Phase 2 study to evaluate the efficacy and safety of GSK3915393 in participants with Idiopathic Pulmonary Fibrosis (IPF)

2023-509371-16-00 Protocol 220929 Therapeutic exploratory (Phase II) Ended

Start 25 Sep 2024 · End 2 Oct 2025 · Status Ended · 6 EU/EEA countries · 36 sites · Protocol 220929

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 150
Countries 6
Sites 36

Idiopathic Pulmonary Fibrosis

The primary objective of the study is to evaluate the efficacy of GSK3915393, compared to placebo, on reducing the decline in lung volume in IPF participants.

Key facts

Sponsor
Glaxosmithkline Research & Development Limited
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
25 Sep 2024 → 2 Oct 2025
Decision date (initial)
2024-06-03
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2023-509371-16-00
ClinicalTrials.gov
NCT06317285

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

The primary objective of the study is to evaluate the efficacy of GSK3915393, compared to placebo, on reducing the decline in lung volume in IPF participants.

Secondary objectives 3

  1. To further evaluate the efficacy of GSK3915393, compared with placebo on reducing the decline in lung volume in IPF participants
  2. To evaluate the safety and tolerability of GSK3915393 administered, compared with placebo in IPF participants
  3. To evaluate the systemic exposure to GSK3915393 in IPF participants.

Conditions and MedDRA coding

Idiopathic Pulmonary Fibrosis

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Double-blind treatment period - 26 weeks
This will be a double-blind study with respect to allocation of GSK3915393 or placebo to participants.
Randomised Controlled Double [{"id":112879,"code":3,"name":"Monitor"},{"id":112876,"code":1,"name":"Subject"},{"id":112878,"code":2,"name":"Investigator"},{"id":112877,"code":5,"name":"Carer"}] GSK3915393: Study intervention will be provided in HDPE bottles, each containing 34 tablets and a desiccant cannister. Each bottle will be labeled as required per country requirement.
Placebo: Study intervention will be provided in HDPE bottles, each containing 34 tablets and a desiccant cannister. Each bottle will be labeled as required per country requirement.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. IPF diagnosed within 5 years prior to screening based on the applicable ATS/ERS/JRS/ALAT Guideline at the time of diagnosis.
  2. FVC ≥45% of predicted normal.
  3. Diffusing Capacity (of Lung) for Carbon Monoxide (DLCO) ≥25% of predicted normal corrected for hemoglobin (Hb).
  4. If receiving antifibrotics must be on stable dose of nintedanib or pirfenidone for at least 12 weeks prior to screening.
  5. If not receiving approved antifibrotics (pirfenidone or nintedanib) there should be a valid reason for this, such as previous failure, contraindications, failure to meet national or regional eligibility criteria for anti-fibrotic treatment, or patient choice.

Exclusion criteria 5

  1. ILD associated with other known causes.
  2. Acute IPF exacerbation within 6 months prior to screening and/or during the screening period
  3. Clinically significant respiratory tract infection (e.g., active tuberculosis, infectious pneumonia, COVID-19) requiring treatment within 4 weeks prior to and/or during the screening period.
  4. Current or chronic liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert’s syndrome or asymptomatic gallstones).
  5. History of previous lung transplant or recent major surgery within 12 weeks prior to screening or planned during the trial period.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Absolute change from baseline in FVC (mL) at Week 26

Secondary endpoints 5

  1. Absolute change from baseline in FVC (mL) at Weeks 4, 8, 12 and 18
  2. Absolute change from baseline in FVC (% predicted) at Weeks 4, 8, 12, 18 and 26
  3. Participants achieving relative decline from baseline in FVC (mL) ≤ 5% at Week 26
  4. Participants with of AEs/SAEs over 26 weeks
  5. "Participants with of clinically important findings in: - Vital signs, including blood pressure, body temperature, and pulse rate - Electrocardiogram - Laboratory: haematology, hepatobiliary, clinical chemistry "

Investigational products

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

Test 1

GSK3915393

PRD10888437 · Product

Active substance
GSK3915393
Substance synonyms
GSK3915393A
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
160 mg milligram(s)
Max total dose
29120 mg milligram(s)
Max treatment duration
26 Week(s)
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo to Match GSK3915393 Tablet

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 Research & Development Limited

Sponsor organisation
Glaxosmithkline Research & Development Limited
Address
G S K House, 980 Great West Road 980 Great West Road
City
Brentford
Postcode
TW8 9GS
Country
United Kingdom

Scientific contact point

Organisation
Glaxosmithkline Research & Development Limited
Contact name
EU GSK Clinical Trials Call Center

Public contact point

Organisation
Glaxosmithkline Research & Development Limited
Contact name
EU GSK Clinical Trials Call Center

Third parties 18

OrganisationCity, countryDuties
eResearchTechnology GmbH
ORG-100044103
Estenfeld, Germany Other
Medable Inc.
ORG-100043083
Palo Alto, United States Other
IL-CSM Clinical Supplies Management GmbH
ORG-100019573
Loerrach, Germany Code 14
Sermes CRO
ORG-100030576
Madrid, Spain Other
C & M Trial Support S.L.
ORG-100042841
Yaiza, Spain Other
Komtur Polska Sp. z o.o.
ORG-100036131
Warsaw, Poland Code 14
Q Squared Solutions Limited
ORG-100042527
Reading, United Kingdom Laboratory analysis
Clinops Tomasz Lusawa
ORL-000003666
Józefów, Poland Other
Let Me Pay Sp. z o.o.
ORG-100049608
Warsaw, Poland Other
Alcura Health Espana S.A.
ORG-100020590
Viladecans, Spain Other
Fm Richard Et Associes
ORG-100042723
Paris, France Other
Creapharm Clinical Supplies
ORG-100020131
Le Haillan, France Code 14
Azenta US Inc.
ORG-100012907
Indianapolis, United States Other
ZALARIS Deutschland GmbH
ORG-100046893
Henstedt-Ulzburg, Germany Other
Infinity Biologix LLC
ORG-100040369
Piscataway, United States Laboratory analysis
Labcorp Early Development Laboratories Limited
ORG-100011365
Harrogate, United Kingdom Laboratory analysis
Frontage Laboratories Inc.
ORG-100011515
Exton, United States Laboratory analysis
Voiant LLC
ORG-100051555
Waltham, United States Other

Locations

6 EU/EEA countries · 36 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 9 6
Germany Ended 12 6
Italy Ended 18 9
Netherlands Ended 6 2
Poland Ended 6 4
Spain Ended 27 9
Rest of world
Canada, Argentina, Korea, Republic of, United States, United Kingdom
72

Investigational sites

France

6 sites · Ended
Centre Hospitalier Universitaire De Toulouse
Hopital Larrey - Service Pneumologie, 24 Chemin De Pouvourville, 31400, Toulouse
Assistance Publique Hopitaux De Paris
Hopital Bichat - Claude Bernard - Service Pneumologie, 46 Rue Henri Huchard, 75877, Paris Cedex 18
Centre Hospitalier Universitaire Grenoble Alpes
Hopital Michallon - Service Pneumologie, Boulevard De La Chantourne, Cs 10217, Grenoble Cedex 9
CHU De Rouen
Hopital Charles Nicolle - Service Pneumologie, 1 Rue De Germont, Bp 96031, Rouen Cedex
Centre Hospitalier Universitaire De Rennes
Hopital Pontchaillou - Service Pneumologie, 2 Rue Henri Le Guilloux, 35000, Rennes
Centre Hospitalier Universitaire De Bordeaux
Hopital Haut-Leveque - Service Pneumologie, Avenue De Magellan, 33600, Pessac

Germany

6 sites · Ended
Pneumologicum im Suedstadtforum Dres. med. Krause Schulz Hoffmann und Geldmacher
na, Hildesheimer Strasse 98b, Suedstadt, Hanover
Lungenfachklinik Immenhausen
na, Robert-Koch-Str. 3, 34376, Immenhausen
Robert Bosch Gesellschaft fuer medizinische Forschung mbH
na, Auerbachstrasse 112, Bad Cannstatt, Stuttgart
Ruhrlandklinik Westdeutsches Lungenzentrum Am Universitaetsklinikum Essen gGmbH
na, Tueschener Weg 40, Heidhausen, Essen
Petrus-Krankenhaus
na, Carnaper Strasse 48, Barmen, Wuppertal
Thoraxklinik Heidelberg gGmbH
Department of Pneumology and Critical Care Medicine, Roentgenstrasse 1, Rohrbach, Heidelberg

Italy

9 sites · Ended
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
UOC Pneumologia, Largo Francesco Vito 1, 00168, Rome
Azienda Ospedaliero Universitaria Pisana
UO Pneumologia, Via Paradisa 2, 56124, Pisa
Azienda Ospedaliera Dei Colli
UOC Fisiopatologia e Riabilitazione respiratoria, Via Leonardo Bianchi, 80131, Naples
Azienda Ospedaliero Universitaria Policlinico G Rodolico San Marco Di Catania
UOC Pneumologia, Via Santa Sofia 78, 95123, Catania
Azienda Ospedale-Universita Padova
UOC Pneumologia, Via Nicolo' Giustiniani 2, 35128, Padova
Fondazione IRCCS San Gerardo Dei Tintori
UOC Pneumologia, Via Giovanni Battista Pergolesi 33, 20900, Monza
Azienda Ospedaliero Universitaria Delle Marche
SOSD Diagnosi e Terapia Patologie Polmonari Infiltrative Diffuse Pleuriche e bronchiectasie Adulto, Via Conca 71, 60126, Ancona
Hospital Santa Maria Della Misericordia
SC Pneumologia e UTIR, Piazzale Giorgio Menghini 1, 06129, Perugia
Azienda Ospedaliero Universitaria Di Sassari
Pneumologia Clinica e Interventistica, Viale San Pietro 10, 07100, Sassari

Netherlands

2 sites · Ended
Catharina Ziekenhuis Stichting
Longgeneeskunde, Michelangelolaan 2, 5623 EJ, Eindhoven
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Longgeneeskunde, Dr. Molewaterplein 40, 3015 GD, Rotterdam

Poland

4 sites · Ended
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Uniwersytecki Szpital Kliniczny Nr 1 Im. Norberta Barlickiego Uniwersytetu Medycznego W Lodzi
Oddział Kliniczny Pulmonologii i Alergologii, Ul. Dr Stefana Kopcinskiego 22, 90-153, Lodz
Uniwersytecki Szpital Kliniczny W Poznaniu
Klinika Pulmonologii, Alergologii i Onkologii Pulmonologicznej, Ul. Augustyna Szamarzewskiego 84, 60-569, Poznan
Centrum Medycyny Oddechowej Mroz Sp. j.
N/A, Ul. Piasta 9a, 15-044, Bialystok
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Uniwersytecki Szpital Kliniczny Nr 1 Im. Norberta Barlickiego Uniwersytetu Medycznego W Lodzi
Oddział Kliniczny Chorób Wewnętrznych, Astmy i Alergii z Odcinkiem dla Dzieci, Ul. Dr Stefana Kopcinskiego 22, 90-153, Lodz

Spain

9 sites · Ended
Complexo Hospitalario Universitario De Santiago
Pneumology, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitario Central De Asturias
Pneumology, Avenida De Roma S/n, 33011, Oviedo
Bellvitge University Hospital
Pneumology, Carrer De La Feixa Llarga S/n, 08907, L'hospitalet De Llobregat
Pectus Respiratory Health S.L.
Pneumology, Calle Del Doctor Roux 78, 08017, Barcelona
University Hospital Virgen Del Rocio S.L.
Pneumology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital General Universitario Gregorio Maranon
Pneumology, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitario Quironsalud Madrid
Pneumology, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital Universitario De La Princesa
Pneumology, Calle De Diego De Leon 62, 28006, Madrid
Hospital Universitario Marques De Valdecilla
Pneumology, Avenida Valdecilla Sn, 39008, Santander

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-12-02 2024-12-02 2025-06-30
Germany 2024-09-25 2024-09-25 2025-06-30
Italy 2024-10-02 2024-10-02 2025-06-30
Netherlands 2024-11-07 2024-11-07 2025-06-30
Poland 2024-10-01 2024-10-01 2025-06-30
Spain 2024-10-03 2024-10-03 2025-06-30

Results and documents

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

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Summary of results_2023-509371-16-00
SUM-139632
2026-06-19T10:41:02 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Layperson Summary of Results_2023-509371-16-00 2026-06-19T10:49:15 Submitted Laypersons Summary of Results

Documents 109 files

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

TypeTitleVersion
Laypersons summary of results (for publication) Layperson Summary of Results_2023-509371-16-00 _DE 1
Laypersons summary of results (for publication) Layperson Summary of Results_2023-509371-16-00 _EN 1
Laypersons summary of results (for publication) Layperson Summary of Results_2023-509371-16-00 _ES 1
Laypersons summary of results (for publication) Layperson Summary of Results_2023-509371-16-00 _FR 1
Laypersons summary of results (for publication) Layperson Summary of Results_2023-509371-16-00 _IT 1
Laypersons summary of results (for publication) Layperson Summary of Results_2023-509371-16-00 _NL 1
Laypersons summary of results (for publication) Layperson Summary of Results_2023-509371-16-00 _PL 1
Protocol (for publication) D1_Protocol_Redacted PA2
Protocol (for publication) Subject Diary Generic_Symptom Diary 1
Protocol (for publication) Subject Diary Generic_Symptom Diary_DE 1
Protocol (for publication) Subject Diary Generic_Symptom Diary_ES 1
Protocol (for publication) Subject Diary Generic_Symptom Diary_FR 1
Protocol (for publication) Subject Diary Generic_Symptom Diary_IT 1
Protocol (for publication) Subject Diary IPF_Dosing Diary_DE_Redacted 1
Protocol (for publication) Subject Diary IPF_Dosing Diary_ES_Redacted 1
Protocol (for publication) Subject Diary IPF_Dosing Diary_FR_Redacted 1
Protocol (for publication) Subject Diary IPF_Dosing Diary_IT_Redacted 1
Protocol (for publication) Subject Diary IPF_Dosing Diary_Redacted 1
Protocol (for publication) Subject Questionnaire -TC_SPFQ 3
Protocol (for publication) Subject Questionnaire -TC_SPFQ_DE 3
Protocol (for publication) Subject Questionnaire -TC_SPFQ_ES 3
Protocol (for publication) Subject Questionnaire -TC_SPFQ_FR 3
Protocol (for publication) Subject Questionnaire -TC_SPFQ_IT 3
Protocol (for publication) Subject Questionnaire FACIT-FatigueScale 1
Protocol (for publication) Subject Questionnaire FACIT-FatigueScale_DE 4
Protocol (for publication) Subject Questionnaire FACIT-FatigueScale_ES 4
Protocol (for publication) Subject Questionnaire FACIT-FatigueScale_FR 4
Protocol (for publication) Subject Questionnaire FACIT-FatigueScale_IT 4
Protocol (for publication) Subject Questionnaire L-PF-Impacts 1
Protocol (for publication) Subject Questionnaire L-PF-Impacts_DE 1
Protocol (for publication) Subject Questionnaire L-PF-Impacts_ES 1
Protocol (for publication) Subject Questionnaire L-PF-Impacts_FR 1
Protocol (for publication) Subject Questionnaire L-PF-Impacts_IT 1
Protocol (for publication) Subject Questionnaire L-PF-Symptoms 2
Protocol (for publication) Subject Questionnaire L-PF-Symptoms_DE 2
Protocol (for publication) Subject Questionnaire L-PF-Symptoms_ES 2
Protocol (for publication) Subject Questionnaire L-PF-Symptoms_FR 2
Protocol (for publication) Subject Questionnaire L-PF-Symptoms_IT 2
Protocol (for publication) Subject Questionnaire PGI-S-Coughing_NRS 1
Protocol (for publication) Subject Questionnaire PGI-S-Coughing_NRS_DE 1
Protocol (for publication) Subject Questionnaire PGI-S-Coughing_NRS_ES 1
Protocol (for publication) Subject Questionnaire PGI-S-Coughing_NRS_FR 1
Protocol (for publication) Subject Questionnaire PGI-S-Coughing_NRS_IT 1
Protocol (for publication) Subject Questionnaire PGI-S-SoB_NRS 1
Protocol (for publication) Subject Questionnaire PGI-S-SoB_NRS_DE 1
Protocol (for publication) Subject Questionnaire PGI-S-SoB_NRS_ES 1
Protocol (for publication) Subject Questionnaire PGI-S-SoB_NRS_FR 1
Protocol (for publication) Subject Questionnaire PGI-S-SoB_NRS_IT 1
Recruitment arrangements (for publication) Advertisment for subject recruitment_Facebook_NO CCI PI 1.0
Recruitment arrangements (for publication) Advertisment for subject recruitment_Instagram_NO CCI PI 1.0
Recruitment arrangements (for publication) Advertisment for subject recruitment_Web text_NO CCI PI 1.0
Recruitment arrangements (for publication) IP instruction for patients_Redacted 01
Recruitment arrangements (for publication) K1_Recruitment and Informed Consent Procedure 3.0
Recruitment arrangements (for publication) K1_Recruitment and Informed Consent Procedure_No CCI PI 2.0
Recruitment arrangements (for publication) K2_Flyer 1.2
Recruitment arrangements (for publication) K2_Flyer 1.3
Recruitment arrangements (for publication) K2_Flyer 1
Recruitment arrangements (for publication) K2_Flyer_No CCI PI 1.1
Recruitment arrangements (for publication) K2_Flyer_No CCI PI 1.1
Recruitment arrangements (for publication) K2_Handbook_redacted 1.2
Recruitment arrangements (for publication) K2_Patient Flyer 1.0
Recruitment arrangements (for publication) K2_Poster 1.2
Recruitment arrangements (for publication) K2_Poster 1.2
Recruitment arrangements (for publication) K2_Poster 1.3
Recruitment arrangements (for publication) K2_Poster 1
Recruitment arrangements (for publication) K2_Poster_No CCI PI 1.1
Recruitment arrangements (for publication) K2_Poster_No CCI PI 1.1
Recruitment arrangements (for publication) K2_Social Media Ads 1.1
Recruitment arrangements (for publication) K2_Social Media Posts and Ads 1.3
Recruitment arrangements (for publication) K2_Social Media Posts_No CCI PI 1.0
Recruitment arrangements (for publication) K2_Social Media Text 1.2
Recruitment arrangements (for publication) K2_Study Advantage One Page_Redacted 1.1
Recruitment arrangements (for publication) K2_Study Advantage One Page_Redacted 1.0
Recruitment arrangements (for publication) K2_Study advantage One page_redacted 1.1
Recruitment arrangements (for publication) K2_Tote Bag 1.0
Recruitment arrangements (for publication) No longer subject to publication statement 1
Recruitment arrangements (for publication) No longer subject to publication statement_2 1
Recruitment arrangements (for publication) Recruitment and informed consent procedure 1.0
Recruitment arrangements (for publication) Recruitment and Informed Consent Procedure_NO CCI PI 1
Recruitment arrangements (for publication) Recruitment procedure 1
Recruitment arrangements (for publication) Statement_Recruitement Procedure 1
Subject information and informed consent form (for publication) GP letter 1
Subject information and informed consent form (for publication) ICF Genetic 2
Subject information and informed consent form (for publication) ICF Main redacted 3
Subject information and informed consent form (for publication) ICF patient reimbursement redacted 1
Subject information and informed consent form (for publication) ICF Pharmacokinetic_redacted 1
Subject information and informed consent form (for publication) ICF PK redacted 1
Subject information and informed consent form (for publication) ICF pregnancy 1
Subject information and informed consent form (for publication) ICF_Genetic 1
Subject information and informed consent form (for publication) ICF_Main_Redacted 2.0
Subject information and informed consent form (for publication) ICF_Main_redacted 1.0
Subject information and informed consent form (for publication) L1_ICF_Genetic 2
Subject information and informed consent form (for publication) L1_ICF_Genetic_No CCI PI 1.1
Subject information and informed consent form (for publication) L1_ICF_Main_redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_Main_redacted 3.0
Subject information and informed consent form (for publication) L1_ICF_Main_redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_Main_redacted 3
Subject information and informed consent form (for publication) L1_ICF_Pharmacokinetics_redacted 2
Subject information and informed consent form (for publication) L1_ICF_PK_redacted 1.1
Subject information and informed consent form (for publication) L2_Other Information Given to Subjects Handbook_redacted 1.0
Subject information and informed consent form (for publication) Subject Card_FR 1
Summary of results (for publication) Summary of results_2023-509371-16-00 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_DE_Redacted 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ES_Redacted 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_Redacted 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_IT_Redacted 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_NL_Redacted 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_PL_Redacted 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_Redacted 3.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-14 Germany Acceptable with conditions
2024-05-28
2024-05-30
2 SUBSTANTIAL MODIFICATION SM-1 2024-07-05 Germany Acceptable
2024-08-16
2024-08-16
3 SUBSTANTIAL MODIFICATION SM-2 2024-12-16 Acceptable 2025-01-17
4 SUBSTANTIAL MODIFICATION SM-3 2024-12-17 Germany Acceptable 2025-02-27
5 SUBSTANTIAL MODIFICATION SM-4 2024-12-17 2025-02-17
6 SUBSTANTIAL MODIFICATION SM-6 2024-12-17 Acceptable 2025-02-03
7 SUBSTANTIAL MODIFICATION SM-7 2024-12-17 Acceptable 2024-12-23
8 SUBSTANTIAL MODIFICATION SM-5 2024-12-18 Acceptable 2025-02-07
9 NON SUBSTANTIAL MODIFICATION NSM-1 2025-03-04 Germany Acceptable 2025-03-04