Page last updated: 2024-12-06

toltrazuril

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Toltrazuril is a synthetic anticoccidial drug used in the treatment of coccidiosis in various animal species, particularly in poultry and cattle. It acts by inhibiting the growth and development of coccidia, a group of parasitic protozoa that can cause significant economic losses in livestock industries. Toltrazuril's mechanism of action involves disrupting the parasite's electron transport chain, leading to its metabolic inhibition and eventual death. The compound is known for its broad-spectrum activity against multiple coccidial species, including Eimeria tenella, E. acervulina, E. maxima, and E. necatrix. Toltrazuril is typically administered orally in the feed or water of animals. The drug has been studied extensively to understand its pharmacokinetics, efficacy, and safety in different animal species. It is a valuable tool for controlling coccidiosis and improving animal health and productivity. Its importance lies in its ability to reduce the impact of coccidiosis, a disease that can lead to weight loss, diarrhea, and mortality in affected animals. This has significant economic implications for livestock farmers and the overall agricultural industry.'

toltrazuril: structure in first source [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID68591
CHEMBL ID2104931
CHEBI ID93130
SCHEMBL ID248912
MeSH IDM0111498

Synonyms (79)

Synonym
AC-792
1-methyl-3-[3-methyl-4-[4-(trifluoromethylsulfanyl)phenoxy]phenyl]-1,3,5-triazinane-2,4,6-trione
1,3,5-triazine-2,4,6(1h,3h,5h)-trione, 1-methyl-3-(3-methyl-4-(4-((trifluoromethyl)thio)phenoxy)phenyl)-
69004-03-1
toltrazuril
D06187
toltrazuril (usan/inn)
toltrazurilo [spanish]
bay-i 9142
toltrazurilum [latin]
1-methyl-3-(4-(p-((trifluoromethyl)thio)phenoxy)-m-tolyl)-s-triazine-2,4,6(1h,3h,5h)-trione
HMS2090D08
baycox
bay vi 9142
1-methyl-3-[3-methyl-4-[4-(trifluoromethylthio)phenoxy]phenyl]-1,3,5-triazinane-2,4,6-trione
A836306
pharmakon1600-01505681
nsc759176
nsc-759176
toltrazurilum
toltrazurilo
CHEMBL2104931
bay-vi-9142
S4044
unii-qvz3iar3js
nsc 759176
qvz3iar3js ,
toltrazuril [usan:inn:ban]
FT-0630780
toltrazuril [inn]
procox component toltrazuril
toltrazuril component of procox
toltrazuril [mi]
toltrazuril [usan]
toltrazuril [mart.]
toltrazuril [ema epar veterinary]
AKOS015889482
BRD-K64514229-001-01-1
SCHEMBL248912
CCG-213509
DL-522
CS-2051
HY-B0175
smr000857261
MLS006010653
DTXSID90219063 ,
toltrazuril;
AB01563104_02
AB01563104_01
mfcd00867201
1,3,5-triazine-2,4,6(1h,3h,5h)-trione, 1-methyl-3-[3-methyl-4-[4-[(trifluoromethyl)thio]phenoxy]phenyl]-
SR-05000001740-1
sr-05000001740
toltrazuril, vetranal(tm), analytical standard
CHEBI:93130
HMS3652O21
SR-05000001740-2
SBI-0206811.P001
OCINXEZVIIVXFU-UHFFFAOYSA-N ,
NCGC00263905-02
HMS3715K22
1-methyl-3-(3-methyl-4-(4-((trifluoromethyl)thio)phenoxy)phenyl)-1,3,5-triazinane-2,4,6-trione
SW199566-2
1-methyl-3-(3-methyl-4-(4-(trifluoromethylthio)phenoxy)phenyl)-1,3,5-triazinane-2,4,6-trione
DS-3379
1-methyl-3-{3-methyl-4-(4-(trifluoromethylthio)phenoxy)phenyl}-1,3,5-triazine-2,4,6(1h,3h,5h)-trione
BCP11761
Q1470932
AMY37048
NCGC00263905-04
C76180
1-methyl-3-[3-methyl-4-[4[(trifluoromethyl)thio]phenoxy]phenyl]-1,3,5-triazine-2,4,6(1h,3h,5h)-trione
1,3,5-triazine-2,4,6(1h,3h,5h)-trione,?1-methyl-3-[3-methyl-4-[4-[(trifluoromethyl)thio]phenoxy]phenyl]-
toltrazuril (mart.)
toltrazurilum (latin)
dtxcid10141554
toltrazuril (ema epar veterinary)
SY067292
1-methyl-3-[3-methyl-4-[4-[(trifluoromethyl)thio]phenoxy]phenyl]-1,3,5-triazinane-2,4,6-trione

Research Excerpts

Overview

Toltrazuril (TZR) is a triazine-based antiprotozoal agent. It is widely used in the prevention and treatment of coccidiosis infection in poultry and mammals.

ExcerptReferenceRelevance
"Toltrazuril (Tol) is a broad-spectrum anticoccidiosis drug that is widely used in the prevention and treatment of coccidiosis infection in poultry and mammals. "( Toltrazuril mixed nanomicelle delivery system based on sodium deoxycholate-Brij C20 polyethylene ether-triton x100: Characterization, solubility, and bioavailability study.
Fan, G; Fu, H; Liu, C; Peng, G; Ren, D; Shi, F; Shu, G; Yin, L; Yuan, Z; Zhang, L; Zhao, L; Zhou, J, 2018
)
3.37
"Toltrazuril (TZR) is a triazine-based antiprotozoal agent. "( Pharmacokinetics of toltrazuril and its metabolites, toltrazuril sulfoxide and toltrazuril sulfone, after a single oral administration to pigs.
Hwang, YH; Kim, MS; Lim, JH; Park, BK; Song, IB; Yun, HI, 2010
)
2.13
"Toltrazuril is an effective agent for therapeutic use in acute coccidiosis."( [Use of toltrazuril in pullet breeding flocks raised on floors with anticoccidial-free feed].
Dorn, P; Mundt, HC; Schmid, HP; Schwarzer, C; Weber, R, 1991
)
1.44

Treatment

Toltrazuril and placebo treatment had no negative effect on newborns. Noninfected treated pups developed normally without differences in mortality and morbidity.

ExcerptReferenceRelevance
"The toltrazuril treatment is therefore probably indirectly effective against the systemic form of atoxoplasmosis."( Treatment of atoxoplasmosis in the Blue-crowned Laughing Thrush (Dryonastes courtoisi).
Barbon, AR; Jamriška, J; Lavilla, LA; Lopéz, JF; Modrý, D; Thomasson, A, 2013
)
0.87
"Both toltrazuril and placebo treatment had no negative effect on newborns, as noninfected treated pups developed normally without differences in mortality and morbidity to matching nontreated control animals."( Toltrazuril treatment of congenitally acquired Neospora caninum infection in newborn mice.
Gottstein, B; Greif, G; Hemphill, A; Krebber, R; Müller, N; Strohbusch, M, 2009
)
2.25
"In toltrazuril treated groups, histopathological findings included degenerative changes in the cyst wall, complete macrophage invasion to the cysts, and reduction or removal of the cysts in toto."( In-vivo efficacy of toltrazuril on experimentally induced Toxoplasma gondii tissue cysts in lambs: a novel strategy for prevention of human exposure to meat-borne toxoplasmosis.
Atmaca, HT; Deniz, A; Dincel, GC; Freyre, A; Gokpinar, S; Karahan, S; Kul, O; Ocal, N; Terzi, OS; Uzunalioğlu, T; Yildiz, K, 2013
)
1.23
"Toltrazuril treatment significantly reduced pre- and perinatal losses (10 deliveries of healthy newborns, versus 1 abortion and 4 failures) when compared to control-enrofloxacin (2 deliveries, versus 1 abortion, 7 failures and 2 pre-parturient deaths of dams) and non-treated animals (3 deliveries, versus 6 abortions, 8 failures and 4 pre-parturient deaths)."( Toltrazuril treatment to control diaplacental Neospora caninum transmission in experimentally infected pregnant mice.
Ammann, P; Gottstein, B; Müller, N; Razmi, GR; Sager, H, 2005
)
2.49
"Toltrazuril treatment is suitable for controlling cystoisosporosis under experimental and field conditions."( Toltrazuril treatment of cystoisosporosis in dogs under experimental and field conditions.
Daugschies, A; Letkova, V; Mundt, HC, 2000
)
2.47
"The toltrazuril-treated group remained free of clinical symptoms."( [Sulfonamide and toltrazuril therapy of experimental turkey coccidiosis].
Cortez, S; Greuel, E; Mundt, HC, 1991
)
1.1
"A treatment with toltrazuril (Baycox® 2.5%) was implemented in the four adult birds."( INVESTIGATION OF THE PRESENCE OF ATOXOPLASMA SPP. IN BLUE-CROWNED LAUGHINGTHRUSH (DRYONASTES COURTOISI) ADULTS AND NEONATES.
Betson, M; Mohr, F; Quintard, B, 2017
)
0.78
"Treatment with toltrazuril, but not with diclazuril, resulted in significantly reduced numbers of excreting animals."( Efficacy of toltrazuril (Baycox 5% suspension) in natural infections with pathogenic Eimeria spp. in housed lambs.
Le Sueur, C; Mage, C; Mundt, HC, 2009
)
1.07
"Treatment with toltrazuril and toltrazuril+ivermectin combination were highly effective in reducing faecal oocyst output in infected rabbits."( Eimeria stiedae: experimental infection in rabbits and the effect of treatment with toltrazuril and ivermectin.
Atalay, O; Atasever, A; Beyaz, L; Cam, Y; Eraslan, G; Inci, A; Kibar, M; Liman, BC, 2008
)
0.91
"Treatment with toltrazuril (Baycox) in calves naturally infected with several enteropathogenic agents resulted in a reduction in the mean number of Eimeria oocysts shed. "( Treatment with toltrazuril in a natural outbreak of coccidiosis in calves.
Bohrmann, R, 1991
)
0.99
"Treatment with toltrazuril, sulphaquinoxaline/pyrimethamine and amprolium/ethopabate prevented mortality in chickens infected with field isolates of Eimeria tenella. "( Chemotherapy of caecal coccidiosis: efficacy of toltrazuril, sulphaquinoxaline/pyrimethamine and amprolium/ethopabate, given in drinking water, against field isolates of Eimeria tenella.
Chapman, HD, 1989
)
0.89

Toxicity

ExcerptReferenceRelevance
"No suspected adverse drug reactions were observed in any of the 403 dogs enrolled in the three studies including 234 dogs treated with emodepside/toltrazuril suspension."( Field evaluations of the efficacy and safety of Emodepside plus toltrazuril (Procox® oral suspension for dogs) against naturally acquired nematode and Isospora spp. infections in dogs.
Adler, K; Altreuther, G; Gasda, N; Hellmann, K; Hutchens, D; Krieger, KJ; Schimmel, A; Thurieau, H, 2011
)
0.81

Pharmacokinetics

ExcerptReferenceRelevance
" In the present study, we aimed to evaluate the effect of three coccidiostats, sulfaquinoxaline (SUL), robenidine (ROB), and toltrazuril (TOL), as feed additives on the pharmacokinetic profile of FFC in rabbits."( Influence of three coccidiostats on the pharmacokinetics of florfenicol in rabbits.
Liu, C; Shao, YX; Wang, SJ; Zhang, Q, 2015
)
0.62

Bioavailability

ExcerptReferenceRelevance
"Triazine-based antiprotozoal agents are known for their lipophylic characteristics and may therefore be expected to be well absorbed following oral administration."( Synthesis and detection of toltrazuril sulfone and its pharmacokinetics in horses following administration in dimethylsulfoxide.
Dirikolu, L; Granstrom, DE; Hughes, C; Karpiesiuk, W; Lehner, AF; Tobin, T, 2009
)
0.65
" Furthermore, the TMNM had greater bioavailability (215%) than the Tol solution."( Toltrazuril mixed nanomicelle delivery system based on sodium deoxycholate-Brij C20 polyethylene ether-triton x100: Characterization, solubility, and bioavailability study.
Fan, G; Fu, H; Liu, C; Peng, G; Ren, D; Shi, F; Shu, G; Yin, L; Yuan, Z; Zhang, L; Zhao, L; Zhou, J, 2018
)
1.92
" This technique could increase the oral absorption and bioavailability of new drug candidates."( Formulation and Evaluation of a Novel Oral Oil-Based Suspension Using Micro-environmental pH-Modifying Solid Dispersion.
Ding, J; Lu, M; Pan, B; Sun, W; Wan, Q; Xing, Y; Yang, S; Zhang, S, 2019
)
0.51
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51

Dosage Studied

Toltrrazuril is absorbed in the horse after oral administration and reaches effective in vitro concentrations within the CSF of the horse. At a dosage of 35 mg/kg or higher, this period was at least 4 weeks.

ExcerptRelevanceReference
" After treatment with toltrazuril, there was a dose-dependent period during which pigeons remained negative; at a dosage of 35 mg/kg or higher, this period was at least 4 weeks."( Efficacy of toltrazuril and clazuril against experimental infections with Eimeria labbeana and E. columbarum in racing pigeons.
Vercruysse, J,
)
0.82
" Rabbits were dosed once with 10 and 20mg/kg TZR via stomach tube with manual restraint."( Plasma disposition of toltrazuril and its metabolites, toltrazuril sulfoxide and toltrazuril sulfone, in rabbits after oral administration.
Hwang, YH; Kim, MS; Lim, JH; Park, BK; Song, IB; Yun, HI, 2010
)
0.68
" maxima, and the field Eimeria isolates in broiler chickens at a dosage of 10 mg/kg in feed."( Anticoccidial activity of novel triazine compounds in broiler chickens.
Fei, C; Li, X; Liu, Y; She, R; Wang, C; Wang, M; Wang, X; Xia, S; Xue, F; Zhang, J; Zhang, K; Zhang, L; Zhang, M; Zhao, Q, 2019
)
0.51
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
aromatic etherAny ether in which the oxygen is attached to at least one aryl substituent.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (1)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Spike glycoproteinSevere acute respiratory syndrome-related coronavirusPotency39.81070.009610.525035.4813AID1479145
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Ceullar Components (1)

Processvia Protein(s)Taxonomy
virion membraneSpike glycoproteinSevere acute respiratory syndrome-related coronavirus
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (5)

Assay IDTitleYearJournalArticle
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347160Primary screen NINDS Rhodamine qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347159Primary screen GU Rhodamine qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (168)

TimeframeStudies, This Drug (%)All Drugs %
pre-199013 (7.74)18.7374
1990's22 (13.10)18.2507
2000's42 (25.00)29.6817
2010's79 (47.02)24.3611
2020's12 (7.14)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 58.05

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index58.05 (24.57)
Research Supply Index5.41 (2.92)
Research Growth Index4.92 (4.65)
Search Engine Demand Index127.55 (26.88)
Search Engine Supply Index2.66 (0.95)

This Compound (58.05)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials48 (27.59%)5.53%
Reviews3 (1.72%)6.00%
Case Studies4 (2.30%)4.05%
Observational0 (0.00%)0.25%
Other119 (68.39%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase1,Randomized,Open-Label,Parallel-Group,Relative Bioavailability Study to Investigate PK,Including Food Effect,Safety and Tolerability of Single Doses of New Immediate Release Tablet Formulations of Emodepside (BAY 44-4400),Compared to Oral Solution,i [NCT03383523]Phase 177 participants (Actual)Interventional2017-10-26Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT03383523 (8) [back to overview]PK (AUC0-7d) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution.
NCT03383523 (8) [back to overview]PK (Cmax) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution.
NCT03383523 (8) [back to overview]Safety and Tolerability as Measured by Number of Participants With Treatment-related Adverse Events
NCT03383523 (8) [back to overview]Safety and Tolerability as Measured by Number of Participants With 12-lead ECG Findings
NCT03383523 (8) [back to overview]Safety and Tolerability as Measured by Number of Participants With Clinical Laboratory Tests Findings
NCT03383523 (8) [back to overview]Safety and Tolerability as Measured by Number of Participants With Neurological Examination Findings
NCT03383523 (8) [back to overview]Safety and Tolerability as Measured by Number of Participants With Physical Examination Findings
NCT03383523 (8) [back to overview]Safety and Tolerability as Measured by Number of Participants With Vital Signs Findings

PK (AUC0-7d) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution.

Means AUC from zero to 7 days (AUC0-7d) = means area under the plasma concentration-time curve from time zero (pre-dose) to 7 days. To create the curve, the following PK Timepoints have been collected: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3,4,6,8,12,36,48,72,120 and 168h post dose (NCT03383523)
Timeframe: means from zero to 7 days

Interventionh.ng/ml (Geometric Mean)
Part 1a - Treatment A1215
Part 1a - Treatment B852
Part 1a - Treatment C931
Part 1b - Treatment D674
Part 1b - Treatment E733
Part 2 - Treatment F1609
Part 2 - Treatment G1943

[back to top]

PK (Cmax) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution.

Cmax means maximum observed plasma concentration. To create the PK curve, the following PK timepoints have been collected: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3,4,6,8,12,36,48,72,120 and 168h post dose (NCT03383523)
Timeframe: 7 days

Interventionng/ml (Geometric Mean)
Part 1a - Treatment A88.5
Part 1a - Treatment B41.9
Part 1a - Treatment C54.2
Part 1b - Treatment D27.1
Part 1b - Treatment E36.2
Part 2 - Treatment F71.7
Part 2 - Treatment G135

[back to top] [back to top]

Safety and Tolerability as Measured by Number of Participants With 12-lead ECG Findings

number of participants with 12-lead ECG findings. The ECG reference ranges used are the following: ventricular rate: 45-100beats/min, PR interval:120-220msec, QRS:<120msec, QTc:<430msec (NCT03383523)
Timeframe: 7 days

,,,,,,
Interventionparticipants (Number)
number of subject with abnormal ECG findingsnumber subject with clinically significant finding
Part 1a - Treatment A00
Part 1a - Treatment B00
Part 1a - Treatment C00
Part 1b - Treatment D00
Part 1b - Treatment E00
Part 2 - Treatment F00
Part 2 - Treatment G00

[back to top]

Safety and Tolerability as Measured by Number of Participants With Clinical Laboratory Tests Findings

number of participants with relevant abnormal laboratory tests results (NCT03383523)
Timeframe: 7 days

,,,,,,
Interventionparticipants (Number)
number of subject with abnormal lab valuesnumber subject with clinically significant finding
Part 1a - Treatment A00
Part 1a - Treatment B00
Part 1a - Treatment C00
Part 1b - Treatment D00
Part 1b - Treatment E00
Part 2 - Treatment F00
Part 2 - Treatment G00

[back to top]

Safety and Tolerability as Measured by Number of Participants With Neurological Examination Findings

Number of participants with abnormal neurological examination (NE) findings (NCT03383523)
Timeframe: 7 days

,,,,,,
Interventionparticipants (Number)
number of subject with abnormal NE findingsnumber subject with clinically significant finding
Part 1a - Treatment A00
Part 1a - Treatment B00
Part 1a - Treatment C00
Part 1b - Treatment D00
Part 1b - Treatment E00
Part 2 - Treatment F00
Part 2 - Treatment G00

[back to top]

Safety and Tolerability as Measured by Number of Participants With Physical Examination Findings

number of participants with abnormal physical examination (PE) findings. Standard examination done on head, ears, eyes, nose, thyroid, lymph node, back, neck, lungs, skin, abdomen, chest. The details are listed in protocol section 8.11.3 (NCT03383523)
Timeframe: 7 days

,,,,,,
Interventionparticipants (Number)
number of subject with abnormal PE findingsnumber subject with clinically significant finding
Part 1a - Treatment A00
Part 1a - Treatment B00
Part 1a - Treatment C10
Part 1b - Treatment D00
Part 1b - Treatment E10
Part 2 - Treatment F00
Part 2 - Treatment G00

[back to top]

Safety and Tolerability as Measured by Number of Participants With Vital Signs Findings

number of participants with vital signs (VS) findings. The vital signs ranges are the following Supine Systolic BP : 85-160mm HG, Supine Diastolic BP: 40-90mm HG, Supine HR: 35-100 beats/min. Details are described in the protocol section 8.11.2 (NCT03383523)
Timeframe: 7 days

,,,,,,
Interventionparticipants (Number)
number of subject with VS findingsnumber subject with clinically significant finding
Part 1a - Treatment A00
Part 1a - Treatment B10
Part 1a - Treatment C20
Part 1b - Treatment D20
Part 1b - Treatment E30
Part 2 - Treatment F00
Part 2 - Treatment G00

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