AsthmaPhase 3NCT03015259
Randomized, Placebo-controlled, Multi-dose, Study Comparing Budesonide/Formoterol to Symbicort® in Asthmatic Patients
A Phase 3 study testing Budesonide/Formoterol fumarate dihydrate and Symbicort in people with Asthma, run by Kindeva Drug Delivery at 95 sites in United States.
Trial summary
A randomized multiple-dose, placebo-controlled, parallel group design consisting of a 2-week run-in period followed by a 6-week treatment period of the placebo, Test product (Budesonide 80 mcg / Formoterol fumarate dihydrate 4.5 mcg), or Reference product Symbicort® inhalation aerosol. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- Budesonide/Formoterol fumarate dihydrate and Symbicort
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,762 participants
- Where
- 95 sitesUnited States
- Study dates
- 29 Dec 2016to 8 Feb 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult male or female subjects of non-childbearing or of childbearing potential committed to consistent and correct use of an acceptable method of birth control
- Diagnosed with asthma, as defined by the National Asthma Education and Prevention Program (NAEPP),at least 6 months prior to screening
- Moderate-to-severe asthma with a pre-bronchodilator FEV1 of >45% and <85% of predicted normal, measured at least 6 hours after short-acting β agonist (SABA)and at least 24 hours after the last dose of long-acting β agonist (LABA), at the screening visit and on the day of treatment
- >15% and >0.20 L reversibility of FEV1 within 30 minutes following 360 mcg of albuterol inhalation (pMDI)
- Patients should be stable on their chronic asthma treatment regimen for at least 4 weeks prior to enrollment
- Currently non-smoking; having not used tobacco products (i.e., cigarettes, cigars, pipe tobacco) within the past year, and having < 10 pack-years of historical use
Show all 9Show fewer
- Able to replace current regularly scheduled short-acting β agonists (SABAs) with salbutamol/albuterol inhaler for use only on an as-needed basis for the duration of the study (subjects should be able to withhold all inhaled SABAs for at least 6 hours prior to lung function assessments on study visits)
- Willing to discontinue their asthma medications (inhaled corticosteroids and long-acting β agonists) during the run-in period and for the remainder of the study
- Willingness to give their written informed consent to participate in the study
Who cannot join
- Life-threatening asthma, defined as a history of asthma episodes(s) requiring intubation, and/or associated with hypercapnia, respiratory arrest or hypoxic seizures, asthma-related syncopal episodes(s), or hospitalizations within the past year or during the run-in period
- Significant respiratory disease other than asthma (chronic obstructive pulmonary disease (COPD), interstitial lung disease, etc.)
- Evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, or cardiac dysrhythmia. In addition, historical or current evidence of significant hematologic, hepatic, neurologic, psychiatric, renal, or other diseases that, in the opinion of the investigator, would put the patient at risk through study participation, or would affect the study analyses if the disease exacerbated during the study
- Patients who required systemic corticosteroids (for any reason) within the past 4 weeks
- Hypersensitivity to any sympathomimetic drug (e.g., formoterol or albuterol) or any inhaled, intranasal, or systemic corticosteroid therapy
- Patients currently receiving β-blockers
Trial locations and contacts
95 sites in 1 country.
95 sites in 1 country
United States95 sites
Anaheim Clinical Trials LLC
Anaheim, California, 92801
Western States Clinical Research Inc
Arvada, Colorado, 80401
Allergy Partners of Western North Carolina
Asheville, North Carolina, 28801
Chesapeake Clinical Research Inc
Baltimore, Maryland, 212236
Paul Shapero's Private Practice
Bangor, Maine, 04401
Pioneer Clinical Research LLC
Bellevue, Nebraska, 68005
The Asthma and Allergy Center PC
Bellevue, Nebraska, 68123
Bethesda Allergy Asthma and Research Center LLC
Bethesda, Maryland, 20814
Clinical Research Center of Alabama LLC
Birmingham, Alabama, 35209
Ocean Allergy & Respiratory Research Center
Brick, New Jersey, 08724
Empirical Medical Research
Canton, Ohio, 44718
Colorado Allergy and Asthma Centers PC
Centennial, Colorado, 80112
IMMUNOe Research Centers
Centennial, Colorado, 80112
Bernstein Clinical Research Center Inc
Cincinnati, Ohio, 45231
New Horizons Clinical Research
Cincinnati, Ohio, 45242
Saint Francis Sleep Allergy and Lung Institute
Clearwater, Florida, 33765
Asthma and Allergy Associates PC
Colorado Springs, Colorado, 80907
Clinical Research of the Ozarks INC
Columbia, Missouri, 65203
AARA Research Center
Dallas, Texas, 75231
Pharmaceutical Research & Consulting Inc
Dallas, Texas, 75231
Colorado Allergy and Asthma Centers PC
Denver, Colorado, 80230
OK Clinical Research, LLC
Edmond, Oklahoma, 73034
Oklahoma Institute of Allergy and Asthma Clinical Research LLC
Edmond, Oklahoma, 73131
Western Sky Medical Research
El Paso, Texas, 79903
Warren W Pleskow MD
Encinitas, California, 98104
Allergy and Asthma Research Group
Eugene, Oregon, 97401
Genesis Clinical Research and Consulting LLC
Fall River, Massachusetts, 02723
Rapha Institute for Clinical Research
Fayetteville, North Carolina, 28314
Southeastern Integrated Medical
Gainesville, Florida, 32607
Allergy Asthma and Sinus Center
Greenfield, Wisconsin, 53228
ADAC Research
Greenville, South Carolina, 29607
Clinical Research Partners LLC
Henrico, Virginia, 23233
Pioneer Research Solutions
Houston, Texas, 77099
Allergy and Asthma Specialists Medical Group
Huntington Beach, California, 92647
Clinical Trial Center LLC
Jenkintown, Pennsylvania, 19046
New Phase Research & Development
Knoxville, Tennessee, 37909
Innovative Clinical Research Inc
Lafayette, Colorado, 80026
Innovative Research of West Florida
Largo, Florida, 33756
Clinical Research Consortium Nevada
Las Vegas, Nevada, 89102
Analab Clinical Research Inc
Lenexa, Kansas, 66219
Little Rock Allergy and Asthma Clinical Research Center
Little Rock, Arkansas, 72205
California Allergy and Asthma Medical Group Inc
Los Angeles, California, 90025
Jonathan Corren MD, Inc.
Los Angeles, California, 90025
Southern California Institute For Respiratory Diseases, Inc.
Los Angeles, California, 90048
Metroplex Pulmonology & Sleep Center
McKinney, Texas, 75069
Clinical Research Institute of Southern Oregon PC
Medford, Oregon, 97504
San Marcus Research Clinic Inc
Miami, Florida, 33015
Prestige Clinical Research Center Inc
Miami, Florida, 33133
Clintex Research Group, Inc
Miami, Florida, 33135
Suncoast Research Group LLC
Miami, Florida, 33135
Applemed Research Inc
Miami, Florida, 33155
Biotech Pharmaceutical Group, LLC
Miami, Florida, 33155
Research Institute of South Florida Inc
Miami, Florida, 33173
Clinical Research Institute, Inc.
Minneapolis, Minnesota, 55402
Allergy and Asthma Associates of Southern California, A Medical Group, Inc.
Mission Viejo, California, 92691
Montana Medical Research
Missoula, Montana, 59808
Central Texas Health Research Corporation
New Braunfels, Texas, 78130
Advanced Research Institute Inc
New Port Richey, Florida, 34653
National Allergy and Asthma Research, LLC
North Charleston, South Carolina, 29420
Infinity Medical Research LLC
North Dartmouth, Massachusetts, 02747
Northeast Medical Research Associates Inc
North Dartmouth, Massachusetts, 02747
Atlantic Research Center LLC
Ocean Township, New Jersey, 07712
Santiago Reyes, MD
Oklahoma City, Oklahoma, 73112
Emerald Coast Research Associates
Panama City, Florida, 32405
Elite Clinical Studies
Phoenix, Arizona, 85018
Allergy Associates Research Center LLC
Portland, Oregon, 97202
National Clinical Resources Inc
Provo, Utah, 84604
North Carolina Clinical Research
Raleigh, North Carolina, 27607
Allied Clinical Research LLC
Reno, Nevada, 89523
Asthma and Allergy Center of Chicago Sc
River Forest, Illinois, 60305
Integrated Research Group Inc
Riverside, California, 92506
Clinical Research of the Ozarks Inc
Rolla, Missouri, 65401
Allied Clinical Research LLC
Sacramento, California, 95842
Quality Assurance Research Center
San Antonio, Texas, 78207
Allergy and Asthma Research Center PA
San Antonio, Texas, 78229
Sylvana Research Associates
San Antonio, Texas, 78229
Allergy and Asthma Associates of Northern California
San Jose, California, 95117
Princeton Center For Clinical Research
Skillman, New Jersey, 08558
Montgomery Medical Inc
Smithfield, Pennsylvania, 15478
Timber Lane Allergy and Asthma Research LLC
South Burlington, Vermont, 05403
S. Carolina Pharmaceutical Research
Spartanburg, South Carolina, 29303
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
Marycliff Allergy Specialists PS
Spokane, Washington, 99202
Midwest Clinical Research LLC
St Louis, Missouri, 63141
The Clinical Research Center LLC
St Louis, Missouri, 63141
Toledo Center For Clinical Research
Sylvania, Ohio, 43560
Allergy and Asthma Dtc
Tallahassee, Florida, 32308
Clinical Research Consortuim Arizona
Tempe, Arizona, 85253
Toledo Institute of Clinical Research
Toledo, Ohio, 93617
Vital Prospects Clinical Research Institute PC
Tulsa, Oklahoma, 74136
Allergy Asthma Research Institute
Waco, Texas, 76712
Allergy & Asthma Clinical Research
Walnut Creek, California, 94598
Asthma & Allergy Physicians of Rhode Island Clinical Research Institute
Warwick, Rhode Island, 02886
Allainz Research Institute Inc
Westminster, California, 92683
Rocky Mountain Center for Clinical Research
Wheat Ridge, Colorado, 80033
About this study
Official title: Randomized, Single Blind, Parallel Group, Placebo Controlled, Multidose Study Comparing the Therapeutic Equivalence of a 3M Budesonide/Formoterol Fumarate Inhaler and a Symbicort® Reference Inhaler in Adult Subjects With Asthma
A randomized multiple-dose, placebo-controlled, parallel group design consisting of a 2-week run-in period followed by a 6-week treatment period of the placebo, Test product (Budesonide 80 mcg / Formoterol fumarate dihydrate 4.5 mcg), or Reference product Symbicort® inhalation aerosol.
Read the detailed description
This is a pivotal trial that will examine therapeutic equivalence of a new generic fixed-dose combination product containing Budesonide 80 mcg / Formoterol fumarate dihydrate 4.5 mcg and reference listed drug (RLD) Symbicort® inhalation aerosol in adult patients with chronic but stable asthma as defined in National Asthma Education and Prevention Program Expert Panel Report 3 (NAEPP 3) guidelines. To ensure adequate study sensitivity the test and reference products should both be statistically superior to placebo (p<0.05) with regard to the bioequivalent study primary endpoints.
A secondary study objective is the safety and tolerability of the test compound.
- Conditions
- Asthma
- Being tested
- Budesonide/Formoterol fumarate dihydrate, Symbicort, Placebo
- Keywords
- bioequivalence
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Budesonide/Formoterol fumarate dihydrateDrug
Also called Generic Budesonide/Formoterol fumarate dihydrate
Experimental: Treatment 1
SymbicortDrug
Also called Budesonide/Formoterol fumarate dihydrate
Active Comparator: Treatment 2
PlaceboDrug
Placebo Comparator: Treatment 3
| Study group | Role | What they receive |
|---|---|---|
| Treatment 1 | Experimental | Generic Budesonide/Formoterol Fumarate Dihydrate (80mcg/4.5mcg) Inhalation Aerosol, two inhalation twice daily, consisting of a 2-week run-in period followed by a 6-week treatment period Receives: Drug: Budesonide/Formoterol fumarate dihydrate |
| Treatment 2 | Active comparator | Symbicort (Budesonide/Formoterol Fumarate Dihydrate) Inhalation Aerosol, two inhalation twice daily, consisting of a 2-week run-in period followed by a 6-week treatment period Receives: Drug: Symbicort |
| Treatment 3 | Placebo comparator | Placebo Inhalation Aerosol, two inhalation twice daily, consisting of a 2-week run-in period followed by a 6-week treatment period Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Area Under the Serial Forced Expiratory Volume in 1 Second (FEV1)
FEV1 Area calculated over 12 hours (measurements at 0, 1, 2, 3, 4, 6, 8, 12 hours post-dose) on Day 1 of treatment. Because this was a primary endpoint, Per Protocol Population used to calculate this endpoint.
Measured: Day 1
Change From Baseline in FEV1 Measured in the Morning at the End of Treatment Visit
Average predose FEV1 at End of Treatment defined as the average of all predose assessments on Day 42 (+/- 7 days). Baseline was defined as the average of 2 predose FEV1 values obtained on Day 1. The endpoint of baseline-adjusted predose FEV1 at end of treatment was calculated as follows: [FEV1 at end of treatment] - [Baseline FEV1].
Measured: Day 1 - Day 49
Secondary outcomes (1)
Number of Participants With Adverse Events
Number of participants reporting at least one adverse event (safety population)
Measured: 6 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jan 2017 (estimated)
- Study start29 Dec 2016
- Primary completion8 Feb 2018
- Study completion8 Feb 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for AsthmaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Single blind
- Who is masked
- Participant
- Enrolment
- 1,762 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kindeva Drug Delivery
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- KINDEVA I DD, PhD, Study chair, Kindeva Drug Delivery
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03015259
- Sponsor's protocol ID
- CSP-07-000034
- Status last verified
- May 2022
- First submitted
- 6 Jan 2017
- Last updated
- 24 Aug 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Aug 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Single Blind, Parallel Group, Placebo Controlled, Multidose Study Comparing the Therapeutic Equivalence of a 3M Budesonide/Formoterol Fumarate Inhaler and a Symbicort® Reference Inhaler in Adult Subjects With Asthma
- ClinicalTrials.gov ID
- NCT03015259
- Acronym / sponsor ID
- CSP-07-000034
- Conditions
- Asthma
- Keywords
- bioequivalence
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,762 participants (actual)
- Lead sponsor
- Kindeva Drug DeliveryIndustry (pharma, biotech, devices)
- Study start
- 29 Dec 2016 (actual)
- Primary completion
- 8 Feb 2018 (actual)
- Study completion
- 8 Feb 2018 (actual)
- First posted
- 10 Jan 2017 (estimated)
- Results
- Posted 24 Aug 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A randomized multiple-dose, placebo-controlled, parallel group design consisting of a 2-week run-in period followed by a 6-week treatment period of the placebo, Test product (Budesonide 80 mcg / Formoterol fumarate dihydrate 4.5 mcg), or Reference product Symbicort® inhalation aerosol.
Detailed description
This is a pivotal trial that will examine therapeutic equivalence of a new generic fixed-dose combination product containing Budesonide 80 mcg / Formoterol fumarate dihydrate 4.5 mcg and reference listed drug (RLD) Symbicort® inhalation aerosol in adult patients with chronic but stable asthma as defined in National Asthma Education and Prevention Program Expert Panel Report 3 (NAEPP 3) guidelines. To ensure adequate study sensitivity the test and reference products should both be statistically superior to placebo (p<0.05) with regard to the bioequivalent study primary endpoints.
A secondary study objective is the safety and tolerability of the test compound.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Treatment 1 | Experimental | Drug: Budesonide/Formoterol fumarate dihydrateGeneric Budesonide/Formoterol Fumarate Dihydrate (80mcg/4.5mcg) Inhalation Aerosol, two inhalation twice daily, consisting of a 2-week run-in period followed by a 6-week treatment period |
| Treatment 2 | Active comparator | Drug: SymbicortSymbicort (Budesonide/Formoterol Fumarate Dihydrate) Inhalation Aerosol, two inhalation twice daily, consisting of a 2-week run-in period followed by a 6-week treatment period |
| Treatment 3 | Placebo comparator | Drug: PlaceboPlacebo Inhalation Aerosol, two inhalation twice daily, consisting of a 2-week run-in period followed by a 6-week treatment period |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Adult male or female subjects of non-childbearing or of childbearing potential committed to consistent and correct use of an acceptable method of birth control
- Diagnosed with asthma, as defined by the National Asthma Education and Prevention Program (NAEPP),at least 6 months prior to screening
- Moderate-to-severe asthma with a pre-bronchodilator FEV1 of >45% and <85% of predicted normal, measured at least 6 hours after short-acting β agonist (SABA)and at least 24 hours after the last dose of long-acting β agonist (LABA), at the screening visit and on the day of treatment
- >15% and >0.20 L reversibility of FEV1 within 30 minutes following 360 mcg of albuterol inhalation (pMDI)
- Patients should be stable on their chronic asthma treatment regimen for at least 4 weeks prior to enrollment
Key exclusion criteria (6 listed)
- Life-threatening asthma, defined as a history of asthma episodes(s) requiring intubation, and/or associated with hypercapnia, respiratory arrest or hypoxic seizures, asthma-related syncopal episodes(s), or hospitalizations within the past year or during the run-in period
- Significant respiratory disease other than asthma (chronic obstructive pulmonary disease (COPD), interstitial lung disease, etc.)
- Evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, or cardiac dysrhythmia. In addition, historical or current evidence of significant hematologic, hepatic, neurologic, psychiatric, renal, or other diseases that, in the opinion of the investigator, would put the patient at risk through study participation, or would affect the study analyses if the disease exacerbated during the study
- Patients who required systemic corticosteroids (for any reason) within the past 4 weeks
- Hypersensitivity to any sympathomimetic drug (e.g., formoterol or albuterol) or any inhaled, intranasal, or systemic corticosteroid therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Budesonide/Formoterol fumarate dihydrateAlso: Generic Budesonide/Formoterol fumarate dihydrateExperimental: Treatment 1 | Drug | Treatment 1 |
| SymbicortAlso: Budesonide/Formoterol fumarate dihydrateActive Comparator: Treatment 2 | Drug | Treatment 2 |
| PlaceboPlacebo Comparator: Treatment 3 | Drug | Treatment 3 |
Primary outcome
Area Under the Serial Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Day 1
FEV1 Area calculated over 12 hours (measurements at 0, 1, 2, 3, 4, 6, 8, 12 hours post-dose) on Day 1 of treatment. Because this was a primary endpoint, Per Protocol Population used to calculate this endpoint.
Change From Baseline in FEV1 Measured in the Morning at the End of Treatment Visit
Time frame: Day 1 - Day 49
Average predose FEV1 at End of Treatment defined as the average of all predose assessments on Day 42 (+/- 7 days). Baseline was defined as the average of 2 predose FEV1 values obtained on Day 1. The endpoint of baseline-adjusted predose FEV1 at end of treatment was calculated as follows: [FEV1 at end of treatment] - [Baseline FEV1].
1 secondary outcome
Number of Participants With Adverse Events
Time frame: 6 Weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Aug 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
KINDEVA I DD, PhD study chair
Kindeva Drug Delivery
95 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Budesonide/Formoterol fumarate dihydrate and Symbicort in people with Asthma, run by Kindeva Drug Delivery at 95 sites in United States.
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 9 inclusion and 6 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 24 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 95 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 24 Aug 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Area Under the Serial Forced Expiratory Volume in 1 Second (FEV1) (time frame: Day 1). 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 24 Aug 2022; AzTrials last refreshed its copy on 29 Oct 2026.