A Randomized Phase 3 Study of MRTX849 in Combination with Cetuximab Versus Chemotherapy in Patients with Advanced Colorectal Cancer with KRAS G12C Mutation with Disease Progression On or After Standard First- Line Therapy

2023-506241-30-00 Protocol 849-010 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 30 Nov 2021 · Status Ongoing, recruitment ended · 15 EU/EEA countries · 76 sites · Protocol 849-010

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 577
Countries 15
Sites 76

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

  1. To evaluate secondary efficacy endpoints in the study population.
  2. To evaluate the safety and tolerability in the study population.
  3. To evaluate the pharmacokinetics (PK) of adagrasib administered in combination with cetuximab.
  4. 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

VersionLevelCodeTermSystem organ class
21.0 PT 10052358 Colorectal cancer metastatic 100000004864

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
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

  1. Histologically confirmed diagnosis of colorectal carcinoma G12C mutation in tumor tissue.
  2. 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

  1. Prior treatment with both an oxaliplatin-and irinotecan-based regimen for CRC, concurrently or successively, in any setting (neoadjuvant, adjuvant or advanced).
  2. Prior treatment with a therapy targeting KRAS G12C mutation (e.g., sotorasib).
  3. Prior treatment with an anti-EGFR antibody (e.g., cetuximab or panitumumab).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Overall Survival (OS)
  2. Progression-free Survival (PFS)

Secondary endpoints 5

  1. Adverse Events
  2. Objective Response Rate (ORR)
  3. Duration of Response (DOR)
  4. Patient Reported Outcomes (PROs)
  5. Quality of Life Assessment

Investigational products

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

Test 6

Adagrasib

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

Bevacizumab

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

Aflibercept

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

Ramucirumab

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

Fluorouracil

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

Oxaliplatin

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

Irinotecan

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

Calcium Folinate

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Austria

2 sites · Ended
Noe LGA Gesundheit Thermenregion GmbH
Wiener Neustadt State Hospital, Department of Internal Medicine, Hematology and Internal Oncology, Corvinusring 3-5, 2700, Wiener Neustadt
Medical University of Vienna
AKH Vienna, University Clinic for Internal Medicine I, Clinical Department of Oncology, Waehringer Guertel 18-20, Alsergrund, Vienna

Belgium

2 sites · Ended
UCL Mont-Godinne
Oncology, Avenue Dr-Gaston-Therasse 1, 5530, Yvoir
UZ Brussel
Medical Oncology, Laarbeeklaan 101, 1090, Jette

Czechia

2 sites · Ended
Fakultni Nemocnice V Motole
Onkologická klinika 2. LF UK a FN Motol, V Uvalu 84/1, Motol, Prague 5
Masarykuv Onkologicky Ustav
Klinika komplexní onkologické péče, Zluty Kopec 543/7, Stare Brno, Brno-Stred

Denmark

3 sites · Ongoing, recruitment ended
Odense University Hospital
Department of Oncology, J B Winsloews Vej 4, 5000, Odense C
Rigshospitalet
Department of Oncology, Blegdamsvej 9, 2100, Copenhagen Oe
Lillebaelt Hospital
Department of Oncology, Beriderbakken 4, 7100, Vejle

Finland

2 sites · Ongoing, recruitment ended
Tampere University Hospital
Department of Oncology, Teiskontie 35, 33520, Tampere
Turku University Hospital
Department of Oncology, Kiinamyllynkatu 4-8, 20520, Turku

France

13 sites · Ongoing, recruitment ended
Institut Gustave Roussy
Service d’oncologie digestive, 114 Rue Edouard Vaillant, 94800, Villejuif
Centr Georges Francois Leclerc
UF Oncologie, 1 Rue Professeur Marion, 21000, Dijon
University Hospitals Pitie Salpetriere Charles Foix
Service d’Hépato-Gastro-Entérologie, 47 To 83 Boulevard De L Hopital, 75013, Paris
Centre Hospitalier Universitaire De Toulouse
Unité de Recherche Clinique (Oncologie Médicale Digestive), 2 Rue Viguerie, Tsa 80035, Toulouse Cedex 9
Hôpital de la Timone
Service Hépato-Gastro-Entérologie et Oncologie Digestive, 265 Rue Saint Pierre, 13005, Marseille Cedex 5
Hospital Foch
Service d’Oncologie Médicale, 40 Rue Worth, 92150, Suresnes
Centre Hospitalier Universitaire De Bordeaux
Service d’hepatogastro-enterologie et oncologie digestive, Avenue De Magellan, 33600, Pessac
Centre Hospitalier Universitaire De Lille
Service d’Oncologie Médicale, Rue Michel Polonovski, 59037, Lille Cedex
Assistance Publique Hopitaux De Paris
Service d’oncologie digestive, 20 Rue Leblanc, 75015, Paris
Besancon University Hospital Center
Service Oncologie Médicale, 2 Place Saint Jacques, Cs 51804, Besancon Cedex
Institut Bergonie
Unité de Recherche et d’Epidémiologie Clinique, 229 Cours De L Argonne, 33000, Bordeaux
Centre Hospitalier Regional Universitaire De Tours
Service d’Hépato-gastroentérologie et Cancérologie Digestive, 2 Boulevard Tonnelle, 37044, Tours Cedex 9
Hopital Saint Antoine
Service d’oncologie medicale, 184 Rue Du Faubourg Saint Antoine, 75571, Paris Cedex 12

Germany

12 sites · Ongoing, recruitment ended
Kreiskliniken Reutlingen GmbH
Kreiskliniken Reutlingen - Klinikum am Steinenberg, Steinenbergstrasse 31, Ringelbach, Reutlingen
Muenchen Klinik gGmbH
München Klinik Neuperlach, Klinik für Hämatologie und Onkologie, Oskar-Maria-Graf-Ring 51, Ramersdorf-Perlach, Munich
Klinikum der Universitaet Muenchen AöR
LMU Klinikum - Campus Großhadern, Medizinische Klinik und Poliklinik II, Marchioninistrasse 15, Hadern, Munich
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Universitatsklinikum Carl Gustav Carus Dresden, Medizinische Klinik und Poliklinik I, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Charite Universitaetsmedizin Berlin KöR
Charité Campus Mitte Medizinische Klinik mit Schwerpunkt Hämatologie, Onkologie und Tumorimmunologie, Chariteplatz 1, Mitte, Berlin
Klinikum St Marien Amberg
Klinikum St. Marien Amberg, Mariahilfbergweg 7, Mariahilfbergweg 7, 92224, Amberg
Haematologisch Onkologische Praxis Eppendorf
Facharztzentrum Eppendorf, Eppendorfer Landstrasse 42, 20249, Hamburg
St. Josef-Hospital
Medizinische Universitätsklinik Ruhr- Hämatologie, Onkologie und Palliativmedizin, Gudrunstrasse 56, Grumme, Bochum
Marien Hospital Herne Universitatsklinikum Der Ruhr-Universitat Bochum
Marien Hospital Herne - Universitätsklinikum der Ruhr, Medizinische Klinik lll Hämatologie/Onkologie, Hoelkeskampring 40, 44625, Herne
Kliniken Maria Hilf GmbH Moenchengladbach
Kliniken Maria Hilf GmBH, Klinik für Hämatologie, Onkologie und Gastroenterologie, Viersener Strasse 450, Windberg, Moenchengladbach
Institut fuer Klinische Krebsforschung IKF GmbH
Krankenhaus Nordwest, Steinbacher Hohl 2-26, Steinbacher Hohl 2-26, Praunheim, Frankfurt Am Main
Universitaetsklinikum Ulm AöR
Universitätsklinikum Ulm, Klinik für Innere Medizin I, Albert-Einstein-Allee 23, Eselsberg, Ulm

Greece

4 sites · Ongoing, recruitment ended
General University Hospital Of Larissa
Oncology Clinic - 1st Internal Medicine Division, P. O. Box 1425, 411 10, Larissa
Metropolitan General Hospital Healthcare Facilities Operation And Management Single Member S.A.
Oncologic Clinical Trials and Research Clinic, Leoforos Mesogeion 264, 155 62, Cholargos
Alexandra Hospital
Clinical Therapeutics Department, Oncology Unit, Vassilissas Sofias Avenue 80, 115 28, Athens
Euromedica General Clinic Of Thessaloniki
2nd Medical Oncology Department, Kallas Marias 11, Gravias 2, Thessaloniki

Ireland

2 sites · Ended
Tallaght University Hospital
Oncology Day Unit, Tallaght, D24 NR0A, Dublin 24
St Vincent's University Hospital
Medical Oncology Research Department, Elm Park Merrion Road, D04 T6F4, Dublin 4

Italy

9 sites · Ongoing, recruitment ended
European Institute Of Oncology S.r.l.
Oncologia Medica Gastrointestinale e Tumori Neuroendocrini, Via Giuseppe Ripamonti 435, 20141, Milan
I.F.O. Istituti Fisioterapici Ospitalieri
UO Oncologia Medica 2, Via Elio Chianesi N 53, 00144, Rome
Istituto Di Candiolo Fondazione Del Piemonte Per Loncologia IRCCS
UO Oncologia Medica, Strada Provinciale 142 Km 3,95, 10060, Candiolo
Azienda USL IRCCS Di Reggio Emilia
S.C. Oncologia, Viale Risorgimento 80, 42123, Reggio Emilia
Azienda Sanitaria Locale Della Provincia Di Biella
SOC Oncologia, Via Dei Ponderanesi 2, 13875, Ponderano
AORN San Giuseppe Moscati Avellino
U.O.C. Oncologia, Contrada Amoretta, 83100, Avellino
Azienda Ospedaliera Universitaria Di Cagliari
UOC Oncologia Medica, Strada Statale 554 N. 1, 09042, Monserrato
Istituto Oncologico Veneto
UOC Oncologia 3, Via Gattamelata 64, 35128, Padova
Azienda Ospedaliero Universitaria Pisana
U.O. Oncologia Medica 2, Via Roma 67, 56126, Pisa

Netherlands

4 sites · Ended
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Department of gastrointestinal and liver oncology (MDL), Plesmanlaan 121, 1066 CX, Amsterdam
St. Antonius Ziekenhuis
Department of Oncology, Koekoekslaan 1, 3435 CM, Nieuwegein
Amsterdam UMC
Department of Oncology, De Boelelaan 1117, 1081 HV, Amsterdam
Stichting Radboud University Medical Center
Department of Oncology, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen

Poland

4 sites · Ended
Europejskie Centrum Zdrowia Otwock Sp. z o.o.
Oncology, Ul. Borowa 14/18, 05-400, Otwock
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
Oncology, Ul. Woloska 137, 02-507, Warsaw
Copernicus Podmiot Leczniczy Sp. z o.o.
Oncology, Al. Zwyciestwa 31/32, 80-219, Gdansk
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Oncology, Ul. Wawelska 15, 02-034, Warsaw

Portugal

2 sites · Ended
Unidade Local De Saude De Santa Maria E.P.E.
Medical Oncology, Avenida Professor Egas Moniz, 1649-035, Lisbon
Champalimaud Clinical Centre
Oncology, Avenida Brasilia S/n, 1400-038, Lisbon

Romania

3 sites · Ended
Centrul De Oncologie SF Nectarie S.R.L.
Medical Oncology, Strada Caracal Nr 109, 200542, Craiova
Spitalul Judetean De Urgenta Dr. Constantin Opris Baia Mare
Medical Oncology, Strada Cosbuc George Nr 31, 430031, Baia Mare
Institutul Clinic Fundeni
Medical Oncology, Soseaua Fundeni 258, 022328, Bucharest

Spain

12 sites · Ongoing, recruitment ended
Hospital Clinico Universitario De Valencia
Oncology Department, Avenida Blasco Ibanez 17, 46010, Valencia
Hospital General Universitario De Valencia
Oncology Department, Avenida Del Tres Cruces 2, 46014, Valencia
Hospital Universitario 12 De Octubre
Oncology Department, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Clinic De Barcelona
Oncology Department, Calle Villarroel 170, 08036, Barcelona
Hospital Universitario Marques De Valdecilla
Oncology Department, Avenida Valdecilla Sn, 39008, Santander
Fir Huvh Fundacio Institut De Recerca Hospital Universitari Vall De Hebron
Oncology Department, Passeig De La Vall D'hebron 119-129, 08035, Barcelona
Hospital Universitario Reina Sofia
Oncology Department, Avenida Menendez Pidal S/n, 14004, Cordoba
Hospital General Universitario Gregorio Maranon
Oncology Department, Calle Del Doctor Esquerdo 46, 28009, Madrid
Institut Catala D'oncologia
Oncology Department, Carretera Canyet S/n, 08916, Badalona
Institut Catala D'oncologia
Oncology Department, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Clinico San Carlos
Oncology Department, Calle Del Profesor Martin Lagos Sn, 28040, Madrid
Hospital Universitario La Paz
Oncology Department, Paseo Castellana 261, 28046, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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