MedPath

Trial of Therapeutic Cancer Vaccine OSE2101 in Patients With Non-Small Cell Lung Cancer and Secondary Resistance to Immune Checkpoint Inhibitor

Phase 3
Recruiting
Conditions
Patients With Non-Small Cell Lung Cancer
Interventions
Device: NGS HLAA2 assay
Registration Number
NCT06472245
Lead Sponsor
OSE Immunotherapeutics
Brief Summary

Multicenter, randomized (2:1), open-label phase 3 study in HLA-A2 positive patients with squamous and non-squamous metastatic NSCLC with ICI secondary resistance.

Patients will be randomized into 2 arms (randomization 2:1): experimental Arm A with OSE2101 monotherapy or control Arm B SoC with docetaxel monotherapy. Stratification factors will be histology (squamous versus non squamous) and ECOG Performance Status (0 versus 1).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
363
Inclusion Criteria
  1. Male or female, aged ≥ 18 years
  2. Patients expressing HLA-A2 phenotype in blood by pre-screening central laboratory
  3. Patients with histologically or cytologically squamous or non-squamous documented NSCLC, metastatic stage at study entry, not eligible for definite surgery or radiation, without EGFR, ALK and ROS1 gene alterations eligible for targeted therapy; other sensitizing mutations known to be immunosensitive are eligible in case of lack of local access to targeted therapy (i.e.; KRAS G12C and BRAF mutations) after Sponsor's agreement
  4. Patients with secondary resistance to ICI;

Other inclusion and exclusion criteria will apply per protocol.

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A: OSE2101NGS HLAA2 assayUnit dose: 1 mL corresponding to a total of 5 mg of the combination of peptides Mode/Route: Subcutaneous injection Regimen: One injection every three weeks for six cycles, then every eight weeks for the remainder of year one and, finally every twelve weeks until the end of second year.
Arm B: DocetaxelNGS HLAA2 assayUnit dose: 75 mg/m2 Mode/Route: Intravenous infusion over 1 hour Regimen: One infusion every three weeks.
GenDx CDx TedopiNGS HLAA2 assaySystem of qualitative companion diagnostic devices, consisting of a polymerase chain reaction (PCR) assay Amp-HLA-A-CDx Tedopi, a DNA library preparation assay, LFK-CDx Tedopi and the software NGSengine-CDx Tedopi.
Arm A: OSE2101OSE2101Unit dose: 1 mL corresponding to a total of 5 mg of the combination of peptides Mode/Route: Subcutaneous injection Regimen: One injection every three weeks for six cycles, then every eight weeks for the remainder of year one and, finally every twelve weeks until the end of second year.
Arm B: DocetaxelDocetaxelUnit dose: 75 mg/m2 Mode/Route: Intravenous infusion over 1 hour Regimen: One infusion every three weeks.
Primary Outcome Measures
NameTimeMethod
OS defined as time from randomization to deathFrom randomization date through study completion, an average of 3 years

OS defined as time from randomization to death of any cause, censored until the data analysis cut-off date

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (205)

Hôpital Michallon

🇫🇷

La Tronche, Rhône, France

Clinical Research Advisors, LLC

🇺🇸

Beverly Hills, California, United States

Clinical Research Advisors - Encino

🇺🇸

Encino, California, United States

Clinical Research Advisors - West Hollywood

🇺🇸

Los Angeles, California, United States

Clinical Research Advisors - Korea Town

🇺🇸

Los Angeles, California, United States

SCL Health - Saint Joseph Hospital Cancer Center

🇺🇸

Littleton, Colorado, United States

Lutheran Medical Center - Cancer Centers of Colorado

🇺🇸

Wheat Ridge, Colorado, United States

Ascension Saint Agnes Hospital

🇺🇸

Baltimore, Maryland, United States

University of Massachusetts Memorial Medical Center

🇺🇸

Worcester, Massachusetts, United States

Mercy Health - Perrysburg Cancer Center

🇺🇸

Perrysburg, Ohio, United States

Mercy Health - St. Anne Cancer Center

🇺🇸

Toledo, Ohio, United States

Northwest Medical Specialties - Bonney Lake

🇺🇸

Bonney Lake, Washington, United States

Northwest Medical Specialties - Federal Way

🇺🇸

Federal Way, Washington, United States

Northwest Medical Specialties - Gig Harbor

🇺🇸

Gig Harbor, Washington, United States

Northwest Medical Specialties - Puyallup Medical Oncology

🇺🇸

Puyallup, Washington, United States

Jessa Ziekenhuis - Campus Virga Jesse

🇧🇪

Hasselt, Limburg, Belgium

Centre Intégré Universitaire de Santé et de Services Sociaux du Saguenay - Lac-Saint-Jean

🇨🇦

Chicoutimi, Quebec, Canada

McGill University Health Centre

🇨🇦

Montréal, Quebec, Canada

Hôpital Louis Pradel

🇫🇷

Bron, Rhone-Alpes, France

Hôpital de la Croix Rousse

🇫🇷

Lyon, Rhone-Alpes, France

Institut Sainte Catherine

🇫🇷

Avignon, Vaucluse, France

Groupe Hospitalier Paris Saint-Joseph

🇫🇷

Paris, Île-de-France, France

Hôpital Cochin

🇫🇷

Paris, Île-de-France, France

Robert-Bosch-Krankenhaus

🇩🇪

Stuttgart, Bade-Wurtemberg, Germany

Thoraxklinik-Heidelberg

🇩🇪

Heidelberg, Baden-Wuerttemberg, Germany

Asklepios Fachkliniken München-Gauting

🇩🇪

Gauting, Bayern, Germany

München Klinik Bogenhausen

🇩🇪

München, Bayern, Germany

Klinikum Kassel

🇩🇪

Kassel, Hessen, Germany

Universitätsklinikum Aachen

🇩🇪

Aachen, Nordrhein-Westfalen, Germany

Universitätsklinikum Bonn

🇩🇪

Bonn, Nordrhein-Westfalen, Germany

Universitätsklinikum Essen

🇩🇪

Essen, Nordrhein-Westfalen, Germany

Universitätsklinikum Gießen und Marburg - Gießen

🇩🇪

Homburg, Saarland, Germany

LungenClinic Grosshansdorf

🇩🇪

Grosshansdorf, Schleswig-Holstein, Germany

Krankenhaus Martha-Maria Halle-Dölau

🇩🇪

Halle, Sachsen-Anhalt, Germany

Charité - Universitätsmedizin Berlin

🇩🇪

Berlin, Germany

Metropolitan Hospital

🇬🇷

Piraeus, Athens, Greece

Henry Dunant Hospital Center

🇬🇷

Athens, Attica, Greece

University General Hospital of Patras

🇬🇷

Patra, Peloponnese, Greece

Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Istituto Clinico Humanitas

🇮🇹

Rozzano, Milan, Italy

Azienda Ospedaliera Universitaria - Università degli Studi della Campania Luigi Vanvitelli

🇮🇹

Napoli, Naples, Italy

Ospedale P. Pederzoli - Casa di Cura Privata S.p.A.

🇮🇹

Legnago, Verona, Italy

Ospedale Vito Fazzi Lecce

🇮🇹

Lecce, Italy

Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele

🇮🇹

Milan, Italy

Fondazione IRCCS - Istituto Nazionale dei Tumori

🇮🇹

Milan, Italy

Ospedale Busonera - Istituto Oncologico Veneto (IOV) - Padua

🇮🇹

Padova, Italy

Azienda Ospedaliera San Camillo Forlanini

🇮🇹

Rome, Italy

Azienda Ospedaliera Universitaria Senese - L'ospedale Santa Maria alle Scotte

🇮🇹

Siena, Italy

Universitair Medisch Centrum Groningen

🇳🇱

Groningen, Netherlands

Wielkopolskie Centrum Pulmonologii i Torakochirurgii im. Eugenii i Janusza Zeylandów

🇵🇱

Poznan, Wielkopolskie, Poland

Hospital CUF Porto

🇵🇹

Porto, Portugal

Unidade Local de Saúde de Coimbra

🇵🇹

Coimbra, Portugal

Gustave Roussy

🇫🇷

Villejuif, Val-de-Marne, France

Unidade Local de Saúde de Gaia/Espinho, E. P. E

🇵🇹

Vila Nova de Gaia, Portugal

Institutul Oncologic Prof. Dr. Ion Chiricuta

🇷🇴

Cluj-Napoca, Cluj, Romania

Institut Català d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)

🇪🇸

L'Hospitalet De Llobregat, Barcelona, Spain

Hospital Clinic de Barcelona

🇪🇸

Barcelona, Spain

Hospital General Universitario Gregorio Marañón

🇪🇸

Madrid, Spain

Comprehensive Hematology Oncology - Brandon Clinic

🇺🇸

Brandon, Florida, United States

University Hospitals of Leicester NHS Trust

🇬🇧

Leicester, England, United Kingdom

Eastern Connecticut Hematology and Oncology Associates

🇺🇸

Norwich, Connecticut, United States

Georgetown Lombardi Comprehensive Cancer Center

🇺🇸

Washington, District of Columbia, United States

Comprehensive Hematology Oncology - Bradenton Clinic

🇺🇸

Bradenton, Florida, United States

Cancer Specialists of North Florida - Fleming Island

🇺🇸

Fleming Island, Florida, United States

Cancer Specialists of North Florida

🇺🇸

Jacksonville Beach, Florida, United States

Cancer Specialists of North Florida - Riverside

🇺🇸

Jacksonville, Florida, United States

Cancer Specialists of North Florida Southside

🇺🇸

Jacksonville, Florida, United States

Cancer Specialists of North Florida - Northside

🇺🇸

Jacksonville, Florida, United States

Cancer Specialists of North Florida - Southpoint

🇺🇸

Jacksonville, Florida, United States

Cancer Specialists of North Florida - Baptist South

🇺🇸

Jacksonville, Florida, United States

Comprehensive Hematology Oncology - Largo Clinic

🇺🇸

Largo, Florida, United States

Cancer Specialists of North Florida - Beaches

🇺🇸

Neptune Beach, Florida, United States

Comprehensive Hematology Oncology - Palm Harbor Clinic

🇺🇸

Palm Harbor, Florida, United States

Cancer Specialists Of North Florida - St. Augustine

🇺🇸

Saint Augustine, Florida, United States

Comprehensive Hematology Oncology - Bayfront Clinic

🇺🇸

Saint Petersburg, Florida, United States

Comprehensive Hematology Oncology

🇺🇸

Saint Petersburg, Florida, United States

Comprehensive Hematology Oncology - Trinity Clinic

🇺🇸

Trinity, Florida, United States

University of Illinois Cancer Center

🇺🇸

Chicago, Illinois, United States

Alliance for Multispecialty Research (AMR) - Kansas City Oncology

🇺🇸

Merriam, Kansas, United States

Mary Bird Perkins Cancer Center - Baton Rouge

🇺🇸

Baton Rouge, Louisiana, United States

Pontchartrain Cancer Center - Covington Office

🇺🇸

Covington, Louisiana, United States

Pontchartrain Cancer Center - Hammond Office

🇺🇸

Hammond, Louisiana, United States

Nebraska Hematology-Oncology - Revive Research Institute LLC

🇺🇸

Lincoln, Nebraska, United States

New York Cancer & Blood Specialists - Babylon Medical Oncology

🇺🇸

Babylon, New York, United States

Optum Medical Care - Carmel/Brewster Campus

🇺🇸

Brewster, New York, United States

New York Cancer & Blood Specialists - Eastchester Cancer Care Center

🇺🇸

Bronx, New York, United States

New York Cancer & Blood Specialists - Riverhead Medical Oncology

🇺🇸

Bronx, New York, United States

Brooklyn Radiation Oncology

🇺🇸

Brooklyn, New York, United States

Optum Medical Care - Fishkill Westage Campus

🇺🇸

Fishkill, New York, United States

Clinical Research Alliance

🇺🇸

Lake Success, New York, United States

Optum Medical Care - Mount Kisco Campus 90

🇺🇸

Mount Kisco, New York, United States

New York Cancer & Blood Specialists - New Hyde Park

🇺🇸

New Hyde Park, New York, United States

Optum Hematology Oncology - Lake Success

🇺🇸

New Hyde Park, New York, United States

New York Cancer & Blood Specialists - Cancer Center - Research Headquarters

🇺🇸

New York, New York, United States

New York Cancer & Blood Specialists - Central Park Medical Oncology

🇺🇸

New York, New York, United States

New York Cancer & Blood Specialists - Patchogue Medical Oncology

🇺🇸

Patchogue, New York, United States

New York Cancer & Blood Specialists - Port Jefferson Medical Oncology

🇺🇸

Port Jefferson Station, New York, United States

New York Cancer & Blood Specialists - Port Jefferson Station Medical Oncology

🇺🇸

Port Jefferson Station, New York, United States

Optum Medical Care - Poughkeepsie

🇺🇸

Poughkeepsie, New York, United States

Bon Secours Hematology and Oncology

🇺🇸

Greenville, South Carolina, United States

Tennessee Oncology - Chattanooga - Medical Park II

🇺🇸

Chattanooga, Tennessee, United States

Tennessee Oncology - Chattanooga - Downtown

🇺🇸

Chattanooga, Tennessee, United States

Tennessee Oncology - Chattanooga - GHCR Site I

🇺🇸

Chattanooga, Tennessee, United States

Tennessee Oncology - Chattanooga - Memorial Plaza

🇺🇸

Chattanooga, Tennessee, United States

Tennessee Oncology - Cleveland Clinic

🇺🇸

Cleveland, Tennessee, United States

Tennessee Oncology - Cookeville Clinic

🇺🇸

Cookeville, Tennessee, United States

Tennessee Oncology - Dickson Clinic

🇺🇸

Dickson, Tennessee, United States

Tennessee Oncology - Franklin Clinic

🇺🇸

Franklin, Tennessee, United States

Tennessee Oncology - Gallatin Clinic

🇺🇸

Gallatin, Tennessee, United States

Tennessee Oncology - Hendersonville Clinic

🇺🇸

Hendersonville, Tennessee, United States

Tennessee Oncology - Hermitage - Summit Clinic

🇺🇸

Hermitage, Tennessee, United States

Tennessee Oncology - Lebanon Clinic

🇺🇸

Lebanon, Tennessee, United States

Tennessee Oncology - Murfreesboro Clinic

🇺🇸

Murfreesboro, Tennessee, United States

Tennessee Oncology - Nashville - Centennial Center for Blood Cancers Clinic

🇺🇸

Nashville, Tennessee, United States

Tennessee Oncology - Nashville - Centennial Clinic - Medical Oncology

🇺🇸

Nashville, Tennessee, United States

Tennessee Oncology - Nashville - Midtown Center for Blood Cancers

🇺🇸

Nashville, Tennessee, United States

Tennessee Oncology - Nashville - St. Thomas Midtown Clinic

🇺🇸

Nashville, Tennessee, United States

Tennessee Oncology - Nashville - St. Thomas West Clinic

🇺🇸

Nashville, Tennessee, United States

Tennessee Oncology - Nashville - Skyline Clinic

🇺🇸

Nashville, Tennessee, United States

Tennessee Oncology - Nashville - Southern Hills Clinic

🇺🇸

Nashville, Tennessee, United States

Greco-Hainsworth Tennessee Oncology Centers for Research (GHCR) - Corporate

🇺🇸

Nashville, Tennessee, United States

Tennessee Oncology - Shelbyville Clinic

🇺🇸

Shelbyville, Tennessee, United States

Tennessee Oncology - Smyrna Clinic

🇺🇸

Smyrna, Tennessee, United States

Northwest Medical Specialties - Tacoma

🇺🇸

Tacoma, Washington, United States

Algemeen Ziekenhuis Klina

🇧🇪

Brasschaat, Antwerpen, Belgium

Universitair Ziekenhuis Leuven - Campus Gasthuisberg

🇧🇪

Leuven, Flemish Brabant, Belgium

Algemeen Ziekenhuis Maria Middelares

🇧🇪

Gent, Oost-Vlaaderen, Belgium

Centre Hospitalier Universitaire Université Catholique de Louvain Namur - Site Sainte-Elisabeth

🇧🇪

Namur, Wallonia, Belgium

Algemeen Ziekenhuis Groeninge - Campus Kennedylaan

🇧🇪

Kortrijk, West-Vlaanderen, Belgium

Algemeen Ziekenhuis Delta - Campus Rembert Torhout

🇧🇪

Roeselare, West-Vlaanderen, Belgium

Centre Hospitalier Régional et Universitaire de Besançon - Hôpital Jean-Minjoz

🇫🇷

Besançon Cedex, Doubs, France

Algemeen Ziekenhuis Delta - Campus Rumbeke

🇧🇪

Roeselare, West-Vlaanderen, Belgium

Algemeen Ziekenhuis Delta - Campus Menen

🇧🇪

Roeselare, West-Vlaanderen, Belgium

Centre Intégré de Santé et de Services Sociaux du Bas-Saint-Laurent

🇨🇦

Rimouski, Quebec, Canada

Nouvel Hôpital Civil

🇫🇷

Strasbourg cedex, Alsace, France

Centre Hospitalier Regional Universitaire Brest - Hopital de la Cavale Blanche

🇫🇷

Brest, Finistère, France

Hôpital d'Instruction des Armées Sainte-Anne

🇫🇷

Toulon Cedex 9, Alpes-de-Haute-Provence, France

Institut Paoli-Calmettes

🇫🇷

Marseille cedex 9, Bouches-du-Rhône, France

Hôpital Emile Muller

🇫🇷

Mulhouse, Grand Est, France

Centre Hospitalier Universitaire Dupuytren 1

🇫🇷

Limoges, Haute-Vienne, France

Centre Hospitalier Intercommunal de Créteil

🇫🇷

Créteil, Ile-De-France, France

Centre Hospitalier (Ch) De Cholet

🇫🇷

Cholet, Maine-et-Loire, France

Hôpital Arnaud de Villeneuve

🇫🇷

Montpellier, Hérault, France

Hôpital Avicenne

🇫🇷

Bobigny, Ile-de-France, France

Hôpital Tenon

🇫🇷

Paris, Ile-de-France, France

Hôpital Larrey

🇫🇷

Toulouse cedex 9, Midi-pyrenees, France

Hôpital Nord de Marseille

🇫🇷

Marseille, Provence Alpes Cote d´Azur, France

Centre Hospitalier de la Côte Basque

🇫🇷

Bayonne, Pyrénées-Atlantiques, France

Hôpital Pontchaillou

🇫🇷

Rennes cedex 9, Ille-et-Vilaine, France

Institut de Cancérologie de l'Ouest - Saint-Herblain - Site René Gauducheau

🇫🇷

Saint-Herblain, Loire-Atlantique, France

Centre Hospitalier Lyon-Sud

🇫🇷

Lyon, Rhone-alpes, France

Centre Hospitalier Universitaire de Poitiers

🇫🇷

Poitiers, Vienne, France

Centre Hospitalier Départemental Vendée

🇫🇷

La Roche-sur-Yon, France

Centre Hospitalier Le Mans

🇫🇷

Le Mans, France

Centre Hospitalier Universitaire De Nantes - Hôpital Nord Laennec

🇫🇷

Nantes, France

Saint Savvas Anticancer - Oncological Hospital of Athens

🇬🇷

Athens, Attica, Greece

General Hospital for Thoracic Diseases Sotiria

🇬🇷

Athens, Attica, Greece

Agii Anargiri Cancer Hospital

🇬🇷

Néa Kifisiá, Attica, Greece

University General Hospital of Heraklion (PAGNI)

🇬🇷

Heraklion, Crete, Greece

General Hospital of Thessaloniki Papageorgiou

🇬🇷

Thessaloniki, Macedoni, Greece

Theagenio Anti-Cancer Hospital of Thessaloniki

🇬🇷

Thessaloníki, Thessaloniki, Greece

University General Hospital of Larissa

🇬🇷

Larissa, Thessaly, Greece

Mátrai Gyógyintézet

🇭🇺

Gyöngyös, Heves, Hungary

Clinic Agios Loukas

🇬🇷

Thessaloniki, Central Macedonia, Greece

Országos Korányi Pulmonológiai Intézet

🇭🇺

Budapest, Hungary

Clinexpert Kft. telephelye, Bugát Pál Kórház - Phase I. Clinical Trial Site

🇭🇺

Gyöngyös, Hungary

Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST

🇮🇹

Meldola, Forlì-Cesena, Italy

Presidio Ospedaliero di Lucca

🇮🇹

San Filippo, Lucca, Italy

Azienda Ospedaliero - Universitaria San Luigi Gonzaga

🇮🇹

Orbassano, Torino, Italy

Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale Policlinico San Martino

🇮🇹

Genova, Italy

Azienda Ospedaliero-Universitaria Maggiore della Carità di Novara

🇮🇹

Novara, Italy

Azienda Ospedaliero-Universitaria Pisana

🇮🇹

Pisa, Italy

Azienda Unità Sanitaria Locale della Romagna - Ospedale Infermi di Rimini

🇮🇹

Rimini, Italy

IRCCS Istituto Nazionale Tumori Regina Elena

🇮🇹

Roma, Italy

Radboud Universitair Medisch Centrum

🇳🇱

Nijmegen, Gelderland, Netherlands

Erasmus Medisch Centrum

🇳🇱

Rotterdam, Zuid-Holland, Netherlands

Centrum Onkologii Im. Prof. F. Łukaszczyka w Bydgoszczy

🇵🇱

Bydgoszcz, Kujawsko-pomorskie, Poland

Uniwersytecki Szpital Kliniczny Nr 4 w Lublinie

🇵🇱

Lublin, Lubelskie, Poland

Instytut Centrum Zdrowia Matki Polki

🇵🇱

Łódź, Lódzkie, Poland

Uniwersyteckie Centrum Kliniczne w Gdańsku

🇵🇱

Gdańsk, Pomorskie, Poland

Przychodnia Lekarska KOMED Roman Karaszewski

🇵🇱

Konin, Wielkopolskie, Poland

Hospital CUF Descobertas

🇵🇹

Lisboa, Portugal

Unidade Local de Saúde de Santa Maria, E. P. E. - Hospital Pulido Valente

🇵🇹

Lisboa, Portugal

Centrul de Oncologie Sf Nectarie

🇷🇴

Craiova, Dolj, Romania

SC OncoMed SRL

🇷🇴

Timisoara, Timis, Romania

Hospital Son Llàtzer

🇪🇸

Palma De Mallorca, Balearic Islands, Spain

Hospital Germans Trias i Pujol

🇪🇸

Badalona, Barcelona, Spain

Biocruces Bizkaia Instituto de Investigación Sanitaria

🇪🇸

Barakaldo, Biscay, Spain

Complejo Hospitalario Universitario A Coruña

🇪🇸

A Coruña, La Coruña, Spain

Complejo Hospitalario Universitario Insular Materno Infantil

🇪🇸

Las Palmas De Gran Canaria, Las Palmas, Spain

Hospital Universitario Puerta de Hierro - Majadahonda

🇪🇸

Majadahonda, Madrid, Spain

HC Marbella

🇪🇸

Marbella, Malaga, Spain

Clínica Mi Tres Torres

🇪🇸

Barcelona, Spain

Hospital Universitari Dexeus

🇪🇸

Barcelona, Spain

Hospital Universitari Vall d'Hebrón

🇪🇸

Barcelona, Spain

Hospital Universitario Reina Sofía

🇪🇸

Córdoba, Spain

Hospital Universitari de Girona Dr. Josep Trueta

🇪🇸

Girona, Spain

Hospital Universitario Lucus Augusti

🇪🇸

Lugo, Spain

Hospital Universitario Ramón y Cajal

🇪🇸

Madrid, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Regional Universitario de Málaga - Hospital General

🇪🇸

Málaga, Spain

Hospital Universitario Virgen Macarena

🇪🇸

Sevilla, Spain

The Christie NHS Foundation Trust

🇬🇧

Manchester, England, United Kingdom

The Royal Marsden NHS Foundation Trust

🇬🇧

Sutton, England, United Kingdom

The Clatterbridge Cancer Centre NHS Foundation Trust

🇬🇧

Wirral, England, United Kingdom

NHS Grampian

🇬🇧

Aberdeen, Scotland, United Kingdom

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