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Safety and Immunogenicity of a Vero Cell Culture-Derived Whole-Virus Influenza A(H5N1) Vaccine in a Pediatric Population

Identifieur interne : 001C61 ( PascalFrancis/Curation ); précédent : 001C60; suivant : 001C62

Safety and Immunogenicity of a Vero Cell Culture-Derived Whole-Virus Influenza A(H5N1) Vaccine in a Pediatric Population

Auteurs : Maikel V. W. Van Der Velden [Autriche] ; Richard Fritz [Autriche] ; Eva Maria Pöllabauer [Autriche] ; Daniel Portsmouth [Autriche] ; M. Keith Howard [Autriche] ; Thomas R. Kreil [Autriche] ; Thomas Dvorak [Autriche] ; Sandor Fritsch [Autriche] ; Timo Vesikari [Finlande] ; Javier Diez-Domingo [Espagne] ; Peter Richmond [Australie] ; BEE WAH LEE [Singapour] ; Otfried Kistner [Autriche] ; Hartmut J. Ehrlich [Autriche] ; P. Noel Barrett [Autriche] ; Gerald Aichinger [Autriche]

Source :

RBID : Pascal:14-0047758

Descripteurs français

English descriptors

Abstract

Background. Children are highly vulnerable to infection with novel influenza viruses. It is essential to develop candidate pandemic influenza vaccines that are safe and effective in the pediatric population. Methods. Infants and children aged 6-35 months and 3-8 years, respectively, were randomized to receive 2 immunizations with a 7.5-μg or 3.75-μg hemagglutinin (HA) dose of a nonadjuvanted whole-virus A/Vietnam(H5N1) vaccine; adolescents aged 9-17 years received a 7.5-μg dose only. A subset of participants received a booster immunization with an A/Indonesia(H5N1) vaccine approximately 1 year later. HA and neuraminidase antibody responses were assessed. Results. Vaccination was safe and well tolerated; adverse reactions were transient and predominantly mild. Two immunizations with the 7.5-μg dose of A/Vietnam vaccine induced virus microneutralization (MN) titers of ≥1:20 against the A/Vietnam strain in 68.8%-85.4% of participants in the different age groups. After the booster, 93.1%-100% of participants achieved MN titers of ≥ 1:20 against the A/Vietnam and A/Indonesia strains. Neuraminidase-inhibiting antibodies were induced in ≥90% of participants after 2 immunizations with the 7.5 μg A/Vietnam vaccine and in 100% of participants after the booster. Conclusions. A whole-virus influenza A(H5N1) vaccine is suitable for prepandemic or pandemic immunization in a pediatric population. Clinical Trials Registration. NCT01052402.
pA  
A01 01  1    @0 0022-1899
A02 01      @0 JIDIAQ
A03   1    @0 J. infect. dis.
A05       @2 209
A06       @2 1
A08 01  1  ENG  @1 Safety and Immunogenicity of a Vero Cell Culture-Derived Whole-Virus Influenza A(H5N1) Vaccine in a Pediatric Population
A11 01  1    @1 VAN DER VELDEN (Maikel V. W.)
A11 02  1    @1 FRITZ (Richard)
A11 03  1    @1 PÖLLABAUER (Eva Maria)
A11 04  1    @1 PORTSMOUTH (Daniel)
A11 05  1    @1 HOWARD (M. Keith)
A11 06  1    @1 KREIL (Thomas R.)
A11 07  1    @1 DVORAK (Thomas)
A11 08  1    @1 FRITSCH (Sandor)
A11 09  1    @1 VESIKARI (Timo)
A11 10  1    @1 DIEZ-DOMINGO (Javier)
A11 11  1    @1 RICHMOND (Peter)
A11 12  1    @1 BEE WAH LEE
A11 13  1    @1 KISTNER (Otfried)
A11 14  1    @1 EHRLICH (Hartmut J.)
A11 15  1    @1 BARRETT (P. Noel)
A11 16  1    @1 AICHINGER (Gerald)
A14 01      @1 Vaccine Research and Development, Baxter BioScience @2 Vienna @3 AUT @Z 1 aut. @Z 3 aut. @Z 16 aut.
A14 02      @1 Global Research and Development, Baxter BioScience @2 Vienna @3 AUT @Z 7 aut. @Z 8 aut. @Z 14 aut.
A14 03      @1 Vaccine Research and Development, Baxter BioScience @2 Orth/Donau @3 AUT @Z 2 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 13 aut. @Z 15 aut.
A14 04      @1 University of Tampere Medical School @3 FIN @Z 9 aut.
A14 05      @1 Centro Superior de Investigación en Salud Pública @2 Valencia @3 ESP @Z 10 aut.
A14 06      @1 University of Western Australia School of Paediatrics and Child Health @2 Subiaco @3 AUS @Z 11 aut.
A14 07      @1 Vaccine Trials Group, Telethon Institute for Child Health Research @2 Subiaco @3 AUS @Z 11 aut.
A14 08      @1 Princess Margaret Hospital for Children @2 Subiaco @3 AUS @Z 11 aut.
A14 09      @1 The Child and Allergy Clinic, Mount Elizabeth Medical Centre @3 SGP @Z 12 aut.
A20       @1 12-23
A21       @1 2014
A23 01      @0 ENG
A43 01      @1 INIST @2 2052 @5 354000501676190050
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 45 ref.
A47 01  1    @0 14-0047758
A60       @1 P
A61       @0 A
A64 01  1    @0 The Journal of infectious diseases
A66 01      @0 GBR
C01 01    ENG  @0 Background. Children are highly vulnerable to infection with novel influenza viruses. It is essential to develop candidate pandemic influenza vaccines that are safe and effective in the pediatric population. Methods. Infants and children aged 6-35 months and 3-8 years, respectively, were randomized to receive 2 immunizations with a 7.5-μg or 3.75-μg hemagglutinin (HA) dose of a nonadjuvanted whole-virus A/Vietnam(H5N1) vaccine; adolescents aged 9-17 years received a 7.5-μg dose only. A subset of participants received a booster immunization with an A/Indonesia(H5N1) vaccine approximately 1 year later. HA and neuraminidase antibody responses were assessed. Results. Vaccination was safe and well tolerated; adverse reactions were transient and predominantly mild. Two immunizations with the 7.5-μg dose of A/Vietnam vaccine induced virus microneutralization (MN) titers of ≥1:20 against the A/Vietnam strain in 68.8%-85.4% of participants in the different age groups. After the booster, 93.1%-100% of participants achieved MN titers of ≥ 1:20 against the A/Vietnam and A/Indonesia strains. Neuraminidase-inhibiting antibodies were induced in ≥90% of participants after 2 immunizations with the 7.5 μg A/Vietnam vaccine and in 100% of participants after the booster. Conclusions. A whole-virus influenza A(H5N1) vaccine is suitable for prepandemic or pandemic immunization in a pediatric population. Clinical Trials Registration. NCT01052402.
C02 01  X    @0 002A05F04
C02 02  X    @0 002B05
C03 01  X  FRE  @0 Immunogénicité @5 05
C03 01  X  ENG  @0 Immunogenicity @5 05
C03 01  X  SPA  @0 Inmunogenicidad @5 05
C03 02  X  FRE  @0 Culture cellulaire @5 06
C03 02  X  ENG  @0 Cell culture @5 06
C03 02  X  SPA  @0 Cultivo celular @5 06
C03 03  X  FRE  @0 Vaccin @5 07
C03 03  X  ENG  @0 Vaccine @5 07
C03 03  X  SPA  @0 Vacuna @5 07
C03 04  X  FRE  @0 Infection @5 08
C03 04  X  ENG  @0 Infection @5 08
C03 04  X  SPA  @0 Infección @5 08
C03 05  X  FRE  @0 Virus grippal A(H5N1) @4 CD @5 96
C03 05  X  ENG  @0 Influenzavirus A(H5N1) @4 CD @5 96
N21       @1 055
N44 01      @1 OTO
N82       @1 OTO

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Pascal:14-0047758

Le document en format XML

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<name sortKey="Diez Domingo, Javier" sort="Diez Domingo, Javier" uniqKey="Diez Domingo J" first="Javier" last="Diez-Domingo">Javier Diez-Domingo</name>
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<name sortKey="Bee Wah Lee" sort="Bee Wah Lee" uniqKey="Bee Wah Lee" last="Bee Wah Lee">BEE WAH LEE</name>
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<name sortKey="Kistner, Otfried" sort="Kistner, Otfried" uniqKey="Kistner O" first="Otfried" last="Kistner">Otfried Kistner</name>
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<name sortKey="Ehrlich, Hartmut J" sort="Ehrlich, Hartmut J" uniqKey="Ehrlich H" first="Hartmut J." last="Ehrlich">Hartmut J. Ehrlich</name>
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<name sortKey="Barrett, P Noel" sort="Barrett, P Noel" uniqKey="Barrett P" first="P. Noel" last="Barrett">P. Noel Barrett</name>
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<title xml:lang="en" level="a">Safety and Immunogenicity of a Vero Cell Culture-Derived Whole-Virus Influenza A(H5N1) Vaccine in a Pediatric Population</title>
<author>
<name sortKey="Van Der Velden, Maikel V W" sort="Van Der Velden, Maikel V W" uniqKey="Van Der Velden M" first="Maikel V. W." last="Van Der Velden">Maikel V. W. Van Der Velden</name>
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<s1>Vaccine Research and Development, Baxter BioScience</s1>
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<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
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<name sortKey="Fritz, Richard" sort="Fritz, Richard" uniqKey="Fritz R" first="Richard" last="Fritz">Richard Fritz</name>
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<inist:fA14 i1="03">
<s1>Vaccine Research and Development, Baxter BioScience</s1>
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<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
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<name sortKey="Pollabauer, Eva Maria" sort="Pollabauer, Eva Maria" uniqKey="Pollabauer E" first="Eva Maria" last="Pöllabauer">Eva Maria Pöllabauer</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Vaccine Research and Development, Baxter BioScience</s1>
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<sZ>1 aut.</sZ>
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<country>Autriche</country>
</affiliation>
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<name sortKey="Portsmouth, Daniel" sort="Portsmouth, Daniel" uniqKey="Portsmouth D" first="Daniel" last="Portsmouth">Daniel Portsmouth</name>
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<inist:fA14 i1="03">
<s1>Vaccine Research and Development, Baxter BioScience</s1>
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<sZ>2 aut.</sZ>
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<name sortKey="Howard, M Keith" sort="Howard, M Keith" uniqKey="Howard M" first="M. Keith" last="Howard">M. Keith Howard</name>
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<inist:fA14 i1="03">
<s1>Vaccine Research and Development, Baxter BioScience</s1>
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<sZ>2 aut.</sZ>
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<name sortKey="Kreil, Thomas R" sort="Kreil, Thomas R" uniqKey="Kreil T" first="Thomas R." last="Kreil">Thomas R. Kreil</name>
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<inist:fA14 i1="03">
<s1>Vaccine Research and Development, Baxter BioScience</s1>
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<sZ>2 aut.</sZ>
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<name sortKey="Dvorak, Thomas" sort="Dvorak, Thomas" uniqKey="Dvorak T" first="Thomas" last="Dvorak">Thomas Dvorak</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Global Research and Development, Baxter BioScience</s1>
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<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Autriche</country>
</affiliation>
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<author>
<name sortKey="Fritsch, Sandor" sort="Fritsch, Sandor" uniqKey="Fritsch S" first="Sandor" last="Fritsch">Sandor Fritsch</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Global Research and Development, Baxter BioScience</s1>
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<s3>AUT</s3>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Autriche</country>
</affiliation>
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<author>
<name sortKey="Vesikari, Timo" sort="Vesikari, Timo" uniqKey="Vesikari T" first="Timo" last="Vesikari">Timo Vesikari</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>University of Tampere Medical School</s1>
<s3>FIN</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
</affiliation>
</author>
<author>
<name sortKey="Diez Domingo, Javier" sort="Diez Domingo, Javier" uniqKey="Diez Domingo J" first="Javier" last="Diez-Domingo">Javier Diez-Domingo</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Centro Superior de Investigación en Salud Pública</s1>
<s2>Valencia</s2>
<s3>ESP</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Richmond, Peter" sort="Richmond, Peter" uniqKey="Richmond P" first="Peter" last="Richmond">Peter Richmond</name>
<affiliation wicri:level="1">
<inist:fA14 i1="06">
<s1>University of Western Australia School of Paediatrics and Child Health</s1>
<s2>Subiaco</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="07">
<s1>Vaccine Trials Group, Telethon Institute for Child Health Research</s1>
<s2>Subiaco</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Princess Margaret Hospital for Children</s1>
<s2>Subiaco</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author>
<name sortKey="Bee Wah Lee" sort="Bee Wah Lee" uniqKey="Bee Wah Lee" last="Bee Wah Lee">BEE WAH LEE</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>The Child and Allergy Clinic, Mount Elizabeth Medical Centre</s1>
<s3>SGP</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Singapour</country>
</affiliation>
</author>
<author>
<name sortKey="Kistner, Otfried" sort="Kistner, Otfried" uniqKey="Kistner O" first="Otfried" last="Kistner">Otfried Kistner</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Vaccine Research and Development, Baxter BioScience</s1>
<s2>Orth/Donau</s2>
<s3>AUT</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Autriche</country>
</affiliation>
</author>
<author>
<name sortKey="Ehrlich, Hartmut J" sort="Ehrlich, Hartmut J" uniqKey="Ehrlich H" first="Hartmut J." last="Ehrlich">Hartmut J. Ehrlich</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Global Research and Development, Baxter BioScience</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>14 aut.</sZ>
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<country>Autriche</country>
</affiliation>
</author>
<author>
<name sortKey="Barrett, P Noel" sort="Barrett, P Noel" uniqKey="Barrett P" first="P. Noel" last="Barrett">P. Noel Barrett</name>
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<s3>AUT</s3>
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<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
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<country>Autriche</country>
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</author>
<author>
<name sortKey="Aichinger, Gerald" sort="Aichinger, Gerald" uniqKey="Aichinger G" first="Gerald" last="Aichinger">Gerald Aichinger</name>
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<s1>Vaccine Research and Development, Baxter BioScience</s1>
<s2>Vienna</s2>
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<sZ>3 aut.</sZ>
<sZ>16 aut.</sZ>
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<country>Autriche</country>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">The Journal of infectious diseases</title>
<title level="j" type="abbreviated">J. infect. dis.</title>
<idno type="ISSN">0022-1899</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
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</sourceDesc>
<seriesStmt>
<title level="j" type="main">The Journal of infectious diseases</title>
<title level="j" type="abbreviated">J. infect. dis.</title>
<idno type="ISSN">0022-1899</idno>
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</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cell culture</term>
<term>Immunogenicity</term>
<term>Infection</term>
<term>Influenzavirus A(H5N1)</term>
<term>Vaccine</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Immunogénicité</term>
<term>Culture cellulaire</term>
<term>Vaccin</term>
<term>Infection</term>
<term>Virus grippal A(H5N1)</term>
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<term>Vaccin</term>
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<div type="abstract" xml:lang="en">Background. Children are highly vulnerable to infection with novel influenza viruses. It is essential to develop candidate pandemic influenza vaccines that are safe and effective in the pediatric population. Methods. Infants and children aged 6-35 months and 3-8 years, respectively, were randomized to receive 2 immunizations with a 7.5-μg or 3.75-μg hemagglutinin (HA) dose of a nonadjuvanted whole-virus A/Vietnam(H5N1) vaccine; adolescents aged 9-17 years received a 7.5-μg dose only. A subset of participants received a booster immunization with an A/Indonesia(H5N1) vaccine approximately 1 year later. HA and neuraminidase antibody responses were assessed. Results. Vaccination was safe and well tolerated; adverse reactions were transient and predominantly mild. Two immunizations with the 7.5-μg dose of A/Vietnam vaccine induced virus microneutralization (MN) titers of ≥1:20 against the A/Vietnam strain in 68.8%-85.4% of participants in the different age groups. After the booster, 93.1%-100% of participants achieved MN titers of ≥ 1:20 against the A/Vietnam and A/Indonesia strains. Neuraminidase-inhibiting antibodies were induced in ≥90% of participants after 2 immunizations with the 7.5 μg A/Vietnam vaccine and in 100% of participants after the booster. Conclusions. A whole-virus influenza A(H5N1) vaccine is suitable for prepandemic or pandemic immunization in a pediatric population. Clinical Trials Registration. NCT01052402.</div>
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<s0>Background. Children are highly vulnerable to infection with novel influenza viruses. It is essential to develop candidate pandemic influenza vaccines that are safe and effective in the pediatric population. Methods. Infants and children aged 6-35 months and 3-8 years, respectively, were randomized to receive 2 immunizations with a 7.5-μg or 3.75-μg hemagglutinin (HA) dose of a nonadjuvanted whole-virus A/Vietnam(H5N1) vaccine; adolescents aged 9-17 years received a 7.5-μg dose only. A subset of participants received a booster immunization with an A/Indonesia(H5N1) vaccine approximately 1 year later. HA and neuraminidase antibody responses were assessed. Results. Vaccination was safe and well tolerated; adverse reactions were transient and predominantly mild. Two immunizations with the 7.5-μg dose of A/Vietnam vaccine induced virus microneutralization (MN) titers of ≥1:20 against the A/Vietnam strain in 68.8%-85.4% of participants in the different age groups. After the booster, 93.1%-100% of participants achieved MN titers of ≥ 1:20 against the A/Vietnam and A/Indonesia strains. Neuraminidase-inhibiting antibodies were induced in ≥90% of participants after 2 immunizations with the 7.5 μg A/Vietnam vaccine and in 100% of participants after the booster. Conclusions. A whole-virus influenza A(H5N1) vaccine is suitable for prepandemic or pandemic immunization in a pediatric population. Clinical Trials Registration. NCT01052402.</s0>
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