Overview
Sponsor-declared trial summary
KRAS G12C-Positive Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
To evaluate the efficacy of divarasib compared with Kirsten rat sarcoma virus oncogene homolog glycine 12 to cysteine (KRAS G12C) inhibitors (sotorasib or adagrasib) with respect to progression-free survival (PFS)
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
- 28 Aug 2024 → ongoing
- Decision date (initial)
- 2024-08-26
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- F. Hoffmann-La Roche Ltd
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Others, Safety
To evaluate the efficacy of divarasib compared with Kirsten rat sarcoma virus oncogene homolog glycine 12 to cysteine (KRAS G12C) inhibitors (sotorasib or adagrasib) with respect to progression-free survival (PFS)
Secondary objectives 6
- To evaluate the efficacy of divarasib compared with KRAS G12C inhibitors (sotorasib or adagrasib) with respect to overall survival (OS)
- To evaluate, from the participant's perspective, the functioning and impact of key disease-related symptoms of participants treated with divarasib compared with KRAS G12C inhibitors (sotorasib or adagrasib)
- To evaluate the efficacy of divarasib compared with KRAS G12C inhibitors (sotorasib or adagrasib) with respect to duration of response (DOR)
- To evaluate the safety and tolerability of divarasib compared with KRAS G12C inhibitors (sotorasib or adagrasib)
- To evaluate the quality of life of participants treated with divarasib compared with KRAS G12C inhibitors (sotorasib or adagrasib)
- To evaluate the efficacy of divarasib compared with KRAS G12C inhibitors (sotorasib or adagrasib) with respect to confirmed objective response
Conditions and MedDRA coding
KRAS G12C-Positive Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 25.1 | LLT | 10069759 | KRAS mutation | 10018065 |
| 21.1 | PT | 10061873 | Non-small cell lung cancer | 100000004864 |
| 21.1 | PT | 10059515 | Non-small cell lung cancer metastatic | 100000004864 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- EMA paediatric investigation plan (PIP)
- EMEA-003364-PIP02-22
- Plan to share IPD
- No
- IPD plan description
- N/A
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Measurable disease according to RECIST v1.1
- Documentation of the presence of a KRAS G12C mutation through central laboratory testing of a tumor tissue sample or preexisting test results of a blood or tumor tissue sample
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Availability of a representative formalin-fixed, paraffin-embedded (FFPE) tumor specimen in a paraffin block (preferred) or 10-15 (15 preferred) unstained, freshly cut, serial slides with an associated pathology report
- Negative HIV test, Negative hepatitis B surface antigen (HbsAg) test and Negative hepatitis C virus (HCV) antibody test at screening
- Adequate hematologic and organ function within 14 days prior to initiation of study treatment
Exclusion criteria 6
- Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 7 days after the final dose of sotorasib, or of the final dose of adagrasib or divarasib. Female participants of childbearing potential must have a negative serum pregnancy test result within 7 days prior to initiation of study treatment.
- Known hypersensitivity to any of the components of divarasib, or sotorasib or adagrasib
- Malabsorption syndrome or other condition that would interfere with enteral absorption
- Known concomitant second oncogenic driver
- Mixed small-cell lung cancer or large cell neuroendocrine histology
- Known and untreated, or active CNS metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control)
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- 1. Progression-free survival (PFS)
Secondary endpoints 12
- 1. Overall survival (OS)
- 2. Confirmed Objective response
- 3. Time to confirmed deterioration (TTCD) on the EORTC QLQ-C30 dyspnea item and the physical functioning scale, and the cough scale of the QLQ-LC13 scales
- 4. Duration of response (DOR)
- 5. Incidence and severity of adverse events, with severity determined according to the NCI CTCAE v5.0 grading scale
- 6. Change from baseline in selected vital signs and ECG parameters
- 7. Change from baseline in selected clinical laboratory test results
- 8. Presence, frequency of occurrence, severity, and/or degree of interference with daily function of symptomatic treatment toxicities (diarrhea, nausea, vomiting, anorexia, alopecia, dyspnea, cough, constipation, myalgia, headache, and rash/acne) as assessed through use of the NCI PRO-CTCAE
- 9. Change from baseline in diarrhea, nausea, vomiting, anorexia, alopecia, dyspnea, cough, constipation, myalgia, headache, and rash/acne as assessed through use of the NCI PRO-CTCAE
- 10. Frequency of participants’ response of the degree they are troubled with treatment symptoms, as assessed through use of the single-item EORTC Item List (IL46)
- 11. Change from baseline in cough, chest pain, dyspnea, physical and role functioning, and GHS/QoL at each timepoint as assessed through use of the EORTC QLQ-LC13 and QLQ-C30
- 12. TTCD on the EORTC QLQ-C30 role functioning and GHS/QoL scales and TTCD on the chest pain scale of the QLQ-LC13 scales
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 5
—
PRD11168991 · Product
- Other product name
- GDC-6036
- Authorisation status
- Not Authorised
- MA holder
- GENENTECH, INC.
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD11168990 · Product
- Other product name
- GDC-6036
- Authorisation status
- Not Authorised
- MA holder
- GENENTECH, INC.
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD11081693 · Product
- Other product name
- GDC-6036
- Authorisation status
- Not Authorised
- MA holder
- GENENTECH, INC.
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD11081694 · Product
- Other product name
- GDC-6036
- Authorisation status
- Not Authorised
- MA holder
- GENENTECH, INC.
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD11081695 · Product
- Other product name
- GDC-6036
- Authorisation status
- Not Authorised
- MA holder
- GENENTECH, INC.
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 10
—
PRD11075055 · Product
- Substance synonyms
- 2-[(2S)-4-[7-(8-chloronaphthalen-1-yl)-2-[[(2S)-1-methylpyrrolidin-2-yl]methoxy]-6,8-dihydro-5H-pyrido[3,4-d]pyrimidin-4-yl]-1-(2-fluoroprop-2-enoyl)piperazin-2-yl]acetonitrile, MRTX-849
- Authorisation status
- Authorised
- Marketing authorisation
- EU/1/23/1744/001
- MA holder
- MIRATI THERAPEUTICS B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
PRD11078995 · Product
- Substance synonyms
- 2-[(2S)-4-[7-(8-chloronaphthalen-1-yl)-2-[[(2S)-1-methylpyrrolidin-2-yl]methoxy]-6,8-dihydro-5H-pyrido[3,4-d]pyrimidin-4-yl]-1-(2-fluoroprop-2-enoyl)piperazin-2-yl]acetonitrile, MRTX-849
- Authorisation status
- Authorised
- Marketing authorisation
- EU/1/23/1744/002
- MA holder
- MIRATI THERAPEUTICS B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
SUB197397 · Substance
- Authorisation status
- Authorised
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
PRD9412069 · Product
- Substance synonyms
- AMG 510, PYRIDO(2,3-D)PYRIMIDIN-2(1H)-ONE, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-1-(4-METHYL-2-(1-METHYLETHYL)-3-PYRIDINYL)-4-((2S)-2-METHYL-4-(1-OXO-2-PROPEN-1-YL)-1-PIPERAZINYL)-, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-(1M)-1-[4-METHYL-2-(PROPAN-2-YL)PYRIDIN-3-YL]-4-[(2S)-2-METHYL-4-(PROP-2-ENOYL)PIPERAZIN-1-YL]PYRIDO[2,3-D]PYRIMIDIN2(1H)-ONE
- Authorisation status
- Authorised
- Marketing authorisation
- EU/1/21/1603/001
- MA holder
- AMGEN EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
PRD9412072 · Product
- Substance synonyms
- AMG 510, PYRIDO(2,3-D)PYRIMIDIN-2(1H)-ONE, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-1-(4-METHYL-2-(1-METHYLETHYL)-3-PYRIDINYL)-4-((2S)-2-METHYL-4-(1-OXO-2-PROPEN-1-YL)-1-PIPERAZINYL)-, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-(1M)-1-[4-METHYL-2-(PROPAN-2-YL)PYRIDIN-3-YL]-4-[(2S)-2-METHYL-4-(PROP-2-ENOYL)PIPERAZIN-1-YL]PYRIDO[2,3-D]PYRIMIDIN2(1H)-ONE
- Authorisation status
- Authorised
- Marketing authorisation
- EU/1/21/1603/003
- MA holder
- AMGEN EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
PRD11341702 · Product
- Substance synonyms
- AMG 510, PYRIDO(2,3-D)PYRIMIDIN-2(1H)-ONE, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-1-(4-METHYL-2-(1-METHYLETHYL)-3-PYRIDINYL)-4-((2S)-2-METHYL-4-(1-OXO-2-PROPEN-1-YL)-1-PIPERAZINYL)-, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-(1M)-1-[4-METHYL-2-(PROPAN-2-YL)PYRIDIN-3-YL]-4-[(2S)-2-METHYL-4-(PROP-2-ENOYL)PIPERAZIN-1-YL]PYRIDO[2,3-D]PYRIMIDIN2(1H)-ONE
- Authorisation status
- Authorised
- Marketing authorisation
- EU/1/21/1603/004
- MA holder
- AMGEN EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
PRD9412070 · Product
- Substance synonyms
- AMG 510, PYRIDO(2,3-D)PYRIMIDIN-2(1H)-ONE, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-1-(4-METHYL-2-(1-METHYLETHYL)-3-PYRIDINYL)-4-((2S)-2-METHYL-4-(1-OXO-2-PROPEN-1-YL)-1-PIPERAZINYL)-, 6-FLUORO-7-(2-FLUORO-6-HYDROXYPHENYL)-(1M)-1-[4-METHYL-2-(PROPAN-2-YL)PYRIDIN-3-YL]-4-[(2S)-2-METHYL-4-(PROP-2-ENOYL)PIPERAZIN-1-YL]PYRIDO[2,3-D]PYRIMIDIN2(1H)-ONE
- Authorisation status
- Authorised
- Marketing authorisation
- EU/1/21/1603/002
- MA holder
- AMGEN EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
SUB197397 · Substance
- Authorisation status
- Authorised
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
SUB197397 · Substance
- Authorisation status
- Authorised
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
—
SUB197397 · Substance
- Authorisation status
- Authorised
- Marketing authorisation
- -
- 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 13
| Organisation | City, country | Duties |
|---|---|---|
| Median Technologies ORG-100041462
|
Valbonne, France | Other |
| Cellcarta Naperville LLC ORG-100042145
|
Naperville, United States | Laboratory analysis |
| Kayentis ORG-100037894
|
Meylan, France | Other |
| CellCarta ORG-100039881
|
Antwerp, Belgium | Laboratory analysis |
| Foundation Medicine, Inc. ORL-000011855
|
BostonMA 02210, United States | Laboratory analysis |
| Foundation Medicine GmbH ORG-100040499
|
Penzberg, Germany | Laboratory analysis |
| Labcorp Development (Asia) Pte Ltd ORG-100050418
|
Singapore, Singapore | Laboratory analysis |
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Interactive response technologies (IRT) |
| Covance Central Laboratory Services Inc. ORG-100018412
|
Indianapolis, United States | Laboratory analysis |
| Labcorp Central Laboratory Services SARL ORG-100011524
|
Meyrin, Switzerland | Laboratory analysis |
| Labcorp Central Laboratory Services LP ORG-100032236
|
Indianapolis, United States | Laboratory analysis |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | Other |
| Syneos Health, LLC ORL-000012636
|
Gurugram, India | Data management |
Locations
13 EU/EEA countries · 103 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ongoing, recruitment ended | 11 | 1 |
| Belgium | Ongoing, recruitment ended | 24 | 10 |
| Denmark | Ongoing, recruitment ended | 6 | 3 |
| Finland | Ongoing, recruitment ended | 4 | 3 |
| France | Ongoing, recruitment ended | 33 | 13 |
| Germany | Ongoing, recruitment ended | 30 | 17 |
| Greece | Ongoing, recruitment ended | 20 | 6 |
| Italy | Ongoing, recruitment ended | 34 | 17 |
| Netherlands | Ongoing, recruitment ended | 20 | 6 |
| Poland | Ongoing, recruitment ended | 30 | 12 |
| Portugal | Ongoing, recruitment ended | 12 | 5 |
| Spain | Ongoing, recruitment ended | 22 | 8 |
| Sweden | Ended | 4 | 2 |
| Rest of world
Hong Kong, United States, Argentina, United Kingdom, Taiwan, Brazil, Korea, Republic of, Japan, Singapore, Australia, Mexico, Thailand, Canada
|
— | 78 | — |
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 | 2024-12-03 | 2025-01-22 | 2025-08-25 | ||
| Belgium | 2024-11-06 | 2024-11-12 | 2025-08-25 | ||
| Denmark | 2024-09-19 | 2024-10-04 | 2025-08-25 | ||
| Finland | 2025-01-16 | 2025-01-20 | 2025-08-25 | ||
| France | 2024-09-13 | 2024-09-26 | 2025-08-25 | ||
| Germany | 2024-08-28 | 2024-09-24 | 2025-08-25 | ||
| Greece | 2024-10-21 | 2024-10-24 | 2025-08-25 | ||
| Italy | 2024-09-20 | 2024-10-16 | 2025-08-25 | ||
| Netherlands | 2024-09-30 | 2024-10-02 | 2025-08-25 | ||
| Poland | 2024-09-03 | 2024-10-22 | 2025-08-25 | ||
| Portugal | 2024-10-02 | 2024-10-03 | 2025-08-25 | ||
| Spain | 2024-09-26 | 2024-10-10 | 2025-08-25 | ||
| Sweden | 2024-09-09 | 2025-09-17 | 2024-09-11 | 2025-08-25 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 255 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2024-510908-37-00 GR Redacted | 3 |
| Protocol (for publication) | D1_Protocol 2024-510908-37-00 Redacted | 3 |
| Protocol (for publication) | D1_Protocol Memo 2024-510908-37-00 Redacted | N/A |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_AT-DE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_BE-FR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_BE-NL | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_DE-DE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_EN | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_ES | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_FR-FR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_GR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_IT | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_PT | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Adagrasib_SE-SE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_AT-DE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_BE-FR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_BE-NL | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_DE-DE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_EN | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_ES | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_FR-FR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_GR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_IT | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_PT | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Divarasib_SE-SE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_AT-DE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_BE-FR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_BE-NL | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_DE-DE | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_EN | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_ES | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_FR-FR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_GR | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_IT | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_PT | 3 |
| Protocol (for publication) | D4_Patient facing documents_Dosing Diary Sotorasib_SE-SE | 3 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_AT-DE | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_BE-FR | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_BE-NL | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_DE-DE | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_EN | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_ES | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_FR-FR | 1.2 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_GR | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_IT | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_PT | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_SE-SE | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_IL46_AT-DE | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_IL46_BE-FR | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_BE-NL | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_DE-DE | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_FR-FR | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_GR | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_PT | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46_SE-SE | N/A |
| Protocol (for publication) | D4_Patient facing documents_IL46L_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_AT-DE | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_LC13_BE-FR | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_BE-NL | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_DE-DE | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_EN | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_ES | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_FR-FR | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_GR | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_IT | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_PT | N/A |
| Protocol (for publication) | D4_Patient facing documents_LC13_SE-SE | N/A |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_AT-DE | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_BE-FR | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_BE-NL | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_DE-DE | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_EN | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_ES | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_FR-FR | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_GR | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_IT | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_PT | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PRO-CTCAE_SE-SE | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_AT-DE | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_BE-DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_BE-FR | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_BE-NL | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_DE-DE | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_EN | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_ES | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_FR-FR | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_GR | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_IT | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_PT | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_SE-SE | 3.0 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_BO45217_DEU_Recruitment Arrangements and Informed Consent Procedure | 2 |
| Recruitment arrangements (for publication) | K1_Document additionel_redacted | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangement | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 6.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_RecruitmentArrangements_AT | 1 |
| Recruitment arrangements (for publication) | K2_BO45217_DEU_Social Media Post_V1_2025-04-08 | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Diversity_inclusion leaflet | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_referral letter_PH | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Template Communication to Doctors | 1.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_Appendix 1 to ICF | 3 |
| Subject information and informed consent form (for publication) | L1_BO45217_DEU_ICF_MAIN_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_BO45217_DEU_ICF_OPTIONALE_BIOPSIE | 2 |
| Subject information and informed consent form (for publication) | L1_BO45217_DEU_ICF_RBR | 2 |
| Subject information and informed consent form (for publication) | L1_BO45217_DEU_ICF_VERSCHLECHTERUNG | 2 |
| Subject information and informed consent form (for publication) | L1_BO45217_DEU_ICF_VORUNTERSUCHUNG | 2 |
| Subject information and informed consent form (for publication) | L1_Genom document | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Apparent Disease Worsening | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Infant Health | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Main_REDACTED | 3 |
| Subject information and informed consent form (for publication) | L1_ICF Optional Biopsy_REDACTED | 2 |
| Subject information and informed consent form (for publication) | L1_ICF Optional RBR_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Prescreening_REDACTED | 2 |
| Subject information and informed consent form (for publication) | L1_Privacy consent form other subject | 2.0 |
| Subject information and informed consent form (for publication) | L1_Recruitment Arrangement | 1 |
| Subject information and informed consent form (for publication) | L1_SIS Additional Information leaflet Appendix 2 redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Authorisation For The Use and Sharing of Infant Health Information clean | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Authorisation For The Use And Sharing of Pregnancy Health Info | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF collect data infant | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF disease progression | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF for the use and sharing of infant health information | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Genetic EN_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Genetic PT_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF IAF | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF IAF_EN | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF IAF_FR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF IAF_NL | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Infant AF EN | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Infant AF PT | 1.1 |
| 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 EN_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Informed Consent Form Redacted | 8.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main PT_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main research redacted | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_EN_REDACTED | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_FR_REDACTED | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_NL_REDACTED | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main_REDACTED | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Biopsy_REDACTED | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF optional biospy | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional EN_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional PT | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optionele biopsieen | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PPA | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PPA_EN | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PPA_FR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PPA_NL | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening consent form redacted | 6.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening EN_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening PT_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-studie onderzoek | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF pregnancy partner | 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 EN | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner PT | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF prescreening | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Prescreening_EN_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Prescreening_FR_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Prescreening_NL_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Prescreening_REDACTED | 3 |
| 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 RBR | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR EN_Redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR PT_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR_REDACTED | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR_TC | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Thuisbezoeken | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Zwangere partner | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Consent for Infant Health Data | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Consent for pregnant partner | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Consent to Mobile Nursing | n/a |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ICF Appendix 1 (Risks)_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ICF Appendix 2 (Data integrity)_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ICF Appendix 3 (optional biopsy)_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ICF Appendix 4 (consent to long term storage)_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_ICF Appendix 5 (consent to treatment beyond progression) | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Infant AF | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Infant Authorisatie | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_REDACTED | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_optional procedure_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening ICF (alternative 1)_REDACTED | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening ICF (alternative 2)_REDACTED | 2.0 |
| 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_RBR_REDACTED | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_RBR_Redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment cont after worsening | 1 |
| Subject information and informed consent form (for publication) | L1_SIS Data Privacy Information Sheet Appendix 1 | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_General_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_IAF | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_Mobile Nursing_PH | 1 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_Optional Biopsy | 1 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_PPA | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_Prescreening | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_ICF_RBR_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Infant AF_AT | 1.2 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Main_AT_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Optional Biopsy_AT_redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SISandICF_PPA_AT | 1.2 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Pre-screening_AT_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SISandICF_RBR_AT_redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SISandICF_TreatmentContinuation_AT | 1.0 |
| Subject information and informed consent form (for publication) | L2_Informed consent form procedure | 2.0 |
| Subject information and informed consent form (for publication) | L2_Note to File | 1 |
| Subject information and informed consent form (for publication) | L2_Sponsor Statement On Use of ICF Model | 1 |
| Subject information and informed consent form (for publication) | L2_Subjects rights | 2 |
| Subject information and informed consent form (for publication) | L2_Subjects rights IVDR | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC KRAZATI.pdf | NA |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC LUMYKRAS | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC LUMYKRAS-redline | N/A |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_AT-DE 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_AT-DE 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-DE 2024-510908-37-00 Redline.pd | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-DE 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-FR 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-FR 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-NL 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-NL 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ENG 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ENG 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ES 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ES 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_FR-FR 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_FR-FR 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_GR 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_GR 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_IT 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_IT 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_NL-NL 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_NL-NL 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PT 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PT 2024-510908-37-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_SE-SE 2024-510908-37-00 Redline.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_SE-SE 2024-510908-37-00.pdf | 2 |
Application history
14 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-05-02 | Denmark | Acceptable 2024-08-19
|
2024-08-19 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-09-09 | Acceptable 2024-08-19
|
2024-09-09 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-09-12 | Acceptable | 2024-11-06 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-09-30 | Acceptable | 2024-11-18 | |
| 5 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2024-11-19 | Acceptable | 2024-11-19 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-12-19 | Denmark | Acceptable 2025-03-18
|
2025-03-18 |
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2025-04-01 | Denmark | Acceptable 2025-03-18
|
2025-04-01 |
| 8 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-04-08 | Acceptable | 2025-04-11 | |
| 9 | NON SUBSTANTIAL MODIFICATION | NSM-5 | 2025-04-14 | Denmark | Acceptable | 2025-04-14 |
| 10 | SUBSTANTIAL MODIFICATION | SM-6 | 2025-06-05 | Denmark | Acceptable 2025-09-05
|
2025-09-05 |
| 11 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-12-12 | Denmark | No conclusion 2026-02-10
|
2026-02-12 |
| 12 | NON SUBSTANTIAL MODIFICATION | NSM-6 | 2026-03-09 | Denmark | No conclusion 2026-02-10
|
2026-03-09 |
| 13 | SUBSTANTIAL MODIFICATION | SM-8 | 2026-03-10 | No conclusion | 2026-03-16 | |
| 14 | SUBSTANTIAL MODIFICATION | SM-9 | 2026-03-18 | Denmark | No conclusion | 2026-03-26 |