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A

4

Indication details

Control Arm
Ipilimumab
FDA Therapeutic Indication
Treatment of adults and adolescents aged 12 years and older with advanced (unresectable or metastatic) melanoma
Tumour Type
Skin Cancers
Tumour Sub-type
Cutaneous Melanoma
Tumour Stage
Advanced unresectable or metastatic
Trial Name
KEYNOTE-006
NCT Number
NCT01866319 | NCT03486873
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval March 2015
EMA Approval
EMA (CHMP) May 2022 extension to an existing indication EC decision July 2022 EMA (CHMP) May 2015 EC decision July 2015

Primary Outcome(s)

Primary Outcome(s)
OS
Evaluated Outcome
OS
Form(s)
Form 2a / Form 1

Outcome Data

OS Control
15.9 months. 10-year OS: 23.6%
OS Gain
16.8 months. 10-year OS gain: 10.4%
OS HR
0.71 (0.60-0.85)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Curative score

A

Comment
10-year follow-up data are based on the KEYNOTE-587 extension study, designed to collect long-term efficacy data. 211 (63%) of 333 KEYNOTE-006 patients which were on follow-up at the end of the study agreed to participate to the extension study

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
327
Scorecard version
1
Issue date
19.04.2022
Last update
20.11.2024
Pembrolizumab KEYNOTE-006

PRELIMINARY SCORE

OS

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Long term plateau in the survival curve
Pembrolizumab KEYNOTE-006

SCORE

A

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
Skin Cancers
Treatment of adults and adolescents aged 12 years and older with advanced (unresectable or metastatic) melanoma
Pembrolizumab
Ipilimumab

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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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