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A

Indication details

Control Arm
Trastuzumab
Therapeutic Indication
Adjuvant treatment of patients with HER2-positive early breast cancer who have residual invasive disease in the breast and/or lymph nodes after neoadjuvant taxane-based and HER2-targeted therapy
Tumour Sub-type
Early Breast Cancer
Tumour Stage
Adjuvant
Tumour Sub-Group
HER2+
Trial Name
KATHERINE
NCT Number
NCT01772472
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval May 2019
EMA Approval
EMA (CHMP) November 2019 EC decision January 2021

Primary Outcome(s)

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

Outcome Data

DFS Control
3-year: 77.0%
DFS Gain
3-year: 11.3%
DFS HR
050 (0.39-0.64)

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Curative score

A

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
338
Scorecard version
1
Issue date
13.05.2022
Last update
04.12.2023
Trastuzumab emtansine (T-DM1) KATHERINE

PRELIMINARY SCORE

DFS

Scoring of iDFS on the same basis as DFS

ADJUSTMENTS

?
QoL data pending
Trastuzumab emtansine (T-DM1) KATHERINE

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
Adjuvant treatment of patients with HER2-positive early breast cancer who have residual invasive disease in the breast and/or lymph nodes after neoadjuvant taxane-based and HER2-targeted therapy
Trastuzumab emtansine (T-DM1)
Trastuzumab

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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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