Overview
Sponsor-declared trial summary
Subjects With Stage IV or Advanced Stage IIIB/C Nonsquamous Non–Small Cell Lung Cancers, Negative for PD-L1, and Positive for KRAS p.G12C
To compare progression-free survival (PFS) in the participants who receive sotorasib with chemotherapy versus pembrolizumab with chemotherapy To compare overall survival (OS) in the participants who receive sotorasib with chemotherapy versus pembrolizumab with chemotherapy
Key facts
- Sponsor
- Amgen Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 13 Nov 2023 → ongoing
- Decision date (initial)
- 2023-10-30
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Amgen Inc.
External identifiers
- EU CT number
- 2022-501863-41-00
- WHO UTN
- U1111-1293-2431
- ClinicalTrials.gov
- NCT05920356
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety, Pharmacokinetic
To compare progression-free survival (PFS) in the participants who receive sotorasib with chemotherapy versus pembrolizumab with chemotherapy
To compare overall survival (OS) in the participants who receive sotorasib with chemotherapy versus pembrolizumab with chemotherapy
Secondary objectives 1
- To compare the objective response rate in the participants who receive sotorasib with chemotherapy versus pembrolizumab with chemotherapy
Conditions and MedDRA coding
Subjects With Stage IV or Advanced Stage IIIB/C Nonsquamous Non–Small Cell Lung Cancers, Negative for PD-L1, and Positive for KRAS p.G12C
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10061873 | Non-small cell lung cancer | 100000004864 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Randomized Controlled Study Treatment Phase This randomized open label study will evaluate the efficacy and safety of sotorasib in combination with carboplatin and pemetrexed versus pembrolizumab in combination with carboplatin and pemetrexed in front-line settings in subjects with Stage IV or advanced Stage IIIB/C nonsquamous PD-L1 negative and KRAS p.G12C- mutations positive NSCLC.
|
Randomised Controlled | None | Investigational Treatment Group: Subjects in the investigational sotorasib treatment group will receive sotorasib in combination with carboplatin and pemetrexed followed by maintenance therapy with sotorasib and pemetrexed. Control Treatment Group: Subjects in the pembrolizumab control treatment group will receive pembrolizumab in combination with carboplatin and pemetrexed followed by maintenance treatment with pembrolizumab and pemetrexed. |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- Yes
- IPD plan description
- De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 4
- Men or women greater than or equal to 18 years old
- Histologically or cytologically confirmed diagnosis of nonsquamous stage IV or advanced Stage IIIB or IIIC NSCLC with KRAS p. G12C mutation and negative for PD-L1 expression by central testing or local laboratory testing confirmed through central testing
- No history of systemic anticancer therapy in metastatic/non-curable settings
- ECOG ≤ 1
Exclusion criteria 6
- Mixed histology NSCLC with either small-cell or large-cell neuroendocrine cell component or predominant squamous cell histology
- Subjects with tumors known to harbor molecular alterations for which targeted therapy is locally approved
- Symptomatic (treated or untreated) brain metastases
- Gastrointestinal (GI) tract disease causing the inability to take oral medication
- Myocardial infarction within 6 months of randomization, unstable arrhythmias, or unstable angina
- Prior therapy with a KRAS G12C inhibitor
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- PFS is defined as the length of time from randomization (when the participants are designated to receive either sotorasib or pembrolizumab with chemotherapy) until the disease has progressed (gotten worse) or resulted in death, whichever occurs first. Progression will be based on an independent assessment of disease response per a set of predefined criteria (Response Evaluation Criteria in Solid Tumors [RECIST] v1.1) by reviewers with no knowledge of the participant’s treatment assignment.
Secondary endpoints 2
- Objective response is defined as the best overall response of complete response (CR, disappearance of all signs of NSCLC in the body) or partial response (PR, decrease in the amount of NSCLC in the body) to study treatment based on RECIST v1.1, per BICR. A confirmatory scan after 4 weeks of initial response is required for CR and PR.
- OS is defined as the duration of time from randomization until death due to any cause.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
SUB197397 · Substance
- Active substance
- Sotorasib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Please refer to the sotorasib IMPD-Q enclosed with the application
Comparator 1
SUB167136 · Substance
- Active substance
- Pembrolizumab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 9999 mg/ml milligram(s)/millilitre
- Max total dose
- 9999 mg/ml milligram(s)/millilitre
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 6
SCP776846 · ATC
- Active substance
- Calcium Folinate
- Substance synonyms
- LEUCOVORIN CALCIUM
- Route of administration
- ORAL
- Max daily dose
- 9999 µg microgram(s)
- Max total dose
- 9999 µg microgram(s)
- Max treatment duration
- 763 Day(s)
- Authorisation status
- Authorised
- ATC code
- B03BB01 — FOLIC ACID
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06614MIG · Substance
- Active substance
- Carboplatin
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Betamethasone Sodium Phosphate Ph. Eur
SCP1977137 · ATC
- Active substance
- Betamethasone Sodium Phosphate Ph. Eur
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Authorised
- ATC code
- H02AB02 — DEXAMETHASONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB09655MIG · Substance
- Active substance
- Pemetrexed
- Pharmaceutical form
- POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 9999 mg/m2 milligram(s)/sq. meter
- Max total dose
- 9999 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
A04A · Product
- Pharmaceutical form
- -
- Route of administration
- ORAL
- Max daily dose
- 9999 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- A04A — ANTIEMETICS AND ANTINAUSEANTS
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP2116527 · ATC
- Active substance
- Hydroxocobalamin
- Substance synonyms
- HYDROXYCOBALAMIN
- Route of administration
- INTRAMUSCULAR INJECTION
- Max daily dose
- 9999 µg microgram(s)
- Max total dose
- 9999 µg microgram(s)
- Max treatment duration
- 742 Day(s)
- Authorisation status
- Authorised
- ATC code
- B03BA03 — HYDROXOCOBALAMIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Amgen Inc.
- Sponsor organisation
- Amgen Inc.
- Address
- 1 Amgen Center Drive
- City
- Thousand Oaks
- Postcode
- 91320-1799
- Country
- United States
Scientific contact point
- Organisation
- Amgen Inc.
- Contact name
- Medical Information
Public contact point
- Organisation
- Amgen Inc.
- Contact name
- Medical Information
Third parties 14
| Organisation | City, country | Duties |
|---|---|---|
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | E-data capture |
| Azenta US Inc. ORG-100016263
|
Indianapolis, United States | Other |
| Altasciences Compagnie Inc. ORG-100037610
|
Laval, Canada | Laboratory analysis |
| Labcorp Central Laboratory Services LP ORG-100032236
|
Indianapolis, United States | Laboratory analysis |
| Labcorp Central Laboratory Services S.a.r.l. ORG-100011524
|
Meyrin, Switzerland | Laboratory analysis |
| Excelya Greece CRO Single Member S.A. ORG-100009224
|
Nea Filadelfia, Greece | On site monitoring |
| Emmes Biopharma Global s.r.o. ORG-100027596
|
Prague 1, Czechia | On site monitoring |
| Guardant Health Inc. ORG-100042461
|
Redwood City, United States | Laboratory analysis |
| Signant Health Global LLC ORG-100040604
|
Blue Bell, United States | Other |
| Suvoda LLC ORG-100043523
|
Conshohocken, United States | Interactive response technologies (IRT) |
| WCG Clinical Inc. ORG-100040730
|
Princeton, United States | Other |
| Tempus Labs Inc. ORG-100044006
|
Chicago, United States | Laboratory analysis |
| Icon Public Limited Company ORG-100042517
|
Dublin 18, Ireland | Other |
| Massive Bio Inc. ORG-100044618
|
New York, United States | Other |
Locations
17 EU/EEA countries · 151 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ongoing, recruiting | 15 | 6 |
| Belgium | Ongoing, recruiting | 15 | 5 |
| Bulgaria | Ongoing, recruiting | 12 | 4 |
| Czechia | Ongoing, recruiting | 6 | 5 |
| Denmark | Ongoing, recruiting | 14 | 2 |
| France | Ongoing, recruiting | 55 | 29 |
| Germany | Ongoing, recruiting | 9 | 5 |
| Greece | Ongoing, recruiting | 19 | 14 |
| Hungary | Ongoing, recruiting | 23 | 8 |
| Italy | Ongoing, recruiting | 25 | 16 |
| Latvia | Ended | 5 | 2 |
| Netherlands | Ongoing, recruiting | 37 | 7 |
| Poland | Ongoing, recruiting | 36 | 11 |
| Portugal | Ongoing, recruiting | 14 | 6 |
| Romania | Ongoing, recruiting | 28 | 8 |
| Spain | Ongoing, recruiting | 45 | 20 |
| Sweden | Ongoing, recruiting | 9 | 3 |
| Rest of world
Turkey, Colombia, China, Peru, Chile, Brazil, Mexico, Singapore, Argentina, Malaysia, Canada, Australia, South Africa, United Kingdom, United States, Japan, Korea, Republic of, Taiwan, Thailand, Switzerland, Hong Kong
|
— | 354 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2023-11-28 | 2024-02-23 | |||
| Belgium | 2024-02-28 | 2024-03-05 | |||
| Bulgaria | 2023-12-14 | 2024-01-25 | |||
| Czechia | 2024-03-18 | 2024-09-30 | |||
| Denmark | 2023-12-15 | 2024-10-03 | |||
| France | 2023-12-20 | 2024-02-02 | |||
| Germany | 2024-01-19 | 2024-04-16 | |||
| Greece | 2023-11-30 | 2023-12-05 | |||
| Hungary | 2023-11-13 | 2023-12-12 | |||
| Italy | 2023-12-11 | 2023-12-28 | |||
| Latvia | 2024-01-23 | 2024-10-02 | 2026-05-21 | ||
| Netherlands | 2023-11-14 | 2024-03-25 | |||
| Poland | 2023-11-17 | 2024-03-01 | |||
| Portugal | 2024-02-27 | 2024-06-21 | |||
| Romania | 2023-11-28 | 2024-02-20 | |||
| Spain | 2023-12-14 | 2024-04-03 | |||
| Sweden | 2023-12-27 | 2025-06-12 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 283 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_EEA CSS_ENG_2022-501863-41_20190341_For Publication | 6 |
| Protocol (for publication) | D1_Protocol_EEA CSS_GR_2022-501863-41_20190341_For Publication | 1 |
| Protocol (for publication) | D1_Protocol_ENG_2022-501863-41_20190341_BG CSS_For Publication | 2 |
| Protocol (for publication) | D1_Protocol_ENG_2022-501863-41_20190341_For Publication | 4 |
| Protocol (for publication) | D1_Protocol_ENG_2022-501863-41_20190341_Summary of Changes_For Publication | 5 |
| Protocol (for publication) | D1_Protocol_ENG_2022-501863-41_20190341_Summary of Changes_FP | 4 |
| Protocol (for publication) | D1_Protocol_IT_2022-501863-41_20190341_For Publication | N/A |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements_For Publication | 4.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_For Publication | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_For Publication | 3.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_For Publication | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_For Publication | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_For publication | 1.1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_For Publication | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FP | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FP | 1.1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FP | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FP | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FP | 24JUN2025 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_Germany_20190341_fP | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment procedure_For Publication | 3.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Procedure_For Publication | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment_arrangements_CZ_For_Publication | 1 |
| Recruitment arrangements (for publication) | K2_Other subject information material Activities Overview_EN_For Publication | 3.0 |
| Recruitment arrangements (for publication) | K2_Other subject information material Activities Overview_PT_For Publication | 3.0 |
| Recruitment arrangements (for publication) | K2_Patient Brochure_FOR PUBBLICATION | 2 |
| Recruitment arrangements (for publication) | K2_PI to MD letter_FOR PUBBLICATION | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material _GP letter_Germany_20190341_fP | V3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material _Patient activities overview_Germany_20190341_fP | V3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material _Patient brochure_Germany_20190341_fP | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment Material _Thank you letter_Germany_20190341_fP | 3 |
| Recruitment arrangements (for publication) | K2_Recruitment material Brochure EU_Subject Facing FP | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material Brochure_EN_For Publication | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material Brochure_PT_For Publication | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material PI to MD Letter_EN_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material PI to MD letter_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material PI to MD Letter_FP | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material PI to MD Letter_Physician facing FP | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material Recruitment Brochure_FP | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material SOE Activities Overview Subject facing FP | 3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ PI to MD letter_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Activities overview Subject facing_FP | 3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Brochure EU Subject Facing_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Dr to Dr letter_FP | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Patient Study Brochure_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Study Brochure_FP | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PI to MD letter_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PI to MD Letter_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PI to MD letter_FP | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PI to MD Letter_FP | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_PI to MD letter_Germany_20190341_fP | V2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PI to MD Letter_Physician facing_For Publication | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_PI to MD Letter_Physician facing_FP | 13JUN2025 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Recruitment Brochure_FP | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_SOE Activities Overview_For Publication | 3.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_SOE Activities Overview_Subject Facing_For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF for Continued Treatment After Disease Progression_For Publication | 3.1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF for Main Study Adult_For publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF for Main Study Adults_For publication | 3.2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF for Main Study_For publication | 2.2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF for Pre-screening_For publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Genetic Research ITA For Publication | 7 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Informed Consent Procedure FP | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main _For publication | 8.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main LV_Russian_For Publication | 05DEC2025 |
| Subject information and informed consent form (for publication) | L1_ SIS-ICF_Biopsy_20190341_Germany_fP | V2 |
| Subject information and informed consent form (for publication) | L1_ SIS-ICF_Future Research_20190341_Germany_fP | V2 |
| Subject information and informed consent form (for publication) | L1_ SIS-ICF_Genetic_20190341_Germany_fP | V2 |
| Subject information and informed consent form (for publication) | L1_ SIS-ICF_Main_20190341_Germany_fP | 8.0 |
| Subject information and informed consent form (for publication) | L1_ SIS-ICF_Prescreening_20190341_Germany_fP | 4.0 |
| Subject information and informed consent form (for publication) | L1_ SIS-ICF_Proteomic_20190341_Germany_fP | V2 |
| Subject information and informed consent form (for publication) | L1_ SIS-ICF_Treatment after progression_20190341_Germany_FP | V1 |
| Subject information and informed consent form (for publication) | L1_Continued Treatment ICF_EN_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_Continued Treatment ICF_FR_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_Continued Treatment ICF_NL_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_Informed consent procedure_Germany_20190341_fP | 1 |
| Subject information and informed consent form (for publication) | L1_Main ICF_EN_For Publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_Main ICF_FR_For Publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_Main ICF_NL_For Publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_Pre-screening ICF_EN_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_Pre-screening ICF_FR_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_Pre-screening ICF_NL_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_Pregnancy ICF_EN_FP | 1.6 |
| Subject information and informed consent form (for publication) | L1_Pregnancy ICF_FR_FP | 1.6 |
| Subject information and informed consent form (for publication) | L1_Pregnancy ICF_NL_FP | 1.6 |
| Subject information and informed consent form (for publication) | L1_SIS and Consent for Continued Treatment_English_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and Consent for Continued Treatment_Translation Bulgarian_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and Consent for Optional Proteomic Research_English_For Publication | 3.1 |
| Subject information and informed consent form (for publication) | L1_SIS and Consent for Optional Proteomic Research_Translation Bulgarian_For Publication | 3.1 |
| Subject information and informed consent form (for publication) | L1_SIS and Consent for Optional Tumor Biopsy_English_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and Consent for Optional Tumor Biopsy_Translation Bulgarian_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Addendum_For Publication | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Alternate Visit Latvian - For Publication | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Alternate Visit Russian - For Publication | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Alternate Visits FP | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Alternate Visits_For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Clincard_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued Treatment After Disease Progression FP | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued Treatment after disease progression_For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued Treatment FP | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued Treatment Latvian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued Treatment Russian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued treatment_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued Treatment_For Publication | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Continued Treatment_Redacted For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF CTDP_FP | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Disease Progression_For Publication | 2.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Exceptional measures_For Publication | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF for continued treatment EN_FP | 4.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF for continued treatment RO_ FP | 4.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF for prescreening EN_FP | 5.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF for prescreening RO_FP | 5.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Future Research FP | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Future Research Latvian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Future Research Russian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Future Research_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Future Research_For Publication | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Future Research_FP | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Genetic Research FP | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Genetic Research Latvian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Genetic Research Russian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Genetic Research_FP | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Genetic_For Publication | 2.1 |
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| Subject information and informed consent form (for publication) | L1_SIS and ICF Greenphire Latvian - For Publication | 2 |
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| Subject information and informed consent form (for publication) | L1_SIS and ICF main EN_FP_Tracked changes | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main FP | 09DEC2025 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main LV_Latvian_For Publication | 05DEC2025 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main RO_ FP | 7.1 |
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| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Study FP | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_For Publication | 8.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_For Publication | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_For Publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_For Publication | 09DEC2025 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_For Publication | 5.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_For Publication | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_FP | 7.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Redacted For Publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Mother_Pregnancy Follow-Up_For Publication | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Proteomic Research FP | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Proteomic Research_For Publication | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Proteomics Research_For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Tumor Biopsy FP | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Tumor Biopsy Latvian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Tumor Biopsy Russian - For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Tumor Biopsy_For Publication | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Tumor Biopsy_For Publication | 2.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Tumor Biopsy_For Publication | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pharmacogenetic_For Publication | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-Screening FP | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-Screening FP | 09DEC2025 |
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| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening LV_Russian_For Publication | 05DEC2025 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening_For Publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening_For Publication | 09DEC2025 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening_For Publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-Screening_Redacted For Publication | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregancy woman_For Publication | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy FUP_father_For Publication | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy FUP_mother_For Publication | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy man_For Publication | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Participant_FP | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner_FP | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Prescreening_FP | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Proteomic Research_FP | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Proteomic_Redacted For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Proteomics Research LV_Latvian_For Publication | 20MAY2025 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Proteomics Research LV_Russian_For Publication | 20MAY2025 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Proteomics Research_For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Reimbursement FP | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Remote Source Document Data Review and Verification_For Publication | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Sotorasib or Pembrolizumab after disease progression_For Publication | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Treatment after disease prog_For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Tumor Biopsy_FP | 3.0 |
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| Subject information and informed consent form (for publication) | L1_SIS and ICF Use Of Samples For Diagnostic Testing_FP | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Withdrawal Adults_For Publication | 1.1 |
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| Subject information and informed consent form (for publication) | L1_SIS and ICF_Disease progression_new subjects_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Future research_new subjects_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic research_new subjects_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Greenphire_new subjects_fp | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_new subjects_FP | 8.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Proteomic_new subjects_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Tumor biopsy_new subjects_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and Main ICF_English_For Publication | 5.1 |
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| Subject information and informed consent form (for publication) | L1_SIS and Male Consent Form_English_For Publication | 1 |
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| Subject information and informed consent form (for publication) | L1_SIS and Pre-screening ICF_English_For Publication | 4.1 |
| Subject information and informed consent form (for publication) | L1_SIS and Pre-screening ICF_Translation Bulgarian_For Publication | 4.1 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Disease progression enrolled_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Future research enrolled_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Genetic research enrolled_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Greenphire enrolled_fp | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Main enrolled_FP | 8.0 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_prescreening_FP | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Proteomic enrolled_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Tumor biopsy enrolled_FP | 5.0 |
| Subject information and informed consent form (for publication) | L1_Site specific Male Consent Form_BG_AArabadjiev_For Publication | 1 |
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| Subject information and informed consent form (for publication) | L2_ Other subject information material Diary_For Publication | 2.0 |
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| Subject information and informed consent form (for publication) | L2_Informed Consent Procedure_FP | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material ClinCard_Bank Transfer Standard Message Template_FP | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject information material ClinCard_Bank Transfer_FP | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject information material GP Letter_For Publication | 3 |
| Subject information and informed consent form (for publication) | L2_Other subject information material Informed Consent P_FP | 1 |
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| Subject information and informed consent form (for publication) | L2_Other subject information material Informed Consent Procedure_For Publication | 1 |
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| Subject information and informed consent form (for publication) | L2_Other subject information material Particip Notific Results_For Publication | 3.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material Patient Card_For Publication | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material Patient Card_FP | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material Reimbursement V Agreement_FP | 3 |
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| Subject information and informed consent form (for publication) | L2_Other subject information material_Informed Consent Procedure_For Publication | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Informed Consent Procedure_For Publication | 2 |
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| Subject information and informed consent form (for publication) | L2_Other subject information material_Signant Quick Reference Guide_Web Back Up Addendum_FP | 3 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_SOE activities_FP | 3 |
| Subject information and informed consent form (for publication) | L2_Other subject information Your Rights as a Participant_For Publication | 1 |
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| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Clincard_Carrier_CZ_fp | 10 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Clincard_FAQ_CZ_fp | 10 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Clincard_Fee_sched_CZ_fp | 10 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Clincard_Message_templates_CZ_fp | 10 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Documents_regarding_PartII_Regulation_fp | 1 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_GDPR_CZ_fp | 3.3 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Patient_card_CZ_fp | 1 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_signant_quick_reference_guide_CZ_fp | 2 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Subj_dosing_diaries_CZ_fp | 1 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Subj_dosing_diary_addend_CZ_fp | 1 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Subject_dosing_diary_CZ_fp | 1 |
| Subject information and informed consent form (for publication) | L2_Other_subject_information_material_Thank_you_and_notif_letter_CZ_fp | 3 |
| Subject information and informed consent form (for publication) | L2_Recruitment Brochure_EN_FP | 2.1 |
| Subject information and informed consent form (for publication) | L2_Recruitment Brochure_FR_FP | 2.1 |
| Subject information and informed consent form (for publication) | L2_Recruitment Brochure_NL_FP | 2.1 |
| Subject information and informed consent form (for publication) | L3_EORTC-QLQ-C30_ePRO_Bulgarian_For Publication | 1 |
| Subject information and informed consent form (for publication) | L3_EORTC-QLQ-LC13_ePRO_Bulgarian_For Publication | 1 |
| Subject information and informed consent form (for publication) | L3_EuroQoL_EQ-5D-5L_ePRO_Bulgarian_For Publication | 1 |
| Subject information and informed consent form (for publication) | L3_FACT-G_GP5_ePRO_Bulgarian_For Publication | 1 |
| Subject information and informed consent form (for publication) | L3_NCI_PRO-CTCAE_ePRO_Bulgarian_For Publication | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_pembrolizumab | 4 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_pembrolizumab_TC | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BE_DE_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BE_FR_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BE_NL_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BG_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_CZ_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_DE AT_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_DE_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_ENG_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_ES_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_FR_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_GR_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_HU_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_IT_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_IT_2022-501863-41_20190341_FP | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_NL_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_PL_2022-501863-41_20190341_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PT_2022-501863-41_20190341_For Publication | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_PT_2022-501863-41_20190341_PLPS_For Publication | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_SE_2022-501863-41_20190341_For Publication | 3 |
Application history
25 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-07-03 | Belgium | Acceptable with conditions 2023-10-20
|
2023-10-20 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2023-11-06 | Acceptable with conditions 2023-10-20
|
2023-11-06 | |
| 3 | SUBSEQUENT ADDITION OF MSC | APP-3 | 2023-11-15 | 2024-01-19 | ||
| 4 | SUBSTANTIAL MODIFICATION | SM-4 | 2023-11-22 | Acceptable with conditions | 2024-01-18 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2023-12-04 | Belgium | Acceptable with conditions | 2024-02-21 |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2024-04-02 | Belgium | Acceptable 2024-07-01
|
2024-07-01 |
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2024-07-17 | Acceptable 2024-07-01
|
2024-07-17 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-6 | 2024-09-26 | Belgium | Acceptable 2025-01-16
|
2025-01-16 |
| 9 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2025-01-23 | Acceptable 2025-01-16
|
2025-01-23 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-02-10 | Acceptable | 2025-03-12 | |
| 11 | SUBSTANTIAL MODIFICATION | SM-10 | 2025-02-11 | Acceptable | 2025-03-14 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-11 | 2025-02-12 | Acceptable | 2025-05-12 | |
| 13 | SUBSTANTIAL MODIFICATION | SM-9 | 2025-02-13 | Acceptable | 2025-04-24 | |
| 14 | SUBSTANTIAL MODIFICATION | SM-8 | 2025-02-21 | Acceptable | 2025-04-06 | |
| 15 | SUBSTANTIAL MODIFICATION | SM-12 | 2025-02-21 | Acceptable | 2025-05-19 | |
| 16 | SUBSTANTIAL MODIFICATION | SM-13 | 2025-02-27 | Acceptable | 2025-04-02 | |
| 17 | SUBSTANTIAL MODIFICATION | SM-14 | 2025-04-16 | Acceptable | 2025-05-29 | |
| 18 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2025-05-29 | Acceptable | 2025-05-29 | |
| 19 | NON SUBSTANTIAL MODIFICATION | NSM-5 | 2025-06-12 | Acceptable | 2025-06-12 | |
| 20 | SUBSTANTIAL MODIFICATION | SM-15 | 2025-07-09 | Belgium | Acceptable 2025-10-06
|
2025-10-06 |
| 21 | SUBSTANTIAL MODIFICATION | SM-16 | 2026-01-14 | Belgium | Acceptable 2026-04-14
|
2026-04-14 |
| 22 | NON SUBSTANTIAL MODIFICATION | NSM-6 | 2026-04-24 | Acceptable 2026-04-14
|
2026-04-24 | |
| 23 | SUBSTANTIAL MODIFICATION | SM-21 | 2026-04-27 | Acceptable | 2026-05-21 | |
| 24 | SUBSTANTIAL MODIFICATION | SM-20 | 2026-04-28 | Acceptable | 2026-06-01 | |
| 25 | SUBSTANTIAL MODIFICATION | SM-22 | 2026-04-30 | Acceptable | 2026-05-25 |