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2

Indication details

Combined Agent(s)
ChT
Control Arm
Trastuzumab plus ChT
FDA Therapeutic Indication
Treatment of adult patients who have received two or more prior anti-HER2 regimes, at least one of which was for metastatic disease
Tumour Sub-type
Breast Cancer
Tumour Stage
Metastatic
Tumour Sub-Group
HER2+
Trial Name
SOPHIA
NCT Number
NCT02492711
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval December 2020
EMA Approval
Not EMA approved

Primary Outcome(s)

Primary Outcome(s)
PFS/OS (ITT)
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
4.9 months
PFS Gain
0.9 months
PFS HR
0.76 (0.59-0.98)
OS Control
21.9 months
OS Gain
−0.3 months
OS HR
0.95 (0.77-1.17) Not significant

Adjustments

QoL Comment
QoL was not a prespecified endpoint

Score (after adjustments)

Preliminary non-curative score

2

Non-curative score

2

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
242
Scorecard version
1
Issue date
01.03.2021
Last update
25.04.2024
Margetuximab SOPHIA

PRELIMINARY SCORE

PFS

ADJUSTMENTS

Margetuximab SOPHIA

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
Treatment of adult patients who have received two or more prior anti-HER2 regimes, at least one of which was for metastatic disease
Margetuximab + ChT
Trastuzumab plus ChT

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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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