Prostate CancerFAST-ONENCT07112781
Feasibility Trial of Single-Dose Radiotherapy for Localized Low and Intermediate Risk Prostate Cancer
A study testing Single Dose Radiotherapy in people with Prostate Cancer, run by Branch Office of "Hadassah Medical Ltd" at 1 site in Russia.
Trial summary
The goal of this study is to assess the feasibility of high-dose radiotherapy (Single-Dose Radiotherapy, SDRT) of 24 Gy in patients with localized low and intermediate risk prostate cancer using a special system of internal and external immobilization of the prostate gland. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- Single Dose Radiotherapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteRussia
- Study dates
- 24 Jul 2024to Aug 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed study specific informed consent form;
- Histologic confirmation of adenocarcinoma of the prostate by biopsy;
- Biopsy Gleason score ≤ 7;
- Up to 6 months of previous hormonal therapy is allowed (but not required);
- PSA ≤ 20 prior to hormone therapy (if given);
- No direct evidence of regional or distant metastases after appropriate staging studies (CT, MRI, 68Ga-Prostate-Specific Membrane Antigen (PSMA) Positron emission tomography (PET) / CT)
Show all 10Show fewer
- Age ≥ 18;
- Performance Status 0-2;
- International Prostate Symptom Score (IPSS) must be ≤ 15 (alpha blockers allowed)
- Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI) or Ultrasound-based volume estimation of prostate gland ≤ 100 cc
Who cannot join
- Positive lymph nodes or metastatic disease from prostate cancer on imaging studies (CT, MRI, 68Ga-Prostate-Specific Membrane Antigen (PSMA) Positron emission tomography (PET) / CT);
- Tumour Clinical stage T3 or T4 on MRI;
- Gleason score > 7;
- PSA > 20 ng/mL;
- Previous pelvic radiotherapy;
- Previous surgery for prostate cancer;
Show all 14Show fewer
- Recent transurethral resection of the prostate (TURP) (less than 3 months);
- Previous hormonal therapy given for more than 6 months prior to therapy;
- Prior invasive malignancy unless disease free for a minimum of 3 years;
- Previous significant urinary obstructive symptoms;
- Significant psychiatric illness;
- Ultrasound or CT or MRI estimate of prostate volume > 100 cc;
- Severe, active co-morbidity.
- Inability to fulfill all dosimetric criteria for target dose coverage and restrictions for the organs at risk according to study protocol;
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Russia1 site, 1 recruiting
- Recruiting
The Branch of Hadassah Medical LTD
Moscow, 121205
Sergey Usychkin, MD, +79166840574, s.usychkin@hadassah.moscow
Igor Utyashev, MD, +79265894252, i.utyashev@hadassah.moscow
About this study
Official title: Feasibility Trial of Single-Dose Radiotherapy for Localized Low and Intermediate Risk Prostate Cancer Using Special System of Internal and External Immobilization for Target Motion Mitigation
The goal of this study is to assess the feasibility of high-dose radiotherapy (Single-Dose Radiotherapy, SDRT) of 24 Gy in patients with localized low and intermediate risk prostate cancer using a special system of internal and external immobilization of the prostate gland.
Patients eligible for this study are classified according to the National Comprehensive Cancer Network (NCCN) guidelines as low or intermediate risk prostate cancer (Stage T1-T2c and/or Prostate Specific Antigen (PSA) level ≤20 ng/mL and/or Gleason score of ≤7).
Read more
The study will examine the technical feasibility of image-guided volumetrically-modulated arc therapy (VMAT-IGRT) with an emphasis on normal tissue sparing and precision of radiation delivery using dedicated devices (an air-filled endorectal balloon and a Foley catheter) that ensure target immobilization and reproducibility of prostate anatomical localization using a special external patient immobilization system, including patient placement on the patient transfer trolley, which allows patient transfer without removing the endorectal balloon and urinary catheter during all stages of simulation and treatment planning (MR, CT, Positron emission tomography (PET) / CT-simulation) and during the treatment session on the linear accelerator.
Previously untreated patients with localized prostate cancer of the low risk and favorable intermediate risk (NCCN) groups will receive SDRT at a dose of 24 Gy. In patients from the unfavourable intermediate risk (NCCN) group with a visible dominant intraprostatic lesion (DIL), local escalation of the DIL dose to 30 Gy will be performed.
Patients will be followed up at one week and one month after completion of treatment, then every 3 months for 24 months (+/- 4 weeks), and every 6 months thereafter. Evaluation of early and late adverse events will focus, although not exclusively, on the genitourinary and gastrointestinal toxicity, primarily the rectal toxicity. Serum prostate-specific antigen (PSA) levels will be determined according to the clinical follow-up schedule. Multiparametric magnetic resonance imaging (mpMRI) with intravenous contrast will be performed at baseline and at 6-, 12-, and 24-months post-intervention. Participants of the study will be followed up for at least 2 years after treatment.
Read the detailed description
This study evaluates the clinical outcomes and potential adverse events associated with external beam single-dose radiotherapy (SDRT) using a dedicated internal and external target immobilization system in patients with low- and intermediate-risk localized prostate adenocarcinoma.
The findings from recently published randomized trial demonstrate that five-fraction SBRT is a robust and viable alternative to moderately fractionated radiotherapy for prostate cancer, demonstrating equivalent efficacy with enhanced convenience for patients. The high 5-year biochemical control rates, tolerability of treatment, coupled with the significant advancements in radiotherapy delivery, underscore the potential of Stereotactic Body Radiation Therapy (SBRT) use in prostate cancer treatment.
The feasibility of Single-Dose RadioTherapy (SDRT) in localized prostate cancer was tested in the randomized PROSINT trial comparing 5-session ultra-hypofractionated radiotherapy course with a Single Dose of 24 Gy radiotherapy. The 4-year results of this trial were recently published. The adverse event profile in both comparison groups was exceptionally good, with no severe adverse events of 3 or higher according to the NCI CTCAE v.4.0 scale and similar biochemical tumor response to both treatment regimens.
Patients enrolled in this trial will undergo volumetric intensity modulation arc therapy (VMAT-IGRT) using state-of-the-art dosimetric radiation therapy planning and quality assurance procedures with an emphasis on normal tissue sparing and precision of radiation delivery using dedicated devices that ensure target immobilization and reproducibility of prostate anatomical localization. A special endorectal balloon filled with air will be used for immobilization of the target in the prostate gland and anatomical reproducibility, while a urethral Foley catheter will be used to ensure reproducibility of the urethral position and online tracking of the prostate gland position (during the entire radiotherapy session). The study will also examine the technical feasibility of using a special external patient immobilization system, including patient positioning on a patient transfer trolley, which allows for patient transfer without removing the endorectal balloon and urinary catheter from the table at all stages of pre-radiation preparation (MR, CT, Positron emission tomography (PET) / CT simulation) and during the treatment session on the linear accelerator. Previously untreated patients with localized prostate cancer in the low risk and favorable intermediate risk (NCCN) groups will receive SDRT at a dose of 24 Gy. In patients in the unfavourable intermediate risk (NCCN) group with a visible dominant intraprostatic lesion (DIL), local dose escalation per DIL to 30 Gy will be performed.
Patients will be followed up at one week and one month after completion of treatment, then every 3 months for 24 months (+/- 4 weeks), and every 6 months thereafter. Evaluation of early and late adverse events will focus, although not exclusively, on the genitourinary and gastrointestinal tracts, primarily the rectum. Serum prostate-specific antigen (PSA) levels will be determined according to the clinical follow-up schedule. Multiparametric magnetic resonance imaging (mpMRI) with intravenous contrast will be performed at baseline and at 6-, 12-, and 24-months post-intervention. The study participants will be followed up for at least 2 years.
- Conditions
- Prostate Cancer
- Being tested
- Single Dose Radiotherapy
- Keywords
- Prostate Cancer, Radiotherapy
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Single Dose RadiotherapyRadiation
Procedure: external-beam radiotherapy (EBRT) on a linear accelerator with a dose 24 Gy in one session using technique of image-guided volumetric intensity modulation arc therapy (VMAT-IGRT) and a set of dedicated devices that ensure target immobilization and reproducibility of prostate anatomical localization during treatment. A special air-filled endorectal balloon will be used for immobilization of the prostate and anatomical reproducibility of organs at risk during treatment. A Foley catheter will be used to ensure reproducibility of the urethral position and online tracking of the prostate gland position during treatment. A special external immobilization system, including patient positioning on a patient transfer trolley, which allows for patient transfer without removing the endorectal balloon and urinary catheter from the table at all stages of pre-radiation preparation (MR, CT, Positron emission tomography (PET) / CT simulation) and during the treatment.
| Study group | Role | What they receive |
|---|---|---|
| Single-Dose Radiotherapy (SDRT) | Experimental | Patients will be treated using image-guided, volumetric intensity-modulated arc radiotherapy (IGRT-VMAT) with emphasis on normal tissue sparing and delivery accuracy via the use of devices that ensure stability and beam location reproducibility. Patients will be treated with a single fraction at a prescription dose of 24 Gy. In patients in the unfavourable intermediate risk (NCCN) group with a visible dominant intraprostatic lesion (DIL), local dose escalation per DIL to 30 Gy will be performed. Receives: Radiation: Single Dose Radiotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of patients with treatment-related adverse events as assessed by Common Toxicity Criteria for Adverse Effects v4.0
Assessment of treatment related adverse events as measured by Common Toxicity Criteria for Adverse Effects v4.0 over a 5 year time frame.
Measured: 2 years
Concentration of serum PSA
Changes of serum PSA after treatment
Measured: 2 years
Biochemical relapse-free survival (bRFS)
Biochemical relapse-free survival rate (Phoenix Definition)
Measured: 2 years
Secondary outcomes (3)
Expanded Prostate Cancer Index Composite (EPIC) Questionnaire to measure quality of life
Quality of life is measured on a scale of 0 to 100, with higher scores representing a higher quality of life.
Measured: 2 years
International Index of Erectile Function (IIEF) Questionnaire to assess sexual function
Sexual function is measured on a scale of 0 to 75, with higher scores representing higher sexual function.
Measured: 2 years
Primary prostate tumor response based on multi-parametric MRI imaging
Assessment of tumor response based on prostate multi-parametric MRI changes after treatment
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Aug 2025
- Study start24 Jul 2024
- Primary completionAug 2027 (estimated)
- Study completionAug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- 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 N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Branch Office of "Hadassah Medical Ltd"
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Sergey Usychkin, MD, Principal investigator, Chief Radiation Oncologist
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07112781
- Sponsor's protocol ID
- FAST-ONE
- Acronym
- FAST-ONE
- Status last verified
- Aug 2025
- First submitted
- 2 Aug 2025
- Last updated
- 13 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Feasibility Trial of Single-Dose Radiotherapy for Localized Low and Intermediate Risk Prostate Cancer Using Special System of Internal and External Immobilization for Target Motion Mitigation
- ClinicalTrials.gov ID
- NCT07112781
- Acronym / sponsor ID
- FAST-ONE / FAST-ONE
- Conditions
- Prostate Cancer
- Keywords
- Prostate Cancer, Radiotherapy
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Branch Office of "Hadassah Medical Ltd"University, hospital or other
- Study start
- 24 Jul 2024 (actual)
- Primary completion
- Aug 2027 (estimated)
- Study completion
- Aug 2027 (estimated)
- First posted
- 8 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this study is to assess the feasibility of high-dose radiotherapy (Single-Dose Radiotherapy, SDRT) of 24 Gy in patients with localized low and intermediate risk prostate cancer using a special system of internal and external immobilization of the prostate gland.
Patients eligible for this study are classified according to the National Comprehensive Cancer Network (NCCN) guidelines as low or intermediate risk prostate cancer (Stage T1-T2c and/or Prostate Specific Antigen (PSA) level ≤20 ng/mL and/or Gleason score of ≤7).
The study will examine the technical feasibility of image-guided volumetrically-modulated arc therapy (VMAT-IGRT) with an emphasis on normal tissue sparing and precision of radiation delivery using dedicated devices (an air-filled endorectal balloon and a Foley catheter) that ensure target immobilization and reproducibility of prostate anatomical localization using a special external patient immobilization system, including patient placement on the patient transfer trolley, which allows patient transfer without removing the endorectal balloon and urinary catheter during all stages of simulation and treatment planning (MR, CT, Positron emission tomography (PET) / CT-simulation) and during the treatment session on the linear accelerator.
Previously untreated patients with localized prostate cancer of the low risk and favorable intermediate risk (NCCN) groups will receive SDRT at a dose of 24 Gy. In patients from the unfavourable intermediate risk (NCCN) group with a visible dominant intraprostatic lesion (DIL), local escalation of the DIL dose to 30 Gy will be performed.
Patients will be followed up at one week and one month after completion of treatment, then every 3 months for 24 months (+/- 4 weeks), and every 6 months thereafter. Evaluation of early and late adverse events will focus, although not exclusively, on the genitourinary and gastrointestinal toxicity, primarily the rectal toxicity. Serum prostate-specific antigen (PSA) levels will be determined according to the clinical follow-up schedule. Multiparametric magnetic resonance imaging (mpMRI) with intravenous contrast will be performed at baseline and at 6-, 12-, and 24-months post-intervention. Participants of the study will be followed up for at least 2 years after treatment.
Detailed description
This study evaluates the clinical outcomes and potential adverse events associated with external beam single-dose radiotherapy (SDRT) using a dedicated internal and external target immobilization system in patients with low- and intermediate-risk localized prostate adenocarcinoma.
The findings from recently published randomized trial demonstrate that five-fraction SBRT is a robust and viable alternative to moderately fractionated radiotherapy for prostate cancer, demonstrating equivalent efficacy with enhanced convenience for patients. The high 5-year biochemical control rates, tolerability of treatment, coupled with the significant advancements in radiotherapy delivery, underscore the potential of Stereotactic Body Radiation Therapy (SBRT) use in prostate cancer treatment.
The feasibility of Single-Dose RadioTherapy (SDRT) in localized prostate cancer was tested in the randomized PROSINT trial comparing 5-session ultra-hypofractionated radiotherapy course with a Single Dose of 24 Gy radiotherapy. The 4-year results of this trial were recently published. The adverse event profile in both comparison groups was exceptionally good, with no severe adverse events of 3 or higher according to the NCI CTCAE v.4.0 scale and similar biochemical tumor response to both treatment regimens.
Patients enrolled in this trial will undergo volumetric intensity modulation arc therapy (VMAT-IGRT) using state-of-the-art dosimetric radiation therapy planning and quality assurance procedures with an emphasis on normal tissue sparing and precision of radiation delivery using dedicated devices that ensure target immobilization and reproducibility of prostate anatomical localization. A special endorectal balloon filled with air will be used for immobilization of the target in the prostate gland and anatomical reproducibility, while a urethral Foley catheter will be used to ensure reproducibility of the urethral position and online tracking of the prostate gland position (during the entire radiotherapy session). The study will also examine the technical feasibility of using a special external patient immobilization system, including patient positioning on a patient transfer trolley, which allows for patient transfer without removing the endorectal balloon and urinary catheter from the table at all stages of pre-radiation preparation (MR, CT, Positron emission tomography (PET) / CT simulation) and during the treatment session on the linear accelerator. Previously untreated patients with localized prostate cancer in the low risk and favorable intermediate risk (NCCN) groups will receive SDRT at a dose of 24 Gy. In patients in the unfavourable intermediate risk (NCCN) group with a visible dominant intraprostatic lesion (DIL), local dose escalation per DIL to 30 Gy will be performed.
Patients will be followed up at one week and one month after completion of treatment, then every 3 months for 24 months (+/- 4 weeks), and every 6 months thereafter. Evaluation of early and late adverse events will focus, although not exclusively, on the genitourinary and gastrointestinal tracts, primarily the rectum. Serum prostate-specific antigen (PSA) levels will be determined according to the clinical follow-up schedule. Multiparametric magnetic resonance imaging (mpMRI) with intravenous contrast will be performed at baseline and at 6-, 12-, and 24-months post-intervention. The study participants will be followed up for at least 2 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single-Dose Radiotherapy (SDRT) | Experimental | Radiation: Single Dose RadiotherapyPatients will be treated using image-guided, volumetric intensity-modulated arc radiotherapy (IGRT-VMAT) with emphasis on normal tissue sparing and delivery accuracy via the use of devices that ensure stability and beam location reproducibility. Patients will be treated with a single fraction at a prescription dose of 24 Gy. In patients in the unfavourable intermediate risk (NCCN) group with a visible dominant intraprostatic lesion (DIL), local dose escalation per DIL to 30 Gy will be performed. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Signed study specific informed consent form;
- Histologic confirmation of adenocarcinoma of the prostate by biopsy;
- Biopsy Gleason score ≤ 7;
- Up to 6 months of previous hormonal therapy is allowed (but not required);
- PSA ≤ 20 prior to hormone therapy (if given);
Key exclusion criteria (14 listed)
- Positive lymph nodes or metastatic disease from prostate cancer on imaging studies (CT, MRI, 68Ga-Prostate-Specific Membrane Antigen (PSMA) Positron emission tomography (PET) / CT);
- Tumour Clinical stage T3 or T4 on MRI;
- Gleason score > 7;
- PSA > 20 ng/mL;
- Previous pelvic radiotherapy;
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 |
|---|---|---|
| Single Dose RadiotherapyProcedure: external-beam radiotherapy (EBRT) on a linear accelerator with a dose 24 Gy in one session using technique of image-guided volumetric intensity modulation arc therapy (VMAT-IGRT) and a set of dedicated devices that ensure target immobilization and reproducibility of prostate anatomical localization during treatment. A special air-filled endorectal balloon will be used for immobilization of the prostate and anatomical reproducibility of organs at risk during treatment. A Foley catheter will be used to ensure reproducibility of the urethral position and online tracking of the prostate gland position during treatment. A special external immobilization system, including patient positioning on a patient transfer trolley, which allows for patient transfer without removing the endorectal balloon and urinary catheter from the table at all stages of pre-radiation preparation (MR, CT, Positron emission tomography (PET) / CT simulation) and during the treatment. | Radiation | Single-Dose Radiotherapy (SDRT) |
Primary outcome
Number of patients with treatment-related adverse events as assessed by Common Toxicity Criteria for Adverse Effects v4.0
Time frame: 2 years
Assessment of treatment related adverse events as measured by Common Toxicity Criteria for Adverse Effects v4.0 over a 5 year time frame.
Concentration of serum PSA
Time frame: 2 years
Changes of serum PSA after treatment
Biochemical relapse-free survival (bRFS)
Time frame: 2 years
Biochemical relapse-free survival rate (Phoenix Definition)
3 secondary outcomes
Expanded Prostate Cancer Index Composite (EPIC) Questionnaire to measure quality of life
Time frame: 2 years
International Index of Erectile Function (IIEF) Questionnaire to assess sexual function
Time frame: 2 years
Primary prostate tumor response based on multi-parametric MRI imaging
Time frame: 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Aug 2025.
- Individual participant dataSharing planned: No
Related trials for Prostate Cancer
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
Active, not recruitingObservational study
MRI Fusion Biopsy vs. Micro-Ultrasound Guided Biopsy
Prostate Cancer
Enrolling by invitationObservational study
Natural History Study of Early Life Exposures in Agriculture (ELEA)
Prostate Cancer, Leukemia
Not yet recruitingPhase 1/2
STAR0602 With Nivolumab in Non Small Cell Lung Cancer and in Metastatic Castrate-Resistant Prostate Cancer, and STAR0602 Alone in Thymic Carcinoma
NSCLC, Non-Small Cell Lung Cancer
Recruiting
Rehabilitation and Sex Therapy to Optimize Recovery After Prostate Cancer Treatment
Prostate Cancer, Urinary Incontinence
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.
Sergey Usychkin, MD principal investigator
Chief Radiation Oncologist
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Single Dose Radiotherapy in people with Prostate Cancer, run by Branch Office of "Hadassah Medical Ltd" at 1 site in Russia.
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 14 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: looking for participants now, as of the sponsor's last update on 13 Aug 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 Russia. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sergey Usychkin, MD (+79166840574, s.usychkin@hadassah.moscow), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of patients with treatment-related adverse events as assessed by Common Toxicity Criteria for Adverse Effects v4.0 (time frame: 2 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Aug 2025.