Avelumab Program Rollover Study

2024-514274-46-00 Protocol MS100070_0176 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 21 Jun 2019 · Status Ongoing, recruitment ended · 7 EU/EEA countries · 13 sites · Protocol MS100070_0176

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 218
Countries 7
Sites 13

Solid Tumors

To monitor the safety and tolerability of avelumab in participants with solid tumors who continue treatment with avelumab under the same treatment regimen as in the parent avelumab study

Key facts

Sponsor
Merck KGaA
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Not possible to specify
Trial duration
21 Jun 2019 → ongoing
Decision date (initial)
2024-10-25
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514274-46-00
EudraCT number
2018-003711-21
ClinicalTrials.gov
NCT03815643

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To monitor the safety and tolerability of avelumab in participants with solid tumors who continue treatment with avelumab under the same treatment regimen as in the parent avelumab study

Secondary objectives 3

  1. To evaluate the overall survival (OS) (for non-small cell lung cancer [NSCLC], renal cell carcinoma [RCC], urothelial carcinoma [UC] and ovarian cancer indications only)
  2. To evaluate the progression free survival (PFS)
  3. To evaluate duration of response (DR)

Conditions and MedDRA coding

Solid Tumors

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Experimental: Avelumab
Experimental: Avelumab
Not Applicable None Experimental: Avelumab: Participants entering this roll over study will receive avelumab as a 1-hour intravenous (IV) infusion at 10 milligram per kilogram (mg/kg) once every 2 weeks until progressive disease, according to respective parent studies (EMR100070-001, EMR100070-002, EMR100070-004 and EMR100070-008).
Other Name: MSB0010718C

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Participants are ≥ 18 years of age at the time of signing the informed consent.
  2. Participants are under enrollment in an avelumab clinical study under the sponsorship of EMD Serono Research & Development Institute, Inc. / Merck KGaA / Merck Serono Co., Ltd (Japan).
  3. Participants currently enrolled in an avelumab parent study where the primary/main analysis has been completed and who are: • Currently on active avelumab treatment in any parent study, regardless of indication, OR • In long-term survival follow-up after treatment (participants in Non-Small Cell Lung Cancer [NSCLC], Renal Cell Carcinoma [RCC], Urothelial Carcinoma [UC], and ovarian cancer indications only), OR • Who experienced CR in the parent study and discontinued avelumab treatment according to the parent study protocol.
  4. Participants are male or female. Participants on active treatment must agree to continue to use highly effective contraception (ie, methods with a failure rate of less than 1% per year) for both male and female participants if the risk of conception exists (Note: The effects of the study intervention on the developing human fetus are unknown; thus, women of childbearing potential and men must agree to use highly effective contraception, defined in Appendix 3 (Contraception) or as stipulated in national or local guidelines. Highly effective contraception must be used 28 days prior to the first study intervention administration, for the duration of study intervention, and at least for 60 days after stopping study intervention. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, the treating physician should be informed immediately).
  5. Participants can give signed informed consent, as indicated in Appendix 2 (Study Governance), which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and this protocol.

Exclusion criteria 5

  1. Participants are pregnant or breastfeeding.
  2. For participants still on active treatment: Known hypersensitivity to any of the study intervention ingredients.
  3. Participant has been enrolled in the comparator arm of avelumab parent study.
  4. Participant has been withdrawn from avelumab parent study for any reason (Note: Participants in the Follow-up Period are eligible).
  5. Any other reason that, in the opinion of the Investigator, precludes the participant from participating in the study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Occurrence of treatment-related non-serious treatment-emergent adverse events (TEAEs), all serious adverse events (SAEs), immune-related adverse events (irAEs), and infusion-related reactions according to the version of National Cancer Institute Common Technology Criteria for Adverse Events (NCI-CTCAE) used in the respective parent study.

Secondary endpoints 3

  1. Overall Survival, from baseline in parent study to date of death due to any cause.
  2. Progression Free Survival according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) by Investigator, from baseline in parent study until progressive disease (PD) or death due to any cause.
  3. Duration Response assessed from complete response (CR) or partial response (PR) until PD or death due to any cause.

Investigational products

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

Test 1

Bavencio 20 mg/mL concentrate for solution for infusion

PRD5432093 · Product

Active substance
Avelumab
Substance synonyms
MSB0010718C, Recombinant human monoclonal IgG1 antibody against programmed death ligand-1, MSB 0010718C
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
999 Month(s)
Authorisation status
Authorised
ATC code
L01FF04 — -
Marketing authorisation
EU/1/17/1214/001
MA holder
MERCK EUROPE B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Merck KGaA

Sponsor organisation
Merck KGaA
Address
Frankfurter Strasse 250
City
Darmstadt
Postcode
64293
Country
Germany

Scientific contact point

Organisation
Merck KGaA
Contact name
Global Regulatory Affairs

Public contact point

Organisation
Merck KGaA
Contact name
Global Regulatory Affairs

Third parties 6

OrganisationCity, countryDuties
Catalent Pharma Solutions LLC
ORG-100011506
Somerset, United States Code 14
Opt-X-Pense Kft.
ORG-100047138
Budaors, Hungary Other
Let Me Pay Sp. z o.o.
ORG-100049608
Warsaw, Poland Other
Oracle Corp.
ORG-100007842
Redwood City, United States E-data capture
Catalent Germany Schorndorf GmbH
ORG-100011845
Schorndorf, Germany Code 14
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other

Locations

7 EU/EEA countries · 13 investigational sites

By country

CountryMS statusPlanned subjectsSites
Bulgaria Ongoing, recruitment ended 1 1
France Ongoing, recruitment ended 1 1
Hungary Ongoing, recruitment ended 1 1
Italy Ongoing, recruitment ended 3 3
Poland Ongoing, recruitment ended 1 1
Romania Ongoing, recruitment ended 3 3
Spain Ongoing, recruitment ended 3 3
Rest of world
Korea, Republic of, Ukraine, Japan, Argentina, Turkey, Mexico, Brazil, United States, Russian Federation, Thailand
205

Investigational sites

Bulgaria

1 site · Ongoing, recruitment ended
Mbal Za Zhensko Zdrave Nadezhda OOD
Clinic of Medical Oncology, Blaga Vest Street 3, 1330, Sofia

France

1 site · Ongoing, recruitment ended
CHU Besancon
Service d'oncologie Medicale, 3 Boulevard Alexander Fleming, Cs 81816, Besancon Cedex

Hungary

1 site · Ongoing, recruitment ended
Zala Varmegyei Szent Rafael Korhaz
Pulmonologiai Osztaly, Zrinyi Miklos Utca 1, 8900, Zalaegerszeg

Italy

3 sites · Ongoing, recruitment ended
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
UOC Oncologia Medica, Largo Francesco Vito 1, 00168, Rome
Humanitas Mirasole S.p.A.
U.O. Oncologia Medica ed Ematologia, Via Alessandro Manzoni 56, 20089, Rozzano
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
UOC Medical Oncology - Department of Precision, Via Sergio Pansini 5, 80131, Naples

Poland

1 site · Ongoing, recruitment ended
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Dept of Lungs and Chest Oncology, Ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw

Romania

3 sites · Ongoing, recruitment ended
Institutul Regional De Oncologie Iasi
Sectia Oncologie Medicala, Strada G-Ral Berthelot 2-4, 700483, Iasi
Radiotherapy Center Cluj S.R.L.
Specialitatea Oncologie Medicala, Str. Razoare Nr. 486g Jud. Cluj, 407280, Floresti
Oncomed S.R.L.
Specialitatea Oncologie Medicala, Strada Porumbescu Ciprian 57-59, 300239, Timisoara

Spain

3 sites · Ongoing, recruitment ended
Consorci Sanitari Del Maresme
Oncology, Carretera De Cirera 230, 08304, Mataro
Hospital General Universitario Gregorio Maranon
Oncology, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitari Vall D Hebron
Oncology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Bulgaria 2019-08-02 2019-10-11 2023-09-07
France 2019-07-29 2019-08-21 2019-12-06
Hungary 2019-11-06 2019-11-28 2023-11-22
Italy 2019-10-24 2019-10-28 2023-12-06
Poland 2019-09-13 2019-09-24 2023-03-16
Romania 2019-06-21 2019-07-09 2023-09-12
Spain 2019-07-11 2019-09-03 2023-07-25

Results and documents

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

Documents 107 files

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

TypeTitleVersion
Protocol (for publication) D1_ Protocol_2024-514274-46-00_redacted 2.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_BGR 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_ESP 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_FRA 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_HUN 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_ITA 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_POL 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_POL_pl 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_ROM 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patient on treatment_400_ENG_2024-514274-46-00_for publication V3.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patient on treatment_400_ITA_2024-514274-46-00_for publication V3.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patient on treatment_401_ENG_2024-514274-46-00_for publication V3.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patient on treatment_401_ITA_2024-514274-46-00_for publication V3.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patient on treatment_408_ENG_2024-514274-46-00_for publication V3.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patient on treatment_408_ITA_2024-514274-46-00_for publication V3.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF patients under treatment_ENG_2024-514274-46-00_for publication V3.0FRA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_400_ENG_2024-514274-46-00_for publication V1.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_400_ITA_2024-514274-46-00_for publication V1.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_401_ENG_2024-514274-46-00_for publication V1.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_401_ITA_2024-514274-46-00_for publication V1.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_408_ENG_2024-514274-46-00_for publication V1.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_408_ITA_2024-514274-46-00_for publication V1.0ITA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Country Main ICF_ITA V5.0ITA3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Country Main ICF_ITA_Tracked changes V5.0ITA3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Country Pregnant Partner ICF_ITA V2.0ITA2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Country Pregnant Partner ICF_ITA_Tracked changes V2.0ITA2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_ENG 5.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_ENG_2024-514274-46-00_for publication V3.0SPA2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_ENG_Tracked changes 5.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_ESP 5.0ESP1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_ESP_Track Changes 5.0ESP1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_HUN V5.0HUN2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_HUN_Tracked changes V5.0HUN2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_POL_Tracked changes V5.0POL1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_ROM 5.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient on treatment_ROM_Tracked changes 5.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient under treatment_ENG_2024-514274-46-00_for publication V3.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient under treatment_HUN_2024-514274-46-00_for publication V3.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patients on treatment_ENG_2024-514274-46-00_for publication V3.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patients on treatment_HUN_2024-514274-46-00_for publication V3.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Partner_ENG_2024-514274-46-00_for publication V1.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Partner_HUN_2024-514274-46-00_for publication V1.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Testing_Female_ENG_2024-514274-46-00_for publication V1.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Testing_Female_HUN_2024-514274-46-00_for publication V1.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Testing_Male_ENG_2024-514274-46-00_for publication V1.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Testing_Male_HUN_2024-514274-46-00_for publication V1.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_BGR 2.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_BGR_tracked changes 2.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ENG 2.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ENG 2.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ENG__Tracked changes 2.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ENG_2024-514274-46-00_for publication V1.0SPA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ENG_2024-514274-46-00_for publication V1.0POL1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ENG_tracked changes 2.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ESP V2.0ESP1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ESP_Track changes 2.0ESP1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_FRA V2.0FRA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_FRA_Tracked Changes V2.0FRA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_HUN V2.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_HUN_Tracked changes V2.0HUN1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_POL 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_POL_Tracked changes 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ROM 2.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ROM_Tracked changes 2.0ROM2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_BGR V5.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_BGR_tracked changes V5.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_ENG V5.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_ENG_2024-514274-46-00_for publication V3.0POL1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_ENG_tracked changes V5.0BGR1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_FRA V5.0FRA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_FRA_Tracked Changes V5.0FRA1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pt on treatment_POL V5.0POL1.0
Subject information and informed consent form (for publication) L2_Other subj info material_Fast Fact Sheet Patients_ENG_2024-514274-46-00_for publication V1.0SPA1.0
Subject information and informed consent form (for publication) L2_Other subj info material_Fast Fact Sheet Patients_ENG_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subj info material_Fast Fact Sheet Patients_ROM_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subj info material_Fast Fact Sheet Patients_SPA_2024-514274-46-00_for publication V1.0SPA1.0
Subject information and informed consent form (for publication) L2_Other subj info material_Fast Fact Sheet_ENG_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_Fast Fact Sheet_ITA_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_GP letter_ENG_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_GP letter_ITA_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_List S_ENG_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_List S_ITA_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_Patient Emerg Card_ENG_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subj info material_Patient Emerg Card_ENG_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_Patient Emerg Card_ITA_2024-514274-46-00_for publication 1.0
Subject information and informed consent form (for publication) L2_Other subj info material_Patient Emerg Card_ROM_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subj info material_Patient Emerg Card_SPA_2024-514274-46-00_for publication V1.0SPA1.0
Subject information and informed consent form (for publication) L2_Other subject info material_Fast Fact Sheet Patients_FRA 1.0
Subject information and informed consent form (for publication) L2_Other subject info material_GP Letter_ POL_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subject info material_Patient Emerg Card_POL_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subject information material_Emergency Card_HUN 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Fast Fact Sheet Patients_BGR_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subject information material_Fast Fact Sheet Patients_ENG_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subject information material_Fast Fact Sheet_HUN 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Fast fact sheet_POL 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Emerg Card_BGR_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Emerg Card_ENG_2024-514274-46-00_for publication 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Emerg Card_FRA 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF Pregnant Partner_ENG_2024-514274-46-00_for publication V1.0FRA1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_BGR_2024-514274-46-00 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ENG_2024-514274-46-00 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ESP_2024-514274-46-00 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_FRA_2024-514274-46-00 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_HUN_2024-514274-46-00 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ITA_2024-514274-46-00 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_POL_2024-514274-46-00 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ROM_2024-514274-46-00 2.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-08 Italy No conclusion
2024-09-23
2024-10-21
2 SUBSTANTIAL MODIFICATION SM-1 2024-12-18 Italy Acceptable
2025-03-10
2025-03-12
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-06-04 Italy Acceptable
2025-03-10
2025-06-04
4 SUBSTANTIAL MODIFICATION SM-2 2025-06-12 Italy Acceptable
2025-08-22
2025-08-22
5 SUBSTANTIAL MODIFICATION SM-3 2025-09-30 Italy Acceptable
2025-11-11
2025-11-13