Phase 3 Study of Pembrolizumab plus Enzalutamide in mCRPC

2022-500785-10-00 Protocol MK-3475-641 Therapeutic confirmatory (Phase III) Ended

Start 23 Aug 2019 · End 20 Aug 2025 · Status Ended · 11 EU/EEA countries · 77 sites · Protocol MK-3475-641

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 1,164
Countries 11
Sites 77

Metastatic Castration-Resistant Prostate Cancer

1. To compare pembrolizumab plus enzalutamide versus placebo plus enzalutamide with respect to overall survival (OS) 2. To compare pembrolizumab plus enzalutamide versus placebo plus enzalutamide with respect to radiographic progression-free survival (rPFS) per Prostate Cancer Working Group (PCWG)-modified Response Eva…

Key facts

Sponsor
Merck Sharp & Dohme LLC
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
23 Aug 2019 → 20 Aug 2025
Decision date (initial)
2023-01-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2022-500785-10-00
EudraCT number
2018-004117-40
WHO UTN
U1111-1278-1151
ClinicalTrials.gov
NCT03834493

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy, Pharmacogenomic, Pharmacogenetic, Efficacy, Diagnosis

1. To compare pembrolizumab plus enzalutamide versus placebo plus enzalutamide with respect to overall survival (OS)
2. To compare pembrolizumab plus enzalutamide versus placebo plus enzalutamide with respect to radiographic progression-free survival (rPFS) per Prostate Cancer Working Group (PCWG)-modified Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as assessed by blinded independent central review (BICR)

Secondary objectives 4

  1. To compare pembrolizumab plus enzalutamide versus placebo plus enzalutamide with respect to the time to initiation of the first subsequent anti-cancer therapy or death (TFST)
  2. To compare pembrolizumab plus enzalutamide versus placebo plus enzalutamide with respect to the: prostate-specific antigen (PSA) response rate; PSA undetectable rate; and the objective response rate (ORR) and duration of response (DOR) per PCWG-modified RECIST 1.1 as assessed by BICR
  3. To compare pembrolizumab plus enzalutamide versus placebo plus enzalutamide with respect to the: time to PSA progression; time to first symptomatic skeletal-related event (SSRE); time to radiographic soft tissue progression per soft tissue rules of PCWG-modified RECIST 1.1, as assessed by BICR; and time to pain progression (TTPP) based on Brief Pain Inventory-Short Form (BPI-SF) Item 3 “ worst pain in 24 hours” and opiate analgesic use Analgesic Quantification Algorithm (AQA) score
  4. To evaluate the safety and tolerability of pembrolizumab plus enzalutamide versus placebo plus enzalutamide

Conditions and MedDRA coding

Metastatic Castration-Resistant Prostate Cancer

VersionLevelCodeTermSystem organ class
21.1 PT 10036909 Prostate cancer metastatic 100000004864
21.1 LLT 10076506 Castration-resistant prostate cancer 10029104

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Overall Study
A Phase 3, Randomized, Double-blind Trial of Pembrolizumab (MK-3475) Plus Enzalutamide Versus Placebo Plus Enzalutamide in Participants With Metastatic Castration-Resistant Prostate Cancer (mCRPC) (KEYNOTE-641)
Randomised Controlled Double [{"id":145159,"code":1,"name":"Subject"},{"id":145157,"code":3,"name":"Monitor"},{"id":145158,"code":2,"name":"Investigator"}] Arm 1: Pembro + Enzalutamide
Arm 2: Placebo + Enzalutamide

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Histologically- or cytologically-confirmed adenocarcinoma of the prostate without small cell histology
  2. Prostate cancer progression while on androgen deprivation therapy (or post bilateral orchiectomy) within 6 months prior to randomization
  3. Current evidence of metastatic disease documented by either bone lesions on bone scan and/or soft tissue disease by computed tomography/magnetic resonance imaging (CT/MRI)
  4. Ongoing androgen deprivation with serum testosterone <50 ng/dL (<2.0 nM)

Exclusion criteria 7

  1. Known additional malignancy that is progressing or has required active treatment in the last 3 years
  2. Active autoimmune disease that has required systemic treatment in past 2 years
  3. Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
  4. Gastrointestinal disorder affecting absorption or is unable to swallow tablets/capsules
  5. Known active human immunodeficiency virus (HIV), concurrent active hepatitis B virus (HBV) or known active hepatitis C virus (HCV) infection
  6. History of seizure or any condition that may predispose to seizure
  7. Received prior treatment with radium or other therapeutic radiopharmaceuticals for prostate cancer

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Overall Survival (OS)
  2. Radiographic Progression-free Survival (rPFS) per Prostate Cancer Working Group (PCWG)-modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by Blinded Independent Central Review (BICR)

Secondary endpoints 11

  1. Time to Initiation of the First Subsequent Anti-Cancer Therapy or Death (TFST)
  2. Prostate-specific Antigen (PSA) Response Rate
  3. Prostate-specific Antigen (PSA) Undetectable Rate
  4. Objective Response Rate (ORR) per Prostate Cancer Working Group (PCWG)-modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by Blinded Independent Central Review (BICR)
  5. Duration of Response (DOR) per Prostate Cancer Working Group (PCWG)-modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by Blinded Independent Central Review (BICR)
  6. Time to Prostate-specific Antigen (PSA) Progression
  7. Time to Radiographic Soft Tissue Progression per Soft Tissue Rules of Prostate Cancer Working Group (PCWG)-modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by Blinded Independent Central Review (BICR)
  8. Time to Pain Progression (TTPP)
  9. Time to First Symptomatic Skeletal-Related Event (SSRE)
  10. Number of Participants Who Experienced At Least One Adverse Event (AE)
  11. Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Enzalutamide

SUB77412 · Substance

Active substance
Enzalutamide
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
160 mg milligram(s)
Max total dose
116.8 g gram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

KEYTRUDA 25 mg/mL concentrate for solution for infusion

PRD4323105 · Product

Active substance
Pembrolizumab
Substance synonyms
Lambrolizumab, MK-3475, SCH-900475, ABP 234
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
200 mg milligram(s)
Max total dose
10.4 g gram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L01FF02 — -
Marketing authorisation
EU/1/15/1024/002
MA holder
MERCK SHARP & DOHME BV
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Normal Saline or Dextrose

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
INTRAVENOUS INFUSION
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
36 Month(s)
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Merck Sharp & Dohme LLC

Sponsor organisation
Merck Sharp & Dohme LLC
Address
1 Merck Drive, P. O. Box 100 P. O. Box 100
City
Whitehouse Station
Postcode
08889-3400
Country
United States

Scientific contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Jelena Todoric

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Jelena Todoric

Third parties 7

OrganisationCity, countryDuties
Pharmaceutical Product Development LLC
ORG-100016999
Richmond, United States Laboratory analysis
Bioclinica Inc.
ORG-100033079
Princeton, United States Other
Neogenomics Laboratories Inc.
ORG-100041804
San Diego, United States Laboratory analysis
Parexel International Corporation
ORG-100007310
Auburndale, United States Other
Labcorp Drug Development Inc.
ORG-100041590
Princeton, United States Laboratory analysis
Perceptive Eclinical Limited
ORG-100041144
Nottingham, United Kingdom Other
Signant Health Inc.
ORG-100040732
Blue Bell, United States E-data capture

Locations

11 EU/EEA countries · 77 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ended 27 2
Bulgaria Ended 1 1
Czechia Ended 6 2
France Ended 70 18
Germany Ended 53 11
Hungary Ended 12 4
Ireland Ended 16 3
Italy Ended 40 9
Netherlands Ended 58 10
Poland Ended 50 4
Spain Ended 87 13
Rest of world
Turkey, United Kingdom, Argentina, Canada, Israel, Colombia, Brazil, Japan, Australia, Puerto Rico, United States, Chile, Russian Federation, Korea, Republic of, Ukraine
744

Investigational sites

Austria

2 sites · Ended
Ordensklinikum Linz GmbH
Department of Urology and Andrology, Fadingerstrasse 1, 4020, Linz
Medical University Of Vienna
Department of Urology and Andrology, Waehringer Guertel 18-20, Alsergrund, Vienna

Bulgaria

1 site · Ended
Complex Oncological Center Plovdiv EOOD
Department of medical oncology and oncological diseases in gastroenterology, Bulevard Aleksandir Stamboliyski 2a, 4004, Plovdiv

Czechia

2 sites · Ended
Fakultni Nemocnice U Sv Anny V Brne
Onkologicko-chirurgické oddělení, Pekarska 53, Stare Brno, Brno
Nemocnice AGEL Novy Jicin a.s.
Oddělení radioterapie, Purkynova 2138/16, 741 01, Novy Jicin

France

18 sites · Ended
Institut Mutualiste Montsouris
Oncology, 42 Boulevard Jourdan, 75014, Paris
Centre Hospitalier Regional D'orleans
Oncology, 14 Avenue De L Hopital, Cs 86709, Orleans Cedex 2
Institut Gustave Roussy
Oncology, 114 Rue Edouard Vaillant, 94800, Villejuif
Institut Sainte Catherine
Oncology, 250 Chemin De Baigne Pieds, 84000, Avignon
Centre Hospitalier De Saint-Quentin
Oncology, 1 Avenue Michel De L'hospital, 02100, Saint-Quentin
Hospices Civils De Lyon
Oncology, 165 Chemin Du Grand Revoyet, 69310, Pierre-Benite
Hospital Foch
Oncology, 40 Rue Worth, 92150, Suresnes
Centre Hospitalier Universitaire Amiens Picardie
Oncology, 1 Rond Point Du Professeur Christian Cabrol, 80054, Amiens
Institut Regional Du Cancer De Montpellier
Oncology, 208 Avenue Des Apothicaires, 34298, Montpellier Cedex 5
Centre Hospitalier De Valenciennes
Oncology, 114 Avenue Desandrouin, 59300, Valenciennes
Institut Claudius Regaud
Oncology, 1 Avenue Irene Joliot Curie, 31100, Toulouse
Centre Hospitalier Universitaire De Nantes
Oncology, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Centre Hospitalier Regional Et Universitaire De Brest
Oncology, 2 Avenue Marechal Foch, 29200, Brest
Institut Bergonie
Oncology, 229 Cours De L Argonne, 33000, Bordeaux
Groupe Hospitalier Saint Vincent
Oncology, 182 Route De La Wantzenau, 67000, Strasbourg
Centre Jean Perrin
Oncology, 58 Rue Montalembert, 63000, Clermont-Ferrand
Besancon University Hospital Center
Oncology, 3 Boulevard Alexander Fleming, Cs 81816, Besancon Cedex
Medipole De Nancy
Oncology, 2 Rue Marie Marvingt, 54100, Nancy

Germany

11 sites · Ended
Medical Center - University Of Freiburg
Klinik für Urologie, Hugstetter Strasse 55, Stuehlinger, Freiburg Im Breisgau
University Hospital Jena KöR
Klinik und Poliklinik für Urologie, Am Klinikum 1, Lobeda, Jena
Charite Universitatsmedizin Berlin KöR
Klinik für Urologie, Charitéplatz 1, Mitte, Berlin
Universitaetsklinikum Tuebingen
Universitätsklinik für Urologie, Hoppe-Seyler-Strasse 3, Nordstadt, Tuebingen
Studienpraxis Urologie
NA, Steinengrabenstrasse 17, 72622, Nuertingen
Klinikum rechts der Isar der TU Muenchen AöR
Urologische Klinik und Poliklinik, Ismaninger Straße 22, Au-Haidhausen, Munich
Universitatsklinikum Munster AöR
Klinik für Urologie und Kinderurologie, Gebaeude A1, Albert-Schweitzer-Campus 1, Muenster
Klinikum Nuernberg
NA, Prof.-Ernst-Nathan-Strasse 1, St. Johannis, Nuremberg
University Medical Centre Schleswig-Holstein
Klinik für Urologie Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck
Universitaetsmedizin Goettingen
Urologische Klinik und Poliklinik, Robert-Koch-Strasse 40, Weende, Goettingen
Barmherzige Brueder Trier gGmbH
Abteilung für Urologie und Kinderurologie Institut für Lithotripsie, Nord, Nordallee 1, Trier

Hungary

4 sites · Ended
Central Hospital Of Northern Pest Military Hospital
Onkológiai Osztály, Podmaniczky Utca 109, 1062, Budapest VI
Bacs-Kiskun Varmegyei Oktatokorhaz
Onkoradiológiai Központ, Nyiri Ut 38, 6000, Kecskemet
Orszagos Onkologiai Intezet
Gyógyszerterápiás Központ; Urogenitális Tumorok és Klinikai Farmakológiai Osztály "KEMOTERÁPIA C", Rath Gyorgy Utca 7-9, Kerulet, Budapest XII
Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz
Onkoradiológiai Osztály, Vasvari Pal Utca 2-4, 9024, Gyor

Ireland

3 sites · Ended
Adelaide And Meath Hospital
Oncology/Haematology Clinical Trials, Oncology Day Unit, Tallaght By-Pass, Tallaght, Dublin 24
Beaumont Hospital
Cancer Clinical Trials and Research Unit, Beaumont Road, Beaumont, Dublin 9
University Hospital Limerick
Mid Western Cancer Centre, Saint Nessan's Road, V94 F858, Dooradoyle

Italy

9 sites · Ended
Azienda Ospedaliero Universitaria Di Modena
Centro Oncologico Modenese, Largo Del Pozzo 71, 41124, Modena
IRCCS Istituto Nazionale Tumori Fondazione Pascale
SC Oncologia Clinica Sperimentale Uro-Ginecologica, Via Mariano Semmola 52, 80131, Naples
Azienda Ospedaliera Per Lemergenza Cannizzaro
U.O.C. Oncologia Medica, Via Messina 829, 95126, Catania
Presidio Ospedaliero Santa Maria delle Grazie
U.O.C. Oncologia, Via domitiana, 80078, Località la Schiana, Pozzuoli (NA)
Centro Di Riferimento Oncologico Di Aviano
S.O.C. Oncologia Medica e dei Tumori Immunocorrelati, Via Franco Gallini 2, 33081, Aviano
Humanitas Research Hospital
U.O. Oncologia Medica ed Ematologia, Via Alessandro Manzoni 56, 20089, Rozzano
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
U.O.C. Oncologia Medica, Largo Francesco Vito 1, 00168, Rome
IRCCS Azienda Ospedaliero-Universitaria Di Bologna
Unità Operativa di Oncologia Medica, Via Pietro Albertoni 15, 40138, Bologna
Azienda Ospedaliera S Maria Di Terni
Oncologia Medica, Viale Tristano Di Joannuccio 1, 05100, Terni

Netherlands

10 sites · Ended
Medical Center Haaglanden
Oncology, Lijnbaan 32, 2512 VA, 's-Gravenhage
Amsterdam UMC
Oncology, De Boelelaan 1117, 1081 HV, Amsterdam
University Hospital Maastricht
Oncology, P. O. Box 5800, 6202 AZ, Maastricht
Stichting Noordwest Ziekenhuisgroep
Oncology, Wilhelminalaan 12, 1815 JD, Alkmaar
Stichting Radboud University Medical Center
Oncology, Geert Grooteplein Noord 9, 6525 EZ, Nijmegen
Stichting Ziekenhuisgroep Twente
Oncology, Zilvermeeuw 1, 7609 PP, Almelo
Tergooiziekenhuizen
Oncology, Van Riebeeckweg 212, 1213 XZ, Hilversum
Stichting Sint Franciscus Vlietland Groep
Oncology, Kleiweg 500, 3045 PM, Rotterdam
Stichting Catharina Ziekenhuis
Oncology, Michelangelolaan 2, 5623 EJ, Eindhoven
Amphia Hospital
Oncology, Langendijk 75, 4819 EV, Breda

Poland

4 sites · Ended
I Przychodnia Lekarska Komed Roman Karaszewski II Osrodek Badan Klinicznych III Restauracja Rogatka Roman Karaszewski
Przychodnia Lekarska KOMED, Ul. Wojska Polskiego 6, 62-500, Konin
Centrum Onkologii Im. Prof. Franciszka Lukaszczyka W Bydgoszczy
Ambulatorium Chemioterapii, Ul. Izabeli Romanowskiej 2, 85-796, Bydgoszcz
Szpital Wojewodzki Im. Mikolaja Kopernika W Koszalinie
Oddział Dzienny Chemioterapii, Ul. Tytusa Chalubinskiego 7, 75-581, Koszalin
Provita Centrum Medyczne Sp. z o.o.
Provita Centrum Medyczne Sp. z o.o., Ul. Jana Pawla II 35, 97-200, Tomaszow Mazowiecki

Spain

13 sites · Ended
Hospital Universitario Virgen De La Victoria
Montesa Genitourinary Oncology, Calle Del Arroyo Teatinos S N, 29010, Malaga
University Hospital Virgen Del Rocio S.L.
Oncology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Quironsalud Madrid
Oncology, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital General Universitario Gregorio Maranon
Oncology, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitari De Girona Doctor Josep Trueta
Oncology, Avinguda De Franca S/n, 17007, Girona
Hospital San Pedro de Alcantara
Oncology, Avenida De Pablo Naranjo Porras S/n, 10002, Caceres
Clara Campal Comprehesive Cancer Center
Oncology, Calle Ona 10, 28050, Madrid
Hospital Clinico San Carlos
Oncology, Calle Del Profesor Martin Lagos S/n, 28040, Madrid
Parc Tauli Hospital Universitari
Oncology, Parc Del Tauli 1 Edifici Santa Fe Ala Izquierda Planta 2ª, 08208, Sabadell
MD Anderson Cancer Center
Oncology, Calle De Arturo Soria Nº 270, 28033, Madrid
Catalan Institute Of Oncology
Oncology, Avinguda Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Fundacion Instituto Valenciano De Oncologia
Oncology, Calle Professor Beltran Baguena 8, 46009, Valencia
Hospital Del Mar
Oncology, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2019-09-09 2023-10-06 2019-09-22 2022-04-29
Bulgaria 2021-04-06 2023-02-20 2021-05-17 2022-04-29
Czechia 2021-08-16 2023-09-20 2021-08-19 2022-04-29
France 2019-10-11 2023-10-25 2019-10-22 2022-04-29
Germany 2020-03-06 2023-10-17 2020-03-09 2022-04-29
Hungary 2020-07-24 2024-07-12 2020-08-30 2022-04-29
Ireland 2020-01-10 2023-10-31 2020-01-31 2022-04-29
Italy 2019-08-23 2023-09-28 2019-08-30 2022-04-29
Netherlands 2019-09-09 2023-11-14 2019-10-07 2022-04-29
Poland 2019-09-09 2023-11-24 2019-09-10 2022-04-29
Spain 2019-09-09 2025-08-20 2019-09-12 2022-04-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 37 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2022-500785-10-00_for pub 09R
Protocol (for publication) D4_Analgesic log_for publication 12Mar19
Protocol (for publication) D4_Subject questionnaire_Analgesic Log_DEU_DE_for pub 2.0
Protocol (for publication) D4_Subject questionnaire_english_for publication 22jan2019
Protocol (for publication) D4_Subject questionnaire_subject facing screen report BPI-SF_DEU_DE_for pub 1
Protocol (for publication) D4_Subject questionnaire_subject facing screen report_DEU_DE_for pub 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ESP_Spanish_for publication 25JAN2019
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_HUN_EN_for pub 05MAY2023
Recruitment arrangements (for publication) K2_Recruitment Material Patient Brochure_HUN_Hungarian_for publication 18Jan2019
Subject information and informed consent form (for publication) L1_ICF_Genetic consent_HUN_HU_for pub v0.01
Subject information and informed consent form (for publication) L1_ICF_Main addendum disease progression_HUN_HU_for pub 0.01
Subject information and informed consent form (for publication) L1_ICF_Main addendum_ESP_ES_SM12_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Main addendum_HUN_HU_for pub v0.00
Subject information and informed consent form (for publication) L1_ICF_Main consent_ESP_ES_for pub 3.01
Subject information and informed consent form (for publication) L1_ICF_Main consent_HUN_HU_for pub 3.01R
Subject information and informed consent form (for publication) L1_ICF_Main_ESP_All_spanish_TC_for publication 05JUL2022
Subject information and informed consent form (for publication) L1_ICF_Optional addendum_ESP_Spanish_for publication_ 12FEB2019
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC quality and RSI_Enzalutamide Xtandi_for publication 30OCT2018
Synopsis of the protocol (for publication) D1_PPLS_2022-500785-10-00_for pub 26MAY2023
Synopsis of the protocol (for publication) D1_PPLS_AUT_DE_2022-500785-10_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_CZE_CS_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_DEU_DE_ 2022-500785-10-00_for pub 1.0R
Synopsis of the protocol (for publication) D1_PPLS_ESP_ES_2022-500785-10-00_for pub 01
Synopsis of the protocol (for publication) D1_PPLS_FRA_FR_2022-500785-10_for pub 1.0R
Synopsis of the protocol (for publication) D1_PPLS_HUN_HU_2022-500785-10_for pub v1.0
Synopsis of the protocol (for publication) D1_PPLS_ITA_IT_202250078510_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_NLD_NL_2022-500785-10_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_POL_PL_2022-500785-10_for pub 1.0
Synopsis of the protocol (for publication) D1_Protocol Plain Language Summary_AUT_German_for publication v00
Synopsis of the protocol (for publication) D1_Protocol plain language summary_Bulgaria_Bulgarian_for publication 02JUN2022
Synopsis of the protocol (for publication) D1_Protocol Plain Language Summary_ESP_Spanish_for publication 02JUN2022
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_CZE_Czech_for publication 22FEB2021
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_DEU_German_for publication v00
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_FRA_French_for publication 08JUL2022
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_HUN_Hungarian_for publication 29MAR2021
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_ITA_Italian_for publication 6.0
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_POL_2022-500785-10-00_Polish_for publication 18JAN2019

Application history

12 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-12-15 Netherlands Acceptable
2023-01-24
2023-01-24
2 SUBSTANTIAL MODIFICATION SM-1 2023-06-23 Netherlands Acceptable
2023-08-22
2023-08-22
3 SUBSTANTIAL MODIFICATION SM-3 2023-09-27 Acceptable 2023-10-28
4 SUBSTANTIAL MODIFICATION SM-5 2023-09-29 Acceptable 2023-11-10
5 SUBSTANTIAL MODIFICATION SM-4 2023-10-04 Acceptable 2023-10-26
6 SUBSTANTIAL MODIFICATION SM-6 2024-01-12 Netherlands Acceptable
2024-03-11
2024-03-11
7 SUBSTANTIAL MODIFICATION SM-8 2024-08-07 Netherlands Acceptable
2024-09-23
2024-09-23
8 SUBSTANTIAL MODIFICATION SM-10 2024-12-03 Acceptable
2025-02-17
2025-02-18
9 NON SUBSTANTIAL MODIFICATION NSM-4 2025-03-20 Netherlands Acceptable
2025-02-17
2025-03-20
10 SUBSTANTIAL MODIFICATION SM-11 2025-04-16 Acceptable 2025-05-17
11 SUBSTANTIAL MODIFICATION SM-12 2025-07-04 Acceptable
2025-08-19
2025-08-21
12 NON SUBSTANTIAL MODIFICATION NSM-5 2025-09-10 Netherlands Acceptable
2025-08-19
2025-09-10