A Phase 3 Multicenter, Randomized, Double-blind, Placebo-controlled and Deucravacitinib Active Comparator-controlled Study to Evaluate the Efficacy and Safety of JNJ-77242113 for the Treatment of Participants With Moderate to Severe Plaque Psoriasis

2023-507039-39-00 Protocol 77242113PSO3004 Therapeutic confirmatory (Phase III) Authorised, recruiting

Start 22 Mar 2024 · Status Authorised, recruiting · 6 EU/EEA countries · 58 sites · Protocol 77242113PSO3004

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruiting
Participants planned 748
Countries 6
Sites 58

Moderate to Severe Plaque Psoriasis

To evaluate the efficacy of JNJ-77242113 compared with placebo in participants with moderate to severe plaque psoriasis.

Key facts

Sponsor
Janssen - Cilag International
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
22 Mar 2024 → ongoing
Decision date (initial)
2024-03-20
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Pharmacokinetic, Others, Therapy, Pharmacogenomic, Safety, Efficacy

To evaluate the efficacy of JNJ-77242113 compared with placebo in participants with moderate to severe plaque psoriasis.

Conditions and MedDRA coding

Moderate to Severe Plaque Psoriasis

VersionLevelCodeTermSystem organ class
20.0 LLT 10071117 Plaque psoriasis 10040785

Regulatory references

Scientific advice from competent authorities
European Medicines Agency, Food And Drug Administration
Plan to share IPD
Yes
IPD plan description
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. 1. ≥18 years of age at the screening visit.
  2. 2. Diagnosis of plaque psoriasis, with or without PsA, for at least 26 weeks prior to the first administration of study intervention.
  3. 3. Total BSA ≥10% at screening and baseline.
  4. 4. Total PASI ≥12 at screening and baseline.
  5. 5. Total IGA ≥3 at screening and baseline.

Exclusion criteria 5

  1. 1. Nonplaque form of psoriasis.
  2. 2. Current drug-induced psoriasis.
  3. 3. A current diagnosis or signs or symptoms of severe, progressive, or uncontrolled renal, liver, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances.
  4. 4. Known allergies, hypersensitivity, or intolerance to JNJ-77242113, deucravacitinib, or to any of the excipients or components of the study intervention.
  5. 5. Major surgical procedure, within 8 weeks before screening, or will not have fully recovered from surgical procedure, or has a surgical procedure planned during the time the participant is expected to participate in the study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. IGA score of 0 or 1 and a ≥2-grade improvement from baseline at Week 16.
  2. PASI 90 at Week 16.

Investigational products

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

Test 1

JNJ-77242113

PRD10321777 · Product

Active substance
JNJ-77242113
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
156 Week(s)
Authorisation status
Not Authorised
MA holder
JANSSEN-CILAG INTERNATIONAL N.V.
Paediatric formulation
No
Orphan designation
No

Comparator 1

Deucravacitinib

SUB214583 · Substance

Active substance
Deucravacitinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The commercially available tablets will be supplied as over-encapsulated capsules.

Placebo 2

Film-Coated Tablet without Deucravacitinib

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Film-Coated Tablet without JNJ-77242113

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Janssen - Cilag International

Sponsor organisation
Janssen - Cilag International
Address
Turnhoutseweg 30
City
Beerse
Postcode
2340
Country
Belgium

Scientific contact point

Organisation
Janssen - Cilag International
Contact name
CTIS Point of Contact

Public contact point

Organisation
Janssen - Cilag International
Contact name
CTIS Point of Contact

Third parties 3

OrganisationCity, countryDuties
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Other, Laboratory analysis, Code 5, Data management, Code 8
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States E-data capture, Code 8

Locations

6 EU/EEA countries · 58 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruitment ended 62 17
Hungary Ongoing, recruitment ended 30 3
Italy Not authorised 18 7
Poland Ongoing, recruitment ended 200 13
Romania Ongoing, recruitment ended 38 7
Spain Ongoing, recruitment ended 44 11
Rest of world
Korea, Democratic People's Republic of, Brazil, Taiwan, Australia, Mexico, Canada, United States
356

Investigational sites

Germany

17 sites · Ongoing, recruitment ended
Dr. Niesmann And Dr. Othlinghaus GbR
Not Applicable, Alleestrasse 80, Innenstadt, Bochum
Technische Universitat Dresden
Klinik und Poliklinik für Dermatologie, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Thermalsole und Schwefelbad Bentheim GmbH
Dermatology, Am Bade 1, 48455, Bad Bentheim
Klinikum Oldenburg AöR
Dermatologie und Allergologie, Rahel-Straus-Strasse 10, Kreyenbrueck, Oldenburg
CRS Clinical Research Services Management GmbH
Dermatology, Siemensdamm 65, Siemensstadt, Berlin
Hautarztpraxis Dr. Mihaescu
Not Applicable, Froelichstrasse 8, 86150, Augsburg
Eurofins bioskin GmbH
Research Center Dermatology, Messberg 4, Hamburg-Altstadt, Hamburg
Universitaet Muenster
Klinik für Hautkrankheiten, Von-Esmarch-Strasse 58, Sentrup, Muenster
Klinikum Darmstadt GmbH
Dermatology, Grafenstrasse 9, 64283, Darmstadt
Privatpraxis Dr. Hilton & Partner
Dermatology, Venerology, Grünstrasse 4-6, 40212, Düsseldorf
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
Hautklinik, Langenbeckstrasse 1, Oberstadt, Mainz
Derma-Study-Center Friedrichshafen GmbH
Not Applicable, Charlottenstrasse 12/1, 88045, Friedrichshafen
Hautzentrum Dülmen
Not Applicable, Vollenstr. 8, 48249, Dülmen
Hms GmbH
Dermatology, Trierer Strasse 215-217, 66663, Merzig
Universitaetsklinikum Heidelberg AöR
Dermatology, Im Neuenheimer Feld 440, Neuenheim, Heidelberg
Fachaerztliche Gemeinschaftspraxis fuer Dermatologie Und Venerologie Allergologie Umweltmedizin Lasermedizin GbR
Not Applicable, Am Bahnhof 1, Mahlow, Blankenfelde-Mahlow
Hautarztpraxis Dr. Hoffmann
dermatology, allergology, oncology, Annenstrasse 151, 58453, Witten

Hungary

3 sites · Ongoing, recruitment ended
Bacs-Kiskun Varmegyei Oktatokorhaz
Borgyogyaszati Osztaly, Nyiri Ut 38, 6000, Kecskemet
Uno Medical Trials Kft.
Not Applicable, Vecsey Karoly Utca 39, 1152, Budapest XV
Gyongyosi Bugat Pal Korhaz
Borgyogyaszati szakrendeles, Dozsa Gyorgy Utca 20-22, 3200, Gyongyos

Italy

7 sites · Not authorised
University Hospital Consorziale Policlinico
U.O.C. Dermatologia e Venereologia Universitaria, Piazzale Giulio Cesare 11, 70124, Bari
Azienda Unita' Locale Socio Sanitaria N. 8 Berica
Dermatologia, Viale Ferdinando Rodolfi 37, 36100, Vicenza
Azienda Ospedaliera Universitaria Senese
Dermatologia, Strada Delle Scotte 14, 53100, Siena
Azienda Ospedaliero Universitaria Delle Marche
Clinica di Dermatologia, Via Conca 71, 60126, Ancona
Fondazione Luigi Maria Monti
Dermatologia, Roma, Via Dei Monti Di Creta 104, Rome
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
UO Dermatologia, Piazzale Spedali Civili 1, 25123, Brescia
Azienda Ospedaliera Universitaria Citta' Della Salute E Della Scienza Di Torino
DH Dermatologia U, Corso Bramante 88, 10126, Turin

Poland

13 sites · Ongoing, recruitment ended
Jagiellońskie Centrum Innowacji Sp. z o.o.
NA, Ul. Prof. Michala Bobrzynskiego 14, 30-348, Cracow
Carpe Diem Centrum Medycyny Estetycznej
NA, Ul. Ulica Wita Stwosza 48 Lok. 110, 02-661, Warsaw
Royalderm Agnieszka Nawrocka
NA, Ul. Krzysztofa Kieslowskiego 3B/3, 02-962, Warszawa
Krakowskie Centrum Badan Klinicznych Sp. z o.o.
NA, Ul. Madalinskiego 11a Lok 35, 30-303, Cracow
Etyka Osrodek Badan Klinicznych Tomasz Pesta S.K.A.
NA, Ul. 1 Maja 13 C, 10-117, Olsztyn
Care Clinic Sp. z o.o.
NA, Ul. Ligocka 103, 40-568, Katowice
Renew Clinic Sp. z o.o.
NA, Ul Gen Gustawa Orlicz Dreszera 1/8, 15-797, Bialystok
Wromedica I Bielicka A Strzalkowska s.c.
NA, Ul. Adama Mickiewicza 91, 51-685, Wroclaw
Prywatny Gabinet Dermatologiczny Elzbieta Klujszo
NA, Ul.Generała Tadeusza Kościuszki 50/lok. 29, 25-316, Kielce
Specjalistyczny Gabinet Dermatologiczny Aplikacyjno Badawczy Marek Brzewski Paweł Brzewski s.c.
NA, ul. Zbozowa 2/25, 30-002, Krakow
Diamond Clinic Sp. z o.o.
NA, Ul. Stefana Rogozinskiego 6/U11, 31-559, Cracow
Provita Sp. z o.o.
Centrum Medyczne Angelius Provita, Ul. Fabryczna 15b, 40-611, Katowice
Synexus Polska Sp. z o.o.
Oddzial w Warszawie, Ul. Ulica Domaniewska 49, 02-672, Warsaw

Romania

7 sites · Ongoing, recruitment ended
Spitalul Clinic Judetean Mures
Dermatology, Strada Doja Gheorghe Nr 12, 540342, Targu Mures
Spitalul Clinic Judetean De Urgenta Craiova
Dermatology, Strada Tabaci Nr 1, 200642, Craiova
Spitalul Clinic Judetean De Urgenta Bihor
Dermatology, Calea Republicii Nr 37, 410167, Oradea
Newderm Clinic S.R.L.
Dermatology, Strada Martir Paris Janos 11, 300757, Timisoara
Vitaplus Medclin S.R.L.
Dermatology, Strada Anul 1848 Nr.100, 200541, Craiova
Cabinet Medical De Dermato Venerologie Prof.Dr. Orasan R. Remus Ioan
Dermatology, Bulevardul 21 Decembrie 1989 23-35 Ap 44, 400105, Cluj-Napoca
Iasiprest S.R.L.
Dermatology, Strada Ignat 15, 700380, Jassi

Spain

11 sites · Ongoing, recruitment ended
Hospital Universitario Virgen De Valme
Dermatology, Avenida Bellavista S/n, 41014, Sevilla
Hospital De Manises
Dermatology, Avinguda De La Generalitat Valenciana 50, 46940, Manises
Clinica Gaias Santiago
Dermatology, Rua Do Pintor Xaime Quesada N 2-4, 15702, Santiago De Compostela
Hospital Universitario Fundacion Alcorcon
Dermatology, Calle Budapest 1, 28022, Madrid
Hospital Universitario De Salamanca
Dermatology, Paseo De San Vicente 58-182, 37007, Salamanca
Hospital Marina Baixa De La Vila Joiosa
Dermatology, Avenida Alcalde En Jaume Botella Mayor 7, 03570, Villajoyosa
Hospital Germans Trias I Pujol
Dermatology, Carretera Canyet 1a Planta, 08916, Badalona
Hospital Clinic De Barcelona
Dermatology, Calle Villarroel 170, 08036, Barcelona
Complexo Hospitalario Universitario De Santiago
Dermatology, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Clinico Universitario Lozano Blesa
Dermatology, Avenida De San Juan Bosco 15, 50009, Zaragoza
Hospital Universitario Virgen De La Macarena
Dermatology, Avenida Del Doctor Fedriani 3, 41009, Sevilla

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-03-22 2024-03-25 2024-06-12
Hungary 2024-03-25 2024-03-27 2024-06-12
Poland 2024-04-08 2024-04-08 2024-06-12
Romania 2024-04-18 2024-05-08 2024-06-12
Spain 2024-03-22 2024-04-04 2024-06-12

Results and documents

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

Documents 83 files

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

TypeTitleVersion
Protocol (for publication) D1_REDACTED_Protocol_EN_ENG_2023-507039-39 Am1
Protocol (for publication) D4_REDACTED_DLQI Placeholder NA
Protocol (for publication) D4_REDACTED_EQ-5D-5L Placeholder NA
Protocol (for publication) D4_REDACTED_GenPs-SFQ Placeholder NA
Protocol (for publication) D4_REDACTED_PHQ-9_DE_GER NA
Protocol (for publication) D4_REDACTED_PHQ-9_EN_ENG NA
Protocol (for publication) D4_REDACTED_PHQ-9_ES_SPA NA
Protocol (for publication) D4_REDACTED_PHQ-9_HU_HUN NA
Protocol (for publication) D4_REDACTED_PHQ-9_IT_ITA NA
Protocol (for publication) D4_REDACTED_PHQ-9_RO_RUM NA
Protocol (for publication) D4_REDACTED_PRO_AE_DE_GER 3
Protocol (for publication) D4_REDACTED_PRO_AE_EN_ENG 3
Protocol (for publication) D4_REDACTED_PRO_AE_ES_SPA 3
Protocol (for publication) D4_REDACTED_PRO_AE_HU_HUN 3
Protocol (for publication) D4_REDACTED_PRO_AE_IT_ITA 3
Protocol (for publication) D4_REDACTED_PRO_AE_RO_RUM 3
Protocol (for publication) D4_REDACTED_PROMIS-29 Placeholder NA
Protocol (for publication) D4_REDACTED_PsA Disease Assessment_DE_GER 1
Protocol (for publication) D4_REDACTED_PsA Disease Assessment_EN_ENG 1
Protocol (for publication) D4_REDACTED_PsA Disease Assessment_ES_SPA 1
Protocol (for publication) D4_REDACTED_PsA Disease Assessment_IT_ITA 1
Protocol (for publication) D4_REDACTED_PsA Disease Assessment_RO_RUM 1
Protocol (for publication) D4_REDACTED_PsA Pain Assessment_DE_GER 1
Protocol (for publication) D4_REDACTED_PsA Pain Assessment_EN_ENG 1
Protocol (for publication) D4_REDACTED_PsA Pain Assessment_ES_SPA 1
Protocol (for publication) D4_REDACTED_PsA Pain Assessment_HU_HUN 1
Protocol (for publication) D4_REDACTED_PsA Pain Assessment_IT_ITA 1
Protocol (for publication) D4_REDACTED_PsA Pain Assessment_RO_RUM 1
Protocol (for publication) D4_REDACTED_PsA_Disease_Assessment_HU_HUN 1
Protocol (for publication) D4_REDACTED_PSSD Diary 24 hr recall_DE_GER 1
Protocol (for publication) D4_REDACTED_PSSD Diary 24 hr recall_EN_ENG 2
Protocol (for publication) D4_REDACTED_PSSD Diary 24 hr recall_ES_SPA 2
Protocol (for publication) D4_REDACTED_PSSD Diary 24 hr recall_HU_HUN 1
Protocol (for publication) D4_REDACTED_PSSD Diary 24 hr recall_IT_ITA 2
Protocol (for publication) D4_REDACTED_PSSD Diary 24 hr recall_RO_RUM 2
Protocol (for publication) D4_REDACTED_PSSD Diary 7 day recall_EN_ENG 2
Protocol (for publication) D4_REDACTED_PSSD Diary 7 day recall_ES_SPA 2
Protocol (for publication) D4_REDACTED_PSSD Diary 7 day recall_HU_HUN 2
Protocol (for publication) D4_REDACTED_PSSD Diary 7 day recall_IT_ITA 2
Protocol (for publication) D4_REDACTED_PSSD Diary 7 day recall_RO_RUM 2
Protocol (for publication) D4_REDACTED_TSQM-E Placeholder NA
Protocol (for publication) REDACTED_D4_PF_PSSD 7 day recall diary_DE_GER_2023-507039-39 2
Recruitment arrangements (for publication) REDACTED_K1_Recruitment Arrangements _DE_ENG_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K1_Recruitment Arrangements _PL_POL_2023-507039-39 2
Recruitment arrangements (for publication) REDACTED_K2_Patient Flyer_HU_HUN_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Patient Study Information Brochure_HU_HUN_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Poster_HU_HUN_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Recruitment material Patient Brochure_DE_GER_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Recruitment material Patient Flyer_DE_GER_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Recruitment material Web Post - Eurofins Bioskin_DE_GER_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Recruitment material Web Post I_DE_GER_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Recruitment material Web Post II_DE_GER_77242113PSO3004 1
Recruitment arrangements (for publication) REDACTED_K2_Recruitment Material_Patient Flyer_POL_PL_2023-507039-39 1
Recruitment arrangements (for publication) REDACTED_K2_Recruitment Material_PatientInformationBrochure_POL_PL_2023-507039-39 1
Recruitment arrangements (for publication) REDACTED_K2_Web ad Short_HU_HUN_77242113PSO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_ICF_Optional Biopsy Sub-Study_HU_HUN_77242113PSO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_ICF_Optional Genetic_HU_HUN_77242113PSO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_ICF_Optional Photography Sub-Study_HU_HUN_77242113PSO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_ICF_Withdrawal_HU_HUN_77242113PSO3004 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Biopsy_DE_GER_77242113PSO3004 2
Subject information and informed consent form (for publication) Redacted_L1_SIS and ICF Clinical_HU_HUN_2023-507039-39 4
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Genetics_DE_GER_77242113PSO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Main_DE_GER_77242113PSO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Photo_DE_GER_77242113PSO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnancy_DE_GER_77242113PSO3004 2
Subject information and informed consent form (for publication) Redacted_L1_SIS and ICF Pregnant Partner_HU_HUN_2023-507039-39 3
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Withdrawal_DE_GER_77242113PSO3004 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Master Clinical ICF_PL_POL_2023-507039-39 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Optional Biopsy Substudy ICF_PL_POL_2023-507039-39 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Optional Genetic Research ICF_PL_POL_2023-507039-39 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Optional Photography Substudy ICF_PL_POL_2023-507039-39 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Pregnant partner ICF_PL_POL_2023-507039-39 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF_Withdrawal ICF_PL_POL_2023-507039-39 1
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_DE_GER_77242113PSO3004 2
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_HU_HUN_77242113PSO3004 3
Subject information and informed consent form (for publication) REDACTED_L2_Subject Wallet Card_PL_POL_2023-507039-39 1
Summary of Product Characteristics (SmPC) (for publication) E2_Packaging Insert_Deucravacitinib NA
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Deucravacitinib NA
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis PL_POL_2023-507039-39 Am1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis_ES_SPA_2023-507039-39 Am1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis_HU_HUN_2023-507039-39 Am1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis_IT_ITA_2023-507039-39 Am1
Synopsis of the protocol (for publication) D1_REDACTED_Protocol Synopsis_RO_RUM_2023-507039-39 Am1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-11-21 Spain Acceptable with conditions
2024-03-18
2024-03-19
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-04-04 Acceptable with conditions
2024-03-18
2024-04-04
3 SUBSTANTIAL MODIFICATION SM-1 2024-04-25 Spain Acceptable
2024-07-24
2024-07-25
4 SUBSTANTIAL MODIFICATION SM-2 2024-10-04 Spain Acceptable with conditions
2025-01-21
2025-01-21
5 NON SUBSTANTIAL MODIFICATION NSM-2 2025-01-28 Spain Acceptable with conditions
2025-01-21
2025-01-28
6 SUBSTANTIAL MODIFICATION SM-3 2025-02-28 Spain Acceptable
2025-04-08
2025-04-08
7 SUBSTANTIAL MODIFICATION SM-4 2025-04-25 Acceptable 2025-06-10
8 NON SUBSTANTIAL MODIFICATION NSM-3 2025-07-31 Spain Acceptable 2025-07-31
9 SUBSTANTIAL MODIFICATION SM-5 2025-09-17 Acceptable 2025-11-28
10 SUBSTANTIAL MODIFICATION SM-6 2025-09-30 Acceptable 2025-10-29
11 SUBSTANTIAL MODIFICATION SM-7 2026-01-28 Spain Acceptable
2026-03-12
2026-03-13