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Indication details

Control Arm
Best supportive care
FDA Therapeutic Indication
Adjuvant treatment following resection and platinum-based ChT for adult patients with Stage II to IIIA NSCLC whose tumors have PD-L1 expression on ≥1% of tumor cells
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Adjuvant
Tumour Sub-Group
PD-L1 ≥1%
Trial Name
IMpower010
NCT Number
NCT02486718
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval October 2021
EMA Approval
EMA (CHMP) April 2022 EC decision August 2022
Comment
EMA approval is limited to patients whose tumours express PD-L1 on ≥50% of tumour cells and who do not have EGFR-mutant or ALK-positive NSCLC. This approval was based on an analysis that does not meet the ESMO-MCBS requirements for subgroups (i.e. post hoc analysis) and so cannot be scored. Data shown are therefore from the PD-L1 ≥1% cohort.

Primary Outcome(s)

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

Outcome Data

OS Control
4-year 70.9%
OS Gain
4-year 8.4%
OS HR
Not significant (immature)
DFS Control
3-years 48.2%
DFS Gain
3-years 11.8%
DFS HR
0.66 (0.50-0.88)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Curative score

A

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
305
Scorecard version
1
Issue date
01.12.2021
Last update
15.11.2023
Atezolizumab IMpower010

PRELIMINARY SCORE

DFS

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Atezolizumab IMpower010

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 following resection and platinum-based ChT for adult patients with Stage II to IIIA NSCLC whose tumors have PD-L1 expression on ≥1% of tumor cells
Atezolizumab
Best supportive care

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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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