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Entrectinib

STARTRK-1; STARTRK-2; ALKA-372-001
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3

Indication details

Control Arm
Single arm trials (Phase I/II)
FDA Therapeutic Indication
Treatment of adult and paediatric patients older than 1 month with solid tumours that have NTRK gene fusion, who have disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity, and who have not received a prior NTRK inhibitor, and who have no satisfactory treatment options.
Tumour Type
Tumour agnostic
Tumour Stage
Locally advanced or metastatic
Tumour Sub-Group
NTRK gene fusion
Trial Name
STARTRK-1; STARTRK-2; ALKA-372-001
NCT Number
NCT02097810│NCT02568267 | EudraCT 2012-000148-88
Trial Phase
Phase I/II

Approval details

FDA Approval
FDA approval August 2019
EMA Approval
EMA (CHMP) April 2024. EC decision June 2024

Primary Outcome(s)

Primary Outcome(s)
ORR,DOR
Evaluated Outcome
ORR,DOR Overall population (integrated analysis)
Form(s)
Form 3

Outcome Data

PFS Control
13.8 months
ORR
61.2%
DoR
20.0 months

Adjustments

QoL Comment
QoL was not a prespecified endpoint

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
209
Scorecard version
1
Issue date
23.07.2020
Last update
29.04.2024
Entrectinib STARTRK-1; STARTRK-2; ALKA-372-001

PRELIMINARY SCORE

ORR

ADJUSTMENTS

Entrectinib STARTRK-1; STARTRK-2; ALKA-372-001

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
3
Overall Response Rate / Duration of Response
Tumour agnostic
Treatment of adult and paediatric patients older than 1 month with solid tumours that have NTRK gene fusion, who have disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity, and who have not received a prior NTRK inhibitor, and who have no satisfactory treatment options.
Entrectinib
Single arm trials (Phase I/II)

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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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