Overview
Sponsor-declared trial summary
Parkinson's Disease
To evaluate the efficacy of BIIB122 225 mg compared with placebo.
Key facts
- Sponsor
- Biogen Idec Research Limited
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nervous System Diseases [C10]
- Trial duration
- 28 Nov 2022 → 9 Mar 2026
- Decision date (initial)
- 2024-06-17
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Biogen Idec Research Limited
External identifiers
- EU CT number
- 2023-505645-12-00
- EudraCT number
- 2021-004849-20
- ClinicalTrials.gov
- NCT05348785
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacodynamic, Pharmacokinetic, Safety, Efficacy, Pharmacogenetic
To evaluate the efficacy of BIIB122 225 mg compared with placebo.
Secondary objectives 1
- To evaluate the efficacy, safety and tolerability and of BIIB122 225 mg compared with placebo
Conditions and MedDRA coding
Parkinson's Disease
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10061536 | Parkinson's disease | 100000004852 |
Study design 3 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Screening Period Once informed consent is obtained, screening assessments can occur.
|
Not Applicable | None | Patients receiving BIIB122: Experimental: BIIB122 225 mg Participants will receive BIIB122, 225 mg tablets, by mouth, once daily (QD) for up to a minimum of 48 weeks and a maximum of 144 weeks. Participants who received BIIB122 and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122, 225 mg tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. Placebo Comparator: BIIB122 Matching Placebo: Participants will receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. Participants who received placebo and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. |
|
| 2 | Double-blind, placebo-controlled treatment period -week minimum to 144-week maximum (when the total number of events for the
primary endpoint reaches 330) double-blind, placebo-controlled treatment period.
|
Randomised Controlled | Double | [{"id":165191,"code":4,"name":"Analyst"},{"id":165188,"code":1,"name":"Subject"},{"id":165189,"code":5,"name":"Carer"},{"id":165190,"code":2,"name":"Investigator"},{"id":165192,"code":3,"name":"Monitor"}] | Patients receiving BIIB122: Experimental: BIIB122 225 mg Participants will receive BIIB122, 225 mg tablets, by mouth, once daily (QD) for up to a minimum of 48 weeks and a maximum of 144 weeks. Participants who received BIIB122 and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122, 225 mg tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. Placebo Comparator: BIIB122 Matching Placebo: Participants will receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. Participants who received placebo and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. |
| 3 | Follow up period 2 week Subject Follow Up period
|
Randomised Controlled | Double | [{"id":165195,"code":5,"name":"Carer"},{"id":165197,"code":4,"name":"Analyst"},{"id":165194,"code":3,"name":"Monitor"},{"id":165196,"code":1,"name":"Subject"},{"id":165198,"code":2,"name":"Investigator"}] | Patients receiving BIIB122: Experimental: BIIB122 225 mg Participants will receive BIIB122, 225 mg tablets, by mouth, once daily (QD) for up to a minimum of 48 weeks and a maximum of 144 weeks. Participants who received BIIB122 and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122, 225 mg tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. Placebo Comparator: BIIB122 Matching Placebo: Participants will receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. Participants who received placebo and completed the ET visit of study 283PD302 (NCT05418673) will continue to receive BIIB122 matching placebo tablets, by mouth, QD for up to a minimum of 48 weeks and a maximum of 144 weeks. |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Clinical diagnosis of PD meeting the Movement Disorder Society Clinical Diagnostic Criteria within 2 years of the screening visit, inclusive, and at least 30 years of age at the time of diagnosis
- Modified Hoehn and Yahr scale, stages 1 to 2 (in OFF state), inclusive
- MDS-UPDRS Parts II and III (in OFF state) combined score less than or equal to (≤)40 at screening
- Screening genetic test results verifying the absence of a pathogenic leucine-rich repeat kinase 2 (LRRK2) variant (i.e., G2019S, N1437H, R1441G, R1441C, R1441H, Y1699C, or I2020T). Participants with additional LRRK2 variants may be excluded if data emerge to convincingly support an association of the variants with LRRK2-PD pathogenicity. Confirmation of this eligibility requirement may come from an accredited genetic test that includes all exclusionary LRRK2 genetic variants.
- Other protocol defined Inclusion criteria may apply. See Protocol section 6.1
Exclusion criteria 4
- Clinically significant neurological disorder other than PD, including but not limited to stroke, dementia, or seizure, within 5 years of screening visit, in the opinion of the Investigator
- Clinical evidence of atypical parkinsonism (e.g., multiple-system atrophy or progressive supranuclear palsy) or evidence of drug-induced parkinsonism.
- Montreal Cognitive Assessment (MoCA) score <24 at the screening visit
- Other protocol defined Exclusion criteria may apply. See Protocol section 6.2
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Time to confirmed worsening in Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts II and III combined score over the treatment period.
Secondary endpoints 5
- Incidence of AEs and SAEs during the treatment period
- Time to confirmed worsening in MDS-UPDRS Part II score over the treatment period
- Change in MDS-UPDRS Parts II and III combined score
- Time to confirmed worsening in Schwab and England Activities of Daily Living Scale (SEADL) over the treatment period
- Change in MDS-UPDRS Parts I, II, and III combined score
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10968886 · Product
- Active substance
- N2-3-2-2H-123-TRIAZOL-2-YLPROPAN-2-YL-1-CYCLOPROPYL-1H-PYRAZOL-5-YL-N4-ETHYL-5-TRIFLUOROMETHYLPYRIMIDINE-24-DIAMINE
- Substance synonyms
- DNL151, BIIB122
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 225 mg milligram(s)
- Max total dose
- 225 mg milligram(s)
- Max treatment duration
- 144 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BIOGEN IDEC RESEARCH LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
Matching Placebo tablets without active substance
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
Biogen Idec Research Limited
- Sponsor organisation
- Biogen Idec Research Limited
- Address
- Building 5 Foundation Park, Roxborough Way Roxborough Way
- City
- Maidenhead
- Postcode
- SL6 3UD
- Country
- United Kingdom
Scientific contact point
- Organisation
- Biogen Idec Research Limited
- Contact name
- Clinical Trials Information Desk
Public contact point
- Organisation
- Biogen Idec Research Limited
- Contact name
- Clinical Trials Information Desk
Third parties 12
| Organisation | City, country | Duties |
|---|---|---|
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | On site monitoring, Code 12, Code 2, Code 5 |
| Q Squared Solutions Limited ORG-100042527
|
Reading, United Kingdom | Laboratory analysis |
| Suvoda LLC ORG-100043523
|
Conshohocken, United States | Interactive response technologies (IRT) |
| Azenta Germany GmbH ORG-100022621
|
Griesheim, Germany | Other |
| Frontage Laboratories Inc. ORG-100011515
|
Exton, United States | Other |
| Bioagilytix Labs LLC ORG-100013030
|
Durham, United States | Other |
| Preventiongenetics LLC ORG-100043377
|
Marshfield, United States | Other |
| Labcorp Early Development Laboratories Inc. ORG-100012865
|
Madison, United States | Other |
| eResearchTechnology GmbH ORG-100044103
|
Estenfeld, Germany | Other |
| Invicro LLC ORG-100046990
|
New Haven, United States | Other |
| PPD Global Limited ORG-100007533
|
Cambridge, United Kingdom | Code 8 |
| Signant Health Global LLC ORG-100040604
|
Blue Bell, United States | Other |
Locations
7 EU/EEA countries · 52 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ended | 7 | 2 |
| France | Ended | 65 | 9 |
| Germany | Ended | 55 | 11 |
| Italy | Ended | 36 | 11 |
| Netherlands | Ended | 17 | 3 |
| Poland | Ended | 56 | 5 |
| Spain | Ended | 75 | 11 |
| Rest of world
United Kingdom, Japan, United States, Israel, China, Canada
|
— | 329 | — |
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 | 2023-07-03 | 2026-03-03 | 2023-09-12 | 2025-05-01 | |
| France | 2023-04-03 | 2026-03-02 | 2023-04-03 | 2025-05-01 | |
| Germany | 2023-03-06 | 2026-03-06 | 2023-04-18 | 2025-05-01 | |
| Italy | 2023-06-21 | 2026-03-09 | 2023-06-21 | 2025-05-01 | |
| Netherlands | 2022-12-22 | 2026-02-26 | 2023-04-11 | 2025-05-01 | |
| Poland | 2022-12-02 | 2026-03-05 | 2023-01-11 | 2025-05-01 | |
| Spain | 2022-11-28 | 2026-03-04 | 2023-02-15 | 2025-05-01 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 104 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_ 2023-505645-12-00_red_san | 8.0 |
| Protocol (for publication) | D4_ Patient facing documents - 283PD201 LUMA Statement | 1 |
| Protocol (for publication) | D5_Justification for Gender Selection_red_san | 1 |
| Protocol (for publication) | D5_Justification for inclusion of vulnerable population_red_san | 1 |
| Protocol (for publication) | D5_Justification for Placebo_red_san | 1 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | N/A |
| Recruitment arrangements (for publication) | K1_2023-505645-12_Recruitment and Informed Consent Procedure_memo | V1.0 |
| Recruitment arrangements (for publication) | K1_283PD201_Recruitment and Informed Consent Procedure_Clean | V1.0 |
| Recruitment arrangements (for publication) | K1_Blank placeholder created for Val RFI Response | N/A |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure_blank | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure_blank | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure_Blank placeholder | n/a |
| Recruitment arrangements (for publication) | K10_2023-505645-12_Appreciation item_FRAfr | 1 |
| Recruitment arrangements (for publication) | K11_2023-505645-12_Retention item_FRAfr | NA |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Biogen Generic_Lumbar Puncture Booklet | 1 |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Generic_Lumbar Puncture Animation | N/A |
| Recruitment arrangements (for publication) | K2_ Recruitment material_ICF Summary Brochure | 2 |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Local Digital Ad Templates | 1 |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Patient Brochure Insert | 1 |
| Recruitment arrangements (for publication) | K2_2023-505645-12_LP Brochure_FRAfr | 1 |
| Recruitment arrangements (for publication) | K2_283PD201_Advertising text_Brain Research Center_NLD | V2.0 |
| Recruitment arrangements (for publication) | K2_283PD201_ICF Summary Brochure_NL | V2 |
| Recruitment arrangements (for publication) | K2_283PD201_Local Digital Ad Templates Copy_NL | V1 |
| Recruitment arrangements (for publication) | K2_283PD201_Local Digital Ad Templates_NL | V1 |
| Recruitment arrangements (for publication) | K2_283PD201_Patient Brochure Insert_NL | V1 |
| Recruitment arrangements (for publication) | K2_283PD201_Patient Brochure_NL | V3 |
| Recruitment arrangements (for publication) | K2_283PD201_Patient Flyer_NL | V2 |
| Recruitment arrangements (for publication) | K2_283PD201_Patient Poster_NL | V2 |
| Recruitment arrangements (for publication) | K2_Recruiment material_Paid Search Ads | V1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Adult Supplemental Privacy Notice | V1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ ICF Summary Brochure | V2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ Patient Brochure Insert_san | V1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_About Clinical Trial Animation_PL_san | N/A |
| Recruitment arrangements (for publication) | K2_Recruitment material_About Clinical Trial Animation_san | V1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Biogen Generic_About Clinical Trial Animation | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Cookie Policy_san | V1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Facebook Family Ads _san | V1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flyer_san | V2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ICF Summary Brochure_PL_san | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Local Digital Ad Templates_PL_san | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Lumbar Puncture Animation_PL_san | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Lumbar Puncture Animation_san | NA |
| Recruitment arrangements (for publication) | K2_Recruitment material_Lumbar Puncture Booklet_PL_san | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Lumbar Puncture Booklet_san | V1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Online Prescreener_san | V2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure | 3 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure Insert_PL_san | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure_PL_san | 4 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure_san | V3 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Flyer | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Flyer_PL_san | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Poster | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Poster_PL_san | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Poster_san | V2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Referral Confirmation Email_san | V2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Website_san | v1 |
| Recruitment arrangements (for publication) | K3_2023-505645-12_Patient Brochure_FRAfr | 3 |
| Recruitment arrangements (for publication) | K4_2023-505645-12_Patient Poster_FRAfr | 2 |
| Recruitment arrangements (for publication) | K5_2023-505645-12_Flyer_FRAfr | 2 |
| Recruitment arrangements (for publication) | K6_2023-505645-12_Local Digital Ad Templates_FRAfr | 1 |
| Recruitment arrangements (for publication) | K7_2023-505645-12_ICF Summary Brochure_FRAfr | 2 |
| Recruitment arrangements (for publication) | K8_2023-505645-12_Patient Brochure Insert_FRAfr | 1 |
| Recruitment arrangements (for publication) | K9_2023-505645-12_CT animation_FRAfr | NA |
| Subject information and informed consent form (for publication) | L1_2023-505645-12_SIS and ICF Main_FRA_Red-San | V6.0FRA1.0 |
| Subject information and informed consent form (for publication) | L1_283PD201_Main ICF_ITA_red | V6.0ITA2.0 |
| Subject information and informed consent form (for publication) | L1_283PD201_Main ICF_red_san | V6.0NLD3.0 |
| Subject information and informed consent form (for publication) | L1_283PD201_Main wOptional_ICF_ITA_red | V6.0ITA2.0 |
| Subject information and informed consent form (for publication) | L1_283PD201_Privacy ICF_ITA_red | V1.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_FSR ICF_red_san | V4.0DEUde1 |
| Subject information and informed consent form (for publication) | L1_ICF Additional I_red | V4.0ESP1.0 |
| Subject information and informed consent form (for publication) | L1_ICF Additional II_red | V5.0ESP1.0 |
| Subject information and informed consent form (for publication) | L1_ICF Main Adult_red | V6.0ESP1.0 |
| Subject information and informed consent form (for publication) | L1_List of sites and contact details for ICF_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_Main ICF without BFS_red_san | V6.0DEUde1 |
| Subject information and informed consent form (for publication) | L1_Main ICF_red_san | V6.0DEUde1 |
| Subject information and informed consent form (for publication) | L1_Opt Biofluid subst ICF_red_san | V5.0DEUde1 |
| Subject information and informed consent form (for publication) | L1_Opt PGX ICF_red_san | V4.0DEUde1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_FSR_Austria_redacted | V4.0AUTde1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_FSR_PL_redacted | V4.0POL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Greenphire_PL_redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Adult_PL_redacted | V6.0POL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Austria_redacted | V6.0AUTde2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Biofluid_Austria_redacted | V5.0AUTde1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Biofluid_PL_redacted | V5.0POL1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PGx_Austria_redacted | V4.0AUTde1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PGx_PL_redacted | V4.0POL1.0 |
| Subject information and informed consent form (for publication) | L2_2023-505645-12_SIS and Optional ICF 1_FRA_Red-San | V5.0FRA1.0 |
| Subject information and informed consent form (for publication) | L2_283PD201_Additional I ICF_ITA_red | V4.0ITA1.0 |
| Subject information and informed consent form (for publication) | L2_283PD201_Additional II ICF_ITA_red | V5.0ITA1.0 |
| Subject information and informed consent form (for publication) | L2_283PD201_FSR ICF_ITA_red | V4.0ITA1.0 |
| Subject information and informed consent form (for publication) | L3_2023-505645-12_SIS and Optional ICF 2_FRA_Red-San | V4.0FRA1.0 |
| Synopsis of the protocol (for publication) | D1_Full Protocol Synopsis_AT_2023-505645-12-00_red_san | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_AT_2023-505645-12-00 | 7 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_EN_2023-505645-12-00 | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_ES_2023-505645-12-00 | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_ES_2023-505645-12-00_TC | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_FR_2023-505645-12-00 | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_IT_2023-505645-12-00 | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_NL_2023-505645-12-00 | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Layman Synopsis_PL_2023-505645-12-00 | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-505645-12-00_Full_red_san | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-505645-12-00_Full_red_san FR | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-505645-12-00_Full_red_san ITA | 8.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_ES_2023-505645-12-00_Full_red_san ES | 5.0 |
Application history
13 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-05-03 | Germany | Acceptable 2024-06-12
|
2024-06-12 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-07-11 | Acceptable 2024-06-12
|
2024-07-11 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-08-08 | Germany | Acceptable | 2024-08-19 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2024-09-17 | Acceptable | 2024-09-17 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-10-10 | Acceptable | 2024-11-15 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-10-11 | Germany | Acceptable | 2024-11-08 |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2024-10-30 | Acceptable | 2024-11-29 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-5 | 2024-10-31 | Acceptable | 2024-12-03 | |
| 9 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2025-01-20 | Germany | Acceptable | 2025-01-20 |
| 10 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-03-07 | Germany | Acceptable 2025-05-08
|
2025-05-08 |
| 11 | SUBSTANTIAL MODIFICATION | SM-8 | 2025-07-14 | Acceptable | 2025-09-09 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-9 | 2025-09-23 | Germany | Acceptable 2025-11-14
|
2025-11-17 |
| 13 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2026-01-09 | Germany | Acceptable 2025-11-14
|
2026-01-09 |