A Phase 1 interventional study of Placebo and PF-04937319 in Type 2 Diabetes Mellitus, sponsored by Pfizer. Completed at 3 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-03-10.
Sponsored by Pfizer · Phase 1, Interventional, and Other
The purpose of this study is to characterize the safety, tolerability, pharmacokinetics, and pharmacodynamics of PF-04937319 following single escalating oral doses in adult subjects with Type 2 Diabetes Mellitus (T2DM).
The purpose of this phase 1 study is to characterize the safety, tolerability, pharmacokinetics, and pharmacodynamics of PF04937319 following single escalating oral doses in adult subjects with T2DM.
9,590 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,332 are open to participants now.
This study's enrollment of 50 is below the median of 81 across 7,713 interventional studies indexed under Diabetes Mellitus, Type 2.
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In each ascending-dose cohort, approximately 6 subjects will receive active treatment and 3 will receive placebo.
Drug: Placebo
In each ascending-dose cohort, approximately 6 subjects will receive active treatment and 3 will receive placebo. There will be approximately 6 dosing levels of PF-04937319
Drug: PF-04937319
Placebo to match PF-04937319 will be provided.
The initial planned dosing schedule is: 10, 30, 100, 200, and 400 mg, with one cohort to be determined. Doses shown may be adjusted upwards or downwards and may be adjusted to include intermediate doses. All doses will be administered as a single oral dose as a powder-in-capsule (PIC) formulation. PF-04937319 will be supplied as 10 mg and 80 mg (and potentially 1 mg) PIC.
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. An 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. Treatment-emergent are events between first dose of study medication and up to 10 days after last dose that were absent before treatment or that worsened relative to pretreatment state.
Time frame: Day 1 up to 10 days after last dose of study medication (up to 11 days)
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
Area under the plasma concentration-time curve from zero to the last measured concentration (AUClast).
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Maximum Observed Plasma Concentration (Cmax)
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Apparent Oral Clearance (CL/F)
Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Apparent Volume of Distribution (Vz/F)
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Plasma Decay Half-Life (t1/2)
Plasma decay half-life (t1/2) is the time measured for the plasma concentration to decrease by one half.
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf)
AUCinf is the area under the plasma concentration versus time curve from time zero to extrapolated infinite time.
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Change From Baseline in Ratio of C-peptide Area Under Curve (C-peptide AUC) to Glucose Area Under Curve (Glucose AUC) After a Mixed Meal Tolerance Test (MMTT) on Day 1
Ratio of area under the plasma C-peptide concentration-time curve from time 2 to 6 hrs (in terms of nanogram\*deciliter\*hour \[ng\*dL\*hour\]) to area under the plasma glucose concentration-time curve from time 2 to 6 hrs (in terms of milligram\*milliliter\*hour \[mg\*mL\*hour\]) was calculated. Linear trapezoidal method was used to compute AUC. The change in ratio from baseline (Day -1) was calculated at Day 1.
Time frame: -46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hours pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hours post-dose on Day 1
Percent Change From Baseline in Post-Prandial Glucose Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) on Day 1
Percent change from baseline in post-prandial area under the plasma glucose concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.
Time frame: -46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 1
Percent Change From Baseline in Post-Prandial Insulin Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) on Day 1
Percent change from baseline in post-prandial area under the plasma insulin concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.
Time frame: -46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 1
Percent Change From Baseline in Post-Prandial C-peptide Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) on Day 1
Percent change from baseline in post-prandial area under the plasma C-peptide concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.
Time frame: -46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 1
Change From Baseline in Ratio of Insulin Delta C30 to Glucose Delta C30 After a Mixed Meal Tolerance Test (MMTT) on Day 1
Ratio of insulin delta C30 (in terms of milliunits\*deciliter \[mU\*dL\]) to glucose delta C30 (in terms of milligram\*liter \[mg\*liter\]) was calculated. The change in ratio from baseline (Day -1) was calculated at Day 1.
Time frame: -46, -45.5 hrs pre-dose on Day -1; 2, 2.5 hrs post-dose on Day 1
Change From Baseline in Ratio of C-peptide Delta C30 to Glucose Delta C30 After a Mixed Meal Tolerance Test (MMTT)
Ratio of C-peptide Delta C30 (in terms of nanogram\*deciliter \[ng\*dL\]) to glucose delta C30 (in terms of milligram\*milliliter \[mg\*mL\]) was calculated. The change in ratio from baseline (Day -1) was calculated at Day 1.
Time frame: -46, -45.5 hrs pre-dose on Day -1; 2, 2.5 hrs post-dose on Day 1
Change From Baseline in Ratio of Insulin Area Under Curve (Insulin AUC) to Glucose Area Under Curve (Glucose AUC) After a Mixed Meal Tolerance Test (MMTT) on Day 1
Ratio of area under the plasma insulin concentration-time curve from time 2 to 6 hrs (in terms of milliunit\*deciliter\*hour \[mU\*dL\*hour\]) to area under the plasma glucose concentration-time curve from time 2 to 6 hrs (in terms of milligram\*liter\*hour \[mg\*liter\*hour\]) was calculated. Linear trapezoidal method was used to compute AUC. The change in ratio from baseline (Day -1) was calculated at Day 1.
Time frame: -46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 1
| Milestone | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Started | 6 | 6 | 6 | 6 | 5 | 5 | 16 |
| Completed | 6 | 6 | 6 | 6 | 5 | 5 | 16 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. An 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. Treatment-emergent are events between first dose of study medication and up to 10 days after last dose that were absent before treatment or that worsened relative to pretreatment state.
| participants | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| AEs | 1 | 4 | 1 | 3 | 3 | 3 | 0 |
| SAEs | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Ratio of area under the plasma C-peptide concentration-time curve from time 2 to 6 hrs (in terms of nanogram\*deciliter\*hour \[ng\*dL\*hour\]) to area under the plasma glucose concentration-time curve from time 2 to 6 hrs (in terms of milligram\*milliliter\*hour \[mg\*mL\*hour\]) was calculated. Linear trapezoidal method was used to compute AUC. The change in ratio from baseline (Day -1) was calculated at Day 1.
| (ng*dL*hour)/(mg*mL*hour) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Baseline (n= 5,6,6,6,5,5,15) | 0.02 ± 0.012 | 0.03 ± 0.014 | 0.03 ± 0.020 | 0.03 ± 0.009 | 0.03 ± 0.009 | 0.03 ± 0.009 | 0.03 ± 0.013 |
| Change at Day 1 (n= 5,5,6,6,5,5,15) | 0.00 ± 0.002 | 0.00 ± 0.004 | 0.00 ± 0.013 | 0.01 ± 0.003 | 0.01 ± 0.005 | 0.01 ± 0.008 | 0.00 ± 0.005 |
Area under the plasma concentration-time curve from zero to the last measured concentration (AUClast).
| nanogram*hour per milliliter | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg |
|---|---|---|---|---|---|---|
| Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) | 475.2 ± 13 | 1362 ± 34 | 4418 ± 21 | 10640 ± 33 | 10830 ± 29 | 19970 ± 11 |
| nanogram per milliliter (ng/mL) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg |
|---|---|---|---|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) | 72.29 ± 25 | 124.9 ± 17 | 339.8 ± 34 | 756.6 ± 59 | 769.9 ± 50 | 1050 ± 24 |
| hour | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg |
|---|---|---|---|---|---|---|
| Time to Reach Maximum Observed Plasma Concentration (Tmax) | 2.48 (1.95 to 3.00) | 2.50 (1.00 to 6.00) | 3.00 (1.95 to 8.00) | 3.50 (3.00 to 6.00) | 6.00 (1.92 to 6.00) | 7.98 (3.00 to 12.0) |
Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
| milliliter per minute (mL/min) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg |
|---|---|---|---|---|---|---|
| Apparent Oral Clearance (CL/F) | 344.8 ± 13 | 360.9 ± 37 | 364.4 ± 26 | 464.2 ± 40 | 690.3 ± 28 | 481.8 ± 10 |
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.
| liter | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg |
|---|---|---|---|---|---|---|
| Apparent Volume of Distribution (Vz/F) | 154.0 ± 12 | 204.6 ± 42 | 254.4 ± 25 | 284.1 ± 76 | 379.2 ± 25 | 399.3 ± 23 |
Plasma decay half-life (t1/2) is the time measured for the plasma concentration to decrease by one half.
| hour | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg |
|---|---|---|---|---|---|---|
| Plasma Decay Half-Life (t1/2) | 5.203 ± 0.74888 | 6.592 ± 0.79893 | 8.632 ± 3.3756 | 7.366 ± 2.4225 | 6.410 ± 1.0422 | 12.79 ± 6.3392 |
Percent change from baseline in post-prandial area under the plasma glucose concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.
| percent change | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Percent Change From Baseline in Post-Prandial Glucose Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) on Day 1 | 8.58 ± 8.428 | -15.22 ± 8.887 | 4.96 ± 31.567 | -11.72 ± 8.350 | -10.81 ± 10.017 | -23.21 ± 10.207 | -0.45 ± 13.041 |
Percent change from baseline in post-prandial area under the plasma insulin concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.
| percent change | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Percent Change From Baseline in Post-Prandial Insulin Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) on Day 1 | 30.98 ± 21.327 | 10.72 ± 13.424 | 0.22 ± 26.086 | 2.03 ± 15.622 | 35.61 ± 28.235 | 9.30 ± 38.556 | 6.35 ± 25.752 |
Percent change from baseline in post-prandial area under the plasma C-peptide concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.
| percent change | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Percent Change From Baseline in Post-Prandial C-peptide Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) on Day 1 | 14.10 ± 3.749 | -0.63 ± 14.664 | 1.79 ± 17.426 | 8.23 ± 8.101 | 21.13 ± 8.037 | 12.51 ± 19.188 | 6.09 ± 18.625 |
Ratio of insulin delta C30 (in terms of milliunits\*deciliter \[mU\*dL\]) to glucose delta C30 (in terms of milligram\*liter \[mg\*liter\]) was calculated. The change in ratio from baseline (Day -1) was calculated at Day 1.
| (mU*dL)/(mg*Liter) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Baseline | 0.70 ± 0.627 | 4.59 ± 6.935 | 1.92 ± 2.759 | 0.77 ± 0.289 | 0.73 ± 0.265 | 0.85 ± 0.631 | 1.15 ± 0.798 |
| Change at Day 1 | -0.04 ± 0.427 | -3.20 ± 7.093 | -0.81 ± 1.891 | 0.25 ± 0.090 | 1.89 ± 3.894 | 0.74 ± 0.675 | -0.05 ± 0.607 |
Ratio of C-peptide Delta C30 (in terms of nanogram\*deciliter \[ng\*dL\]) to glucose delta C30 (in terms of milligram\*milliliter \[mg\*mL\]) was calculated. The change in ratio from baseline (Day -1) was calculated at Day 1.
| (ng*dL)/(mg*mL) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Baseline | 0.04 ± 0.034 | 0.16 ± 0.293 | 0.05 ± 0.064 | 0.03 ± 0.011 | 0.02 ± 0.008 | 0.05 ± 0.038 | 0.04 ± 0.023 |
| Change at Day 1 | -0.01 ± 0.018 | -0.12 ± 0.283 | -0.02 ± 0.050 | 0.01 ± 0.006 | 0.13 ± 0.240 | 0.02 ± 0.029 | 0.00 ± 0.025 |
Ratio of area under the plasma insulin concentration-time curve from time 2 to 6 hrs (in terms of milliunit\*deciliter\*hour \[mU\*dL\*hour\]) to area under the plasma glucose concentration-time curve from time 2 to 6 hrs (in terms of milligram\*liter\*hour \[mg\*liter\*hour\]) was calculated. Linear trapezoidal method was used to compute AUC. The change in ratio from baseline (Day -1) was calculated at Day 1.
| (mU*dL*hour)/(mg*liter*hour) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| Baseline (n= 5,5,6,6,5,5,14) | 0.24 ± 0.118 | 0.32 ± 0.257 | 0.48 ± 0.452 | 0.36 ± 0.142 | 0.29 ± 0.085 | 0.38 ± 0.310 | 0.34 ± 0.222 |
| Change at Day 1 (n= 5,4,6,5,5,5,14) | 0.03 ± 0.036 | 0.10 ± 0.104 | -0.12 ± 0.235 | 0.04 ± 0.062 | 0.16 ± 0.104 | 0.10 ± 0.169 | 0.01 ± 0.071 |
AUCinf is the area under the plasma concentration versus time curve from time zero to extrapolated infinite time.
| nanogram*hour per milliliter | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg |
|---|---|---|---|---|---|---|
| Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) | 483.3 ± 13 | 1385 ± 34 | 4570 ± 23 | 10770 ± 35 | 11590 ± 28 | 22130 ± 9 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| PF-04937319 10 mg | — | 0/6 (0%) | 1/6 (16.7%) |
| PF-04937319 30 mg | — | 0/6 (0%) | 4/6 (66.7%) |
| PF-04937319 100 mg | — | 0/6 (0%) | 1/6 (16.7%) |
| PF-04937319 300 mg | — | 0/6 (0%) | 3/6 (50%) |
| PF-04937319 480 mg | — | 0/5 (0%) | 3/5 (60%) |
| PF-04937319 640 mg | — | 0/5 (0%) | 3/5 (60%) |
| Placebo | — | 0/16 (0%) | 0/16 (0%) |
| Event | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo |
|---|---|---|---|---|---|---|---|
| HypoglycaemiaMetabolism and nutrition disorders | 0/6 | 1/6 | 0/6 | 2/6 | 2/5 | 2/5 | 0/16 |
| HeadacheNervous system disorders | 0/6 | 1/6 | 0/6 | 1/6 | 2/5 | 0/5 | 0/16 |
| FlatulenceGastrointestinal disorders | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 1/5 | 0/16 |
| NauseaGastrointestinal disorders | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 1/5 | 0/16 |
| VomitingGastrointestinal disorders | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 1/5 | 0/16 |
| Application site dermatitisGeneral disorders | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 1/5 | 0/16 |
| DizzinessNervous system disorders | 0/6 | 0/6 | 0/6 | 0/6 | 1/5 | 0/5 | 0/16 |
| Dermatitis contactSkin and subcutaneous tissue disorders | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 1/5 | 0/16 |
| Sinus tachycardiaCardiac disorders | 1/6 | 0/6 | 0/6 | 0/6 | 0/5 | 0/5 | 0/16 |
| ExcoriationInjury, poisoning and procedural complications | 0/6 | 1/6 | 0/6 | 0/6 | 0/5 | 0/5 | 0/16 |
Safety analysis set included all participants who received at least 1 dose of study medication.
| Age, Continuous(years) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 55.0 ± 9.0 | 52.2 ± 8.8 | 52.0 ± 6.8 | 58.8 ± 4.6 | 55.0 ± 8.1 | 49.0 ± 10.0 | 53.7 ± 7.8 | 53.7 ± 7.9 |
| Sex: Female, Male(Participants) | PF-04937319 10 mg | PF-04937319 30 mg | PF-04937319 100 mg | PF-04937319 300 mg | PF-04937319 480 mg | PF-04937319 640 mg | Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 4 | 2 | 3 | 2 | 0 | 1 | 4 | 16 |
| Male | 2 | 4 | 3 | 4 | 5 | 4 | 12 | 34 |
The record gives a start of Feb 2010, a primary completion of May 2010 and a completion of May 2010. It does not say whether these dates are actual or estimated.
Results were first posted in Mar 2017, 6 years 10 months after primary completion.
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