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A Study to Evaluate Adverse Events and Change in Disease Activity in Participants Between 18 to 75 Years of Age Treated With Intravenous (IV) Infusion and Subcutaneous (SC) Injections of ABBV-154 for Moderately to Severely Active Crohn's Disease

Phase 2
Terminated
Conditions
Crohn's Disease
Interventions
Drug: Placebo
Registration Number
NCT05068284
Lead Sponsor
AbbVie
Brief Summary

Crohn's disease (CD) is a long-lasting condition causing inflammation that can affect any part of the gut. CD may cause tiredness, loose stools with or without bleeding, abdominal pain, weight loss, and fever. This study evaluates how safe and effective ABBV-154 is in participants treated for moderately to severely active CD. Adverse events and change in the disease activity will be assessed.

ABBV-154 is an investigational drug being evaluated for the treatment of CD. In the induction period, there is a 1 in 5 chance that participants will be assigned to placebo. Depending on the dose received in the induction period, there is a 1 in 2 or 1 in 3 chance that participants will be assigned to placebo in the maintenance period. Around 265 participants 18-75 years of age with moderately to severely active CD will be enrolled in the study at approximately 200 sites worldwide.

The study is comprised of a 12-week double-blind, placebo-controlled induction period, followed by either a 12-week double-blind re-induction period for non-responders or a 40-week double-blind placebo-controlled maintenance period for responders. In the maintenance period, responders will be randomized to receive subcutaneous placebo or ABBV-154 in 2 different doses every other week. Participants in the placebo group who are initial responders will receive ABBV-154 in the maintenance period.

There may be higher treatment burden for participants in this trial compared to their standard of care due to study procedures. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
176
Inclusion Criteria
  • Confirmed diagnosis of Crohn's Disease (CD) for at least 3 months prior to Baseline of the Induction Period.
  • Crohn's Disease Activity Index (CDAI) score 220 to 450 at Baseline of the Induction Period.
  • Endoscopic evidence of mucosal inflammation as documented by an Simple Endoscopic Score for Crohn's Disease (SES-CD) of >= 6 for ileocolonic or colonic disease or SES-CD of >= 4 for isolated ileal disease as scored by a central reader. All eligible scores must exclude the presence of narrowing component.
  • Demonstrated intolerance or inadequate response to one or more of the following biologic agents: infliximab, adalimumab, certolizumab pegol, vedolizumab, natalizumab, ustekinumab, or risankizumab.
Exclusion Criteria
  • Participants with prior intolerance to adalimumab.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Induction Phase: ABBV-154 Randomized Dose DPlaceboVarying doses of ABBV-154 as described in the protocol.
Induction Phase: Randomized PlaceboPlaceboFixed dose placebo as described in the protocol.
Maintenance Phase: Randomized PlaceboPlaceboFixed dose placebo every other week.
Induction Phase: ABBV-154 Randomized Dose BABBV-154Varying doses of ABBV-154 as described in the protocol.
Induction Phase: ABBV-154 Randomized Dose CABBV-154Varying doses of ABBV-154 as described in the protocol.
Induction Phase: ABBV-154 Randomized Dose DABBV-154Varying doses of ABBV-154 as described in the protocol.
Re-Induction Phase: ABBV-154 Randomized Dose BABBV-154Varying doses of ABBV-154 as described in the protocol.
Maintenance Phase: ABBV-154 Randomized Dose AABBV-154Fixed dose ABBV-154 every other week.
Maintenance Phase: ABBV-154 Randomized Dose BABBV-154Fixed dose ABBV-154 every other week.
Induction Phase: ABBV-154 Randomized Dose AABBV-154Varying doses of ABBV-154 as described in the protocol.
Re-Induction Phase: ABBV-154 Randomized Dose AABBV-154Varying doses of ABBV-154 as described in the protocol.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Endoscopic Response Per Simple Endoscopic Score for Crohn's Disease (SES-CD)Baseline to Week 12

The SES-CD assesses endoscopic disease severity by evidence of active intestinal mucosal inflammation. Endoscopic response is defined as a decrease in SES-CD \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline). The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 (worst) in 5 segments assessed during ileocolonoscopy (ileum, right colon, transverse colon, sigmoid and left colon, and rectum). The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores indicate more severe disease.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Clinical Remission Per Crohn's Disease Activity Index (CDAI)Induction Period Week 12

The CDAI consists of 8 components; 6 are based on participant diary entries, participant interviews, and physical examinations, and 2 are based on laboratory analysis, and measurement of body weight and height. Clinical remission is defined as CDAI \< 150.

Percentage of Participants Achieving Clinical Remission Per Average Daily Liquid or Very Soft Stool Frequency (SF) and Average Daily Abdominal Pain (AP) Score (SF/AP)Induction Period Week 12

Clinical remission is defined as average daily liquid or very soft stool SF \<= 2.8 and not worse than Baseline and average daily AP score \<= 1 and not worse than Baseline.

Percentage of Participants Achieving Endoscopic Response Per SES-CDWeek 40 in the Maintenance Period

The SES-CD assesses endoscopic disease severity by evidence of active intestinal mucosal inflammation. Endoscopic response is defined as a decrease in SES-CD \> 50% from Baseline (or for participants with isolated ileal disease and a Baseline SES-CD of 4, at least a 2-point reduction from Baseline).

Percentage of Participants Achieving Clinical Remission Per CDAIWeek 40 in the Maintenance Period

The CDAI consists of 8 components; 6 are based on participant diary entries, participant interviews, and physical examinations, and 2 are based on laboratory analysis, and measurement of body weight and height. Clinical remission is defined as CDAI \< 150.

Percentage of Participants Achieving Clinical Remission Per SF/APWeek 40 in the Maintenance Period

Clinical remission is defined as average daily liquid or very soft SF \<= 2.8 and not worse than Baseline and average daily AP score \<= 1 and not worse than Baseline.

Trial Locations

Locations (166)

Southern California Res. Ctr. /ID# 233512

🇺🇸

Coronado, California, United States

Hoag Memorial Hosp Presbyterian /ID# 233555

🇺🇸

Irvine, California, United States

University of Colorado Hospital /ID# 239361

🇺🇸

Aurora, Colorado, United States

Medical Research Center of CT /ID# 233542

🇺🇸

Hamden, Connecticut, United States

University of Miami /ID# 233811

🇺🇸

Miami, Florida, United States

Gastroenterology Group Naples /ID# 233829

🇺🇸

Naples, Florida, United States

Digestive Disease Consultants - Orange Park /ID# 241015

🇺🇸

Orange Park, Florida, United States

Endoscopic Research, Inc. /ID# 234279

🇺🇸

Orlando, Florida, United States

IMIC Inc. Medical Research /ID# 233821

🇺🇸

Palmetto Bay, Florida, United States

Emory University /ID# 241014

🇺🇸

Atlanta, Georgia, United States

Gastroenterology Associates of Central Georgia, LLC /ID# 245604

🇺🇸

Macon, Georgia, United States

GI Specialists of GA, PC /ID# 239261

🇺🇸

Marietta, Georgia, United States

Southwest Gastroenterology /ID# 234278

🇺🇸

Oak Lawn, Illinois, United States

The University of Chicago DCAM /ID# 233824

🇺🇸

Chicago, Illinois, United States

Digestive Health Services /ID# 241177

🇺🇸

Downers Grove, Illinois, United States

University of Louisville /ID# 233766

🇺🇸

Louisville, Kentucky, United States

University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 233765

🇺🇸

Ann Arbor, Michigan, United States

Gastroenterology Associates of Western Michigan, PLC d.b.a. West Michigan Clinic /ID# 233763

🇺🇸

Wyoming, Michigan, United States

Mayo Clinic - Rochester /ID# 238516

🇺🇸

Rochester, Minnesota, United States

Las Vegas Medical Research /ID# 233826

🇺🇸

Las Vegas, Nevada, United States

The Mount Sinai Hospital /ID# 233823

🇺🇸

New York, New York, United States

Lenox Hill Hospital /ID# 239312

🇺🇸

New York, New York, United States

Univ NC Chapel Hill /ID# 233557

🇺🇸

Chapel Hill, North Carolina, United States

New York Gastroenterology Associates /ID# 241967

🇺🇸

New York, New York, United States

Northshore Gastroentrology Research LLC /ID# 239307

🇺🇸

Brooklyn, Ohio, United States

University of Cincinnati /ID# 234237

🇺🇸

Cincinnati, Ohio, United States

Hightower Clinical /ID# 239598

🇺🇸

Oklahoma City, Oklahoma, United States

Digestive Disease Specialists /ID# 233825

🇺🇸

Oklahoma City, Oklahoma, United States

University of Pennsylvania /ID# 239291

🇺🇸

Philadelphia, Pennsylvania, United States

Allegheny Health Network Research Institute /ID# 239334

🇺🇸

Pittsburgh, Pennsylvania, United States

Gastroenterology Associates, P.A. of Greenville /ID# 233544

🇺🇸

Greenville, South Carolina, United States

Gastro One /ID# 239748

🇺🇸

Cordova, Tennessee, United States

Southern Star Research Institute, LLC /ID# 240132

🇺🇸

San Antonio, Texas, United States

Tyler Research Institute, LLC /ID# 233730

🇺🇸

Tyler, Texas, United States

Gastro Health & Nutrition - Victoria /ID# 240158

🇺🇸

Victoria, Texas, United States

University of Utah Hospitals and Clinics /ID# 239264

🇺🇸

Salt Lake City, Utah, United States

Gastro Health Research /ID# 240085

🇺🇸

Fairfax, Virginia, United States

Hunter Holmes McGuire VA Medical Center /ID# 233759

🇺🇸

Richmond, Virginia, United States

Concord Repatriation General /ID# 233467

🇦🇺

Concord, New South Wales, Australia

Princess Alexandra Hospital /ID# 234243

🇦🇺

Woolloongabba, Queensland, Australia

Royal Adelaide Hospital /ID# 233705

🇦🇺

Adelaide, South Australia, Australia

The Queen Elizabeth Hospital /ID# 234242

🇦🇺

Woodville South, South Australia, Australia

Monash Medical Centre /ID# 233469

🇦🇺

Clayton, Victoria, Australia

Fiona Stanley Hospital /ID# 240136

🇦🇺

Murdoch, Western Australia, Australia

Medizinische Universitaet Innsbruck /ID# 234217

🇦🇹

Innsbruck, Tirol, Austria

Medizinische Universitaet Wien /ID# 234218

🇦🇹

Vienna, Wien, Austria

Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 234069

🇦🇹

Salzburg, Austria

UCL Saint-Luc /ID# 232435

🇧🇪

Woluwe-Saint-Lambert, Bruxelles-Capitale, Belgium

UZ Gent /ID# 246877

🇧🇪

Gent, Oost-Vlaanderen, Belgium

AZ-Delta /ID# 232437

🇧🇪

Roeselare, West-Vlaanderen, Belgium

AZ Maria Middelares /ID# 246880

🇧🇪

Gent, Belgium

CHU de Liege /ID# 232436

🇧🇪

Liege, Belgium

UMHAT Kaspela /ID# 232468

🇧🇬

Plovdiv, Bulgaria

Second MHAT Sofia /ID# 250706

🇧🇬

Sofia, Bulgaria

UMHAT Sveti Ivan Rilski /ID# 233522

🇧🇬

Sofia, Bulgaria

UMHAT Tsaritsa Joanna - ISUL /ID# 234135

🇧🇬

Sofia, Bulgaria

Acibadem City Clinic University Hospital EOOD /ID# 240003

🇧🇬

Sofia, Bulgaria

University of Calgary /ID# 233838

🇨🇦

Calgary, Alberta, Canada

Gastroenterology and Internal Medicine Research Institution /ID# 233831

🇨🇦

Edmonton, Alberta, Canada

QE II Health Sciences Centre /ID# 233839

🇨🇦

Halifax, Nova Scotia, Canada

London Health Sciences Center- University Hospital /ID# 234058

🇨🇦

London, Ontario, Canada

Scott Shulman Medicine Professional Corporation /ID# 239567

🇨🇦

North Bay, Ontario, Canada

Toronto Immune and Digestive Health Institute Inc /ID# 234142

🇨🇦

North York, Ontario, Canada

Hepato-Gastroenterologie HK, s.r.o. /ID# 239965

🇨🇿

Hradec Kralove, Czechia

ARTROSCAN s.r.o. /ID# 239882

🇨🇿

Ostrava, Czechia

Ustredni Vojenska Nemocnice - Vojenska fakultni nemocnice Praha /ID# 238486

🇨🇿

Prague 6, Czechia

Nemocnice Horovice - NH Hospital a.s /ID# 233915

🇨🇿

Praha, Czechia

CHU Montpellier - Hôpital Saint Eloi /ID# 241136

🇫🇷

Montpellier Cedex 5, Herault, France

CHU de SAINT ETIENNE - Hopital Nord /ID# 234225

🇫🇷

St. Priest En Jarez, Loire, France

CHRU Nancy - Hopitaux de Brabois /ID# 234224

🇫🇷

Vandoeuvre-les-Nancy, Meurthe-et-Moselle, France

AP-HP - Hopital Saint-Louis /ID# 234227

🇫🇷

Paris, France

Universitaetsklinikum Freiburg /ID# 233719

🇩🇪

Freiburg, Baden-Wuerttemberg, Germany

Universitatsklinikum Mannheim /ID# 233716

🇩🇪

Mannheim, Baden-Wuerttemberg, Germany

Universitaetsklinikum Ulm /ID# 233531

🇩🇪

Ulm, Baden-Wuerttemberg, Germany

Universitaetsklinikum Erlangen /ID# 233529

🇩🇪

Erlangen, Bayern, Germany

Universitatsklinik Regensburg /ID# 238702

🇩🇪

Ratisbon, Bayern, Germany

Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 233527

🇩🇪

Kiel, Schleswig-Holstein, Germany

DRK Kliniken Berlin Westend /ID# 233718

🇩🇪

Berlin, Germany

Medizinische Hochschule Hannover /ID# 238804

🇩🇪

Hannover, Germany

EUGASTRO GmbH /ID# 233717

🇩🇪

Leipzig, Germany

Klinikum Lueneburg /ID# 233720

🇩🇪

Lueneburg, Germany

General Hospital of Athens Ippokratio /ID# 231655

🇬🇷

Athens, Attiki, Greece

General Hospital of Chest Diseases of Athens SOTIRIA /ID# 231660

🇬🇷

Athens, Attiki, Greece

University General Hospital of Heraklion PA.G.N.I /ID# 231657

🇬🇷

Heraklion, Kriti, Greece

Clinfan Szolgaltato Kft. /ID# 249662

🇭🇺

Szekszard, Hungary

The Edith Wolfson Medical Center /ID# 234042

🇮🇱

Ashkelon, HaDarom, Israel

Tel Aviv Sourasky Medical Center /ID# 238525

🇮🇱

Tel Aviv, Tel-Aviv, Israel

Soroka University Medical Center /ID# 233458

🇮🇱

Be'er Sheva, HaDarom, Israel

The Chaim Sheba Medical Center /ID# 233457

🇮🇱

Ramat Gan, Tel-Aviv, Israel

Shaare Zedek Medical Center /ID# 233460

🇮🇱

Jerusalem, Yerushalayim, Israel

Hadassah Medical Center-Hebrew University /ID# 233518

🇮🇱

Jerusalem, Yerushalayim, Israel

ASST Rhodense/Presidio Ospedaliero di Rho /ID# 233386

🇮🇹

Rho, Milano, Italy

Policlinico Agostino Gemelli /ID# 233380

🇮🇹

Rome, Roma, Italy

Azienda Ospedaliera Universitaria Consorziale Policlinico /ID# 233387

🇮🇹

Bari, Italy

Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 233382

🇮🇹

Milan, Italy

Aichi Medical University Hospital /ID# 238528

🇯🇵

Nagakute-shi, Aichi, Japan

Nagoya City University Hospital /ID# 238368

🇯🇵

Nagoya shi, Aichi, Japan

Daido Clinic /ID# 239730

🇯🇵

Nagoya-shi, Aichi, Japan

Nagoya University Hospital /ID# 238662

🇯🇵

Nagoya-shi, Aichi, Japan

Tsujinaka Hospital Kashiwanoha /ID# 239012

🇯🇵

Kashiwa-shi, Chiba, Japan

Fukushima Medical University Hospital /ID# 239314

🇯🇵

Fukushima-shi, Fukushima, Japan

Gunma University Hospital /ID# 239913

🇯🇵

Maebashi-shi, Gunma, Japan

Hiroshima University Hospital /ID# 238947

🇯🇵

Hiroshima-shi, Hiroshima, Japan

Asahikawa City Hospital /ID# 248061

🇯🇵

Asahikawa-shi, Hokkaido, Japan

Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 238791

🇯🇵

Sapporo-shi, Hokkaido, Japan

Sapporo Medical University Hospital /ID# 239201

🇯🇵

Sapporo-shi, Hokkaido, Japan

Sapporo IBD Clinic /ID# 239054

🇯🇵

Sapporo-shi, Hokkaido, Japan

Hyogo Medical University Hospital /ID# 239049

🇯🇵

Nishinomiya-shi, Hyogo, Japan

Kanazawa University Hospital /ID# 239670

🇯🇵

Kanazawa-shi, Ishikawa, Japan

Iwate Medical University Uchimaru Medical Center /ID# 238953

🇯🇵

Morioka-shi, Iwate, Japan

St. Marianna University Hospital /ID# 239167

🇯🇵

Kawasaki-shi, Kanagawa, Japan

University Hospital Kyoto Prefectural University of Medicine /ID# 239918

🇯🇵

Kyoto-shi, Kyoto, Japan

Mie University Hospital /ID# 239758

🇯🇵

Tsu-shi, Mie, Japan

Tohoku University Hospital /ID# 238476

🇯🇵

Sendai-shi, Miyagi, Japan

Okayama University Hospital /ID# 239757

🇯🇵

Okayama-shi, Okayama, Japan

Osaka Metropolitan University Hospital /ID# 238638

🇯🇵

Osaka-shi, Osaka, Japan

Osaka University Hospital /ID# 240485

🇯🇵

Suita-shi, Osaka, Japan

Hamamatsu University Hospital /ID# 238527

🇯🇵

Hamamatsu-shi, Shizuoka, Japan

NHO Shizuoka Medical Center /ID# 239759

🇯🇵

Sunto-gun, Shizuoka, Japan

Tokyo Medical And Dental University Hospital /ID# 238950

🇯🇵

Bunkyo-ku, Tokyo, Japan

The Catholic University of Korea, Daejeon St.Mary's Hospital /ID# 233700

🇰🇷

Daejeon, Korea, Republic of

Kyorin University Hospital /ID# 239609

🇯🇵

Mitaka-shi, Tokyo, Japan

Tokyo Medical University Hospital /ID# 239668

🇯🇵

Shinjuku-ku, Tokyo, Japan

Tokyo Women's Medical University Hospital /ID# 239760

🇯🇵

Shinjuku-ku, Tokyo, Japan

Asan Medical Center /ID# 233701

🇰🇷

Seoul, Korea, Republic of

Japan Community Health care Organization Tokyo Yamate Medical Center /ID# 239554

🇯🇵

Shinjuku-ku, Tokyo, Japan

Yamagata University Hospital /ID# 239572

🇯🇵

Yamagata-shi, Yamagata, Japan

Samsung Medical Center /ID# 233698

🇰🇷

Seoul, Korea, Republic of

Radboud Universitair Medisch Centrum /ID# 241292

🇳🇱

Nijmegen, Gelderland, Netherlands

Academisch Medisch Centrum /ID# 232123

🇳🇱

Amsterdam, Netherlands

Wellington Regional Hospital /ID# 238326

🇳🇿

Newtown, Wellington, New Zealand

Hutt Hospital /ID# 238327

🇳🇿

Lower Hutt, New Zealand

Dunedin Hospital /ID# 238325

🇳🇿

Otago, New Zealand

Planetmed Sp. z o.o. /ID# 238447

🇵🇱

Wroclaw, Dolnoslaskie, Poland

WIP Warsaw IBD Point Profesor Kierkus /ID# 233533

🇵🇱

Warsaw, Mazowieckie, Poland

Panstwowy Instytut Medyczny MSWiA w Warszawie /ID# 238653

🇵🇱

Warszawa, Mazowieckie, Poland

Endoskopia Sp. z o.o. /ID# 249906

🇵🇱

Sopot, Pomorskie, Poland

Hospital da Senhora da Oliveira Guimaraes, EPE /ID# 249047

🇵🇹

Guimaraes, Braga, Portugal

Mindful Medical Research /ID# 249609

🇵🇷

San Juan, Puerto Rico

Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica /ID# 232373

🇸🇰

Banska Bystrica, Slovakia

ENDOMED s.r.o. /ID# 241855

🇸🇰

Košice, Slovakia

KM Management, spol. s.r.o. /ID# 241849

🇸🇰

Nitra, Slovakia

Hospital Arquitecto Marcide - Complejo Hospitalario Universitario de Ferrol /ID# 232299

🇪🇸

Ferrol, A Coruna, Spain

Hospital Santa Creu i Sant Pau /ID# 232301

🇪🇸

Barcelona, Spain

Hospital Universitario La Paz /ID# 232300

🇪🇸

Madrid, Spain

Hospital Clinico Universitario de Valencia /ID# 234103

🇪🇸

Valencia, Spain

China Medical University Hospital /ID# 234132

🇨🇳

Taichung, Taiwan

Taichung Veterans General Hospital /ID# 234131

🇨🇳

Taichung, Taiwan

National Taiwan University Hospital /ID# 234134

🇨🇳

Taipei City, Taiwan

Royal Devon University Healthcare NHS Foundation Trust /ID# 234194

🇬🇧

Exeter, Devon, United Kingdom

University Hospital Southampton NHS Foundation Trust /ID# 238960

🇬🇧

Southampton, Hampshire, United Kingdom

Barts Health NHS Trust /ID# 234188

🇬🇧

London, London, City Of, United Kingdom

Guys and St Thomas NHS Foundation Trust /ID# 234191

🇬🇧

London, London, City Of, United Kingdom

NHS Greater Glasgow and Clyde /ID# 234186

🇬🇧

Glasgow, Scotland, United Kingdom

St George's University Hospitals NHS Foundation Trust /ID# 234193

🇬🇧

Tooting, United Kingdom

2CA-Braga, Hospital de Braga /ID# 249049

🇵🇹

Braga, Portugal

Digestive Health Specialists of the Southeast /ID# 239599

🇺🇸

Dothan, Alabama, United States

East View Medical Research, LLC /ID# 240030

🇺🇸

Mobile, Alabama, United States

Center hospital of the National Center for Global Health and Medicine /ID# 239792

🇯🇵

Shinjuku-ku, Tokyo, Japan

General Hospital of Nikaia-Piraeus "Agios Panteleimon" /ID# 231659

🇬🇷

Pireaus, Greece

Atlantic Medical Research /ID# 233506

🇺🇸

Margate, Florida, United States

AGILE Clinical Research Trials /ID# 233739

🇺🇸

Atlanta, Georgia, United States

Gastroenterology Consultants, P.C /ID# 233552

🇺🇸

Roswell, Georgia, United States

Louisiana Research Center, LLC /ID# 245370

🇺🇸

Shreveport, Louisiana, United States

Allied Health Clinical Research Organization, LLC /ID# 241935

🇺🇸

Englewood, New Jersey, United States

Toronto Digestive Disease Associates, Inc. /ID# 234143

🇨🇦

Vaughan, Ontario, Canada

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