Study of HM15912 in subjects with Short Bowel Syndrome-associated Intestinal Failure

2024-515160-32-00 Protocol HM-GLP2-201 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 2 Feb 2022 · Status Ongoing, recruiting · 5 EU/EEA countries · 11 sites · Protocol HM-GLP2-201

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 18
Countries 5
Sites 11

Short Bowel Syndrome-associated Intestinal Failure (SBS-IF)

1) To assess safety and tolerability of HM15912 after multiple subcutaneous (SC) doses for 24 weeks 2) To assess the pharmacokinetic (PK) profile of HM15912

Key facts

Sponsor
Hanmi Pharm. Co. Ltd.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Trial duration
2 Feb 2022 → ongoing
Decision date (initial)
2024-08-06
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Hanmi Pharmaceutical Co., Ltd. Korea, Republic of

External identifiers

EU CT number
2024-515160-32-00
EudraCT number
2021-000176-11
ClinicalTrials.gov
NCT04775706

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Pharmacokinetic, Efficacy, Safety, Therapy, Dose response

1) To assess safety and tolerability of HM15912 after multiple subcutaneous (SC) doses for 24 weeks
2) To assess the pharmacokinetic (PK) profile of HM15912

Secondary objectives 1

  1. To assess the pharmacodynamic (PD) profile of HM15912

Conditions and MedDRA coding

Short Bowel Syndrome-associated Intestinal Failure (SBS-IF)

VersionLevelCodeTermSystem organ class
20.1 PT 10049416 Short-bowel syndrome 100000004856

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Men or women aged 18 years or older with confirmed diagnosis of SBS.
  2. Had their most recent bowel surgery at least 6 months before joining the study.
  3. Subjects must either have no growth of cancer cells in their large intestine or have had any growths removed during a bowel examination within 6 months before joining the study.
  4. Subjects must have an opening on their abdomen, commonly called stoma, created by an operation that connects their small intestine to the outside of their body.

Exclusion criteria 3

  1. History of colon cancer, or any other current or prior medical conditions that would make it difficult to participate in the study.
  2. History of alcohol or drug abuse
  3. Have a body weight >100 kg and repeated blood pressure measurements > 140 mm Hg.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Primary endpoints to assessment of safety and tolerability of HM15912 after multiple subcutaneous (SC) doses for 24 weeks: • Incidence of adverse events (AEs) • Incidence of injection site reactions • Incidence of clinical laboratory abnormalities • Clinically significant findings on physical examination • Changes from baseline in vital signs and 12-lead electrocardiogram (ECG) parameters
  2. Primary endpoints to assessment of the pharmacokinetic (PK) profile of HM15912: • Maximum serum concentration (Cmax) • Time to maximum serum concentration (tmax) • Elimination half-life (t1/2) • Volume of distribution (Vd/F) • Clearance (CL/F) • Area under the concentration-time curve from time zero to the last observable concentration (AUClast), AUC from time zero over the dosing interval at the 1st and 6th dosing, respectively (AUCtau and AUCtau,ss), and AUC extrapolated to infinity

Secondary endpoints 1

  1. Change in weekly parenteral nutrition/intravenous fluid (PN/IV) volume from baseline to Week 25 Note: The baseline PN/IV volume (L/week) is the average of actual PN/IV volume received during the last 2 weeks of the Stabilization period.

Investigational products

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

Test 1

Human Glucagon-Like PEPTIDE-2 Analogue Linked to a Human Immunoglobulin Fc Fragment

PRD11285171 · Product

Active substance
Human Glucagon-Like PEPTIDE-2 Analogue Linked to a Human Immunoglobulin Fc Fragment
Substance synonyms
HM15912
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
1.5 mg/kg milligram(s)/kilogram
Max total dose
19.5 mg/kg milligram(s)/kilogram
Max treatment duration
52 Week(s)
Authorisation status
Not Authorised
MA holder
HANMI PHARM CO. LTD.
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/18/2126

Placebo 1

Solution for injection in pre-filled syringe

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

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hanmi Pharm. Co. Ltd.

Sponsor organisation
Hanmi Pharm. Co. Ltd.
Address
14 Wiryeseongdae-Ro
City
Songpa
Postcode
05545
Country
Korea, Republic of

Scientific contact point

Organisation
Hanmi Pharm. Co. Ltd.
Contact name
Medical Director

Public contact point

Organisation
Hanmi Pharm. Co. Ltd.
Contact name
Medical Director

Third parties 7

OrganisationCity, countryDuties
Q Squared Solutions Limited
ORG-100042527
Reading, United Kingdom Other
Perceptive Eclinical Limited
ORG-100041144
Nottingham, United Kingdom Interactive response technologies (IRT)
Fortrea Inc.
ORG-100012602
Durham, United States Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
Medical Research Network Limited
ORG-100043138
Milton Keynes, United Kingdom Other
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 10, Code 11, Code 12, Other, Code 2, Interactive response technologies (IRT), Data management, E-data capture, Code 8, Code 9
Biologics Development Services LLC
ORG-100044619
Tampa, United States Other

Locations

5 EU/EEA countries · 11 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 2 1
Denmark Ongoing, recruiting 3 2
France Ongoing, recruiting 2 4
Germany Ongoing, recruiting 3 2
Poland Ongoing, recruiting 3 2
Rest of world
Korea, Republic of, United States
5

Investigational sites

Belgium

1 site · Ongoing, recruiting
UZ Leuven
1501: Gastro-enterologie, Herestraat 49, 3000, Leuven

Denmark

2 sites · Ongoing, recruiting
Aalborg University Hospital
1602: Gastroenterologisk Afdeling, Moelleparkvej 4, 9000, Aalborg
Rigshospitalet
1601: Department of Transplantation, Digestive Diseases and General Surgery, Inge Lehmanns Vej 7, 2100, Copenhagen Oe

France

4 sites · Ongoing, recruiting
Hospices Civils De Lyon
1304:Intensive care unit, 165 Chemin Du Grand Revoyet, 69310, Pierre Benite
Centre Hospitalier Universitaire De Bordeaux
1302:Hépato-Gastro-Onco-Entérologie, Avenue Du Haut Leveque, 33600, Pessac
Hopital Beaujon
1301:Service de Gastroentérologie et assistance nutritive, 100 Boulevard Du General Leclerc, 92110, Clichy
Centre Hospitalier Universitaire De Nice
1303:Gastro-Entérologie, Hépatologie, 151 Route De Saint Antoine, 06200, Nice

Germany

2 sites · Ongoing, recruiting
Asklepios Klinik St George
1202: Innere Medizin, Gastroenterologie, Lohmuehlenstrasse 5, St. Georg, Hamburg
Universitaetsklinikum Tuebingen AöR
1201: Gastroenterologie, Hepatologie, Infektiologie, Otfried-Mueller-Strasse 10, Nordstadt, Tuebingen

Poland

2 sites · Ongoing, recruiting
Wojewodzki Specjalistyczny Szpital Im. M. Pirogowa W Lodzi
1403: Centrum Leczenia Żywieniowego, Ul. Wolczanska 191/195, 90-531, Lodz
Szpital Skawina Sp. z o.o.
1405: gastroenterology, Ul. Tyniecka 15, 32-050, Skawina

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2023-02-24 2025-10-15
Denmark 2025-03-07 2025-12-17
France 2022-02-24 2023-05-04
Germany 2022-03-22 2022-07-20
Poland 2022-02-02 2022-03-03

Results and documents

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

Documents 127 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol Main English HM-GLP2-201 Public 6.2
Protocol (for publication) D4_BEL Patient communication Dial-in information Dutch HM-GLP2-201 Public 2.0
Protocol (for publication) D4_BEL Patient communication Dial-in information French HM-GLP2-201 Public 2.0
Protocol (for publication) D4_BEL Patient communication Exit Interview Calendar Invite Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview Email Reminder Script Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview Email Scheduling Script Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview Phone Reminder Script Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit interview Guide-week 25 Dutch HM-GLP2-201 Public 2.1
Protocol (for publication) D4_BEL Patient communication Exit interview Guide-week 25 French HM-GLP2-201 Public 2.1
Protocol (for publication) D4_BEL Patient communication Exit interview Guide-week 53 Dutch HM-GLP2-201 Public 2.1
Protocol (for publication) D4_BEL Patient communication Exit interview Guide-week 53 French HM-GLP2-201 Public 2.1
Protocol (for publication) D4_BEL Patient communication Exit Interview-Calendar Invite French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview-Email Reminder Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview-Email Scheduling Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview-Phone Reminder Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview-Phone Scheduling Script Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Patient communication Exit Interview-Phone Scheduling Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Drink Menu Diary Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Drink Menu Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Nutritional Support Daily Diary Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Nutritional Support Daily Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject PGI-C Diary Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject PGI-C Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject PGI-S Diary Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject PGI-S Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Stoma Bag Volume Diary Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Stoma Bag Volume Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Urine Output Diary Dutch HM-GLP2-201 Public 1.0
Protocol (for publication) D4_BEL Subject Urine Output Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Patient communication Exit Interview-Email Reminder Script German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Patient communication Dial-in information German HM-GLP2-201 Public 2.0
Protocol (for publication) D4_DEU Patient communication Exit Interview Phone Reminder Script German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Patient communication Exit interview Guide-week 25 German HM-GLP2-201 Public 2.1
Protocol (for publication) D4_DEU Patient communication Exit interview Guide-week 53 German HM-GLP2-201 Public 2.1
Protocol (for publication) D4_DEU Patient communication Exit Interview-Calendar Invite German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Patient communication Exit Interview-Email Scheduling Script German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Patient communication Exit Interview-Phone Scheduling Script German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Subject Drink Menu Diary German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Subject Nutritional Support Daily Diary German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Subject PGI-C Diary German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Subject PGI-S Diary German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Subject Stoma Bag Volume Diary German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DEU Subject Urine Output Diary German HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Patient communication Exit Interview-Phone Scheduling Script Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Patient communication Dial-in information Danish HM-GLP2-201 Public 2.0
Protocol (for publication) D4_DNK Patient communication Exit interview Guide-week 25 Danish HM-GLP2-201 Public 2.1
Protocol (for publication) D4_DNK Patient communication Exit interview Guide-week 53 Danish HM-GLP2-201 Public 2.1
Protocol (for publication) D4_DNK Patient communication Exit Interview-Calendar Invite Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Patient communication Exit Interview-Email Reminder Script Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Patient communication Exit Interview-Email Scheduling Script Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Patient communication Exit Interview-Phone Reminder Script Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Subject Drink Menu Diary Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Subject Nutritional Support Daily Diary Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Subject PGI-C Diary Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Subject PGI-S Diary Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Subject Stoma Bag Volume Diary Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_DNK Subject Urine Output Diary Danish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Patient communication Dial-in information French HM-GLP2-201 Public 2.0
Protocol (for publication) D4_FRA Patient communication Exit interview Guide-week 25 French HM-GLP2-201 Public 2.2
Protocol (for publication) D4_FRA Patient communication Exit interview Guide-week 53 French HM-GLP2-201 Public 2.2
Protocol (for publication) D4_FRA Patient communication Exit Interview-Calendar Invite French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Patient communication Exit Interview-Email Reminder Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Patient communication Exit Interview-Email Scheduling Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Patient communication Exit Interview-Phone Reminder Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Patient communication Exit Interview-Phone Scheduling Script French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Subject Drink Menu Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Subject Nutritional Support Daily Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Subject PGI-C Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Subject PGI-S Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Subject Stoma Bag Volume Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_FRA Subject Urine Output Diary French HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Patient communication Dial-in information English HM-GLP2-201 Public 2.0
Protocol (for publication) D4_Patient communication Exit interview Guide-week 25 English HM-GLP2-201 Public 2.1
Protocol (for publication) D4_Patient communication Exit interview Guide-week 53 English HM-GLP2-201 Public 2.1
Protocol (for publication) D4_Patient communication Exit Interview-Calendar Invite English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Patient communication Exit Interview-Email Reminder Script English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Patient communication Exit Interview-Email Scheduling Script English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Patient communication Exit Interview-Phone Reminder Script English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Patient communication Exit Interview-Phone Scheduling Script English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Patient communication Dial-in information Polish HM-GLP2-201 Public 2.0
Protocol (for publication) D4_POL Patient communication Exit interview Guide-week 25 Polish HM-GLP2-201 Public 2.1
Protocol (for publication) D4_POL Patient communication Exit interview Guide-week 53 Polish HM-GLP2-201 Public 2.1
Protocol (for publication) D4_POL Patient communication Exit Interview-Calendar Invite Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Patient communication Exit Interview-Email Reminder Script Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Patient communication Exit Interview-Email Scheduling Script Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Patient communication Exit Interview-Phone Reminder Script Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Patient communication Exit Interview-Phone Scheduling Script Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Subject Drink Menu Diary Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Subject Nutritional Support Daily Diary Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Subject PGI-C Diary Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Subject PGI-S Diary Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Subject Stoma Bag Volume Diary Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_POL Subject Urine Output Diary Polish HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Subject Drink Menu Diary English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Subject Nutritional Support Daily Diary English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Subject PGI-C Diary English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Subject PGI-S Diary English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Subject Stoma Bag Volume Diary English HM-GLP2-201 Public 1.0
Protocol (for publication) D4_Subject Urine Output Diary English HM-GLP2-201 Public 1.0
Protocol (for publication) Regulatory Filenote HM-GLP2-201 NA
Recruitment arrangements (for publication) K1_BEL Recruitment Procedure Description English HM-GLP2-201 Public 1.0
Recruitment arrangements (for publication) K1_DEU Recruitment and Informed Consent Procedure combined HM-GLP2-201 Public 1.0
Recruitment arrangements (for publication) K1_FRA Recruitment Procedure Description bilingual HM-GLP2-201 Public 1.0
Recruitment arrangements (for publication) K1_POL Recruitment Procedure Description Polish HM-GLP2-201 Public 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements Transition Placeholder NA
Subject information and informed consent form (for publication) L1_BEL Country ICF Main Adult English HM-GLP2-201 Public 6.0
Subject information and informed consent form (for publication) L1_BEL Country ICF Main Adult Dutch HM-GLP2-201 Public 6.0
Subject information and informed consent form (for publication) L1_BEL Country ICF Main Adult French HM-GLP2-201 Public 6.0
Subject information and informed consent form (for publication) L1_BEL Country ICF Pregnant Partner Dutch HM-GLP2-201 Public 3.1
Subject information and informed consent form (for publication) L1_BEL Country ICF Pregnant Partner English HM-GLP2-201 Public 3.1
Subject information and informed consent form (for publication) L1_BEL Country ICF Pregnant Partner French HM-GLP2-201 Public 3.1
Subject information and informed consent form (for publication) L1_DEU Country ICF Main German HM-GLP2-201 Public 7.0
Subject information and informed consent form (for publication) L1_DEU Country ICF Pregnant Partner German HM-GLP2-201 Public 3.0
Subject information and informed consent form (for publication) L1_DNK Country ICF Addendum Danish HM-GLP2-201 Public 4.0
Subject information and informed consent form (for publication) L1_DNK Country ICF Main Adult Danish HM-GLP2-201 Public 4.0
Subject information and informed consent form (for publication) L1_DNK Country ICF Pregnant Partner Danish HM-GLP2-201 Public 2.0
Subject information and informed consent form (for publication) L1_FRA Country ICF Main HM-GLP2-201 Public 7.0
Subject information and informed consent form (for publication) L1_FRA Country Other Pregnant Partner ICF HM-GLP2-201 Public 3.1
Subject information and informed consent form (for publication) L1_POL Country ICF Main Polish HM-GLP2-201 Public 7.0
Subject information and informed consent form (for publication) L1_POL Country ICF Pregnant Partner Polish HM-GLP2-201 Public 3.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main Danish HM-GLP2-201 Public 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main Dutch HM-GLP2-201 Public 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main English HM-GLP2-201 Public 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main French HM-GLP2-201 Public 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main French HM-GLP2-201 Public 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main German HM-GLP2-201 Public 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main Polish HM-GLP2-201 Public 1.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-12 Poland Acceptable
2024-08-05
2024-08-05
2 SUBSTANTIAL MODIFICATION SM-1 2024-12-09 Poland Acceptable
2025-03-31
2025-04-01
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-04-14 Poland Acceptable
2025-03-31
2025-04-14
4 SUBSTANTIAL MODIFICATION SM-2 2025-10-31 Poland Acceptable
2025-12-19
2025-12-19
5 NON SUBSTANTIAL MODIFICATION NSM-2 2026-03-20 Poland Acceptable
2025-12-19
2026-03-20
6 SUBSTANTIAL MODIFICATION SM-3 2026-03-31 Poland Acceptable
2026-05-15
2026-05-18