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5

Indication details

Control Arm
Physician’s choice of single agent ChT
Therapeutic Indication
Treatment of patients with unresectable or metastatic TNBC who have received ≥2 prior systemic therapies, ≥1 of them for advanced disease
Tumour Sub-type
Breast Cancer
Tumour Stage
Unresectable or metastatic
Tumour Sub-Group
Triple-negative
Trial Name
ASCENT
NCT Number
NCT02574455
Trial Phase
Phase III

Approval details

FDA Approval
FDA accelerated approval April 2020 and regular approval April 2021
EMA Approval
EMA CHMP (October) 2021 EC decision November 2021

Primary Outcome(s)

Primary Outcome(s)
PFS/OS
Evaluated Outcome
OS full population
Form(s)
Form 2a

Outcome Data

PFS Control
1.7 months
PFS Gain
3.1 months
PFS HR
0.43 (0.35-0.54)
OS Control
6.9 months
OS Gain
4.9 months
OS HR
0.51 (0.41-0.62)

Adjustments

QoL Comment
QoL improved

Score (after adjustments)

Preliminary non-curative score

4

QoL adjustment
1+
Non-curative score

5

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
271
Scorecard version
1
Issue date
21.05.2021
Last update
26.04.2024
Sacituzumab govitecan ASCENT

PRELIMINARY SCORE

OS

ADJUSTMENTS

Improved QoL
Sacituzumab govitecan ASCENT

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
5
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Treatment of patients with unresectable or metastatic TNBC who have received ≥2 prior systemic therapies, ≥1 of them for advanced disease
Sacituzumab govitecan
Physician’s choice of single agent 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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