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Atopic DermatitisPhase 3NCT04360187

Crisaborole for Chinese and Japanese Subjects (≥2 Years of Age) With Mild to Moderate Atopic Dermatitis

A Phase 3 study testing Crisaborole Ointment in people with Atopic Dermatitis, run by Pfizer at 39 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a phase 3, randomized, double blind and vehicle study to evaluate the efficacy and safety of Crisaborole ointment, 2% in Chinese and Japanese subjects with mild to moderate atopic dermatitis involving at least 5% treatable BSA. Read more about this study

Who is it for?
Ages 2 years and older
Conditions the study is for
Atopic Dermatitis
What is being tested?
Crisaborole Ointment
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
391 participants
Where
39 sitesin 3 countries
Study dates
27 Jul 2020to 8 Sep 2021
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 2 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Is male or female 2 years and older at the Screening visit/time of informed consent/assent diagnosed with mild-moderate AD (according to the criteria of Hanifin and Rajka), of at least 5% BSA.

Who cannot join

  • Has any clinically significant medical disorder, condition, or disease (including active or potentially recurrent non AD dermatological conditions and known genetic dermatological conditions that overlap with AD, such as Netherton syndrome) or clinically significant physical examination finding at Screening that in the PI's or designee's opinion may interfere with study objectives.
  • Has participated in a previous crisaborole clinical study.

Trial locations and contacts

39 sites in 3 countries.

39 sites in 3 countries

China22 sites
  • Beijing Friendship Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100050

  • Peking University People's Hospital

    Beijing, 100044

  • Beijing Children's Hospital, Capital Medical University

    Beijing, 100045

  • The First hospital of Jilin University

    Changchun, Jilin, 130021

  • The Second Xiangya Hospital of Central South University

    Changsha, Hunan, 410011

  • The Second Affiliated Hospital of Army Medical University,PLA

    Chongqing, 400037

  • Dermatology Hospital of Southern Medical University

    Guangzhou, Guangdong, 510091

  • Guangzhou First People's Hospital

    Guangzhou, Guangdong, 510180

  • The Second Affiliated Hospital of Guangzhou Medical University

    Guangzhou, Guangdong, 510260

  • Hangzhou Third Hospital

    Hangzhou, Zhejiang, 310009

  • Zhejiang Provincial People's Hospital/Dermatology Department

    Hangzhou, Zhejiang, 310014

  • Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University

    Hangzhou, Zhejiang, 310016

  • Shandong Provincial Institute of Dermatology and Venereology & Shandong Provincial Hospital for Skin

    Jinan, Shandong, 250022

  • First Affiliated Hospital of Kunming Medical University

    Kunming, Yunnan, 650032

  • Huashan Hospital Fudan University

    Shanghai, Shanghai Municipality, 200040

  • Children's Hospital of Shanghai

    Shanghai, 200062

  • The First Affiliated Hospital of Shantou University Medical College

    Shantou, Guangdong, 515041

  • Shenzhen Children's Hospital

    Shenzhen, Guangdong, 518026

  • Tianjin Medical University General Hospital

    Tianjin, Tianjin Municipality, 300052

  • Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital

    Tianjin, 300120

  • The first Affiliated hospital of Wenzhou medical University

    Wenzhou, Zhejiang, 325000

  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430030

Other trials in China

Japan16 sites
  • Mildix Skin Clinic

    Adachi-ku, Tokyo, 120-0034

  • Yoshimura Child Clinic

    Akashi, Hyōgo, 674-0068

  • Motomachi Dermatology Clinic

    Asahikawa-shi, Hokkaido, 070-0810

  • Chitose dermatology and plastic surgery clinic

    Chitose Shi, Hokkaido, 066-0021

  • Hoshikuma Dermatology・Allergy Clinic

    Fukuoka, 814-0171

  • Shirao Clinic of Pediatrics and Pediatric Allergy

    Hiroshima, Hiroshima, 734-0023

  • Noguchi Dermatology Clinic

    Kamimashiki-gun, Kumamoto, 861-3101

  • Iryouhoujinshadan Yamayurikai Tsujino. Kodomo Clinic

    Kobe, Hyōgo, 658-0082

  • Miyata Dermatology Clinic

    Matsudo, Chiba, 271-0092

  • Yoshioka Dermatology Clinic

    Neyagawa, Osaka, 572-0838

  • Takagi Dermatological Clinic

    Obihiro, Hokkaido, 080-0013

  • Kume Clinic

    Sakai, Osaka, 593-8324

  • Yoga Allergy Clinic

    Setagaya-ku, Tokyo, 158-0097

  • Sugamo Kobayashi Derma Clinic

    Toshima-Ku, Tokyo, 170-0002

  • Sugamo Sengoku Dermatology

    Toshima-Ku, Tokyo, 170-0002

  • Nomura Dermatology Clinic

    Yokohama, Kanagawa, 221-0825

Other trials in Japan

South Korea1 site
  • Hallym University Kangnam Sacred Heart Hospital

    Seoul, 07441

Other trials in South Korea

About this study

Official title: A PHASE 3, MULTICENTER, RANDOMIZED, DOUBLE BLIND, VEHICLE CONTROLLED STUDY OF THE EFFICACY AND SAFETY OF CRISABOROLE OINTMENT, 2% IN CHINESE AND JAPANESE PEDIATRIC AND ADULT SUBJECTS (AGES 2 YEARS AND OLDER) WITH MILD TO MODERATE ATOPIC DERMATITIS

This study is a phase 3, randomized, double blind and vehicle study to evaluate the efficacy and safety of Crisaborole ointment, 2% in Chinese and Japanese subjects with mild to moderate atopic dermatitis involving at least 5% treatable BSA. Eligible subjects will be randomized in a 2:1 ratio to one of 2 treatment groups (Crisaborole BID, Vehicle BID, respectively).

Being tested
Crisaborole Ointment, Crisaborole Placebo Vehicle
Medical subject headings
Dermatitis, Atopic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Crisaborole OintmentDrug

    Crisaborole ointment 2%

  • Crisaborole Placebo VehicleDrug

    Placebo for crisaborole ointment

Study groups in NCT04360187
Study groupRoleWhat they receive
Crisaborole ointmentExperimentalCrisaborole ointment application twice daily for 28 days
Receives: Drug: Crisaborole Ointment
Crisaborole Placebo VehiclePlacebo comparatorVehicle Ointment application twice daily for 28 days
Receives: Drug: Crisaborole Placebo Vehicle

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 29

    The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of body surface area (BSA) affected. EASI is a composite scoring of the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

    Measured: Baseline, Day 29

  2. Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

    An adverse event was considered as a treatment-emergent adverse event (TEAE) if the event started after the first dose of treatment regardless of whether a similar event of equal or greater severity existed in the baseline period. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs are classified according to the severity in 3 categories a) mild - AEs does not interfere with participant's usual function b) moderate - AEs interferes to some extent with participant's usual function c) severe - AEs interferes significantly with participant's usual function.

    Measured: Baseline up to Day 60

  3. Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Parameters

    Laboratory parameters included: hematology and chemistry. Clinically significant laboratory abnormalities are defined as abnormal values that have clinical manifestations or require medical intervention. Clinically significant laboratory criteria included Hemoglobin <0.8 x lower limit of normal (LLN), Leukocytes >1.5 x upper limit of normal (ULN), Lymphocytes <0.8 x LLN, Lymphocytes/Leukocytes >1.2 x ULN, Neutrophils <0.8 x LLN, Neutrophils >1.2x ULN, Neutrophils/Leukocytes <0.8 x LLN, Basophils/Leukocytes >1.2 x ULN, Eosinophils >1.2 x ULN, Eosinophils/Leukocytes >1.2 x ULN, Monocytes >1.2 x ULN, Monocytes/Leukocytes (%) >1.2 x ULN, Bicarbonate <0.9 x LLN, and Glucose >1.5x ULN.

    Measured: Baseline up to Day 29

  4. Percentage of Participants With Clinically Significant Changes From Baseline in Vital Signs

    Vital signs (temperature, respiratory rate, pulse, systolic and diastolic blood pressure) were obtained with participants in the seated position, after having sat/lied calmly for at least 5 minutes. Clinically significant vital signs criteria included Diastolic Blood Pressure (DBP) Value <50 mmHg, DBP Change ≥20 mmHg increase, DBP Change ≥20 mmHg decrease, Pulse Rate Value >120 beats per minute (bpm), Systolic Blood Pressure (SBP) Value <90 mmHg, SBP Change ≥30 mmHg increase, SBP Change ≥30mmHg decrease

    Measured: Baseline up to Day 29

Secondary outcomes (22)
  1. Percentage of Participants Achieving Improvement in Investigator's Static Global Assessment (ISGA) at Day 29

    ISGA assessed the severity of atopic dermatitis (AD) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Improvement in ISGA is defined as ISGA score of 0 or 1.

    Measured: Baseline, Day 29

  2. Percentage of Participants Achieving Success in ISGA at Day 29

    ISGA assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Success in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2 grade improvement from Baseline.

    Measured: Baseline, Day 29

  3. Change From Baseline in Peak Pruritus Numeric Rating Scale (NRS) at Week 4-for Participants ≥12 Years

    Participant-rated pruritus score of lesions rated the severity of pruritus suffered in the past 24 hours on an 11-point NRS where 0 is no pruritus and 10 is worst itch imaginable. Change: score at Week 4 minus score at baseline.

    Measured: Baseline, Week 4

  4. Percentage of Participants Achieving Success in ISGA Over Time

    ISGA assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Success in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2 grade improvement from Baseline.

    Measured: Baseline, Day 8, Day 15, Day 22, Day 29

  5. Percentage of Participants Achieving Improvement in ISGA Over Time

    ISGA (Investigator's Static Global Assessment) assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD.

    Improvement in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) .

    Measured: Baseline, Day 8, Day 15, Day 22, Day 29

  6. Percent Change From Baseline in EASI Total Score Over Time

    The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. EASI is a composite scoring of the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

    Measured: Baseline, Day 8, Day 15, Day 22, Day 29

  7. Change From Baseline in Percent Body Surface Area (%BSA) Over Time

    4 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp was excluded. BSA was calculated using handprint method. Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated.

    Measured: Baseline, Day 8, Day 15, Day 22, Day 29

  8. Percentage of Participants Achieving EASI-50 Over Time

    The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. The EASI score can vary in increments of range from 0.0 to 72.0, with higher scores representing greater severity of atopic dermatitis.

    EASI-50 is defined as EASI score has ≥50% improvement from baseline.

    Measured: Baseline, Day 8, Day 15, Day 22, Day 29

  9. Percentage of Participants Achieving EASI-75 Over Time

    The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. The EASI score can vary in increments of range from 0.0 to 72.0, with higher scores representing greater severity of atopic dermatitis.

    EASI-75 is defined as EASI score has ≥75% improvement from baseline.

    Measured: Baseline, Day 8, Day 15, Day 22, Day 29

  10. Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 Years

    Peak Pruritus NRS is participants-rated pruritus score of lesions rated the severity of pruritus suffered in the past 24 hours on an 11-point NRS where 0 is no pruritus and 10 is worst itch imaginable.

    Change: score at observation minus score at baseline.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4

  11. Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 Years

    Patient Reported Itch Severity Scale is a 5-point scale indicating no itchy to very itchy (ranged from 0 to 4, where 0=no itch to 4=worst itch imaginable) for participants ≥6 and <12 years of age.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4

  12. Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 Years

    Observer Reported Itch Severity Scale is an 11-point (ranged from 0 to 10, where 0=no itch to 10=worst itch imaginable) scale and must be completed by the observer (caregivers of participants) for participants <6 years of age.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4

  13. Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over Time

    The DLQI was a 10-item questionnaire that measures the impact of skin disease on participant's quality of life. The questionnaire will be completed by all participants aged 16 years and older, based on the age at Screening Visit/time of informed consent/assent. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

    Measured: Baseline, Day 15, Day 29

  14. Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score Over Time

    The CDLQI was a 10-item questionnaire that measures the impact of skin disease on children's (aged 4-15 years) quality of life. The CDLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

    Measured: Baseline, Day 15, Day 29

  15. Change From Infants' Dermatitis Quality of Life Index (IDQOL) Total Score Over Time

    The IDQOL was completed by observer for participants aged 2-3 years, based on the age at the Screening Visit/time of informed consent/assent. The IDQOL is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score the more quality of life is impaired.

    Measured: Baseline, Day 15, Day 29

  16. Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) Score Over Time

    The DFI was completed by all observer for participants aged 2-17 years, based on the age at Screening Visit/time of informed consent/assent. The minimum DFI score is 0; the maximum DFI score is 30. The higher score means worse outcome.

    Measured: Baseline, Day 15, Day 29

  17. Change From Baseline in Patient-Oriented Eczema Measure (POEM) Over Time in Participants ≥12 Years

    The POEM is a validated 7-item measure used to assess the impact of AD over the past week. The POEM contains 7 symptom based questions with responses rating number of days each symptom is experienced over the past week, from 0 (no days) to 4 (every day), with a maximum score of 28. Higher score means worse outcome.

    Measured: Baseline, Day 15, Day 29

  18. Change From Baseline in POEM Over Time in Participants ≥2 Years and <12 Years

    The POEM is a validated 7-item measure used to assess the impact of AD over the past week. The POEM contains 7 symptom based questions with responses rating number of days each symptom is experienced over the past week, from 0 (no days) to 4 (every day), with a maximum score of 28. Higher score means worse outcome.

    Measured: Baseline, Day 15, Day 29

  19. Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) Score

    The PGIS (for participants 12 years and older) is a single item patient-rated measure of the participant's AD condition severity at a given point in time.

    This single item instrument uses a 7-point rating scale, which range from 1 to 7, where 1=Not present to 7=Extremely severe.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4

  20. Patient Global Impression of Change (PGIC) Score

    The PGIC (for participants 12 years and older) was used to determine global improvement as assessed by the participant or caregiver. It was used as an anchor to define a responder definition for the peak pruritus scales for 'clinically important responder' and as a sensitivity analysis for defining a 'clinical important difference' on the peak pruritus scales.

    This single item instrument is a 7-point rating scale, anchored by (1) 'very much improved' to (7) 'very much worse'.

    Measured: Day 8, Day 15, Day 22, Day 29

  21. Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) Score

    The OGIS (for participants ≥2 and <12 years) is a single item observer-rated measure of the participant's AD condition severity at a given point in time.

    This single item instrument uses a 7-point rating scale, which ranged from 1 to 7, where 1=Not present to 7=Extremely severe.

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4

  22. Observer Reported Global Impression of Change (OGIC) Score

    The OGIC (for participants ≥2 and <12 years ) was used to determine global improvement as assessed by the participant or caregiver. It was used as an anchor to define a responder definition for the peak pruritus scales for 'clinically important responder' and as a sensitivity analysis for defining a 'clinical important difference' on the peak pruritus scales.

    This single item instrument is a 7-point rating scale, anchored by (1) 'very much improved' to (7) 'very much worse'.

    Measured: Day 8, Day 15, Day 22, Day 29

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2020
  2. Study start27 Jul 2020
  3. Primary completion8 Sep 2021
  4. Study completion8 Sep 2021

Resources

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
391 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04360187
Sponsor's protocol ID
C3291032
Status last verified
May 2022
First submitted
4 Apr 2020
Last updated
7 Jun 2022
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Ma L, Tao X, Liu S, Cheng H, Fang R, Zhao Y, Cha A, Encinas GA, Zhou Y, Deng Y, Zhang J. Efficacy and Safety of Crisaborole Ointment 2% in Chinese Patients Aged >/= 2 Years with Mild to Moderate Atopic Dermatitis. Dermatol Ther (Heidelb). 2024 May;14(5):1229-1243. doi: 10.1007/s13555-024-01156-6. Epub 2024 May 15.

    PubMed 38748345

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Crisaborole Ointment in people with Atopic Dermatitis, run by Pfizer at 39 sites in 3 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 1 inclusion and 2 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: finished, as of the sponsor's last update on 7 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in China, Japan, South Korea. 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 2 May 2022). 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?

Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 29 (time frame: Baseline, Day 29). The study lists 4 primary outcomes in all. 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 NCT04360187, which also lists 1 linked publication.

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 7 Jun 2022.

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