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4

Indication details

Combined Agent(s)
ChT with our without bevacizumab
Control Arm
Placebo + ChT with our without bevacizumab
FDA Therapeutic Indication
Persistent, recurrent, or metastatic cervical cancer in adults whose tumours express PD-L1 with a CPS ≥1
Tumour Type
Gynaecological Malignancies
Tumour Sub-type
Cervical Cancer
Tumour Stage
Persistent, recurrent or metastatic
Tumour Sub-Group
PD-L1 (CPS ≥1)
Trial Name
KEYNOTE-826
NCT Number
NCT03635567
Trial Phase
Phase III

Approval details

FDA Approval
FDA regular approval October 2021
EMA Approval
EMA (CHMP) March 2022 EC decision May 2022

Primary Outcome(s)

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

Outcome Data

PFS Control
8.2 months
PFS Gain
2.2 months
PFS HR
0.62 (0.50-0.77)
OS Control
16.5 months
OS Gain
9.3 months (Calculated estimate of gain based on the PE HR 0.64)
OS HR
0.64 (0.50-0.81)

Adjustments

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

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
306
Scorecard version
1
Issue date
10.12.2021
Last update
28.03.2022
Pembrolizumab KEYNOTE-826

PRELIMINARY SCORE

OS

ADJUSTMENTS

Pembrolizumab KEYNOTE-826

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
4
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Gynaecological Malignancies
Persistent, recurrent, or metastatic cervical cancer in adults whose tumours express PD-L1 with a CPS ≥1
Pembrolizumab + ChT with our without bevacizumab
Placebo + ChT with our without bevacizumab

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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