Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The primary objective of the study is to establish whether budesonide/formoterol fumarate dihydrate (BF) Spiromax 160/4.5 micrograms (mcg) is as effective as Symbicort Turbohaler 200/6 mcg administered twice daily in participants with persistent asthma.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BF Spiromax | Experimental | 2 inhalations of BF Spiromax at a dosage of 160/4.5 mcg and 2 inhalations of SYMBICORT placebo administered twice daily (AM and PM) during the 12-week treatment period. |
|
| Symbicort Turbohaler | Active Comparator | 2 inhalations of SYMBICORT TURBOHALER at a dosage of 200/6 mcg and 2 inhalations of placebo SPIROMAX administered twice daily (AM and PM) during the 12-week treatment period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Budesonide/Formoterol SPIROMAX® | Drug | BF Spiromax will be administered per dose and schedule specified in the arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Weekly Average of Daily Trough (Predose and Pre-rescue Bronchodilator) Morning (AM) Peak Expiratory Flow (PEF) Over the 12-Week Treatment Period | PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Baseline trough morning PEF was defined as the average value of recorded (nonmissing) morning assessments 5 out of the last 7 days prior to randomization. The first day before randomization consisted of the electronic patient diary entry at home on the morning of the randomization visit (Baseline [Day 1]) and the first day postrandomization consisted of the electronic patient diary entry at home on the morning of the day after the randomization visit (Baseline [Day 1]). For postdose weekly average of trough morning PEF measurements, the values were the averages based on the available data for that week. The averages were calculated as the sum of morning PEF values divided by the number of nonmissing assessments. The final value for change from baseline was calculated as the average of the weekly change from baseline averaged over 12 weeks. | Baseline, Weeks 1 to 12 (averaged over 12 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Weekly Average of Daily Evening (PM) PEF Over the 12-Week Treatment Period | PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Baseline was defined as the average value of the recorded (nonmissing) assessments over the 7 days prior to randomization. For postdose weekly average of evening PEF measurements, the values were the averages based on the available data for that week. The averages were calculated as the sum of evening PEF values divided by the number of nonmissing assessments. The final value for change from baseline was calculated as the average of the weekly change from baseline averaged over 12 weeks. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
NOTE: Other inclusion and exclusion criteria may apply.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Teva Medical Expert, M.D. | Teva Branded Pharmaceutical Products R&D, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Investigational Site 33020 | Grieskirchen | 4710 | Austria | |||
| Teva Investigational Site 33019 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26987997 | Derived | Virchow JC, Rodriguez-Roisin R, Papi A, Shah TP, Gopalan G. A randomized, double-blinded, double-dummy efficacy and safety study of budesonide-formoterol Spiromax(R) compared to budesonide-formoterol Turbuhaler(R) in adults and adolescents with persistent asthma. BMC Pulm Med. 2016 Mar 17;16:42. doi: 10.1186/s12890-016-0200-x. |
Not provided
Not provided
Qualified researchers may request access to patient level data and related study documents including the study protocol and the statistical analysis plan. Requests will be reviewed for scientific merit, product approval status, and conflicts of interest. Patient level data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Please email USMedInfo@tevapharm.com to make your request.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | BF Spiromax | Participants received budesonide/formoterol Spiromax (BF)(budesonide/formoterol fumarate dihydrate 160/4.5 micrograms [mcg]) 2 inhalations twice daily and Symbicort placebo 2 inhalations twice daily for 12 weeks. |
| FG001 | Symbicort Turbohaler |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
Not provided
Not provided
Not provided
| SYMBICORT® TURBOHALER® | Drug | Symbicort Turbohaler will be administered per dose and schedule specified in the arm. |
|
| SYMBICORT placebo | Drug | SYMBICORT placebo multi-dose dry powder inhaler (DPI) identical in appearance to SYMBICORT TURBOHALER will be administered per dose and schedule specified in the arm. |
|
| SPIROMAX Placebo | Drug | SPIROMAX Placebo multi-dose dry powder inhaler (DPI) identical in appearance to BF SPIROMAX will be administered per dose and schedule specified in the arm. |
|
| Baseline, Weeks 1 to 12 (averaged over 12 weeks) |
| Number of Participants With Adverse Events (AEs) | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (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. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'. | Baseline up to Week 12 |
| Number of Participants With Signs of Oral Candidiasis (Thrush) | Examinations were performed by a qualified professional. | Baseline, Week 4, Week 8, Week 12 |
| Number of Participants With Positive Swab of Oral Candidiasis (Thrush) | Swab samples were collected by a qualified professional. | Baseline, Week 4, Week 8, Week 12 |
| Linz |
| 4020 |
| Austria |
| Teva Investigational Site 33018 | Wels | 4600 | Austria |
| Teva Investigational Site 37029 | Gozée | 6534 | Belgium |
| Teva Investigational Site 37031 | Halen | 3545 | Belgium |
| Teva Investigational Site 37030 | Jambes | 5100 | Belgium |
| Teva Investigational Site 54056 | Brno | 602 00 | Czechia |
| Teva Investigational Site 54061 | Hradec Králové | 500 05 | Czechia |
| Teva Investigational Site 54068 | Neratovice | 27711 | Czechia |
| Teva Investigational Site 54063 | Ostrava - Marianske Hory | 709 00 | Czechia |
| Teva Investigational Site 54065 | Pilsen | 301 00 | Czechia |
| Teva Investigational Site 54067 | Prague | 142 00 | Czechia |
| Teva Investigational Site 54058 | Prague | 186 00 | Czechia |
| Teva Investigational Site 54064 | Rokycany | 337 22 | Czechia |
| Teva Investigational Site 54059 | Strakonice | 386 01 | Czechia |
| Teva Investigational Site 39020 | Copenhagen NV | 2400 | Denmark |
| Teva Investigational Site 39021 | Odense | 5000 | Denmark |
| Teva Investigational Site 40004 | Helsinki | 00290 | Finland |
| Teva Investigational Site 40005 | Jyväskylä | 40100 | Finland |
| Teva Investigational Site 40002 | Pori | 28500 | Finland |
| Teva Investigational Site 40001 | Tampere | 33521 | Finland |
| Teva Investigational Site 40003 | Turku | 20100 | Finland |
| Teva Investigational Site 35088 | Brest | 29609 | France |
| Teva Investigational Site 35089 | La Bouëxière | 35340 | France |
| Teva Investigational Site 35093 | Lyon | 69317 | France |
| Teva Investigational Site 35092 | Mûrs-Erigné | 49610 | France |
| Teva Investigational Site 35090 | Nantes | 44200 | France |
| Teva Investigational Site 35091 | Perpignan | 66000 | France |
| Teva Investigational Site 32243 | Berlin | 10367 | Germany |
| Teva Investigational Site 32255 | Berlin | 10717 | Germany |
| Teva Investigational Site 32256 | Berlin | 10787 | Germany |
| Teva Investigational Site 32257 | Berlin | 12687 | Germany |
| Teva Investigational Site 32252 | Cottbus | 03050 | Germany |
| Teva Investigational Site 32251 | Frankfurt am Main | 60318 | Germany |
| Teva Investigational Site 32253 | Frankfurt am Main | 60389 | Germany |
| Teva Investigational Site 32254 | Gelsenkirchen | 45879 | Germany |
| Teva Investigational Site 32259 | Großhansdorf | 22927 | Germany |
| Teva Investigational Site 32249 | Hamburg | 20354 | Germany |
| Teva Investigational Site 32246 | Leipzig | 4357 | Germany |
| Teva Investigational Site 32240 | Neu-Isenburg | 63263 | Germany |
| Teva Investigational Site 32244 | Neukölln | 12043 | Germany |
| Teva Investigational Site 32258 | Offenbach | 63071 | Germany |
| Teva Investigational Site 32250 | Reinfeld | 23858 | Germany |
| Teva Investigational Site 32241 | Rüdersdorf | 15562 | Germany |
| Teva Investigational Site 32247 | Weinheim | 69469 | Germany |
| Teva Investigational Site 51075 | Balassagyarmat | 2660 | Hungary |
| Teva Investigational Site 51072 | Budapest | 1134 | Hungary |
| Teva Investigational Site 51067 | Budapest | 2310 | Hungary |
| Teva Investigational Site 51077 | Csorna | 9300 | Hungary |
| Teva Investigational Site 51065 | Deszk | 6772 | Hungary |
| Teva Investigational Site 51071 | Kaposvár | 7400 | Hungary |
| Teva Investigational Site 51073 | Kaposvár | 7400 | Hungary |
| Teva Investigational Site 51068 | Komárom | 2900 | Hungary |
| Teva Investigational Site 51070 | Mosdós | 7257 | Hungary |
| Teva Investigational Site 51076 | Tatabánya | 2800 | Hungary |
| Teva Investigational Site 51074 | Törökbálint | 2045 | Hungary |
| Teva Investigational Site 80036 | Afula | 18101 | Israel |
| Teva Investigational Site 80035 | Haifa | 31096 | Israel |
| Teva Investigational Site 80040 | Kfar Saba | 44281 | Israel |
| Teva Investigational Site 80039 | Petah Tikva | 49100 | Israel |
| Teva Investigational Site 80037 | Ramat Gan | 5262160 | Israel |
| Teva Investigational Site 80038 | Rehovot | 76100 | Israel |
| Teva Investigational Site 80041 | Ẕerifin | 70300 | Israel |
| Teva Investigational Site 30055 | Cisanello Pisa | 56124 | Italy |
| Teva Investigational Site 30056 | Milan | 20142 | Italy |
| Teva Investigational Site 30054 | Padova | 35122 | Italy |
| Teva Investigational Site 38048 | Alkmaar | 1815 JD | Netherlands |
| Teva Investigational Site 38049 | Leeuwarden | 8901 BR | Netherlands |
| Teva Investigational Site 53114 | Bialystok | 15-276 | Poland |
| Teva Investigational Site 53110 | Bialystok | 15-430 | Poland |
| Teva Investigational Site 53117 | Gdansk | 80-433 | Poland |
| Teva Investigational Site 53106 | Gdansk | 80-847 | Poland |
| Teva Investigational Site 53109 | Krakow | 31-011 | Poland |
| Teva Investigational Site 53111 | Krakow | 31-023 | Poland |
| Teva Investigational Site 53100 | Krakow | 31-159 | Poland |
| Teva Investigational Site 53107 | Lodz | 90-153 | Poland |
| Teva Investigational Site 53102 | Lublin | 20-093 | Poland |
| Teva Investigational Site 53116 | Poznan | 60-214 | Poland |
| Teva Investigational Site 53119 | Sopot | 81-741 | Poland |
| Teva Investigational Site 53103 | Strzelce Opolskie | 47-100 | Poland |
| Teva Investigational Site 53104 | Szczecin | 71-124 | Poland |
| Teva Investigational Site 53105 | Tarnów | 33-100 | Poland |
| Teva Investigational Site 53120 | Wroclaw | 51-343 | Poland |
| Teva Investigational Site 53099 | Wroclaw | 53-201 | Poland |
| Teva Investigational Site 53115 | Wroclaw | 53-301 | Poland |
| Teva Investigational Site 53113 | Zabrze | 41-800 | Poland |
| Teva Investigational Site 53101 | Zgierz | 95-100 | Poland |
| Teva Investigational Site 50179 | Kazan' | 420015 | Russia |
| Teva Investigational Site 50177 | Moscow | 125367 | Russia |
| Teva Investigational Site 50178 | Saint Petersburg | 193231 | Russia |
| Teva Investigational Site 50175 | Saint Petersburg | 194354 | Russia |
| Teva Investigational Site 50171 | Saint Petersburg | 197022 | Russia |
| Teva Investigational Site 50172 | Saratov | 410028 | Russia |
| Teva Investigational Site 50173 | Tomsk | 634050 | Russia |
| Teva Investigational Site 50170 | Vsevolozhsk | 188640 | Russia |
| Teva Investigational Site 50174 | Yaroslavl | 150003 | Russia |
| Teva Investigational Site 31051 | Alcorcón | 28922 | Spain |
| Teva Investigational Site 31054 | Badalona | 08916 | Spain |
| Teva Investigational Site 31052 | Barcelona | 08036 | Spain |
| Teva Investigational Site 31057 | Barcelona | 08041 | Spain |
| Teva Investigational Site 31053 | Bilbao | 48013 | Spain |
| Teva Investigational Site 31058 | Madrid | 28006 | Spain |
| Teva Investigational Site 31056 | Pamplona | 31008 | Spain |
| Teva Investigational Site 31055 | Seville | 41013 | Spain |
| Teva Investigational Site 31061 | Vitoria-Gasteiz | 01004 | Spain |
| Teva Investigational Site 42014 | Gothenburg | 413 45 | Sweden |
| Teva Investigational Site 42011 | Lund | 222 41 | Sweden |
| Teva Investigational Site 42012 | Stockholm | 141 86 | Sweden |
| Teva Investigational Site 34024 | Chesterfield | S40 4AA | United Kingdom |
| Teva Investigational Site 34026 | Coventry | CV6 4DD | United Kingdom |
| Teva Investigational Site 34022 | Dundee | DD1 4HJ | United Kingdom |
| Teva Investigational Site 34027 | East Sussex | TN40 1JJ | United Kingdom |
| Teva Investigational Site 34029 | Lancashire | FY4 3AD | United Kingdom |
| Teva Investigational Site 34028 | London | EC1M 6BQ | United Kingdom |
Participants received Symbicort Turbohaler (budesonide/formoterol fumarate dihydrate 200/6 mcg) 2 inhalations twice daily and placebo Spiromax 2 inhalations twice daily for 12 weeks. |
| Received at Least 1 Dose of Study Drug |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Intent-to-treat (ITT) population included all randomized participants.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | BF Spiromax | Participants received budesonide/formoterol Spiromax (BF)(budesonide/formoterol fumarate dihydrate 160/4.5 micrograms [mcg]) 2 inhalations twice daily and Symbicort placebo 2 inhalations twice daily for 12 weeks. |
| BG001 | Symbicort Turbohaler | Participants received Symbicort Turbohaler (budesonide/formoterol fumarate dihydrate 200/6 mcg) 2 inhalations twice daily and placebo Spiromax 2 inhalations twice daily for 12 weeks. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Weekly Average of Daily Trough (Predose and Pre-rescue Bronchodilator) Morning (AM) Peak Expiratory Flow (PEF) Over the 12-Week Treatment Period | PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Baseline trough morning PEF was defined as the average value of recorded (nonmissing) morning assessments 5 out of the last 7 days prior to randomization. The first day before randomization consisted of the electronic patient diary entry at home on the morning of the randomization visit (Baseline [Day 1]) and the first day postrandomization consisted of the electronic patient diary entry at home on the morning of the day after the randomization visit (Baseline [Day 1]). For postdose weekly average of trough morning PEF measurements, the values were the averages based on the available data for that week. The averages were calculated as the sum of morning PEF values divided by the number of nonmissing assessments. The final value for change from baseline was calculated as the average of the weekly change from baseline averaged over 12 weeks. | The per-protocol (PP) population included all data from randomized participants obtained before experiencing major protocol deviations (that is, protocol violations). Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure. | Posted | Least Squares Mean | Standard Error | liters (L)/minute (min) | Baseline, Weeks 1 to 12 (averaged over 12 weeks) |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Weekly Average of Daily Evening (PM) PEF Over the 12-Week Treatment Period | PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Baseline was defined as the average value of the recorded (nonmissing) assessments over the 7 days prior to randomization. For postdose weekly average of evening PEF measurements, the values were the averages based on the available data for that week. The averages were calculated as the sum of evening PEF values divided by the number of nonmissing assessments. The final value for change from baseline was calculated as the average of the weekly change from baseline averaged over 12 weeks. | The PP population included all data from randomized participants obtained before experiencing major protocol deviations (that is, protocol violations). Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure. | Posted | Least Squares Mean | Standard Error | L/min | Baseline, Weeks 1 to 12 (averaged over 12 weeks) |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Adverse Events (AEs) | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (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. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'. | The safety population included all randomized participants who received at least 1 dose of study medication. | Posted | Count of Participants | Participants | Baseline up to Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Signs of Oral Candidiasis (Thrush) | Examinations were performed by a qualified professional. | The safety population included all randomized participants who received at least 1 dose of study medication. | Posted | Number | Participants | Baseline, Week 4, Week 8, Week 12 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Positive Swab of Oral Candidiasis (Thrush) | Swab samples were collected by a qualified professional. | The safety population included all randomized participants who received at least 1 dose of study medication. | Posted | Number | Participants | Baseline, Week 4, Week 8, Week 12 |
|
|
Baseline up to Week 12
The safety population included all randomized participants who received at least 1 dose of study medication.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BF Spiromax | Participants received budesonide/formoterol Spiromax (BF)(budesonide/formoterol fumarate dihydrate 160/4.5 micrograms [mcg]) 2 inhalations twice daily and Symbicort placebo 2 inhalations twice daily for 12 weeks. | 0 | 303 | 1 | 303 | 47 | 303 |
| EG001 | Symbicort Turbohaler | Participants received Symbicort Turbohaler (budesonide/formoterol fumarate dihydrate 200/6 mcg) 2 inhalations twice daily and placebo Spiromax 2 inhalations twice daily for 12 weeks. | 0 | 299 | 3 | 299 | 44 | 299 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bradycardia | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Supraventricular tachycardia | Cardiac disorders | MedDRA 16.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA 16.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA 16.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 16.0 | Systematic Assessment |
|
Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research | Teva Branded Pharmaceutical Products R&D, Inc. | 1-888-483-8279 | USMedInfo@tevapharm.com |
| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D019819 | Budesonide |
| ID | Term |
|---|---|
| D011282 | Pregnenediones |
| D011283 | Pregnenes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Black |
|
| Asian |
|
| American Indian or Alaskan Native |
|
| Native Hawaiian or Pacific Islander |
|
| Other |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|