Treatment of High-Risk Prostate Cancer Guided by Novel Diagnostic Radio- and Molecular Tracers (THUNDER): A Two-part Phase 2/3 Trial

2022-501551-90-00 Protocol CTO21042GZA Phase II and Phase III (Integrated) Authorised, recruiting

Start 13 Dec 2023 · Status Authorised, recruiting · 2 EU/EEA countries · 16 sites · Protocol CTO21042GZA

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Authorised, recruiting
Participants planned 493
Countries 2
Sites 16

Prostate cancer

Phase 3 Intensification study: To determine improvements in PSMA PET/ CT metastasis-free survival (ppMFS), where ppMFS is defined as the time from randomization to the date of at least 1 new PSMA-PET-positive distant lesion as compared to baseline or date of death from any cause Phase 2 De-intensification study: To det…

Key facts

Sponsor
Ziekenhuis Aan De Stroom
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
13 Dec 2023 → ongoing
Decision date (initial)
2023-09-20
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Phase 3 Intensification study: To determine improvements in PSMA PET/ CT metastasis-free survival (ppMFS), where ppMFS is defined as the time from randomization to the date of at least 1 new PSMA-PET-positive distant lesion as compared to baseline or date of death from any cause
Phase 2 De-intensification study: To determine improvements in Quality of Life indices and effectiveness of up to 96 weeks (24 months) of darolutamide plus SOC RT as an alternative to standard treatment (24 months ADT [LHRHA] plus SOC RT) or standard treatment with ADT plus darolutamide.

Secondary objectives 6

  1. Overall survival (OS)
  2. Prostate cancer-specific survival
  3. Biochemical progression-free survival
  4. Time to next therapy
  5. Frequency and severity of adverse events (AEs)
  6. To determine differential treatment effects by comparing HRQL scores between the randomly allocated groups (where applicable)

Conditions and MedDRA coding

Prostate cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Histopathology-proven PCa
  2. High-risk disease as any of the following factors: PSA > 20 ng/mL or T-stage 3 or 4 or Gleason score 8-10
  3. An Eastern Cooperative Oncology Group (ECOG) Performance Status grade of 0 or 1
  4. Willingness to undergo a PSMA PET/ CT with or without contrast.
  5. Willingness to have their primary tumor sequenced for determination of Decipher score
  6. Willingness to undergo SOC RT and long-term ADT (treatment with darolutamide and/ or LHRHA)

Exclusion criteria 5

  1. Definitive radiologic evidence of metastatic disease outside of the pelvic nodes (M1a, M1b or M1c) on conventional imaging (i.e., bone scan, CT scan, MRI)
  2. PCa with predominant non-adenocarcinoma features (sarcomatoid or spindle or neuroendocrine small cell or squamous cell components or other non-adenocarcinoma)
  3. Prior pelvic radiotherapy
  4. Prior local therapy for PCa
  5. Prior systemic therapy for PCa

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Phase 3 Intensification study: Incidence of ppMFS over time. PSMA PET metastatic progression is defined as the appearance of at least 1 new PSMA-PET-positive distant lesion compared with the baseline scan or date of death from any cause.
  2. Phase 2 De-intensification study: Health related Quality of Life (HRQL) will be reported by subjects using the Expanded Prostate Cancer Index Composite (EPIC) questionnaire. A clinically important point reduction in EPIC subdomain score is defined as follows: sexual (11 points), and hormonal (5 points) as detected at 12 months. EPIC scores will be measured on a yearly basis to monitor late effects.

Secondary endpoints 6

  1. OS will be measured from the date of randomization to the date of death or last known follow-up date, with patients alive at the last known follow-up time treated as censored
  2. Prostate cancer-specific mortality (PCSM) will be measured from the date of randomization to the date of prostate cancer death.
  3. Biochemical progression-free survival will be measured from the date of randomization to the date event, or death or censored at the last known follow-up date. Events are PSA failure, castrate resistance (EAU Guidelines on Prostate Cancer 2022), receiving salvage therapy, or death from any cause.
  4. Time to next systemic therapy (NEST) will be measured from date of randomization to time of death, or censored at the last known follow-up date. Events for NEST are receiving any local therapy (surgery, radiotherapy, HIFU, cryotherapy) or systemic therapy for prostate cancer.
  5. Counts of all AEs by grade will be provided by study (Phase 2 and 3) and treatment arm
  6. EPIC mean changes in subdomain scores over time will be compared, both for change from baseline and absolute health related quality of life scores.

Investigational products

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

Test 1

BAY 1841788

PRD1849573 · Product

Active substance
Darolutamide
Other product name
ODM-201 300 mg film-coated tablet
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1200 mg milligram(s)
Max total dose
1200 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Not Authorised
MA holder
BAYER AG
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo of BAY 1841788

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Auxiliary 21

Docetaxel Accord 160 mg/8 ml concentrate for solution for infusion

PRD3445547 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
EU/1/12/769/003
MA holder
ACCORD HEALTHCARE S.L.U.
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

DEPO-ELIGARD 7,5 mg, poeder en oplosmiddel voor oplossing voor injectie

PRD8982504 · Product

Active substance
Leuprorelin Acetate
Substance synonyms
LEUPROLIDE ACETATE
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
7.5 mg milligram(s)
Max total dose
7.5 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE02 — LEUPRORELIN
Marketing authorisation
BE274032
MA holder
RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Orgovyx 120 mg film-coated tablets

PRD10359492 · Product

Active substance
Relugolix
Substance synonyms
TAK-385
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
120 mg milligram(s)
Max total dose
120 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02BX04 — -
Marketing authorisation
EU/1/22/1642/002
MA holder
ACCORD HEALTHCARE S.L.U.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Docetaxel Accord 80 mg/4 ml concentrate for solution for infusion

PRD3445553 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
EU/1/12/769/002
MA holder
ACCORD HEALTHCARE S.L.U.
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

DEPO-ELIGARD 22,5 mg, poeder en oplosmiddel voor oplossing voor injectie

PRD8982508 · Product

Active substance
Leuprorelin Acetate
Substance synonyms
LEUPROLIDE ACETATE
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
22.5 mg milligram(s)
Max total dose
22.5 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE02 — LEUPRORELIN
Marketing authorisation
BE274023
MA holder
RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

FIRMAGON 80 mg powder and solvent for solution for injection

PRD425269 · Product

Active substance
Degarelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02BX02 — -
Marketing authorisation
EU/1/08/504/001
MA holder
FERRING PHARMACEUTICALS A/S
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Docetaxel AB 20 mg/ml concentraat voor oplossing voor infusie

PRD4114693 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
BE378725
MA holder
AUROBINDO N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

ZOLADEX, 3,6 mg, implant

PRD395468 · Product

Active substance
Goserelin Acetate
Pharmaceutical form
IMPLANT
Route of administration
SUBCUTANEOUS USE
Max daily dose
3.6 mg milligram(s)
Max total dose
3.6 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE03 — GOSERELIN
Marketing authorisation
BE138731
MA holder
ASTRAZENECA S.A. / N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

ZOLADEX Long Acting, 10,8 mg, implant

PRD395546 · Product

Active substance
Goserelin Acetate
Pharmaceutical form
IMPLANT
Route of administration
SUBCUTANEOUS USE
Max daily dose
10.8 mg milligram(s)
Max total dose
10.8 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE03 — GOSERELIN
Marketing authorisation
BE179277
MA holder
ASTRAZENECA S.A. / N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

TAXOTERE 160 mg/8 ml concentrate for solution for infusion.

PRD479263 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
EU/1/95/002/005
MA holder
SANOFI MATURE IP
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Decapeptyl Sustained Release 11,25 mg Pulver und Lösungsmittel zur Herstellung einer Injektionssuspension

PRD2027857 · Product

Active substance
Triptorelin
Substance synonyms
TRIPTORELINE
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
11.25 mg milligram(s)
Max total dose
11.25 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
BE192516
MA holder
IPSEN N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Docetaxel AB 20 mg/ml concentraat voor oplossing voor infusie

PRD4114692 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
BE378734
MA holder
AUROBINDO N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Docetaxel Accord 20 mg/1 ml concentrate for solution for infusion

PRD3445550 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
EU/1/12/769/001
MA holder
ACCORD HEALTHCARE S.L.U.
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

DEPO-ELIGARD 45 mg, poeder en oplosmiddel voor oplossing voor injectie

PRD8982507 · Product

Active substance
Leuprorelin Acetate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
45 mg milligram(s)
Max total dose
45 mg/g milligram(s)/gram
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE02 — LEUPRORELIN
Marketing authorisation
BE314973
MA holder
RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

TAXOTERE 80 mg/4 ml concentrate for solution for infusion

PRD479238 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
EU/1/95/002/004
MA holder
SANOFI MATURE IP
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Docetaxel AB 20 mg/ml concentraat voor oplossing voor infusie

PRD4114691 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/sq. meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
BE496720
MA holder
AUROBINDO N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Orgovyx 120 mg film-coated tablets

PRD9814932 · Product

Active substance
Relugolix
Substance synonyms
TAK-385
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
120 mg milligram(s)
Max total dose
120 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02BX04 — -
Marketing authorisation
EU/1/22/1642/001
MA holder
ACCORD HEALTHCARE S.L.U.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Decapeptyl Sustained Release 22,5 mg, poeder en oplosmiddel voor suspensie voor injectie met verlengde afgifte

PRD390686 · Product

Active substance
Triptorelin
Pharmaceutical form
PROLONGED-RELEASE SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
22.5 mg milligram(s)
Max total dose
22.5 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
BE362284
MA holder
IPSEN N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Decapeptyl Sustained Release 3,75 mg Pulver und Lösungsmittel zur Herstellung einer Injektionssuspension

PRD2027871 · Product

Active substance
Triptorelin
Substance synonyms
TRIPTORELINE
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
3.75 mg milligram(s)
Max total dose
3.75 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
BE145826
MA holder
IPSEN N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Docetaxel AB 20 mg/ml concentraat voor oplossing voor infusie

PRD4128959 · Product

Active substance
Docetaxel
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
75 mg/m2 milligram(s)/square meter
Max treatment duration
18 Week(s)
Authorisation status
Authorised
ATC code
L01CD02 — DOCETAXEL
Marketing authorisation
BE378716
MA holder
AUROBINDO N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

FIRMAGON 120 mg powder and solvent for solution for injection

PRD425270 · Product

Active substance
Degarelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
120 mg milligram(s)
Max total dose
120 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L02BX02 — -
Marketing authorisation
EU/1/08/504/002
MA holder
FERRING PHARMACEUTICALS A/S
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Ziekenhuis Aan De Stroom

Sponsor organisation
Ziekenhuis Aan De Stroom
Address
Kempenstraat 100
City
Antwerp
Postcode
2030
Country
Belgium

Scientific contact point

Organisation
Ziekenhuis Aan De Stroom
Contact name
Clinical Trials Office

Public contact point

Organisation
Ziekenhuis Aan De Stroom
Contact name
Clinical Trials Office

Locations

2 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 403 11
Spain Authorised, recruiting 90 5
Rest of world 0

Investigational sites

Belgium

11 sites · Ongoing, recruiting
Institut Jules Bordet
Radiotherapy, Mijlenmeersstraat 90, 1070, Anderlecht
CHU De Liege
Medical Oncology, Avenue De L'hopital 1, 4000, Liege
Algemeen Ziekenhuis Groeninge
Radiotherapy, President Kennedylaan 4, 8500, Kortrijk
Ziekenhuis Aan De Stroom
Radiotherapy, Oosterveldlaan 24, 2610, Antwerp
Vitaz
Urology, Moerlandstraat 1, 9100, Sint-Niklaas
Az St-Jan Brugge-Oostende A.V.
Radiotherapy, Ruddershove 10, 8000, Brugge
Az Delta
Radiotherapy, Deltalaan 1, 8800, Roeselare
Universitair Ziekenhuis Gent
Radiotherapy, Corneel Heymanslaan 10, 9000, Gent
Cliniques Universitaires Saint-Luc
Radiotherapy, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe
CHU Helora
Oncology, Rue Ferrer 159 Boite 1, 7100, La Louviere
Azorg
Radiotherapy, Moorselbaan 164, 9300, Aalst

Spain

5 sites · Authorised, recruiting
Hospital Universitario Y Politecnico La Fe
Radiation Oncology, Avenida Fernando Abril Martorell 106, 46026, Valencia
Hospital Universitario Virgen De La Victoria
Radiation Oncology, Campus De Teatinos Sn, Puerto De La Torre, Malaga
Hospital Universitario 12 De Octubre
Clinical Oncology, Avenida De Cordoba Sn, 28041, Madrid
Hospital Universitario Ramon Y Cajal
Clinical Oncology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital De La Santa Creu I Sant Pau
Radiation Oncology, Carrer De San Quinti 89, 08041, 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
Belgium 2023-12-13 2023-12-13
Spain 2026-03-25

Results and documents

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

Documents 22 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2022 501551 90 00 6
Protocol (for publication) D1_Protocol 2022 501551 90 00 TC 6
Recruitment arrangements (for publication) K1_Recruitment arrangements_redacted 1
Recruitment arrangements (for publication) Recruitment arrangements 1
Subject information and informed consent form (for publication) EPIC 50 questionnaire 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults EN 5
Subject information and informed consent form (for publication) L1_SIS and ICF adults FR 5
Subject information and informed consent form (for publication) L1_SIS and ICF adults FR TC 4
Subject information and informed consent form (for publication) L1_SIS and ICF adults NL 5
Subject information and informed consent form (for publication) L1_SIS and ICF adults NL TC 4
Subject information and informed consent form (for publication) L2_Other subject information material EPIC questionnaire EN 1
Subject information and informed consent form (for publication) L2_Other subject information material EPIC questionnaire FR 1
Subject information and informed consent form (for publication) L2_Other subject information material EPIC questionnaire NL 1
Subject information and informed consent form (for publication) PIS_general 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Darolutamide 1
Synopsis of the protocol (for publication) D1_Protocol synopsis DE 2022 501151 90 00 TC 6
Synopsis of the protocol (for publication) D1_Protocol synopsis DE 2022 501551 90 00 6
Synopsis of the protocol (for publication) D1_Protocol synopsis FR 2022 501551 90 00 6
Synopsis of the protocol (for publication) D1_Protocol synopsis FR 2022 501551 90 00 TC 6
Synopsis of the protocol (for publication) D1_Protocol synopsis NL 2022 501551 90 00 6
Synopsis of the protocol (for publication) D1_Protocol synopsis NL 2022 501551 90 00 TC 6
Synopsis of the protocol (for publication) Protocol summary_2025_03_14 6

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-07-04 Belgium Acceptable
2023-09-20
2023-09-20
2 SUBSTANTIAL MODIFICATION SM-1 2023-10-09 Belgium Acceptable
2023-11-09
2023-11-20
3 SUBSTANTIAL MODIFICATION SM-2 2024-07-01 Belgium Acceptable
2024-08-14
2024-08-30
4 SUBSTANTIAL MODIFICATION SM-4 2024-12-30 Belgium Acceptable
2025-02-14
2025-02-14
5 SUBSTANTIAL MODIFICATION SM-5 2025-03-14 Belgium Acceptable
2025-05-14
2025-05-14
6 SUBSEQUENT ADDITION OF MSC APP-6 2025-10-28 2026-01-23
7 SUBSTANTIAL MODIFICATION SM-6 2026-03-06 Belgium Acceptable
2026-05-11
2026-05-11