10 Best Clinical Trial Management Software of 2026

Co-founder who scaled a medical clinic from 1 to 15 physicians in 3 years.

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I've reviewed and evaluated the most popular clinical trial management software and shortlisted the best ones to optimize trial workflows and ensure regulatory compliance.

Navigating the complex world of clinical research can feel like a Herculean task. Clinical Trial Management Software (CTMS) serves as an essential tool, simplifying this intricate process by offering an end-to-end, web-based solution.

It's a valuable asset to any research organization, pharma startup, or biotech company looking to streamline its clinical data management and trial supply management. The built-in API also provides flexibility for custom integrations, enhancing interactions among stakeholders, and improving contract research organizations' output. Let's dive into some remarkable options that are primed to help you manage your clinical conductor duties with efficiency and compliance at the forefront.

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Best Clinical Trial Management Software Summary

This comparison chart summarizes pricing details for my top clinical trial management software selections to help you find the best one for your budget and business needs.

1Best for global clinical trial solutions and comprehensive market analysisPricing upon request.Website
2Best for optimized clinical operations and study managementFrom $100/user/month, (billed annually).Website
3Best for multi-site trials and compliance managementPricing upon request.Website
4Best for comprehensive trial enablement and managementFrom $130/user/month, (min 5 seats).Website
5Best for decentralized clinical trials and data collectionPricing upon request.Website
6Best for document management and streamlined trial collaborationPricing upon request.Website
7Best for integrated trial management and regulatory complianceFree demo availablePricing upon requestWebsite
8Best for user-friendly interfaces and trial executionFrom $120/user/month, (billed annually).Website
9Best for robust data management and trial designFrom $150/user/month, (min 5 seats).Website
10Best for electronic trial master file (eTMF) managementPricing upon request.Website

Best Clinical Trial Management Software Reviews

Below are my detailed summaries of the best clinical trial management software that made it onto my shortlist. My reviews offer a detailed look at the key features, pros & cons, integrations, and ideal use cases of each tool to help you find the best one for you.

  1. Best for global clinical trial solutions and comprehensive market analysis
    • Pricing upon request.
    Visit Website
    Rating:0.0/5
    Citeline screenshot
    Citeline clinical trial management software

    Citeline provides solutions for global clinical trials and in-depth market analysis. The platform aggregates and analyzes data from a myriad of sources, enabling users to keep track of clinical trials worldwide and conduct comprehensive market research.

    These abilities make it an exceptional choice for businesses operating or observing trials on a global scale.

    Why I Picked Citeline: In selecting Citeline, its strength in providing a broad view of global clinical trials and offering comprehensive market analysis stood out. Judging by its comprehensive dataset and analytical capabilities, Citeline provides unmatched insights into global clinical trials.

    This specificity and focus make it the "Best for global clinical trial solutions and comprehensive market analysis."

    Standout Features & Integrations:

    Citeline offers a comprehensive data set of global clinical trials and a suite of tools to analyze and visualize that data. Additionally, it integrates well with various business intelligence tools, extending the power of data analysis and reporting capabilities.

    Pros and Cons

    Pros:

    • Effective integrations with business intelligence tools
    • Comprehensive market analysis tools
    • Provides data on global clinical trials

    Cons:

    • Focus on global data may not be useful for localized operations
    • Can be complex for new users
    • Absence of transparent pricing information
    Learn more about Citeline:
  2. Best for optimized clinical operations and study management
    • From $100/user/month, (billed annually).
    Visit Website
    Rating:0.0/5
    Medidata Rave CTMS screenshot
    Medidata clinical trial management software dashboard

    Medidata Rave CTMS is a trailblazer in providing specialized features for optimized clinical operations and comprehensive study management. Its smart approach to trial oversight ensures researchers have every resource at their fingertips to carry out efficient trials.

    Why I Picked Medidata Rave CTMS: I picked Medidata Rave CTMS for its focus on enhancing the efficiency of clinical operations. Its comprehensive set of features targeted at study management set it apart from the crowd. This strong focus makes Medidata Rave CTMS the best for optimizing clinical operations and managing studies effectively.

    Standout Features & Integrations:

    Medidata Rave CTMS offers a rich suite of features like real-time data capture, study planning and tracking, and regulatory compliance management. As for integrations, it offers a broad range of interoperability with various data capture systems, electronic health record systems, and other CTMS platforms.

    Pros and Cons

    Pros:

    • Real-time data capture for instantaneous insights
    • Robust integrations with other healthcare and clinical trial systems
    • Comprehensive set of features for clinical operations and study management

    Cons:

    • Could be complex for teams new to CTMS software
    • Only offers annual billing, not monthly
    • Pricing may be high for smaller research teams
    Learn more about Medidata Rave CTMS:
  3. Best for multi-site trials and compliance management
    • Pricing upon request.
    Visit Website
    Rating:0.0/5
    Advarra screenshot
    Advarra clinical trial management software management system

    Advarra is a platform built to aid clinical trial management across multiple sites. It also includes advanced tools for regulatory compliance, making it a sound choice for organizations seeking to manage complex, multi-site clinical trials while adhering to all necessary rules and regulations.

    Why I Picked Advarra: I chose Advarra because of its emphasis on multi-site trial management and compliance. When compared to other clinical trial management tools, Advarra stood out due to its robust features and specific focus on managing trials across multiple sites while maintaining compliance. Therefore, I determined it to be the best tool for this specific use case.

    Standout Features & Integrations:

    Advarra provides features like comprehensive multi-site trial management, regulatory compliance tools, and robust reporting functionalities. It integrates smoothly with many EDC systems, data analysis tools, and document management platforms, enabling a connected and streamlined workflow.

    Pros and Cons

    Pros:

    • Seamless integrations with other clinical trial tools
    • Strong emphasis on regulatory compliance
    • Comprehensive features for multi-site trial management

    Cons:

    • The user interface may have a steep learning curve for some users
    • Could be complex for smaller trials or single-site management
    • Pricing information is not easily accessible
    Learn more about Advarra:
  4. Best for comprehensive trial enablement and management
    • From $130/user/month, (min 5 seats).
    Visit Website
    Rating:0.0/5
    Clario screenshot
    Clario clinical trial management software unified reporting system

    Clario is a comprehensive clinical trial management software that offers a powerful suite of features for trial enablement and management. It provides a streamlined, organized approach to clinical research, making it an optimal choice for those who require full control and oversight of their trials.

    Why I Picked Clario: I chose Clario for its comprehensive approach to trial enablement and management. Its robust feature set, coupled with its ability to manage all aspects of a clinical trial, make it a unique choice among other software options.

    Clario's strength in comprehensive trial enablement and management makes it best suited for this role.

    Standout Features & Integrations:

    Clario comes packed with essential features including robust data collection and analysis, regulatory compliance tracking, and participant management. As for integrations, it provides compatibility with major electronic health records systems, laboratory systems, and other clinical trial software, enabling a more interconnected trial process.

    Pros and Cons

    Pros:

    • Good integration with other clinical systems
    • Robust data collection and analysis
    • Comprehensive suite of features for trial enablement and management

    Cons:

    • Slightly higher starting price compared to some other options
    • A minimum of five seats required for the basic package
    • Might be overwhelming for smaller teams due to its extensive features
    Learn more about Clario:
  5. Best for decentralized clinical trials and data collection
    • Pricing upon request.
    Visit Website
    Rating:0.0/5
    Medrio screenshot
    Medrio clinical trial management software sample report analysis

    Medrio is a clinical trials management tool that specializes in decentralized trials and data collection. The platform supports data collection from multiple sources, and its decentralization capabilities enable remote management of clinical trials, which is key in an era when remote work is increasingly common.

    Why I Picked Medrio: I selected Medrio for its focus on decentralized trials and robust data collection. These two areas of focus are becoming more important in clinical trial management due to increasing trends toward remote work and data-driven decision-making. Thus, Medrio shines in this area and is, in my view, the best tool for decentralized clinical trials and data collection.

    Standout Features & Integrations:

    Key features of Medrio include its comprehensive data collection tools, support for decentralized clinical trials, and an intuitive user interface that simplifies complex processes. Medrio integrates seamlessly with a variety of data analysis tools, and EDC systems, and also supports direct data imports from various sources.

    Pros and Cons

    Pros:

    • Seamless integrations with data analysis tools
    • Robust data collection and management capabilities
    • Emphasis on decentralized clinical trials makes it ideal for remote teams

    Cons:

    • Its strong focus on decentralization may not suit all trial management styles
    • May have a learning curve for those not familiar with decentralized trials
    • Pricing is not publicly available, which could deter some users
    Learn more about Medrio:
  6. Best for document management and streamlined trial collaboration
    • Pricing upon request.
    Visit Website
    Rating:0.0/5
    Florence eTMF screenshot
    Florence clinical trial management software electronic trial master file study start up

    Florence eTMF is a dedicated tool that focuses on facilitating efficient document management and fostering improved collaboration within clinical trials. Its robust document-handling capabilities and collaborative features make it an ideal solution for document management and streamlined trial collaboration.

    Why I Picked Florence eTMF: Florence eTMF earned its spot on this list primarily because of its emphasis on simplifying document management and enhancing collaboration within clinical trials. It stands out with its dedicated tools for managing documents and facilitating communication between trial participants.

    Because of these reasons, I consider Florence eTMF to be the "Best for document management and streamlined trial collaboration."

    Standout Features & Integrations:

    Florence eTMF shines with features like its centralized document repository, which provides an organized, easily accessible hub for all trial documents. It also offers robust collaboration tools designed to streamline communication and coordination between team members.

    Integration-wise, Florence eTMF integrates well with a range of commonly used software in the clinical trial space, including data management, project management, and communication tools.

    Pros and Cons

    Pros:

    • Effective integrations with other clinical trial tools
    • Robust collaboration tools for improved trial coordination
    • Centralized document repository for efficient management

    Cons:

    • Learning curve may be steep for less tech-savvy users
    • May be too specialized for some users, lacking broad trial management features
    • Lack of transparent pricing information
    Learn more about Florence eTMF:
  7. Best for integrated trial management and regulatory compliance
    • Free demo available
    • Pricing upon request
    Visit Website
    Rating:0.0/5
    Calyx screenshot
    Calyx clinical trial management software designer tool

    Calyx provides a comprehensive clinical research platform that combines trial management and regulatory compliance functionality. This makes it a versatile tool for ensuring organized, compliant research practices and makes it a top choice for integrated trial management and regulatory compliance.

    Why I Picked Calyx: In deciding on this list, Calyx emerged as a preferred option because of its unique integration of trial management with regulatory compliance mechanisms. It's distinctive in its approach, providing a holistic solution to trial management that considers regulatory needs.

    This blend of functionality made me see Calyx as "Best for integrated trial management and regulatory compliance."

    Standout Features & Integrations:

    Key features of Calyx include its extensive trial management tools and robust compliance tracking capabilities. Furthermore, it provides an integrated electronic data capture system for seamless data management. It offers important integrations with data management and visualization tools that enhance its trial management capabilities.

    Pros and Cons

    Pros:

    • Seamless data management through integrated electronic data capture
    • Extensive management tools
    • Integrated trial management and regulatory compliance

    Cons:

    • Certain features may exceed the needs of small-scale trials
    • Might be complex for users new to clinical trial management
    • Lack of transparent pricing
    Learn more about Calyx:
  8. Best for user-friendly interfaces and trial execution
    • From $120/user/month, (billed annually).
    Visit Website
    Rating:0.0/5
    Vial screenshot
    Vial clinical trial management software interface

    As a software solution for clinical trial management, Vial offers a blend of simplicity and robust functionality. Its design caters to user-friendliness, making it a valuable tool for individuals and teams who prioritize ease of use and effective trial execution.

    Why I Picked Vial: In my evaluation process, Vial stood out due to its intuitive interface and efficient execution of trial processes. Its attention to user experience, paired with its solid feature set, sets it apart in the crowded field of clinical trial software. Its strengths in user-friendly interface design and trial execution made it a clear choice for this list.

    Standout Features & Integrations:

    Vial boasts a variety of important features, such as participant tracking, data capture, and analysis, as well as comprehensive trial execution tools. Noteworthy integrations include connections to laboratory systems, electronic health records, and other trial-related software, which further enhance its capabilities.

    Pros and Cons

    Pros:

    • Integration with a variety of trial-related systems
    • Comprehensive trial execution tools
    • User-friendly interface for easy navigation

    Cons:

    • Pricing may be steep for smaller research teams
    • Interface may be too simplistic for users desiring complex features
    • Annual billing may limit flexibility for some users
    Learn more about Vial:
  9. Best for robust data management and trial design
    • From $150/user/month, (min 5 seats).
    Visit Website
    Rating:0.0/5
    Viedoc screenshot
    Viedoc clinical trial management software streamlined interface

    Viedoc stands as a powerful software dedicated to streamlining and strengthening data management and trial design for clinical research. Its robust suite of features and user-friendly interface make it an optimal choice for researchers and institutions needing an intuitive yet robust solution for their clinical trials.

    Why I Picked Viedoc: I selected Viedoc due to its unique ability to integrate complex data management systems with a comprehensive trial design toolkit. Its capacity to handle large volumes of data with precision sets it apart from its peers. Viedoc's superior functionality makes it ideal for robust data management and intricate trial design, two critical factors in successful clinical research.

    Standout Features & Integrations:

    Viedoc includes data collection, patient engagement, trial design, and electronic data capture features. Its analytics capabilities ensure an efficient and accurate understanding of trial data. Notable integrations include connections to medical imaging systems, laboratory systems, and electronic medical record systems, further enhancing its utility.

    Pros and Cons

    Pros:

    • User-friendly interface with intuitive navigation
    • High-volume data handling capabilities
    • Comprehensive data management and trial design functionalities

    Cons:

    • May have more features than smaller trials require
    • Minimum of five seats required for the basic package
    • Starting price may be higher than some competitors
    Learn more about Viedoc:
  10. Best for electronic trial master file (eTMF) management
    • Pricing upon request.
    Visit Website
    Rating:0.0/5
    Phlexglobal screenshot
    PhlexGlobal clinical trial management software management

    Phlexglobal is a solution specifically designed for managing electronic trial master files (eTMFs). By providing an easy-to-use interface and robust tools, it simplifies the organization, storage, and retrieval of eTMF data. This specialization makes Phlexglobal an ideal fit for organizations looking to improve their eTMF management.

    Why I Picked Phlexglobal: I picked Phlexglobal due to its unique focus on electronic trial master file management. Comparing different platforms, Phlexglobal differentiated itself with its specialized tools for eTMF organization, making it an excellent choice for those specific needs. It is why I've deemed it as "best for eTMF management."

    Standout Features & Integrations:

    Phlexglobal features a comprehensive eTMF management system, advanced search functionalities, and a variety of reporting tools. It also integrates well with various other clinical trial software, which makes it easier to import and export data.

    Pros and Cons

    Pros:

    • Seamless integrations with various other clinical trial software
    • Advanced search and reporting capabilities
    • Dedicated eTMF management system

    Cons:

    • Requires training to effectively use all the functionalities
    • May be over-specialized for organizations that need a broader range of tools
    • Lack of clear pricing information
    Learn more about Phlexglobal:

Other Clinical Trial Management Software

Here are some additional clinical trial management software options that didn’t make it onto my shortlist, but are still worth checking out:

  1. 11
    RealTime Software SolutionsBest for real-time tracking of clinical trials and participant management
  2. 12
    ResearchManagerBest for collaborative research and workflow management
  3. 13
    ClinionGood for paperless clinical trial management
  4. 14
    Oracle ClinicalGood for decentralizing clinical trials
  5. 15
    Veeva Vault CTMSGood for medical technology clinical trials
  6. 16
    ClinCaptureGood for user-friendly electronic data capture
  7. 17
    OpenClinicaGood for open-source clinical trial solutions
  8. 18
    DatatrakGood for enterprise-level clinical trial management
  9. 19
    TrialKitGood for mobile data capture in clinical trials
  10. 20
    Fusion eClinical SuiteGood for integrating multiple clinical trial systems
  11. 21
    OctalsoftGood for scalable clinical trial management systems
  12. 22
    BS CTMSGood for comprehensive trial management solution

How I Evaluate Clinical Trial Management Software

I split my evaluation into baseline criteria—like protocol management, 21 CFR Part 11 compliance, and eTMF support—and differentiators that separate the best platforms from the rest.

Core Functionality (Table Stakes For This List)

When I'm selecting tools for my list, I rank each one on a scale from 0 (does not offer the functionality) to 5 (excels in this area) for each core functionality listed below. Then, I calculate the tool's total score into a percentage. Each tool needs to achieve a minimum total score of 65% to be considered for inclusion.

  • Study & Protocol Management: I check whether the tool supports protocol setup, visit scheduling, milestone tracking, and amendment workflows across single- or multi-site studies.
  • Subject Recruitment & Enrollment: Each platform should offer screening logs, eligibility tracking, and enrollment status views so coordinators can manage subject pipelines per protocol.
  • Regulatory Compliance & Audit Trails: I evaluate support for 21 CFR Part 11 e-signatures, role-based access controls, and timestamped audit logs that hold up during sponsor or FDA audits.
  • Trial Financial & Budget Management: Budgeting, milestone-based invoicing, and sponsor payment tracking are what I look for—especially the ability to reconcile per-patient costs against contracts.
  • Document Management (eTMF/ISF): The platform should provide a central Trial Master File with version control, expiration alerts, and document indexing aligned to the DIA reference model.
  • Reporting & Trial Analytics: I look for configurable dashboards covering enrollment velocity, protocol deviations, and site performance rather than static exports that require manual formatting.

Once I have a list of tools that meet this criteria, I consider what sets each platform apart.

Differentiating Factors (What Sets Vendors Apart)

Here's how I compare and contrast different vendors:

Standout Features

EHR/EMR integration is a major differentiator—I look for platforms that pull patient data from systems like Epic or Cerner to flag potential subjects without manual chart review. eConsent and ePRO capabilities also matter, especially for sites running hybrid or decentralized trials where subjects sign consent and report outcomes remotely. How well each CTMS connects to EDC and eTMF systems is another key factor, since sites juggling separate tools for data capture and document management need real-time sync to avoid reconciliation headaches.

Beyond Features

Site type and scale fit is one of the first things I evaluate—a single-PI practice running two oncology studies has very different needs than an SMO managing dozens of sites across therapeutic areas. I also look at the integration ecosystem, specifically whether a platform offers HL7/FHIR connectivity and prebuilt connectors to major EDC systems. Implementation support matters too, because a CTMS rollout that lacks clinical research domain expertise on the vendor's side can stall adoption among coordinators and slow down active study timelines.

How to Choose Clinical Trial Management Software

It’s easy to get bogged down in long feature lists and complex pricing structures. To help you stay focused as you work through your unique software selection process, here’s a checklist of factors to keep in mind:

FactorScalabilityWhat to ConsiderCan the software grow with your organization? Consider future needs and whether the tool can support larger trials and more users without performance issues.
FactorIntegrationsWhat to ConsiderDoes it work with your existing systems? Check for compatibility with your current software stack to avoid data silos and ensure smooth workflows.
FactorCustomizabilityWhat to ConsiderCan you tailor the software to your needs? Look for options to modify dashboards, reports, and workflows to fit your team’s specific processes.
FactorEase of useWhat to ConsiderWill your team find it intuitive? Evaluate the interface design and navigation to ensure quick adoption and minimal training time for your users.
FactorImplementation and onboardingWhat to ConsiderHow long will setup take? Consider the time and resources needed for a smooth transition from your current system, including data migration and user training.
FactorCostWhat to ConsiderIs it within budget? Compare pricing models and consider total cost of ownership, including any hidden fees or long-term contract commitments.
FactorSecurity safeguardsWhat to ConsiderDoes it protect sensitive data? Verify compliance with industry standards like HIPAA and ensure robust encryption and access controls are in place.
FactorCompliance requirementsWhat to ConsiderDoes it meet regulatory needs? Ensure the tool aligns with specific guidelines relevant to your trials, such as FDA or EMA regulations.

What Is Clinical Trial Management Software?

Clinical trial management software is a tool designed to manage and streamline various aspects of clinical trials. Researchers, project managers, and clinical coordinators typically use these tools to enhance data accuracy, compliance, and communication.

Features like patient recruitment, data tracking, and regulatory compliance help with efficient trial management. Overall, these tools provide value by simplifying trial processes and improving data integrity.

Features

When selecting clinical trial management software, keep an eye out for the following key features:

  • Patient recruitment: Facilitates the identification and enrollment of suitable participants for trials, saving time and resources.
  • Data tracking: Monitors and records trial data in real-time, ensuring accuracy and accessibility for analysis.
  • Regulatory compliance: Helps maintain adherence to industry regulations like FDA and EMA, reducing the risk of non-compliance.
  • Customizable dashboards: Allows users to tailor data views and reports to fit their specific needs and workflows.
  • Integration capabilities: Connects with existing systems and tools to ensure smooth data flow and avoid silos.
  • Security safeguards: Provides encryption and access controls to protect sensitive trial data from unauthorized access.
  • Real-time analytics: Offers insights into trial progress and outcomes, enabling informed decision-making.
  • Automated scheduling: Streamlines the planning and management of trial activities, reducing manual workload.
  • Multi-language support: Accommodates diverse teams and international trials by providing multilingual options.
  • Interactive product tours: Guides new users through the software, enhancing the onboarding experience and reducing learning curves.

Benefits

Implementing clinical trial management software provides several benefits for your team and your business. Here are a few you can look forward to:

  • Improved efficiency: Automates routine tasks like scheduling and data entry, freeing up your team to focus on strategic activities.
  • Enhanced data accuracy: Tracks and records trial data in real-time, minimizing errors and ensuring reliable information for analysis.
  • Better compliance: Maintains adherence to regulatory standards, reducing the risk of fines and ensuring ethical trial conduct.
  • Increased collaboration: Integrates with your existing systems, facilitating smooth communication and data sharing among team members and stakeholders.
  • Greater security: Provides encryption and access controls to protect sensitive data, giving you peace of mind about data privacy.
  • Faster decision-making: Offers real-time analytics and insights, enabling your team to make informed decisions quickly.
  • Simplified onboarding: Features like interactive product tours reduce learning curves and help new users get up to speed quickly.

Costs & Pricing

Selecting clinical trial management software requires an understanding of the various pricing models and plans available. Costs vary based on features, team size, add-ons, and more. The table below summarizes common plans, their average prices, and typical features included in clinical trial management software solutions:

Plan Comparison Table for Clinical Trial Management Software

Plan TypeFree PlanAverage Price$0Common FeaturesBasic data tracking, limited user access, and essential reporting.
Plan TypePersonal PlanAverage Price$20-$50/user/monthCommon FeaturesAdvanced data tracking, regulatory compliance tools, and customizable dashboards.
Plan TypeBusiness PlanAverage Price$50-$100/user/monthCommon FeaturesFull data analytics, integration capabilities, enhanced security safeguards, and multi-language support.
Plan TypeEnterprise PlanAverage Price$100-$200/user/monthCommon FeaturesComprehensive analytics, dedicated account manager, priority support, and full customization options.

Clinical Trial Management Software FAQs

Here are some answers to common questions about clinical trial management software:

Can clinical trial management software integrate with Electronic Data Capture (EDC) systems?

Yes, many clinical trial management software solutions offer integration with EDC systems. This ensures smooth data flow between platforms, reducing manual data entry and potential errors. Check if the software supports integration with your specific EDC system.

How does clinical trial management software handle regulatory compliance?

These tools often include features that help maintain compliance with industry regulations like FDA and EMA. They provide audit trails, secure data storage, and access controls to ensure your trials meet all necessary guidelines.

What support options are typically available with clinical trial management software?

Support options can include live chat, email, and phone support. Some vendors offer dedicated account managers and training services. Check the vendor’s support hours and availability to ensure they align with your team’s requirements.

How do you assess integration risks when implementing clinical trial management software?

Check how well the software connects with existing tools like EDC, EMR, or IRT/RTSM. Watch for issues like data duplication or mismatched formats. Review API support and data-mapping options before deployment, and plan time for migration and training.

What’s Next:

If you're in the process of researching clinical trial management software, connect with a SoftwareSelect advisor for free recommendations.

You fill out a form and have a quick chat where they get into the specifics of your needs. Then you'll get a shortlist of software to review. They'll even support you through the entire buying process, including price negotiations.

John Payne
John Payne

I'm the co-founder and director of Symphony Health MD. Since founding the clinic in 2022, I've grown it from a solo practice to a team of 15 physicians. I manage legal, financial, and operational needs while developing new service lines and expanding our offerings. I enjoy building practical solutions to real operational challenges, from streamlining workflows to solving technical problems. I hold a BA in Theology from the University of Leeds.

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