Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C6H6Cl2N2O4S2 |
| Molecular Weight | 305.159 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
NS(=O)(=O)C1=CC(=C(Cl)C(Cl)=C1)S(N)(=O)=O
InChI
InChIKey=GJQPMPFPNINLKP-UHFFFAOYSA-N
InChI=1S/C6H6Cl2N2O4S2/c7-4-1-3(15(9,11)12)2-5(6(4)8)16(10,13)14/h1-2H,(H2,9,11,12)(H2,10,13,14)
| Molecular Formula | C6H6Cl2N2O4S2 |
| Molecular Weight | 305.159 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including https://www.urmc.rochester.edu/news/story/4461/new-drug-for-periodic-paralysis-has-roots-in-urmc-research.aspx
Curator's Comment: description was created based on several sources, including https://www.urmc.rochester.edu/news/story/4461/new-drug-for-periodic-paralysis-has-roots-in-urmc-research.aspx
Diclorphenamide, a carbonic anhydrase inhibitor, was initially developed for the treatment of glaucome, however, now it is used for patients suffering from primary hypokalemic and hyperkalemic periodic paralysis. The exact mechanism of diclorphenamide in periodic paralysis is unknown.
Originator
Sources: https://www.urmc.rochester.edu/news/story/4461/new-drug-for-periodic-paralysis-has-roots-in-urmc-research.aspx
Curator's Comment: # Merck & Co
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2095180 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | KEVEYIS Approved UseKeveyis is an oral carbonic anhydrase inhibitor indicated for the treatment of primary hyperkalemic periodic paralysis, primary hypokalemic periodic paralysis, and related variants. Launch Date1958 |
|||
| Primary | KEVEYIS Approved UseKeveyis is an oral carbonic anhydrase inhibitor indicated for the treatment of primary hyperkalemic periodic paralysis, primary hypokalemic periodic paralysis, and related variants. Launch Date1958 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3030 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
709 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1512 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
2219 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
50 mg 2 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
4867 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
100 mg 2 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
66456 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
14734 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
28901 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
18329 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
50 mg 2 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
37468 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
100 mg 2 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
41 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
51.4 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
31.9 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29762909 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
DICHLORPHENAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
12% |
DICHLORPHENAMIDE plasma | Homo sapiens |
Doses
| Dose | Population | Adverse events |
|---|---|---|
400 mg 2 times / day multiple, oral Highest studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
healthy, 38.1±12.1 |
Disc. AE: Hypokalemia, Weight loss... AEs leading to discontinuation/dose reduction: Hypokalemia (mild, 83.3%) Sources: Weight loss (16.7%) Itchy throat (16.7%) Tachycardia (16.7%) Gait instability (moderate, 16.7%) Toothache (moderate, 16.7%) |
200 mg 1 times / day multiple, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Hypersensitivity, Hypokalemia... AEs leading to discontinuation/dose reduction: Hypersensitivity Sources: Hypokalemia Metabolic acidosis Fall |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Itchy throat | 16.7% Disc. AE |
400 mg 2 times / day multiple, oral Highest studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
healthy, 38.1±12.1 |
| Tachycardia | 16.7% Disc. AE |
400 mg 2 times / day multiple, oral Highest studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
healthy, 38.1±12.1 |
| Weight loss | 16.7% Disc. AE |
400 mg 2 times / day multiple, oral Highest studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
healthy, 38.1±12.1 |
| Hypokalemia | mild, 83.3% Disc. AE |
400 mg 2 times / day multiple, oral Highest studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
healthy, 38.1±12.1 |
| Gait instability | moderate, 16.7% Disc. AE |
400 mg 2 times / day multiple, oral Highest studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
healthy, 38.1±12.1 |
| Toothache | moderate, 16.7% Disc. AE |
400 mg 2 times / day multiple, oral Highest studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
healthy, 38.1±12.1 |
| Fall | Disc. AE | 200 mg 1 times / day multiple, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hypersensitivity | Disc. AE | 200 mg 1 times / day multiple, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hypokalemia | Disc. AE | 200 mg 1 times / day multiple, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Metabolic acidosis | Disc. AE | 200 mg 1 times / day multiple, oral Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 5.0 |
yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 9.0 |
no | |||
Page: 8.0 |
no | |||
Page: 8.0 |
no | |||
Page: 8.0 |
no | |||
Page: 8.0 |
no | |||
Page: 8.0 |
no | |||
Page: 8.0 |
no | |||
Page: 8.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 9.0 |
no | |||
Page: 6.0 |
yes | |||
Page: 6.0 |
yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Increased expression of carbonic anhydrase I in the synovium of patients with ankylosing spondylitis. | 2010-12-08 |
|
| Evaluation of the therapeutic potential of carbonic anhydrase inhibitors in two animal models of dystrophin deficient muscular dystrophy. | 2009-11-01 |
|
| Carbonic anhydrase inhibitors. Inhibition studies of a coral secretory isoform by sulfonamides. | 2009-07-15 |
|
| Carbonic anhydrase inhibitors. Cloning, characterization, and inhibition studies of a new beta-carbonic anhydrase from Mycobacterium tuberculosis. | 2009-05-14 |
|
| Molecular cloning, characterization, and inhibition studies of the Rv1284 beta-carbonic anhydrase from Mycobacterium tuberculosis with sulfonamides and a sulfamate. | 2009-04-23 |
|
| QSAR studies for the inhibition of the transmembrane carbonic anhydrase isozyme XIV with sulfonamides using PRECLAV software. | 2009-04 |
|
| Biodegradable fumarate-based drug-delivery systems for ophthalmic applications. | 2009-03-15 |
|
| Treatment of neuromuscular channelopathies: current concepts and future prospects. | 2008-10 |
|
| Carbonic anhydrase inhibitors. Sulfonamide diuretics revisited--old leads for new applications? | 2008-07-21 |
|
| Acetazolamide prevents vacuolar myopathy in skeletal muscle of K(+) -depleted rats. | 2008-05 |
|
| Practical aspects in the management of hypokalemic periodic paralysis. | 2008-04-21 |
|
| Treatment for periodic paralysis. | 2008-01-23 |
|
| Muscle channelopathies and electrophysiological approach. | 2008-01 |
|
| The development of topically acting carbonic anhydrase inhibitors as antiglaucoma agents. | 2008 |
|
| Carbonic anhydrase inhibitors: cloning, characterization, and inhibition studies of the cytosolic isozyme III with sulfonamides. | 2007-12-01 |
|
| Carbonic anhydrase inhibitors. DNA cloning, characterization, and inhibition studies of the human secretory isoform VI, a new target for sulfonamide and sulfamate inhibitors. | 2007-01-25 |
|
| The development of topically acting carbonic anhydrase inhibitors as anti-glaucoma agents. | 2007 |
|
| Carbonic anhydrase inhibitors: clash with Ala65 as a means for designing inhibitors with low affinity for the ubiquitous isozyme II, exemplified by the crystal structure of the topiramate sulfamide analogue. | 2006-11-30 |
|
| [Diuretic therapy in heart failure]. | 2006-04-25 |
|
| Carbonic anhydrase inhibitors: cloning and sulfonamide inhibition studies of a carboxyterminal truncated alpha-carbonic anhydrase from Helicobacter pylori. | 2006-04-15 |
|
| Carbonic anhydrase inhibitors: DNA cloning and inhibition studies of the alpha-carbonic anhydrase from Helicobacter pylori, a new target for developing sulfonamide and sulfamate gastric drugs. | 2006-03-23 |
|
| Carbonic anhydrase inhibitors ameliorate the symptoms of hypokalaemic periodic paralysis in rats by opening the muscular Ca2+-activated-K+ channels. | 2006-01 |
|
| Carbonic anhydrase inhibitors: inhibition of cytosolic/tumor-associated carbonic anhydrase isozymes I, II, and IX with benzo[b]thiophene 1,1-dioxide sulfonamides. | 2005-11-01 |
|
| Carbonic anhydrase inhibitors: inhibition of the transmembrane isozyme XIV with sulfonamides. | 2005-09-01 |
|
| Screening procedure for detection of diuretics and uricosurics and/or their metabolites in human urine using gas chromatography-mass spectrometry after extractive methylation. | 2005-08 |
|
| Expression of a novel carbonic anhydrase, CA XIII, in normal and neoplastic colorectal mucosa. | 2005-04-18 |
|
| [Diclofenamide]. | 2005-04-15 |
|
| Carbonic anhydrase inhibitors. Inhibition of the membrane-bound human and bovine isozymes IV with sulfonamides. | 2005-02-15 |
|
| Carbonic anhydrase inhibitors. Inhibition of the human cytosolic isozyme VII with aromatic and heterocyclic sulfonamides. | 2005-02-15 |
|
| Carbonic anhydrase inhibitors. Inhibition of the transmembrane isozyme XII with sulfonamides-a new target for the design of antitumor and antiglaucoma drugs? | 2005-02-15 |
|
| A Korean family of hypokalemic periodic paralysis with mutation in a voltage-gated calcium channel (R1239G). | 2005-02 |
|
| Theoretical study of gas-phase acidity, pKa, lipophilicity, and solubility of some biologically active sulfonamides. | 2004-10-15 |
|
| Carbonic anhydrase inhibitors. Inhibition of cytosolic isozyme XIII with aromatic and heterocyclic sulfonamides: a novel target for the drug design. | 2004-07-16 |
|
| Carbonic anhydrase inhibitors: the first QSAR study on inhibition of tumor-associated isoenzyme IX with aromatic and heterocyclic sulfonamides. | 2004-06-21 |
|
| Benzolamide is not a membrane-impermeant carbonic anhydrase inhibitor. | 2004-06 |
|
| Carbonic anhydrase inhibitors are specific openers of skeletal muscle BK channel of K+-deficient rats. | 2004-04 |
|
| Carbonic anhydrase inhibitors: X-ray crystallographic structure of the adduct of human isozyme II with the antipsychotic drug sulpiride. | 2004-01-19 |
|
| Carbonic anhydrase inhibitors: N-(p-sulfamoylphenyl)-alpha-D-glycopyranosylamines as topically acting antiglaucoma agents in hypertensive rabbits. | 2004-01-05 |
|
| Generation and evaluation of a CYP2C9 heteroactivation pharmacophore. | 2003-12 |
|
| Carbonic anhydrase inhibitors. Inhibition of tumor-associated isozyme IX by halogenosulfanilamide and halogenophenylaminobenzolamide derivatives. | 2003-05-22 |
|
| Carbonic anhydrase inhibitors: inhibition of the tumor-associated isozyme IX with aromatic and heterocyclic sulfonamides. | 2003-03-24 |
|
| Carbonic anhydrase inhibitors: SAR and X-ray crystallographic study for the interaction of sugar sulfamates/sulfamides with isozymes I, II and IV. | 2003-03-10 |
|
| Long-term management of a glaucomatous eye in a dog treated with medical therapy alone. | 2001-12 |
|
| Randomized trials of dichlorphenamide in the periodic paralyses. Working Group on Periodic Paralysis. | 2000-01 |
|
| [Diclofenamide Reference Standard (Control 891) of National Institute of Hygienic Sciences]. | 1991 |
|
| Carbonic anhydrase inhibitors and osmotic agents in glaucoma. Carbonic anhydrase inhibitors. | 1968-08 |
| Substance Class |
Chemical
Created
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| Record UNII |
VVJ6673MHY
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| Record Status |
Validated (UNII)
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| Classification Tree | Code System | Code | ||
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NDF-RT |
N0000175517
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WHO-ATC |
S01EC02
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EU-Orphan Drug |
EU/3/16/1677
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FDA ORPHAN DRUG |
314210
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NCI_THESAURUS |
C29577
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WHO-VATC |
QS01EC02
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NCI_THESAURUS |
C47796
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SUB07093MIG
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DB01144
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DTXSID1022922
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120-97-8
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6807
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3353
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m4357
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3038
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D004005
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C65376
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VVJ6673MHY
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DICLOFENAMIDE
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CHEMBL17
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3267
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100000082917
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639
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101085
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| Related Record | Type | Details | ||
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TARGET -> INHIBITOR |
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TARGET -> INHIBITOR |
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TARGET -> INHIBITOR |
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TARGET -> INHIBITOR |
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BINDER->LIGAND |
BINDING
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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ACTIVE MOIETY |
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