Diabetes MellitusPhase 1NCT03673111
Study of the Gut Hormone Analogue Y14 in Adult Subjects
A Phase 1 study testing Y14 in people with Diabetes Mellitus and Obesity, run by Imperial College London at 1 site in United Kingdom.
Trial summary
A randomised, placebo controlled Phase I study to investigate investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of Y14 in adult subjects. Read more about this study
- Who is it for?
- Ages 18 to 65 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Diabetes Mellitus, Obesity
- What is being tested?
- Y14
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 77 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 10 Apr 2017to 13 Feb 2019
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- Men only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Adult males aged 18 to 65 years inclusive with BMI between 25.0 and 38.0 kg/m2 inclusive;
- (PART B only) Subjects who have normal glucose tolerance, Type 2 diabetes, impaired glucose tolerance or impaired fasting glucose according to WHO 2006 and 2011 criteria;
- Subjects who are otherwise healthy enough to participate, as determined by pre-study medical history, physical examination and 12-lead ECG;
- Subjects whose clinical laboratory test results are either within the normal range or if outside this range the abnormalities are judged to be not clinically relevant and are acceptable to the Investigator;
- Subjects who are negative for hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) I and II tests at screening;
- Subjects who are negative for drugs of abuse and alcohol tests at screening and admissions;
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- Subjects who are non-smokers for at least 3 months preceding screening;
- Subjects who agree to use medically acceptable methods of contraception for at least 3 months after study drug administration;
- Subjects who agree not to donate sperm for at least 3 months after study drug administration;
- Subjects who are able and willing to give written informed consent.
Who cannot join
- Subjects who do not conform to the above inclusion criteria;
- Subjects who have a clinically relevant history or presence of gastrointestinal (especially associated with vomiting), respiratory, renal, hepatic, haematological, lymphatic, neurological (especially if associated with balance disorders or vomiting e.g. migraine or labyrinthitis), cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders;
- Subjects who have a clinically relevant surgical history;
- Subjects who are currently taking any of the following classes of diabetes medications: thiazolidinediones, dipeptidyl peptidase IV inhibitors ('gliptins'), GLP-1 analogues, and insulin;
- Subjects who have a history of relevant and severe atopy e.g. asthma, angioedema requiring emergency treatment, severe hayfever requiring regular treatment (i.e. taking antihistamines and/or glucocorticoids more regularly than 3 times a week), severe eczema requiring regular treatment (i.e. taking antihistamines and/or glucocorticoids more regularly than 3 times a week);
- Subjects who have a history of relevant drug hypersensitivity;
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- Subjects who have a history of alcohol abuse or alcohol dependence according to DSMIV criteria within the last 2 years;
- Subjects who have a history of drug or substance abuse according to DSM-IV criteria within the last 2 years;
- Subjects who have a history of clinically significant migraine as judged by the Investigator. Subjects can be included if they have not had a migraine for the last 3 years;
- Subjects with a history of pancreatitis or pancreatic cancer;
- Subjects who consume more than 21 units of alcohol a week (unit = 1 glass of wine (125 mL) = 1 measure of spirits = ½ pint of beer);
- Subjects who have a significant infection or known inflammatory process on screening;
- Subjects who have acute gastrointestinal symptoms at the time of screening or admission (e.g. nausea, vomiting, diarrhoea, heartburn);
- Subjects who have an acute infection such as influenza at the time of screening or admission;
- Subjects who have used prescription drugs within 2 weeks of first dosing. For Part B, patients are allowed to be treated for their diabetes with monotherapy with a sulphonylurea, metformin, or a SGLT-2 inhibitor, dual therapy with any two of the following drug types: a sulphonylurea, metformin, and/or a SGLT-2 inhibitor; triple therapy with a sulphonylurea, metformin, and a SGLT-2 inhibitor. In addition patients in Part B are allowed to take hypolipidaemic and/or antihypertensive treatments, provided that the doses have not been altered within the 4 weeks prior to entering the study. Other medications may be allowed if the Investigator and Sponsor both agree that they will not affect the outcome of the study or the safety of the subject.
- Subjects who have used over the counter medication excluding routine vitamins and paracetamol but including megadose (intake of 20 to 600 times the recommended daily dose) vitamin therapy within 7 days of first dosing, unless agreed as not clinically relevant by the Principal Investigator and Sponsor;
- Subjects who have donated blood within 3 months prior to screening; Subjects who have donated plasma within the 7 days prior to screening; Subjects who have donated platelets within the 6 weeks prior to screening
- Subjects who have used any investigational drug in any clinical trial within 3 months of their first admission date;
- Subjects who have received the last dose of investigational drug greater than 3 months ago but who are on extended follow-up;
- Subjects who have previously received Y14;
- Subjects who are vegans, vegetarian or have any dietary restriction (unless agreed as not clinically relevant by the PI and Sponsors);
- Subjects who cannot communicate reliably with the Investigator;
- Subjects who are unlikely to co-operate with the requirements of the study;
- History or evidence of abnormal eating behaviour, as observed through the Dutch Eating Behaviour (DEBQ) and SCOFF questionnaires at screening.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomised, Placebo Controlled First in Human Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Y14 in Adult Subjects
A randomised, placebo controlled Phase I study to investigate investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of Y14 in adult subjects.
Read the detailed description
Objectives:
Primary Objective
- To investigate the safety and tolerability of single doses of Y14 in overweight/obese but otherwise healthy male subjects.
- To investigate the safety and tolerability of multiple doses of Y14 in overweight/obese male subjects with normal glucose tolerance, Type 2 diabetes or prediabetes.
Secondary Objectives
- To assess the pharmacokinetic (PK) profile of single doses of Y14 in overweight/obese but otherwise healthy male subjects.
- To assess the PK profile of multiple ascending doses of Y14 in overweight/obese male subjects with normal glucose tolerance, Type 2 diabetes or prediabetes.
Exploratory Objective
- To investigate the effects of multiple doses of Y14 on food consumption, body weight and glucose tolerance in overweight/obese male subjects with normal glucose tolerance, Type 2 diabetes or prediabetes.
- Conditions
- Diabetes Mellitus, Obesity
- Being tested
- Y14, Placebo
- Medical subject headings
- Diabetes Mellitus, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Y14Drug
Also called Gut hormone analogue
Gut hormone analogue
PlaceboDrug
Also called Saline
0.9% saline
| Study group | Role | What they receive |
|---|---|---|
| 1.0 mg Y14 (A1) | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 2.0 mg Y14 (A1) | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 6.0 mg Y14 (A1) | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 9.0 mg Y14 (A2) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 18.0 mg Y14 (A5) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 36.0 mg Y14 (A6) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| Placebo (B) | Placebo comparator | 5 subcutaneous injections of 0.9% saline, over a 4 week treatment period Receives: Drug: Placebo |
| 9-26.0 mg (B1) | Experimental | Y14 multiple dose, subcutaneous 5 doses over a 4 week treatment period: escalating doses to a max of 26 mg Receives: Drug: Y14 |
| 9-36 mg (B2) | Experimental | Y14 multiple dose, subcutaneous 4 doses over a 4 week treatment period: escalating doses to a max of 36 mg Receives: Drug: Y14 |
| 12-36 mg (B3) | Experimental | Y14 multiple dose, subcutaneous 4 doses over a 4 week treatment period: escalating doses to a max of 36 mg Receives: Drug: Y14 |
| Placebo (A) | Placebo comparator | Single subcutaneous injection of 0.9% saline Receives: Drug: Placebo |
| 9 mg Y14 (A3) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 9 mg Y14 (A4) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 18 mg Y14 (A7) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 36 mg Y14 (A8) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
| 36 mg Y14 (A9) with varied formulation | Experimental | Y14 single dose, subcutaneous Receives: Drug: Y14 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) (Safety and Tolerability)
As assessed by reporting of adverse events, vital signs, physical examination, clinical laboratory safety assessments, and ECG parameters.
Possibly or definitely related to study drug
Measured: Up to 73 days after dosing
Secondary outcomes (4)
Cmax
The maximum observed concentration
Measured: For Part A, Cohorts A3 to A9 - up to 840 hour post dose. For Part B - up to day 70 post 1st dose
AUC 0-72h
The area under the concentration versus time curve from time zero to 72 h postdose, calculated by the mixed linear/log trapezoidal rule
Measured: Up to 72hr after dosing
AUC 0-τ
The area under the concentration versus time curve within a (168 h) dosing interval, calculated by the mixed linear/log trapezoidal rule (equivalent to AUC0-168h, which was calculated as the area under the concentration versus time curve from time zero to 168 h post-dose after a single dose, calculated by the mixed linear/log trapezoidal rule).
Measured: Up to 168h after dosing
T 1/2
Drug Half-life (t1/2) is defined as the amount of time (hours) required for the drug concentration to be reduced to exactly half its initial concentration or amount in blood.
The apparent terminal half-life, calculated from Loge 2 / λz:
For Part A cohorts, it was not possible to estimate an unambiguous Tmax or T1/2 due to the extended PK profile of Y14.
For Part B cohorts, no individual administered dose half-life data were collected for this outcome, but one half-life value was measured after all doses had been administered and these values were analysed only for the treated-arms that is B1, B2 and B3.
Measured: For Part A, Cohorts A3 to A9 - up to 840 hour post dose. For Part B - up to day 70 post 1st dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Sep 2018
- Study start10 Apr 2017
- Primary completion13 Feb 2019
- Study completion13 Feb 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Imperial College LondonThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Double blind
- Who is masked
- Participant, Care provider
- Enrolment
- 77 participants (actual)
Sponsor and investigators
- Lead sponsor
- Imperial College London
- Sponsor type
- University, hospital or other
- Collaborators
- Medical Research Council, Covance
- Responsible party
- Sponsor
- Investigators
- Stephen Bloom, FMedSci, FRS, Study director, Sponsor Chief Investigator, Imperial College London
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03673111
- Sponsor's protocol ID
- ICIM/2016/Y14/01
- Other IDs
- 2017-000380-33, 2017
- Status last verified
- Mar 2025
- First submitted
- 23 May 2018
- Last updated
- 18 Mar 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Tan TM, Minnion J, Khoo B, Ball LJ, Malviya R, Day E, Fiorentino F, Brindley C, Bush J, Bloom SR. Safety and efficacy of an extended-release peptide YY analogue for obesity: A randomized, placebo-controlled, phase 1 trial. Diabetes Obes Metab. 2021 Jul;23(7):1471-1483. doi: 10.1111/dom.14358. Epub 2021 Mar 9.
PubMed 33606914
Study at a glance
From the registry record, last updated by the sponsor on 18 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Placebo Controlled First in Human Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Y14 in Adult Subjects
- ClinicalTrials.gov ID
- NCT03673111
- Acronym / sponsor ID
- ICIM/2016/Y14/01
- Conditions
- Diabetes Mellitus, Obesity
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 77 participants (actual)
- Lead sponsor
- Imperial College LondonUniversity, hospital or other
- Collaborators
- Medical Research Council, Covance
- Study start
- 10 Apr 2017 (actual)
- Primary completion
- 13 Feb 2019 (actual)
- Study completion
- 13 Feb 2019 (actual)
- First posted
- 17 Sep 2018 (actual)
- Results
- Posted 18 Mar 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A randomised, placebo controlled Phase I study to investigate investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of Y14 in adult subjects.
Detailed description
Objectives:
Primary Objective
- To investigate the safety and tolerability of single doses of Y14 in overweight/obese but otherwise healthy male subjects.
- To investigate the safety and tolerability of multiple doses of Y14 in overweight/obese male subjects with normal glucose tolerance, Type 2 diabetes or prediabetes.
Secondary Objectives
- To assess the pharmacokinetic (PK) profile of single doses of Y14 in overweight/obese but otherwise healthy male subjects.
- To assess the PK profile of multiple ascending doses of Y14 in overweight/obese male subjects with normal glucose tolerance, Type 2 diabetes or prediabetes.
Exploratory Objective
- To investigate the effects of multiple doses of Y14 on food consumption, body weight and glucose tolerance in overweight/obese male subjects with normal glucose tolerance, Type 2 diabetes or prediabetes.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Double blind (participant, care provider)
- Number of arms
- 16
| Arm | Type | Receives |
|---|---|---|
| 1.0 mg Y14 (A1) | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 2.0 mg Y14 (A1) | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 6.0 mg Y14 (A1) | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 9.0 mg Y14 (A2) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 18.0 mg Y14 (A5) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 36.0 mg Y14 (A6) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| Placebo (B) | Placebo comparator | Drug: Placebo5 subcutaneous injections of 0.9% saline, over a 4 week treatment period |
| 9-26.0 mg (B1) | Experimental | Drug: Y14Y14 multiple dose, subcutaneous 5 doses over a 4 week treatment period: escalating doses to a max of 26 mg |
| 9-36 mg (B2) | Experimental | Drug: Y14Y14 multiple dose, subcutaneous 4 doses over a 4 week treatment period: escalating doses to a max of 36 mg |
| 12-36 mg (B3) | Experimental | Drug: Y14Y14 multiple dose, subcutaneous 4 doses over a 4 week treatment period: escalating doses to a max of 36 mg |
| Placebo (A) | Placebo comparator | Drug: PlaceboSingle subcutaneous injection of 0.9% saline |
| 9 mg Y14 (A3) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 9 mg Y14 (A4) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 18 mg Y14 (A7) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 36 mg Y14 (A8) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
| 36 mg Y14 (A9) with varied formulation | Experimental | Drug: Y14Y14 single dose, subcutaneous |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Adult males aged 18 to 65 years inclusive with BMI between 25.0 and 38.0 kg/m2 inclusive;
- (PART B only) Subjects who have normal glucose tolerance, Type 2 diabetes, impaired glucose tolerance or impaired fasting glucose according to WHO 2006 and 2011 criteria;
- Subjects who are otherwise healthy enough to participate, as determined by pre-study medical history, physical examination and 12-lead ECG;
- Subjects whose clinical laboratory test results are either within the normal range or if outside this range the abnormalities are judged to be not clinically relevant and are acceptable to the Investigator;
- Subjects who are negative for hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) I and II tests at screening;
Key exclusion criteria (24 listed)
- Subjects who do not conform to the above inclusion criteria;
- Subjects who have a clinically relevant history or presence of gastrointestinal (especially associated with vomiting), respiratory, renal, hepatic, haematological, lymphatic, neurological (especially if associated with balance disorders or vomiting e.g. migraine or labyrinthitis), cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders;
- Subjects who have a clinically relevant surgical history;
- Subjects who are currently taking any of the following classes of diabetes medications: thiazolidinediones, dipeptidyl peptidase IV inhibitors ('gliptins'), GLP-1 analogues, and insulin;
- Subjects who have a history of relevant and severe atopy e.g. asthma, angioedema requiring emergency treatment, severe hayfever requiring regular treatment (i.e. taking antihistamines and/or glucocorticoids more regularly than 3 times a week), severe eczema requiring regular treatment (i.e. taking antihistamines and/or glucocorticoids more regularly than 3 times a week);
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Y14Also: Gut hormone analogueGut hormone analogue | Drug | 1.0 mg Y14 (A1), 12-36 mg (B3), 18 mg Y14 (A7) with varied formulation, 18.0 mg Y14 (A5) with varied formulation, 2.0 mg Y14 (A1), 36 mg Y14 (A8) with varied formulation, 36 mg Y14 (A9) with varied formulation, 36.0 mg Y14 (A6) with varied formulation, 6.0 mg Y14 (A1), 9 mg Y14 (A3) with varied formulation, 9 mg Y14 (A4) with varied formulation, 9-26.0 mg (B1), 9-36 mg (B2), 9.0 mg Y14 (A2) with varied formulation |
| PlaceboAlso: Saline0.9% saline | Drug | Placebo (A), Placebo (B) |
Primary outcome
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) (Safety and Tolerability)
Time frame: Up to 73 days after dosing
As assessed by reporting of adverse events, vital signs, physical examination, clinical laboratory safety assessments, and ECG parameters. Possibly or definitely related to study drug
4 secondary outcomes
Cmax
Time frame: For Part A, Cohorts A3 to A9 - up to 840 hour post dose. For Part B - up to day 70 post 1st dose
AUC 0-72h
Time frame: Up to 72hr after dosing
AUC 0-τ
Time frame: Up to 168h after dosing
T 1/2
Time frame: For Part A, Cohorts A3 to A9 - up to 840 hour post dose. For Part B - up to day 70 post 1st dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Mar 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 33606914Tan TM, Minnion J, Khoo B, Ball LJ, Malviya R, Day E, Fiorentino F, Brindley C, Bush J, Bloom SR. Safety and efficacy of an extended-release peptide YY analogue for obesity: A randomized, placebo-controlled, phase 1 trial. Diabetes Obes Metab. 2021 Jul;23(7):1471-1483. doi: 10.1111/dom.14358. Epub 2021 Mar 9.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Stephen Bloom, FMedSci, FRS study director
Sponsor Chief Investigator, Imperial College London
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Y14 in people with Diabetes Mellitus and Obesity, run by Imperial College London at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) (Safety and Tolerability) (time frame: Up to 73 days after dosing). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03673111, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Mar 2025.