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ARVAC-A New Recombinant Coronavirus Disease 2019 (COVID-19) Vaccine (ARVAC-F2/3)

Primary Purpose

COVID-19 Vaccine

Status
Active
Phase
Phase 2
Locations
Argentina
Study Type
Interventional
Intervention
Gamma Variant RBD-based ARVAC-CG vaccine
Omicron Variant RBD-based ARVAC-CG vaccine
Bivalent RBD-based ARVAC-CG vaccine
Placebo (Alum)
Sponsored by
Centro de Educación Medica e Investigaciones Clínicas Norberto Quirno
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Vaccine

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: - All subjects who meet the following general criteria will be considered eligible for this trial: Male or female participants greater than or equal to 18 years of age With the ability and willingness to comply with the prohibitions and restrictions specified in the protocol. Have received a complete vaccine regimen against SARS-CoV-2 with no more than one booster dose (last dose received at least 4 months prior to study entry). In fertile female volunteers, negative pregnancy test at the beginning of the study and commitment to use a contraceptive method from the date of signing the consent form until 3 months after vaccine study application. Use of a hormonal contraceptive method must begin at least 28 days prior to study vaccine application. The investigator should assess potential contraceptive method failure (e.g. non-compliance, recent onset) in relation to vaccination. Acceptable effective methods for this study include: a) hormonal contraceptive method: i) combined (containing estrogen and progestin) associated with the inhibition of ovulation (oral, intravaginal or transdermal); ii) with progestin only, associated with the inhibition of ovulation (oral, injectable or implantable); b) intrauterine device; c) intrauterine hormone release system; d) bilateral tubal ligation/occlusion procedure; e) single couple with vasectomy; f) sexual abstinence, which will be considered effective only if it is defined as abstaining from heterosexual relations from the date of signing the consent until 3 months after receiving the study vaccine. The reliability of sexual abstinence should be assessed in relation to the duration of the study and the participant's usual and preferred lifestyle. Participant who agrees to not donate bone marrow, blood or blood products until 3 months after the last dose of study vaccine; Participant who is able to read, understand, and complete electronic questionnaires about signs and symptoms of COVID-19 surveillance; Negative PCR or antigen test for the SARS-CoV-2 virus at enrollment time. Capable of granting their informed consent signed and dated by the volunteer under study, and the authorized physician. Phase-specific inclusion criteria: Phase 2: 1. Male or female participants between 18 and 60 years of age without known comorbidities. Phase 3: 1. Male or female participants greater than or equal to 18 years of age with or without any chronic comorbidity stable and controlled based on the Investigator's judgment, not associated to a reduced immune response. Exclusion Criteria: Exclusion Criteria: History of SARS-CoV-2 infection or known previous disease, within 90 days prior to study entry (at least 90 days from epidemiological discharge). Administration of any commercial or not commercial vaccine, based on: Live attenuated virus within 28 days prior to study entry. Killed virus within 14 days prior to study entry. Individuals that have not received a complete primary vaccination schedule against SARS-CoV-2 virus (1 or 2 doses, depending on the vaccine used in the primary schedule). Administration of complete primary vaccination schedule against SARS-CoV-2 virus (1 or 2 doses, depending on the vaccine received) or a booster dose, within 4 months prior to the start of the study. Administration of more than one booster dose after a complete primary vaccination schedule against SARS-CoV-2 virus. Individuals that have scheduled to receive any other commercial vaccine in the following 3 months after receiving the study vaccine dose. Individuals that have participated in a research study within 60 days prior to the start of the study. History of known allergies or a history of anaphylaxis or any other serious adverse reaction with other vaccines or their excipients. History of alcoholism or substance abuse that prevents compliance with the characteristics of the protocol. Acute infectious disease at enrollment (this does not include minor conditions such as diarrhea or mild upper respiratory tract illness) or temperature ≥38. 0°C within 24 hours prior to scheduled study vaccination; later admission is permitted at the discretion of the investigator and after the Sponsor agreement. Body Mass Index (BMI) greater than 35 kg/m2. History of any clinical condition that affects the function of the immune system, including, but not limited to: Clinical conditions (e.g. autoimmune disease or possibly immune-mediated disease or known or suspected immunodeficiency; diabetes mellitus type I or II, chronic kidney disease, etc.). Chronic or recurrent use of systemic corticosteroids in the 6 months prior to study vaccine administration and during the study. A substantially immunosuppressive dose of steroids is considered ≥2 weeks of daily administration of 20 mg prednisone or equivalent. Administration of antineoplastic and immunomodulatory agents or radiation therapy within 6 months prior to study vaccine administration or during the study. The volunteer has any contraindication to receive intramuscular injections and/or blood draws. The volunteer has received an investigational drug (including drugs related to COVID-19 prophylaxis) or used an investigational invasive medical device in the past 30 days or has received investigational immunoglobulin or monoclonal antibodies within 3 months (participation in an observational study is allowed at the discretion of the investigator, previously informing the Sponsor about this decision). The volunteer has a history of acute polyneuropathy (e.g. Guillain Barré syndrome). The volunteer underwent a surgical procedure that required hospitalization (defined as hospitalization for more than 24 hours or overnight hospitalization), in the 12 weeks prior to vaccination, or has not recovered completely from surgery that required hospitalization or is scheduled for surgery that will require hospitalization during the time he/she is expected to participate in the study or within 6 months of study vaccine administration. The participant is pregnant, plans to become pregnant within 3 months after the administration of the vaccine, or is in postpartum or lactation period. Any condition or finding regarding the participant that, in the opinion of the researcher, could put the subject under investigation at risk, or interfere with the interpretation of the results of the study. Some events may be considered only a temporary contraindication to receiving the study vaccine. Such is the case of: Clinically significant acute illness at the time of vaccination. This does not include minor illnesses such as diarrhea or a mild respiratory tract infection. Fever (temperature ≥38.0°C) in the 24 hours prior to the application of the vaccine under study. A disease that, in the opinion of the investigator, may interfere with the reactogenicity/safety evaluations of the first days after the study vaccine. If any of these events occur at the time of vaccination, vaccination may be postponed until resolution of the event, provided that it occurs within the permitted screening period (15 days of initial testing). If the box is resolved beyond the allowed window of the selection, all initial analyses must be repeated.

Sites / Locations

  • Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno" - CEMIC
  • Fundación Huesped
  • Centro de Investigaciones Clínicas Belgrano (CICB)
  • Clinica Privada del Sol
  • Instituto Medico Platense
  • Instituto de Investigaciones Clínicas de Mar del Plata
  • Centro Clínica del Niño y la Familia
  • FP Clinical Pharma
  • Vacunar S.A.
  • Centro Médico Dra. Laura Maffei - Investigación Clínica Aplicada
  • ICSAL Salta

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Gamma variant vaccine (Phase 2 and Phase 3)

Omicron variant vaccine (Phase 3)

Bivalent vaccine (gamma and omicron variants) (Phase 3)

Arm Description

Participants will be included in this group during phase 2 and phase 3. All participants will receive one dose of gamma variant vaccine and one dose of placebo 28 days apart, in a crossover design.

Participants will be included in this group during phase 3. All participants will receive one dose of omicron variant vaccine and one dose of placebo 28 days apart, in a crossover design.

Participants will be included in this group only during phase 3. All participants will receive one dose of bivalent gamma omicron vaccine and one dose of placebo 28 days apart, in a crossover design.

Outcomes

Primary Outcome Measures

Phase 2 - Immunogenicity - Seroconvertion rate
Seroconversion rate defined by a 4-fold increase from baseline of neutralizing antibody titer
Phase 3 - Immunogenicity - Seroconvertion rate
Seroconversion rate defined by a 4-fold increase from baseline of neutralizing antibody titer comparing the different arms

Secondary Outcome Measures

Immunogenicity - Neutralizing antibody titer
Proportion of individuals whith at least 8-fold increase from baseline
Immunogenicity - Neutralizing and total antibody titers
Geometric Mean Titer (GMT)
Safety - Solicited local and systemic reactions after vaccination
Number of volunteers overall and in each vaccination group with local or systemic vaccine reactogenicity, based on evaluacion of solicited adverse events (AEs) recorded on subject memory aids o during clinical assessments
Safety - Unsolicited adverse events after vaccination
Number of volunteers overall and in each vaccination group
Safety - Serious Adverse Events
Number of volunteers overall and in each vaccination group with vaccine associated serioius adverse events (SAEs)
Safety - Variations in laboratory results
Number of volunteers overall and in each vaccination group with variations in laboratory results from a baseline control

Full Information

First Posted
February 28, 2023
Last Updated
September 26, 2023
Sponsor
Centro de Educación Medica e Investigaciones Clínicas Norberto Quirno
Collaborators
Universidad Nacional de San Martín (UNSAM), National Council of Scientific and Technical Research, Argentina, Laboratorio Pablo Cassará S.R.L.
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1. Study Identification

Unique Protocol Identification Number
NCT05752201
Brief Title
ARVAC-A New Recombinant Coronavirus Disease 2019 (COVID-19) Vaccine
Acronym
ARVAC-F2/3
Official Title
Phase 2/3 Study to Evaluate Safety, Tolerability and Immunogenicity of a Recombinant Protein-based Vaccine Against SARS-CoV-2, in a Population of Adult Volunteers Previously Vaccinated Against SARS-CoV-2 Virus.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 6, 2023 (Actual)
Primary Completion Date
August 22, 2023 (Actual)
Study Completion Date
November 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Centro de Educación Medica e Investigaciones Clínicas Norberto Quirno
Collaborators
Universidad Nacional de San Martín (UNSAM), National Council of Scientific and Technical Research, Argentina, Laboratorio Pablo Cassará 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
Yes

5. Study Description

Brief Summary
The goals of this clinical trial are: Phase 2: to test a gamma adapted recombinant vaccine against SARS-CoV-2 in healthy adult volunteers, previously vaccinated against the SARS-CoV-2 virus. Phase 3 (first volunteer enrollement on March 25, 2023): to test a recombinant vaccine against SARS-CoV-2 comparing three different versions (Gamma Variant RBD-based ARVAC-CG vaccine, Omicron Variant RBD-based ARVAC-CG vaccine, Bivariant Gamma/Omicron RBD-based ARVAC-CG vaccine), in adult volunteers previously vaccinated against the SARS-CoV-2 virus The main questions to be answered are: Phase 2: What si the immune response after one dose of vaccine? What is the safety and tolerability profile of this vaccine? Phase 3 : What is the immune response triggered by each vaccine formulation against Wuhan, gamma, and omicron variants. What is the safety and tolerability profile of this vaccine? In phase 2, participants will receive one dose of the study vaccine and one dose of placebo 28 days apart, in a cross-over design. In phase 3 (not yet recruitment), participants will be randomized to receive one of the three possible types of vaccines and all of them will receive one dose of the corresponding vaccine and 1 dose of placebo 28 days apart, in a cross over design.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Crossover Assignment
Model Description
In phase 2, participants will receive one dose of vaccine and one dose of placebo 28 days apart, in a cross over design. In phase 3, participants will be randomized to receive one of the three possible types of vaccines and all of them will receive one dose of the corresponding vaccine and 1 dose of placebo 28 days apart, in a cross over design.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2014 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Gamma variant vaccine (Phase 2 and Phase 3)
Arm Type
Experimental
Arm Description
Participants will be included in this group during phase 2 and phase 3. All participants will receive one dose of gamma variant vaccine and one dose of placebo 28 days apart, in a crossover design.
Arm Title
Omicron variant vaccine (Phase 3)
Arm Type
Experimental
Arm Description
Participants will be included in this group during phase 3. All participants will receive one dose of omicron variant vaccine and one dose of placebo 28 days apart, in a crossover design.
Arm Title
Bivalent vaccine (gamma and omicron variants) (Phase 3)
Arm Type
Experimental
Arm Description
Participants will be included in this group only during phase 3. All participants will receive one dose of bivalent gamma omicron vaccine and one dose of placebo 28 days apart, in a crossover design.
Intervention Type
Biological
Intervention Name(s)
Gamma Variant RBD-based ARVAC-CG vaccine
Intervention Description
Vaccine containing 50 µg of antigen + Alum. Schedule: One booster dose of vaccine Administration route: intramuscular (IM) injection
Intervention Type
Biological
Intervention Name(s)
Omicron Variant RBD-based ARVAC-CG vaccine
Intervention Description
Vaccine containing 50 µg of antigen + Alum. Schedule: One booster dose of vaccine Administration route: intramuscular (IM) injection
Intervention Type
Biological
Intervention Name(s)
Bivalent RBD-based ARVAC-CG vaccine
Intervention Description
Vaccine containing 25 µg of gamma antigen + 25 µg of omicron antigen + Alum Schedule: One booster dose of vaccine Administration route: intramuscular (IM) injection
Intervention Type
Other
Intervention Name(s)
Placebo (Alum)
Intervention Description
Schedule: One dose of placebo in a crossover design Administration route: intramuscular (IM) injection
Primary Outcome Measure Information:
Title
Phase 2 - Immunogenicity - Seroconvertion rate
Description
Seroconversion rate defined by a 4-fold increase from baseline of neutralizing antibody titer
Time Frame
14 days after vaccination
Title
Phase 3 - Immunogenicity - Seroconvertion rate
Description
Seroconversion rate defined by a 4-fold increase from baseline of neutralizing antibody titer comparing the different arms
Time Frame
14 days after vaccination
Secondary Outcome Measure Information:
Title
Immunogenicity - Neutralizing antibody titer
Description
Proportion of individuals whith at least 8-fold increase from baseline
Time Frame
14 days after vaccination
Title
Immunogenicity - Neutralizing and total antibody titers
Description
Geometric Mean Titer (GMT)
Time Frame
At baseline, 14 and 90 days after vaccination
Title
Safety - Solicited local and systemic reactions after vaccination
Description
Number of volunteers overall and in each vaccination group with local or systemic vaccine reactogenicity, based on evaluacion of solicited adverse events (AEs) recorded on subject memory aids o during clinical assessments
Time Frame
Day 0 to 7 days after vaccination
Title
Safety - Unsolicited adverse events after vaccination
Description
Number of volunteers overall and in each vaccination group
Time Frame
Day 0 to 30 days after vaccination
Title
Safety - Serious Adverse Events
Description
Number of volunteers overall and in each vaccination group with vaccine associated serioius adverse events (SAEs)
Time Frame
Day 0 to 30 days after vaccination
Title
Safety - Variations in laboratory results
Description
Number of volunteers overall and in each vaccination group with variations in laboratory results from a baseline control
Time Frame
At 30 days after vaccination
Other Pre-specified Outcome Measures:
Title
Exploratory - Antibody Titers in saliva
Description
Antigen specific antibodies in a selected subpopulation
Time Frame
At baseline and day 14 after vaccination
Title
Exploratory - Immunogenicity
Description
Number of interferon (IFN) gamma producing cells directed to Receptor Binding Domain (RBD) (Spike protein region)
Time Frame
At baseline and 14 days after vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: - All subjects who meet the following general criteria will be considered eligible for this trial: Male or female participants greater than or equal to 18 years of age With the ability and willingness to comply with the prohibitions and restrictions specified in the protocol. Have received a complete vaccine regimen against SARS-CoV-2 with no more than one booster dose (last dose received at least 4 months prior to study entry). In fertile female volunteers, negative pregnancy test at the beginning of the study and commitment to use a contraceptive method from the date of signing the consent form until 3 months after vaccine study application. Use of a hormonal contraceptive method must begin at least 28 days prior to study vaccine application. The investigator should assess potential contraceptive method failure (e.g. non-compliance, recent onset) in relation to vaccination. Acceptable effective methods for this study include: a) hormonal contraceptive method: i) combined (containing estrogen and progestin) associated with the inhibition of ovulation (oral, intravaginal or transdermal); ii) with progestin only, associated with the inhibition of ovulation (oral, injectable or implantable); b) intrauterine device; c) intrauterine hormone release system; d) bilateral tubal ligation/occlusion procedure; e) single couple with vasectomy; f) sexual abstinence, which will be considered effective only if it is defined as abstaining from heterosexual relations from the date of signing the consent until 3 months after receiving the study vaccine. The reliability of sexual abstinence should be assessed in relation to the duration of the study and the participant's usual and preferred lifestyle. Participant who agrees to not donate bone marrow, blood or blood products until 3 months after the last dose of study vaccine; Participant who is able to read, understand, and complete electronic questionnaires about signs and symptoms of COVID-19 surveillance; Negative PCR or antigen test for the SARS-CoV-2 virus at enrollment time. Capable of granting their informed consent signed and dated by the volunteer under study, and the authorized physician. Phase-specific inclusion criteria: Phase 2: 1. Male or female participants between 18 and 60 years of age without known comorbidities. Phase 3: 1. Male or female participants greater than or equal to 18 years of age with or without any chronic comorbidity stable and controlled based on the Investigator's judgment, not associated to a reduced immune response. Exclusion Criteria: Exclusion Criteria: History of SARS-CoV-2 infection or known previous disease, within 90 days prior to study entry (at least 90 days from epidemiological discharge). Administration of any commercial or not commercial vaccine, based on: Live attenuated virus within 28 days prior to study entry. Killed virus within 14 days prior to study entry. Individuals that have not received a complete primary vaccination schedule against SARS-CoV-2 virus (1 or 2 doses, depending on the vaccine used in the primary schedule). Administration of complete primary vaccination schedule against SARS-CoV-2 virus (1 or 2 doses, depending on the vaccine received) or a booster dose, within 4 months prior to the start of the study. Administration of more than one booster dose after a complete primary vaccination schedule against SARS-CoV-2 virus. Individuals that have scheduled to receive any other commercial vaccine in the following 3 months after receiving the study vaccine dose. Individuals that have participated in a research study within 60 days prior to the start of the study. History of known allergies or a history of anaphylaxis or any other serious adverse reaction with other vaccines or their excipients. History of alcoholism or substance abuse that prevents compliance with the characteristics of the protocol. Acute infectious disease at enrollment (this does not include minor conditions such as diarrhea or mild upper respiratory tract illness) or temperature ≥38. 0°C within 24 hours prior to scheduled study vaccination; later admission is permitted at the discretion of the investigator and after the Sponsor agreement. Body Mass Index (BMI) greater than 35 kg/m2. History of any clinical condition that affects the function of the immune system, including, but not limited to: Clinical conditions (e.g. autoimmune disease or possibly immune-mediated disease or known or suspected immunodeficiency; diabetes mellitus type I or II, chronic kidney disease, etc.). Chronic or recurrent use of systemic corticosteroids in the 6 months prior to study vaccine administration and during the study. A substantially immunosuppressive dose of steroids is considered ≥2 weeks of daily administration of 20 mg prednisone or equivalent. Administration of antineoplastic and immunomodulatory agents or radiation therapy within 6 months prior to study vaccine administration or during the study. The volunteer has any contraindication to receive intramuscular injections and/or blood draws. The volunteer has received an investigational drug (including drugs related to COVID-19 prophylaxis) or used an investigational invasive medical device in the past 30 days or has received investigational immunoglobulin or monoclonal antibodies within 3 months (participation in an observational study is allowed at the discretion of the investigator, previously informing the Sponsor about this decision). The volunteer has a history of acute polyneuropathy (e.g. Guillain Barré syndrome). The volunteer underwent a surgical procedure that required hospitalization (defined as hospitalization for more than 24 hours or overnight hospitalization), in the 12 weeks prior to vaccination, or has not recovered completely from surgery that required hospitalization or is scheduled for surgery that will require hospitalization during the time he/she is expected to participate in the study or within 6 months of study vaccine administration. The participant is pregnant, plans to become pregnant within 3 months after the administration of the vaccine, or is in postpartum or lactation period. Any condition or finding regarding the participant that, in the opinion of the researcher, could put the subject under investigation at risk, or interfere with the interpretation of the results of the study. Some events may be considered only a temporary contraindication to receiving the study vaccine. Such is the case of: Clinically significant acute illness at the time of vaccination. This does not include minor illnesses such as diarrhea or a mild respiratory tract infection. Fever (temperature ≥38.0°C) in the 24 hours prior to the application of the vaccine under study. A disease that, in the opinion of the investigator, may interfere with the reactogenicity/safety evaluations of the first days after the study vaccine. If any of these events occur at the time of vaccination, vaccination may be postponed until resolution of the event, provided that it occurs within the permitted screening period (15 days of initial testing). If the box is resolved beyond the allowed window of the selection, all initial analyses must be repeated.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pablo Bonvehí, MD
Organizational Affiliation
Centro de Educación Medica e Investigaciones Clínicas Norberto Quirno
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Gustavo Yerino, MD
Organizational Affiliation
FP Clinical Pharma
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno" - CEMIC
City
Argentina
State/Province
C.a.b.a.
ZIP/Postal Code
1431
Country
Argentina
Facility Name
Fundación Huesped
City
Ciudad Autónoma de Buenos Aires
State/Province
Caba
ZIP/Postal Code
1202
Country
Argentina
Facility Name
Centro de Investigaciones Clínicas Belgrano (CICB)
City
Ciudad Autonoma de Buenos Aires
State/Province
Ciudad De Buenos Aires
ZIP/Postal Code
1425
Country
Argentina
Facility Name
Clinica Privada del Sol
City
Córdoba
State/Province
Cordoba
ZIP/Postal Code
5000
Country
Argentina
Facility Name
Instituto Medico Platense
City
Buenos Aires
ZIP/Postal Code
1900
Country
Argentina
Facility Name
Instituto de Investigaciones Clínicas de Mar del Plata
City
Buenos Aires
ZIP/Postal Code
7600
Country
Argentina
Facility Name
Centro Clínica del Niño y la Familia
City
Buenos Aires
ZIP/Postal Code
7606
Country
Argentina
Facility Name
FP Clinical Pharma
City
Ciudad Autonoma de Buenos aires
ZIP/Postal Code
1425
Country
Argentina
Facility Name
Vacunar S.A.
City
Ciudad Autonoma de Buenos Aires
ZIP/Postal Code
1428
Country
Argentina
Facility Name
Centro Médico Dra. Laura Maffei - Investigación Clínica Aplicada
City
Ciudad de Buenos Aires
ZIP/Postal Code
1425
Country
Argentina
Facility Name
ICSAL Salta
City
Salta
ZIP/Postal Code
4400
Country
Argentina

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Data to be shared: All of the individual participant data collected during the trial after deidentification and after publication of the results.
IPD Sharing Time Frame
Data be available immediately following publication.
IPD Sharing Access Criteria
Access will be given to researchers who provide a methodologically sound proposal or whose proposed use of the data has been approved by an independent review committee identified for this purpose. Proposals should be directed to the corresponding author of the publication.

Learn more about this trial

ARVAC-A New Recombinant Coronavirus Disease 2019 (COVID-19) Vaccine

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