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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06383390
Registration number
NCT06383390
Ethics application status
Date submitted
22/04/2024
Date registered
25/04/2024
Titles & IDs
Public title
The Effect of Retatrutide Once Weekly on Cardiovascular Outcomes and Renal Function in Adults Living With Obesity (TRIUMPH-OUTCOMES)
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Scientific title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Event-Driven Study to Investigate the Effect of Retatrutide on the Incidence of Major Adverse Cardiovascular Events and the Decline in Kidney Function in Participants With Body Mass Index =27 kg/m^2 and Atherosclerotic Cardiovascular Disease and/or Chronic Kidney Disease.
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Secondary ID [1]
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J1I-MC-GZBO
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Secondary ID [2]
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18584
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Overweight and Obesity
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Condition category
Condition code
Diet and Nutrition
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0
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0
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Obesity
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Metabolic and Endocrine
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0
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0
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Retatrutide
Treatment: Drugs - Placebo
Experimental: Retatrutide - Participants will receive escalated doses of retatrutide administered subcutaneously (SC) up to a maximum tolerated dose.
Placebo comparator: Placebo - Participants will receive matching placebo administered SC.
Treatment: Drugs: Retatrutide
Administered SC
Treatment: Drugs: Placebo
Administered SC
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to First Occurrence of Composite Endpoints
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Assessment method [1]
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A composite endpoint includes nonfatal myocardial infarction (MI), nonfatal stroke, cardiovascular (CV) death, or hospitalization or urgent visit due to heart failure (HF).
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Timepoint [1]
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Randomization up to Study Completion (Approximate 248 Weeks)
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Primary outcome [2]
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Time to First Occurrence of Composite Endpoint of End Stage Kidney Disease (ESKD), = 40% Sustained Decline in Estimated Glomerular Filtration Rate (eGFR), CV Death or Renal Death
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Assessment method [2]
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ESKD is defined as the following individual components: persistent eGFR \<15 mL/min/1.73 m\^2 confirmed by a second measurement at the earliest 4 weeks after the initial measurement at the central laboratory, initiation of dialysis for at least 30 days, receiving a kidney transplant.
Sustained decline in eGFR (=40%) will be confirmed by a repeated measure 1 month after the initial result.
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Timepoint [2]
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Randomization up to Study Completion (Approximate 248 Weeks)
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Secondary outcome [1]
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Time to First Occurrence of Composite Endpoint of Major Cardiovascular Events (MACE-3)
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Assessment method [1]
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MACE-3 includes CV death, nonfatal MI, and nonfatal stroke.
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Timepoint [1]
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Randomization up to Study Completion (Approximate 248 Weeks)
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Secondary outcome [2]
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Time to First Occurrence of Composite Endpoint of CV death, or hospitalization or urgent visit due to HF
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Assessment method [2]
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Time to First Occurrence of Composite Endpoint of CV death, or hospitalization or urgent visit due to HF.
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Timepoint [2]
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Randomization up to Study Completion (Approximate 248 Weeks)
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Secondary outcome [3]
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Time to Occurrence of All-Cause Death
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Assessment method [3]
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Time to all-cause death.
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Timepoint [3]
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Randomization up to Study Completion (Approximate 248 Weeks)
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Secondary outcome [4]
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Time to First Occurrence of composite endpoint of = 40% Sustained Decline in eGFR, End-Stage Renal Disease (ESRD), or Renal Death
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Assessment method [4]
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Timepoint [4]
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Randomization up to Study Completion (Approximate 248 Weeks)
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Secondary outcome [5]
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Percentage change from Baseline in Albuminuria urinary albumin/creatinine ratio (UACR) in Participants with UACR =30 mg/g (0.03 mg/mg) at baseline
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Assessment method [5]
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Timepoint [5]
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Randomization up to Study Completion (Approximate 248 Weeks)
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Eligibility
Key inclusion criteria
* A Body Mass Index of =27.0 kilograms per meter squared (kg/m^2)
* Participants may be with or without type 2 diabetes (T2D) unless their hemoglobin A1c (HbA1c) is 10% or lower
* Participants have established atherosclerotic cardiovascular disease (ASCVD) and/or chronic kidney disease (CKD), as evidenced at least one of the following:
* Coronary artery disease
* Cerebrovascular disease
* Peripheral arterial disease
* Chronic kidney disease defined as:
* eGFR <45 millilitres/minute/1.73 meter squared (mL/min/1.73m^2) and UACR >30 milligram/gram (mg/g)
* eGFR <60 mL/min/1.73 m^2 and UACR >100 mg/g, or
* eGFR <75 mL/min/1.73 m^2 and UACR >300 mg/g (eGFR is calculated based on Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) cystatin c equation as determined by central lab)
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Minimum age
45
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Diabetes related:
* Participants have Type 1 Diabetes or history of diabetic ketoacidosis
CV related:
* Participants have any of the following cardiovascular conditions = 90 days prior to randomization:
* Myocardial infarction
* Acute coronary syndrome
* Stroke, or
* Coronary, peripheral, or carotid artery arterial revascularization procedure.
* Have acute decompensated heart failure requiring hospitalization.
* Have New York Heart Association (NYHA) Classification Class IV heart failure at screening
Kidney related:
* Participants have an eGFR <20 mL/min/1.73 m^2 at screening
* Have UACR >5000 mg/g at screening
* Have received any form of dialysis = 90 days from the date of randomization
* Have either undergone a kidney transplant or have a transplant procedure scheduled
Other medical conditions:
* Participants have had or plan to have a surgical treatment for obesity,
* Have a history of chronic or acute pancreatitis
* Have a family or personal history of medullary thyroid carcinoma or multiple endocrine neoplasia (MEN) syndrome type 2
* Have a known clinically significant gastric emptying abnormality, such as severe gastroparesis or gastric outlet obstruction
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
30/04/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/02/2029
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Actual
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Sample size
Target
10000
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC,WA
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Canberra Hospital - Garran
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Emeritus Research - Botany
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Northern Beaches Clinical Research - Brookvale
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The AIM Centre / Hunter Diabetes Centre - Merewether
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Royal North Shore Hospital - St Leonards
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University of Sydney - Charles Perkins Centre - Sydney
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Royal Brisbane and Women's Hospital - Brisbane
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Logan Hospital - Meadowbrook
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Nightingale Research - Adelaide
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Southern Adelaide Diabetes & Endocrine Services - Oaklands Park
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Box Hill Hospital - Box Hill
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Emeritus Research - Camberwell
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Barwon Health - Geelong
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Austin Health - Repatriation Hospital - Heidelberg West
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The Alfred Hospital - Melbourne
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Fiona Stanley Hospital - Murdoch
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2605 - Garran
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2019 - Botany
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2100 - Brookvale
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2291 - Merewether
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2065 - St Leonards
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2006 - Sydney
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4029 - Brisbane
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4131 - Meadowbrook
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5000 - Adelaide
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5046 - Oaklands Park
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3128 - Box Hill
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3124 - Camberwell
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3220 - Geelong
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3081 - Heidelberg West
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3004 - Melbourne
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6150 - Murdoch
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0
Ceský Krumlov
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Country [103]
0
0
Denmark
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State/province [103]
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Hovedstaden
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Country [104]
0
0
Denmark
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State/province [104]
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Midtjylland
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0
0
Denmark
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State/province [105]
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Nordjylland
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Denmark
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State/province [106]
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Syddanmark
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France
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Alpes-Maritimes
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Country [108]
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France
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Aquitaine
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France
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State/province [109]
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Eure-et-Loir
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France
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Haute-Garonne
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France
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Hérault
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France
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Indre-et-Loire
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France
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Isère
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France
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Loire-Atlantique
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Country [115]
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France
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State/province [115]
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Nord
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Country [116]
0
0
France
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Orne
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France
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Puy-de-Dôme
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France
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Île-de-France
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Germany
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Baden-Württemberg
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Germany
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Brandenburg
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Germany
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Hessen
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Germany
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Niedersachsen
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Germany
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Nordrhein-Westfalen
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Germany
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Rheinland-Pfalz
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Germany
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Saarland
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Germany
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Sachsen
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Germany
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Schleswig-Holstein
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Germany
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Berlin
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Germany
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Bremen
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Germany
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Hamburg
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Greece
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Attikí (Region)
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Greece
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Attikí
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Greece
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Thessaloníki
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Greece
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Thessalía
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Greece
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Ípeiros
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Hungary
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Csongrád
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Hungary
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Jász-Nagykun-Szolnok
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Country [138]
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Hungary
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Komárom-Esztergom
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Hungary
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Pest
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Country [140]
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Hungary
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State/province [140]
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Veszprém
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Hungary
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Zala
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Country [142]
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Hungary
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Budapest
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Hungary
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State/province [143]
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Debrecen
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India
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Chhattisgarh
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India
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Delhi
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India
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Gujarat
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India
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Karnataka
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India
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Kerala
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India
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Maharashtra
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India
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Odisha
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India
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Rajasthan
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India
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Tamil Nadu
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India
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India
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Uttarakhand
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Israel
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HaDarom
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Israel
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HaMerkaz
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Israel
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HaTsafon
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Israel
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Tell Abib
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Israel
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Yerushalayim
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Italy
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Emilia-Romagna
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Italy
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Lazio
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Italy
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Liguria
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Italy
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Milano
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Italy
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Roma
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Italy
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Sicilia
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Italy
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Toscana
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Italy
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Umbria
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Italy
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Bologna
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Mexico
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Baja California
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Mexico
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Guanajuato
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Mexico
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Hidalgo
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Mexico
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Mexico
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Mexico
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Morelos
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Mexico
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Mexico
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Oaxaca
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Mexico
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Mexico
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Mexico
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Chihuahua
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Mexico
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Mexico
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Mexico
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Puebla
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Mexico
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Querétaro
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Mexico
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San Luis Potosí
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Netherlands
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Drenthe
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Netherlands
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Netherlands
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Fryslân
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Netherlands
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Gelderland
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Netherlands
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Limburg
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Netherlands
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Noord-Brabant
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Netherlands
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Noord-Holland
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Overijssel
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Netherlands
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Utrecht
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Netherlands
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Zuid-Holland
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Den Haag
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Netherlands
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Zwijndrecht
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Poland
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Poland
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Poland
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Poland
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Podkarpackie
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Podlaskie
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Poland
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Pomorskie
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Poland
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Poland
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Poland
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Lódzkie
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Poland
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Slaskie
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Puerto Rico
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Bayamón
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Country [215]
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Puerto Rico
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San Juan
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Country [216]
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0
Romania
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State/province [216]
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0
Bra?ov
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Country [217]
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0
Romania
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0
Bucure?ti
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Country [218]
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Romania
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Dolj
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Country [219]
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Romania
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Maramure?
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Romania
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Mure?
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Romania
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Timi?
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Country [222]
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Romania
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Gala?i
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Country [223]
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0
Romania
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Ia?i
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Country [224]
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Romania
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Satu Mare
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Country [225]
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Romania
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Sibiu
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Country [226]
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Slovakia
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Banskobystrický Kraj
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Slovakia
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Bratislavský Kraj
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Slovakia
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KoÅ¡ický Kraj
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Slovakia
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Nitriansky Kraj
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Slovakia
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Trnavský Kraj
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Slovakia
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Žilinský Kraj
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Country [232]
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Spain
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A Coruña [La Coruña]
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Spain
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Almería
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Spain
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Andalucía
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Spain
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Asturias, Principado De
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Spain
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Balears [Baleares]
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Spain
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Barcelona [Barcelona]
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Spain
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Cantabria
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Spain
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Madrid
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Spain
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Sevilla
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Spain
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Valenciana, Comunitat
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Spain
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València
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Turkey
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Bursa
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Country [244]
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Turkey
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Eskisehir
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Turkey
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Istanbul
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Turkey
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Izmir
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Turkey
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Kocaeli
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Turkey
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Konya
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Turkey
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Adana
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Turkey
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Afyonkarahisar
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Turkey
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Ankara
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Turkey
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Antalya
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Turkey
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Corum
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Edirne
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Gaziantep
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Turkey
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Kayseri
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Turkey
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Mersin
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Turkey
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Sivas
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United Kingdom
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Aberdeen City
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United Kingdom
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Cornwall
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United Kingdom
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England
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United Kingdom
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Kingston Upon Hull
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United Kingdom
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Somerset
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United Kingdom
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Suffolk
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Country [265]
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United Kingdom
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Swansea [Abertawe Gb-ata]
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Country [266]
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0
United Kingdom
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State/province [266]
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Wirral
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Country [267]
0
0
United Kingdom
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State/province [267]
0
0
Birmingham
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Country [268]
0
0
United Kingdom
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State/province [268]
0
0
Coventry
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Query!
Name
Eli Lilly and Company
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Address
Query!
Country
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
The main purpose of this study is to determine if retatrutide can significantly lower the incidence of serious heart-related complications or prevent the worsening of kidney function. The trial will enroll adults with body mass index 27 kg/m\^2 or higher and Atherosclerotic Cardiovascular Disease and/or chronic kidney disease. The study will last for about 5 years. Participants will have up to 27 clinic visits with the study doctor.
Query!
Trial website
https://clinicaltrials.gov/study/NCT06383390
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Query!
Address
0
0
Eli Lilly and Company
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
1-317-615-4559
Query!
Fax
0
0
Query!
Email
0
0
[email protected]
Query!
Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
Query!
What data in particular will be shared?
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Clinical study report (CSR)
Query!
When will data be available (start and end dates)?
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
Query!
Available to whom?
research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Query!
Available for what types of analyses?
Query!
How or where can data be obtained?
IPD available at link: http://vivli.org/
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06383390