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2

Indication details

Control Arm
Placebo
FDA Therapeutic Indication
Treatment of unresectable or metastatic, well differentiated pancreatic neuroendocrine tumours with disease progression in adults
Tumour Type
Endocrine Tumours
Tumour Sub-type
Neuroendocrine Tumour - Pancreatic
Tumour Stage
Unresectable or metastatic
NCT Number
NCT00428597
Trial Phase
Phase III

Approval details

FDA Approval
FDA approved
EMA Approval
EMA approved

Primary Outcome(s)

Primary Outcome(s)
PFS (crossover allowed)
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
5.5 months
PFS Gain
5.9 months
PFS HR
0.42 (0.26-0.66)
OS Control
29.1 months
OS Gain
9.5 months
OS HR
0.73 (0.50-1.06) not significant

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

2

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
151
Scorecard version
1
Issue date
12.03.2020
Last update
20.03.2024
Sunitinib

PRELIMINARY SCORE

PFS

ADJUSTMENTS

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

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
Endocrine Tumours
Treatment of unresectable or metastatic, well differentiated pancreatic neuroendocrine tumours with disease progression in adults
Sunitinib
Placebo

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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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