If the pharmaceutical company ______ the clinical trial protocol earlier, the regulatory approval would have been granted last month.

Answer and explanation

Correct answer: D. had submitted

  1. Step 1: Identify third conditional structure: 'would have been granted' in the main clause expresses an unreal past outcome.
  2. Step 2: The conditional if-clause requires the past perfect tense: 'had submitted'.
Answer
had submitted.
Why not the others: 'submits' is present tense; 'submitted' forms a second conditional referring to the present; 'would submit' introduces an incorrect modal in the if-clause.

Practise more Advanced English Grammar, Verb Tenses, Conditionals and Sentence Structure.

Free questions with an explanation for every one, and full timed STEP (Standardized Test of English Proficiency) mock tests.

If the pharmaceutical… | STEP (Standardized Test of English Proficiency)