Overview
Sponsor-declared trial summary
Primary Or Secondary (Post-PV MF or Post-ET-MF) Myelofibrosis (MF) With Intermediate Or High-Risk TP53 Wild-Type (TP53 WT) Who Are Relapsed Or Refractory to Janus Kinase (JAK) - Inhibitor Treatment
Part A: To determine spleen response. Part B: To compare the spleen volume reduction (SVR) at Week 24 between Arm 1 and Arm 2.
Key facts
- Sponsor
- Kartos Therapeutics Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 13 Dec 2018 → ongoing
- Decision date (initial)
- 2024-11-15
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- Kartos Therapeutics, Inc.
External identifiers
- EU CT number
- 2024-513912-89-00
- EudraCT number
- 2018-001671-21
- WHO UTN
- U1111-1308-4867
- ClinicalTrials.gov
- NCT03662126
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy, Pharmacodynamic, Pharmacogenetic, Therapy, Pharmacokinetic
Part A: To determine spleen response.
Part B: To compare the spleen volume reduction (SVR) at Week 24 between Arm 1 and Arm 2.
Secondary objectives 11
- Part A: To determine the change in modified MPN-SAF Total Symptom Score (TSS) at Week 24 and Week 48
- Part A: To determine the duration of spleen response (DoR-spleen); and spleen size reduction as measured by palpation
- Part A: To determine RBC transfusion usage
- Part A: To determine the clinical response rate at Week 24; and overall survival (OS) rate
- Part A: To determine the safety and tolerability of KRT-232 and PK/PD profile of KRT-232
- Part B: Compare the improvement of TSS at Week 24 between Arm 1 and Arm 2
- Part B: Compare the OS and progression free survival (PFS) between Arm 1 and Arm 2
- Part B: Compare the overall SVR at any time in each study arm, and evaluate the spleen response duration between Arm 1 and 2
- Part B: Compare the rate of conversion from RBC transfusion dependent to independent at Week 24 between Arm 1 and Arm 2
- Part B: Evaluate the safety between Arm 1 and Arm 2
- Part B: Monitor the PK of KRT-232 (Arm 1 only)
Conditions and MedDRA coding
Primary Or Secondary (Post-PV MF or Post-ET-MF) Myelofibrosis (MF) With Intermediate Or High-Risk TP53 Wild-Type (TP53 WT) Who Are Relapsed Or Refractory to Janus Kinase (JAK) - Inhibitor Treatment
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10074690 | Post essential thrombocythemia myelofibrosis | 10029104 |
| 21.0 | LLT | 10074689 | Post polycythemia vera myelofibrosis | 10029104 |
| 20.0 | PT | 10077161 | Primary myelofibrosis | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 11
- Part A: Adults ≥18 years of age
- Part A: Confirmed diagnosis of PMF, post-PV MF or post-ET MF (WHO)
- Part A: High, intermediate-2, or intermediate-1 risk Dynamic International Prognostic System (DIPSS)
- Part A: Failure of prior treatment with JAK inhibitor
- Part A: ECOG ≤ 2
- Part B: Adults >18 years of age
- Part B: Confirmed diagnosis of PMF, post PV-MF, or post-ET-MF (WHO)
- Part B: High, intermediate-2, or intermediate-1 risk Dynamic International Prognostic System (DIPSS)
- Part B: Subjects with p53WT MF by central laboratory testing
- Part B: Failure of prior treatment with JAK inhibitor
- Part B: ECOG ≤ 2
Exclusion criteria 18
- Part A: Subjects who are positive for P53 mutations
- Part A: Splenic irradiation within 3 months prior to randomization
- Part A: History of major hemorrhage or intracranial hemorrhage within 6 months prior to randomization
- Part A: History of stroke, reversible ischemic neurological defect or transient ischemic attack within 6 months prior to randomization
- Part A: Prior MDM2 inhibitor therapy or p53-directed therapy
- Part A: Prior allogeneic stem-cell transplant or plans for allogeneic stem cell transplant
- Part B: History of major organ transplant
- Part B: Grade 2 or higher QTc prolongation (>480 milliseconds per NCI- CTCAE criteria, version 5.0)
- Part A: History of major organ transplant
- Part A: Grade 2 or higher QTc prolongation (> 480 milliseconds per NCI-CTCAE criteria, version 5.0)
- Part B: Prior splenectomy
- Part B: Splenic irradiation within 12 weeks of randomization
- Part B: Prior allogeneic stem-cell transplantation or plans for allogeneic stem cell transplantation
- Part B: Prior MDM2 inhibitor therapy or p53-directed therapy
- Part B: JAK-, PI3k-, SYK-, BTK-, BET- or MTOR inhibitor treatment within 28 days prior to the Screening MRI/CT scan
- Part A: Prior splenectomy
- Part B: History of major hemorrhage or intracranial hemorrhage within 6 months prior to randomization
- Part B: History of stroke, reversible ischemic neurological defect or transient ischemic attack within 6 months prior to randomization
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Part A: The proportion of subjects achieving a ≥35% spleen volume reduction from Baseline to Week 24, as assessed by magnetic resonance imaging (MRI) or computed tomography (CT) scan.
- Part B: The proportion of subjects in each arm achieving SVR of ≥ 35% at Week 24 by MRI/CT scan (central review)
Secondary endpoints 13
- Part A: Proportion of subjects with a reduction in total symptom score
- Part A: To determine the duration of reduction of spleen volume
- Part A: To determine the need for red blood cell (RBC) transfusion
- Part A: The proportion of subjects who have RBC transfusion independence at week 24
- Part A: To determine complete and partial remission of treated subjects
- Part A: To determine time to death from any cause in treated subjects
- Part A: To determine the pharmacokinetic/pharmacodynamic (PK/PD) profile of KRT-232
- Part B: The proportion of subjects with reduction from Baseline to Week 24 in the total symptom score
- Part B: Time from randomization to death from any cause
- Part B: Progression free survival (PFS): time from randomization to either first occurrence of disease progression or death due to any cause
- Part B: The proportion of subjects in each arm achieving spleen volume reduction
- Part B: Time from initial spleen volume reduction until the first occurrence of disease progression
- Part B: The proportion of subjects who have red blood cell transfusion independence at week 24
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 6
PRD10314829 · Product
- Active substance
- Navtemadlin
- Other product name
- AMG 232
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 240 mg milligram(s)
- Max total dose
- 240 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- KARTOS THERAPEUTICS INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD10314825 · Product
- Active substance
- Navtemadlin
- Other product name
- AMG 232
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 360 mg milligram(s)
- Max total dose
- 360 mg milligram(s)
- Max treatment duration
- 72 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- KARTOS THERAPEUTICS INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD10314827 · Product
- Active substance
- Navtemadlin
- Other product name
- AMG 232
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 240 mg milligram(s)
- Max total dose
- 240 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- KARTOS THERAPEUTICS INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD10314826 · Product
- Active substance
- Navtemadlin
- Other product name
- AMG 232
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 360 mg milligram(s)
- Max total dose
- 360 mg milligram(s)
- Max treatment duration
- 72 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- KARTOS THERAPEUTICS INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD10314830 · Product
- Active substance
- Navtemadlin
- Other product name
- AMG 232
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 240 mg milligram(s)
- Max total dose
- 240 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- KARTOS THERAPEUTICS INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD10314828 · Product
- Active substance
- Navtemadlin
- Other product name
- AMG 232
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 240 mg milligram(s)
- Max total dose
- 240 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- KARTOS THERAPEUTICS INC.
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 6
PRD3166920 · Product
- Active substance
- Prednisone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Authorised
- ATC code
- H02AB07 — PREDNISONE
- Marketing authorisation
- 90895.00.00
- MA holder
- GALENPHARMA GMBH
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD426017 · Product
- Active substance
- Danazol
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL USE
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Authorised
- ATC code
- G03XA01 — DANAZOL
- Marketing authorisation
- 025021066
- MA holder
- SANOFI S.R.L.
- MA country
- Italy
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD10833408 · Product
- Active substance
- Hydroxycarbamide
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL USE
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01XX05 — HYDROXYCARBAMIDE
- Marketing authorisation
- 11474/2019/01
- MA holder
- BRISTOL-MYERS SQUIBB KFT.
- MA country
- Romania
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
DANAZOL POLFARMEX, 200 mg, tabletki
PRD1162594 · Product
- Active substance
- Danazol
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Authorised
- ATC code
- G03XA01 — DANAZOL
- Marketing authorisation
- 9253
- MA holder
- POLFARMEX S.A.
- MA country
- Poland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Pegasys 180 micrograms solution for injection in pre-filled syringe
PRD9188897 · Product
- Active substance
- Peginterferon ALFA-2A
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS
- Max daily dose
- 00 Aµg/ml microgram(s)/millilitre
- Max total dose
- 00 Aµg/ml microgram(s)/millilitre
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Authorised
- ATC code
- L03AB11 — PEGINTERFERON ALFA-2A
- Marketing authorisation
- EU/1/02/221/007
- MA holder
- PHARMAAND GMBH
- MA country
- Norway
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Lenalidomide Accord 5 mg hard capsules
PRD6845269 · Product
- Active substance
- Lenalidomide
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL USE
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 54 Month(s)
- Authorisation status
- Authorised
- ATC code
- L04AX04 — -
- Marketing authorisation
- EU/1/18/1316/004
- MA holder
- ACCORD HEALTHCARE S.L.U.
- MA country
- Liechtenstein
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Kartos Therapeutics Inc.
- Sponsor organisation
- Kartos Therapeutics Inc.
- Address
- 275 Shoreline Drive Suite 300
- City
- Redwood City
- Postcode
- 94065-1490
- Country
- United States
Scientific contact point
- Organisation
- Kartos Therapeutics Inc.
- Contact name
- John Mei
Public contact point
- Organisation
- Kartos Therapeutics Inc.
- Contact name
- John Mei
Third parties 14
| Organisation | City, country | Duties |
|---|---|---|
| Excelya Greece CRO Single Member S.A. ORG-100009224
|
Nea Filadelfia, Greece | On site monitoring, Code 12, Interactive response technologies (IRT), E-data capture |
| Fisher Clinical Services GmbH ORG-100017323
|
Weil Am Rhein, Germany | Other |
| Eurofins Central Laboratory B.V. ORG-100036990
|
Breda, Netherlands | Other |
| Pharmaceutical Product Development LLC ORG-100016999
|
Richmond, United States | Other |
| Aperio Clinical Outcomes LLC ORG-100046387
|
Durham, United States | Data management |
| Greenphire LLC ORG-100041621
|
King Of Prussia, United States | Other |
| PAREXEL International GmbH ORG-100008131
|
Berlin, Germany | Other |
| Parexel International (IRL) Limited ORG-100022780
|
Dublin 2, Ireland | On site monitoring, Code 12, Code 2, Data management, Code 8 |
| Perceptive Informatics Inc. ORG-100013171
|
Billerica, United States | Other |
| Endpoint Clinical Inc. ORG-100040567
|
Wakefield, United States | Interactive response technologies (IRT) |
| Signant Health Management Limited ORG-100040504
|
Reading, United Kingdom | Other |
| Primevigilance USA Inc. ORG-100047266
|
Raleigh, United States | Code 8 |
| Flagship Biosciences Inc. ORG-100043268
|
Morrisville, United States | Other |
| Celerion Inc. ORG-100029202
|
Lincoln, United States | Other |
Locations
13 EU/EEA countries · 51 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Ongoing, recruitment ended | 12 | 2 |
| Croatia | Ongoing, recruitment ended | 9 | 2 |
| Czechia | Ongoing, recruitment ended | 2 | 2 |
| France | Ongoing, recruitment ended | 30 | 6 |
| Germany | Ongoing, recruitment ended | 28 | 6 |
| Greece | Ended | 3 | 1 |
| Hungary | Ongoing, recruitment ended | 26 | 3 |
| Italy | Ongoing, recruitment ended | 23 | 8 |
| Lithuania | Ongoing, recruitment ended | 5 | 1 |
| Poland | Ongoing, recruitment ended | 50 | 5 |
| Portugal | Ended | 4 | 1 |
| Romania | Ongoing, recruitment ended | 31 | 5 |
| Spain | Ongoing, recruitment ended | 30 | 9 |
| Rest of world
Taiwan, Russian Federation, Turkey, Philippines, Thailand, Australia, Brazil, Mexico, United States, Argentina, Hong Kong, United Kingdom, Israel, Canada, Korea, Republic of
|
— | 194 | — |
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 |
|---|---|---|---|---|---|
| Bulgaria | 2020-02-13 | 2020-07-21 | 2023-09-01 | ||
| Croatia | 2022-03-22 | 2022-03-28 | 2023-09-01 | ||
| Czechia | 2019-01-16 | 2019-07-17 | 2023-09-01 | ||
| France | 2019-02-04 | 2019-03-11 | 2023-09-01 | ||
| Germany | 2019-01-21 | 2019-03-06 | 2023-09-01 | ||
| Greece | 2023-03-22 | 2025-03-31 | 2023-07-25 | 2023-09-01 | |
| Hungary | 2018-12-13 | 2019-02-19 | 2023-09-01 | ||
| Italy | 2021-06-21 | 2021-11-17 | 2023-09-01 | ||
| Lithuania | 2022-01-30 | 2023-03-29 | 2023-09-01 | ||
| Poland | 2019-02-12 | 2019-03-14 | 2023-09-01 | ||
| Portugal | 2022-05-11 | 2024-09-17 | 2022-07-12 | 2023-09-01 | |
| Romania | 2022-09-07 | 2022-10-03 | 2023-09-01 | ||
| Spain | 2019-02-14 | 2019-03-18 | 2023-09-01 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 96 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol Main 2024-513912-89-00 English KRT-232-101 Public | 11.1 EU |
| Protocol (for publication) | D1_Protocol Main 2024-513912-89-00 Greek KRT-232-101 Public | 11.1 EU |
| Recruitment arrangements (for publication) | K1_POL Regulatory Filenote Recruitment arrangements KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements ICF Patient Procedure Place holder KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements Regulatory filenote English_KRT-232-101_Public | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements Regulatory filenote English_KRT-232-101_Public | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements Regulatory Filenote KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements Regulatory Filenote Public_ KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements Regulatory Filenote Public_KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements Regulatory Filenote Public_KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Placeholder_Public | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Regulatory Filenote KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Transition Placeholder | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Transition placeholder_Public | NA |
| Recruitment arrangements (for publication) | K1_Regulatory Filenote_End of Recruitment KRT-232-101 | NA |
| Recruitment arrangements (for publication) | K2_ Recruitment material Regulatory Filenote Public_ KRT-232-101 | NA |
| Subject information and informed consent form (for publication) | L1_BGR Country ICF Other Pregnant Partner Bulgarian KRT-232-101 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_BGR Country ICF Other Pregnant Partner English KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_CZE Country ICF Main Adult already enrolled Czech KRT-232-101 Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_CZE Country ICF Main Adult Czech KRT-232-101 Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_CZE Country ICF Other Pregnancy Czech KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_DEU ICF Future Research Part B German KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_DEU ICF Main Adult Part B German KRT-232-101 Public | 4.1 |
| Subject information and informed consent form (for publication) | L1_DEU ICF Main Part A German KRT-232-101 Public | 11.1 |
| Subject information and informed consent form (for publication) | L1_DEU ICF Other Pregnant Partner Part A German KRT-232-101 Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_DEU ICF Other Pregnant Partner Part B German KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_ESP Country ICF Main KRT-232-101 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_ESP Country ICF Other Pregant Partner Spanish KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_FRA Country ICF Main Part A French KRT-232-101 Public | 9.0 |
| Subject information and informed consent form (for publication) | L1_FRA Country ICF Main Part B French KRT-232-101 Public | 6.0 |
| Subject information and informed consent form (for publication) | L1_FRA Country ICF Other Pregnant Partner French KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_FRA Country ICF Part B Patient Information Sheet Pre-Screening French KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_GRC Country ICF Other Pregnant Partner English KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_GRC Country ICF Other Pregnant Partner Greek KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_GRC Country ICF Screening Adult English KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_GRC Country ICF Screening Adult Greek KRT-232-101 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_HRV Country ICF Main Croatian KRT-232-101 Public | 8.0 |
| Subject information and informed consent form (for publication) | L1_HRV Country ICF Other Pregnant Participant Croatian KRT-232-101 Public | 2.0 |
| Subject information and informed consent form (for publication) | L1_HRV Country ICF Other Pregnant Partner Croatian KRT-232-101 Public | 2.0 |
| Subject information and informed consent form (for publication) | L1_ICF Data Protection Adult Czech KRT-232-101 Public | 1 |
| Subject information and informed consent form (for publication) | L1_ICF IRB-IEC Additional-Amendment Approval_Italian_KRT-232-101_Public | NA |
| Subject information and informed consent form (for publication) | L1_ICF Main Adult English KRT-232-101 Public | 4.1 |
| Subject information and informed consent form (for publication) | L1_ICF Main Adult Greek KRT-232-101 Public | 4.1 |
| Subject information and informed consent form (for publication) | L1_ICF Main Part B Bulgarian KRT-232-101 Public | 6.0 |
| Subject information and informed consent form (for publication) | L1_ICF Main Part B English KRT-232-101 Public | 6.0 |
| Subject information and informed consent form (for publication) | L1_ICF Main Part B_Hungarian_KRT-232-101_Public | 6.1 |
| Subject information and informed consent form (for publication) | L1_ICF Main Patient Information Sheet Part A Hungarian KRT-232-101 Public | 9.0 |
| Subject information and informed consent form (for publication) | L1_ICF Main Patient Information Sheet Part B Hungarian KRT-232-101 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_ICF Main Romanian KRT-232-101 Public | 6.1 |
| Subject information and informed consent form (for publication) | L1_ICF Other Pregnant Partner Information Sheet Part A Hungarian KRT-232-101 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_ICF Other Pregnant Partner Information Sheet Part B Hungarian KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ICF Other Pregnant Partner Part A Hungarian KRT-232-101 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_ICF Other Pregnant Partner Part B Hungarian KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ICF Research Adult Czech KRT-232-101 Public | 2 |
| Subject information and informed consent form (for publication) | L1_ICF_Genetic Research Part A_Hungarian_KRT-232-101_Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Genetic Research Part B_Hungarian_KRT-232-101_Public | 2.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Genetic Research Patient Information Sheet Part A_Hungarian_KRT-232-101_Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Genetic Research Patient Information Sheet Part B_Hungarian_KRT-232-101_Public | 2.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Main Part A_Hungarian_KRT-232-101_Public | 10.1 |
| Subject information and informed consent form (for publication) | L1_IRB-IEC Initial Approval_Italian_KRT-232-101_Public | NA |
| Subject information and informed consent form (for publication) | L1_ITA Country ICF Main Italian KRT-232-101 Public | 6.1 |
| Subject information and informed consent form (for publication) | L1_ITA Country ICF Pregnant Partner Italian KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_LTU Country ICF Main Lithuanian KRT-232-101 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_LTU Country ICF Other Pregnant Partner Lithuanian KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_POL ICF Main Part A Polish KRT-232-101 Public | 12.0 |
| Subject information and informed consent form (for publication) | L1_POL ICF Main Part B Polish KRT-232-101 Public | 7.0 |
| Subject information and informed consent form (for publication) | L1_POL ICF Other Pregnant Partner Part A Polish KRT-232-101 Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_POL ICF Other Pregnant Partner Part B Polish KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_PRT ICF Main Portuguese KRT-232-101 Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_PRT ICF Other Pregnant Participant Portuguese KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_PRT ICF Other Pregnant Partner Portuguese KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ROU Country ICF Other Pregnant Partner Romanian KRT-232-101 Public | 1.0 |
| Subject information and informed consent form (for publication) | L2_ICF_Subject Participation Card_Patient ID Card Part B_KRT-232-101_Public | 1.0 |
| Subject information and informed consent form (for publication) | L2_ICF_Subject Participation Card_Patient ID Justification Letter_KRT-232-101 Public | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Danatrol English Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Danatrol Italian Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Danazol English Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Danazol Polish Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Hydrea English Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Hydrea Romanian Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Lenalidomide English Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Pegasys English Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Pegasys zr Pharma English Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Prednison English Public | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Prednison German Public | N/A |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Bulgarian KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Czech KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main English KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main French KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Greek KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Hungarian KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Italian KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Lithuanian KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Polish KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Romanian KRT-232-101 Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis Main Spanish KRT-232-101 Public | 1.0 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-10-08 | Italy | Acceptable 2024-11-13
|
2024-11-14 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-01-23 | Acceptable 2024-11-13
|
2025-01-23 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-03-21 | Italy | Acceptable 2025-06-30
|
2025-07-01 |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-08-05 | Acceptable | 2025-09-10 | |
| 5 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2025-09-17 | Acceptable | 2025-09-17 |