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4

Indication details

Control Arm
Placebo
FDA Therapeutic Indication
Castraction-refractory pre-docetaxel (early termination with crossover)
Tumour Type
Genitourinary Cancers
Tumour Sub-type
Prostate cancer
Tumour Stage
Metastatic
Trial Name
PREVAIL
NCT Number
NCT01212991
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval September 2014
EMA Approval
EMA (CHMP) October 2014 EC decision December 2014

Primary Outcome(s)

Primary Outcome(s)
PFS, OS
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
3.9 months
PFS Gain
>12 months
PFS HR
0.19 (0.15-0.23)
OS Control
31 months
OS Gain
5 months
OS HR
0.83 (0.75-0.93)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Preliminary non-curative score

3

Early stopping or crossover
1+
Non-curative score

4

Comment
*Form 2b was used as interim OS gain was significant but did not warrant an equal grade to PFS.

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
100
Scorecard version
1
Issue date
11.12.2018
Last update
15.11.2024
Enzalutamide PREVAIL

PRELIMINARY SCORE

PFS

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Early stopping or crossover
Enzalutamide PREVAIL

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
4
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Genitourinary Cancers
Castraction-refractory pre-docetaxel (early termination with crossover)
Enzalutamide
Placebo

My watchlist

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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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