An Efficacy and Safety Study of Fluticasone Furoate/Vilanterol 100/25 Microgram (mcg) Inhalation Powder, Fluticasone Propionate/Salmeterol 250/50 mcg Inhalation Powder, and Fluticasone Propionate 250 mcg Inhalation Powder in Adults and Adolescents With Persistent Asthma
A Randomized, Double-blind, Double-dummy, Parallel Group, Multicenter Study of Once Daily Fluticasone Furoate/Vilanterol 100/25 mcg Inhalation Powder, Twice Daily Fluticasone Propionate/Salmeterol 250/50 mcg Inhalation Powder, and Twice Daily Fluticasone Propionate 250 mcg Inhalation Powder in the Treatment of Persistent Asthma in Adults and Adolescents Already Adequately Controlled on Twice-daily Inhaled Corticosteroid and Long-acting beta2 Agonist
1 other identifier
interventional
1,526
12 countries
179
Brief Summary
This study is a randomized, double-blind, double-dummy, parallel group, multicenter, non-inferiority study. The study will enroll adult and adolescent asthmatic subjects who are currently receiving mid dose inhaled corticosteroids (ICS) plus long-acting beta2-agonist (LABA) (equivalent to fluticasone propionate \[FP\]/salmeterol 250/50 microgram \[mcg\]twice daily \[BD\]), either via a fixed dose combination product or through separate inhalers. The study consists of a LABA washout period of 5 days and a run-in period of 4 weeks, followed by a treatment period of 24 weeks, and a follow up contact period of one week. The total duration of the study is 30 weeks. Approximately 1461 subjects will be randomized to one of the following three treatments (487 per treatment): fluticasone furoate (FF)/vilanterol (VI) 100/25 mcg once daily (OD) in the evening (PM) via ELLIPTA™ inhaler plus placebo BD via ACCUHALER™/DISKUS™; FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler; FP 250 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler. In addition, all subjects will be supplied with albuterol/salbutamol inhalation aerosol to use as needed to treat acute asthma symptoms. This study will determine if FF/VI 100/25 mcg OD via ELLIPTA inhaler is non-inferior to FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler in adult and adolescent asthmatic subjects already adequately controlled on a twice-daily ICS/LABA. SERETIDE, ELLIPTA, ACCUHALER, RELVAR, and DISKUS are trademarks of the GlaxoSmithKline Group of Companies.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 asthma
Started Mar 2015
179 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 24, 2014
CompletedFirst Posted
Study publicly available on registry
November 26, 2014
CompletedStudy Start
First participant enrolled
March 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 25, 2016
CompletedResults Posted
Study results publicly available
June 12, 2017
CompletedAugust 6, 2018
August 1, 2018
1.7 years
November 24, 2014
May 8, 2017
August 2, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change From Baseline in Evening (Post Meridiem [PM]) Forced Expiratory Volume in One Second (FEV1) Using Intent-to-Treat (ITT) Population
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the mixed model repeated measures (MMRM) model and least square mean and standard error were calculated. The analysis was performed on ITT Population which comprised of all participants randomized to treatment and who received at least one dose of study medication.
Baseline and Week 24
Change From Baseline in PM FEV1 Using Per Protocol (PP) Population
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the MMRM models and least square mean and standard error were calculated. The analysis was performed on PP Population which comprised of all participants in the ITT Population who did not had any full protocol deviations.
Baseline and Week 24
Secondary Outcomes (5)
Change From Baseline in the Percentage of Rescue-free 24-hour Periods
Baseline and Weeks 1-24
Change From Baseline in the Percentage of Symptom-free 24-hour Periods
Baseline and Weeks 1-24
Change From Baseline in Morning (Ante Meridiem [AM]) Peak Expiratory Flow (PEF)
Baseline and Weeks 1-24
Percentage of Participants With Asthma Control Test (ACT) Score Greater Than or Equal to 20
Week 24
Change From Baseline in PM PEF
Baseline and Weeks 1-24
Study Arms (3)
Fluticasone Furoate/Vilanterol 100/25 mcg
EXPERIMENTALFF/VI 100/25 mcg by inhalation OD (PM) via ELLIPTA plus placebo by inhalation BD (AM and PM) via ACCUHALER/DISKUS for 24 weeks.
Fluticasone Propionate/Salmeterol 250/50 mcg
EXPERIMENTALFP/Salmeterol 250/50 mcg by inhalation BD (AM and PM) via ACCUHALER/DISKUS plus placebo by inhalation OD (PM) via ELLIPTA for 24 weeks.
Fluticasone Propionate 250 mcg
EXPERIMENTALFP 250 mcg by inhalation BD (AM and PM) via ACCUHALER/DISKUS plus placebo by inhalation OD (PM) via ELLIPTA for 24 weeks.
Interventions
FF/Vilanterol 100/25 mcg inhalation powders administered once daily via ELLIPTA inhaler. 30 doses per device and 100/25 mcg per actuation.
Placebo inhalation powders administered once daily via ELLIPTA inhaler. 30 doses per device.
FP/Salmeterol 250/50 mcg inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device and 250/50 mcg per actuation.
Placebo inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device.
FP 250 mcg inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device and 250 mcg per actuation.
Eligibility Criteria
You may qualify if:
- Subjects must give their signed and dated written informed consent to participate prior to commencing any study related activities.
- Subjects must be outpatients \>=12 years of age at Visit 1 who have had a diagnosis of asthma, as defined by the National Institutes of Health, for at least 12 weeks prior to Visit 1 (Note: Countries with local restrictions prohibiting enrollment of adolescents will enroll subjects \>=18 years of age only).
- Subjects may be male or an eligible female. An eligible female is defined as having non-childbearing potential or having childbearing potential and a negative urine pregnancy test at Screening and agrees to use an acceptable method of birth control consistently and correctly.
- Subjects must have a FEV1 of \>=80% of the predicted normal value.
- Subjects are eligible if they have received mid dose ICS plus LABA (equivalent to FP/salmeterol 250/50 twice daily or an equivalent combination via separate inhalers) for at least the 12 weeks immediately preceding Visit 1.
- All subjects must be able to replace their current SABA treatment with albuterol/salbutamol aerosol inhaler at Visit 1 for use, as needed, for the duration of the study. Subjects must be able to withhold albuterol/salbutamol for at least 6 hours prior to study visits.
You may not qualify if:
- History of Life-Threatening Asthma, defined for this protocol as an asthma episode that required intubation and/or associated with hypercapnea, respiratory arrest or hypoxic seizures within the last 5 years.
- Culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear that is not resolved within 4 weeks of Visit 1 and led to a change in asthma management or in the opinion of the Investigator, expected to affect the subject's asthma status or the subject's ability to participate in the study.
- Any asthma exacerbation requiring oral corticosteroids within 12 weeks of Visit 1 or resulting in an overnight hospitalization requiring additional treatment for asthma within 6 months prior to Visit 1.
- A subject must not have current evidence of Atlectasis, Bronchopulmonary dysplasia, Chronic bronchitis, Chronic obstructive pulmonary disease, Pneumonia, Pneumothorax, Interstitial lung disease, or any evidence of concurrent respiratory disease other than asthma
- A subject must not have any clinically significant, uncontrolled condition or disease state that, in the opinion of the investigator, would put the safety of the subject at risk through study participation or would confound the interpretation of the results if the condition/disease exacerbated during the study.
- A subject must not have used any investigational drug within 30 days prior to Visit 1 or within five half-lives (t½) of the prior investigational study, whichever is longer of the two.
- Any adverse reaction including immediate or delayed hypersensitivity to any beta2-agonist, sympathomimetic drug, or any intranasal, inhaled, or systemic corticosteroid therapy. Known or suspected sensitivity to the constituents of RELVAR™ ELLIPTA inhaler, SERETIDE™ ACCUHALER/DISKUS inhaler or FP 250.
- History of severe milk protein allergy.
- Administration of prescription or non-prescription medication that would significantly affect the course of asthma, or interact with study drug.
- A subject must not be using or require the use of immunosuppressive medications during the study.
- A subject will not be eligible if he/she or his/her parent or legal guardian has any infirmity, disability, disease, or geographical location which seems likely (in the opinion of the Investigator) to impair compliance with any aspect of this study protocol, including visit schedule and completion of the daily diaries.
- Current tobacco smoker or has a smoking history of 10 pack-years (20 cigarettes/day for 10 years). A subject may not have used inhaled tobacco products or inhaled marijuana within the past 3 months (e.g., cigarettes, cigars, electronic cigarettes, or pipe tobacco).
- A subject will not be eligible for this study if he/she is an immediate family member of the participating investigator, sub-investigator, study coordinator, or employee of the participating investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- GlaxoSmithKlinelead
Study Sites (179)
GSK Investigational Site
Huntington Beach, California, 92647, United States
GSK Investigational Site
Riverside, California, 92506, United States
GSK Investigational Site
Rolling Hills Estates, California, 90274, United States
GSK Investigational Site
San Diego, California, 92103, United States
GSK Investigational Site
Upland, California, 91786, United States
GSK Investigational Site
Denver, Colorado, 80230, United States
GSK Investigational Site
Miami, Florida, 33165, United States
GSK Investigational Site
Miami, Florida, 33174, United States
GSK Investigational Site
Albany, Georgia, 31707, United States
GSK Investigational Site
Baltimore, Maryland, 21236, United States
GSK Investigational Site
Columbia, Maryland, 21044, United States
GSK Investigational Site
Minneapolis, Minnesota, 55402, United States
GSK Investigational Site
Plymouth, Minnesota, 55441, United States
GSK Investigational Site
Columbia, Missouri, 65203, United States
GSK Investigational Site
Rolla, Missouri, 65401, United States
GSK Investigational Site
Bellevue, Nebraska, 68123-4303, United States
GSK Investigational Site
Charlotte, North Carolina, 28277, United States
GSK Investigational Site
Gastonia, North Carolina, 28054, United States
GSK Investigational Site
Hendersonville, North Carolina, 28739, United States
GSK Investigational Site
Huntersville, North Carolina, 28078, United States
GSK Investigational Site
Canton, Ohio, 44718, United States
GSK Investigational Site
Cincinnati, Ohio, 45231, United States
GSK Investigational Site
Middleburg Heights, Ohio, 44130, United States
GSK Investigational Site
Medford, Oregon, 97504, United States
GSK Investigational Site
Bethlehem, Pennsylvania, 18020, United States
GSK Investigational Site
Greenville, South Carolina, 29615, United States
GSK Investigational Site
Orangeburg, South Carolina, 29118, United States
GSK Investigational Site
Rock Hill, South Carolina, 29732, United States
GSK Investigational Site
Spartanburg, South Carolina, 29303, United States
GSK Investigational Site
Austin, Texas, 78750, United States
GSK Investigational Site
Lewisville, Texas, 75067, United States
GSK Investigational Site
Waco, Texas, 76712, United States
GSK Investigational Site
Richmond, Virginia, 23225, United States
GSK Investigational Site
Greenfield, Wisconsin, 53228, United States
GSK Investigational Site
Florida, Buenos Aires, 1602, Argentina
GSK Investigational Site
La Plata, Buenos Aires, 1900, Argentina
GSK Investigational Site
Mar del Plata, Buenos Aires, 7600, Argentina
GSK Investigational Site
Quilmes, Buenos Aires, B1878FNR, Argentina
GSK Investigational Site
Rosario, Santa Fe Province, S2000DBS, Argentina
GSK Investigational Site
Rosario, Santa Fe Province, S2000JKR, Argentina
GSK Investigational Site
Buenos Aires, C1121ABE, Argentina
GSK Investigational Site
Buenos Aires, C1424BSF, Argentina
GSK Investigational Site
Buenos Aires, C1425BEN, Argentina
GSK Investigational Site
Buenos Aires, C1426ABP, Argentina
GSK Investigational Site
Mar del Plata, B7600FYK, Argentina
GSK Investigational Site
Mendoza, 5500, Argentina
GSK Investigational Site
Mendoza, M5500CCG, Argentina
GSK Investigational Site
San Miguel de Tucumán, 4000, Argentina
GSK Investigational Site
Salvador, Estado de Bahia, 41940455, Brazil
GSK Investigational Site
Goiânia, Goiás, 74110 030, Brazil
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
GSK Investigational Site
São Paulo, 01323903, Brazil
GSK Investigational Site
São Paulo, 04266-010, Brazil
GSK Investigational Site
Valparaíso, Región de Valparaíso, 2341131, Chile
GSK Investigational Site
Concepción, Región Del Biobio, 4070038, Chile
GSK Investigational Site
Santiago, Región Metro de Santiago, 7500692, Chile
GSK Investigational Site
Santiago, Región Metro de Santiago, 7500710, Chile
GSK Investigational Site
Santiago, Región Metro de Santiago, 7510186, Chile
GSK Investigational Site
Santiago, 7500698, Chile
GSK Investigational Site
Viña del Mar, 2520594, Chile
GSK Investigational Site
Česká Lípa, 470 01, Czechia
GSK Investigational Site
Hlučín, 748 01, Czechia
GSK Investigational Site
Hradec Králové, 500 02, Czechia
GSK Investigational Site
Kutná Hora, 284 01, Czechia
GSK Investigational Site
Lovosice, 410 02, Czechia
GSK Investigational Site
Olomouc, 772 00, Czechia
GSK Investigational Site
Ostrava - Poruba, 70868, Czechia
GSK Investigational Site
Rokycany, 337 01, Czechia
GSK Investigational Site
Tábor, 390 01, Czechia
GSK Investigational Site
Teplice, 415 10, Czechia
GSK Investigational Site
Varnsdorf, 407 47, Czechia
GSK Investigational Site
Stuttgart, Baden-Wurttemberg, 70378, Germany
GSK Investigational Site
Bamberg, Bavaria, 96049, Germany
GSK Investigational Site
Munich, Bavaria, 80339, Germany
GSK Investigational Site
Munich, Bavaria, 80539, Germany
GSK Investigational Site
Potsdam, Brandenburg, 14469, Germany
GSK Investigational Site
Frankfurt am Main, Hesse, 60389, Germany
GSK Investigational Site
Frankfurt am Main, Hesse, 60596, Germany
GSK Investigational Site
Marburg, Hesse, 35037, Germany
GSK Investigational Site
Neu-Isenburg, Hesse, 63263, Germany
GSK Investigational Site
Hanover, Lower Saxony, 30173, Germany
GSK Investigational Site
Peine, Lower Saxony, 31224, Germany
GSK Investigational Site
Essen, North Rhine-Westphalia, 45355, Germany
GSK Investigational Site
Essen, North Rhine-Westphalia, 45359, Germany
GSK Investigational Site
Warendorf, North Rhine-Westphalia, 48231, Germany
GSK Investigational Site
Witten, North Rhine-Westphalia, 58452, Germany
GSK Investigational Site
Koblenz, Rhineland-Palatinate, 56068, Germany
GSK Investigational Site
Delitzsch, Saxony, 04509, Germany
GSK Investigational Site
Leipzg, Saxony, 04109, Germany
GSK Investigational Site
Leipzig, Saxony, 04207, Germany
GSK Investigational Site
Leipzig, Saxony, 04275, Germany
GSK Investigational Site
Leipzig, Saxony, 04357, Germany
GSK Investigational Site
Teuchern, Saxony-Anhalt, 6682, Germany
GSK Investigational Site
Geesthacht, Schleswig-Holstein, 21502, Germany
GSK Investigational Site
Lübeck, Schleswig-Holstein, 23552, Germany
GSK Investigational Site
Schleswig, Schleswig-Holstein, 24837, Germany
GSK Investigational Site
Schmölln, Thuringia, 04626, Germany
GSK Investigational Site
Berlin, 10119, Germany
GSK Investigational Site
Berlin, 10367, Germany
GSK Investigational Site
Berlin, 10717, Germany
GSK Investigational Site
Berlin, 10787, Germany
GSK Investigational Site
Berlin, 10969, Germany
GSK Investigational Site
Berlin, 12203, Germany
GSK Investigational Site
Berlin, 13156, Germany
GSK Investigational Site
Hamburg, 22299, Germany
GSK Investigational Site
Zapopan, Jalisco, 45030, Mexico
GSK Investigational Site
Zapopan, Jalisco, 45070, Mexico
GSK Investigational Site
Morelia, Michoacán, 58070, Mexico
GSK Investigational Site
Monterrey NL, Nuevo León, 64718, Mexico
GSK Investigational Site
Villahermosa, Tabasco, 86035, Mexico
GSK Investigational Site
Mexico City, 01710, Mexico
GSK Investigational Site
Almelo, 7609 PP, Netherlands
GSK Investigational Site
Almere Stad, 1311 RL, Netherlands
GSK Investigational Site
Almere Stad, 1315 RC, Netherlands
GSK Investigational Site
Breda, 4818 CK, Netherlands
GSK Investigational Site
Breda, 4819 EV, Netherlands
GSK Investigational Site
Eindhoven, 5623 EJ, Netherlands
GSK Investigational Site
Harderwijk, 3844 DG, Netherlands
GSK Investigational Site
Hoorn, 1624 NP, Netherlands
GSK Investigational Site
Kloosterhaar, 7694 AC, Netherlands
GSK Investigational Site
Nijverdal, 7442 LS, Netherlands
GSK Investigational Site
Zutphen, 7207 AE, Netherlands
GSK Investigational Site
Bacau, 600114, Romania
GSK Investigational Site
Bacau, 600252, Romania
GSK Investigational Site
Brasov, 500112, Romania
GSK Investigational Site
Bucharest, 020125, Romania
GSK Investigational Site
Bucharest, 022102, Romania
GSK Investigational Site
Bucharest, 030317, Romania
GSK Investigational Site
Bucharest, 050159, Romania
GSK Investigational Site
Cluj-Napoca, 400371, Romania
GSK Investigational Site
Codlea, 505100, Romania
GSK Investigational Site
Craiova, 200345, Romania
GSK Investigational Site
Deva, 330182, Romania
GSK Investigational Site
Piteşti, 110084, Romania
GSK Investigational Site
Suceava, 720284, Romania
GSK Investigational Site
Timișoara, 300310, Romania
GSK Investigational Site
Barnaul, 656 045, Russia
GSK Investigational Site
Blagoveshchensk, 675000, Russia
GSK Investigational Site
Irkutsk, 664043, Russia
GSK Investigational Site
Kemerovo, 650000, Russia
GSK Investigational Site
Kemerovo, 650002, Russia
GSK Investigational Site
Krasnodar, 350012, Russia
GSK Investigational Site
Moscow, 115201, Russia
GSK Investigational Site
Moscow, 115478, Russia
GSK Investigational Site
Moscow, 123 182, Russia
GSK Investigational Site
Moscow, 125315, Russia
GSK Investigational Site
Omsk, 644112, Russia
GSK Investigational Site
Pyatigorsk, 357538, Russia
GSK Investigational Site
Saint Petersburg, 194354, Russia
GSK Investigational Site
Saint Petersburg, 194356, Russia
GSK Investigational Site
Saint Petersburg, 196240, Russia
GSK Investigational Site
Saint Petesburg, 195030, Russia
GSK Investigational Site
Saratov, 410028, Russia
GSK Investigational Site
St'Petersburg, 197706, Russia
GSK Investigational Site
Stavropol, 355017, Russia
GSK Investigational Site
Tomsk, 634009, Russia
GSK Investigational Site
Tomsk, 634033, Russia
GSK Investigational Site
Ufa, 450071, Russia
GSK Investigational Site
Ulyanovsk, 432063, Russia
GSK Investigational Site
Vladimir, 600023, Russia
GSK Investigational Site
Volgodonsk, 347381, Russia
GSK Investigational Site
Voronezh, 394018, Russia
GSK Investigational Site
Cheongju-si, Chungcheongbuk-do, 361-763, South Korea
GSK Investigational Site
Incheon, 403-720, South Korea
GSK Investigational Site
Seoul, 110-744, South Korea
GSK Investigational Site
Seoul, 135-710, South Korea
GSK Investigational Site
Seoul, 138-736, South Korea
GSK Investigational Site
Suwon-si, Gyeonggi-do, 16499, South Korea
GSK Investigational Site
Alicante, 03004, Spain
GSK Investigational Site
Alzira/Valencia, 46600, Spain
GSK Investigational Site
Badalona, 08916, Spain
GSK Investigational Site
Barcelona, 08016, Spain
GSK Investigational Site
Barcelona, 08035, Spain
GSK Investigational Site
Centelles (Barcelona), 08540, Spain
GSK Investigational Site
Madrid, 28009, Spain
GSK Investigational Site
Pozuelo de Alarcón/Madrid, 28223, Spain
GSK Investigational Site
Santander, 39008, Spain
GSK Investigational Site
Santiago de Compostela, 15706, Spain
GSK Investigational Site
Valencia, 46015, Spain
Related Publications (2)
Oba Y, Anwer S, Maduke T, Patel T, Dias S. Effectiveness and tolerability of dual and triple combination inhaler therapies compared with each other and varying doses of inhaled corticosteroids in adolescents and adults with asthma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2022 Dec 6;12(12):CD013799. doi: 10.1002/14651858.CD013799.pub2.
PMID: 36472162DERIVEDBernstein D, Andersen L, Forth R, Jacques L, Yates L. Once-daily fluticasone furoate/vilanterol versus twice-daily fluticasone propionate/salmeterol in patients with asthma well controlled on ICS/LABA. J Asthma. 2018 Sep;55(9):984-993. doi: 10.1080/02770903.2017.1386214. Epub 2018 Apr 13.
PMID: 28961020DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- GSK Response Center
- Organization
- GlaxoSmithKline
Study Officials
- STUDY DIRECTOR
GSK Clinical Trials
GlaxoSmithKline
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 24, 2014
First Posted
November 26, 2014
Study Start
March 1, 2015
Primary Completion
November 1, 2016
Study Completion
November 25, 2016
Last Updated
August 6, 2018
Results First Posted
June 12, 2017
Record last verified: 2018-08