Trial Outcomes & Findings for Perampanel Titration and Cognitive Effects (NCT NCT04417907)

NCT ID: NCT04417907

Last Updated: 2024-06-06

Results Overview

Z score of cognitive tests (selected performance measures from the computerized cognitive test battery) and questionnaires (AEP, POMS, QOLIE-cognitive questions) at the end of each week of drug treatment for each titration arm, controlling for baseline measures collected prior to treatment. Various measures were combined collectively (averaged) to compute an overall Z-score for each group at each time point. These included: 1) Executive Function Score of computerized test battery; 2) Processing Speed Score of computerized test battery; 3) AEP total score; 4) POMS total and domain scores; 5) Three cognitive components of the QOLIE-31 (attention, memory, language). The Z-score indicates the number of standard deviations away from a reference population. A Z-score of 0 is equal to the mean. Negative numbers indicate poorer performance compared to the mean and positive numbers represent higher performance compared to the mean.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

29 participants

Primary outcome timeframe

At the end of each week of treatment for 6 weeks.

Results posted on

2024-06-06

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
Participants take 4mg perampanel PO QD for six weeks
Overall Study
STARTED
4
7
7
11
Overall Study
COMPLETED
2
3
6
8
Overall Study
NOT COMPLETED
2
4
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Perampanel Titration and Cognitive Effects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=4 Participants
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
n=7 Participants
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
n=7 Participants
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
n=11 Participants
Participants take 4mg perampanel PO QD for six weeks
Total
n=29 Participants
Total of all reporting groups
Age, Continuous
44.8 Years
STANDARD_DEVIATION 10.3 • n=5 Participants
34.7 Years
STANDARD_DEVIATION 10.3 • n=7 Participants
30.3 Years
STANDARD_DEVIATION 8.9 • n=5 Participants
39.7 Years
STANDARD_DEVIATION 12.8 • n=4 Participants
36.9 Years
STANDARD_DEVIATION 11.6 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
5 Participants
n=4 Participants
16 Participants
n=21 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
13 Participants
n=21 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
5 Participants
n=21 Participants
Race/Ethnicity, Customized
Black/African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
4 Participants
n=21 Participants
Race/Ethnicity, Customized
Hispanic/Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
0 Participants
n=4 Participants
5 Participants
n=21 Participants
Race/Ethnicity, Customized
White/Caucasian
2 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
13 Participants
n=21 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Region of Enrollment
United States
4 participants
n=5 Participants
7 participants
n=7 Participants
7 participants
n=5 Participants
11 participants
n=4 Participants
29 participants
n=21 Participants
Education Level
16 Years
STANDARD_DEVIATION 1.6 • n=5 Participants
17 Years
STANDARD_DEVIATION 1.9 • n=7 Participants
16 Years
STANDARD_DEVIATION 1.2 • n=5 Participants
15.7 Years
STANDARD_DEVIATION 2.2 • n=4 Participants
16.1 Years
STANDARD_DEVIATION 1.8 • n=21 Participants
IQ Estimate
99 units on a scale
STANDARD_DEVIATION 7.1 • n=5 Participants
102.3 units on a scale
STANDARD_DEVIATION 6.7 • n=7 Participants
97.1 units on a scale
STANDARD_DEVIATION 11 • n=5 Participants
102.9 units on a scale
STANDARD_DEVIATION 7.4 • n=4 Participants
100.8 units on a scale
STANDARD_DEVIATION 8.2 • n=21 Participants

PRIMARY outcome

Timeframe: At the end of each week of treatment for 6 weeks.

Population: Participants who completed the protocol are included in the analysis.

Z score of cognitive tests (selected performance measures from the computerized cognitive test battery) and questionnaires (AEP, POMS, QOLIE-cognitive questions) at the end of each week of drug treatment for each titration arm, controlling for baseline measures collected prior to treatment. Various measures were combined collectively (averaged) to compute an overall Z-score for each group at each time point. These included: 1) Executive Function Score of computerized test battery; 2) Processing Speed Score of computerized test battery; 3) AEP total score; 4) POMS total and domain scores; 5) Three cognitive components of the QOLIE-31 (attention, memory, language). The Z-score indicates the number of standard deviations away from a reference population. A Z-score of 0 is equal to the mean. Negative numbers indicate poorer performance compared to the mean and positive numbers represent higher performance compared to the mean.

Outcome measures

Outcome measures
Measure
Placebo
n=2 Participants
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
n=3 Participants
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
n=6 Participants
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
n=8 Participants
Participants take 4mg perampanel PO QD for six weeks
Overall Neuropsychological Composite Z-score as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 1
-.41 score on a scale
Standard Deviation 1.00
-.07 score on a scale
Standard Deviation .55
.05 score on a scale
Standard Deviation .28
.32 score on a scale
Standard Deviation .33
Overall Neuropsychological Composite Z-score as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 2
-.25 score on a scale
Standard Deviation .90
-.01 score on a scale
Standard Deviation .44
-.15 score on a scale
Standard Deviation .26
.15 score on a scale
Standard Deviation .27
Overall Neuropsychological Composite Z-score as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 3
-.14 score on a scale
Standard Deviation .71
-.03 score on a scale
Standard Deviation .36
.02 score on a scale
Standard Deviation .34
.10 score on a scale
Standard Deviation .34
Overall Neuropsychological Composite Z-score as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 4
-.32 score on a scale
Standard Deviation .81
-.06 score on a scale
Standard Deviation .40
.09 score on a scale
Standard Deviation .49
.23 score on a scale
Standard Deviation .33
Overall Neuropsychological Composite Z-score as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 5
-.34 score on a scale
Standard Deviation .85
-.11 score on a scale
Standard Deviation .53
-.03 score on a scale
Standard Deviation .35
.37 score on a scale
Standard Deviation .41
Overall Neuropsychological Composite Z-score as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 6
-.28 score on a scale
Standard Deviation .87
-.03 score on a scale
Standard Deviation .45
-.11 score on a scale
Standard Deviation .35
.21 score on a scale
Standard Deviation .48

PRIMARY outcome

Timeframe: At the end of each week of treatment for 6 weeks.

Population: Participants who completed the protocol are included in the analysis.

Z score of objective cognitive tests (selected performance measures from the computerized cognitive test battery) at the end of each week of drug treatment for each titration arm, controlling for baseline measures collected prior to treatment. The Z-score indicates the number of standard deviations away from a reference population. A Z-score of 0 is equal to the mean. Negative numbers indicate poorer performance compared to the mean and positive numbers represent higher performance compared to the mean.

Outcome measures

Outcome measures
Measure
Placebo
n=2 Participants
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
n=3 Participants
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
n=6 Participants
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
n=8 Participants
Participants take 4mg perampanel PO QD for six weeks
Composite Z-score of Objective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 1
-.69 score on a scale
Standard Deviation .52
.61 score on a scale
Standard Deviation .21
.04 score on a scale
Standard Deviation .38
.11 score on a scale
Standard Deviation .23
Composite Z-score of Objective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 2
.26 score on a scale
Standard Deviation .03
.44 score on a scale
Standard Deviation .20
-.05 score on a scale
Standard Deviation .02
.11 score on a scale
Standard Deviation .40
Composite Z-score of Objective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 3
.04 score on a scale
Standard Deviation .30
.24 score on a scale
Standard Deviation .30
.05 score on a scale
Standard Deviation .12
.11 score on a scale
Standard Deviation .11
Composite Z-score of Objective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 4
.51 score on a scale
Standard Deviation .15
.28 score on a scale
Standard Deviation .23
-.17 score on a scale
Standard Deviation .38
.27 score on a scale
Standard Deviation .31
Composite Z-score of Objective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 5
.06 score on a scale
Standard Deviation .19
.33 score on a scale
Standard Deviation .02
-.15 score on a scale
Standard Deviation .01
.07 score on a scale
Standard Deviation .08
Composite Z-score of Objective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 6
.28 score on a scale
Standard Deviation .25
.11 score on a scale
Standard Deviation .38
-.21 score on a scale
Standard Deviation .34
-.06 score on a scale
Standard Deviation .37

PRIMARY outcome

Timeframe: At the end of each week of treatment for 6 weeks.

Population: Participants who completed the protocol are included in the analysis.

Z score of subjective questionnaires (AEP, POMS, QOLIE-cognitive questions at the end of each week of drug treatment for each titration arm, controlling for baseline measures collected prior to treatment. Various measures were combined collectively (averaged) to compute an overall Z-score for each group at each time point. These included: 1) AEP total score; 2) POMS total and domain scores; 3) Three cognitive components of the QOLIE-31 (attention, memory, language). The Z-score indicates the number of standard deviations away from a reference population. A Z-score of 0 is equal to the mean. Negative numbers indicate poorer performance compared to the mean and positive numbers represent higher performance compared to the mean.

Outcome measures

Outcome measures
Measure
Placebo
n=2 Participants
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
n=3 Participants
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
n=6 Participants
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
n=8 Participants
Participants take 4mg perampanel PO QD for six weeks
Composite Z-score of Subjective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 1
-.36 score on a scale
Standard Deviation 1.08
-.20 score on a scale
Standard Deviation .50
.05 score on a scale
Standard Deviation .28
.36 score on a scale
Standard Deviation .34
Composite Z-score of Subjective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 2
-.35 score on a scale
Standard Deviation .96
-.09 score on a scale
Standard Deviation .43
-.17 score on a scale
Standard Deviation .28
.16 score on a scale
Standard Deviation .27
Composite Z-score of Subjective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 3
-.28 score on a scale
Standard Deviation .89
-.23 score on a scale
Standard Deviation .28
.04 score on a scale
Standard Deviation .44
.28 score on a scale
Standard Deviation .26
Composite Z-score of Subjective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 4
-.47 score on a scale
Standard Deviation .79
-.12 score on a scale
Standard Deviation .40
.14 score on a scale
Standard Deviation .51
.27 score on a scale
Standard Deviation .32
Composite Z-score of Subjective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 5
-.41 score on a scale
Standard Deviation .91
-.19 score on a scale
Standard Deviation .54
-.01 score on a scale
Standard Deviation .38
.42 score on a scale
Standard Deviation .43
Composite Z-score of Subjective Measures as a Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
Week 6
-.69 score on a scale
Standard Deviation .93
-.14 score on a scale
Standard Deviation .49
-.03 score on a scale
Standard Deviation .36
.41 score on a scale
Standard Deviation .45

SECONDARY outcome

Timeframe: At the end of each week of treatment for 6 weeks.

Population: All participants who completed the protocol are included in the analysis. However, zero participants withdrew from the study after starting the study drug.

Number of TEAEs across the the four titration conditions over the six-week treatment period. A score of 0 indicates no TEAEs. Higher numbers indicate greater TEAEs.

Outcome measures

Outcome measures
Measure
Placebo
n=2 Participants
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
n=3 Participants
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
n=6 Participants
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
n=8 Participants
Participants take 4mg perampanel PO QD for six weeks
Treatment Emergent Adverse Events (TEAEs) Across the Six-week Treatment Period Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
5 TEAEs
9 TEAEs
9 TEAEs
11 TEAEs

SECONDARY outcome

Timeframe: At the end of each week of treatment for 6 weeks.

Population: All participants included in analysis. However, zero participants withdrew from the study after starting the study drug.

Number dropouts across the the four titration conditions over the six-week treatment period. A score of 0 indicates no dropouts. Higher numbers indicate greater dropouts.

Outcome measures

Outcome measures
Measure
Placebo
n=2 Participants
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
n=3 Participants
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
n=6 Participants
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
n=8 Participants
Participants take 4mg perampanel PO QD for six weeks
Dropouts Across the Six-week Treatment Period Measure of Direct Comparison of the 4 Titration Conditions Across 6 Weeks of Treatment.
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

Placebo

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

PER 1 Week Titration

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

PER 2 Week Titration

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

PER 4 mg

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=2 participants at risk
Participants take 2mg placebo PO QD for six weeks.
PER 1 Week Titration
n=3 participants at risk
Participants take 2mg perampanel PO QD for one week and 4mg perampanel PO QD for five weeks.
PER 2 Week Titration
n=6 participants at risk
Participants take 2mg perampanel PO QD for two weeks and 4mg perampanel PO QD for four weeks.
PER 4 mg
n=8 participants at risk
Participants take 4mg perampanel PO QD for six weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cyst in Nose
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
Nervous system disorders
Difficulty with concentration and word finding
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
Nervous system disorders
Dizziness
0.00%
0/2 • Up to 8 weeks.
33.3%
1/3 • Number of events 1 • Up to 8 weeks.
50.0%
3/6 • Number of events 3 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
Nervous system disorders
Fatigue
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
50.0%
3/6 • Number of events 3 • Up to 8 weeks.
50.0%
4/8 • Number of events 5 • Up to 8 weeks.
Nervous system disorders
Headache
0.00%
0/2 • Up to 8 weeks.
66.7%
2/3 • Number of events 2 • Up to 8 weeks.
16.7%
1/6 • Number of events 1 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
General disorders
Fall
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
16.7%
1/6 • Number of events 1 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
Nervous system disorders
Problems with coordination
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
16.7%
1/6 • Number of events 1 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
Nervous system disorders
Balance Problems/Unsteadiness
0.00%
0/2 • Up to 8 weeks.
33.3%
1/3 • Number of events 1 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
Nervous system disorders
Irritability
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
Gastrointestinal disorders
Nausea
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
Nervous system disorders
Lip Cramping/Twitching
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
16.7%
1/6 • Number of events 1 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
General disorders
Sore Throat
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
16.7%
1/6 • Number of events 1 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
General disorders
Fever
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
16.7%
1/6 • Number of events 1 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
Skin and subcutaneous tissue disorders
Hair Thinning
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
General disorders
Leg Abrasion
0.00%
0/2 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
12.5%
1/8 • Number of events 1 • Up to 8 weeks.
Nervous system disorders
Sleep Disturbance
50.0%
1/2 • Number of events 1 • Up to 8 weeks.
33.3%
1/3 • Number of events 1 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
General disorders
Hypertension
50.0%
1/2 • Number of events 1 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
General disorders
Loss of muscle definition/fat distribution
50.0%
1/2 • Number of events 1 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
Blood and lymphatic system disorders
Low White Blood Cell Count
50.0%
1/2 • Number of events 1 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
General disorders
Low glucose level
50.0%
1/2 • Number of events 1 • Up to 8 weeks.
0.00%
0/3 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
Nervous system disorders
Cognitive Change: Slowing
0.00%
0/2 • Up to 8 weeks.
33.3%
1/3 • Number of events 1 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
General disorders
Weight Gain
0.00%
0/2 • Up to 8 weeks.
66.7%
2/3 • Number of events 2 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
Infections and infestations
COVID-19 Infection
0.00%
0/2 • Up to 8 weeks.
33.3%
1/3 • Number of events 1 • Up to 8 weeks.
16.7%
1/6 • Number of events 1 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.
Skin and subcutaneous tissue disorders
Acne
0.00%
0/2 • Up to 8 weeks.
33.3%
1/3 • Number of events 1 • Up to 8 weeks.
0.00%
0/6 • Up to 8 weeks.
0.00%
0/8 • Up to 8 weeks.

Additional Information

Kimford Meador

Stanford University

Phone: 650-721-5552

Results disclosure agreements

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