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Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease

Identifieur interne : 004221 ( Main/Exploration ); précédent : 004220; suivant : 004222

Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease

Auteurs : Harvey D. White [Nouvelle-Zélande] ; Claes Held [Suède] ; Ralph Stewart [Nouvelle-Zélande] ; Elizabeth Tarka [États-Unis] ; Rebekkah Brown [États-Unis] ; Richard Y. Davies [États-Unis] ; Andrzej Budaj [Pologne] ; Robert A. Harrington [États-Unis] ; P. Gabriel Steg [France, Royaume-Uni] ; Diego Ardissino [Italie] ; Paul W. Armstrong [Canada] ; Alvaro Avezum [Brésil] ; Philip E. Aylward [Australie] ; Alfonso Bryce [Pérou] ; HONG CHEN [République populaire de Chine] ; Ming-Fong Chen [Taïwan] ; Ramon Corbalan [Chili] ; Anthony J. Dalby [Afrique du Sud] ; Nicolas Danchin [France] ; Robbert J. De Winter [Pays-Bas] ; Stefan Denchev [Bulgarie] ; Rafael Diaz ; Moses Elisaf ; Marcus D. Flather ; Assen R. Goudev [Bulgarie] ; Christopher B. Granger [États-Unis] ; Liliana Grinfeld ; Judith S. Hochman ; Steen Husted ; Hyo-Soo Kim ; WOLFGANG KOENIG ; Ales Linhart ; Eva Lonn [Canada] ; José Lopez-Sendon ; Athanasios J. Manolis ; Emile R. Iii Mohler ; José C. Nicolau [Brésil] ; Prem Pais ; Alexander Parkhomenko ; Terje R. Pedersen ; Daniel Pella ; Marco A. Ramos-Corrales ; Mikhail Ruda ; Mátyás Sereg ; Saulat Siddique ; Peter Sinnaeve ; Peter Smith [États-Unis] ; Piyamitr Sritara ; Henk P. Swart ; Rody G. Sy ; Tamio Teramoto ; Hung-Fat Tse ; David Watson [États-Unis] ; W. Douglas Weaver ; Robert Weiss ; Margus Viigimaa ; Dragos Vinereanu ; JUNREN ZHU ; Christopher P. Cannon

Source :

RBID : Pascal:14-0105569

Descripteurs français

English descriptors

Abstract

BACKGROUND Elevated lipoprotein-associated phospholipase A2 activity promotes the development of vulnerable atherosclerotic plaques, and elevated plasma levels of this enzyme are associated with an increased risk of coronary events. Darapladib is a selective oral inhibitor of lipoprotein-associated phospholipase A2. METHODS In a double-blind trial, we randomly assigned 15,828 patients with stable coronary heart disease to receive either once-daily darapladib (at a dose of 160 mg) or placebo. The primary end point was the time to cardiovascular death, myocardial infarction, or stroke. Secondary end points included the components of the primary end point as well as major coronary events (death from coronary heart disease, myocardial infarction, or urgent coronary revascularization for myocardial ischemia) and total coronary events (death from coronary heart disease, myocardial infarction, hospitalization for unstable angina, or any coronary revascularization). RESULTS During a median follow-up period of 3.7 years, the primary end point occurred in 769 of 7924 patients (9.7%) in the darapladib group and 819 of 7904 patients (10.4%) in the placebo group (hazard ratio in the darapladib group, 0.94; 95% confidence interval [CI], 0.85 to 1.03; P=0.20).


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Le document en format XML

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<name sortKey="Grinfeld, Liliana" sort="Grinfeld, Liliana" uniqKey="Grinfeld L" first="Liliana" last="Grinfeld">Liliana Grinfeld</name>
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<name sortKey="Hochman, Judith S" sort="Hochman, Judith S" uniqKey="Hochman J" first="Judith S." last="Hochman">Judith S. Hochman</name>
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<name sortKey="Husted, Steen" sort="Husted, Steen" uniqKey="Husted S" first="Steen" last="Husted">Steen Husted</name>
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<name sortKey="Kim, Hyo Soo" sort="Kim, Hyo Soo" uniqKey="Kim H" first="Hyo-Soo" last="Kim">Hyo-Soo Kim</name>
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<author>
<name sortKey="Wolfgang Koenig" sort="Wolfgang Koenig" uniqKey="Wolfgang Koenig" last="Wolfgang Koenig">WOLFGANG KOENIG</name>
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<author>
<name sortKey="Linhart, Ales" sort="Linhart, Ales" uniqKey="Linhart A" first="Ales" last="Linhart">Ales Linhart</name>
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<name sortKey="Lonn, Eva" sort="Lonn, Eva" uniqKey="Lonn E" first="Eva" last="Lonn">Eva Lonn</name>
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<s1>Department of Medicine and Population Health Research Institute, McMaster University</s1>
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<country>Canada</country>
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</placeName>
<orgName type="university">Université McMaster</orgName>
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</author>
<author>
<name sortKey="Lopez Sendon, Jose" sort="Lopez Sendon, Jose" uniqKey="Lopez Sendon J" first="José" last="Lopez-Sendon">José Lopez-Sendon</name>
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<author>
<name sortKey="Manolis, Athanasios J" sort="Manolis, Athanasios J" uniqKey="Manolis A" first="Athanasios J." last="Manolis">Athanasios J. Manolis</name>
</author>
<author>
<name sortKey="Mohler, Emile R Iii" sort="Mohler, Emile R Iii" uniqKey="Mohler E" first="Emile R. Iii" last="Mohler">Emile R. Iii Mohler</name>
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<author>
<name sortKey="Nicolau, Jose C" sort="Nicolau, Jose C" uniqKey="Nicolau J" first="José C." last="Nicolau">José C. Nicolau</name>
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<s1>Heart Institute (InCor), University of São Paulo Medical School</s1>
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<author>
<name sortKey="Pais, Prem" sort="Pais, Prem" uniqKey="Pais P" first="Prem" last="Pais">Prem Pais</name>
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<author>
<name sortKey="Parkhomenko, Alexander" sort="Parkhomenko, Alexander" uniqKey="Parkhomenko A" first="Alexander" last="Parkhomenko">Alexander Parkhomenko</name>
</author>
<author>
<name sortKey="Pedersen, Terje R" sort="Pedersen, Terje R" uniqKey="Pedersen T" first="Terje R." last="Pedersen">Terje R. Pedersen</name>
</author>
<author>
<name sortKey="Pella, Daniel" sort="Pella, Daniel" uniqKey="Pella D" first="Daniel" last="Pella">Daniel Pella</name>
</author>
<author>
<name sortKey="Ramos Corrales, Marco A" sort="Ramos Corrales, Marco A" uniqKey="Ramos Corrales M" first="Marco A." last="Ramos-Corrales">Marco A. Ramos-Corrales</name>
</author>
<author>
<name sortKey="Ruda, Mikhail" sort="Ruda, Mikhail" uniqKey="Ruda M" first="Mikhail" last="Ruda">Mikhail Ruda</name>
</author>
<author>
<name sortKey="Sereg, Matyas" sort="Sereg, Matyas" uniqKey="Sereg M" first="Mátyás" last="Sereg">Mátyás Sereg</name>
</author>
<author>
<name sortKey="Siddique, Saulat" sort="Siddique, Saulat" uniqKey="Siddique S" first="Saulat" last="Siddique">Saulat Siddique</name>
</author>
<author>
<name sortKey="Sinnaeve, Peter" sort="Sinnaeve, Peter" uniqKey="Sinnaeve P" first="Peter" last="Sinnaeve">Peter Sinnaeve</name>
</author>
<author>
<name sortKey="Smith, Peter" sort="Smith, Peter" uniqKey="Smith P" first="Peter" last="Smith">Peter Smith</name>
<affiliation wicri:level="2">
<inist:fA14 i1="04">
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<title xml:lang="en" level="a">Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease</title>
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<s1>Department of Medical Sciences, Cardiology, Uppsala University, and Uppsala Clinical Research Center</s1>
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<s1>Postgraduate Medical School, Grochowski Hospital</s1>
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<s1>Université Paris-Diderot, Sorbonne-Paris Cité</s1>
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<s1>Azienda Ospedaliero-Universitaria di Parma</s1>
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<country>Italie</country>
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<s1>Cardiovascular Division Pontificia Universidad Catolica de Chile</s1>
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<s1>Department of Cardiology, Academic Medical Center, University of Amsterdam</s1>
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</inist:fA14>
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<s1>Clinic of Cardiology, University Hospital Alexandrovska</s1>
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<country>Bulgarie</country>
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<name sortKey="Goudev, Assen R" sort="Goudev, Assen R" uniqKey="Goudev A" first="Assen R." last="Goudev">Assen R. Goudev</name>
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<s1>Cardiology Department, Queen Giovanna University Hospital</s1>
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<country>Bulgarie</country>
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<s1>Duke University Medical Center</s1>
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<country>États-Unis</country>
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<name sortKey="Kim, Hyo Soo" sort="Kim, Hyo Soo" uniqKey="Kim H" first="Hyo-Soo" last="Kim">Hyo-Soo Kim</name>
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<s1>Department of Medicine and Population Health Research Institute, McMaster University</s1>
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<country>Canada</country>
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<name sortKey="Lopez Sendon, Jose" sort="Lopez Sendon, Jose" uniqKey="Lopez Sendon J" first="José" last="Lopez-Sendon">José Lopez-Sendon</name>
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<s1>Heart Institute (InCor), University of São Paulo Medical School</s1>
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</inist:fA14>
<country>Brésil</country>
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<name sortKey="Pedersen, Terje R" sort="Pedersen, Terje R" uniqKey="Pedersen T" first="Terje R." last="Pedersen">Terje R. Pedersen</name>
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<name sortKey="Pella, Daniel" sort="Pella, Daniel" uniqKey="Pella D" first="Daniel" last="Pella">Daniel Pella</name>
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<name sortKey="Ramos Corrales, Marco A" sort="Ramos Corrales, Marco A" uniqKey="Ramos Corrales M" first="Marco A." last="Ramos-Corrales">Marco A. Ramos-Corrales</name>
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<author>
<name sortKey="Ruda, Mikhail" sort="Ruda, Mikhail" uniqKey="Ruda M" first="Mikhail" last="Ruda">Mikhail Ruda</name>
</author>
<author>
<name sortKey="Sereg, Matyas" sort="Sereg, Matyas" uniqKey="Sereg M" first="Mátyás" last="Sereg">Mátyás Sereg</name>
</author>
<author>
<name sortKey="Siddique, Saulat" sort="Siddique, Saulat" uniqKey="Siddique S" first="Saulat" last="Siddique">Saulat Siddique</name>
</author>
<author>
<name sortKey="Sinnaeve, Peter" sort="Sinnaeve, Peter" uniqKey="Sinnaeve P" first="Peter" last="Sinnaeve">Peter Sinnaeve</name>
</author>
<author>
<name sortKey="Smith, Peter" sort="Smith, Peter" uniqKey="Smith P" first="Peter" last="Smith">Peter Smith</name>
<affiliation wicri:level="2">
<inist:fA14 i1="04">
<s1>Metabolic Pathways and Cardiovascular Therapeutic Area, GlaxoSmithKlineResearch Triangle Park</s1>
<s2>North Carolina</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
<sZ>47 aut.</sZ>
<sZ>53 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Sritara, Piyamitr" sort="Sritara, Piyamitr" uniqKey="Sritara P" first="Piyamitr" last="Sritara">Piyamitr Sritara</name>
</author>
<author>
<name sortKey="Swart, Henk P" sort="Swart, Henk P" uniqKey="Swart H" first="Henk P." last="Swart">Henk P. Swart</name>
</author>
<author>
<name sortKey="Sy, Rody G" sort="Sy, Rody G" uniqKey="Sy R" first="Rody G." last="Sy">Rody G. Sy</name>
</author>
<author>
<name sortKey="Teramoto, Tamio" sort="Teramoto, Tamio" uniqKey="Teramoto T" first="Tamio" last="Teramoto">Tamio Teramoto</name>
</author>
<author>
<name sortKey="Tse, Hung Fat" sort="Tse, Hung Fat" uniqKey="Tse H" first="Hung-Fat" last="Tse">Hung-Fat Tse</name>
</author>
<author>
<name sortKey="Watson, David" sort="Watson, David" uniqKey="Watson D" first="David" last="Watson">David Watson</name>
<affiliation wicri:level="2">
<inist:fA14 i1="04">
<s1>Metabolic Pathways and Cardiovascular Therapeutic Area, GlaxoSmithKlineResearch Triangle Park</s1>
<s2>North Carolina</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
<sZ>47 aut.</sZ>
<sZ>53 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Weaver, W Douglas" sort="Weaver, W Douglas" uniqKey="Weaver W" first="W. Douglas" last="Weaver">W. Douglas Weaver</name>
</author>
<author>
<name sortKey="Weiss, Robert" sort="Weiss, Robert" uniqKey="Weiss R" first="Robert" last="Weiss">Robert Weiss</name>
</author>
<author>
<name sortKey="Viigimaa, Margus" sort="Viigimaa, Margus" uniqKey="Viigimaa M" first="Margus" last="Viigimaa">Margus Viigimaa</name>
</author>
<author>
<name sortKey="Vinereanu, Dragos" sort="Vinereanu, Dragos" uniqKey="Vinereanu D" first="Dragos" last="Vinereanu">Dragos Vinereanu</name>
</author>
<author>
<name sortKey="Junren Zhu" sort="Junren Zhu" uniqKey="Junren Zhu" last="Junren Zhu">JUNREN ZHU</name>
</author>
<author>
<name sortKey="Cannon, Christopher P" sort="Cannon, Christopher P" uniqKey="Cannon C" first="Christopher P." last="Cannon">Christopher P. Cannon</name>
</author>
</analytic>
<series>
<title level="j" type="main">The New England journal of medicine</title>
<title level="j" type="abbreviated">N. Engl. j. med.</title>
<idno type="ISSN">0028-4793</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">The New England journal of medicine</title>
<title level="j" type="abbreviated">N. Engl. j. med.</title>
<idno type="ISSN">0028-4793</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Coronary heart disease</term>
<term>Darapladib</term>
<term>Ischemia</term>
<term>Medicine</term>
<term>Prevention</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Ischémie</term>
<term>Cardiopathie coronaire</term>
<term>Darapladib</term>
<term>Prévention</term>
<term>Médecine</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Médecine</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">BACKGROUND Elevated lipoprotein-associated phospholipase A
<sub>2</sub>
activity promotes the development of vulnerable atherosclerotic plaques, and elevated plasma levels of this enzyme are associated with an increased risk of coronary events. Darapladib is a selective oral inhibitor of lipoprotein-associated phospholipase A
<sub>2</sub>
. METHODS In a double-blind trial, we randomly assigned 15,828 patients with stable coronary heart disease to receive either once-daily darapladib (at a dose of 160 mg) or placebo. The primary end point was the time to cardiovascular death, myocardial infarction, or stroke. Secondary end points included the components of the primary end point as well as major coronary events (death from coronary heart disease, myocardial infarction, or urgent coronary revascularization for myocardial ischemia) and total coronary events (death from coronary heart disease, myocardial infarction, hospitalization for unstable angina, or any coronary revascularization). RESULTS During a median follow-up period of 3.7 years, the primary end point occurred in 769 of 7924 patients (9.7%) in the darapladib group and 819 of 7904 patients (10.4%) in the placebo group (hazard ratio in the darapladib group, 0.94; 95% confidence interval [CI], 0.85 to 1.03; P=0.20).</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Australie</li>
<li>Brésil</li>
<li>Bulgarie</li>
<li>Canada</li>
<li>Chili</li>
<li>France</li>
<li>Italie</li>
<li>Nouvelle-Zélande</li>
<li>Pays-Bas</li>
<li>Pologne</li>
<li>Pérou</li>
<li>Royaume-Uni</li>
<li>République populaire de Chine</li>
<li>Suède</li>
<li>Taïwan</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Caroline du Nord</li>
<li>East Middle Sweden</li>
<li>Grand Londres</li>
<li>Hollande-Septentrionale</li>
<li>Ontario</li>
<li>Sofia-ville (oblast)</li>
<li>Svealand</li>
<li>État de São Paulo</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Hamilton (Ontario)</li>
<li>Londres</li>
<li>Paris</li>
<li>Pékin</li>
<li>Sofia</li>
<li>São Paulo</li>
<li>Uppsala</li>
</settlement>
<orgName>
<li>Université McMaster</li>
<li>Université Paris-Descartes</li>
<li>Université d'Amsterdam</li>
<li>Université d'Uppsala</li>
</orgName>
</list>
<tree>
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<name sortKey="Cannon, Christopher P" sort="Cannon, Christopher P" uniqKey="Cannon C" first="Christopher P." last="Cannon">Christopher P. Cannon</name>
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<name sortKey="Elisaf, Moses" sort="Elisaf, Moses" uniqKey="Elisaf M" first="Moses" last="Elisaf">Moses Elisaf</name>
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<name sortKey="Junren Zhu" sort="Junren Zhu" uniqKey="Junren Zhu" last="Junren Zhu">JUNREN ZHU</name>
<name sortKey="Kim, Hyo Soo" sort="Kim, Hyo Soo" uniqKey="Kim H" first="Hyo-Soo" last="Kim">Hyo-Soo Kim</name>
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<name sortKey="Mohler, Emile R Iii" sort="Mohler, Emile R Iii" uniqKey="Mohler E" first="Emile R. Iii" last="Mohler">Emile R. Iii Mohler</name>
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<name sortKey="Parkhomenko, Alexander" sort="Parkhomenko, Alexander" uniqKey="Parkhomenko A" first="Alexander" last="Parkhomenko">Alexander Parkhomenko</name>
<name sortKey="Pedersen, Terje R" sort="Pedersen, Terje R" uniqKey="Pedersen T" first="Terje R." last="Pedersen">Terje R. Pedersen</name>
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<region name="Île-de-France">
<name sortKey="Steg, P Gabriel" sort="Steg, P Gabriel" uniqKey="Steg P" first="P. Gabriel" last="Steg">P. Gabriel Steg</name>
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<name sortKey="Armstrong, Paul W" sort="Armstrong, Paul W" uniqKey="Armstrong P" first="Paul W." last="Armstrong">Paul W. Armstrong</name>
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<name sortKey="Nicolau, Jose C" sort="Nicolau, Jose C" uniqKey="Nicolau J" first="José C." last="Nicolau">José C. Nicolau</name>
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<name sortKey="Bryce, Alfonso" sort="Bryce, Alfonso" uniqKey="Bryce A" first="Alfonso" last="Bryce">Alfonso Bryce</name>
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<noRegion>
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<name sortKey="Chen, Ming Fong" sort="Chen, Ming Fong" uniqKey="Chen M" first="Ming-Fong" last="Chen">Ming-Fong Chen</name>
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<name sortKey="De Winter, Robbert J" sort="De Winter, Robbert J" uniqKey="De Winter R" first="Robbert J." last="De Winter">Robbert J. De Winter</name>
</region>
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<region name="Sofia-ville (oblast)">
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</region>
<name sortKey="Goudev, Assen R" sort="Goudev, Assen R" uniqKey="Goudev A" first="Assen R." last="Goudev">Assen R. Goudev</name>
</country>
</tree>
</affiliations>
</record>

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