81_FR_45644 81 FR 45509 - Bacterial Vaginosis: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

81 FR 45509 - Bacterial Vaginosis: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 135 (July 14, 2016)

Page Range45509-45510
FR Document2016-16636

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Bacterial Vaginosis: Developing Drugs for Treatment.'' The purpose of this guidance is to assist sponsors in the clinical development of drugs for the treatment of bacterial vaginosis (BV).

Federal Register, Volume 81 Issue 135 (Thursday, July 14, 2016)
[Federal Register Volume 81, Number 135 (Thursday, July 14, 2016)]
[Notices]
[Pages 45509-45510]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-16636]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-D-1659]


Bacterial Vaginosis: Developing Drugs for Treatment; Draft 
Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled ``Bacterial 
Vaginosis: Developing Drugs for Treatment.'' The purpose of this 
guidance is to assist sponsors in the clinical development of drugs for 
the treatment of bacterial vaginosis (BV).

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by October 12, 2016.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2016-D-1659 for ``Bacterial Vaginosis: Developing Drugs for 
Treatment; Draft Guidance for Industry; Availability.'' Received 
comments will be placed in the docket and, except for those submitted 
as ``Confidential Submissions,'' publicly viewable at http://www.regulations.gov or at the Division of Dockets Management between 9 
a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    Submit written requests for single copies of the draft guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave., 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002. Send one 
self-addressed adhesive label to assist that office in processing your 
requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.

[[Page 45510]]


FOR FURTHER INFORMATION CONTACT: Edward Weinstein, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 6382, Silver Spring, MD 20993-0002, 301-
796-1400.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Bacterial Vaginosis: Developing Drugs for Treatment.'' The 
purpose of this guidance is to assist sponsors in the development of 
drugs for the treatment of BV. This draft guidance helps define 
enrollment criteria for BV trials and recommends that such trials be 
superiority trials. The draft guidance reflects recent developments in 
scientific information that pertain to drugs being developed for the 
treatment of BV, including the characterization of the primary efficacy 
endpoint.
    Issuance of this guidance fulfills a portion of the requirements of 
Title VIII, section 804, of the Food and Drug Administration Safety and 
Innovation Act (Pub. L. 112-144), which requires FDA to review and, as 
appropriate, revise not fewer than three guidance documents per year 
for the conduct of clinical trials with respect to antibacterial and 
antifungal drugs. In 1998, FDA published a draft guidance entitled 
``Bacterial Vaginosis--Developing Antimicrobial Drugs for Treatment'' 
(the 1998 draft guidance). In a Federal Register notice dated August 7, 
2013 (78 FR 48175), FDA announced an initiative in the Center for Drug 
Evaluation and Research involving the review of draft guidance 
documents issued before 2010 to determine their status and to decide 
whether those guidances should be withdrawn, revised, or finalized with 
only minor changes. In the August 7, 2013, Federal Register notice, FDA 
announced that the 1998 draft guidance, as well as other draft 
guidances, was being withdrawn (78 FR 48175). FDA is now issuing a new 
draft guidance that revises the recommendations in the 1998 draft 
guidance.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on this topic. It 
does not establish any rights for any person and is not binding on FDA 
or the public. You can use an alternative approach if it satisfies the 
requirements of the applicable statutes and regulations.

II. The Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information that are subject to review by the Office of Management and 
Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3520). The collections of information in 21 CFR parts 312 and 314 have 
been approved under OMB control numbers 0910-0014 and 0910-0001, 
respectively.

III. Electronic Access

    Persons with access to the Internet may obtain the draft guidance 
at either http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: July 8, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-16636 Filed 7-13-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                   Federal Register / Vol. 81, No. 135 / Thursday, July 14, 2016 / Notices                                          45509

                                                    importers, who will have more                            Treatment.’’ The purpose of this                      Guidance for Industry; Availability.’’
                                                    responsibility for the safety of imported                guidance is to assist sponsors in the                 Received comments will be placed in
                                                    foods.                                                   clinical development of drugs for the                 the docket and, except for those
                                                    Beyond FSMA’s implementation, the                        treatment of bacterial vaginosis (BV).                submitted as ‘‘Confidential
                                                    FVM Program Strategic Plan provides                      DATES: Although you can comment on                    Submissions,’’ publicly viewable at
                                                    details on our goals of protecting and                   any guidance at any time (see 21 CFR                  http://www.regulations.gov or at the
                                                    enhancing the health of people and                       10.115(g)(5)), to ensure that the Agency              Division of Dockets Management
                                                    animals. The active engagement of all                    considers your comment on this draft                  between 9 a.m. and 4 p.m., Monday
                                                    stakeholders and partners, both internal                 guidance before it begins work on the                 through Friday.
                                                    and external, is critical to the successful              final version of the guidance, submit                    • Confidential Submissions—To
                                                    implementation of this plan.                             either electronic or written comments                 submit a comment with confidential
                                                                                                             on the draft guidance by October 12,                  information that you do not wish to be
                                                    II. Electronic Access                                                                                          made publicly available, submit your
                                                                                                             2016.
                                                      Persons with access to the Internet                                                                          comments only as a written/paper
                                                                                                             ADDRESSES:       You may submit comments              submission. You should submit two
                                                    may obtain the FVM Program Strategic
                                                                                                             as follows:                                           copies total. One copy will include the
                                                    Plan at http://www.regulations.gov.
                                                                                                             Electronic Submissions                                information you claim to be confidential
                                                    III. References                                                                                                with a heading or cover note that states
                                                                                                               Submit electronic comments in the                   ‘‘THIS DOCUMENT CONTAINS
                                                       The following references have been
                                                                                                             following way:                                        CONFIDENTIAL INFORMATION.’’ The
                                                    placed on display in the Division of
                                                                                                               • Federal eRulemaking Portal: http://               Agency will review this copy, including
                                                    Dockets Management (see ADDRESSES)
                                                                                                             www.regulations.gov. Follow the                       the claimed confidential information, in
                                                    and may be seen by interested persons
                                                                                                             instructions for submitting comments.                 its consideration of comments. The
                                                    between 9 a.m. and 4 p.m., Monday
                                                                                                             Comments submitted electronically,                    second copy, which will have the
                                                    through Friday, and are available
                                                                                                             including attachments, to http://                     claimed confidential information
                                                    electronically at http://
                                                                                                             www.regulations.gov will be posted to                 redacted/blacked out, will be available
                                                    www.regulations.gov. (FDA has verified
                                                                                                             the docket unchanged. Because your                    for public viewing and posted on http://
                                                    the Web site addresses in this reference
                                                                                                             comment will be made public, you are                  www.regulations.gov. Submit both
                                                    section, but we are not responsible for
                                                                                                             solely responsible for ensuring that your             copies to the Division of Dockets
                                                    any subsequent changes to the Web sites
                                                                                                             comment does not include any                          Management. If you do not wish your
                                                    after this document publishes in the
                                                                                                             confidential information that you or a                name and contact information to be
                                                    Federal Register.)
                                                                                                             third party may not wish to be posted,                made publicly available, you can
                                                    1. FDA Foods and Veterinary Medicine                     such as medical information, your or                  provide this information on the cover
                                                         Program Strategic Plan, FY 2016–2025,               anyone else’s Social Security number, or
                                                         available at http://www.fda.gov/
                                                                                                                                                                   sheet and not in the body of your
                                                                                                             confidential business information, such               comments and you must identify this
                                                         aboutfda/centersoffices/officeoffoods/
                                                         ucm273269.htm.
                                                                                                             as a manufacturing process. Please note               information as ‘‘confidential.’’ Any
                                                    2. Partnership for Food Protection (PFP)                 that if you include your name, contact                information marked as ‘‘confidential’’
                                                         Strategic Plan FY 2015 through 2020,                information, or other information that                will not be disclosed except in
                                                         available at http://www.fda.gov/                    identifies you in the body of your                    accordance with 21 CFR 10.20 and other
                                                         downloads/ForFederalStateand                        comments, that information will be                    applicable disclosure law. For more
                                                         LocalOfficials/FoodSafetySystem/                    posted on http://www.regulations.gov.                 information about FDA’s posting of
                                                         PartnershipforFoodProtectionPFP/                      • If you want to submit a comment                   comments to public dockets, see 80 FR
                                                         UCM423834.pdf.                                      with confidential information that you                56469, September 18, 2015, or access
                                                      Dated: July 11, 2016.                                  do not wish to be made available to the               the information at: http://www.fda.gov/
                                                    Leslie Kux,                                              public, submit the comment as a                       regulatoryinformation/dockets/
                                                    Associate Commissioner for Policy.                       written/paper submission and in the                   default.htm.
                                                    [FR Doc. 2016–16684 Filed 7–13–16; 8:45 am]
                                                                                                             manner detailed (see ‘‘Written/Paper                     Docket: For access to the docket to
                                                                                                             Submissions’’ and ‘‘Instructions’’).                  read background documents or the
                                                    BILLING CODE 4164–01–P
                                                                                                                                                                   electronic and written/paper comments
                                                                                                             Written/Paper Submissions
                                                                                                                                                                   received, go to http://
                                                    DEPARTMENT OF HEALTH AND                                    Submit written/paper submissions as                www.regulations.gov and insert the
                                                    HUMAN SERVICES                                           follows:                                              docket number, found in brackets in the
                                                                                                                • Mail/Hand delivery/Courier (for                  heading of this document, into the
                                                    Food and Drug Administration                             written/paper submissions): Division of               ‘‘Search’’ box and follow the prompts
                                                                                                             Dockets Management (HFA–305), Food                    and/or go to the Division of Dockets
                                                    [Docket No. FDA–2016–D–1659]                             and Drug Administration, 5630 Fishers                 Management, 5630 Fishers Lane, Rm.
                                                                                                             Lane, Rm. 1061, Rockville, MD 20852.                  1061, Rockville, MD 20852.
                                                    Bacterial Vaginosis: Developing Drugs
                                                                                                                • For written/paper comments                          Submit written requests for single
                                                    for Treatment; Draft Guidance for
                                                                                                             submitted to the Division of Dockets                  copies of the draft guidance to the
                                                    Industry; Availability
                                                                                                             Management, FDA will post your                        Division of Drug Information, Center for
                                                                                                             comment, as well as any attachments,                  Drug Evaluation and Research, Food
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    AGENCY:    Food and Drug Administration,
                                                    HHS.                                                     except for information submitted,                     and Drug Administration, 10001 New
                                                    ACTION:   Notice of availability.                        marked and identified, as confidential,               Hampshire Ave., Hillandale Building,
                                                                                                             if submitted as detailed in                           4th Floor, Silver Spring, MD 20993–
                                                    SUMMARY:  The Food and Drug                              ‘‘Instructions.’’                                     0002. Send one self-addressed adhesive
                                                    Administration (FDA or Agency) is                           Instructions: All submissions received             label to assist that office in processing
                                                    announcing the availability of a draft                   must include the Docket No. FDA–                      your requests. See the SUPPLEMENTARY
                                                    guidance for industry entitled ‘‘Bacterial               2016–D–1659 for ‘‘Bacterial Vaginosis:                INFORMATION section for electronic
                                                    Vaginosis: Developing Drugs for                          Developing Drugs for Treatment; Draft                 access to the draft guidance document.


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                                                    45510                          Federal Register / Vol. 81, No. 135 / Thursday, July 14, 2016 / Notices

                                                    FOR FURTHER INFORMATION CONTACT:                         II. The Paperwork Reduction Act of                    Reauthorization Act of 2010 (Pub. L.
                                                    Edward Weinstein, Center for Drug                        1995                                                  111–358).
                                                    Evaluation and Research, Food and                           This guidance refers to previously                 DATES:
                                                    Drug Administration, 10903 New                           approved collections of information that                • Submission period begins: July 7,
                                                    Hampshire Ave., Bldg. 22, Rm. 6382,                      are subject to review by the Office of                2016.
                                                    Silver Spring, MD 20993–0002, 301–                       Management and Budget (OMB) under                       • Submission period ends: August 8,
                                                    796–1400.                                                the Paperwork Reduction Act of 1995                   2016.
                                                    SUPPLEMENTARY INFORMATION:                               (44 U.S.C. 3501–3520). The collections                  • Evaluation begins: August 9, 2016.
                                                                                                             of information in 21 CFR parts 312 and                  • Evaluation ends: August 19, 2016.
                                                    I. Background                                            314 have been approved under OMB                        • Winners notified: August 22, 2016.
                                                                                                             control numbers 0910–0014 and 0910–                     • Winners Announced: August 29,
                                                       FDA is announcing the availability of                                                                       2016.
                                                    a draft guidance for industry entitled                   0001, respectively.
                                                                                                                                                                     • Winner Presentation: September
                                                    ‘‘Bacterial Vaginosis: Developing Drugs                  III. Electronic Access                                26–27, 2016.
                                                    for Treatment.’’ The purpose of this                        Persons with access to the Internet
                                                    guidance is to assist sponsors in the                                                                          FOR FURTHER INFORMATION CONTACT:
                                                                                                             may obtain the draft guidance at either               Debbie Bucci, debbie.bucci@hhs.gov
                                                    development of drugs for the treatment                   http://www.fda.gov/Drugs/Guidance
                                                    of BV. This draft guidance helps define                                                                        (preferred), (202) 690–0213.
                                                                                                             ComplianceRegulatoryInformation/
                                                    enrollment criteria for BV trials and                                                                          SUPPLEMENTARY INFORMATION:
                                                                                                             Guidances/default.htm or http://
                                                    recommends that such trials be                           www.regulations.gov.                                  Subject of Challenge
                                                    superiority trials. The draft guidance
                                                                                                               Dated: July 8, 2016.                                  A Blockchain is a data structure that
                                                    reflects recent developments in
                                                    scientific information that pertain to                   Leslie Kux,                                           can be timed-stamped and signed using
                                                    drugs being developed for the treatment                  Associate Commissioner for Policy.                    a private key to prevent tampering.
                                                    of BV, including the characterization of                 [FR Doc. 2016–16636 Filed 7–13–16; 8:45 am]           There are generally three types of
                                                    the primary efficacy endpoint.                           BILLING CODE 4164–01–P                                Blockchain: Public, private and
                                                                                                                                                                   consortium. Potential uses include:
                                                       Issuance of this guidance fulfills a                                                                          • Digitally sign information,
                                                    portion of the requirements of Title VIII,                                                                       • Computable enforcement of policies
                                                                                                             DEPARTMENT OF HEALTH AND
                                                    section 804, of the Food and Drug                                                                              and contracts (smart contracts),
                                                                                                             HUMAN SERVICES
                                                    Administration Safety and Innovation                                                                             • Management of Internet of Things
                                                    Act (Pub. L. 112–144), which requires                    Office of the National Coordinator for                devices,
                                                    FDA to review and, as appropriate,                       Health Information Technology;                          • Distributed encrypted storage, and
                                                    revise not fewer than three guidance                     Announcement of Requirements and                        • Distributed trust.
                                                    documents per year for the conduct of                    Registration for ‘‘Blockchain and its                   This Ideation Challenge solicits White
                                                    clinical trials with respect to                          Emerging Role in Health IT and Health-                Papers on the topic of Blockchain
                                                    antibacterial and antifungal drugs. In                   related Research’’; Amendment                         Technology and the Potential for Its Use
                                                    1998, FDA published a draft guidance                                                                           in Health IT and/or Healthcare Related
                                                    entitled ‘‘Bacterial Vaginosis—                          AGENCY:   Office of the National
                                                                                                             Coordinator for Health Information                    Research Data. This nationwide call
                                                    Developing Antimicrobial Drugs for                                                                             may be addressed by an individual
                                                    Treatment’’ (the 1998 draft guidance). In                Technology, HHS. Award Approving
                                                                                                             Official: Karen DeSalvo, National                     investigator or an investigator team.
                                                    a Federal Register notice dated August                                                                         Interested parties should submit a White
                                                    7, 2013 (78 FR 48175), FDA announced                     Coordinator for Health Information
                                                                                                             Technology.                                           Paper no longer than 10 pages
                                                    an initiative in the Center for Drug                                                                           describing the proposed subject.
                                                    Evaluation and Research involving the                    ACTION: Notice; Amendment.
                                                                                                                                                                   Investigators or co-investigators may
                                                    review of draft guidance documents                       SUMMARY:   This document amends the                   only participate in one submission. Up
                                                    issued before 2010 to determine their                    notice published in Federal Register,                 to 15 of these submissions will be
                                                    status and to decide whether those                       Friday July 8, 2016, volume 81, pages                 selected as winners. The selection of a
                                                    guidances should be withdrawn,                           44639–44640. This notice updates and                  White Paper may also result in an
                                                    revised, or finalized with only minor                    extends the submission period to                      invitation to present at an upcoming
                                                    changes. In the August 7, 2013, Federal                  August 8, 2016, limits an investigator or             industry-wide workshop on September
                                                    Register notice, FDA announced that                      co-investigator to one submission and                 26th–27th, 2016, at NIST Headquarters
                                                    the 1998 draft guidance, as well as other                adds prize details. The ‘‘Use of                      in Gaithersburg, MD.
                                                    draft guidances, was being withdrawn                     Blockchain in Health IT and Health-
                                                    (78 FR 48175). FDA is now issuing a                      related Research’’ Ideation Challenge                 Objective
                                                    new draft guidance that revises the                      solicits white papers on the topic of                   The goal of this Ideation Challenge is
                                                    recommendations in the 1998 draft                        Blockchain Technology and the                         to solicit White Papers that investigate
                                                    guidance.                                                potential use in Health IT to address                 the relationship between Blockchain
                                                       This draft guidance is being issued                   privacy, security and scalability                     technology and its use in Health IT and/
                                                    consistent with FDA’s good guidance                      challenges of managing electronic                     or Health Related research. The paper
                                                    practices regulation (21 CFR 10.115).                    health record and resources. Up to 15                 should discuss the cryptography and
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    The draft guidance, when finalized, will                 winners will be awarded a cash prize                  underlying fundamentals of Blockchain
                                                    represent the current thinking of FDA                    and up to 8 winners may be invited to                 technology, examine how the use of
                                                    on this topic. It does not establish any                 present their papers at an upcoming                   Blockchain can advance industry
                                                    rights for any person and is not binding                 industry-wide workshop co-hosted with                 interoperability needs expressed in the
                                                    on FDA or the public. You can use an                     the National Institute of Standards and               ONC’s Shared Nationwide
                                                    alternative approach if it satisfies the                 Technology (NIST). The statutory                      Interoperability Roadmap, as well as for
                                                    requirements of the applicable statutes                  authority for this Challenge is section               Patient Centered Outcomes Research
                                                    and regulations.                                         105 of the America COMPETES                           (PCOR), the Precision Medicine


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Document Created: 2016-07-14 01:54:44
Document Modified: 2016-07-14 01:54:44
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of availability.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance by October 12, 2016.
ContactEdward Weinstein, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 6382, Silver Spring, MD 20993-0002, 301- 796-1400.
FR Citation81 FR 45509 

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