A Study to Evaluate the Safety and Efficacy of Ustekinumab Induction and Maintenance Therapy in Participants With Moderately to Severely Active Ulcerative Colitis (UNIFI)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT02407236 |
Recruitment Status :
Completed
First Posted : April 2, 2015
Results First Posted : December 23, 2019
Last Update Posted : January 5, 2023
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Sponsor:
Janssen Research & Development, LLC
Information provided by (Responsible Party):
Janssen Research & Development, LLC
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator) |
Conditions |
Colitis, Ulcerative Inflammatory Bowel Diseases |
Interventions |
Drug: Placebo IV Drug: Placebo SC Drug: Ustekinumab IV Drug: Ustekinumab SC |
Enrollment | 961 |
Participant Flow
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Induction Study(IS): Placebo Intravenous (IV) | IS: Ustekinumab 130 Milligram (mg) IV | IS: Ustekinumab Approximately 6mg/kg IV | Maintenance Study(MS): Placebo Subcutaneous (SC) | MS: Ustekinumab 90mg SC Every 12 Weeks (q12w) | MS: Ustekinumab 90mg SC Every 8 Weeks (q8w) | MS: Placebo IV (IS - Responders) to Placebo SC | MS: Ustekinumab Delayed Responders(IS) to UST 90mg SC q8w | Long Term Extension (LTE): Placebo SC | LTE: Ustekinumab 90 mg SC q12w | LTE: Ustekinumab 90 mg SC q8w | LTE: Placebo IV (IS - Responders) to Placebo SC | LTE: Ustekinumab Delayed Responders (IS) to UST 90mg SC q8w |
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Participants received single dose of placebo as intravenous (IV) infusion at Week 0. Participants with clinical response at Week (W) 8 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 8 received weight-range based dose of ustekinumab approximating 6 mg/kg IV + placebo SC at Week 8. At Week 16, participants who did not achieve clinical response at Week 8 were re-evaluated for clinical response. Participants with clinical response at Week 16 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 16 were not eligible to enter the maintenance study and had a safety follow-up visit up to 20 weeks after their last dose of study agent. | Participants received single dose of ustekinumab 130 mg as IV infusion at Week 0. Participants with clinical response at Week 8 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 8 received 1 dose of ustekinumab 90 mg SC+ placebo IV at Week 8. At Week 16, participants who did not achieve clinical response at Week 8 were re-evaluated for clinical response. Participants with clinical response at Week 16 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 16 were not eligible to enter the maintenance study and had a safety follow-up visit up to 20 weeks after their last dose of study agent. | Participants received weight range based dose of ustekinumab approximating 6 milligram per kilogram (mg/kg) (ustekinumab 260 mg [body weight <=55 kg], 390 mg [body weight >55 kg but ≤85 kg] and 520 mg [body weight >85 kg]), as IV infusion at Week 0. Participants with clinical response at Week 8 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 8 received 1 dose of ustekinumab 90 mg SC+ placebo IV at Week 8. At Week 16, participants who did not achieve clinical response at Week 8 were re-evaluated for clinical response. Participants with clinical response at Week 16 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 16 were not eligible to enter the maintenance study and had a safety follow-up visit up to 20 weeks after their last dose of study agent. | Participants in clinical response (at Week 8 or Week 16) to Induction treatment with single IV infusion of Ustekinumab who were randomized to receive placebo subcutaneously, beginning Week 0 of Maintenance study through Week 44. | Participants who were randomized to receive ustekinumab (ie, 130 mg IV or approximately 6 mg/kg IV) at Week 0 of the induction study and were in clinical response at induction Week 8 and participants who were randomized to receive placebo at Week 0 of the induction study and were not in clinical response at induction Week 8 but were in clinical response at induction Week 16 after receiving a dose of IV ustekinumab (approximately 6 mg/kg) at induction Week 8 (placebo to ustekinumab 6 mg/kg IV) were randomized to receive ustekinumab 90 mg SC every 12 weeks (q12w) beginning at Week 0 of maintenance study through Week 44. | Participants who were randomized to receive ustekinumab (ie, 130 mg IV or approximately 6 mg/kg IV) at Week 0 of the induction study and were in clinical response at induction Week 8 and participants who were randomized to receive placebo at Week 0 of the induction study and were not in clinical response at induction Week 8 but were in clinical response at induction Week 16 after receiving a dose of IV ustekinumab (approximately 6 mg/kg) at induction Week 8 (placebo to ustekinumab 6 mg/kg IV) were randomized to receive ustekinumab 90 mg SC every 8 weeks (q8w), beginning at Week 0 of maintenance study through Week 44. | Participants with clinical response to Induction Week 0 treatment with placebo IV received placebo SC, beginning at Week 0 of maintenance study through Week 44 (non-randomized participants). | Participants who were delayed responders to ustekinumab induction (were not in clinical response to induction treatment ustekinumab (130 mg or approximately 6 mg/kg [IV]) at Week 8 but were in clinical response at Week 16, after receiving ustekinumab 90 mg SC at Week 8) and received ustekinumab 90 mg SC every 8 weeks, beginning at Week 0 of maintenance study through Week 44 (non-randomized participants). | Participants who were randomized to receive placebo SC in the maintenance study and received placebo SC at the first dosing visit (Week 48) of long term extension (LTE). | Participants who were randomized to receive ustekinumab 90 mg SC every 12 weeks (q12w) in the maintenance study and received ustekinumab 90 mg SC at the first dosing visit (Week 48) of the LTE. | Participants who were randomized to receive ustekinumab 90 mg SC every 8 weeks (q8w) in the maintenance study and received ustekinumab 90 mg SC at the first dosing visit (Week 48) of the LTE. | Participants with clinical response to Induction Week 0 treatment with placebo IV received placebo SC in the maintenance study and the LTE through Week 200 (non-randomized participants). | Participants who were delayed responders to ustekinumab induction (were not in clinical response to induction treatment ustekinumab (130 mg or approximately 6 mg/kg [IV]) at Week 8 but were in clinical response at Week 16, after receiving ustekinumab 90 mg SC at Week 8) and received ustekinumab 90 mg SC q8w in the maintenance study and the LTE through Week 200 (non-randomized participants). |
Period Title: Induction Study (8 Weeks) | |||||||||||||
Started | 319 | 320 | 322 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Completed | 296 | 309 | 307 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 23 | 11 | 15 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Reason Not Completed | |||||||||||||
Adverse Event | 3 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Death | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Withdrawal by Subject | 17 | 9 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Lack of Efficacy | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Physician Decision | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Other | 2 | 1 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Period Title: Maintenance Study (44 Weeks) | |||||||||||||
Started | 0 | 0 | 0 | 175 | 172 | 176 | 103 | 157 | 0 | 0 | 0 | 0 | 0 |
Completed | 0 | 0 | 0 | 132 | 148 | 158 | 76 | 128 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 0 | 0 | 0 | 43 | 24 | 18 | 27 | 29 | 0 | 0 | 0 | 0 | 0 |
Reason Not Completed | |||||||||||||
Adverse Event | 0 | 0 | 0 | 19 | 8 | 4 | 11 | 10 | 0 | 0 | 0 | 0 | 0 |
Lack of Efficacy | 0 | 0 | 0 | 19 | 9 | 6 | 12 | 12 | 0 | 0 | 0 | 0 | 0 |
Other | 0 | 0 | 0 | 5 | 7 | 8 | 4 | 6 | 0 | 0 | 0 | 0 | 0 |
Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
Period Title: Long-term Extension Period (176 Weeks) | |||||||||||||
Started | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 115 | 141 | 143 | 73 | 116 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 34 | 99 | 101 | 0 | 95 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 81 | 42 | 42 | 73 | 21 |
Reason Not Completed | |||||||||||||
Adverse Event | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9 | 17 | 10 | 11 | 9 |
Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Lack of Efficacy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9 | 6 | 12 | 7 | 6 |
Other | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 63 | 19 | 19 | 55 | 6 |
Baseline Characteristics
Arm/Group Title | Induction Study (IS): Placebo Intravenous (IV) | IS: Ustekinumab 130 Milligram (mg) IV | IS: Ustekinumab Approximately 6mg/kg IV | Maintenance Study(MS): Placebo Subcutaneous (SC) | MS: Ustekinumab 90mg SC Every 12 Weeks (q12w) | MS: Ustekinumab 90mg SC Every 8 Weeks (q8w) | MS: Placebo IV (IS - Responders) to Placebo SC | MS: Ustekinumab Delayed Responders(IS) to UST 90mg SC q8w | Long Term Extension (LTE): Placebo SC | LTE: Ustekinumab 90 mg SC q12w | LTE: Ustekinumab 90 mg SC q8w | LTE: Placebo IV (IS - Responders) to Placebo SC | LTE: Ustekinumab Delayed Responders (IS) to UST 90mg SC q8w | Total | |
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Participants received single dose of placebo as intravenous (IV) infusion at Week 0. Participants with clinical response at Week (W) 8 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 8 received weight-range based dose of ustekinumab approximating 6 mg/kg IV + placebo SC at Week 8. At Week 16, participants who did not achieve clinical response at Week 8 were re-evaluated for clinical response. Participants with clinical response at Week 16 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 16 were not eligible to enter the maintenance study and had a safety follow-up visit up to 20 weeks after their last dose of study agent. | Participants received single dose of ustekinumab 130 mg as IV infusion at Week 0. Participants with clinical response at Week 8 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 8 received 1 dose of ustekinumab 90 mg SC+ placebo IV at Week 8. At Week 16, participants who did not achieve clinical response at Week 8 were re-evaluated for clinical response. Participants with clinical response at Week 16 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 16 were not eligible to enter the maintenance study and had a safety follow-up visit up to 20 weeks after their last dose of study agent.Participants received single dose of ustekinumab 130 mg as IV infusion at Week 0. Participants with clinical response at Week 8 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 8 received 1 dose of ustekinumab 90 mg SC+ placebo IV at Week 8. At Week 16, participants who did not achieve clinical response at Week 8 were re-evaluated for clinical response. Participants with clinical response at Week 16 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 16 were not eligible to enter the maintenance study and had a safety follow-up visit up to 20 weeks after their last dose of study agent. | Participants received weight range based dose of ustekinumab approximating 6 milligram per kilogram (mg/kg) (ustekinumab 260 mg [body weight <=55 kg], 390 mg [body weight >55 kg but ≤85 kg] and 520 mg [body weight >85 kg]), as IV infusion at Week 0. Participants with clinical response at Week 8 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 8 received 1 dose of ustekinumab 90 mg SC+ placebo IV at Week 8. At Week 16, participants who did not achieve clinical response at Week 8 were re-evaluated for clinical response. Participants with clinical response at Week 16 were eligible to enter the maintenance study. Participants who did not achieve clinical response at Week 16 were not eligible to enter the maintenance study and had a safety follow-up visit up to 20 weeks after their last dose of study agent. | Participants in clinical response (at Week 8 or Week 16) to Induction treatment with single IV infusion of Ustekinumab who were randomized to receive placebo subcutaneously, beginning Week 0 of Maintenance study through Week 44. | Participants who were randomized to receive ustekinumab (ie, 130 mg IV or approximately 6 mg/kg IV) at Week 0 of the induction study and were in clinical response at induction Week 8 and participants who were randomized to receive placebo at Week 0 of the induction study and were not in clinical response at induction Week 8 but were in clinical response at induction Week 16 after receiving a dose of IV ustekinumab (approximately 6 mg/kg) at induction Week 8 (placebo to ustekinumab 6 mg/kg IV) were randomized to receive ustekinumab 90 mg SC every 12 weeks (q12w) beginning at Week 0 of maintenance study through Week 44. | Participants who were randomized to receive ustekinumab (ie, 130 mg IV or approximately 6 mg/kg IV) at Week 0 of the induction study and were in clinical response at induction Week 8 and participants who were randomized to receive placebo at Week 0 of the induction study and were not in clinical response at induction Week 8 but were in clinical response at induction Week 16 after receiving a dose of IV ustekinumab (approximately 6 mg/kg) at induction Week 8 (placebo to ustekinumab 6 mg/kg IV) were randomized to receive ustekinumab 90 mg SC every 8 weeks (q8w), beginning at Week 0 of maintenance study through Week 44. | Participants with clinical response to Induction Week 0 treatment with placebo IV received placebo SC, beginning at Week 0 of maintenance study through Week 44 (non-randomized participants). | Participants who were delayed responders to ustekinumab induction (were not in clinical response to induction treatment ustekinumab (130 mg or approximately 6 mg/kg [IV]) at Week 8 but were in clinical response at Week 16, after receiving ustekinumab 90 mg SC at Week 8) and received ustekinumab 90 mg SC every 8 weeks, beginning at Week 0 of maintenance study through Week 44 (non-randomized participants). | Participants who were randomized to receive placebo SC in the maintenance study and received placebo SC at the first dosing visit (Week 48) of long term extension (LTE). | Participants who were randomized to receive ustekinumab 90 mg SC every 12 weeks (q12w) in the maintenance study and received ustekinumab 90 mg SC at the first dosing visit (Week 48) of the LTE. | Participants who were randomized to receive ustekinumab 90 mg SC every 8 weeks (q8w) in the maintenance study and received ustekinumab 90 mg SC at the first dosing visit (Week 48) of the LTE. | Participants with clinical response to Induction Week 0 treatment with placebo IV received placebo SC in the maintenance study and the LTE through Week 200 (non-randomized participants). | Participants who were delayed responders to ustekinumab induction (were not in clinical response to induction treatment ustekinumab (130 mg or approximately 6 mg/kg [IV]) at Week 8 but were in clinical response at Week 16, after receiving ustekinumab 90 mg SC at Week 8) and received ustekinumab 90 mg SC q8w in the maintenance study and the LTE through Week 200 (non-randomized participants). | Total of all reporting groups | |
Overall Number of Baseline Participants | 319 | 320 | 322 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 961 | |
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The primary efficacy analysis set consisted of all participants randomized in the study.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 319 participants | 320 participants | 322 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 961 participants | |
41.2 (13.50) | 42.2 (13.94) | 41.7 (13.67) | 41.7 (13.70) | ||||||||||||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 319 participants | 320 participants | 322 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 961 participants | |
Female |
122 38.2%
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130 40.6%
|
127 39.4%
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0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
379 39.4%
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Male |
197 61.8%
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190 59.4%
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195 60.6%
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0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
582 60.6%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 319 participants | 320 participants | 322 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 961 participants | |
Hispanic or Latino |
10 3.1%
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7 2.2%
|
7 2.2%
|
0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
24 2.5%
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Not Hispanic or Latino |
292 91.5%
|
295 92.2%
|
290 90.1%
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0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
877 91.3%
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Unknown or Not Reported |
17 5.3%
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18 5.6%
|
25 7.8%
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0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
60 6.2%
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Race/Ethnicity, Customized
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 319 participants | 320 participants | 322 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 961 participants |
American Indian or Alaska Native | 0 | 0 | 1 | 1 | |||||||||||
Asian | 48 | 46 | 49 | 143 | |||||||||||
Black or African American | 3 | 6 | 0 | 9 | |||||||||||
Other | 8 | 9 | 12 | 29 | |||||||||||
White | 248 | 239 | 243 | 730 | |||||||||||
Unknown or Not Reported | 12 | 20 | 17 | 49 | |||||||||||
Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 319 participants | 320 participants | 322 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 961 participants |
Australia |
7 2.2%
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8 2.5%
|
11 3.4%
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0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
26 2.7%
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Austria |
0 0.0%
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2 0.6%
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2 0.6%
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4 0.4%
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Belgium |
22 6.9%
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10 3.1%
|
7 2.2%
|
39 4.1%
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Bulgaria |
8 2.5%
|
9 2.8%
|
4 1.2%
|
21 2.2%
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Canada |
7 2.2%
|
6 1.9%
|
3 0.9%
|
16 1.7%
|
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Czech Republic |
8 2.5%
|
9 2.8%
|
13 4.0%
|
0 |
30 3.1%
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Denmark |
0 0.0%
|
0 0.0%
|
2 0.6%
|
2 0.2%
|
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France |
14 4.4%
|
21 6.6%
|
19 5.9%
|
54 5.6%
|
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Germany |
19 6.0%
|
14 4.4%
|
12 3.7%
|
45 4.7%
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Hungary |
11 3.4%
|
12 3.8%
|
16 5.0%
|
0 |
39 4.1%
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Israel |
0 0.0%
|
3 0.9%
|
3 0.9%
|
0 |
6 0.6%
|
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Italy |
10 3.1%
|
11 3.4%
|
12 3.7%
|
33 3.4%
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Japan |
34 10.7%
|
34 10.6%
|
39 12.1%
|
107 11.1%
|
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Netherlands |
5 1.6%
|
8 2.5%
|
3 0.9%
|
16 1.7%
|
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New Zealand |
4 1.3%
|
4 1.3%
|
11 3.4%
|
19 2.0%
|
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Poland |
25 7.8%
|
26 8.1%
|
20 6.2%
|
71 7.4%
|
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Romania |
7 2.2%
|
9 2.8%
|
8 2.5%
|
24 2.5%
|
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Russia |
26 8.2%
|
22 6.9%
|
26 8.1%
|
74 7.7%
|
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Serbia |
1 0.3%
|
6 1.9%
|
3 0.9%
|
10 1.0%
|
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Slovakia |
4 1.3%
|
4 1.3%
|
2 0.6%
|
10 1.0%
|
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Ukraine |
32 10.0%
|
26 8.1%
|
31 9.6%
|
89 9.3%
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United Kingdom |
5 1.6%
|
3 0.9%
|
13 4.0%
|
21 2.2%
|
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United States |
60 18.8%
|
63 19.7%
|
56 17.4%
|
179 18.6%
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Korea |
10 3.1%
|
10 3.1%
|
6 1.9%
|
26 2.7%
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