MedPath

A Study to Test Whether BI 1819479 Improves Lung Function in People With Idiopathic Pulmonary Fibrosis (IPF)

Phase 2
Active, not recruiting
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
Drug: Placebo matching BI 1819479
Registration Number
NCT06335303
Lead Sponsor
Boehringer Ingelheim
Brief Summary

This study is open to adults 40 years or older with idiopathic pulmonary fibrosis (IPF). People can join the study if they are not on any treatment for IPF are on stable treatment for at least 3 months before starting the study. The purpose of this study is to find out whether a medicine called BI 1819479 helps people with IPF. 3 different doses of BI 1819479 are tested in this study.

Participants are put into 4 groups by chance. Participants in 3 groups get different doses of BI 1819479. Participants in 1 group get placebo. Placebo tablets look like BI 1819479 tablets, but do not contain any medicine. Participants take the treatment for 6 months to 1 year. Participants are in the study for up to 1 year and 2 months. During this time, they visit the study site between 10 and 12 times and get up to 11 phone calls from the site staff.

At site visits doctors regularly perform breathing tests that measure how well the lungs are working. Researchers compare the results between participants who take BI 1819479 and placebo. The doctors also regularly check participants' health and take note of any unwanted effects.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
300
Inclusion Criteria
  1. Patients โ‰ฅ40 years old at the time of signed informed consent.
  2. Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
  3. Diagnosis of Idiopathic Pulmonary Fibrosis (IPF)
  4. On stable treatment with nintedanib or pirfenidone for at least 12 weeks or not on treatment with either nintedanib or pirfenidone for at least 12 weeks
  5. Forced Vital Capacity (FVC) โ‰ฅ45% of predicted normal.
  6. Diffusion capacity of the lung for carbon monoxide (DLCO) โ‰ฅ25% of predicted normal corrected for hemoglobin (Hb).
  7. Women of childbearing potential (WOCBP) must use highly effective methods of birth control with low user dependency and additional barrier contraception for male partners (use of condom) until end of follow-up period.
  8. Male trial participants with WOCBP partners must use contraception (condom) to avoid exposure via seminal fluid. Female partners of male trial participants must use highly effective methods of contraception during treatment until end of follow-up period.
Exclusion Criteria
  1. Acute exacerbation of Idiopathic Pulmonary Fibrosis (IPF) within at least 12 weeks prior to screening and/or during the screening period (investigator-determined).
  2. Treated with immunosuppressive medications (other than oral corticosteroids) or prednisone >15 mg/day or equivalent for respiratory or pulmonary reasons.
  3. Patients who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial.
  4. The patient is currently enrolled in another investigational device or drug trial, or their Visit 1 occurs less than 30 days or 5 half-lives (whichever is longer) after completing a previous investigational device or drug trial or receiving other investigational treatments.
  5. Patients with a significant disease or condition other than the IPF under study, which in the opinion of the investigator, may put the patient at risk because of participation, interfere with trial procedures, or cause concern regarding the patient's ability to participate in the trial or any medical condition which could lead to a life expectancy <12 months.
  6. Relevant airways obstruction (pre-bronchodilator forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) <0.7).
  7. In the opinion of the Investigator, other clinically significant pulmonary abnormalities.
  8. Lower respiratory tract infection requiring treatment within 4 weeks prior to Visit 1 and/or during the screening period.

Further exclusion criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo groupPlacebo matching BI 1819479-
BI 1819479 low dose treatment groupBI 1819479-
BI 1819479 medium dose treatment groupBI 1819479-
BI 1819479 high dose treatment groupBI 1819479-
Primary Outcome Measures
NameTimeMethod
Annual rate of decline in Forced Vital Capacity (FVC) [milliLiter/year]Up to 52 weeks
Secondary Outcome Measures
NameTimeMethod
Absolute change from baseline in FVC at Week 24 [in milliLiter]At baseline and at week 24

Trial Locations

Locations (164)

CEDIC - Centro de Investigacion Clinica

๐Ÿ‡ฆ๐Ÿ‡ท

Caba, Argentina

Centro de Investigaciรณn Clinica Belgrano

๐Ÿ‡ฆ๐Ÿ‡ท

Caba, Argentina

University of Alabama at Birmingham

๐Ÿ‡บ๐Ÿ‡ธ

Birmingham, Alabama, United States

Critical Care, Pulmonary and Sleep Associates

๐Ÿ‡บ๐Ÿ‡ธ

Lakewood, Colorado, United States

Clinical Research Specialists LLC

๐Ÿ‡บ๐Ÿ‡ธ

Kissimmee, Florida, United States

SEC Clinical Research

๐Ÿ‡บ๐Ÿ‡ธ

Pensacola, Florida, United States

The Iowa Clinic, PC

๐Ÿ‡บ๐Ÿ‡ธ

West Des Moines, Iowa, United States

Advanced Pulmonary Research

๐Ÿ‡บ๐Ÿ‡ธ

Warren, Michigan, United States

Memorial Hospital Gulfport

๐Ÿ‡บ๐Ÿ‡ธ

Gulfport, Mississippi, United States

Coastal Carolina Health Care, P.A. Pulmonary and Sleep Medicine

๐Ÿ‡บ๐Ÿ‡ธ

New Bern, North Carolina, United States

Southeastern Research Center-Winston Salem-69289

๐Ÿ‡บ๐Ÿ‡ธ

Winston-Salem, North Carolina, United States

Clinical Research Associates of Central PA

๐Ÿ‡บ๐Ÿ‡ธ

DuBois, Pennsylvania, United States

Temple University Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

Lowcountry Lung and Critical Care

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, South Carolina, United States

Spartanburg Medical Research

๐Ÿ‡บ๐Ÿ‡ธ

Spartanburg, South Carolina, United States

Clinical Trials Center of Middle Tennessee, LLC

๐Ÿ‡บ๐Ÿ‡ธ

Franklin, Tennessee, United States

Pulmonary Associates of Richmond, Inc.

๐Ÿ‡บ๐Ÿ‡ธ

Richmond, Virginia, United States

Centro de Investigaciones Metabolicas (CINME)-C.A.B.A-61553

๐Ÿ‡ฆ๐Ÿ‡ท

C.a.b.a, Argentina

Hospital Britanico de Buenos Aires

๐Ÿ‡ฆ๐Ÿ‡ท

Caba, Argentina

Consultorios Mรฉdicos del Buen Ayre

๐Ÿ‡ฆ๐Ÿ‡ท

Capital Federal, Argentina

Canberra Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Garran, Australian Capital Territory, Australia

Royal Prince Alfred Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Camperdown, New South Wales, Australia

Launceston Respiratory & Sleep Centre

๐Ÿ‡ฆ๐Ÿ‡บ

Launceston, Tasmania, Australia

Lung Research Victoria

๐Ÿ‡ฆ๐Ÿ‡บ

Footscray, Victoria, Australia

Austin Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Heidelberg, Victoria, Australia

The Alfred Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Melbourne, Victoria, Australia

Institute for Respiratory Health

๐Ÿ‡ฆ๐Ÿ‡บ

Nedlands, Western Australia, Australia

Macquarie University

๐Ÿ‡ฆ๐Ÿ‡บ

Macquarie Park, Australia

Medical University of Graz State Hospital - University Hospital Graz

๐Ÿ‡ฆ๐Ÿ‡น

Graz, Austria

Krems University Hospital

๐Ÿ‡ฆ๐Ÿ‡น

Krems, Austria

Kepler Univ. Klinikum Linz

๐Ÿ‡ฆ๐Ÿ‡น

Linz, Austria

Hospital Elisabethinen Linz

๐Ÿ‡ฆ๐Ÿ‡น

Linz, Austria

Standort Penzing der Klinik Ottakring

๐Ÿ‡ฆ๐Ÿ‡น

Vienna, Austria

Clinic Floridsdorf

๐Ÿ‡ฆ๐Ÿ‡น

Vienna, Austria

Klinikum Wels - Grieskirchen GmbH

๐Ÿ‡ฆ๐Ÿ‡น

Wels, Austria

Brussels - UNIV Saint-Luc

๐Ÿ‡ง๐Ÿ‡ช

Bruxelles, Belgium

Liรจge - HOSP CHR de la Citadelle

๐Ÿ‡ง๐Ÿ‡ช

Liรจge, Belgium

Serviรงos Medicos Respirar Sul Fluminense

๐Ÿ‡ง๐Ÿ‡ท

Barra Mansa, Brazil

Faculdade de Medicina de Botucatu - UNESP

๐Ÿ‡ง๐Ÿ‡ท

Botucatu, Brazil

Hospital das Clรญnicas da UFG - EBSERH

๐Ÿ‡ง๐Ÿ‡ท

Goiania, Brazil

Irmandade da Santa Casa de Misericรณrdia de Porto Alegre

๐Ÿ‡ง๐Ÿ‡ท

Porto Alegre, Brazil

Pesquisare

๐Ÿ‡ง๐Ÿ‡ท

Santo Andrรฉ, Brazil

Hospital Alemao Oswaldo Cruz

๐Ÿ‡ง๐Ÿ‡ท

Sao Paulo, Brazil

COE Sao Jose dos Campos

๐Ÿ‡ง๐Ÿ‡ท

SJC, Brazil

University of Calgary

๐Ÿ‡จ๐Ÿ‡ฆ

Calgary, Alberta, Canada

QEII Health Sciences Centre

๐Ÿ‡จ๐Ÿ‡ฆ

Halifax, Nova Scotia, Canada

Toronto General Hospital

๐Ÿ‡จ๐Ÿ‡ฆ

Toronto, Ontario, Canada

McGill University Health Centre (MUHC)

๐Ÿ‡จ๐Ÿ‡ฆ

Montreal, Quebec, Canada

Beijing Chao-Yang Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Beijing, China

The Second Xiangya Hospital Of Central South University

๐Ÿ‡จ๐Ÿ‡ณ

Changsha, China

West China Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Chengdu, China

People's Hospital of Sichuan Province

๐Ÿ‡จ๐Ÿ‡ณ

Chengdu, China

First Affiliated Hospital of Guangzhou Medical University

๐Ÿ‡จ๐Ÿ‡ณ

Guangzhou, China

Hangzhou First People's Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Hangzhou, China

Zhejiang Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Hangzhou, China

Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine

๐Ÿ‡จ๐Ÿ‡ณ

Hangzhou, China

Anhui Provincial Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Hefei, China

Nanjing Drum Tower Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Nanjing, China

China Shenyang Chest Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Shenyang, China

Tianjin Medical University General Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Tianjin, China

Tongji Hospital Affiliated Tongji Medical College Huazhong University of S & T

๐Ÿ‡จ๐Ÿ‡ณ

Wuhan, China

Affiliated Hospital, Xuzhou Medical college

๐Ÿ‡จ๐Ÿ‡ณ

Xuzhou, China

Thomayer University Hospital

๐Ÿ‡จ๐Ÿ‡ฟ

Prague, Czechia

University Hospital Bulovka

๐Ÿ‡จ๐Ÿ‡ฟ

Prague, Czechia

Rigshospitalet-Kรธbenhavn ร˜-69883

๐Ÿ‡ฉ๐Ÿ‡ฐ

Kรธbenhavn ร˜, Denmark

Odense University Hospital

๐Ÿ‡ฉ๐Ÿ‡ฐ

Odense, Denmark

HYKS Keuhkosairauksien tutkimusyksikkรถ

๐Ÿ‡ซ๐Ÿ‡ฎ

Helsinki, Finland

Oulun yliopistollinen keskussairaala

๐Ÿ‡ซ๐Ÿ‡ฎ

Oulu, Finland

Tampereen yliopistollinen sairaala

๐Ÿ‡ซ๐Ÿ‡ฎ

Tampere, Finland

TYKS

๐Ÿ‡ซ๐Ÿ‡ฎ

Turku, Finland

HOP d'Angers

๐Ÿ‡ซ๐Ÿ‡ท

Angers, France

HOP Avicenne

๐Ÿ‡ซ๐Ÿ‡ท

Bobigny, France

HOP Louis Pradel

๐Ÿ‡ซ๐Ÿ‡ท

Bron, France

HOP CHU Caen

๐Ÿ‡ซ๐Ÿ‡ท

Caen, France

INS Coeur Poumon

๐Ÿ‡ซ๐Ÿ‡ท

Lille, France

HOP Nord

๐Ÿ‡ซ๐Ÿ‡ท

Marseille, France

HOP Pasteur

๐Ÿ‡ซ๐Ÿ‡ท

Nice, France

HOP Pontchaillou

๐Ÿ‡ซ๐Ÿ‡ท

Rennes, France

HOP Charles Nicolle

๐Ÿ‡ซ๐Ÿ‡ท

Rouen, France

Pneumologische Praxis Dr. Lรถh

๐Ÿ‡ฉ๐Ÿ‡ช

Bad Homburg, Germany

Charite Universitรคtsmedizin Berlin KรถR

๐Ÿ‡ฉ๐Ÿ‡ช

Berlin, Germany

Universitรคtsklinikum Bonn AรถR

๐Ÿ‡ฉ๐Ÿ‡ช

Bonn, Germany

Caritas-Krankenhaus St. Maria gGmbH

๐Ÿ‡ฉ๐Ÿ‡ช

Donaustauf, Germany

Klinikum Fulda gAG

๐Ÿ‡ฉ๐Ÿ‡ช

Fulda, Germany

Universitรคtsmedizin Greifswald

๐Ÿ‡ฉ๐Ÿ‡ช

Greifswald, Germany

Klinikum Region Hannover GmbH

๐Ÿ‡ฉ๐Ÿ‡ช

Hannover, Germany

Lungenklinik Hemer

๐Ÿ‡ฉ๐Ÿ‡ช

Hemer, Germany

Lungenfachklinik Immenhausen

๐Ÿ‡ฉ๐Ÿ‡ช

Immenhausen, Germany

Klinikum Konstanz

๐Ÿ‡ฉ๐Ÿ‡ช

Konstanz, Germany

Universitรคt Leipzig

๐Ÿ‡ฉ๐Ÿ‡ช

Leipzig, Germany

Klinikum der Universitรคt Mรผnchen Aร–R

๐Ÿ‡ฉ๐Ÿ‡ช

Mรผnchen, Germany

Univ. Gen. Hosp. of Ioannina

๐Ÿ‡ฌ๐Ÿ‡ท

Ioannina, Greece

Univ. Gen. Hosp. of Patras

๐Ÿ‡ฌ๐Ÿ‡ท

Patras, Greece

Hospital of Heraklion (PAGNI)

๐Ÿ‡ฌ๐Ÿ‡ท

Voutes, Greece

University of Debrecen Clinical Centre

๐Ÿ‡ญ๐Ÿ‡บ

Debrecen, Hungary

A. O. Universitaria Careggi

๐Ÿ‡ฎ๐Ÿ‡น

Firenze, Italy

Ospedale Colonnello D Avanzo

๐Ÿ‡ฎ๐Ÿ‡น

Foggia, Italy

Ospedale G.B. Morgagni

๐Ÿ‡ฎ๐Ÿ‡น

Forli', Italy

Azienda Ospedaliera San Martino

๐Ÿ‡ฎ๐Ÿ‡น

Genova, Italy

Ospedale Classificato San Giuseppe

๐Ÿ‡ฎ๐Ÿ‡น

Milano, Italy

Azienda Ospedaliera Universitaria di Padova

๐Ÿ‡ฎ๐Ÿ‡น

Padova, Italy

Pol. Universitario Tor Vergata

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

Fondazione Policlinico Universitario A. Gemelli IRCCS

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

Azienda Ospedaliera Sant'Andrea-Universitร  di Roma La Sapienza

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

Tosei General Hospital

๐Ÿ‡ฏ๐Ÿ‡ต

Aichi, Seto, Japan

University of Fukui Hospital

๐Ÿ‡ฏ๐Ÿ‡ต

Fukui, Yoshida-gun, Japan

National Hospital Organization Kyushu Medical Center

๐Ÿ‡ฏ๐Ÿ‡ต

Fukuoka, Fukuoka, Japan

Kyushu University Hospital

๐Ÿ‡ฏ๐Ÿ‡ต

Fukuoka, Fukuoka, Japan

Kanagawa Cardiovascular and Respiratory Center

๐Ÿ‡ฏ๐Ÿ‡ต

Kanagawa, Yokohama, Japan

National Hospital Organization Kinki-Chuo Chest Medical Center

๐Ÿ‡ฏ๐Ÿ‡ต

Osaka, Sakai, Japan

Hamamatsu University Hospital

๐Ÿ‡ฏ๐Ÿ‡ต

Shizuoka, Hamamatsu, Japan

Tokushima University Hospital

๐Ÿ‡ฏ๐Ÿ‡ต

Tokushima, Tokushima, Japan

Kyorin University Hospital

๐Ÿ‡ฏ๐Ÿ‡ต

Tokyo, Mitaka, Japan

Toho University Omori Medical Center

๐Ÿ‡ฏ๐Ÿ‡ต

Tokyo, Ota-ku, Japan

National Center for Global Health and Medicine

๐Ÿ‡ฏ๐Ÿ‡ต

Tokyo, Shinjuku-ku, Japan

The Catholic University of Korea, Bucheon St.Mary's Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Bucheon, Korea, Republic of

Inje University Haeundae Paik Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Busan, Korea, Republic of

Seoul National University Bundang Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Seongnam, Korea, Republic of

Inje University Sanggye Paik Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Korea, Republic of

Kyung Hee University Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Korea, Republic of

Severance Hospital

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Korea, Republic of

Soonchunhyang University Hospital Seoul

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Korea, Republic of

Asan Medical Center

๐Ÿ‡ฐ๐Ÿ‡ท

Seoul, Korea, Republic of

Hospital Sultan Idris Shah Serdang

๐Ÿ‡ฒ๐Ÿ‡พ

Kajang, Malaysia

Institut Perubatan Respiratori

๐Ÿ‡ฒ๐Ÿ‡พ

Kuala Lumpur, Malaysia

Sarawak General Hospital

๐Ÿ‡ฒ๐Ÿ‡พ

Kuching, Sarawak, Malaysia

Waikato Hospital

๐Ÿ‡ณ๐Ÿ‡ฟ

Hamilton, New Zealand

Greenlane Clinical Centre

๐Ÿ‡ณ๐Ÿ‡ฟ

One Tree Hill, Auckland, New Zealand

Haukeland Universitetssykehus

๐Ÿ‡ณ๐Ÿ‡ด

Bergen, Norway

Akershus Universitetssykehus HF

๐Ÿ‡ณ๐Ÿ‡ด

Lรธrenskog, Norway

Clin.Hosp.Med.Univ.Marcinkowski in Poznan

๐Ÿ‡ต๐Ÿ‡ฑ

Poznan, Poland

Alergopneuma Medical Center

๐Ÿ‡ต๐Ÿ‡ฑ

Swidnik, Poland

Singapore General Hospital

๐Ÿ‡ธ๐Ÿ‡ฌ

Singapore, Singapore

Tan Tock Seng Hospital

๐Ÿ‡ธ๐Ÿ‡ฌ

Singapore, Singapore

Hospital General Universitario de Alicante

๐Ÿ‡ช๐Ÿ‡ธ

Alicante, Spain

Hospital Vall d'Hebron

๐Ÿ‡ช๐Ÿ‡ธ

Barcelona, Spain

Hospital de Galdakao

๐Ÿ‡ช๐Ÿ‡ธ

Galdakao, Spain

Hospital de Bellvitge

๐Ÿ‡ช๐Ÿ‡ธ

L'Hospitalet de Llobregat, Spain

Hospital La Princesa

๐Ÿ‡ช๐Ÿ‡ธ

Madrid, Spain

Hospital Universitario Infanta Leonor

๐Ÿ‡ช๐Ÿ‡ธ

Madrid, Spain

Hospital Virgen de la Victoria

๐Ÿ‡ช๐Ÿ‡ธ

Malaga, Spain

Hospital Central de Asturias

๐Ÿ‡ช๐Ÿ‡ธ

Oviedo, Spain

Hospital Universitario Marquรฉs de Valdecilla

๐Ÿ‡ช๐Ÿ‡ธ

Santander, Spain

Hospital Clรญnico de Santiago

๐Ÿ‡ช๐Ÿ‡ธ

Santiago de Compostela, Spain

Hospital Virgen del Rocรญo

๐Ÿ‡ช๐Ÿ‡ธ

Sevilla, Spain

Karolinska University Hospital

๐Ÿ‡ธ๐Ÿ‡ช

Stockholm, Sweden

CTC Clinical Trial Consultants AB

๐Ÿ‡ธ๐Ÿ‡ช

Uppsala, Sweden

Kaohsiung Medical University Chung-Ho Memorial Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Kaohsiung, Taiwan

Kaohsiung Chang Gung Memorial Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Kaohsiung, Taiwan

Taichung Veterans General Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Taichung, Taiwan

National Taiwan University Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Taipei, Taiwan

Chang Gung Memorial Hospital(Linkou)

๐Ÿ‡จ๐Ÿ‡ณ

TaoYuan, Taiwan

Chulalongkorn Hospital

๐Ÿ‡น๐Ÿ‡ญ

Bangkok, Thailand

Songklanagarind Hospital

๐Ÿ‡น๐Ÿ‡ญ

Hat Yai, Thailand

Srinagarind Hospital

๐Ÿ‡น๐Ÿ‡ญ

Khon Kaen, Thailand

Ramathibodi Hospital

๐Ÿ‡น๐Ÿ‡ญ

Ratchathewi, Thailand

Heartlands Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

Birmingham, United Kingdom

Castle Hill Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

Cottingham, Hull, United Kingdom

Royal Devon and Exeter Hospital, Wonford

๐Ÿ‡ฌ๐Ÿ‡ง

Exeter, United Kingdom

Royal Lancaster Infirmary

๐Ÿ‡ฌ๐Ÿ‡ง

Lancaster, United Kingdom

St James's University Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

Leeds, United Kingdom

Royal Brompton Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

London, United Kingdom

Wythenshawe Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

Manchester, United Kingdom

Churchill Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

Oxford, United Kingdom

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