Breast CancerPhase 3OlympiANCT02032823
Olaparib as Adjuvant Treatment in Patients With Germline BRCA Mutated High Risk HER2 Negative Primary Breast Cancer
A Phase 3 study testing Olaparib in people with Breast Cancer, run by AstraZeneca at 698 sites in 24 countries.
Trial summary
Olaparib treatment in patients with germline BRCA1/2 mutations and high risk HER2 negative primary breast cancer who have completed definitive local treatment and neoadjuvant or adjuvant chemotherapy Read more about this study
- Who is it for?
- Ages 18 to 130 years
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Olaparib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,837 participants
- Where
- 698 sitesin 24 countries
- Study dates
- 22 Apr 2014to 28 May 2029
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 130 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed non-metastatic primary invasive adenocarcinoma of the breast that is one of the following phenotypes:
- Triple negative breast cancer defined as: ER and PgR negative AND HER2 negative (not eligible for anti-HER2 therapy)
- ER and/or PgR positive, HER2 negative
- Documented germline mutation in BRCA1 or BRCA2 that is predicted to be deleterious or suspected deleterious (known or predicted to be detrimental/lead to loss of function).
- Completed adequate breast and axilla surgery.
- Completed at least 6 cycles neoadjuvant or adjuvant chemotherapy containing anthracyclines, taxanes or the combination of both. Prior platinum as potentially curative treatment for prior cancer (e.g. ovarian) or as adjuvant or neoadjuvant treatment for breast cancer is allowed.
- ECOG 0-1.
Who cannot join
- Any previous treatment with a PARP inhibitor, including olaparib and/or known hypersensitivity to any of the excipients of study treatment.
- Patients with second primary malignancy. EXCEPTIONS are:
- adequately treated non-melanoma skin cancer, curatively treated in situ cancer of the cervix, Ductal Carcinoma in situ (DCIS) of the breast, stage 1 grade 1 endometrial carcinoma
- other solid tumours and lymphomas (without bone marrow involvement) diagnosed ≥ 5 years prior to randomisation and treated with no evidence of disease recurrence and for whom no more than one line of chemotherapy was applied.
- Concomitant use of known strong CYP3A inhibitors (e.g., itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate CYP3A inhibitors (e.g., ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil). The required washout period prior to starting study treatment is 2 weeks. Concomitant use of known strong (e.g., phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John's Wort) or moderate CYP3A inducers (e.g., bosentan, efavirenz, modafinil). The required washout period prior to starting study treatment is 5 weeks for enzalutamide or phenobarbital and 3 weeks for other agents.
- Evidence of metastatic breast cancer
Trial locations and contacts
698 sites in 24 countries.
630 sites in 24 countries
United States300 sites
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‘Aiea, Hawaii
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Abington, Pennsylvania
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Akron, Ohio
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Albemarle, North Carolina, 28002
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Albuquerque, New Mexico, 87102
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Albuquerque, New Mexico
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American Fork, Utah
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Ames, Iowa, 50010
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Ames, Iowa
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Anchorage, Alabama, 99508
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Anchorage, Alaska, 99508
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Anderson, South Carolina
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Ann Arbor, Michigan
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Annandale, Virginia, 22003
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Asheville, North Carolina
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Atlanta, Georgia, 30322
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Augusta, Maine, 04330
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Aurora, Colorado, 80045
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Baldwin Park, California
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Baltimore, Maryland, 21202
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Baltimore, Maryland, 21287
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Baltimore, Maryland
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Bangor, Maine
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Baton Rouge, Louisiana, 70809
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Baton Rouge, Louisiana
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Beachwood, Ohio, 44122
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Belfast, Maine, 4915
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Bemidji, Minnesota, 56601
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Berkeley, California, 94704
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Berlin Corners, Vermont
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Bethesda, Maryland, 20814
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Bettendorf, Iowa, 52722
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Biddeford, Maine, 04005
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Boise, Idaho
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Boston, Massachusetts
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Bozeman, Montana, 59715
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Brooklyn, New York, 11215
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Broomall, Pennsylvania, 19008
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Bryn Mawr, Pennsylvania
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Burlington, Vermont
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Burlington, Wisconsin
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Burnsville, Minnesota
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Canton, Ohio, 44710
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Cape Girardeau, Missouri
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Cedar Rapids, Iowa, 52403
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Centralia, Illinois
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Centralia, Washington, 98531
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Chanute, Kansas
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Charleston, South Carolina
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Charleston, West Virginia
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Charlotte, New York
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Charlotte, North Carolina
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Chicago, Illinois, 60608
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Chicago, Illinois, 60611
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Chicago, Illinois, 60625
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Chicago, Illinois
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Chippewa Falls, Wisconsin, 54729
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Clairton, Pennsylvania, 15025
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Cleveland, Ohio, 44106
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Cleveland, Ohio, 44130
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Cleveland, Ohio, 44195
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Clinton, North Carolina
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Coeur d'Alene, Idaho, 83814
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Colorado Springs, Colorado, 80907
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Columbus, Georgia, 31904
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Columbus, Ohio, 43215
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Columbus, Ohio
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Concord, North Carolina
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Covington, Louisiana
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Danville, Pennsylvania
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Davenport, Iowa, 52803
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Davenport, Iowa, 52807
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Dayton, Ohio, 45429
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Dayton, Ohio
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Daytona Beach, Florida, 32114
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Decatur, Georgia
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Decatur, Illinois
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Deerfield Beach, Florida
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Denver, Colorado, 80205
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Derby, Connecticut
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Detroit, Michigan
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Drexel Hill, Pennsylvania
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Duarte, California, 91010
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Duluth, Minnesota
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Durham, North Carolina
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East Syracuse, New York
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Easton, Maryland
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Eau Claire, Wisconsin, 54701
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Edina, Minnesota
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Edwards, Colorado
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Effingham, Illinois
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El Dorado, Kansas
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Elkhart, Indiana
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Elkhorn, Wisconsin
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Elmhurst, Illinois, 60126
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Elyria, Ohio, 44035
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Englewood, Ohio, 45415
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Ephrata, Pennsylvania, 17522
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Evanston, Illinois
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Fairfax, Virginia
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Fairfield, Connecticut
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Fairway, Kansas, 66205
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Fargo, North Dakota, 58102
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Findlay, Ohio, 45840
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Flemington, New Jersey, 08822
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Flint, Michigan
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Fond du Lac, Wisconsin, 54937
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Fontana, California, 92335
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Fort Collins, Colorado
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Fort Smith, Arkansas
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Fort Wayne, Indiana, 46845
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Fort Wayne, Indiana
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Frederick, Maryland, 21701
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Frederick, Maryland, 21702
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Frederick, Maryland
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Fredericksburg, Virginia
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Fresno, California
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Fridley, Minnesota
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Fruitland, Idaho
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Gainesville, Florida
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Garden City, Kansas
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Gastonia, North Carolina
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Gettysburg, Pennsylvania, 17325
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Gilbert, Arizona, 85234
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Glenview, Illinois
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Goldsboro, North Carolina
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Grafton, Wisconsin
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Grand Forks, North Dakota, 58201
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Grand Island, Nebraska, 68803
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Grand Rapids, Michigan
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Green Bay, Wisconsin, 54303
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Green Bay, Wisconsin, 54311-6519
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Green Bay, Wisconsin
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Greenbrae, California, 94904
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Greensboro, North Carolina
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Greenville, South Carolina
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Greenwood, South Carolina
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Greer, South Carolina
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Guilford, Connecticut
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Hamilton, New Jersey
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Harrisburg, Pennsylvania
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Hays, Kansas
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Hazleton, Pennsylvania
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Hendersonville, North Carolina, 28791
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Hendersonville, North Carolina
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Hershey, Pennsylvania
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Highland Park, Illinois
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Honolulu, Hawaii
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Houma, Louisiana
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Houston, Texas, 77030
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Huntington, West Virginia, 25701
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Indianapolis, Indiana, 46202
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Indianapolis, Indiana
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Iowa City, Iowa, 52242
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Iowa City, Iowa
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Jackson, Michigan
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Jackson, Mississippi
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Jacksonville, North Carolina
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Joliet, Illinois, 60435
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Joplin, Missouri
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Kalamazoo, Michigan
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Kalispell, Montana, 59901
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Kansas City, Kansas, 66112
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Kansas City, Kansas
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Kansas City, Missouri
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Kenner, Louisiana, 70065
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Kennewick, Washington, 99336
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Kenosha, Wisconsin
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Kinston, North Carolina
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Kirkland, Washington, 98034
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Kuakini, Hawaii
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La Crosse, Wisconsin, 54601
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Ladysmith, Wisconsin, 54848
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Lafayette, Colorado, 80026
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Lawrence, Kansas
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Lebanon, New Hampshire, 03756
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Lebanon, Pennsylvania, 17042
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Lee's Summit, Missouri
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Lewisburg, Pennsylvania, 17837
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Lexington, Kentucky, 40509
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Lincoln, Nebraska, 68506
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Lincoln, Nebraska, 68510
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Lone Tree, Colorado, 80124
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Los Angeles, California, 70360
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Los Angeles, California, 90027
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Los Angeles, California, 90033
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Los Angeles, California
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Louisville, Kentucky
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Lubbock, Texas, 79415
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Lubbock, Texas, 79430
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Lubbock, Texas
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Lynchburg, Virginia
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Macon, Georgia
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Manchester, New Hampshire, 03102
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Mankato, Minnesota, 56001
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Maple Grove, Minnesota, 55369
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Maplewood, Minnesota
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Marinette, Wisconsin, 54143
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Marshfield, Wisconsin, 54449
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Martinez, California
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Mason City, Iowa, 50401
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Mason City, Iowa
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Maumee, Ohio
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Maywood, Illinois
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Mechanicsville, Virginia, 23116
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Media, Pennsylvania
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Menomonee Falls, Wisconsin
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Meridian, Idaho
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Miami, Florida, 33136
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Midlothian, Virginia
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Milwaukee, Wisconsin
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Minneapolis, Minnesota
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Minocqua, Wisconsin, 54548
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Minot, North Dakota
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Mishawaka, Indiana
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Monroe, Louisiana, 71202
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Morgantown, West Virginia, 26506
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Morristown, New Jersey, 07960
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Mount Holly, New Jersey
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Mount Vernon, Illinois
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Mukwonago, Wisconsin
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Muncie, Indiana
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Munster, Indiana, 46321
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Munster, Indiana
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Murray, Utah
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Muskegon, Michigan
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Nampa, Idaho
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Nashua, New Hampshire, 03063
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New Brunswick, New Jersey
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New Haven, Connecticut
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New Hyde Park, New York, 11042
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New Orleans, Louisiana
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New York, New York
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Newark, Delaware, 19713
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Newark, Delaware
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Newport Beach, California, 92663
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Newton, Kansas
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Norfolk, Nebraska, 68701
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North Haven, Connecticut
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Oakland, California, 94611
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Oconomowoc, Wisconsin
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Ogden, Utah, 84403
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Oklahoma City, Oklahoma
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Olathe, Kansas
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Omaha, Nebraska, 68114
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Omaha, Nebraska, 68124
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Omaha, Nebraska
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Orange, Connecticut
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Oregon, Ohio
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Orlando, Florida, 32806
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Palo Alto, California
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Paoli, Pennsylvania, 19301
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Paoli, Pennsylvania
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Paradise, California
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Parkersburg, West Virginia, 26101
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Parma, Ohio, 44129
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Peoria, Illinois
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Perrysburg, Ohio, 43551
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Philadelphia, Pennsylvania
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Phoenixville, Pennsylvania
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Pinehurst, North Carolina
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Pittsburgh, Pennsylvania
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Pittsfield, Massachusetts
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Plantation, Florida, 33324
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Plymouth, Indiana
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Pontiac, Michigan, 48341
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Port Huron, Michigan, 48060
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Portland, Maine
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Portland, Oregon
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Post Falls, Idaho, 83854
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Poulsbo, Washington, 98370
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Provo, Utah
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Reading, Pennsylvania, 19605
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Rice Lake, Wisconsin, 54868
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Richmond, Virginia
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Rochester, Minnesota
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Rochester, New York, 14642
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Rockford, Illinois, 61114
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Rockport, Maine
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Roseville, California, 95661
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Roseville, California
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Round Rock, Texas, 78665
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Royal Oak, Michigan, 48073
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Royal Oak, Michigan
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Sacramento, California, 95816-5680
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Saint Cloud, Minnesota, 56303
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Saint Joseph, Michigan
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Saint Louis Park, Minnesota
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Saint Paul, Minnesota
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Salina, Kansas
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San Francisco, California, 94115
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San Jose, California
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San Leandro, California, 94577
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San Marcos, California, 92078
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Sanford, Maine, 04073
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Santa Cruz, California
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Santa Rosa, California, 95403
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Savannah, Georgia, 31405
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Scarborough, Maine, 04074
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Seattle, Washington, 98109
Germany65 sites
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Aachen, 52074
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Augsburg, 86150
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Baden-Baden, 76532
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Berlin, 10117
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Berlin, 10367
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Berlin, 13125
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Berlin, 13589
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Berlin, 14169
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Bonn, 53113
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Bottrop, 46236
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Brandenburg, 14770
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Bremen, 28177
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Chemnitz, 09116
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Cologne, 50924
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Deggendorf, 94469
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Dresden, 01307
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Düsseldorf, 40225
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Düsseldorf, 40235
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Ebersberg, 85560
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Eggenfelden, 84307
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Erfurt, 99085
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Erlangen, 91054
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Essen, 45136
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Essen, 45147
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Esslingen am Neckar, 73730
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Frankfurt am Main, 65929
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Freiburg im Breisgau, 79106
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Fulda, 36043
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Fürth, 90766
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Gera, 07548
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Gifhorn, 38518
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Halle, 06120
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Hamburg, 20246
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Hamelin, 31785
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Hanover, 30177
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Hanover, 30559
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Hanover, 30625
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Hildesheim, 31134
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Karlsruhe, 76135
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Kassel, 34117
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Koblenz Am Rhein, 56068
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Leipzig, 04103
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Mainz Am Rhein, 55131
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Mannheim, 68167
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Memmingen, 87700
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Mühlhausen, 99974
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Mühlheim An Der Ruhr, 45468
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München, 80337
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München, 80634
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München, 81675
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Münster, 48149
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Nordhausen, 99734
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Offenbach, 63069
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Onkologisch Hämatologische Sch, 28209
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Paderborn, 33098
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Ravensburg, 88212
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Recklinghausen, 45659
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Rostock, 18059
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Rotenburg (Wümme), 27356
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Saarbrücken, 66113
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Schweinfurt, 97421
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Stendal, 39576
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Tübingen, 72076
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Ulm, 89075
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Witten, 58452
Spain38 sites
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A Coruña, 15006
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Ávila, 5004
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Badajoz, 06008
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Badalona, 08916
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Barcelona, 08025
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Barcelona, 08028
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Barcelona, 08035
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Cáceres, 10003
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Castellon, 12002
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Córdoba, 14004
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Elche(Alicante), 03202
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Girona, 17007
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Hosp de Llobregat(Barcelona), 08907
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Jaén, 23007
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La Laguna (Tenerife), 38320
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Lleida, 25198
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Lugo, 27003
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Madrid, 28007
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Madrid, 28033
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Madrid, 28034
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Madrid, 28040
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Madrid, 28041
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Málaga, 29010
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Palma de Mallorca, 07010
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Pamplona, 31008
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Pozuelo de Alarcón, 28223
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Reus, 43204
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Sabadell(Barcelona), 08208
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Salamanca, 37007
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San Sebastián, 20014
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Santiago de Compostela, 15706
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Seville, 41009
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Seville, 41013
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Terrassa(Barcelona), 08227
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Toledo, 45004
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Valencia, 46009
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Valencia, 46010
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Zaragoza, 50009
Japan25 sites
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Chiba, 260-8717
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Chūōku, 104-0045
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Chūōku, 104-8560
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Fukuoka, 811-1395
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Hidaka-shi, 350-1298
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Hiroshima, 730-8518
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Isehara-shi, 259-1193
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Kagoshima, 892-0833
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Kashiwa, 277-8577
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Kawasaki-shi, 216-8511
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Kōtoku, 135-8550
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Kyoto, 606-8507
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Matsuyama, 791-0280
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Morioka, 028-3695
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Nagoya, 464-8681
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Nagoya, 467-8602
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Nankoku-shi, 783-8505
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Niigata, 951-8566
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Osaka, 540-0006
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Osaka, 541-8567
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Ota-shi, 373-8550
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Sapporo, 003-0804
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Shinagawa-ku, 142-8666
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Shizuoka, 411-8777
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Suita, 565-0871
France24 sites
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Avignon, 84918
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Besançon, 25030
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Bordeaux, 33000
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Brest, 29609
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Caen, 14076
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Clermont-Ferrand, 63011
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Dechy, 59187
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La Roche-sur-Yon, 85025
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Lille, 59020
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Limoges, 87042
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Lyon, 69373
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Marseille, 13273
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Marseille
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Montpellier, 34298
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Nantes, 44202
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Nice, 06100
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Paris, 75010
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Plerin SUR MER, 22190
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Rennes, 35042
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Rouen, 76038
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Saint-Cloud, 92211
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Strasbourg, 67065
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Toulouse, 31076
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Villejuif, 94805
United Kingdom22 sites
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Belfast, BT9 7AB
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Birmingham, B15 2TH
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Bournemouth, BH7 7DW
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Bristol, BS2 8ED
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Cambridge, CB2 0QQ
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Cardiff, CF14 2TL
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Dudley, DY1 2HQ
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Edinburgh, EH4 2XR
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Glasgow, G12 0YN
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Leeds, LS9 7TF
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London, E1 1BB
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London, NW1 2PG
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London, SE1 9RT
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London, SW17 0QT
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London, SW3 6JJ
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Manchester, M20 4GJ
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Nottingham, NG5 1PB
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Oxford, OX3 7LE
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Sheffield, S10 2SJ
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Southampton, SO16 6YD
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Stoke-on-Trent, ST4 6QG
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Sutton, SM2 5PT
Italy20 sites
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Bergamo, 24127
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Bologna, 40138
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Bolzano, 39100
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Castellanza Varese, 21053
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Lecce, 73100
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Legnago, 37045
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Milan, 20132
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Milan, 20141
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Modena, 41124
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Naples, 80131
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Nehrar, 37024
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Padova, 35128
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Palermo, 90146
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Pavia, 27100
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Perugia, 6156
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Prato, 59100
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Rimini, 47923
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Saronno, 21047
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Varese, 21100
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Viterbo, 01100
Austria16 sites
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Graz, 8036
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Innsbruck, 6020
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Leoben, 8700
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Linz, 4010
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Linz, 4020
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Rankweil, 6830
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Ried, 4910
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Salzburg, 5020
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Sankt Veit an der Glan, 9300
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Vienna, 1090
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Vienna, 1130
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Vienna, 1160
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Villach, 9500
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Vöcklabruck, 4840
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Weiz, 8160
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Wels, 4600
China16 sites
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Beijing, 100006
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Beijing, 100021
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Beijing, 100730
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Changchun, 130061
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Changchun, 510000
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Chengdu, 610041
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Fuzhou, 350001
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Hangzhou, 310003
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Hangzhou, 310022
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Harbin, 150081
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Jinan, 250117
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Nanjing, 210029
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Shanghai, 200025
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Shanghai, 200032
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Shijiazhuang, 050020
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Tianjin, 300060
Australia15 sites
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Adelaide, 5000
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Auchenflower, 4066
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Concord, 2139
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Douglas, 4814
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Gosford, 2250
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Hobart, 7000
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Malvern, 3144
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Melbourne, 3000
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Nedlands, 6009
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Randwick, 2031
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South Brisbane, 4101
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Tamworth, 2340
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Tweed Heads, 2485
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Waratah, 2298
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Wendouree, 3355
Belgium11 sites
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Anderlecht, 1070
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Brussels, 1070
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Brussels, 1090
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Brussels, 1200
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Charleroi, 6060
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Edegem, 2650
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Kortrijk, 8500
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Leuven, 3000
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Liège, 4000
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Namur, 5000
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Ostend, 8400
Canada11 sites
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Edmonton, Alberta, T6G 1Z2
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Greenfield Park, Quebec, J4V 2H1
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Hamilton, Ontario, L8V 5C2
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Montreal, Quebec, H2W 1T8
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Montreal, Quebec, H3T 1E2
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Québec, Quebec, G1S 4L8
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Regina, Saskatchewan, S4T 7T1
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Saskatoon, Saskatchewan, S7N 4H4
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Toronto, Ontario, M4N 3M5
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Vancouver, British Columbia, V5Z 4E6
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Winnipeg, Manitoba, R3E 0V9
Taiwan11 sites
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Changhua, 50006
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Kaohsiung City, 80756
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Taichung, 40447
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Taichung, 407
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Tainan, 70403
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Tainan, 73657
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Taipei, 10048
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Taipei, 10449
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Taipei, 11217
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Taipei, 11490
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Ramat Gan, 5265601
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Bern, 3010
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Lausanne, 1011
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Zurich, 8091
About this study
Official title: A Randomised, Double-blind, Parallel Group, Placebo-controlled Multi-centre Phase III Study to Assess the Efficacy and Safety of Olaparib Versus Placebo as Adjuvant Treatment in Patients With gBRCA1/2 Mutations and High Risk HER2 Negative Primary Breast Cancer Who Have Completed Definitive Local Treatment and Neoadjuvant or Adjuvant Chemotherapy
Olaparib treatment in patients with germline BRCA1/2 mutations and high risk HER2 negative primary breast cancer who have completed definitive local treatment and neoadjuvant or adjuvant chemotherapy
Read the detailed description
Patients will be randomised in 1:1 ratio to either olaparib or placebo. Randomisation will be stratified by Hormone receptor status (ER and/or PgR positive/HER2 negative versus TNBC), prior neoadjuvant versus adjuvant chemotherapy and prior platinum use for breast cancer.
Randomised patients will receive study treatment for up to a maximum of 12 months. All patients will have safety assessments every 2 weeks during the first month, every 4 weeks for the following 5 months and 3 monthly for the remaining 6 months of study treatment plus 30 days after its discontinuation. Following randomisation, all patients will be assessed regularly for signs, symptoms and evidence of disease recurrence by taking medical history, physical examination and mammogram/breast MRI. Efficacy assessments will be performed on a 3 monthly basis during the first 2 years, followed by 6 monthly assessments for years 3, 4 and 5 and annually thereafter. All patients (except those with bilateral mastectomy) will have mammogram / breast MRI annually for 10 years beginning 6 months after randomisation.
All randomised patients will have clinical assessment visits for 10 years following their randomisation into the study. Once a patient completes 10 years of clinical assessment they will enter the survival follow up phase of the trial which will continue until approximately 10 years after the last patient is randomised.
- Conditions
- Breast Cancer
- Being tested
- Olaparib, Placebo
- Keywords
- Breast Cancer, Adjuvant, Olaparib, BRCA 1/2, HER2
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OlaparibDrug
Also called Lynparza
Patients will be administred olaparib orally twice daily (b.i.d.) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 ml of water
PlaceboDrug
Patients will be administred matching placebo. Two (2) tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 ml of water
| Study group | Role | What they receive |
|---|---|---|
| Olaparib | Experimental | Olaparib tablets 300mg b.i.d. p.o. Receives: Drug: Olaparib |
| Placebo | Placebo comparator | Placebo tablets b.i.d. p.o. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Invasive Disease Free Survival (IDFS)
An IDFS event is defined as the first occurrence of loco-regional or distant recurrence or new cancer or death from any cause.
Measured: From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)
Secondary outcomes (7)
Distant Disease Free Survival (DDFS)
A DDFS event is defined as documented evidence of first distant recurrence of breast cancer or death from any cause
Measured: From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)
Overall Survival (OS)
An OS event is defined as death by any cause.
Measured: From date of randomisation to data cut off: 12 July 2021 (approximately 7 years 3 months)
Number of Participants With Contralateral Invasive and Non-invasive Breast Cancer, New Primary Ovarian Cancer, New Primary Fallopian Tube Cancer and New Primary Peritoneal Cancer
Number of patients with contralateral invasive breast cancer, contralateral non-invasive breast cancer, new primary ovarian cancer, new primary fallopian tube cancer and new primary peritoneal cancer. Analysis of contralateral breast cancers exclude patients with a bilateral mastectomy prior to randomisation. Analysis of new primary ovarian cancers excludes male patients and patients with a bilateral oophorectomy prior to randomisation. Analysis of new primary fallopian tube cancer excludes male patients and patients with a bilateral salpingectomy prior to randomisation. Analysis of new primary peritoneal cancers excludes male patients.
Measured: From date of randomisation to data cut off: 05 June 2024 (approximately 10 years 2 months)
Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Neoadjuvant Chemotherapy
Change from baseline for FACIT-Fatigue Score at 6, 12, 18 and 24 months for patients who completed neoadjuvant chemotherapy. Adjusted least-square mean changes and 95% Confidence Interval (CI) are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. FACIT-Fatigue score ranges from 0 to 52 with higher score indicating less fatigue.
Measured: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Adjuvant Chemotherapy
Change from baseline for FACIT-Fatigue Score at 6, 12, 18 and 24 months for patients who completed adjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. FACIT-Fatigue score ranges from 0 to 52 with higher score indicating less fatigue.
Measured: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Neoadjuvant Chemotherapy
Change from baseline for EORTC QLQ-C30 Global health status QOL (Quality of Life) Score at 6, 12, 18 and 24 months for patients who completed neoadjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. EORTC QLQ-C30 scores range from 0 to 100 with higher score indicating better quality of life.
Measured: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Adjuvant Chemotherapy
Change from baseline for EORTC QLQ-C30 Global health status QOL (Quality of Life) Score at 6, 12, 18 and 24 months for patients who completed adjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. EORTC QLQ-C30 scores range from 0 to 100 with higher score indicating better quality of life.
Measured: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jan 2014 (estimated)
- Study start22 Apr 2014
- Primary completion27 Mar 2020
- Study completion28 May 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 1,837 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Frontier Science & Technology Research Foundation, Inc., NRG Oncology, Myriad Genetic Laboratories, Inc., The Breast Adjuvant Study Team, Merck Sharp & Dohme LLC
- Responsible party
- Sponsor
- Investigators
- Andrew Tutt, Doctor of Medicine, Principal investigator, Integrated Cancer Centre Guy's Hospital, King's College, London School of Medicine, London, UKJudy Garber, Doctor of Medicine, Principal investigator, Harvard Medical School, Center for Cancer Genetics and Prevention, Dana-Farber Cancer Institute, Susan F. Smither Center for Women's Cancers, 450 Brookline Avenue, Boston; MA 02215, USCharles Geyer, Doctor of Medicine, Principal investigator, Virginia Commonwealth University Massey Cancer Center, McGlothlin Medical Education Center, Room 12-217, 1201 East Marshall St., PO Box 980070, Richmond, VA 23298-0070, USA
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02032823
- Sponsor's protocol ID
- D081CC00006
- Other IDs
- NSABP B-55, 2024-511096-15-00, 2013-003839-30
- Acronym
- OlympiA
- Status last verified
- Jul 2026
- First submitted
- 3 Jan 2014
- Last updated
- 14 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
Publications
Ganz PA, Bandos H, Spanic T, Friedman S, Muller V, Kuemmel S, Delaloge S, Brain E, Toi M, Yamauchi H, de Duenas EM, Armstrong A, Im SA, Song CG, Zheng H, Sarosiek T, Sharma P, Geng C, Fu P, Rhiem K, Frauchiger-Heuer H, Wimberger P, t'Kint de Roodenbeke D, Liao N, Goodwin A, Chakiba-Brugere C, Friedlander M, Lee KS, Giacchetti S, Takano T, Henao-Carrasco F, Virani S, Valdes-Albini F, Domchek SM, Bane C, McCarron EC, Mita M, Rossi G, Rastogi P, Fielding A, Gelber RD, Scheepers ED, Cameron D, Garber J, Geyer CE, Tutt ANJ. Patient-Reported Outcomes in OlympiA: A Phase III, Randomized, Placebo-Controlled Trial of Adjuvant Olaparib in gBRCA1/2 Mutations and High-Risk Human Epidermal Growth Factor Receptor 2-Negative Early Breast Cancer. J Clin Oncol. 2024 Apr 10;42(11):1288-1300. doi: 10.1200/JCO.23.01214. Epub 2024 Feb 1.
PubMed 38301187Perachino M, Poggio F, Arecco L, Blondeaux E, Spinaci S, Marrocco C, Levaggi A, Lambertini M. Update on Pregnancy Following Breast Cancer Diagnosis and Treatment. Cancer J. 2022 May-Jun 01;28(3):176-182. doi: 10.1097/PPO.0000000000000599.
PubMed 35594464Tutt ANJ, Garber JE, Kaufman B, Viale G, Fumagalli D, Rastogi P, Gelber RD, de Azambuja E, Fielding A, Balmana J, Domchek SM, Gelmon KA, Hollingsworth SJ, Korde LA, Linderholm B, Bandos H, Senkus E, Suga JM, Shao Z, Pippas AW, Nowecki Z, Huzarski T, Ganz PA, Lucas PC, Baker N, Loibl S, McConnell R, Piccart M, Schmutzler R, Steger GG, Costantino JP, Arahmani A, Wolmark N, McFadden E, Karantza V, Lakhani SR, Yothers G, Campbell C, Geyer CE Jr; OlympiA Clinical Trial Steering Committee and Investigators. Adjuvant Olaparib for Patients with BRCA1- or BRCA2-Mutated Breast Cancer. N Engl J Med. 2021 Jun 24;384(25):2394-2405. doi: 10.1056/NEJMoa2105215. Epub 2021 Jun 3.
PubMed 34081848
Study at a glance
From the registry record, last updated by the sponsor on 14 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Double-blind, Parallel Group, Placebo-controlled Multi-centre Phase III Study to Assess the Efficacy and Safety of Olaparib Versus Placebo as Adjuvant Treatment in Patients With gBRCA1/2 Mutations and High Risk HER2 Negative Primary Breast Cancer Who Have Completed Definitive Local Treatment and Neoadjuvant or Adjuvant Chemotherapy
- ClinicalTrials.gov ID
- NCT02032823
- Acronym / sponsor ID
- OlympiA / D081CC00006
- Conditions
- Breast Cancer
- Keywords
- Breast Cancer, Adjuvant, Olaparib, BRCA 1/2, HER2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,837 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- Frontier Science & Technology Research Foundation, Inc., NRG Oncology, Myriad Genetic Laboratories, Inc., The Breast Adjuvant Study Team, Merck Sharp & Dohme LLC
- Study start
- 22 Apr 2014 (actual)
- Primary completion
- 27 Mar 2020 (actual)
- Study completion
- 28 May 2029 (estimated)
- First posted
- 10 Jan 2014 (estimated)
- Results
- Posted 8 Dec 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Olaparib treatment in patients with germline BRCA1/2 mutations and high risk HER2 negative primary breast cancer who have completed definitive local treatment and neoadjuvant or adjuvant chemotherapy
Detailed description
Patients will be randomised in 1:1 ratio to either olaparib or placebo. Randomisation will be stratified by Hormone receptor status (ER and/or PgR positive/HER2 negative versus TNBC), prior neoadjuvant versus adjuvant chemotherapy and prior platinum use for breast cancer.
Randomised patients will receive study treatment for up to a maximum of 12 months. All patients will have safety assessments every 2 weeks during the first month, every 4 weeks for the following 5 months and 3 monthly for the remaining 6 months of study treatment plus 30 days after its discontinuation. Following randomisation, all patients will be assessed regularly for signs, symptoms and evidence of disease recurrence by taking medical history, physical examination and mammogram/breast MRI. Efficacy assessments will be performed on a 3 monthly basis during the first 2 years, followed by 6 monthly assessments for years 3, 4 and 5 and annually thereafter. All patients (except those with bilateral mastectomy) will have mammogram / breast MRI annually for 10 years beginning 6 months after randomisation.
All randomised patients will have clinical assessment visits for 10 years following their randomisation into the study. Once a patient completes 10 years of clinical assessment they will enter the survival follow up phase of the trial which will continue until approximately 10 years after the last patient is randomised.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Olaparib | Experimental | Drug: OlaparibOlaparib tablets 300mg b.i.d. p.o. |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo tablets b.i.d. p.o. |
Who may qualify
- Ages
- 18 to 130 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histologically confirmed non-metastatic primary invasive adenocarcinoma of the breast that is one of the following phenotypes:
- Documented germline mutation in BRCA1 or BRCA2 that is predicted to be deleterious or suspected deleterious (known or predicted to be detrimental/lead to loss of function).
- Completed adequate breast and axilla surgery.
- Completed at least 6 cycles neoadjuvant or adjuvant chemotherapy containing anthracyclines, taxanes or the combination of both. Prior platinum as potentially curative treatment for prior cancer (e.g. ovarian) or as adjuvant or neoadjuvant treatment for breast cancer is allowed.
- ECOG 0-1.
Key exclusion criteria (6 listed)
- Any previous treatment with a PARP inhibitor, including olaparib and/or known hypersensitivity to any of the excipients of study treatment.
- Patients with second primary malignancy. EXCEPTIONS are:
- Concomitant use of known strong CYP3A inhibitors (e.g., itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate CYP3A inhibitors (e.g., ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil). The required washout period prior to starting study treatment is 2 weeks. Concomitant use of known strong (e.g., phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John's Wort) or moderate CYP3A inducers (e.g., bosentan, efavirenz, modafinil). The required washout period prior to starting study treatment is 5 weeks for enzalutamide or phenobarbital and 3 weeks for other agents.
- Evidence of metastatic breast cancer
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OlaparibAlso: LynparzaPatients will be administred olaparib orally twice daily (b.i.d.) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 ml of water | Drug | Olaparib |
| PlaceboPatients will be administred matching placebo. Two (2) tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 ml of water | Drug | Placebo |
Primary outcome
Invasive Disease Free Survival (IDFS)
Time frame: From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)
An IDFS event is defined as the first occurrence of loco-regional or distant recurrence or new cancer or death from any cause.
7 secondary outcomes
Distant Disease Free Survival (DDFS)
Time frame: From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)
Overall Survival (OS)
Time frame: From date of randomisation to data cut off: 12 July 2021 (approximately 7 years 3 months)
Number of Participants With Contralateral Invasive and Non-invasive Breast Cancer, New Primary Ovarian Cancer, New Primary Fallopian Tube Cancer and New Primary Peritoneal Cancer
Time frame: From date of randomisation to data cut off: 05 June 2024 (approximately 10 years 2 months)
Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Neoadjuvant Chemotherapy
Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Adjuvant Chemotherapy
Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Neoadjuvant Chemotherapy
Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Adjuvant Chemotherapy
Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38301187Ganz PA, Bandos H, Spanic T, Friedman S, Muller V, Kuemmel S, Delaloge S, Brain E, Toi M, Yamauchi H, de Duenas EM, Armstrong A, Im SA, Song CG, Zheng H, Sarosiek T, Sharma P, Geng C, Fu P, Rhiem K, Frauchiger-Heuer H, Wimberger P, t'Kint de Roodenbeke D, Liao N, Goodwin A, Chakiba-Brugere C, Friedlander M, Lee KS, Giacchetti S, Takano T, Henao-Carrasco F, Virani S, Valdes-Albini F, Domchek SM, Bane C, McCarron EC, Mita M, Rossi G, Rastogi P, Fielding A, Gelber RD, Scheepers ED, Cameron D, Garber J, Geyer CE, Tutt ANJ. Patient-Reported Outcomes in OlympiA: A Phase III, Randomized, Placebo-Controlled Trial of Adjuvant Olaparib in gBRCA1/2 Mutations and High-Risk Human Epidermal Growth Factor Receptor 2-Negative Early Breast Cancer. J Clin Oncol. 2024 Apr 10;42(11):1288-1300. doi: 10.1200/JCO.23.01214. Epub 2024 Feb 1.
- Derived from this study: PubMed 35594464Perachino M, Poggio F, Arecco L, Blondeaux E, Spinaci S, Marrocco C, Levaggi A, Lambertini M. Update on Pregnancy Following Breast Cancer Diagnosis and Treatment. Cancer J. 2022 May-Jun 01;28(3):176-182. doi: 10.1097/PPO.0000000000000599.
- Derived from this study: PubMed 34081848Tutt ANJ, Garber JE, Kaufman B, Viale G, Fumagalli D, Rastogi P, Gelber RD, de Azambuja E, Fielding A, Balmana J, Domchek SM, Gelmon KA, Hollingsworth SJ, Korde LA, Linderholm B, Bandos H, Senkus E, Suga JM, Shao Z, Pippas AW, Nowecki Z, Huzarski T, Ganz PA, Lucas PC, Baker N, Loibl S, McConnell R, Piccart M, Schmutzler R, Steger GG, Costantino JP, Arahmani A, Wolmark N, McFadden E, Karantza V, Lakhani SR, Yothers G, Campbell C, Geyer CE Jr; OlympiA Clinical Trial Steering Committee and Investigators. Adjuvant Olaparib for Patients with BRCA1- or BRCA2-Mutated Breast Cancer. N Engl J Med. 2021 Jun 24;384(25):2394-2405. doi: 10.1056/NEJMoa2105215. Epub 2021 Jun 3.
- AstraZeneca Cancer Study Locator Service Phone: 877 400 4656 Email: astrazeneca@emergingmed.comLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Redacted CSR synopsisLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Andrew Tutt, Doctor of Medicine principal investigator
Integrated Cancer Centre Guy's Hospital, King's College, London School of Medicine, London, UK
Judy Garber, Doctor of Medicine principal investigator
Harvard Medical School, Center for Cancer Genetics and Prevention, Dana-Farber Cancer Institute, Susan F. Smither Center for Women's Cancers, 450 Brookline Avenue, Boston; MA 02215, US
Charles Geyer, Doctor of Medicine principal investigator
Virginia Commonwealth University Massey Cancer Center, McGlothlin Medical Education Center, Room 12-217, 1201 East Marshall St., PO Box 980070, Richmond, VA 23298-0070, USA
698 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Olaparib in people with Breast Cancer, run by AstraZeneca at 698 sites in 24 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 14 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 698 sites in United States, Germany, Spain, Japan, France and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 8 Dec 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Invasive Disease Free Survival (IDFS) (time frame: From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02032823, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2026.