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Study to assess the long term safety and tolerability of daridorexant in adult and elderly subjects suffering from difficulties to sleep
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Daridorexant 10 mg | Experimental | Film-coated tablets administered orally, once daily in the evening |
|
| Daridorexant 25 mg | Experimental | Film-coated tablets administered orally, once daily in the evening |
|
| Daridorexant 50 mg | Experimental | Film-coated tablets administered orally, once daily in the evening |
|
| Placebo | Placebo Comparator | Film-coated tablets administered orally, once daily in the evening |
|
| Ex-Placebo Daridorexant 25 mg | Experimental | Film-coated tablets administered orally, once daily in the evening |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Daridorexant 10 mg | Drug | Daridorexant 10 mg film-coated tablets |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Total no. of Subjects With at Least One TEAE | The primary objective of the study was to assess the long-term safety and tolerability of 10, 25 and 50 mg daridorexant. The total no. of subjects with at least one TEAE is presented here; no statistical analysis was conducted. The full set of safety data is available in the Section "Adverse events". | TEAEs (AEs that started or worsened during the double-blind study period up to 30 days after double-blind study treatment end date) are reported. Total duration: up to 44 weeks. |
Not provided
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Inclusion Criteria:
Signed informed consent prior to any study-mandated procedure (Visit 1).
Having completed the DB study treatment and the run-out period of ID-078A301 (NCT03545191) or ID-078A302 (NCT03575104).
For woman of childbearing potential, the following is required:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Idorsia Pharmaceuticals Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pulmonary Associates of the Southeast/WCR | Birmingham | Alabama | 35243 | United States | ||
| Pulmonary Associates, Pa |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37526060 | Derived | Dutta S, Singhal S, Shah R, Charan J, Dhingra S, Haque M. Daridorexant as a novel pharmacotherapeutic approach in insomnia: a systematic review and meta-analysis. Expert Opin Drug Saf. 2023 Jul-Dec;22(12):1237-1251. doi: 10.1080/14740338.2023.2243217. Epub 2023 Aug 7. | |
| 36484969 | Derived | Kunz D, Dauvilliers Y, Benes H, Garcia-Borreguero D, Plazzi G, Seboek Kinter D, Coloma P, Rausch M, Sassi-Sayadi M, Thein S. Long-Term Safety and Tolerability of Daridorexant in Patients with Insomnia Disorder. CNS Drugs. 2023 Jan;37(1):93-106. doi: 10.1007/s40263-022-00980-8. Epub 2022 Dec 9. |
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Subjects assigned to the daridorexant arms in Study ID-078A301 and 302 received the same dose in the ID-078A303 extension study. Subjects assigned to the placebo arm in Study ID-078A301 and 302 were re-randomized to receive either placebo or 25 mg daridorexant in a 1:1 ratio, with treatment allocation stratified by age into 2 categories (< 65 and ≥ 65 years).
Note: Subjects' demographic and baseline characteristics were collected in the respective confirmatory 12-week study (ID-078A301 or 302).
Ninety-four sites in 14 countries (Belgium, Bulgaria, Canada, Denmark, Finland, France, Germany, Hungary, South Korea, Poland, Spain, Sweden, Switzerland, and the US) enrolled and randomized subjects.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Daridorexant 10 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 10 mg: Daridorexant 10 mg tablets |
| FG001 | Daridorexant 25 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 25 mg: Daridorexant 25 mg tablets |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol: Study Protocol | Feb 17, 2020 |
Not provided
Multi-center, double-blind, parallel-group, randomized, placebo-controlled, three doses, 40-week extension study
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| Daridorexant 25 mg |
| Drug |
Daridorexant 25 mg film-coated tablets |
|
| Daridorexant 50 mg | Drug | Daridorexant 50 mg film-coated tablets |
|
| Placebo | Drug | Matching placebo film-coated tablets |
|
| Glendale |
| Arizona |
| 85306 |
| United States |
| Noble Clinical Research | Tucson | Arizona | 85704 | United States |
| Preferred Research Partners, Inc | Little Rock | Arkansas | 72211 | United States |
| Woodland International Research Group | Little Rock | Arkansas | 72211 | United States |
| Core Healthcare Group | Cerritos | California | 90703 | United States |
| Marvel Clinical Research | Huntington Beach | California | 92647 | United States |
| Clinical Trials Research | Lincoln | California | 95648 | United States |
| Long Beach Clinical Trials | Long Beach | California | 90806 | United States |
| Artemis Institute For Clinical Research - Riverside | Riverside | California | 92503 | United States |
| Artemis institute for Clinical Research | San Diego | California | 92103 | United States |
| Pacific Research Network | San Diego | California | 92103 | United States |
| Artemis Institute for Clinical Research | San Marcos | California | 92078 | United States |
| Santa Monica Clinical Trials | Santa Monica | California | 90404 | United States |
| Empire Clinical Research | Upland | California | 91786 | United States |
| Innovative Clinical Research | Lafayette | Colorado | 80026 | United States |
| PAB Clinical Research | Brandon | Florida | 33511 | United States |
| St. Francis Sleep Allergy and Lung Institute | Clearwater | Florida | 33765 | United States |
| Clinical Research of South Florida | Coral Gables | Florida | 33134 | United States |
| Fleming Island Center for Clinical Research | Fleming Island | Florida | 32003 | United States |
| Research Centers of America | Hollywood | Florida | 33024 | United States |
| Canvas Clinical Research, LLC | Lake Worth | Florida | 33467 | United States |
| BioMed Research Institute | Miami | Florida | 33126 | United States |
| Clinical Research Group of St. Petersburgh | St. Petersburg | Florida | 33707 | United States |
| Clinical Site Partners, LLC | Winter Park | Florida | 32789 | United States |
| Neurotrials Research Incorporated | Atlanta | Georgia | 30342 | United States |
| Sleep Practitioners, LLC | Macon | Georgia | 31210 | United States |
| Saltzer Clinical Research | Nampa | Idaho | 83686 | United States |
| Helene Emsellem, MD | Chevy Chase | Maryland | 20815 | United States |
| Sleep Disorders Center of the Mid-Atlantic | Glen Burnie | Maryland | 21061 | United States |
| Infinity Medical Research, Inc. | North Dartmouth | Massachusetts | 02747 | United States |
| Precise Research Centers | Flowood | Mississippi | 39232 | United States |
| Barrett Clinic | La Vista | Nebraska | 68128 | United States |
| Clinical Research Center of Nevada | Las Vegas | Nevada | 89104 | United States |
| Clinilabs NYC | New York | New York | 10019 | United States |
| Research Carolina of Hickory | Hickory | North Carolina | 28601 | United States |
| Research Carolina of Huntersville | Huntersville | North Carolina | 28078 | United States |
| Coastal Carolina Healthcare | New Bern | North Carolina | 28562 | United States |
| Wake Research Associates | Raleigh | North Carolina | 27604-1547 | United States |
| Clinical Trials of America - NC, LLC | Winston-Salem | North Carolina | 27103 | United States |
| CTI Clinical Research II | Cincinnati | Ohio | 45212 | United States |
| CTI Clinical Research Center | Cincinnati | Ohio | 45255 | United States |
| Aventiv Research Inc. | Dublin | Ohio | 43016 | United States |
| Cleveland Sleep Research Center | Middleburg Heights | Ohio | 44130 | United States |
| Oregon Center for Clinical Investigations,Inc | Salem | Oregon | 97301 | United States |
| Brian Abaluck LLC | Paoli | Pennsylvania | 19301 | United States |
| Omega Medical Research | Warwick | Rhode Island | 02886 | United States |
| FutureSearch Trials of Neurology, LP | Austin | Texas | 78731 | United States |
| Inquest Clinical Research | Baytown | Texas | 77521 | United States |
| InSite Clinical Research | DeSoto | Texas | 75115 | United States |
| Jacksonville Center for Clinical Research | Jacksonville | Texas | 32216 | United States |
| Sleep Disorders Centers of the Mid-Atlantic | Vienna | Virginia | 22182 | United States |
| Swedish Medical Center | Seattle | Washington | 98122 | United States |
| Hospital UZ Leuven_ Pneumology Department | Leuven | 3000 | Belgium |
| Acibadem City Clinic Tokuda Hospital EAD | Sofia | 1407 | Bulgaria |
| Queensway Sleep Lab Sleep Clinic (MedSleep) | Etobicoke | M9C 5N2 | Canada |
| The Medical Arts Health Research Group | Kelowna | V1Y 3G8 | Canada |
| Somni Research Inc. | Markham | L3R 1A3 | Canada |
| CRIUSMQ- CIUSSSCN, CETS (clinique du sommeil) | Québec | G1J 2G2 | Canada |
| CANADIAN PHASE ONWARD INC. (Toronto) | Toronto | M3J 0K2 | Canada |
| MedSleep | Toronto | M4P 1P2 | Canada |
| Jodha Tishon Inc. | Toronto | M5G1N8 | Canada |
| Scan Sleep Specialists | Copenhagen | 1053 | Denmark |
| Vitalmed Uniklinikka | Helsinki | 380 | Finland |
| Oivauni Oy - Kuopio | Kuopio | 70100 | Finland |
| Oivauni Oy - Tampere | Tampere | Finland |
| Unitutkimusyksikkö, Turun Yliopisto | Turku | Finland |
| CHU NIMES - Unité de Sommeil | Nîmes | 30029 | France |
| St Hedwig-Krankenhaus, Klinik für Schlaf- und Chronomedizin | Berlin | 10115 | Germany |
| Klinische Forschung Berlin-Mitte GmbH | Berlin | 10117 | Germany |
| emovis GmbH | Berlin | 10629 | Germany |
| Charité - Universitätsmedizin Berlin - Campus Benjamin Franklin Kompetenzzentrum Schlafmedizin | Berlin | 12200 | Germany |
| Synexus Berlin Research Centre | Berlin | 12627 | Germany |
| Synexus Clinical Research GmbH | Bochum | 44787 | Germany |
| Klinische Forschung Dresden GmbH | Dresden | 1069 | Germany |
| Klinik imd Poliklinik fur Neurochirurgie | Dresden | 1307 | Germany |
| Synexus Clinical Research GmbH | Frankfurt | 60313 | Germany |
| Clinical Trial Center North GmbH & Co. KG | Hamburg | 20251 | Germany |
| Klinische Forschung Hamburg GmbH | Hamburg | 20253 | Germany |
| Klinische Forschung Hannover Mitte GmbH | Hanover | 30159 | Germany |
| Klinische Forschung Karlsruhe GmbH | Karlsruhe | 76137 | Germany |
| Studienzentrum Wilhelmshöhe GmbH | Kassel | 34131 | Germany |
| Synexus Leipzig Research Centre | Leipzig | 4103 | Germany |
| Zentrum für Integrative Psychiatrie (ZiP) Universität zu Lübeck | Lübeck | 23538 | Germany |
| Central Insitute of Mental Health Sleep laboratory Medical Faculty Mannheim/Heidelberg University | Mannheim | 68159 | Germany |
| Klinikum Rechts der lsar TU München Dept. of Psychiatry and Psychotherapy | München | 81675 | Germany |
| Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie der Universität am Bezirksklinikum Regensburg | Regensburg | 93053 | Germany |
| SOMNIBENE Institut für Medizinische Forschung und Schlafmedizin Schwerin GmbH | Schwerin | 19053 | Germany |
| Kinische Forschung Schwerin GmbH | Schwerin | 19055 | Germany |
| ZMS Zentrum für medizinische Studien GmbH | Warendorf | 48231 | Germany |
| Magyar Honvédség Egészségügyi Központ, Neurológiai Osztály | Budapest | 1134 | Hungary |
| Somnius Kft. SomnoCenter Szeged | Szeged | 6725 | Hungary |
| PI-House - Centrum Badań Klinicznych | Gdansk | 80-546 | Poland |
| Ośrodek Medycyny Study Nurseu Instytutu Psychiatrii i Neurologii (Sleep Disorders Center) | Warsaw | 02-957 | Poland |
| EMC Instytut Medyczny SA, Przychodnia przy Łowieckiej | Wroclaw | 50220 | Poland |
| 4F Neuroimaging analysis laboratory, 56 Dalseong-ro, Jung-gu | Daegu | 41931 | South Korea |
| 2F Psychiatry Outpatient, 93, Jungbu-daero, Paldal-gu | Suwon | 16247 | South Korea |
| Centro Médico Teknon - Medicina del Sueño | Barcelona | 8017 | Spain |
| Hospital Universitari Vall d'Hebron - Neurophisiology Deparment - Sleep Unit | Barcelona | 8035 | Spain |
| Instituto de Investigaciones del Sueno | Madrid | 28036 | Spain |
| Hospital Universitario Araba - Unidad Funcional de Trastornos del Sueño | Vitoria-Gasteiz | 1004 | Spain |
| Hospital MAZ - Neurophisiology and Sleep Department | Zaragoza | 50015 | Spain |
| Göteborgs Universitet, Centrum för sömn och vakenhetsstörningar | Gothenburg | 41390 | Sweden |
| Universitetssjukhuset Örebro Neurokliniken, Sömnenheten | Örebro | 70185 | Sweden |
| Sömnutredningsmottagningen, smärtcentrum Akademiska sjukhuset | Uppsala | 75185 | Sweden |
| Zentrum für Schlafmedizin Zürcher Oberland, Zürcher RehaZentrum Wald | Wald | 8636 | Switzerland |
| FG002 | Daridorexant 50 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 50 mg: Daridorexant 50 mg tablets |
| FG003 | Placebo | Film-coated tablets administered orally, once daily in the evening Placebo: Daridorexant matching placebo tablets |
| FG004 | ExPlacebo/Daridorexant 25 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 25 mg: Daridorexant 25 mg tablets |
|
| COMPLETED | DB treatment period |
|
| NOT COMPLETED |
|
|
These are the participants included in the FAS. The discrepancy with previous table (Participant Flow) is due to 3 subjects on FAS (2 on daridorexant 25 mg and 1 on ex-placebo/ daridorexant 25 mg) not starting DB treatment.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Daridorexant 10 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 10 mg: Daridorexant 10 mg tablets |
| BG001 | Daridorexant 25 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 25 mg: Daridorexant 25 mg tablets |
| BG002 | Daridorexant 50 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 50 mg: Daridorexant 50 mg tablets |
| BG003 | Placebo | Film-coated tablets administered orally, once daily in the evening Placebo: Daridorexant matching placebo tablets |
| BG004 | ExPlacebo/Daridorexant 25 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 25 mg: Daridorexant 25 mg tablets |
| BG005 | 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, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Race | Count of Participants | Participants |
| |||||||||||||||
| Race/Ethnicity, Customized | Ethnicity | 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 | Total no. of Subjects With at Least One TEAE | The primary objective of the study was to assess the long-term safety and tolerability of 10, 25 and 50 mg daridorexant. The total no. of subjects with at least one TEAE is presented here; no statistical analysis was conducted. The full set of safety data is available in the Section "Adverse events". | Posted | Count of Participants | Participants | TEAEs (AEs that started or worsened during the double-blind study period up to 30 days after double-blind study treatment end date) are reported. Total duration: up to 44 weeks. |
|
|
|
All treatment-emergent SAEs and AEs are reported.
TEAEs (AEs that started or worsened during the double-blind study period up to 30 days after double-blind study treatment end date) are reported. Total duration: up to 44 weeks.
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 | Daridorexant 10 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 10 mg: Daridorexant 10 mg tablets | 1 | 142 | 5 | 142 | 7 | 142 |
| EG001 | Daridorexant 25 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 25 mg: Daridorexant 25 mg tablets | 1 | 268 | 12 | 268 | 15 | 268 |
| EG002 | Daridorexant 50 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 50 mg: Daridorexant 50 mg tablets | 0 | 137 | 7 | 137 | 12 | 137 |
| EG003 | Placebo | Film-coated tablets administered orally, once daily in the evening Placebo: Daridorexant matching placebo tablets | 0 | 128 | 2 | 128 | 6 | 128 |
| EG004 | Ex-Placebo Daridorexant 25 mg | Film-coated tablets administered orally, once daily in the evening Daridorexant 25 mg: Daridorexant 25 mg tablets | 0 | 126 | 4 | 126 | 11 | 126 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Aortic valve disease mixed | Cardiac disorders | Non-systematic Assessment |
| ||
| Bundle branch block left | Cardiac disorders | Non-systematic Assessment |
| ||
| Coronary artery stenosis | Cardiac disorders | Non-systematic Assessment |
| ||
| Myocardial infarction | Cardiac disorders | Non-systematic Assessment |
| ||
| Thyroiditis subacute | Endocrine disorders | Non-systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Chest discomfort | General disorders | Non-systematic Assessment |
| ||
| Chest pain | General disorders | Non-systematic Assessment |
| ||
| Influenza like illness | General disorders | Non-systematic Assessment |
| ||
| Appendicitis | Infections and infestations | Non-systematic Assessment |
| ||
| Bronchitis | Infections and infestations | Non-systematic Assessment |
| ||
| Diverticulitis | Infections and infestations | Non-systematic Assessment |
| ||
| Pneumonia | Infections and infestations | Non-systematic Assessment |
| ||
| Alcohol poisoning | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Head injury | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Subdural haematoma | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Wrist fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Bone disorder | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Spinal stenosis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Chronic lymphocytic leukaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Lung cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Cerebrovascular accident | Nervous system disorders | Non-systematic Assessment |
| ||
| Lethargy | Nervous system disorders | Non-systematic Assessment |
| ||
| Orthostatic intolerance | Nervous system disorders | Non-systematic Assessment |
| ||
| Confusional state | Psychiatric disorders | Non-systematic Assessment |
| ||
| Depression | Psychiatric disorders | Non-systematic Assessment |
| ||
| Mental status changes | Psychiatric disorders | Non-systematic Assessment |
| ||
| Suicidal ideation | Psychiatric disorders | Non-systematic Assessment |
| ||
| Ovarian cyst | Reproductive system and breast disorders | Non-systematic Assessment |
| ||
| Pulmonary mass | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Arteriosclerosis | Vascular disorders | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | Systematic Assessment |
|
Any study-related publication written independently by investigators must be submitted to Idorsia for review at least 30 days prior to submission for publication or presentation at a congress. Upon review, Idorsia may provide comments, and may also request alterations and/or deletions for the sole purpose of protecting its confidential information and/or patent rights. Neither the institution nor the investigator should permit publication during such a review period.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Disclosure Desk | Idorsia Pharmaceuticals Ltd | +41 58 844 00 00 | clinical-trials-disclosure@idorsia.com |
| Jan 7, 2022 |
| Prot_000.pdf |
| Prot | Yes | No | No | Study Protocol: Study Protocol Addendum | Apr 8, 2020 | Jan 7, 2022 | Prot_001.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 20, 2020 | Jan 6, 2022 | SAP_002.pdf |
Not provided
| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
Not provided
Not provided
| ID | Term |
|---|---|
| C000634383 | daridorexant |
Not provided
Not provided
Not provided
| Between 18 and 65 years |
|
| >=65 years |
|
| Male |
|
| American Indian or Alaska Native |
|
| Native Hawaiian or other Pacific Islander |
|
| Asian |
|
| White |
|
| Other |
|
| Not permitted as per legislation/regulation |
|
| Not Hispanic or Latino |
|
| Unknown |
|
| Not permitted as per legislation/regulation |
|