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4

Indication details

Control Arm
Chemotherapy (pemetrexed or docetaxel)
FDA Therapeutic Indication
As monotherapy is indicated for the treatment of adult patients with ALK‑positive advanced NSCLC previously treated with crizotinib
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Advanced
Tumour Sub-Group
ALK+
Trial Name
ALUR
NCT Number
NCT02604342
Trial Phase
Phase III

Approval details

FDA Approval
FDA approved
EMA Approval
EMA (CHMP) December 2016 EC decision February 2017

Primary Outcome(s)

Primary Outcome(s)
PFS (investigator assessment)
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
1.4 months
PFS Gain
9.5 months
PFS HR
0.20 (0.12-0.33)

Adjustments

QoL Comment
QoL data pending
Toxicity Comment
Improved toxicity profile

Score (after adjustments)

Preliminary non-curative score

3

Toxicity adjustment
1+
Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
125
Scorecard version
1
Issue date
15.05.2019
Last update
16.08.2023
Alectinib ALUR

PRELIMINARY SCORE

PFS

ADJUSTMENTS

?
QoL data pending
Less serious and disabling adverse events observed
Alectinib ALUR

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
Thoracic Malignancies
As monotherapy is indicated for the treatment of adult patients with ALK‑positive advanced NSCLC previously treated with crizotinib
Alectinib
Chemotherapy (pemetrexed or docetaxel)

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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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