A Phase 3 Trial Comparing Selpercatinib to Platinum-Based and Pemetrexed Therapy with or without Pembrolizumab (LIBRETTO-431)

2023-506783-14-00 Protocol J2G-MC-JZJC Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 24 Feb 2020 · Status Ongoing, recruitment ended · 7 EU/EEA countries · 49 sites · Protocol J2G-MC-JZJC

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 132
Countries 7
Sites 49

Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer

To compare PFS of selpercatinib with the combination of platinum-based (carboplatin or cisplatin) therapy, pemetrexed, and pembrolizumab in patients with advanced or metastatic RET fusion-positive NSCLC To compare PFS of selpercatinib with the combination of platinum-based (carboplatin or cisplatin) and pemetrexed th…

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
24 Feb 2020 → ongoing
Decision date (initial)
2024-05-21
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2023-506783-14-00
EudraCT number
2019-001979-36
WHO UTN
U1111-1302-4716

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy, Pharmacogenetic, Efficacy, Pharmacokinetic

To compare PFS of selpercatinib with the combination of platinum-based (carboplatin or cisplatin) therapy, pemetrexed, and pembrolizumab in patients with advanced or metastatic RET fusion-positive NSCLC

To compare PFS of selpercatinib with the combination of platinum-based (carboplatin or cisplatin) and pemetrexed therapy, with or without pembrolizumab, in patients with advanced or metastatic RET fusion-positive NSCLC

Conditions and MedDRA coding

Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Participants must have advanced/metastatic non-squamous non-small cell lung cancer (NSCLC) that cannot be treated with surgery or radiation therapy
  2. Participants must have a RET gene fusion and sufficient tumor tissue available for confirmatory testing
  3. Participants must be in fair to good health and not Have another serious medical condition
  4. Participants must not have had prior chemotherapy for metastatic lung cancer. chemotherapy in the adjuvant/neoadjuvant setting is permitted
  5. Participants must not have disease that has spread to the brain and is causing symptoms
  6. Participants must be able to swallow capsules
  7. Participants must be willing to use highly effective contraception during the study

Exclusion criteria 1

  1. Participants must not have a heart condition that puts you at risk for abnormal heart rhythms.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. PFS per REIST 1.1 by BICR

Investigational products

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

Test 2

Selpercatinib

SUB193120 · Substance

Active substance
Selpercatinib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Drug substance (DS) for clinical trials (CTs) and for commercial use (CU) have been produced utilizing the same sequence of synthetic steps, starting materials, and intermediates. Same manufacturing process and unit formula are utilized for CTs and CU DP. Materials, may be manufactured, packaged, and labelled at different facilities. Commitments relative to materials, specifications, and shelf-life for CT and CU materials may be different but of comparable quality and ensure product safety.

Selpercatinib

SUB193120 · Substance

Active substance
Selpercatinib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL USE
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Drug substance (DS) for clinical trials (CTs) and for commercial use (CU) have been produced utilizing the same sequence of synthetic steps, starting materials, and intermediates. Same manufacturing process and unit formula are utilized for CTs and CU DP. Materials, may be manufactured, packaged, and labelled at different facilities. Commitments relative to materials, specifications, and shelf-life for CT and CU materials may be different but of comparable quality and ensure product safety.

Comparator 4

Pemetrexed Disodium

SCP11423984 · ATC

Active substance
Pemetrexed Disodium
Route of administration
INFUSION
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
L01BA04 — PEMETREXED
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
labelling

Pembrolizumab

SCP6094344 · ATC

Active substance
Pembrolizumab
Substance synonyms
Lambrolizumab, MK-3475, SCH-900475, BAT3306, Pabolizumab, FYB206, CT P51, SYS6036, QL-2107, CMAB820, ABP 234
Route of administration
INFUSION
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
L01XC18 — PEMBROLIZUMAB
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
labelling

Cisplatin

SCP134220 · ATC

Active substance
Cisplatin
Substance synonyms
Cis-diamminedichloroplatinum, (SP-4-2)-cis -diamminedichloroplatinum, CDDP
Route of administration
INFUSION
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
L01XA01 — CISPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
labelling

Carboplatin

SCP10337134 · ATC

Active substance
Carboplatin
Route of administration
INFUSION
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
L01XA02 — CARBOPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Packaging and labelling

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Eli Lilly & Co.

Sponsor organisation
Eli Lilly & Co.
Address
1 Lilly Corporate Center
City
Indianapolis
Postcode
46285-0001
Country
United States

Scientific contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Public contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Third parties 14

OrganisationCity, countryDuties
Azenta
ORL-000001999
Burlington, United States Other
Rebar Interactive LLC
ORG-100045545
Austin, United States Other
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis
Iqvia Rds Inc.
ORG-100043858
Durham, United States On site monitoring, Code 5
Colpitts
ORL-000005241
Edinburgh, Scotland, United Kingdom Other
Labcorp Asia Pte Ltd
ORL-000005234
Singapore, Singapore Laboratory analysis
Brightech International LLC
ORL-000002985
Somerset, New Jersey, United States Code 10
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Data management
Praxis Communications LLC
ORG-100045170
Buffalo, United States Other
Labcorp Central Laboratory Services Sàrl
ORL-000005229
Geneva, Switzerland Laboratory analysis
Pharmaserve Lilly S.A.C.I.
ORL-000004791
Kifissia, Greece On site monitoring, Code 12, Other, Code 2, Code 5
Signant Health LLC
ORG-100040732
Blue Bell, United States Data management
Alturas Analytics Inc.
ORG-100045347
Moscow, United States Laboratory analysis
Bioclinica Inc.
ORG-100033079
Princeton, United States Other, Laboratory analysis

Locations

7 EU/EEA countries · 49 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 4 7
France Ongoing, recruitment ended 5 4
Germany Ongoing, recruitment ended 5 6
Greece Ongoing, recruitment ended 2 1
Italy Ongoing, recruitment ended 16 7
Netherlands Ongoing, recruitment ended 3 3
Spain Ongoing, recruitment ended 7 21
Rest of world
Korea, Republic of, Hong Kong, Australia, Turkey, Brazil, China, United Kingdom, Argentina, Taiwan, Mexico, Ukraine, Canada, Japan, Russian Federation, Israel
90

Investigational sites

Belgium

7 sites · Ongoing, recruitment ended
A.Z. Sint-Maarten
NA, Liersesteenweg 435, 2800, Mechelen
UZ Leuven
Respiratory Oncology, Herestraat 49, 3000, Leuven
Algemeen Ziekenhuis Delta
Pneumology, Deltalaan 1, 8800, Roeselare
UZ Brussel
Medische Oncologie, Laarbeeklaan 101, 1090, Jette
Vitaz
NA, Moerlandstraat 1, 9100, Sint-Niklaas
Universitair Ziekenhuis Gent
Pneumonolgy, Corneel Heymanslaan 10, 9000, Gent
Centre Hospitalier Universitaire Dinant Godinne Sainte-Elisabeth-UCL-Namur
Trial Office, Place Louise Godin 15, 5000, Namur

France

4 sites · Ongoing, recruitment ended
Centre Leon Berard
Medical Oncology, 28 Rue Laennec, 69008, Lyon
Hopitaux Universitaires Paris Centre-Hopital Cochin
Pneumology and Physiology Department, 27 Rue du Faubourg Saint-Jacques, Bâtiment Cornil-Brissaut, Paris
Institut Regional Du Cancer De Montpellier
Medical Oncology, 208 Avenue Des Apothicaires, 34298, Montpellier Cedex 5
Centre Hospitalier Universitaire Grenoble Alpes
Pneumology and Physiology Department, Boulevard De La Chantourne, Cs 10217, Grenoble Cedex 9

Germany

6 sites · Ongoing, recruitment ended
Asklepios Klinik Gauting GmbH
Oncology, Robert-Koch-Allee 2, 82131, Gauting
Franziskus Hospital Harderberg
N/A, Alte Rothenfelder Strasse 23, Harderberg, Georgsmarienhuette
Charite Universitaetsmedizin Berlin KöR
N/A, Hindenburgdamm 30, Lichterfelde, Berlin
Klinikverbund Allgaeu gGmbH
N/A, Im Stillen 2, 87509, Immenstadt I. Allgäu
Thoraxklinik Heidelberg gGmbH
Thoraxklinik Heidelberg gGmbH, Roentgenstrasse 1, Rohrbach, Heidelberg
LungenClinic Grosshansdorf GmbH
Onkologie, Woehrendamm 80, 22927, Grosshansdorf

Greece

1 site · Ongoing, recruitment ended
Athens Medical Center S.A.
Oncology Clinic, Pylea, Asklipiou 10, Thessaloniki

Italy

7 sites · Ongoing, recruitment ended
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Oncologia Medica Ardizzoni, Via Pietro Albertoni 15, 40138, Bologna
ASST Grande Ospedale Metropolitano Niguarda
Oncologia Falck, Piazza Dell'ospedale Maggiore 3, 20162, Milan
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Oncologia medica Toraco-Polmonare, Via Mariano Semmola 142, 80131, Naples
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Medical Oncology, Largo Agostino Gemelli 8, 00168, Rome
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Oncologia Polmonare, Regione Gonzole 10, 10043, Orbassano
Centro Di Riferimento Oncologico Di Aviano
medical oncology, Via Franco Gallini 2, 33081, Aviano
I.F.O. Istituti Fisioterapici Ospitalieri
Oncologia Medica 2, Via Elio Chianesi N 53, 00144, Rome

Netherlands

3 sites · Ongoing, recruitment ended
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Oncology, Dr. Molewaterplein 40, 3015 GD, Rotterdam
Amsterdam UMC Stichting
Oncology, De Boelelaan 1117, 1081 HV, Amsterdam
Jeroen Bosch Ziekenhuis
Pulmonology, Henri Dunantstraat 1, 5223 GZ, 's-Hertogenbosch

Spain

21 sites · Ongoing, recruitment ended
Hospital Universitario Virgen De La Macarena
Oncology, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Universitario Y Politecnico La Fe
Oncology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Clinica Universidad De Navarra
Medical Oncology, Avenue Pio XII 36, 31008, Pamplona
Institut Catala D'oncologia
Medical Oncology, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitari Dexeus Grupo Quironsalud
Oncology, Calle De Sabino Arana 5-19, 08028, Barcelona
Institut Catala D'oncologia
Oncology, Carretera Canyet S/n, 08916, Badalona
Hospital General Universitario Dr. Balmis
Oncology, Avinguda Del Pintor Baeza 12, 03010, Alicante
Hospital Universitario De Jaen
Medical Oncology, Avenida Del Ejercito Espanol 10, 23007, Jaen
Hospital De La Santa Creu I Sant Pau
Medical Oncology, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital Universitario 12 De Octubre
Medical Oncology, Bloque D, Avenida De Cordoba Sn, Madrid
University Hospital Son Espases
Oncology, Carretera Valldemossa 79, 07120, Palma
Hospital Del Mar
Oncology, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Hospital Universitario De Navarra
Medical Oncology, Irunlarrea Kalea 3, 31008, Pamplona
Hospital Clinico San Carlos
Oncology, Calle Del Profesor Martin Lagos Sn, 28040, Madrid
Hospital Clinico Universitario De Valencia
Oncology, Avenida Blasco Ibanez 17, 46010, Valencia
Complejo Hospitalario Universitario Insular Materno Infantil
Oncology, Autovia Del Sur S/n, 35017, Las Palmas De Gran Canaria
Hospital Universitario Ramon Y Cajal
Medical Oncology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Clinica Universidad De Navarra
Medical Oncology, Calle Marquesado De Santa Marta 1, 28027, Madrid
University Hospital Virgen Del Rocio S.L.
Medical Oncology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Puerta De Hierro De Majadahonda
Medical Oncology, Calle De Manuel De Falla 1, 28222, Majadahonda
Hospital Son Llatzer
Oncology, Carretera De Manacor Km 4, 07198, Palma

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2020-02-24 2020-03-16 2022-05-13
France 2020-07-23 2020-09-22 2022-05-05
Germany 2020-09-10 2020-10-07 2021-11-24
Greece 2020-06-02 2020-07-07 2021-12-02
Italy 2020-04-23 2020-07-15 2022-07-07
Netherlands 2020-07-14 2021-02-03 2022-07-05
Spain 2020-05-18 2020-07-02 2023-04-20

Results and documents

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

Documents 106 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-506783-14-00_Redacted g
Protocol (for publication) D1_Protocol_2023-506783-14-00_GR_Redacted g
Protocol (for publication) D4_Patient Documents Copyright 1.0
Recruitment arrangements (for publication) JZJC_Blank document for Recruitment Arrangement_Recruitment closed 1.0
Recruitment arrangements (for publication) K1_JZJC_Blank document for Recruitment Arrangement_Recruitment closed 1.0
Recruitment arrangements (for publication) K1_JZJC_Blank document for Recruitment Arrangement_Recruitment closed 1.1
Recruitment arrangements (for publication) K1_JZJC_Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) K1_JZJC_Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) K1_JZJC_Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements 1
Recruitment arrangements (for publication) K2_Recruitment Material_Emergency Patient Card DE 1.0
Recruitment arrangements (for publication) K2_Recruitment Material_Emergency Patient Card DU 1.0
Recruitment arrangements (for publication) K2_Recruitment Material_Emergency Patient Card ENG 1.0
Recruitment arrangements (for publication) K2_Recruitment Material_Emergency Patient Card FR 1.0
Recruitment arrangements (for publication) K2_Recruitment Material_Thank You card DU 1.0
Recruitment arrangements (for publication) K2_Recruitment Material_Thank You card FR 1.0
Recruitment arrangements (for publication) K2_Recruitment Material_Visit Guide DU 3.0
Recruitment arrangements (for publication) K2_Recruitment Material_Visit Guide FR 3.0
Recruitment arrangements (for publication) K2_Recruitment Material_VisitGuide_tracked changes ENG 3.0
Subject information and informed consent form (for publication) L1_ICF_Addendum_Beyond Disease Progression_GR 1
Subject information and informed consent form (for publication) L1_ICF_Addendum_Prescreening_GR 1
Subject information and informed consent form (for publication) L1_ICF_Crossover_Redacted 1
Subject information and informed consent form (for publication) L1_ICF_Main_GR_Redacted 1
Subject information and informed consent form (for publication) L1_ICF_SoC_Main_Crossover_GR__Redacted 1
Subject information and informed consent form (for publication) L1_ICF_SoC_Main_Crossover_GR_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum ICF Prescreening DU 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum ICF Prescreening ENG 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum ICF Prescreening FR 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum ICF_treatment beyond progression DU 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum ICF_treatment beyond progression ENG 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum ICF_treatment beyond progression FR 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Cross over ICF DU_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF Cross over ICF ENG_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF Cross over ICF FR_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF DU_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF ENG_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ICF FR_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of changes 1_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes ICF Main and Crossover_BEDU_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes ICF Main and Crossover_BEFR_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes ICF Main and Crossover_ENG_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes_BEDU_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes_BEFR_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes_ENG_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of changes_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_ Addendum_Progression 2
Subject information and informed consent form (for publication) L1_SIS and ICF_ ICF Crossover_ ITA_Redacted 11.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ ICF Main_ ITA_Redacted 11.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ Privacy Crossover_ ITA_Redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ Privacy Main_ ITA_Redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum Progression_ IT_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum_Prescreening_Redacted 4
Subject information and informed consent form (for publication) L1_SIS and ICF_Cross-Over_Addendum_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Cross-over_adults_and_option_post_progression 12
Subject information and informed consent form (for publication) L1_SIS and ICF_Cross-over_adults_and_option_post_progression_Redacted 12
Subject information and informed consent form (for publication) L1_SIS and ICF_Crossover_Redacted 6
Subject information and informed consent form (for publication) L1_SIS and ICF_Crossover_Redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Crossover_Redacted 16
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 6
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 19
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Addendum_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_adults_and_option_post_progression 12
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_adults_and_option_post_progression_Redacted 12
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant partner 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Prescreening_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Progression 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Reimbursement_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_SoC_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of changes 1_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of changes 2_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of Changes ICF Main and Crossover_Redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of Changes ICF Main and Crossover_TC 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of Changes ICF_Redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of Changes_clean_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of Changes_redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Treatment change 2.0
Subject information and informed consent form (for publication) L2 Other subject information material Study Guide 3
Subject information and informed consent form (for publication) L2_Gp Letter_Redacted 5.0
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Appt Reminder Card_GR 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Card 1.0
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Patient Card_GR 2
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Thank You Card_GR 1
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Visit Guide_GR 3
Subject information and informed consent form (for publication) L2_Patient Card_ITA 1.0
Subject information and informed consent form (for publication) L2_Thank you Card_ITA 1.0
Subject information and informed consent form (for publication) L3_Other subject information material_Patient card 2
Summary of Product Characteristics (SmPC) (for publication) Blanket Statement - Document not published anymore N/A
Summary of Product Characteristics (SmPC) (for publication) Blanket Statement - Document not published anymore N/A
Summary of Product Characteristics (SmPC) (for publication) Blanket Statement - Document not published anymore N/A
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Pemetrexed 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Pemetrexed_no longer in use N/A
Synopsis of the protocol (for publication) D1_Protocol synopsis_2023-506783-14-00_ENG g
Synopsis of the protocol (for publication) D1_Protocol synopsis_2023-506783-14-00_ENG_Track changed g
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2023-506783-14-00_GR g
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2023-506783-14-00_GR_Track Changes g
Synopsis of the protocol (for publication) D1_Protocol Synopsis_BEDE_2023-506783-14 g
Synopsis of the protocol (for publication) D1_Protocol Synopsis_BEDU_2023-506783-14 g
Synopsis of the protocol (for publication) D1_Protocol Synopsis_BEFR_2023-506783-14 g
Synopsis of the protocol (for publication) D1_Protocol_synopsis NL_2023-506783-14-00 e
Synopsis of the protocol (for publication) D1_Protocol_synopsis_2023-506783-14-00 ES g
Synopsis of the protocol (for publication) D1_Protocol_synopsis_2023-506783-14-00_ES TC g
Synopsis of the protocol (for publication) D1_Protocol_synopsis_2023-506783-14-00_IT f
Synopsis of the protocol (for publication) D1_Protocol_synopsis_MS_2023-506783-14-00_FR_Unapplied f
Synopsis of the protocol (for publication) D1_Protocol_synopsis_MS_2023-506783-14-00_NL_Redacted g

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-03-08 Italy Acceptable
2024-05-14
2024-05-15
2 SUBSTANTIAL MODIFICATION SM-1 2024-10-03 Italy Acceptable 2024-11-27
3 SUBSTANTIAL MODIFICATION SM-2 2025-01-23 Italy Acceptable
2025-05-05
2025-05-06
4 SUBSTANTIAL MODIFICATION SM-3 2025-07-08 Italy Acceptable
2025-09-29
2025-09-30
5 SUBSTANTIAL MODIFICATION SM-5 2025-11-10 Italy Acceptable
2026-02-27
2026-03-02
6 NON SUBSTANTIAL MODIFICATION NSM-1 2026-03-09 Italy Acceptable
2026-02-27
2026-03-09
7 SUBSTANTIAL MODIFICATION SM-6 2026-03-26 Acceptable
2026-06-01
2026-06-02