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3

Indication details

Combined Agent(s)
Cisplatin and 5-FU ChT
Control Arm
Placebo + cisplatin and 5-FU ChT
Therapeutic Indication
First-line treatment
Tumour Type
Gastrointestinal Cancers
Tumour Sub-type
Oesophageal squamous cell carcinoma
Tumour Stage
Locally advanced unresectable or metastatic
Tumour Sub-Group
HER2- GEJ (squamous cell)
Trial Name
KEYNOTE-590
NCT Number
NCT03189719
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval March 2021 Scoring of sub-group analysis
EMA Approval
EMA (CHMP) May 2021 EC decision July 2021

Primary Outcome(s)

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

Outcome Data

OS Control
9.8 months
OS Gain
2.8 months 12% improvement at 2-years but <10% of patients still on follow up by that time
OS HR
0.72 (0.60-0.88)

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Comment
Scoring of sub-group analysis

EMA (CHMP) May 2021
EC decision July 2021
FDA approval March 2021


Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
310
Scorecard version
1
Issue date
20.12.2021
Pembrolizumab KEYNOTE-590

PRELIMINARY SCORE

OS

ADJUSTMENTS

?
QoL data pending
Pembrolizumab KEYNOTE-590

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
3
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Gastrointestinal Cancers
First-line treatment
Pembrolizumab + Cisplatin and 5-FU ChT
Placebo + cisplatin and 5-FU ChT

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