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3

Indication details

Control Arm
Single arm cohort study (Phase II)
Therapeutic Indication
Treatment of MSI-H or dMMR tumours in adults with unresectable or metastatic biliary cancer, who have disease progression on or following at least one prior therapy.
Tumour Type
Gastrointestinal Cancers
Tumour Sub-type
Biliary tract cancer
Tumour Stage
Unresectable or metastatic
Tumour Sub-Group
dMMR or MSI-H
Trial Name
KEYNOTE-158
NCT Number
NCT02628067
Trial Phase
Phase II

Approval details

FDA Approval
FDA approval is tumour agnostic
EMA Approval
EMA (CHMP) March 2022 EC decision May 2022

Primary Outcome(s)

Primary Outcome(s)
ORR
Evaluated Outcome
ORR
Form(s)
Form 3

Outcome Data

PFS Control
4.2 months
ORR
40.90%
DoR
30.6 months

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Comment
EMA (CHMP) March 2022 EC decision May 2022

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
335
Scorecard version
1
Issue date
28.04.2022
Last update
18.01.2024
Pembrolizumab KEYNOTE-158

PRELIMINARY SCORE

ORR

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Pembrolizumab KEYNOTE-158

SCORE

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
3
Overall Response Rate / Duration of Response
Gastrointestinal Cancers
Treatment of MSI-H or dMMR tumours in adults with unresectable or metastatic biliary cancer, who have disease progression on or following at least one prior therapy.
Pembrolizumab
Single arm cohort study (Phase II)

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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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