Trial Outcomes & Findings for Donor Stem Cell Transplantation for Congenital Immunodeficiencies (NCT NCT00426517)

NCT ID: NCT00426517

Last Updated: 2021-05-11

Results Overview

Engraftment of allogeneic or matched unrelated (including cord blood) hematopoietic progenitor cells using moderate-dose busulfan and Campath-1H with or without whole body irradiation so as to attain phenotypic correction of congenital immunodeficiencies.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

48 participants

Primary outcome timeframe

1 year

Results posted on

2021-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
Matched Related Donor Stem Cell Transplant
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Overall Study
STARTED
7
36
3
2
Overall Study
COMPLETED
7
36
3
2
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Donor Stem Cell Transplantation for Congenital Immunodeficiencies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Total
n=48 Participants
Total of all reporting groups
Age, Categorical
<=18 years
3 Participants
n=5 Participants
23 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
31 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
13 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
17 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
5 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
33 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
43 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
5 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
32 Participants
n=7 Participants
3 Participants
n=5 Participants
1 Participants
n=4 Participants
43 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
30 Participants
n=7 Participants
3 Participants
n=5 Participants
0 Participants
n=4 Participants
38 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 1 year

Population: The analyses include only those who underwent transplant

Engraftment of allogeneic or matched unrelated (including cord blood) hematopoietic progenitor cells using moderate-dose busulfan and Campath-1H with or without whole body irradiation so as to attain phenotypic correction of congenital immunodeficiencies.

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Stem Cell Transplant Engraftment
7 Participants
31 Participants
3 Participants
0 Participants

SECONDARY outcome

Timeframe: 1 year

Participants who achieved engraftment without development of graft versus host disease (GVHD).

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Engraftment Without Development of GVHD
6 Participants
30 Participants
3 Participants
NA Participants
Subjects did not engraft

SECONDARY outcome

Timeframe: 1 year

Number of participants with myeloid chimerism of greater than 10% of donor cells at 1 year post transplant

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Participants With Established Stable Mixed Chimerism
7 Participants
30 Participants
3 Participants
NA Participants
Subjects did not engraft

SECONDARY outcome

Timeframe: 1 year

Population: The analyses include only those who underwent transplant

Rapidity of immune reconstitution based on number of days to CD3 count greater than 100 u/L.

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Days to CD3 Count Greater Than 100 u/L
355 Days
Standard Deviation 201.8
284 Days
Standard Deviation 296.64
16 Days
Standard Deviation 3.46
NA Days
Standard Deviation NA
Subjects did not engraft

SECONDARY outcome

Timeframe: 1 year

Population: The analyses include only those who underwent transplant

Recovery is defined as an absolute neutrophil count (ANC) of ≥ 0.5 x 109 /L (500/mm3 ) for three consecutive laboratory values obtained on different days. Date of ANC recovery is the date of the first of three consecutive laboratory values where the ANC is ≥ 0.5 x 109 /L.

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Days to Absolute Neutrophil Recovery (ANC)
19.42 Days
Standard Deviation 4.57
77.44 Days
Standard Deviation 192.34
25.5 Days
Standard Deviation 15.88
NA Days
Standard Deviation NA
Subjects did not engraft

SECONDARY outcome

Timeframe: 1 year

Population: The analyses include only those who underwent transplant

Average number of red blood cell (RBC) transfusion per subject

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Number of RBC Transfusions Per Subject
1.71 transfusions per person
Standard Deviation 1.79
7.08 transfusions per person
Standard Deviation 12.18
4 transfusions per person
Standard Deviation 1
NA transfusions per person
Standard Deviation NA
Subjects did not engraft

SECONDARY outcome

Timeframe: 1 year

Population: The analyses include only those who underwent transplant

Platelet recovery is defined as platelet value ≥ 20 × 109/L for three consecutive days and no platelet transfusions administered for previous seven consecutive days. The date of platelet recovery is the date of the first of three consecutive laboratory values ≥ 20 × 109/L.

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Days to Platelet Recovery
31 Days
Standard Deviation 20.21
31.9 Days
Standard Deviation 30.48
32.6 Days
Standard Deviation 20.31
NA Days
Standard Deviation NA
Subjects did not engraft

SECONDARY outcome

Timeframe: 1 year

Population: The analyses include only those who underwent transplant

Number of events of Cytomegalovirus disease based on clinical sequelae that requires treatment (not reactivation)

Outcome measures

Outcome measures
Measure
Matched Related Donor Stem Cell Transplant
n=7 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 Participants
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 Participants
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Incidence of Cytomegalovirus (CMV) Disease
0 Number of events
Standard Deviation 0
0 Number of events
Standard Deviation 0
0 Number of events
Standard Deviation 0
0 Number of events
Standard Deviation 0

Adverse Events

Matched Related Donor Stem Cell Transplant

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Matched Unrelated Donor Stem Cell Transplant

Serious events: 4 serious events
Other events: 17 other events
Deaths: 9 deaths

Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 1 deaths

Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Matched Related Donor Stem Cell Transplant
n=7 participants at risk
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 participants at risk
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 participants at risk
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 participants at risk
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Blood and lymphatic system disorders
Evans syndrome
0.00%
0/7 • 2 years
2.8%
1/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Blood and lymphatic system disorders
Post transplant lymphoproliferative disorder
0.00%
0/7 • 2 years
2.8%
1/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Injury, poisoning and procedural complications
Engraft failure
0.00%
0/7 • 2 years
2.8%
1/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Nervous system disorders
Posterior reversible encephalopathy syndrome
14.3%
1/7 • 2 years
0.00%
0/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/7 • 2 years
2.8%
1/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage
0.00%
0/7 • 2 years
2.8%
1/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years

Other adverse events

Other adverse events
Measure
Matched Related Donor Stem Cell Transplant
n=7 participants at risk
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 10 mg/kg total dose given intravenously over 2 days
Matched Unrelated Donor Stem Cell Transplant
n=36 participants at risk
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Matched Unrelated Donor Stem Cell Transplant (MUD-non CGD)
n=3 participants at risk
Conditioning with ATG 40 mg/kg total dose over 4 days IV, Busulfan 5 mg/kg total dose over 2 days IV, and TBI 300 cGy in two fractions at day -2
Matched Unrelated Donor Transplant (MUD-CGD) Cord Blood
n=2 participants at risk
Conditioning with Campath 1 mg/kg total dose given intravenously over 5 days, Busulfan 5 mg/kg total dose given intravenously over 2 days, and Total Body Irradiation (TBI) 200 cGy in two fractions on the same day
Endocrine disorders
Thyroiditis
0.00%
0/7 • 2 years
5.6%
2/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Gastrointestinal disorders
Acute graft versus host disease in intestine
14.3%
1/7 • 2 years
5.6%
2/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Immune system disorders
Chronic graft versus host disease
0.00%
0/7 • 2 years
2.8%
1/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Immune system disorders
Chronic graft versus host disease in skin
14.3%
1/7 • 2 years
5.6%
2/36 • 2 years
33.3%
1/3 • 2 years
0.00%
0/2 • 2 years
Infections and infestations
Catheter site infection
14.3%
1/7 • 2 years
13.9%
5/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Injury, poisoning and procedural complications
Engraft failure
0.00%
0/7 • 2 years
13.9%
5/36 • 2 years
0.00%
0/3 • 2 years
100.0%
2/2 • 2 years
Nervous system disorders
Facial paralysis
0.00%
0/7 • 2 years
2.8%
1/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Reproductive system and breast disorders
Ovarian disorder
14.3%
1/7 • 2 years
5.6%
2/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years
Skin and subcutaneous tissue disorders
Acute graft versus host disease in skin
0.00%
0/7 • 2 years
8.3%
3/36 • 2 years
0.00%
0/3 • 2 years
0.00%
0/2 • 2 years

Additional Information

Kang, Elizabeth

National Institute of Allergy and Infectious Diseases

Phone: +1 301 402 7567

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place