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Diabete Type 2Phase 3COLCOT-T2DNCT05633810

COLchicine and Non-enteric Coated Aspirin in the Cardiovascular Outcomes Trial of Patients With Type 2 Diabetes

A Phase 3 study testing Aspirin and Colchicine in people with Diabete Type 2 and Cardiovascular Diseases, run by Montreal Heart Institute at 39 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

To evaluate the efficacy and safety of colchicine and non-enteric coated aspirin, combined or alone, to improve cardiovascular outcomes in high-risk patients with type 2 diabetes. Read more about this study

Who is it for?
Ages 55 to 80 years
Conditions the study is for
Diabete Type 2, Cardiovascular Diseases
What is being tested?
Aspirin and Colchicine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
10,000 participants
Where
39 sitesin 8 countries
Study dates
21 Dec 2022to Dec 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 55 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women aged 55 to 80 years
  • Type 2 diabetes treated as per national guidelines
  • No previous history of coronary artery disease-related clinical event
  • And at least one of the following:
  • Duration of diabetes of 5 years or more,
  • HbA1c ≥ 8.0% or more in the last 2 years
Show all 23Show fewer
  • Active cigarette smoking,
  • High hs-CRP (> 2.0 mg/L),
  • High coronary calcium score (Agatston score >100),
  • High TG-levels (≥1.7 mmol/L) despite lipid lowering therapy administered as per guidelines,
  • High LDL-C levels (≥3.5 mmol/L) or high non-HDL-C levels (≥4.2 mmol/L) despite lipid lowering therapy administered as per guidelines
  • High Apo-B (≥1.05 g/L)
  • Reduced HDL-C (<1.05 mmol/L in men, <1.3 mmol/L in women),
  • Lp(a) >50 mg/dL,
  • Peripheral artery disease with stenosis ≥50% or prior revascularization,
  • Cerebrovascular disease with stenosis ≥50% or prior revascularization,
  • Diabetic retinopathy or diabetic neuropathy,
  • Mild or moderate proteinuria (dipstick analysis) or micro-albuminuria
  • Women of childbearing potential must have a negative urine pregnancy test at screening/randomization visit 1 and must agree to use an effective method of birth control throughout the study. Acceptable means of birth control include: oral contraceptives, implantable contraceptives, injectable contraceptives, transdermal contraceptives, intrauterine devices, male or female condoms with spermicide, abstinence, or a sterile sexual partner.
  • Women are considered not of childbearing potential if they either:
  • Have had a hysterectomy or tubal ligation prior to baseline visit or
  • Are postmenopausal defined as no menses for 12 months or a FSH level (if available) in the menopausal range.
  • Patients with the capacity to provide informed consent.

Who cannot join

  • Any prior history of myocardial infarction, angina, coronary revascularization, coronary stenosis >30%, stroke, transient ischemic attack, or known heart failure
  • Known chronic renal insufficiency defined as an estimated glomerular filtration rate (eGFR), using the MDRD equation, of < 35 mL/min/1.73m2
  • History of cancer or lymphoproliferative disease within the last 3 years other than a successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma and/or localized carcinoma in situ of the cervix and/or low-grade prostate cancer
  • Inflammatory bowel disease (Crohn's disease or ulcerative colitis) or chronic diarrhea
  • Peptic ulcer diagnosed within the last 24 months or previous gastro-intestinal bleeding, except for mild hemorrhoidal bleeding more than 5 years ago which is permitted (patients meeting this exclusion criterion will not be randomized to receive aspirin or placebo but can be randomized to receive colchicine or placebo)
  • Pre-existent progressive neuromuscular disease or known CPK level > 3 times the upper limit of normal as measured within the past 30 days and determined to be non-transient through repeat testing
Show all 24Show fewer
  • Any of the following known parameters as measured within the past 90 days, and determined to be non-transient through repeat testing:
  • hemoglobin < 100 g/L
  • 2. white blood cell count < 3.0 X 10⁹/L
  • platelet count <110 X 10⁹/L
  • ALT > 3 times the upper limit of normal (ULN)
  • total bilirubin > 2 times ULN (unless due to Gilbert syndrome, which is allowed)
  • History of cirrhosis, chronic active hepatitis or severe hepatic disease
  • Female patient who is pregnant, or breast-feeding or is considering becoming pregnant during the study or for 6 months after the last dose of study medication
  • History of clinically significant drug or alcohol abuse in the last year
  • Patient is currently using or plans to begin chronic systemic steroid therapy (oral or intravenous) during the study (topical or inhaled steroids are allowed, as well as replacement corticosteroids for adrenal insufficiency)
  • Current chronic treatment with aspirin or another antiplatelet agent (patients meeting this exclusion criterion will not be randomized to receive aspirin or placebo but can be randomized to receive colchicine or placebo)
  • Chronic treatment with an anticoagulant agent (patients meeting this exclusion criterion will not be randomized to receive aspirin or placebo but can be randomized to receive colchicine or placebo)
  • Current use of colchicine for other indications (mainly chronic indications consisting of Familial Mediterranean Fever or gout); there is no wash-out period required for patients who have been treated with colchicine and stopped treatment prior to enrolment
  • History of an allergic reaction or significant sensitivity to colchicine
  • History of an allergic reaction or significant sensitivity to aspirin (patients meeting this exclusion criterion will not be randomized to receive aspirin or placebo but can be randomized to receive colchicine or placebo)
  • Chronic treatment with an anti-inflammatory agent (for example, anti-TNF-alpha or nonsteroidal anti-inflammatory drug (NSAID))
  • Use of an investigational chemical agent less than 30 days or 5 half-lives prior to the screening visit (whichever is longer)
  • Patient is considered by the investigator, for any reason, to be an unsuitable candidate for the study.

Trial locations and contacts

39 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

Jean-Claude Tardif, MD, FRCPC, FACC, FCAHS contact

514-376-3330 ext. 3612

Jean-Claude.Tardif@icm-mhi.org

39 sites in 8 countries

France19 sites, 19 recruiting
  • Maison de Santé Pluriprofessionnelle OLEA

    Bezouce, Gard, 30320

    Aurélie URENA DORES, MD, 04 13 35 45 15, docteur.urenadores@hotmail.com

    Frieda TAMOUTE, 608869613, frieda.tamoute@umontpellier.fr

    Recruiting
  • CMS Salvador Allende

    La Courneuve, Seine-Saint-Denis, 93120

    Julien LE BRETON, MD, 01 49 92 60 60, j.le.breton.com@gmail.com ; julien.le-breton@lacourneuve.fr

    Sarah EDJEKOUANE, 760622535, s.edjekouane@cnge.fr

    Recruiting
  • Maison de Santé du Sud Ruthénois

    Luc-la-Primaube, Aveyron, 12450

    Denis PEREZ, MD, 0565720606, denis.perezpro@hotmail.com

    Marie VAYSSETTES, 0672157855, marie.vayssettes@dumg-toulouse.fr

    Recruiting
  • Centre Medical Villa Ravas

    Montpellier, Occitanie, 34080

    Karolina GRIFFITHS, karolina.griffiths@umontpellier.fr

    Frieda TAMOUTE, 608869613, frieda.tamoute@umontpellier.fr

    Recruiting
  • CHU de Montpellier

    Montpellier, Occitanie, 34090

    Francois Roubille, MD, 0467336733, f-roubille@chu-montpellier.fr

    Sonia Soltani, s-soltani@chu-montpellier.fr

    Recruiting
  • Cabinet médical Les Oiseaux

    Morsang-sur-Orge, 91930

    Alexandre MALMARTEL, MD, 0185121830, alexandre.malmartel@u-paris.fr

    Sarah EDJEKOUANE, 0760622535, s.edjekouane@cnge.fr

    Recruiting
  • CHU de Nantes

    Nantes, Pays de la Loire Region, 44093

    Bertrand CARIOU, MD, 0253482726, bertrand.cariou@univ-nantes.fr

    Audrey ERNOULD, 0253482726, audrey.ernould@chu-nantes.fr

    Recruiting
  • CHU de Nîmes

    Nîmes, Occtanie, 30029

    Guillaume Cayla, MD, 0466683116, cayla.guillaume@gmail.com

    Chrystel LEPERCHOIS, Chrystel.LEPERCHOIS@chu-nimes.fr

    Recruiting
  • MSP Noirmoitier

    Noirmoutier-en-l'Île, Pays de la Loire Region, 85330

    Cyrille VARTANIAN, MD, 0244769054, cyrille.vartanian@univ-nantes.fr

    Emilie GUEGAN, 0253526332, emilie.guegan@chu-nantes.fr

    Recruiting
  • Centre de santé Kersanté Rosa Parks

    Paris, 75019

    Laurence MARRIE, 0183792816

    Recruiting
  • MSPU Pins Justaret

    Pins-Justaret, Haute-Garonne, 31860

    Julie DUPOUY, MD, 0561762700, julie.dupouy@dumg-toulouse.fr

    Marie VAYSSETTES, 0672157855, marie.vayssettes@dumg-toulouse.fr

    Recruiting
  • MSPU la collégiale

    Poissy, Yvelines, 78300

    Olivier SAINT LARY, MD, 0185470899, o.saintlary@cnge.fr

    Sarah EDJEKOUANE, 0760622535, s.edjekouane@cnge.fr

    Recruiting
  • CHU de Poitiers

    Poitiers, New Aquitaine, 86021

    Claire Bouleti, MD, 0549444325, claire.bouleti@chu-poitiers.fr

    Marianne Hajjar, 516604242, marianne.hajjar@chu-poitiers.fr

    Recruiting
  • Pôle de Santé et Prevention du Clion

    Pornic, Loire Atlantiue, 44210

    Cedric Rat, MD, 0240820075, cedric.rat@univ-nantes.fr

    Emilie Guegan, 253526332, emilie.guegan@chu-nantes.fr

    Recruiting
  • CHU de Toulouse

    Toulouse, Occitanie, 31059

    Meyer Elbaz, MD, 0561323649, elbaz.m@chu-toulouse.fr

    Bérangère BACHELET, "bachelet.b@chu-toulouse.fr

    Recruiting
  • Centre de santé Kersanté Toulouse La Terrasse

    Toulouse, Occitanie, 31500

    Pierrik FOSTIER, 0582950207, pierrik.fostier@wanadoo.fr

    Recruiting
  • Maison de Santé Pluriprofessionnelle Universitaire LA PROVIDENCE

    Toulouse, Occitanie, 31500

    Marie-Eve ROUGE-BUGAT, 05 61 80 01 23, marieeve.rouge-bugat@dumg-toulouse.fr

    Marie VAYSSETTES, 0672157855, marie.vayssettes@dumg-toulouse.fr

    Recruiting
  • MSP Ty santé Vannes Tohannic

    Vannes, Brittany Region, 56000

    Charlotte GRIMAULT, MD, 0676742244, charlotte.grimault@univ-nantes.fr

    Emilie GUEGAN, 0253526332, emilie.guegan@chu-nantes.fr

    Recruiting
  • MSPU la Source

    Vergèze, Gard, 30310

    Chloé SIKIRDJI, MD, 04 66 80 72 01, "chloe.sikirdji@umontpellier.fr

    Frieda TAMOUTE, 608869613, frieda.tamoute@umontpellier.fr

    Recruiting

Other trials in France

Italy11 sites, 11 recruiting
  • Ospedale Miulli U.O.C. Endocrinologia

    Acquaviva delle Fonti, Bari, 70021

    Lucrezia Matera, MD, 080/3054263, l.matera@miulli.it

    Recruiting
  • Ospedali Riuniti Clinica Di Cardiologia E Aritmologia

    Ancona, The Marches, 60122

    Giuseppe Ciliberti, MD, 071/5965798, giuseppe.ciliberti@ospedaliriuniti.marche.it

    Niki Tombolesi, 351/6186110, niki.tombolesi@ospedaliriuniti.marche.it

    Recruiting
  • Ospedale A. Cardarelli Sc Diabetologia Ed Endocrinologia

    Campobasso, 86100

    Maria Rosaria Cristofaro, MD, 0874/4091, mariarosaria.cristofaro@asrem.molise.it

    Recruiting
  • Dipartimento Cure Primarie Diabetologia Territoriale

    Ferrara, Emilia-Romagna, 44100

    Marcello Monesi, MD, 339/1494908, m.monesi@ausl.fe.it

    Recruiting
  • Ospedale San Giovanni Di Dio, U.O. Diabetologia E Malatt. Metaboliche

    Florence, Tuscany, 50124

    Cristiana Baggiore, MD, 055/7192265, cristianamaria.baggiore@uslcentro.toscana.it

    Michela Cameron Smith, 339/7688716, michela.cameronsmith@usltoscana.centro.it

    Recruiting
  • Policlinico Riuniti U.O. Di Diabetologia

    Foggia, Apulia, 71100

    Olga Lamacchia, MD, 349/4209175, olga.lamacchia@unifg.it

    Chiara Corsano, MD, 347/2579078, chiara.corsano@unifg.it

    Recruiting
  • Adiabetologiasst Ospedale Metropolitano Niguarda

    Milan, Lombardy, 20162

    Basilio Pintaudi, MD, 328/7858855, basilio.pintaudi@ospedaleniguarda.it

    Matteo Conti, MD, 346/6825970, matteo.conti2@ospedaleniguarda.it

    Recruiting
  • Ftgm - Stabilimento Di Pisa Uos Vd Attivita Ambulatoriali E Ospedale Diurno

    Pisa, Tuscany, 56124

    Giuseppe Vergaro, MD, 349/6105539, vergaro@ftgm.it

    Kyriazoula Chatzianagnostou, 348/7362549, zulachat@ftgm.it

    Recruiting
  • Ospedale San Jacopo Sezione Di Diabetologia

    Pistoia, Tuscany, 51100

    Roberto Anichini, MD, 338/9644876, roberto.anichini@uslcentro.toscana.it

    Chiara Delle Poggi, MD, 338/5242866, chiara.dellipoggi@uslcentro.toscana.it

    Recruiting
  • Ospedale Civile Santa Maria Delle Croci U.O. Diabetologia

    Ravenna, Emilia-Romagna, 48100

    Paolo Di Bartolo, MD, 335/429555, paolo.dibartolo@auslromagna.it

    Recruiting
  • "Ospedale Oftalmico S.C. Endocrinologia E Metaboliche"

    Turin, Piedmont, "10122

    Salvatore Oleandri, MD, 333/6121004, salvatore.oleandri@aslcittaditorino.it

    Recruiting

Other trials in Italy

Portugal3 sites, 3 recruiting
  • Unidade de Saúde Local Amadora-Sintra

    Amadora, 2700-000

    Sergio Baptista, MD, 962364061, sergio.b.baptista@gmail.com

    Maura Nedio, maura.c.medio@ulsasi.min-saude.pt

    Recruiting
  • Hospital de Luz Lisboa

    Lisbon, 1500-650

    Anabela Raimundo, MD, +351 936 391 728, araimundo@hospitaldaluz.pt

    Miguel Ribeiro, +351 969 730 400, miguel.rabasquinho.ribeiro@luzsaude.pt

    Recruiting
  • Unidade Local de Saue Santa Maria, EPE

    Lisbon, 1649-035

    Fausto Pinto, MD, fausto.pinto@medicina.ulisboa.pt

    Margarida Batista, +351919682943, margarida.batista@medicina.ulisboa.pt

    Recruiting

Other trials in Portugal

Canada2 sites, 2 recruiting
  • Montreal Heart Institute

    Montreal, Quebec

    Jessica Drouin, 514-376-3330 ext. 3450, Jessica.Drouin@icm-mhi.org

    Nancy Fernandez, 514-376-3330 ext. 2235, Nancy.Fernandez@icm-mhi.org

    Recruiting
  • St. Michael's Hospital

    Toronto, Ontario, M5B 1W8

    Andrew Pinto, MD, 416-864-6060 ext. 41613, andrew.pinto@utoronto.ca

    Paolo Marcelo, 416-360-4000 ext. 41613, paolo.marcelo@unityhealth.to

    Recruiting

Other trials in Canada

Australia1 site, 1 recruiting
  • Curtin University

    Bentley, Western Australia, 6102

    Chrsitopher Reid, MD, +61892667123, christopher.reid@curtin.edu.au

    Amy Ward, +61892669128, amy.ward@curtin.edu.au

    Recruiting

Other trials in Australia

Denmark1 site, 1 recruiting
  • Center for Translational Cardiology and Pragmatic Randomized Trial

    Hellerup, 2900

    Tor Biering-Sorensen, MD, +45 28933590, tor.biering@gmail.com

    Recruiting

Other trials in Denmark

Finland1 site, 1 recruiting
  • Heart and Lung Center, Helsinki University Hospital and Helsinki University

    Helsinki, 00029

    Juha Sinisalo, MD, +358504279007, juha.sinisalo@hus.fi

    Charlotta Henriksson, +358 40 588 2531, ext-charlotta.henriksson@hus.fi

    Recruiting

Other trials in Finland

Greece1 site, 1 recruiting
  • Evgenidion Clinic "Agia Trias" S.A.

    Athens, 11528

    Spyridon Deftereos, MD, +30 21 0720 8100

    Recruiting

Other trials in Greece

About this study

Official title: COLchicine and Non-enteric Coated Aspirin in the Cardiovascular Outcomes Trial of Patients With Type 2 Diabetes (COLCOT-T2D)

To evaluate the efficacy and safety of colchicine and non-enteric coated aspirin, combined or alone, to improve cardiovascular outcomes in high-risk patients with type 2 diabetes.

Being tested
Aspirin, Aspirin Placebo, Colchicine, Colchicine Placebo
Keywords
Diabetes (Type 2), Heart Disease
Medical subject headings
Diabetes Mellitus, Type 2, Cardiovascular Diseases, Heart Diseases

What participants receive

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

  • AspirinDrug

    40 mg non-enteric-coated tablet taken twice daily.

  • Aspirin PlaceboDrug

    non-enteric-coated tablet taken twice daily.

  • ColchicineDrug

    0.5 mg tablet taken once daily

  • Colchicine PlaceboDrug

    tablet taken once daily.

Study groups in NCT05633810
Study groupRoleWhat they receive
Anti-thrombotic armActive comparatorFor patients eligible for aspirin therapy arm.
Receives: Drug: Aspirin; Drug: Aspirin Placebo; Drug: Colchicine; Drug: Colchicine Placebo
Anti-thrombotic arm (Placebo)Placebo comparatorFor patients eligible for aspirin therapy arm.
Receives: Drug: Aspirin; Drug: Aspirin Placebo; Drug: Colchicine; Drug: Colchicine Placebo
Anti-inflammatory armActive comparatorFor patients ineligible for aspirin therapy arm.
Receives: Drug: Colchicine; Drug: Colchicine Placebo
Anti-inflammatory arm (Placebo)Placebo comparatorFor patients ineligible for aspirin therapy arm.
Receives: Drug: Colchicine; Drug: Colchicine Placebo

What is being measured

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

  1. First event of the composite of cardiovascular death, resuscitated cardiac arrest, non-fatal myocardial infarction, non-fatal stroke, or urgent hospitalization for angina requiring coronary revascularization.

    The number of participants having at least one of the composite of the primary endpoint.

    Measured: From randomization to occurrence of first event, assessed up to 60 months.

Secondary outcomes (9)
  1. Cardiovascular Death

    The number of participants having a cardiovascular death.

    Measured: From randomization to cardiovascular death, assessed up to 60 months.

  2. First Event of Resuscitated Cardiac Arrest

    The number of participants having at least 1 resuscitated cardiac arrest.

    Measured: From randomization to event, assessed up to 60 months.

  3. First Event of Non-fatal Myocardial Infarction

    The number of participants having at least 1 myocardial infarction.

    Measured: From randomization to event, assessed up to 60 months.

  4. First Event of Non-fatal Stroke

    The number of participants having at least 1 stroke.

    Measured: From randomization to event, assessed up to 60 months

  5. First Occurrence of Urgent Hospitalization for Angina Requiring Coronary Revascularization

    The number of participants having at least 1 urgent hospitalization for angina requiring coronary revascularization.

    Measured: From randomization to occurrence, assessed up to 60 months.

  6. First Event of Atrial Fibrillation

    The number of participants having at least 1 atrial fibrillation.

    Measured: From randomization to event, assessed up to 60 months.

  7. First Occurrence of Heart Failure Hospitalization

    The number of participants having at least 1 heart failure hospitalization.

    Measured: From randomization to occurrence, assessed up to 60 months.

  8. First Occurrence of Coronary Revascularization

    The number of participants having at least 1 coronary revascularization.

    Measured: From randomization to occurrence, assessed up to 60 months.

  9. MoCA Scores Assessed Over Time

    Change from randomization in MoCA score at yearly follow-ups (excluding the first-year visit) until the end-of-study visit.

    Measured: From randomization to yearly follow-ups until the end-of-study visit, assessed up to 60 months.

Timeline

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

  1. First posted1 Dec 2022
  2. Study start21 Dec 2022
  3. Primary completionDec 2027 (estimated)
  4. Study completionDec 2027 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Factorial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
10,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05633810
Sponsor's protocol ID
MHICC-2021-001
Acronym
COLCOT-T2D
Status last verified
Oct 2026
First submitted
11 Nov 2022
Last updated
6 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aspirin and Colchicine in people with Diabete Type 2 and Cardiovascular Diseases, run by Montreal Heart Institute at 39 sites in 8 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 23 inclusion and 24 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: looking for participants now, as of the sponsor's last update on 6 Oct 2026. 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 France, Italy, Portugal, Canada, Australia and 3 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jean-Claude Tardif, MD, FRCPC, FACC, FCAHS (514-376-3330 ext. 3612, Jean-Claude.Tardif@icm-mhi.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

First event of the composite of cardiovascular death, resuscitated cardiac arrest, non-fatal myocardial infarction, non-fatal stroke, or urgent hospitalization for angina requiring coronary revascularization. (time frame: From randomization to occurrence of first event, assessed up to 60 months.). 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 6 Oct 2026.

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