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Clinical Trials List

Protocol NumberI4V-MC-JADX

2012-11-05 - 2015-12-31

Phase III

Terminated10

Study ended1

ICD-10M05.70

Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement

ICD-10M05.711

Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement

ICD-10M05.712

Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement

ICD-10M05.719

Rheumatoid arthritis with rheumatoid factor of unspecified shoulder without organ or systems involvement

ICD-10M05.721

Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement

ICD-10M05.722

Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement

ICD-10M05.729

Rheumatoid arthritis with rheumatoid factor of unspecified elbow without organ or systems involvement

ICD-10M05.731

Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement

ICD-10M05.732

Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement

ICD-10M05.739

Rheumatoid arthritis with rheumatoid factor of unspecified wrist without organ or systems involvement

ICD-10M05.741

Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement

ICD-10M05.742

Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement

ICD-10M05.749

Rheumatoid arthritis with rheumatoid factor of unspecified hand without organ or systems involvement

ICD-10M05.751

Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement

ICD-10M05.752

Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement

ICD-10M05.759

Rheumatoid arthritis with rheumatoid factor of unspecified hip without organ or systems involvement

ICD-10M05.761

Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement

ICD-10M05.762

Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement

ICD-10M05.769

Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement

ICD-10M05.771

Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement

ICD-10M05.772

Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement

ICD-10M05.779

Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvement

ICD-10M05.79

Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement

ICD-10M05.80

Other rheumatoid arthritis with rheumatoid factor of unspecified site

ICD-10M05.811

Other rheumatoid arthritis with rheumatoid factor of right shoulder

ICD-10M05.812

Other rheumatoid arthritis with rheumatoid factor of left shoulder

ICD-10M05.819

Other rheumatoid arthritis with rheumatoid factor of unspecified shoulder

ICD-10M05.821

Other rheumatoid arthritis with rheumatoid factor of right elbow

ICD-10M05.822

Other rheumatoid arthritis with rheumatoid factor of left elbow

ICD-10M05.829

Other rheumatoid arthritis with rheumatoid factor of unspecified elbow

ICD-10M05.831

Other rheumatoid arthritis with rheumatoid factor of right wrist

ICD-10M05.832

Other rheumatoid arthritis with rheumatoid factor of left wrist

ICD-10M05.839

Other rheumatoid arthritis with rheumatoid factor of unspecified wrist

ICD-10M05.841

Other rheumatoid arthritis with rheumatoid factor of right hand

ICD-10M05.842

Other rheumatoid arthritis with rheumatoid factor of left hand

ICD-10M05.849

Other rheumatoid arthritis with rheumatoid factor of unspecified hand

ICD-10M05.851

Other rheumatoid arthritis with rheumatoid factor of right hip

ICD-10M05.852

Other rheumatoid arthritis with rheumatoid factor of left hip

ICD-10M05.859

Other rheumatoid arthritis with rheumatoid factor of unspecified hip

ICD-10M05.861

Other rheumatoid arthritis with rheumatoid factor of right knee

ICD-10M05.862

Other rheumatoid arthritis with rheumatoid factor of left knee

ICD-10M05.869

Other rheumatoid arthritis with rheumatoid factor of unspecified knee

ICD-10M05.871

Other rheumatoid arthritis with rheumatoid factor of right ankle and foot

ICD-10M05.872

Other rheumatoid arthritis with rheumatoid factor of left ankle and foot

ICD-10M05.879

Other rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot

ICD-10M05.89

Other rheumatoid arthritis with rheumatoid factor of multiple sites

ICD-10M05.9

Rheumatoid arthritis with rheumatoid factor, unspecified

ICD-10M06.00

Rheumatoid arthritis without rheumatoid factor, unspecified site

ICD-10M06.011

Rheumatoid arthritis without rheumatoid factor, right shoulder

ICD-10M06.012

Rheumatoid arthritis without rheumatoid factor, left shoulder

ICD-10M06.019

Rheumatoid arthritis without rheumatoid factor, unspecified shoulder

ICD-10M06.021

Rheumatoid arthritis without rheumatoid factor, right elbow

ICD-10M06.022

Rheumatoid arthritis without rheumatoid factor, left elbow

ICD-10M06.029

Rheumatoid arthritis without rheumatoid factor, unspecified elbow

ICD-10M06.031

Rheumatoid arthritis without rheumatoid factor, right wrist

ICD-10M06.032

Rheumatoid arthritis without rheumatoid factor, left wrist

ICD-10M06.039

Rheumatoid arthritis without rheumatoid factor, unspecified wrist

ICD-10M06.041

Rheumatoid arthritis without rheumatoid factor, right hand

ICD-10M06.042

Rheumatoid arthritis without rheumatoid factor, left hand

ICD-10M06.049

Rheumatoid arthritis without rheumatoid factor, unspecified hand

ICD-10M06.051

Rheumatoid arthritis without rheumatoid factor, right hip

ICD-10M06.052

Rheumatoid arthritis without rheumatoid factor, left hip

ICD-10M06.059

Rheumatoid arthritis without rheumatoid factor, unspecified hip

ICD-10M06.061

Rheumatoid arthritis without rheumatoid factor, right knee

ICD-10M06.062

Rheumatoid arthritis without rheumatoid factor, left knee

ICD-10M06.069

Rheumatoid arthritis without rheumatoid factor, unspecified knee

ICD-10M06.071

Rheumatoid arthritis without rheumatoid factor, right ankle and foot

ICD-10M06.072

Rheumatoid arthritis without rheumatoid factor, left ankle and foot

ICD-10M06.079

Rheumatoid arthritis without rheumatoid factor, unspecified ankle and foot

ICD-10M06.08

Rheumatoid arthritis without rheumatoid factor, vertebrae

ICD-10M06.09

Rheumatoid arthritis without rheumatoid factor, multiple sites

ICD-10M06.1

Adult-onset Still's disease

ICD-10M06.20

Rheumatoid bursitis, unspecified site

ICD-10M06.211

Rheumatoid bursitis, right shoulder

ICD-10M06.212

Rheumatoid bursitis, left shoulder

ICD-10M06.219

Rheumatoid bursitis, unspecified shoulder

ICD-10M06.221

Rheumatoid bursitis, right elbow

ICD-10M06.222

Rheumatoid bursitis, left elbow

ICD-10M06.229

Rheumatoid bursitis, unspecified elbow

ICD-10M06.231

Rheumatoid bursitis, right wrist

ICD-10M06.232

Rheumatoid bursitis, left wrist

ICD-10M06.239

Rheumatoid bursitis, unspecified wrist

ICD-10M06.241

Rheumatoid bursitis, right hand

ICD-10M06.242

Rheumatoid bursitis, left hand

ICD-10M06.249

Rheumatoid bursitis, unspecified hand

ICD-10M06.251

Rheumatoid bursitis, right hip

ICD-10M06.252

Rheumatoid bursitis, left hip

ICD-10M06.259

Rheumatoid bursitis, unspecified hip

ICD-10M06.261

Rheumatoid bursitis, right knee

ICD-10M06.262

Rheumatoid bursitis, left knee

ICD-10M06.269

Rheumatoid bursitis, unspecified knee

ICD-10M06.271

Rheumatoid bursitis, right ankle and foot

ICD-10M06.272

Rheumatoid bursitis, left ankle and foot

ICD-10M06.279

Rheumatoid bursitis, unspecified ankle and foot

ICD-10M06.28

Rheumatoid bursitis, vertebrae

ICD-10M06.29

Rheumatoid bursitis, multiple sites

ICD-10M06.30

Rheumatoid nodule, unspecified site

ICD-10M06.311

Rheumatoid nodule, right shoulder

ICD-10M06.312

Rheumatoid nodule, left shoulder

ICD-10M06.319

Rheumatoid nodule, unspecified shoulder

ICD-10M06.321

Rheumatoid nodule, right elbow

ICD-10M06.322

Rheumatoid nodule, left elbow

ICD-10M06.329

Rheumatoid nodule, unspecified elbow

ICD-10M06.331

Rheumatoid nodule, right wrist

ICD-10M06.332

Rheumatoid nodule, left wrist

ICD-10M06.339

Rheumatoid nodule, unspecified wrist

ICD-10M06.341

Rheumatoid nodule, right hand

ICD-10M06.342

Rheumatoid nodule, left hand

ICD-10M06.349

Rheumatoid nodule, unspecified hand

ICD-10M06.351

Rheumatoid nodule, right hip

ICD-10M06.352

Rheumatoid nodule, left hip

ICD-10M06.359

Rheumatoid nodule, unspecified hip

ICD-10M06.361

Rheumatoid nodule, right knee

ICD-10M06.362

Rheumatoid nodule, left knee

ICD-10M06.369

Rheumatoid nodule, unspecified knee

ICD-10M06.371

Rheumatoid nodule, right ankle and foot

ICD-10M06.372

Rheumatoid nodule, left ankle and foot

ICD-10M06.379

Rheumatoid nodule, unspecified ankle and foot

ICD-10M06.38

Rheumatoid nodule, vertebrae

ICD-10M06.39

Rheumatoid nodule, multiple sites

ICD-10M06.80

Other specified rheumatoid arthritis, unspecified site

ICD-10M06.811

Other specified rheumatoid arthritis, right shoulder

ICD-10M06.812

Other specified rheumatoid arthritis, left shoulder

ICD-10M06.819

Other specified rheumatoid arthritis, unspecified shoulder

ICD-10M06.821

Other specified rheumatoid arthritis, right elbow

ICD-10M06.822

Other specified rheumatoid arthritis, left elbow

ICD-10M06.829

Other specified rheumatoid arthritis, unspecified elbow

ICD-10M06.831

Other specified rheumatoid arthritis, right wrist

ICD-10M06.832

Other specified rheumatoid arthritis, left wrist

ICD-10M06.839

Other specified rheumatoid arthritis, unspecified wrist

ICD-10M06.841

Other specified rheumatoid arthritis, right hand

ICD-10M06.842

Other specified rheumatoid arthritis, left hand

ICD-10M06.849

Other specified rheumatoid arthritis, unspecified hand

ICD-10M06.851

Other specified rheumatoid arthritis, right hip

ICD-10M06.852

Other specified rheumatoid arthritis, left hip

ICD-10M06.859

Other specified rheumatoid arthritis, unspecified hip

ICD-10M06.861

Other specified rheumatoid arthritis, right knee

ICD-10M06.862

Other specified rheumatoid arthritis, left knee

ICD-10M06.869

Other specified rheumatoid arthritis, unspecified knee

ICD-10M06.871

Other specified rheumatoid arthritis, right ankle and foot

ICD-10M06.872

Other specified rheumatoid arthritis, left ankle and foot

ICD-10M06.879

Other specified rheumatoid arthritis, unspecified ankle and foot

ICD-10M06.88

Other specified rheumatoid arthritis, vertebrae

ICD-10M06.89

Other specified rheumatoid arthritis, multiple sites

ICD-10M06.9

Rheumatoid arthritis, unspecified

ICD-9714.0

Rheumatoid arthritis

A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Baricitinib (LY3009104) in Patients with Inadequate Response to Conventional Disease-Modifying Antirheumatic Drugs with Moderately to Severely Active Rheumatoid Arthritis

  • Trial Applicant

    ELI LILLY AND COMPANY(TAIWAN), INC.

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Chang-Youh Tsai Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 李修身 Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 林科名 Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 陳英州 Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator KO-JEN LI Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 魏正宗 Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 陳宏安 Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 陳政宏 風濕免疫科

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Chung-Ming Huang Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Study ended

Principal Investigator 李修身 Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Rheumatoid Arthritis

Objectives

The primary objective of the study is to determine whether baricitinib 4 mg QD is superior to placebo in the treatment of patients with moderately to severely active RA who have had inadequate response to or are intolerant to at least 1 cDMARD (cDMARD-IR [inadequate response] patients) and who have not received a biologic DMARD, as assessed by the proportion of patients achieving a 20% improvement in American College of Rheumatology criteria (ACR20) at Week 12

Test Drug

Baricitinib (LY3009104)

Active Ingredient

Dosage Form

Dosage

4 and 2

Endpoints

The primary objective of the study is to determine whether baricitinib 4 mg QD is superior to placebo in the treatment of patients with moderately to severely active RA who have had inadequate response to or are intolerant to at least 1 cDMARD (cDMARD-IR [inadequate response] patients) and who have not received a biologic DMARD, as assessed by the proportion of patients achieving a 20% improvement in American College of Rheumatology criteria (ACR20) at Week 12

Inclution Criteria

Patients will be eligible for entry into the study (that is, eligible to sign consent) only if they are expected to meet all of the following criteria:
[1] are at least 18 years of age
[2] have a diagnosis of adult-onset RA as defined by the ACR/EULAR 2010 Criteria for the Classification of RA (Aletaha et al. 2010)
[3] have moderately to severely active RA defined as the presence of at least 6/68 tender joints and at least 6/66 swollen joints
a. If surgical treatment of a joint has been performed, that joint cannot be counted in the TJC or SJC for entry or enrollment purposes.
[4] have a C-reactive protein (or hsCRP) measurement ≥1.2 times the upper limit of normal (ULN) based on the most recent data (if available)
[5] have had an insufficient response or are intolerant to cDMARDs and either:
a. have had regular use of a cDMARD for at least the 12 weeks prior to study entry with a continuous, nonchanging dose for at least 8 weeks prior to study entry
i. For patients treated with MTX, have had regular use of MTX for at least the 12 weeks prior to study entry at a dose that, in accordance with local clinical practice, is considered acceptable to adequately assess clinical response. The dose of MTX must have been a stable, unchanging oral dose of 7.5 to 25 mg/week (or the equivalent injectable dose) for at least 8 weeks prior to study entry. The dose of MTX is expected to
remain stable throughout the study and may be adjusted only for safety reasons.
1. For patients entering the trial on MTX doses <15 mg/week, there must be clear documentation in the medical record that higher doses of MTX were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines.
2. Local standard of care should be followed for concomitant administration of folic acid.
ii. For patients treated with the following DMARDs, have had regular use of them for at least the 12 weeks prior to study entry and a stable, nonchanging oral dose should have been administered for at least 8 weeks prior to study entry:
hydroxychloroquine up to 400 mg/day, sulfasalazine up to 3000 mg/day, leflunomide (Arava®, Sanofi-Aventis) up to 20 mg/day, and/or azathioprine up to 150 mg/day or 2 mg/kg/day.
b. For patients not receiving a cDMARD at the time of entry, the investigator will document in the patient’s history that the patient had failed, was unable to tolerate, or had a contraindication to treatment with a cDMARD.
[6] are able to read, understand, and give written informed consent

Exclusion Criteria

Patients will be excluded from participating in the study if they meet or are expected to meet any of the following criteria:
[7] are currently receiving corticosteroids at doses >10 mg per day of prednisone (or equivalent) or have been receiving an unstable dosing regimen of corticosteroids within 2 weeks of study entry or within 6 weeks of planned randomization
[8] have started treatment with NSAIDs (for which the NSAID use is intended for
treatment of signs and symptoms of RA) within 2 weeks of study entry or within 6 weeks of planned randomization or have been receiving an unstable dosing regimen of NSAIDs within 2 weeks of study entry or within 6 weeks of planned randomization
[9] are currently receiving concomitant treatment with MTX, hydroxychloroquine, and sulfasalazine
[10] have started a new physiotherapy treatment for RA in the 2 weeks prior to
study entry
[11] have ever received any biologic DMARD (such as TNF, interleukin-1 [IL-1],IL-6, or T-cell- or B-cell-targeted therapies)
[12] have received interferon therapy (such as Roferon-A, Intron-A, Rebetron, Alferon-N, Peg-Intron, Avonex, Betaseron, Infergen, Actimmune, and/or Pegasys) within 4 weeks prior to study entry or are anticipated to require interferon therapy during the study
[13] have received any parenteral corticosteroid administered by intramuscular or
intravenous (IV) injection within 2 weeks prior to study entry or within 6 weeks prior to planned randomization or are anticipated to require parenteral injection of corticosteroids during the study
[14] have had 3 or more joints injected with intraarticular corticosteroids within 2 weeks prior to study entry or within 6 weeks prior to planned randomization a. Joints injected with intraarticular corticosteroids within 2 weeks prior to study entry or within 6 weeks prior to planned randomization cannot be counted in the TJC or SJC for entry or enrollment purposes.
[15] have active fibromyalgia that, in the investigator’s opinion, would make it
difficult to appropriately assess RA activity for the purposes of this study
[16] have a diagnosis of any systemic inflammatory condition other than RA, such as, but not limited to juvenile chronic arthritis, spondyloarthropathy, Crohn’s disease, ulcerative colitis, psoriatic arthritis, or active vasculitis
a. Patients with secondary Sjogren’s syndrome are not excluded.
[17] have a diagnosis of Felty’s syndrome
[18] have had any major surgery within 8 weeks of study entry or will require major surgery during the study that, in the opinion of the investigator in consultation with Lilly or its designee, would pose an unacceptable risk to the patient
[19] have experienced any of the following within 12 weeks of study entry: myocardial infarction, unstable ischemic heart disease, stroke, or have New York Heart Association stage IV heart failure
[20] have a history or presence of cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematological, neurological, or neuropsychiatric disorders or any other serious and/or unstable illness that, in the opinion of the investigator, could constitute a risk when taking investigational product or could interfere with the interpretation of data
[21] are largely or wholly incapacitated permitting little or no self care, such as, being bedridden or confined to a wheelchair
[22] have an eGFR based on the most recent available serum creatinine using the
Modification of Diet in Renal Disease (MDRD) method of <40 mL/min/1.73 m2
[23] have a history of chronic liver disease with the most recent available aspartate
aminotransferase (AST) or alanine aminotransferase (ALT) >1.5 times the ULN or the most recent available total bilirubin ≥1.5 times the ULN
[24] have, or have a history of, lymphoproliferative disease; or have signs or symptoms suggestive of possible lymphoproliferative disease, including lymphadenopathy or splenomegaly; or have active primary or recurrent malignant disease; or have been in remission from clinically significant malignancy for <5 years
a. Patients with cervical carcinoma in situ that has been resected with no evidence of recurrence or metastatic disease for at least 3 years may participate in the study.
b. Patients with basal cell or squamous epithelial skin cancers that have been completely resected with no evidence of recurrence for at least 3 years may participate in the study.
[25] have been exposed to a live vaccine within 12 weeks prior to planned
randomization or are expected to need/receive a live vaccine during the course
of the study (with the exception of herpes zoster vaccination)
a. All patients who have not received the herpes zoster vaccine at study entry will be encouraged to do so prior to randomization; vaccination must occur >30 days prior to randomization and start of study drug. Patients will be excluded if they were exposed to herpes zoster vaccination within 30 days of planned randomization.
b. Investigators should review the vaccination status of their patients and follow the local guidelines for adult vaccination with nonlive vaccines intended to prevent infectious disease prior to entering patients into the study.
[26] have a current or recent (<30 days prior to study entry) clinically serious viral,
bacterial, fungal, or parasitic infection
[27] have had symptomatic herpes zoster infection within 12 weeks prior to study
entry
[28] have a history of disseminated/complicated herpes zoster (eg, multidermatomal involvement, ophthalmic zoster, central nervous system involvement, postherpetic neuralgia)
[29] are immunocompromised and, in the opinion of the investigator, are at an
unacceptable risk for participating in the study
[30] have a history of active hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV)
[31] have had household contact with a person with active tuberculosis (TB) and did not receive appropriate and documented prophylaxis for TB
[32] have evidence of active TB or have previously had evidence of active TB and did not receive appropriate and documented treatment
[33] are pregnant or nursing at the time of entry
[34] are females of childbearing potential who do not agree to use 2 forms of highly effective birth control when engaging in sexual intercourse while enrolled in the study and for at least 28 days following the last dose of investigational product
a. Females of nonchildbearing potential are defined as women ≥60 years of age, women ≥40 and <60 years of age who have had a cessation of menses for at least 12 months, or women who are congenitally or surgically sterile (that is, have had a hysterectomy or
bilateral oophorectomy or tubal ligation).
b. The following birth control methods are considered highly effective (the patient should choose 2 to be used with their partner):
 oral, injectable, or implanted hormonal contraceptives  condom with a spermicidal foam, gel, film, cream, or suppository  occlusive cap (diaphragm or cervical/vault caps) with a spermicidal foam, gel, film, cream, or suppository intrauterine device intrauterine system (for example, progestin-releasing coil) vasectomized male (with appropriate postvasectomy documentation of the absence of sperm in the ejaculate)
[35] are males who do not agree to use 2 forms of highly effective birth control
(see above) while engaging in sexual intercourse with female partners of childbearing potential while enrolled in the study, and for at least 28 days following the last dose of investigational product
[36] have donated >500 mL of blood within 30 days prior to study entry or intend to donate blood during the course of the study
[37] have a history of chronic alcohol abuse, IV drug abuse, or other illicit drug abuse within the 2 years prior to study entry
[38] have previously been randomized in this study or any other study investigating baricitinib
[39] are unable or unwilling to make themselves available for the duration of the study and/or are unwilling to follow study restrictions and procedures
[40] have received prior treatment with an oral JAK inhibitor
[41] are investigator site personnel directly affiliated with this study and/or their immediate families. Immediate family is defined as a spouse, parent, child, or
sibling, whether biological or legally adopted
[42] are Lilly or Incyte employees or either’s designee
[43] are currently enrolled in or discontinued within 30 days of study entry from a
clinical trial involving an investigational product or nonapproved use of a drug or device or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study

The Estimated Number of Participants

  • Taiwan

    80 participants

  • Global

    970 participants