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CompletedNCT02658734Updated Apr 2, 2021Results posted

A Study of Trastuzumab Emtansine in Indian Patients With Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Unresectable Locally Advanced or Metastatic Breast Cancer Who Have Received Prior Treatment With Trastuzumab and a Taxane

A Phase 4 interventional study of Trastuzumab emtansine in HER2 Positive Breast Cancer, Metastatic Breast Cancer, Locally Advanced Breast Cancer, sponsored by Hoffmann-La Roche. Completed at 13 sites in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-02.

Sponsored by Hoffmann-La Roche · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
70
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This is a Phase IV, single-arm, multicenter, open-label clinical trial designed to assess the safety of trastuzumab emtansine in Indian patients with HER2-positive unresectable locally advanced breast cancer (LABC) or metastatic breast cancer (mBC) who have received prior treatment with trastuzumab and a taxane.

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Conditions studied

  • HER2 Positive Breast Cancer, Metastatic Breast Cancer, Locally Advanced Breast Cancer

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03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 70 is close to the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Prospectively confirmed HER2-positive (i.e., IHC 3+ or IHC 2+ and gene amplified by fluorescence in situ hybridization [FISH] positive) as assessed on primary tumor and/or metastatic site
  • Documented progression of unresectable, locally advanced, or mBC, determined by the investigator
  • Left ventricular ejection fraction (LVEF) >/= 50% by echocardiogram (ECHO)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • A negative serum Beta-Human Chorionic Gonadotropin (Beta-HCG) test for women of childbearing potential (premenopausal or not meeting the definition of postmenopausal i.e. >/= 12 months of amenorrhea), and women who have not undergone surgical sterilization (i.e., absence of ovaries and/or uterus)
  • For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use two adequate non-hormonal methods of contraception, including at least one method with a failure rate of \<1% per year, during the treatment period and for at least 7 months after the last dose of study drug
  • For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures and agreement to refrain from donating sperm. With female partners of childbearing potential, men must remain abstinent or use a condom plus an additional contraceptive method that together result in a failure rate of \<1% per year during the treatment period and for at least 7 months plus 90 days (a spermatogenesis cycle) after the last dose of study drug. Men must refrain from donating sperm during this same period. With pregnant female partners, men must remain abstinent or use a condom during the treatment period and for at least 7 months after the last dose of study drug.

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with trastuzumab emtansine
  • Prior treatment with lapatinib or lapatinib with capecitabine or non-comparable biologic or biosimilar of trastuzumab
  • Peripheral neuropathy of Grade >/= 3 per the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE [version 4.03])
  • History of other malignancy within the previous 5 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, Stage 1 uterine cancer, synchronous or previously diagnosed HER2-positive breast cancer, or cancers with a similar curative outcome as those mentioned above
  • History of receiving any anti-cancer drug/biologic or investigational treatment within 21 days prior to enrollment except hormone therapy, which can be given up to 7 days prior to enrollment; recovery of treatment-related toxicity consistent with other eligibility criteria
  • History of exposure to cumulative doses of anthracyclines, as defined in the protocol
  • History of radiation therapy within 14 days of enrollment
  • Brain metastases that are untreated, symptomatic, or require therapy to control symptoms, as well as a history of radiation, surgery, or other therapy, including steroids, to control symptoms from brain metastases within 2 months (60 days) before enrollment
  • CNS only disease
  • History of a decrease in LVEF to \< 40% or symptomatic congestive heart failure (CHF) with previous trastuzumab treatment
  • History of symptomatic chronic heart failure (New York Heart Association [NYHA] Classes II-IV) or serious cardiac arrhythmia requiring treatment
  • History of myocardial infarction or unstable angina within 6 months of enrollment
  • Current dyspnea at rest due to complications of advanced malignancy or requirement for continuous oxygen therapy
  • Current severe, uncontrolled systemic disease
  • Pregnancy or lactation
  • Concurrent, serious, uncontrolled infections or current known infection with human immunodeficiency virus (HIV) or active hepatitis B and/or hepatitis C. For patients who are known carriers of hepatitis B virus (HBV), active hepatitis B infection must be ruled out, based on negative serologic testing and/or determination of HBV DNA viral load per local guidelines
  • Presence of conditions that could affect gastrointestinal absorption: malabsorption syndrome, resection of the small bowel or stomach, and ulcerative colitis
  • History of intolerance (such as Grade 3-4 infusion reaction) or known hypersensitivity to trastuzumab or murine proteins or any component of the product
  • Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol
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Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    Trastuzumab emtansine

    Drug: Trastuzumab emtansine

Interventions

  • DrugTrastuzumab emtansine

    3.6 mg/kg intravenously (IV) over 30-90 minutes on day 1 of 21 day cycle, repeated every 3 weeks

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What researchers measure

Primary outcomes

  1. Severity of Adverse Events

    Adverse events (AEs) grading was completed according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), version 4.03.

    Time frame: From cycle 1 up to approximately 3 years

  2. Percentage of Participants With Adverse Events

    An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with the treatment. An adverse event was therefore any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsened during the study were also considered as adverse events.

    Time frame: From cycle 1 up to approximately 3 years

Secondary outcomes

  1. Percentage of Participants With Serious Adverse Events (SAEs)

    SAEs were defined as any AE that fulfilled any of the following criteria: fatal (resulted in death), life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/ birth defect, was medically significant or required intervention to prevent any of the other outcomes listed here.

    Time frame: From cycle 1 up to approximately 3 years

  2. Severity of SAEs as Per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03

    Severity refered to the intensity of an AE (e.g., rated as mild, moderate, or severe, or according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) criteria.

    Time frame: From cycle 1 up to approximately 3 years

  3. Percentage of Participants With Non-Serious Adverse Events of Special Interest

    Non-serious AEs of special interest included cases of severe drug-induced liver injury and suspected transmission of an infectious agent by the study drug.

    Time frame: From cycle 1 up to approximately 3 years

  4. Laboratory Results Abnormalities

    Time frame: From cycle 1 up to approximately 3 years

  5. Percentage of Participants With Adverse Events Leading to Discontinuation of Study Medication

    Time frame: From cycle 1 up to approximately 3 years

  6. Percentage of Participants With Adverse Events Leading to Modification of Study Medication

    Time frame: From cycle 1 up to approximately 3 years

  7. Percentage of Participants With Adverse Events Leading to Interruption of Study Medication

    Time frame: From cycle 1 up to approximately 3 years

  8. Exposure to Study Drug

    Exposure to study drug was the amount of study drug received over time (weeks).

    Time frame: From cycle 1 up to approximately 3 years

  9. Percentage of Participants With Drug-Induced Liver Injury Meeting Hy's Law Criteria

    Hy's law criteria for potential drug-induced liver injury included elevated aminotransferase enzymes (ALT/AST) with concurrent elevated serum total bilirubin, gross jaundice, clinical disability and the need for hospital care.

    Time frame: From cycle 1 up to approximately 3 years

  10. Percentage of Participants With Congestive Heart Failure

    Time frame: From cycle 1 up to approximately 3 years

  11. Change in Left Ventricular Ejection Fraction (LVEF) as Measured by Echocardiogram

    Time frame: From baseline to every three cycles of treatment up to Cycle 39 Day 1, and at the 2-days post-treatment, safety follow-up visits 1 and 3

  12. Overall Response Rate (ORR)

    ORR was based on the best (confirmed) overall response (BOR). ORR was defined as the number (%) of participants with confirmed complete response (CR) or partial response (PR) where the confirmation was performed no less than 4 weeks after the criteria for response were first met.

    Time frame: From cycle 1 up to approximately 3 years

  13. Progression-Free Survival (PFS)

    PFS was defined as the time from the date of enrollment until the date of first documented progression of disease or the date of death (by any cause in the absence of progression) whichever occurred first.

    Time frame: From cycle 1 up to approximately 3 years

  14. Overall Survival (OS)

    Overall survival was defined as the time from the date of enrollment until the date of death due to any cause. Participants not known to have died at the time of final analysis were censored based on the last recorded date on which the subject was known to be alive.

    Time frame: From cycle 1 up to approximately 3 years

07

Results

Posted Feb 9, 2021

Participant flow

The study was conducted at 13 centres across India.

Participant flow — Overall Study
MilestoneTrastuzumab Emtansine
Started70
Completed13
Not completed57
Withdrew: Adverse event2
Withdrew: Death4
Withdrew: Lost to follow-up7
Withdrew: Withdrawal of consent16
Withdrew: Disease progression28

Outcome measures

PrimarySeverity of Adverse Events

Adverse events (AEs) grading was completed according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), version 4.03.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Count of participants · Participants
Severity of Adverse Events
ParticipantsTrastuzumab Emtansine
Grade 153
Grade 240
Grade 318
Grade 42
Grade 512
PrimaryPercentage of Participants With Adverse Events

An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with the treatment. An adverse event was therefore any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsened during the study were also considered as adverse events.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Percentage of Participants
Percentage of Participants With Adverse Events
Percentage of ParticipantsTrastuzumab Emtansine
Percentage of Participants With Adverse Events90.0
SecondaryPercentage of Participants With Serious Adverse Events (SAEs)

SAEs were defined as any AE that fulfilled any of the following criteria: fatal (resulted in death), life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/ birth defect, was medically significant or required intervention to prevent any of the other outcomes listed here.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Percentage of Participants
Percentage of Participants With Serious Adverse Events (SAEs)
Percentage of ParticipantsTrastuzumab Emtansine
Percentage of Participants With Serious Adverse Events (SAEs)40
SecondarySeverity of SAEs as Per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03

Severity refered to the intensity of an AE (e.g., rated as mild, moderate, or severe, or according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) criteria.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Count of participants · Participants
Severity of SAEs as Per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03
ParticipantsTrastuzumab Emtansine
Grade 11
Grade 213
Grade 310
Grade 43
Grade 56
SecondaryPercentage of Participants With Non-Serious Adverse Events of Special Interest

Non-serious AEs of special interest included cases of severe drug-induced liver injury and suspected transmission of an infectious agent by the study drug.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Percentage of Participants
Percentage of Participants With Non-Serious Adverse Events of Special Interest
Percentage of ParticipantsTrastuzumab Emtansine
Percentage of Participants With Non-Serious Adverse Events of Special Interest2.9
SecondaryLaboratory Results Abnormalities
Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Number of Participants
Laboratory Results Abnormalities
Number of ParticipantsTrastuzumab Emtansine
Basophils - High1
Basophils/Leukocytes - Low13
Basophils/Leukocytes - High6
Monocytes - High2
Hematocrit - Low57
Hematocrit - High1
Lymphocytes/Leukocytes - Low38
Lymphocytes/Leukocytes - High19
Monocytes/Leukocytes - Low8
Monocytes/Leukocytes - High21
Neutrophils/Leukocytes - Low14
Neutrophils/Leukocytes - High13
Other Cells - High3
Other Cells/Leukocytes - High6
Erythrocytes - Low41
Erythrocytes - High15
Eosinophils/Leukocytes - Low33
Eosinophils/Leukocytes - High13
Bilirubin - Low5
Bilirubin - High22
Bicarbonate - Low4
Bicarbonate - High11
Direct Bilirubin - High27
Blood Urea Nitrogen - Low21
Blood Urea Nitrogen - High10
Chloride - Low20
Chloride - High30
Lactate Dehydrogenase - Low8
Lactate Dehydrogenase - High52
Protein - Low10
Protein - High30
Urea - Low21
Urea - High10
Partial Thromboplastin Time - Low22
Partial Thromboplastin Time - High37
SecondaryPercentage of Participants With Adverse Events Leading to Discontinuation of Study Medication
Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Percentage of Participants
Percentage of Participants With Adverse Events Leading to Discontinuation of Study Medication
Percentage of ParticipantsTrastuzumab Emtansine
Percentage of Participants With Adverse Events Leading to Discontinuation of Study Medication8.6
SecondaryPercentage of Participants With Adverse Events Leading to Modification of Study Medication
Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Count of participants · Participants
Percentage of Participants With Adverse Events Leading to Modification of Study Medication
ParticipantsTrastuzumab Emtansine
Dose Reduced1
Drug Interrupted11
SecondaryPercentage of Participants With Adverse Events Leading to Interruption of Study Medication
Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Percentage of Participants
Percentage of Participants With Adverse Events Leading to Interruption of Study Medication
Percentage of ParticipantsTrastuzumab Emtansine
Percentage of Participants With Adverse Events Leading to Interruption of Study Medication15.7
SecondaryExposure to Study Drug

Exposure to study drug was the amount of study drug received over time (weeks).

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Mean · Weeks
Exposure to Study Drug
WeeksTrastuzumab Emtansine
Exposure to Study Drug39.60 ± 32.00
SecondaryPercentage of Participants With Drug-Induced Liver Injury Meeting Hy's Law Criteria

Hy's law criteria for potential drug-induced liver injury included elevated aminotransferase enzymes (ALT/AST) with concurrent elevated serum total bilirubin, gross jaundice, clinical disability and the need for hospital care.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Percentage of Participants
Percentage of Participants With Drug-Induced Liver Injury Meeting Hy's Law Criteria
Percentage of ParticipantsTrastuzumab Emtansine
Percentage of Participants With Drug-Induced Liver Injury Meeting Hy's Law Criteria0
SecondaryPercentage of Participants With Congestive Heart Failure
Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Number · Percetnage of Participants
Percentage of Participants With Congestive Heart Failure
Percetnage of ParticipantsTrastuzumab Emtansine
Percentage of Participants With Congestive Heart Failure0
SecondaryChange in Left Ventricular Ejection Fraction (LVEF) as Measured by Echocardiogram
Time frame:
From baseline to every three cycles of treatment up to Cycle 39 Day 1, and at the 2-days post-treatment, safety follow-up visits 1 and 3
Reported as:
Mean · Percentage of LVEF
Change in Left Ventricular Ejection Fraction (LVEF) as Measured by Echocardiogram
Percentage of LVEFTrastuzumab Emtansine
Baseline59.49 ± 3.33
Cycle 03 Day 10.08 ± 3.26
Cycle 06 Day 10.20 ± 4.50
Cycle 09 Day 10.23 ± 3.76
Cycle 12 Day 10.06 ± 4.24
Cycle 15 Day 10.38 ± 4.40
Cycle 18 Day 10.15 ± 5.98
Cycle 21 Day 12.50 ± 3.78
Cycle 24 Day 10.23 ± 2.89
Cycle 27 Day 1-0.60 ± 3.86
Cycle 30 Day 1-0.17 ± 1.33
Cycle 33 Day 1-1.20 ± 2.39
Cycle 36 Day 10 ± NA
Cycle 39 Day 10 ± NA
Safety Follow-Up 11.28 ± 3.80
Safety Follow-Up 31.38 ± 4.00
SecondaryOverall Response Rate (ORR)

ORR was based on the best (confirmed) overall response (BOR). ORR was defined as the number (%) of participants with confirmed complete response (CR) or partial response (PR) where the confirmation was performed no less than 4 weeks after the criteria for response were first met.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Count of participants · Participants
Overall Response Rate (ORR)
ParticipantsTrastuzumab Emtansine
Overall Response Rate (ORR)16
SecondaryProgression-Free Survival (PFS)

PFS was defined as the time from the date of enrollment until the date of first documented progression of disease or the date of death (by any cause in the absence of progression) whichever occurred first.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Median · Months
Progression-Free Survival (PFS)
MonthsTrastuzumab Emtansine
Progression-Free Survival (PFS)14.0 (8.0 to 17.0)
SecondaryOverall Survival (OS)

Overall survival was defined as the time from the date of enrollment until the date of death due to any cause. Participants not known to have died at the time of final analysis were censored based on the last recorded date on which the subject was known to be alive.

Time frame:
From cycle 1 up to approximately 3 years
Reported as:
Median · Months
Overall Survival (OS)
MonthsTrastuzumab Emtansine
Overall Survival (OS)NA (25.00 to NA)

Adverse events

Collected over From cycle 1 up to approximately 3 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Trastuzumab Emtansine12/70 (17.1%)28/70 (40%)51/70 (72.9%)
Most frequent serious events
Showing 10 of 25
Most frequent serious events
EventTrastuzumab Emtansine
THROMBOCYTOPENIABlood and lymphatic system disorders4/70
DEATHGeneral disorders4/70
GENERALISED TONIC-CLONIC SEIZURENervous system disorders2/70
HYDROCEPHALUSNervous system disorders2/70
SEIZURENervous system disorders2/70
ACUTE KIDNEY INJURYRenal and urinary disorders2/70
DYSPNOEARespiratory, thoracic and mediastinal disorders2/70
EPISTAXISRespiratory, thoracic and mediastinal disorders2/70
CARDIAC ARRESTCardiac disorders1/70
CARDIO-RESPIRATORY ARRESTCardiac disorders1/70
Most frequent other events
Showing 10 of 21
Most frequent other events
EventTrastuzumab Emtansine
PYREXIAGeneral disorders19/70
ANAEMIABlood and lymphatic system disorders11/70
HEADACHENervous system disorders11/70
EPISTAXISRespiratory, thoracic and mediastinal disorders11/70
ASTHENIAGeneral disorders8/70
PAINGeneral disorders8/70
COUGHRespiratory, thoracic and mediastinal disorders8/70
PLATELET COUNT DECREASEDInvestigations7/70
THROMBOCYTOPENIABlood and lymphatic system disorders6/70
ABDOMINAL PAINGastrointestinal disorders6/70

Baseline characteristics

Intent-to-treat (ITT) population included all participants enrolled in the study.

Age, Continuous
Age, Continuous(Years)Trastuzumab Emtansine
Mean50 ± 11.50
Sex: Female, Male
Sex: Female, Male(Participants)Trastuzumab Emtansine
Female70
Male0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Trastuzumab Emtansine
American Indian or Alaska Native0
Asian70
Native Hawaiian or Other Pacific Islander0
Black or African American0
White0
More than one race0
Unknown or Not Reported0
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Study locations

13 sites
  • Indraprastha Apollo Hospitals
    New Delhi, Delhi 110076, India
  • Rajiv Gandhi Cancer Inst.&Research Center; Medical Oncology
    New Delhi, Delhi 110085, India
  • Max Super Speciality Hospital; Medical Oncology
    North WEST Delhi, Delhi 110088, India
  • Apollo Hospitals International Limited
    Gandhinagar, Gujarat 382428, India
  • Manipal Hospital; Department of Oncology
    Bangalore, Karnataka 560017, India
  • Tata Memorial Hospital; Dept of Medical Oncology
    Mumbai, Maharashtra 400012, India
  • Jehangir Hospital
    Pune, Maharashtra 411001, India
  • Christian Medical College & Hospital; Medicine
    Vellore, Tamil NADU 632004, India
  • Healthcare Global Enterprises Limited
    Bangalore, 560027, India
  • Artemis Health Institute
    Gurgaon, 122001, India
  • Fortis Memorial Research Institute; Department of Medical Oncology & Haematology
    Gurgaon, 122002, India
  • Sir Gangaram Hospital; Medical Oncology
    New Delhi, 110 060, India
  • Max Super Speciality Hospital
    New Delhi, 110017, India
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References and documents

Study documents

  • Study protocol · Feb 12, 2018
  • Statistical analysis plan · May 16, 2018

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02658734
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Jan 20, 2016
Start date
Nov 1, 2016
Primary completion
Dec 14, 2019
Completion
Dec 14, 2019
Results posted
Feb 9, 2021
Last update
Apr 2, 2021

Study contacts

Clinical Trials
study director · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

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