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1

Indication details

Combined Agent(s)
Cabozantinib
Control Arm
Sunitinib
Therapeutic Indication
First-line treatment of adult patients with advanced RCC
Tumour Type
Genitourinary Cancers
Tumour Sub-type
Renal cell cancer
Tumour Stage
Advanced
Trial Name
CheckMate-9ER
NCT Number
NCT03141177
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval January 2021
EMA Approval
EMA (CHMP) February 2021 EC Decision April 2021

Primary Outcome(s)

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

Outcome Data

PFS Control
8.3 months
PFS Gain
8.3 months
PFS HR
0.56 (0.46-0.68)
OS Control
34.3 months
OS Gain
3.4 months
OS HR
0.70 (0.55-0.90)

Adjustments

QoL Comment
QoL evaluated as an exploratory endpoint (as distinct from primary or secondary endpoint) is not eligible for ESMO-MCBS grading

Score (after adjustments)

Preliminary non-curative score

1

Non-curative score

1

Scorecard details

ESMO-MCBS version
EDMO-MCBS v1.1
Scorecard ID
272
Scorecard version
1
Issue date
21.05.2021
Last update
06.06.2023
Nivolumab CheckMate-9ER

PRELIMINARY SCORE

OS

ADJUSTMENTS

Nivolumab CheckMate-9ER

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
1
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Genitourinary Cancers
First-line treatment of adult patients with advanced RCC
Nivolumab + Cabozantinib
Sunitinib

My watchlist

    pdf
    pptx

    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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