Crohn's DiseasePhase 2OPERA IINCT01298492
A Study To Monitor Long-Term Treatment With PF-00547659
A Phase 2 study testing PF-00547659 in people with Crohn's Disease, run by Shire at 112 sites in 15 countries.
Trial summary
This study provides open-label drug to eligible patients who have completed a prior study of PF-00547659. The primary endpoint for this study is long-term safety. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Crohn's Disease
- What is being tested?
- PF-00547659
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 268 participants
- Where
- 112 sitesin 15 countries
- Study dates
- 1 Jul 2011to 27 Jul 2016
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects between 18 and 76 years of age.
- Subjects previously enrolled in study A7281006 who have completed the blinded 84 day (12 week) induction period or in study A7281008 who have completed Week 12 and have demonstrated a clinical response as defined by that protocol.
Who cannot join
- Subjects that have completed Day 84 (Week 12) of a PF-00547659 study but have experienced serious event(s) related to the investigational product, an unstable medical condition, or any other reason, in the opinion of the investigator, would hinder entry or participation in this study.
- Subjects who are taking any dose of azathioprine, 6-mercaptopurine or methotrexate.
Trial locations and contacts
112 sites in 15 countries.
112 sites in 15 countries
United States47 sites
Albany Medical College
Albany, New York, 12208
CTRC Hospital, UNC Memorial Hospital
Chapel Hill, North Carolina, 27514
North Carolina Memorial Hospital Endoscopy Center
Chapel Hill, North Carolina, 27514
UNC Hospitals
Chapel Hill, North Carolina, 27514
UNC Hospitals Endoscopy
Chapel Hill, North Carolina, 27517
Metropolitan Gastroenterology Group, PC - Chevy Chase Clinical Research
Chevy Chase, Maryland, 20815
Heartland Medical Research, Inc.
Clive, Iowa, 50325
Iowa Digestive Disease Center
Clive, Iowa, 50325
Iowa Endoscopy Center (Colonoscopy Only)
Clive, Iowa, 50325
Surgery Center of Columbia
Columbia, Missouri, 65201
New York Hospital Queens
Flushing, New York, 11355
Long Island Clinical Research Associates, LLP
Great Neck, New York, 11021
Nassau Gastroenterology Associates Office Based Surgery
Great Neck, New York, 11021
Nassau Gastroenterology Associates, P.C.
Great Neck, New York, 11021
North Shore Primary Care, P.C.
Great Neck, New York, 11021
Hillsborough Campus
Hillsborough, North Carolina, 27278
UCSD Medical Center - Thorton Hospital
La Jolla, California, 92037
Clinical Research of the Rockies
Lafayette, Colorado, 80026
Florida Center for Gastroenterology
Largo, Florida, 33777
Audrain Medical Center
Mexico, Missouri, 65265
Center for Digestive and Liver Diseases, Inc.
Mexico, Missouri, 65265
Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
University of Miami Crohn's and Colitis Center
Miami, Florida, 33136
University of Miami Hospital and Clinic (IP Shipment Only)
Miami, Florida, 33136
University of Miami Hospital and Clinic
Miami, Florida, 33136
University of Miami Hospital
Miami, Florida, 33136
Lenox Hill Endoscopy Center
New York, New York, 10075
Synergy First
New York, New York, 11230
Community Clinical Trials
Orange, California, 92868
GastroDiagnostics
Orange, California, 92868
Citrus Ambulatory Surgery Center
Orlando, Florida, 32806
Internal Medicine Specialists
Orlando, Florida, 32806
Premier Medical Group of the Hudson Valley, PC
Poughkeepsie, New York, 12601
University of Washington Medical Center
Seattle, Washington, 98195
University of Washington
Seattle, Washington, 98195
Barnes-Jewish Hospital - Investigational Drug Services
St Louis, Missouri, 63108
Barnes-Jewish Hospital
St Louis, Missouri, 63110
Center for Advanced Medicine
St Louis, Missouri, 63110
Washington University School of Medicine
St Louis, Missouri, 63110
Rmga - Rmcr
Thornton, Colorado, 80229
Rocky Mountain Gastroenterology Associates
Thornton, Colorado, 80229
Center for Digestive Health
Troy, Michigan, 48098
Surgical Centers of Michigan
Troy, Michigan, 48098
MGG Group Co., Inc.
Washington D.C., District of Columbia, 20006
Allegiance Research Specialists
Wauwatosa, Wisconsin, 53226
UMass Memorial Medical Center
Worcester, Massachusetts, 01655
University of Massachusetts Worcester
Worcester, Massachusetts, 01655
Germany9 sites
"Charite - Campus Berlin Mitte Medizinische Klinik
Berlin, 10117
Charite, Universitaetsmedizin Berlin, Campus Virchow-Klinikum
Berlin, 13353
Krankenhaus Martha-Maria Halle-Doelau gGmbH
Halle, 06120
Universitaetsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24105
Universitaetsfrauenklinikum Schleswig-Holstein
Lübeck, 23538
Gastroenterologische Gemeinschaftspraxis Minden
Minden, 32423
Universitaetsklinik Regensburg
Regensburg, 93042
Robert Bosch Krankenhaus GmbH
Stuttgart, Baden-Wurttemberg, 70376
Universitaetsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081
France8 sites
Hopital Beaujon
Clichy, 92110
CHRU de Lille, Pharamcie Centrale
Lille, 59037
CIC - Hopital Cardiologique
Lille, 59037
Hopital Huriez, CHRU de Lille
Lille, 59037
Hopital de l'Archet 2 - CHU de Nice
Nice, 06202
Hopital Saint-Louis
Paris, 75010
Hopital Nord
Saint-Priest-en-Jarez, 42270
Hopital Rangueil
Toulouse, 31059
Japan6 sites
National Hospital Organization Hirosaki National Hospital
Aomori, Toyko, 036-8545
Chiba University Hospital
Chiba, 260-8677
The Jikei University Hospital
Minato-Ku, Tokyo, 105-8471
Keio University Hospital
Shinjuku-Ku, Tokyo, 160-8582
National Hospital Organization Takasaki General Medical Center
Takasaki, Gunma, 370-0829
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
South Korea6 sites
Pusan National University Hospital
Busan, 602-739
Yeungnam University Hospital
Daegu, Korea, Republic of, 705-717
Samsung Medical Center
Seoul, 06351
Kangbuk Samsung Hospital
Seoul, 110-746
Samsung Medical Center
Seoul, 135-710
Asan Medical Center
Seoul, 138-736
Belgium5 sites
Hospital Erasme
Brussels, B-1070
UZ Gasthuisberg - Pharmacy
Leuven, B-3000
UZ Gasthuisberg
Leuven, B-3000
Centre Hospitalier Universitaire De Liege-Domaine Universitaire du Sart Tilman
Liège, 4000
Centre Hospitalier de Mouscron
Mouscron, 7700
Poland5 sites
Centrum Endoskopii Zabiegowej
Bydgoszcz, 85-168
NZOZ Centrum Medyczne Szpital Sw. Rodziny
Lodz, 90-302
Centralny Szpital Kliniczny Ministerstwa Spraw Wewnetrznych i Administracji w Warszawie
Warsaw, 02-507
Centralny Szpital Kliniczny Ministerstwa Spraw Wewnetrznych W Warszawie
Warsaw, 02-507
Lexmedica
Wroclaw, 53-114
Spain5 sites
Hospital Universitario de La Princesa
Madrid, 28006
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222
Corporacio Sanitaria Parc Tauli de Sabadell
Sabadell, Barcelona, 08208
Corporacio Sanitaria Parc Tauli de Sabadell
Sabadell, Catalonia, 08208
Norway4 sites
Sykehusapoteket Asker og Baerum
Gjettum, Norway, 1346
Oslo Universitetssykehus
Oslo, 0424
Lovisenberg Diakonale Sykehus
Oslo, 0440
Vestre Viken HF
Rud, 1309
Slovakia4 sites
Gastroentero-Hepatologicke centrum THALION, LAMA MEDICAL CARE s.r.o.
Bratislava, 831 04
Medak s.r.o.
Bratislava, 851 01
KM Management spol. s r.o.
Nitra, 949 01
Synergy group, a.s.
Nové Mesto nad Váhom, 915 01
Netherlands3 sites
Academic Medical Center
Amsterdam, 1105 AZ
University Medical Center Groningen
Groningen, 9713GZ
Maastricht University Medical Center
Maastricht, 6229 HX
Serbia3 sites
Military Medical Academy
Belgrade, 11000
Clinical Hospital Centre Bezanijska Kosa
Belgrade, 11080
Clinical Hospital Center Zemun, Clinical Department for Gastroenterology and Hepatology
Zemun, 11080
South Africa3 sites
Kingsbury Hospital
Cape Town, Western Cape, 7708
Parklands Medical Centre
Durban, KwaZulu-Natal, 4091
Wits Clinical Research
Johannesburg, Gauteng, South Africa, 2193
Austria2 sites
AKH Wien Universitaetsklinik fuer Innere Medizin III
Vienna, 1090
AKH Wien
Vienna, 1090
Canada2 sites
Oshawa Clinic
Oshawa, Ontario, L1H 1B9
Toronto Digestive Disease Associates Inc.
Vaughan, Ontario, L4L 4Y7
About this study
Official title: A Multicenter Open-label Extension Study To Assess Long-term Safety Of PF-00547659 In Subjects With Crohn's Disease OPERA II
This study provides open-label drug to eligible patients who have completed a prior study of PF-00547659. The primary endpoint for this study is long-term safety.
Read the detailed description
The rationale for conducting this open-label extension (OLE) study is primarily to evaluate long term safety of PF 00547659. This protocol also provides the opportunity for continued treatment for subjects responding to treatment from the feeder study. It also provides an opportunity for initial treatment for subjects randomized to placebo in the feeder study. This is a multi center Phase 2, open label, safety extension study for feeder studies which evaluate PF 00546759 in subjects with moderate to severe Crohn's disease. Subjects eligible for this study will have completed the 12 week double blind induction period in study A7281006 and will be stratified by responders or non responders based on change in CDAI in that study, without unblinding treatment assignment from study A7281006. Additionally, subjects who have completed study A7281008 with a clinical response, as defined by that protocol, will also be eligible for this study and treated as "responders". All subjects entering this study must have discontinued immunosuppressant therapy.
Subjects entering this study will be given a 75 mg SC dose at baseline and then every 4 weeks through Week 72. After the active treatment period, the subjects will enter a 24 month follow up period including 6 monthly visits followed by 18 month extended contact (every 6 month telephone contacts). At Week 96, subjects will undergo an End of Study visit but will continue the every 6 month telephone contacts until Week 168.
- Conditions
- Crohn's Disease
- Being tested
- PF-00547659
- Keywords
- Active Crohn's disease, Anti-TNF Refractory, Immunosuppressant Refractory
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PF-00547659Drug
75 mg SC once monthly for 72 weeks. Subjects may escalate to 225 mg or de-escalate to 22.5 mg one time.
| Study group | Role | What they receive |
|---|---|---|
| Open-Label Treatment | Experimental | Subjects eligible for this study will have completed the 12 week double blind induction period in study A7281006 and will be stratified by responders or non responders based on change in CDAI in that study, without unblinding treatment assignment from study A7281006. Additionally, subjects who have completed study A7281008 Receives: Drug: PF-00547659 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With On-Treatment Adverse Events (AEs), AEs Led to Withdrawal, and Serious Adverse Events (SAEs)
AEs included adverse drug reactions, illnesses with onset during the study, exacerbation of previous illnesses, clinically significant changes in physical examination findings and abnormal objective test findings (ECG, laboratory). An SAE was defined as any AE at any dose that resulted in death; was life threatening (immediate risk of death); required in-subject hospitalization or prolongation of existing hospitalization; resulted in a persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); or resulted in congenital anomaly/birth defect.
Measured: From start of study treatment up to Week 72 (Treatment Period)
Secondary outcomes (2)
Number of Participants With Positive Anti-Drug (PF-00547659) Antibodies
Positive Anti-Drug Antibodies result was defined as ADA titre value greater than or equal to (>=) 4.64 at at least one of the time points.
Measured: Baseline up to Week 96
Serum Trough Concentrations of PF-00547659 Versus Time
Serum trough concentrations of PF-00547659 were analyzed using population Pharmacokinetic (PK) methodology.
Measured: Week 4,8,12,16,20,24,28,32,36,40,44,48,52,56,60,64,68,72,76,80,84,88,92,96
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Feb 2011 (estimated)
- Study start1 Jul 2011
- Primary completion27 Jul 2016
- Study completion27 Jul 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Crohn's DiseaseStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Enrolment
- 268 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01298492
- Sponsor's protocol ID
- A7281007
- Other IDs
- 2010-024638-48
- Acronym
- OPERA II
- Status last verified
- May 2021
- First submitted
- 26 Jan 2011
- Last updated
- 3 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
D'Haens GR, Reinisch W, Lee SD, Tarabar D, Louis E, Klopocka M, Klaus J, Schreiber S, Il Park D, Hebuterne X, Nagy P, Cataldi F, Martin SW, Nayak S, Banerjee A, Gorelick KJ, Sandborn WJ. Long-Term Safety and Efficacy of the Anti-Mucosal Addressin Cell Adhesion Molecule-1 Monoclonal Antibody Ontamalimab (SHP647) for the Treatment of Crohn's Disease: The OPERA II Study. Inflamm Bowel Dis. 2022 Jul 1;28(7):1034-1044. doi: 10.1093/ibd/izab215.
PubMed 34427633
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter Open-label Extension Study To Assess Long-term Safety Of PF-00547659 In Subjects With Crohn's Disease OPERA II
- ClinicalTrials.gov ID
- NCT01298492
- Acronym / sponsor ID
- OPERA II / A7281007
- Conditions
- Crohn's Disease
- Keywords
- Active Crohn's disease, Anti-TNF Refractory, Immunosuppressant Refractory
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 268 participants (actual)
- Lead sponsor
- ShireIndustry (pharma, biotech, devices)
- Study start
- 1 Jul 2011 (actual)
- Primary completion
- 27 Jul 2016 (actual)
- Study completion
- 27 Jul 2016 (actual)
- First posted
- 17 Feb 2011 (estimated)
- Results
- Posted 31 Aug 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study provides open-label drug to eligible patients who have completed a prior study of PF-00547659. The primary endpoint for this study is long-term safety.
Detailed description
The rationale for conducting this open-label extension (OLE) study is primarily to evaluate long term safety of PF 00547659. This protocol also provides the opportunity for continued treatment for subjects responding to treatment from the feeder study. It also provides an opportunity for initial treatment for subjects randomized to placebo in the feeder study. This is a multi center Phase 2, open label, safety extension study for feeder studies which evaluate PF 00546759 in subjects with moderate to severe Crohn's disease. Subjects eligible for this study will have completed the 12 week double blind induction period in study A7281006 and will be stratified by responders or non responders based on change in CDAI in that study, without unblinding treatment assignment from study A7281006. Additionally, subjects who have completed study A7281008 with a clinical response, as defined by that protocol, will also be eligible for this study and treated as "responders". All subjects entering this study must have discontinued immunosuppressant therapy.
Subjects entering this study will be given a 75 mg SC dose at baseline and then every 4 weeks through Week 72. After the active treatment period, the subjects will enter a 24 month follow up period including 6 monthly visits followed by 18 month extended contact (every 6 month telephone contacts). At Week 96, subjects will undergo an End of Study visit but will continue the every 6 month telephone contacts until Week 168.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Open-Label Treatment | Experimental | Drug: PF-00547659Subjects eligible for this study will have completed the 12 week double blind induction period in study A7281006 and will be stratified by responders or non responders based on change in CDAI in that study, without unblinding treatment assignment from study A7281006. Additionally, subjects who have completed study A7281008 |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Subjects between 18 and 76 years of age.
- Subjects previously enrolled in study A7281006 who have completed the blinded 84 day (12 week) induction period or in study A7281008 who have completed Week 12 and have demonstrated a clinical response as defined by that protocol.
Key exclusion criteria (2 listed)
- Subjects that have completed Day 84 (Week 12) of a PF-00547659 study but have experienced serious event(s) related to the investigational product, an unstable medical condition, or any other reason, in the opinion of the investigator, would hinder entry or participation in this study.
- Subjects who are taking any dose of azathioprine, 6-mercaptopurine or methotrexate.
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 |
|---|---|---|
| PF-0054765975 mg SC once monthly for 72 weeks. Subjects may escalate to 225 mg or de-escalate to 22.5 mg one time. | Drug | Open-Label Treatment |
Primary outcome
Number of Participants With On-Treatment Adverse Events (AEs), AEs Led to Withdrawal, and Serious Adverse Events (SAEs)
Time frame: From start of study treatment up to Week 72 (Treatment Period)
AEs included adverse drug reactions, illnesses with onset during the study, exacerbation of previous illnesses, clinically significant changes in physical examination findings and abnormal objective test findings (ECG, laboratory). An SAE was defined as any AE at any dose that resulted in death; was life threatening (immediate risk of death); required in-subject hospitalization or prolongation of existing hospitalization; resulted in a persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); or resulted in congenital anomaly/birth defect.
2 secondary outcomes
Number of Participants With Positive Anti-Drug (PF-00547659) Antibodies
Time frame: Baseline up to Week 96
Serum Trough Concentrations of PF-00547659 Versus Time
Time frame: Week 4,8,12,16,20,24,28,32,36,40,44,48,52,56,60,64,68,72,76,80,84,88,92,96
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34427633D'Haens GR, Reinisch W, Lee SD, Tarabar D, Louis E, Klopocka M, Klaus J, Schreiber S, Il Park D, Hebuterne X, Nagy P, Cataldi F, Martin SW, Nayak S, Banerjee A, Gorelick KJ, Sandborn WJ. Long-Term Safety and Efficacy of the Anti-Mucosal Addressin Cell Adhesion Molecule-1 Monoclonal Antibody Ontamalimab (SHP647) for the Treatment of Crohn's Disease: The OPERA II Study. Inflamm Bowel Dis. 2022 Jul 1;28(7):1034-1044. doi: 10.1093/ibd/izab215.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
Related trials for Crohn's Disease
Not yet recruitingPhase 1
An Open-label, DDI Study to Investigate the Effects of Duvakitug on the PK of Selected Cytochrome P450 Substrates
Ulcerative Colitis, Crohn's Disease
RecruitingObservational study
Longitudinal Immunophenotyping of Patients With Inflammatory Bowel Disease
Inflammatory Bowel Disease, Crohn's Disease
RecruitingObservational study
Ibd CAncer and seRious Infections in France (I-CARE 2)
IBD, Ulcerative Colitis
RecruitingObservational study
Characterization of Colorectal Dysplasic Lesions and Stratification of Their Evolving Risk in Inflammatory Bowel Disease Patients: a Prospective, Observational and Multicenter Study
Crohn Disease (CD), Colitis Ulcerative
Enrolling by invitationPhase 4
MOdel-Informed Precision Dosing of Ustekinumab and VEdolizumab in Inflammatory Bowel Disease
Inflammatory Bowel Diseases, Crohn Disease
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Takeda
112 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing PF-00547659 in people with Crohn's Disease, run by Shire at 112 sites in 15 countries.
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 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 112 sites in United States, Germany, France, Japan, South Korea and 10 more countries. 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.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 31 Aug 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With On-Treatment Adverse Events (AEs), AEs Led to Withdrawal, and Serious Adverse Events (SAEs) (time frame: From start of study treatment up to Week 72 (Treatment Period)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01298492, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2021.