Overview
Sponsor-declared trial summary
Advanced gastrointestinal stromal tumor (GIST)
Part 2 (Expansion): • To evaluate the objective response rate of combination therapy at recommended dose(s) in each expansion cohort using histology-specific consensus response criteria.
Key facts
- Sponsor
- Deciphera Pharmaceuticals Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 4 Mar 2026 → ongoing
- Decision date (initial)
- 2025-04-14
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- Deciphera Pharmaceuticals, LLC
External identifiers
- EU CT number
- 2024-516476-15-00
- ClinicalTrials.gov
- NCT05957367
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety, Pharmacokinetic, Dose response
Part 2 (Expansion):
• To evaluate the objective response rate of combination therapy at recommended
dose(s) in each expansion cohort using histology-specific consensus response criteria.
Secondary objectives 3
- To further characterize the efficacy of DCC-3116 at recommended dose(s) in combination with module-specific anticancer therapies
- To evaluate the safety and tolerability of DCC-3116 in combination with module-specific anticancer therapies
- To characterize the PK of DCC-3116 and module-specific anticancer therapies in expansion cohorts
Conditions and MedDRA coding
Advanced gastrointestinal stromal tumor (GIST)
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 7
- Male or female ≥18 years of age
- Pathologically confirmed GIST with documented mutation in KIT exon 11.
- Must have progressed on imatinib given in the locally advanced or metastatic setting or have been intolerant to imatinib and may not have received additional systemic therapy for GIST.
- Measurable disease.
- Must have a life expectancy of more than 3 months and an ECOG performance status of 0-1.
- Adequate organ function and bone marrow reserve based on laboratory assessments performed at Screening.
- Must provide a fresh tumor biopsy.
Exclusion criteria 8
- Must not have received the following within the specified time periods prior to the first dose of study drug: 1.Medications, including anticancer therapies, that are known strong or moderate inhibitors or inducers of CYP3A4 or P-glycoprotein (P-gp) including certain herbal medications (eg, St. John's wort): 14 days or 5×the half-life of the medication (whichever is longer). 2. Other anticancer therapies and any investigational therapies with a known safety and PK profile: 14 days or 5×the half-life of the medication (whichever is shorter). 3.Investigational therapies with unknown safety and PK profile: 28 days. If there is enough data on the investigational therapy to assess the risk for drug-drug interactions and late toxicities of prior therapy as low, the Sponsor's Medical Monitor may approve a shorter washout of 14 days. 4.Grapefruit or grapefruit juice: 14 days.
- Have not recovered from all clinically relevant toxicities from prior therapy.
- New York Heart Association Class III or IV heart disease, active ischemia, or any other uncontrolled cardiac condition, clinically significant cardiac arrhythmia requiring therapy, uncontrolled hypertension, congestive heart failure, or myocardial infarction within 6 months prior to the first dose of study drug.
- Symptomatic central nervous system (CNS) metastases or presence of leptomeningeal disease.
- Malabsorption syndrome.
- Radiation for indications other than bone disease must have been completed 4 weeks prior to first dose of study drug, unless it consisted of limited field palliative radiation, including whole brain radiation, which must have been completed at least 2 weeks prior to first dose of study drug.
- Major surgery within 4 weeks of the first dose of study drug.
- Active HIV, Hepatitis B or Hepatitis C infection.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Efficacy: ORR based on Investigator assessment, which is defined as the proportion of participants with a best overall response of confirmed CR or confirmed PR per the mRECIST
Secondary endpoints 3
- Efficacy: DOR, DCR at 16, 24, and 32 weeks, Time to response, PFS, OS.
- Safety: TEAEs, SAEs, TEAEs leading to dose reduction, interruption, or discontinuation of any/all study drug(s).
- Pharmacokinetics: PK endpoints will be evaluated for DCC-3116, ripretinib, and DP-5439. These PK parameters, if determinable, may include tmax, Cmax, Cmin, AUC.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 3
PRD10617946 · Product
- Active substance
- DCC-3116
- Pharmaceutical form
- GASTRO-RESISTANT TABLET
- Route of administration
- ORAL
- Authorisation status
- Not Authorised
- MA holder
- DECIPHERA PHARMACEUTICALS, LLC
- Paediatric formulation
- No
- Orphan designation
- No
PRD10617945 · Product
- Active substance
- DCC-3116
- Pharmaceutical form
- GASTRO-RESISTANT TABLET
- Route of administration
- ORAL
- Authorisation status
- Not Authorised
- MA holder
- DECIPHERA PHARMACEUTICALS, LLC
- Paediatric formulation
- No
- Orphan designation
- No
PRD9339000 · Product
- Active substance
- Ripretinib
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Authorisation status
- Authorised
- ATC code
- L01EX19 — -
- Marketing authorisation
- EU/1/21/1569/001
- MA holder
- DECIPHERA PHARMACEUTICALS (NETHERLANDS) B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EU/3/17/1936
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Deciphera Pharmaceuticals Inc.
- Sponsor organisation
- Deciphera Pharmaceuticals Inc.
- Address
- 200 Smith Street
- City
- Waltham
- Postcode
- 02451-0099
- Country
- United States
Scientific contact point
- Organisation
- Deciphera Pharmaceuticals Inc.
- Contact name
- Clinical trial information
Public contact point
- Organisation
- Deciphera Pharmaceuticals Inc.
- Contact name
- Clinical trial information
Third parties 17
| Organisation | City, country | Duties |
|---|---|---|
| Kcas LLC ORG-100043073
|
Olathe, United States | Laboratory analysis |
| Fortrea Inc. ORG-100012602
|
Durham, United States | Code 8 |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | On site monitoring, Code 12, Code 13, Code 2, Code 5 |
| Unisphere Travel Ltd. Inc. ORG-100043100
|
Stamford, United States | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Laboratory analysis |
| Imaging Endpoints II LLC ORG-100045399
|
Scottsdale, United States | Other |
| Guardant Health Inc. ORG-100042461
|
Redwood City, United States | Laboratory analysis |
| Eclinical Solutions LLC ORG-100044778
|
Mansfield, United States | Other, Data management |
| Greenphire LLC ORG-100041621
|
King Of Prussia, United States | Other |
| Suvoda LLC ORG-100043523
|
Conshohocken, United States | Interactive response technologies (IRT) |
| PCI Pharma Services Germany GmbH ORG-100031981
|
Großbeeren, Germany | Code 14 |
| Vivos Technology Limited ORG-100041363
|
London, United Kingdom | Other |
| PPD Development LP ORG-100011560
|
Richmond, United States | Other |
| Neogenomics Laboratories Inc. ORG-100041804
|
Aliso Viejo, United States | Other |
| IQVIA RDS Hellas Single Member S.A. ORG-100048380
|
Chalandri, Greece | On site monitoring, Code 12 |
| Eresearchtechnology Inc. ORG-100013039
|
Philadelphia, United States | Other |
| Llx Solutions LLC ORG-100046614
|
Waltham, United States | Code 10 |
Locations
8 EU/EEA countries · 18 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Denmark | Authorised, recruiting | 6 | 1 |
| France | Ongoing, recruiting | 18 | 4 |
| Germany | Authorised, recruiting | 12 | 2 |
| Greece | Authorised, recruitment pending | 3 | 1 |
| Italy | Ongoing, recruiting | 15 | 3 |
| Netherlands | Ongoing, recruiting | 12 | 2 |
| Portugal | Ongoing, recruiting | 6 | 1 |
| Spain | Ongoing, recruiting | 15 | 4 |
| Rest of world
United States, Switzerland
|
— | 7 | — |
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 |
|---|---|---|---|---|---|
| Denmark | 2026-03-30 | ||||
| France | 2026-03-27 | 2026-03-31 | |||
| Germany | 2026-03-30 | ||||
| Italy | 2026-03-30 | 2026-05-12 | |||
| Netherlands | 2026-03-04 | 2026-03-19 | |||
| Portugal | 2026-03-27 | 2026-05-12 | |||
| Spain | 2026-03-27 | 2026-03-30 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 122 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol Core_2024-516476-15-00_el-GRC_redacted | 1.0 |
| Protocol (for publication) | D1_Protocol Core_2024-516476-15-00_redacted | 1.0 |
| Protocol (for publication) | D1_Protocol Module B_2024-516476-15-00_el-GRC | 1.0 |
| Protocol (for publication) | D1_Protocol Module B_2024-516476-15-00_redacted | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_eCOA and Dosing Diary_EN | 1.0 |
| Protocol (for publication) | D5_Justification to include vulnerable populations_statement_san | n/a |
| Recruitment arrangements (for publication) | K_2024-516476-15_Recruit and Consent Procedure_san | v1 |
| Recruitment arrangements (for publication) | K1_DCC-3116-01-002_Recruitment arrangements NL_san | V3.0 |
| Recruitment arrangements (for publication) | K1_DK_Recruitment arrangements_san | 2.0 |
| Recruitment arrangements (for publication) | K1_Informed consent and patient recruitment procedure | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2.0 |
| Subject information and informed consent form (for publication) | L1 SIS and ICF Main | 4.0ESP1.0 |
| Subject information and informed consent form (for publication) | L1 SIS and ICF Pregnant Partner | V2.0ESP1.0 |
| Subject information and informed consent form (for publication) | L1_2024-516476-15_Main ICF_Module B Part 2_red-san | V4.0FRA1.0 |
| Subject information and informed consent form (for publication) | L1_DCC-3116-01-002_Main_ICF_Red-san | V4.0NLD2.0 |
| Subject information and informed consent form (for publication) | L1_DK_SIS and ICF_Main_Module B Part 2_san | V4.0DNK1.0 |
| Subject information and informed consent form (for publication) | L1_Main ICF Module B Part 2 with BfS_red-san | 3DEUde1 |
| Subject information and informed consent form (for publication) | L1_Main ICF Module B Part 2_red-san | 3DEUde1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Module B part 2_san | V3.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Module B Part 2_ENG | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Module B Part 2_GRC | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Privacy Module B part 2_san | V1.0ITA1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Testing ICF | V2.0PRT2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_Modulo B_Parte 2 | V4.0PRT1.0 |
| Subject information and informed consent form (for publication) | L2_2024-516476-15_Patient ID Card | V01FRAfr |
| Subject information and informed consent form (for publication) | L2_DK_Other subject information material_Study Participant Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_DK_Other Subject Information Material_Your rights_san | N/a |
| Subject information and informed consent form (for publication) | L2_Other subject Information material Patient ID card | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ EU Dispute Form | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material__Bank Transfer Standard Message Template | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject information material__ClinCard_Generic_Image_v10_January_2022 | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_3D Secure Terms of Use | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_3D Secure Terms of Use | N/A |
| Subject information and informed consent form (for publication) | L2_Other subject information material_3D Secure Terms of Use_ESP_Spanish_v10_June 2023 | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_Bank Transfer FAQ | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Bank Transfer FAQ | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Bank Transfer FAQ_ESP_Spanish_v10_July_2023 | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_Bank Transfer Standard Message Template | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Bank Transfer Standard Message Template | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_bt01_Bank Transfer FAQ | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_bt02_Bank Transfer Standard Message | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc01e_ClinCard_Card_Carrier | 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc01e_ClinCard_Card_Carrier_ESP_Spanish_v10_May_2023 | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc02e_ClinCard Cardholder FAQ | 11.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc02e_ClinCard Cardholder FAQ_ESP_Spanish_v11_April 2023 | 11 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc03_ClinCard Cardholder Msg | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc04e_i2c EU Dispute Form | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc05e_ClinCard_Fee_Schedule | 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc06e_ClinCard_Generic_Image | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc07e_ClinCard_Priv Policy_TPML_MC | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc13e_3D Secure Terms of Use | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc14e_KYC Identity Verif_ClinCard | 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_cc16_ClinCard KYC_Card Activ Msg | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_ClinCard Cardholder FAQ | 11.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard Cardholder FAQ | V 11.0 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_ClinCard Cardholder Msg Templates | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard Cardholder Msg Templates | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard Cardholder Msg Templates_ESP_Spanish_V10_January_2022 | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard Cardholder Website Screenshots_MC | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard Cardholder Website Screenshots_MC | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard KYC and Card Activation Msg Template | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_ClinCard KYC and Card Activation Msg Templates | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard KYC and Card Activation Msg Templates | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_ClinCard_Card_Carrier | 10.2 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard_Card_Carrier | V 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_ClinCard_Fee_Schedule | 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard_Fee_Schedule | V 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard_Fee_Schedule_ESP_Spanish_v10 1_May_2023 | 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_ClinCard_Generic_Image | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard_Generic_Image | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_ClinCard_Privacy Policy | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard_Privacy Policy_TPML_MC | V 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ClinCard_Privacy Policy_TPML_MC_ESP_Spanish_V10_January_2022 | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_EU Dispute Form | 10.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_EU Dispute Form_ESP_Spanish_v10_January_2022 | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Global Visa Card Version Portuguese | N/A |
| Subject information and informed consent form (for publication) | L2_Other subject information material_KYC Identity Verification for ClinCard | 10 |
| Subject information and informed consent form (for publication) | L2_Other subject Information material_KYC Identity Verification for ClinCard | 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_KYC Identity Verification for ClinCard | V 10.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient ID Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient ID Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_3D Secure Terms of Use | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_Bank Transfer FAQ | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_Bank Transfer Standard Message Template | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard Cardholder FAQ | 11 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard Cardholder Msg Templates | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard Cardholder Website Screenshots_MC_Europe | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard KYC and Card Activation Msg Templates | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard_Card_Carrier | 10.1 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard_Fee_Schedule | 10.1 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard_Generic_Image | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_ClinCard_Privacy Policy_TPML_MC | 10 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_EU Dispute Form | 10.1 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_KYC Identity Verification for ClinCard | 10.1 |
| Subject information and informed consent form (for publication) | L2_OtherSubInfo_Patient ID Card | 1 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Bank Transfer FAQ | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Bank Transfer Message Template | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire card | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Card Carrier | V10.1 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire ClinCard FAQ | V11 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire EU Dispute Form | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Fee_Schedule | V10.2 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Identity Verification | V10.1 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Message Templates | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Privacy Policy | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Terms of Use | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_Greenphire Website Screenshots | V10.0 |
| Subject information and informed consent form (for publication) | L3_2024-516476-15_Patient_KYC and Card Activation Msg Templates | V10.0 |
| Subject information and informed consent form (for publication) | L3_Other subject information material_Patient ID Card_San | V 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC QINLOCK | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_PI_QINLOCK | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_de-DE_2024-516476-15-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_el-GRC_2024-516476-15-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_EN_2024-516476-15-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_es-ES_2024-516476-15-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_fr-FR_2024-516476-15-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_it-ITA_2024-516476-15-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_nl-NLD_2024-516476-15-00 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_pt-PT_2024-516476-15-00 | 1.0 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-12-05 | Netherlands | Acceptable with conditions 2025-04-14
|
2025-04-14 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-10-03 | Netherlands | Acceptable 2026-01-12
|
2026-01-12 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2026-01-22 | Acceptable | 2026-02-18 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2026-03-03 | Acceptable | 2026-04-06 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2026-03-17 | Acceptable | 2026-04-28 |