A study on the safety, and immunogenicity of a UTI vaccine in adults 18 through 64 years of age and clinical efficacy in females 18 through 64 years of age

2024-519319-32-00 Protocol 219685 Phase I and Phase II (Integrated) - First administration to humans Ongoing, recruitment ended

Start 27 Aug 2025 · Status Ongoing, recruitment ended · 2 EU/EEA countries · 18 sites · Protocol 219685

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ongoing, recruitment ended
Participants planned 448
Countries 2
Sites 18

Urinary Tract Infections

• To assess the reactogenicity and safety profile of the candidate UTI vaccine. • To assess the efficacy of the candidate UTI vaccine in preventing new cases of UTI due to E. coli compared to placebo

Key facts

Sponsor
GlaxoSmithKline Biologicals
Participant type
Patients, Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
27 Aug 2025 → ongoing
Decision date (initial)
2025-04-22
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-519319-32-00
ClinicalTrials.gov
NCT06702449

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Others, Prophylaxis, Safety

• To assess the reactogenicity and safety profile of the candidate UTI vaccine.
• To assess the efficacy of the candidate UTI vaccine in preventing new cases of UTI due to E. coli compared to placebo

Secondary objectives 2

  1. To assess the efficacy of the candidate UTI vaccine in reducing the total number of occurrences of UTI due to E. coli compared to placebo.
  2. To assess the efficacy of 1 dose of the candidate UTI vaccine in preventing new cases of UTI due to E. coli and in reducing the total number of occurrences of UTI due to E. coli compared to placebo.

Conditions and MedDRA coding

Urinary Tract Infections

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration
Plan to share IPD
Yes
IPD plan description
Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. • Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol. • Written informed consent obtained from the participant prior to performance of any study-specific procedure. • Female participants of non-childbearing potential may be enrolled in the clinical study. • Female participants of childbearing potential may be enrolled in the clinical study, if the participant: • has practiced adequate contraception for 1 month prior to study intervention administration, and • has a negative pregnancy test on the day of study intervention administration, and • has agreed to continue adequate contraception during the entire treatment period and for at least 1 month after completion of the study intervention administration series. • Blood sample for simultaneous follicle stimulating hormone (FSH) and estradiol levels may be collected.
  2. Additional inclusion criterion only for participants in Part 1 of the study (SLI): • Female and male between and including 18 through 64 YOA at the time of ICF signature. • Healthy participants, according to medical history, laboratory assessment and clinical examination at Screening Visit.
  3. Additional inclusion criterion only for participants in Part 2 of the study (PoP): • Females between and including 18 through 64 YOA at the time of ICF signature. • Participants with documented history of at least 1 episode of urine culture confirmed E. coli uncomplicated UTI in the last 12 months prior to study vaccine administration.

Exclusion criteria 3

  1. Medical conditions: • History of any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention(s). • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination. • Hypersensitivity to latex. • History of pIMD. • Acute or chronic clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests. • History of endocrinologic, hematologic, metabolic, urologic, dermatologic, or gastrointestinal conditions that, in the opinion of the investigator, places the participant at unacceptable risk or would make adhering to study procedures for the duration of the study difficult. • Recurrent history or uncontrolled neurological disorders or any neuroinflammatory (including, but not limited to demyelinating disorders, encephalitis or myelitis of any origin), congenital neurological conditions, encephalopathies, or seizures. • Any behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the participant’s ability to participate in the study. • Condition that in the judgment of the investigator would make intramuscular injection unsafe. • Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the study.
  2. Additional exclusionary medical conditions only for participants in Part 1 of the study (SLI): • Any clinically significant hematologic and/or biochemical laboratory abnormality at Screening Visit.
  3. Additional exclusionary medical conditions only for participants in Part 2 of the study (PoP): • The participant has UTI that is known or suspected to be due to fungal, parasitic, or viral pathogens; or known or suspected to be due to Pseudomonas aeruginosa or any Enterobacter species. • The participant has symptoms known or suspected to be caused by another disease process, such as asymptomatic bacteriuria, overactive bladder, chronic incontinence, or chronic interstitial cystitis, that may interfere with the clinical efficacy assessments. • The participant has an anatomical or physiological anomaly that predisposes the participant to UTIs or may be a source of persistent bacterial colonization, including calculi, obstruction or stricture of the urinary tract, primary renal disease or neurogenic bladder, or the participant has a history of anatomical or functional abnormalities of the urinary tract. • The participant has an indwelling catheter, nephrostomy, ureteral stent, or other foreign material in the urinary tract. • The participant who, in the opinion of the investigator, has an otherwise complicated UTI or has an active upper UTI. • Use of any investigational or non-registered product (drug, vaccine or invasive medical device) other than the study intervention(s) during the period beginning 30 days before the first dose of study intervention(s) (Day -29 to Day 1), or their planned use during the study period. • Planned administration and/or administration of a vaccine not foreseen by the study protocol in the period starting 15 days before the first dose and ending 15 days after the last dose of study intervention(s) administration. • Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 90 days before the study intervention or planned administration during the study period. • Chronic administration of immune-modifying drugs (defined as more than 14 consecutive days in total) and/or planned use of long-acting immune modifying treatments at any time up to the end of the study. - Up to 3 months prior to the study intervention administration: - For corticosteroids, this will mean prednisone equivalent >=20 mg/day for adult participants. Inhaled and topical steroids are allowed. - Up to 3 months prior to study intervention administration: long-acting immune-modifying drugs including among others immunotherapy (e.g., TNF-inhibitors), monoclonal antibodies, antitumoral medication. • Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational intervention (drug, vaccine or invasive medical device). • Pregnant or lactating female participant. • Female participant planning to become pregnant or planning to discontinue contraceptive precautions before 1 month after completion of the study intervention administration series. • History of chronic alcohol consumption* and/or drug abuse, based on investigator judgment. • Persons under guardianship or trusteeship. • Persons deprived of liberty. • Any study personnel or their immediate dependents, family, or household members

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. For participants in both parts of the study (Part 1 [SLI] and Part 2 [PoP]), occurrence of: • solicited administration site and systemic AEs during the 7 days post-Dose 1 and post-Dose 2, • any unsolicited AEs during the 30 days post-Dose 1 and post Dose 2, • any immediate unsolicited AEs in the 60 minutes post-Dose 1 and post-Dose 2. • SAEs, pIMDs, MAAEs, and AEs leading to study withdrawal until Day 426 (i.e., end of follow-up).
  2. For participants in the Part 1 of the study (SLI): • Occurrence of hematological and biochemical laboratory abnormalities, and changes from the baseline values, at 7 days after the day of Dose 1 and Dose 2 compared to pre-dose values (i.e., on Day 8 and Day 68, compared to Day 1# and Day 61, respectively).
  3. For participants in the Part 2 of the study (PoP): • First occurrence of a urine culture confirmed UTI due to E. coli from 14 days (Day 75) up to 12 months (Day 426) post-Dose 2.

Investigational products

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

Test 6

GSKVX000000044501

PRD11788926 · Product

Active substance
GSKVX000000044501
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
Paediatric formulation
No
Orphan designation
No

GSKVX000000046019

PRD11788844 · Product

Active substance
GSKVX000000046019
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
Paediatric formulation
No
Orphan designation
No

GSKVX000000044501

PRD11788895 · Product

Active substance
GSKVX000000044501
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
Paediatric formulation
No
Orphan designation
No

GSKVX000000046019

PRD11788887 · Product

Active substance
GSKVX000000046019
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
Paediatric formulation
No
Orphan designation
No

GSKVX000000044501

PRD11788902 · Product

Active substance
GSKVX000000044501
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
Paediatric formulation
No
Orphan designation
No

GSKVX000000046019

PRD11788854 · Product

Active substance
GSKVX000000046019
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
Paediatric formulation
No
Orphan designation
No

Placebo 1

sterile saline solution (0.9% w/v solution of NaCl in water).

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

GlaxoSmithKline Biologicals

Sponsor organisation
GlaxoSmithKline Biologicals
Address
Rue De L'Institut 89
City
Rixensart
Postcode
1330
Country
Belgium

Scientific contact point

Organisation
GlaxoSmithKline Biologicals
Contact name
EU GSK Clinical Trials Call Center

Public contact point

Organisation
GlaxoSmithKline Biologicals
Contact name
EU GSK Clinical Trials Call Center

Third parties 9

OrganisationCity, countryDuties
Autocruitment LLC
ORG-100042205
Atlanta, United States Other
WCG Clinical Inc.
ORG-100040730
Los Angeles, United States Other
Alcura Health Espana S.A.
ORG-100020590
Viladecans, Spain Other
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Corevitas LLC
ORG-100042037
Waltham, United States Other
Sermes CRO
ORG-100030576
Madrid, Spain Other
Live Uti Free Limited
ORG-100053622
Sandyford, Ireland Other
Medable Inc.
ORG-100043083
Palo Alto, United States E-data capture

Locations

2 EU/EEA countries · 18 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 110 6
Spain Ongoing, recruitment ended 90 12
Rest of world
Argentina, United States, South Africa
248

Investigational sites

Belgium

6 sites · Ongoing, recruitment ended
Hopital Erasme
EPIV - Infectious Diseases, Lennikse Baan 808, 1070, Anderlecht
Jan Yperman Ziekenhuis
Infectious Diseases department, Briekestraat 12, 8900, Ieper
Kormont
GP Practice, Kwaremontplein 45, 9690, Kluisbergen
Emmaues
AZ Sint-Maarten - Pneumonology, Liersesteenweg 435, 2800, Mechelen
Kormont
Praktijk Bouvelo - Anzegem (satellite site), Kwaremontplein 45, 9690, Kluisbergen
Universitair Ziekenhuis Gent
Center for Vaccinology, Corneel Heymanslaan 10, 9000, Gent

Spain

12 sites · Ongoing, recruitment ended
Eba Vallcarca Slp
Medicina Familiar, Avinguda De Vallcarca No 169-205, 08023, Barcelona
Equip D'assistencia Primaria Vic S.L.P.
Medicina General, Passatge Del Pla Del Remei 10-12, 08500, Vic
Bellvitge University Hospital
Medicina Preventiva y Epidemiologia, Carrer De La Feixa Llarga S/N, 08907, L'Hospitalet De Llobregat
Hospital Universitario La Paz
Enfermedades Infecciosas, Paseo De La Castellana 261, 28046, Madrid
Hospital Clinico San Carlos
Servicio de Prevención y Riesgos Laborales, Calle Del Profesor Martín Lagos S/n, 28040, Madrid
Hospital Universitario Fundacion Jimenez Diaz
Enfermedades Infecciosas, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario Puerta De Hierro De Majadahonda
Farmacología Clínica, Calle De Joaquin Rodrigo 2, 28222, Majadahonda
Equip D'Atencio Primaria Barcelona Sardenya S.L.P.
Medicina General, Carrer De Sardenya 466, 08025, Barcelona
Hospital Universitario Hm Puerta Del Sur
Unidad Investigacion Vacunas, Avenida De Carlos V 70, 28938, Mostoles
Hospital Universitario 12 De Octubre
Urología, Avenida De Cordoba Sn, 28041, Madrid
Hospital Universitario De La Princesa
Enfermedades Infecciosas, Calle De Diego De Leon 62, 28006, Madrid
Hospital Del Mar
Medicina Interna /Enfermedades Infecciosas, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2025-08-27 2025-08-27 2026-02-27
Spain 2025-09-03 2025-09-03 2026-03-03

Results and documents

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

Documents 100 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-519319-32-00_en_Redacted 5
Protocol (for publication) D4_Diary Card_Symptom Body Temperature_BE_fr_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Body Temperature_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Body Temperature_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Body Temperature_ES_es_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Headache_BE_fr_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Headache_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Headache_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Headache_ES_es_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Joint Pain_BE_fr_Redacted 2
Protocol (for publication) D4_Diary Card_Symptom Joint Pain_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Joint Pain_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Joint Pain_ES_es_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Muscle Pain_BE_fr_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Muscle Pain_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Muscle Pain_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Muscle Pain_ES_es_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Pain_BE_fr_Redacted 2
Protocol (for publication) D4_Diary Card_Symptom Pain_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Pain_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Pain_ES_es_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Redness_BE_fr_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Redness_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Redness_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Redness_ES_es_Redacted 2
Protocol (for publication) D4_Diary Card_Symptom Swelling_BE_fr_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Swelling_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Swelling_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Swelling_ES_es_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Tiredness_BE_fr_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Tiredness_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Tiredness_en_Redacted 1
Protocol (for publication) D4_Diary Card_Symptom Tiredness_ES_es_Redacted 1
Protocol (for publication) D4_Diary Card_Vaccine Diary_BE_fr_Redacted 1
Protocol (for publication) D4_Diary Card_Vaccine Diary_BE_nl_Redacted 1
Protocol (for publication) D4_Diary Card_Vaccine Diary_en_Redacted 1
Protocol (for publication) D4_Diary Card_Vaccine Diary_ES_es_Redacted 2
Protocol (for publication) D4_Subject card_en 2
Protocol (for publication) D4_Subject card_ES_es 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment Procedure 1
Recruitment arrangements (for publication) K2_Approval Prescreening_CEVAC NA
Recruitment arrangements (for publication) K2_AutoCruitment_D_Materials_EN 5
Recruitment arrangements (for publication) K2_AutoCruitment_D_Materials_FR 6
Recruitment arrangements (for publication) K2_AutoCruitment_D_Materials_NL 6
Recruitment arrangements (for publication) K2_AutoCruitment_PhoneScreen_EN 2
Recruitment arrangements (for publication) K2_AutoCruitment_PhoneScreen_FR 5
Recruitment arrangements (for publication) K2_AutoCruitment_PhoneScreen_NL 5
Recruitment arrangements (for publication) K2_AutoCruitment_Website Design_EN 5
Recruitment arrangements (for publication) K2_AutoCruitment_Website Design_FR 6
Recruitment arrangements (for publication) K2_AutoCruitment_Website Design_NL 6
Recruitment arrangements (for publication) K2_Boodschap website_CEVAC 1
Recruitment arrangements (for publication) K2_Clarifying Note_CEVAC 1
Recruitment arrangements (for publication) K2_Email_CEVAC 1
Recruitment arrangements (for publication) K2_Flyer 2.0
Recruitment arrangements (for publication) K2_Flyer_CEVAC 1
Recruitment arrangements (for publication) K2_Flyer_EN 4.0
Recruitment arrangements (for publication) K2_Flyer_FR 4.0
Recruitment arrangements (for publication) K2_Flyer_NL 4.0
Recruitment arrangements (for publication) K2_Hospital La Paz 1.0
Recruitment arrangements (for publication) K2_Landing Page_Map Page_Social Media_Emails_EN 3
Recruitment arrangements (for publication) K2_Landing Page_Map Page_Social Media_Emails_FR 3
Recruitment arrangements (for publication) K2_Landing Page_Map Page_Social Media_Emails_NL 3
Recruitment arrangements (for publication) K2_LUF Find a Study Site 1
Recruitment arrangements (for publication) K2_LUF Help Desk Manual Responses 1
Recruitment arrangements (for publication) K2_LUF Landing Page 1
Recruitment arrangements (for publication) K2_LUF Social Media and Browser 1
Recruitment arrangements (for publication) K2_Mailboodschap_CEVAC 1
Recruitment arrangements (for publication) K2_Poster GP 2.0
Recruitment arrangements (for publication) K2_Poster_EN 4.0
Recruitment arrangements (for publication) K2_Poster_FR 4.0
Recruitment arrangements (for publication) K2_Poster_NL 4.0
Recruitment arrangements (for publication) K2_Prescreening Form_CEVAC 2
Recruitment arrangements (for publication) K2_Prescreening Webform_CEVAC 1
Recruitment arrangements (for publication) K2_Social Media_CEVAC 1
Recruitment arrangements (for publication) K2_Text displays and social media_Yperman 1.0
Recruitment arrangements (for publication) K2_Tri Fold Brochure_EN 4.0
Recruitment arrangements (for publication) K2_Tri Fold Brochure_FR 4.0
Recruitment arrangements (for publication) K2_Tri Fold Brochure_NL 4.0
Recruitment arrangements (for publication) K2_Tritico 3.0
Recruitment arrangements (for publication) K2_Vaxxis Remindermail_CEVAC 1
Subject information and informed consent form (for publication) L1_ICF_Addendum 1.0
Subject information and informed consent form (for publication) L1_ICF_Addendum_EN_Redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_Addendum_FR_Redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_Addendum_NL_Redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_Main_EN_Redacted 4.0
Subject information and informed consent form (for publication) L1_ICF_Main_FR_Redacted 4.0
Subject information and informed consent form (for publication) L1_ICF_Main_NL_Redacted 4.0
Subject information and informed consent form (for publication) L1_ICF_Main_redacted 4.0
Subject information and informed consent form (for publication) L1_ICF_Pregnant 2.0
Subject information and informed consent form (for publication) L1_ICF_Pregnant Participant_EN 1.0
Subject information and informed consent form (for publication) L1_ICF_Pregnant Participant_FR 1.0
Subject information and informed consent form (for publication) L1_ICF_Pregnant Participant_NL 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SPC_Menitorix 1
Summary of Product Characteristics (SmPC) (for publication) E2_SPC_Mosquirix 1
Synopsis of the protocol (for publication) D1_Protocol synopsis 2024-519319-32-00_BE_de_Redacted 7
Synopsis of the protocol (for publication) D1_Protocol synopsis 2024-519319-32-00_BE_fr_Redacted 7
Synopsis of the protocol (for publication) D1_Protocol synopsis 2024-519319-32-00_BE_nl_Redacted 7
Synopsis of the protocol (for publication) D1_Protocol synopsis 2024-519319-32-00_en_Redacted 7
Synopsis of the protocol (for publication) D1_Protocol synopsis 2024-519319-32-00_ES_es_Redacted 3

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-23 Belgium Acceptable with conditions
2025-04-22
2025-04-22
2 SUBSTANTIAL MODIFICATION SM-2 2025-07-21 Belgium Acceptable with conditions
2025-08-07
2025-08-07
3 SUBSTANTIAL MODIFICATION SM-3 2025-08-18 Belgium Acceptable
2025-09-19
2025-10-01
4 NON SUBSTANTIAL MODIFICATION NSM-1 2026-01-16 Belgium Acceptable
2025-09-19
2026-01-16
5 SUBSTANTIAL MODIFICATION SM-4 2026-03-11 Acceptable 2026-03-26