A
4
Indication details
- Combined Agent(s)
- Pemetrexed + platinum chemotherapy
- Control Arm
- Placebo + pemetrexed + platinum chemotherapy
- Therapeutic Indication
- In combination with pemetrexed and platinum chemotherapy for the first-line treatment of metastatic non-squamous non-small cell lung carcinoma in adults whose tumours have no EGFR or ALK positive tumour mutations
- Tumour Type
-
Thoracic Malignancies
- Tumour Sub-type
- Non-small-cell Lung Cancer
- Tumour Stage
- Metastatic
- Trial Name
- KEYNOTE-189
- NCT Number
- NCT02578680
- Trial Phase
- Phase III
Approval details
- FDA Approval
- FDA approved
- EMA Approval
- EMA (CHMP) October 2018 EC decision December 2018
Primary Outcome(s)
- Primary Outcome(s)
- PFS and OS (Crossover allowed)
- Evaluated Outcome
- OS
- Form(s)
- Form 2a / Form 1
Outcome Data
- PFS Control
- 4.9 months
- PFS Gain
- 4.5 months
- PFS HR
- 0.50 (0.42-0.60)
- OS Control
- 10.6 months 5 year: 11.3%
- OS Gain
- 11.4 months 5 year gain: 8.1%
- OS HR
- 0.60 (0.50 - 0.72)
Adjustments
- Annotation
- Despite approvate crossover in 66%, credit for potential curability should be acknowledged
- QoL Comment
-
Not qualified for an ESMO-MCBS credit
Score (after adjustments)
- Preliminary non-curative score
-
4
- Non-curative score
-
4
- Curative score
-
A
Scorecard details
- ESMO-MCBS version
- ESMO-MCBS v1.1
- Scorecard ID
- 132
- Scorecard version
- 1
- Issue date
- 17.05.2019
- Last update
- 07.11.2024
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.