BEL114333, a Continuation Study of BEL113750 in Subjects With Systemic Lupus Erythematosus (SLE) in Northeast Asia, and in Japan Subjects Completing the Open-label Extension of HGS1006-C1115

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT01597622
Collaborator
Human Genome Sciences Inc. (Industry)
142
27
1
75.1
5.3
0.1

Study Details

Study Description

Brief Summary

This study provides subjects who complete the BEL113750 study and subjects who complete the open-label extension of HGS1006-C1115 (referred to as C1115) Study in Japan the option of continuing treatment with belimumab (10 mg/kg intravenously every 4 weeks) for those randomized to belimumab, or the option to begin treatment with belimumab for those randomized to placebo, as an add-on to their standard of care SLE therapy.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

This is a multicentre, continuation study of belimumab plus standard of care (SOC) in SLE subjects who completed the Phase III BEL113750 protocol in Northeast Asia or who completed the open-label extension of the HGS1006-C1115 protocol in Japan. This study provides subjects who complete the BEL113750 study the option of continuing treatment with belimumab (10 mg/kg intravenously every 4 weeks) for those randomized to belimumab, or the option to begin treatment with belimumab for those randomized to placebo, as an add-on to their SOC SLE therapy. Subjects participating in this continuation protocol will continue to be monitored for safety and efficacy, as measured by the SLE responder index. Subjects who complete 48 weeks of treatment on the BEL113750 study and who meet inclusion/exclusion criteria, and provide informed consent, will be given the option to enter the continuation study. All subjects will receive belimumab 10 mg/kg IV infused over 1 hour every 4 weeks. Subjects recruited into this study will continue to receive treatment with belimumab until such time as belimumab becomes commercially available in a subject's country of participation, or the subject elects to participate in another belimumab continuation study for SLE, or until either the subject's physician withdraws the subject from the study, or upon the decision by the sponsor to discontinue further development of belimumab for SLE.

Study Design

Study Type:
Interventional
Actual Enrollment :
142 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
BEL114333, a Multicenter, Continuation Study of Belimumab in Subjects With Systemic Lupus Erythematosus (SLE) Who Completed the Phase III Study BEL113750 in Northeast Asia or Completed the Open-label Extension of HGS1006-C1115 in Japan
Actual Study Start Date :
Jun 11, 2012
Actual Primary Completion Date :
Sep 13, 2018
Actual Study Completion Date :
Sep 13, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Open-label Belimumab

Belimumab 10 mg/kg administered intravenously every 4 weeks. All study subjects will receive standard SLE therapies during the study. Subjects will continue to receive belimumab treatment until such time belimumab becomes commercially available in a subject's country of participation, or the subject elects to participate in another belimumab continuation study for SLE, or until either the subject's physician withdraws the subject from the study, or upon the decision by the sponsor to discontinue further development of belimumab for SLE.

Drug: Belimumab
10 mg/kg administered intravenously over 1 hour every 4 weeks

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs) [Up to 6 calendar years and 9 months]

    Any untoward medical occurrence in participant, temporally associated with use of medicinal product, whether or not considered related to medicinal product. Any untoward event resulting in death,life threatening,requires hospitalization or prolongation of existing hospitalization,results in disability/incapacity,congenital anomaly/birth defect,medically important were categorized as SAE. Number of participants who had any AE(includes those having non-serious and/or serious AEs) or any SAE are presented.Treatment-emergent AEs are defined as AEs that started on or after first dose of belimumab treatment and for those participants who were randomized to placebo in parent study,ongoing AEs that started before first open-label belimumab dose(in either C1115 open-label extension or BEL114333),worsened (severity,seriousness,relatedness) at any point during the open-label treatment.Timeframe includes exposure in parent study/upto16 weeks post infusion in current study(114333).

Secondary Outcome Measures

  1. Percentage of SLE Responder Index (SRI) Responders by Study Visit [Study Years 1 to 7: At Week 24 and 48 Visits, Year 8: only Week 24 Visit]

    SRI response is composite index, defined as percent of participants with>=4 point reduction from Baseline in safety of estrogen in lupus national assessment systemic lupus erythematosus disease activity index (SELENA-SLEDAI) score and no worsening (increase of <0.30 points from Baseline) in physicians global assessment(PGA) &no new British isles lupus assessment group (BILAG) A organ domain score or 2 new BILAG B organ domain scores compared with Baseline at the time of assessment. A SELENA SLEDAI score of 0 would suggest no lupus activity; while a score of 105 is the maximum calculable if all items were scored as being present from active lupus. PGA ranges from 0(no activity) to 3(severe activity). BILAG has no range. Baseline is last available value prior to first belimumab exposure. Year 8 Week 24 visit is the Exit Visit obtained by slotting the Exit Visit to Week 24. Timeframe includes exposure in parent study/upto 4 weeks post infusion (Exit visit) in current study (114333).

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Have completed the BEL113750 Protocol in Northeast Asia through Week 48 OR have completed the open-label extension of C1115 in Japan.

  • Be able to receive the first dose of belimumab for BEL114333 four weeks (minimum of 2 weeks, maximum of 8 weeks) after the last dose in BEL113750 OR be able to receive the first dose of IV belimumab 1 week (plus a 1 week visit window) after the last dose of open-label SC belimumab in C1115..

Exclusion Criteria:
  • Have developed clinical evidence of significant, unstable or uncontrolled, acute or chronic diseases not due to SLE (i.e., cardiovascular, pulmonary, hematologic, gastrointestinal, hepatic, renal, neurological, malignancy or infectious diseases), or experienced an adverse event (AE) in the Phase 3 study that could, in the opinion of the principal investigator, put the subject at undue risk.

  • Have developed any other medical diseases (e.g., cardiopulmonary), laboratory abnormalities, or conditions (e.g., poor venous access) that in the opinion of the principal investigator, makes the subject unstable for the study.

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Chiba Japan 275-8580
2 GSK Investigational Site Ehime Japan 791-0295
3 GSK Investigational Site Fukuoka Japan 807-8555
4 GSK Investigational Site Fukuoka Japan 810-8563
5 GSK Investigational Site Hiroshima Japan 730-8619
6 GSK Investigational Site Hiroshima Japan 739-0002
7 GSK Investigational Site Hokkaido Japan 060-8604
8 GSK Investigational Site Hokkaido Japan 060-8648
9 GSK Investigational Site Hyogo Japan 675-8545
10 GSK Investigational Site Miyagi Japan 980-8574
11 GSK Investigational Site Nagasaki Japan 857-1195
12 GSK Investigational Site Okayama Japan 710-8522
13 GSK Investigational Site Okinawa Japan 901-0243
14 GSK Investigational Site Tochigi Japan 321-0293
15 GSK Investigational Site Tokyo Japan 104-8560
16 GSK Investigational Site Tokyo Japan 113-8431
17 GSK Investigational Site Tokyo Japan 160-8582
18 GSK Investigational Site Tokyo Japan 162-8655
19 GSK Investigational Site Busan Korea, Republic of 602-715
20 GSK Investigational Site Busan Korea, Republic of
21 GSK Investigational Site Daegu Korea, Republic of 700-721
22 GSK Investigational Site Incheon Korea, Republic of 400-711
23 GSK Investigational Site Seoul Korea, Republic of 110-744
24 GSK Investigational Site Seoul Korea, Republic of 133-792
25 GSK Investigational Site Seoul Korea, Republic of 137-701
26 GSK Investigational Site Seoul Korea, Republic of 150-713
27 GSK Investigational Site Suwon, Kyonggi-do Korea, Republic of 443-721

Sponsors and Collaborators

  • GlaxoSmithKline
  • Human Genome Sciences Inc.

Investigators

  • Study Director: GSK Clinical Trials, GlaxoSmithKline

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01597622
Other Study ID Numbers:
  • 114333
First Posted:
May 14, 2012
Last Update Posted:
Mar 27, 2020
Last Verified:
Mar 1, 2020
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Keywords provided by GlaxoSmithKline
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details This was multicenter, open-label continuation study of belimumab plus standard of care (SOC) in Systemic Lupus Erythematosus (SLE) participants who completed study BEL113750 (NCT01345253) in Northeast Asia (Japan and Korea) & participants who completed the open-label extension of C1115 (NCT01484496) in Japan to assess long term safety & efficacy.
Pre-assignment Detail Total 143 participants were screened for this study and 142 participants were enrolled and received study treatment in current study. BEL113750, a 52 week double-blind study; C1115, a 52 week double-blind study followed by a 6 month open-label extension.
Arm/Group Title Open-label Belimumab 10 mg/kg
Arm/Group Description Participants received Belimumab 10 milligrams (mg)/kilogram (kg) intravenously (IV) over 1 hour on Week 0, Week 4 and then every 4 weeks until Week 48 of the first year (Study Year 1); on Week 4 and then every 4 weeks until Week 48 of subsequent years during study (up to Study Year 7 Week 4 Visit, which represents a maximum duration of 5 years and 7 months by calendar year in this open-label study. One Study Year is 48 weeks). All participants were continued on their SOC therapies as prescribed by the investigator.
Period Title: Overall Study
STARTED 142
COMPLETED 104
NOT COMPLETED 38

Baseline Characteristics

Arm/Group Title Open-label Belimumab 10 mg/kg
Arm/Group Description Participants received Belimumab 10 milligrams (mg)/kilogram (kg) intravenously (IV) over 1 hour on Week 0, Week 4 and then every 4 weeks until Week 48 of the first year (Study Year 1); on Week 4 and then every 4 weeks until Week 48 of subsequent years during study (up to Study Year 7 Week 4 Visit, which represents a maximum duration of 5 years and 7 months by calendar year in this open-label study. One Study Year is 48 weeks). All participants were continued on their SOC therapies as prescribed by the investigator. First belimumab exposure is the first dose in parent study, for participant randomized to belimumab in the parent study; and first OL belimumab dose received (i.e. in either C1115 open-label extension, or BEL114333), for participant randomized to placebo in parent study.
Overall Participants 142
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
34.6
(9.28)
Sex: Female, Male (Count of Participants)
Female
129
90.8%
Male
13
9.2%
Race/Ethnicity, Customized (Count of Participants)
American Indian or Alaskan Native
1
0.7%
Japanese Heritage
71
50%
East Asian Heritage
68
47.9%
Southeast Asian Heritage
2
1.4%

Outcome Measures

1. Primary Outcome
Title Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs)
Description Any untoward medical occurrence in participant, temporally associated with use of medicinal product, whether or not considered related to medicinal product. Any untoward event resulting in death,life threatening,requires hospitalization or prolongation of existing hospitalization,results in disability/incapacity,congenital anomaly/birth defect,medically important were categorized as SAE. Number of participants who had any AE(includes those having non-serious and/or serious AEs) or any SAE are presented.Treatment-emergent AEs are defined as AEs that started on or after first dose of belimumab treatment and for those participants who were randomized to placebo in parent study,ongoing AEs that started before first open-label belimumab dose(in either C1115 open-label extension or BEL114333),worsened (severity,seriousness,relatedness) at any point during the open-label treatment.Timeframe includes exposure in parent study/upto16 weeks post infusion in current study(114333).
Time Frame Up to 6 calendar years and 9 months

Outcome Measure Data

Analysis Population Description
Safety Population. All participants in the Enrolled population who received at least one IV dose of belimumab during current study.
Arm/Group Title Open-label Belimumab 10 mg/kg
Arm/Group Description Participants received Belimumab 10 milligrams (mg)/kilogram (kg) intravenously (IV) over 1 hour on Week 0, Week 4 and then every 4 weeks until Week 48 of the first year (Study Year 1); on Week 4 and then every 4 weeks until Week 48 of subsequent years during study (up to Study Year 7 Week 4 Visit, which represents a maximum duration of 5 years and 7 months by calendar year in this open-label study. One Study Year is 48 weeks). All participants were continued on their SOC therapies as prescribed by the investigator. First belimumab exposure is the first dose in parent study, for participant randomized to belimumab in the parent study; and first OL belimumab dose received (i.e. in either C1115 open-label extension, or BEL114333), for participant randomized to placebo in parent study.
Measure Participants 142
Any SAEs
48
33.8%
Any AEs
139
97.9%
2. Secondary Outcome
Title Percentage of SLE Responder Index (SRI) Responders by Study Visit
Description SRI response is composite index, defined as percent of participants with>=4 point reduction from Baseline in safety of estrogen in lupus national assessment systemic lupus erythematosus disease activity index (SELENA-SLEDAI) score and no worsening (increase of <0.30 points from Baseline) in physicians global assessment(PGA) &no new British isles lupus assessment group (BILAG) A organ domain score or 2 new BILAG B organ domain scores compared with Baseline at the time of assessment. A SELENA SLEDAI score of 0 would suggest no lupus activity; while a score of 105 is the maximum calculable if all items were scored as being present from active lupus. PGA ranges from 0(no activity) to 3(severe activity). BILAG has no range. Baseline is last available value prior to first belimumab exposure. Year 8 Week 24 visit is the Exit Visit obtained by slotting the Exit Visit to Week 24. Timeframe includes exposure in parent study/upto 4 weeks post infusion (Exit visit) in current study (114333).
Time Frame Study Years 1 to 7: At Week 24 and 48 Visits, Year 8: only Week 24 Visit

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n=X in the category title)
Arm/Group Title Open-label Belimumab 10 mg/kg
Arm/Group Description Participants received Belimumab 10 milligrams (mg)/kilogram (kg) intravenously (IV) over 1 hour on Week 0, Week 4 and then every 4 weeks until Week 48 of the first year (Study Year 1); on Week 4 and then every 4 weeks until Week 48 of subsequent years during study (up to Study Year 7 Week 4 Visit, which represents a maximum duration of 5 years and 7 months by calendar year in this open-label study. One Study Year is 48 weeks). All participants were continued on their SOC therapies as prescribed by the investigator. First belimumab exposure is the first dose in parent study, for participant randomized to belimumab in the parent study; and first OL belimumab dose received (i.e. in either C1115 open-label extension, or BEL114333), for participant randomized to placebo in parent study.
Measure Participants 142
Year 1 Week 24, n=136
47.8
33.7%
Year 1, Week 48, n=133
51.1
36%
Year 2, Week 24, n=129
55.0
38.7%
Year 2, Week 48, n=121
53.7
37.8%
Year 3, Week 24, n=103
57.3
40.4%
Year 3, Week 48, n=88
68.2
48%
Year 4, Week 24, n=80
67.5
47.5%
Year 4, Week 48, n=60
76.7
54%
Year 5, Week 24, n=32
71.9
50.6%
Year 5, Week 48, n=29
69.0
48.6%
Year 6, Week 24, n=24
66.7
47%
Year 6, Week 48, n=22
68.2
48%
Year 7, Week 24, n=18
83.3
58.7%
Year 7, Week 48, n=13
84.6
59.6%
Year 8, Week 24, n=1
100
70.4%

Adverse Events

Time Frame Treatment-emergent SAEs and non-serious AEs were collected up to maximum duration of 6 calendar years and 9 months.
Adverse Event Reporting Description Treatment-emergent SAEs and non-serious AEs were reported for the Safety Population consisted of all participants in the enrolled population who received at least one IV dose of belimumab during current study. Timeframe includes exposure in parent study/up to 16 weeks post infusion of treatment in current study 114333.
Arm/Group Title Open-label Belimumab 10 mg/kg
Arm/Group Description Participants received Belimumab 10 milligrams (mg)/kilogram (kg) intravenously (IV) over 1 hour on Week 0, Week 4 and then every 4 weeks until Week 48 of the first year (Study Year 1); on Week 4 and then every 4 weeks until Week 48 of subsequent years during study (up to Study Year 7 Week 4 Visit, which represents a maximum duration of 5 years and 7 months by calendar year in this open-label study. One Study Year is 48 weeks). All participants were continued on their SOC therapies as prescribed by the investigator. First belimumab exposure is the first dose in parent study, for participant randomized to belimumab in the parent study; and first OL belimumab dose received (i.e. in either C1115 open-label extension, or BEL114333), for participant randomized to placebo in parent study.
All Cause Mortality
Open-label Belimumab 10 mg/kg
Affected / at Risk (%) # Events
Total 1/142 (0.7%)
Serious Adverse Events
Open-label Belimumab 10 mg/kg
Affected / at Risk (%) # Events
Total 48/142 (33.8%)
Blood and lymphatic system disorders
Leukopenia 1/142 (0.7%) 1
Lymphadenopathy 1/142 (0.7%) 1
Cardiac disorders
Pericarditis lupus 1/142 (0.7%) 1
Ear and labyrinth disorders
Vertigo 1/142 (0.7%) 1
Endocrine disorders
Diabetes insipidus 1/142 (0.7%) 1
Eye disorders
Cataract 1/142 (0.7%) 1
Gastrointestinal disorders
Abdominal pain 1/142 (0.7%) 1
Haemorrhoidal haemorrhage 1/142 (0.7%) 1
Intestinal perforation 1/142 (0.7%) 1
Large intestine polyp 1/142 (0.7%) 2
Lupus pancreatitis 1/142 (0.7%) 1
General disorders
Pyrexia 2/142 (1.4%) 2
Oedema peripheral 1/142 (0.7%) 3
Infections and infestations
Cellulitis 3/142 (2.1%) 3
Herpes zoster 3/142 (2.1%) 3
Endocarditis 2/142 (1.4%) 2
Pyelonephritis acute 2/142 (1.4%) 2
Abscess jaw 1/142 (0.7%) 1
Atypical pneumonia 1/142 (0.7%) 1
Bacterial pyelonephritis 1/142 (0.7%) 1
Escherichia urinary tract infection 1/142 (0.7%) 1
External ear cellulitis 1/142 (0.7%) 1
Gastroenteritis 1/142 (0.7%) 1
Gastroenteritis salmonella 1/142 (0.7%) 1
Genital herpes zoster 1/142 (0.7%) 1
Herpes dermatitis 1/142 (0.7%) 1
Herpes simplex pharyngitis 1/142 (0.7%) 1
Infectious colitis 1/142 (0.7%) 1
Oral herpes 1/142 (0.7%) 1
Pelvic inflammatory disease 1/142 (0.7%) 1
Pneumonia 1/142 (0.7%) 2
Pneumonia bacterial 1/142 (0.7%) 1
Skin infection 1/142 (0.7%) 1
Tonsillitis 1/142 (0.7%) 1
Tuberculous pleurisy 1/142 (0.7%) 1
Viral upper respiratory tract infection 1/142 (0.7%) 1
Injury, poisoning and procedural complications
Contusion 3/142 (2.1%) 3
Ligament rupture 1/142 (0.7%) 1
Post procedural complication 1/142 (0.7%) 1
Radius fracture 1/142 (0.7%) 1
Road traffic accident 1/142 (0.7%) 1
Tibia fracture 1/142 (0.7%) 1
Investigations
Alanine aminotransferase increased 1/142 (0.7%) 1
Aspartate aminotransferase increased 1/142 (0.7%) 1
Protein urine present 1/142 (0.7%) 1
Metabolism and nutrition disorders
Hypoalbuminaemia 1/142 (0.7%) 1
Musculoskeletal and connective tissue disorders
Osteonecrosis 2/142 (1.4%) 2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid adenoma 1/142 (0.7%) 1
Uterine leiomyoma 2/142 (1.4%) 2
Nervous system disorders
Brain stem infarction 1/142 (0.7%) 1
Putamen haemorrhage 1/142 (0.7%) 1
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous 1/142 (0.7%) 1
Psychiatric disorders
Depression 1/142 (0.7%) 1
Renal and urinary disorders
Acute kidney injury 1/142 (0.7%) 1
Nephrolithiasis 1/142 (0.7%) 1
Ureterolithiasis 1/142 (0.7%) 2
Reproductive system and breast disorders
Menorrhagia 1/142 (0.7%) 1
Respiratory, thoracic and mediastinal disorders
Asphyxia 1/142 (0.7%) 1
Pleurisy 1/142 (0.7%) 1
Skin and subcutaneous tissue disorders
Cutaneous lupus erythematosus 1/142 (0.7%) 1
Skin ulcer 1/142 (0.7%) 1
Systemic lupus erythematosus rash 1/142 (0.7%) 1
Other (Not Including Serious) Adverse Events
Open-label Belimumab 10 mg/kg
Affected / at Risk (%) # Events
Total 134/142 (94.4%)
Ear and labyrinth disorders
Vertigo 9/142 (6.3%)
Gastrointestinal disorders
Abdominal pain upper 23/142 (16.2%)
Nausea 23/142 (16.2%)
Diarrhoea 22/142 (15.5%)
Constipation 17/142 (12%)
Abdominal pain 16/142 (11.3%)
Vomiting 16/142 (11.3%)
Dental caries 13/142 (9.2%)
Dyspepsia 11/142 (7.7%)
General disorders
Pyrexia 19/142 (13.4%)
Oedema peripheral 11/142 (7.7%)
Infections and infestations
Nasopharyngitis 86/142 (60.6%)
Viral upper respiratory tract infection 25/142 (17.6%)
Herpes zoster 23/142 (16.2%)
Upper respiratory tract infection 22/142 (15.5%)
Influenza 20/142 (14.1%)
Gastroenteritis 18/142 (12.7%)
Pharyngitis 14/142 (9.9%)
Bronchitis 13/142 (9.2%)
Cystitis 12/142 (8.5%)
Oral herpes 11/142 (7.7%)
Urinary tract infection bacterial 11/142 (7.7%)
Hordeolum 9/142 (6.3%)
Conjunctivitis 8/142 (5.6%)
Injury, poisoning and procedural complications
Contusion 16/142 (11.3%)
Ligament sprain 11/142 (7.7%)
Thermal burn 8/142 (5.6%)
Musculoskeletal and connective tissue disorders
Back pain 18/142 (12.7%)
Arthralgia 16/142 (11.3%)
Myalgia 16/142 (11.3%)
Pain in extremity 11/142 (7.7%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Skin papilloma 8/142 (5.6%)
Nervous system disorders
Headache 40/142 (28.2%)
Dizziness 11/142 (7.7%)
Psychiatric disorders
Insomnia 17/142 (12%)
Reproductive system and breast disorders
Dysmenorrhoea 8/142 (5.6%)
Respiratory, thoracic and mediastinal disorders
Cough 26/142 (18.3%)
Rhinorrhoea 10/142 (7%)
Oropharyngeal pain 9/142 (6.3%)
Rhinitis allergic 9/142 (6.3%)
Skin and subcutaneous tissue disorders
Dermatitis contact 13/142 (9.2%)
Rash 12/142 (8.5%)
Eczema 10/142 (7%)
Acne 9/142 (6.3%)
Urticaria 9/142 (6.3%)
Vascular disorders
Hypertension 11/142 (7.7%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email GSKClinicalSupportHD@gsk.com
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01597622
Other Study ID Numbers:
  • 114333
First Posted:
May 14, 2012
Last Update Posted:
Mar 27, 2020
Last Verified:
Mar 1, 2020