Overview
Sponsor-declared trial summary
Agitation Associated with Alzheimer’s Disease
To assess the long-term safety and tolerability of KarXT + KarX-EC in participants with agitation associated with AD.
Key facts
- Sponsor
- Bristol-Myers Squibb Services Unlimited Company
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Psychiatry and Psychology [F] - Mental Disorders [F03]
- Decision date (initial)
- 2025-10-27
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
External identifiers
- EU CT number
- 2024-519994-20-00
- WHO UTN
- U1111-1316-3903
- ClinicalTrials.gov
- NCT06937229
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Others
To assess the long-term safety and tolerability of KarXT + KarX-EC in participants with agitation associated with AD.
Conditions and MedDRA coding
Agitation Associated with Alzheimer’s Disease
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 27.0 | LLT | 10066844 | Behavioral and psychiatric symptoms of dementia | 10037175 |
| 20.0 | PT | 10012271 | Dementia Alzheimer's type | 100000004852 |
Regulatory references
- Scientific advice from competent authorities
- Food And Drug Administration
- Plan to share IPD
- Yes
- IPD plan description
- BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myers Squibb's data sharing policy and process can be found at: https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosure-commitment.html.
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- The participants who can participate in this study are those who have finished either study CN0120023 or CN0120024.
- Participants also must sign a new informed consent form and continue to have a caregiver who can continue to accompany them to all study visits, make sure they take their medication and follow the study rules, and agree to participate in interviews and questionnaires about the participant’s behavior (approximately 10 hours a week or more).
Exclusion criteria 1
- Participants must not have clinically significant cardiovascular (eg, untreated or unstable hypertension, clinically significant tachycardia), pulmonary, renal, hematologic, GI, endocrine, immunologic, dermatologic, neurologic, or oncologic disease or any other condition that, in the opinion of the investigator, would jeopardize the safety of the participant or the validity of the study results.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Incidence of any Treatment-Emergent Adverse Events (TEAEs).
Secondary endpoints 9
- Reported adverse events (AEs), TEAEs, serious AEs, and TEAEs leading to study withdrawal and deaths
- AEs of special interest
- Assessment of abnormal involuntary movements or restlessness
- Body weight
- Blood pressure and heart rate
- Laboratory evaluations
- Suicidal ideation
- Assessment of cognition
- Assessment of urinary retention.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 8
PRD12404394 · Product
- Active substance
- Trospium Chloride
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD12404377 · Product
- Active substance
- Trospium Chloride
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD12404386 · Product
- Active substance
- Trospium Chloride
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg/g milligram(s)/gram
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD12404368 · Product
- Active substance
- Trospium Chloride
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD12408422 · Product
- Active substance
- Xanomeline Tartrate
- Substance synonyms
- LY246708 tartrate, 3-(4-(Hexyloxy)-1,2,5-thiadiazol-3-yl)-1,2,5,6-tetrahydro-1-methylpyridine (-)-(+)-tartrate (1:1)
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg/g milligram(s)/gram
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD12408431 · Product
- Active substance
- Xanomeline Tartrate
- Substance synonyms
- LY246708 tartrate, 3-(4-(Hexyloxy)-1,2,5-thiadiazol-3-yl)-1,2,5,6-tetrahydro-1-methylpyridine (-)-(+)-tartrate (1:1)
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD12408423 · Product
- Active substance
- Xanomeline Tartrate
- Substance synonyms
- LY246708 tartrate, 3-(4-(Hexyloxy)-1,2,5-thiadiazol-3-yl)-1,2,5,6-tetrahydro-1-methylpyridine (-)-(+)-tartrate (1:1)
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD12408417 · Product
- Active substance
- Xanomeline Tartrate
- Substance synonyms
- LY246708 tartrate, 3-(4-(Hexyloxy)-1,2,5-thiadiazol-3-yl)-1,2,5,6-tetrahydro-1-methylpyridine (-)-(+)-tartrate (1:1)
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Bristol-Myers Squibb Services Unlimited Company
- Sponsor organisation
- Bristol-Myers Squibb Services Unlimited Company
- Address
- Plaza 254, Blanchardstown Corporate Park 2 Blanchardstown Corporate Park 2
- City
- Dublin 15
- Postcode
- D15 T867
- Country
- Ireland
Scientific contact point
- Organisation
- Bristol-Myers Squibb Services Unlimited Company
- Contact name
- GSM-CT
Public contact point
- Organisation
- Bristol-Myers Squibb Services Unlimited Company
- Contact name
- GSM-CT
Third parties 8
| Organisation | City, country | Duties |
|---|---|---|
| Labcorp Central Laboratory Services Sàrl ORL-000005229
|
Geneva, Switzerland | Other |
| Endpoint Clinical Inc. ORL-000012879
|
Wakefield, United States | Other |
| Accenture Solutions Private Limited ORG-100032592
|
Chennai, India | Other |
| Signant Health Global LLC ORG-100040604
|
Blue Bell, United States | Other |
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | Data management |
| Greenphire LLC ORG-100041621
|
King Of Prussia, United States | Other |
| Accenture Solutions Private Limited ORG-100032592
|
Bangaluru, India | Other |
| Iqvia Inc. ORG-100010622
|
Durham, United States | Other |
Locations
11 EU/EEA countries · 81 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Authorised, recruitment pending | 8 | 5 |
| Croatia | Authorised, recruitment pending | 13 | 4 |
| Czechia | Authorised, recruitment pending | 21 | 7 |
| France | Authorised, recruitment pending | 17 | 7 |
| Greece | Authorised, recruitment pending | 18 | 8 |
| Hungary | Authorised, recruitment pending | 14 | 7 |
| Italy | Authorised, recruitment pending | 20 | 7 |
| Poland | Authorised, recruitment pending | 20 | 7 |
| Portugal | Authorised, recruitment pending | 8 | 5 |
| Romania | Authorised, recruitment pending | 25 | 13 |
| Spain | Authorised, recruitment pending | 29 | 11 |
| Rest of world
Taiwan, Israel, Chile, Korea, Republic of, Ukraine, Argentina, United States, Brazil, Japan, United Kingdom, China, India, Mexico, Canada
|
— | 409 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 117 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2024-519994-20-00 GR_Redacted | 01 |
| Protocol (for publication) | D1_Protocol 2024-519994-20-00_redacted | PA 01 |
| Protocol (for publication) | D4_patient facing documents__statement_under license PL | N/A |
| Protocol (for publication) | D4_Patient facing Documents_Questionnaire ADAS-Cog WL1_PT | 1 |
| Protocol (for publication) | D4_Patient facing Documents_Questionnaire ADAS-Cog WL2_PT | 1 |
| Protocol (for publication) | D4_Patient facing Documents_Questionnaire ADAS-Cog WL3_PT | 1 |
| Protocol (for publication) | D4_Patient facing Documents_Questionnaire ADAS-Cog WL5_PT | 1 |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_ADAS-Cog_WL1_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_ADAS-Cog_WL2_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_ADAS-Cog_WL3_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_ADAS-Cog_WL5_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_ADAS-COG_wordlist-recall_L1-2-3-4-5-6_TS6_0_bul-BG_1 | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_ADAS-COG-wordlist-recall_L1-2-3-4-5-6_TS6_0_bul-BG_2 | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_ADAS-COG-wordlist-recognition_L1-2-3-4-5-6_T1_TS6 0_bul-BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_AIMS_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_BARS_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_C-SSRS_BL_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_IPSS_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_MMSE_BG | NA |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_Statement for publication_ES | 1 |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire_Statement for publication_IT | na |
| Protocol (for publication) | D4_Patient facing documents_Statement on validated questionnaires under license_HR | 1 |
| Protocol (for publication) | D4_patient facing documents_statement_under license_BG | NA |
| Protocol (for publication) | D4_patient facing documents_statement_under license_GR | NA |
| Protocol (for publication) | D4_Statement on validated questionnaires under licence_CZ | N/A |
| Protocol (for publication) | D4_Statement on validated questionnaires under licence_FR | 1 |
| Protocol (for publication) | D4_Statement on validated questionnaires under licence_RO | 1 |
| Protocol (for publication) | D4_Statement on validated questionnaires under license_ENG | 1 |
| Protocol (for publication) | D4_Statement on validated questionnaires under license_HU | 1 |
| Protocol (for publication) | D4_Statement on validated questionnaires under license_PT | 1 |
| Recruitment arrangements (for publication) | K1 Recruitment Arrangements_GR | 1.0 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements_HR | 1 |
| Recruitment arrangements (for publication) | K1_BG_Recruitment arrangements_bg_23Jun2025 | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure template | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_CZ | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FR | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_IT | 1 |
| Subject information and informed consent form (for publication) | L1 SIS and ICF Greenphire_HR_Unedacted | 1 |
| Subject information and informed consent form (for publication) | L1 SIS and ICF Main ICF_HR_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1 SIS and ICF Optional Future Research_HR_Unredacted | 2 |
| Subject information and informed consent form (for publication) | L1 SIS and ICF Pregnant Participant_HR_Unredacted | 1 |
| Subject information and informed consent form (for publication) | L1 SIS and ICF Study Partner_HR_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Assent_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_Redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Optional Future Research | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Study Partner_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_Greenphire ICF for Bulgaria_BG_V1_0_23Jun2025 | 1 |
| Subject information and informed consent form (for publication) | L1_Greenphire ICF for Bulgaria_EN_V1_0_23Jun2025 | 1 |
| Subject information and informed consent form (for publication) | L1_ICF_Genetic_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Adult Assent_BG_v1_24Jun2025_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Adult Assent_EN_v1_24Jun2025_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Adult Assent_IT_Redatto | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Asentimiento_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Assent_FR_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Assent_GR_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Assent_PL_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Assent_PT_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Cuidador de Paciente_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF General_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Investigacion Futura Opcional_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main for Bulgaria_BG_v1_24Jun2025_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main for Bulgaria_EN_v1_24Jun2025_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main ICF_PT_Redacted | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_GR_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_IT_Redatto | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_PL_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Redacted_FR | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Future Research_BG_v1_23Jun2025 | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Future Research_EN_v1_23Jun2025 | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Future Research_FR | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Future Research_GR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF optional Future Research_IT_Redatto | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Future Research_PL | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Future Research_PT_Unredacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Participant_FR | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Privacy_IT_Redatto | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Reimbursement_GR_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Reimbursement_IT_Redatto | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Study Partner _GR_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Study Partner PL_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Study Partner_BG_v1_23Jun2025_Redacted | 1.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Study Partner_EN_v1_23Jun2025_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Study Partner_IT_Redatto | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Study Partner_PT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Study Partner_Redacted_FR | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult Assent_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_already enrolled participant_CZ_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_new participant_CZ_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Caregiver_CZ_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_already enrolled participant_CZ_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_new participant_CZ_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional future Research redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Future Research_CZ | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Participant Card | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Study Partner_Redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS Genetic redacted | 2 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_IOCBP_CZ | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Persona Data_CZ | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study Participant Alert Card_FR_Redacted | 1 |
| Synopsis of the protocol (for publication) | D1 Protocol synopsis EU CTR 2024-519994-20_PL | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis 2024-519994-20-00 GR | 4.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2024-519994-20 BG | 4.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-519994-20_CZ | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-519994-20_FR | 4.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2024-519994-20_HU | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-519994-20_IT | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2024-519994-20_PT | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2024-519994-20-00_ES | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_ENG_2024-519994-20-00 | 04 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_EU CT2024-519994-20_HR | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_EU CTR 2024-519994-20_RO | 4 |
| Synopsis of the protocol (for publication) | D4_Patient Facing Documents_Questionnaire_ADAS-COG-wordlist-recognition_ES | 1 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-06-30 | Poland | Acceptable with conditions 2025-10-20
|
2025-10-21 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-11-14 | Acceptable with conditions | 2025-11-25 | |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-11-27 | Poland | Acceptable with conditions | 2025-11-27 |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-12-22 | Poland | Acceptable 2026-04-03
|
2026-04-06 |
| 5 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-04-24 | Acceptable 2026-04-03
|
2026-04-24 |