Trial Outcomes & Findings for Renuvion Dermal System for Dermal Resurfacing (NCT NCT04185909)

NCT ID: NCT04185909

Last Updated: 2022-06-22

Results Overview

The FWS is a clinically validated assessment tool used to assess skin wrinkle severity and elastosis on a scale from 1 through 9, where the lower the value, the better the outcome. Three Independent Photographic Reviewers were blinded to the study subject's visit (Day 90 follow-up visit) and performed photographic assessments of each subject's wrinkle depth in the treated zones.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

55 participants

Primary outcome timeframe

90-day

Results posted on

2022-06-22

Participant Flow

Participant milestones

Participant milestones
Measure
Full-face Renuvion Dermal System Treatment
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Overall Study
STARTED
55
Overall Study
COMPLETED
54
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Full-face Renuvion Dermal System Treatment
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Overall Study
Lost to Follow-up
1

Baseline Characteristics

Renuvion Dermal System for Dermal Resurfacing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Age, Customized
Adults 30 yrs of age or older who signed informed consent and who met inclusion/exclusion criteria.
65.0 years
n=5 Participants
Sex: Female, Male
Female
50 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
55 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
55 participants
n=5 Participants
Body Mass Index (BMI)
24.3 kg/m^2
n=5 Participants
Fitzpatrick Skin Type Scale (FST)
Type I
4 Participants
n=5 Participants
Fitzpatrick Skin Type Scale (FST)
Type II
38 Participants
n=5 Participants
Fitzpatrick Skin Type Scale (FST)
Type III
13 Participants
n=5 Participants
Fitzpatrick Wrinkle and Elastosis Scale (FWS)
Class II: Score 5
1 Participants
n=5 Participants
Fitzpatrick Wrinkle and Elastosis Scale (FWS)
Class II: Score 6
14 Participants
n=5 Participants
Fitzpatrick Wrinkle and Elastosis Scale (FWS)
Class III: Score 7
12 Participants
n=5 Participants
Fitzpatrick Wrinkle and Elastosis Scale (FWS)
Class III: Score 8
19 Participants
n=5 Participants
Fitzpatrick Wrinkle and Elastosis Scale (FWS)
Class III: Score 9
9 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 90-day

The FWS is a clinically validated assessment tool used to assess skin wrinkle severity and elastosis on a scale from 1 through 9, where the lower the value, the better the outcome. Three Independent Photographic Reviewers were blinded to the study subject's visit (Day 90 follow-up visit) and performed photographic assessments of each subject's wrinkle depth in the treated zones.

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Independent Photo Reviewer Fitzpatrick Wrinkle and Elastosis Scale (FWS)
55 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 90-day

At least 2 out of 3 blinded Independent Photographic Reviewers (IPRs) correctly identify the 90-day image of a subject from the pair of baseline and 90-day images.

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Independent Photographic Reviewer Masked Assessment
55 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 90-day Change, 180-day Change

Magnitude of improvement measured by the mean change in FWS from baseline, 90-day, 180-day visit as determined by Investigators. Scale ranges from 1 (no wrinkles) to 9 (most wrinkles).

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Investigator Fitzpatrick Wrinkle and Elastosis Scale
Baseline
7.4 score on a scale
Standard Deviation 1.1
Investigator Fitzpatrick Wrinkle and Elastosis Scale
90 Day Change
-4.4 score on a scale
Standard Deviation 1.8
Investigator Fitzpatrick Wrinkle and Elastosis Scale
180 Day Change
-4.4 score on a scale
Standard Deviation 2.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 90-day

Subject rated GAIS: Very much improved, much improved, improved, no change, worse, much worse, very much worse

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Subject Global Aesthetic Improvement Scale
Very Much Improved
27 Participants
Subject Global Aesthetic Improvement Scale
Much Improved
21 Participants
Subject Global Aesthetic Improvement Scale
Improved
5 Participants
Subject Global Aesthetic Improvement Scale
No Change
2 Participants
Subject Global Aesthetic Improvement Scale
Worse
0 Participants
Subject Global Aesthetic Improvement Scale
Much Worse
0 Participants
Subject Global Aesthetic Improvement Scale
Very Much Worse
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 90-day

Investigator rated GAIS: Very much improved, much improved, improved, no change, worse, much worse, very much worse

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Investigator Global Aesthetic Improvement Scale
Very Much Improved
36 Participants
Investigator Global Aesthetic Improvement Scale
Much Improved
17 Participants
Investigator Global Aesthetic Improvement Scale
Improved
2 Participants
Investigator Global Aesthetic Improvement Scale
Worse
0 Participants
Investigator Global Aesthetic Improvement Scale
Much Worse
0 Participants
Investigator Global Aesthetic Improvement Scale
Very Much Worse
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 90-day

5 questions pertaining to satisfaction with results, would you recommend to a friend, would you have the procedure done again, any changes noticed, and any improvement in quality of life.

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Patient Satisfaction Questionnaire
Happy With Results of Procedure
53 Participants
Patient Satisfaction Questionnaire
Would Recommend Procedure to a Friend
46 Participants
Patient Satisfaction Questionnaire
Would Consider Having the Procedure Performed Again
35 Participants
Patient Satisfaction Questionnaire
Which Changes do You See in the Area Treated: None
0 Participants
Patient Satisfaction Questionnaire
Skin Texture Improvement
52 Participants
Patient Satisfaction Questionnaire
Skin Tone Improvement
47 Participants
Patient Satisfaction Questionnaire
Skin Pigmentation Improvement
36 Participants
Patient Satisfaction Questionnaire
Fine Lines and Wrinkles Improvement
50 Participants
Patient Satisfaction Questionnaire
Skin Pore Size Improvement
40 Participants
Patient Satisfaction Questionnaire
Skin Feels Better
44 Participants
Patient Satisfaction Questionnaire
Skin Feels Tighter
51 Participants
Patient Satisfaction Questionnaire
Skin Looks Tighter
52 Participants
Patient Satisfaction Questionnaire
Skin Looks More Radiant
41 Participants
Patient Satisfaction Questionnaire
Skin Appears Brighter
38 Participants
Patient Satisfaction Questionnaire
Skin Seems More Youthful
50 Participants
Patient Satisfaction Questionnaire
Other Changes Noted
6 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to Day 10

Evaluation of the change in pain and discomfort after treatment (baseline, within 60 minutes following the procedure) as reported by the subject on a visual analog scale (VAS)experienced in the period up to the 10-day follow-up visit. Any pain or discomfort will be recorded daily by each participant in a diary using an 11-point Visual Analogue Scale (VAS) where 0 is no pain and 10 is most pain.

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Pain and Discomfort
Baseline
0.0 score on a scale
Standard Deviation 0.0
Pain and Discomfort
Post-Procedure
3.7 score on a scale
Standard Deviation 2.8
Pain and Discomfort
1 Day
2.4 score on a scale
Standard Deviation 2.6
Pain and Discomfort
6 Day
2.9 score on a scale
Standard Deviation 2.6
Pain and Discomfort
10 Day
1.1 score on a scale
Standard Deviation 1.6

OTHER_PRE_SPECIFIED outcome

Timeframe: 10-day, 30-day, 90-day

Achievement of re-epithelialization by facial zone and across all facial zones as reported by the investigator.

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Percentage of Subjects With Achievement of Re-Epithelialization
10 Day
3 Participants
Percentage of Subjects With Achievement of Re-Epithelialization
30 Day
48 Participants
Percentage of Subjects With Achievement of Re-Epithelialization
90 Day
55 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 10-day

Mean duration until study subject feels comfortable going in public after treatment as reported by the study subject. Willing to go out in public by the 10-day visit.

Outcome measures

Outcome measures
Measure
Full-face Renuvion Dermal System Treatment
n=55 Participants
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Comfortable in Public
28 Participants

Adverse Events

Full-face Renuvion Dermal System Treatment

Serious events: 1 serious events
Other events: 55 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Full-face Renuvion Dermal System Treatment
n=55 participants at risk
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Gastrointestinal disorders
Bowel Obstruction
1.8%
1/55 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects.

Other adverse events

Other adverse events
Measure
Full-face Renuvion Dermal System Treatment
n=55 participants at risk
Perioral, Forehead, Nose, and Cheek zones were treated with two (2) passes of the plasma beam at 40% power and 4 liters/minute helium flow utilizing the appropriate standoff with one pass done horizontally and the other pass done perpendicular. The Periorbital zone was treated with one (1) or two (2) passes, based on the investigator's discretion, 20% power and 4 liters/minute helium flow utilizing the appropriate standoff (spacer) with up to 2 passes done horizontally or only in one direction. The Jawline/Mandibular Border was treated with one (1) or two (2) passes, based on the investigator's discretion, at 20% - 40% power and 4 liters/minute helium flow using the appropriate standoff and a treatment pattern in a variable motion to achieve blending. For areas that were treated with a 2nd pass, the eschar was wiped away entirely prior to start of the 2nd pass.
Skin and subcutaneous tissue disorders
Milia/acne
29.1%
16/55 • Number of events 20 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Pruritus/itching (Expected Treatment Effect)
25.5%
14/55 • Number of events 14 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Hypertrophic scarring
14.5%
8/55 • Number of events 8 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Post-inflammatory hyperpigmentation (Expected Treatment Effect)
10.9%
6/55 • Number of events 6 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Telangiectasias
10.9%
6/55 • Number of events 6 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Discoloration/hypopigmentation
5.5%
3/55 • Number of events 3 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Pinpoint Bleeding (Expected Treatment Effect)
3.6%
2/55 • Number of events 2 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Prolonged Wound Healing
3.6%
2/55 • Number of events 2 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Erythema/skin inflammation/ focal skin congestion (Expected Treatment Effect)
100.0%
55/55 • Number of events 56 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Crusting (Expected Treatment Effect)
100.0%
55/55 • Number of events 55 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Edema/Swelling (Expected Treatment Effect)
100.0%
55/55 • Number of events 55 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Pain/Tenderness (Expected Treatment Effect)
54.5%
30/55 • Number of events 30 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Urticaria/rash (Expected Treatment Effect)
3.6%
2/55 • Number of events 2 • Through 6 month follow-up visit for all enrolled subjects.
Eye disorders
Eye Irritation
1.8%
1/55 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects.
Gastrointestinal disorders
Nausea during Procedure
5.5%
3/55 • Number of events 3 • Through 6 month follow-up visit for all enrolled subjects.
Gastrointestinal disorders
Emesis/Vomiting Post-Procedure
3.6%
2/55 • Number of events 2 • Through 6 month follow-up visit for all enrolled subjects.
General disorders
Drug Reaction During Procedure
1.8%
1/55 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects.
Eye disorders
Lower Lid Retraction
1.8%
1/55 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects.
Gastrointestinal disorders
Bowel Obstruction
1.8%
1/55 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects.
Skin and subcutaneous tissue disorders
Self-Inflicted Superficial Excoriations
1.8%
1/55 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects.

Additional Information

Kari Larson, MBA, Sr. Director, Clinical Affairs

Apyx Medical

Phone: 8012440058

Results disclosure agreements

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