Overview
Sponsor-declared trial summary
Advanced Colorectal Cancer with KRAS G12C Mutation
To compare the efficacy of adagrasib in combination with cetuximab versus chemotherapy (FOLFIRI or mFOLFOX6) administered in the second-line treatment setting to patients with CRC with KRAS G12C mutation.
Key facts
- Sponsor
- Mirati Therapeutics Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 30 Nov 2021 → ongoing
- Decision date (initial)
- 2023-12-15
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Mirati Therapeutics, Inc.
External identifiers
- EU CT number
- 2023-506241-30-00
- EudraCT number
- 2020-004048-27
- ClinicalTrials.gov
- NCT04793958
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Therapy, Pharmacokinetic, Efficacy
To compare the efficacy of adagrasib in combination with cetuximab versus chemotherapy (FOLFIRI or mFOLFOX6) administered in the second-line treatment setting to patients with CRC with KRAS G12C mutation.
Secondary objectives 4
- To evaluate secondary efficacy endpoints in the study population.
- To evaluate the safety and tolerability in the study population.
- To evaluate the pharmacokinetics (PK) of adagrasib administered in combination with cetuximab.
- To evaluate health-related quality of life (HRQOL) and cancer-related symptoms in the study population.
Conditions and MedDRA coding
Advanced Colorectal Cancer with KRAS G12C Mutation
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | PT | 10052358 | Colorectal cancer metastatic | 100000004864 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Phase 3 of MRTX849 With Cetuximab vs Chemotherapy with Colorectal Cancer With KRAS G12C Mutation In all cohorts, adagrasib will be administered orally BID on a continuous basis.
Eligible patients will be randomized 1:1 to the experimental arm (adagrasib with cetuximab) or the control arm (FOLFIRI or mFOLFOX6 chemotherapy). Randomization will be stratified by:
1. Region (USA/Canada vs. other),
2. Time to disease progression after beginning first-line treatment (<6 months vs. ≥ 6 months).
The requirements for tumor KRAS G12C for determining eligibility are presented in Table 1 and Figure 1. The Schedule of Assessments is presented in Table 2.
Study treatment will be expressed in 4-week (28 day) cycles. Patients randomized to the experimental arm will receive adagrasib 600 mg BID and cetuximab 500 mg/m2 by intravenous (IV) infusion every 2 weeks (ie, Days 1 and 15 of each treatment cycle).
Patients randomized to the chemotherapy control arm will receive FOLFIRI or mFOLFOX6 depending on their first-line treatment regimen. Patients who received prior irinotecan will receive mFOLFOX6; patients who received prior oxaliplatin will receive FOLFIRI. In the chemotherapy control arm, patients will receive appropriate pre-medications followed by either:
FOLFIRI administered on Days 1 and 15 of each cycle:
irinotecan 180 mg/m² IV,
folinic acid 400 mg/m² IV, and
fluorouracil 400 mg/m² given as an IV bolus, then 2400 mg/m² given as a continuous infusion over 46 48 hours.
OR
mFOLFOX6 administered on days 1 and 15 of each cycle:
oxaliplatin 85 mg/m² IV,
folinic acid 400 mg/m² IV, and
fluorouracil 400 mg/m² given as an IV bolus, then 2400 mg/m² given as a continuous infusion over 46 48 hours.
AND, OPTIONALLY
A VEGF/VEGFR inhibitor (bevacizumab or locally approved bevacizumab biosimilar, ramucirumab, or ziv-aflibercept, at the discretion of the Investigator) used as local standard-of-care may be given as a concomitant therapy with control arm chemotherapy in accordance to package labeling at the discretion of the Investigator.
|
Randomised Controlled | None | Experimental arm: Study treatment will be expressed in 4-week (28 day) cycles. Patients randomized to the experimental arm will receive MRTX849 600 mg BID and cetuximab 500 mg/m2 by intravenous (IV) infusion every 2 weeks, i.e., Days 1 and 15 of each treatment cycle. Chemotherapy arm: Patients randomized to the chemotherapy control arm will receive FOLFIRI or mFOLFOX6 depending on their first-line treatment regimen. Patients who received prior irinotecan will receive mFOLFOX6; patients who received prior oxaliplatin will receive FOLFIRI. In the chemotherapy control arm, patients will receive appropriate pre-medications followed by either FLOFIRI or mFOLFOX5 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- Histologically confirmed diagnosis of colorectal carcinoma G12C mutation in tumor tissue.
- Prior receipt of 1st line treatment in advanced CRC with a fluoropyrimidine-based chemotherapy regimen containing either oxaliplatin or irinotecan, and radiographically documented progression of disease on or after treatment.
Exclusion criteria 3
- Prior treatment with both an oxaliplatin-and irinotecan-based regimen for CRC, concurrently or successively, in any setting (neoadjuvant, adjuvant or advanced).
- Prior treatment with a therapy targeting KRAS G12C mutation (e.g., sotorasib).
- Prior treatment with an anti-EGFR antibody (e.g., cetuximab or panitumumab).
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Overall Survival (OS)
- Progression-free Survival (PFS)
Secondary endpoints 5
- Adverse Events
- Objective Response Rate (ORR)
- Duration of Response (DOR)
- Patient Reported Outcomes (PROs)
- Quality of Life Assessment
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 6
PRD8665001 · Product
- Active substance
- Adagrasib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 1200 mg milligram(s)
- Max total dose
- 1710000 mg milligram(s)
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Not Authorised
- ATC code
- NOTASSIGN — -
- MA holder
- MIRATI THERAPEUTICS INC
- Paediatric formulation
- No
- Orphan designation
- No
Erbitux 5 mg/mL solution for infusion
PRD327543 · Product
- Active substance
- Cetuximab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 500 mg/m2 milligram(s)/sq. meter
- Max total dose
- 48000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01FE01 — -
- Marketing authorisation
- EU/1/04/281/005
- MA holder
- MERCK EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Erbitux 5 mg/mL solution for infusion
PRD327539 · Product
- Active substance
- Cetuximab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 500 mg/m2 milligram(s)/sq. meter
- Max total dose
- 48000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01FE01 — -
- Marketing authorisation
- EU/1/04/281/003
- MA holder
- MERCK EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB16402MIG · Substance
- Active substance
- Bevacizumab
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 5 mg/kg milligram(s)/kilogram
- Max total dose
- 480 mg/kg milligram(s)/kilogram
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB26987 · Substance
- Active substance
- Aflibercept
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 4 mg/ml milligram(s)/millilitre
- Max total dose
- 384 mg/ml milligram(s)/millilitre
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB32795 · Substance
- Active substance
- Ramucirumab
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 8 mg/ml milligram(s)/millilitre
- Max total dose
- 769 mg/ml milligram(s)/millilitre
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Comparator 4
SUB07721MIG · Substance
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 2800 mg/m2 milligram(s)/sq. meter
- Max total dose
- 268800 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB09490MIG · Substance
- Active substance
- Oxaliplatin
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 85 mg/ml milligram(s)/millilitre
- Max total dose
- 8160 mg/ml milligram(s)/millilitre
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08295MIG · Substance
- Active substance
- Irinotecan
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 180 mg/m2 milligram(s)/sq. meter
- Max total dose
- 17280 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06052MIG · Substance
- Active substance
- Calcium Folinate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 38400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 48 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
Mirati Therapeutics Inc.
- Sponsor organisation
- Mirati Therapeutics Inc.
- Address
- Route 206, Province Line Road Province Line Road
- City
- Princeton
- Postcode
- 08543
- Country
- United States
Scientific contact point
- Organisation
- Mirati Therapeutics Inc.
- Contact name
- Mirati Study Locator
Public contact point
- Organisation
- Mirati Therapeutics Inc.
- Contact name
- Mirati Study Locator
Third parties 9
| Organisation | City, country | Duties |
|---|---|---|
| Accenture Solutions Private Limited ORG-100032592
|
Bangaluru, India | Other |
| Accenture Solutions Private Limited ORG-100032592
|
Chennai, India | Data management |
| Resolution Bioscience Inc. ORG-100048922
|
Kirkland, United States | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | On site monitoring, Code 10, Code 12, Code 2, Code 5 |
| Endpoint Clinical Inc. ORG-100040567
|
Wakefield, United States | Interactive response technologies (IRT) |
| Labcorp Central Laboratory Services S.a.r.l. ORG-100011524
|
Meyrin, Switzerland | Other, Laboratory analysis |
| PRA Hellas CRO A.E. ORG-100048208
|
Nea Ionia, Greece | Other |
| Veristat LLC ORG-100032404
|
Southborough, United States | Other |
| Accenture Solutions Private Limited ORG-100032592
|
Bangaluru, India | Other, Data management |
Locations
15 EU/EEA countries · 76 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ended | 20 | 2 |
| Belgium | Ended | 2 | 2 |
| Czechia | Ended | 7 | 2 |
| Denmark | Ongoing, recruitment ended | 6 | 3 |
| Finland | Ongoing, recruitment ended | 2 | 2 |
| France | Ongoing, recruitment ended | 27 | 13 |
| Germany | Ongoing, recruitment ended | 8 | 12 |
| Greece | Ongoing, recruitment ended | 17 | 4 |
| Ireland | Ended | 3 | 2 |
| Italy | Ongoing, recruitment ended | 27 | 9 |
| Netherlands | Ended | 4 | 4 |
| Poland | Ended | 6 | 4 |
| Portugal | Ended | 4 | 2 |
| Romania | Ended | 29 | 3 |
| Spain | Ongoing, recruitment ended | 37 | 12 |
| Rest of world
Hong Kong, Singapore, Korea, Republic of, Malaysia, Taiwan, Brazil, Canada, Mexico, Argentina, United States, Thailand, United Kingdom, China, Puerto Rico, Colombia, Australia
|
— | 378 | — |
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 | 2022-02-07 | 2024-09-27 | 2022-09-21 | 2023-10-03 | |
| Belgium | 2022-03-14 | 2024-04-09 | 2022-09-09 | 2022-09-30 | |
| Czechia | 2022-03-08 | 2025-11-03 | 2022-09-01 | 2023-10-24 | |
| Denmark | 2022-05-25 | 2022-06-20 | 2023-07-24 | ||
| Finland | 2022-05-20 | 2023-02-13 | 2023-08-28 | ||
| France | 2022-03-30 | 2022-05-13 | 2023-10-04 | ||
| Germany | 2022-06-24 | 2022-10-13 | 2023-07-20 | ||
| Greece | 2021-11-30 | 2022-01-12 | 2023-09-27 | ||
| Ireland | 2022-08-26 | 2025-01-02 | 2022-09-14 | 2023-06-28 | |
| Italy | 2022-02-16 | 2022-03-18 | 2023-09-29 | ||
| Netherlands | 2022-06-23 | 2025-04-17 | 2022-12-30 | 2023-09-05 | |
| Poland | 2021-12-09 | 2024-08-13 | 2022-02-03 | 2023-01-23 | |
| Portugal | 2022-02-25 | 2026-05-06 | 2023-02-09 | 2023-09-27 | |
| Romania | 2023-02-28 | 2025-10-24 | 2023-03-29 | 2023-09-04 | |
| Spain | 2021-12-17 | 2022-01-28 | 2023-10-04 |
Oversight and notifications
Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77
Corrective measures 9 · Art. 77 CTR
Corrective measure CM-BE-0001
- Member state
- Belgium
- Publication date
- 2024-02-21
- Type
- 3
- Reason
- 5
- Immediate action required
- Yes
- Justification
- See the attached document
Corrective measure CM-ES-0004
- Member state
- Spain
- Publication date
- 2024-02-12
- Type
- 3
- Reason
- 5
- Immediate action required
- Yes
Corrective measure CM-FI-0001
- Member state
- Finland
- Publication date
- 2024-04-05
- Type
- 4
- Reason
- 5
- Immediate action required
- No
- Justification
- With a reference to Article 77 of the Clinical Trials Regulation, before a
decision is made of whether any corrective measures related to the
matter should be implemented in Finland, the sponsor is
provided with an opportunity to give a statement on the matter and to express its opinion on the measures proposed in the safety roundtable
meeting on 6th February 2024.
Corrective measure CM-FR-0001
- Member state
- France
- Publication date
- 2024-03-06
- Type
- 3
- Reason
- 5
- Immediate action required
- Yes
Corrective measure CM-GR-0001
- Member state
- Greece
- Publication date
- 2024-02-23
- Type
- 3
- Reason
- 5
- Immediate action required
- Yes
- Justification
- See attached document
Corrective measure CM-IE-0001
- Member state
- Ireland
- Publication date
- 2024-02-26
- Type
- 3
- Reason
- 5
- Immediate action required
- No
- Justification
- See attached Document
Corrective measure CM-NL-0002
- Member state
- Netherlands
- Publication date
- 2024-02-19
- Type
- 3
- Reason
- 5
- Immediate action required
- No
- Justification
- See the attached document
Corrective measure CM-NL-0003
- Member state
- Netherlands
- Publication date
- 2024-02-15
- Type
- 3
- Reason
- 5
- Immediate action required
- Yes
- Justification
- This corrective measure is by accident submitted two times. Please check CM-NL-0002 and ignore this one
Corrective measure CM-PT-0003
- Member state
- Portugal
- Publication date
- 2024-02-19
- Type
- 3
- Reason
- 5
- Immediate action required
- Yes
- Justification
- see attatched document
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 177 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol Admin letter_2023-506241-30-00_redacted | N/A |
| Protocol (for publication) | D1_Protocol_2023-506241-30-00_Greek_redacted | 5.4 |
| Protocol (for publication) | D1_Protocol_2023-506241-30-00_redacted | 5.4 |
| Protocol (for publication) | D4_EN_Patient Facing Document_EQ-5D-5L | N/A |
| Protocol (for publication) | D4_EN_Patient Facing Document_QLQ-C30 | N/A |
| Recruitment arrangements (for publication) | K_AT_Recruitment Arrangements_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_BE_Recruitment Arrangements_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_CZ_Recruitment Arrangements_Placeholder Document | 1 |
| Recruitment arrangements (for publication) | K_DE_Recruitment Arrangements_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_DK_Recruitment Arrangement_Placeholder Document | 1 |
| Recruitment arrangements (for publication) | K_EL_Recruitment Arrangements_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_ES_Recruitment Arrangement_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_FI_Recruitment Arrangements_Placeholder Document | 1 |
| Recruitment arrangements (for publication) | K_FR_Recruitment Arrangements_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_IE_Recruitment Arrangement_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_IT_Recruitment Arrangement_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_NL_Recruitment Arrangements_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_PL_Recruitment Arrangement_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_PT_Recruitment Arrangements_Placeholder document | 1 |
| Recruitment arrangements (for publication) | K_RO_Recruitment Arrangement_Placeholder document | 1 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Addendum_German | 1.0 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Main_German_redacted | 7.1 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Post Disease Progression_German | 4.0 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Pre-screening_German_redacted | 4.1 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_pregnancy participant_German_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Pregnant Partner_German_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Site Info_German_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Continuation Post Dis Progr ICF | 4.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Continuation Post Dis Progr ICF_Dutch | 4.1 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Continuation Post Dis Progr ICF_French | 4.1 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_ICF Addendum_Dutch | 1.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_ICF Addendum_French | 1.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Main ICF | 6.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Main ICF_Dutch_redacted | 7.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Main ICF_French_redacted | 7.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pre-Screening ICF | 4.1 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pre-Screening ICF_Dutch_redacted | 4.1 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pre-Screening ICF_French_redacted | 4.1 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnancy ICF | 4.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnancy_Dutch | 5.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnancy_French | 5.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnant Partner ICF | 4.1 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnant Partner_Dutch | 5.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnant Partner_French | 5.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Continuation Post Disease Progression_Czech_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_GDPR_Czech_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Main ICF Addendum_Czech | 1.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Main_Czech_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Optional Exploratory Research_Czech_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Optional Genetic Research_Czech_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Pre-Screening_Czech_redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Pregnancy FU_Czech_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Pregnant Partner_Czech_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Addendum_German | 1.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Main_German_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Post Disease Progression_German | 2.1 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_pre-screening_German_redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_pregnancy_German_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_pregnant partner_German_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_DK_SIS-ICF_Continuation_Danish | 2.0 |
| Subject information and informed consent form (for publication) | L1_DK_SIS-ICF_Main_Danish_redacted | 5.1 |
| Subject information and informed consent form (for publication) | L1_DK_SIS-ICF_Pre-Screening_Danish_redacted | 2.2 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Continuation Post Progression | 3.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Continuation Post Progression_Greek | 3.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Main Addendum | 1.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Main Addendum_Greek | 1.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Main_Greek_redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Main_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Pre-Screening_Greek_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Pre-Screening_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Pregnancy | 2.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Pregnancy_Greek | 2.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Pregnant Partner_Greek_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Pregnant Partner_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_SCOUT_Greek_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_SCOUT_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Continuation Post Disease Progression_Spanish | 3.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Data Protection_Spanish_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_ICF Addendum_Spanish | 1.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Main_Spanish_redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Pre-Screening_Spanish_redacted | 3.1 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Pregnancy_Spanish_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Pregnant Partner_Spanish_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Scout_Spanish | 1.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF Addendum_Finnish | 1.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Continuation_Finnish | 2.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Continuation_Swedish | 2.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Main_Finnish_redacted | 5.1 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Main_Swedish_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Pre-Screening_Finnish_redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Pre-Screening_Swedish_redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Pregnancy_Finnish_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Pregnancy_Swedish_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Voluntary_Finnish_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_FI_SIS-ICF_Voluntary_Swedish_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Continuation_Post Disease Progression_French | 3.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Main ICF Addendum_French | 1.2 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Main_French_Redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Patient Pregnancy_French | 2.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Pregnant Partner_French_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Prescreening_French_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Scout_French | 1.1 |
| Subject information and informed consent form (for publication) | L1_IE_SIS-ICF_Main Addendum | 1.0 |
| Subject information and informed consent form (for publication) | L1_IE_SIS-ICF_Main_redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_IE_SIS-ICF_Post Disease Progression_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_IE_SIS-ICF_Pre-Screening_redacted | 3.1 |
| Subject information and informed consent form (for publication) | L1_IE_SIS-ICF_Pregnancy_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_IE_SIS-ICF_Pregnant Partner_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_IT_CEC approval_Italian_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Addendum_Italian | 1.0 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Adult_Italian_redacted | 7.1 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Continuation_Italian_redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Partner Pregnancy Follow Up_Italian_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Pregnancy Follow Up_Italian_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Prescreening_Italian_redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Privacy_Italian_redacted | 7.0 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Continuation Post Disease Progression_Dutch_redacted | 4.1 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_ICF Addendum_Dutch | 1.0 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Main_Dutch_redacted | 7.0 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Pre-Screening_Dutch_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Pregnancy_Dutch_redacted | 4.1 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Pregnant Partner_Dutch_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Addendum_Polish | 1.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Continuation_Post Disease Progression_Polish | 3.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Main_Polish_redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Optional Future Research_Polish | 2.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Pre-Screening_Polish_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Pregnancy_Polish | 2.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Pregnant Partner_Polish_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Scout_Polish | 1.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Continuation-Post Disease Progression_Portuguese | 2.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Main Addendum_Portuguese | 1.1 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Main_Portuguese_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Pregnancy_Portuguese | 3.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Pregnant Partner_Portuguese_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Prescreening_Portuguese_redacted | 2.1 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Continuation ICF_Post Disease Progression_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Continuation ICF_Post Disease Progression_Romanian_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Main ICF Addendum | 1.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Main ICF Addendum_Romanian | 1.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Main_Redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Main_Romanian_Redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Personal data processing for travel reimbursement | 1.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Personal data processing for travel reimbursement_Romanian | 1.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pre-Screening_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pre-Screening_Romanian_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pregnancy_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pregnancy_Romanian_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pregnant Partner_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pregnant Partner_Romanian_Redacted | 3.0 |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Bevacizumab | 67 |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Calcium Folinate | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Calcium Folinate_Hikma | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Calcium Folinate_STADApharm | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Erbitux_Merck | 35 |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Fluorouracil_Hospira | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Fluorouracil_Medac Gesellschaft | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Irinotecan_Accord | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Irinotecan_Aqvida | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Irinotecan_FreseniusKabi | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Irinotecan_HauptPharma | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Oxaliplatin | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Oxaliplatin_FreseniusKabi | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Oxaliplatin_STADApharm | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Ramucirumab | 22 |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_ZIV aflibercept | N/A |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Czech | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Dutch | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_French | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_German | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Greek | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Italian | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Polish | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Portuguese | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Romanian | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-506241-30-00_Spanish | 1.0 |
Application history
22 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-10-26 | Spain | Acceptable 2023-12-11
|
2023-12-11 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-03-11 | Acceptable | 2024-04-29 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-03-11 | Acceptable | 2024-05-27 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-03-11 | Acceptable | 2024-04-29 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-03-11 | Acceptable | 2024-05-02 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2024-03-11 | Acceptable | 2024-04-04 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2024-03-11 | Acceptable | 2024-05-24 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-7 | 2024-03-11 | Acceptable | 2024-05-17 | |
| 9 | SUBSTANTIAL MODIFICATION | SM-8 | 2024-03-11 | Acceptable | 2024-06-21 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-9 | 2024-03-11 | Acceptable | 2024-04-15 | |
| 11 | SUBSTANTIAL MODIFICATION | SM-10 | 2024-03-11 | Acceptable | 2024-04-22 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-11 | 2024-03-11 | Acceptable | 2024-04-25 | |
| 13 | SUBSTANTIAL MODIFICATION | SM-12 | 2024-03-11 | Acceptable | 2024-04-22 | |
| 14 | SUBSTANTIAL MODIFICATION | SM-13 | 2024-03-11 | Acceptable | 2024-05-15 | |
| 15 | SUBSTANTIAL MODIFICATION | SM-14 | 2024-03-11 | Acceptable | 2024-04-25 | |
| 16 | SUBSTANTIAL MODIFICATION | SM-16 | 2024-04-15 | Spain | Acceptable | 2024-04-16 |
| 17 | SUBSTANTIAL MODIFICATION | SM-17 | 2024-10-07 | Spain | Acceptable 2025-01-27
|
2025-01-27 |
| 18 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-03-14 | Spain | Acceptable 2025-01-27
|
2025-03-14 |
| 19 | SUBSTANTIAL MODIFICATION | SM-19 | 2025-07-01 | Spain | Acceptable 2025-09-18
|
2025-09-18 |
| 20 | SUBSTANTIAL MODIFICATION | SM-32 | 2025-11-19 | Acceptable | 2026-01-23 | |
| 21 | SUBSTANTIAL MODIFICATION | SM-34 | 2026-03-09 | Spain | Acceptable 2026-05-06
|
2026-05-06 |
| 22 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-05-14 | Spain | Acceptable 2026-05-06
|
2026-05-14 |