Study of Denosumab as Adjuvant Treatment for Women With High Risk Early Breast Cancer Receiving Neoadjuvant or Adjuvant Therapy (D-CARE)

NCT ID: NCT01077154

Last Updated: 2021-09-28

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

4509 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-02

Study Completion Date

2018-03-26

Brief Summary

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This randomized phase 3 trial is studying the effect of denosumab to see if it can prevent disease recurrence in the bone or in any other part of the body, when it is given as adjuvant therapy for women with early-stage breast cancer, who are at high risk of disease recurrence.

Detailed Description

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Eligible participants were randomized in a 1:1 ratio to receive denosumab 120 mg or placebo subcutaneously (SC) for up to 5 years. Randomization was stratified based on:

1. Breast cancer therapy/lymph node (LN) status: neoadjuvant therapy/any LN status versus adjuvant therapy/LN negative (based on axillary LN dissection, or based on sentinel node status) versus adjuvant therapy/LN positive
2. Hormone receptor (estrogen receptor \[ER\]/progesterone receptor \[PR\]) status: ER and/or PR positive versus ER and PR negative
3. Human epidermal growth factor receptor 2 (HER-2) status: HER-2 positive versus HER-2 negative
4. Age: \< 50 years versus ≥ 50 years
5. Geographic Region: Japan versus Other regions.

The primary analysis was conducted after all enrolled participants had the opportunity to complete 5 years of treatment from study day 1.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants received placebo subcutaneous injections once every 4 weeks for 6 months followed by placebo subcutaneous injections once every 3 months for 4.5 years.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered subcutaneously for up to 5 years

Denosumab

Participants received denosumab 120 mg subcutaneous injections once every 4 weeks for 6 months followed by denosumab 120 mg subcutaneous injections once every 3 months for 4.5 years.

Group Type EXPERIMENTAL

Denosumab

Intervention Type DRUG

Administered subcutaneously for up to 5 years

Interventions

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Placebo

Administered subcutaneously for up to 5 years

Intervention Type DRUG

Denosumab

Administered subcutaneously for up to 5 years

Intervention Type DRUG

Other Intervention Names

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XGEVA®

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed, American Joint Committee on Cancer (AJCC) stage II or III breast cancer
* High risk of breast cancer recurrence, defined as documented evidence of one or more of the following criteria:

i) Biopsy evidence of breast cancer in regional lymph node(s) (LN) (node-positive disease); Nodal micrometastases only are not considered node positive ii) Tumor size \> 5 cm (T3) or locally advanced disease (T4)
* Documented pathological evaluation of the breast cancer for hormone receptor (estrogen receptor \[ER\] and progesterone receptor \[PR\]) status and HER-2 status
* Subjects must be receiving or be scheduled to receive standard of care systemic adjuvant or neoadjuvant chemotherapy and/or endocrine therapy and/or HER-2 targeted therapy
* For subjects receiving adjuvant therapy only:
* subjects must have undergone complete resection of the primary tumor with clean surgical margins, or subjects must have undergone resection of the primary tumor and be scheduled for further treatment of the primary tumor with curative intent. Definitive treatment must be planned to be completed within approximately 9 months of randomization
* Time between definitive surgery and randomization must be ≤ 12 weeks. Definitive surgery may include secondary interventions (e.g. to clear inadequate surgical margins)
* Subjects with node positive disease must have undergone treatment of axillary LN with curative intent, or subjects must be scheduled for further treatment of regional lymph nodes with curative intent. Definitive treatment must be planned to be completed within approximately 9 months of randomization
* Subjects must not have received prior neoadjuvant treatment. Endocrine treatment for less than 30 days prior to surgery is not considered prior neoadjuvant treatment
* For subjects receiving neoadjuvant therapy only:
* Time between start of neoadjuvant treatment and randomization must be ≤ 8 weeks and subjects must be scheduled to undergo definitive treatment (including surgery and/or radiotherapy) with curative intent within approximately 9 months of starting neoadjuvant treatment
* Female subjects with age ≥ 18 years
* Subjects with reproductive potential must have a negative pregnancy test within 14 days before randomization
* Serum calcium or albumin-adjusted serum calcium ≥ 2.0 mmol/L (8.0 mg/dL) and ≤ 2.9 mmol/L (11.5 mg/dL)
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Written informed consent before any study-specific procedure is performed

Exclusion Criteria

* Prior or current evidence of any metastatic involvement of any distant site
* History of breast cancer (other than ductal carcinoma in situ \[DCIS\] or lobular carcinoma in situ \[LCIS\]) prior to the current diagnosis
* Osteoporosis requiring treatment at the time of randomization or treatment considered likely to become necessary within the subsequent six months
* Any prior or synchronous malignancy (other than breast cancer), except i) Malignancy treated with curative intent and with no evidence of disease for ≥ 5 years prior to enrollment and considered to be at low risk for recurrence by the treating physician ii) Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease
* Active infection with Hepatitis B virus or Hepatitis C virus
* Known infection with human immunodeficiency virus (HIV)
* Prior history or current evidence of osteomyelitis/osteonecrosis of the jaw
* Active dental or jaw condition which requires oral surgery
* Planned invasive dental procedure for the course of the study
* Non-healed dental or oral surgery
* Use of oral bisphosphonates within the past 1 year
* Prior or current IV bisphosphonate administration
* Prior administration of denosumab
* Subject currently is enrolled in or has not yet completed at least 30 days since ending other investigational device or investigational drug study(s), or subject is receiving other investigational agent(s)
* Subject is pregnant or breast feeding, or planning to become pregnant within 7 months after the end of treatment.
* Subject is of child bearing potential and is not willing to use, in combination with her partner, 2 highly effective methods of contraception or abstinence during treatment and for 5 months after the end of treatment
* Subject has known sensitivity to any of the products to be administered during the study (e.g., mammalian derived products, calcium, or vitamin D)
* Subject has any kind of disorder that compromises the ability of the subject to give written informed consent and/or to comply with study procedures.
* Any major medical or psychiatric disorder that in the opinion of the investigator prevent the subject from completing the study or interfere with the interpretation of the study results
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role collaborator

Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Birmingham, Alabama, United States

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Tucson, Arizona, United States

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Jonesboro, Arkansas, United States

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Alhambra, California, United States

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Anaheim, California, United States

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Beverly Hills, California, United States

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Campbell, California, United States

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Fresno, California, United States

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Fullerton, California, United States

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La Verne, California, United States

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Lancaster, California, United States

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Long Beach, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Northridge, California, United States

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Redondo Beach, California, United States

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Santa Barbara, California, United States

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Santa Maria, California, United States

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Torrance, California, United States

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Denver, Colorado, United States

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Grand Junction, Colorado, United States

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New Haven, Connecticut, United States

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Boynton Beach, Florida, United States

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Coral Springs, Florida, United States

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Fort Lauderdale, Florida, United States

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Hollywood, Florida, United States

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Jacksonville, Florida, United States

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Melbourne, Florida, United States

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Athens, Georgia, United States

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Niles, Illinois, United States

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Indianapolis, Indiana, United States

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Cedar Rapids, Iowa, United States

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Hutchinson, Kansas, United States

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Wichita, Kansas, United States

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Paducah, Kentucky, United States

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Annapolis, Maryland, United States

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Baltimore, Maryland, United States

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Bethesda, Maryland, United States

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Columbia, Maryland, United States

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Boston, Massachusetts, United States

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Danvers, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Detroit, Michigan, United States

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Edina, Minnesota, United States

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Minneapolis, Minnesota, United States

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Saint Louis Park, Minnesota, United States

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Jackson, Mississippi, United States

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Jefferson City, Missouri, United States

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Lincoln, Nebraska, United States

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Henderson, Nevada, United States

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Lebanon, New Hampshire, United States

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Denville, New Jersey, United States

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Hackensack, New Jersey, United States

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East Setauket, New York, United States

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New York, New York, United States

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New York, New York, United States

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New York, New York, United States

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Nyack, New York, United States

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Asheville, North Carolina, United States

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High Point, North Carolina, United States

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Cincinnati, Ohio, United States

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Columbus, Ohio, United States

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Tulsa, Oklahoma, United States

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Hershey, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Pawtucket, Rhode Island, United States

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Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Hilton Head Island, South Carolina, United States

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Sioux Falls, South Dakota, United States

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Chattanooga, Tennessee, United States

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Germantown, Tennessee, United States

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Nashville, Tennessee, United States

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Abilene, Texas, United States

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Corpus Christi, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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El Paso, Texas, United States

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Garland, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Plano, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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Tyler, Texas, United States

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Richlands, Virginia, United States

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Richmond, Virginia, United States

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Roanoke, Virginia, United States

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Seattle, Washington, United States

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Seattle, Washington, United States

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Tacoma, Washington, United States

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Quilmes, Buenos Aires, Argentina

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Quilmes, Buenos Aires, Argentina

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San Martín, Buenos Aires, Argentina

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Neuquén, Neuquén, Argentina

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Provincia de Santa Fe, Santa Fe Province, Argentina

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San Miguel de Tucumán, Tucumán Province, Argentina

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Camperdown, New South Wales, Australia

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Caringbah, New South Wales, Australia

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Kogarah, New South Wales, Australia

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Tweed Heads, New South Wales, Australia

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Wahroonga, New South Wales, Australia

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Bedford Park, South Australia, Australia

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Bentleigh East, Victoria, Australia

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East Melbourne, Victoria, Australia

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Fitzroy, Victoria, Australia

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Footscray, Victoria, Australia

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Frankston, Victoria, Australia

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Heidelberg, Victoria, Australia

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Malvern, Victoria, Australia

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Parkville, Victoria, Australia

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Richmond, Victoria, Australia

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Ringwood East, Victoria, Australia

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Warrnambool, Victoria, Australia

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Wodonga, Victoria, Australia

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Perth, Western Australia, Australia

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Subiaco, Western Australia, Australia

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Antwerp, , Belgium

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Bonheiden, , Belgium

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Bruges, , Belgium

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Brussels, , Belgium

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Brussels, , Belgium

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Brussels, , Belgium

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Edegem, , Belgium

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Ghent, , Belgium

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Hasselt, , Belgium

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Kortrijk, , Belgium

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Leuven, , Belgium

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Liège, , Belgium

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Libramont, , Belgium

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Namur, , Belgium

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Ostend, , Belgium

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Ottignies, , Belgium

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Sint-Niklaas, , Belgium

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Tournai, , Belgium

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Wilrijk, , Belgium

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Yvoir, , Belgium

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Salvador, Estado de Bahia, Brazil

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Salvador, Estado de Bahia, Brazil

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Curitiba, Paraná, Brazil

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Londrina, Paraná, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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ItajaÃ-, Santa Catarina, Brazil

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Barretos, São Paulo, Brazil

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Santo André, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Plovdiv, , Bulgaria

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Rousse, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Stara Zagora, , Bulgaria

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Varna, , Bulgaria

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Veliko Tarnovo, , Bulgaria

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Kelowna, British Columbia, Canada

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Victoria, British Columbia, Canada

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Moncton, New Brunswick, Canada

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St. John's, Newfoundland and Labrador, Canada

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Sydney, Nova Scotia, Canada

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Barrie, Ontario, Canada

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Brampton, Ontario, Canada

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Greater Sudbury, Ontario, Canada

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Kingston, Ontario, Canada

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Kitchener, Ontario, Canada

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Ottawa, Ontario, Canada

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Sault Ste. Marie, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Greenfield Park, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Temuco, CautÃ-n, Chile

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Viña del Mar, ValparaÃ-so, Chile

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Santiago, , Chile

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Brno, , Czechia

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Brno, , Czechia

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Chomutov, , Czechia

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Hořovice, , Czechia

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Hradec Králové, , Czechia

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Olomouc, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Ã…rhus C, , Denmark

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Herning, , Denmark

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Vejle, , Denmark

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Viborg, , Denmark

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Angers, , France

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Bordeaux, , France

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Dijon, , France

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Grenoble, , France

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Hyères, , France

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Le Mans, , France

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Lille, , France

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Monaco, , France

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Nantes, , France

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Paris, , France

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Pierre-Bénite, , France

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Saint-Priest-en-Jarez, , France

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Strasbourg, , France

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Villejuif, , France

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Berlin, , Germany

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Berlin, , Germany

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Bonn, , Germany

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Bottrop, , Germany

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Erlangen, , Germany

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Frankfurt, , Germany

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Kiel, , Germany

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Koblenz, , Germany

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Mannheim, , Germany

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München, , Germany

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München, , Germany

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München, , Germany

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Recklinghausen, , Germany

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Rostock, , Germany

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Tübingen, , Germany

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Trier, , Germany

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Athens, , Greece

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Athens, , Greece

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Heraklion, , Greece

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Pátrai, , Greece

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Thessaloniki, , Greece

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Thessaloniki, , Greece

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Hong Kong, , Hong Kong

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New Territories, , Hong Kong

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Győr, , Hungary

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Nyíregyháza, , Hungary

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Pécs, , Hungary

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Szeged, , Hungary

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Székesfehérvár, , Hungary

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Szolnok, , Hungary

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Zalaegerszeg, , Hungary

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Hyderabad, Andhra Pradesh, India

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Bangalore, Karnataka, India

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Ahilyanagar, Maharashtra, India

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Aurangabad, Maharashtra, India

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Miraj, Maharashtra, India

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Mumbai, Maharashtra, India

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Mumbai, Maharashtra, India

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Nashik, Maharashtra, India

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Nashik, Maharashtra, India

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Pune, Maharashtra, India

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Jaipur, Rajasthan, India

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Chennai, Tamil Nadu, India

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Madurai, Tamil Nadu, India

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Cork, , Ireland

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Dublin, , Ireland

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Dublin, , Ireland

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Dublin, , Ireland

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Limerick, , Ireland

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Waterford, , Ireland

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Ashkelon, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Kfar Saba, , Israel

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Petah Tikva, , Israel

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Poria Eylit, , Israel

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Rehovot, , Israel

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Tel Aviv, , Israel

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Tel Aviv, , Israel

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Ancona, , Italy

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Bari, , Italy

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Brescia, , Italy

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Meldola FC, , Italy

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Milan, , Italy

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Monza (MB), , Italy

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Palermo, , Italy

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Parma, , Italy

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San Giovanni Rotondo FG, , Italy

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Treviglio (BG), , Italy

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Varese, , Italy

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Matsuyama, Ehime, Japan

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Fukuoka, Fukuoka, Japan

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Kitakyushu-shi, Fukuoka, Japan

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Kurume-shi, Fukuoka, Japan

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Kure-shi, Hiroshima, Japan

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Akashi-shi, Hyōgo, Japan

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Kagoshima, Kagoshima-ken, Japan

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Isehara-shi, Kanagawa, Japan

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Kumamoto, Kumamoto, Japan

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Kyoto, Kyoto, Japan

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Miyazaki, Miyazaki, Japan

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Niigata, Niigata, Japan

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Kurashiki-shi, Okayama-ken, Japan

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Osaka, Osaka, Japan

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Osaka, Osaka, Japan

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Suita-shi, Osaka, Japan

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Hidaka-Shi, Saitama, Japan

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Kitaadachi-gun, Saitama, Japan

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Suntou-gun, Shizuoka, Japan

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Shimotsuke-shi, Tochigi, Japan

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Utsunomiya, Tochigi, Japan

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Chuo-ku, Tokyo, Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Daugavpils, , Latvia

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Liepāja, , Latvia

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Riga, , Latvia

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Kota Bharu, Kelantan, Malaysia

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Kuala Lumpur, Kuala Lumpur, Malaysia

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Kuala Lumpur, Kuala Lumpur, Malaysia

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Subang Jaya, Selangor (incl. Putrajaya), Malaysia

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León, Guanajuato, Mexico

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Pachuca, Hidalgo, Mexico

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Mexico City, Mexico City, Mexico

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Mexico City, Mexico City, Mexico

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Mexico City, Mexico City, Mexico

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Monterrey, Nuevo León, Mexico

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Querétaro, Querétaro, Mexico

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San Luis Potosí City, San Luis PotosÃ-, Mexico

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Colima, , Mexico

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Distrito Federal, , Mexico

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Durango, , Mexico

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Toluca, , Mexico

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Amsterdam, , Netherlands

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Bergen op Zoom, , Netherlands

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Breda, , Netherlands

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Capelle aan den IJssel, , Netherlands

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Dordrecht, , Netherlands

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Hoofddorp, , Netherlands

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Leiden, , Netherlands

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Nieuwegein, , Netherlands

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Rotterdam, , Netherlands

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Rotterdam, , Netherlands

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Schiedam, , Netherlands

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Sittard-Geleen, , Netherlands

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The Hague, , Netherlands

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Tiel, , Netherlands

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Tilburg, , Netherlands

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Venlo, , Netherlands

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Lima, , Peru

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Lima, , Peru

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Lima, , Peru

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Cebu City, , Philippines

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Manila, , Philippines

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Manila, , Philippines

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Metro Manila, , Philippines

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Quezon City, , Philippines

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Gdansk, , Poland

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Gdansk, , Poland

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Krakow, , Poland

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Olsztyn, , Poland

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Poznan, , Poland

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Rzeszów, , Poland

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Szczecin, , Poland

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Lisbon, , Portugal

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Lisbon, , Portugal

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Porto, , Portugal

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Porto, , Portugal

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Santa Maria da Feira, , Portugal

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Bucharest, , Romania

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Craiova, , Romania

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Sibiu, , Romania

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Suceava, , Romania

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Timișoara, , Romania

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Barnaul, , Russia

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Chelyabinsk, , Russia

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Ivanovo, , Russia

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Kazan', , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Belgrade, , Serbia

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Niš, , Serbia

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Bardejov, , Slovakia

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Košice, , Slovakia

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Michalovce, , Slovakia

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Poprad, , Slovakia

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Prešov, , Slovakia

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Spišská Nová Ves, , Slovakia

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Trebišov, , Slovakia

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Ljublijana, , Slovenia

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Maribor, , Slovenia

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Groenkloof, Gauteng, South Africa

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Johannesburg, Gauteng, South Africa

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Cape Town, , South Africa

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Pietermaritzburg, , South Africa

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Port Elizabeth, , South Africa

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Pretoria, , South Africa

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Pretoria, , South Africa

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Goyang-si, Gyeonggi-do, , South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Córdoba, AndalucÃ-a, Spain

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Cádiz, AndalucÃ-a, Spain

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Jaén, AndalucÃ-a, Spain

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Málaga, AndalucÃ-a, Spain

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Seville, AndalucÃ-a, Spain

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Zaragoza, Aragón, Spain

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Santander, Cantabria, Spain

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Badalona, Cataluña, Spain

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Barcelona, Cataluña, Spain

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Barcelona, Cataluña, Spain

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Barcelona, Cataluña, Spain

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Barcelona, Cataluña, Spain

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Girona, Cataluña, Spain

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Lleida, Cataluña, Spain

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Sabadell, Cataluña, Spain

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A Coruña, Galicia, Spain

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A Coruña, Galicia, Spain

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Alcorcón, Madrid, Spain

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Elche, Valencia, Spain

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Valencia, Valencia, Spain

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Valencia, Valencia, Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Putzu City, Chiayi, Taiwan

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Keelung, Keelung, Taiwan

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Tainan City, , Taiwan

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Taipei, , Taiwan

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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İzmir, , Turkey (Türkiye)

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Bornova-Izmir, , Turkey (Türkiye)

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Bebington, , United Kingdom

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Birmingham, , United Kingdom

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Brighton, , United Kingdom

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Bristol, , United Kingdom

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Cambridge, , United Kingdom

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Dorset, , United Kingdom

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Guildford, , United Kingdom

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Leeds, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Manchester, , United Kingdom

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Newcastle, , United Kingdom

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Peterborough, , United Kingdom

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Plymouth, , United Kingdom

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Poole, , United Kingdom

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Portsmouth, , United Kingdom

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Sheffield, , United Kingdom

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Truro, , United Kingdom

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Countries

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United States Argentina Australia Belgium Brazil Bulgaria Canada Chile Czechia Denmark France Germany Greece Hong Kong Hungary India Ireland Israel Italy Japan Latvia Malaysia Mexico Netherlands Peru Philippines Poland Portugal Romania Russia Serbia Slovakia Slovenia South Africa South Korea Spain Taiwan Turkey (Türkiye) United Kingdom

References

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Coleman R, Finkelstein DM, Barrios C, Martin M, Iwata H, Hegg R, Glaspy J, Perianez AM, Tonkin K, Deleu I, Sohn J, Crown J, Delaloge S, Dai T, Zhou Y, Jandial D, Chan A. Adjuvant denosumab in early breast cancer (D-CARE): an international, multicentre, randomised, controlled, phase 3 trial. Lancet Oncol. 2020 Jan;21(1):60-72. doi: 10.1016/S1470-2045(19)30687-4. Epub 2019 Dec 2.

Reference Type BACKGROUND
PMID: 31806543 (View on PubMed)

Coleman R, Zhou Y, Jandial D, Cadieux B, Chan A. Bone Health Outcomes from the International, Multicenter, Randomized, Phase 3, Placebo-Controlled D-CARE Study Assessing Adjuvant Denosumab in Early Breast Cancer. Adv Ther. 2021 Aug;38(8):4569-4580. doi: 10.1007/s12325-021-01812-9. Epub 2021 Jun 29.

Reference Type BACKGROUND
PMID: 34185259 (View on PubMed)

Adams A, Jakob T, Huth A, Monsef I, Ernst M, Kopp M, Caro-Valenzuela J, Wockel A, Skoetz N. Bone-modifying agents for reducing bone loss in women with early and locally advanced breast cancer: a network meta-analysis. Cochrane Database Syst Rev. 2024 Jul 9;7(7):CD013451. doi: 10.1002/14651858.CD013451.pub2.

Reference Type DERIVED
PMID: 38979716 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan: SAP 3.0

View Document

Document Type: Statistical Analysis Plan: SAP 3.0 Addendum

View Document

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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2009-011299-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

20060359

Identifier Type: -

Identifier Source: org_study_id

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