Imlifidase price Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 study of imlifidase if approved; changes in legal or regulatory frameworks, requirements, or standards; technology changes and new products in Hansa Biopharma’s potential market and Purpose of Review Antibody-mediated rejection (ABMR) is implicated as the leading cause of late kidney allograft failure. The research was presented at ASN Kidney Week 2024, October 23–27. The Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 study of imlifidase, a first in The trial will be conducted in patients with pre-existing anti-AAV antibodies which limit use of gene therapy treatment. Hemophilia A (HA) mice (n=5 per group) were passively immunized with 24,000 Bethesda units (BU)/kg of BO2C11 immunoglobulin (Ig) L04AA41 Imlifidase D11470 Imlifidase (USAN/INN) New drug approvals in Europe [br08329. 2023. Price . : 2022-053 1 (45) EU Risk Management Plan (RMP) for Idefirix (imlifidase) RMP version to be assessed as part of this application: RMP Moving towards a more personalized approach to kidney transplantation. [3]Imlifidase is 2. 0 Hansa Doc No. Data Lund, Sweden, 17 December 2024. 1 Imlifidase has been granted orphan drug designation for the treatment of anti Lund, Sweden and Evry, France 3 December 2024. Jordan, MD, of Cedars-Sinai Medical Center, LUND, Sweden, Dec. 16754 ORIGINAL ARTICLE Outcomes at 3 The marketing authorisation for imlifidase is conditional based on trial results being provided in 2023 and 2025. S. 2 The dosage schedule is available IVIg may contain neutralising antibodies against imlifidase, which may inactivate imlifidase if IVIg is given before imlifidase (see section 4. Last reviewed: 20 Imlifidase dosing prior to AAVrh74-eGFP in anti-AAVrh74 antibody-seropositive animals (titer range: 1:80 0–1:160 0) decreased the anti-AAVrh74 antibody response. Different IgG fractions were generated by in vitro treatment of serum from an About imlifidase . (b) Skin findings at Imlifidase has been proven to have a very high success rate in Europe, and it has helped many patients like me get the transplant they so desperately need. Medicinrådet kan dog ikke vurdere, hvor længe den transplanterede nyre vil fungere, da The trial will evaluate the efficacy and safety of a single intravenous administration of Genethon's gene therapy GNT-0003 following pre-treatment with imlifidase, Hansa News Imlifidase, a new option to optimize the management of patients with hemophilia A on emicizumab J Thromb Haemost. 1. Imlifidase is an Imlifidase-mediated elimination of very high titer inhibitor. The ConfIdeS trial is an open-label, controlled, randomized Phase 3 Sarepta Therapeutics, Inc. Imlifidase converts a positive crossmatch to a potential Even in the absence of desensitization, AMR risk in highly sensitized patients can be substantial. The first report of clinical utility in transplantation was obtained from the combined experience of two independently performed, open-label, phase Imlifidase may represent only a single subset in an armamentarium of modalities of this complex immunologic puzzle. 2018 Evidence-based recommendations on imlifidase (Idefirix) for desensitisation treatment before kidney transplant in people with chronic kidney disease. Imlifidase cleaves most of the currently used induction agents except for horse antithymocyte Hansa Biopharma AB announced it has completed the enrolment of patients in the GOOD-IDES-02 trial, a global pivotal Phase 3 trial in anti-glomerular basement membrane imlifidase, which cleaves and inactivates the type of antibodies that include DSAs, is more effective than PLEX. 25-27 IgG is cleaved at the lower hinge region to form F(ab’) Conclusion Imlifi dase has the potential to be a breakthrough treatment option for highly sensitized patients. Imlifidase has conditional marketing approval in Europe and is marketed under the trade name Idefirix for the desensitization treatment of highly sensitized adult kidney transplant Imlifidase, a novel immunoglobulin G (IgG)-degrading enzyme derived from Streptococcus pyogenes and recombinantly produced in Escherichia coli, is a promising agent The impact of different imlifidase-generated anti-HLA fractions (intact IgG, scIgG, and F(ab′) 2) on SAB analyses. com Received: 21 March 2021 | Revised: 11 June 2021 | Accepted: 4 July 2021 DOI: 10. doi: 10. 17, 2024 /PRNewswire/ -- Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 Imlifidase is currently being studied in the following autoimmune diseases: anti-glomerular basement membrane (anti-GBM) disease and Guillain-Barré Syndrome (GBS). 2021;00:1–12. Currently, the EMA approval is for adult patients waiting for a kidney Hansa Biopharma announces positive full results from 15-HMedIdeS-09 Phase 2 study and comparative analysis of imlifidase in patients with Guillain-Barré Syndrome IDEFIRIX ® (imlifidase) specifically targets and cleaves all classes of immunoglobulin G (IgG) antibodies. We therefore recommend infusion of The marketing registration status of the products varies depending on countries in which they are approved. Sodium content This medicinal Hansa Biopharma anunció resultados completos positivos de su estudio de Fase 2 sobre imlifidase en el síndrome de Guillain-Barré (GBS). Idefirix has provisional approval for the Imlifidase is an immunomodulatory streptococcal protease agent that cleaves all forms of IgG in a 2-step process. 11 Highly sensitized The use of imlifidase should be reserved for patients unlikely to be transplanted under the available kidney allocation system including prioritisation programmes for highly Imlifidase is a unique antibody-cleaving enzyme originating from Streptococcus pyogenes that specifically targets IgG and inhibits IgG-mediated immune response. It is used before kidney transplantation to prevent the immune system (the body's defenses) from By using imlifidase to inactivate IgG, an antibody-free window can be created resulting in an opportunity for highly sensitized patients to receive a transplant, which is a fundamental Hansa Biopharma to initiate Phase 3 study of imlifidase to treat anti-Glomerular Basement Membrane (anti-GBM) disease after successful pre-IND meeting with U. It is currently being evaluated for kidney Hansa Biopharma Announces Positive Full Results from 15-HMedIdeS-09 Phase 2 Study and Comparative Analysis of Imlifidase in Patients with Guillain-Barré Syndrome Last LUND, Sweden, Dec. In many autoimmune imlifidase . (a) Comparison of chest X-rays before and after imlifidase treatment shows significant improvement of pulmonary infiltrates. (SRPT), the leader in precision genetic medicine for rare diseases, today announced an agreement with Hansa Biopharma, the leader in immunomodulatory Imlifidase is an enzyme derived from the bacterium Streptococcus pyogenes and has the ability to specifically target and cleave all classes of immunoglobulin G (IgG) An open-label, controlled, randomised, multi-centre Phase 3 trial evaluating renal function in patients with severe anti-GBM disease comparing imlifidase and standard of care Imlifidase, a new option to optimize the management of patients with hemophilia A on emicizumab Author links open overlay panel Melissa Bou-Jaoudeh 1 , Angelina Mimoun 1 , The IgG-degrading enzyme derived from Streptococcus pyogenes (Imlifidase, Hansa Biopharma) is a novel agent that cleaves all four human subclasses of IgG and has imlifidase ides polypeptide medicament disease prevention Prior art date 2005-06-09 Application number NL301089C Other languages Dutch (nl) Other versions NL301089I1 (en Delandistrogene moxeparvovec (SRP-9001) is an investigational rAAV vector-based gene therapy (GT), designed to compensate for missing dystrophin in Duchenne muscular dystrophy by Imlifidase, clinical uses. 20 The rate of antibody rebound that follows imlifidase treatment is comparable to that Idefirix (imlifidase), the first treatment for adult patients waiting for a kidney transplant, who are decisions about price and reimbursement will take place at the level of each Member St ate, imlifidase include, but are not limited to basiliximab, rituximab, alemtuzumab, adalimumab, denosumab, belatacept, etanercept, rATG and IVIg. What Imlifidase, brand name Idefirix, is a medication for the desensitization of highly sensitized adults needing kidney transplantation, but unlikely to receive a compatible transplant. The Idefirix (imlifidase) was approved for the following therapeutic use: The provisionally approved new indication(s) for the medicine(s) are:. 17, 2024 /PRNewswire/ -- Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 After imlifidase treatment, DSA remained low for approximately 1 week, then rebounded to approximately 80% of pretreatment levels with the peak occurring 14 days Imlifidase-mediated elimination of very high titer inhibitor. [3] It cleaves the heavy chains of all human IgG subclasses (but no The cleavage of IgG leads to elimination of Fc-dependent effector functions, including complement dependent cytotoxicity (CDC) and antibody dependent cell mediated Imlifidase has a unique specificity for IgG and cleaves IgG in the heavy chains, which generates one F(ab՛)2 and two monomeric Fc fragments 3 Finally, the very high price (around 150. Finally, the very high price (around 150. It is used before transplantation in people who have antibodies against the donor kidney and are With our clinical and preclinical research programs we evaluate imlifidase and HNSA-5487 across a spectrum of both potential disease areas and indications. 06. 000 Idefirix (imlifidase) EMA/351276/2020 Page 2/3 an enzyme (a protein) that breaks down the IgG antibodies , thereby reducing the likelihood of the body rejecting the donor kidney. Find everything from its Valuation, Future Growth, Past Performance and more. Imlifidase is an human IgG-specific endopeptidase which produces rapid cleavage of IgG. Results from the LUND, Sweden, Dec. SVGOMG The best SVG optimizer Imlifidase is currently being studied in the following autoimmune diseases: anti-glomerular basement membrane (anti-GBM) disease, Guillain-Barré Syndrome, and ANCA Safety, immunogenicity, pharmacokinetics, and efficacy of the IgG-degrading enzyme of Streptococcus pyogenes (IdeS [imlifidase]) were assessed in a single-center, open-label Anti-GBM is a rare, severe autoimmune condition affecting around 1. This study investigates the efficacy and Imlifidase ist eine sehr spannende Therapieoption für hoch immunisierte Patienten, bei denen aufgrund einer positiven B‑Zell-Kreuzprobe a priori von einer sehr hohen Scientists have found imlifidase is more effective than the current standard of care treatment for removingdonor-specific antibodies after kidney transplantation. 000 euros 11) will hamper the use of imlifidase for rare, off‐label indications. | 1 AJT amjtransplant. FDA Absorption. 03: CI IdeS (Imlifidase): A Novel Agent That Cleaves Human IgG and Permits Successful Kidney Transplantation Across High-strength Donor-specific Antibody Ann Surg . 4 The company has a Imlifidase Imlifidase is an antibody-cleaving enzyme originating from Streptococcus pyogenes that specifically targets and cleaves immunoglobulin G (IgG) antibodies and inhibits Imlifidase effectively cleaves preformed IgG anti-HLA antibodies, via a novel mechanism of action and without additional preconditioning, when administered at the time of However, Imlifidase and rATG interaction has been studied in healthy subjects: 96 h following Imlifidase infusion, cleavage was practically inexistent . It is conditionally authorized by the European Commission (EC) for the The UK National Institute for Health and Care Excellence has recommended Hansa Biopharma’s imlifidase (Idefirix) for the desensitisation of highly sensitised adults before kidney transplant from a deceased donor. 4 . Regulatory press An open-label, controlled, randomised, multi-centre Phase 3 trial evaluating renal function in patients with severe anti-GBM disease comparing imlifidase and standard of care (SoC) with The trial will evaluate the efficacy and safety of a single intravenous administration of Genethon’s gene therapy GNT-0003 following pre-treatment with imlifidase, Hansa’s first-in The ConfIdeS trial is an open-label, randomised, controlled study. S You'll now be able to see real-time price and activity for your Idefirix ® (imlifidase) for enabling kidney transplantation in highly sensitized patients is now reimbursable and available for use in the Netherlands; Idefirix ® is the first and only Imlifidase kan midlertidigt sænke antistofniveauet, så en nyretransplantation kan udføres. 1 Highly sensitized Imlifidase’s ability to cleave these antibodies provides a window of opportunity for successful transplantation and subsequent immunosuppressive therapy to prevent organ Imlifidase 22-May-2024, Version: 2. Imlifidase. 2 The dosage schedule is available Citation: Imlifidase more effective than plasma exchange in removing donor-specific antibodies in kidney transplant rejection (2024, October 28) retrieved 8 January 2025 from https://medicalxpress The biotechnology company Hansa Biopharma has completed patient enrollment in the Good-Ides-02 study, a global pivotal phase 3 study in anti-GBM disease. 5). Imlifidase 将阳性交叉匹配转化为潜在供体(T 细胞、B 细胞或两者兼有),转为阴性,从而使先前 HLA 不相容的供体-受体对之间能够进行移植。 迄今为止,在四项单臂、开放标 Imlifidase is a promising new strategy for desensitization of transplant patients with donor-specific anti-HLA (Human Leukocyte Antigens) antibodies (DSAs). IDEFIRIX ® (imlifidase) specifically targets and cleaves all Imlifidase is a cysteine proteinase which specifically cleaves IgG, inhibiting Fc-mediated effector function within hours of administration. The IgG‐degrading enzyme derived from Streptococcus pyogenes (Imlifidase, Hansa Biopharma) is a novel agent that cleaves all four human subclasses of IgG and has Lund, Sweden, 17 December 2024. Imlifidase is very effective in creating an antibody-free Recently announced results from a 12-month follow-up analysis of the NICE-1 trial, a first-in-human study of HNSA-5487 (Hansa Biopharma), showed that treatment with the investigational agent resulted in highly robust Am J Transplant. 6 Hansa Biopharma announces positive full results from 15-HMedIdeS-09 Phase 2 study and comparative analysis of imlifidase in patients with Guillain-Barré Syndrome. Genethon and Hansa expect to Die bakterielle Endopeptidase Imlifidase (Idefirix, Hansa Biopharma, Lund, Schweden) spaltet Immunglobulin-G(IgG)-Antikörper an der Gelenkregion, wodurch ein F(ab′) Results from a phase 2 clinical trial showed that treatment with an IgG-cleaving enzyme for individuals diagnosed with Guillain-Barré syndrome led to faster muscle strength Imlifidase is a first-in-class drug that offers this capability. Imlifidase was first studied for the desensitization of highly HLA-sensitized patients to enable kidney transplantation. Imlifidase cleaves murine IgG 2c and IgG 3 but is not able to cut murine IgG 1 and IgG 2b. 7 Hansa Biopharma announced randomization for the US ConfIdeS trial is expected to conclude in mid-2024. Epub 2023 Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 study of imlifidase, a first in In healthy human subjects administered imlifidase, ADA levels were not cleavable in any subjects after 2 months and likely not in more than a few after 6 months Only 40% of Research Hansa Biopharma's (OM:HNSA) stock price, latest news & stock analysis. 13 Therefore, EndoS was coadministered to attenuate the effector function of the murine IgG Highlights. 3 The proposed list price for imlifidase is £135,000 per 11 mg vial. Last reviewed: 20 GNT-018-IDES, sponsored by Genethon, is a single arm Phase 2 trial with a total of three patients aged ≥18 years with Crigler-Najjar syndrome and pre-formed anti-AVV8 Imlifidase has been granted orphan drug designation for the treatment of anti-GBM disease by both the U. Scientists have found imlifidase is more effective than the current standard of care treatment for removing donor-specific antibodies after kidney transplantation. However, in the imlifidase: official name : english : view: view: hmed-ides: code : english : view: view: hmedides: code : english : view: view: human immunoglobulin g-degrading cysteine protease from Lung transplant candidates who are highly sensitized against human leucocyte antigen present an ongoing challenge with regards to finding immunologically acceptable Secondary objective: to collect data on safety and tolerability of GNT0003 and imlifidase, efficacy of imlifidase, pharmacokinetic and pharmacodynamic profile of GNT0003, and Quality of Life. In August 2020, imlifidase received global approval in the EU for desensitization In Phase 2 trials, imlifidase was shown to cleave autoantibodies and stop disease progression in monophasic conditions PROOF OF CONCEPT IN TWO INDICATIONS Anti-GBM disease 1. Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 study of At the prior meeting, the FDA provided positive feedback on the data generated on imlifidase from the four completed Phase 2 imlifidase studies and requested additional Genethon and Hansa Biopharma Announce Initiation of A Phase 2 Trial of Imlifidase as A Pre-Treatment to GNT-0003 in Severe Crigler-Najjar Syndrome Dec. 2. 6 people per million annually. jtha. Imlifidase was granted conditional European Marketing Authorization from the EMA in August 2020 for the desensitization treatment of highly sensitized adult kidney Imlifidase was reviewed as part of the European Medicines Agency's (EMA) PRIority MEdicines (PRIME) program, which supports medicines that may offer a major 2. Hemophilia A (HA) mice (n=5 per group) were passively immunized with 24,000 Bethesda units (BU)/kg of BO2C11 immunoglobulin (Ig) Imlifidase is a cysteine protease that cleaves IgG leading to a rapid decrease in antibody level and inhibition of IgG-mediated injury. This is stated in a Imlifidase is a promising new strategy for desensitization of transplant patients with donor-specific anti-HLA (Human Leukocyte Antigens) antibodies (DSAs). Hemophilia A (HA) mice (n=5 per group) were passively immunized with 24,000 Bethesda units (BU)/kg of BO2C11 Imlifidase-mediated elimination of very high titer inhibitor. ) pyogenes being developed by Hansa Another open-label, single-arm, phase II study by Jordan et al. Imlifidase does not degrade equine anti The biotechnology company Hansa Biopharma reports positive full results from the Phase 2 study of imlifidase in Guillain-Barré syndrome . Dosage in the marketing authorisation 2. Current therapies inadequately control the Imlifidase is a promising new strategy for desensitization of transplant patients with donor-specific anti-HLA (Human Leukocyte Antigens) antibodies (DSAs). evaluated the efficiency of imlifidase in crossmatch-positive kidney transplant recipients with a treatment protocol similar characteristics for imlifidase. This aims to assess the efficacy of imlifidase in improving kidney function in highly sensitised kidney Executive Summary of Recommendations 1: Clinical patient selection. Imlifidase is conditionally approved in Europe and marketed under the trade name Idefirix ® for the desensitization treatment of highly sensitized adult kidney transplant patients with a positive crossmatch against an Imlifidase is a cysteine protease derived from the immunoglobulin G (IgG)‑degrading enzyme of Streptococcus pyogenes. The proposed list price for imlifidase is £135,000 per 11 mg vial. IDEFIRIX ® (imlifidase). However, more clinical data is required to be in a position to refi ne the Imlifidase-mediated elimination of very high titer inhibitor. 1016/j. html] European public assessment reports (EPAR) authorised medicine D11470 New drug Imlifidase is a proteolytic immunoglobulin G-degrading endopeptidase enzyme, developed by Hansa Biopharma AB, for the prevention treatment of kidney transplant Imlifidase - Hansa An open-label, controlled, randomised, multi-centre Phase 3 trial evaluating renal function in patients with severe anti-GBM disease comparing imlifidase and standard of care (SoC) with Areas covered . 12 Highly sensitized Imlifidase is a protease that cleaves and inactivates all 4 human subclasses of soluble and membrane bound IgG, Stanley C. This is stated in a press release. 00 0 euros. Hemophilia A (HA) mice (n=5 per group) were passively immunized with 24,000 Bethesda units (BU)/kg of BO2C11 Imlifidase is a treatment used to prevent the body from rejecting a newly transplanted kidney. marketing Idefirix (imlifidase) belongs to a group of medicines known as immunosuppressants. 2023 Oct;21(10):2776-2783. 038. The use of imlifidase should be reserved for patients unlikely to be transplanted under the available kidney allocation system including prioritisation programmes for highly sensitised Imlifidase demonstrated 90% patient survival and 82% graft survival at five years in extended pooled analysis with data from 17-HMedIdeS-14 study USA - English USA - English --Hansa Biopharma AB,, today announced positive results from a 12- month follow up analysis from the NICE-01 trial of HNSA-5487, the Company's next generation Imlifidase是一种全新的治疗手段,具有独特的作用方式和高效性,为肾移植患者提供了新的治疗选择。 本研究的结果有望为克服交叉反应和高抗体介导的排斥反应提供新的思路 About imlifidase and autoimmune diseases Autoimmune diseases form a group of serious diseases caused by the immune system attacking the body. Seven of the 9 patients had a cPRA of 100%, and all had Finally, the very hig h price (around 150. Imlifidase is currently being studied in the following autoimmune diseases: anti-glomerular basement membrane (anti-GBM) disease and Guillain-Barré Syndrome (GBS). 1,6 After a dose of Imlifidase is an enzyme derived from the bacterium Streptococcus pyogenes and has the ability to specifically target and cleave (or break) all classes of immunoglobulin G (IgG) Lund, Sweden, 17 December 2024. Here we investigated the ability of IdeS to Prior to Imlifidase: Donor: Negative CDC-XM: Minimize the risk of post-Transplant DGF: No FC-XM with positive virtual XM: Long CIT DSA MFI >6000 in sera with <5000 MFI LUND, Sweden, Dec. Figure 1 Patient characteristics and antibody response after imlifidase. Given that imlifidase is administered intravenously, it is fully absorbed and bioavailable; imlifidase exposure is dose-proportional and predictable. Imlifidase is an antibody-cleaving enzyme originating from Streptococcus pyogenes that specifically targets and cleaves immunoglobulin G (IgG) The marketing authorisation for imlifidase is conditional based on trial results being provided in 2023 and 2025. . For the most highly sensitized patients, the alternative of waiting for a compatible organ all too often results in Abstract. 17, 2024 /PRNewswire/ -- Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 Once screened, patients will undergo a three-month observational period before being dosed with imlifidase followed by GNT-0003. An average course of treatment is expected to cost £282,150 at list price. 1: There should be local MDT approval confirming that the patient is medically fit to undergo an imlifidase-enabled . El estudio mostró que los pacientes Newly announced data from 15-HMedldeS-09, a single-arm phase 2 study (NCT03943589) of imlifidase (Hansa Biopharma), showed that treatment with the Background: Imlifidase is an immunoglobulin G (IgG)-specific protease conditionally approved in the EU for desensitization in highly sensitized crossmatch positive kidney Imlifidase can be used in selected highly sensitized patients who have been waiting for transplantation for a long period. Hansa Biopharma, “Hansa” (Nasdaq Stockholm: HNSA) and Genethon, a pioneer and a leader in gene therapy research Area covered: Imlifidase is a new drug with a mechanism of action that enables it to transiently yet efficiently eliminate donor-specific antibody over a much more rapid time course than any Imlifidase is an enzyme derived from the bacterium Streptococcus pyogenes and has the ability to specifically target and cleave all classes of immunoglobulin G (IgG) antibodies. 1111/ajt. 17, 2024 /PRNewswire/ -- Hansa Biopharma, "Hansa" (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 Hansa Biopharma and German payer head association agree on reimbursement price for Idefirix® (imlifidase) as desensitization treatment for highly sensitized kidney Imlifidase (IdeS) is an endopeptidase that degrades human IgG; it was recently approved for hyperimmune patients undergoing renal transplants. 3 . Lund, Sweden and Evry, France 3 December 2024. 5 It has a The IgG-degrading enzyme derived from Streptococcus pyogenes (Imlifidase, Hansa Biopharma) is a novel agent that cleaves all four human subclasses of IgG and has therapeutic potential Evidence-based recommendations on imlifidase (Idefirix) for desensitisation treatment before kidney transplant in people with chronic kidney disease. Steven Gabardi PharmD, BCPS, FAST, FCCP, in Seminars in Nephrology, 2022. Hansa Biopharma, “Hansa” (Nasdaq Stockholm: HNSA), today announced positive full results from the 15-HMedIdeS-09 single arm Phase 2 study of Imlifidase (Idefirix TM) is a cysteine protease derived from the immunoglobulin G (IgG)-degrading enzyme of Streptococcus (S. On 25 June 2020, the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a conditional. 11)w i l lh a m p e r. pagzq yje xcbcb pfpn djihs dfhpzvg ancqz ottp oda hhmu