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2

Indication details

Combined Agent(s)
Capecitabine
Control Arm
Capecitabine
FDA Therapeutic Indication
Treatment of patients with breast cancer, whose tumours overexpress HER2 (ErbB2) in combination with capecitabine for patients with advanced or metastatic disease with progression following prior therapy, which must have included anthracyclines and taxanes and therapy with trastuzumab in the metastatic setting
Tumour Sub-type
Breast Cancer
Tumour Stage
Advanced or metastatic
Tumour Sub-Group
HER2+
Trial Name
EGF100151
NCT Number
NCT00078572
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval March 2007
EMA Approval
EMA approved April 2008

Primary Outcome(s)

Primary Outcome(s)
PFS (TTP)
Evaluated Outcome
PFS (TTP)
Form(s)
Form 2b

Outcome Data

PFS Control
4.3 months
PFS Gain
1.9 months
PFS HR
0.57 (0.43-0.77)
OS Control
14.9 months
OS Gain
2.4 months
OS HR
0.87 (0.70-1.08) Not significant (mature)

Adjustments

QoL Comment
No QoL benefit

Score (after adjustments)

Preliminary non-curative score

3

Only improved PFS mature data shows no OS advantage and no improved QoL
-1
Non-curative score

2

Comment
Only improved PFS mature data shows no OS advantage and no improved QoL

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
10
Scorecard version
1
Issue date
11.12.2018
Last update
25.04.2024
Lapatinib EGF100151

PRELIMINARY SCORE

PFS

ADJUSTMENTS

No QoL benefit
Only improved PFS mature data shows no OS advantage and no improved QoL
Lapatinib EGF100151

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
2
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Treatment of patients with breast cancer, whose tumours overexpress HER2 (ErbB2) in combination with capecitabine for patients with advanced or metastatic disease with progression following prior therapy, which must have included anthracyclines and taxanes and therapy with trastuzumab in the metastatic setting
Lapatinib + Capecitabine
Capecitabine

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    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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