Overview
Sponsor-declared trial summary
Metastatic castrate resistant prostate cancer - mCRPC
1. Efficacy Phase: To evaluate the safety and tolerability for each treatment arm. 2. Efficacy Phase: To estimate the PSA response rate for each treatment arm. 3. Safety Lead-in (combination arms only): To evaluate the safety and tolerability and to establish an RP2D of treatment combinations that have not been evaluat…
Key facts
- Sponsor
- Merck Sharp & Dohme LLC
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 12 Aug 2025 → ongoing
- Decision date (initial)
- 2025-07-08
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Daiichi Sankyo · Merck Sharp & Dohme LLC
External identifiers
- EU CT number
- 2024-516036-94-00
- WHO UTN
- U1111-1310-5406
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacogenomic, Pharmacodynamic, Pharmacokinetic, Safety, Efficacy, Therapy, Pharmacogenetic
1. Efficacy Phase: To evaluate the safety and tolerability for each treatment arm.
2. Efficacy Phase: To estimate the PSA response rate for each treatment arm.
3. Safety Lead-in (combination arms only): To evaluate the safety and tolerability and to establish an RP2D of treatment combinations that have not been evaluated in a separate study.
Secondary objectives 7
- Efficacy Phase: To estimate the ORR per PCWG-Modified RECIST 1.1, as assessed by BICR, for each treatment arm.
- Efficacy Phase: To evaluate rPFS per PCWG-Modified RECIST 1.1, as assessed by BICR, for each treatment arm.
- Efficacy Phase: To evaluate OS for each treatment arm.
- Efficacy Phase: To evaluate the DOR per PCWG-Modified RECIST 1.1, as assessed by BICR for each treatment arm.
- Efficacy Phase: To evaluate the TFST for each treatment arm.
- Efficacy Phase: To evaluate the time to PSA progression for each treatment arm.
- Efficacy Phase: To evaluate the TTPP for each treatment arm.
Conditions and MedDRA coding
Metastatic castrate resistant prostate cancer - mCRPC
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 27.0 | PT | 10036909 | Prostate cancer metastatic | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 7
- Has histologically- or cytologically-confirmed adenocarcinoma of the prostate without small cell histology
- Has prostate cancer progression while on androgen deprivation therapy (ADT) (or post bilateral orchiectomy) within 6 months before Screening
- Has current evidence of metastatic disease
- Has received prior treatment with 1 or 2 androgen receptor pathway inhibitors (ARPIs) and progressed during or after treatment
- Participants receiving bone resorptive therapy (including, but not limited to bisphosphonate or denosumab) must have been on stable doses for ≥4 weeks before allocation/randomization
- An Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 10 days before allocation/randomization
- Has prior treatment with poly-ADP-ribose polymerase inhibitors (PARPi) if indicated by local approved regimen or were deemed ineligible to receive PARPi by the investigator
Exclusion criteria 13
- Has any history of ILD/pneumonitis irrespective of prior steroid use, current ILD, ILD that cannot be ruled out at screening, or suspected ILD
- Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses
- Uncontrolled or significant cardiovascular disease
- History of pituitary dysfunction
- Poorly controlled diabetes mellitus
- History or current condition of adrenal insufficiency (eg, Addison’s disease)
- Has received prior treatment with taxane-based chemotherapy agent for mCRPC.
- Chronic steroid treatment (dose of >10 mg daily prednisone equivalent), except for low-dose inhaled steroids (for asthma/chronic obstructive pulmonary disease), topical steroids (for mild skin conditions), or intra-articular steroid injections
- Received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids
- Known additional malignancy that is progressing or has required active treatment within the past 3 years
- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis
- Active autoimmune disease that has required systemic treatment in the past 2 years
- History of allogeneic tissue/solid organ transplant
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 7
- 1. Efficacy Phase: Number of Participants Who Experience One or More Dose-Limiting Toxicities (DLTs) - Combination Arms Only
- 2. Efficacy Phase: Number of Participants Who Experienced an Adverse Event (AE)
- 3. Efficacy Phase: Number of Participants Who Discontinued Study Intervention Due to an AE
- 4. Efficacy Phase: Prostate-Specific Antigen (PSA) response rate
- 5. Safety Lead-in Phase: Number of Participants Who Experience One or More Dose-Limiting Toxicities (DLTs) - Combination Arms Only
- 6. Safety Lead-in Phase: Number of Participants Who Experienced an Adverse Event (AE) - Combination Arms Only
- 7. Safety Lead-in Phase: Number of Participants Who Discontinued Study Intervention Due to an AE - Combination Arms Only
Secondary endpoints 7
- Efficacy Phase: Objective Response Rate (ORR)
- Efficacy Phase: Radiographic Progression-Free Survival (rPFS)
- Efficacy Phase: Overall Survival (OS)
- Efficacy Phase: Duration of Response (DOR)
- Efficacy Phase: Time to First Subsequent Anticancer Therapy (TFST)
- Efficacy Phase: Time to Prostate-Specific Antigen (PSA) Progression
- Efficacy Phase: Time to Pain Progression (TTPP)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 6
SCP104122323 · ATC
- Active substance
- Enzalutamide
- Substance synonyms
- MDV3100
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- L02BB04 — ENZALUTAMIDE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP107974752 · ATC
- Active substance
- Prednisolone
- Substance synonyms
- (8S,9S,10S,11S,13S,14S,17R)-11,17-DIHYDROXY-17-(2-HYDROXYACETYL)-10,13-DIMETHYL-7,8,9,11,12,14,15,16-OCTAHYDRO-6H-CYCLOPENTA[A]PHENANTHREN-3-ONE, GLPG0303, DELTA-HYDROCORTISONE, 1,2-DEHYDROHYDROCORTISONE, METACORTANDRALONE
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- H02AB06 — PREDNISOLONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP132446 · ATC
- Active substance
- Abiraterone
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- L02BX03 — ABIRATERONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD11627628 · Product
- Active substance
- Ifinatamab Deruxtecan
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
SCP107216203 · ATC
- Active substance
- Prednisolone
- Substance synonyms
- (8S,9S,10S,11S,13S,14S,17R)-11,17-DIHYDROXY-17-(2-HYDROXYACETYL)-10,13-DIMETHYL-7,8,9,11,12,14,15,16-OCTAHYDRO-6H-CYCLOPENTA[A]PHENANTHREN-3-ONE, GLPG0303, DELTA-HYDROCORTISONE, 1,2-DEHYDROHYDROCORTISONE, METACORTANDRALONE
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- H02AB07 — PREDNISONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD10441547 · Product
- Active substance
- Opevesostat Tosilate
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 1
SCP126226 · ATC
- Active substance
- Docetaxel
- Substance synonyms
- DOCETAXEL ANHYDROUS
- Route of administration
- INTRAVENOUS INFUSION
- Authorisation status
- Authorised
- ATC code
- L01CD02 — DOCETAXEL
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 10
SCP18514 · ATC
- Active substance
- Dexamethasone
- Substance synonyms
- DEXAMETASONE, DEXAMETHASONUM
- Pharmaceutical form
- -
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- H02AB02 — DEXAMETHASONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
A04AA · Product
- Pharmaceutical form
- PHF00244MIG
- Route of administration
- OTHER USE
- Authorisation status
- Authorised
- ATC code
- A04AA — SEROTONIN (5HT3) ANTAGONISTS
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP137925 · ATC
- Active substance
- Fludrocortisone Acetate
- Substance synonyms
- 9ALPHA-FLUOROHYDROCORTISONE 21-ACETATE, FLUOHYDROCORTISONE ACETATE
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- H02AA02 — FLUDROCORTISONE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP1081917 · ATC
- Active substance
- Buclizine Hydrochloride
- Substance synonyms
- Buclizine dihydrochloride
- Route of administration
- OTHER USE
- Authorisation status
- Authorised
- ATC code
- N02BE01 — PARACETAMOL
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
R06A · Product
- Pharmaceutical form
- -
- Route of administration
- OTHER USE
- Authorisation status
- Authorised
- ATC code
- R06A — ANTIHISTAMINES FOR SYSTEMIC USE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
H02A · Product
- Pharmaceutical form
- -
- Route of administration
- OTHER USE
- Authorisation status
- Authorised
- ATC code
- H02A — CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
-
A04AD · Product
- Pharmaceutical form
- PHF00008MIG
- Route of administration
- OTHER USE
- Authorisation status
- Authorised
- ATC code
- A04AD — OTHER ANTIEMETICS
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08065MIG · Substance
- Active substance
- Hydrocortisone
- Pharmaceutical form
- POWDER FOR INJECTION
- Route of administration
- INTRAMUSCULAR INJECTION
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08065MIG · Substance
- Active substance
- Hydrocortisone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB08065MIG · Substance
- Active substance
- Hydrocortisone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Merck Sharp & Dohme LLC
- Sponsor organisation
- Merck Sharp & Dohme LLC
- Address
- 126 East Lincoln Avenue, P. O. Box 2000 P. O. Box 2000
- City
- Rahway
- Postcode
- 07065-4607
- Country
- United States
Scientific contact point
- Organisation
- Merck Sharp & Dohme LLC
- Contact name
- Fariba Jafari
Public contact point
- Organisation
- Merck Sharp & Dohme LLC
- Contact name
- Fariba Jafari
Third parties 6
| Organisation | City, country | Duties |
|---|---|---|
| Labcorp Central Laboratory Services SARL ORG-100011524
|
Meyrin, Switzerland | Laboratory analysis |
| Parexel International Corp. ORG-100007310
|
Auburndale, United States | Other |
| Clario ORL-000013639
|
Philadelphia, United States | E-data capture |
| Roche CDx CAP - CLIA Laboratory ORL-000013673
|
United States | Laboratory analysis |
| Clario ORL-000013638
|
Philadelphia, United States | Other |
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Interactive response technologies (IRT) |
Locations
7 EU/EEA countries · 30 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ongoing, recruiting | 36 | 6 |
| Germany | Ongoing, recruiting | 14 | 4 |
| Ireland | Ongoing, recruiting | 9 | 3 |
| Italy | Ongoing, recruiting | 19 | 5 |
| Netherlands | Ongoing, recruiting | 12 | 3 |
| Poland | Ongoing, recruiting | 23 | 4 |
| Spain | Ongoing, recruiting | 32 | 5 |
| Rest of world
United States, Canada, Chile, Australia, Taiwan, Turkey, United Kingdom, Brazil, Israel, Argentina, Korea, Republic of, New Zealand
|
— | 216 | — |
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 |
|---|---|---|---|---|---|
| France | 2025-10-16 | 2025-10-22 | |||
| Germany | 2025-09-05 | 2025-09-29 | |||
| Ireland | 2026-01-21 | 2026-03-10 | |||
| Italy | 2025-09-16 | 2025-09-30 | |||
| Netherlands | 2025-08-19 | 2026-01-08 | |||
| Poland | 2025-09-03 | 2025-09-05 | |||
| Spain | 2025-08-12 | 2025-08-20 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 47 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2024-516036-94_SM09-RFI007_for pub | 05R |
| Protocol (for publication) | D1_Protocol_Master U01_2024-516036-94_IN_for pub | 00R |
| Protocol (for publication) | D4_Subject questionnaire_Handheld_EN_IN_for pub | 1.00 |
| Protocol (for publication) | D4_Subject questionnaire_Tablet_EN_IN_for pub | 1.00 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_DEU_EN_IN-RFI009_for pub | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ESP_ES_IN_for pub | 5R |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_FRA_FR_IN-RFI005_for pub | 28MAY2025 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_IRL_EN_IN_for pub | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ITA_EN_SM09_for pub | 12JAN2026 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_NLD_EN_IN_for pub | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_POL_PL_IN_for pub | 1.00 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Brochure_DEU_DE_IN_for pub | 01.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Brochure_IRL_EN_IN_for pub | 01.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Brochure_NLD_NL_SM06-RFI002_for pub | v3-0 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Summary PIS_IRL_EN_SM03_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_DEU_DE_IN-RFI013_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_ESP_ES_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_NLD_NL_IN_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum_FRA_FR_SM09-RFI002_for pub | AM02_v2-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main adult consent_FRA_FR_NSM03_for pub | AM02v2.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_DEU_DE_NSM02_for pub | AM02v2.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_ESP_ES_NSM07_for pub | AM02v2.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_IRL_EN_NSM04_for pub | AM02v2.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_ITA_IT_NSM05_for pub | AM02v2.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_NLD_NL_NSM08_for pub | AM02v2.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_POL_PL_NSM06_for pub | AM02v2.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main data privacy_ITA_IT_IN_for pub | 03MAR2025 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_add crossborder_DEU_DE_IN-RFI009_for pub | 0.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_DILI sample_ITA_IT_IN_for pub | 03MAR2025 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_Greenphire adults_IRL_EN_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_Greenphire_DEU_DE_IN-RFI009_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnancy follow-up_POL_PL_IN-RFI008_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner data privacy_ITA_IT_IN-RFI004_for pub | 21MAY2025 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner_ESP_ES_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner_ITA_IT_IN-RFI004_for pub | 21MAY2025 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC RSI_Abiraterone JANSSEN-CILAG LTD_IN_for pub | 06SEP2022 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC RSI_Docetaxel SEACROSS PHARMACEUTICALS LTD_IN_for pub | 02AUG2023 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC RSI_Enzalutamide Astellas Pharma_IN_for pub | 27JUN2024 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC RSI_Prednisolone AMDIPHARM MERCURY_IN_for pub | 12APR2024 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC RSI_Prednisone ACIS ARZNEIMITTEL GMBH_IN_for pub | 01MAR2022 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-516036-94_DEU_DE_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-516036-94_ESP_ES_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-516036-94_FRA_FR_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-516036-94_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-516036-94_ITA_IT_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-516036-94_NLD_NL_IN_for pub | 1.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-516036-94_POL_PL_IN_for pub | 2.0 |
Application history
19 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-03-17 | Netherlands | Acceptable with conditions 2025-07-07
|
2025-07-08 |
| 2 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-07-14 | Acceptable with conditions | 2025-08-14 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-07-15 | Acceptable with conditions | 2025-08-27 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-07-16 | Acceptable with conditions | 2025-08-14 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-07-17 | Acceptable with conditions | 2025-08-28 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-6 | 2025-07-17 | Netherlands | Acceptable with conditions | 2025-08-18 |
| 7 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-07-21 | Acceptable with conditions | 2025-07-28 | |
| 8 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-09-04 | Netherlands | Acceptable with conditions | 2025-09-04 |
| 9 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-09-18 | Acceptable with conditions | 2025-10-23 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-8 | 2025-12-02 | Netherlands | Acceptable with conditions | 2025-12-05 |
| 11 | SUBSTANTIAL MODIFICATION | SM-9 | 2026-01-16 | Netherlands | Acceptable 2026-04-28
|
2026-04-28 |
| 12 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-05-04 | Acceptable 2026-04-28
|
2026-05-04 | |
| 13 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2026-05-04 | Acceptable 2026-04-28
|
2026-05-04 | |
| 14 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2026-05-04 | Acceptable 2026-04-28
|
2026-05-04 | |
| 15 | NON SUBSTANTIAL MODIFICATION | NSM-5 | 2026-05-04 | Acceptable 2026-04-28
|
2026-05-04 | |
| 16 | NON SUBSTANTIAL MODIFICATION | NSM-6 | 2026-05-04 | Acceptable 2026-04-28
|
2026-05-04 | |
| 17 | NON SUBSTANTIAL MODIFICATION | NSM-7 | 2026-05-04 | Acceptable 2026-04-28
|
2026-05-04 | |
| 18 | NON SUBSTANTIAL MODIFICATION | NSM-8 | 2026-05-04 | Netherlands | Acceptable 2026-04-28
|
2026-05-04 |
| 19 | SUBSTANTIAL MODIFICATION | SM-10 | 2026-05-04 | Acceptable | 2026-05-21 |