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NCT06819878ClinicalTrials.gov

A Study to Assess the Efficacy and Safety of Induction and Maintenance Therapy With Afimkibart (RO7790121) in Participants With Moderately to Severely Active Crohn's Disease

A Phase III, Multicenter, Double-Blind, Placebo-Controlled, Treat-Through Study to Assess the Efficacy and Safety of Induction and Maintenance Therapy With RO7790121 in Patients With Moderately to Severely Active Crohn's Disease

قيد التجنيديقبل مشاركين الآن، وفقاً لسجل السجل.
التواصل مع هذه الدراسة

باختصار

This Phase III, multicenter, double-blind, placebo-controlled treat-through study will evaluate the efficacy and safety of induction and maintenance therapy with Afimkibart (also known as RO7790121) in participants with moderately to severely active Crohn's disease (CD).

المرحلة 3مطلوب 600 مشارك374 موقعاً38 دولة

الفئات

مسجَّلة في سجل واحد

يمكن أن تُسجَّل دراسة واحدة في عدة سجلات. نعرضها مرة واحدة ونربط بكل سجل نحتفظ به.

تُعرض معلومات التجربة كما نشرها السجل، بلغتها الأصلية.

هل أنت مهتم بهذه الدراسة؟

تسجيل الدخول أو أنشئ حسابًا لتسجيل اهتمامك ومتابعة هذه الدراسة.

How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2025-02-11; recorded start 2025-03-17
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 534 other studies in this databaseCounted from the lead sponsor named in the record (Hoffmann-La Roche)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourSTRONG

A strong methodological design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding13/20

    Double-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 372 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEDIUM

A medium-sized study, international in scope: 600 participants (target), run at 374 sites, across 38 countries.

How this score is built
  • Enrolment27/40

    600 participants (target)

  • Site count25/25

    372 sites

  • Country count15/15

    38 countries

  • Planned duration10/10

    Planned over about 107 months

  • Sponsor scale10/10

    Hoffmann-La Roche has led 529 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

ملخص

This Phase III, multicenter, double-blind, placebo-controlled treat-through study will evaluate the efficacy and safety of induction and maintenance therapy with Afimkibart (also known as RO7790121) in participants with moderately to severely active Crohn's disease (CD).

الحالات

  • Moderately to Severely Active Crohns Disease

الأهلية

الأهلية
الجنسالجميع
الأعمار16 Years80 Years
المتطوعون الأصحّاءلا

الأهلية كما كُتبت في السجل

Inclusion Criteria: * Confirmed diagnosis of CD * Moderately to severely active CD * Bodyweight \>= 40 kilogram (kg) * Demonstrated inadequate response, loss of response and/or intolerance to at least one protocol-specified conventional or advanced CD therapy * Males and females of childbearing potential must meet protocol criteria for contraception requirements Exclusion Criteria: * Current diagnosis of ulcerative colitis (UC) or indeterminate colitis, ischemic colitis, infectious colitis, radiation colitis, microscopic colitis * Participant with a history of \>= 3 bowel resections (\> 2 missing segments of the 5 following segments: terminal ilelium, right colon, transverse colon, sigmoid and left colon, and rectum) * Diagnosis of short gut or short bowel syndrome * Presence of an ileostomy, colostomy or ileoanal pouch * Participants with symptomatic bowel strictures, fulminant colitis, or toxic megacolon * Presence of abdominal or perianal abscess * Presence of rectovaginal, enterovaginal, high output enterocutaneous fistula, enterovesical fistulas or perianal fistulas with \>3 openings * Current diagnosis or suspicion of primary sclerosing cholangitis * Pregnancy or breastfeeding, or intention of becoming pregnant during the study * Any past or current evidence of cancer of gastrointestinal tract, definite low-grade or high-grade colonic dysplasia * History of non-gastrointestinal cancer, with the exception of adequately treated non-metastatic basal cell or squamous cell skin cancer or in situ cervical cancer * Evidence of infection with Clostridioides difficile (C. difficile; formerly known as Clostridium difficile), cytomegalovirus (CMV), human immunodeficiency virus (HIV), Hepatitis B (HBV), Hepatitis C (HCV) during screening * Has evidence of active tuberculosis (TB), latent TB not successfully treated (per local guidance) or inadequately treated TB * Has received protocol-specified prohibited medicines, including known exposure to any type of anti-TL1A therapy

الأهلية في عبارات بسيطة

لم تُقسَّم معايير هذا السجل إلى عبارات منفصلة بعد. نص السجل أعلاه كامل وهو النسخة المُعتمَدة.

تصميم الدراسة

تصميم الدراسة
نوع الدراسةتدخّلية
المرحلةالمرحلة 3
التخصيصمعشّاة
نموذج التدخّلPARALLEL
الغرض الأساسيTREATMENT
التعميةDOUBLE (2)
التجنيدمطلوب 600 مشارك

الجهة الراعية والمتعاونون

  • Hoffmann-La Roche الجهة الراعية
  • Chugai Pharmaceutical المتعاونون

الأذرع والتدخلات

  • Arm 2: AfimkibartEXPERIMENTAL

    Participants will receive afimkibart IV followed by afimkibart SC injection.

  • Arm 3: PlaceboPLACEBO_COMPARATOR

    Participants will receive placebo IV followed by placebo SC.

  • Arm 1: AfimkibartEXPERIMENTAL

    Participants will receive afimkibart intravenously (IV) followed by afimkibart subcutaneous (SC) injection.

التدخلات

  • دواء Afimkibart

    Afimkibart will be administered as IV infusion. Afimkibart will be administered as SC injection.

  • دواء Placebo

    Placebo matching IV afimkibart. Placebo matching SC afimkibart.

مقاييس النتائج

  1. مقياس النتيجة الأولي

    Percentage of Participants with Clinical Remission per Crohn's Disease Activity Index (CDAI) Score

    Percentage of participants achieving a CDAI score of \<150. The index is a weighted sum of scores on eight components: number of liquid or soft stools (stool frequency), abdominal pain, general well-being, number of complications, use of anti-diarrheal medication, presence of an abdominal mass, hematocrit, and percentage deviation from standard body weight. CDAI generally ranges from 0 to roughly 600, with higher values indicating greater activity.

    الإطار الزمني At Week 52

  2. مقياس النتيجة الأولي

    Percentage of Participants with Endoscopic Response

    Percentage of participants achieving a decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) of \>50% from baseline. The SES-CD is a composite of four features of endoscopic activity (presence and size of ulcers, extent of ulcerated surface, extent of affected and presence and type of narrowings or stenosis) in up to five ileocolonic segments (terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum). Each feature is scored on a scale from 0 to 3, giving segment subscores of 0 to 12 points and a total SES-CD range of 0-60, with a higher value indicating greater severity.

    الإطار الزمني At Week 52

  3. مقياس النتيجة الثانوي

    Percentage of Participants with Clinical Remission

    Percentage of participants achieving a CDAI score of \<150. The index is a weighted sum of scores on eight components: number of liquid or soft stools (stool frequency), abdominal pain, general well-being, number of complications, use of anti-diarrheal medication, presence of an abdominal mass, hematocrit, and percentage deviation from standard body weight. CDAI generally ranges from 0 to roughly 600, with higher values indicating greater activity.

    الإطار الزمني At Week 12

  4. مقياس النتيجة الثانوي

    Percentage of Participants with Endoscopic Response

    Percentage of participants achieving a decrease in SES-CD of \>50% from baseline. The SES-CD is a composite of four features of endoscopic activity (presence and size of ulcers, extent of ulcerated surface, extent of affected and presence and type of narrowings or stenosis) in up to five ileocolonic segments (terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum). Each feature is scored on a scale from 0 to 3, giving segment subscores of 0 to 12 points and a total SES-CD range of 0-60, with a higher value indicating greater severity.

    الإطار الزمني At Week 12

  5. مقياس النتيجة الثانوي

    Percentage of Participants with Symptomatic Remission

    Percentage of participants with the daily number of liquid or very soft stools \<=2.8 and the average of daily abdominal pain scores in the past week \<=1, with neither being greater than baseline.

    الإطار الزمني At Week 12

  6. مقياس النتيجة الثانوي

    Percentage of Participants with Endoscopic Remission

    Percentage of participants with an SES-CD of 0 to 4 with a decrease from baseline \>=2 and no subscore \>1.

    الإطار الزمني At Week 12

  7. مقياس النتيجة الثانوي

    Percentage of Participants with Ulcer-free Endoscopy

    Percentage of participants with an SES-CD ulcerated surface subscore of 0.

    الإطار الزمني At Week 12

  8. مقياس النتيجة الثانوي

    Average of Daily Number of Liquid or Very Soft Stools in the Past Week (SF)

    Daily average number of liquid or very soft stools over 7 days.

    الإطار الزمني Baseline through Week 12

  9. مقياس النتيجة الثانوي

    Average of Daily Abdominal Pain Scores in the Past Week (APS)

    The average daily rating of abdominal pain in the past 7 days. The pain is assessed on a scale of 0-3 with 0 indicating no pain and 3 indicating severe pain.

    الإطار الزمني Baseline through Week 12

  10. مقياس النتيجة الثانوي

    Percentage of Participants with Endoscopic Remission

    Percentage of participants with SES-CD=0 to 4 with decrease from baseline \>=2 and no subscore \>1 .

    الإطار الزمني At Week 52

  11. مقياس النتيجة الثانوي

    Percentage of Participants with Symptomatic Remission

    Percentage of participants with the daily number of liquid or very soft stools \<=2.8 and the average of daily abdominal pain scores in the past week \<=1, with neither being greater than baseline.

    الإطار الزمني At Week 52

  12. مقياس النتيجة الثانوي

    Percentage of Participants with Corticosteroid-free Clinical Remission

    Percentage of participants with clinical remission at Week 52 and no use of corticosteroids for CD at least 8 weeks prior to Week 52.

    الإطار الزمني At Week 52

  13. مقياس النتيجة الثانوي

    Maintenance of Clinical Remission

    Percentage of participants with clinical remission at both Weeks 12 and 52.

    الإطار الزمني At Weeks 12 and 52

  14. مقياس النتيجة الثانوي

    Maintenance of Endoscopic Response

    Percentage of participants with endoscopic response at both Weeks 12 and 52.

    الإطار الزمني At Weeks 12 and 52

  15. مقياس النتيجة الثانوي

    Percentage of Participants with Clinical Remission and Endoscopic Remission at Week 52

    Percentage of participants achieving a CDAI score of \<150 and SES-CD of 0 to 4 with a decrease from baseline \>=2 and no subscore \>1 at Week 52.

    الإطار الزمني At Week 52

  16. مقياس النتيجة الثانوي

    Percentage of Participants with Ulcer-free Endoscopy

    Percentage of participants with an SES-CD ulcerated surface subscore of 0.

    الإطار الزمني At Week 52

  17. مقياس النتيجة الثانوي

    Bowel Urgency

    Bowel urgency from baseline through week 12 and week 52. Bowel urgency is a single-item self-reported assessment of sudden or immediate need to have a bowel movement in the past 24 hours. The item response is reported on a 4-point Likert scale, from "None" to "Severe."

    الإطار الزمني Baseline through Week 12 and Week 52

  18. مقياس النتيجة الثانوي

    Fatigue

    Fatigue, as measured by the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), from baseline to Week 12 and Week 52. FACIT-F is a 13-item self-reported assessment of fatigue. Each item response option indicates the degree to which a given statement describing the level or impact of fatigue applies in the past 7 days. Response options are graded on a 5-point Likert-type scale, from "Not at all" to "Very much."

    الإطار الزمني Baseline to Week 12 and Week 52

  19. مقياس النتيجة الثانوي

    Inflammatory Bowel Disease Questionnaire (IBDQ) Score

    Change in IBDQ score from baseline to week 12 and 52. The IBDQ is a 32-item questionnaire that measures four domains: bowel symptoms (10 questions); systemic symptoms (5 questions); emotional function (12 questions); and social function (5 questions). The total score ranges from 32-224, with a higher score indicating a better quality of life.

    الإطار الزمني Baseline to Week 12 and Week 52

  20. مقياس النتيجة الثانوي

    Percentage of Participants with Clinical Remission: Among Biomarker-Defined Subgroups of Participants

    Percentage of participants achieving a CDAI score of \<150 at Week 12 in biomarker-defined subgroups. The index is a weighted sum of scores on eight components: number of liquid or soft stools (stool frequency), abdominal pain, general well-being, number of complications, use of anti-diarrheal medication, presence of an abdominal mass, hematocrit, and percentage deviation from standard body weight. CDAI generally ranges from 0 to roughly 600, with higher values indicating greater activity.

    الإطار الزمني At Week 12

  21. مقياس النتيجة الثانوي

    Percentage of Participants with Clinical Remission: Among Biomarker-Defined Subgroups of Participants

    Percentage of participants achieving a CDAI score of \<150 at Week 52 in biomarker-defined subgroups. The index is a weighted sum of scores on eight components: number of liquid or soft stools (stool frequency), abdominal pain, general well-being, number of complications, use of anti-diarrheal medication, presence of an abdominal mass, hematocrit, and percentage deviation from standard body weight. CDAI generally ranges from 0 to roughly 600, with higher values indicating greater activity.

    الإطار الزمني At Week 52

  22. مقياس النتيجة الثانوي

    Percentage of Participants with Endoscopic Response: Among Biomarker-Defined Subgroups of Participants

    Percentage of participants achieving a decrease in SES-CD of \>50% from baseline. The SES-CD is a composite of four features of endoscopic activity (presence and size of ulcers, extent of ulcerated surface, extent of affected and presence and type of narrowings or stenosis) in up to five ileocolonic segments (terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum). Each feature is scored on a scale from 0 to 3, giving segment subscores of 0 to 12 points and a total SES-CD range of 0-60, with a higher value indicating greater severity.

    الإطار الزمني At Week 12

  23. مقياس النتيجة الثانوي

    Percentage of Participants with Endoscopic Response: Among Biomarker-Defined Subgroups of Participants

    Percentage of participants achieving a decrease in SES-CD of \>50% from baseline. The SES-CD is a composite of four features of endoscopic activity (presence and size of ulcers, extent of ulcerated surface, extent of affected and presence and type of narrowings or stenosis) in up to five ileocolonic segments (terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum). Each feature is scored on a scale from 0 to 3, giving segment subscores of 0 to 12 points and a total SES-CD range of 0-60, with a higher value indicating greater severity.

    الإطار الزمني At Week 52

  24. مقياس النتيجة الثانوي

    Percentage of Participants with Clinical Response

    Percentage of participants with a decrease \>=100 in CDAI from baseline.

    الإطار الزمني At Week 12

  25. مقياس النتيجة الثانوي

    Percentage of Participants with Symptomatic Response

    Percentage of participants with a decrease \>=30% in both SF and APS, with neither being greater than baseline.

    الإطار الزمني At Week 12

  26. مقياس النتيجة الثانوي

    Overall Change in CD Symptoms

    Overall change in CD symptoms, as measured by the Patient Global Impression of Change (PGIC) from baseline to Weeks 2, 6, 12 and 52. PGIC measures overall change in Crohn's disease symptoms from "Much better" to "Much worse".

    الإطار الزمني Baseline to Weeks 2, 6, 12 and 52

  27. مقياس النتيجة الثانوي

    Overall Severity in CD Symptoms

    Overall severity in CD symptoms, as measured by the Patient Global Impression of Severity (PGIS) from baseline to Weeks 2, 6, 12 and 52. PGIS measures severity of Crohn's disease symptoms from "None" to "Very severe".

    الإطار الزمني Baseline to Weeks 2, 6, 12 and 52

  28. مقياس النتيجة الثانوي

    Change in General Well-being

    The average daily rating of general well-being in the past 7 days. Well-being is assessed on a scale of 0-4 with 0 indicating generally well and 4 indicating terrible.

    الإطار الزمني Baseline through Week 52

  29. مقياس النتيجة الثانوي

    Incidence and Severity of Adverse Events (AEs)

    Incidence and severity of AEs, including serious AEs, AEs leading to treatment discontinuation and AEs of special interest.

    الإطار الزمني Up to 70 Weeks after Baseline

  30. مقياس النتيجة الثانوي

    Percentage of Participants with a Presence of Draining Fistulas

    Fistulas will be assessed for draining or closed status, where closed fistulas will be assessed by the investigator as no longer draining.

    الإطار الزمني Baseline through Week 12 and Week 52

التواريخ

التواريخ
تاريخ البدء17 مارس 2025 (فعلي)
الإتمام الأولي31 ديسمبر 2028 (تقديري)
الإتمام31 ديسمبر 2033 (تقديري)
أول نشر11 فبراير 2025 (فعلي)
آخر تحديث16 سبتمبر 2026
النتائج منشورةغير مذكور في سجل السجل
آخر تأكيد للحالةسبتمبر 2026

فعلي يعني أن الحدث وقع. تقديري يعني أن الجهة الراعية تتوقعه. للكلمتين معنيان مختلفان.

المواقع

360 موقعاً قيد التجنيد

Argentina

Argentina
المنشأةالمدينةالولاية أو المنطقةالحالة
Hospital BritanicoCiudad Autonoma Bs Asقيد التجنيد
Hospital Provincial del CentenarioRosarioقيد التجنيد

Australia

Australia
المنشأةالمدينةالولاية أو المنطقةالحالة
Flinders Medical CenterAdelaideSouth Australiaقيد التجنيد
Lyell McEwin HospitalAdelaideSouth Australiaقيد التجنيد
Northern HospitalEppingVictoriaقيد التجنيد
The Canberra HospitalGarranAustralian Capital Territoryقيد التجنيد
Royal Brisbane and Women's HospitalHerstonQueenslandقيد التجنيد
Fiona Stanley HospitalMurdochWestern Australiaقيد التجنيد
Royal Perth HospitalPerthWestern Australiaقيد التجنيد
Mater Misericordiae LimitedSouth BrisbaneQueenslandقيد التجنيد
Royal Prince Alfred HospitalSydneyNew South Walesقيد التجنيد
Princess Alexandra HospitalWoolloongabbaQueenslandقيد التجنيد

Austria

Austria
المنشأةالمدينةالولاية أو المنطقةالحالة
Medizinische Universität InnsbruckInnsbruckقيد التجنيد
Universitätsklinikum St. PöltenSankt Pöltenقيد التجنيد
Medizinische Universität WienViennaقيد التجنيد
Barmherzige Brüder WienViennaقيد التجنيد

Belgium

Belgium
المنشأةالمدينةالولاية أو المنطقةالحالة
AZORG Campus Aalst-MoorselbaanAalstقيد التجنيد
Cliniques Universitaires St-LucBrusselsمسحوب
UZ AntwerpenEdegemقيد التجنيد
AZ Maria MiddelaresGhentقيد التجنيد
AZ Sint Lucas (Sint Lucas)Ghentقيد التجنيد
Jessa Zkh (Campus Virga Jesse)Hasseltمسحوب
CHC MontLégiaLiègeمسحوب
CHU de Liège (Sart Tilman)Liègeقيد التجنيد
CHU HELORA - Hôpital de Mons - Site KennedyMonsقيد التجنيد
VitazSint-Niklaasقيد التجنيد

Brazil

Brazil
المنشأةالمدينةالولاية أو المنطقةالحالة
UNESP - Faculdade de Medicina da Universidade Estadual Paulista - Campus BotucatuBotucatuSão Pauloقيد التجنيد
L2 Ip Instituto de Pesquisas Clinicas Ltda MEBrasíliaFederal Districtقيد التجنيد
Centro de Pesquisa São LucasCampinasSão Pauloقيد التجنيد
Centro Digestivo de CuritibaCuritibaParanáقيد التجنيد
Hospital de Clinicas de Porto Alegre XPorto AlegreRio Grande do Sulقيد التجنيد
CLIAGEN - Clinica de Atenção em Gastroenterologia, Especialidades e NutriçãoSalvadorEstado de Bahiaقيد التجنيد
CPQuali Pesquisa Clinica LtdaSão PauloSão Pauloقيد التجنيد
BR Trials - Pesquisa ClínicaSão PauloSão Pauloقيد التجنيد

Bulgaria

Bulgaria
المنشأةالمدينةالولاية أو المنطقةالحالة
MBAL BurgasmedBurgasقيد التجنيد
MHAT St. Ivan RilskiGorna Oryahovitsaقيد التجنيد
Futuremeds Medical CenterPlovdivقيد التجنيد
MHAT Saint Karidad EADPlovdivقيد التجنيد
Tokuda HospitalSofiaقيد التجنيد

Canada

Canada
المنشأةالمدينةالولاية أو المنطقةالحالة
South Edmonton GastroenterologyEdmontonAlbertaقيد التجنيد
C.I.C. MauricieTrois-RivièresQuebecمسحوب
TDDA Specialty ResearchVaughanOntarioقيد التجنيد

Chile

Chile
المنشأةالمدينةالولاية أو المنطقةالحالة
Hospital Guillermo Grant BenaventeConcepciónقيد التجنيد
MedwalSantiagoقيد التجنيد
Clinica Universidad de Los AndesSantiagoقيد التجنيد

China

China
المنشأةالمدينةالولاية أو المنطقةالحالة
Peking University Third HospitalBeijingقيد التجنيد
the First Hospital of Jilin UniversityChangchunقيد التجنيد
Third Xiangya Hospital Centrel South UniversityChangshaقيد التجنيد
West China Hospital of Sichuan UniversityChengduقيد التجنيد
Chongqing General HospitalChongqingقيد التجنيد

يُدرَج 324 موقعاً إضافياً في سجل السجل.

مستندات الدراسة

لا تُرتبط أي مستندات في سجل السجل هذا.

التغيّرات عبر الزمن

  1. 16 سبتمبر 2026

    أُضيف موقع

    1 site added (374 total)

    373374

  2. 20 أغسطس 2026

    أُضيف موقع

    1 site added (373 total)

    372373