Aging
Conditions
Brief summary
EGF is a polypeptide that promotes cell differentiation and collagen production while decreasing melanin production. This study is designed to study its effectiveness in improving the texture and appearance of facial skin after daily topical application. We hypothesized that EGF would improve facial skin hydration, elasticity, pigmentation, and wrinkles.
Detailed description
All patients gave written informed consent for epidermal growth factor serum application on the face. The pilot study enrolls thirty patients compared to pre and post-serum used to evaluate facial skin hydration, transepidermal water loss, elasticity, pigmentation, and wrinkles measured by corneometer, tewameter, cutometer, visioscan, and mexameter respectively on day 0, then 8, 12, and 16 weeks. The study evaluates subject satisfaction and side effects after serum application as secondary outcomes.
Interventions
Apply facial twice daily.
Sponsors
Study design
Eligibility
Inclusion criteria
* Thai * Mild to moderate facial skin condition, as measured by 1-2 points on the hyperpigmentation status scale or 2-3 points on the wrinkle severity grading scale.
Exclusion criteria
* Use of lotions or skin care products containing ingredients such as vitamin A/C, hydroquinone, or anti-aging agents. * Sunbathing * Hypersensitivity to serum components * Pregnancy and breast-feeding * Active skin diseases such as eczema or atopic dermatitis at the application site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 4 months | Facial skin appearance was evaluated using the Subject Global Aesthetic Improvement Scale (SGAIS), a 5-point scale where higher scores indicate greater improvement. Scores were assigned by two board-certified dermatologists who assessed photographs taken by the Visia-CR imaging system at Baseline, Week 8, Week 12, and Week 16. SGAIS scoring definition: 1 = Worse, 2 = Mild improvement (\<25%), 3 = Moderate (25-49%), 4 = Much improved (50-74%), 5 = Very much improved (≥75%). |
| Facial Skin Wrinkles | 4 months | Visioscan measurements were taken at baseline, then at 8, 12, and 16 weeks by using a 4-grade percentage wrinkle improvement scale. |
| Facial Melanin Index | 4 months | Facial pigmentation was assessed using the Mexameter, which measures melanin content via light absorption and reflection. The device reports values on a scale from 0 to 999, where higher values represent greater melanin concentration. Measurements were collected at standardized facial sites at Baseline, Week 8, Week 12, and Week 16. Higher scores indicate worse pigmentation. |
| Transepidermal Water Loss | 4 months | measured by tewameter on day 0, then at 8, 12, and 16 weeks. |
| Facial Skin Hydration | 4 months (Baseline, Week 8, Week 12, Week 16) | Facial skin hydration was measured using a Corneometer, which provides readings in arbitrary units (a.u.). Measurements were taken at baseline (Day 0), Week 8, Week 12, and Week 16 under standardized environmental and procedural conditions to ensure reliability and accuracy. Higher values indicate better skin hydration, while lower values indicate increased dryness. |
| Facial Skin Elasticity (R2 Parameter Via Cutometer) | Baseline, Week 8, Week 12, Week 16 | Skin elasticity was assessed using a Cutometer with the R2 parameter (Ua/Uf), which measures gross elasticity. R2 values range from 0 to 1.0, with higher values indicating better skin elasticity. Measurements were collected under standardized conditions at Baseline (Day 0), Week 8, Week 12, and Week 16. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse Events | 4 months | Adverse events were systematically monitored at 2, 4, 8, 12, and 16 weeks post-treatment initiation. |
| Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 4 months | Using a quartile grading system, (0 = unsatisfied), (1 = slightly satisfied), (2 = satisfied), and (3 = very satisfied) |
Countries
Thailand
Participant flow
Pre-assignment details
Pre-assignment Details of 28 enrolled participants, all met inclusion criteria.
Participants by arm
| Arm | Count |
|---|---|
| Epidermal Growth Factor Serum Application Participants received Epidermal growth factor serum application on the face daily for two months compared to pre and post-results of skin quality.
Epidermal Growth Factor: Apply facial twice daily. | 28 |
| Epidermal Growth Factor Serum Application Participants received Epidermal growth factor serum application on the face daily for two months compared to pre and post-results of skin quality.
Epidermal Growth Factor: Apply facial twice daily. | 28 |
| Total | 56 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 1 |
Baseline characteristics
| Characteristic | Epidermal Growth Factor Serum Application |
|---|---|
| Age, Continuous | 52 ัyears STANDARD_DEVIATION 8.41 |
| Alcohol drinking No | 27 Participants |
| Alcohol drinking Yes | 1 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 28 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Fitzpatrick skin type III | 5 Participants |
| Fitzpatrick skin type IV | 23 Participants |
| Hormone use No | 27 Participants |
| Hormone use Yes | 1 Participants |
| Menopause No | 18 Participants |
| Menopause Yes | 10 Participants |
| Occupation Government employee | 1 Participants |
| Occupation Government officer | 1 Participants |
| Occupation No identify. | 1 Participants |
| Occupation Office worker | 4 Participants |
| Occupation Permanent employee | 3 Participants |
| Occupation Security guard | 4 Participants |
| Occupation Temporary employee | 14 Participants |
| Pregnancy No | 28 Participants |
| Pregnancy Yes | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 28 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 0 Participants |
| Region of Enrollment Thailand | 28 participants |
| Regular sun expose No | 28 Participants |
| Regular sun expose Yes | 0 Participants |
| Sex: Female, Male Female | 24 Participants |
| Sex: Female, Male Male | 4 Participants |
| Smoking No | 28 Participants |
| Smoking Yes | 0 Participants |
| Underlying disease Diabetes | 2 Participants |
| Underlying disease Hypertension | 4 Participants |
| Underlying disease No | 18 Participants |
| Underlying disease No identify. | 1 Participants |
| Underlying disease Other | 3 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 28 |
| other Total, other adverse events | 0 / 28 |
| serious Total, serious adverse events | 0 / 28 |
Outcome results
Facial Melanin Index
Facial pigmentation was assessed using the Mexameter, which measures melanin content via light absorption and reflection. The device reports values on a scale from 0 to 999, where higher values represent greater melanin concentration. Measurements were collected at standardized facial sites at Baseline, Week 8, Week 12, and Week 16. Higher scores indicate worse pigmentation.
Time frame: 4 months
Population: The analysis population for this study on facial skin pigmentation utilizing Mexameter measurements comprised a total of 28 initially recruited subjects. These participants were assessed at four distinct time points: day 0 (baseline), 8 weeks, 12 weeks, and 16 weeks. One subject loss follow-up at week 12 and week 16.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Epidermal Growth Factor Serum Application | Facial Melanin Index | Baseline | 244.118 unitless index | Standard Deviation 10.186 |
| Epidermal Growth Factor Serum Application | Facial Melanin Index | 8 weeks | 246.296 unitless index | Standard Deviation 8.955 |
| Epidermal Growth Factor Serum Application | Facial Melanin Index | 12 weeks | 243.605 unitless index | Standard Deviation 10.074 |
| Epidermal Growth Factor Serum Application | Facial Melanin Index | 16 weeks | 240.660 unitless index | Standard Deviation 9.838 |
Facial Skin Elasticity (R2 Parameter Via Cutometer)
Skin elasticity was assessed using a Cutometer with the R2 parameter (Ua/Uf), which measures gross elasticity. R2 values range from 0 to 1.0, with higher values indicating better skin elasticity. Measurements were collected under standardized conditions at Baseline (Day 0), Week 8, Week 12, and Week 16.
Time frame: Baseline, Week 8, Week 12, Week 16
Population: 28 participants were assessed at Baseline and Week 8. One participant was lost to follow-up after Week 8, resulting in 27 participants at Weeks 12 and 16. Skin elasticity was measured using the R2 parameter from Cutometer readings at each time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Epidermal Growth Factor Serum Application | Facial Skin Elasticity (R2 Parameter Via Cutometer) | 8 wk | 0.596 units on a scale | Standard Deviation 0.013 |
| Epidermal Growth Factor Serum Application | Facial Skin Elasticity (R2 Parameter Via Cutometer) | 12 wk | 0.584 units on a scale | Standard Deviation 0.012 |
| Epidermal Growth Factor Serum Application | Facial Skin Elasticity (R2 Parameter Via Cutometer) | 16 wk | 0.553 units on a scale | Standard Deviation 0.014 |
| Epidermal Growth Factor Serum Application | Facial Skin Elasticity (R2 Parameter Via Cutometer) | Baseline | 0.596 units on a scale | Standard Deviation 0.016 |
Facial Skin Hydration
Facial skin hydration was measured using a Corneometer, which provides readings in arbitrary units (a.u.). Measurements were taken at baseline (Day 0), Week 8, Week 12, and Week 16 under standardized environmental and procedural conditions to ensure reliability and accuracy. Higher values indicate better skin hydration, while lower values indicate increased dryness.
Time frame: 4 months (Baseline, Week 8, Week 12, Week 16)
Population: The analysis population included 28 subjects initially recruited for this study. Participants were assessed at four time points: baseline (Day 0), Week 8, Week 12, and Week 16. One participant was lost to follow-up after Week 12 and Week 16.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Epidermal Growth Factor Serum Application | Facial Skin Hydration | Baseline | 56.043 arbitrary units | Standard Deviation 1.9 |
| Epidermal Growth Factor Serum Application | Facial Skin Hydration | 8 weeks | 58.300 arbitrary units | Standard Deviation 1.567 |
| Epidermal Growth Factor Serum Application | Facial Skin Hydration | 12 weeks | 55.852 arbitrary units | Standard Deviation 1.583 |
| Epidermal Growth Factor Serum Application | Facial Skin Hydration | 16 weeks | 58.714 arbitrary units | Standard Deviation 1.568 |
Facial Skin Wrinkles
Visioscan measurements were taken at baseline, then at 8, 12, and 16 weeks by using a 4-grade percentage wrinkle improvement scale.
Time frame: 4 months
Population: The analysis population for this study on facial skin wrinkles using Visioscan included 28 subjects, assessed at Day 0 (baseline), Week 8, Week 12, and Week 16. One subject dropped out at Week 12 and another at Week 16, leaving data from 27 participants for Weeks 12 and 16. Wrinkle improvement was assessed on a 4-grade scale: Grade 1 (0-25%) = slight, Grade 2 (25-50%) = moderate, Grade 3 (50-75%) = marked, Grade 4 (\>75%) = significant. Data are presented as mean grades with standard deviation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Epidermal Growth Factor Serum Application | Facial Skin Wrinkles | baseline | 1 units on a scale | Standard Deviation 0 |
| Epidermal Growth Factor Serum Application | Facial Skin Wrinkles | 8 wk | 1 units on a scale | Standard Deviation 0 |
| Epidermal Growth Factor Serum Application | Facial Skin Wrinkles | 12 wk | 1 units on a scale | Standard Deviation 0 |
| Epidermal Growth Factor Serum Application | Facial Skin Wrinkles | 16 wk | 1 units on a scale | Standard Deviation 0 |
Overall Facial Skin Appearance (Photo Evaluation Using SGAIS)
Facial skin appearance was evaluated using the Subject Global Aesthetic Improvement Scale (SGAIS), a 5-point scale where higher scores indicate greater improvement. Scores were assigned by two board-certified dermatologists who assessed photographs taken by the Visia-CR imaging system at Baseline, Week 8, Week 12, and Week 16. SGAIS scoring definition: 1 = Worse, 2 = Mild improvement (\<25%), 3 = Moderate (25-49%), 4 = Much improved (50-74%), 5 = Very much improved (≥75%).
Time frame: 4 months
Population: The analysis population included 28 subjects assessed at baseline, 8, 12, and 16 weeks. One participant was lost to follow-up after week 12.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 1 : score 1 | 10 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 1 : score 2 | 18 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 1 : score 3 | 0 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 1 : score 4 | 0 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 2 : score 1 | 12 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 2 : score 2 | 16 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 2 : score 3 | 0 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 8 weeks Doctor 2 : score 4 | 0 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 1 : score 1 | 5 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 1 : score 2 | 20 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 1 : score 4 | 0 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 2 : score 1 | 11 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 2 : score 2 | 14 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 2 : score 3 | 2 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 2 : score 4 | 0 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 1 : score 2 | 12 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 1 : score 3 | 9 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 1 : score 4 | 1 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 2 : score 1 | 10 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 2 : score 2 | 12 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 2 : score 3 | 5 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 2 : score 4 | 0 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 12 weeks Doctor 1 : score 3 | 2 Participants |
| Epidermal Growth Factor Serum Application | Overall Facial Skin Appearance (Photo Evaluation Using SGAIS) | 16 weeks Doctor 1 : score 1 | 5 Participants |
Transepidermal Water Loss
measured by tewameter on day 0, then at 8, 12, and 16 weeks.
Time frame: 4 months
Population: The analysis population for this study on Transepidermal Water Loss (TEWL) utilizing Tewameter measurements comprised a total of 28 initially recruited subjects. These participants were assessed at four distinct time points: day 0 (baseline), 8 weeks, 12 weeks, and 16 weeks. One subject loss follow-up at week 12 and week 16.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Epidermal Growth Factor Serum Application | Transepidermal Water Loss | 8 weeks | 8.761 g/m²·h | Standard Deviation 0.623 |
| Epidermal Growth Factor Serum Application | Transepidermal Water Loss | Baseline | 11.815 g/m²·h | Standard Deviation 1.221 |
| Epidermal Growth Factor Serum Application | Transepidermal Water Loss | 12 weeks | 8.400 g/m²·h | Standard Deviation 0.516 |
| Epidermal Growth Factor Serum Application | Transepidermal Water Loss | 16 weeks | 8.160 g/m²·h | Standard Deviation 0.559 |
Adverse Events
Adverse events were systematically monitored at 2, 4, 8, 12, and 16 weeks post-treatment initiation.
Time frame: 4 months
Population: The comprehensive evaluation encompassed a total of 28 subjects. One participant was lost to follow-up at the 12-week mark. Adverse events were systematically monitored through video calls at 2 and 4 weeks post-treatment initiation. On-site evaluations were conducted at 8, 12, and 16 weeks. At each time point, the number of participants analyzed was 28, with one participant lost to follow-up at the 12-week and 16-week evaluations.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Epidermal Growth Factor Serum Application | Adverse Events | 2 weeks : No adverse event | 28 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 2 weeks : Yes adverse event | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 2 weeks : Data missing | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 4 weeks : No adverse event | 28 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 4 weeks : Yes adverse event | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 4 weeks :Data missing | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 8 weeks : No adverse event | 28 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 8 weeks : Yes adverse event | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 8 weeks : Data missing | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 12 weeks : No adverse event | 27 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 12 weeks : Yes adverse event | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 12 weeks : Data missing | 1 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 16 weeks : No adverse event | 27 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 16 weeks : Yes adverse event | 0 Participants |
| Epidermal Growth Factor Serum Application | Adverse Events | 16 weeks : Data missing | 1 Participants |
Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation
Using a quartile grading system, (0 = unsatisfied), (1 = slightly satisfied), (2 = satisfied), and (3 = very satisfied)
Time frame: 4 months
Population: The assessment of participant satisfaction post-treatment involves all twenty-eight participants, with evaluations at 2, 3, and 4 months using a quartile grading system (0 = unsatisfied, 1 = slightly satisfied, 2 = satisfied, 3 = very satisfied). It is important to note that one subject was lost to follow-up since the 12-week mark.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 8 weeks : very satisfied | 10 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 16 weeks : NA (loss follow up) | 1 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 8 weeks : satisfied | 18 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 8 weeks : slightly satisfied | 0 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 8 weeks : unsatisfied | 0 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 8 weeks : NA (loss follow up) | 0 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 12 weeks : very satisfied | 5 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 12 weeks : satisfied | 21 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 12 weeks : slightly satisfied | 1 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 12 weeks : unsatisfied | 0 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 12 weeks : NA (loss follow up) | 1 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 16 weeks : very satisfied | 6 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 16 weeks : satisfied | 21 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 16 weeks : slightly satisfied | 0 Participants |
| Epidermal Growth Factor Serum Application | Subject Satisfaction in Improving Skin Hydration, Elasticity, Wrinkles, and Pigmentation | 16 weeks : unsatisfied | 0 Participants |