CClinicalTrials.gg
CompletedNCT01193218Updated Jun 17, 2014Results posted

Empagliflozin (BI 10773) Dose Finder Study in Japanese Patients With Type 2 Diabetes Mellitus

A Phase 2 interventional study of Placebo (low dose) and Placebo (low dose) in Diabetes Mellitus, Type 2, sponsored by Boehringer Ingelheim. Completed at 32 sites in Japan. Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2014-06-17.

Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
547
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
All
01

Study summary

This study is conducted to determine the most appropriate therapeutic doses of BI 10773 in Japanese patients with T2DM at first treatment period. The second treatment period is required to obtain sufficient safety data (one-year exposure to BI 10773) in Japanese patients with T2DM according to the ICH E1 guideline.

02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,318 are open to participants now.

This study's enrollment of 547 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of type 2 diabetes mellitus prior to informed consent
  • Male and female patients on diet and exercise regimen who are:

    1. drug-naïve, defined as no antidiabetic drugs for 10 weeks prior to informed consent.
    2. pre-treated with one oral antidiabetic drug; the present antidiabetic therapy has to be unchanged for 10 weeks prior to informed consent.
  • HbA1c at Visit 1a:

    1. for patients who are drug naïve: HbA1c >=7.0 to =\<10.0%
    2. for patients treated with one oral antidiabetic drug: HbA1c >=6.5 to =\<9.0%
  • HbA1c of >=7.0% and =\<10% at Visit 2 (start of run-in)

Exclusion criteria

Exclusion criteria:

  • Uncontrolled hyperglycaemia with a glucose level >240 mg/dL (>13.3 mmol/L) after an overnight fast during wash-out/placebo run-in period and confirmed by a second measurement (not on the same day).
  • Acute coronary syndromes, stroke or transient ischaemic attack within 12 weeks prior to informed consent
  • Impaired renal function, defined as calculated eGFR \<60 ml/min (MDRD formula) during screening and/or wash-out period and/or run-in phase.
  • Bariatric surgery within the past 2 years and other gastrointestinal surgeries that induce chronic malabsorption
  • Blood dyscrasias or any disorders causing hemolysis or unstable Red Blood Cell (e.g. malaria, babesiosis, haemolytic anemia)
  • Treatment with anti-obesity drugs (e.g. sibutramine, mazindol) 12 weeks prior to informed consent or any other treatment at the time of screening (i.e. surgery, aggressive diet regimen, etc.) leading to unstable body weight
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
547 participants (actual)

Study arms

  • Experimental
    BI 10773 low dose QD

    BI 10773 tablets low dose once a day

    Drug: Placebo (mid dose) · Drug: Placebo (high dose) · Drug: BI 10773

  • Experimental
    BI 10773 mid-low dose QD

    BI 10773 tablets mid-low dose once a day

    Drug: Placebo (high dose) · Drug: Placebo (low dose) · Drug: BI 10773

  • Experimental
    BI 10773 mid-high dose QD

    BI 10773 tablets mid-high dose once a day

    Drug: BI 10773 · Drug: Placebo (high dose) · Drug: Placebo (low dose) · Drug: Placebo (mid dose)

  • Experimental
    BI 10773 high dose QD

    BI 10773 tablets high dose once a day

    Drug: Placebo (low dose) · Drug: Placebo (mid dose) · Drug: BI 10773

  • Placebo comparator
    Placebo

    Placebo tablets once a day

    Drug: Placebo (low dose) · Drug: Placebo (high dose) · Drug: Placebo (mid dose)

Interventions

  • DrugPlacebo (low dose)

    Placebo tablets once a day

  • DrugPlacebo (low dose)

    Placebo tablets once a day

  • DrugPlacebo (mid dose)

    Placebo tablets once a day

  • DrugPlacebo (high dose)

    Placebo tablets once a day

  • DrugBI 10773

    BI 10773 tablets low dose once a day

  • DrugPlacebo (mid dose)

    Placebo tablets once a day

  • DrugPlacebo (high dose)

    Placebo tablets once a day

  • DrugPlacebo (high dose)

    Placebo tablets once a day

  • DrugBI 10773

    BI 10773 tablets mid-high dose once a day

  • DrugBI 10773

    BI 10773 tablets high dose once a day

  • DrugPlacebo (mid dose)

    Placebo tablets once a day

  • DrugPlacebo (high dose)

    Placebo tablets once a day

  • DrugPlacebo (low dose)

    Placebo tablets once a day

  • DrugPlacebo (low dose)

    Placebo tablets once a day

  • DrugBI 10773

    BI 10773 tablets mid-low dose once a day

  • DrugPlacebo (mid dose)

    Placebo tablets once a day

06

What researchers measure

Primary outcomes

  1. Change From Baseline in HbA1c After 12 Weeks of Treatment.

    The primary endpoint in this study is the change from baseline in HbA1c after 12 weeks of treatment.

    Time frame: baseline and 12 weeks

Secondary outcomes

  1. Occurrence of Treat to Target Efficacy Response

    Occurrence of treat to target efficacy response, that is an HbA1c of \<7.0% after 12 weeks of treatment

    Time frame: baseline and 12 weeks

  2. Change From Baseline in FPG

    Change from baseline in FPG after 12 weeks of treatment

    Time frame: baseline and 12 weeks

Other outcomes

  1. Confirmed Hypoglycaemic Adverse Events

    Number of patients with confirmed hypoglycaemic adverse events

    Time frame: between first drug intake of study medication up to a period of 7 days (inclusive) after the last drug intake of study medication, up to 392 days

07

Results

Posted Jun 17, 2014

Participant flow

0-12 Weeks
Participant flow — 0-12 Weeks
MilestonePlacebo/Empa 10mgPlacebo/Empa 25 mgEmpa 5mg/10mgEmpa 5 mg/25 mgEmpa 10mgEmpa 25mgEmpa 50mg\10mgEmpa 50 mg/25 mg
Started109011001091091100
Completed100010701081061070
Not completed90301330
Withdrew: Adverse event60100220
Withdrew: Protocol violation00001100
Withdrew: Withdrawal by subject30200010
12-52 Weeks
Participant flow — 12-52 Weeks
MilestonePlacebo/Empa 10mgPlacebo/Empa 25 mgEmpa 5mg/10mgEmpa 5 mg/25 mgEmpa 10mgEmpa 25mgEmpa 50mg\10mgEmpa 50 mg/25 mg
Started505054531081065453
Completed455050501041015149
Not completed50434534
Withdrew: Adverse event10123312
Withdrew: Lack of efficacy00000010
Withdrew: Withdrawal by subject30300212
Withdrew: Other reason than above10011000

Outcome measures

PrimaryChange From Baseline in HbA1c After 12 Weeks of Treatment.

The primary endpoint in this study is the change from baseline in HbA1c after 12 weeks of treatment.

Time frame:
baseline and 12 weeks
Reported as:
Least squares mean · percentage of HbA1c
Change From Baseline in HbA1c After 12 Weeks of Treatment.
percentage of HbA1cPlacebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)
Change From Baseline in HbA1c After 12 Weeks of Treatment.0.30 ± 0.09-0.42 ± 0.09-0.40 ± 0.09-0.65 ± 0.09-0.61 ± 0.09
Statistical analysis
  • Placebo (12 Week) vs Empa 5mg (12 Week) · ANCOVA · p = <0.0001 (the analyses were made sequentially compared with placebo from high dose of empagliflozin and the full significant level (5%) was maintained by the hierarchical procedure.) · Mean difference (final values): -0.72 · 95% CI -0.87 to -0.57'treatment', 'renal function', and 'number of previous antidiabetic medication' as a fixed effect and baseline HbA1c as a covariate
  • Placebo (12 Week) vs Empa 10mg (12 Week) · ANCOVA · p = <0.0001 (the analyses were made sequentially compared with placebo from high dose of empagliflozin and the full significant level (5%) was maintained by the hierarchical procedure.) · Mean difference (final values): -0.70 · 95% CI -0.85 to -0.55'treatment', 'renal function', and 'number of previous antidiabetic medication' as a fixed effect and baseline HbA1c as a covariate
  • Placebo (12 Week) vs Empa 25mg (12 Week) · ANCOVA · p = <0.0001 (the analyses were made sequentially compared with placebo from high dose of empagliflozin and the full significant level (5%) was maintained by the hierarchical procedure.) · Mean difference (final values): -0.95 · 95% CI -1.10 to -0.80'treatment', 'renal function', and 'number of previous antidiabetic medication' as a fixed effect and baseline HbA1c as a covariate
  • Placebo (12 Week) vs Empa 50mg (12 Week) · ANCOVA · p = <0.0001 (the analyses were made sequentially compared with placebo from high dose of empagliflozin and the full significant level (5%) was maintained by the hierarchical procedure.) · Mean difference (final values): -0.91 · 95% CI -1.06 to -0.76'treatment', 'renal function', and 'number of previous antidiabetic medication' as a fixed effect and baseline HbA1c as a covariate
SecondaryOccurrence of Treat to Target Efficacy Response

Occurrence of treat to target efficacy response, that is an HbA1c of \<7.0% after 12 weeks of treatment

Time frame:
baseline and 12 weeks
Reported as:
Number · percentage of participants
Occurrence of Treat to Target Efficacy Response
percentage of participantsPlacebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)
Occurrence of Treat to Target Efficacy Response2.8 (0.6 to 8.0)26.2 (18.1 to 35.6)19.0 (12.0 to 27.9)32.1 (23.3 to 41.8)32.7 (24.0 to 42.5)
Statistical analysis
  • Placebo (12 Week) vs Empa 5mg (12 Week) · Regression, Logistic · p = <0.0001 · Odds ratio (or): 19.367 · 95% CI 5.340 to 70.236The model includes 'treatment', 'renal function', 'number of previous antidiabetic medications' and 'continuous baseline HbA1c'.
  • Placebo (12 Week) vs Empa 10mg (12 Week) · Regression, Logistic · p = 0.0003 · Odds ratio (or): 10.889 · 95% CI 2.942 to 40.301The model includes 'treatment', 'renal function', 'number of previous antidiabetic medications' and 'continuous baseline HbA1c'.
  • Placebo (12 Week) vs Empa 25mg (12 Week) · Regression, Logistic · p = <0.0001 · Odds ratio (or): 27.624 · 95% CI 7.601 to 99.99The upper limit of confidence interval is actually \>99.99
  • Placebo (12 Week) vs Empa 50mg (12 Week) · Regression, Logistic · p = <0.0001 · Odds ratio (or): 44.906 · 95% CI 12.120 to 99.99The upper limit of confidence interval is actually \>99.99
SecondaryChange From Baseline in FPG

Change from baseline in FPG after 12 weeks of treatment

Time frame:
baseline and 12 weeks
Reported as:
Least squares mean · mg/dL
Change From Baseline in FPG
mg/dLPlacebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)
Change From Baseline in FPG4.06 ± 2.88-22.65 ± 2.97-25.28 ± 2.77-33.70 ± 2.92-32.54 ± 2.97
Statistical analysis
  • Placebo (12 Week) vs Empa 5mg (12 Week) · ANCOVA · p = <0.0001 · Mean difference (final values): -26.70 · 95% CI -31.61 to -21.80treatment, renal function, number of previous antidiabetic medication as fixed effects, baseline fasting plasma glucose, baseline HbA1c as covariates
  • Placebo (12 Week) vs Empa 10mg (12 Week) · ANCOVA · p = <0.0001 · Mean difference (final values): -29.34 · 95% CI -34.25 to -24.42treatment, renal function, number of previous antidiabetic medication as fixed effects, baseline fasting plasma glucose, baseline HbA1c as covariates
  • Placebo (12 Week) vs Empa 25mg (12 Week) · ANCOVA · p = <0.0001 · Mean difference (final values): -37.75 · 95% CI -42.66 to -32.84treatment, renal function, number of previous antidiabetic medication as fixed effects, baseline fasting plasma glucose, baseline HbA1c as covariates
  • Placebo (12 Week) vs Empa 50mg (12 Week) · ANCOVA · p = <0.0001 · Mean difference (final values): -36.60 · 95% CI -41.51 to -31.69treatment, renal function, number of previous antidiabetic medication as fixed effects, baseline fasting plasma glucose, baseline HbA1c as covariates
Other pre-specifiedConfirmed Hypoglycaemic Adverse Events

Number of patients with confirmed hypoglycaemic adverse events

Time frame:
between first drug intake of study medication up to a period of 7 days (inclusive) after the last drug intake of study medication, up to 392 days
Reported as:
Number · participants
Confirmed Hypoglycaemic Adverse Events
participantsPlacebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)
Confirmed Hypoglycaemic Adverse Events00011

Adverse events

Collected over between first drug intake of study medication up to a period of 7 days (inclusive) after the last drug intake of study medication, up to 392 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo (12 Week)—3/109 (2.8%)15/109 (13.8%)
Empa 5mg (12 Week)—0/110 (0%)19/110 (17.3%)
Empa 10mg (12 Week)—0/109 (0%)16/109 (14.7%)
Empa 25mg (12 Week)—3/109 (2.8%)26/109 (23.9%)
Empa 50mg (12 Week)—1/110 (0.9%)20/110 (18.2%)
Empa 10mg (Randomized, 52 Week)—3/109 (2.8%)39/109 (35.8%)
Empa 25mg (Randomized, 52 Week)—8/109 (7.3%)49/109 (45%)
Empa 10mg (With at Least One Dose, 52 Week)—8/267 (3%)83/267 (31.1%)
Empa 25mg (With at Least One Dose, 52 Week)—15/265 (5.7%)93/265 (35.1%)
Most frequent serious events
Showing 10 of 29
Most frequent serious events
EventPlacebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)Empa 10mg (Randomized, 52 Week)Empa 25mg (Randomized, 52 Week)Empa 10mg (With at Least One Dose, 52 Week)Empa 25mg (With at Least One Dose, 52 Week)
PharyngitisInfections and infestations0/1090/1100/1091/1090/1100/1091/1090/2671/265
Viral infectionInfections and infestations0/1090/1100/1090/1090/1101/1090/1091/2670/265
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1090/1100/1090/1090/1100/1091/1091/2671/265
Diffuse large B-cell lymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1090/1100/1090/1090/1100/1091/1090/2671/265
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1090/1100/1091/1090/1100/1091/1090/2671/265
Oesophageal carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1090/1100/1090/1090/1100/1091/1090/2671/265
Cerebral infarctionNervous system disorders0/1090/1100/1091/1090/1100/1091/1090/2671/265
GlaucomaEye disorders1/1090/1100/1090/1090/1100/1090/1090/2670/265
Acute myocardial infarctionCardiac disorders1/1090/1100/1090/1090/1100/1090/1091/2670/265
Myocardial infarctionCardiac disorders1/1090/1100/1090/1090/1100/1090/1090/2670/265
Most frequent other events
Most frequent other events
EventPlacebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)Empa 10mg (Randomized, 52 Week)Empa 25mg (Randomized, 52 Week)Empa 10mg (With at Least One Dose, 52 Week)Empa 25mg (With at Least One Dose, 52 Week)
NasopharyngitisInfections and infestations10/1098/1109/10911/10911/11030/10933/10962/26763/265
PollakiuriaRenal and urinary disorders1/1094/1101/1097/1096/1101/1098/1094/26710/265
Dental cariesGastrointestinal disorders0/1091/1101/1091/1090/1101/1097/1092/2679/265
PharyngitisInfections and infestations1/1090/1104/1093/1092/1106/1096/10911/2679/265
ConstipationGastrointestinal disorders3/1092/1100/1094/1092/1101/1096/1093/26710/265
Back painMusculoskeletal and connective tissue disorders0/1094/1101/1090/1090/1104/1094/10914/26710/265

Baseline characteristics

Age, Continuous
Age, Continuous(years)Placebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)Total
Mean58.7 ± 8.757.3 ± 11.257.9 ± 9.457.2 ± 9.756.6 ± 10.357.5 ± 9.9
Sex: Female, Male
Sex: Female, Male(Participants)Placebo (12 Week)Empa 5mg (12 Week)Empa 10mg (12 Week)Empa 25mg (12 Week)Empa 50mg (12 Week)Total
Female2926322525137
Male8084778485410
08

Study locations

32 sites
  • 1245.38.016 Boehringer Ingelheim Investigational Site
    Chiyoda-ku, Tokyo, Japan
  • 1245.38.001 Boehringer Ingelheim Investigational Site
    Chuo-ku, Tokyo, Japan
  • 1245.38.003 Boehringer Ingelheim Investigational Site
    Chuo-ku, Tokyo, Japan
  • 1245.38.002 Boehringer Ingelheim Investigational Site
    Hachioji, Tokyo, Japan
  • 1245.38.010 Boehringer Ingelheim Investigational Site
    Hanamaki, Iwate, Japan
  • 1245.38.005 Boehringer Ingelheim Investigational Site
    Kamakura, Kanagawa, Japan
  • 1245.38.020 Boehringer Ingelheim Investigational Site
    Kanazawa, Ishikawa, Japan
  • 1245.38.013 Boehringer Ingelheim Investigational Site
    Kashiwa, Chiba, Japan
  • 1245.38.019 Boehringer Ingelheim Investigational Site
    Katsushika-ku, Tokyo, Japan
  • 1245.38.021 Boehringer Ingelheim Investigational Site
    Kyoto, Kyoto, Japan
  • 1245.38.024 Boehringer Ingelheim Investigational Site
    Matsuyama, Ehime, Japan
  • 1245.38.004 Boehringer Ingelheim Investigational Site
    Minato-ku, Tokyo, Japan
  • 1245.38.011 Boehringer Ingelheim Investigational Site
    Moriya, Ibaraki, Japan
  • 1245.38.030 Boehringer Ingelheim Investigational Site
    Naha, Okinawa, Japan
  • 1245.38.032 Boehringer Ingelheim Investigational Site
    Okawa, Fukuoka, Japan
  • 1245.38.031 Boehringer Ingelheim Investigational Site
    Okinawa, Okinawa, Japan
  • 1245.38.025 Boehringer Ingelheim Investigational Site
    Saga, Saga, Japan
  • 1245.38.014 Boehringer Ingelheim Investigational Site
    Saitama, Saitama, Japan
  • 1245.38.006 Boehringer Ingelheim Investigational Site
    Sapporo, Hokkaido, Japan
  • 1245.38.007 Boehringer Ingelheim Investigational Site
    Sapporo, Hokkaido, Japan
  • 1245.38.008 Boehringer Ingelheim Investigational Site
    Sapporo, Hokkaido, Japan
  • 1245.38.009 Boehringer Ingelheim Investigational Site
    Sapporo, Hokkaido, Japan
  • 1245.38.012 Boehringer Ingelheim Investigational Site
    Sasima-gun, Ibaraki, Japan
  • 1245.38.015 Boehringer Ingelheim Investigational Site
    Shinjuku-ku, Tokyo, Japan
  • 1245.38.018 Boehringer Ingelheim Investigational Site
    Shinjuku-ku, Tokyo, Japan
  • 1245.38.017 Boehringer Ingelheim Investigational Site
    Suginami-ku, Tokyo, Japan
  • 1245.38.022 Boehringer Ingelheim Investigational Site
    Suita, Osaka, Japan
  • 1245.38.023 Boehringer Ingelheim Investigational Site
    Ube, Yamaguchi, Japan
  • 1245.38.026 Boehringer Ingelheim Investigational Site
    Urasoe, Okinawa, Japan
  • 1245.38.027 Boehringer Ingelheim Investigational Site
    Urasoe, Okinawa, Japan
  • 1245.38.028 Boehringer Ingelheim Investigational Site
    Urasoe, Okinawa, Japan
  • 1245.38.029 Boehringer Ingelheim Investigational Site
    Urasoe, Okinawa, Japan
09

References and documents

Publications

  • Tuttle KR, Levin A, Nangaku M, Kadowaki T, Agarwal R, Hauske SJ, Elsasser A, Ritter I, Steubl D, Wanner C, Wheeler DC. Safety of Empagliflozin in Patients With Type 2 Diabetes and Chronic Kidney Disease: Pooled Analysis of Placebo-Controlled Clinical Trials. Diabetes Care. 2022 Jun 2;45(6):1445-1452. doi: 10.2337/dc21-2034. PubMed 35472672 ↗
  • Shiba T, Ishii S, Okamura T, Mitsuyoshi R, Pfarr E, Koiwai K. Efficacy and safety of empagliflozin in Japanese patients with type 2 diabetes mellitus: A sub-analysis by body mass index and age of pooled data from three clinical trials. Diabetes Res Clin Pract. 2017 Sep;131:169-178. doi: 10.1016/j.diabres.2017.07.004. Epub 2017 Jul 8. PubMed 28753486 ↗
  • Kadowaki T, Haneda M, Inagaki N, Terauchi Y, Taniguchi A, Koiwai K, Rattunde H, Woerle HJ, Broedl UC. Efficacy and safety of empagliflozin monotherapy for 52 weeks in Japanese patients with type 2 diabetes: a randomized, double-blind, parallel-group study. Adv Ther. 2015 Apr;32(4):306-18. doi: 10.1007/s12325-015-0198-0. Epub 2015 Apr 7. PubMed 25845768 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 17, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01193218
Lead sponsor
Boehringer Ingelheim
Collaborators
Eli Lilly and Company
Responsible party
Sponsor
First posted
Sep 1, 2010
Start date
Sep 2010
Primary completion
Jun 2012
Completion
Jun 2012
Results posted
Jun 17, 2014
Last update
Jun 17, 2014

Study contacts

Boehringer Ingelheim
study chair · Boehringer Ingelheim
View the source record on ClinicalTrials.gov ↗

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