A Study of Navlimetostat (BMS-986504) in Combination with Pembrolizumab Plus Chemotherapy Versus Placebo Plus Pembrolizumab and Chemotherapy in First-line Metastatic Non-small Cell Lung Cancer with Homozygous MTAP Deletion

2025-521511-40-00 Protocol CA240-0029 Phase II and Phase III (Integrated) Authorised, recruiting

Start 18 Nov 2025 · Status Authorised, recruiting · 15 EU/EEA countries · 87 sites · Protocol CA240-0029

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Authorised, recruiting
Participants planned 584
Countries 15
Sites 87

metastatic non-small cell lung cancer

Phase 2: To evaluate progression free survival (PFS) of navlimetostat plus pembrolizumab and chemotherapy vs. placebo plus pembrolizumab and chemotherapy. Phase 3, Dual Primary Objectives: 1) To compare PFS of navlimetostat plus pembrolizumab and chemotherapy vs. placebo plus pembrolizumab and chemotherapy. 2)To compar…

Key facts

Sponsor
Bristol-Myers Squibb Services Unlimited Company
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
18 Nov 2025 → ongoing
Decision date (initial)
2025-10-27
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2025-521511-40-00
WHO UTN
U1111-1319-8383

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Others, Therapy

Phase 2: To evaluate progression free survival (PFS) of navlimetostat plus pembrolizumab and chemotherapy vs. placebo plus pembrolizumab and chemotherapy.
Phase 3, Dual Primary Objectives:
1) To compare PFS of navlimetostat plus pembrolizumab and chemotherapy vs. placebo plus pembrolizumab and chemotherapy.
2)To compare overall survival (OS) of navlimetostat plus pembrolizumab and chemotherapy vs. placebo plus pembrolizumab and chemotherapy

Secondary objectives 3

  1. Phase 2: To evaluate objective response (OR), disease control (DC), time to objective response (TTOR), and duration of response (DOR) of navlimetostat plus pembrolizumab and chemotherapy vs. placebo plus pembrolizumab and chemotherapy
  2. Phase 3: To evaluate OR, DC, DOR, PFS, and PFS2 of navlimetostat plus pembrolizumab and chemotherapy vs. placebo plus pembrolizumab and chemotherapy
  3. Phase 2 : To assess the safety and tolerability of navlimetostat plus pembrolizumab plus chemotherapy vs placebo plus pembrolizumab plus chemotherapy

Conditions and MedDRA coding

metastatic non-small cell lung cancer

VersionLevelCodeTermSystem organ class
21.1 PT 10029515 Non-small cell lung cancer recurrent 100000004864
28.0 LLT 10025055 Lung cancer non-small cell stage IV 10029104
27.1 PT 10059515 Non-small cell lung cancer metastatic 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Participants must be aged ≥ 18 years (or the legal age of consent in the jurisdiction in which the study is taking place) at the time of signing the ICF.
  2. Participants must have Metastatic (Stage IV or recurrent) non-small cell lung cancer (NSCLC) (as defined by the American Joint Committee on Cancer, Ninth Edition) with no prior systemic anti-cancer therapy for metastatic disease.
  3. Participants must have histologically confirmed diagnosis of NSCLC and homozygous methylthioadenosine phosphorylase MTAP deletion or MTAP loss.
  4. Participants must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  5. Participants must have at least 1 measurable lesion as per RECIST v1.1.

Exclusion criteria 4

  1. Nonsquamous participants must not have documented targetable oncogenic mutation or actionable genetic alterations (AGAs) for which there is a standard of care (SoC) available as first-line (1L) therapy.
  2. Participants must not have symptomatic brain metastases or spinal cord compression.
  3. Participants must not have any prior systemic therapy (chemotherapy, immunotherapy, targeted therapy, or biological therapy) for metastatic non-small cell lung cancer (mNSCLC). Note: One cycle of SoC treatment prior to randomization will be allowed for participants who require immediate treatment if clinically indicated.
  4. Participants must not have any known or suspected impairment of gastrointestinal function that may prohibit the ability to absorb or swallow an oral medication without chewing or crushing.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Phase 2: Progression free survival (PFS) by RECIST v1.1
  2. Phase 3: Progression free survival (PFS) by RECIST v1.1
  3. Phase 3: overall survival (OS).

Secondary endpoints 3

  1. Phase 2: objective response (OR), disease control (DC), time to objective response (TTOR), and duration of response (DOR)by RECIST v1.1
  2. Phase 3: objective response (OR), disease control (DC), time to objective response (TTOR), duration of response (DOR), progression free survival (PFS) and PFS2 by RECIST v1.1
  3. Phase 2: Treatment-related and all-cause adverse events (AEs), serious AEs (including fatal AEs); AEs leading to dose interruption, dose reduction, and study treatment discontinuation and laboratory abnormalities

Investigational products

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

Test 7

Paclitaxel Albumin-Bound

SUB127678 · Substance

Active substance
Paclitaxel Albumin-Bound
Pharmaceutical form
POWDER FOR DISPERSION FOR INFUSION
Route of administration
INTRAVENUS USE
Max daily dose
100 mg/m2 milligram(s)/sq. meter
Max total dose
9999 mg/m2 milligram(s)/square meter
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be over-labeled and repackaged.

Navlimetostat

PRD12193680 · Product

Active substance
Navlimetostat
Substance synonyms
2-[4-[4-(Aminomethyl)-1-oxo-2H-phthalazin-6-yl]-2-methylpyrazol-3-yl]-4-chloro-6-cyclopropyloxy-3-fluorobenzonitrile, MRTX-1719, BMS986504
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
9999 mg milligram(s)
Max total dose
9999 mg milligram(s)
Max treatment duration
9999 Week(s)
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Pemetrexed

SUB09655MIG · Substance

Active substance
Pemetrexed
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENUS USE
Max daily dose
500 mg/m2 milligram(s)/square meter
Max total dose
9999 mg/m2 milligram(s)/square meter
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be over-labeled and repackaged.

Paclitaxel

SUB09583MIG · Substance

Active substance
Paclitaxel
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENUS USE
Max daily dose
200 mg/m2 milligram(s)/sq. meter
Max total dose
9999 mg/m2 milligram(s)/square meter
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be over-labeled and repackaged.

Pembrolizumab

SUB167136 · Substance

Active substance
Pembrolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENUS USE
Max daily dose
200 mg milligram(s)
Max total dose
9999 mg milligram(s)
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be over-labeled and repackaged.

Cisplatin

SUB07483MIG · Substance

Active substance
Cisplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENUS USE
Max daily dose
75 mg/m2 milligram(s)/square meter
Max total dose
9999 mg/m2 milligram(s)/square meter
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be over-labeled and repackaged.

Carboplatin

SUB06614MIG · Substance

Active substance
Carboplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENUS USE
Max daily dose
9999 mg/ml milligram(s)/millilitre
Max total dose
9999 mg/ml milligram(s)/millilitre
Max treatment duration
9999 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be over-labeled and repackaged.

Placebo 1

MRTX1719 Matching Placebo

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

Bristol-Myers Squibb Services Unlimited Company

Sponsor organisation
Bristol-Myers Squibb Services Unlimited Company
Address
Plaza 254, Blanchardstown Corporate Park 2 Blanchardstown Corporate Park 2
City
Dublin 15
Postcode
D15 T867
Country
Ireland

Scientific contact point

Organisation
Bristol-Myers Squibb Services Unlimited Company
Contact name
GSM-CT Representative

Public contact point

Organisation
Bristol-Myers Squibb Services Unlimited Company
Contact name
GSM-CT Representative

Third parties 12

OrganisationCity, countryDuties
Azenta Germany GmbH
ORG-100022621
Griesheim, Germany Other
Omnitrace Corp.
ORG-100045579
Palm Beach Gardens, United States Other
Iqvia Inc.
ORG-100010622
Durham, United States Code 12, Other
Mural Health Technologies Inc.
ORG-100051510
Berwyn, United States Other
Foundation Medicine Inc.
ORG-100040457
Boston, United States Other
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Other, Laboratory analysis
Discovery Life Sciences Biomarker Services GmbH
ORG-100042520
Kassel, Germany Other
Pharmaceutical Product Development LLC
ORG-100016999
Richmond, United States Other
Massive Bio Inc.
ORG-100044618
New York, United States Other
Bioclinica Inc.
ORG-100033079
Philadelphia, United States Other
Azenta US Inc.
ORG-100012907
Indianapolis, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States Other

Locations

15 EU/EEA countries · 87 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 6 3
Belgium Ongoing, recruiting 14 5
Bulgaria Ongoing, recruiting 12 6
Czechia Authorised, recruiting 5 2
Denmark Authorised, recruitment pending 3 1
France Ongoing, recruiting 32 16
Germany Ongoing, recruiting 30 10
Greece Authorised, recruitment pending 10 6
Hungary Authorised, recruiting 8 3
Italy Ongoing, recruiting 16 9
Netherlands Ongoing, recruiting 4 1
Poland Authorised, recruiting 12 6
Romania Ongoing, recruiting 20 10
Spain Ongoing, recruiting 20 8
Sweden Authorised, recruiting 3 1
Rest of world
Israel, Turkey, Canada, Brazil, United States, Switzerland, United Kingdom, India, China, Chile, Australia, South Africa, Hong Kong, Mexico, Taiwan, Korea, Republic of, Thailand, Colombia, Malaysia, Argentina, Japan
389

Investigational sites

Austria

3 sites · Ongoing, recruiting
Ordensklinikum Linz GmbH
Department of Pneumology, Fadingerstrasse 1, 4020, Linz
Vorarlberger Krankenhaus-Betriebsgesellschaft mbH
Department of Oncology, Carinagasse 47, 6800, Feldkirch
Stadt Wien Wiener Gesundheitsverbund
Department of Internal Medicine and Pneumology, Bruenner Strasse 68, Floridsdorf, Vienna

Belgium

5 sites · Ongoing, recruiting
Algemeen Ziekenhuis Delta
Pneumology, Deltalaan 1, 8800, Roeselare
University Hospital Antwerp
Pulmonary Medecine_Thoracic oncology, Drie Eikenstraat 655, 2650, Edegem
Centre hospitalier universitaire de Liege
Medical Oncology, Avenue De L'Hopital 1, 4000, Liege
Jessa Ziekenhuis
Pneumology, Stadsomvaart 11, 3500, Hasselt
UZ Brussel
Medical Oncology, Laarbeeklaan 101, 1090, Jette

Bulgaria

6 sites · Ongoing, recruiting
University Multidisciplinary Hospital For Active Treatment Sveta Ekaterina EAD
Department – Medical Oncology Level III, Bulevard Pencho Slaveykov 52a, 1431, Sofia
Specialized Hospital For Active Treatment Of Oncology Haskovo EOOD
Department – Medical Oncology Level II, Bulevard Siedinenie 49, 6304, Haskovo
Uniteversity Muliprofile Hospital For Active Treatment Tsaritsa Yoanna-Isul EAD
Department – Medical Oncology Level III, Oborishte Distr., Ul.Byalo More 8, Sofia
MBAL Trakia EOOD
Department – Medical Oncology Level III, Ulitsa Dunav 1, 6004, Stara Zagora
Complex Oncology Center Ruse EOOD
Department – Medical Oncology Level II, 2 Nezavisimost street, 7000, Ruse
Multiprofile Hospital For Active Treatment-Uni Hospital Ltd.
Department – Medical Oncology Level III, Georgi Benkovski Street 100, 4500, Panagyurishte

Czechia

2 sites · Authorised, recruiting
University Hospital Olomouc
Klinika plicnich nemoci a tuberkulozy, Zdravotniku 248/7, 779 00, Olomouc
Fakultni Nemocnice Hradec Kralove
Plicni klinika, Sokolska 581, Novy Hradec Kralove, Hradec Kralove

Denmark

1 site · Authorised, recruitment pending
Copenhagen University Hospital
Department of Oncology, Blegdamsvej 9, 2100, Copenhagen Oe

France

16 sites · Ongoing, recruiting
Institut Paoli Calmettes
Pneumonology, 232 Boulevard De Sainte Marguerite, Bp 156, Marseille
Centre Hospitalier Universitaire De Toulouse
Pneumonology, 24 Chemin De Pouvourville, 31400, Toulouse
Centre Hospitalier Regional Universitaire
Pneumonology, 2 Place Saint Jacques, Cs 51804, Besancon Cedex
Institut Regional Du Cancer De Montpellier
Pneumonology, 208 Avenue Des Apothicaires, 34298, Montpellier Cedex 5
Institut Curie
Pneumonology, 26 Rue D Ulm, 75005, Paris
Centre Hospitalier Regional Universitaire De Tours
Pneumonology, 2 Boulevard Tonnelle, 37000, Tours
Centre Hospitalier Universitaire De Dijon
Pneumonology, 2 Boulevard Mal De Lattre De Tassigny, 21000, Dijon
Centre Francois Baclesse
Pneumonology, 3 Avenue Du General Harris, Cs 45026, Caen Cedex 5
Groupe Hospitalier Paris Saint Joseph
Pneumonology, 185 Rue Raymond Losserand, 75014, Paris
Centre Hospitalier Intercommunal Creteil
Pneumonology, 40 Avenue De Verdun, 94000, Creteil
CHU Gabriel-Montpied
Pneumonology, 58 Rue Montalembert, 63000, Clermont Ferrand
Centre Hospitalier Regional Et Universitaire De Brest
Pneumonology, 5 Avenue Marechal Foch, Bp 824, Brest Cedex 2
Hospices Civils De Lyon
Pneumonology, 165 Chemin Du Grand Revoyet, 69310, Pierre Benite
Centre Hospitalier Universitaire De Rennes
Pneumonology, 2 Rue Henri Le Guilloux, 35000, Rennes
CHRU De Nancy
Pneumonology, 11 Rue Du Morvan, Bp 80001, Vandoeuvre Les Nancy Cedex
Centre Hospitalier Universitaire De Bordeaux
Pneumonology, Avenue Du Haut Leveque, 33600, Pessac

Germany

10 sites · Ongoing, recruiting
Alb Fils Kliniken GmbH
Zentrum für Hämatologische Neoplasien, Eichertstrasse 3, Stadtgebiet, Goeppingen
Barmherzige Brueder gemeinnuetzige Krankenhaus GmbH
Klinik für Onkologie und Hämatologie, Pruefeninger Strasse 86, Westenviertel, Regensburg
Bundeswehrkrankenhaus Ulm
Schwerpunkt Hämatologie und Onkologie, Oberer Eselsberg 40, Eselsberg, Ulm
Lungenfachklinik Immenhausen
Thoraxonkologie, Robert Koch Strasse 3, 34376, Immenhausen
Pius-Hospital Oldenburg
Klinik für Hämatologie und Onkologie, Georgstrasse 12, Innenstadt, Oldenburg
SLK-Kliniken Heilbronn GmbH
Medizinische Klinik II Onkologie / Krebsheilkunde mit Palliativmedizin, Geisshoelzle 62, Hirrweiler, Loewenstein
Universitaetsklinikum Bonn AöR
Medizinische Klinik & Poliklinik III, Venusberg-Campus 1, Venusberg, Bonn
LungenClinic Grosshansdorf GmbH
Onkologie, Woehrendamm 80, 22927, Grosshansdorf
Klinikum der Technischen Universitaet Muenchen (TUM Klinikum)
Klinik und Poliklinik fuer Innere Medizin III - Hämatologie und Onkologie, Ismaninger Strasse 22, Au-Haidhausen, Munich
Robert Bosch Gesellschaft fuer medizinische Forschung mbH
Abteilung für Pneumologische Onkologie, Auerbachstrasse 112, Bad Cannstatt, Stuttgart

Greece

6 sites · Authorised, recruitment pending
Thoracic General Hospital Of Athens I Sotiria
3rd Department of Internal Medicine, Oncology Unit & Laboratory, Messogion Avenue 152, 115 27, Athens
Henry Dunant Hospital Center
4th Department of Oncology & Clinical Trials Unit, 107 Mesogeion Avenue, 115 26, Athens
Theageneio Cancer Hospital
2nd Department of Oncology Clinic, Simeonidi Alex 2, 546 39, Thessaloniki
Alexandra Hospital
Department of Clinical Therapeutics Plasma Cell Dyscrasias Unit, Vassilissas Sofias Avenue 80, 115 28, Athens
General University Hospital Of Larissa
Oncology Clinic, Chemotherapy Department, P. O. Box 1425, 411 10, Larissa
General University Hospital Of Patras
Division of Oncology, Department of Medicine, Rio, 265 04, Patras

Hungary

3 sites · Authorised, recruiting
Bekes Varmegyei Koezponti Korhaz
Pulmonary Medicine and Respiratory Rehabilitation Department, Semmelweis Utca 1, 5700, Gyula
Farkasgyepui Tudogyogyintezet
I. pulmonologia, 049 Hrsz 2, 8582, Farkasgyepu
Clinic Of Pulmonology Semmelweis University
Pulmonológiai Klinika, Tomo Utca 25-29, 1083, Budapest Viii

Italy

9 sites · Ongoing, recruiting
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Oncologia Polmonare, Regione Gonzole 10, 10043, Orbassano
Centro Di Riferimento Oncologico Di Aviano
Clinical Oncology, Via Franco Gallini 2, 33081, Aviano
Azienda Ospedaliera Universitaria Integrata Verona
Oncology, P.le L.A. Scuro 10, Borgo Roma, Verona
Fondazione IRCCS Istituto Nazionale Dei Tumori
Medical Oncology 1, Via Giacomo Venezian 1, 20133, Milan
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
UOC Oncoematologia, Via Sergio Pansini 5, 80131, Naples
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Oncology-Hematology, Via Pietro Albertoni 15, 40138, Bologna
IRCCS - Ospedale San Raffaele
Medical Oncology, Via Olgettina 60, 20132, Milano
Ospedale Santa Maria Della Misericordia - Azienda Ospedaliera di Perugia
Medical Oncology, via Dottori 1, 06132, Perugia
Ospedale Santa Maria delle Croci
Oncology, V. Le Randi 5, 48121, Ravenna

Netherlands

1 site · Ongoing, recruiting
Universitair Medisch Centrum Groningen
Pulmonology, Hanzeplein 1, 9713 GZ, Groningen

Poland

6 sites · Authorised, recruiting
Szpital Specjalistyczny W Prabutach Sp. z o.o.
Oddział Pulmonologii, Ul. Kuracyjna 30, 82-550, Prabuty
Centrum Onkologii Im. Prof. Franciszka Lukaszczyka W Bydgoszczy
Ambulatorium Chemioterapii, Ul. Izabeli Romanowskiej 2, 85-796, Bydgoszcz
Pratia S.A.
NA, Ul. Gryfinska 1, 60-192, Poznan
Lux Med Onkologia Sp. z o.o.
Oddział Onkologii Klinicznej/Chemioterapii, Ul. Gen. Augusta Emila Fieldorfa Nila 40, 04-125, Warsaw
Mazowiecki Szpital Onkologiczny Sp. z o.o.
Poradnia Onkologiczna, Ul. Koscielna 61, 05-135, Wieliszew
Pratia S.A.
NA, Ul. Pana Tadeusza 2, 30-727, Cracow

Romania

10 sites · Ongoing, recruiting
Centrul De Oncologie-Euroclinic S.R.L.
Oncology, Strada Conta Vasile 2, 700106, Iasi
Institutul Oncologic Prof. Dr. Alexandru Trestioreanu Bucuresti
Oncology, Soseaua Fundeni 252, 022328, Bucharest
Spitalul Municipal Ploiesti
Oncology, Strada Ipatescu Ana Nr 59, 100337, Ploiesti
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca
Oncology, Strada Republicii 34-36, 400015, Cluj-Napoca
Centrul De Diagnostic Si Tratament Provita S.A.
Oncology, Bulevardul Dimitrie Pompeiu Nr 9-9a Iride Business Park Sector 2, 11273, Bucharest
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca
Oncology, Strada Republicii 34-36, 400015, Cluj-Napoca
Radiotherapy Center Cluj S.R.L.
Oncology, Str. Razoare Nr. 486g Jud. Cluj, 407280, Floresti
Institutul Regional De Oncologie Iasi
Oncology, Strada G-Ral Berthelot 2-4, 700483, Iasi
Radiology Therapeutic Center S.R.L.
Oncology, Strada Drumul Odai Nr 42, 075100, Otopeni
Centrul De Oncologie SF Nectarie S.R.L.
Oncology, Strada Caracal Nr 109, 200542, Craiova

Spain

8 sites · Ongoing, recruiting
Hospital Universitario Puerta De Hierro De Majadahonda
Oncology, Calle De Manuel De Falla 1, 28222, Majadahonda
University Hospital Virgen Del Rocio S.L.
Oncology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Y Politecnico La Fe
Oncology, Avenida Fernando Abril Martorell 106, 46026, Valencia
Hospital Universitario 12 De Octubre
Oncology, Avenida De Cordoba Sn, 28041, Madrid
Hospital Universitario Regional De Malaga
Oncology, Avenida De Carlos De Haya S/N, 29010, Malaga
Hospital Universitari Vall D Hebron
Oncology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Institut Catala D'oncologia
Oncology, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital General Universitario Gregorio Maranon
Oncology, Calle Del Doctor Esquerdo 46, 28009, Madrid

Sweden

1 site · Authorised, recruiting
Sahlgrenska University Hospital-Vaestra Goetalandsregionen
Klinisk prövningsenhet, Verksamhet onkologi, Blå Stråket 2, 413 45 Göteborg, Bla Straket 5, Goteborgs Annedal, Goteborg

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2025-11-18 2025-12-16
Belgium 2025-12-10 2026-01-06
Bulgaria 2026-01-22 2026-02-19
Czechia 2026-02-09
France 2025-11-19 2025-12-18
Germany 2025-11-21 2025-12-17
Hungary 2026-03-17
Italy 2025-12-17 2026-03-03
Netherlands 2025-12-01 2025-12-01
Poland 2025-12-10
Romania 2025-11-27 2025-12-02
Spain 2025-11-24 2026-05-12
Sweden 2025-11-28

Results and documents

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

Documents 207 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol Administrative Letter 04_2025-521511-40-00_redacted 4
Protocol (for publication) D1_Protocol Administrative Letter 05_2025-521511-40-00_redacted 05
Protocol (for publication) D1_Protocol_2025-521511-40-00_GR_ Redacted 02
Protocol (for publication) D1_Protocol_2025-521511-40-00_GR_Redacted 03 EU
Protocol (for publication) D1_Protocol_2025-521511-40-00_redacted 03 EU
Recruitment arrangements (for publication) K_Recruitment arrangements DK 2
Recruitment arrangements (for publication) K1 Recruitment Arrangements_GR 2.0
Recruitment arrangements (for publication) K1 Recruitment Arrangements_GR_TC 2.0
Recruitment arrangements (for publication) K1_ Recruitment arrangements 2
Recruitment arrangements (for publication) K1_CA240-0029_BG_Recruitment arrangements_BG 2.0
Recruitment arrangements (for publication) K1_Recruitment arragements_ES 2
Recruitment arrangements (for publication) K1_Recruitment Arrangement Form_AT 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Recruitment arrangements (for publication) K1_Recruitment arrangements TC 2
Recruitment arrangements (for publication) K1_Recruitment arrangements_BE 2.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_BE_TC 2.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_CZ 2.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_DE 2
Recruitment arrangements (for publication) K1_Recruitment arrangements_FR 2.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_IT 2
Recruitment arrangements (for publication) K1_Recruitment arrangements_NL 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_PL 2.0
Recruitment arrangements (for publication) K2_Recruitment material_Patient Brochure_AT 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Brochure_DE 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Brochure_GR 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Invite to Trial Letter_AT 1
Recruitment arrangements (for publication) K2_Recruitment Material_Patient Invite to Trial Letter_BG 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Invite to Trial Letter_DE 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Invite to Trial Letter_GR 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Invite to Trial Letter_IT 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Poster_AT 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Poster_DE 1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Poster_GR 1.1
Recruitment arrangements (for publication) K2_Recruitment material_Patient Poster_IT 1
Recruitment arrangements (for publication) K2_Recruitment Material_Patient Recruitment Brochure_BG 1
Recruitment arrangements (for publication) K2_Recruitment Material_Patient Recruitment Poster_BG 1
Subject information and informed consent form (for publication) L1 CA240-0029_DK Add IC Right not to know_V2_24Feb2026_dan_no redaction_TC 2
Subject information and informed consent form (for publication) L1 CA240-0029_DK_SIS and ICF Treatment Beyond Progression_dan_no redaction_TC 2
Subject information and informed consent form (for publication) L1 CA240-0029_DK_SIS and ICF Treatment Beyond Progression_Redacted 2
Subject information and informed consent form (for publication) L1_ SIS and ICF Main_Redacted 4.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Optional Future Research_Redacted 2
Subject information and informed consent form (for publication) L1_ SIS and ICF Optional Sample Collection_Redacted 2
Subject information and informed consent form (for publication) L1_ SIS and ICF Participant who Becomes Pregnant_Redacted 2
Subject information and informed consent form (for publication) L1_ SIS and ICF Pre Screening_Redacted 3.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Pregnant Partner_Redacted 2.1
Subject information and informed consent form (for publication) L1_ SIS and ICF Treatment Beyond Progression 2
Subject information and informed consent form (for publication) L1_ SIS and ICF Treatment Beyond Progression_IT 2
Subject information and informed consent form (for publication) L1_ SIS and ICF_Mural Health data Privacy Notice_EN 1
Subject information and informed consent form (for publication) L1_ SIS and ICF_Mural Health data Privacy Notice_RO 1
Subject information and informed consent form (for publication) L1_AT_SIS and ICF Future Research_clean_redacted 2
Subject information and informed consent form (for publication) L1_AT_SIS and ICF Main_clean_redacted 3
Subject information and informed consent form (for publication) L1_AT_SIS and ICF Optional Sample Collection_clean_redacted 2
Subject information and informed consent form (for publication) L1_AT_SIS and ICF Pre Screening_clean_redacted 2
Subject information and informed consent form (for publication) L1_AT_SIS and ICF Pregnant Participant_clean_redacted 2
Subject information and informed consent form (for publication) L1_AT_SIS and ICF Pregnant Partner_clean 2
Subject information and informed consent form (for publication) L1_AT_SIS and ICF Treatment Beyond Progression_redacted 2
Subject information and informed consent form (for publication) L1_CA240-0029_SE_SIS ICF Main_V3_24Feb2026_SE_Clean CORRECT 3
Subject information and informed consent form (for publication) L1_DE_SIS and ICF Future Research_redacted 2
Subject information and informed consent form (for publication) L1_DE_SIS and ICF Main_redacted 3
Subject information and informed consent form (for publication) L1_DE_SIS and ICF Optional Sample Collection_redacted 2
Subject information and informed consent form (for publication) L1_DE_SIS and ICF Pre Screening_redacted 2
Subject information and informed consent form (for publication) L1_DE_SIS and ICF Pregnant Participant_redacted 2
Subject information and informed consent form (for publication) L1_DE_SIS and ICF Pregnant Partner_redacted 2
Subject information and informed consent form (for publication) L1_DE_SIS and ICF Treatment Beyond Progression_redacted 2
Subject information and informed consent form (for publication) L1_DK Add IC Right not to know_no redaction 2
Subject information and informed consent form (for publication) L1_ICF Main_Clean_Redacted 4
Subject information and informed consent form (for publication) L1_ICF Optional Future Research_Clean_Redacted 2
Subject information and informed consent form (for publication) L1_ICF Optional Sample Collection_Clean_Redacted 2
Subject information and informed consent form (for publication) L1_ICF Pre-screening_Clean_Redacted 3
Subject information and informed consent form (for publication) L1_ICF Pregnant Partner_Clean_Redacted 2
Subject information and informed consent form (for publication) L1_ICF Treatmeant Beyond Progression_Clean_No redaction 2
Subject information and informed consent form (for publication) L1_SIS and ICF _Prescreening_PL_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main for Bulgaria_BG_v1_0_7Jul2025_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main for Bulgaria_EN_v1_0_7Jul2025_redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_ES_Redacted 5
Subject information and informed consent form (for publication) L1_SIS and ICF Main_FR_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Main_GR_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_IT_Redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_NL_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted_Dutch_BE 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted_Eng_BE 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted_French_BE 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Future Research_FR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Future Research_GR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Future Research_IT_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Future Research_NL_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Future Research_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Research for Bulgaria_BG_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Research for Bulgaria_EN_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Research_ES_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample Collection _Part 1_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample Collection for Bulgaria_BG_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample Collection for Bulgaria_EN_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample Collection_FR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample Collection_IT_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample Collection_NL_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample Collection_Part 2_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample_GR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Sample_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Samples_Redacted_Dutch_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Samples_Redacted_Eng_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Samples_Redacted_French_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Participant who Becomes Pregnant_BG_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Participant who Becomes Pregnant_EN_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Participant who Becomes Pregnant_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Pre-Screening_BG_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pre-Screening_EN_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pre-Screening_ES_Redacted 4
Subject information and informed consent form (for publication) L1_SIS and ICF Pre-Screening_GR_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pre-Screening_IT_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pre-Screening_Redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Participant_FR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant participant_GR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Participant_IT_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Participant_NL_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Participant_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant participant_Redacted_Dutch_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant participant_Redacted_Eng_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant participant_Redacted_French_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner for Bulgaria_BG_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner for Bulgaria_EN_v1_0_7Jul2025_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_ IT_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_FR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_GR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_NL_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_Redacted_Dutch_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_Redacted_Eng_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant partner_Redacted_French_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Prescreening IC_NL_Redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF Prescreening_FR_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF PreScreening_Redacted_Dutch_BE 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF PreScreening_Redacted_Eng_BE 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF PreScreening_Redacted_French_BE 2.2
Subject information and informed consent form (for publication) L1_SIS and ICF Privacy notice_IT_Redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF Reimbursement_GR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Reimbursement_IT_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment Beyond Progression for Bulgaria_BG_v1_0_7Jul2025 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment Beyond Progression for Bulgaria_EN_v1_0_7Jul2025 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment Beyond Progression_ES_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment Beyond Progression_FR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment beyond progression_GR_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment beyond progression_NL_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment Beyond Progression_no redaction 2
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment beyond progression_Redacted_Dutch_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment beyond progression_Redacted_En_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment beyond progression_Redacted_French_BE 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_BE_sponsor statement model BMS 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main - enrolled participant_CZ_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_PL_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_CZ_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Future Research ICF_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Future Research_CZ_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Future Research_PL_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Sample Collection_CZ_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Sample Collection_PL_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Sample ICF_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Participant who Becomes Pregnant_PL_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pharmacogenetic ICF_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Pharmacogenetic PIS_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Pre-Screening_CZ_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant ICF_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant_CZ 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_CZ_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_PL_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Prescreening ICF_Redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF_Treatment beyond progression ICF redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Treatment Beyond Progression_CZ_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Treatment Beyond Progression_PL 2.0
Subject information and informed consent form (for publication) L2 Dine rettigheder som forsgsperson i forsg med medicin 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Card_Redacted 2
Subject information and informed consent form (for publication) L2_Other subject information material_Persona Data_CZ_Redacted 2.0
Subject information and informed consent form (for publication) L2_other Subject Information Site Details for all ICFs_AT_V03_clean 3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Carboplatin Fresenius Kabi IE N/A
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Cisplatin Accord IE N/A
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Pembrolizumab Keytruda_MSD 70
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Pembrolizumab Keytruda_MSD_Summary of changes 70
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Pembrolizumab Keytruda_MSD_Tracked changes 70
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Pemetrexed Accord EMA 15
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Pemetrexed Accord EMA_Summary of changes 15
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Pemetrexed Accord EMA_Tracked changes 15
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Nab-paclitaxel Abraxane BMS 32
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Nab-paclitaxel Abraxane BMS_Summary of changes 32
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Nab-paclitaxel Abraxane BMS_Tracked changes 32
Summary of Product Characteristics (SmPC) (for publication) EP_SmPC Paclitaxel TAXOL Cheplapharm N/A
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40_Dutch_BE 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40_FR 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40_French_BE 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40_German_BE 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40_IT 3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2025-521511-40_PL 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40-00 _ES 3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2025-521511-40-00_BG 3.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2025-521511-40-00_CZ 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40-00_FR 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40-00_GR 3.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-521511-40-00_HU 3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_AT_Ger2025-521511-40-00 3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ENG_2025-521511-40-00 3
Synopsis of the protocol (for publication) D1_Protocol synopsis_EU CT 2025-521511-40_SE 3
Synopsis of the protocol (for publication) D1_Protocol synopsis_EU-CT 2025-521511-40-00_RO 3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_NL_2025-521511-40-00 3

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-07-14 Germany Acceptable
2025-10-22
2025-10-24
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-11 Acceptable
2025-10-22
2025-11-11
3 NON SUBSTANTIAL MODIFICATION NSM-2 2025-11-12 Acceptable
2025-10-22
2025-11-12
4 NON SUBSTANTIAL MODIFICATION NSM-3 2025-11-12 Acceptable
2025-10-22
2025-11-12
5 NON SUBSTANTIAL MODIFICATION NSM-4 2025-11-12 Acceptable
2025-10-22
2025-11-12
6 NON SUBSTANTIAL MODIFICATION NSM-5 2025-11-12 Acceptable
2025-10-22
2025-11-12
7 SUBSTANTIAL MODIFICATION SM-1 2025-11-13 Germany Acceptable 2025-11-14
8 SUBSTANTIAL MODIFICATION SM-2 2025-11-17 Acceptable 2025-12-16
9 SUBSTANTIAL MODIFICATION SM-3 2025-11-27 Germany Acceptable 2026-01-20
10 SUBSTANTIAL MODIFICATION SM-4 2025-11-27 Acceptable 2026-01-20
11 NON SUBSTANTIAL MODIFICATION NSM-6 2026-01-21 Germany Acceptable 2026-01-21
12 SUBSTANTIAL MODIFICATION SM-5 2026-03-20 Germany Acceptable
2026-06-17
2026-06-18
13 NON SUBSTANTIAL MODIFICATION NSM-7 2026-06-30 Acceptable
2026-06-17
2026-06-30
14 NON SUBSTANTIAL MODIFICATION NSM-8 2026-06-30 Acceptable
2026-06-17
2026-06-30
15 NON SUBSTANTIAL MODIFICATION NSM-9 2026-06-30 Acceptable
2026-06-17
2026-06-30
16 NON SUBSTANTIAL MODIFICATION NSM-10 2026-06-30 Acceptable
2026-06-17
2026-06-30
17 NON SUBSTANTIAL MODIFICATION NSM-11 2026-07-01 Acceptable
2026-06-17
2026-07-01
18 NON SUBSTANTIAL MODIFICATION NSM-12 2026-07-01 Acceptable
2026-06-17
2026-07-01
19 NON SUBSTANTIAL MODIFICATION NSM-13 2026-07-01 Acceptable
2026-06-17
2026-07-01
20 NON SUBSTANTIAL MODIFICATION NSM-14 2026-07-01 Acceptable
2026-06-17
2026-07-01
21 NON SUBSTANTIAL MODIFICATION NSM-15 2026-07-02 Germany Acceptable
2026-06-17
2026-07-02
22 NON SUBSTANTIAL MODIFICATION NSM-16 2026-07-03 Acceptable
2026-06-17
2026-07-03
23 NON SUBSTANTIAL MODIFICATION NSM-17 2026-07-07 Acceptable
2026-06-17
2026-07-07