MedPath

Study Evaluating Tarlatamab After Chemoradiotherapy in Limited-Stage Small-Cell Lung Cancer (LS-SCLC)

Phase 3
Recruiting
Conditions
Limited Stage Small Cell Lung Cancer
Small Cell Lung Cancer
Interventions
Drug: Placebo
Registration Number
NCT06117774
Lead Sponsor
Amgen
Brief Summary

The primary objective of this study is to compare the efficacy of tarlatamab with placebo as assessed by progression free survival (PFS).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
400
Inclusion Criteria

-Participants are eligible to be included in the study only if all of the following criteria apply:

  • Participant has provided informed consent prior to initiation of any study specific activities/procedures.
  • Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years).
  • Histologically or cytologically confirmed small-cell lung cancer (SCLC).
  • Diagnosed and treated for LS-SCLC with concurrent chemotherapy and radiotherapy.
  • Has completed chemoradiotherapy without progression per Response Evaluation Criteria in Solid Tumors v1.1 (RECIST 1.1.) (ie, achieved complete response [CR], partial response [PR], or stable disease [SD]).
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1.
  • Minimum life expectancy of 12 weeks.
  • Adequate organ function.
  • Toxicities attributed to concurrent chemoradiotherapy resolved to grade ≤ 1, unless otherwise specified. Excluding alopecia or fatigue.
Exclusion Criteria

-Participants are excluded from the study if any of the following criteria apply:

Disease Related

  • Extensive-stage SCLC (ES-SCLC).
  • Any previous diagnosis of transformed non-small-cell lung cancer (NSCLC), epidermal growth factor receptor (EGFR) activating mutation positive NSCLC that has transformed to SCLC, or mixed SCLC NSCLC histology.
  • Evidence of interstitial lung disease or active, non-infectious pneumonitis. Other Medical Conditions
  • History of other malignancy within the past 2 years, with certain exceptions.
  • History of solid organ transplantation.
  • Myocardial infarction and/or symptomatic congestive heart failure (New York Heart Association > class II) within 6 months prior to first dose of study treatment.
  • History of arterial thrombosis (eg, stroke or transient ischemic attack) within 6 months prior to first dose of study treatment.
  • Exclusion of human immunodeficiency virus (HIV) and/or hepatitis infection based on criteria per protocol.
  • Participant with symptoms and/or clinical signs and/or radiographic signs that indicate an acute and/or uncontrolled active systemic infection within 7 days prior to the first dose of study treatment.

Prior/Concomitant Therapy

  • Received sequential chemotherapy and thoracic radiotherapy (no overlap of thoracic radiotherapy with chemotherapy) during chemoradiation.
  • Prior therapy with any selective inhibitor of the delta-like ligand 3 (DLL3) pathway.
  • Prior history of severe or life-threatening events from any immune-mediated therapy.
  • Receiving another anti-cancer therapy. Adjuvant hormonal therapy for resected breast cancer is permitted.
  • Receiving systemic corticosteroid therapy or any other form of immunosuppressive therapy within 7 days prior to enrollment.
  • Major surgical procedures within 28 days prior to first dose of study treatment.
  • Treatment with live virus, including live-attenuated vaccination, within 14 days prior to the first dose of study treatment. Inactive vaccines and live viral non-replicating vaccines within 3 days prior to first dose of study treatment.

Prior/Concurrent Clinical Study Experience

• Treatment in an alternative investigational trial within 28 days prior to enrollment.

Other Exclusions

  • Female participants of childbearing potential unwilling to use protocol specified method of contraception during treatment and for an additional 60 days after the last dose of study treatment.
  • Female participants who are breastfeeding or who plan to breastfeed while on study through 60 days after the last dose of study treatment.
  • Female participants planning to become pregnant or donate eggs while on study through 60 days after the last dose of study treatment.
  • Female participants of childbearing potential with a positive pregnancy test assessed at screening by a highly sensitive serum pregnancy test.
  • Male participants with a female partner of childbearing potential who are unwilling to practice sexual abstinence (refrain from heterosexual intercourse) or use contraception during treatment and for an additional 60 days after the last dose of study treatment.
  • Male participants with a pregnant partner who are unwilling to practice abstinence or use a condom during treatment and for an additional 60 days after the last dose of study treatment.
  • Male participants unwilling to abstain from donating sperm during treatment and for an additional 60 days after the last dose of study treatment.
  • Participant has known sensitivity to any of the products or components to be administered during dosing.
  • Participant likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures to the best of the participant and investigator's knowledge.
  • History or evidence of any other clinically significant disorder, condition, or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to participant safety or interfere with the study evaluation, procedures or completion.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TarlatamabTarlatamabParticipants will receive tarlatamab on Cycle 1 Day 1, 8 and 15, and once every 2 weeks (Q2W) thereafter (cycle is 28 days).
PlaceboPlaceboParticipants will receive placebo on Cycle 1 Day 1, 8 and 15, and Q2W thereafter (cycle is 28 days).
Primary Outcome Measures
NameTimeMethod
PFS as Determined by Blinded Independent Central Review (BICR)Up to approximately 6 years
Secondary Outcome Measures
NameTimeMethod
OS at 6 months, 1 year, 2 years, 3 years6 months, 1 year, 2 years, 3 years
Time to Progression (TTP)Up to approximately 6 years
Number of Participants with Treatment-emergent Adverse Events (TEAEs)Up to approximately 6 years
Serum Concentration of TarlatamabUp to approximately 4 months
Incidence of Anti-tarlatamab Antibody FormationUp to approximately 1 year
Objective Response (OR) RateUp to approximately 6 years
Disease Control (DC) RateUp to approximately 6 years
Duration of Response (DOR)Up to approximately 6 years
PFS at 6 months, 1 year, 2 years6 months, 1 year, 2 years
Overall Survival (OS) Over the Whole TrialUp to approximately 6 years
PFS Determined by Investigator AssessmentUp to approximately 6 years

Trial Locations

Locations (192)

Saint Lukes Hospital SA

🇬🇷

Thessaloniki, Greece

Valkyrie Clinical Trials

🇺🇸

Los Angeles, California, United States

University of California Los Angeles

🇺🇸

Santa Monica, California, United States

Yale New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

Boca Raton Clinical Research Global South Florida

🇺🇸

Plantation, Florida, United States

University of Louisville James Graham Brown Cancer Center

🇺🇸

Louisville, Kentucky, United States

Our Lady of the Lake Cancer Institute

🇺🇸

Baton Rouge, Louisiana, United States

Morristown Medical Center

🇺🇸

Morristown, New Jersey, United States

Montefiore Einstein Center for Cancer Care

🇺🇸

Bronx, New York, United States

New York University Grossman School of Medicine and New York University Langone Hospitals

🇺🇸

New York, New York, United States

Perlmutter Cancer Center at New York University Langone Hospital - Long Island

🇺🇸

New York, New York, United States

FirstHealth Cancer Center

🇺🇸

Pinehurst, North Carolina, United States

Lehigh Valley Health Network

🇺🇸

Allentown, Pennsylvania, United States

Spokenword Clinical Trials

🇺🇸

Easton, Pennsylvania, United States

Renovatio Clinical

🇺🇸

The Woodlands, Texas, United States

US Oncology Research Investigational Products Center

🇺🇸

The Woodlands, Texas, United States

University of Virginia Health System

🇺🇸

Charlottesville, Virginia, United States

Virginia Cancer Specialists, PC

🇺🇸

Fairfax, Virginia, United States

West Virginia University Health Sciences Center

🇺🇸

Morgantown, West Virginia, United States

Hospital Italiano de La Plata

🇦🇷

La Plata, Buenos Aires, Argentina

Instituto Oncologico de Cordoba Ionc Fundacion Richardet Longo

🇦🇷

Cordoba, Córdoba, Argentina

Hospital Aleman Buenos Aires

🇦🇷

Caba, Distrito Federal, Argentina

Clinica Viedma

🇦🇷

Viedma, Río Negro, Argentina

Sanatorio 9 de Julio Cice 9 de Julio

🇦🇷

San Miguel de Tucuman, Tucuman, Argentina

Instituto Argentino de Diagnóstico y Tratamiento

🇦🇷

Buenos Aires, Argentina

Fundacion Respirar

🇦🇷

Buenos Aires, Argentina

Port Macquarie Base Hospital

🇦🇺

Port Macquarie, New South Wales, Australia

Westmead Hospital

🇦🇺

Westmead, New South Wales, Australia

Flinders Medical Centre

🇦🇺

Bedford Park, South Australia, Australia

Monash Medical Centre

🇦🇺

Clayton, Victoria, Australia

Fiona Stanley Hospital

🇦🇺

Murdoch, Western Australia, Australia

Medizinische Universitaet Graz

🇦🇹

Graz, Austria

Universitaetsklinikum Allgemeines Krankenhaus Wien

🇦🇹

Wien, Austria

Institut Jules Bordet

🇧🇪

Brussels, Belgium

Universitair Ziekenhuis Gent

🇧🇪

Gent, Belgium

Oncoclinicas Onco Vida Distrito Federal

🇧🇷

Brasilia, Distrito Federal, Brazil

Hospital Santa Rita

🇧🇷

Vitoria, Espírito Santo, Brazil

Liga Paranaense do Combate ao Cancer - Hospital Erasto Gaertner

🇧🇷

Curitba, Paraná, Brazil

Londrina Cancer Hospital

🇧🇷

Londrina, Paraná, Brazil

Liga Norte-Riograndense Contra O Cancer

🇧🇷

Natal, Rio Grande Do Norte, Brazil

Hospital Sao Lucas da Pontificia Universidade Catolica do Rio Grande do Sul

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Cipo - Centro Integrado de Pesquisa em Oncologia

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Centro de pesquisa em oncologia Hospital Ana Nery

🇧🇷

Santa Cruz do Sul, Rio Grande Do Sul, Brazil

Centro Catarinense de Pesquisa LTDA

🇧🇷

Blumenau, Santa Catarina, Brazil

Fundacao Pio 12 Hospital de Amor de Barretos

🇧🇷

Barretos, São Paulo, Brazil

Fundacao Amaral Carvalho

🇧🇷

Jau, São Paulo, Brazil

Cepho

🇧🇷

Santo Andre, São Paulo, Brazil

Instituto Dor de Pesquisa e Ensino

🇧🇷

Rio de Janeiro, Brazil

Instituto do Cancer do Estado de Sao Paulo Octavio Frias de Oliveira Icesp

🇧🇷

São Paulo, Brazil

Multiprofile Hospital for Active Treatment - Uni Hospital OOD

🇧🇬

Panagyurishte, Bulgaria

Complex Oncology Center Plovdiv EOOD

🇧🇬

Plovdiv, Bulgaria

Complex Oncology Center Shumen EOOD

🇧🇬

Shumen, Bulgaria

University Multiprofile Hospital for Active Treatment Sofiamed OOD

🇧🇬

Sofia, Bulgaria

University Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD

🇧🇬

Sofia, Bulgaria

Multiprofile Hospital for Active Treatment Serdika EOOD

🇧🇬

Sofia, Bulgaria

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

Chongqing University Cancer Hospital

🇨🇳

Chongqing, Chongqing, China

Fujian Cancer Hospital

🇨🇳

Fuzhou, Fujian, China

Mengchao Hepatobiliary Hospital of Fujian Medical University

🇨🇳

Fuzhou, Fujian, China

Sun Yat-Sen University Cancer Center

🇨🇳

Guangzhou, Guangdong, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

Tongji Hospital Tongji Medical College Huazhong University of Science and Technology

🇨🇳

Wuhan, Hubei, China

Renmin Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

Hubei Cancer Hospital

🇨🇳

Wuhan, Hubei, China

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

Northern Jiangsu Peoples hospital

🇨🇳

Yangzhou, Jiangsu, China

Jiangxi Cancer hospital

🇨🇳

Nanchang, Jiangxi, China

The First Bethune Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Cancer Hospital of Shandong First Medical University

🇨🇳

Jinan, Shandong, China

Qingdao Municipal Hospital

🇨🇳

Qingdao, Shandong, China

Fudan University Shanghai Cancer Center

🇨🇳

Shanghai, Shanghai, China

Shanxi Provincial Cancer Hospital

🇨🇳

Taiyuan, Shanxi, China

Shanxi Bethune Hospital

🇨🇳

Taiyuan, Shanxi, China

Tianjin Cancer Hospital

🇨🇳

Tianjin, Tianjin, China

The First Affiliated Hospital of Xinjiang Medical University

🇨🇳

Urumqi, Xinjiang, China

The Second Affiliated Hospital of Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

Ningbo Medical Center Lihuili Hospital

🇨🇳

Ningbo, Zhejiang, China

Zhejiang Taizhou Hospital

🇨🇳

Taizhou, Zhejiang, China

Centro de Tratamiento e Investigación sobre Cancer Luis Carlos Sarmiento Angulo Ctic

🇨🇴

Bogota, Cundinamarca, Colombia

Instituto Medico de Alta Tecnologia sas - Imat sas

🇨🇴

Monteria, Córdoba, Colombia

Oncologos del Occidente SAS

🇨🇴

Pereira, Risaralda, Colombia

Fundacion cardiovascular de Colombia

🇨🇴

Bucaramanga, Santander, Colombia

Centre Hospitalier Régional Universitaire de Lille - Institut Coeur Poumon

🇫🇷

Lille, France

Centre Hospitalier Universitaire Nord

🇫🇷

Marseille Cedex 20, France

Centre Hospitalier Universitaire de Nice - Hopital Pasteur

🇫🇷

Nice Cedex 01, France

Hopital Bichat Claude Bernard

🇫🇷

Paris, France

Hopital Nord Ouest Villefranche sur Saone

🇫🇷

Villefranche Sur Saone Cedex, France

Universitaetsklinikum Essen

🇩🇪

Essen, Germany

Universitaetsmedizin Goettingen

🇩🇪

Goettingen, Germany

Universitaetsklinikum Wuerzburg

🇩🇪

Wuerzburg, Germany

Agios Savvas Anticancer Hospital

🇬🇷

Athens, Greece

Henry Dunant Hospital Center

🇬🇷

Athens, Greece

Sotiria General Hospital

🇬🇷

Athens, Greece

Attikon University Hospital

🇬🇷

Athens, Greece

Metropolitan Hospital

🇬🇷

Athens, Greece

European Interbalkan Medical Center

🇬🇷

Thessaloniki, Greece

Queen Mary Hospital, The University of Hong Kong

🇭🇰

Hong Kong, Hong Kong

Prince of Wales Hospital, Chinese University of Hong Kong

🇭🇰

Shatin, New Territories, Hong Kong

Centro di Riferimento Oncologico di Aviano

🇮🇹

Aviano PN, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

🇮🇹

Milano, Italy

IRCCS Istituto Oncologico Europeo

🇮🇹

Milano, Italy

Azienda Ospedaliera Universitaria San Luigi Gonzaga

🇮🇹

Orbassano, Italy

Istituto Oncologico Veneto IRCCS

🇮🇹

Padova, Italy

Azienda Ospedaliera di Perugia Ospedale Santa Maria della Misericordia

🇮🇹

Perugia, Italy

Azienda Ospedaliero Universitaria Pisana

🇮🇹

Pisa, Italy

Azienda Unita Sanitaria Locale di Reggio Emilia Arcispedale Santa Maria Nuova

🇮🇹

Reggio Emilia, Italy

IRCCS Istituto Clinico Humanitas

🇮🇹

Rozzano MI, Italy

Ospedale San Giuseppe Moscati

🇮🇹

Statte, Italy

National Hospital Organization Nagoya Medical Center

🇯🇵

Nagoya-shi, Aichi, Japan

National Cancer Center Hospital East

🇯🇵

Kashiwa-shi, Chiba, Japan

National Hospital Organization Shikoku Cancer Center

🇯🇵

Matsuyama-shi, Ehime, Japan

Kurume University Hospital

🇯🇵

Kurume-shi, Fukuoka, Japan

National Hospital Organization Hokkaido Cancer Center

🇯🇵

Sapporo-shi, Hokkaido, Japan

Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center

🇯🇵

Yokohama-shi, Kanagawa, Japan

Sendai Kousei Hospital

🇯🇵

Sendai-shi, Miyagi, Japan

Niigata Cancer Center Hospital

🇯🇵

Niigata-shi, Niigata, Japan

Okayama University Hospital

🇯🇵

Okayama-shi, Okayama, Japan

Kansai Medical University Hospital

🇯🇵

Hirakata-shi, Osaka, Japan

Osaka International Cancer Institute

🇯🇵

Osaka-shi, Osaka, Japan

Kindai University Hospital

🇯🇵

Osakasayama-shi, Osaka, Japan

Saitama Medical University International Medical Center

🇯🇵

Hidaka-Shi, Saitama, Japan

Saitama Cancer Center

🇯🇵

Kitaadachi-gun, Saitama, Japan

Shizuoka Cancer Center

🇯🇵

Sunto-gun, Shizuoka, Japan

Dokkyo Medical University Hospital

🇯🇵

Shimotsuga-gun, Tochigi, Japan

Juntendo University Hospital

🇯🇵

Bunkyo-ku, Tokyo, Japan

National Cancer Center Hospital

🇯🇵

Chuo-ku, Tokyo, Japan

The Cancer Institute Hospital of Japanese Foundation for Cancer Research

🇯🇵

Koto-ku, Tokyo, Japan

Wakayama Medical University Hospital

🇯🇵

Wakayama, Japan

Chungbuk National University Hospital

🇰🇷

Cheongju Chungbuk, Korea, Republic of

National Cancer Center

🇰🇷

Goyang-si Gyeonggi-do, Korea, Republic of

Gachon University Gil Hospital

🇰🇷

Incheon, Korea, Republic of

Gyeongsang National University Hospital

🇰🇷

Jinju-si, Korea, Republic of

Cha Bundang Medical Center, Cha University

🇰🇷

Seongnam-si, Gyeonggi-do, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Gyeonggi-do, Korea, Republic of

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Oncare

🇲🇽

Ciudad de México, Distrito Federal, Mexico

Phylasis Clinicas Research Toluca

🇲🇽

Toluca, Mexico

Uniwersytecki Szpital Kliniczny w Bialymstoku

🇵🇱

Bialystok, Poland

Centrum Pulmonologii i Torakochirurgii w Bystrej

🇵🇱

Bystra, Poland

Uniwersyteckie Centrum Kliniczne

🇵🇱

Gdansk, Poland

Uniwerystecki Szpital Kliniczny Nr 4 w Lublinie

🇵🇱

Lublin, Poland

Wielkopolskie Centrum Pulmonologii i Torakochirurgii imienia Eugenii i Janusza Zeylandow

🇵🇱

Poznan, Poland

Szpital Specjalistyczny w Prabutach Spolka z Ograniczoną Odpowiedzialnoscia

🇵🇱

Prabuty, Poland

Wojewodzki Szpital im Sw Ojca Pio w Przemyslu

🇵🇱

Przemysl, Poland

Narodowy Instytut Onkologii im Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy

🇵🇱

Warszawa, Poland

Unidade Local de Saude de Braga, EPE

🇵🇹

Braga, Portugal

Hospital da Luz, SA

🇵🇹

Lisboa, Portugal

Hospital Cuf porto

🇵🇹

Porto, Portugal

Institutul Oncologic, Prof Dr Alexandru Trestioreanu

🇷🇴

Bucuresti, Romania

Institutul Oncologic Prof Dr Ion Chiricuta Cluj-Napoca

🇷🇴

Cluj Napoca, Romania

Centrul de Oncologie Sf Nectarie SRL

🇷🇴

Craiova, Romania

Institutul Regional de Oncologie Iasi

🇷🇴

Iasi, Romania

Spitalul Municipal Ploiesti

🇷🇴

Ploiesti, Romania

SC Oncomed SRL

🇷🇴

Timisoara, Romania

National Cancer Centre Singapore

🇸🇬

Singapore, Singapore

Icon - Mount Alvernia

🇸🇬

Singapore, Singapore

Hospital Regional Universitario de Malaga

🇪🇸

Malaga, Andalucía, Spain

Hospital Universitario Virgen del Rocio

🇪🇸

Sevilla, Andalucía, Spain

Hospital Universitario Insular de Gran Canaria

🇪🇸

Las Palmas de Gran Canaria, Canarias, Spain

Institut Catala d Oncologia Badalona Hospital Universitari Germans Trias i Pujol

🇪🇸

Badalona, Cataluña, Spain

Hospital del Mar

🇪🇸

Barcelona, Cataluña, Spain

Hospital Universitari Vall d Hebron

🇪🇸

Barcelona, Cataluña, Spain

Hospital Clinic i Provincial de Barcelona

🇪🇸

Barcelona, Cataluña, Spain

Hospital de la Santa Creu i Sant Pau

🇪🇸

Barcelona, Cataluña, Spain

Instituto Valenciano de Oncologia

🇪🇸

Valencia, Comunidad Valenciana, Spain

Hospital Clinico Universitario de Santiago

🇪🇸

Santiago de Compostela, Galicia, Spain

Hospital Universitario Puerta de Hierro Majadahonda

🇪🇸

Majadahonda, Madrid, Spain

Clinica Universidad de Navarra

🇪🇸

Pamplona, Navarra, Spain

Hospital General Universitario Gregorio Maranon

🇪🇸

Madrid, Spain

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

Sahlgrenska Universitetssjukhuset

🇸🇪

Goteborg, Sweden

Norrlands Universitetssjukhus

🇸🇪

Umea, Sweden

Kantonsspital Baden

🇨🇭

Baden, Switzerland

Universitaetsspital Basel

🇨🇭

Basel, Switzerland

Ospedale Regionale di Bellinzona e Vali

🇨🇭

Mendrisio, Switzerland

Kaohsiung Medical University Chung-Ho Memorial Hospital

🇨🇳

Kaohsiung, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

Memorial Ankara Hastanesi

🇹🇷

Ankara, Turkey

Ankara Bilkent Sehir Hastanesi

🇹🇷

Ankara, Turkey

Bagcilar Medipol Mega Universite Hastanesi

🇹🇷

Istanbul, Turkey

Goztepe Prof Dr Suleyman Yalcin Sehir Hastanesi

🇹🇷

Istanbul, Turkey

Marmara Universitesi Tip Fakultesi Hastanesi

🇹🇷

Istanbul, Turkey

Izmir Ekonomi Universitesi Medical Point Hastanesi

🇹🇷

Izmir, Turkey

Kocaeli Universitesi Tip Fakultesi Hastanesi

🇹🇷

Kocaeli, Turkey

Medical Park Seyhan Hastanesi

🇹🇷

Mersin, Turkey

Ondokuz Mayis Universitesi Tip Fakultesi Hastanesi

🇹🇷

Samsun, Turkey

Guys Hospital

🇬🇧

London, United Kingdom

Christie Hospital

🇬🇧

Manchester, United Kingdom

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