A Comparative Study Between Amlodipine 10mg And 5mg With Hypertension For Whom 5mg Is Insufficient

Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT00415623
Collaborator
(none)
305
15
2
9
20.3
2.3

Study Details

Study Description

Brief Summary

The changes in the trough systolic blood pressure from the baseline were assessed after 8 weeks of double-blind treatment with amlodipine 10 mg or amlodipine 5 mg

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
305 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Double-Blind, Comparative Study Between Amlodipine 5mg And 10mg In Patients With Essential Hypertension For Whom Amlodipine 5mg Is Insufficiently Effective
Study Start Date :
Jan 1, 2007
Actual Primary Completion Date :
Oct 1, 2007
Actual Study Completion Date :
Oct 1, 2007

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Amlodipine 5mg

Drug: Amlodipine
Amlodipine 5mg/ day

Experimental: Amlodipine 10mg

Drug: Amlodipine
Amlodipine 10mg/ day

Outcome Measures

Primary Outcome Measures

  1. Change in Systolic Blood Pressure (SBP) From Baseline to Week 8 [Baseline to Week 8]

    Mean change in the trough SBP

Secondary Outcome Measures

  1. Change in Diastolic Blood Pressure (DBP) From Baseline to Week 8 [Baseline to Week 8]

    Mean change in the trough DBP

  2. Combined Mean Change in SBP From Baseline to Week 6 and Week 8 (Mean by Patient) [Baseline to Week 6 and Week 8]

    Arithmetic mean of Week 6 & Week 8 by patient for "Change from baseline in SBP at Week 6" and "Change from baseline in SBP at Week 8"

  3. Combined Mean Change in DBP From Baseline to Week 6 and Week 8 (Mean by Patient) [Baseline to Week 6 and Week 8]

    Arithmetic mean of Week 6 & Week 8 by patient for "Change from baseline in DBP at Week 6" and "Change from baseline in DBP at Week 8"

  4. Number of Subjects Achieving the Target Blood Pressure Reduction Value at Week 8 [Week 8]

    Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old

  5. Combined Number of Subjects Achieving the Target Blood Pressure Reduction Value at Both Weeks 6 and 8 [Week 6 and Week 8]

    Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old

  6. Number of Subjects Achieving the Target Blood Pressure Reduction Value and Whose SBP Decreased From Baseline by >= 10 mmHg at Week 8 [Week 8]

    Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old

  7. Combined Number of Subjects Achieving the Target Blood Pressure Reduction Value and Whose SBP Decreased From Baseline by >= 10 mmHg at Both Weeks 6 and 8 [Week 6 and Week 8]

    Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old

  8. Trough Plasma Concentrations of Amlodipine -Amlodipine 5 mg [Baseline, Week 4 and Week 8]

  9. Trough Plasma Concentrations of Amlodipine -Amlodipine 10 mg [Baseline, Week 4, and Week 8]

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years to 79 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Untreated Hypertensive Patients: An systolic blood pressure of >=160 mmHg or diastolic blood pressure >=100mmHg.

  • Treated Hypertensive Patients: An systolic blood pressure of >=140 mmHg or diastolic blood pressure of >= 90 mmHg.

  • Patients with insufficient response to 5 mg of amlodipine in the screening period:Two successive systolic blood pressure measurements at Visit 4 (Week -2) and Visit 5 (Week 0 = baseline) >=140 mmHg

  • Patients with a screening treatment compliance rate >= 80%

Exclusion Criteria:
  • Subjects with secondary hypertension (renal disease, pheochromocytoma, and Cushing's syndrome, etc.), severe hypertension (systolic blood pressure of 180 mmHg or higher, or diastolic blood pressure of 110 mmHg or higher), and malignant hypertension

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pfizer Investigational Site Kasuya-gun Fujuoka Japan
2 Pfizer Investigational Site Chikushino Fukuoka Japan
3 Pfizer Investigational Site Kitakyushu Fukuoka Japan
4 Pfizer Investigational Site Koga Fukuoka Japan
5 Pfizer Investigational Site Sapporo Hokkaidou Japan
6 Pfizer Investigational Site Sapporo Hokkaido Japan
7 Pfizer Investigational Site Yokohama Kanagawa Japan
8 Pfizer Investigational Site Iruma Saitama Japan
9 Pfizer Investigational Site Koshigaya Saitama Japan
10 Pfizer Investigational Site Adachi-ku Tokyo Japan
11 Pfizer Investigational Site Edogawa-ku Tokyo Japan
12 Pfizer Investigational Site Meguro-ku Tokyo Japan
13 Pfizer Investigational Site Setagaya-ku Tokyo Japan
14 Pfizer Investigational Site Sumida Tokyo Japan
15 Pfizer Investigational Site Fukuoka Japan

Sponsors and Collaborators

  • Pfizer's Upjohn has merged with Mylan to form Viatris Inc.

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
ClinicalTrials.gov Identifier:
NCT00415623
Other Study ID Numbers:
  • A0531085
First Posted:
Dec 25, 2006
Last Update Posted:
Feb 11, 2021
Last Verified:
Jan 1, 2021
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Twenty-four (24) centers in Japan
Pre-assignment Detail Consent was taken from 414 patients, 356 patients who met the screening criteria received amlodipine 5 mg. After the 8 weeks of screening treatment, patients who met the entry criteria for double-blind period were randomized to either the amlodipine 10 mg group or the amlodipine 5 mg group at a ratio of 1:1.
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Period Title: Overall Study
STARTED 154 151
COMPLETED 149 146
NOT COMPLETED 5 5

Baseline Characteristics

Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg Total
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks. Total of all reporting groups
Overall Participants 154 151 305
Age, Customized (partcipants) [Number]
< 20 years
0
0
0
20 to 44 years
15
15
30
45 to 64 years
75
70
145
>= 65 years
64
66
130
Sex: Female, Male (Count of Participants)
Female
70
45.5%
59
39.1%
129
42.3%
Male
84
54.5%
92
60.9%
176
57.7%
Region of Enrollment (participants) [Number]
Japan
154
100%
151
100%
305
100%

Outcome Measures

1. Primary Outcome
Title Change in Systolic Blood Pressure (SBP) From Baseline to Week 8
Description Mean change in the trough SBP
Time Frame Baseline to Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Least Squares Mean (95% Confidence Interval) [mmHg]
-7.0
-13.7
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). ANCOVA models with the trough SBP at baseline, body weight, and age as covariates, and the treatment group and study site as factors was used. The test was performed with a significance level of 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -6.7
Confidence Interval () 95%
-9.0 to -4.4
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Change in Diastolic Blood Pressure (DBP) From Baseline to Week 8
Description Mean change in the trough DBP
Time Frame Baseline to Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Least Squares Mean (95% Confidence Interval) [mmHg]
-2.7
-6.8
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). ANCOVA models with the trough DBP at baseline, body weight, and age as covariates, and the treatment group and study site as factors was used. The test was performed with a significance level of 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -4.1
Confidence Interval () 95%
-5.7 to -2.5
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Combined Mean Change in SBP From Baseline to Week 6 and Week 8 (Mean by Patient)
Description Arithmetic mean of Week 6 & Week 8 by patient for "Change from baseline in SBP at Week 6" and "Change from baseline in SBP at Week 8"
Time Frame Baseline to Week 6 and Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Least Squares Mean (95% Confidence Interval) [mmHg]
-6.8
-13.9
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). ANCOVA models with the trough SBP at baseline, body weight, and age as covariates, and the treatment group and study site as factors was used. The test was performed with a significance level of 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -7.1
Confidence Interval () 95%
-9.1 to -5.1
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Combined Mean Change in DBP From Baseline to Week 6 and Week 8 (Mean by Patient)
Description Arithmetic mean of Week 6 & Week 8 by patient for "Change from baseline in DBP at Week 6" and "Change from baseline in DBP at Week 8"
Time Frame Baseline to Week 6 and Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Least Squares Mean (95% Confidence Interval) [mmHg]
-2.5
-6.5
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). ANCOVA models with the trough DBP at baseline, body weight, and age as covariates, and the treatment group and study site as factors was used. The test was performed with a significance level of 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -4.0
Confidence Interval () 95%
-5.4 to -2.6
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Number of Subjects Achieving the Target Blood Pressure Reduction Value at Week 8
Description Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old
Time Frame Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Number [participants]
43
27.9%
66
43.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments Proportions of participants (responder rates) were used for the statistical analyses. The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). The test was conducted based on a logistic regression model with baseline SBP value and body weight as covariates, and treatment group and age (<=64, >=65) as a factor. The significance level was 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.002
Comments
Method Regression, Logistic
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 2.33
Confidence Interval () 95%
1.36 to 3.99
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Combined Number of Subjects Achieving the Target Blood Pressure Reduction Value at Both Weeks 6 and 8
Description Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old
Time Frame Week 6 and Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Number [participants]
22
14.3%
52
34.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments Proportions of participants (responder rates) were used for the statistical analyses. The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). The test was conducted based on a logistic regression model with baseline SBP value and body weight as covariates, and treatment group and age (<=64, >=65) as a factor. The significance level was 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Regression, Logistic
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 4.46
Confidence Interval () 95%
2.28 to 8.74
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Number of Subjects Achieving the Target Blood Pressure Reduction Value and Whose SBP Decreased From Baseline by >= 10 mmHg at Week 8
Description Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old
Time Frame Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Number [participants]
35
22.7%
61
40.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments Proportions of participants (responder rates) were used for the statistical analyses. The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). The test was conducted based on a logistic regression model with baseline SBP value and body weight as covariates, and treatment group and age (<=64, >=65) as a factor. The significance level was 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.001
Comments
Method Regression, Logistic
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 2.55
Confidence Interval () 95%
1.50 to 4.36
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Combined Number of Subjects Achieving the Target Blood Pressure Reduction Value and Whose SBP Decreased From Baseline by >= 10 mmHg at Both Weeks 6 and 8
Description Target blood pressure reduction value based on Japan Society of Hypertension Guidelines for the Management of Hypertension 2004: SBP below 130 mmHg and DBP below 85 mmHg for <=64 years old; SBP below 140 mmHg and DBP below 90 mmHg for >=65 years old
Time Frame Week 6 and Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set, Last Observation Carried Forward
Arm/Group Title Amlodipine 5 mg Amlodipine 10 mg
Arm/Group Description One amlodipine besilate 5 mg tablet and 1 amlodipine besilate 5 mg placebo tablet were administered once daily after breakfast for 8 weeks. Two amlodipine besilate 5 mg tablets were administered once daily after breakfast for 8 weeks.
Measure Participants 151 150
Number [participants]
16
10.4%
44
29.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Amlodipine 5 mg, Amlodipine 10 mg
Comments Proportions of participants (responder rates) were used for the statistical analyses. The hypothesis of no group differences (null hypothesis) was tested against that of the amlodipine 10 mg arm being superior to the amlodipine 5 mg arm (alternative hypothesis). The test was conducted based on a logistic regression model with baseline SBP value and body weight as covariates, and treatment group and age (<=64, >=65) as a factor. The significance level was 0.05 (two-sided).
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Regression, Logistic
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 4.16
Confidence Interval () 95%
2.12 to 8.19
Parameter Dispersion Type:
Value:
Estimation Comments
9. Secondary Outcome
Title Trough Plasma Concentrations of Amlodipine -Amlodipine 5 mg
Description
Time Frame Baseline, Week 4 and Week 8

Outcome Measure Data

Analysis Population Description
Plasma concentration obtained after temporarily dosing discontinuation or not matched with the following conditions were excluded from the analysis; Steady-state condition: at least 80% drug compliance from the previous visit to the day of sampling; Trough condition: samples taken within ±10% of 24 hours from last dosing.
Arm/Group Title Baseline Week 4 Week 8
Arm/Group Description After once daily administration of amlodipine 5 mg for 8 weeks in the screening period
Measure Participants 147 146 145
Geometric Mean (95% Confidence Interval) [ng/mL]
7.02
6.83
7.03
10. Secondary Outcome
Title Trough Plasma Concentrations of Amlodipine -Amlodipine 10 mg
Description
Time Frame Baseline, Week 4, and Week 8

Outcome Measure Data

Analysis Population Description
Plasma concentration obtained after temporarily dosing discontinuation or not matched with the following conditions were excluded from the analysis; Steady-state condition: at least 80% drug compliance from the previous visit to the day of sampling; Trough condition: samples taken within ±10% of 24 hours from last dosing.
Arm/Group Title Baseline Week 4 Week 8
Arm/Group Description After once daily administration of amlodipine 5 mg for 8 weeks in the screening period
Measure Participants 145 144 143
Geometric Mean (95% Confidence Interval) [ng/mL]
7.18
16.9
16.9

Adverse Events

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Pfizer has the right to review disclosures, requesting a delay of <60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), <12 mo from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential info other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.govCallCenter@pfizer.com
Responsible Party:
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
ClinicalTrials.gov Identifier:
NCT00415623
Other Study ID Numbers:
  • A0531085
First Posted:
Dec 25, 2006
Last Update Posted:
Feb 11, 2021
Last Verified:
Jan 1, 2021