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Clofarabine

Alias: C1 F-Ara-A; C1-F-Ara-A; Clofarabine; C1 F-Ara-A; trade names: Clofarex; Clolar. Abbreviation: CAFdA; 123318-82-1; Evoltra; Clofarex; CAFdA; Cl-F-Ara-A; C1-F-Ara-A;
Cat No.:V1451 Purity: ≥98%
Clofarabine(formerly C1 F-Ara-A;C1 F-Ara-A;CAFdA; trade names: Clofarex; Clolar)is an antimetabolite anticancer chemotherapeutic drug and a purine nucleoside approved for the treatment of relapsed or refractory acute lymphoblastic leukemia.
Clofarabine
Clofarabine Chemical Structure CAS No.: 123318-82-1
Product category: DNA(RNA) Synthesis
This product is for research use only, not for human use. We do not sell to patients.
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Clofarabine(formerly C1 F-Ara-A; C1 F-Ara-A; CAFdA; trade names: Clofarex; Clolar) is an antimetabolite anticancer chemotherapeutic drug and a purine nucleoside approved for the treatment of relapsed or refractory acute lymphoblastic leukemia. It functions as both a substrate of Deoxycytidine Kinase (dCK) and an inhibitor of DNA synthesis. DNA polymerase-α and -ε are competed with by clofarabine triphosphate, which is produced when clofarabine is phosphorylated. DNA elongation and repair are hampered when clofarabine-monophosphate is incorporated into internal and terminal DNA sites at the same time. With an IC50 value of 65 nM, clofarabine triphosphate inhibits ribonucleotide reductase, reducing dCTP and dATP in the process. Through the nucleoside transporters hENT1, hENT2, and hCNT2, clofarabine is effectively incorporated into cells.

Biological Activity I Assay Protocols (From Reference)
Targets
Ribonucleotide reductase ( IC50 = 65 nM )
ln Vitro

Clofarabine is effectively transferred into cells by the concentrative nucleoside transporter hCNT253 as well as two facilitative or equilibrative nucleoside transporters, hENT1 and hENT2. After entering cells, cytosolic kinases phosphorylate clofarabine in a stepwise manner to its nucleotide analogues, clofarabine 5′-mono-, di-, and triphosphate; clofarabine triphosphate is the active form. Clofarabine 5′-mono-, di-, and triphosphate must be enzymatically converted back to their dephosphorylated nucleoside form by 5′-nucleotidase in order to be transported out of the cell. These compounds are not substrates for nucleoside transporters. With an IC50 of 65 nM, clofarabine triphosphate effectively inhibits ribonucleotide reductase, most likely through binding to the regulatory subunit's allosteric site. It has also been demonstrated that clofarabine directly affects mitochondria by changing the transmembrane potential and causing the cytosol to release caspase 9, cytochrome c, apoptotic-inducing factor (AIF), and apoptosis protease-activating factor 1 (APAF1). Strong in vitro growth inhibition and cytotoxic activity (IC50 values = 0.028–0.29 μM) are demonstrated by clofarabine in a range of solid tumor and leukemia cell lines. It has been demonstrated that clofarabine increases dCK activity in HL60 cells and increases ara-C mono-, di-, and triphosphate formation in K562 cells36.[1] In chronic lymphocytic leukemia (CLL) lymphocytes, clofarabine (10 μM) inhibits the repair that 4-hydroperoxycyclophosphamide (4-HC) started. In CLL lymphocytes, the inhibition peaks at intracellular concentrations of 5 μM. The combined effects of clofarabine (10 μM) and 4-hydroperoxycyclophosphamide (4-HC) result in more apoptotic cell death than the sum of their individual effects. The combination of clofarabine (1 μM) and ara-C (10 μM) causes synergistic cell death in K562 cells by biochemically modulating ara-CTP.[3]

ln Vivo
Clofarabine toxicity in all groups fluctuated in accordance with circadian rhythms in vivo. The toxicity of clofarabine in mice in the rest phase was more severe than the active one, indicated by more severe liver damage, immunodepression, higher mortality rate, and lower LD50. No significant pharmacokinetic parameter changes were observed between the night and daytime treatment groups. These findings suggest the dosing-time dependent toxicity of clofarabine synchronizes with the circadian rhythm of mice, which might provide new therapeutic strategies in further clinical application.[4]
When clofarabine is injected intraperitoneally, it significantly inhibits the growth of numerous human tumor xenografts that are subcutaneously implanted in athymic nude or severely combined immune deficient mice.[1]
Cell Assay
Cell Line: NB4 cells
Concentration: 0.01-0.1 µM
Incubation Time: 48 hours
Result: Inhibited proliferation of NB4 cells in a concentration-depended manner.
K562 cells were incubated with clofarabine and ara-C either sequentially or simultaneously to evaluate the combination effect on their phosphorylated metabolites. Clonogenic assays were used to determine the cytotoxicity of each agent alone and in combination. Deoxynucleotide analysis was performed to assess the effect of clofarabine on dNTPs.[3]
Animal Protocol
Kunming mice (18-22 g, with equal numbers of male and female mice)
600, 480, 384, 307, 246 mg/kg
Injected intraperitoneally at 8:00 am, 12:00 noon, 8:00 pm and 12:00 midnight; 7 days continuous administration
To evaluate the time- and dose-dependent toxicity of clofarabine in mice and to further define the chronotherapy strategy of it in leukemia, we compared the mortality rates, LD50s, biochemical parameters, histological changes and organ indexes of mice treated with clofarabine at various doses and time points. Plasma clofarabine levels and pharmacokinetic parameters were monitored continuously for up to 8 hours after the single intravenous administration of 20 mg/kg at 12:00 noon and 12:00 midnight by high performance liquid chromatography (HPLC)-UV method. Clofarabine toxicity in all groups fluctuated in accordance with circadian rhythms in vivo. The toxicity of clofarabine in mice in the rest phase was more severe than the active one, indicated by more severe liver damage, immunodepression, higher mortality rate, and lower LD50. No significant pharmacokinetic parameter changes were observed between the night and daytime treatment groups. These findings suggest the dosing-time dependent toxicity of clofarabine synchronizes with the circadian rhythm of mice, which might provide new therapeutic strategies in further clinical application.[4]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Based on 24-hour urine collections in the pediatric studies, 49 - 60% of the dose is excreted in the urine unchanged.
172 L/m2
28.8 L/h/m2 [Pediatric patients (2 - 19 years old) with relapsed or refractory acute lymphoblastic leukemia (ALL) or acute myelogenous leukemia (AML) receiving 52 mg/m2 dose]
Metabolism / Metabolites
Clofarabine is sequentially metabolized intracellularly to the 5’-monophosphate metabolite by deoxycytidine kinase and mono- and di-phosphokinases to the active 5’-triphosphate metabolite. Clofarabine has high affinity for the activating phosphorylating enzyme, deoxycytidine kinase, equal to or greater than that of the natural substrate, deoxycytidine.
Biological Half-Life
The terminal half-life is estimated to be 5.2 hours.
Toxicity/Toxicokinetics
Hepatotoxicity
In clinical trials, serum enzymes elevations occurred in up to 75% of patients treated with clofarabine as monotherapy for refractory or relapsed acute leukemia. These elevations usually arose within 5 to 10 days of starting therapy and were generally transient and asymptomatic. The elevations rarely required dose adjustment or delay in therapy. Cases of clinically apparent liver injury due to clofarabine have been reported to occur, but few details were available and most patients were receiving other cancer chemotherapeutic agents. A single case report of toxic epidermal necrosis and fulminant hepatic failure in a child with ALL receiving clofarabine has been published. In high doses, clofarabine has been associated with very high rates of serum enzyme elevations and hyperbilirubinemia that are dose limiting. Instances of capillary leak syndrome and possibly sinusoidal obstruction syndrome have also been reported.
Likelihood score: D (possible rare cause of clinically apparent liver injury).
Protein Binding
47% bound to plasma proteins, predominantly to albumin.
References

[1]. Nat Rev Drug Discov . 2006 Oct;5(10):855-63.

[2]. Clin Cancer Res . 2001 Nov;7(11):3580-9.

[3]. Cancer Chemother Pharmacol . 2005 Apr;55(4):361-368.

[4]. Kaohsiung J Med Sci. 2016 May;32(5):227-34.
Additional Infomation
Pharmacodynamics
Clofarabine is a purine nucleoside antimetabolite that differs from other puring nucleoside analogs by the presence of a chlorine in the purine ring and a flourine in the ribose moiety. Clofarabine seems to interfere with the growth of cancer cells, which are eventually destroyed. Since the growth of normal body cells may also be affected by clofarabine, other effects also occur. Clofarabine prevents cells from making DNA and RNA by interfering with the synthesis of nucleic acids, thus stopping the growth of cancer cells.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C10H11CLFN5O3
Molecular Weight
303.68
Exact Mass
303.053
Elemental Analysis
C, 39.55; H, 3.65; Cl, 11.67; F, 6.26; N, 23.06; O, 15.81
CAS #
123318-82-1
Related CAS #
123318-82-1
PubChem CID
119182
Appearance
White to off-white solid powder
Density
2.1±0.1 g/cm3
Boiling Point
599.5±60.0 °C at 760 mmHg
Melting Point
228-2310C
Flash Point
316.4±32.9 °C
Vapour Pressure
0.0±1.8 mmHg at 25°C
Index of Refraction
1.844
LogP
0.24
Hydrogen Bond Donor Count
3
Hydrogen Bond Acceptor Count
8
Rotatable Bond Count
2
Heavy Atom Count
20
Complexity
370
Defined Atom Stereocenter Count
4
SMILES
ClC1=NC(=C2C(=N1)N(C([H])=N2)[C@@]1([H])[C@]([H])([C@@]([H])([C@@]([H])(C([H])([H])O[H])O1)O[H])F)N([H])[H]
InChi Key
WDDPHFBMKLOVOX-AYQXTPAHSA-N
InChi Code
InChI=1S/C10H11ClFN5O3/c11-10-15-7(13)5-8(16-10)17(2-14-5)9-4(12)6(19)3(1-18)20-9/h2-4,6,9,18-19H,1H2,(H2,13,15,16)/t3-,4+,6-,9-/m1/s1
Chemical Name
(2R,3R,4S,5R)-5-(6-amino-2-chloropurin-9-yl)-4-fluoro-2-(hydroxymethyl)oxolan-3-ol
Synonyms
C1 F-Ara-A; C1-F-Ara-A; Clofarabine; C1 F-Ara-A; trade names: Clofarex; Clolar. Abbreviation: CAFdA; 123318-82-1; Evoltra; Clofarex; CAFdA; Cl-F-Ara-A; C1-F-Ara-A;
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 60 mg/mL (~197.6 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.08 mg/mL (6.85 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.08 mg/mL (6.85 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 2.08 mg/mL (6.85 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 3.2929 mL 16.4647 mL 32.9294 mL
5 mM 0.6586 mL 3.2929 mL 6.5859 mL
10 mM 0.3293 mL 1.6465 mL 3.2929 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
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Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
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Clinical Trial Information
Cord Blood Transplant in Children and Young Adults With Blood Cancers and Non-malignant Disorders
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Study Testing Two Conditioning Regimen With a Single Prophylaxis of GVHD by Cyclophosphamide and Methotrexate Post-transplant in Patients Eligible for Matched-donor Allograft Transplantation
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Date: 2024-10-28
Study of Clofarabine in Patients With Recurrent or Refractory Langerhans Cell Histiocytosis and LCH-related Disorders
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Combination Chemotherapy in Treating Patients With Relapsed or Refractory Acute Lymphoblastic Leukemia, Lymphoblastic Lymphoma, Burkitt Lymphoma/Leukemia, or Double-Hit Lymphoma/Leukemia
CTID: NCT03136146
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Clofarabine, Idarubicin, Cytarabine, Vincristine Sulfate, and Dexamethasone in Treating Patients With Newly Diagnosed or Relapsed Mixed Phenotype Acute Leukemia
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Umbilical Cord Blood Transplant With Added Sugar and Chemotherapy and Radiation Therapy in Treating Patients With Leukemia or Lymphoma
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Clofarabine Plus Cytarabine Versus Conventional Induction Therapy And A Study Of NK Cell Transplantation In Newly Diagnosed Acut
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CTID: null
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PHASE II STUDY OF CLOFARABINE IN COMBINATION WITH CYTARABINE AND LIPOSOMAL DOXORUBICIN IN CHILDREN WITH EITHER LYMPHOBLASTIC OR MYELOID RELAPSE OR REFRACTORY ACUTE LEUKEMIA AND IN CHILDREN WITH SECONDARY ACUTE MYELOID LEUKEMIA
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CTID: null
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A phase II/III randomized, open-label study to compare the efficacy and safety of intravenous volasertib in combination with subcutaneous cytarabine versus investigator’s choice of anti-leukemic treatment in adult patients with relapsed or refractory acute myeloid leukemia with no established treatment options (POLO-AML 1)
CTID: null
Phase: Phase 2, Phase 3    Status: Completed, Prematurely Ended
Date: 2011-06-16
A multicenter Total Therapy Strategy for De Novo Adult Philadelphia Chromosome Positive (Ph+) Acute Lymphoblastic Leukemia (ALL) Patients
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2011-05-16
TO ESTABLISH THE FEASIBILITY OF COMBINING EITHER THE TYROSINE KINASE INHIBITOR AC220 OR THE CXCR4 INHIBITOR PLERIXAFOR OR THE HSP90 INHIBITOR, GANETESPIB, WITH CHEMOTHERAPY IN OLDER PATIENTS WITH ACUTE MYELOID LEUKAEMIA AND HIGH RISK MYELODYSPLASTIC SYNDROME
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-10-18
A Pilot Study of Clofarabine Pre-Conditioning Prior to Full or Reduced Intensity Allogeneic Transplantation in the Treatment of High Risk Acute Myeloid Leukaemia and Myelodysplasia
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA
Date: 2010-09-21
A randomized multi-center treatment study (COALL 08-09) to improve the survival of children with acute lymphoblastic leukemia on behalf of the German Society of Pediatric Hematology and Oncology
CTID: null
Phase: Phase 2, Phase 3    Status: Ongoing
Date: 2010-09-09
Ensayo clínico multicéntrico, prospectivo, abierto, de un solo grupo, de fase II para analizar la terapia de inducción con una combinación de clofarabina y dosis bajas de citarabina seguido de terapia de consolidación con clofarabina y dosis bajas de citarabina para el tratamiento de pacientes de edad mayor o igual a 60 años con LMA
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2010-08-19
Clofarabine based remission induction followed by haploidentical stem cell
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2010-06-17
Randomized study with a run-in feasibility phase to assess the added value of Clofarabine in combination with standard remission-induction chemotherapy in patients aged 18-65 years with previously untreated acute myeloid leukemia (AML) or myelodysplasia (MDS) (RAEB with IPSS ≥ 1.5)
CTID: null
Phase: Phase 2, Phase 3    Status: Ongoing, Completed
Date: 2010-01-25
CLOFARABINE/ARA-C TREATMENT COMBINED WITH REDUCED-INTENSITY CONDITIONING ALLOGENEIC STEM CELL TRANSPLANTATION FOR ACUTEMYELOID LEUKEMIA IN PRIMARY TREATMENT FAILURE
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2010-01-06
Clofarabine added to prephase and consolidation therapy in acute lymphoblastic leukemia in adults.
CTID: null
Phase: Phase 2, Phase 3    Status: Prematurely Ended, Completed
Date: 2009-08-31
A Phase I/II study of clofarabine in combination with cytarabine and liposomal daunorubicin in children with relapsed/refractory pediatric AML
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2009-07-30
A Phase I/II Multicenter Study of IV Clofarabine In Patients with High-Risk Myelodysplastic Syndrome who have failed Therapy with Azacitidine: the NIDEVOL study
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2009-07-23
Temozolomide in the chemo-immuno-therapy of refractory acute leukaemia of adult patients: The TRIAC protocol
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2009-05-26
Phase I Dose Escalation Study of Clofarabine and Liposomal Daunorubicin in Childhood and Adolescent AML
CTID: null
Phase:    Status: Completed
Date: 2009-02-10
A Randomized Phase II Study of
CTID: null
Phase: Phase 2    Status: Completed
Date: 2009-01-20
An open label phase II trial of Clofarabine and Temsirolimus in older
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-12-29
Protocole Clinique de Phase II multicentrique non randomisé évaluant l’efficacité, la tolérance et la toxicité d’un conditionnement à intensité réduite combinant Clofarabine (Evoltra) + Busulfan IV (Busilvex) + ATG (Thymoglobuline) (CBT) chez des patients nécessitant une allogreffe pour une MDS, LAM ou une LAL à haut risque
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2008-12-15
Clinical phase II trial to evaluate the safety and efficacy of clofarabine and treosulfan conditioning prior to peripheral blood stem cells transplantation in paediatric and adult patients with advanced haematological malignancies
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-11-27
Spontaneous monocentric study phase II: salvage therapy with clofarabine in combination with other cytotoxic agentsfor the treatment of resistent leukemia in children
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2008-11-25
Phase III Randomized, Double-Blind, Controlled Study Comparing Clofarabine and Cytarabine versus Cytarabine Alone in Adult Patients 55 Years and Older with Acute Myelogenous Leukemia (AML) who have Relapsed or are Refractory after Receiving up to Two Prior Induction Regimens
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-09-24
AML16; A National Cancer Research Institute Trial in Acute Myeloid Leukaemia and High Risk Myelodysplastic Syndromes
CTID: null
Phase: Phase 2, Phase 3    Status: Completed
Date: 2005-12-16
A Phase II, Open-Label Study of Clofarabine in Paediatric Patients with Refractory / Relapsed Acute Lymphoblastic Leukaemia
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-10-19
AML16 Pilot Trial: A Phase1/2 Trial to assess the feasibility of combining Clofarabine with daunorubicin and Daunorubicin + Clofarabine with Mylotarg in older patients with Acute Myeloid Leukaemia and High Risk Myelodysplastic syndrome
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2005-06-13
A PHASE II TRIAL OF CLOFARABINE IN OLDER PATIENTS WITH ACUTE MYELOID LEUKAEMIA FOR WHOM INTENSIVE CHEMOTHERAPY IS NOT CONSIDERED SUITABLE
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-05-06
A multicenter Phase I/II trial investigating the safety and efficacy (CR rate and OS) of low dose AraC with Clofarabine in patients ≥60 years with AML not eligible for conventional
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date:
A Randomized, Multi-Center Phase III Trial comparing two conditioning regimens (CloFluBu and BuCyMel) in children with Acute Myeloid Leukemia undergoing allogeneic stem cell transplantation.
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date:

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