Overview
Sponsor-declared trial summary
ER+, HER2- Advanced Breast Cancer
To compare PFS, based on a Local Investigator assessment between investigational (palazestrant with ribociclib + letrozole-matching placebo) and control (letrozole with ribociclib + palazestrant-matching placebo) arms.
Key facts
- Sponsor
- Olema Pharmaceuticals Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 24 Feb 2026 → ongoing
- Decision date (initial)
- 2026-02-20
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Olema Pharmaceuticals, Inc.
External identifiers
- EU CT number
- 2025-522873-12-00
- ClinicalTrials.gov
- NCT07085767
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacokinetic, Pharmacogenetic, Safety, Efficacy
To compare PFS, based on a Local Investigator assessment between investigational (palazestrant with ribociclib + letrozole-matching placebo) and control (letrozole with ribociclib + palazestrant-matching placebo) arms.
Secondary objectives 7
- 1. To compare OS between investigational and control arms.
- 2. To evaluate PFS, ORR, DOR and CBR based on Blinded Independent Review Committee (BIRC) assessment.
- 3. To evaluate ORR, DOR, CBR based on Local Investigator assessment
- 4. To evaluate safety and tolerability
- 5. To evaluate the PK of palazestrant and ribociclib
- 6. To evaluate the change from baseline in healthrelated PROs
- 7. To evaluate PFS2
Conditions and MedDRA coding
ER+, HER2- Advanced Breast Cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 27.0 | LLT | 10027475 | Metastatic breast cancer | 10029104 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 8
- 1. Adult female or male participants.
- 2. ER+, HER2- locally advanced or metastatic breast cancer that is not amenable to curative therapy.
- 3. Evaluable disease (measurable disease per RECIST 1.1 or bone-only disease).
- 4. De novo advanced breast cancer or with disease recurrence occurring after 12 months of completing adjuvant endocrine therapy (with or without CDK4/6 inhibitors)
- 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- 6. Adequate hematologic, hepatic, and renal functions.
- 7. Female participants can be pre-, peri- or postmenopausal.
- 8. Male and pre- or peri-menopausal female participants must be willing to take a GnRH (or LHRH) agonist.
Exclusion criteria 6
- 1. Disease recurrence during adjuvant endocrine therapy
- 2. Currently receiving or previously received systemic anti-cancer therapy for ER+, HER2- advanced breast cancer.
- 3. Previously received treatment with fulvestrant, elacestrant or an investigational endocrine therapy in any setting.
- 4. History of allergic reactions to study treatment.
- 5. Any contraindications to letrozole and ribociclib.
- 6. Symptomatic central nervous system metastases, carcinomatous meningitis, leptomeningeal disease, or a spinal cord compression that require immediate treatment.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Local Investigator-assessed PFS (Progression-Free Survival)
Secondary endpoints 7
- 1. OS
- 2. BIRC-assessed PFS, ORR, DOR and CBR
- 3. Local Investigator-assessed ORR, DOR, CBR
- 4. Safety and tolerability, assessed by AEs, SAEs, dose modifications, clinical laboratory parameters, ECGs, performance status, and vital sign measurements
- 5. Plasma levels of palazestrant and ribociclib (in investigational arm) and of ribociclib (in control arm) at predefined intervals to establish PK parameters.
- 6. PRO endpoints, assessed using the EORTC QLQ- C30, EORTC QLQ-BR42 and EQ-5D-5L questionnaires
- 7. Time from randomization to disease progression on first subsequent systemic anti-cancer therapy or death
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 4
PRD10738348 · Product
- Active substance
- OP-1250
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 90.0 mg milligram(s)
- Max total dose
- 9999.00 mg milligram(s)
- Max treatment duration
- 9999 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- OLEMA PHARMACEUTICALS, INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD11726239 · Product
- Active substance
- Palazestrant
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 90.00 mg milligram(s)
- Max total dose
- 9999.00 mg milligram(s)
- Max treatment duration
- 9999 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- OLEMA PHARMACEUTICALS, INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD10738349 · Product
- Active substance
- OP-1250
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 90.00 mg milligram(s)
- Max total dose
- 9999.00 mg milligram(s)
- Max treatment duration
- 9999 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- OLEMA PHARMACEUTICALS, INC.
- Paediatric formulation
- No
- Orphan designation
- No
SUB180246 · Substance
- Active substance
- Ribociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 600.00 mg milligram(s)
- Max total dose
- 9999.00 mg milligram(s)
- Max treatment duration
- 9999 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Clinical batches of Ribociclib 200 mg film-coated tablet are manufactured at the approved commercial site of drug product manufacture using commercial drug substance. In addition to the approved sites in the MAA, additional sites are used to package and control the clinical product. The shelf-life of the clinical product is longer, based on acceptable stability.
Comparator 1
SCP1154118 · ATC
- Active substance
- Letrozole
- Route of administration
- ORAL
- Max daily dose
- 2.50 mg milligram(s)
- Max total dose
- 9999.00 mg milligram(s)
- Max treatment duration
- 9999 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BG04 — LETROZOLE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- For blinding purposes, the commercial product letrozole tablet is over-encapsulated.
Placebo 1
Palazestrant matching placebo tablets and Letrozole matching placebo capsules
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
Auxiliary 1
-
L02AE · Product
- Pharmaceutical form
- PHF00243MIG
- Route of administration
- IMPLANTATION
- Max daily dose
- 3.60 mg milligram(s)
- Max total dose
- 9999.00 mg milligram(s)
- Max treatment duration
- 9999 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02AE — GONADOTROPIN RELEASING HORMONE ANALOGUES
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Secondary packaging and/or labelling
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Olema Pharmaceuticals Inc.
- Sponsor organisation
- Olema Pharmaceuticals Inc.
- Address
- 780 Brannan Street
- City
- San Francisco
- Postcode
- 94103-4919
- Country
- United States
Scientific contact point
- Organisation
- Olema Pharmaceuticals Inc.
- Contact name
- Olema Pharmaceuticals
Public contact point
- Organisation
- Olema Pharmaceuticals Inc.
- Contact name
- Olema Pharmaceuticals
Third parties 7
| Organisation | City, country | Duties |
|---|---|---|
| PPD Development LP ORG-100011560
|
Wilmington, United States | Code 11, Code 13, Code 8 |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Other |
| Edetek Inc. ORG-100045957
|
Princeton, United States | Data management, E-data capture |
| Suvoda LLC ORG-100043523
|
Conshohocken, United States | Interactive response technologies (IRT) |
| Labcorp Central Laboratory Services LP ORG-100032236
|
Indianapolis, United States | Laboratory analysis |
| PRA Hellas CRO A.E. ORG-100048208
|
Nea Ionia, Greece | Other |
| Fisher Clinical Services GmbH ORG-100017323
|
Weil Am Rhein, Germany | Code 14 |
Locations
13 EU/EEA countries · 101 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ongoing, recruiting | 16 | 5 |
| Belgium | Ongoing, recruiting | 20 | 5 |
| Czechia | Ongoing, recruiting | 15 | 5 |
| France | Ongoing, recruiting | 35 | 12 |
| Germany | Authorised, recruiting | 63 | 14 |
| Greece | Ongoing, recruiting | 15 | 4 |
| Hungary | Ongoing, recruiting | 22 | 4 |
| Italy | Ongoing, recruiting | 49 | 14 |
| Netherlands | Ongoing, recruiting | 13 | 3 |
| Poland | Ongoing, recruiting | 41 | 9 |
| Portugal | Authorised, recruiting | 22 | 5 |
| Romania | Ongoing, recruiting | 24 | 6 |
| Spain | Ongoing, recruiting | 49 | 15 |
| Rest of world
Brazil, Thailand, Canada, Korea, Republic of, Taiwan, Mexico, Argentina, United States, Chile, Malaysia, United Kingdom, Hong Kong, Philippines, Australia, Israel
|
— | 644 | — |
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 |
|---|---|---|---|---|---|
| Austria | 2026-05-05 | 2026-05-20 | |||
| Belgium | 2026-04-28 | 2026-06-01 | |||
| Czechia | 2026-04-24 | 2026-04-29 | |||
| France | 2026-03-24 | 2026-04-23 | |||
| Germany | 2026-04-22 | ||||
| Greece | 2026-03-24 | 2026-04-30 | |||
| Hungary | 2026-04-28 | 2026-05-04 | |||
| Italy | 2026-03-20 | 2026-04-21 | |||
| Netherlands | 2026-02-24 | 2026-04-21 | |||
| Poland | 2026-03-26 | 2026-05-05 | |||
| Portugal | 2026-04-29 | ||||
| Romania | 2026-03-20 | 2026-04-06 | |||
| Spain | 2026-03-13 | 2026-03-23 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 121 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2025-522873-12-00_Greek_redacted | 2.2 |
| Protocol (for publication) | D1_Protocol_2025-522873-12-00_redacted | 2.3 |
| Recruitment arrangements (for publication) | K_HU_Recruitment Arrangements_Placeholder document | N/A |
| Recruitment arrangements (for publication) | K1_AT_Recruitment Procedure | 1.0 |
| Recruitment arrangements (for publication) | K1_BE_Recruitment Procedure | 1.0 |
| Recruitment arrangements (for publication) | K1_CZ_Recruitment Procedure_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K1_DE_Recruitment Procedure | 1.0 |
| Recruitment arrangements (for publication) | K1_EL_Recruitment Procedure | 1.0 |
| Recruitment arrangements (for publication) | K1_ES_Recruitment Procedure | N/A |
| Recruitment arrangements (for publication) | K1_FR_Recruitment Procedure_Bilingual | 1.1 |
| Recruitment arrangements (for publication) | K1_IT_Recruitment Procedure | N/A |
| Recruitment arrangements (for publication) | K1_NL_Recruitment Procedure | 1.2 |
| Recruitment arrangements (for publication) | K1_PL_Recruitment Arrangements_Polish | N/A |
| Recruitment arrangements (for publication) | K1_PT_Recruitment Procedure | 1.0 |
| Recruitment arrangements (for publication) | K1_RO_Recruitment Procedure | N/A |
| Recruitment arrangements (for publication) | P1_FR_Recruitment arrangements_Additional document_French_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Contact Person_German | 1.1 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Main_German_redacted | 2.3 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_Pregnant Partner_German | 1.3 |
| Subject information and informed consent form (for publication) | L1_AT_SIS-ICF_site info_Placeholder document | N/A |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Greenphire DPN_Dutch | 1.3 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Greenphire DPN_French | 1.3 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Main_Dutch_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Main_French_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Main_Sponsor Statement_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnant Partner_Dutch_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_BE_SIS-ICF_Pregnant Partner_French_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Future Research_Czech | 2.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Greenphire Data Protection Notice_Czech | 1.2 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Main_Czech | 4.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Pregnant Partner_Czech | 1.0 |
| Subject information and informed consent form (for publication) | L1_CZ_SIS-ICF_Privacy ICF_Czech | 1.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Main_German_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Optional Future Research_German | 2.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Pregnant Partner_Participant_German | 2.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Data Protection Notice_Greek_redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Main_Greek_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_EL_SIS-ICF_Pregnant Partner_Greek | 1.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Main_Spanish_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Pregnant Partner_Spanish | 1.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Future Research_French | 3.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Greenphire_French | 1.2 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Main_French_redacted | 5.1 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Pregnancy_French | 3.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_SCOUT_French | 1.0 |
| Subject information and informed consent form (for publication) | L1_HU_ICF_Data protection_Greenphire_Hungarian | 1.2 |
| Subject information and informed consent form (for publication) | L1_HU_ICF_Genetic_Hungarian | 2.0 |
| Subject information and informed consent form (for publication) | L1_HU_SIS_Future Research_Hungarian | 2.0 |
| Subject information and informed consent form (for publication) | L1_HU_SIS_Genetic_Hungarian | 2.0 |
| Subject information and informed consent form (for publication) | L1_HU_SIS-ICF_Future Research_Hungarian | 3.0 |
| Subject information and informed consent form (for publication) | L1_HU_SIS-ICF_Main_Hungarian_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_HU_SIS-ICF_Pregnant Partner_Hungarian | 2.0 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Adult_Italian_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Future Research_Italian | 1.1 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Greenphire Data Protection Notice_Italian | 1.2 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Pregnancy_Italian | 1.0 |
| Subject information and informed consent form (for publication) | L1_IT_SIS-ICF_Privacy_Italian | 2.1 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Main_Dutch_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Pregnancy_Dutch | 1.2 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Main_Polish_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_PL_SIS-ICF_Pregnant Partner_Polish | 1.2 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Future Use_Portuguese | 2.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Genetic Testing_Portuguese | 2.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Main_Portuguese_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_PT_SIS-ICF_Pregnancy_Portuguese | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Main_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Main_Romanian_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pregnant Partner | 1.0 |
| Subject information and informed consent form (for publication) | L1_RO_SIS-ICF_Pregnant Partner_Romanian | 1.0 |
| Subject information and informed consent form (for publication) | L2_AT_Other Subject Material_Greenphire privacy notice with consent_German | 1.2 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_Bank Transfer FAQ_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_Bank Transfer Standard Message Template_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_ClinCard Cardholder Message Template_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_ConneX Travel Contact Card_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_ConneX Travel Reference Guide for Participants_IC_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_Dosing Instruction Card_Czech | 2.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_Greenphire LLC Privacy Policy_Czech | 11.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_GreenSpace Account Information Change_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_GreenSpace Participant Email Template_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_GreenSpace Participant FAQ Bank Transfer 1_Czech | 11.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_GreenSpace Participant FAQ Bank Transfer_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_GreenSpace Participant FAQ Cardholder 1_Czech | 11.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_GreenSpace Participant FAQ Cardholder_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_GreenSpace Participant Forgot Password Email_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_Greenspace Terms of Use_Czech | 10.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_Patient Card_Czech | 1.0 |
| Subject information and informed consent form (for publication) | L2_CZ_Other subject material_Suvoda Product Terms of Use Privacy Policy_Czech | 1.0 |
| Subject information and informed consent form (for publication) | L2_FR_SIS-ICF_Greenphire Reimbursement Form_French | 1.0 |
| Subject information and informed consent form (for publication) | L2_FR_SIS-ICF_Greenphire Travel Policy_French | 1.0 |
| Subject information and informed consent form (for publication) | L2_FR_SIS-ICF_Greenphire Welcome Letter_French | 1.0 |
| Subject information and informed consent form (for publication) | L2_FR_SIS-ICF_SCOUT Brochure_French | 1.0 |
| Subject information and informed consent form (for publication) | L2_FR_SIS-ICF_SCOUT Email Communication_French | 1.0 |
| Subject information and informed consent form (for publication) | L2_FR_SIS-ICF_SCOUT Reimbursement Form_French | 6.0 |
| Subject information and informed consent form (for publication) | L2_HU_Other subject material_Patient Emergency Card_Hungarian | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Kisqali | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Lametta-Letrozole | N/A |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00 | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Czech | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Dutch | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Dutch-BE | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_French | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_French-BE | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_German-BE | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Greek | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Hungarian | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Italian | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Polish | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Portuguese | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Romanian | 2.2 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-522873-12-00_Spanish | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Czech_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Dutch_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_French_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_German_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Greek_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Hungarian_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Italian_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Polish_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Portuguese_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Romanian_redacted | 2.2 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522873-12-00_Spanish_redacted | 2.2 |
Application history
14 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-10-10 | Italy | Acceptable 2026-02-16
|
2026-02-17 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-02-25 | Italy | Acceptable 2026-02-16
|
2026-02-25 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-02-27 | Italy | Acceptable 2026-02-16
|
2026-02-27 |
| 4 | SUBSTANTIAL MODIFICATION | SM-1 | 2026-03-27 | Italy | Acceptable | 2026-05-08 |
| 5 | SUBSTANTIAL MODIFICATION | SM-2 | 2026-03-27 | Acceptable | 2026-05-21 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2026-03-31 | Acceptable | 2026-04-29 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2026-03-31 | Acceptable | 2026-04-24 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-7 | 2026-03-31 | Acceptable | 2026-05-07 | |
| 9 | SUBSTANTIAL MODIFICATION | SM-8 | 2026-03-31 | Acceptable | 2026-04-09 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-9 | 2026-03-31 | Acceptable | 2026-04-27 | |
| 11 | SUBSTANTIAL MODIFICATION | SM-4 | 2026-04-01 | Acceptable | 2026-05-08 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-11 | 2026-04-01 | Acceptable | 2026-05-06 | |
| 13 | SUBSTANTIAL MODIFICATION | SM-13 | 2026-04-08 | Acceptable | 2026-04-27 | |
| 14 | SUBSTANTIAL MODIFICATION | SM-12 | 2026-04-15 | Acceptable | 2026-05-27 |