Overview
Sponsor-declared trial summary
Completely resected, Stage Ib (tumors ≥ 4 cm) to Stage IIIa, Anaplastic Lymphoma Kinase (ALK)-Positive Non-Small Cell Lung Cancer (NSCLC)
To evaluate the efficacy of alectinib compared with platinum-based chemotherapy in patients with completely resected Stage Ib (tumors ≥4 cm) to Stage IIIa, ALK-positive NSCLC based on investigator assessed disease-free survival
Key facts
- Sponsor
- F. Hoffmann-La Roche AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 9 Aug 2018 → ongoing
- Decision date (initial)
- 2024-05-29
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- F. Hoffmann-La Roche AG
External identifiers
- EU CT number
- 2023-506861-76-00
- EudraCT number
- 2017-004331-37
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacokinetic, Efficacy, Safety
To evaluate the efficacy of alectinib compared with platinum-based chemotherapy in patients with completely resected Stage Ib (tumors ≥4 cm) to Stage IIIa, ALK-positive NSCLC based on investigator assessed disease-free survival
Secondary objectives 4
- To evaluate the efficacy of alectinib compared with platinum-based chemotherapy in patients with completely resected Stage Ib (tumors ≥4 cm) to Stage IIIa, ALK-positive NSCLC based on overall survival
- To evaluate the safety and tolerability of alectinib compared with platinum-based chemotherapy in patients with completely resected Stage Ib (tumors ≥ 4 cm) to Stage IIIa, ALK-positive NSCLC
- For alectinib arm only To characterize the pharmacokinetics (PK) of alectinib and its major metabolite(s) in patients with completely resected Stage Ib (tumors≥4 cm) to Stage IIIa, ALK-positive NSCLC
- For alectinib arm only At Japanese sites only: To characterize the pharmacokinetics of alectinib and its major metabolite(s) in Japanese patients
Conditions and MedDRA coding
Completely resected, Stage Ib (tumors ≥ 4 cm) to Stage IIIa, Anaplastic Lymphoma Kinase (ALK)-Positive Non-Small Cell Lung Cancer (NSCLC)
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Efficacy and safety of Alectinib versus Platinum-Based Chemo in patients with NSCL A Phase III, Open-Label, Randomized Study to Evaluate the Efficacy and Safety of Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients with Completely Resected Stage Ib (Tumors ≥ 4 Cm) to Stage IIIa Anaplastic Lymphoma Kinase-Positive Non-Small-Cell Lung Cancer
|
Randomised Controlled | None | Experimental arm: Alectinib at 600 mg: Alectinib at 600 mg orally BID taken with food for 24 months. Control arm 1: Cisplatin 75 mg/m2 on Day 1 plus vinorelbine 25 mg/m2 on Days 1 and 8: Patients receive the protocol-specified platinum-based chemotherapy regimens (including all required premedications and permitted concomitant medications) according to the local prescribing information. Control arm 2: Cisplatin 75 mg/m2 on Day 1 plus gemcitabine 1250 mg/m2 on Days 1 and 8: Patients receive the protocol-specified platinum-based chemotherapy regimens (including all required premedications and permitted concomitant medications) according to the local prescribing information. Control arm 3: Cisplatin 75 mg/m2 on Day 1 plus pemetrexed 500 mg/m2 on Day 1: Patients receive the protocol-specified platinum-based chemotherapy regimens (including all required premedications and permitted concomitant medications) according to the local prescribing information. |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Complete resection of histologically-confirmed Stage Ib (tumor ≥ 4 cm) to Stage IIIa (T2-3 N0, T1-3 N1, T1-3 N2, T4 N0-1) NSCLC as per UICC/AJCC, 7th edition, with negative margins, at 4-12 weeks before enrollment
- Documented ALK-positive disease according to an FDA-approved and CE-marked test
- Eligible to receive a platinum-based chemotherapy regimen according to the local labels or guidelines
- Eastern Cooperative Oncology Group Performance Status of Grade 0 or 1
- Adequate hematologic and renal function
- Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
Exclusion criteria 5
- Pregnant or breastfeeding, or intending to become pregnant during the study and for at least 5 weeks after the last dose of alectinib or according to local labels or guidelines for chemotherapy
- Prior adjuvant radiotherapy for NSCLC Prior exposure to systemic anti-cancer therapy and ALK inhibitors
- Stage IIIA N2 patients that, in the investigator's opinion, should receive post-operative radiotherapy treatment are excluded from the study
- Known sensitivity to any component of study drug to which the patient may be randomized. This includes, but is not limited to, patients with galactose intolerance, a congenital lactase deficiency or glucose-galactose malabsorption.
- Significant liver disease or impaired liver transaminase enzymes levels, symptomatic bradycardia, any GI disorder that may affect absorption of oral medications, such as malabsorption syndrome or status post-major bowel resection, HIV positivity
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- 1. Disease-free survival per investigator’s assessment
Secondary endpoints 5
- 1. Overall survival
- 2. Incidence of adverse events, with severity determined through use of National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0
- 3. Incidence of abnormal laboratory findings
- 4. Changes in vital signs and electrocardiograms
- 5. Plasma concentrations of alectinib and its major metabolite(s) at specified timepoints for alectinib
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 8
SUB00069MIG · Substance
- Active substance
- Vinorelbine
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 25 mg/m2 milligram(s)/sq. meter
- Max total dose
- 200 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Gemcitabin-GRY 1000 mg Pulver zur Herstellung einer Infusionslösung
PRD472665 · Product
- Active substance
- Gemcitabine Hydrochloride
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 1250 mg/m2 milligram(s)/sq. meter
- Max total dose
- 10000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01BC05 — GEMCITABINE
- Marketing authorisation
- 71399.00.00
- MA holder
- TEVA GMBH
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
ALIMTA 500 mg powder for concentrate for solution for infusion
PRD2433080 · Product
- Active substance
- Pemetrexed
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 500 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01BA04 — -
- Marketing authorisation
- EU/1/04/290/001
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Carboplatin ACTAVIS 10 mg/ml concentrat pentru soluţie perfuzabilă
PRD4882377 · Product
- Active substance
- Carboplatin
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 900 mg milligram(s)
- Max total dose
- 3600 mg milligram(s)
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01XA02 — CARBOPLATIN
- Marketing authorisation
- 9544/2016/03
- MA holder
- TEVA B.V
- MA country
- Romania
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Carboplatin-GRY® 10 mg/ml Konzentrat zur Herstellung einer Infusionslösung
PRD664576 · Product
- Active substance
- Carboplatin
- Pharmaceutical form
- INJECTION
- Route of administration
- IV INFUSION
- Max daily dose
- 900 mg milligram(s)
- Max total dose
- 3600 mg milligram(s)
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01XA02 — CARBOPLATIN
- Marketing authorisation
- 44922.00.00
- MA holder
- TEVA GMBH
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD5956678 · Product
- Active substance
- Alectinib
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 1200 mg milligram(s)
- Max total dose
- 876 g gram(s)
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01ED03 — -
- Marketing authorisation
- EU/1/16/1169/002
- MA holder
- ROCHE REGISTRATION GMBH
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD4815708 · Product
- Active substance
- Alectinib
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 1200 mg milligram(s)
- Max total dose
- 876 g gram(s)
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01ED03 — -
- Marketing authorisation
- EU/1/16/1169/001
- MA holder
- ROCHE REGISTRATION GMBH
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Cisplatin NeoCorp 1 mg/ml - Konzentrat zur Herstellung einer Infusionslösung
PRD759858 · Product
- Active substance
- Cisplatin
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 75 mg/m2 milligram(s)/sq. meter
- Max total dose
- 300 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 84 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01XA01 — CISPLATIN
- Marketing authorisation
- 39021.01.00
- MA holder
- HEXAL AG
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
F. Hoffmann-La Roche AG
- Sponsor organisation
- F. Hoffmann-La Roche AG
- Address
- Grenzacherstrasse 124
- City
- Basel
- Postcode
- 4058
- Country
- Switzerland
Scientific contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Public contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Third parties 8
| Organisation | City, country | Duties |
|---|---|---|
| Foundation Medicine Inc. ORG-100040457
|
Cambridge, United States | Other |
| Axon Communications Inc. ORG-100048038
|
Toronto, Canada | Other |
| Greenphire LLC ORG-100041621
|
King Of Prussia, United States | Other |
| Bioclinica Inc. ORG-100033079
|
Princeton, United States | Other |
| Fortrea Inc. ORG-100012602
|
Bannockburn, United States | Other |
| Labcorp Central Laboratory Services SARL ORG-100011524
|
Meyrin, Switzerland | Laboratory analysis |
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Other |
| CellCarta ORG-100039881
|
Antwerp, Belgium | Laboratory analysis |
Locations
10 EU/EEA countries · 30 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ongoing, recruitment ended | 5 | 1 |
| Denmark | Ongoing, recruitment ended | 2 | 1 |
| France | Ongoing, recruitment ended | 6 | 3 |
| Germany | Ongoing, recruitment ended | 6 | 4 |
| Greece | Ongoing, recruitment ended | 2 | 2 |
| Hungary | Ongoing, recruitment ended | 2 | 2 |
| Italy | Ongoing, recruitment ended | 15 | 5 |
| Poland | Ongoing, recruitment ended | 8 | 4 |
| Romania | Ongoing, recruitment ended | 2 | 2 |
| Spain | Ongoing, recruitment ended | 7 | 6 |
| Rest of world
Thailand, United Kingdom, Russian Federation, Kazakhstan, Belarus, Taiwan, China, Israel, Japan, Bosnia and Herzegovina, Australia, Turkey, Ukraine, United States, Egypt, Korea, Republic of
|
— | 202 | — |
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 | 2018-11-12 | 2018-11-16 | 2021-10-29 | ||
| Denmark | 2018-09-27 | 2019-02-27 | 2021-10-29 | ||
| France | 2018-11-26 | 2019-02-07 | 2021-10-29 | ||
| Germany | 2019-01-08 | 2019-01-31 | 2021-10-29 | ||
| Greece | 2018-12-11 | 2019-01-22 | 2021-10-29 | ||
| Hungary | 2018-10-29 | 2018-12-18 | 2021-10-29 | ||
| Italy | 2018-10-04 | 2019-01-04 | 2021-10-29 | ||
| Poland | 2018-08-28 | 2018-09-20 | 2021-10-29 | ||
| Romania | 2020-10-30 | 2021-03-26 | 2021-10-29 | ||
| Spain | 2018-08-09 | 2018-12-11 | 2021-10-29 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 97 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Clinical study report (for publication) | Redacted CSR - ALECENSA - Oncology | 1 |
| Protocol (for publication) | D1_Protocol 2023-506861-76-00 GR Redacted | 8 |
| Protocol (for publication) | D1_Protocol 2023-506861-76-00 Redacted.pdf | 8 |
| Protocol (for publication) | d4_patient-facing-documents_memo | 3 |
| Recruitment arrangements (for publication) | K_Recruitment arrangement | 1 |
| Recruitment arrangements (for publication) | K_Recruitment arrangement_BO40336 | 1 |
| Recruitment arrangements (for publication) | K1_BO40336_DEU_Recruitment Arrangement | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arragements_blank | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangement_NTF | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_NTF | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_NTF | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_NTF_BO40336 | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment_arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment_arrengements | 1 |
| Recruitment arrangements (for publication) | K1_RecruitmentArrangement_NTF | 2 |
| Recruitment arrangements (for publication) | K2_Additional Document_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1__BO40336_DEU_diagnostic_v1 | 1 |
| Subject information and informed consent form (for publication) | L1_Appendix 1 - GDPR | 1 |
| Subject information and informed consent form (for publication) | L1_BO40336_DEU_ ICF Addendum v1_14022022 | 1 |
| Subject information and informed consent form (for publication) | L1_BO40336_DEU_diagnostic_v4 | 4 |
| Subject information and informed consent form (for publication) | L1_BO40336_DEU_ICF_MAIN_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_BO40336_DEU_pregant Partnerin_v1 | 1 |
| Subject information and informed consent form (for publication) | L1_BO40336_DEU_PregPatientForm V1 | 1 |
| Subject information and informed consent form (for publication) | L1_BO40336_DEU_RBR_v1 | 1 |
| Subject information and informed consent form (for publication) | L1_BO40336_DEU_RBR_v2_clean | 2 |
| Subject information and informed consent form (for publication) | L1_ICF Diagnostic Test | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Main_Redacted | 4 |
| Subject information and informed consent form (for publication) | L1_ICF Pregnant Partner | 1 |
| Subject information and informed consent form (for publication) | L1_ICF RBR | 1 |
| Subject information and informed consent form (for publication) | L1_ICF RBR | 3 |
| Subject information and informed consent form (for publication) | L1_ICF_and_SIS_Main_Redacted | 7 |
| Subject information and informed consent form (for publication) | L1_ICF_Diagnostic | 2 |
| Subject information and informed consent form (for publication) | L1_ICF_Mandatory gen | 3 |
| Subject information and informed consent form (for publication) | L1_ICF_PP | 2 |
| Subject information and informed consent form (for publication) | L1_PIS_Diagnostic | 2 |
| Subject information and informed consent form (for publication) | L1_PIS_Main_Redacted | 6 |
| Subject information and informed consent form (for publication) | L1_PIS_Mandatory gen | 3 |
| Subject information and informed consent form (for publication) | L1_PIS_PP | 2 |
| Subject information and informed consent form (for publication) | L1_PIS_RBR | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Addendum to Main ICF | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Covid-19 ICF Addendum | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Diagnostic | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Diagnostic | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Diagnostic Test | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main | 6 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main | 6 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF MAIN Addendum v2_BO40336 | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Mobile Nursing | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Mobile Nursing | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional RBR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PPA | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PPA | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF privacy consent form other subject | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF tumour tissue for mutations | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ Enfermeria a Domicilio | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ Pruebas diagnosticas | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Anexo al ICF | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_General y RBR | 6 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_EN | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_RO | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Mobile Nursing_EN | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Mobile Nursing_RO | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_pareja embarazada | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner Authorization Form_EN | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner Authorization Form_RO | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Research Biosample Repository_EN_clean | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Research Biosample Repository_RO | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Sample Diagnostic Testing_EN | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Sample Diagnostic Testing_RO | 1 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Main_AT | 7.0 |
| Subject information and informed consent form (for publication) | L1_SISandICF_PPA_AT | 2.0 |
| Subject information and informed consent form (for publication) | L1_SISandICF_RBR_AT | 2.0 |
| Subject information and informed consent form (for publication) | L2_Right to not know | 1 |
| Subject information and informed consent form (for publication) | L2_Subjects rights | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC ALIMTA 500 mg powder for concentrate for solution for infusion.pdf | NA |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Carboplatin | NA |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Cisplatin NeoCorp 1 mgml - Konzentrat zur Herstellung einer Infusionslosun.pdf | NA |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Gemcitabin-GRY 1000 mg Pulver zur Herstellung einer Infusionslosung.pdf | NA |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC VINORELBINE.pdf | NA |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_at-de-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_eng-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_es-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_fr-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_gr-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_hu-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_it-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_pl-2023-506861-76-00 | 2.0 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_ro-2023-506861-76-00 | 2.0 |
Application history
6 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-04-19 | Denmark | Acceptable 2024-05-21
|
2024-05-21 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-08-27 | Acceptable 2024-05-21
|
2024-08-27 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-10-30 | Denmark | Acceptable | 2024-12-03 |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-01-23 | Denmark | Acceptable 2025-03-28
|
2025-03-28 |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-04-22 | Acceptable | 2025-05-26 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-12-09 | Denmark | Acceptable 2026-02-20
|
2026-02-20 |