Trial Outcomes & Findings for Dolutegravir-Lamivudine for naïve HIV-Infected Patients With ≤200 CD4/mm3 (NCT NCT04880395)

NCT ID: NCT04880395

Last Updated: 2025-07-30

Results Overview

Percentage of patients with viral load \< 50 copies/mL at week 48 using the ITT-exposed analysis (FDA snapshot) for the intent-to-treat exposed (ITT-E) population.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

265 participants

Primary outcome timeframe

Week 48

Results posted on

2025-07-30

Participant Flow

Recruitment period: May 17th, 2021 - May 04th, 2023. Sites from Argentina and Brazil.

Eligible participants were non-pregnant, not breastfeeding adults (18 years or older) living with HIV-1, ART naïve, having plasma HIV-1 (pVL) RNA ≥1,000 copies/mL and, CD4 cll counts≤ 200 cells/mm³ at screening. Key exclusión criteria included a positive Hepatitis B coinfection, pre-existing major viral resistance mutations to DTG, 3TC, or TDF, active opportunistic infections, liver or kidney disease.

Participant milestones

Participant milestones
Measure
Experimental : Dolutegravir Plus Lamivudine
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Overall Study
STARTED
153
77
Overall Study
COMPLETED
140
71
Overall Study
NOT COMPLETED
13
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Dolutegravir-Lamivudine for naïve HIV-Infected Patients With ≤200 CD4/mm3

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental : Dolutegravir Plus Lamivudine
n=153 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Total
n=230 Participants
Total of all reporting groups
Age, Continuous
36 years
n=5 Participants
34 years
n=7 Participants
35 years
n=5 Participants
Sex: Female, Male
Female
35 Participants
n=5 Participants
21 Participants
n=7 Participants
56 Participants
n=5 Participants
Sex: Female, Male
Male
118 Participants
n=5 Participants
56 Participants
n=7 Participants
174 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black
26 Participants
n=5 Participants
9 Participants
n=7 Participants
35 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Native
8 Participants
n=5 Participants
0 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
52 Participants
n=5 Participants
37 Participants
n=7 Participants
89 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other (Hispanic- Latino/Mixed)
67 Participants
n=5 Participants
31 Participants
n=7 Participants
98 Participants
n=5 Participants
CD4 cell count
109 cell/mL
n=5 Participants
128 cell/mL
n=7 Participants
116 cell/mL
n=5 Participants

PRIMARY outcome

Timeframe: Week 48

Population: One participant randomized to experimental arm was withdrawn before receiving any dose and therefore excluded from all analyses

Percentage of patients with viral load \< 50 copies/mL at week 48 using the ITT-exposed analysis (FDA snapshot) for the intent-to-treat exposed (ITT-E) population.

Outcome measures

Outcome measures
Measure
Experimental : Dolutegravir Plus Lamivudine
n=152 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Antiviral Activity at Week 48 of DTG+3TC Among ART-naïve HIV Patients With a CD4 Count ≤200 Cells/mm3.
125 Participants
62 Participants

SECONDARY outcome

Timeframe: Week 24

Population: One participant randomized to experimental arm was withdrawn before receiving any dose and therefore excluded from all analyses

Percentage of patients treated with DTG+3TC and DTG+TDF/XTC with HIV-1 levels of less than 50 copies/mL at week 24

Outcome measures

Outcome measures
Measure
Experimental : Dolutegravir Plus Lamivudine
n=152 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Antiviral Activity of DTG+3TC and DTG+TDF/XTC (TDF/FTC or TDF/3TC) at Week 24
110 Participants
58 Participants

SECONDARY outcome

Timeframe: week 48

Population: One participant randomized to experimental arm was withdrawn before receiving any dose and therefore excluded from all analyses

Percentage of patients who discontinue treatment due to adverse events or death

Outcome measures

Outcome measures
Measure
Experimental : Dolutegravir Plus Lamivudine
n=152 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Safety and Tolerability of DTG+3TC and DTG+TDF/XTC Over Time
7 Participants
2 Participants

SECONDARY outcome

Timeframe: Week 48

Population: One participant randomized to experimental arm was withdrawn before receiving any dose and therefore excluded from all analyses

Percentage of patients with baseline viral load \>100,000 c/mL that reach HIV-1 levels of less than 50 copies/mL at week 48

Outcome measures

Outcome measures
Measure
Experimental : Dolutegravir Plus Lamivudine
n=94 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=47 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Antiviral Activity of DTG+3TC and DTG+TDF/XTC at Week 48 in Patients With Baseline Viral Load >100,000 c/mL
76 Participants
36 Participants

SECONDARY outcome

Timeframe: Week 48

Population: One participant randomized to experimental arm was withdrawn before receiving any dose and therefore excluded from all analyses

Changes in lymphocytes CD4 cells count per mL

Outcome measures

Outcome measures
Measure
Experimental : Dolutegravir Plus Lamivudine
n=152 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Changes in Lymphocytes Subsets Between Baseline and 48 Weeks
200 cell/mL
Interval 127.0 to 316.0
177 cell/mL
Interval 128.0 to 267.0

SECONDARY outcome

Timeframe: week 48

Number and type of resistance mutations in case of virologic failure (defined as a confirmed viral above 200 copies/mL on or after week 24 or confirmed viral rebound at any timepoint)

Outcome measures

Outcome measures
Measure
Experimental : Dolutegravir Plus Lamivudine
n=18 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=9 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Development of HIV-1 Resistance in Patients With Virologic Failure or Viral Rebound Whilst Being Treated With DTG+3TC or DTG+TDF/XTC
0 Participants
0 Participants

SECONDARY outcome

Timeframe: week 48

Population: One participant randomized to experimental arm was withdrawn before receiving any dose and therefore excluded from all analyses.

Evaluation of disease progression incidence (HIV-associated conditions, AIDS and death) with DTG+3TC and DTG + TDF/XTC treatment over time

Outcome measures

Outcome measures
Measure
Experimental : Dolutegravir Plus Lamivudine
n=152 Participants
DOVATO: Dolutegravir 50mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 Participants
Unit Dose: * TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD
Incidence of IRIS or Disease Progression (HIV Associated Conditions, AIDS and Death).
9 Participants
6 Participants

Adverse Events

Experimental : Dolutegravir Plus Lamivudine

Serious events: 15 serious events
Other events: 37 other events
Deaths: 4 deaths

Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)

Serious events: 9 serious events
Other events: 21 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Experimental : Dolutegravir Plus Lamivudine
n=152 participants at risk
Dolutegravir 50 mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 participants at risk
* TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD, OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD Data related to the use of TDF/3TC or TDF/FTC was not discriminated. Both options used were considered as a single treatment arm: TDF/XTC plus dolutegravir.
Infections and infestations
Tuberculosis meningoencephalitis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Gastrointestinal disorders
Gastroenteritis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Nervous system disorders
IRIS in tuberculous meningitis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Blood and lymphatic system disorders
Possible lymphoma
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Respiratory, thoracic and mediastinal disorders
Bilateral pneumonia
0.00%
0/152 • 52 weeks
2.6%
2/77 • Number of events 2 • 52 weeks
Eye disorders
Bilateral herpetic retinitis
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Immune system disorders
Burkitt's lymphoma (non-Hodgkin's lymphoma)
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Skin and subcutaneous tissue disorders
Subcutaneous abscess
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Cardiac disorders
Probable aortic aneurysm rupture
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Hepatobiliary disorders
Hepatotoxicity
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoproliferative disorder with metástasis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Psychiatric disorders
Suicide attempt
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Renal and urinary disorders
Ureteral rupture
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Nervous system disorders
Disseminated TB with meningeal involvement
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Gastrointestinal disorders
Gastrointestinal Infection
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Eye disorders
Cytomegalovirus chorioretinitis and vitritis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
General disorders
Car accident
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Blood and lymphatic system disorders
Hospitalization for investigation of pancytopenia
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Immune system disorders
Investigation of fever, disorientation and weight loss
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Gastrointestinal disorders
Esophagus substenosis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Infections and infestations
Renal tubular acidosis + Bronchopneumonia
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Blood and lymphatic system disorders
Pancytopenia febrile
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Infections and infestations
Probable pulmonary tuberculosis
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Nervous system disorders
Neurotoxoplasmosis
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Infections and infestations
Cryptosporidiosis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks

Other adverse events

Other adverse events
Measure
Experimental : Dolutegravir Plus Lamivudine
n=152 participants at risk
Dolutegravir 50 mg/lamivudine 300 mg, FDC, 1 coformulated tablet QD
Active Comparator : TDF/XTC Plus Dolutegravir (XTC Stands for Lamivudine OR Emtricitabine)
n=77 participants at risk
* TDF/FTC 300/200 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD, OR * TDF/3TC 300/300 mg, 1 coformulated tablet QD (FDC) plus Dolutegravir 50 mg, 1 tablet QD Data related to the use of TDF/3TC or TDF/FTC was not discriminated. Both options used were considered as a single treatment arm: TDF/XTC plus dolutegravir.
General disorders
Insomnia/Nightmares
3.9%
6/152 • Number of events 6 • 52 weeks
3.9%
3/77 • Number of events 3 • 52 weeks
Skin and subcutaneous tissue disorders
Itching/Rash/Prurigo
2.0%
3/152 • Number of events 3 • 52 weeks
5.2%
4/77 • Number of events 4 • 52 weeks
Gastrointestinal disorders
Nausea/Vomiting
1.3%
2/152 • Number of events 3 • 52 weeks
3.9%
3/77 • Number of events 4 • 52 weeks
Nervous system disorders
Headache
0.66%
1/152 • Number of events 1 • 52 weeks
3.9%
3/77 • Number of events 3 • 52 weeks
Psychiatric disorders
Depressive symptoms/Depression
1.3%
2/152 • Number of events 2 • 52 weeks
2.6%
2/77 • Number of events 2 • 52 weeks
Gastrointestinal disorders
Abdominal pain/Epigastralgia/Dyspepsia
1.3%
2/152 • Number of events 2 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Skin and subcutaneous tissue disorders
Alopecia
2.0%
3/152 • Number of events 3 • 52 weeks
0.00%
0/77 • 52 weeks
Gastrointestinal disorders
Diarrhea
0.00%
0/152 • 52 weeks
3.9%
3/77 • Number of events 3 • 52 weeks
Metabolism and nutrition disorders
Weight gain
2.0%
3/152 • Number of events 3 • 52 weeks
0.00%
0/77 • 52 weeks
Hepatobiliary disorders
Elevated transaminases
0.66%
1/152 • Number of events 1 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Endocrine disorders
Hiperglucemia
0.66%
1/152 • Number of events 1 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Metabolism and nutrition disorders
Amylase elevation
1.3%
2/152 • Number of events 2 • 52 weeks
0.00%
0/77 • 52 weeks
Renal and urinary disorders
Creatinine increase
0.66%
1/152 • Number of events 1 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Skin and subcutaneous tissue disorders
Malassezia folliculitis
1.3%
2/152 • Number of events 2 • 52 weeks
0.00%
0/77 • 52 weeks
Endocrine disorders
Hypercholesterolemia/ Dyslipidemia
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Blood and lymphatic system disorders
Plateletopenia
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Skin and subcutaneous tissue disorders
Aphthous stomatitis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Psychiatric disorders
Anxiety
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Nervous system disorders
IRIS in Tuberculous meningitis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Nervous system disorders
Disseminated Tuberculosis with meningeal involvement
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Infections and infestations
Impetigo
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Gastrointestinal disorders
Constipation
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Metabolism and nutrition disorders
Hypertriglyceridemia
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Skin and subcutaneous tissue disorders
Pharmacodermia
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Eye disorders
Cytomegalovirus retinitis
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Infections and infestations
Histoplasmosis
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Reproductive system and breast disorders
Erectile dysfunction
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Blood and lymphatic system disorders
Bilateral cervical lymphadenopathy
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
General disorders
Fever
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Blood and lymphatic system disorders
Pancytopenia febrile
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Nervous system disorders
Hypoesthesia
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Gastrointestinal disorders
Fever, diarrhea, abdominal pain
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Skin and subcutaneous tissue disorders
Generalized Rash
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Hepatobiliary disorders
Lipid increase
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Skin and subcutaneous tissue disorders
Herpes Zoster
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Skin and subcutaneous tissue disorders
Dermatitis
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Gastrointestinal disorders
Epigastric pain
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Infections and infestations
Pneumonia
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Eye disorders
Viral conjunctivitis
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks
Skin and subcutaneous tissue disorders
Ulcer in the left ear
0.00%
0/152 • 52 weeks
1.3%
1/77 • Number of events 1 • 52 weeks
Hepatobiliary disorders
Glutamic Oxaloacetic Transaminase increase
0.66%
1/152 • Number of events 1 • 52 weeks
0.00%
0/77 • 52 weeks

Additional Information

Dr. María Inés Figueroa

Fundación Huésped - Buenos Aires

Phone: +54 11 2120-9999

Results disclosure agreements

  • Principal investigator is a sponsor employee Any documents, reports or data received or generated by PIs under the Agreement, including in particular those containing or reflecting specific information or the Study's results or data, may not be used, disclosed, communicated or published by PIs, whether for its own benefit or that of third parties, free of charge or against payment, in any country, without first obtaining the prior written permission of Fundación Huésped (Sponsor) in each instance.
  • Publication restrictions are in place

Restriction type: OTHER