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NCT01177397 · OUTCOME

Part B: Percent Change From Baseline in p4E-BP1 in Monocytes by Tumor Cohort

Study to Assess Safety, Pharmacokinetics, and Efficacy of Oral CC-223 for Patients With Advanced Solid Tumors, Non-Hodgkin Lymphoma or Multiple Myeloma · Source last updated 2022-12-13

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
Percent change in p4E-BP1
Interval / dispersion
Full Range
Time frame
Cycle 1 Day 1: 1.5 hours post-dose and Day 15: 1.5 hours post-dose

What was measured

Phosphorylated 4E-BP1 is a biomarker for inhibition of the mammalian target of rapamycin complex 1 (mTORC1). Phosphorylated 4E-BP1 was measured in stimulated monocytes via flow cytometry. MFI values were determined and converted to molecules of equivalent fluorescence label (MEFL) by normalizing against calibration beads. The biomarker evaluable population included all subjects who took at least one dose of study drug and had at least one non-missing pharmacodynamic (PD) assessment. Data is reported by T-cell subsets known as clusters of differentiation (CD).

Analysis population: All biomarker evaluable participants who received treatment in Part B.

Groups in this outcome

Part B: Glioblastoma Multiforme (GBM)

Participants with GBM received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.

Part B: Hepatocellular Carcinoma (HCC)

Participants with HCC received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.

Part B: Neuroendocrine Tumor (NET)

Participants with NET received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.

Part B: Diffuse Large B-cell Lymphoma (DLBCL)

Participants with DLBCL received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.

Part B: Hormone Receptor Positive Breast Cancer (HRPBC)

Participants with HRPBC received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.

Part B: Non-small Cell Lung Cancer (NSCLC)

Participants with NSCLC received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.

Part B: Multiple Myeloma (MM)

Participants with MM received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)10
Part B: Hepatocellular Carcinoma (HCC)44
Part B: Neuroendocrine Tumor (NET)34
Part B: Diffuse Large B-cell Lymphoma (DLBCL)15
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)6
Part B: Non-small Cell Lung Cancer (NSCLC)18
Part B: Multiple Myeloma (MM)3

Reported measurements

Day 1,1.5 hours post-dose - CD3+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)0
Part B: Hepatocellular Carcinoma (HCC)24
Part B: Neuroendocrine Tumor (NET)33
Part B: Diffuse Large B-cell Lymphoma (DLBCL)15
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)6
Part B: Non-small Cell Lung Cancer (NSCLC)0
Part B: Multiple Myeloma (MM)0
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Hepatocellular Carcinoma (HCC)-23.5Not reported-100.0157.1Not reported
Part B: Neuroendocrine Tumor (NET)-50.0Not reported-93.6114.3Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-61.6Not reported-100.019.8Not reported
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)-63.3Not reported-93.8122.5Not reported
Day 15, 1.5 hours post-dose - CD3+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)0
Part B: Hepatocellular Carcinoma (HCC)18
Part B: Neuroendocrine Tumor (NET)22
Part B: Diffuse Large B-cell Lymphoma (DLBCL)10
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)5
Part B: Non-small Cell Lung Cancer (NSCLC)0
Part B: Multiple Myeloma (MM)0
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Hepatocellular Carcinoma (HCC)-38.9Not reported-100.0445.8Not reported
Part B: Neuroendocrine Tumor (NET)-51.8Not reported-98.9105.0Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-58.7Not reported-100.042.1Not reported
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)-58.4Not reported-100.079.3Not reported
Day 1,1.5 hours post-dose - CD14+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)1
Part B: Hepatocellular Carcinoma (HCC)44
Part B: Neuroendocrine Tumor (NET)34
Part B: Diffuse Large B-cell Lymphoma (DLBCL)15
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)6
Part B: Non-small Cell Lung Cancer (NSCLC)0
Part B: Multiple Myeloma (MM)0
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Glioblastoma Multiforme (GBM)-28.7Not reported-28.7-28.7Not reported
Part B: Hepatocellular Carcinoma (HCC)-17.3Not reported-87.066.6Not reported
Part B: Neuroendocrine Tumor (NET)-11.7Not reported-85.346.3Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-44.5Not reported-85.1438.9Not reported
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)-49.4Not reported-68.431.7Not reported
Day 15, 1.5 hours post-dose - CD14+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)1
Part B: Hepatocellular Carcinoma (HCC)19
Part B: Neuroendocrine Tumor (NET)23
Part B: Diffuse Large B-cell Lymphoma (DLBCL)10
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)5
Part B: Non-small Cell Lung Cancer (NSCLC)0
Part B: Multiple Myeloma (MM)0
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Glioblastoma Multiforme (GBM)-61.3Not reported-61.3-61.3Not reported
Part B: Hepatocellular Carcinoma (HCC)-58.1Not reported-91.7528.1Not reported
Part B: Neuroendocrine Tumor (NET)-39.1Not reported-78.726.0Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-74.1Not reported-94.1210.2Not reported
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)-35.8Not reported-70.0154.7Not reported
Day 1,1.5 hours post-dose - CD19+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)1
Part B: Hepatocellular Carcinoma (HCC)25
Part B: Neuroendocrine Tumor (NET)34
Part B: Diffuse Large B-cell Lymphoma (DLBCL)3
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)6
Part B: Non-small Cell Lung Cancer (NSCLC)0
Part B: Multiple Myeloma (MM)0
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Glioblastoma Multiforme (GBM)-15.3Not reported-15.3-15.3Not reported
Part B: Hepatocellular Carcinoma (HCC)-44.3Not reported-100.0266.7Not reported
Part B: Neuroendocrine Tumor (NET)-39.4Not reported-93.734.3Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-44.5Not reported-71.9-36.0Not reported
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)-44.8Not reported-88.358.2Not reported
Day 15, 1.5 hours post-dose - CD19+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)1
Part B: Hepatocellular Carcinoma (HCC)18
Part B: Neuroendocrine Tumor (NET)23
Part B: Diffuse Large B-cell Lymphoma (DLBCL)3
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)5
Part B: Non-small Cell Lung Cancer (NSCLC)0
Part B: Multiple Myeloma (MM)0
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Glioblastoma Multiforme (GBM)-0.3Not reported-0.3-0.3Not reported
Part B: Hepatocellular Carcinoma (HCC)-48.0Not reported-91.0844.4Not reported
Part B: Neuroendocrine Tumor (NET)-51.1Not reported-86.118.1Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-27.3Not reported-32.7-5.0Not reported
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)-12.0Not reported-77.2229.7Not reported
Day 1,1.5 hours post-dose - CD91+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)10
Part B: Hepatocellular Carcinoma (HCC)16
Part B: Neuroendocrine Tumor (NET)6
Part B: Diffuse Large B-cell Lymphoma (DLBCL)2
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)1
Part B: Non-small Cell Lung Cancer (NSCLC)18
Part B: Multiple Myeloma (MM)3
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Glioblastoma Multiforme (GBM)-39.4Not reported-69.220.1Not reported
Part B: Hepatocellular Carcinoma (HCC)-20.0Not reported-58.18.3Not reported
Part B: Neuroendocrine Tumor (NET)-49.4Not reported-63.7-13.2Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-24.5Not reported-32.4-16.6Not reported
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)-43.0Not reported-43.0-43.0Not reported
Part B: Non-small Cell Lung Cancer (NSCLC)-24.9Not reported-57.628.1Not reported
Part B: Multiple Myeloma (MM)-51.4Not reported-64.2-25.1Not reported
Day 15, 1.5 hours post-dose - CD91+

Analysis denominator · Participants

GroupSource count
Part B: Glioblastoma Multiforme (GBM)9
Part B: Hepatocellular Carcinoma (HCC)44
Part B: Neuroendocrine Tumor (NET)0
Part B: Diffuse Large B-cell Lymphoma (DLBCL)1
Part B: Hormone Receptor Positive Breast Cancer (HRPBC)0
Part B: Non-small Cell Lung Cancer (NSCLC)9
Part B: Multiple Myeloma (MM)2
Values in Percent change in p4E-BP1 · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Part B: Glioblastoma Multiforme (GBM)-22.4Not reported-53.7151.3Not reported
Part B: Hepatocellular Carcinoma (HCC)-24.7Not reported-39.716.8Not reported
Part B: Diffuse Large B-cell Lymphoma (DLBCL)-6.9Not reported-6.9-6.9Not reported
Part B: Non-small Cell Lung Cancer (NSCLC)-24.8Not reported-38.477.5Not reported
Part B: Multiple Myeloma (MM)19.6Not reported-7.947.2Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        -100.0
        upper Limit
        157.1
        value
        -23.5
      2. group Id
        OG002
        lower Limit
        -93.6
        upper Limit
        114.3
        value
        -50.0
      3. group Id
        OG003
        lower Limit
        -100.0
        upper Limit
        19.8
        value
        -61.6
      4. group Id
        OG004
        lower Limit
        -93.8
        upper Limit
        122.5
        value
        -63.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        24
      3. group Id
        OG002
        value
        33
      4. group Id
        OG003
        value
        15
      5. group Id
        OG004
        value
        6
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      units
      Participants
    title
    Day 1,1.5 hours post-dose - CD3+
  2. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        -100.0
        upper Limit
        445.8
        value
        -38.9
      2. group Id
        OG002
        lower Limit
        -98.9
        upper Limit
        105.0
        value
        -51.8
      3. group Id
        OG003
        lower Limit
        -100.0
        upper Limit
        42.1
        value
        -58.7
      4. group Id
        OG004
        lower Limit
        -100.0
        upper Limit
        79.3
        value
        -58.4
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        18
      3. group Id
        OG002
        value
        22
      4. group Id
        OG003
        value
        10
      5. group Id
        OG004
        value
        5
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      units
      Participants
    title
    Day 15, 1.5 hours post-dose - CD3+
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -28.7
        upper Limit
        -28.7
        value
        -28.7
      2. group Id
        OG001
        lower Limit
        -87.0
        upper Limit
        66.6
        value
        -17.3
      3. group Id
        OG002
        lower Limit
        -85.3
        upper Limit
        46.3
        value
        -11.7
      4. group Id
        OG003
        lower Limit
        -85.1
        upper Limit
        438.9
        value
        -44.5
      5. group Id
        OG004
        lower Limit
        -68.4
        upper Limit
        31.7
        value
        -49.4
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        44
      3. group Id
        OG002
        value
        34
      4. group Id
        OG003
        value
        15
      5. group Id
        OG004
        value
        6
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      units
      Participants
    title
    Day 1,1.5 hours post-dose - CD14+
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -61.3
        upper Limit
        -61.3
        value
        -61.3
      2. group Id
        OG001
        lower Limit
        -91.7
        upper Limit
        528.1
        value
        -58.1
      3. group Id
        OG002
        lower Limit
        -78.7
        upper Limit
        26.0
        value
        -39.1
      4. group Id
        OG003
        lower Limit
        -94.1
        upper Limit
        210.2
        value
        -74.1
      5. group Id
        OG004
        lower Limit
        -70.0
        upper Limit
        154.7
        value
        -35.8
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        19
      3. group Id
        OG002
        value
        23
      4. group Id
        OG003
        value
        10
      5. group Id
        OG004
        value
        5
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      units
      Participants
    title
    Day 15, 1.5 hours post-dose - CD14+
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -15.3
        upper Limit
        -15.3
        value
        -15.3
      2. group Id
        OG001
        lower Limit
        -100.0
        upper Limit
        266.7
        value
        -44.3
      3. group Id
        OG002
        lower Limit
        -93.7
        upper Limit
        34.3
        value
        -39.4
      4. group Id
        OG003
        lower Limit
        -71.9
        upper Limit
        -36.0
        value
        -44.5
      5. group Id
        OG004
        lower Limit
        -88.3
        upper Limit
        58.2
        value
        -44.8
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        25
      3. group Id
        OG002
        value
        34
      4. group Id
        OG003
        value
        3
      5. group Id
        OG004
        value
        6
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      units
      Participants
    title
    Day 1,1.5 hours post-dose - CD19+
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -0.3
        upper Limit
        -0.3
        value
        -0.3
      2. group Id
        OG001
        lower Limit
        -91.0
        upper Limit
        844.4
        value
        -48.0
      3. group Id
        OG002
        lower Limit
        -86.1
        upper Limit
        18.1
        value
        -51.1
      4. group Id
        OG003
        lower Limit
        -32.7
        upper Limit
        -5.0
        value
        -27.3
      5. group Id
        OG004
        lower Limit
        -77.2
        upper Limit
        229.7
        value
        -12.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        18
      3. group Id
        OG002
        value
        23
      4. group Id
        OG003
        value
        3
      5. group Id
        OG004
        value
        5
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      units
      Participants
    title
    Day 15, 1.5 hours post-dose - CD19+
  7. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -69.2
        upper Limit
        20.1
        value
        -39.4
      2. group Id
        OG001
        lower Limit
        -58.1
        upper Limit
        8.3
        value
        -20.0
      3. group Id
        OG002
        lower Limit
        -63.7
        upper Limit
        -13.2
        value
        -49.4
      4. group Id
        OG003
        lower Limit
        -32.4
        upper Limit
        -16.6
        value
        -24.5
      5. group Id
        OG004
        lower Limit
        -43.0
        upper Limit
        -43.0
        value
        -43.0
      6. group Id
        OG005
        lower Limit
        -57.6
        upper Limit
        28.1
        value
        -24.9
      7. group Id
        OG006
        lower Limit
        -64.2
        upper Limit
        -25.1
        value
        -51.4
    denoms
    1. counts
      1. group Id
        OG000
        value
        10
      2. group Id
        OG001
        value
        16
      3. group Id
        OG002
        value
        6
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        1
      6. group Id
        OG005
        value
        18
      7. group Id
        OG006
        value
        3
      units
      Participants
    title
    Day 1,1.5 hours post-dose - CD91+
  8. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        -53.7
        upper Limit
        151.3
        value
        -22.4
      2. group Id
        OG001
        lower Limit
        -39.7
        upper Limit
        16.8
        value
        -24.7
      3. group Id
        OG003
        lower Limit
        -6.9
        upper Limit
        -6.9
        value
        -6.9
      4. group Id
        OG005
        lower Limit
        -38.4
        upper Limit
        77.5
        value
        -24.8
      5. group Id
        OG006
        lower Limit
        -7.9
        upper Limit
        47.2
        value
        19.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        9
      2. group Id
        OG001
        value
        44
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        1
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        9
      7. group Id
        OG006
        value
        2
      units
      Participants
    title
    Day 15, 1.5 hours post-dose - CD91+
denoms
  1. counts
    1. group Id
      OG000
      value
      10
    2. group Id
      OG001
      value
      44
    3. group Id
      OG002
      value
      34
    4. group Id
      OG003
      value
      15
    5. group Id
      OG004
      value
      6
    6. group Id
      OG005
      value
      18
    7. group Id
      OG006
      value
      3
    units
    Participants
description
Phosphorylated 4E-BP1 is a biomarker for inhibition of the mammalian target of rapamycin complex 1 (mTORC1). Phosphorylated 4E-BP1 was measured in stimulated monocytes via flow cytometry. MFI values were determined and converted to molecules of equivalent fluorescence label (MEFL) by normalizing against calibration beads. The biomarker evaluable population included all subjects who took at least one dose of study drug and had at least one non-missing pharmacodynamic (PD) assessment. Data is reported by T-cell subsets known as clusters of differentiation (CD).
dispersion Type
Full Range
groups
  1. description
    Participants with GBM received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.
    id
    OG000
    title
    Part B: Glioblastoma Multiforme (GBM)
  2. description
    Participants with HCC received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.
    id
    OG001
    title
    Part B: Hepatocellular Carcinoma (HCC)
  3. description
    Participants with NET received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.
    id
    OG002
    title
    Part B: Neuroendocrine Tumor (NET)
  4. description
    Participants with DLBCL received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.
    id
    OG003
    title
    Part B: Diffuse Large B-cell Lymphoma (DLBCL)
  5. description
    Participants with HRPBC received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.
    id
    OG004
    title
    Part B: Hormone Receptor Positive Breast Cancer (HRPBC)
  6. description
    Participants with NSCLC received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.
    id
    OG005
    title
    Part B: Non-small Cell Lung Cancer (NSCLC)
  7. description
    Participants with MM received CC-223 at a starting dose of 45 mg/day (reduced to 30 mg/day after protocol Amendment 9) orally once a day in 28-day cycles for as long as they derived benefit from treatment as judged by the investigator.
    id
    OG006
    title
    Part B: Multiple Myeloma (MM)
param Type
MEDIAN
population Description
All biomarker evaluable participants who received treatment in Part B.
reporting Status
POSTED
time Frame
Cycle 1 Day 1: 1.5 hours post-dose and Day 15: 1.5 hours post-dose
title
Part B: Percent Change From Baseline in p4E-BP1 in Monocytes by Tumor Cohort
type
SECONDARY
unit Of Measure
Percent change in p4E-BP1

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Preserved source evidence · Not medical advice