New drug cocktail aims to tackle KRAS lung cancer
NCT ID NCT01933932
First seen Jun 27, 2026 · Last updated Jul 22, 2026 · Updated 2 times
Summary
This phase 3 trial tests whether adding selumetinib (a targeted therapy) to standard chemotherapy (docetaxel) helps people with advanced KRAS-mutant lung cancer live longer without their cancer growing. About 510 adults whose cancer worsened after first treatment will receive either the combo or a placebo plus chemo. The study measures progression-free survival, overall survival, and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Selumetinib (a targeted cancer drug) combined with docetaxel (chemotherapy)
- What this could lead to
- If successful, this combination could offer a new treatment option for people with a specific type of advanced lung cancer (KRAS mutation) that has stopped responding to initial therapy.
- What could go wrong
- This is a late-stage trial, but the drug combination may not improve survival or could cause significant side effects like infections or fatigue. Results may not apply to all lung cancer patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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510 people
The number who actually took part.
- Started
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Sep 2013
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 130 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Provision of signed, written and dated informed consent prior to any study specific procedures * Male or female, aged 18 years or older * Histological or cytological confirmation of locally advanced or metastatic NSCLC (IIIB-IV) * KRAS mutation positive tumour sample as determined by the designated testing laboratory * Failure of 1st line anti-cancer therapy due to radiological documentation of disease progression in advanced disease or subsequent relapse of disease following 1st line therapy Exclusion Criteria: * Mixed small cell and non-small cell lung cancer histology. * Received \>1 prior anti-cancer drug regimen for advanced or metastatic NSCLC. Patients who develop disease progression while on switch maintenance therapy (maintenance using an agent not in the first-line regimen) will not be eligible. * Receiving or have received systemic anti-cancer therapy within 30 days prior to starting study treatment * Other concomitant anti-cancer therapy agents excepts steroids * Prior treatment with a Mitogen-Activated protein Kinase (MEK) inhibitor or any docetaxel-containing regimen (prior treatment with paclitaxel is acceptable). * Last radiation therapy within 4 weeks prior starting study treatment, or limited field of radiation for palliation within 7 days of the first dose of study treatment
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Locally advanced or metastatic non small cell lung cancer stage IIIB - iv are added.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aurora, Colorado, 80045, United States
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Pembroke Pines, Florida, 33028, United States
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Atlanta, Georgia, 30318, United States
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Chicago, Illinois, 60637, United States
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Metairie, Louisiana, 70006, United States
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Boston, Massachusetts, 02114, United States
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Boston, Massachusetts, 02215, United States
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Danvers, Massachusetts, 01923, United States
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New York, New York, 10011, United States
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New York, New York, 10032, United States
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Durham, North Carolina, 27710, United States
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Hershey, Pennsylvania, 17033, United States
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Philadelphia, Pennsylvania, 19107, United States
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Nashville, Tennessee, 37203, United States
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Nashville, Tennessee, 37232, United States
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Seattle, Washington, 98104, United States
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Morgantown, West Virginia, 26506, United States
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Buenos Aires, 1426, Argentina
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Ciudad de Buenos Aires, 1180, Argentina
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Ciudad de Buenos Aires, C1025ABI, Argentina
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Córdoba, 5000, Argentina
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Rosario, S2000KZE, Argentina
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Camperdown, 2050, Australia
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Chermside, 4032, Australia
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Darlinghurst, 2010, Australia
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Fitzroy, 3065, Australia
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Kogarah, 2217, Australia
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Kurralta Park, 5037, Australia
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Malvern, 3144, Australia
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Wendouree, 3355, Australia
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Woodville South, 5011, Australia
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Innsbruck, 6020, Austria
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Linz, 4020, Austria
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Salzburg, 5020, Austria
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Vienna, 1100, Austria
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Vienna, 1160, Austria
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Brussels, 1000, Belgium
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Brussels, 1090, Belgium
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Brussels, 1200, Belgium
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Ghent, 9000, Belgium
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Leuven, 3000, Belgium
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Roeselare, 8800, Belgium
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Barretos, 14784-400, Brazil
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Ijuí, 98700-000, Brazil
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Pelotas, 096015-280, Brazil
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Porto Alegre, 90035-003, Brazil
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Porto Alegre, 90610-000, Brazil
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São José do Rio Preto, 15090-000, Brazil
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São Paulo, 01209-000, Brazil
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São Paulo, 01246-000, Brazil
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São Paulo, Brazil
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Plovdiv, 4000, Bulgaria
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Sofia, 1233, Bulgaria
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Sofia, 1303, Bulgaria
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Sofia, 1330, Bulgaria
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Varna, 9010, Bulgaria
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Vratsa, 3000, Bulgaria
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Edmonton, Alberta, T6G 1Z2, Canada
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Kelowna, British Columbia, V1Y 5L3, Canada
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Surrey, British Columbia, V3V 1Z2, Canada
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Halifax, Nova Scotia, B3H 1V7, Canada
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Oshawa, Ontario, L1G 2B9, Canada
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Toronto, Ontario, M5G 2M9, Canada
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Montreal, Quebec, H4A 3J1, Canada
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Québec, Quebec, G1V 4G5, Canada
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Regina, Saskatchewan, S4T 7T1, Canada
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Saskatoon, Saskatchewan, S7N 4H4, Canada
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Santiago, 7500921, Chile
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Santiago, 7520349, Chile
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Santiago, 7630370, Chile
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Santiago, 8360160, Chile
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Santiago, 8380456, Chile
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Santiago, 8420383, Chile
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Brest, 29609, France
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Caen, F-14033, France
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Clermont-Ferrand, 63003, France
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Dijon, 21079, France
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Lille, 59000, France
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Marseille, 13915, France
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Paris, 75020, France
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Pierre-Bénite, 69310, France
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Rennes, 35033, France
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Toulouse, 31059, France
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Augsburg, 86156, Germany
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Bad Berka, 99437, Germany
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Cologne, 50937, Germany
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Dortmund, 44309, Germany
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Gerlingen, 70839, Germany
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Großhansdorf, 22927, Germany
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Halle, 06120, Germany
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Heidelberg, 69126, Germany
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Homburg, 66424, Germany
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Löwenstein, 74245, Germany
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Moers, 47441, Germany
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München, 81925, Germany
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Ulm, 89081, Germany
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Wiesbaden, 65199, Germany
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Würzburg, 97080, Germany
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Budapest, 1121, Hungary
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Budapest, 1122, Hungary
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Edelény, 3780, Hungary
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Győr, 9024, Hungary
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Kaposvár, 7400, Hungary
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Miskolc, 3529, Hungary
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Nyíregyháza, 4400, Hungary
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Törökbálint, 2045, Hungary
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Beersheba, 8410101, Israel
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Haifa, 31096, Israel
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Kfar Saba, 4428164, Israel
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Petah Tikva, 49100, Israel
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Tel Aviv, 64239, Israel
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Tel Litwinsky, 52621, Israel
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Bari, 70124, Italy
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Genova, 16100, Italy
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Livorno, 57100, Italy
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Milan, 20132, Italy
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Naples, 80131, Italy
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Orbassano, 10043, Italy
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Parma, 43126, Italy
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Perugia, 06132, Italy
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Roma, 00128, Italy
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Roma, 00144, Italy
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México, 14080, Mexico
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Monterrey, 64460, Mexico
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's-Hertogenbosch, 5223 GZ, Netherlands
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Amsterdam, 1066 CX, Netherlands
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Amsterdam, 1081 HV, Netherlands
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Bergen op Zoom, 4624 VT, Netherlands
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Maastricht, 6202 AZ, Netherlands
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Lima, 15033, Peru
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Lima, 15073, Peru
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Lima, L27, Peru
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Lima, LIMA 01, Peru
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Lima, LIMA 11, Peru
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Lima, LIMA 29, Peru
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Lima, LIMA 34, Peru
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Miraflores, 15046, Peru
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Brzozów, 36-200, Poland
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Bydgoszcz, 85-796, Poland
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Gdansk, 80-219, Poland
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Gdansk, 80-952, Poland
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Grudziądz, 86-300, Poland
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Krakow, 31-202, Poland
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Lubin, 59-301, Poland
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Olsztyn, 10-357, Poland
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Opole, 45-061, Poland
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Sucha Beskidzka, 34-200, Poland
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Szczecin, 70-891, Poland
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Warsaw, 02-781, Poland
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Amadora, 2720-276, Portugal
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Coimbra, 3040-316, Portugal
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Lisbon, 1099-023, Portugal
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Lisbon, 1769-001, Portugal
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Porto, 4100-180, Portugal
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Porto, 4200-319, Portugal
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Vila Nova de Gaia, 4434-502, Portugal
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Cluj-Napoca, 400015, Romania
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Cluj-Napoca, 400058, Romania
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Kazan', 420012, Russia
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Moscow, 105229, Russia
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Moscow, 115478, Russia
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Saint Petersburg, 194291, Russia
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Saint Petersburg, 197342, Russia
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Saint Petersburg, 197758, Russia
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Volgograd, 400138, Russia
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Barcelona, 08003, Spain
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Madrid, 08035, Spain
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Madrid, 28034, Spain
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Madrid, 28041, Spain
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Málaga, 29010, Spain
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Seville, 41013, Spain
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Vigo(Pontevedra), 36204, Spain
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Zaragoza, 50009, Spain
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Linköping, 581 85, Sweden
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Örebro, 701 85, Sweden
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Uppsala, SE-751 85, Sweden
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Ankara, 06230, Turkey (Türkiye)
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Ankara, 06280, Turkey (Türkiye)
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Istanbul, 34662, Turkey (Türkiye)
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Istanbul, 34844, Turkey (Türkiye)
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Izmir, 35100, Turkey (Türkiye)
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Izmir, 35110, Turkey (Türkiye)
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Manisa, 45030, Turkey (Türkiye)
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Chernivtsі, 58013, Ukraine
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Dnipro, 49102, Ukraine
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Kharkiv Region, 61070, Ukraine
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Kryvyi Rih, 50048, Ukraine
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Kyiv, 03115, Ukraine
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Sumy, 40022, Ukraine
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Uzhhorod, 88000, Ukraine
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Zaporizhzhia, 69040, Ukraine
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Aberdeen, AB2 2ZB, United Kingdom
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London, SW3 6JJ, United Kingdom
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Manchester, M20 4BX, United Kingdom
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Nottingham, NG5 1PB, United Kingdom
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Sutton, SM2 5PT, United Kingdom
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Wolverhampton, WV10 0QP, United Kingdom