7-year long-term extension trial in patients with moderate-to-severe ulcerative colitis who completed treatment in previous spesolimab trials 1368-0005 (NCT03482635) Part 1 and 1368-0004 (NCT03100864).
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| ID | Title | Description |
|---|---|---|
| FG000 | 1200 mg Spesolimab i.v. Re-induction Treatment [q4w] for 12 Weeks | Participants who completed treatment in the parent trial, but did not have a clinical response at Week 12 (end of trial (EOT)), entered a 12-week spesolimab re-induction period, receiving multiple active doses of 1200 milligrams (mg) solution for infusion of spesolimab as intravenous (i.v.) infusion every 4 weeks (q4w) for 12 weeks (re-induction). If participants reached a clinical response at Week 12 of the re-induction treatment, they switched to the maintenance treatment receiving 300 mg solution of injection of spesolimab as subcutaneous (s.c.) injection q4w for up to 336 weeks. Participants who did not achieve a clinical response after 12 weeks of re-induction treatment were discontinued from treatment. |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Started From Parent Trial |
|
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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 | May 23, 2022 | Apr 22, 2024 |
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| Atlanta |
| Georgia |
| 30322 |
| United States |
| University of Chicago | Chicago | Illinois | 60637 | United States |
| Columbia University Medical Center-New York Presbyterian Hospital | New York | New York | 10032 | United States |
| Digestive Disease Specialists Inc | Oklahoma City | Oklahoma | 73112 | United States |
| Southern Star Research Institute, LLC | San Antonio | Texas | 78229 | United States |
| Texas Digestive Disease Consultants - Southlake | Southlake | Texas | 76092 | United States |
| Hunter Holmes McGuire VA Medical Center | Richmond | Virginia | 23249 | United States |
| Ordensklinikum Linz GmbH - Barmherzige Schwestern | Linz | 4010 | Austria |
| AKH - Medical University of Vienna | Vienna | 1090 | Austria |
| UZ Leuven | Leuven | 3000 | Belgium |
| Centre Hospitalier Universitaire de Liège | Liège | 4000 | Belgium |
| Victoria Hospital (LHSC) | London | Ontario | N6A 5W9 | Canada |
| Universitätsklinikum Erlangen | Erlangen | 91054 | Germany |
| Klinikum Esslingen GmbH | Esslingen am Neckar | 73730 | Germany |
| Asklepios Kliniken Westklinikum Hamburg | Hamburg | 22559 | Germany |
| Medizinische Hochschule Hannover | Hanover | 30625 | Germany |
| Universitätsklinikum Schleswig-Holstein, Campus Kiel | Kiel | 24105 | Germany |
| Universitätsklinikum Ulm | Ulm | 89081 | Germany |
| Azienda Ospedaliera Universitaria di Padova | Padova | 35128 | Italy |
| Istituto Clinico Humanitas | Rozzano (MI) | 20089 | Italy |
| Sapporo Tokushukai Hospital | Hokkaido, Sapporo | 004-0041 | Japan |
| Sapporo Higashi Tokushukai Hospital | Hokkaido, Sapporo | 065-0033 | Japan |
| Hyogo College of Medicine Hospital | Hyogo, Nishinomiya | 663-8501 | Japan |
| Ofuna Chuo Hospital | Kanagawa, Kamakura | 247-0056 | Japan |
| Tokyo Medical and Dental University Hospital | Tokyo, Bunkyo-ku | 113-8519 | Japan |
| Tokyo Yamate Medical Center | Tokyo, Shinjuku | 169-0073 | Japan |
| National Medical Institute MSWiA | Warsaw | 02-507 | Poland |
| FSB Instit. HC Irkutsk Scient.Cent. Sibirian Branch of Russ. Acad. Scien. | Irkutsk | 664033 | Russia |
| Federal State Budgetary Institution " State Scientific Center of Coloproctology" MOH Russia | Moscow | 123423 | Russia |
| Military Medical Academy n.a. C. M. Kirov, St. Petersburg | Saint Petersburg | 194044 | Russia |
| Inje University Haeundae Paik Hospital | Busan | 48108 | South Korea |
| Yeungnam University Medical Center | Daegu | 42415 | South Korea |
| Hospital Virgen del RocÃo | Seville | 41013 | Spain |
| Hospital Politècnic La Fe | Valencia | 46026 | Spain |
| Doncaster Royal Infirmary | Doncaster | DN2 5LT | United Kingdom |
| Guy's Hospital | London | SE1 9RT | United Kingdom |
| Whiston Hospital | Prescot | L35 5DR | United Kingdom |
| FG001 | 300 mg Spesolimab s.c. Maintenance Treatment [q4w] for 336 Weeks | 300 mg solution for injection of spesolimab was administered as subcutaneous (s.c.) injection q4w for 336 weeks as maintenance treatment. This arm included participants who entered the maintenance treatment directly from the parent trial and participants who switched from the re-induction treatment. Participants who completed treatment in the parent trial and had a clinical response at week 12 (EOT) directly received maintenance treatment. Participants, who started re-induction treatment, could switch to maintenance treatment if they reached a clinical response at Week 12 of the re-induction period. Participants who experienced a disease flare during maintenance treatment were administered a single intravenous dose of spesolimab 1200 mg followed by an intensified subcutaneous maintenance dosing schedule with 600 mg q6w. |
|
| COMPLETED | Completed reflects the number of participants who either started re-induction period or maintenance period or both. |
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| NOT COMPLETED |
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| Re-induction Period Only |
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| Maintenance Period Only |
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All patients who received at least one dose on maintenance or re-induction treatment in the extension trial.
Baseline characteristics are reported for maintenance treatment and re-induction treatment combined, as these arms are not mutually exclusive and patients could switch from re-induction treatment to maintenance treatment.
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| ID | Title | Description |
|---|---|---|
| BG000 | Spesolimab - All Patients | Patients with moderate-to-severe ulcerative colitis who completed treatment in previous spesolimab induction trials. Patients were treated according to their previous trial outcome. Those who completed treatment in the previous trials showing a clinical response (CR) directly received maintenance treatment, consisting of 300 mg solution for injection of spesolimab administered as subcutaneous (s.c.) injection q4w for 336 weeks. Patients who did not achieve a clinical response in the previous trials received multiple active doses of 1200 milligrams (mg) solution for infusion of spesolimab as intravenous (i.v.) infusion every 4 weeks (q4w) for 12 weeks, as re-induction treatment. If participants reached a clinical response at Week 12 of the re-induction treatment, they switched to the maintenance treatment receiving 300 mg solution of injection of spesolimab as subcutaneous (s.c.) injection q4w for up to 336 weeks. |
| 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 |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | 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 | Exposure Adjusted Rate of Participants Reporting a Treatment Emergent Adverse Event (TEAE) | Exposure adjusted rate of participants reporting a treatment emergent adverse event (TEAE). The exposure adjusted incidence rate (per 100 subject years) of a selected treatment emergent adverse event is defined as the number of subjects experiencing the adverse event per treatment group during time at risk divided by the total time of subjects at risk in that treatment group to contribute the event to the analysis multiplied by 100 (per 100 subject years). Only participants receiving maintenance treatment were analysed for this endpoint. | SAF-MT: All participants who received at least one dose of maintenance treatment in this extension trial. Only participants receiving maintenance treatment were analysed for this endpoint. | Posted | Number | Events per 100 patient-years | From first maintenance treatment until last maintenance treatment, plus residual effect period (REP) of 112 days, up to 1550 days. |
|
|
| ||||||||||||||||||||||||||
| Secondary | Proportion of Patients With Clinical Remission at Week 336 of Maintenance Treatment | Proportion of patients with clinical remission at Week 336 of maintenance treatment. Clinical remission was defined as rectal bleeding score (RBS) = 0, modified endoscopic subscore [mESS] ≤1, stool frequency score (SFS) = 0 or 1 and drop ≥1 from baseline, and modified mayo clinical score ((MCS) ≤2). | Since this trial was prematurely ended and no patient achieved the Week 336 visit, no data satisfied the reporting criteria, and the endpoint could not be analysed. | Posted | Up to 336 weeks |
|
Re-induction period: From first re-induction treatment until last re-induction treatment plus residual effect period (REP) of 112 days, up to 184 days for patients who did not participate in the maintenance treatment and from first re-induction treatment until first maintenance treatment minus 1 minute, up to 78 days for patients who continued with maintenance treatment. Maintenance period: From first maintenance treatment until last, plus REP of 112 days, up to 1550 days.
(SAF-RT): All participants who received at least on dose of re-induction treatment in this extension trial; (SAF-MT): All participants who received at least on dose of maintenance treatment in this extension trial. Arms are not mutually exclusive.
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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 | 1200 mg Spesolimab i.v. Re-induction Treatment [q4w] for 12 Weeks | Participants who completed treatment in the parent trial, but did not have a clinical response at Week 12 (end of trial (EOT)), entered a 12-week spesolimab re-induction period, receiving multiple active doses of 1200 milligrams (mg) solution for infusion of spesolimab as intravenous (i.v.) infusion every 4 weeks (q4w) for 12 weeks (re-induction). If participants reached a clinical response at Week 12 of the re-induction treatment, they switched to the maintenance treatment receiving 300 mg solution of injection of spesolimab as subcutaneous (s.c.) injection q4w for up to 336 weeks. Participants who did not achieve a clinical response after 12 weeks of re-induction treatment were discontinued from treatment. | 0 | 57 | 3 | 57 | 14 | 57 |
| EG001 | 300 mg Spesolimab s.c. Maintenance Treatment [q4w] for 336 Weeks | 300 mg solution for injection of spesolimab was administered as subcutaneous (s.c.) injection q4w for 336 weeks as maintenance treatment. This arm included participants who entered the maintenance treatment directly from the parent trial and participants who switched from the re-induction treatment. Participants who completed treatment in the parent trial and had a clinical response at week 12 (EOT) directly received maintenance treatment. Participants, who started re-induction treatment, could switch to maintenance treatment if they reached a clinical response at Week 12 of the re-induction period. Participants who experienced a disease flare during maintenance treatment were administered a single intravenous dose of spesolimab 1200 mg followed by an intensified subcutaneous maintenance dosing schedule with 600 mg q6w. | 1 | 34 | 6 | 34 | 24 | 34 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Iron deficiency anaemia | Blood and lymphatic system disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Adrenal insufficiency | Endocrine disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Colitis ulcerative | Gastrointestinal disorders | MedDRA 26.0 | Systematic Assessment |
| |
| COVID-19 pneumonia | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
| |
| Staphylococcal bacteraemia | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
| |
| Colon cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 26.0 | Systematic Assessment |
| |
| Generalised tonic-clonic seizure | Nervous system disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Guillain-Barre syndrome | Nervous system disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA 26.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colitis ulcerative | Gastrointestinal disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Haemorrhoids | Gastrointestinal disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 26.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 26.0 | Systematic Assessment |
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| Eczema | Skin and subcutaneous tissue disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Iron deficiency anaemia | Blood and lymphatic system disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 26.0 | Systematic Assessment |
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| Anorectal discomfort | Gastrointestinal disorders | MedDRA 26.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 26.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 26.0 | Systematic Assessment |
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| COVID-19 | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Conjunctivitis | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Viral infection | Infections and infestations | MedDRA 26.0 | Systematic Assessment |
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| Gamma-glutamyltransferase increased | Investigations | MedDRA 26.0 | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 26.0 | Systematic Assessment |
| |
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA 26.0 | Systematic Assessment |
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| Dermatitis | Skin and subcutaneous tissue disorders | MedDRA 26.0 | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA 26.0 | Systematic Assessment |
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This trial was prematurely ended due to the decision to discontinue the clinical development of spesolimab in inflammatory bowel disease. This decision was based on a lower-than-expected efficacy in previous clinical trials conducted in ulcerative colitis and fistulising Crohn's disease. The decision was not related to any safety findings. The trial was completed as described in the protocol.
Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Boehringer Ingelheim, Call Centre | Boehringer Ingelheim | 18002430127 | clintriage.rdg@boehringer-ingelheim.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 13, 2021 | Apr 22, 2024 | SAP_001.pdf |
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| 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 |
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| ID | Term |
|---|---|
| C000712973 | spesolimab |
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| Withdrawal by Subject |
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| Protocol Violation |
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| Lack of Efficacy |
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| Adverse Event |
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| Stopped maintenance treatment due to study stop |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| Units |
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| Counts |
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| Participants |
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