Overview
Sponsor-declared trial summary
Hypertension
The GZPL master protocol will support 2 independent studies, J2A-MC-GZL1 (GZL1) and J2A-MC-GZL2 (GZL2). The purpose of this study is to create a framework to evaluate the safety and efficacy of orforglipron for the treatment of hypertension in participants with obesity or overweight.
Key facts
- Sponsor
- Eli Lilly & Co.
- Participant type
- Patients
- Age range
- 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Respiratory Tract Diseases [C08]
- Trial duration
- 17 Jul 2025 → ongoing
- Decision date (initial)
- 2025-07-07
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
External identifiers
- EU CT number
- 2024-519000-27-00
- WHO UTN
- U1111-1317-9299
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Pharmacokinetic, Efficacy
The GZPL master protocol will support 2 independent studies, J2A-MC-GZL1 (GZL1) and J2A-MC-GZL2 (GZL2). The purpose of this study is to create a framework to evaluate the safety and efficacy of orforglipron for the treatment of hypertension in participants with obesity or overweight.
Conditions and MedDRA coding
Hypertension
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 4
- Has systolic blood pressure (SBP) ≥ 140 mmHg and/or diastolic blood pressure (DBP) ≥ 90 mmHg (if DBP criteria alone is met, SBP must be ≥130 mmHg) at screening (visit 1).
- Has SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg (if DBP criteria alone is met, SBP must be ≥130 mmHg) at week 0 (visit 3).
- Untreated for hypertension, or on stable antihypertensive medications ≥ 30 days prior to Visit 1.
- Have a body mass index (BMI) ≥ 25 kg/m²at screening.
Exclusion criteria 6
- Has SBP ≥170 mmHg and/or DBP ≥110 mmHg at Visit 1 or at Visit 3.
- Has known secondary causes of hypertension
- Have heart failure with reduced ejection fraction (HFrEF) diagnosis
- Have had any of the following conditions within 90 days prior to screening. • hospitalization for hypertension or for congestive heart failure • acute coronary syndrome or acute myocardial infarction, or • cerebrovascular accident (stroke).
- Have type 1 diabetes (T1D)
- Have acute or chronic hepatitis, including a history of autoimmune hepatitis
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- (GZPL) Number of Participants Allocated to Each Study [Time Frame: Week -8 to Week 0] (GZL1; GZL2) Change from Baseline in office SBP [Time Frame: Baseline to Week 36]
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 6
PRD10193651 · Product
- Active substance
- Orforglipron Hemicalcium
- Substance synonyms
- Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 60 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
PRD10193655 · Product
- Active substance
- Orforglipron Hemicalcium
- Substance synonyms
- Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 60 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
PRD10193663 · Product
- Active substance
- Orforglipron Hemicalcium
- Substance synonyms
- Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 60 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
PRD10193667 · Product
- Active substance
- Orforglipron Hemicalcium
- Substance synonyms
- Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 60 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
PRD10193674 · Product
- Active substance
- Orforglipron Hemicalcium
- Substance synonyms
- Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 60 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
PRD10193676 · Product
- Active substance
- Orforglipron Hemicalcium
- Substance synonyms
- Orforglipron calcium, Calcium bis{3-[(1S,2S)-1-({2-(4-fluoro-3,5-dimethylphenyl)-3-({3-[3-(4-fluoro-1-methyl-1H-indazol-5-yl)-2-oxo-2,3-dihydro-1H-imidazol-1-yl]-4-methyl-2,4,6,7-tetrahydro-5H-pyrazolo[4,3-c]pyridin-5-yl}carbonyl)-5-[(4S)-2,2-dimethyloxan-4-yl]-1H-indol-1-yl}-2-methylcyclopropyl]-5-oxo-1,2,4-oxadiazol-4(5H)-ide}, LY3502970 hemicalcium
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 60 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
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
Eli Lilly & Co.
- Sponsor organisation
- Eli Lilly & Co.
- Address
- 1 Lilly Corporate Center
- City
- Indianapolis
- Postcode
- 46285-0001
- Country
- United States
Scientific contact point
- Organisation
- Eli Lilly & Co.
- Contact name
- Lilly Clinical Trials information desk
Public contact point
- Organisation
- Eli Lilly & Co.
- Contact name
- Lilly Clinical Trials information desk
Third parties 13
| Organisation | City, country | Duties |
|---|---|---|
| IQVIA Limited ORG-100008655
|
Livingston, United Kingdom | Laboratory analysis |
| Labcorp Pharmaceutical Research And Development (Shanghai) Co. Ltd. ORG-100043119
|
Shanghai, China | Laboratory analysis |
| Q Squared Solutions (Beijing) Co. Ltd. ORG-100043283
|
Beijing, China | Laboratory analysis |
| RWS Life Sciences Inc. ORG-100042348
|
East Hartford, United States | Data management |
| Greenphire LLC ORG-100041621
|
King Of Prussia, United States | Other |
| Q2 Solutions LLC ORG-100017000
|
Ithaca, United States | Laboratory analysis |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | Other |
| Q2 Solutions Kk ORG-100050450
|
Koto, Japan | Laboratory analysis |
| Pharmaserve Lilly S.A.C.I. ORG-100005347
|
Kifisia, Greece | On site monitoring, Code 12, Other, Code 2, Code 5 |
| Cleveland Clinic Foundation ORG-100028017
|
Cleveland, United States | Other |
| IQVIA RDS (India) Private Limited ORG-100047036
|
Mumbai, India | Laboratory analysis |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | On site monitoring |
| Antaros Medical AB ORG-100039055
|
Molndal, Sweden | Other |
Locations
5 EU/EEA countries · 39 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Czechia | Ongoing, recruitment ended | 110 | 9 |
| Germany | Ongoing, recruitment ended | 100 | 9 |
| Greece | Ongoing, recruitment ended | 70 | 6 |
| Poland | Ongoing, recruitment ended | 72 | 8 |
| Spain | Ongoing, recruitment ended | 70 | 7 |
| Rest of world
United States, Japan, India, Argentina, China
|
— | 552 | — |
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 |
|---|---|---|---|---|---|
| Czechia | 2025-07-21 | 2025-08-05 | 2025-11-20 | ||
| Germany | 2025-08-26 | 2025-08-29 | 2025-11-20 | ||
| Greece | 2025-09-10 | 2025-09-12 | 2025-12-01 | ||
| Poland | 2025-07-31 | 2025-08-07 | 2025-11-20 | ||
| Spain | 2025-07-17 | 2025-07-21 | 2025-11-20 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 93 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_ Sub-protocol 2024-519000-27-00 GZL1_Redacted | N/A |
| Protocol (for publication) | D1_ Sub-protocol 2024-519000-27-00 GZL2_Redacted | N/A |
| Protocol (for publication) | D1_GZL1_Protocol_2024-519000-27-00_GR_Redacted | 1 |
| Protocol (for publication) | D1_GZL2_Protocol_2024-519000-27-00_GR_Redacted | 1 |
| Protocol (for publication) | D1_Master Protocol 2024-519000-27-00 GZPL_Redacted | a |
| Protocol (for publication) | D1_Master Protocol a_2024-519000-27-00_Summary of changes_Redacted | a |
| Protocol (for publication) | D1_Protocol_2024-519000-27-00_GR_Redacted | a |
| Protocol (for publication) | D1_Protocol_2024-519000-27-00_GR_Summary of changes_GR_Redacted | a |
| Protocol (for publication) | D4_Patient Documents Copyright | 1.0 |
| Protocol (for publication) | D4_Study Participant Contact Card_GR | 2 |
| Recruitment arrangements (for publication) | 1_Recruitment and Informed consent procedure_GR | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure template | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| 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 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_PL | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment materials_Trialbee Global Privacy Policy | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment materials_Trialbee_Digital Marketing Content | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment materials_Trialbee_Landing Page_Redacted | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment materials_Trialbee_Overview Supplementary Information | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment materials_Trialbee_Secondary Assessment And Communication_Redacted | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment materials_Trialbee_Self Assessment_Redacted | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Trial Brochure | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment arrangments_Informed consent and patient recruitment procedure_PL | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material Funnelinhalt Lilly_PI Radowsky_Familien-medizinisches Zentrum Radowsky | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment Material Vorlage-FB_INSTAGRAM_PI Radowsky_Familien-medizinisches Zentrum Radowsky | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Brochure_GR | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flyer | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flyer | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flyer_GR | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Letter doctor referral | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Letter Doctor Referral | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Poster | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Poster | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Poster_GR | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_text emovis GmbH | 1.3 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Trial Brochure | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Materials_Flyer | 1 |
| Recruitment arrangements (for publication) | K3_Other subject information material_Flyer_Master_PL | 1 |
| Recruitment arrangements (for publication) | K3_Other subject information material_Poster_Master_PL | 1 |
| Recruitment arrangements (for publication) | K3_Other subject information material_Trial-Brochure_PL | 1 |
| Recruitment arrangements (for publication) | K3_Recruitment digital campaign_Trialbee_Digital Marketing Content | 1.0 |
| Recruitment arrangements (for publication) | K3_Recruitment digital campaign_Trialbee_Global Privacy Policy | 1.0 |
| Recruitment arrangements (for publication) | K3_Recruitment digital campaign_Trialbee_Landing Page_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K3_Recruitment digital campaign_Trialbee_Overview Supplementary Information | 1.0 |
| Recruitment arrangements (for publication) | K3_Recruitment digital campaign_Trialbee_Secondary Assessment And Communication_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K3_Recruitment digital campaign_Trialbee_Self Assessment_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Main_GR_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Data Privacy Addendum | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_Redacted | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_Redacted_PL | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L2_Compensation Information Sheet_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Compensation information sheet_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Confidentiality Company Information Notice_GR | 2 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_ConneX Travel Contact Card_GR_Redacted | 10 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_ConneX Travel Reference Guide for Participants_GR_Redacted | 10 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Letter Participant Welcome_GR | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient Information Card | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Study Guide_GR | 1 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Study Guide_GR_Redacted | 2 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study Participant Contact Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Thank You End Of Study_GR | 1 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Thank You Participation_GR | 1 |
| Subject information and informed consent form (for publication) | L2_Other Subject Information Material_Visit Card_GR | 2 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ZoomHealth_PrivacyStatement | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ZoomHealth_Screenshots | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ZoomHealth_TermsofService | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Clinical Trial Ancillary Supply List_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Study Guide_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Trial Brochure | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Visit Card | 2.0 |
| Subject information and informed consent form (for publication) | L2_Patient cards | 1.0 |
| Subject information and informed consent form (for publication) | L2_Patient Documents Not submitted_PL | 1 |
| Subject information and informed consent form (for publication) | L2_Study Participant Contact Card_GR | 2 |
| Subject information and informed consent form (for publication) | L3_Info Re insurance Conditions for Patient_PL | 1 |
| Synopsis of the protocol (for publication) | D1_ Master protocol synopsis GZPL_ES_2024-519000-27-00_Redacted | a |
| Synopsis of the protocol (for publication) | D1_GZL1 Protocol synopsis_ENG_2024-519000-27-00_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_GZL1_Protocol Synopsis_2024-519000-27-00_GR_Redacted | 1 |
| Synopsis of the protocol (for publication) | D1_GZL2 Protocol synopsis_ENG_2024-519000-27-00_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_GZL2_Protocol Synopsis_2024-519000-27-00_GR_Redacted | 1 |
| Synopsis of the protocol (for publication) | D1_GZPL Protocol synopsis_ENG_2024-519000-27-00_Redacted | a |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2024-519000-27-00_GR_Redacted | a |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL 2024-519000-27-00_GZL1_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL 2024-519000-27-00_GZL2_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL 2024-519000-27-00_GZPL_Redacted | a |
| Synopsis of the protocol (for publication) | D1_Sub protocol synopsis GZL1_ES_2024-519000-27-00_Redacted | initial |
| Synopsis of the protocol (for publication) | D1_Sub protocol synopsis GZL2_ES_2024-519000-27-00_Redacted | initial |
| Synopsis of the protocol (for publication) | D4_Protocol Synopsis_GZL1_CZE_2024-519000-27-00_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D4_Protocol Synopsis_GZL2_CZE_2024-519000-27-00_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D4_Protocol Synopsis_GZPL_CZE_2024-519000-27-00_Redacted | a |
Application history
8 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-04-01 | Germany | Acceptable with conditions 2025-07-01
|
2025-07-02 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-07-24 | Germany | Acceptable with conditions | 2025-08-26 |
| 3 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-10-01 | Germany | Acceptable with conditions | 2025-11-06 |
| 4 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-10-03 | Acceptable with conditions | 2025-12-01 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-6 | 2025-12-19 | Germany | Acceptable 2026-02-19
|
2026-02-20 |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-03-02 | Germany | Acceptable 2026-02-19
|
2026-03-02 |
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-03-02 | Acceptable 2026-02-19
|
2026-03-02 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-7 | 2026-03-16 | Germany | Acceptable | 2026-05-15 |