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Volumn 20, Issue 5, 2014, Pages 319-323

Review of clinical trials of pharmacologic interventions for cancer-related fatigue: Focus on psychostimulants and steroids

Author keywords

Cancer related fatigue; Dexamethasone; Fatigue; Methylphenidate; Pharmacological agents; Psychostimulants

Indexed keywords

ANTIDEPRESSANT AGENT; PSYCHOSTIMULANT AGENT; STEROID; CENTRAL STIMULANT AGENT;

EID: 84927672743     PISSN: 15289117     EISSN: 1540336X     Source Type: Journal    
DOI: 10.1097/ppo.0000000000000069     Document Type: Review
Times cited : (45)

References (47)
  • 1
    • 34250870711 scopus 로고    scopus 로고
    • Symptom prevalence in patients with incurable cancer: A systematic review
    • Teunissen SCCM, Wesker W, Kruitwagen C., et al. Symptom prevalence in patients with incurable cancer: a systematic review. J Pain Symptom Manage. 2007; 34:94-104.
    • (2007) J Pain Symptom Manage. , vol.34 , pp. 94-104
    • Teunissen, S.C.C.M.1    Wesker, W.2    Kruitwagen, C.3
  • 3
    • 40449123218 scopus 로고    scopus 로고
    • Fatigue in palliative care patients - An EAPC approach
    • Radbruch L, Strasser F, Elsner F., et al. Fatigue in palliative care patients-an EAPC approach. Palliat Med. 2008; 22:13-32.
    • (2008) Palliat Med. , vol.22 , pp. 13-32
    • Radbruch, L.1    Strasser, F.2    Elsner, F.3
  • 4
    • 0035879309 scopus 로고    scopus 로고
    • Cancer-related fatigue: Prevalence of proposed diagnostic criteria in a United States sample of cancer survivors
    • Cella D, Davis K, Breitbart W., et al. Cancer-related fatigue: prevalence of proposed diagnostic criteria in a United States sample of cancer survivors. J Clin Oncol. 2001; 19:3385-3391.
    • (2001) J Clin Oncol. , vol.19 , pp. 3385-3391
    • Cella, D.1    Davis, K.2    Breitbart, W.3
  • 5
    • 62449278774 scopus 로고    scopus 로고
    • Evaluation of screening instruments for cancer-related fatigue syndrome in breast cancer survivors
    • Alexander S, Minton O, Stone PC. Evaluation of screening instruments for cancer-related fatigue syndrome in breast cancer survivors. J Clin Oncol. 2009; 27:1197-1201.
    • (2009) J Clin Oncol. , vol.27 , pp. 1197-1201
    • Alexander, S.1    Minton, O.2    Stone, P.C.3
  • 6
    • 27244456661 scopus 로고    scopus 로고
    • Use of a case definition approach to identify cancer-related fatigue in women undergoing adjuvant therapy for breast cancer
    • Andrykowski MA, Schmidt JE, Salsman J.M., et al. Use of a case definition approach to identify cancer-related fatigue in women undergoing adjuvant therapy for breast cancer. J Clin Oncol. 2005; 23:6613-6622.
    • (2005) J Clin Oncol. , vol.23 , pp. 6613-6622
    • Andrykowski, M.A.1    Schmidt, J.E.2    Salsman, J.M.3
  • 7
    • 77957376206 scopus 로고    scopus 로고
    • Cancer-related fatigue: Definitions and clinical subtypes
    • Piper BF, Cella D. Cancer-related fatigue: definitions and clinical subtypes. J Natl Compr Cancer Netw. 2010; 8:958-966.
    • (2010) J Natl Compr Cancer Netw. , vol.8 , pp. 958-966
    • Piper, B.F.1    Cella, D.2
  • 8
    • 0033779589 scopus 로고    scopus 로고
    • Impact of cancer-related fatigue on the lives of patients: New findings from the fatigue coalition
    • Curt GA, Breitbart W, Cella D., et al. Impact of cancer-related fatigue on the lives of patients: new findings from the Fatigue Coalition. Oncologist. 2000; 5:353-360.
    • (2000) Oncologist. , vol.5 , pp. 353-360
    • Curt, G.A.1    Breitbart, W.2    Cella, D.3
  • 9
    • 70450245329 scopus 로고    scopus 로고
    • Distribution and determinants of patient satisfaction in oncology with a focus on health related quality of life
    • Lis C, Rodeghier M, Grutsch J., et al. Distribution and determinants of patient satisfaction in oncology with a focus on health related quality of life. BMC Health ServRes. 2009; 9:190.
    • (2009) BMC Health ServRes. , vol.9 , pp. 190
    • Lis, C.1    Rodeghier, M.2    Grutsch, J.3
  • 10
    • 84875371149 scopus 로고    scopus 로고
    • Inflammation and cancer-related fatigue: Mechanisms, contributing factors, and treatment implications
    • Bower JE, Lamkin DM. Inflammation and cancer-related fatigue: mechanisms, contributing factors, and treatment implications. Brain Behav Immun. 2013; 30(Suppl):S48-S57.
    • (2013) Brain Behav Immun. , vol.30 , pp. S48-S57
    • Bower, J.E.1    Lamkin, D.M.2
  • 11
    • 33846449537 scopus 로고    scopus 로고
    • Palliative management of fatigue at the close of life: "it feels like my body is just worn out."
    • Yennurajalingam S, Bruera E. Palliative management of fatigue at the close of life: "it feels like my body is just worn out." JAMA. 2007; 297:295-304.
    • (2007) JAMA , vol.297 , pp. 295-304
    • Yennurajalingam, S.1    Bruera, E.2
  • 12
    • 79953848707 scopus 로고    scopus 로고
    • Psychostimulants for the management of cancer-related fatigue: A systematic review and meta-analysis
    • Minton O, Richardson A, Sharpe M., et al. Psychostimulants for the management of cancer-related fatigue: a systematic review and meta-analysis. J Pain Symptom Manage. 2011; 41:761-767.
    • (2011) J Pain Symptom Manage. , vol.41 , pp. 761-767
    • Minton, O.1    Richardson, A.2    Sharpe, M.3
  • 13
    • 77957362534 scopus 로고    scopus 로고
    • Psychostimulants for cancer-related fatigue
    • Breitbart W, Alici Y. Psychostimulants for cancer-related fatigue. J Natl Compr Cancer Netw. 2010; 8:933-942.
    • (2010) J Natl Compr Cancer Netw. , vol.8 , pp. 933-942
    • Breitbart, W.1    Alici, Y.2
  • 15
    • 37049031704 scopus 로고    scopus 로고
    • Update on psychotropic medications for cancer-related fatigue
    • Breitbart W, Alici-Evcimen Y. Update on psychotropic medications for cancer-related fatigue. J Natl Compr Cancer Netw. 2007; 5:1081-1091.
    • (2007) J Natl Compr Cancer Netw. , vol.5 , pp. 1081-1091
    • Breitbart, W.1    Alici-Evcimen, Y.2
  • 16
    • 0023122692 scopus 로고
    • Methylphenidate associated with narcotics for the treatment of cancer pain
    • Bruera E, Chadwick S, Hanson J., et al. Methylphenidate associated with narcotics for the treatment of cancer pain. Cancer Treat Rep. 1987; 71:67-70.
    • (1987) Cancer Treat Rep. , vol.71 , pp. 67-70
    • Bruera, E.1    Chadwick, S.2    Hanson, J.3
  • 17
    • 0024604170 scopus 로고
    • Use of methylphenidate as an adjuvant to narcotic analgesics in patients with advanced cancer
    • Bruera E, Paterson AH, MacDonald RN. Use of methylphenidate as an adjuvant to narcotic analgesics in patients with advanced cancer. J Pain Symptom Manage. 1989; 4:3-6.
    • (1989) J Pain Symptom Manage. , vol.4 , pp. 3-6
    • Bruera, E.1    Paterson, A.H.2    Macdonald, R.N.3
  • 18
    • 0642276743 scopus 로고    scopus 로고
    • Patient-controlled methylphenidate for the management of fatigue in patients with advanced cancer: A preliminary report
    • Bruera E, Driver L, Barnes E.A., et al. Patient-controlled methylphenidate for the management of fatigue in patients with advanced cancer: a preliminary report. J Clin Oncol. 2003; 21:4439-4443.
    • (2003) J Clin Oncol. , vol.21 , pp. 4439-4443
    • Bruera, E.1    Driver, L.2    Barnes, E.A.3
  • 19
    • 33646437821 scopus 로고    scopus 로고
    • Patient-controlled methylphenidate for cancer fatigue: A double-blind, randomized, placebo-controlled trial
    • Bruera E, Valero V, Driver L., et al. Patient-controlled methylphenidate for cancer fatigue: a double-blind, randomized, placebo-controlled trial. J Clin Oncol. 2006; 24:2073-2078.
    • (2006) J Clin Oncol. , vol.24 , pp. 2073-2078
    • Bruera, E.1    Valero, V.2    Driver, L.3
  • 20
    • 84883110804 scopus 로고    scopus 로고
    • Methylphenidate and/or a nursing telephone intervention for fatigue in patients with advanced cancer: A randomized, placebo-controlled, phase II trial
    • Bruera E, Yennurajalingam S, Palmer J.L., et al. Methylphenidate and/or a nursing telephone intervention for fatigue in patients with advanced cancer: a randomized, placebo-controlled, phase II trial. J Clin Oncol. 2013; 31:2421-2427.
    • (2013) J Clin Oncol. , vol.31 , pp. 2421-2427
    • Bruera, E.1    Yennurajalingam, S.2    Palmer, J.L.3
  • 21
    • 77956533213 scopus 로고    scopus 로고
    • Phase III, randomized, double-blind, placebo-controlled study of long-acting methylphenidate for cancer-related fatigue: North central cancer treatment group NCCTG-N05C7 trial
    • Moraska AR, Sood A, Dakhil S.R., et al. Phase III, randomized, double-blind, placebo-controlled study of long-acting methylphenidate for cancer-related fatigue: North Central Cancer Treatment Group NCCTG-N05C7 Trial. J Clin Oncol. 2010; 28:3673-3679.
    • (2010) J Clin Oncol. , vol.28 , pp. 3673-3679
    • Moraska, A.R.1    Sood, A.2    Dakhil, S.R.3
  • 22
    • 84893543233 scopus 로고    scopus 로고
    • A randomized, double-blind, 2-period, placebo-controlled crossover trial of a sustained-release methylphenidate in the treatment of fatigue in cancer patients
    • Escalante CP, Reuben JM, Wang X, et al. A randomized, double-blind, 2-period, placebo-controlled crossover trial of a sustained-release methylphenidate in the treatment of fatigue in cancer patients. Cancer J. 2014; 20:8-14.
    • (2014) Cancer J. , vol.20 , pp. 8-14
    • Escalante, C.P.1    Reuben, J.M.2    Wang, X.3
  • 23
    • 84855266772 scopus 로고    scopus 로고
    • Effects of methylphenidate on fatigue and depression: A randomized, double-blind, placebo-controlled trial
    • Kerr CW, Drake J, Milch R.A., et al. Effects of methylphenidate on fatigue and depression: a randomized, double-blind, placebo-controlled trial. J Pain Symptom Manage. 2012; 43:68-77.
    • (2012) J Pain Symptom Manage. , vol.43 , pp. 68-77
    • Kerr, C.W.1    Drake, J.2    Milch, R.A.3
  • 24
    • 84905374182 scopus 로고    scopus 로고
    • Modafinil for the treatment of fatigue in lung cancer: Results of a placebo-controlled, double-blind, randomized trial
    • Spathis A, Fife K, Blackhall F., et al. Modafinil for the treatment of fatigue in lung cancer: results of a placebo-controlled, double-blind, randomized trial. J Clin Oncol. 2014; 32:1882-1888.
    • (2014) J Clin Oncol. , vol.32 , pp. 1882-1888
    • Spathis, A.1    Fife, K.2    Blackhall, F.3
  • 25
    • 66749125910 scopus 로고    scopus 로고
    • A pilot study evaluating the safety and efficacy of modafinil for cancer-related fatigue
    • Blackhall L PG, Shu J., Baum L, et al. A pilot study evaluating the safety and efficacy of modafinil for cancer-related fatigue. J Palliat Med. 2009; 12:433-439.
    • (2009) J Palliat Med. , vol.12 , pp. 433-439
    • Blackhall, L.P.G.1    Shu, J.2    Baum, L.3
  • 26
    • 65949103861 scopus 로고    scopus 로고
    • Modafinil for the treatment of fatigue in lung cancer: A pilot study
    • Spathis A, Dhillan R, Booden D., et al. Modafinil for the treatment of fatigue in lung cancer: a pilot study. Palliat Med. 2009; 23:325-331.
    • (2009) Palliat Med. , vol.23 , pp. 325-331
    • Spathis, A.1    Dhillan, R.2    Booden, D.3
  • 27
    • 77954911792 scopus 로고    scopus 로고
    • A phase 3 randomized, placebo-controlled, double-blind, clinical trial of the effect of modafinil on cancer-related fatigue among 631 patients receiving chemotherapy
    • Jean-Pierre P, Morrow GR, Roscoe J.A., et al. A phase 3 randomized, placebo-controlled, double-blind, clinical trial of the effect of modafinil on cancer-related fatigue among 631 patients receiving chemotherapy. Cancer. 2010; 116:3513-3520.
    • (2010) Cancer , vol.116 , pp. 3513-3520
    • Jean-Pierre, P.1    Morrow, G.R.2    Roscoe, J.A.3
  • 28
    • 77956500143 scopus 로고    scopus 로고
    • Methylphenidate for fatigue in ambulatory men with prostate cancer
    • Roth AJ, Nelson C, Rosenfeld B., et al. Methylphenidate for fatigue in ambulatory men with prostate cancer. Cancer. 2010; 116:5102-5110.
    • (2010) Cancer , vol.116 , pp. 5102-5110
    • Roth, A.J.1    Nelson, C.2    Rosenfeld, B.3
  • 29
    • 76249105846 scopus 로고    scopus 로고
    • Placebo and nocebo effects in randomized double-blind clinical trials of agents for the therapy for fatigue in patients with advanced cancer
    • de la Cruz M, Hui D, Parsons HA, et al. Placebo and nocebo effects in randomized double-blind clinical trials of agents for the therapy for fatigue in patients with advanced cancer. Cancer. 2010; 116:766-774.
    • (2010) Cancer , vol.116 , pp. 766-774
    • De La Cruz, M.1    Hui, D.2    Parsons, H.A.3
  • 30
    • 84886003527 scopus 로고    scopus 로고
    • Reduction of cancer-related fatigue with dexamethasone: A double-blind, randomized, placebo-controlled trial in patients with advanced cancer
    • Yennurajalingam S, Frisbee-Hume S, Palmer J.L., et al. Reduction of cancer-related fatigue with dexamethasone: a double-blind, randomized, placebo-controlled trial in patients with advanced cancer. J Clin Oncol. 2013; 31:3076-3082.
    • (2013) J Clin Oncol. , vol.31 , pp. 3076-3082
    • Yennurajalingam, S.1    Frisbee-Hume, S.2    Palmer, J.L.3
  • 31
    • 0016212363 scopus 로고
    • Corticosteroid therapy of preterminal gastrointestinal cancer
    • Moertel CG, Schutt AJ, Reitemeier R.J., et al. Corticosteroid therapy of preterminal gastrointestinal cancer. Cancer. 1974; 33:1607-1609.
    • (1974) Cancer , vol.33 , pp. 1607-1609
    • Moertel, C.G.1    Schutt, A.J.2    Reitemeier, R.J.3
  • 32
    • 0021929472 scopus 로고
    • Action of oral methylprednisolone in terminal cancer patients: A prospective randomized double-blind study
    • Bruera E, Cedaro L, Carraro S., et al. Action of oral methylprednisolone in terminal cancer patients: a prospective randomized double-blind study. Cancer Treat Rep. 1985; 69:751-754.
    • (1985) Cancer Treat Rep. , vol.69 , pp. 751-754
    • Bruera, E.1    Cedaro, L.2    Carraro, S.3
  • 33
    • 0024819512 scopus 로고
    • Effect of methylprednisolone sodium succi-nate on quality of life in preterminal cancer patients: A placebo-controlled, multicenter study. The methylprednisolone preterminal cancer study group
    • Della Cuna GR PA, Piazzi M. Effect of methylprednisolone sodium succi-nate on quality of life in preterminal cancer patients: a placebo-controlled, multicenter study. The Methylprednisolone Preterminal Cancer Study Group. Eur J Cancer Clin Oncol. 1989; 25:1817-1821.
    • (1989) Eur J Cancer Clin Oncol. , vol.25 , pp. 1817-1821
    • Della Cuna, G.R.P.A.1    Piazzi, M.2
  • 34
    • 7144226597 scopus 로고    scopus 로고
    • Effectiveness of megestrol acetate in patients with advanced cancer: A randomized, double-blind, crossover study
    • Bruera E, Hagen N, Spachynski K., et al. Effectiveness of megestrol acetate in patients with advanced cancer: a randomized, double-blind, crossover study. Cancer Prev Control. 1998; 2:74-78.
    • (1998) Cancer Prev Control. , vol.2 , pp. 74-78
    • Bruera, E.1    Hagen, N.2    Spachynski, K.3
  • 35
    • 84904131349 scopus 로고    scopus 로고
    • Effects of erythropoiesis-stimulating agents on fatigue- and anaemia-related symptoms in cancer patients: Systematic review and meta-analyses of published and unpublished data
    • Bohlius J, Tonia T, Nuesch E., et al. Effects of erythropoiesis-stimulating agents on fatigue- and anaemia-related symptoms in cancer patients: systematic review and meta-analyses of published and unpublished data. Br J Cancer. 2014; 111:33-45.
    • (2014) Br J Cancer , vol.111 , pp. 33-45
    • Bohlius, J.1    Tonia, T.2    Nuesch, E.3
  • 36
    • 84904718819 scopus 로고    scopus 로고
    • Erythropoietin-stimulating agents and clinical outcomes in metastatic breast cancer patients with chemotherapy-induced anemia: A closed debate?
    • Kelada O, Marignol L. Erythropoietin-stimulating agents and clinical outcomes in metastatic breast cancer patients with chemotherapy-induced anemia: a closed debate? Tumor Biology. 2014; 35:5095-5100.
    • (2014) Tumor Biology , vol.35 , pp. 5095-5100
    • Kelada, O.1    Marignol, L.2
  • 37
    • 40349103260 scopus 로고    scopus 로고
    • Venous thromboembolism and mortality associated with recombinant erythropoietin and darbepoetin administration for the treatment of cancer-associated anemia
    • Bennett CL, Silver SM, Djulbegovic B, et al. Venous thromboembolism and mortality associated with recombinant erythropoietin and darbepoetin administration for the treatment of cancer-associated anemia. JAMA. 2008; 299:914-924.
    • (2008) JAMA , vol.299 , pp. 914-924
    • Bennett, C.L.1    Silver, S.M.2    Djulbegovic, B.3
  • 38
    • 84883177002 scopus 로고    scopus 로고
    • Wisconsin ginseng (Panax quinquefolius) to improve cancer-related fatigue: A randomized, doubleblind trial, N07C2
    • Barton DL, Liu H, Dakhil S.R., et al. Wisconsin ginseng (Panax quinquefolius) to improve cancer-related fatigue: a randomized, doubleblind trial, N07C2. J Natl Cancer Inst. 2013; 105:1230-1238.
    • (2013) J Natl Cancer Inst. , vol.105 , pp. 1230-1238
    • Barton, D.L.1    Liu, H.2    Dakhil, S.R.3
  • 39
    • 84903783009 scopus 로고    scopus 로고
    • Screening, assessment, and management of fatigue in adult survivors of cancer: An American society of clinical oncology clinical practice guideline adaptation
    • Bower JE, Bak K, Berger A., et al. Screening, assessment, and management of fatigue in adult survivors of cancer: an American Society of Clinical Oncology Clinical Practice Guideline adaptation. J Clin Oncol. 2014; 32:1840-1850.
    • (2014) J Clin Oncol. , vol.32 , pp. 1840-1850
    • Bower, J.E.1    Bak, K.2    Berger, A.3
  • 40
    • 79958219319 scopus 로고    scopus 로고
    • Guarana (Paullinia cupana) improves fatigue in breast cancer patients undergoing systemic chemotherapy
    • de Oliveira Campos MP, Martins LC, Hassan B.J., et al. Guarana (Paullinia cupana) improves fatigue in breast cancer patients undergoing systemic chemotherapy. J Altern Complement Med. 2011; 17:505-512.
    • (2011) J Altern Complement Med. , vol.17 , pp. 505-512
    • De Oliveira Campos, M.P.1    Martins, L.C.2    Hassan, B.J.3
  • 41
    • 84905396519 scopus 로고    scopus 로고
    • Laying to rest psychostimulants for cancer-related fatigue?
    • Ruddy KJ, Barton D, Loprinzi CL. Laying to rest psychostimulants for cancer-related fatigue? J Clin Oncol. 2014; 32:1865-1867.
    • (2014) J Clin Oncol. , vol.32 , pp. 1865-1867
    • Ruddy, K.J.1    Barton, D.2    Loprinzi, C.L.3
  • 42
    • 63249107999 scopus 로고    scopus 로고
    • A randomized, double-blind, placebo-controlled trial assessing the impact of dexamphetamine on fatigue in patients with advanced cancer
    • Auret KA, Schug SA, Bremner A.P., et al. A randomized, double-blind, placebo-controlled trial assessing the impact of dexamphetamine on fatigue in patients with advanced cancer. J Pain Symptom Manage. 2009; 37:613-621.
    • (2009) J Pain Symptom Manage. , vol.37 , pp. 613-621
    • Auret, K.A.1    Schug, S.A.2    Bremner, A.P.3
  • 43
    • 36148985327 scopus 로고    scopus 로고
    • A phase III, double-blind, placebo-controlled prospective randomized clinical trial of D-threo-methylphenidate HCl in brain tumor patients receiving radiation therapy
    • Butler JM Jr, Case LD, Atkins J, et al. A phase III, double-blind, placebo-controlled prospective randomized clinical trial of D-threo-methylphenidate HCl in brain tumor patients receiving radiation therapy. Int J Radiat Oncol Biol Phys. 2007; 69:1496-1501.
    • (2007) Int J Radiat Oncol Biol Phys. , vol.69 , pp. 1496-1501
    • Butler, J.M.1    Case, L.D.2    Atkins, J.3
  • 44
    • 84881224912 scopus 로고    scopus 로고
    • Testosterone replacement for fatigue in hypogonadal ambulatory males with advanced cancer: A preliminary double-blind placebo-controlled trial
    • del Fabbro E, Garcia JM, Dev R, et al. Testosterone replacement for fatigue in hypogonadal ambulatory males with advanced cancer: a preliminary double-blind placebo-controlled trial. Supportive Care in Cancer. 2013; 21:2599-2607.
    • (2013) Supportive Care in Cancer , vol.21 , pp. 2599-2607
    • Del Fabbro, E.1    Garcia, J.M.2    Dev, R.3
  • 45
    • 84869114410 scopus 로고    scopus 로고
    • L-carnitine supplementation for the management of fatigue in patients with cancer: An Eastern cooperative oncology group phase III, randomized, double-blind, placebo-controlled trial
    • Cruciani RA, Zhang JJ, Manola J, et al. L-Carnitine supplementation for the management of fatigue in patients with cancer: an Eastern Cooperative Oncology Group phase III, randomized, double-blind, placebo-controlled trial. J Clin Oncol. 2012; 30:3864-3869.
    • (2012) J Clin Oncol. , vol.30 , pp. 3864-3869
    • Cruciani, R.A.1    Zhang, J.J.2    Manola, J.3
  • 46
    • 34548166796 scopus 로고    scopus 로고
    • Donepezil for cancer fatigue: A double-blind, randomized, placebo-controlled trial
    • Bruera E, El Osta B, Valero V, et al. Donepezil for cancer fatigue: a double-blind, randomized, placebo-controlled trial. J Clin Oncol. 2007; 25:3475-3481.
    • (2007) J Clin Oncol. , vol.25 , pp. 3475-3481
    • Bruera, E.1    El Osta, B.2    Valero, V.3
  • 47
    • 1542543332 scopus 로고    scopus 로고
    • Differential effects of paroxetine on fatigue and depression: A randomized, double-blind trial from the university of rochester cancer center community clinical oncology program
    • Morrow GR, Hickok JT, Roscoe J.A., et al. Differential effects of paroxetine on fatigue and depression: a randomized, double-blind trial from the University of Rochester Cancer Center Community Clinical Oncology Program. J Clin Oncol. 2003; 21:4635-4641.
    • (2003) J Clin Oncol. , vol.21 , pp. 4635-4641
    • Morrow, G.R.1    Hickok, J.T.2    Roscoe, J.A.3


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