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Insomnia DisorderPhase 3NCT05525637

Safety and Efficacy Study of YZJ-1139 in Insomnia Disorder

A Phase 3 study testing YZJ-1139 20mg and YZJ-1139 40mg in people with Insomnia Disorder, run by Shanghai Haiyan Pharmaceutical Technology Co., Ltd. at 83 sites in China.

Completed

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

Official record
Search all trials

Trial summary

The main purpose of this study is to assess efficacy and safety of YZJ-1139 in adult subjects with insomnia disorder. Efficacy will be evaluated on objective and subjective sleep parameters. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Insomnia Disorder
What is being tested?
YZJ-1139 20mg and YZJ-1139 40mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,037 participants
Where
83 sitesChina
Study dates
17 Dec 2021to 27 Sep 2023
Phase
Phase 3
Are there results?
None posted in the registry

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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects who meet all of the following criteria may be enrolled in the study:
  • Aged ≥ 18 to < 65 years.
  • Meet the clinical diagnostic criteria for insomnia disorder as defined in International Classification of Sleep Disorders, 3rd Edition (ICSD-3) criteria.
  • sTSO ≥ 30 min for at least 3 nights per week and/or sWASO ≥ 60 min for at least 3 nights per week within 28 days (4 weeks) prior to screening.
  • During the run-in period or on Day 1 of the treatment period, sTSO ≥ 30 min for at least 3 nights in the last 7 sleep diaries and/or sWASO ≥ 60 min for at least 3 nights out of 7 nights as confirmed by the sleep diary prior to Polysomnography (PSG) monitoring.
  • PSG results for 2 consecutive nights during the run-in period should meet the following conditions:
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  • The mean LPS of 2 nights is ≥ 30 min, with the LPS ≥ 20 min for any night;
  • And/or the mean WASO of 2 nights is ≥ 60 min, with neither night < 45 min;
  • The mean SE of 2 nights is ≤ 85%, with the SE ≤ 87.5% for both nights.
  • ISI score ≥ 15 at screening and on Day 1 of the treatment period.
  • Agree to follow the habitual bedtime between 9 p.m. and 1 a.m., wake up between 5 a.m. and 10 a.m. every day, and stay in bed for 6.5 to 9 hours per night during the study.
  • Have a bedtime between 9 p.m. and 1 a.m., wake up between 5 a.m. and 10 a.m., and stay in bed for 6.5 to 9 hours for at least 5 days in the last 7 sleep diaries as confirmed by the sleep diary prior to PSG monitoring during the run-in period or on Day 1 of the treatment period.
  • Female subjects are confirmed to be non-pregnant at screening; both men of reproductive potential and women of childbearing potential should agree to use medically acceptable and effective contraception throughout the study and within 3 months after the end of the study.
  • Understand the study procedures and contents, voluntarily participate in the clinical study and sign the written Informed Consent Form (ICF), have good compliance during participation in the study, and are willing to attend the visits.

Who cannot join

  • Subjects who meet any of the following criteria should be excluded from this study:
  • Depression: Hamilton Depression Scale (HAMD) score ≥ 18; anxiety: Hamilton Anxiety Scale (HAMA) score ≥ 14.
  • Suicidal ideation with or without plan at screening or within 6 months prior to screening (score ≥ 3 on item 3 [suicide] of HAMD, or select "Yes" on item 3, 4 or 5 of suicidal ideation subscale of Columbia-Suicide Severity Rating Scale (C-SSRS)), or have any suicidal behavior in the past 10 years (as assessed by the suicidal ideation subscale of C-SSRS).
  • Apnea-hypopnea index (AHI) and/or periodic limb movement index (PLMI) > 10 times/hour detected by PSG monitoring during the run-in period.
  • Repeat electrocardiogram (ECG) at screening shows QTcF interval prolongation (QTcF > 450 ms) (the ECG should be repeated 2 more times only if the initial ECG shows QTcF interval > 450 ms).
  • Have serious endocrine diseases, hematological diseases, cardiovascular and cerebrovascular diseases, gastrointestinal diseases, liver and kidney diseases, autoimmune diseases, impaired respiratory function or other related diseases, or have other medical history that may affect the safety of the subjects or interfere with the study assessments in the opinion of the investigator.
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  • Have insomnia disorder due to other causes such as chronic pain, headache, eczema, neurodermatitis, allergic rhinitis, and serious dermatitis (difficulty sleeping due to physical reasons, difficulty falling asleep due to medical reasons).
  • Previous history of nervous system disorders such as epilepsy, schizophrenia, bipolar mental disorder, neurodevelopmental retardation, and cognitive disorder, or previous history of other mental illness that may affect the safety of the subjects or interfere with the study assessments in the opinion of the investigator.
  • Previous history of sleep-related respiratory disorders including obstructive sleep apnea (with or without continuous positive airway pressure (CPAP) therapy), periodic limb movement disorder, restless legs syndrome, circadian rhythm sleep disturbances, narcolepsy or other sleep disorders: subjects with restless legs syndrome which is diagnosed by relevant diagnostic and treatment guidelines should be excluded.
  • Have previous complex sleep behaviors, such as sleep driving, sleep eating, and sleep phone calls.
  • Plan to undergo surgery during the study.
  • Have received any hypnotics, antidepressants, antipsychotic drugs, anticholinergics, memory-enhancing drugs, antihistamines, centrally acting analgesics, centrally acting muscle relaxants, central nervous system stimulants, cytochrome P450 3A (CYP3A) inducers, CYP3A inhibitors, traditional Chinese medicines and traditional Chinese medicinal products with sleep-improving effects, or any other therapies for insomnia disorder within 1 week prior to the run-in period or within 5 half-lives of the investigational product, whichever is longer.
  • History of drug taking or addiction, which is known through questioning.
  • Have any lifestyle that interferes with the study process or may interfere with sleep: for example, there will be travels across 3 or more time zones (mainland China is considered as 1 time zone) within the next 2 weeks or during the study period, or there will be shift work (night and daytime shift).
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) > 2 × the upper limit of normal (ULN), or Creatinine (Cr) > 1.5 × ULN.
  • Hyperthyroidism.
  • History of alcohol abuse (defined as regular daily alcohol consumption exceeding the following criteria: approximately 720 mL of beer, or 240 mL of wine, or 60 mL of liquor) within the past 2 years.
  • History of drug abuse within the past 2 years, or positive urine drug screening for any indicator.
  • Regular daily consumption of excessive tea and coffee drinks (defined as consumption of > 4 cups of caffeinated beverages or > 400 mg of caffeine per day), or daily habituation to drinking caffeinated beverages beyond 18:00.
  • Have nocturia increased caused by urinary tract infection, urinary tract injury or prostatic disorder.
  • Have positive infectious disease screening for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCVAb) and human immunodeficiency virus (HIV) antibody at screening.
  • Unable to avoid vaccination within 1 month prior to screening or during the first treatment phase.
  • Have participated in clinical studies of other drugs within the past 1 month or 5 half-lives (whichever is longer), or plan to participate in other studies simultaneously during participation in this study.
  • Pregnant or lactating women.
  • History of allergy to the investigational product or its components.
  • Have prior participation in clinical studies of YZJ-1139 Tablets.
  • Have other conditions that make the subject unsuitable for participation in the clinical study in the opinion of the investigator.

Trial locations and contacts

83 sites in 1 country.

83 sites in 1 country

China83 sites
  • Beijing Chao-Yang Hospital, Capital Medical University

    Beijing

  • Beijing Hui Long Guan Hospital, Capital Medical University

    Beijing

  • Beijing Tiantan Hospital, Capital Medical University

    Beijing

  • Beijing Tsinghua Changgung Hospital

    Beijing

  • China-Japan Friendship Hospital

    Beijing

  • Peking University First Hospital

    Beijing

  • Peking University People's Hospital

    Beijing

  • Xuanwu Hospital Capital Medical University

    Beijing

  • The First affiliated hospital of bengbu medical college

    Bengbu

  • Binzhou Medical University Hospital

    Binzhou

  • The First Bethune Hospital Of Jilin University

    Changchun

  • The First Hospital of ChangSha

    Changsha

  • The Second XiangYa Hospital Of Central University

    Changsha

  • The Secong People's Hospital Of HuNan Province

    Changsha

  • Xiangya Hospital Central South University

    Changsha

  • The Fourth People's Hospital Of ChengDu

    Chengdu

  • Army Medical Center of PLA

    Chongqing

  • ChongQing Eleventh People's Hospital

    Chongqing

  • ChongQing Mental Health Center

    Chongqing

  • ChongQing Traditional Chinese Medical Hospital

    Chongqing

  • ChongQing University Three Gorges Hospital

    Chongqing

  • People's Hospital Of DeYang City

    Deyang

  • The First Affiliated Hospital Of FuJan Medical University

    Fuzhou

  • Guangdong Provincial People's Hospital

    Guangzhou

  • Nanfang Hospital Southern Medical University

    Guangzhou

  • The First Affiliated Hospital of Jinan University

    Guangzhou

  • The Affiliated Hospital Of GuiZhou Medical University

    Guiyang

  • The 2nd Affiliated Hospital Of Harbin Medical University

    Ha’erbin

  • HanDan Central Hospital

    Handan

  • Affiliated HangZhou First People's Hospital

    Hangzhou

  • Sir Run Run Shaw hospital

    Hangzhou

  • Chaohu hospital of anhui medical university

    Hefei

  • The Second Hospital Of AnHui Medical University

    Hefei

  • The Secong People's Hospital Of HeFei

    Hefei

  • Affiliated NanHua Hospital,University Of South China

    Hengyang

  • JiangMen Central Hospital

    Jiangmen

  • ShanDong Provincial QianFoShan Hospital

    Jinan

  • Jingjiang People's Hospital

    Jingjiang

  • Shandong Daizhuang Hospital

    Jining

  • Jiujiang University Affiliated Hospital

    Jiujiang

  • First People's Hospital of Yunnan Province

    Kunming

  • LiaoCheng People's Hospital

    Liaocheng

  • HeNan University Of Science &Technology

    Luoyang

  • The Affiliated Hospital Of Southwest Medical University

    Luzhou

  • JiangXi Provincial People's Hospital

    Nanchang

  • The First Affiliated Hospital Of NanChang University

    Nanchang

  • The Second Affiliated Hospital Of NanChang University

    Nanchang

  • Zhongda Hospital Southeast Unveristy

    Nanjing

  • NanTong First People's Hospital

    Nantong

  • NingBo KangNing Hospital

    Ningbo

  • NingBo Medical Center LiHuiLi Hospital

    Ningbo

  • QingDao Center Medical Group

    Qingdao

  • QingDao Municipal Hospital

    Qingdao

  • The affilated hospital of qingdao university

    Qingdao

  • The 2nd Affiliated Hospital Of FuJan Medical University

    Quanzhou

  • Affiliated ZhongShan Hospital,University Of FuDan

    Shanghai

  • HuaShan Hospital Fudan University

    Shanghai

  • ShengJing Hospital Of China Medical University

    Shenyang

  • ShenZhen People's Hospital

    Shenzhen

  • The First Hospital of Hebei Medical University

    Shijiazhuang

  • The Third Hospital of Hebei Medical University

    Shijiazhuang

  • Jilin Neuropsychiatric Hospital

    Siping

  • SuZhou GuangJi Hospital

    Suzhou

  • The First People's Hospital Of KunShan

    Suzhou

  • The Second Affiliated Hospital of Soochow University

    Suzhou

  • First Hospital Of ShanXi Medical University

    Taiyuan

  • Peking University BinHai Hospital

    Tianjin

  • Tianjin Huanhu Hospital

    Tianjin

  • Tianjin Mental Health Center

    Tianjin

  • The Center Hospital of WuHan

    Wuhan

  • Wuhan Mental Health Centre

    Wuhan

  • Affiliated Hospital Of Jiangnan University

    Wuxi

  • WuXi People's Hospital

    Wuxi

  • Air Force Medical University

    Xi'an

  • XianYang Hospital OF Yan'an University

    Xianyang

  • HeNan Mental Hospital

    Xinxiang

  • The Affiliated Hospital Of XuZhou Medical University

    Xuzhou

  • XuZhou Central Hospital

    Xuzhou

  • The First Affiliated Hospital Of ZhenZhou University

    Zhengzhou

  • ZhenZhou Central Hospital

    Zhengzhou

  • ZhenJiang Mental Health Center

    Zhenjiang

  • ZhuMaDian Second People's Hospital

    Zhumadian

  • ZiGong First People's Hospital

    Zigong

Other trials in China

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter, Phase 3 Clinical Study to Evaluate the Efficacy and Safety of YZJ-1139 Tablets in the Treatment of Insomnia Disorder

The main purpose of this study is to assess efficacy and safety of YZJ-1139 in adult subjects with insomnia disorder. Efficacy will be evaluated on objective and subjective sleep parameters.

Being tested
YZJ-1139 20mg, YZJ-1139 40mg, Placebo
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

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

  • YZJ-1139 20mgDrug

    YZJ-1139 20mg tablets, once daily in the evening

  • YZJ-1139 40mgDrug

    YZJ-1139 40mg tablets, once daily in the evening

  • PlaceboDrug

    Match placebo tablets, once daily in the evening

Study groups in NCT05525637
Study groupRoleWhat they receive
YZJ-1139 20mgExperimentalNot described
Receives: Drug: YZJ-1139 20mg
YZJ-1139 40mgExperimentalNot described
Receives: Drug: YZJ-1139 40mg
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in the subjective sleep efficiency (sSE) after 14 days of treatment

    Subjective Sleep efficiency variation assessed by the sleep diary questionnaire at 14 days of treatment from baseline. A positive change from baseline indicates an increase in the subjective Sleep efficiency. A negative change from baseline indicates a decrease in subjective Sleep efficiency

    Measured: from baseline to week 2

  2. Change from baseline in the sleep efficiency (SE) after 14 days of treatment

    Sleep efficiency variation assessed by polysomnography at 14 days of treatment from baseline. A positive change from baseline indicates an increase in the Sleep efficiency. A negative change from baseline indicates a decrease in Sleep efficiency

    Measured: from baseline to day 14

Secondary outcomes (20)
  1. Change from baseline in the subjective sleep efficiency (sSE) after 7 days of treatment

    sSE is self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, week 1

  2. Changes from baseline in the Subjective time to sleep onset (sTSO) after 14 days of treatment for subjects entering the second treatment phase

    sTSO are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, week 1, week 2

  3. Changes from baseline in the Subjective wake after sleep onset (sWASO) after 14 days of treatment for subjects entering the second treatment phase

    sWASO are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, week 1, week 2

  4. Changes from baseline in the Subjective total sleep time (sTST) after 14 days of treatment for subjects entering the second treatment phase

    sTST are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, week 1, week 2

  5. Changes from baseline in the Subjective number of awakenings (sNAW) after 14 days of treatment for subjects entering the second treatment phase

    sNAW are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, week 1, week 2

  6. Changes from baseline in the SE after 2 days of treatment

    SE assessed by polysomnography at 2 days of treatment from baseline. A positive change from baseline indicates an increase in the Sleep efficiency. A negative change from baseline indicates a decrease in Sleep efficiency

    Measured: Baseline, Day1/Day2

  7. Latency to persistent sleep (LPS) after 2 and 14 days of treatment

    LPS assessed by polysomnography at 2 and 14 days of treatment from baseline. A positive change from baseline indicates an increase in the Sleep efficiency. A negative change from baseline indicates a decrease in Sleep efficiency

    Measured: Baseline, Day1/Day2, Day13/Day14

  8. Wake after sleep onset (WASO) after 2 and 14 days of treatment

    WASO assessed by polysomnography at 2 and 14 days of treatment from baseline. A positive change from baseline indicates an increase in the Sleep efficiency. A negative change from baseline indicates a decrease in Sleep efficiency

    Measured: Baseline, Day1/Day2, Day13/Day14

  9. Total sleep time (TST) after 2 and 14 days of treatment

    TST assessed by polysomnography at 2 and 14 days of treatment from baseline. A positive change from baseline indicates an increase in the Sleep efficiency. A negative change from baseline indicates a decrease in Sleep efficiency

    Measured: Baseline, Day1/Day2, Day13/Day14

  10. Sleep structure (wakefulness, N1, N2, N3, rapid eye movement sleep [REM], non-rapid eye movement sleep [NREM], REM latency, number of awakenings [NAW], arousal index for REM and NREM) after 2 and 14 days of treatment

    Sleep structure assessed by polysomnography at 2 and 14 days of treatment from baseline.

    Measured: Baseline, Day1/Day2, Day13/Day14

  11. Change from baseline in the mean subjective sleep quality score after 7 and 14 days of treatment for subjects

    Subjective sleep quality score is a self-report assessment of participant perception of the effects of a medication on their sleep. Higher score indicated severe insomnia problem.

    Measured: Baseline, Week 1, Week 2

  12. Percentage of Participants on each scale of Global Impression of Insomnia (PGI-I) each Item at 14 days of treatment

    The PGI-I was a self-report assessment of participant perception of the effects of a medication on their sleep. The PGI-I had 3 items related to study medication effects (a) helped/worsened sleep, (b) decreased/increased time to fall asleep, (c) increased/decreased total sleep time, and 1 item related to perceived appropriateness of study medication strength. The first 3 items were answered on a 3-point scale (1=positive medication effect, 2=neutral medication effect, 3=negative medication effect) and the last item on a different 3 point scale (medication: 1=too strong, 2=just right, 3=too weak)

    Measured: Day 14

  13. Changes from baseline in the sSE after 30, 90 and 180 days of treatment for subjects entering the second treatment phase

    sSE are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, Day 30, Day 90, and Day 180

  14. Changes from baseline in the sTSO after 30, 90 and 180 days of treatment for subjects entering the second treatment phase

    sTSO are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, Day 30, Day 90, and Day 180

  15. Changes from baseline in the sWASO after 30, 90 and 180 days of treatment for subjects entering the second treatment phase

    sWASO are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, Day 30, Day 90, and Day 180

  16. Changes from baseline in the sTST after 30, 90 and 180 days of treatment for subjects entering the second treatment phase

    sTST are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, Day 30, Day 90, and Day 180

  17. Changes from baseline in the sNAW after 30, 90 and 180 days of treatment for subjects entering the second treatment phase

    sNAW are self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals.

    Measured: Baseline, Day 30, Day 90, and Day 180

  18. Change from baseline in the mean subjective sleep quality score after 30, 90 and 180 days of treatment for subjects entering the second treatment phase

    Subjective sleep quality score is a self-report assessment of participant perception of the effects of a medication on their sleep. Higher score indicated severe insomnia problem.

    Measured: Baseline, Day 30, Day 90, and Day 180

  19. Change from baseline in the Insomnia Severity Index (ISI) score after 30, 90 and 180 days of treatment for subjects entering the second treatment phase

    ISI is a self-report questionnaire assessing the nature, severity, and impact of insomnia. Higher score indicated severe insomnia problem.

    Measured: Baseline, Day 30, Day 90, and Day 180

  20. Percentage of Participants who enter the second treatment phase on each scale of Patient Global Impressions - ImprovementGlobal Impression of Insomnia (PGI-I) each Item at 30, 90 and 180 days of treatment

    The PGI-I was a self-report assessment of participant perception of the effects of a medication on their sleep. The PGI-I had 3 items related to study medication effects (a) helped/worsened sleep, (b) decreased/increased time to fall asleep, (c) increased/decreased total sleep time, and 1 item related to perceived appropriateness of study medication strength. The first 3 items were answered on a 3-point scale (1=positive medication effect, 2=neutral medication effect, 3=negative medication effect) and the last item on a different 3 point scale (medication: 1=too strong, 2=just right, 3=too weak).

    Measured: Day 30, Day 90, and Day 180

Timeline

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

  1. First posted1 Sep 2022
  2. Study start17 Dec 2021
  3. Primary completion7 Jul 2023
  4. Study completion27 Sep 2023

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
Double blind
Who is masked
Participant, Investigator
Enrolment
1,037 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05525637
Sponsor's protocol ID
YZJ-1139-3-01
Status last verified
Jun 2026
First submitted
24 Aug 2022
Last updated
30 Jun 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing YZJ-1139 20mg and YZJ-1139 40mg in people with Insomnia Disorder, run by Shanghai Haiyan Pharmaceutical Technology Co., Ltd. at 83 sites in China.

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 14 inclusion and 27 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 30 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 83 sites in China. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Change from baseline in the subjective sleep efficiency (sSE) after 14 days of treatment (time frame: from baseline to week 2). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Jun 2026.

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