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A

Indication details

Control Arm
Placebo
Therapeutic Indication
Adjuvant treatment after complete tumour resection in adult patients with stage IB-IIIA NSCLC whose tumours have EGFR exon 19 deletions or exon 21 (L858R) substitution mutations
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Adjuvant
Tumour Sub-Group
EGFR exon 19 deletions or exon 21 (L858R) mutation
Trial Name
ADAURA
NCT Number
NCT02511106
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval December 2020
EMA Approval
EMA CHMP April 2021 EC decision July 2021
Comment
EMA approval was based on all patients, including those with stage Ib disease, and so data shown are for all patients

Primary Outcome(s)

Primary Outcome(s)
DFS
Evaluated Outcome
DFS
Form(s)
Form 1

Outcome Data

OS Control
5-year 78%
OS Gain
5-year 10%
OS HR
0.49 (95.03%CI 0.34-0.70)
DFS Control
4-year 38%
DFS Gain
4-year 35%
DFS HR
0.27 (95.03%CI 0.21-0.34)

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Curative score

A

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
241
Scorecard version
1
Issue date
01.03.2021
Last update
15.11.2023
Osimertinib ADAURA

PRELIMINARY SCORE

DFS

ADJUSTMENTS

?
QoL data pending
Osimertinib ADAURA

SCORE

A

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
Overall Response Rate / Duration of Response
Thoracic Malignancies
Adjuvant treatment after complete tumour resection in adult patients with stage IB-IIIA NSCLC whose tumours have EGFR exon 19 deletions or exon 21 (L858R) substitution mutations
Osimertinib
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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