Trial Outcomes & Findings for Lansoprazole Intravenous 30 mg Specified Drug-use Survey [Hemostatic Effect/Rebleeding Rate] (NCT NCT02151786)

NCT ID: NCT02151786

Last Updated: 2016-02-23

Results Overview

Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug.

Recruitment status

COMPLETED

Target enrollment

1120 participants

Primary outcome timeframe

Baseline up to Week 9

Results posted on

2016-02-23

Participant Flow

Participants took part in the study at 173 investigative site in Japan from 29 January 2007 to 31 March 2010.

In this study, participants were observed with a historical diagnosis of gastric ulcer or duodenal ulcer or acute stress ulcer or acute gastric mucosal lesion accompanied with bleeding, for whom oral administration of drug was not feasible and were enrolled in single treatment group: Lansoprazole.

Participant milestones

Participant milestones
Measure
Lansoprazole
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Overall Study
STARTED
1120
Overall Study
COMPLETED
1084
Overall Study
NOT COMPLETED
36

Reasons for withdrawal

Reasons for withdrawal
Measure
Lansoprazole
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Overall Study
Unavailability of Case Report Form
26
Overall Study
Outside the Contract Period
1
Overall Study
Randomized, not Treated
1
Overall Study
Unavailability of Information
8

Baseline Characteristics

Lansoprazole Intravenous 30 mg Specified Drug-use Survey [Hemostatic Effect/Rebleeding Rate]

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lansoprazole
n=1084 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Age, Continuous
66.2 years
STANDARD_DEVIATION 14.74 • n=5 Participants
Sex: Female, Male
Female
350 Participants
n=5 Participants
Sex: Female, Male
Male
734 Participants
n=5 Participants
Pregnancy Status
Not Pregnant
349 participants
n=5 Participants
Pregnancy Status
Pregnant
0 participants
n=5 Participants
Pregnancy Status
Unknown
1 participants
n=5 Participants
Target Diseases
Gastric Ulcer
768 participants
n=5 Participants
Target Diseases
Duodenal Ulcer
221 participants
n=5 Participants
Target Diseases
Gastroduodenal Ulcer
23 participants
n=5 Participants
Target Diseases
Acute Stress-Induced Ulcer
8 participants
n=5 Participants
Target Diseases
Acute Gastric Mucosal Lesion
60 participants
n=5 Participants
Target Diseases
Not Provided
4 participants
n=5 Participants
Categories of Healthcare
Outpatient
11 participants
n=5 Participants
Categories of Healthcare
Inpatient
1073 participants
n=5 Participants
Predisposition to Hypersensitivity
No
1042 participants
n=5 Participants
Predisposition to Hypersensitivity
Yes
39 participants
n=5 Participants
Predisposition to Hypersensitivity
Unknown
3 participants
n=5 Participants
Helicobacter pylori Infection
Negative
199 participants
n=5 Participants
Helicobacter pylori Infection
Positive
434 participants
n=5 Participants
Helicobacter pylori Infection
Unknown
451 participants
n=5 Participants
Alcohol Consumption
Alcohol Consumer
382 participants
n=5 Participants
Alcohol Consumption
Alcohol Non-Consumer
547 participants
n=5 Participants
Alcohol Consumption
Unknown
155 participants
n=5 Participants
Smoking Status
Smoker
317 participants
n=5 Participants
Smoking Status
Non-Smoker
599 participants
n=5 Participants
Smoking Status
Unknown
168 participants
n=5 Participants
Medical History
Have Medical History
574 participants
n=5 Participants
Medical History
Did not Have Medical History
510 participants
n=5 Participants
Breakdown of Medical History
Peptic Ulcer
241 participants
n=5 Participants
Breakdown of Medical History
Upper gastrointestinal bleeding
97 participants
n=5 Participants
Breakdown of Medical History
Cerebrovascular accident
64 participants
n=5 Participants
Breakdown of Medical History
Malignant Tumor
59 participants
n=5 Participants
Breakdown of Medical History
Hypertension
55 participants
n=5 Participants
Breakdown of Medical History
Cardiac Disorders
55 participants
n=5 Participants
Breakdown of Medical History
Hepatic Dysfunction
42 participants
n=5 Participants
Breakdown of Medical History
Diabetes Mellitus
37 participants
n=5 Participants
Breakdown of Medical History
Renal Dysfunction
13 participants
n=5 Participants
Breakdown of Medical History
Other
187 participants
n=5 Participants
Complications
Had Complications
632 participants
n=5 Participants
Complications
Had no Complications
452 participants
n=5 Participants
Breakdown of Complications
Hypertension
206 participants
n=5 Participants
Breakdown of Complications
Cardiac Disorders
121 participants
n=5 Participants
Breakdown of Complications
Diabetes Mellitus
118 participants
n=5 Participants
Breakdown of Complications
Hepatic Dysfunction
115 participants
n=5 Participants
Breakdown of Complications
Anemia
78 participants
n=5 Participants
Breakdown of Complications
Malignant Tumor
68 participants
n=5 Participants
Breakdown of Complications
Cerebrovascular Accident
66 participants
n=5 Participants
Breakdown of Complications
Renal Dysfunction
61 participants
n=5 Participants
Breakdown of Complications
Other
351 participants
n=5 Participants
Emotional Stress
Had Stress
129 participants
n=5 Participants
Emotional Stress
Had no Stress
955 participants
n=5 Participants
Prior Consumption of Drugs Affecting Coagulation System
No
758 participants
n=5 Participants
Prior Consumption of Drugs Affecting Coagulation System
Yes
325 participants
n=5 Participants
Prior Consumption of Drugs Affecting Coagulation System
Unknown
1 participants
n=5 Participants
Breakdown of Drugs
Non Steroidal Anti-Inflammatory Drugs
158 participants
n=5 Participants
Breakdown of Drugs
Platelet aggregation inhibitors
152 participants
n=5 Participants
Breakdown of Drugs
Anticoagulants
49 participants
n=5 Participants
Breakdown of Drugs
Steroids
31 participants
n=5 Participants
Breakdown of Drugs
Other
17 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline up to Week 9

Population: The safety analysis set was defined as all participants who were enrolled and completed the study.

Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=1084 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Number of Participants Reporting One or More Adverse Drug Reactions
35 participants

PRIMARY outcome

Timeframe: Baseline up to Week 9

Population: The safety analysis set was defined as all participants who were enrolled and completed the study.

Serious adverse drug reactions are defined as serious adverse events (SAEs) which are in the investigator's opinion of causal relationship to the study treatment. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=1084 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Number of Participants Reporting One or More Serious Adverse Drug Reactions
9 participants

SECONDARY outcome

Timeframe: Baseline up to Week 9

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available.

Hemostatic effect was categorized on the basis of degree of improvement as: markedly improved, moderately improved, slightly improved and poor in the participants with observed hemostatic effect. Efficacy rate was reported as percentage of participants showing efficacy and was calculated as the sum of percentage of number of participants reporting markedly improved + moderately improved + slightly improved divided by the percentage of total number of participants with observed hemostatic effect.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=1052 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Percentage of Participants With Observed Hemostatic Effect
90.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline up to Week 9

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available.

Hemostatic effect was categorized on the basis of degree of improvement as: markedly improved, moderately improved, slightly improved and poor in the participants with confirmed hemostatic effect by endoscopy. Efficacy rate was reported as percentage of participants showing efficacy and was calculated as the sum of percentage of number of participants reporting markedly improved + moderately improved + slightly improved divided by the percentage of total number of participants with confirmed hemostatic effect.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=898 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Percentage of Participants With Confirmed Hemostatic Effect
91.6 percentage of participants

SECONDARY outcome

Timeframe: Baseline up to Week 9

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available.

Rebleeding rate was reported as percentage of participants who experienced rebleeding after observed hemostasis and was calculated during the period starting from baseline until the completion of treatment with lansoprazole. It was calculated by dividing the percentage of the number of participants who experienced rebleeding after hemostasis divided by the total number of participants with observed hemostasis.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=819 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Percentage of Participants Who Experienced Rebleeding After Observed Hemostatic Effect
1.1 percentage of participants

SECONDARY outcome

Timeframe: Baseline up to Week 9

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available.

Rebleeding rate was reported as percentage of participants who experienced rebleeding after confirmed hemostasis by endoscopy and was calculated during the period starting from baseline until the completion of treatment with lansoprazole. It was calculated by dividing the percentage of the number of participants who experienced rebleeding after hemostasis divided by the total number of participants with confirmed hemostasis.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=745 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Percentage of Participants Who Experienced Rebleeding After Confirmed Hemostatic Effect
1.2 percentage of participants

SECONDARY outcome

Timeframe: Week 8 after the last dose of study drug (Week 17)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available.

Rebleeding rate was reported as percentage of participants who experienced rebleeding after observed hemostasis and was calculated at 8 weeks after the completion of treatment with lansoprazole. It was calculated by dividing the percentage of the number of participants who experienced rebleeding after hemostasis divided by the total number of participants with observed hemostasis.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=497 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Percentage of Participants With Observed Hemostatic Effect Who Experienced Rebleeding After the Completion of Treatment
5.8 percentage of participants

SECONDARY outcome

Timeframe: Week 8 after the last dose of study drug (Week 17)

Population: The efficacy assessment population was defined as participants who completed the study and had efficacy data at baseline and post-baseline time points available.

Rebleeding rate was reported as percentage of participants who experienced rebleeding after confirmed hemostasis by endoscopy and was calculated at 8 weeks after the completion of treatment with lansoprazole. It was calculated by dividing the percentage of the number of participants who experienced rebleeding after hemostasis divided by the total number of participants with confirmed hemostasis.

Outcome measures

Outcome measures
Measure
Lansoprazole
n=389 Participants
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Percentage of Participants With Confirmed Hemostatic Effect Who Experienced Rebleeding After the Completion of Treatment
7.1 percentage of participants

Adverse Events

Lansoprazole

Serious events: 9 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lansoprazole
n=1084 participants at risk
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Psychiatric disorders
Insomnia
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Psychiatric disorders
Restlessness
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Psychiatric disorders
Depressive Symptom
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Nervous system disorders
Depressed level of consciousness
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Diarrhoea
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Gastric Haemorrhage
0.37%
4/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Gastric Ulcer Haemorrhage
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Hepatobiliary disorders
Cholangitis
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Musculoskeletal and connective tissue disorders
Muscular weakness
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Investigations
White blood cell count decreased
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.

Other adverse events

Other adverse events
Measure
Lansoprazole
n=1084 participants at risk
Lansoprazole 30 milligram (mg), injection or drip infusion, intravenous, twice daily for up to 9 weeks.
Infections and infestations
Urinary tract infection
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Blood and lymphatic system disorders
Anaemia
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Psychiatric disorders
Insomnia
0.18%
2/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Psychiatric disorders
Restlessness
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Psychiatric disorders
Depressive symptom
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Nervous system disorders
Depressed level of consciousness
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Nervous system disorders
Hypogeusia
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Constipation
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Diarrhoea
0.28%
3/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Duodenal ulcer haemorrhage
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Gastric haemorrhage
0.65%
7/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Gastrointestinal disorders
Small intestinal haemorrhage
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Hepatobiliary disorders
Cholangitis
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Hepatobiliary disorders
Hepatic function abnormal
0.28%
3/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Hepatobiliary disorders
Liver disorder
0.28%
3/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Skin and subcutaneous tissue disorders
Drug eruption
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Skin and subcutaneous tissue disorders
Rash
0.18%
2/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Musculoskeletal and connective tissue disorders
Muscular weakness
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
General disorders
Pyrexia
0.28%
3/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Investigations
Eosinophil count increased
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Investigations
Platelet count decreased
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Investigations
White blood cell count decreased
0.28%
3/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.
Investigations
Blood creatinine increased
0.09%
1/1084 • Baseline up to Week 17
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Only adverse drug reactions were collected in this study.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER