A Comparison of Prasugrel and Clopidogrel in Acute Coronary Syndrome Subjects
TRILOGY ACS
2 other identifiers
interventional
9,326
49 countries
664
Brief Summary
This study will evaluate the relative efficacy and safety of prasugrel and clopidogrel in a medically managed Unstable Angina/Non-ST-Elevation Myocardial Infarction (UA/NSTEMI) acute coronary syndrome (ACS) population (that is, patients who are not managed with acute coronary revascularization).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jun 2008
Typical duration for phase_3
664 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2008
CompletedFirst Submitted
Initial submission to the registry
June 16, 2008
CompletedFirst Posted
Study publicly available on registry
June 18, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2012
CompletedResults Posted
Study results publicly available
May 7, 2013
CompletedMay 7, 2013
March 1, 2013
3.8 years
June 16, 2008
March 21, 2013
March 21, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With a Composite Endpoint of Cardiovascular (CV) Death, Myocardial Infarction (MI), or Stroke
The percentage of participants is the total number of participants experiencing a CV death, nonfatal MI, or nonfatal stroke divided by number of participants in the treatment arm multiplied by 100. Endpoint events were adjudicated by the Clinical Endpoint Committee.
Randomization through end of study (30-month visit)
Secondary Outcomes (9)
Percentage of Participants With a Composite Endpoint of CV Death and MI
Randomization through end of study (30-month visit)
Percentage of Participants With a Composite Endpoint of CV Death, MI, Stroke, or Re-hospitalization for Recurrent Unstable Angina (UA)
Randomization through end of study (30-month visit)
Percentage of Participants With a Composite Endpoint of All-cause Death, MI, or Stroke
Randomization through end of study (30-month visit)
Platelet Aggregation Measures
Day 30 and 12 Months
Biomarker Measurements of Inflammation/Hemodynamic Stress: Brain Natriuretic Peptide (BNP)
Day 30 and 6 Months
- +4 more secondary outcomes
Study Arms (2)
Prasugrel
EXPERIMENTALPrasugrel and Low-dose Commercially-available Aspirin
Clopidogrel
ACTIVE COMPARATORClopidogrel and Low-Dose Commercially-available Aspirin
Interventions
300 milligrams (mg), oral, once as loading dose (in those subjects who initiate study drug with a loading dose); and 75 mg, oral, once daily as maintenance dose through end of study
30 milligrams (mg), oral, once as loading dose (in those subjects who initiate study drug with a loading dose); and either 5 mg or 10 mg (based upon weight and age), oral, once daily as maintenance dose through end of study
Low-dose aspirin, oral, as prescribed by physician through end of study
Eligibility Criteria
You may qualify if:
- Have had a Unstable Angina/Non-ST-Elevation Myocardial Infarction (UA/NSTEMI) index event within 10 days prior to randomization
- Had a medical management strategy decision made with reasonable certainty that neither percutaneous coronary intervention (PCI) nor coronary artery bypass graft (CABG) is planned for treatment of the index event
- Had at least 1 of 4 specified high-risk features at the time of the UA/NSTEMI event
You may not qualify if:
- Decision for medical management greater than 72 hours after onset of index event without commercial clopidogrel treatment within 72 hours following onset of the index event.
- Insignificant coronary artery disease (CAD) on coronary angiography if performed for Index Event (absence of greater than or equal to 30% stenosis in at least one native vessel)
- Previous or planned PCI or CABG as treatment for the index event
- PCI/CABG within previous 30 days
- ST-segment elevation myocardial infarction (STEMI) as the index event
- Cardiogenic shock, Refractory ventricular arrhythmias, New York Heart Association (NYHA) Class IV congestive heart failure (CHF) within the previous 24 hours
- History of ischemic or hemorrhagic stroke, transient ischemic attack (TIA), Intracranial neoplasm, arteriovenous malformation, or aneurysm
- History of spontaneous gastrointestinal (GI) or non-GI bleeding requiring hospitalization for treatment, unless definitive treatment has occurred and there is low likelihood of recurrence
- Hemodialysis or peritoneal dialysis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Eli Lilly and Companylead
- Daiichi Sankyo Co., Ltd.collaborator
- Duke Clinical Research Institutecollaborator
Study Sites (688)
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Birmingham, Alabama, 35233, United States
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Huntsville, Alabama, 35801, United States
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Glendale, Arizona, 85306, United States
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Tucson, Arizona, 85724, United States
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Fort Smith, Arkansas, 72917, United States
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Anaheim, California, 92801, United States
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Banning, California, 92220, United States
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Bellflower, California, 90706, United States
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Healdsburg, California, 95448, United States
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Lancaster, California, 93534, United States
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Long Beach, California, 90822, United States
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Los Angeles, California, 90027, United States
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Mather, California, 95655, United States
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Newport Beach, California, 92663, United States
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Palo Alto, California, 94304, United States
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Sacramento, California, 95817, United States
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San Diego, California, 92123, United States
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Sylmar, California, 91342, United States
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Yuba City, California, 95991, United States
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Colorado Springs, Colorado, 80909, United States
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Denver, Colorado, 80218, United States
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Loveland, Colorado, 80538, United States
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Wheat Ridge, Colorado, 80033, United States
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Washington D.C., District of Columbia, 20422, United States
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Atlantis, Florida, 33462, United States
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Aventura, Florida, 33180, United States
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Boynton Beach, Florida, 33472, United States
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Brandon, Florida, 33511, United States
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Deerfield Beach, Florida, 33442, United States
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Hudson, Florida, 34667, United States
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Lakeland, Florida, 33805, United States
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Melbourne, Florida, 32901, United States
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Miami, Florida, 33176, United States
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Orlando, Florida, 32803, United States
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Ormond Beach, Florida, 32174, United States
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Panama City, Florida, 32401, United States
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Pensacola, Florida, 32501, United States
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Port Charlotte, Florida, 33952, United States
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Sarasota, Florida, 34232, United States
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Tallahassee, Florida, 32308, United States
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Tampa, Florida, 33613, United States
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Trinity, Florida, 34655, United States
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West Palm Beach, Florida, 33401, United States
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Atlanta, Georgia, 30342, United States
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Covington, Georgia, 30014, United States
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Decatur, Georgia, 30033, United States
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Riverdale, Georgia, 30274, United States
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Savannah, Georgia, 31405, United States
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Melrose Park, Illinois, 60160, United States
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Peoria, Illinois, 61614, United States
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Rock Island, Illinois, 61201, United States
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Anderson, Indiana, 46011, United States
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Elkhart, Indiana, 46514, United States
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Hammond, Indiana, 46320, United States
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Indianapolis, Indiana, 46250, United States
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Muncie, Indiana, 47303, United States
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Valparaiso, Indiana, 46383, United States
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Ames, Iowa, 50010, United States
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Louisville, Kentucky, 40207, United States
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Alexandria, Louisiana, 71301, United States
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Baton Rouge, Louisiana, 70808, United States
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Covington, Louisiana, 70433, United States
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Lake Charles, Louisiana, 70601, United States
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Natchitoches, Louisiana, 71457, United States
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New Orleans, Louisiana, 70112, United States
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Baltimore, Maryland, 21287, United States
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Salisbury, Maryland, 21804, United States
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Boston, Massachusetts, 02135, United States
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Fall River, Massachusetts, 02720, United States
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Bay City, Michigan, 48706, United States
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Flint, Michigan, 48532, United States
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Minneapolis, Minnesota, 55417, United States
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Picayune, Mississippi, 39466, United States
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Columbia, Missouri, 65201, United States
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Kansas City, Missouri, 64111, United States
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St Louis, Missouri, 63128, United States
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Kalispell, Montana, 59901, United States
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Omaha, Nebraska, 68198, United States
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Las Vegas, Nevada, 89148, United States
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Nashua, New Hampshire, 03060, United States
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Bridgewater, New Jersey, 08807, United States
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Cherry Hill, New Jersey, 08002, United States
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Flemington, New Jersey, 08822, United States
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Ridgewood, New Jersey, 07652, United States
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Brooklyn, New York, 11220, United States
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Buffalo, New York, 14215, United States
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Flushing, New York, 11355, United States
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New Hartford, New York, 13413, United States
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New York, New York, 10016, United States
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Syracuse, New York, 13210, United States
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The Bronx, New York, 10461, United States
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Chapel Hill, North Carolina, 27599, United States
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Charlotte, North Carolina, 28204, United States
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Elizabeth City, North Carolina, 27909, United States
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Gastonia, North Carolina, 28054, United States
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Hickory, North Carolina, 28601, United States
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Lenoir, North Carolina, 28645, United States
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Matthews, North Carolina, 28105, United States
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Pinehurst, North Carolina, 28374, United States
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Salisbury, North Carolina, 28144, United States
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Sanford, North Carolina, 27330, United States
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Statesville, North Carolina, 28677, United States
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Wilmington, North Carolina, 28403, United States
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Winston-Salem, North Carolina, 27157, United States
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Cincinnati, Ohio, 45220, United States
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Cleveland, Ohio, 44106, United States
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Mansfield, Ohio, 44906, United States
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Toledo, Ohio, 43608, United States
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Zanesville, Ohio, 43701, United States
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Muskogee, Oklahoma, 74401, United States
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Oklahoma City, Oklahoma, 73104, United States
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Tulsa, Oklahoma, 74104, United States
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Hillsboro, Oregon, 97123, United States
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Portland, Oregon, 97220, United States
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Abington, Pennsylvania, 19001, United States
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Bethlehem, Pennsylvania, 18015, United States
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Chambersburg, Pennsylvania, 17201, United States
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Clarks Summit, Pennsylvania, 18411, United States
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Doylestown, Pennsylvania, 18901, United States
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Erie, Pennsylvania, 16502, United States
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Greensburg, Pennsylvania, 15601, United States
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Harrisburg, Pennsylvania, 17110, United States
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Pittsburgh, Pennsylvania, 15240, United States
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Pottstown, Pennsylvania, 19464, United States
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Sayre, Pennsylvania, 18840, United States
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Sellersville, Pennsylvania, 18960, United States
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West Chester, Pennsylvania, 19380, United States
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Wormleysburg, Pennsylvania, 17043, United States
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Charleston, South Carolina, 29425, United States
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Rock Hill, South Carolina, 29732, United States
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Rapid City, South Dakota, 57701, United States
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Sioux Falls, South Dakota, 57104, United States
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Chattanooga, Tennessee, 37404, United States
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Germantown, Tennessee, 38138, United States
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Hendersonville, Tennessee, 37075, United States
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Jackson, Tennessee, 38301, United States
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Johnson City, Tennessee, 37601, United States
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Knoxville, Tennessee, 37917, United States
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Lexington, Tennessee, 38351, United States
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Memphis, Tennessee, 38120, United States
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Oak Ridge, Tennessee, 37830, United States
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Amarillo, Texas, 79106, United States
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Austin, Texas, 78745, United States
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Corpus Christi, Texas, 78404, United States
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Edinburg, Texas, 78539, United States
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Fort Sam Houston, Texas, 78234, United States
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Houston, Texas, 77089, United States
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Lackland Air Force Base, Texas, 78236, United States
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San Antonio, Texas, 78201, United States
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Victoria, Texas, 77901, United States
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American Fork, Utah, 84003, United States
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Salt Lake City, Utah, 84124, United States
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Charlottesville, Virginia, 22908, United States
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Danville, Virginia, 24541, United States
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Hopewell, Virginia, 23860, United States
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Lake Ridge, Virginia, 22192, United States
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Manassas, Virginia, 20109, United States
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Newport News, Virginia, 23601, United States
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Richmond, Virginia, 23298, United States
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Roanoke, Virginia, 24014, United States
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Seattle, Washington, 98122, United States
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Spokane, Washington, 99204, United States
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Tacoma, Washington, 98405, United States
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Burlington, Wisconsin, 53105, United States
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Milwaukee, Wisconsin, 53215, United States
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Bahía Blanca, B8001DDU, Argentina
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Buenos Aires, 1094, Argentina
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Caba, C1180AAX, Argentina
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Concordia, E3202BQF, Argentina
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Corrientes, 3400, Argentina
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Córdoba, X5000JHQ, Argentina
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Formosa, 3606, Argentina
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Godoy Cruz, 5501, Argentina
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La Plata, B1900AVS, Argentina
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Mar del Plata, B7600FZD, Argentina
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Morón, B1708KCH, Argentina
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Rosario, S2002KDS, Argentina
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Salta, A4402DTC, Argentina
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San Luis, D5702JRS, Argentina
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San Miguel de Tucumán, T4000NIL, Argentina
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Santa Fe, S3000FUJ, Argentina
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Villa Cabrera, S5009BSN, Argentina
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Villa María, X5900JKA, Argentina
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Coffs Harbour, New South Wales, 2450, Australia
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Lismore, New South Wales, 2480, Australia
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Newcastle, New South Wales, 2305, Australia
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Wollongong, New South Wales, 2500, Australia
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Herston, Queensland, 4029, Australia
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Nambour, Queensland, 4560, Australia
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Redcliffe, Queensland, 4020, Australia
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Southport, Queensland, 4215, Australia
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Bedford Park, South Australia, 5042, Australia
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Elizabeth Vale, South Australia, 5112, Australia
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Hobart, Tasmania, 7000, Australia
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Feldkirch, 6807, Austria
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Vienna, 1100, Austria
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Brussels, 1200, Belgium
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Huy, 4500, Belgium
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Liège, 4000, Belgium
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Mol, 2400, Belgium
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Overpelt, 3900, Belgium
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Aracaju, 49015-400, Brazil
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Belo Horizonte, 30380-090, Brazil
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Blumenau, 89010-500, Brazil
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Brasília, 70658-700, Brazil
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Campina Grande do Sul, 83430-000, Brazil
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Campinas, 13010-001, Brazil
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Campo Grande, 79080-190, Brazil
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Caxias do Sul, 95070560, Brazil
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Curitiba, 80010-030, Brazil
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Dois Lajeados, 95900-000, Brazil
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Goiânia, 74223-130, Brazil
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Maceió, 57021-500, Brazil
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Maringá, 87015-290, Brazil
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Passo Fundo, 99010-080, Brazil
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Piracicaba, 13405-126, Brazil
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Porto Alegre, 91350-200, Brazil
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Recife, 52051-380, Brazil
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Ribeirão Preto, 14048-900, Brazil
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Rio de Janeiro, 21041-030, Brazil
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Salvador, 41144900, Brazil
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Santo André, 09190-610, Brazil
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Sao Jose Rio Preto, 15090-000, Brazil
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São Caetano do Sul, 09540-400, Brazil
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São José, 88103-460, Brazil
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São Paulo, 05017000, Brazil
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Uberlândia, 38400-368, Brazil
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Votuporanga, 15500-003, Brazil
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Dimitrovgrad, 6400, Bulgaria
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Haskovo, 6300, Bulgaria
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Kazanlak, 6100, Bulgaria
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Kyustendil, 2500, Bulgaria
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Pazardzhik, 4400, Bulgaria
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Pleven, 5800, Bulgaria
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Plovdiv, 4002, Bulgaria
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Rousse, 7002, Bulgaria
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Sofia, 1606, Bulgaria
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Varna, 9010, Bulgaria
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Edmonton, Alberta, T6K 4C1, Canada
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Campbell River, British Columbia, V9W 5Y4, Canada
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St. John's, Newfoundland and Labrador, A1B 3V6, Canada
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Halifax, Nova Scotia, B3H 3A7, Canada
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Ajax, Ontario, L1S 2J5, Canada
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Burlington, Ontario, L7M 4Y1, Canada
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Cambridge, Ontario, N1R 7R1, Canada
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Greater Sudbury, Ontario, P3E 2N8, Canada
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London, Ontario, N6A 5A5, Canada
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Oshawa, Ontario, L1H 1B9, Canada
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Sarnia, Ontario, N7T 4R9, Canada
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Scarborough Village, Ontario, M1E 5E9, Canada
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Montreal, Quebec, H3G 1A4, Canada
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Sainte-Foy, Quebec, G1V 4G5, Canada
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La Serena, Chile
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Osorno, 5290000, Chile
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Puente Alto, 8207257, Chile
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Rancagua, Chile
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Santiago, 8900085, Chile
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Temuco, 478-1151, Chile
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Viña del Mar, Chile
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Beijing, 100032, China
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Beijing, 100730, China
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Changsha, 410013, China
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Fuzhou, 350001, China
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Guangzhou, 510120, China
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Hangzhou, 310013, China
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Harbin, 150001, China
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Jiangsu, 210009, China
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Nanchang, China
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Nanjing, 210008, China
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Shanghai, 200032, China
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Shaoguan, 512026, China
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Shengyang, 110004, China
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Shenyang, 110001, China
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Shijiazhuang, 050050, China
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Suzhou, 215004, China
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Wenzhou, 325027, China
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Wuhan, 430030, China
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Wuhan, 430060, China
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Xi'an, 710061, China
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Xuzhou, 221006, China
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Zhengzhou, 450003, China
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Armenia-Quindio, Colombia
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Barranquilla, Colombia
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Bogotá, Colombia
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Cali, Colombia
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Floridablanca, Colombia
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Medellín, Colombia
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San José, Costa Rica
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Dubrovnik, 20000, Croatia
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Karlovac, 47000, Croatia
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Koprivnica, 48000, Croatia
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Krapinske Toplice, 49217, Croatia
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Rijeka, 51 000, Croatia
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Slavonski Brod, 35 000, Croatia
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Split, 21000, Croatia
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Varaždin, 42 000, Croatia
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Zadar, 23000, Croatia
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Zagreb, 10000, Croatia
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Děčín, 405 99, Czechia
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Frýdek-Místek, 738 18, Czechia
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Hradec Králové, 500 05, Czechia
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Karlovy Vary, 360 66, Czechia
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Kroměříž, 767 55, Czechia
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Liberec, 460 03, Czechia
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Nový Jičín, 74101, Czechia
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Pardubice, 532 03, Czechia
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Prague, 140 21, Czechia
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Zlín, 76275, Czechia
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Copenhagen, 2300, Denmark
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Copenhagen, 2400, Denmark
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Hellerup, 2900, Denmark
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Alexandria, 21131, Egypt
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Beni Sweif, Egypt
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Cairo, Egypt
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Ismailia, Egypt
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Menoufiya, Egypt
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Jyväskylä, 40620, Finland
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Angers, 49933, France
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Arras, 62000, France
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Besançon, 25030, France
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Cambrai, 59407, France
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Chartres, 28018, France
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Dijon, 21079, France
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Douai, 59507, France
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La Roche-sur-Yon, 85025, France
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Lagny-sur-Marne, 77405, France
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Nantes, 44277, France
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Nice, 06002, France
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Paris, 75015, France
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Pessac, 33604, France
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Poitiers, 86021, France
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Strasbourg, 67091, France
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Toulouse, 31059, France
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Valenciennes, 59322, France
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Vandœuvre-lès-Nancy, 54511, France
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Bad Nauheim, 61231, Germany
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Cologne, 50968, Germany
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Darmstadt, 64283, Germany
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Dortmund, 44137, Germany
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Frankfurt, 65929, Germany
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Halle, 06120, Germany
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Idar-Oberstein, 55743, Germany
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Leipzig, 04289, Germany
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Mainz, 55131, Germany
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Mannheim, 68167, Germany
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Stuttgart, 70376, Germany
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Tübingen, 72076, Germany
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Athens, 16673, Greece
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Haidari/Athens, 12462, Greece
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Kallithea, 17674, Greece
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Magoula, 19600, Greece
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Pátrai, 26504, Greece
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Rhodes, 85100, Greece
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Trikala, 42100, Greece
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Baja, 6500, Hungary
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Békéscsaba, 5601, Hungary
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Budapest, 1125, Hungary
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Kalocsa, 6300, Hungary
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Kecskemét, 6000, Hungary
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Komárom, 2921, Hungary
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Miskolc, H-3529, Hungary
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Sátoraljaújhely, H-3980, Hungary
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Sopron, 9400, Hungary
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Szekszárd, 7100, Hungary
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Zalaegerszeg, 8900, Hungary
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Ahmedabad, 382 428, India
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Anand, 388325, India
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Aurangabad, 431001, India
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Bangalore, 560034, India
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Bārāmati, 413102, India
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Bikaner, 334003, India
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Calicut, 673004, India
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Chidambaram, 608002, India
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Coimbatore, 641004, India
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Ernākulam, 683577, India
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Guntur, 522001, India
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Gūrgaon, 122001, India
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Hyderabaad, 500001, India
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Indore, 452018, India
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Jaipur, 302017, India
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Jalandhar, 144008, India
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Kochi, 683572, India
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Kolkata, 700091, India
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Kottayam, 686016, India
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Lucknow, 226003, India
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Madurai, 625020, India
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Mumbai, 400012, India
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Mysore, 570004, India
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Nagpur, 440033, India
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Nashik, 422005, India
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New Delhi, 110015, India
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Patiāla, 147001, India
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Pune, 411033, India
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Saket, 110017, India
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Secunderabad, 500 003, India
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Shivamogga, 577201, India
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Solapur, 413003, India
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Surat, 395007, India
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Thrissur, 680002, India
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Tirupati, 517 507, India
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Trivandrum, 695002, India
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Vadodara, 390015, India
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Vijayawada, 520008, India
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Visakhapatnam, 530 003, India
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Dublin, Ireland
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Galway, Ireland
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Afula, 18101, Israel
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Ashkelon, 78278, Israel
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Beersheba, 84101, Israel
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Eilat, 88104, Israel
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Haifa, 31096, Israel
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Jerusalem, 91240, Israel
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Kfar Saba, 44281, Israel
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Nahariya, 22100, Israel
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Nazareth, 16100, Israel
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Rehovot, 76100, Israel
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Tel Aviv, 64239, Israel
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Tel Litwinsky, 52621, Israel
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Tiberias, 15208, Israel
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Tzfat, 13100, Israel
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Albano Laziale, 00041, Italy
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Ascoli Piceno, 63100, Italy
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Bari, 70124, Italy
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Bergamo, 24128, Italy
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Brescia, 25127, Italy
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Caserta, 81100, Italy
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Forlì, 47100, Italy
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Lecco, 23900, Italy
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Legnago, 37045, Italy
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Legnano, 20025, Italy
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Milan, 20162, Italy
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Novara, 28100, Italy
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Parma, 43100, Italy
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Perugia, 06156, Italy
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Pescara, 65124, Italy
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Reggio Emilia, 42100, Italy
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Rimini, 47900, Italy
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Rome, 00161, Italy
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San Daniele del Friuli, 33038, Italy
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Santa Maria Capua Vetere, 81055, Italy
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Saronno, 21047, Italy
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Sorrento, 80067, Italy
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Terni, 5100, Italy
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Trieste, 34142, Italy
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Kaunas, LT-50009, Lithuania
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Klaipėda, 92288, Lithuania
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Šiauliai, 73231, Lithuania
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Vilnius, LT-08661, Lithuania
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Cheras, Kuala Lumpur, 56000, Malaysia
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Johor Bahru, 80100, Malaysia
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Kelantan, 16150, Malaysia
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Kuala Lumpur, 59100, Malaysia
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Kuala Selangor, 43300, Malaysia
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Kuantan Pahang, 25100, Malaysia
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Perak, 30990, Malaysia
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Sarawak, 93586, Malaysia
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Taiping Perak, 34000, Malaysia
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Gozo, VCT102, Malta
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Msida, 2090, Malta
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Aguascalientes, 20230, Mexico
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Culiacán, 80270, Mexico
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Durango, 340000, Mexico
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Jalisco, 44210, Mexico
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León, 37660, Mexico
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Monterrey, 64020, Mexico
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Puebla City, 72490, Mexico
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Querétaro, 76180, Mexico
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San Luis Potosí City, 78240, Mexico
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Tijuana, 22500, Mexico
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Alkmaar, 1815 JD, Netherlands
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Almelo, 7609 PP, Netherlands
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Amsterdam, 1091AC, Netherlands
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Apeldoorn, 7334 DZ, Netherlands
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Beverwijk, 1942 LE, Netherlands
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Blaricum, 1261 AN, Netherlands
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Delft, 2625AD, Netherlands
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Ede, 6716 RP, Netherlands
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Eindhoven, 5623 EJ, Netherlands
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Gouda, 2803 HH, Netherlands
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Hoorn, 1625 HV, Netherlands
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Leeuwarden, 8934 AD, Netherlands
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Leiden, 2334 CK, Netherlands
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Leiderdorp, 2353 GA, Netherlands
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Meppel, 7943 KA, Netherlands
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Oss, 5342 BT, Netherlands
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Roosendaal, 4708 AE, Netherlands
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Venlo, 5912 BL, Netherlands
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Auckland, 0622, New Zealand
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Christchurch, 8011, New Zealand
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Nelson, 7010, New Zealand
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Wellington, 6022, New Zealand
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Coclé, Panama
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David, Panama
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Panama City, Panama
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Arequipa, Peru
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Callao, Peru
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Cuzco, Peru
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Lima, Lima 29, Peru
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Cagayan de de Oro, 9000, Philippines
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Cavite City, 4114, Philippines
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Davao City, 8000, Philippines
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Iloilo City, 5000, Philippines
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Manila, 1000, Philippines
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Marikina City, Philippines
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Metro Manila, 1503, Philippines
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Pasig, 1605, Philippines
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Quezon City, 1102, Philippines
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Quezon City, 1110, Philippines
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Bydgoszcz, 85-826, Poland
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Elblag, 02-300, Poland
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Gdansk, 80-345, Poland
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Katowice, 40-635, Poland
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Koszalin, 75-581, Poland
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Krakow, 31-501, Poland
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Kutno, 99-300, Poland
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Lodz, 94-255, Poland
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Lubin, 59-301, Poland
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Lublin, 20-954, Poland
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Myślenice, 32-400, Poland
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Nowy Sącz, 33-300, Poland
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Oława, 55-200, Poland
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Piotrkow Trybunalski, 97-300, Poland
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Puławy, 24-100, Poland
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Ruda Śląska, 41-703, Poland
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Skierniewice, 96-100, Poland
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Szczecin, 71-531, Poland
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Warsaw, 04-439, Poland
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Wałbrzych, 58-309, Poland
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Wejherowo, 84-200, Poland
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Wroclaw, 51-124, Poland
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Aveiro, 3814-501, Portugal
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Carnaxide, 2790-134, Portugal
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Coimbra, 3000-075, Portugal
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Leiria, 2410-197, Portugal
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Ponta Delgada, 9500-370, Portugal
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Santarém, 2005-177, Portugal
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Setúbal, 2910-446, Portugal
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Vila Franca de Xira, 5000-508, Portugal
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Caguas, 00725, Puerto Rico
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Mayagüez, 00680, Puerto Rico
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San Juan, 00921-3201, Puerto Rico
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Bacau, 600114, Romania
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Baia Mare, 430110, Romania
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Brasov, 500326, Romania
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Brăila, 810249, Romania
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Bucharest, Romania
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Buzău, 120144, Romania
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Cluj-Napoca, 400006, Romania
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Focşani, 620034, Romania
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Piteşti, 110084, Romania
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Suceava, 7202237, Romania
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Târgovişte, 130083, Romania
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Arkhangelsk, 163045, Russia
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Gatchina, 188300, Russia
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Kazan', 420029, Russia
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Kemerovo, 650002, Russia
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Krasnoyarsk, 660062, Russia
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Moscow, 127644, Russia
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Nizhny Novgorod, 603005, Russia
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Novokuznetsk, 654057, Russia
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Novosibirsk, 630090, Russia
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Omsk, 644018, Russia
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Rostov-on-Don, 344068, Russia
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Saint Petersburg, 197110, Russia
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Saratov, 410028, Russia
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Tomsk, 634012, Russia
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Tyumen, 625000, Russia
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Belgrade, 11040, Serbia
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Kragujevac, 34000, Serbia
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Niš, 18000, Serbia
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Niška Banja, 18205, Serbia
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Zemun, 11080, Serbia
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Singapore, 119074, Singapore
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Bratislava, 83348, Slovakia
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Levice, 934 01, Slovakia
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Martin, 03601, Slovakia
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Nitra, 95001, Slovakia
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Nové Zámky, 94034, Slovakia
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Prešov, 08181, Slovakia
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Ružomberok, 03426, Slovakia
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Žilina, 010 01, Slovakia
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Alberton, 1449, South Africa
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Bloemfontein, 9301, South Africa
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Cape Town, 7405, South Africa
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Durban, 4071, South Africa
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George, 6529, South Africa
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Johannesburg, 2193, South Africa
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Parktown West, 2193, South Africa
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Somerset West, 7129, South Africa
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Worcester, 6850, South Africa
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Busan, 614-735, South Korea
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Daegu, 705-718, South Korea
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Daejeon, 302-718, South Korea
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Gangwon-Do, 220-701, South Korea
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Gwangju, 501-757, South Korea
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Incheon, 405-760, South Korea
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Jeonju, 561-712, South Korea
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Jinju, 660-702, South Korea
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Seoul, 120-752, South Korea
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Ulsan, 682-714, South Korea
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Barcelona, 08227, Spain
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Girona, 17600, Spain
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Málaga, 29010, Spain
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Palma de Mallorca, 07198, Spain
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Reus, 43201, Spain
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San Boi de Llobregat, 08830, Spain
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Seville, 41008, Spain
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Valencia, 46014, Spain
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Bollnäs, 82181, Sweden
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Karlstad, 65185, Sweden
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Lund, 22241, Sweden
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Bellinzona, CH-6500, Switzerland
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Winterthur, 8401, Switzerland
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Kaohsiung City, 80756, Taiwan
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Taipei, 220, Taiwan
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Bangkok, 10700, Thailand
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Chiang Mai, 50200, Thailand
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Khon Kaen, 40002, Thailand
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Nakhon Ratchasima, 30000, Thailand
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Pathum Thani, 12120, Thailand
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Udon Thani, 41000, Thailand
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La Marsa, 2046, Tunisia
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Menzel Bourguiba, 7050, Tunisia
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Monastir, 5000, Tunisia
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Sfax, 3051, Tunisia
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Sousse, 4054, Tunisia
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Tunis, 2070, Tunisia
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Tunis Monfleury, 1008, Tunisia
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Adana, 1330, Turkey (Türkiye)
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Ankara, 06800, Turkey (Türkiye)
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Bolu, 14280, Turkey (Türkiye)
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Bursa, 16059, Turkey (Türkiye)
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Edirne, 22030, Turkey (Türkiye)
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Erzurum, 25050, Turkey (Türkiye)
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Isparta, 32100, Turkey (Türkiye)
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Istanbul, 34300, Turkey (Türkiye)
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Kocaeli, 41380, Turkey (Türkiye)
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Konya, 42075, Turkey (Türkiye)
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Kırıkkale, 71100, Turkey (Türkiye)
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Samsun, 55139, Turkey (Türkiye)
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Trabzon, 61080, Turkey (Türkiye)
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Cherkasy, 18009, Ukraine
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Dnipropetrovsk, 49006, Ukraine
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Donetsk, 83114, Ukraine
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Ivano-Frankivsk, 76018, Ukraine
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Kharkiv, 61176, Ukraine
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Kiev, 02660, Ukraine
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Kryvyy Rig, 50031, Ukraine
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Kyiv, 3115, Ukraine
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Luhansk, 91045, Ukraine
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Lutsk, 43024, Ukraine
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Lviv, 79015, Ukraine
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Mykolayiv, 54003, Ukraine
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Odesa, 65025, Ukraine
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Poltava, 36038, Ukraine
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Simferopol, 95026, Ukraine
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Vinnytsia, 21029, Ukraine
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Zaporizhzhya, 69000, Ukraine
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Stockton-on-Tees, Cleveland, TS19 8PE, United Kingdom
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Torquay, Cnwll, TQ2 7AA, United Kingdom
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Durham, County Durham, DH1 5TW, United Kingdom
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Chesterfield, Derbyshire, S44 5BL, United Kingdom
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Plymouth, Devon, PL6 8DH, United Kingdom
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Brighton, East Sussex, BN2 5BE, United Kingdom
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Cottingham, East Yorkshire, HU16 5JQ, United Kingdom
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Colchester, Essex, C04 5JL, United Kingdom
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Romford, Essex, RM7 0AG, United Kingdom
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London, Greater London, SE13 6LH, United Kingdom
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Southall, Greater London, UB1 3HW, United Kingdom
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Newport, Gwent, NP20 2UB, United Kingdom
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Portsmouth, Hampshire, P06 3LY, United Kingdom
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Orpington, Kent, BR6 8ND, United Kingdom
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Lincoln, Lincolnshire, LN2 5QY, United Kingdom
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Metropolitan Borough of Wirral, Merseyside, CH49 5PE, United Kingdom
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York, North Yorkshire, YO31 8HE, United Kingdom
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Nottingham, Nottinghamshire, NG5 1PD, United Kingdom
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Yeovil, Somerset, BA21 4AT, United Kingdom
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Sunderland, Sunderland, SR4 7TP, United Kingdom
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Dundee, Tays, DD1 9SY, United Kingdom
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Nuneaton, Warwickshire, CV10 7BL, United Kingdom
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Warwick, Warwickshire, CV34 5BW, United Kingdom
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Livingston, West Lothian, EH54 6PP, United Kingdom
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Birmingham, West Midlands, B75 7RR, United Kingdom
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Dudley, West Midlands, DY1 2HQ, United Kingdom
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West Bromwich, West Midlands, B71 4HJ, United Kingdom
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Wolverhampton, West Midlands, WV10 0QP, United Kingdom
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Bradford, West Yorkshire, BD9 6RJ, United Kingdom
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Northampton, NN1 5BD, United Kingdom
Related Publications (24)
Natale P, Palmer SC, Saglimbene VM, Ruospo M, Razavian M, Craig JC, Jardine MJ, Webster AC, Strippoli GF. Antiplatelet agents for chronic kidney disease. Cochrane Database Syst Rev. 2022 Feb 28;2(2):CD008834. doi: 10.1002/14651858.CD008834.pub4.
PMID: 35224730DERIVEDMarquis-Gravel G, Neely ML, Valgimigli M, Costa F, Van Klaveren D, Altner R, Bhatt DL, Armstrong PW, Fox KAA, White HD, Ohman EM, Roe MT. Long-Term Bleeding Risk Prediction with Dual Antiplatelet Therapy After Acute Coronary Syndromes Treated Without Revascularization. Circ Cardiovasc Qual Outcomes. 2020 Sep;13(9):e006582. doi: 10.1161/CIRCOUTCOMES.120.006582. Epub 2020 Aug 31.
PMID: 32862694DERIVEDKaul P, Alexander KP, Ohman EM, Savu A, Roe MT, Goodman SG, Fox KA, White HD, Prabhakaran D, Hochman JS, Clemmensen P, Armstrong PW. Sex And Prognostic Significance of Self-Reported Frailty in Non-ST-Segment Elevation Acute Coronary Syndromes: Insights From the TRILOGY ACS Trial. Can J Cardiol. 2019 Apr;35(4):430-437. doi: 10.1016/j.cjca.2018.12.035. Epub 2018 Dec 31.
PMID: 30935633DERIVEDFanaroff AC, Cyr D, Neely ML, Bakal J, White HD, Fox KAA, Armstrong PW, Lopes RD, Ohman EM, Roe MT. Days Alive and Out of Hospital: Exploring a Patient-Centered, Pragmatic Outcome in a Clinical Trial of Patients With Acute Coronary Syndromes. Circ Cardiovasc Qual Outcomes. 2018 Dec;11(12):e004755. doi: 10.1161/CIRCOUTCOMES.118.004755.
PMID: 30562068DERIVEDInohara T, Pieper K, Wojdyla DM, Patel MR, Jones WS, Tricoci P, Mahaffey KW, James SK, Alexander JH, Lopes RD, Wallentin L, Ohman EM, Roe MT, Vemulapalli S. Incidence, timing, and type of first and recurrent ischemic events in patients with and without peripheral artery disease after an acute coronary syndrome. Am Heart J. 2018 Jul;201:25-32. doi: 10.1016/j.ahj.2018.03.013. Epub 2018 Mar 28.
PMID: 29910052DERIVEDChan MY, Neely ML, Roe MT, Goodman SG, Erlinge D, Cornel JH, Winters KJ, Jakubowski JA, Zhou C, Fox KAA, Armstrong PW, White HD, Prabhakaran D, Ohman EM, Huber K; TRILOGY ACS Investigators. Temporal Biomarker Profiling Reveals Longitudinal Changes in Risk of Death or Myocardial Infarction in Non-ST-Segment Elevation Acute Coronary Syndrome. Clin Chem. 2017 Jul;63(7):1214-1226. doi: 10.1373/clinchem.2016.265272. Epub 2017 May 17.
PMID: 28515099DERIVEDGoldstein SA, Newby LK, Cyr DD, Neely M, Luscher TF, Brown EB, White HD, Ohman EM, Roe MT, Hamm CW. Relationship Between Peak Troponin Values and Long-Term Ischemic Events Among Medically Managed Patients With Acute Coronary Syndromes. J Am Heart Assoc. 2017 Apr 11;6(4):e005334. doi: 10.1161/JAHA.116.005334.
PMID: 28400368DERIVEDAlfredsson J, Neely B, Neely ML, Bhatt DL, Goodman SG, Tricoci P, Mahaffey KW, Cornel JH, White HD, Fox KA, Prabhakaran D, Winters KJ, Armstrong PW, Ohman EM, Roe MT; TRILOGY ACS Investigators. Predicting the risk of bleeding during dual antiplatelet therapy after acute coronary syndromes. Heart. 2017 Aug;103(15):1168-1176. doi: 10.1136/heartjnl-2016-310090. Epub 2017 Apr 5.
PMID: 28381584DERIVEDCornel JH, Ohman EM, Neely B, Jakubowski JA, Bhatt DL, White HD, Ardissino D, Fox KA, Prabhakaran D, Armstrong PW, Erlinge D, Tantry US, Gurbel PA, Roe MT. Relationship of Platelet Reactivity With Bleeding Outcomes During Long-Term Treatment With Dual Antiplatelet Therapy for Medically Managed Patients With Non-ST-Segment Elevation Acute Coronary Syndromes. J Am Heart Assoc. 2016 Nov 4;5(11):e003977. doi: 10.1161/JAHA.116.003977.
PMID: 27815268DERIVEDChin CT, Boden WE, Roe MT, Neely B, Neely ML, Leiva-Pons JL, Corbalan R, Gottlieb S, Dalby AJ, Armstrong PW, Prabhakaran D, Fox KA, White HD, Ohman EM, Winters KJ, Schiele F. Effect of prior clopidogrel use on outcomes in medically managed acute coronary syndrome patients. Heart. 2016 Aug 1;102(15):1221-9. doi: 10.1136/heartjnl-2015-308840. Epub 2016 Mar 30.
PMID: 27030601DERIVEDLopes RD, Leonardi S, Neely B, Neely ML, Ohman EM, Ardissino D, Hamm CW, Goodman SG, Bhatt DL, White HD, Prabhakaran D, Martinez F, Nicolau JC, Winters KJ, Fox KA, Armstrong PW, Roe MT. Spontaneous MI After Non-ST-Segment Elevation Acute Coronary Syndrome Managed Without Revascularization: The TRILOGY ACS Trial. J Am Coll Cardiol. 2016 Mar 22;67(11):1289-97. doi: 10.1016/j.jacc.2016.01.034.
PMID: 26988949DERIVEDDoll JA, Neely ML, Roe MT, Armstrong PW, White HD, Prabhakaran D, Winters KJ, Duvvuru S, Sundseth SS, Jakubowski JA, Gurbel PA, Bhatt DL, Ohman EM, Fox KAA; TRILOGY ACS Investigators. Impact of CYP2C19 Metabolizer Status on Patients With ACS Treated With Prasugrel Versus Clopidogrel. J Am Coll Cardiol. 2016 Mar 1;67(8):936-947. doi: 10.1016/j.jacc.2015.12.036.
PMID: 26916483DERIVEDChin CT, Neely B, Magnus Ohman E, Armstrong PW, Corbalan R, White HD, Prabhakaran D, Winters KJ, Fox KA, Roe MT; TRILOGY ACS Investigators. Time-Varying Effects of Prasugrel Versus Clopidogrel on the Long-Term Risks of Stroke After Acute Coronary Syndromes: Results From the TRILOGY ACS Trial. Stroke. 2016 Apr;47(4):1135-9. doi: 10.1161/STROKEAHA.115.012454. Epub 2016 Feb 16.
PMID: 26883498DERIVEDRoe MT, Cyr DD, Eckart D, Schulte PJ, Morse MA, Blackwell KL, Ready NE, Zafar SY, Beaven AW, Strickler JH, Onken JE, Winters KJ, Houterloot L, Zamoryakhin D, Wiviott SD, White HD, Prabhakaran D, Fox KA, Armstrong PW, Ohman EM; TRILOGY ACS Investigators. Ascertainment, classification, and impact of neoplasm detection during prolonged treatment with dual antiplatelet therapy with prasugrel vs. clopidogrel following acute coronary syndrome. Eur Heart J. 2016 Jan 21;37(4):412-22. doi: 10.1093/eurheartj/ehv611. Epub 2015 Dec 5.
PMID: 26637834DERIVEDClemmensen P, Roe MT, Hochman JS, Cyr DD, Neely ML, McGuire DK, Cornel JH, Huber K, Zamoryakhin D, White HD, Armstrong PW, Fox KA, Prabhakaran D, Ohman EM; TRILOGY ACS Investigators. Long-term outcomes for women versus men with unstable angina/non-ST-segment elevation myocardial infarction managed medically without revascularization: insights from the TaRgeted platelet Inhibition to cLarify the Optimal strateGy to medicallY manage Acute Coronary Syndromes trial. Am Heart J. 2015 Oct;170(4):695-705.e5. doi: 10.1016/j.ahj.2015.06.011. Epub 2015 Jun 20.
PMID: 26386793DERIVEDMahaffey KW, Hager R, Wojdyla D, White HD, Armstrong PW, Alexander JH, Tricoci P, Lopes RD, Ohman EM, Roe MT, Harrington RA, Wallentin L. Meta-analysis of intracranial hemorrhage in acute coronary syndromes: incidence, predictors, and clinical outcomes. J Am Heart Assoc. 2015 Jun 18;4(6):e001512. doi: 10.1161/JAHA.114.001512.
PMID: 26089177DERIVEDRoy A, Roe MT, Neely ML, Cyr DD, Zamoryakhin D, Fox KA, White HD, Armstrong PW, Ohman EM, Prabhakaran D. Impact of Human Development Index on the profile and outcomes of patients with acute coronary syndrome. Heart. 2015 Feb;101(4):279-86. doi: 10.1136/heartjnl-2014-306389. Epub 2014 Dec 23.
PMID: 25538134DERIVEDBakal JA, Roe MT, Ohman EM, Goodman SG, Fox KA, Zheng Y, Westerhout CM, Hochman JS, Lokhnygina Y, Brown EB, Armstrong PW. Applying novel methods to assess clinical outcomes: insights from the TRILOGY ACS trial. Eur Heart J. 2015 Feb 7;36(6):385-92a. doi: 10.1093/eurheartj/ehu262. Epub 2014 Jul 10.
PMID: 25012156DERIVEDCornel JH, Ohman EM, Neely B, Clemmensen P, Sritara P, Zamoryakhin D, Armstrong PW, Prabhakaran D, White HD, Fox KA, Gurbel PA, Roe MT; TRILOGY ACS Investigators. Impact of smoking status on platelet function and clinical outcomes with prasugrel vs. clopidogrel in patients with acute coronary syndromes managed without revascularization: Insights from the TRILOGY ACS trial. Am Heart J. 2014 Jul;168(1):76-87.e1. doi: 10.1016/j.ahj.2014.04.011. Epub 2014 Apr 24.
PMID: 24952863DERIVEDWiviott SD, White HD, Ohman EM, Fox KA, Armstrong PW, Prabhakaran D, Hafley G, Lokhnygina Y, Boden WE, Hamm C, Clemmensen P, Nicolau JC, Menozzi A, Ruzyllo W, Widimsky P, Oto A, Leiva-Pons J, Pavlides G, Winters KJ, Roe MT, Bhatt DL. Prasugrel versus clopidogrel for patients with unstable angina or non-ST-segment elevation myocardial infarction with or without angiography: a secondary, prespecified analysis of the TRILOGY ACS trial. Lancet. 2013 Aug 17;382(9892):605-13. doi: 10.1016/S0140-6736(13)61451-8.
PMID: 23953385DERIVEDGurbel PA, Erlinge D, Ohman EM, Neely B, Neely M, Goodman SG, Huber K, Chan MY, Cornel JH, Brown E, Zhou C, Jakubowski JA, White HD, Fox KA, Prabhakaran D, Armstrong PW, Tantry US, Roe MT; TRILOGY ACS Platelet Function Substudy Investigators. Platelet function during extended prasugrel and clopidogrel therapy for patients with ACS treated without revascularization: the TRILOGY ACS platelet function substudy. JAMA. 2012 Nov 7;308(17):1785-94. doi: 10.1001/jama.2012.17312.
PMID: 23117779DERIVEDRoe MT, Armstrong PW, Fox KA, White HD, Prabhakaran D, Goodman SG, Cornel JH, Bhatt DL, Clemmensen P, Martinez F, Ardissino D, Nicolau JC, Boden WE, Gurbel PA, Ruzyllo W, Dalby AJ, McGuire DK, Leiva-Pons JL, Parkhomenko A, Gottlieb S, Topacio GO, Hamm C, Pavlides G, Goudev AR, Oto A, Tseng CD, Merkely B, Gasparovic V, Corbalan R, Cinteza M, McLendon RC, Winters KJ, Brown EB, Lokhnygina Y, Aylward PE, Huber K, Hochman JS, Ohman EM; TRILOGY ACS Investigators. Prasugrel versus clopidogrel for acute coronary syndromes without revascularization. N Engl J Med. 2012 Oct 4;367(14):1297-309. doi: 10.1056/NEJMoa1205512. Epub 2012 Aug 25.
PMID: 22920930DERIVEDJeong YH, Tantry US, Gurbel PA. Importance of potent P2Y(12) receptor blockade in acute myocardial infarction: focus on prasugrel. Expert Opin Pharmacother. 2012 Aug;13(12):1771-96. doi: 10.1517/14656566.2012.704909. Epub 2012 Jul 12.
PMID: 22783896DERIVEDChin CT, Roe MT, Fox KA, Prabhakaran D, Marshall DA, Petitjean H, Lokhnygina Y, Brown E, Armstrong PW, White HD, Ohman EM; TRILOGY ACS Steering Committee. Study design and rationale of a comparison of prasugrel and clopidogrel in medically managed patients with unstable angina/non-ST-segment elevation myocardial infarction: the TaRgeted platelet Inhibition to cLarify the Optimal strateGy to medicallY manage Acute Coronary Syndromes (TRILOGY ACS) trial. Am Heart J. 2010 Jul;160(1):16-22.e1. doi: 10.1016/j.ahj.2010.04.022.
PMID: 20598967DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 16, 2008
First Posted
June 18, 2008
Study Start
June 1, 2008
Primary Completion
April 1, 2012
Study Completion
April 1, 2012
Last Updated
May 7, 2013
Results First Posted
May 7, 2013
Record last verified: 2013-03