A Rollover Study for Patients Previously Enrolled in a Genentech and/or F.Hoffman-La Roche Sponsored Study

2023-504263-16-00 Protocol BX44273 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 25 May 2023 · Status Ongoing, recruiting · 4 EU/EEA countries · 21 sites · Protocol BX44273

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 277
Countries 4
Sites 21

This is an extension study designed to provide continued treatment for eligible patients with cancer who were previously enrolled and treated in a Genentech/Roche study (the parent study), and do not have access to the treatment locally

1. To provide continued treatment with Roche investigational medicinal product (IMP)-based therapy and/or comparator agent(s) for eligible participants with cancer who are still on study treatment at the time of roll-over from the parent study and who do not have access to the study treatment locally

Key facts

Sponsor
F. Hoffmann-La Roche AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
25 May 2023 → ongoing
Decision date (initial)
2024-01-08
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
F. Hoffmann-La Roche AG

External identifiers

EU CT number
2023-504263-16-00
EudraCT number
2022-003414-36

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Others

1. To provide continued treatment with Roche investigational medicinal product (IMP)-based therapy and/or comparator agent(s) for eligible participants with cancer who are still on study treatment at the time of roll-over from the parent study and who do not have access to the study treatment locally

Secondary objectives 1

  1. 1. To evaluate the safety and tolerability of the study treatment on the basis of the following endpoint: incidence, nature, and severity of selected adverse events as described in IMP-specific appendices

Conditions and MedDRA coding

This is an extension study designed to provide continued treatment for eligible patients with cancer who were previously enrolled and treated in a Genentech/Roche study (the parent study), and do not have access to the treatment locally

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Open label, Rollover study
AN OPEN LABEL, MULTICENTER EXTENSION STUDY FOR PATIENTS PREVIOSULY ENROLLED IN A GENENTECH AND/OR F. HOFFMAN-LA ROCHE SPONSORED STUDY
Not Applicable None

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. 1. Eligible for continuing Roche IMP-based therapy at the time of roll-over from the parent study, as per the parent study protocol or Eligible for continuing the comparator agent(s) in a Genentech- or Rochesponsored study as per the parent study protocol, with no access to commercially available comparator agent
  2. 2. First dose of study treatment in this extension study will be received within 7days of the treatment interruption window allowed by the parent study
  3. 3. Continue to benefit from the Roche IMP-based therapy or comparator at the time of roll-over from the parent study as assessed by the investigator, in the absence of unacceptable toxicity or symptomatic deterioration attributed to disease progression after an integrated assessment of radiographic data, biopsy results (if available) and clinical status.
  4. 4. Negative urine pregnancy test within 24 hours prior to first dose administered on BX44273 study treatment in female participants of childbearing potential
  5. 5. Ability to comply with the extension study protocol, per Investigator's judgement

Exclusion criteria 6

  1. 1. Meet any of the study treatment discontinuation criteria specified in the parent study at the time of enrollment in this extension study
  2. 2. Study treatment or comparator agent is commercially marketed in the participant’s country for the participant-specific disease and is accessible to the participant
  3. 3. Treatment with any anti-cancer treatment (other than treatment permitted in the parent study) during the time between last treatment in the parent study and the first dose of study treatment in this extension study
  4. 4. Permanent discontinuation of all study treatment(s) or comparator agent(s) for any reason during the parent study or during the time between last treatment in the parent study and the first dose of study treatment in this extension study (if applicable)
  5. 5. Ongoing serious adverse event(s) that has not resolved to baseline level or Grade ≤ 1 from the parent study or during the time between the last treatment in the parent study and the first dose of study treatment in this extension study
  6. 6. Any condition that, in the opinion of the investigator, would interfere with the interpretation of participant safety or place the participant at high risk for treatmentrelated complications

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 1. Number of Participants with Continued Access to Roche IMP(s)-Based Therapy and/or Comparator Agent(s)

Secondary endpoints 1

  1. 1. The incidence, nature, and severity of selected adverse events as described in IMP-specific appendices

Investigational products

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

Test 15

Ipatasertib

PRD9859715 · Product

Active substance
Ipatasertib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
400 mg milligram(s)
Max total dose
1460 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Ipatasertib

PRD9859714 · Product

Active substance
Ipatasertib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
400 mg milligram(s)
Max total dose
1460 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Tecentriq 1 200 mg concentrate for solution for infusion

PRD5434939 · Product

Active substance
Atezolizumab
Substance synonyms
RO5541267
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
1875 mg milligram(s)
Max total dose
326.25 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
L01FF05 — -
Marketing authorisation
EU/1/17/1220/001
MA holder
ROCHE REGISTRATION GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

RO7538483

PRD9600625 · Product

Active substance
Atezolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
0 mg milligram(s)
Max total dose
0 g gram(s)
Max treatment duration
1 Month(s)
Authorisation status
Not Authorised
MA holder
ROCHE REGISTRATION GMBH (RRG)
Paediatric formulation
No
Orphan designation
No

Rozlytrek 200 mg hard capsules

PRD8236731 · Product

Active substance
Entrectinib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
2190 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
L01EX14 — -
Marketing authorisation
EU/1/20/1460/002
MA holder
ROCHE REGISTRATION GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rozlytrek

PRD11008928 · Product

Active substance
Entrectinib
Pharmaceutical form
COATED GRANULES
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
2190 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Rozlytrek

PRD10998736 · Product

Active substance
Entrectinib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
2190 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Rozlytrek

PRD10998735 · Product

Active substance
Entrectinib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
2190 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Rozlytrek 100 mg hard capsules

PRD8236780 · Product

Active substance
Entrectinib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
2190 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
L01EX14 — -
Marketing authorisation
EU/1/20/1460/001
MA holder
ROCHE REGISTRATION GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

RO 743-5846/F04

PRD11081693 · Product

Active substance
Divarasib
Other product name
GDC-6036
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
GENENTECH, INC.
Paediatric formulation
No
Orphan designation
No

RO 743-5846/F06

PRD11081694 · Product

Active substance
Divarasib
Other product name
GDC-6036
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
GENENTECH, INC.
Paediatric formulation
No
Orphan designation
No

Inavolisib

PRD9793132 · Product

Active substance
Inavolisib
Other product name
GDC-0077
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
9 mg milligram(s)
Max total dose
32.85 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Inavolisib

PRD9793811 · Product

Active substance
Inavolisib
Other product name
GDC-0077
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
9 mg milligram(s)
Max total dose
32.85 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Avastin 25 mg/ml concentrate for solution for infusion.

PRD2153902 · Product

Active substance
Bevacizumab
Substance synonyms
BI 695502, BS-503A, PF-06439535, BP01, HLX04, RHUMAB-VEGF, BEVACIZUMABUM, RHUMAB VEGF
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
15 mg/Kg milligram(s)/kilogram
Max total dose
2595 mg/Kg milligram(s)/kilogram
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
L01FG01 — -
Marketing authorisation
EU/1/04/300/002
MA holder
ROCHE REGISTRATION GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Tiragolumab

PRD7846761 · Product

Active substance
Tiragolumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Max daily dose
600 mg milligram(s)
Max total dose
104.4 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Auxiliary 1

Abiraterone

SUB07361MIG · Substance

Active substance
Abiraterone
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
1000 mg milligram(s)
Max total dose
3650 g gram(s)
Max treatment duration
120 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

F. Hoffmann-La Roche AG

Sponsor organisation
F. Hoffmann-La Roche AG
Address
Grenzacherstrasse 124
City
Basel
Postcode
4058
Country
Switzerland

Scientific contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Public contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Third parties 2

OrganisationCity, countryDuties
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other

Locations

4 EU/EEA countries · 21 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 5 3
France Ongoing, recruiting 14 12
Greece Ongoing, recruiting 3 2
Poland Ongoing, recruiting 1 4
Rest of world
Costa Rica, Korea, Republic of, United Kingdom, Japan, Mexico, Thailand, Taiwan, Russian Federation, Canada
254

Investigational sites

Belgium

3 sites · Ongoing, recruiting
UZ Leuven
Oncology, Herestraat 49, 3000, Leuven
Grand Hopital De Charleroi
Oncology, Rue Marguerite Depasse 6, 6060, Charleroi
Algemeen Ziekenhuis Groeninge
Urology, President Kennedylaan 4, 8500, Kortrijk

France

12 sites · Ongoing, recruiting
Centre Hospitalier Saint Joseph Saint Luc
Oncology, 20 Quai Claude Bernard, 69007, Lyon
Institut Gustave Roussy
Oncology, 114 Rue Edouard Vaillant, 94800, Villejuif
Centre Francois Baclesse
Oncology, 3 Avenue Du General Harris, Cs 45026, Caen Cedex 5
Centre Hospitalier Regional De Marseille
Oncology, 264 Rue Saint Pierre, 13005, Marseille
Institut Regional Du Cancer De Montpellier
Medical Oncology, 208 Avenue Des Apothicaires, 34298, Montpellier Cedex 5
Oncopole Claudius Regaud
Oncology, 1 Avenue Irene Joliot Curie, 31059, Toulouse Cedex 9
Institut Curie
Oncology, 26 Rue D Ulm, 75005, Paris
Centre Hospitalier Universitaire De Nimes
Medical Oncology, 4 Place Du Professeur Robert Debre, Bp 40026, Nimes Cedex 9
Institut De Cancerologie De L Ouest
Oncologie médicale, Boulevard Jacques Monod, 44805, Saint-Herblain Cedex
Institut De Cancerologie De Bourgogne
Oncology, 18 Cours General De Gaulle, 21000, Dijon
Assistance Publique Hopitaux De Paris
Oncology, 4 Rue De La Chine, 75020, Paris
Institut Bergonie
Oncology, 180 R De Saint Genes, 229 Cours De L Argonne, Bordeaux

Greece

2 sites · Ongoing, recruiting
Metropolitan General Hospital Healthcare Facilities Operation And Management Single Member S.A.
Oncology Clinical Trials & Research Clinic, Leoforos Mesogeion 264, 155 62, Cholargos
Geniko Nosokomeio Thessalonikis George Papanikolaou
Pulmonary Clinic, Exochi, 570 10, Thessaloniki

Poland

4 sites · Ongoing, recruiting
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Klinika Nowotworów Tkanek Miękkich, Kości i Czerniaków, Ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw
Pratia S.A.
Centrum Medyczne Pratia Poznań, Ul. Gryfinska 1, 60-192, Poznan
Szpital Wojewodzki Im. Mikolaja Kopernika W Koszalinie
Oddział Dzienny Chemioterapii, Ul. Tytusa Chalubinskiego 7, 75-581, Koszalin
Uniwersyteckie Centrum Kliniczne
Ośrodek Badań Klinicznych Wczesnych Faz, Ul. Mariana Smoluchowskiego 17, 80-214, Gdansk

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 2023-05-25 2023-06-01
France 2023-12-19 2024-01-25
Greece 2025-07-01 2025-07-28
Poland 2026-01-23 2026-02-04

Results and documents

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

Documents 68 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-504263-16-00 Redacted 6
Protocol (for publication) d1_protocol-2023-504263-16-00-redacted_gr 6
Recruitment arrangements (for publication) K Recruitment arragement 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements 6.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Recruitment arrangements (for publication) K3_Document additionnel 1
Subject information and informed consent form (for publication) L Subject information and informed consent form IAF 3
Subject information and informed consent form (for publication) L Subject information and informed consent form Main_FILE NOTE NA
Subject information and informed consent form (for publication) L Subject information and informed consent form PPA 3
Subject information and informed consent form (for publication) L1_ SIS and ICF Main Atezolizumab_REDACTED 5
Subject information and informed consent form (for publication) L1_ SIS and ICF Main Ipatasertib_REDACTED 6
Subject information and informed consent form (for publication) L1_ SIS and ICF Main Tiragolumab_Atezolizumab_REDACTED 5
Subject information and informed consent form (for publication) L1_ SIS and ICF Main_Entrectinib 2
Subject information and informed consent form (for publication) L1_SIS and ICF Add BX44273 - BO39610 AB Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Add BX44273 - CO39303_FR 2
Subject information and informed consent form (for publication) L1_SIS and ICF Add BX44273 - MO39874 A Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Add BX44273 - WO39613 AT Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Add BX44273 - WO42017 AT Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Add BX44273 - WO42178 ABC Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Add BX44273 - WO42178 IB 1
Subject information and informed consent form (for publication) L1_SIS and ICF IAF 1
Subject information and informed consent form (for publication) L1_SIS and ICF Infant Authorization Form_EN 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Infant Authorization Form_FR 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Infant Authorization Form_NL 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Infant_FR 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - BO29554 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - BO39610 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - BO39633 A Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - BO41932 E Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - CO39303_FR 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - GO40782 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - MO39193_FR 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - MO39874_FR 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - WO39613 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - WO42017_FR 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - WO42178 ABC 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main BX44273 - WO42178 IB 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main Divarasib_REDACTED 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF Atezolizumab_EN_REDACTED 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF Atezolizumab_FR_REDACTED 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF Atezolizumab_NL_REDACTED 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF_EN_REDACTED 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF_FR_REDACTED 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF_NL_REDACTED 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Atezo_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Tira_Atezo_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF PPA 1
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner Authorization_EN 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner Authorization_FR 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner Authorization_NL 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_FR 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Entrectinib_13-18 years 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Entrectinib_3-7 years 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Entrectinib_7-13 years 1
Subject information and informed consent form (for publication) L2_Informed Consent Form Procedure 3.0
Subject information and informed consent form (for publication) L2_Sponsor Statement On Use Of ICF Model 1
Subject information and informed consent form (for publication) L3_Recruitment and Informed consent procedure 1
Subject information and informed consent form (for publication) L4_Carte participant 2
Summary of Product Characteristics (SmPC) (for publication) g2_smpc-bevacizumab N/A
Summary of Product Characteristics (SmPC) (for publication) g2_smpc-entrectinib N/A
Synopsis of the protocol (for publication) D1_Protocol synopsis_BE-DE 2023-504263-16-00 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_BE-FR 2023-504263-16-00 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_BE-NL 2023-504263-16-00 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ENG 2023-504263-16-00 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR-FR 2023-504263-16-00 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_PL-PL 2023-504263-16-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_gr_2023-504263-16-00 1.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-11-16 Belgium Acceptable
2024-01-08
2024-01-08
2 SUBSTANTIAL MODIFICATION SM-1 2024-06-07 Belgium Acceptable with conditions
2024-08-23
2024-08-23
3 SUBSTANTIAL MODIFICATION SM-2 2024-09-24 Belgium Acceptable
2024-11-18
2024-11-18
4 SUBSEQUENT ADDITION OF MSC APP-4 2025-02-03 2025-04-29
5 SUBSTANTIAL MODIFICATION SM-3 2025-05-23 Belgium Acceptable
2025-08-04
2025-08-04
6 SUBSTANTIAL MODIFICATION SM-4 2025-09-24 Belgium Acceptable
2025-10-31
2025-10-31
7 SUBSTANTIAL MODIFICATION SM-5 2025-12-15 Belgium Acceptable
2026-03-24
2026-03-24
8 NON SUBSTANTIAL MODIFICATION NSM-1 2026-04-17 Acceptable
2026-03-24
2026-04-17
9 NON SUBSTANTIAL MODIFICATION NSM-2 2026-04-17 Acceptable
2026-03-24
2026-04-17