Prospective multicenter clinical trial for risk estimation and treatment stratification in low and intermediate risk neuroblastoma patients - NB2015-LR

2024-517295-37-00 Protocol Uni-Koeln-4299 Therapeutic confirmatory (Phase III) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 29 sites · Protocol Uni-Koeln-4299

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruitment pending
Participants planned 280
Countries 1
Sites 29

low and intermediate risk neuroblastoma

Improvement of event free survival (EFS) of patients with intensified treatment and no impairment of EFS of patients with reduced treatment after treatment allocation by gene expression based risk stratification.

Key facts

Sponsor
University Of Cologne
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Decision date (initial)
2024-10-25
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Deutsche Kinderkrebs-Stiftung

External identifiers

EU CT number
2024-517295-37-00
EudraCT number
2017-004883-37

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Improvement of event free survival (EFS) of patients with intensified treatment and no impairment of EFS of patients with reduced treatment after treatment allocation by gene expression based risk
stratification.

Secondary objectives 1

  1. Implementation of a RNA expression based classifier for the risk prediction of low- and intermediate risk neuroblastoma patients.

Conditions and MedDRA coding

low and intermediate risk neuroblastoma

VersionLevelCodeTermSystem organ class
20.0 PT 10029260 Neuroblastoma 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Neuroblastoma diagnosed according to the accepted criteria: histological diagnosis from tumor tissue or presence of distinct neuroblastoma cells in the bone marrow and elevated catecholamine metabolites (HVA, VMA) in blood or urine
  2. MYCN not amplified
  3. Stage and age either: a. localized neuroblastoma INRGSS stage L1/L2/INSS stage 1-3 and age at diagnosis ≥18 months and < 21 years b. INSS Stage 4S/INRGSS stage MS c. INSS Stage 4/INRGSS stage M and age at diagnosis <18 months d. INRGSS stage L1/L2 and age at first diagnosis <18 months with relapse or progression of neuroblastoma
  4. Sufficient tumor tissue available from initial diagnosis available for analysis of RNA expression array
  5. Guardians’ informed consent and/ or patient’s informed consent if appropriate according to age and status of psycho-intellectual development

Exclusion criteria 12

  1. Participation in other clinical trials
  2. Pregnancy or lactation
  3. Insufficient contraception for sexually active study participants as well as female partners of sexually active male trial participants. Patients must be informed about the need of adequate contraception. Moreover, this need for contraception must be understood by the trial participants. Only contraception with a Pearl index <1% are considered as sufficient. For the purpose of this trial, these are long-term parenteral hormones, progesterone releasing implants, intramuscular progesterone, and intrauterine hormone releasing devices, tubal ligation, and vaginal hormonal contraception. This also holds true for adolescents who are at risk to become sexually active during trial participation
  4. Any concomitant non-protocol anticancer therapy
  5. Incomplete initial staging
  6. Known allergy/hypersensitivity to the scheduled drugs
  7. Impaired cardiac function such as insufficiency, heart rate abnormalities and blood pressure abnormalities corresponding to CTCAE 5.0 grade 2 or higher. Hypertension according to age specific reference values clearly due to neuroblastoma is no exclusion criterion
  8. Impaired renal function defined by a reduced glomerular filtration rate <30 ml/min*1,73 m2 determined by serum creatinine (Schwartz formula) or serum cystatin C
  9. Impaired liver function corresponding to CTCAE 5.0 grade 3 or higher unless liver impairment is clearly caused by neuroblastoma in stage 4S/MS patients. Isolated elevation of the transaminases without evidence of impaired liver function is not an exclusion criterion
  10. History of earlier VOD/SOS of the liver
  11. Impaired bone marrow function defined by granulocytes <500/μl and/or thrombocytes <50.000/μl unless clearly caused by bone marrow involvement proven by bone marrow cytology or diffuse abnormal osteomedullary signal in the mIBG scintigraphy
  12. HIV infection because of the antiretroviral medication which potentially interferes with the metabolism of the scheduled investigational drugs

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Event-free survival (EFS): Time from diagnosis to event or last follow-up for patients without event; event is defined as death for all reasons, progression and relapse following previous complete remission or secondary malignant disease

Secondary endpoints 7

  1. Overall Survival (OS): Because of the importance for the individual patient OS has been chosen as secondary endpoint.
  2. Risk factors to impact on EFS and OS: The risk factors age at diagnosis, stage according to INSS and INRG, and copy number alterations of selected genes have been implemented in the INRG classification. These factors will be assessed by multivariate and subgroup analysis. Moreover, the description of patients’ cohorts by these risk factors is mandatory for international comparison of the trial results.
  3. Response: In neuroblastoma, response to trial treatment is not clearly correlated to outcome. In this trial, response to trial treatment will be compared to historical controls, with a special focus to the cohort with reduced treatment (group C).
  4. Regression: The percentage of spontaneous regression will be described in patients where the residual primary is observed without cytotoxic treatment and compared to historical controls.
  5. Incidence rates of toxic events: The administered chemotherapy cycles are known to cause treatment related side effects. To estimate the burden for the patients, kind and intensity of side effects will be compared to historical controls and between the patient groups A-C.
  6. Additional molecular analysis: The impact of clinical and molecular risk factors such as copy number alterations, telomere maintenance status and mutation status of candidate genes on EFS and OS will be analyzed.
  7. Group D, relapsed patients: Outcome of patients with relapse or progression of neuroblastoma diagnosed at the age < 18 months with unfavorable classification.

Investigational products

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

Test 14

Dacarbazine

SUB06882MIG · Substance

Active substance
Dacarbazine
Pharmaceutical form
POWDER FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
200 mg/m2 milligram(s)/square meter
Max total dose
3000 mg/m2 milligram(s)/square meter
Max treatment duration
15 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cyclophosphamide

SUB06859MIG · Substance

Active substance
Cyclophosphamide
Pharmaceutical form
POWDER FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
300 mg/m2 milligram(s)/square meter
Max total dose
8400 mg/m2 milligram(s)/square meter
Max treatment duration
28 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cyclophosphamide

SUB06859MIG · Substance

Active substance
Cyclophosphamide
Pharmaceutical form
COATED TABLET
Route of administration
ORAL
Max daily dose
150 mg/m2 milligram(s)/square meter
Max total dose
4800 mg/m2 milligram(s)/square meter
Max treatment duration
32 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vindesine Sulfate

SUB05102MIG · Substance

Active substance
Vindesine Sulfate
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
3 mg/m2 milligram(s)/square meter
Max total dose
9 mg/m2 milligram(s)/square meter
Max treatment duration
3 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Carboplatin

SUB06614MIG · Substance

Active substance
Carboplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
160 mg/m2 milligram(s)/square meter
Max total dose
640 mg/m2 milligram(s)/square meter
Max treatment duration
8 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Busulfan

SUB05993MIG · Substance

Active substance
Busulfan
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
4.8 mg/kg milligram(s)/kilogram
Max total dose
19.2 mg/kg milligram(s)/kilogram
Max treatment duration
4 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Dinutuximab Beta

SUB174757 · Substance

Active substance
Dinutuximab Beta
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
10 mg/m2 milligram(s)/square meter
Max total dose
5000 mg/m2 milligram(s)/square meter
Max treatment duration
50 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/12/1062
Modified vs. Marketing Authorisation
No

Doxorubicin Hydrochloride

SUB01827MIG · Substance

Active substance
Doxorubicin Hydrochloride
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
30 mg/m2 milligram(s)/square meter
Max total dose
180 mg/m2 milligram(s)/square meter
Max treatment duration
12 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Etoposide Phosphate

SUB13772MIG · Substance

Active substance
Etoposide Phosphate
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
100 mg/m2 milligram(s)/square meter
Max total dose
1200 mg/m2 milligram(s)/square meter
Max treatment duration
12 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ifosfamide

SUB08125MIG · Substance

Active substance
Ifosfamide
Pharmaceutical form
POWDER FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
1500 mg/m2 milligram(s)/square meter
Max total dose
22500 mg/m2 milligram(s)/square meter
Max treatment duration
15 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cisplatin

SUB07483MIG · Substance

Active substance
Cisplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
40 mg/m2 milligram(s)/square meter
Max total dose
480 mg/m2 milligram(s)/square meter
Max treatment duration
12 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Etoposide

SUB07337MIG · Substance

Active substance
Etoposide
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
100 mg/m2 milligram(s)/square meter
Max total dose
1200 mg/m2 milligram(s)/square meter
Max treatment duration
12 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Melphalan

SUB08728MIG · Substance

Active substance
Melphalan
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
140 mg/m2 milligram(s)/square meter
Max total dose
140 mg/m2 milligram(s)/square meter
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vincristine Sulfate

SUB05101MIG · Substance

Active substance
Vincristine Sulfate
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
1.5 mg/m2 milligram(s)/square meter
Max total dose
9 mg/m2 milligram(s)/square meter
Max treatment duration
6 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 4

Lenograstim

SUB02888MIG · Substance

Active substance
Lenograstim
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
10 µg/Kg microgram(s)/kilogram
Max total dose
400 µg/Kg microgram(s)/kilogram
Max treatment duration
70 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Mesna

SUB08784MIG · Substance

Active substance
Mesna
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
900 mg/m2 milligram(s)/square meter
Max total dose
18900 mg/m2 milligram(s)/square meter
Max treatment duration
21 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Clonazepam

SUB06728MIG · Substance

Active substance
Clonazepam
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
0.1 mg/kg milligram(s)/kilogram
Max total dose
0.7 mg/kg milligram(s)/kilogram
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Filgrastim

SUB07627MIG · Substance

Active substance
Filgrastim
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
10 µg/Kg microgram(s)/kilogram
Max total dose
400 µg/Kg microgram(s)/kilogram
Max treatment duration
70 Day(s)
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

University Of Cologne

Sponsor organisation
University Of Cologne
Address
Albertus-Magnus-Platz 1
City
Cologne
Postcode
50923
Country
Germany

Scientific contact point

Organisation
University Of Cologne
Contact name
Clinical trial coordinator

Public contact point

Organisation
University Of Cologne
Contact name
Clinical trial coordinator

Third parties 12

OrganisationCity, countryDuties
Deutsches Krebsforschungszentrum Stiftung Des Oeffentlichen Rechts
ORG-100009395
Heidelberg, Germany Other
Prinses Maxima Centrum voor Kinderoncologie B.V.
ORG-100011005
Utrecht, Netherlands Laboratory analysis
University Hospital Cologne AöR
ORG-100012761
Cologne, Germany Other, Laboratory analysis
University Hospital Cologne AöR
ORG-100012761
Cologne, Germany Other, Laboratory analysis
Universitaetsklinikum Tuebingen AöR
ORG-100007980
Tuebingen, Germany Other
University Hospital Cologne AöR
ORG-100012761
Cologne, Germany Other, Laboratory analysis
University Hospital Cologne AöR
ORG-100012761
Cologne, Germany On site monitoring, Code 8
University Hospital Cologne AöR
ORG-100012761
Cologne, Germany Other
University Hospital Cologne AöR
ORG-100012761
Cologne, Germany Other
Charite Universitaetsmedizin Berlin KöR
ORG-100008480
Berlin, Germany Other
Universitaetsklinikum Bonn AöR
ORG-100009711
Bonn, Germany Other, Laboratory analysis
Universitaet Muenster
ORG-100008258
Muenster, Germany Code 10

Locations

1 EU/EEA country · 29 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Authorised, recruitment pending 280 29
Rest of world 0

Investigational sites

Germany

29 sites · Authorised, recruitment pending
University Hospital Cologne AöR
Pediatric Oncology, Kerpener Strasse 62, Lindenthal, Cologne
Kliniken der Stadt Koeln gGmbH
Kinderkrankenhaus, Amsterdamer Strasse 59, Riehl, Cologne
Universitaet Muenster
Klinik für Kinder- und Jugendmedizin Paediatrische Haematologie und Onkologie, Albert-Schweitzer-Strasse 33, 48149, Muenster
Universitaetsklinikum Regensburg AöR
Dept. of Paediatric Haematology, Oncology and Stem Cell Transplantation, Franz-Josef-Strauss-Allee 11, Grass-Oberisling, Regensburg
Universitaetsklinikum Erlangen AöR
Kinder- und Jugendklinik, Abteilung für Päd. Onkologie und Hämatologie, Loschgestrasse 15, Innenstadt, Erlangen
Universitaetsklinikum Bonn AöR
Zentrum für Kinder- und Jugendmedizin Abt. Päd. Hämatologie/Onkologie, Venusberg-Campus 1, Venusberg, Bonn
Universitaetsklinikum Giessen und Marburg GmbH
Pediatric Hematology, Oncology & Immunodeficiencies, Feulgenstrasse 10-12, 35392, Giessen
Universitaetsmedizin Goettingen
Clinic for Pediatric and Adolescent Medicine, Pediatric Hematology and Oncology, Robert-Koch-Strasse 40, Weende, Goettingen
Klinikum Dortmund gGmbH
Klinik für Kinder- und Jugendmedizin, Beurhausstrasse 40, Mitte, Dortmund
Technische Universitaet Dresden
Klinik für Kinder- und Jugendmedizin, Pädiatrische Hämatologie und Onkologie, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Asklepios Klinik Sankt Augustin GmbH
Pädiatrische Onkologie und Hämatologie, Arnold-Janssen-Strasse 29, 53757, Sankt Augustin
Otto Von Guericke Universitaet Magdeburg
Abt. Pädiatrische Hämatologie und Onkologie, Leipziger Strasse 44, Leipziger Str., Magdeburg
Universitaetsklinikum Augsburg
Klinik für Kinder- und Jugendmedizin Schwäbisches Kinderkrebszentrum, Stenglinstrasse 2, Kriegshaber, Augsburg
Universitaetsklinikum Mannheim GmbH
Kinderonkologie, Theodor-Kutzer-Ufer 1-3, Wohlgelegen, Mannheim
Klinikum Der Landeshauptstadt Stuttgart gKAöR
Pädiatrie 5 (Onkologie, Hämatologie, Immunologie), Kriegsbergstrasse 62, Mitte, Stuttgart
Universitaetsklinikum Aachen AöR
Päd. Hämatologie, Onkologie u. SZT, Pauwelsstrasse 30, 52074, Aachen
HELIOS Klinikum Krefeld GmbH
Zentrum für Kinder- und Jugendmedizin Abt. für Hämatologie und Onkologie, Lutherplatz 40, Diessem/lehmheide, Krefeld
Charite Universitaetsmedizin Berlin KöR
Klinik für Pädiatrie mit Schwerpunkt Onkologie und Hämatologie, Augustenburger Platz 1, Wedding, Berlin
Universitaet Leipzig
Abteilung für Pädiatrische Onkologie, Hämatologie und Hämostaseologie, Liebigstrasse 22, Zentrum-Suedost, Leipzig
Klinikum Kassel GmbH
Klinik für päd. Hämato-Onkologie, Psychosomatik und Systemerkrankungen, Moenchebergstrasse 41-43, Fasanenhof, Kassel
HELIOS Klinikum Berlin-Buch GmbH
Klinik für Kinder- und Jugendmedizin, Päd. Onkologie/Hämatologie, Schwanebecker Chaussee 50, Buch, Berlin
HELIOS Klinikum Erfurt GmbH
Klinik für Kinder- und Jugendmedizin, Päd. Hämatologie und Onkologie, Nordhaeuser Strasse 74, Andreasvorstadt, Erfurt
Universitaetsklinikum Jena KöR
Klinik für Kinder- und Jugendmedizin, Am Klinikum 1, Lobeda, Jena
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
Klinik und Poliklinik für Kinder- und Jugendmedizin Kinderonkologisches Zentrum, Langenbeckstrasse 1, Oberstadt, Mainz
Staedtisches Klinikum Karlsruhe gGmbH
Franz Lust Kinderklinik Pädiatrische Hämatologie und Onkologie, Moltkestrasse 90, Weststadt, Karlsruhe
Gesundheit Nord gGmbH Klinikverbund Bremen
Klinikum Bremen-Mitte, Eltern-Kind-Zentrum Prof. Hess, Kinderonkologie-Station 3, St.-Juergen-Strasse 1, Hulsberg, Bremen
Universitaetsklinikum Wuerzburg AöR
Universitätskinderklinik, Hämatologie und Onkologie, Josef-Schneider-Strasse 2, Grombuehl, Wuerzburg
Evangelisches Klinikum Bethel gGmbH
Campus Bielefeld-Bethel, Hämatologie/Onkologie, Grenzweg 14, Gadderbaum, Bielefeld
Martin-Luther-Universitaet Halle-Wittenberg
Klinik Pädiatrie I für Pädiatrische Onkologie, Hämatologie, Rheumatologie und Immunologie, Ernst-Grube-Strasse 40, Kroellwitz, Halle (Saale)

Results and documents

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

Documents 19 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-517295-37-00_p 1
Recruitment arrangements (for publication) Placeholder_not required_2024-517295-37-00 1
Subject information and informed consent form (for publication) L1_SIS and ICF adolescent_p 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults_p 1
Subject information and informed consent form (for publication) L1_SIS and PIC child 1
Subject information and informed consent form (for publication) L1_SIS and PIC custodial_p 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Busulfan 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Carboplatin 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Cisplatin 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Cyclophosphamid 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Dacarbacin 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Dinutuximab 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Doxorubicin 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Etoposid 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Etoposidphosphat 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Ifosfamid 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Melphalan 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Vincristin 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Vindesin 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-04 Germany Acceptable
2024-10-24
2024-10-25