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A Study Assessing Saxagliptin Treatment in Type 2 Diabetic Subjects Who Are Not Controlled With TZD Therapy Alone

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00295633
Recruitment Status : Completed
First Posted : February 24, 2006
Results First Posted : September 25, 2009
Last Update Posted : April 7, 2015
Sponsor:
Information provided by (Responsible Party):
AstraZeneca

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Double (Participant, Investigator);   Primary Purpose: Treatment
Condition Diabetes Mellitus, Type 2
Interventions Drug: Saxagliptin
Drug: Placebo
Drug: pioglitazone
Drug: rosiglitazone
Drug: metformin
Enrollment 565
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Saxagliptin 2.5 mg Plus Open-label Thiazolidinedione (TZD) Saxagliptin 5 mg Plus Open-label TZD Placebo Plus Open-label TZD
Hide Arm/Group Description The Saxagliptin 2.5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 2.5 mg plus open-label pioglitazone 30 mg or 45 mg once daily (QD), or open label rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg. The Saxagliptin 5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 5 mg plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg. The placebo + open-label TZD group includes data from subjects randomized to receive coadministration of blinded placebo plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
Period Title: Overall Study
Started 195 186 184
Completed Study Without Being Rescued 88 82 51
Completed 133 119 108
Not Completed 62 67 76
Reason Not Completed
Lack of Efficacy             19             7             16
Withdrawal of consent by subject             16             16             26
Adverse Event             9             17             9
Lost to Follow-up             6             11             7
Physician Decision             9             10             8
Poor/Noncompliance             2             2             6
Subject No Longer Meets Study Criteria             0             3             3
Death             1             1             0
Administrative reason by sponsor             0             0             1
Arm/Group Title Saxagliptin 2.5 mg Plus Open-label TZD Saxagliptin 5 mg Plus Open-label TZD Placebo Plus Open-label TZD Total
Hide Arm/Group Description The Saxagliptin 2.5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 2.5 mg plus open-label pioglitazone 30 mg or 45 mg once daily (QD), or open label rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg. The Saxagliptin 5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 5 mg plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg. The placebo + open-label TZD group includes data from subjects randomized to receive coadministration of blinded placebo plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg. Total of all reporting groups
Overall Number of Baseline Participants 195 186 184 565
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 195 participants 186 participants 184 participants 565 participants
54.85  (9.73) 53.22  (10.56) 54.01  (10.08) 54.04  (10.13)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 195 participants 186 participants 184 participants 565 participants
Female
89
  45.6%
97
  52.2%
99
  53.8%
285
  50.4%
Male
106
  54.4%
89
  47.8%
85
  46.2%
280
  49.6%
1.Primary Outcome
Title Change From Baseline in Hemoglobin A1c (A1C) at Week 24
Hide Description Mean change from baseline in A1C at Week 24, adjusted for baseline value.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Randomized participants who took at least 1 dose of double-blind treatment. To be included in analysis of change from baseline to Week 24 Last Observation Carried Forward (LOCF), participants must have had a baseline and at least 1 post-baseline measurement. If participant received rescue medication, measurement must have been taken before rescue.
Arm/Group Title Saxagliptin 2.5 mg Plus Open-label TZD Saxagliptin 5 mg Plus Open-label TZD Placebo Plus Open-label TZD
Hide Arm/Group Description:
The Saxagliptin 2.5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 2.5 mg plus open-label pioglitazone 30 mg or 45 mg once daily (QD), or open label rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The Saxagliptin 5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 5 mg plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The placebo + open-label TZD group includes data from subjects randomized to receive coadministration of blinded placebo plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
Overall Number of Participants Analyzed 192 183 180
Mean (Standard Error)
Unit of Measure: percent
Baseline Mean 8.25  (0.080) 8.35  (0.080) 8.19  (0.080)
Week 24 Mean 7.59  (0.098) 7.39  (0.086) 7.91  (0.100)
Adjusted Mean Change from Baseline -0.66  (0.074) -0.94  (0.075) -0.30  (0.076)
2.Secondary Outcome
Title Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Hide Description Mean change from baseline in FPG at Week 24, adjusted for baseline value.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Randomized participants who took at least 1 dose of double-blind treatment. To be included in analysis of change from baseline to Week 24 LOCF, participants must have had a baseline and at least 1 post-baseline measurement. If a participant received rescue medication, then that measurement must have been taken before rescue.
Arm/Group Title Saxagliptin 2.5 mg Plus Open-label TZD Saxagliptin 5 mg Plus Open-label TZD Placebo Plus Open-label TZD
Hide Arm/Group Description:
The Saxagliptin 2.5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 2.5 mg plus open-label pioglitazone 30 mg or 45 mg once daily (QD), or open label rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The Saxagliptin 5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 5 mg plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The placebo + open-label TZD group includes data from subjects randomized to receive coadministration of blinded placebo plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
Overall Number of Participants Analyzed 193 185 181
Mean (Standard Error)
Unit of Measure: mg/dL
Baseline Mean 163.0  (3.54) 159.5  (3.34) 162.4  (3.43)
Week 24 Mean 148.2  (3.36) 143.0  (3.20) 159.3  (4.29)
Adjusted Mean Change from Baseline -14.3  (2.87) -17.3  (2.94) -2.8  (2.97)
3.Secondary Outcome
Title Percentage of Participants Achieving A1c <7% at Week 24
Hide Description Percentage of participants achieving A1C < 7%, the American Diabetic Association's defined goal for glycemia, at each dose of saxagliptin plus TZD versus placebo plus TZD at Week 24.
Time Frame Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Randomized participants who took at least 1 dose of double-blind treatment. To be included in the Week 24 LOCF analysis, subjects must have had at least 1 post-baseline measurement. If a participant received rescue medication, then that measurement must have been taken before rescue.
Arm/Group Title Saxagliptin 2.5 mg Plus Open-label TZD Saxagliptin 5 mg Plus Open-label TZD Placebo Plus Open-label TZD
Hide Arm/Group Description:
The Saxagliptin 2.5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 2.5 mg plus open-label pioglitazone 30 mg or 45 mg once daily (QD), or open label rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The Saxagliptin 5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 5 mg plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The placebo + open-label TZD group includes data from subjects randomized to receive coadministration of blinded placebo plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
Overall Number of Participants Analyzed 192 184 180
Measure Type: Number
Unit of Measure: Percentage of participants
42.2 41.8 25.6
4.Secondary Outcome
Title Changes From Baseline in Postprandial Glucose (PPG) Area Under the Curve (AUC) Response to an Oral Glucose Tolerance Test (OGTT) at Week 24
Hide Description Mean change from baseline for 0 to 180 minutes PPG AUC achieved at each dose of saxagliptin plus TZD versus placebo plus TZD at Week 24, adjusted for baseline value.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Randomized participants who took at least 1 dose of double-blind treatment. To be included in analysis of change from baseline to Week 24 LOCF, participants must have had a baseline and at least 1 post-baseline measurement. If a participant received rescue medication, then that measurement must have been taken before rescue.
Arm/Group Title Saxagliptin 2.5 mg Plus Open-label TZD Saxagliptin 5 mg Plus Open-label TZD Placebo Plus Open-label TZD
Hide Arm/Group Description:
The Saxagliptin 2.5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 2.5 mg plus open-label pioglitazone 30 mg or 45 mg once daily (QD), or open label rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The Saxagliptin 5 mg + Open-Label TZD group includes data from subjects randomized to receive coadministration of blinded Saxagliptin 5 mg plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
The placebo + open-label TZD group includes data from subjects randomized to receive coadministration of blinded placebo plus pioglitazone 30 mg or 45 mg once daily (QD), or rosiglitazone 4 mg QD, or 8 mg, either QD or in 2 divided doses of 4 mg.
Overall Number of Participants Analyzed 151 131 123
Mean (Standard Error)
Unit of Measure: mg*min/dL
Baseline Mean 48301  (968.5) 47866  (1048.9) 47256  (1057.4)
Week 24 Mean 40255  (919.7) 38587  (991.3) 44819  (1023.4)
Adjusted Mean Change from Baseline -7849  (740.6) -9269  (794.9) -2690  (820.6)
Time Frame [Not Specified]
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title PLA + TZD SAXA 2.5MG + TZD SAXA 5MG + TZD
Hide Arm/Group Description [Not Specified] [Not Specified] [Not Specified]
All-Cause Mortality
PLA + TZD SAXA 2.5MG + TZD SAXA 5MG + TZD
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/--   --/-- 
Hide Serious Adverse Events
PLA + TZD SAXA 2.5MG + TZD SAXA 5MG + TZD
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   20/184 (10.87%)   19/195 (9.74%)   18/186 (9.68%) 
Cardiac disorders       
TACHYCARDIA  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
ANGINA PECTORIS  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
ATRIAL FIBRILLATION  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
CORONARY ARTERY DISEASE  1  3/184 (1.63%)  1/195 (0.51%)  0/186 (0.00%) 
CARDIAC FAILURE CONGESTIVE  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
ACUTE MYOCARDIAL INFARCTION  1  1/184 (0.54%)  1/195 (0.51%)  0/186 (0.00%) 
Eye disorders       
CATARACT  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
Gastrointestinal disorders       
VOMITING  1  1/184 (0.54%)  0/195 (0.00%)  1/186 (0.54%) 
DIARRHOEA  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
GASTRITIS  1  1/184 (0.54%)  1/195 (0.51%)  0/186 (0.00%) 
ANAL FISTULA  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
ABDOMINAL PAIN  1  1/184 (0.54%)  1/195 (0.51%)  1/186 (0.54%) 
PANCREATITIS ACUTE  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
IRRITABLE BOWEL SYNDROME  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
SMALL INTESTINAL OBSTRUCTION  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
General disorders       
PYREXIA  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
CHEST PAIN  1  1/184 (0.54%)  1/195 (0.51%)  1/186 (0.54%) 
SUDDEN DEATH  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
Hepatobiliary disorders       
CHOLECYSTITIS  1  0/184 (0.00%)  2/195 (1.03%)  0/186 (0.00%) 
Infections and infestations       
ORCHITIS  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
PNEUMONIA  1  1/184 (0.54%)  0/195 (0.00%)  1/186 (0.54%) 
ANAL ABSCESS  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
APPENDICITIS  1  1/184 (0.54%)  1/195 (0.51%)  0/186 (0.00%) 
GASTROENTERITIS  1  0/184 (0.00%)  2/195 (1.03%)  1/186 (0.54%) 
MENINGITIS ASEPTIC  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
STAPHYLOCOCCAL INFECTION  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
Injury, poisoning and procedural complications       
OVERDOSE  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
BACK INJURY  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
LIMB INJURY  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
FIBULA FRACTURE  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
ROAD TRAFFIC ACCIDENT  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
Investigations       
BLOOD PRESSURE INCREASED  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
Metabolism and nutrition disorders       
DEHYDRATION  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
HYPOVOLAEMIA  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
Musculoskeletal and connective tissue disorders       
BACK PAIN  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
OSTEOARTHRITIS  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
INTERVERTEBRAL DISC PROTRUSION  1  0/184 (0.00%)  1/195 (0.51%)  1/186 (0.54%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)       
COLON NEOPLASM  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
MALIGNANT MELANOMA  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
BASAL CELL CARCINOMA  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
SQUAMOUS CELL CARCINOMA  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
METASTATIC SQUAMOUS CELL CARCINOMA  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
Nervous system disorders       
CEREBRAL HAEMATOMA  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
CEREBRAL INFARCTION  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
CEREBELLAR HAEMORRHAGE  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
CAROTID ARTERY STENOSIS  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
CEREBROVASCULAR ACCIDENT  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
TRANSIENT ISCHAEMIC ATTACK  1  1/184 (0.54%)  1/195 (0.51%)  0/186 (0.00%) 
Psychiatric disorders       
ANXIETY  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
ALCOHOL ABUSE  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
Renal and urinary disorders       
RENAL CYST  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
NEPHROLITHIASIS  1  1/184 (0.54%)  0/195 (0.00%)  1/186 (0.54%) 
CALCULUS BLADDER  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
CALCULUS URETERIC  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
Reproductive system and breast disorders       
ENDOMETRIOSIS  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
PROSTATOMEGALY  1  0/184 (0.00%)  0/195 (0.00%)  1/186 (0.54%) 
POSTMENOPAUSAL HAEMORRHAGE  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
Respiratory, thoracic and mediastinal disorders       
ASTHMA  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
CHRONIC OBSTRUCTIVE PULMONARY DISEASE  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
Skin and subcutaneous tissue disorders       
RASH  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
SKIN ULCER  1  1/184 (0.54%)  0/195 (0.00%)  0/186 (0.00%) 
Vascular disorders       
HYPERTENSION  1  0/184 (0.00%)  1/195 (0.51%)  0/186 (0.00%) 
Indicates events were collected by systematic assessment
1
Term from vocabulary, MedDRA 11.1
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
PLA + TZD SAXA 2.5MG + TZD SAXA 5MG + TZD
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   109/184 (59.24%)   107/195 (54.87%)   109/186 (58.60%) 
Blood and lymphatic system disorders       
ANAEMIA  1  3/184 (1.63%)  3/195 (1.54%)  11/186 (5.91%) 
Gastrointestinal disorders       
DIARRHOEA  1  13/184 (7.07%)  8/195 (4.10%)  10/186 (5.38%) 
General disorders       
PYREXIA  1  8/184 (4.35%)  6/195 (3.08%)  11/186 (5.91%) 
OEDEMA PERIPHERAL  1  19/184 (10.33%)  9/195 (4.62%)  26/186 (13.98%) 
Infections and infestations       
BRONCHITIS  1  9/184 (4.89%)  11/195 (5.64%)  7/186 (3.76%) 
NASOPHARYNGITIS  1  15/184 (8.15%)  9/195 (4.62%)  15/186 (8.06%) 
URINARY TRACT INFECTION  1  17/184 (9.24%)  23/195 (11.79%)  20/186 (10.75%) 
UPPER RESPIRATORY TRACT INFECTION  1  19/184 (10.33%)  25/195 (12.82%)  24/186 (12.90%) 
Musculoskeletal and connective tissue disorders       
BACK PAIN  1  7/184 (3.80%)  12/195 (6.15%)  12/186 (6.45%) 
ARTHRALGIA  1  13/184 (7.07%)  22/195 (11.28%)  10/186 (5.38%) 
MUSCULOSKELETAL PAIN  1  6/184 (3.26%)  10/195 (5.13%)  12/186 (6.45%) 
Nervous system disorders       
HEADACHE  1  12/184 (6.52%)  15/195 (7.69%)  15/186 (8.06%) 
DIZZINESS  1  14/184 (7.61%)  10/195 (5.13%)  7/186 (3.76%) 
Respiratory, thoracic and mediastinal disorders       
COUGH  1  13/184 (7.07%)  9/195 (4.62%)  5/186 (2.69%) 
Vascular disorders       
HYPERTENSION  1  12/184 (6.52%)  15/195 (7.69%)  11/186 (5.91%) 
Indicates events were collected by systematic assessment
1
Term from vocabulary, MedDRA 11.1
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Boaz Hirschberg
Organization: AstraZeneca Pharmaceuticals
EMail: ClinicalTrialTransparency@astrazeneca.com
Layout table for additonal information
Responsible Party: AstraZeneca
ClinicalTrials.gov Identifier: NCT00295633    
Other Study ID Numbers: CV181-013
First Submitted: February 22, 2006
First Posted: February 24, 2006
Results First Submitted: August 17, 2009
Results First Posted: September 25, 2009
Last Update Posted: April 7, 2015