RecruitingPhase 3NCT06346392

AZD0901 Compared With Investigator's Choice of Therapy in Participants With Second- or Later-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Expressing Claudin18.2

A Phase III Multi-center, Open-label, Sponsor-blinded, Randomized Study of AZD0901 Monotherapy Compared With Investigator's Choice of Therapy in Second- or Later-Line Adult Participants With Advanced/Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Expressing Claudin18.2 (CLARITY Gastric 01)


Sponsor

AstraZeneca

Enrollment

572 participants

Start Date

Mar 4, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to measure the efficacy and safety of AZD0901 compared to Investigator's choice of therapy as 2L+ treatment for participants with advanced or metastatic gastric or GEJ adenocarcinoma expressing CLDN18.2.


Eligibility

Min Age: 18 YearsMax Age: 130 Years

Plain Language Summary

Simplified for easier understanding

This trial tests AZD0901, a new drug that targets a protein called Claudin 18.2, found on the surface of certain stomach and esophageal cancer cells. It compares AZD0901 against the doctor's choice of standard treatment for patients whose cancer has returned or progressed after at least one prior treatment. **You may be eligible if...** - You are 18 or older - You have been diagnosed with advanced or metastatic stomach, gastroesophageal junction, or lower esophageal cancer confirmed by biopsy - Your tumor tests positive for the Claudin 18.2 protein - Your cancer has progressed after at least one prior treatment that included a fluoropyrimidine (like 5-FU or capecitabine) and a platinum drug (like cisplatin or oxaliplatin) - At least one measurable tumor can be seen on scans **You may NOT be eligible if...** - Your tumor does not express Claudin 18.2 - You have not had at least one prior line of treatment - You have uncontrolled brain metastases or serious medical conditions that would make participation unsafe Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAZD0901

Participants in the AZD0901 arm 1 will receive dose level 1 AZD0901 IV

DRUGAZD0901

Participants in the AZD0901 arm 2 will receive dose level 2 AZD0901 IV (Enrolment was closed)

DRUGRamucirumab+ paclitaxel

Ramucirumab 8 mg/kg IV on Days 1 and 15 and paclitaxel 80 mg/m2 IV on Days 1, 8, and 15, Q4W

DRUGPaclitaxel

Paclitaxel 80 mg/m2 IV on Days 1, 8, and 15, Q4W (for participants with contraindication to ramucirumab only)

DRUGDocetaxel

Docetaxel 75-100 mg/m2 IV on Day 1, Q3W (for participants with contraindication to ramucirumab only)

DRUGIrinotecan

Irinotecan 150-180 mg/m2 IV on Days 1 and 15, Q4W

DRUGTAS-102

TAS-102 35 mg/m2 up to a maximum of 80 mg orally twice a day on Days 1 to 5 and Days 8 to 12, Q4W (except China)

DRUGApatinib

Apatinib 500-850 mg at Investigator's discretion based on participant's condition and tolerability, orally once daily, Q4W (China only)


Locations(186)

Research Site

Birmingham, Alabama, United States

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Mobile, Alabama, United States

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Tucson, Arizona, United States

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Duarte, California, United States

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Fullerton, California, United States

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Irvine, 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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Newport Beach, California, United States

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Santa Rosa, California, United States

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Washington D.C., District of Columbia, United States

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Fleming Island, Florida, United States

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Hollywood, Florida, United States

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Orlando, Florida, United States

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Atlanta, Georgia, United States

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Marietta, Georgia, United States

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Honolulu, Hawaii, United States

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Boise, Idaho, United States

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Lexington, Kentucky, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Ann Arbor, Michigan, United States

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Kansas City, Missouri, United States

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St Louis, Missouri, United States

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St Louis, Missouri, United States

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Mineola, 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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Cincinnati, Ohio, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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York, Pennsylvania, United States

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Charlottesville, Virginia, United States

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Fredericksburg, Virginia, United States

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Olympia, Washington, United States

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Seattle, Washington, United States

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Porto Alegre, Brazil

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Ribeirão Preto, Brazil

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São Paulo, Brazil

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Vitória, Brazil

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Calgary, Alberta, Canada

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Barrie, Ontario, Canada

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London, Ontario, Canada

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North York, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Beijing, China

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Changchun, China

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Changsha, China

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Chengdu, China

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Chengdu, China

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Fuzhou, China

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Fuzhou, China

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Guangzhou, China

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Guangzhou, China

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Guangzhou, China

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Guangzhou, China

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Hangzhou, China

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Hangzhou, China

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Harbin, China

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Hefei, China

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Hefei, China

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Hefei, China

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Jinan, China

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Jining, China

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Lanzhou, China

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Lishui, China

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Luoyang, China

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Nanjing, China

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Nanjing, China

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Qingdao, China

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Shanghai, China

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Shanghai, China

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Shanghai, China

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Shenyang, China

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Shijiazhuang, China

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Suzhou, China

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Tianjin, China

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Ürümqi, China

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Wuhan, China

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Wuhan, China

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Xi'an, China

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Yinchuan, China

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Zhengzhou, China

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Besançon, France

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Brest, France

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Lille, France

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Lyon, France

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Nantes, France

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Paris, France

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Poitiers, France

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Berlin, Germany

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Berlin, Germany

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Dresden, Germany

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Dresden, Germany

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Essen, Germany

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Frankfurt, Germany

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Göttingen, Germany

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Hamburg, Germany

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Heidelberg, Germany

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Heilbronn, Germany

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Leipzig, Germany

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Mainz, Germany

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Marburg, Germany

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Moers, Germany

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München, Germany

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Hong Kong, Hong Kong

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Hong Kong, Hong Kong

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Ahmedabad, India

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Bengaluru, India

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Hyderabad, India

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Mumbai, India

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New Delhi, India

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Florence, Italy

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Milan, Italy

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Milan, Italy

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Modena, Italy

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Naples, Italy

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Padova, Italy

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Pisa, Italy

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Vicenza, Italy

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Fukuoka, Japan

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Kashiwa, Japan

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Kōtoku, Japan

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Nagoya, Japan

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Ogaki-shi, Japan

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Osaka, Japan

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Sunto-gun, Japan

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Tokyo, Japan

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Toyoake-shi, Japan

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Yokohama, Japan

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Bielsko-Biala, Poland

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Gdansk, Poland

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Katowice, Poland

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Krakow, Poland

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Lublin, Poland

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Szczecin, Poland

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Słupsk, Poland

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Tomaszów Mazowiecki, Poland

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Warsaw, Poland

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Warsaw, Poland

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Gyeonggi-do, 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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Seoul, South Korea

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Seoul, South Korea

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Barcelona, Spain

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Barcelona, Spain

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Madrid, Spain

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Madrid, Spain

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Ourense, Spain

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Santander, Spain

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Seville, Spain

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Bern, Switzerland

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Geneva, Switzerland

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Lausanne, Switzerland

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Zurich, Switzerland

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Kaohsiung City, Taiwan

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Kaohsiung City, Taiwan

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Taichung, Taiwan

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Tainan, Taiwan

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Taipei, Taiwan

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Taipei, Taiwan

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Taoyuan, Taiwan

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Bangkok, Thailand

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Dusit, Thailand

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Hat Yai, Thailand

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Khon Kaen, Thailand

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Ankara, Turkey (Türkiye)

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Diyarbakır, Turkey (Türkiye)

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Erzurum, Turkey (Türkiye)

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Istanbul, Turkey (Türkiye)

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Cambridge, 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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Oxford, United Kingdom

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Taunton, United Kingdom

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Hanoi, Vietnam

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Ho Chi Minh City, Vietnam

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Vinh, Vietnam

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NCT06346392


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