Overview
Sponsor-declared trial summary
CHRONIC PAIN DUE TO DIABETIC PERIPHERAL NEUROPATHY
To evaluate the efficacy of ODM-111 in the treatment of chronic pain due to diabetic peripheral neuropathy (DPN).
Key facts
- Sponsor
- Orion Corporation
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nervous System Diseases [C10]
- Trial duration
- completed 28 Oct 2024
- Decision date (initial)
- 2024-10-21
- 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: Efficacy, Others
To evaluate the efficacy of ODM-111 in the treatment of chronic pain due to diabetic peripheral neuropathy (DPN).
Conditions and MedDRA coding
CHRONIC PAIN DUE TO DIABETIC PERIPHERAL NEUROPATHY
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | LLT | 10067547 | Diabetic peripheral neuropathic pain | 10029205 |
| 20.1 | LLT | 10049475 | Chronic pain | 10018065 |
Regulatory references
- Scientific advice from competent authorities
- Food And Drug Administration
- Plan to share IPD
- Yes
- IPD plan description
- "Clinical data sharing, including IPD sharing, for this trial will follow the Clinical Data Sharing Policy of the Sponsor (Orion Corporation). Further information can be found at https://www.orion.fi/en/sustainability/ethical-business/research-development-ethics-policy/sharing-clinical-data/
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 9
- Signed informed consent (IC) for participation in the trial.
- Males and females 18 to 80 years of age at screening visit
- Body mass index (BMI) 18-45 kg/m2 at screening visit.
- Type 1 or Type 2 diabetes of at least 6 months duration with optimised and stable glycaemic control during the 3 months prior to screening.
- A diagnosis of painful diabetic peripheral neuropathy (DPN) with pain for at least 6 months before the screening visit that is primarily in the lower extremities.
- An average pain intensity of ≥[blinded information] on the 11-point (0-10) numerical rating scale (NRS) in the lower extremities during the past 24 h at screening and at baseline.
- A weekly average of daily pain intensity on the 11-point (0-10) numerical rating scale (NRS) at baseline, based on daily assessments over at least 5 of the 7 consecutive days preceding the baseline visit.
- Douleur Neuropathique 4 (DN4) score of ≥[blinded information] at the screening visit.
- Female participants with fertile male partners and male participants with female partners of child-bearing potential must adhere to a highly effective form of contraception (e.g. combined or progestogen only hormonal contraceptives associated with inhibition of ovulation, intrauterine devices or intrauterine hormone-releasing system) if sexually active and not permanently sterilised, for females from 4 weeks before the first study treatment administration and for males from Day 1 until 3 months after the EOS visit. Additionally, women who are postmenopausal (1 year since last menstrual cycle) are considered not to be reproductive and can be included. For male participants, sperm donation is not allowed until 3 months after the EOS visit.
Exclusion criteria 10
- A predictable poor compliance or inability to understand and comply with protocol requirements, instructions and protocol-stated restrictions or to communicate well with the investigator.
- Females who are pregnant or lactating at screening or planning to become pregnant within 1 month from the last dose of study treatment.
- HbA1c >10% or >86 mmol/mol at screening.
- Peripheral neuropathy caused by a condition other than diabetes mellitus.
- Concomitant pain conditions (i.e., low back pain, radiculopathy, bone, and musculoskeletal disorders) which may impair self-assessment of pain due to diabetic peripheral neuropathy.
- Use of analgesic treatment during the trial (from at least 10 days before the baseline visit until the last treatment visit), excluding the following: a. Gabapentin (up to 1800 mg daily), pregabalin (up to 300 mg daily), or duloxetine (up to 60 mg daily); only one of these preparations per participant is allowed and the dose must have been stable for ≥3 months prior to trial entry and will be kept stable for the study treatment period b. Acetylsalicylic acid for cardiovascular reasons, stable dosing up to 325 mg daily c. Paracetamol as rescue analgesia, up to 3 g daily as needed.
- Chronic inflammatory disease
- Diagnosis of long COVID (including self-diagnosis by participant
- Known hypersensitivity to the active substance or to any of the excipients of the study treatment.
- Active infection.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The primary efficacy endpoint is the change from baseline to week 6 in the weekly average of daily pain intensity (average over the previous 24 hours) on the 11-point numeric rating scale (NRS), as reported in the daily eDiary.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD11266459 · Product
- Active substance
- ODM-111
- Pharmaceutical form
- TABLETS
- Route of administration
- ORAL
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 6 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ORION CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD11266458 · Product
- Active substance
- ODM-111
- Pharmaceutical form
- TABLETS
- Route of administration
- ORAL
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 6 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ORION CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
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
Auxiliary 1
PRD593822 · Product
- Active substance
- Paracetamol
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 3 g gram(s)
- Max total dose
- 126 g gram(s)
- Max treatment duration
- 6 Week(s)
- Authorisation status
- Authorised
- ATC code
- N02BE01 — PARACETAMOL
- Marketing authorisation
- 8653
- MA holder
- ORION CORPORATION
- MA country
- Finland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- relabeling
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Orion Corporation
- Sponsor organisation
- Orion Corporation
- Address
- P. O. Box 65
- City
- Espoo
- Postcode
- 02101
- Country
- Finland
Scientific contact point
- Organisation
- Orion Corporation
- Contact name
- Clinical Study Director
Public contact point
- Organisation
- Orion Corporation
- Contact name
- Clinical Study Director
Third parties 4
| Organisation | City, country | Duties |
|---|---|---|
| Ardena Bioanalysis B.V. ORG-100036987
|
Assen, Netherlands | Laboratory analysis |
| Eresearchtechnology Inc. ORG-100013039
|
Philadelphia, United States | Other |
| Syneos Health Inc. ORG-100008382
|
Morrisville, United States | On site monitoring, Code 11, Code 12, Code 13, Code 2, Interactive response technologies (IRT), Code 5, Data management, E-data capture, Code 8, Code 9 |
| Pharmaceutical Product Development LLC ORG-100016999
|
Highland Heights, United States | Laboratory analysis |
Locations
5 EU/EEA countries · 36 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Ended | 35 | 7 |
| Czechia | Ended | 44 | 5 |
| Germany | Ended | 44 | 8 |
| Hungary | Ended | 20 | 4 |
| Poland | Ended | 60 | 12 |
| Rest of world
Australia, New Zealand
|
— | 49 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Summary of results Art. 37(4) CTR
| Title | Submission date | Status | Type |
|---|---|---|---|
| 3133004 Summary of Results SUM-103819
|
2025-10-27T18:28:14 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| 3133004 Layperson Summary | 2025-10-27T18:28:21 | Submitted | Laypersons Summary of Results |
Documents 154 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Laypersons summary of results (for publication) | 3133004 Layperson Results | 1 |
| Protocol (for publication) | D1_Protocol 2024-513595-17 blinded redacted | Amd 1 |
| Protocol (for publication) | D4_copyright placeholder_BPI-SF | N/A |
| Protocol (for publication) | D4_copyright placeholder_C-SSRS_Baseline | N/A |
| Protocol (for publication) | D4_copyright placeholder_C-SSRS_LastVisit | N/A |
| Protocol (for publication) | D4_copyright placeholder_C-SSRS_TextUpdate | N/A |
| Protocol (for publication) | D4_copyright placeholder_DSIS | N/A |
| Protocol (for publication) | D4_copyright placeholder_EQ5D5L | N/A |
| Protocol (for publication) | D4_copyright placeholder_HADS | N/A |
| Protocol (for publication) | D4_copyright placeholder_MPRT | N/A |
| Protocol (for publication) | D4_copyright placeholder_NPSI | N/A |
| Protocol (for publication) | D4_copyright placeholder_ParticipantGuide | N/A |
| Protocol (for publication) | D4_Patient facing document MPsQ | N/A |
| Protocol (for publication) | D4_Patient facing document_ESMC_eDiary_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_ESMC_eDiary_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_ESMC_eDiary_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_ESMC_eDiary_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_ESMC_eDiary_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_ESMC_eDiary_PL | N/A |
| Protocol (for publication) | D4_Patient facing document_MSMC_eDiary_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_MSMC_eDiary_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_MSMC_eDiary_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_MSMC_eDiary_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_MSMC_eDiary_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_MSMC_eDiary_PL | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_eDiary_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_eDiary_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_eDiary_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_eDiary_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_eDiary_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_eDiary_PL | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_SiteVisit_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_SiteVisit_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_SiteVisit_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_SiteVisit_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_SiteVisit_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_NRS_SiteVisit_PL | N/A |
| Protocol (for publication) | D4_Patient facing document_PGA_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_PGA_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_PGA_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_PGA_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_PGA_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_PGA_PL | N/A |
| Protocol (for publication) | D4_Patient facing document_PGIC_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_PGIC_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_PGIC_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_PGIC_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_PGIC_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_PGIC_PL | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_PL | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_review_BG | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_review_CZ | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_review_DE | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_review_EN | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_review_HU | N/A |
| Protocol (for publication) | D4_Patient facing document_RM_eDiary_review_PL | N/A |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | Sep 2024 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | N/A |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | N/A |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitement material_Pratia sites_Flyer_Poster_Print_Ad_Long | 1 |
| Recruitment arrangements (for publication) | K2_Recruitement material_Pratia sites_Flyer_Poster_Print_Ad_Short | 1 |
| Recruitment arrangements (for publication) | K2_Recruitement material_Pratia sites_Landingpage | 1 |
| Recruitment arrangements (for publication) | K2_Recruitement material_Pratia sites_Patient_Letter_Database | 1 |
| Recruitment arrangements (for publication) | K2_Recruitement material_Pratia sites_Prescreening_Tool_Questions | 1 |
| Recruitment arrangements (for publication) | K2_Recruitement material_Pratia sites_Web_Print_Banner_Ad | 1 |
| Recruitment arrangements (for publication) | K2_Recruitement material_Siteworks sites | 01 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ flowchart | 1.1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ patient_brochure | 1.1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_advocacy_PAG_patient_FAQ_sheet_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_advocacy_PAG_to_patient_letter_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_advocacy_site_to_PAG_intro_letter_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_advocacy_study_fact_sheet_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flowchart | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flowchart | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flowchart_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PAG enewsletter | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PAG patient FAQ_sheet | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PAG to patient letter | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_PAG to site intro letter | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_pain poster tearoff | N/A |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient brochure | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure_CZE | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Flowchart_CZE | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_poster with flyer | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Poster with flyer Tearoff_CZE | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Poster with flyer_CZE | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_poster_with_flyer_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Sigal site_Weimer | 01 |
| Recruitment arrangements (for publication) | K2_Recruitment material_study fact sheet | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_study_visit_guide_BGR | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Webpage | 1.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional PGx | 1.2 |
| Subject information and informed consent form (for publication) | L1_PIS ICF_Main_Redacted | 2.2 |
| Subject information and informed consent form (for publication) | L1_PIS ICF_Optional Device | 1.1 |
| Subject information and informed consent form (for publication) | L1_PIS ICF_Pregnancy_Pregnant Partner | 1.2 |
| Subject information and informed consent form (for publication) | L1_PIS_Optional PGx | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Illingworth Patient GO_CZE_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_BGR_Redacted | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_CZE_Redacted | 1.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_ENG_Redacted | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 2.3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Device Use | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Device Use | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Device Use_BGR | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Device Use_ENG | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Device_CZE | 1.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional PatientGO | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional PG Testing_BGR | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional PG Testing_ENG | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Testing | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Testing | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Testing_CZE | 1.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PatientGO | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy and Pregnant partner | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_Pregnant Partner | 1.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_Pregnant Partner_BGR | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_Pregnant Partner_ENG | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner Pregnancy_CZE | 1.2.0 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Information Notice Main_CZE | 1.1.0 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Information Notice Pregnant partner Pregnancy_CZE | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Patient ID Card_CZE | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_PatientGo App | 3.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_PatientGO EULA | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_PatientGO Info Sheet | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_PatientGo Privacy Policy | 3.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Payment Card Letter | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Payment Details Form | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Travel and Reimbursement Policy | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_PatientGO App | 3.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_PatientGO Patient Info Sheet | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_PatientGO Privacy Policy | 3.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_PatientGO Supplemental ICF | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Payment Card Letter | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Reimbursement Payment Form | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Subject ID Card | 1.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Travel and Reimbursement Policy | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject_PatientGO EULA | 1.0 |
| Subject information and informed consent form (for publication) | L2_Release From Confidentiality_Hannover_Lengler | 01 |
| Subject information and informed consent form (for publication) | L2_Release From Confidentiality_Heidelberg_Hoellger | 01 |
| Summary of results (for publication) | 3133004 Summary of Results | 1 |
| Synopsis of the protocol (for publication) | D1_Layman_Protocol Synopsis_BG_2024-513595-17 | Am1 |
| Synopsis of the protocol (for publication) | D1_Layman_Protocol Synopsis_CZ_2024-513595-17 | Amd 1 |
| Synopsis of the protocol (for publication) | D1_Layman_Protocol Synopsis_EN_2024-513595-17 | Amd 1 |
| Synopsis of the protocol (for publication) | D1_Layman_Protocol Synopsis_PL_2024-513595-17 | Amd 1 |
| Synopsis of the protocol (for publication) | D1_Synopsis_Investigator_HU_2024-513595-17_redacted | Amd 1 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-07-05 | Germany | Acceptable with conditions 2024-10-16
|
2024-10-21 |