NCT01271712 · STUDY IN CONTEXT
Study of Regorafenib as a 3rd-line or Beyond Treatment for Gastrointestinal Stromal Tumors (GIST)
Draft scope assessment: narrower. Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
Read the full study record and all posted results →
Linked outcomes
Progression-free Survival (PFS) was defined as the time from date of randomization to radiological disease progression or death due to any cause, whichever occurs first. PFS was based on central radiological assessment using modified RECIST (Response Evaluation Criteria in Solid Tumors) v.1.1. Progression is defined as at least a 20% increase in the sum of diameters of target lesions taking as reference the smallest sum on study; or unequivocal progression of existing non-target lesions; or appearance of new lesions. Subjects without progression or death at the time of analysis were censored at their last date of tumor evaluation. Results are based on central evaluation.
Overall Survival (OS) was defined as the time from date of randomization to death due to any cause. Subjects still alive at the time of analysis were censored at their date of last contact. Median OS was not observed at the time of PFS analysis and first analysis of OS, therefore only the proportion of death events was reported in the results posting system. This approach was maintained for the subsequent updates in the results posting system.
Time to progression (TTP) was defined as the time from date of randomization to disease progression (based on central radiological assessment using modified RECIST \[Response Evaluation Criteria in Solid Tumors\] v.1.1). Progression is defined as at least a 20% increase in the sum of diameters of target lesions taking as reference the smallest sum on study; or unequivocal progression of existing non-target lesions; or appearance of new lesions. Subjects without progression at the time of analysis were censored at their last date of tumor evaluation. Results are based on central evaluation.
Tumor Response of a subject was defined as the best tumor response (Complete Response \[CR: disappearance of all clinical and radiological evidence of tumor (both target and non-target).\], Partial Response \[PR: at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.\], Stable Disease \[SD: steady state of disease. Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.\], or Progressive Disease \[PD: at least a 20% increase in the sum of diameters of target lesions taking as reference the smallest sum on study or unequivocal progression of existing non-target lesions, or appearance of new lesions.\]) observed during the trial period and assessed according to RECIST v1.1 criteria. Results are based on central evaluation.
Objective response rate was defined as the percentage of subjects whose best response was Complete Response (CR: disappearance of all clinical and radiological evidence of tumor (both target and non-target).) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.) according to Response Evaluation Criteria in Solid Tumors (RECIST v1.1). Results are based on central evaluation.
Disease Control Rate (DCR) was defined as the percentage of subjects whose best response was Complete Response (CR: disappearance of all clinical and radiological evidence of tumor (both target and non-target).), Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.), or Stable Disease (SD: steady state of disease. Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.) according to RECIST v1.1 criteria. SD had to be maintained for at least 12 weeks from the first demonstration of that rating. Results are based on central evaluation.
Reported safety
Quality of life and patient-reported measures
No linked quality-of-life measure is recorded for this setting and study.
Full draft applicability and source-link record
- trial
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- trial label
- Study of Regorafenib as a 3rd-line or Beyond Treatment for Gastrointestinal Stromal Tumors (GIST)
- applicability
- narrower
- applicability note
- Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- provenance class
- regulator-cited
- discovery note
- Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
- outcome Count
- 6
- harms Count
- 5
- qol Count
- 0
- outcomes
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0000
- source section id
- NCT01271712-om-0000
- source outcome index
- 0
- endpoint
- Progression-free Survival
- endpoint definition
- Progression-free Survival (PFS) was defined as the time from date of randomization to radiological disease progression or death due to any cause, whichever occurs first. PFS was based on central radiological assessment using modified RECIST (Response Evaluation Criteria in Solid Tumors) v.1.1. Progression is defined as at least a 20% increase in the sum of diameters of target lesions taking as reference the smallest sum on study; or unequivocal progression of existing non-target lesions; or appearance of new lesions. Subjects without progression or death at the time of analysis were censored at their last date of tumor evaluation. Results are based on central evaluation.
- time origin
- From randomization of the first subject until approximately 144 progression-free survival events had occurred (study duration approximately one year)
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set (FAS) - defined as all randomized participants.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0001
- source section id
- NCT01271712-om-0001
- source outcome index
- 1
- endpoint
- Overall Survival
- endpoint definition
- Overall Survival (OS) was defined as the time from date of randomization to death due to any cause. Subjects still alive at the time of analysis were censored at their date of last contact. Median OS was not observed at the time of PFS analysis and first analysis of OS, therefore only the proportion of death events was reported in the results posting system. This approach was maintained for the subsequent updates in the results posting system.
- time origin
- From randomization of the first subject until date of database cutoff (08 Jun 2015)
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set (FAS). 58 (87.9%) patients in placebo group and 91 (68.4%) patients in regorafenib had started open-label treatment with regorafenib before time of final database cutoff 08 Jun 2015
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0002
- source section id
- NCT01271712-om-0002
- source outcome index
- 2
- endpoint
- Time to Progression (TTP)
- endpoint definition
- Time to progression (TTP) was defined as the time from date of randomization to disease progression (based on central radiological assessment using modified RECIST \[Response Evaluation Criteria in Solid Tumors\] v.1.1). Progression is defined as at least a 20% increase in the sum of diameters of target lesions taking as reference the smallest sum on study; or unequivocal progression of existing non-target lesions; or appearance of new lesions. Subjects without progression at the time of analysis were censored at their last date of tumor evaluation. Results are based on central evaluation.
- time origin
- From randomization of the first subject until until date of database cutoff (26 Jan 2012); study duration approximately 1 year
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set (FAS)
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0003
- source section id
- NCT01271712-om-0003
- source outcome index
- 3
- endpoint
- Tumor Response
- endpoint definition
- Tumor Response of a subject was defined as the best tumor response (Complete Response \[CR: disappearance of all clinical and radiological evidence of tumor (both target and non-target).\], Partial Response \[PR: at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.\], Stable Disease \[SD: steady state of disease. Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.\], or Progressive Disease \[PD: at least a 20% increase in the sum of diameters of target lesions taking as reference the smallest sum on study or unequivocal progression of existing non-target lesions, or appearance of new lesions.\]) observed during the trial period and assessed according to RECIST v1.1 criteria. Results are based on central evaluation.
- time origin
- From randomization of the first subject until date of database cutoff (26 Jan 2012); study duration approximately 1 year
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set (FAS)
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0004
- source section id
- NCT01271712-om-0004
- source outcome index
- 4
- endpoint
- Objective Response Rate
- endpoint definition
- Objective response rate was defined as the percentage of subjects whose best response was Complete Response (CR: disappearance of all clinical and radiological evidence of tumor (both target and non-target).) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.) according to Response Evaluation Criteria in Solid Tumors (RECIST v1.1). Results are based on central evaluation.
- time origin
- From randomization of the first subject until date of database cutoff (26 Jan 2012); study duration approximately 1 year.
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set (FAS)
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0005
- source section id
- NCT01271712-om-0005
- source outcome index
- 5
- endpoint
- Disease Control Rate (DCR)
- endpoint definition
- Disease Control Rate (DCR) was defined as the percentage of subjects whose best response was Complete Response (CR: disappearance of all clinical and radiological evidence of tumor (both target and non-target).), Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.), or Stable Disease (SD: steady state of disease. Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, no unequivocal progression of existing non-target lesions, and no appearance of new lesions.) according to RECIST v1.1 criteria. SD had to be maintained for at least 12 weeks from the first demonstration of that rating. Results are based on central evaluation.
- time origin
- From randomization of the first subject until date of database cutoff (26 Jan 2012); study duration approximately 1 year
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Full Analysis Set (FAS)
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- arms
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0000
- arm key
- OG000
- arm label
- Regorafenib (Stivarga, BAY73-4506)
- regimen
- Participants received Regorafenib (Stivarga) 160 mg (4 x 40 mg tablets) per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 133
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0000#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0000
- arm key
- OG001
- arm label
- Placebo
- regimen
- Participants received matching Placebo tablets per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 66
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0000#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0001
- arm key
- OG000
- arm label
- Regorafenib (Stivarga, BAY73-4506)
- regimen
- Participants received Regorafenib (Stivarga) 160 mg (4 x 40 mg tablets) per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 133
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0001#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0001
- arm key
- OG001
- arm label
- Placebo
- regimen
- Participants received matching Placebo tablets per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 66
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0001#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0002
- arm key
- OG000
- arm label
- Regorafenib (Stivarga, BAY73-4506)
- regimen
- Participants received Regorafenib (Stivarga) 160 mg (4 x 40 mg tablets) per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 133
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0002#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0002
- arm key
- OG001
- arm label
- Placebo
- regimen
- Participants received matching Placebo tablets per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 66
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0002#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0003
- arm key
- OG000
- arm label
- Regorafenib (Stivarga, BAY73-4506)
- regimen
- Participants received Regorafenib (Stivarga) 160 mg (4 x 40 mg tablets) per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 133
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0003#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0003
- arm key
- OG001
- arm label
- Placebo
- regimen
- Participants received matching Placebo tablets per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 66
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0003#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0004
- arm key
- OG000
- arm label
- Regorafenib (Stivarga, BAY73-4506)
- regimen
- Participants received Regorafenib (Stivarga) 160 mg (4 x 40 mg tablets) per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 133
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0004#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0004
- arm key
- OG001
- arm label
- Placebo
- regimen
- Participants received matching Placebo tablets per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 66
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0004#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0005
- arm key
- OG000
- arm label
- Regorafenib (Stivarga, BAY73-4506)
- regimen
- Participants received Regorafenib (Stivarga) 160 mg (4 x 40 mg tablets) per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 133
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0005#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- outcome key
- om-0005
- arm key
- OG001
- arm label
- Placebo
- regimen
- Participants received matching Placebo tablets per os once daily, 3 weeks on therapy followed by 1 week off therapy to comprise a cycle of 4 weeks
- analyzed count
- 66
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT01271712-om-0005#groups/OG001
- harms
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- harm key
- EG000
- source section id
- NCT01271712-ae
- event group key
- EG000
- event group label
- Regorafenib (Double Blind Only)
- serious affected
- 23
- serious at risk
- 41
- other affected
- 40
- other at risk
- 41
- frequency threshold
- 5
- collection period
- From first administration of treatment till 30 days after last dose of treatment.
- event definition
- At primary completion (cutoff 26JAN2012) blinded patients who received either regorafenib or placebo were reported in "Regorafenib (DoubleBlindOnly)" and "Placebo (DoubleBlindOnly)" respectively; patients who received regorafenib after unblinding were reported in "Placebo, OpenLabelOnly(Switch to Regorafenib)". This safety update (cutoff 15APR2019) was reported in "Treated with Regorafenib at any time" and "Treated with Regorafenib for\>1 year".
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- harm key
- EG001
- source section id
- NCT01271712-ae
- event group key
- EG001
- event group label
- Placebo (Double Blind Only)
- serious affected
- 8
- serious at risk
- 8
- other affected
- 7
- other at risk
- 8
- frequency threshold
- 5
- collection period
- From first administration of treatment till 30 days after last dose of treatment.
- event definition
- At primary completion (cutoff 26JAN2012) blinded patients who received either regorafenib or placebo were reported in "Regorafenib (DoubleBlindOnly)" and "Placebo (DoubleBlindOnly)" respectively; patients who received regorafenib after unblinding were reported in "Placebo, OpenLabelOnly(Switch to Regorafenib)". This safety update (cutoff 15APR2019) was reported in "Treated with Regorafenib at any time" and "Treated with Regorafenib for\>1 year".
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- harm key
- EG002
- source section id
- NCT01271712-ae
- event group key
- EG002
- event group label
- Placebo, Open Label Only (Switch to Regorafenib)
- serious affected
- 31
- serious at risk
- 58
- other affected
- 58
- other at risk
- 58
- frequency threshold
- 5
- collection period
- From first administration of treatment till 30 days after last dose of treatment.
- event definition
- At primary completion (cutoff 26JAN2012) blinded patients who received either regorafenib or placebo were reported in "Regorafenib (DoubleBlindOnly)" and "Placebo (DoubleBlindOnly)" respectively; patients who received regorafenib after unblinding were reported in "Placebo, OpenLabelOnly(Switch to Regorafenib)". This safety update (cutoff 15APR2019) was reported in "Treated with Regorafenib at any time" and "Treated with Regorafenib for\>1 year".
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- harm key
- EG003
- source section id
- NCT01271712-ae
- event group key
- EG003
- event group label
- Treated With Regorafenib at Any Time
- serious affected
- 103
- serious at risk
- 190
- other affected
- 189
- other at risk
- 190
- frequency threshold
- 5
- collection period
- From first administration of treatment till 30 days after last dose of treatment.
- event definition
- At primary completion (cutoff 26JAN2012) blinded patients who received either regorafenib or placebo were reported in "Regorafenib (DoubleBlindOnly)" and "Placebo (DoubleBlindOnly)" respectively; patients who received regorafenib after unblinding were reported in "Placebo, OpenLabelOnly(Switch to Regorafenib)". This safety update (cutoff 15APR2019) was reported in "Treated with Regorafenib at any time" and "Treated with Regorafenib for\>1 year".
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastrointestinal-stromal-tumors
- nct id
- NCT01271712
- harm key
- EG004
- source section id
- NCT01271712-ae
- event group key
- EG004
- event group label
- Treated With Regorafenib for > 1 Year
- serious affected
- 39
- serious at risk
- 75
- other affected
- 75
- other at risk
- 75
- frequency threshold
- 5
- collection period
- From first administration of treatment till 30 days after last dose of treatment.
- event definition
- At primary completion (cutoff 26JAN2012) blinded patients who received either regorafenib or placebo were reported in "Regorafenib (DoubleBlindOnly)" and "Placebo (DoubleBlindOnly)" respectively; patients who received regorafenib after unblinding were reported in "Placebo, OpenLabelOnly(Switch to Regorafenib)". This safety update (cutoff 15APR2019) was reported in "Treated with Regorafenib at any time" and "Treated with Regorafenib for\>1 year".
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- quality of life
- setting source links
Preserved source evidence · Not medical advice
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