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Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BAR 502 in Healthy Subjects

Primary Purpose

Non-Alcoholic Fatty Liver Disease

Status
Not yet recruiting
Phase
Phase 1
Locations
Portugal
Study Type
Interventional
Intervention
BAR502
Placebo
Sponsored by
BAR Pharmaceuticals s.r.l.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Non-Alcoholic Fatty Liver Disease focused on measuring Non-alcoholic fatty liver disease, healthy, BAR 502

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Signed informed consent in a language understandable to the subject prior to any study-mandated procedure.
  2. Ability to communicate well with the investigator, and to understand and comply with the study requirements.
  3. Healthy male or female subject aged between 18 and 55 years (inclusive) at Screening.
  4. Body mass index (BMI) of 18.0 to 30.0 kg/m2 (inclusive) at Screening.
  5. Systolic blood pressure (SBP) 90-140 mmHg, diastolic blood pressure (DBP) 50-90 mmHg, and pulse rate 45-90 bpm (inclusive), measured on same arm after ≥5 min in the seated position, at Screening.
  6. Estimated glomerular filtration rate calculated using the Cockcroft-Gault equation and normalized to an average surface area of 1.73 m2 ≥ 90 mL/min at Screening.
  7. If woman, she meets one of the following criteria:

    1. is of non-childbearing potential; or
    2. is of childbearing potential and agrees to use an accepted non-hormonal or hormonal contraceptive method.

If man, he is infertile, vasectomized (i.e. who has received medical assessment of the surgical success) or agrees to abstain from or to use a condom during heterosexual intercourse with a woman of childbearing potential or a pregnant woman, and agrees not to donate sperm, from investigational product administration until at least 90 days after the investigational product administration. In addition, the subject must ensure that his female partner of childbearing potential agrees to consistently and correctly use one of the acceptable contraceptive methods mentioned above, for the same period of time.

Exclusion Criteria:

- At screening:

  1. Previous exposure to BAR 502.
  2. Known hypersensitivity to BAR 502, or any of its excipients.
  3. Clinically relevant findings on physical examination.
  4. Clinically relevant abnormalities on 12-lead ECG, measured after 5 min in a supine position.
  5. Clinically relevant findings in clinical laboratory tests (hematology, clinical chemistry, and urinalysis).
  6. QTcF > 450 ms in males and > 470 ms in females.
  7. Medical history and/or clinical or laboratory evidence of liver or hepatobiliary disease or liver injury as indicated by serum alanine aminotransferase (ALT), AST, gamma-glutamyl transferase (GGT), ALP or total bilirubin levels exceeding the upper limit of normal (ULN).
  8. International Normalized Ratio (INR) > 1.2.
  9. Any medical condition, acute, ongoing, recurrent or chronic, that presents a potential risk to the participant and/or that may compromise the objectives of the study.
  10. History of major medical or surgical disorders which, in the opinion of the investigator, are likely to interfere with the distribution, metabolism, or excretion of the investigational product.
  11. History or clinical evidence of alcoholism or drug abuse within the 3-year period prior to Screening.
  12. Previous clinically relevant history of fainting, collapse, syncope, orthostatic hypotension, or vasovagal reactions.
  13. Veins unsuitable for intravenous puncture on either arm (e.g., veins that are difficult to locate, access, or puncture, veins with a tendency to rupture during or after puncture).
  14. Participation in a clinical study involving investigational product administration within 3 months prior to Screening or in more than 2 clinical studies within 1 year prior to Screening.
  15. Excessive methylxanthines consumption, defined as ≥ 800 mg per day.
  16. Nicotine intake (e.g., smoking, nicotine patch, nicotine chewing gum, or electronic cigarettes) within 3 months prior to Screening and inability to refrain from nicotine intake from Screening up to End-of-Study (EOS).
  17. Loss of 250 mL or more of blood within 3 months prior to Screening.
  18. Positive hepatitis B surface antigen (HBsAg) and/or hepatitis C virus antibodies.
  19. Positive human immunodeficiency virus (HIV1 and HIV2) antibodies.
  20. Positive results in urine drugs-of-abuse, cotinine or ethanol tests.
  21. If woman, she is breastfeeding.
  22. Positive result in serum pregnancy test.
  23. Any other circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol or may render the subject unsuitable for the study.

    - At admission to treatment period:

  24. Positive or inconclusive SARS-CoV-2 test result using polymerase chain reaction (PCR) technology prior to Admission to the clinical site.
  25. Any recent disease or condition or treatment that, according to the Investigator, would put the subject at undue risk due to study participation or occurred at a timeframe in which may interfere with the study outcomes.
  26. Clinically relevant findings on physical examination.
  27. Clinically relevant abnormalities on 12-lead ECG, measured after 5 min in a supine position.
  28. Clinically relevant findings in clinical laboratory tests.
  29. Use of prescription or nonprescription medicinal products, including vitamins, food supplements, herbal supplements (including St John's Wort), within 3 weeks prior to study treatment administration, unless in the Investigator's opinion the medication does not interfere with the pharmacokinetics of study drug or compromise subject safety.
  30. Consumption of Seville oranges, pomelo, pomegranate, starfruit or grapefruit products (fresh, canned, or frozen) since Screening.
  31. Positive result in urine drugs-of-abuse, cotinine or ethanol tests.
  32. Positive result in urine pregnancy test.
  33. Any other condition that the investigator considers to render the subject unsuitable for the treatment period.

Sites / Locations

  • BlueClinical Phase I

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

BAR 502

Placebo

Arm Description

Each subject will receive an oral single-dose of BAR 502.

Each subject will receive an oral single-dose of placebo.

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events
Safety will be evaluated through the assessment of adverse events
Assessment of physical examination
Safety will be evaluated through the assessment of physical examination, which will include: general appearance; skin; head and neck; thorax and abdomen; pulmonary auscultation; cardiac auscultation; abdomen palpation; limbs.
Assessment of 12-lead electrocardiogram
Safety will be evaluated through the assessment of 12-lead ECG. The following variables are to be collected on the eCRF: HR (bpm), and the intervals PR (ms), QRS (ms), QT (ms), QTcB (ms) and QTcF (ms).
Change from baseline at each time point of measurement in supine blood pressure (both systolic and diastolic)
Safety will be evaluated through the assessment of vital signs (systolic and diastolic blood pressure)
Change from baseline at each time point of measurement in pulse rate
Safety will be evaluated through the assessment of vital signs

Secondary Outcome Measures

Maximum concentration (Cmax)
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
Time of occurrence of Cmax (Tmax)
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
Area under the plasma concentration-time curve (AUC) from time zero to last sampling time with quantifiable concentrations (AUC0-t);
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
AUC extrapolated to infinity
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
Apparent terminal elimination rate constant (λz); and apparent terminal elimination half-life (t1/2)
Determination of BAR 502 concentrations in plasma to investigate the pharmacokinetics
Cumulative amount of drug excreted in urine (AmtCUM)
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Area under the urine excretion curve (AUR) from time zero to last observed concentration (AURClast)
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Maximum rate of urinary excretion (Rmax)
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Percentage of drug recovered in urine (REC%)
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Time to Rmax (tumax)
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Renal clearance (CLR)
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Serum concentrations of total bile acids over time up to 24 hours post-dose
To investigate the pharmacodynamics
Serum concentrations of FGF19 over time up to 24 hours post-dose.
To investigate the pharmacodynamics (biomarkers of Farnesoid X Receptor (FXR) target engagement)
Serum concentrations of C4 over time up to 24 hours post-dose.
To investigate the pharmacodynamics (biomarkers of Farnesoid X Receptor (FXR) target engagement)
Serum concentrations of GLP-1 over time up to 24 hours post-dose.
To investigate the pharmacodynamics (marker of G protein-coupled bile acid-activated receptor 1 (GPBAR1) activation)

Full Information

First Posted
December 4, 2021
Last Updated
August 31, 2022
Sponsor
BAR Pharmaceuticals s.r.l.
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1. Study Identification

Unique Protocol Identification Number
NCT05203367
Brief Title
Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BAR 502 in Healthy Subjects
Official Title
Randomized, Double-Blind, Placebo-Controlled, Phase 1 Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single-Ascending Doses of BAR 502 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
November 25, 2022 (Anticipated)
Primary Completion Date
March 30, 2023 (Anticipated)
Study Completion Date
March 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BAR Pharmaceuticals s.r.l.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a prospective, single-center, randomized, double-blind, placebo-controlled, single-ascending dose (SAD) phase 1 study to evaluate the safety and tolerability of single-ascending doses of BAR 502 in healthy male and female subjects.
Detailed Description
This clinical trial will be the first-in-Human (FiH) study of BAR 502. This study is planned to investigate up to 4 dose levels of BAR 502. Each dose level will consist of 8 healthy male and female subjects (ratio 1:1, male: female) to have 6 subjects being administered BAR 502 and 2 subjects being administered placebo (ratio 3:1, active: placebo). The study is designed to meet the following objectives: Primary: To evaluate the safety and tolerability of single-ascending doses of BAR 502 in healthy male and female subjects. Secondary: To investigate the pharmacokinetics (PK) of single-ascending doses of BAR 502 in healthy male and female subjects; To investigate the pharmacodynamics (PD) of single-ascending doses of BAR 502 in healthy male and female subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Alcoholic Fatty Liver Disease
Keywords
Non-alcoholic fatty liver disease, healthy, BAR 502

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
A maximum of 4 BAR 502 dose levels are preplanned to be investigated in separate sequential cohorts. Each of these cohorts will consist of 8 healthy male and female subjects (3 subjects of either sex on active treatment, 1 of either sex on placebo). Each subject will participate in only one cohort.
Masking
ParticipantInvestigator
Masking Description
Double-blind
Allocation
Randomized
Enrollment
32 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
BAR 502
Arm Type
Experimental
Arm Description
Each subject will receive an oral single-dose of BAR 502.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Each subject will receive an oral single-dose of placebo.
Intervention Type
Drug
Intervention Name(s)
BAR502
Intervention Description
Single oral doses of BAR 502/placebo will be administered as film-coated tablets, in the morning of Day 1, with 240 mL of water, after an overnight fasting of at least 8 hours. BAR 502 film-coated tablets are available at dose strengths of 10, 50 and 150 mg. A maximum of 4 dose levels are pre-planned (10 mg, 50 mg, 150 mg, 300 mg).
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching BAR 502 placebo film-coated tablets will be given to 2 out of 8 subjects in each cohort using the same regimen as outlined for the active study treatment
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events
Description
Safety will be evaluated through the assessment of adverse events
Time Frame
Through study completion, an average of 2 months
Title
Assessment of physical examination
Description
Safety will be evaluated through the assessment of physical examination, which will include: general appearance; skin; head and neck; thorax and abdomen; pulmonary auscultation; cardiac auscultation; abdomen palpation; limbs.
Time Frame
At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential) and end of study ( Day 8)
Title
Assessment of 12-lead electrocardiogram
Description
Safety will be evaluated through the assessment of 12-lead ECG. The following variables are to be collected on the eCRF: HR (bpm), and the intervals PR (ms), QRS (ms), QT (ms), QTcB (ms) and QTcF (ms).
Time Frame
At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential), admission (Day-1), and from day 1 to day 4 of the study
Title
Change from baseline at each time point of measurement in supine blood pressure (both systolic and diastolic)
Description
Safety will be evaluated through the assessment of vital signs (systolic and diastolic blood pressure)
Time Frame
At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential), admission (Day -1), from Day 1 to Day 4 of the study, and at end of study (at Day 8).
Title
Change from baseline at each time point of measurement in pulse rate
Description
Safety will be evaluated through the assessment of vital signs
Time Frame
At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential), admission (Day -1), from day 1 to day 4 of the study, and at end of study (at Day 8)..
Secondary Outcome Measure Information:
Title
Maximum concentration (Cmax)
Description
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
Time Frame
Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.
Title
Time of occurrence of Cmax (Tmax)
Description
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
Time Frame
Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.
Title
Area under the plasma concentration-time curve (AUC) from time zero to last sampling time with quantifiable concentrations (AUC0-t);
Description
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
Time Frame
Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.
Title
AUC extrapolated to infinity
Description
Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics
Time Frame
Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.
Title
Apparent terminal elimination rate constant (λz); and apparent terminal elimination half-life (t1/2)
Description
Determination of BAR 502 concentrations in plasma to investigate the pharmacokinetics
Time Frame
Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.
Title
Cumulative amount of drug excreted in urine (AmtCUM)
Description
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Time Frame
From treatment administration to day 4 of the study
Title
Area under the urine excretion curve (AUR) from time zero to last observed concentration (AURClast)
Description
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Time Frame
From treatment administration to day 4 of the study
Title
Maximum rate of urinary excretion (Rmax)
Description
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Time Frame
From treatment administration to day 4 of the study
Title
Percentage of drug recovered in urine (REC%)
Description
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Time Frame
From treatment administration to day 4 of the study
Title
Time to Rmax (tumax)
Description
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Time Frame
From treatment administration to day 4 of the study
Title
Renal clearance (CLR)
Description
Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics
Time Frame
From treatment administration to day 4 of the study
Title
Serum concentrations of total bile acids over time up to 24 hours post-dose
Description
To investigate the pharmacodynamics
Time Frame
At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration.
Title
Serum concentrations of FGF19 over time up to 24 hours post-dose.
Description
To investigate the pharmacodynamics (biomarkers of Farnesoid X Receptor (FXR) target engagement)
Time Frame
At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration
Title
Serum concentrations of C4 over time up to 24 hours post-dose.
Description
To investigate the pharmacodynamics (biomarkers of Farnesoid X Receptor (FXR) target engagement)
Time Frame
At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration
Title
Serum concentrations of GLP-1 over time up to 24 hours post-dose.
Description
To investigate the pharmacodynamics (marker of G protein-coupled bile acid-activated receptor 1 (GPBAR1) activation)
Time Frame
At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Signed informed consent in a language understandable to the subject prior to any study-mandated procedure. Ability to communicate well with the investigator, and to understand and comply with the study requirements. Healthy male or female subject aged between 18 and 55 years (inclusive) at Screening. Body mass index (BMI) of 18.0 to 30.0 kg/m2 (inclusive) at Screening. Systolic blood pressure (SBP) 90-140 mmHg, diastolic blood pressure (DBP) 50-90 mmHg, and pulse rate 45-90 bpm (inclusive), measured on same arm after ≥5 min in the seated position, at Screening. Estimated glomerular filtration rate calculated using the Cockcroft-Gault equation and normalized to an average surface area of 1.73 m2 ≥ 90 mL/min at Screening. If woman, she meets one of the following criteria: is of non-childbearing potential; or is of childbearing potential and agrees to use an accepted non-hormonal or hormonal contraceptive method. If man, he is infertile, vasectomized (i.e. who has received medical assessment of the surgical success) or agrees to abstain from or to use a condom during heterosexual intercourse with a woman of childbearing potential or a pregnant woman, and agrees not to donate sperm, from investigational product administration until at least 90 days after the investigational product administration. In addition, the subject must ensure that his female partner of childbearing potential agrees to consistently and correctly use one of the acceptable contraceptive methods mentioned above, for the same period of time. Exclusion Criteria: - At screening: Previous exposure to BAR 502. Known hypersensitivity to BAR 502, or any of its excipients. Clinically relevant findings on physical examination. Clinically relevant abnormalities on 12-lead ECG, measured after 5 min in a supine position. Clinically relevant findings in clinical laboratory tests (hematology, clinical chemistry, and urinalysis). QTcF > 450 ms in males and > 470 ms in females. Medical history and/or clinical or laboratory evidence of liver or hepatobiliary disease or liver injury as indicated by serum alanine aminotransferase (ALT), AST, gamma-glutamyl transferase (GGT), ALP or total bilirubin levels exceeding the upper limit of normal (ULN). International Normalized Ratio (INR) > 1.2. Any medical condition, acute, ongoing, recurrent or chronic, that presents a potential risk to the participant and/or that may compromise the objectives of the study. History of major medical or surgical disorders which, in the opinion of the investigator, are likely to interfere with the distribution, metabolism, or excretion of the investigational product. History or clinical evidence of alcoholism or drug abuse within the 3-year period prior to Screening. Previous clinically relevant history of fainting, collapse, syncope, orthostatic hypotension, or vasovagal reactions. Veins unsuitable for intravenous puncture on either arm (e.g., veins that are difficult to locate, access, or puncture, veins with a tendency to rupture during or after puncture). Participation in a clinical study involving investigational product administration within 3 months prior to Screening or in more than 2 clinical studies within 1 year prior to Screening. Excessive methylxanthines consumption, defined as ≥ 800 mg per day. Nicotine intake (e.g., smoking, nicotine patch, nicotine chewing gum, or electronic cigarettes) within 3 months prior to Screening and inability to refrain from nicotine intake from Screening up to End-of-Study (EOS). Loss of 250 mL or more of blood within 3 months prior to Screening. Positive hepatitis B surface antigen (HBsAg) and/or hepatitis C virus antibodies. Positive human immunodeficiency virus (HIV1 and HIV2) antibodies. Positive results in urine drugs-of-abuse, cotinine or ethanol tests. If woman, she is breastfeeding. Positive result in serum pregnancy test. Any other circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol or may render the subject unsuitable for the study. - At admission to treatment period: Positive or inconclusive SARS-CoV-2 test result using polymerase chain reaction (PCR) technology prior to Admission to the clinical site. Any recent disease or condition or treatment that, according to the Investigator, would put the subject at undue risk due to study participation or occurred at a timeframe in which may interfere with the study outcomes. Clinically relevant findings on physical examination. Clinically relevant abnormalities on 12-lead ECG, measured after 5 min in a supine position. Clinically relevant findings in clinical laboratory tests. Use of prescription or nonprescription medicinal products, including vitamins, food supplements, herbal supplements (including St John's Wort), within 3 weeks prior to study treatment administration, unless in the Investigator's opinion the medication does not interfere with the pharmacokinetics of study drug or compromise subject safety. Consumption of Seville oranges, pomelo, pomegranate, starfruit or grapefruit products (fresh, canned, or frozen) since Screening. Positive result in urine drugs-of-abuse, cotinine or ethanol tests. Positive result in urine pregnancy test. Any other condition that the investigator considers to render the subject unsuitable for the treatment period.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Marlene Fonseca, MD
Phone
+351220959020
Email
mfonseca@blueclinical.pt
Facility Information:
Facility Name
BlueClinical Phase I
City
Porto
Country
Portugal
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marlene Fonseca, MD
Phone
+351 220 959 020
First Name & Middle Initial & Last Name & Degree
Marlene Fonseca, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BAR 502 in Healthy Subjects

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