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Article History

Accepted: 7 December 2025

First Online: 5 January 2026

Declarations

:

: Febin Francis, Nitin Zalte, Amarnath Sugumaran, Sandesh Sawant, and Senthilnathan Mohanasundaram are/were employees of Cipla Ltd. All other authors have no conflicts of interest to declare.

: The protocol of the study was approved by an independent ethics committee (Suraksha—Ethics Committee, Asian Institute of Medical Sciences [AIMS], Dombivli, Maharashtra, India) on 31 August 2023 prior to the commencement of the study. The study was performed in accordance with the standards of ethics outlined in the Declaration of Helsinki.

: Written informed consent was obtained from each participant before their enrollment.

: The data supporting the findings of this study are available from the corresponding author upon reasonable request.

: Not applicable.

: Not applicable.

: All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work. Conceptualization: A.K.D., M.T., and J.A. Methodology: J.A., A.P., V.K., F.F., N.Z., and A.S. Formal analysis: F.F., N.Z., and S.S. Investigation: A.K.D., M.T., J.A., A.P., V. K., F.F., N.Z., and S.S. Resources: A.S., S.S., and S.M. Writing—original draft preparation: A.K.D., A.P., S.S., F.F., A.S., and S.M. Writing—review and editing: A.K.D., M.T., J.A., A.P., V.K., and S.M. Visualization: S.M. Supervision: M.T., V.K., F.F., N.Z., A.S., and S.S. Project administration: F.F. and S.M. All authors have read and agreed to the published version of the manuscript.