A Phase 3 Study to Evaluate the Efficacy and Safety of Guselkumab Subcutaneous Induction Therapy in Participants with Moderately to Severely Active Ulcerative Colitis

2023-504719-34-00 Protocol CNTO1959UCO3004 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 21 Feb 2023 · Status Ongoing, recruitment ended · 9 EU/EEA countries · 33 sites · Protocol CNTO1959UCO3004

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 317
Countries 9
Sites 33

Moderate to Severly Active Ulcerative Colitis

To evaluate the efficacy, including clinical remission, of guselkumab SC induction compared to placebo in participants with moderately to severely active UC

Key facts

Sponsor
Janssen - Cilag International
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
21 Feb 2023 → ongoing
Decision date (initial)
2024-06-18
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Janssen Research & Development

External identifiers

EU CT number
2023-504719-34-00
EudraCT number
2022-000365-41

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Pharmacokinetic, Pharmacodynamic, Efficacy, Therapy, Dose response, Safety

To evaluate the efficacy, including clinical remission, of guselkumab SC
induction compared to placebo in participants with moderately to
severely active UC

Conditions and MedDRA coding

Moderate to Severly Active Ulcerative Colitis

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
Yes
IPD plan description
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Documented diagnosis of ulcerative colitis (UC) for at least 3 months prior to baseline.
  2. Moderately to severely active UC as assessed by the modified mayo score
  3. Demonstraed inadequate response to or intolerance of conventional (ie, 6-MP, AZA, or corticosteroids) or advanced therapy (ADT; ie, TNFα antagonists, vedolizumab, ozanimod, or approved JAK inhibitors).

Exclusion criteria 5

  1. 1.Has severe extensive colitis as defined in the protocol
  2. 2.Extent of inflammatory disease limited to the rectum
  3. 3.Participants with current diagnosis of indeterminate colitis, microscopic colitis, ischemic colitis, or crohn's disease (CD)
  4. 4.Has a history of, or ongoing, chronic or recurrent infectious disease
  5. 5.Currently has a malignancy or a history of malignancy within 5 years before screening (with the exception of nonmelanoma skin cancer or cervical carcinoma in situ that has been treated with no evidence of recurrence within 12 weeks prior to first dose of study intervention)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Clinical remission (at week 12)

Investigational products

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

Test 2

Guselkumab

PRD10890564 · Product

Active substance
Guselkumab
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
248 Week(s)
Authorisation status
Not Authorised
MA holder
JANSSEN-CILAG INTERNATIONAL N.V.
Paediatric formulation
No
Orphan designation
No

Guselkumab - solution for injection in pre-filled syringe - 100 mg/mL

PRD2827309 · Product

Active substance
Guselkumab
Pharmaceutical form
INJECTION/INFUSION
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
248 Week(s)
Authorisation status
Not Authorised
MA holder
JANSSEN-CILAG INTERNATIONAL N.V.
Paediatric formulation
No
Orphan designation
No

Placebo 2

Guselkumab 2 mL PFS Placebo

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

Guselkumab 1 mL PFS Placebo

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

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Janssen - Cilag International

Sponsor organisation
Janssen - Cilag International
Address
Turnhoutseweg 30
City
Beerse
Postcode
2340
Country
Belgium

Scientific contact point

Organisation
Janssen - Cilag International
Contact name
CTIS Point of Contact

Public contact point

Organisation
Janssen - Cilag International
Contact name
CTIS Point of Contact

Third parties 7

OrganisationCity, countryDuties
Alimentiv Inc.
ORG-100006515
London, Canada Other, Laboratory analysis
Bioclinica Inc.
ORG-100033079
Princeton, United States Other, E-data capture
Parexel International (IRL) Limited
ORG-100022780
Dublin 8, Ireland Code 13, Data management
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Other, Laboratory analysis
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Other, Interactive response technologies (IRT)
Yprime LLC
ORG-100042888
Malvern, United States Other, E-data capture
Iqvia Rds Inc.
ORG-100043858
Durham, United States On site monitoring, Other

Locations

9 EU/EEA countries · 33 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 2 1
Bulgaria Ongoing, recruitment ended 3 2
Czechia Ongoing, recruitment ended 12 3
France Ongoing, recruitment ended 12 5
Germany Ongoing, recruitment ended 5 2
Hungary Ongoing, recruitment ended 8 3
Poland Ongoing, recruitment ended 93 13
Slovakia Ended 2 2
Spain Ongoing, recruitment ended 6 2
Rest of world
Korea, Republic of, Taiwan, Brazil, Israel, Jordan, Mexico, India, Argentina, China, Australia, Canada, Japan, Turkey, Malaysia, New Zealand, United States
174

Investigational sites

Belgium

1 site · Ongoing, recruitment ended
CHU Saint Pierre
Hépato-Gastro-Entérologie, Hoogstraat 322, 1000, Brussels

Bulgaria

2 sites · Ongoing, recruitment ended
Diagnostics And Consultation Center Convex Ltd.
n/a, Ulitsa Sinanishko Ezero 11a, 1680, Sofiya
Medical center Asclepion humane medicine researches EOOD
n/a, Ulitsa Damyan Gruev 8a, 1303, Sofia

Czechia

3 sites · Ongoing, recruitment ended
Nemocnice Ceske Budejovice a.s.
Gastroenterologické oddělení, B. Nemcove 585/54, 370 01, Ceske Budejovice
Axon Clinical s.r.o.
n/a, Ostrovskeho 253/3, Smichov, Prague 5
Gastroenterologie s.r.o.
n/a, Manesova 646/16, 500 02, Hradec Kralove

France

5 sites · Ongoing, recruitment ended
CHRU De Nancy
Hepato Gastroenterology Department, Rue Du Morvan, 54500, Vandoeuvre Les Nancy
Nouvelles Cliniques Nimoises
Hepato Gastroenterology Department, 3 Rue Jean Bouin, 30000, Nimes
Centre Hospitalier Universitaire De Toulouse
Hepato Gastroenterology Department, 1 Avenue Du Professeur Jean Poulhes, Tsa 50032, Toulouse Cedex 9
Centre Medico Chirurgical Ambroise Pare Hartmann
Institut des MICI, 25 Boulevard Victor Hugo, 92200, Neuilly-Sur-Seine
Centre Hospitalier Universitaire De Bordeaux
Hepato Gastroenterology Department, Avenue De Magellan, 33600, Pessac

Germany

2 sites · Ongoing, recruitment ended
Medizinisches Versorgungszentrum (MVZ) Dachau
Medizinisches Versorgungszentrum (MVZ) Dachau, Muenchner Str. 64, 85221, Dachau
Medizinische Hochschule Hannover
Klinik fur Gastroenterologie, Hepatologie und Endokrinologie, Carl-Neuberg-Strasse 1, Gross Buchholz, Hanover

Hungary

3 sites · Ongoing, recruitment ended
Semmelweis University
Gasztroenterológia, Szentkiralyi Utca 46, VIII Kerulet, Budapest VIII
Semmelweis University
Gasztroenterológia, Ulloi Ut 78, 1082, Budapest
Vasutegeszseguegyi Nonprofit Koezhasznu Kft.
Gasztroenterológia, Erzsebet Utca 11-13, 4025, Debrecen

Poland

13 sites · Ongoing, recruitment ended
Bodyclinic Sp. z o.o. sp.k.
Bodyclinic Sp. z o.o. Sp. k., Ul. Ulica Jozefa Sierakowskiego 4/u3, 03-712, Warsaw
Twoja Przychodnia Szczecinskie Centrum Medyczne Sp. z o.o.
Twoja Przychodnia - SCM, Ul. Juliusza Slowackiego 19, 71-434, Szczecin
Centrum Medyczne Medyk Sp. z o.o. S.K.
Centrum Medyczne Medyk, Al. Tadeusza Rejtana 53, 35-326, Rzeszow
Gastromed Sp. z o.o.
Gastromed Sp. z o.o., Ul. Grudziadzka 11/13-14, 87-100, Torun
Medical Network Sp. z o.o.
Medical Network Spolka z o.o. WIP Warsaw IBD Point Profesor Kierkus, Ul. Plowiecka 103, 04-501, Warsaw
Promed P.Lach R.Glowacki Sp. j.
Centrum Medyczne PROMED, Ul. Olszanska 5g, 31-513, Cracow
Vistamed & Vertigo Sp. z o.o.
Vistamed & Vertigo Sp. z o.o., Ul Raclawicka 105 1b, 53-149, Wroclaw
Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k.
Centrum Medyczne Plejady, U2 U3 U4 U5, Ul. Tadeusza Szafrana 5d, Cracow
Gastromed Kralisz Romatowski Stachurska Sp. j.
Gastromed Kralisz Romatowski Stachurska Sp. j., Ul. Wiosenna 12/1, 15-322, Bialystok
Centrum Medyczne Lukamed Sp. z o.o.
Centrum Medyczne LukaMed, Ul. Mickiewicza 39, 89-600, Chojnice
Pro Life Medica Sp. z o.o.
Pro Life Medica Sp z o o ETG Zamosc, Ul. Gesia 3, 22-400, Zamosc
Melita Medical Sp. z o.o.
Centrum Medyczne MELITA MEDICAL, Ul. Strzegomska 2-4, 53-611, Wroclaw
Centrum Medyczne Lukamed Sp. z o.o.
Centrum Medyczne LukaMed, Ul. Mickiewicza 39, 89-600, Chojnice

Slovakia

2 sites · Ended
Endomed s.r.o.
Gastroenterologicka ambulancia, Americka Trieda 17, Poliklinika Tahanovce, Kosice
Cliniq s.r.o.
Gastroenterologicka ambulancia, Bezrucova 5, Stare Mesto, Bratislava

Spain

2 sites · Ongoing, recruitment ended
Hospital Universitario Virgen De La Macarena
Gastroenterology Service, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Marina Baixa De La Vila Joiosa
Gastroenterology Service, Avenida Alcalde En Jaume Botella Mayor 7, 03570, Villajoyosa

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 2023-05-09 2023-05-09 2023-08-22
Bulgaria 2023-03-10 2023-03-10 2023-08-23
Czechia 2023-03-15 2023-03-15 2023-08-23
France 2023-04-24 2023-04-24 2023-08-04
Germany 2023-05-09 2023-05-09 2023-08-10
Hungary 2023-04-12 2023-04-12 2023-07-13
Poland 2023-02-21 2023-02-21 2023-08-23
Slovakia 2023-06-05 2025-02-04 2023-06-05 2023-07-11
Spain 2023-03-06 2023-03-06 2023-07-26

Results and documents

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

Documents 86 files

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

TypeTitleVersion
Protocol (for publication) D1_REDACTED_Protocol 2023-504719-34 Am4-EEA1
Protocol (for publication) D4_REDACTED PF Subject Diary_multilingual 3
Protocol (for publication) D4_REDACTED_PF C-SSRS-BLS_multilingual NA
Protocol (for publication) D4_REDACTED_PF C-SSRS-SLV_multilingual NA
Protocol (for publication) D4_REDACTED_PF IBDQ_multilingual NA
Protocol (for publication) D4_REDACTED_PF Mayo Diary_multilingual NA
Protocol (for publication) D4_REDACTED_PF PROMIS-29_multilingual 2.1
Protocol (for publication) D4_REDACTED_PF UC-PRO-SS_multilingual 7
Protocol (for publication) REDACTED_D4_PF Subject Diary p week 96_multicountry_ENG_2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF Subject Diary post week 96_BE_Dut_2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF Subject Diary post week 96_BE_Fre_2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF Subject Diary post week 96_CZ_cze_2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF Subject Diary post Week 96_FR_FRE_2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF Subject Diary post Week 96_HU_HUN_ 2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF_Dosing diary after W96_DE_GER_2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF_Dosing Diary after week 96_BG_bul_2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF_Dosing Subj Diary after W96_ES_SPA_ 2023-504719-34 1
Protocol (for publication) REDACTED_D4_PF_Subject Diary post Week 96_SK_slo_2023-504719-34 1
Recruitment arrangements (for publication) K1_Placeholder_Recruitment Arragements_BG_EN_CNTO1959UCO3004 1
Recruitment arrangements (for publication) K1_Placeholder_Recruitment Arragements_CZ_ENG_CNTO1959UCO3004 1
Recruitment arrangements (for publication) K1_Placeholder_Recruitment Arragements_ES_EN_CNTO1959UCO3004 1
Recruitment arrangements (for publication) K1_Placeholder_Recruitment Arragements_PL_EN_CNTO1959UCO3004 1
Recruitment arrangements (for publication) K1_Placeholder_Recruitment Arragements_SK_EN_CNTO1959UCO3004 1
Recruitment arrangements (for publication) K1_Placeholder_Recruitment Arrangements _FR_eng_2023-504719-34 1
Recruitment arrangements (for publication) K1_Placeholder_Recruitment Arrangements_HU_ENG_CNTO1959UCO3004 1
Recruitment arrangements (for publication) REDACTED_K1_Placeholder_Recruitment Arragements_DE_ENG_CNTO1959UCO3004 1
Recruitment arrangements (for publication) REDACTED_K1_Recruitment Arrangements-Placeholder_BE_en_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED _L1_SIS and ICF Clinical_AA5-SK10002_SK_slo_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF 12 Month post birth ICF child follow up_FR_FRE_2023-504719-34 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF 12 months infant follow-up _BG_BUL_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF 12 months infant follow-up _BG_ENG_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF 12 Months Infant follow-up_CZ_cze_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF 12 months infant follow-up_PL_POL_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF 12 Months Post-Birth Child FU_HU_HUN_ 2023-504719-34 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Addendum 2_PL_POL_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Addendum Master_ES_SPA_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Addendum_PL_POL_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Clinical Addendum 2_ES_SPA_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Clinical_AA5-SK10003_SK_slo_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Future Research_CZ_CZE_CNTO1959UCO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF GDPR_SK_sk_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) Redacted_L1_SIS and ICF Main _HU_HUN_CNTO1959UCO3004 5
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Main Addendum 2_DE_GER_2023-504719-34 1.0
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Main_BE_fr_CNTO1959UCO3004 3
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Main_BE_nl_CNTO1959UCO3004 3
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Main_CZ_cze_2023-504719-34 4
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Main_PL_pol_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Master_ES_ES_CNTO1959UCO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF PP_SK_sk_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) Redacted_L1_SIS and ICF Pregnant partner _HU_HUN_CNTO1959UCO3004 3
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnant Partner_BE_Dut_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnant Partner_BE_Fre_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnant Partner_CZ_CZE_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnant Partner_ES_ES_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnant Partner_PL_pol_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Privacy Language to ICF_CZ_CZE_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Separate Future_SK_sk_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Clinical informed consent_DE_GER_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Country-spec Clinical ICF_BG_bul_CNTO1959UCO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Country-spec Clinical ICF_BG_eng_2023-504719-34 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Country-spec Pregnant Partner ICF_BG_bul_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Main_FR_fre_2023-504719-34 6
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Master Clinical Addendum_DE_GER_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Master Pregnant Partner ICF_BG_eng_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Opt future research informed consent_DE_GER_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Pregnant partner informed consent_DE_GER_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Pregnant Partner_FR_fre_2023-504719-34 3
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_BE_fr_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_BE_nl_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_BG_bul_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_CZ_CZE_CNTO1959UCO3004 2
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_DE_GER_2023-504719-34 1
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_FR_fre_2023-504719-34 3
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_HU_HUN_2023-504719-34 3
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_PL_pol_CNTO1959UCO3004 1
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_SK_sk_CNTO1959UCO3004 2
Synopsis of the protocol (for publication) D1_REDACTED Protocol Synopsis CZ 2023-504719-34 Am3-EEA-1
Synopsis of the protocol (for publication) D1_REDACTED Protocol synopsis ES 2023-504719-34 Amd3 EEA-1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol synopsis BE_de_2023-504719-34 Am3 EEA-1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol synopsis BE_fr_2023-504719-34 Am3 EEA-1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol synopsis BE_nl_2023-504719-34 Am3 EEA-1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis HU_2023-504719-34 Am4-EEA1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis_FR_2023-504719-34 Am3-EEA1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis_PL_pol_2023-504719-34 Am3 EEA-1
Synopsis of the protocol (for publication) REDACTED_D1_Protocol Synopsis_BG_bul_2023-504719-34 Am4-EEA1
Synopsis of the protocol (for publication) REDACTED_D1_Protocol Synopsis_SK_slo_2023-504719-34 Amd3 EEA-1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-14 Germany Acceptable
2024-06-18
2024-06-18
2 SUBSTANTIAL MODIFICATION SM-1 2024-11-29 Germany Acceptable
2025-02-17
2025-02-17
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-04-09 Germany Acceptable
2025-02-17
2025-04-09
4 SUBSTANTIAL MODIFICATION SM-2 2025-04-14 Acceptable 2025-05-21
5 SUBSTANTIAL MODIFICATION SM-3 2025-07-08 Germany Acceptable
2025-09-08
2025-09-08
6 SUBSTANTIAL MODIFICATION SM-4 2025-10-22 Germany Acceptable
2025-12-21
2025-12-22
7 NON SUBSTANTIAL MODIFICATION NSM-2 2026-01-13 Germany Acceptable
2025-12-21
2026-01-13