A Study Assessing Adverse Events and Disease Activity When Comparing Intravenously (IV) Infused ABBV-400 to Trifluridine and Tipiracil (LONSURF) Oral Tablets Plus IV Infused Bevacizumab in Adult Participants with Refractory Metastatic Colorectal Cancer expressing c-Met Protein Level Above Cutoff

2024-512804-20-00 Protocol M24-064 Therapeutic confirmatory (Phase III) Ended

End 1 May 2026 · Status Ended · 6 EU/EEA countries · 41 sites · Protocol M24-064

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 400
Countries 6
Sites 41

Metastatic Colorectal Cancer

Stage 1: To optimize telisotuzumab adizutecan monotherapy dose to determine the recommended dose in participants with unresectable refractory metastatic colorectal cancer (mCRC) selected for the defined level of c-Met protein expression; To evaluate the efficacy of telisotuzumab adizutecan monotherapy dose as measured …

Key facts

Sponsor
AbbVie Deutschland GmbH & Co. KG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
completed 1 May 2026
Decision date (initial)
2025-12-10
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Abbvie

External identifiers

EU CT number
2024-512804-20-00
ClinicalTrials.gov
NCT06614192

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety, Efficacy

Stage 1: To optimize telisotuzumab adizutecan monotherapy dose to determine the recommended dose in participants with unresectable refractory metastatic colorectal cancer (mCRC) selected for the defined level of c-Met protein expression; To evaluate the efficacy of telisotuzumab adizutecan monotherapy dose as measured by objective response (OR) in participants with unresectable refractory mCRC selected for the defined level of c-Met protein expression.; To evaluate the safety of telisotuzumab adizutecan monotherapy in participants with unresectable refractory mCRC selected for the defined level of c-Met protein expression;
Stage 2: To demonstrate the superiority of telisotuzumab adizutecan over LONSURF (Trifluridine and Tipiracil) plus bevacizumab in terms of objective response (OR); To demonstrate the superiority of telisotuzumab adizutecan over LONSURF (Trifluridine and Tipiracil) plus bevacizumab in terms of overall survival (OS).

Secondary objectives 7

  1. Stage 1: To evaluate the efficacy as measured by progression free survival (PFS), and overall survival (OS) of telisotuzumab adizutecan monotherapy.
  2. Stage 1: To evaluate clinical outcomes such as duration of response (DOR), disease control rate (DCR) of telisotuzumab adizutecan monotherapy.
  3. Stage 1: To evaluate the pharmacokinetic (PK) profile of telisotuzumab adizutecan monotherapy.
  4. Stage 2: To evaluate the efficacy as measured by progression free survival (PFS) of telisotuzumab adizutecan monotherapy.
  5. Stage 2: To evaluate the impact of telisotuzumab adizutecan on key patient-reported outcomes (PROs) by assessing symptoms, functional impacts and overall quality of life (QoL) from the participant's perspective.
  6. Stage 2: To evaluate the safety of telisotuzumab adizutecan monotherapy.
  7. Stage 2: To evaluate clinical outcomes such as duration of response (DOR), disease control rate (DCR) of telisotuzumab adizutecan monotherapy.

Conditions and MedDRA coding

Metastatic Colorectal Cancer

VersionLevelCodeTermSystem organ class
27.0 LLT 10052362 Metastatic colorectal cancer 10029104

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration, European Medicines Agency
Plan to share IPD
Yes
IPD plan description
Plan Description: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information. To learn more about the process, or to submit a request, visit https://www.abbvieclinicaltrials.com/hcp/data-sharing/ For details on when studies are available for sharing, visit https://vivli.org/ourmember/abbvie/

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Life expectancy >= 12 weeks per investigator assessment.
  2. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 during the screening period prior to the first dose of the study drug.
  3. Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1.

Exclusion criteria 3

  1. Prior systemic regimen containing c-MET targeting antibody/bispecific or Antibody Drug Conjugate (c-Met targeting Antibody Drug Conjugate [ADC]).
  2. History of allergic reactions or hypersensitivity to bevacizumab or any of its excipients, or to compounds similar to trifluridine/tipiracil.
  3. Active infection as noted in the protocol.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 6

  1. Stage 1: Percentage of Participants with Adverse Events (AE)s
  2. Stage 1: Percentage of Participants with With Potentially Clinically Significant (PCS) Vital Sign Measurements as Assessed by the Investigator
  3. Stage 1: Percentage of Participants with PCS Electrocardiograms (ECGs) Findings as Assessed by the Investigator
  4. Stage 1: Percentage of Participants with PCS Laboratory Values (Chemistry, Hematology, Coagulation, and Urinalysis) as Assessed by the Investigator
  5. Stage 1 and Stage 2: Objective Response (OR) as Assessed by Blinded Independent Central Review (BICR)
  6. Stage 2: Overall Survival (OS)

Secondary endpoints 22

  1. Stage 1 and Stage 2: Progression Free Survival (PFS) as Assessed by BICR
  2. Stage 1: OS
  3. Stage 1 and Stage 2: Duration of Response (DOR) as Assessed by BICR
  4. Stage 1 and Stage 2: Disease Control (DC) as Assessed by BICR
  5. Stage 1 and Stage 2: OR as Assessed by Investigator
  6. Stage 1 and Stage 2: PFS as Assessed by Investigator
  7. Stage 1 and Stage 2: DOR as Assessed by Investigator
  8. Stage 1: Maximum Observed Serum (or Plasma, for Payload) Concentration (Cmax) for Telisotuzumab Adizutecan
  9. Stage 1: Time to Cmax (Tmax) for Telisotuzumab Adizutecan
  10. Stage 1: Terminal Elimination Half-Life (t1/2) for Telisotuzumab Adizutecan
  11. Stage 1: Area Under the Serum (or Plasma, for Payload) Concentration Versus Time Curve (AUC) for Telisotuzumab Adizutecan
  12. Stage 1: Antibody Drug Conjugate (ADC) for Telisotuzumab Adizutecan
  13. Stage 1: Unconjugated Topoisomerase 1 (Top1) Inhibitor Payload for Telisotuzumab Adizutecan
  14. Stage 1: Incidence of Anti-Drug Antibodies (ADAs) for Telisotuzumab Adizutecan
  15. Stage 1: Neutralizing Anti-Drug Antibodies (nADAs) for Telisotuzumab Adizutecan
  16. Stage 2: Change from Baseline at C5D1 in Physical Functioning as Measured by the Physical Functioning Domain of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQC30)
  17. Stage 2: Change from Baseline at C7D1 (Standard of Care [SOC] Arm) in Physical Functioning as Measured by the Physical Functioning Domain of the EORTC QLQ-C30
  18. Stage 2: Change from Baseline at C5D1 in in Diarrhea as Measured by the Physical Functioning Domain of the EORTC QLQ-C30
  19. Stage 2: Change from Baseline at C7D1 (SOC Arm) in Diarrhea as Measured by the Physical Functioning Domain of the EORTC QLQ-C30
  20. Stage 2: Change from Baseline at C5D1 in in Global Health Status (GHS)/QoL as Measured by the Physical Functioning Domain of the EORTC QLQ-C30
  21. Stage 2: Change from Baseline at C7D1 (SOC Arm) in GHS/QoL as Measured by the Physical Functioning Domain of the EORTC QLQ-C30
  22. Stage 1 and Stage 2: DC as Assessed by Investigator

Investigational products

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

Test 1

Telisotuzumab adizutecan

PRD11535908 · Product

Active substance
Telisotuzumab Adizutecan
Substance synonyms
ABBV-400, DC-1951796, Telisotuzumab conjugated to (2S)-2-(2-bromoacetamido)-N-[(2S)-1-({3-[(7S)-7-ethyl-7-hydroxy-8,11-dioxo-7,8,11,13-tetrahydro-2H,10H-[1,3]dioxolo[4,5-g]pyrano[3',4':6,7]indolizino[1,2-b]quinolin-14-yl]bicyclo[1.1.1]pentan-1-yl}amino)-1-oxopropan-2-yl]-3-methylbutanamide
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
64 Week(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Comparator 4

Lonsurf 20 mg/8.19 mg film-coated tablets

PRD4021877 · Product

Active substance
Trifluridine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
64 Week(s)
Authorisation status
Authorised
ATC code
L01BC59 — -
Marketing authorisation
EU/1/16/1096/004
MA holder
LES LABORATOIRES SERVIER (SURESNES)
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Lonsurf 15 mg/6.14 mg film-coated tablets

PRD4021653 · Product

Active substance
Trifluridine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
64 Week(s)
Authorisation status
Authorised
ATC code
L01BC59 — -
Marketing authorisation
EU/1/16/1096/001
MA holder
LES LABORATOIRES SERVIER (SURESNES)
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bevacizumab

SUB16402MIG · Substance

Active substance
Bevacizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
64 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bevacizumab

SUB16402MIG · Substance

Active substance
Bevacizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
64 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

AbbVie Deutschland GmbH & Co. KG

Sponsor organisation
AbbVie Deutschland GmbH & Co. KG
Address
Knollstrasse
City
Ludwigshafen Am Rhein
Postcode
67061
Country
Germany

Scientific contact point

Organisation
AbbVie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Public contact point

Organisation
AbbVie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Third parties 5

OrganisationCity, countryDuties
Endpoint Clinical Inc.
ORG-100040567
Raleigh, United States Interactive response technologies (IRT)
Clario
ORL-000001148
Philadelphia, United States Other, E-data capture
Roche Tissue Diagnostics (Ventana Medical Systems)
ORL-000013526
Tucson, AZ, United States Laboratory analysis
Medidata Solutions Inc.
ORG-100016256
New York, United States Other, E-data capture
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis

Locations

6 EU/EEA countries · 41 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 13 6
Germany Ended 14 7
Italy Ended 14 7
Netherlands Ended 13 6
Poland Ended 13 5
Spain Ended 20 10
Rest of world
China, Brazil, Chile, United States, United Kingdom, Kazakhstan, Taiwan, Canada, Turkey, Puerto Rico, Korea, Republic of, Australia, Israel, Japan
313

Investigational sites

France

6 sites · Ended
CHRU De Nancy
Service d'Hépato-Gastro-Entérologie, Co N°34, 29 Avenue Du Mal De Lattre De Tassigny, Nancy Cedex
Institut Bergonie
Département d’oncologie médicale, 180 R De Saint Genes, 229 Cours De L Argonne, Bordeaux
Centre Hospitalier Universitaire De Poitiers
Service Gastroentérologie et Oncologie médicale, 2 Rue De La Miletrie, 86000, Poitiers
Assistance Publique Hopitaux De Paris
Service Gastro-entérologie et Cancérologie Digestive, 1 Avenue Claude Vellefaux, 75010, Paris
Centre Hospitalier Universitaire De Saint Etienne
Service d’Hépato-Gastroentérologie (HGE) et d’Oncologie Digestive, Avenue Albert Raimond, 42270, Saint Priest En Jarez
Assistance Publique Hopitaux De Paris
Département oncologie médicale, 184 Rue Du Faubourg Saint Antoine, 75012, Paris

Germany

7 sites · Ended
Klinikum Chemnitz gGmbH
Internal Medicine III, Flemmingstrasse 2, Altendorf, Chemnitz
Universitaetsklinikum Tuebingen AöR
Medizinische Klinik I, Otfried-Mueller-Strasse 10, Nordstadt, Tuebingen
Universitaetsklinikum Ulm AöR
Klinik für Innere Medizin I, Albert-Einstein-Allee 23, Eselsberg, Ulm
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Medizinische Klinik und Poliklinik I, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Krankenhaus Nordwest GmbH
Institute of Clinical Cancer Research(IKF), Steinbacher Hohl 2-26, Praunheim, Frankfurt Am Main
Heidelberg University
Tagestherapie-zentrum Haus 9, Theodor-Kutzer-Ufer 1-3, Wohlgelegen, Mannheim
Haematologisch Onkologische Praxis Eppendorf / Norddeutsches Studienzentrum für Innovative Onkologie
Norddeutsches Studienzentrum für Innovative Onkologie (NIO), Eppendorfer Landstrasse 42, 20249, Hamburg

Italy

7 sites · Ended
Istituto Nazionale Dei Tumori
Medical Oncology, Via Giacomo Venezian 1, 20133, Milan
IRCCS Ospedale Policlinico San Martino
Medical Oncology Unit 1, Largo Rosanna Benzi 10, 16132, Genoa
Casa Sollievo Della Sofferenza
U.O.C. Oncologia, Viale Convento Cappuccini 1, 71013, San Giovanni Rotondo
ARNAS Garibaldi Di Catania
Oncology Department, Piazza Santa Maria Di Gesu, 95123, Catania
Azienda Ospedaliero Universitaria Pisana
UO Oncologia Medica 2 Universitaria, Via Roma 67, 56126, Pisa
Azienda USL IRCCS Di Reggio Emilia
Oncologia Medica Provinciale, Viale Risorgimento 80, 42123, Reggio Emilia
Azienda Ospedaliero Universitaria Careggi
SODc Clinical Oncology, Largo Giovanni Alessandro Brambilla 3, 50134, Florence

Netherlands

6 sites · Ended
Amsterdam UMC Stichting
Oncology, De Boelelaan 1117, 1081 HV, Amsterdam
Academisch Ziekenhuis Maastricht
Oncology, P Debyelaan 25, 6229 HX, Maastricht
Universitair Medisch Centrum Utrecht
Oncology, Heidelberglaan 100, 3584 CX, Utrecht
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Oncology, Dr. Molewaterplein 60, 3015 GJ, Rotterdam
Radboud universitair medisch centrum Stichting
Oncology, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen
Frisius MC
Oncology, Henri Dunantweg 2, 8934 AD, Leeuwarden

Poland

5 sites · Ended
Uniwersyteckie Centrum Kliniczne
Klinika Onkologii i Radioterapii, Ul. Mariana Smoluchowskiego 17, 80-214, Gdansk
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Klinika Onkologii i Radioterapii, Ul. Wawelska 15, 02-034, Warsaw
Umed Clinical Trials Sp. z o.o.
n/a, Bud A-2, Ul. Pomorska 251, Lodz
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie
Oddzial Kliniczny Onkologii, Ul. Mikolaja Kopernika 50, 31-501, Cracow
Regionalny Szpital Specjalistyczny Im. Dr. Wladyslawa Bieganskiego
Oddzial Onkologii Klinicznej, Ul. Dr. Ludwika Rydygiera 15/17, 86-300, Grudziadz

Spain

10 sites · Ended
Hospital Universitario Ramon Y Cajal
Oncology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Complejo Hospitalario Universitario De Ourense
Oncology, Calle De Ramon Puga Noguerol Nº 52, 32005, Ourense
Hospital Universitario De Salamanca
Oncology, Paseo De San Vicente 58-182, 37007, Salamanca
Hospital Universitario Marques De Valdecilla
Oncology, Avenida Valdecilla Sn, 39008, Santander
Hospital Universitario De Navarra
Oncology, Irunlarrea Kalea 3, 31008, Pamplona
Hospital Clinico San Carlos
Oncology, Calle Del Profesor Martin Lagos Sn, 28040, Madrid
University Hospital Virgen Del Rocio S.L.
Oncology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Y Politecnico La Fe
Oncology, Avenida Fernando Abril Martorell 106, 46026, Valencia
Hospital Del Mar
Oncology, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Hospital Universitario Virgen De La Victoria
Oncology, Campus De Teatinos Sn, Puerto De La Torre, Malaga

Results and documents

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

Documents 49 files

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

TypeTitleVersion
Protocol (for publication) D1_m24-064-pt-facing-document-de-de-EORTC-QLQ-C30 1
Protocol (for publication) D1_m24-064-pt-facing-document-es-es-EORTC-QLQ-C30 1
Protocol (for publication) D1_m24-064-pt-facing-document-fr-fr-EORTC-QLQ-C30 1
Protocol (for publication) D1_m24-064-pt-facing-document-it-it-EORTC-QLQ-C30 1
Protocol (for publication) D1_m24-064-pt-facing-document-nl-nl-EORTC-QLQ-C30 1
Protocol (for publication) D1_m24064-protocol-public_redacted 2.1
Recruitment arrangements (for publication) K1 M24-064 FR Recruitment and ICF Procedures_Public 1
Recruitment arrangements (for publication) K1 M24-064 Recruitment and ICF Procedures _Public 1.1
Recruitment arrangements (for publication) K1_M24-064 IT Recruitment and ICF Procedures_Public 1.0
Recruitment arrangements (for publication) K1_M24-064_ES_Recruitment and ICF Procedures_Public 1.0
Recruitment arrangements (for publication) K1_M24-064_NL_Recruitment and ICF Procedures_Public 1.2
Recruitment arrangements (for publication) K1_M24-064_PL_Recruitment and ICF Procedures_Public 1
Subject information and informed consent form (for publication) L1 M24-064 DE ICF Addendum_public 1
Subject information and informed consent form (for publication) L1 M24-064 DE ICF Pregnant Participant-Partner_public 1
Subject information and informed consent form (for publication) L1 M24-064 DE Main ICF_public 1.1
Subject information and informed consent form (for publication) L1 M24-064 DE Prescreening ICF_public 1.1
Subject information and informed consent form (for publication) L1 M24-064 ES Continued Treatment at progression ICF_Public 1.0
Subject information and informed consent form (for publication) L1 M24-064 ES Main ICF_Public 1.1
Subject information and informed consent form (for publication) L1 M24-064 ES Optional_Biopsy at progression ICF_Public 1.0
Subject information and informed consent form (for publication) L1 M24-064 ES Optional_Intensive PK ICF_Public 1.1
Subject information and informed consent form (for publication) L1 M24-064 ES Pregnant Partner ICF_Public 1.0
Subject information and informed consent form (for publication) L1 M24-064 ES Prescreening ICF_Public 1.1
Subject information and informed consent form (for publication) L1 M24-064 FR Cont Treat after progression ICF _Public 1.3
Subject information and informed consent form (for publication) L1 M24-064 FR Main ICF_Public 1.2
Subject information and informed consent form (for publication) L1 M24-064 FR Preg participant ICF_Public 1
Subject information and informed consent form (for publication) L1 M24-064 FR Preg Partner ICF French_Public 1.2
Subject information and informed consent form (for publication) L1 M24-064 FR Prescreen ICF_Public 1.2
Subject information and informed consent form (for publication) L1_M24-064 IT Addendum ICF_Public 1.1
Subject information and informed consent form (for publication) L1_M24-064 IT Main ICF_Public 1.1
Subject information and informed consent form (for publication) L1_M24-064 IT Pregnancy ICF_Public 1.0
Subject information and informed consent form (for publication) L1_M24-064 IT Prescreening ICF_Public 1.1
Subject information and informed consent form (for publication) L1_M24-064 PL_ICF Optional Tumor Material at Progression_Public 2
Subject information and informed consent form (for publication) L1_M24-064_NL_ICF Main_Optional_Public 1.2
Subject information and informed consent form (for publication) L1_M24-064_NL_ICF Pre-screening_Public 1.2
Subject information and informed consent form (for publication) L1_M24-064_NL_ICF Pregnancy_Public 1.1
Subject information and informed consent form (for publication) L1_M24-064_PL_ICF Continued Treatment_Public 2
Subject information and informed consent form (for publication) L1_M24-064_PL_ICF Main_Public 2
Subject information and informed consent form (for publication) L1_M24-064_PL_ICF Optional Intensive PK_Public 2
Subject information and informed consent form (for publication) L1_M24-064_PL_ICF Pregnancy_Public 2
Subject information and informed consent form (for publication) L1_M24-064_PL_ICF Prescreen_Public 2
Summary of Product Characteristics (SmPC) (for publication) E1_spc_bevacizumab 1
Summary of Product Characteristics (SmPC) (for publication) E1_spc_lonsurf 1
Synopsis of the protocol (for publication) D1_m24064-euctr-synopsis-de-de- public 1
Synopsis of the protocol (for publication) D1_m24064-euctr-synopsis-en-en- public 1
Synopsis of the protocol (for publication) D1_m24064-euctr-synopsis-es-es- public 1
Synopsis of the protocol (for publication) D1_m24064-euctr-synopsis-fr-fr- public 1
Synopsis of the protocol (for publication) D1_m24064-euctr-synopsis-it-it- public 1
Synopsis of the protocol (for publication) D1_m24064-euctr-synopsis-nl-nl- public 1
Synopsis of the protocol (for publication) D1_m24064-euctr-synopsis-pl-pl- public 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-08-14 Spain Acceptable
2025-12-05
2025-12-08
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-05-27 Spain Acceptable
2025-12-05
2026-05-27