ION US Post-Approval Study

Sponsor
Boston Scientific Corporation (Industry)
Overall Status
Completed
CT.gov ID
NCT01422889
Collaborator
(none)
1,120
40
41
28
0.7

Study Details

Study Description

Brief Summary

The purpose of this study is to compile real-world clinical outcomes data for the ION™ Paclitaxel-Eluting Platinum Chromium Coronary Stent System in routine clinical practice.

Condition or Disease Intervention/Treatment Phase
  • Device: ION™ Coronary Stent System

Detailed Description

The ION™ stent is the third-generation Boston Scientific (BSC) paclitaxel-eluting coronary stent. It is designed for improved performance specific to deliverability and radio-opacity while maintaining a similar drug release profile of the TAXUS Express and TAXUS Liberté stents. Following PMA approval from the FDA for the ION™ Paclitaxel-Eluting Platinum Chromium Coronary Stent System the ION US Post-Approval study will compile real-world clinical outcomes data for the ION™ Paclitaxel-Eluting Platinum Chromium Coronary Stent System in routine clinical practice. Post-approval studies of drug-eluting stents (DES) provide an opportunity to observe and assess patient outcomes and technology performance in a real-world setting.

Study Design

Study Type:
Observational
Actual Enrollment :
1120 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
A U.S. Post-Approval Study of the ION™ Paclitaxel-Eluting Platinum Chromium Coronary Stent System
Study Start Date :
Sep 1, 2011
Actual Primary Completion Date :
Jun 1, 2013
Actual Study Completion Date :
Feb 1, 2015

Arms and Interventions

Arm Intervention/Treatment
ION Registry

The ION Registry population was designed to collect real world safety and clinical outcomes data. There were 1120 subjects were enrolled, however 9 subjects did not receive a study stent therefore 1111 subjects were eligible for follow up.

Device: ION™ Coronary Stent System
This study is intended to evaluate the ION™ Paclitaxel-Eluting Platinum Chromium Coronary Stent System across a range of institutions and physician users to observe and assess subject outcomes and technology performance in a real-world setting.

Outcome Measures

Primary Outcome Measures

  1. Cardiac Death or Myocardial Infarction (CD/MI) [12 Months]

    Cardiac Death or myocardial infarction (CD/MI) in the ION registry population. For the protocol specified primary endpoint analysis including data pooled from the PERSEUS SV, PERSEUS WH and TE Prove patient populations please see the citations.

Secondary Outcome Measures

  1. Stent Thrombosis [Annually, after the first year, through 2 years.]

    Academic Research Consortium (ARC) defined (definite/probable) stent thrombosis (ST) in the ION registry population. For the protocol specified secondary endpoint analysis including data pooled from the PERSEUS SV, PERSEUS WH and TE Prove patient populations please see the citations.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 110 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

Consented subjects receiving one or more ION(TM)Coronary Stents

Exclusion Criteria:

Subjects not clinically indicated to receive an ION (TM)Coronary Stent

Contacts and Locations

Locations

Site City State Country Postal Code
1 NEA Baptist Memorial Hospital Jonesboro Arkansas United States 72401
2 St. Bernard's Medical Center Jonesboro Arkansas United States 72401
3 Bakersfield Memorial Hospital Bakersfield California United States 93301
4 Alvarado Hospital San Diego California United States 92121
5 Northside Hospital and Heart Institute St. Petersburg Florida United States 33709
6 University Community Hospital Tampa Florida United States 33613
7 Redmond Regional Medical Center Rome Georgia United States 30165
8 Kootenai Medical Center Coeur d'Alene Idaho United States 83814
9 Krannert Institute of Cardiology Indianapolis Indiana United States 46202
10 Indiana Heart Hospital Indianapolis Indiana United States 46250
11 Iowa Heart Center West Des Moines Iowa United States 50266
12 King's Daughters Medical Center - Kentucky Heart Inst Ashland Kentucky United States 41101
13 Maine Medical Center Portland Maine United States 04102
14 Union Memorial Hospital Baltimore Maryland United States 21218
15 Tufts Medical Center Boston Massachusetts United States 02111
16 Sparrow Health System - Sparrow Hospital Lansing Michigan United States 48910
17 Northern Michigan Hospital Petoskey Michigan United States 49770
18 Lakeland Hospitals at St. Joseph St. Joseph Michigan United States 49085
19 Memorial Hospital at Gulfport Gulfport Mississippi United States 39501
20 Freeman West Hospital Joplin Missouri United States 64804
21 Our Lady of Lourdes Medical Center Haddon Heights New Jersey United States 08035
22 Jersey Shore University Medical Center Sea Girt New Jersey United States 08750
23 St. Joseph's Hospital Health Center Liverpool New York United States 13088
24 St. Elizabeth Medical Center Utica New York United States 13501
25 Wake Medical Center Raleigh North Carolina United States 27610
26 Ohio State University Medical Center Columbus Ohio United States 43210
27 Riverside Methodist Hospital Columbus Ohio United States 43214
28 Mercy St. Vincent Medical Center Toledo Ohio United States 43608
29 Oklahoma Heart Hospital Oklahoma City Oklahoma United States 73120
30 St. Mary Medical Center Yardley Pennsylvania United States 19067
31 Sisters of Charity Providence Hospital Columbia South Carolina United States 29204
32 Grand Strand Regional Medical Center Myrtle Beach South Carolina United States 29572
33 Regional Hospital Jackson Tennessee United States 38305
34 Centennial Medical Center Nashville Tennessee United States 37203
35 Baylor Heart & Vascular Hospital Dallas Texas United States 75226
36 CRSTI/Medical City Dallas Dallas Texas United States 75230
37 Kingwood Medical Center Hospital Kingwood Texas United States 77339
38 Methodist Texsan Hospital San Antonio Texas United States 78201
39 Meriter Hospital, Inc. Madison Wisconsin United States 53713
40 CaRE Foundation, Inc. Wausau Wisconsin United States 54401

Sponsors and Collaborators

  • Boston Scientific Corporation

Investigators

  • Principal Investigator: Louis A Cannon, MD, Northern Michigan Hospital
  • Principal Investigator: Carey D Kimmelstiel, MD, Tufts Medical Center

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Boston Scientific Corporation
ClinicalTrials.gov Identifier:
NCT01422889
Other Study ID Numbers:
  • S2065
First Posted:
Aug 25, 2011
Last Update Posted:
Feb 4, 2016
Last Verified:
Jan 1, 2016
Keywords provided by Boston Scientific Corporation
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Subject recruitment began on 19 September 2011 and was completed on 24 April 2012.
Pre-assignment Detail
Arm/Group Title ION Registry
Arm/Group Description The ION Registry population consists of 1111 subjects that were enrolled and received a study stent.
Period Title: Overall Study
STARTED 1120
COMPLETED 1111
NOT COMPLETED 9

Baseline Characteristics

Arm/Group Title ION Registry
Arm/Group Description The ION Registry population contains 1120 enrolled subjects with 1111 eligible for analysis. Subjects eligible for analysis includes subjects with at least one study stent implanted.
Overall Participants 1111
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
64.1
(10.98)
Sex: Female, Male (Count of Participants)
Female
330
29.7%
Male
781
70.3%
Region of Enrollment (participants) [Number]
United States
1111
100%
Cardiac Risk Factors (participants) [Number]
Diabetes
376
33.8%
Current Smoker
275
24.8%
Hypertension
905
81.5%
Hyperlipidemia
869
78.2%
Unstable Angina
485
43.7%
Prior PCI
522
47%
Lesion Characteristics (participants) [Number]
RVD<=2.5mm
387
34.8%
Long Lesions (>=28mm)
235
21.2%
Bifurcation
116
10.4%
Lesion Characteristics:Lesion Based (Lesions) [Number]
Culprit for STEMI
108
Severe Calcification
79

Outcome Measures

1. Primary Outcome
Title Cardiac Death or Myocardial Infarction (CD/MI)
Description Cardiac Death or myocardial infarction (CD/MI) in the ION registry population. For the protocol specified primary endpoint analysis including data pooled from the PERSEUS SV, PERSEUS WH and TE Prove patient populations please see the citations.
Time Frame 12 Months

Outcome Measure Data

Analysis Population Description
There were 83 subjects not evaluable for 12-month cardiac events (No follow-up ≥ 335 days and events-free within 365-day) leaving a total of 1028 subjects evaluated for 12 month CD/MI.
Arm/Group Title ION Registry
Arm/Group Description The ION Registry includes the 1111 enrolled subjects that received a study stent.
Measure Participants 1028
Number [percentage of paricipants]
2.2
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ION Registry
Comments 2.2% (23/1028) of ION Registry subjects experienced CD/MI related to the ION stent at 12 months
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter percentage
Estimated Value 2.2
Confidence Interval (2-Sided) %
to
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Stent Thrombosis
Description Academic Research Consortium (ARC) defined (definite/probable) stent thrombosis (ST) in the ION registry population. For the protocol specified secondary endpoint analysis including data pooled from the PERSEUS SV, PERSEUS WH and TE Prove patient populations please see the citations.
Time Frame Annually, after the first year, through 2 years.

Outcome Measure Data

Analysis Population Description
There were 57 subjects not evaluable for 2-year cardiac events (No follow-up ≥ 700 days and events-free within 730-day) leaving a total of 1054 subjects evaluated for ARC ST Definite/Probable.
Arm/Group Title ION Registry
Arm/Group Description The ION Registry includes the 1111 enrolled subjects that received a study stent.
Measure Participants 1054
Number [percentage of participants]
2.6
0.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ION Registry
Comments 2.6% (27/1054) of ION Registry subjects experienced ARC ST Definite/Probable related to the ION stent at 2 years.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter percentage
Estimated Value 2.6
Confidence Interval (1-Sided) %
to
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame 1 year
Adverse Event Reporting Description
Arm/Group Title ION Registry
Arm/Group Description The ION Registry population will contain the first 1115 consecutive, consenting patients
All Cause Mortality
ION Registry
Affected / at Risk (%) # Events
Total / (NaN)
Serious Adverse Events
ION Registry
Affected / at Risk (%) # Events
Total 324/1111 (29.2%)
Blood and lymphatic system disorders
Anaemia 14/1111 (1.3%) 17
Haemorrhagic anaemia 2/1111 (0.2%) 2
Heparin-induced thrombocytopenia 1/1111 (0.1%) 1
Thrombocytopenia 1/1111 (0.1%) 1
Cardiac disorders
Angina Pectoris 59/1111 (5.3%) 70
Angina Unstable 23/1111 (2.1%) 31
Acute Myocardial Infarction 27/1111 (2.4%) 27
Cardiac Congestive Failure 23/1111 (2.1%) 26
Coronary artery thrombosis 15/1111 (1.4%) 18
Myocardial Infarction 17/1111 (1.5%) 17
Atrial Fibriliation 14/1111 (1.3%) 17
Coronary artery disease 13/1111 (1.2%) 14
Cardiac arrest 7/1111 (0.6%) 7
Acute Coronary System 5/1111 (0.5%) 5
Cardiac failure 4/1111 (0.4%) 4
Coronary artery stenosis 4/1111 (0.4%) 4
Ventricular fibrillation 4/1111 (0.4%) 4
Atrial flutter 3/1111 (0.3%) 4
Cardiac failure chronic 3/1111 (0.3%) 4
Cardiogenic shock 3/1111 (0.3%) 4
Ischaemic cardiomyopathy 3/1111 (0.3%) 4
Ventricular tachycardia 2/1111 (0.2%) 4
Cardiomyopathy 3/1111 (0.3%) 3
Arrhythmia supraventricular 2/1111 (0.2%) 2
Atrioventricular block 2/1111 (0.2%) 2
Coronary artery dissection 2/1111 (0.2%) 2
Pericarditis 2/1111 (0.2%) 2
Sick sinus syndrome 2/1111 (0.2%) 2
Atrial tachycardia 1/1111 (0.1%) 1
Atrioventricular block 1/1111 (0.1%) 1
Bradycardia 1/1111 (0.1%) 1
Cardiac tamponade 1/1111 (0.1%) 1
Cardio-respiratory arrest 1/1111 (0.1%) 1
Cardiopulmonary failure 1/1111 (0.1%) 1
Chronotropic incompetence 1/1111 (0.1%) 1
Intracardiac thrombus 1/1111 (0.1%) 1
Mitral valve incompetence 1/1111 (0.1%) 1
Myocardial ischaemia 1/1111 (0.1%) 1
Palpitations 1/1111 (0.1%) 1
Pericardial effusion 1/1111 (0.1%) 1
Sinus arrest 1/1111 (0.1%) 1
Tachycardia 1/1111 (0.1%) 1
Congenital, familial and genetic disorders
Arteriovenous malformation 1/1111 (0.1%) 1
Congenital coronary artery malformation 1/1111 (0.1%) 1
Ear and labyrinth disorders
Vertigo 1/1111 (0.1%) 1
Endocrine disorders
Hyperthyroidism 1/1111 (0.1%) 1
Eye disorders
Cataract 2/1111 (0.2%) 2
Conjunctival haemorrhage 1/1111 (0.1%) 1
Vision blurred 1/1111 (0.1%) 1
Gastrointestinal disorders
Gastrointestinal haemorrhage 11/1111 (1%) 12
Small intestinal obstruction 3/1111 (0.3%) 3
Abdominal pain 2/1111 (0.2%) 2
Colonic polyp 2/1111 (0.2%) 2
Constipation 2/1111 (0.2%) 2
Pancreatitis 2/1111 (0.2%) 2
Retroperitoneal haemorrhage 2/1111 (0.2%) 2
Diarrhoea 1/1111 (0.1%) 2
Abdominal pain upper 1/1111 (0.1%) 1
Ascites 1/1111 (0.1%) 1
Barrett's oesophagus 1/1111 (0.1%) 1
Colitis ischaemic 1/1111 (0.1%) 1
Duodenal ulcer 1/1111 (0.1%) 1
Enterovesical fistula 1/1111 (0.1%) 1
Epiploic appendagitis 1/1111 (0.1%) 1
Gastritis 1/1111 (0.1%) 1
Gastrointestinal ulcer haemorrhage 1/1111 (0.1%) 1
Gastroesophageal reflux disease 1/1111 (0.1%) 1
Ileus 1/1111 (0.1%) 1
Inguinal hernia 1/1111 (0.1%) 1
Intestional perforation 1/1111 (0.1%) 1
Intra-abdominal haemorrhage 1/1111 (0.1%) 1
Lower gastrointestinal haemorrhage 1/1111 (0.1%) 1
Pancreatitis acute 1/1111 (0.1%) 1
Pancreatitis chronic 1/1111 (0.1%) 1
Rectal haemorrhage 1/1111 (0.1%) 1
Retroperitoneal haematoma 1/1111 (0.1%) 1
Upper gastrointestinal haemorrhage 1/1111 (0.1%) 1
General disorders
Non-cardiac chest pain 35/1111 (3.2%) 46
Chest pain 6/1111 (0.5%) 6
Chest discomfort 3/1111 (0.3%) 3
Pyrexia 3/1111 (0.3%) 3
Asthenia 1/1111 (0.1%) 1
Catheter site haematoma 1/1111 (0.1%) 1
Hernia obstructive 1/1111 (0.1%) 1
Sudden cardiac death 1/1111 (0.1%) 1
Hepatobiliary disorders
Biliary dyskinesia 1/1111 (0.1%) 1
Cholelithiasis 1/1111 (0.1%) 1
Hepatic artery stenosis 1/1111 (0.1%) 1
Hepatic cirrhosis 1/1111 (0.1%) 1
Hepatic congestion 1/1111 (0.1%) 1
Ischaemic hepatitis 1/1111 (0.1%) 1
Infections and infestations
Pneumonia 18/1111 (1.6%) 22
Urinary tract infection 10/1111 (0.9%) 10
Sepsis 5/1111 (0.5%) 5
Diverticulitis 4/1111 (0.4%) 5
Bronchitis 3/1111 (0.3%) 3
Cellulitis 3/1111 (0.3%) 3
Abscess 2/1111 (0.2%) 2
Appendicitis 2/1111 (0.2%) 2
Gastroenteritis 2/1111 (0.2%) 2
Arthritis bacterial 1/1111 (0.1%) 1
Bacteraemia 1/1111 (0.1%) 1
Gangrene 1/1111 (0.1%) 1
Gastroenteritis viral 1/1111 (0.1%) 1
Herpes zoster 1/1111 (0.1%) 1
Infected skin ulcer 1/1111 (0.1%) 1
Lobar pneumonia 1/1111 (0.1%) 1
Meningitis 1/1111 (0.1%) 1
Osteomyelitis acute 1/1111 (0.1%) 1
Periorbital abscess 1/1111 (0.1%) 1
Peritonitis bacterial 1/1111 (0.1%) 1
Pneumonia influenzal 1/1111 (0.1%) 1
Pneumonia pneumococcal 1/1111 (0.1%) 1
Postoperative wound infection 1/1111 (0.1%) 1
Pyelonephritis 1/1111 (0.1%) 1
Septic shock 1/1111 (0.1%) 1
Tooth infection 1/1111 (0.1%) 1
Injury, poisoning and procedural complications
Post procedural myocardial infarction 2/1111 (0.2%) 2
Tibia fracture 2/1111 (0.2%) 2
Vascular pseudoaneurysm 2/1111 (0.2%) 2
Anaemia postoperative 1/1111 (0.1%) 1
Arterial injury 1/1111 (0.1%) 1
Device malfunction 1/1111 (0.1%) 1
Hip fracture 1/1111 (0.1%) 1
Lower limb fracture 1/1111 (0.1%) 1
Post procedural haematoma 1/1111 (0.1%) 1
Postoperative ileus 1/1111 (0.1%) 1
Renal injury 1/1111 (0.1%) 1
Subdural haematoma 1/1111 (0.1%) 1
Investigations
Cardiac stress test abnormal 2/1111 (0.2%) 2
Blood creatinine increased 1/1111 (0.1%) 1
Heart rate increased 1/1111 (0.1%) 1
International normalized ratio increased 1/1111 (0.1%) 1
Metabolism and nutrition disorders
Dehydration 7/1111 (0.6%) 7
Diabetes mellitus inadequate control 2/1111 (0.2%) 2
Hyperglycaemia 2/1111 (0.2%) 2
Hypokalaemia 2/1111 (0.2%) 2
Electrolyte imbalance 1/1111 (0.1%) 1
Failure to thrive 1/1111 (0.1%) 1
Hypervolaemia 1/1111 (0.1%) 1
Hyponatraemia 1/1111 (0.1%) 1
Musculoskeletal and connective tissue disorders
Intervertebral disc protusion 1/1111 (0.1%) 1
Lumbar spinal stenosis 1/1111 (0.1%) 1
Muscle spasms 1/1111 (0.1%) 1
Osteoarthritis 1/1111 (0.1%) 1
Pain in extremity 1/1111 (0.1%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer 1/1111 (0.1%) 1
Breast cancer metastatic 1/1111 (0.1%) 1
Bronchial carcinoma 1/1111 (0.1%) 1
Colon cancer metastatic 1/1111 (0.1%) 1
Endometrial cancer 1/1111 (0.1%) 1
Lung adenocarcinoma stage IV 1/1111 (0.1%) 1
Lung neoplasm malignant 1/1111 (0.1%) 1
Metastatic neoplasm 1/1111 (0.1%) 1
Parathyroid tumour benign 1/1111 (0.1%) 1
Small cell lung cancer stage unspecified 1/1111 (0.1%) 1
Vaginal cancer 1/1111 (0.1%) 1
Nervous system disorders
Syncope 8/1111 (0.7%) 8
Cerebrovascular accident 6/1111 (0.5%) 6
Carotid artery stenosis 2/1111 (0.2%) 2
Transient ischaemic attack 2/1111 (0.2%) 2
Ataxia 1/1111 (0.1%) 1
Cerebral haemorrhage 1/1111 (0.1%) 1
Embolic stroke 1/1111 (0.1%) 1
Hemiparesis 1/1111 (0.1%) 1
Ischaemic stroke 1/1111 (0.1%) 1
Migrane 1/1111 (0.1%) 1
Neuropathy peripheral 1/1111 (0.1%) 1
Presyncope 1/1111 (0.1%) 1
Subarachnoid haemorrhage 1/1111 (0.1%) 1
Psychiatric disorders
Bipolar I disorder 1/1111 (0.1%) 1
Deperession 1/1111 (0.1%) 1
Suicidal ideation 1/1111 (0.1%) 1
Renal and urinary disorders
Renal failure 4/1111 (0.4%) 4
Renal failure acute 3/1111 (0.3%) 3
Renal failure chronic 3/1111 (0.3%) 3
Nephrolithiasis 1/1111 (0.1%) 1
Nephropathy toxic 1/1111 (0.1%) 1
Renal disorder 1/1111 (0.1%) 1
Renal impairment 1/1111 (0.1%) 1
Ureteric obstruction 1/1111 (0.1%) 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea 8/1111 (0.7%) 8
Chronic obstructive pulmonary disease 6/1111 (0.5%) 8
Pleural effusion 4/1111 (0.4%) 4
Pulmonary embolism 4/1111 (0.4%) 4
Respiratory failure 4/1111 (0.4%) 4
Acute respiratory failure 2/1111 (0.2%) 2
Epistaxis 2/1111 (0.2%) 2
Pulmonary oedema 2/1111 (0.2%) 2
Acute pulmonary oedema 1/1111 (0.1%) 1
Pleuritic pain 1/1111 (0.1%) 1
Pneumothorax 1/1111 (0.1%) 1
Respiratory arrest 1/1111 (0.1%) 1
Respiratory distress 1/1111 (0.1%) 1
Skin and subcutaneous tissue disorders
Ecchymosis 1/1111 (0.1%) 1
Rash 1/1111 (0.1%) 1
Skin plaque 1/1111 (0.1%) 1
Skin ulcer 1/1111 (0.1%) 1
Surgical and medical procedures
Cardiac pacemaker battery replacement 1/1111 (0.1%) 1
Vascular disorders
Hypertension 4/1111 (0.4%) 6
Peripheral vascular disorder 4/1111 (0.4%) 5
Aortic stenosis 2/1111 (0.2%) 2
Deep vein thrombosis 2/1111 (0.2%) 2
Femoral arterial stenosis 2/1111 (0.2%) 2
Intermittent claudication 2/1111 (0.2%) 2
Aortic aneurysm 1/1111 (0.1%) 1
Arterial haemorrhage 1/1111 (0.1%) 1
Haemorrhage 1/1111 (0.1%) 1
Hypotension 1/1111 (0.1%) 1
Iliac artery embolism 1/1111 (0.1%) 1
Iliac artery occlusion 1/1111 (0.1%) 1
Leriche syndrome 1/1111 (0.1%) 1
Orthostatic hypotension 1/1111 (0.1%) 1
Peripheral ischaemia 1/1111 (0.1%) 1
Other (Not Including Serious) Adverse Events
ION Registry
Affected / at Risk (%) # Events
Total 0/1111 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Peter Maurer, MPH; Director, Clinical Trials
Organization Boston Scientific
Phone 508-683-6678
Email Peter.Maurer@bsci.com
Responsible Party:
Boston Scientific Corporation
ClinicalTrials.gov Identifier:
NCT01422889
Other Study ID Numbers:
  • S2065
First Posted:
Aug 25, 2011
Last Update Posted:
Feb 4, 2016
Last Verified:
Jan 1, 2016