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3

Indication details

Combined Agent(s)
Gemcitabine + cisplatin
Control Arm
Placebo + gemcitabine + cisplatin
Therapeutic Indication
Toripalimab with cisplatin and gemcitabine for the first-line treatment of adults with metastatic or recurrent, locally advanced nasopharyngeal carcinoma (NPC)
Tumour Type
Head and neck cancer
Tumour Sub-type
Nasopharyngeal carcinoma
Tumour Stage
Recurrent or metastatic
Trial Name
JUPITER-02
NCT Number
NCT03581786
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval November 2023
EMA Approval
EMA COMP positive opinion adopted June 2022. EMA (CHMP) positive recommendations July 2024. EC decision September 2024
Comment
Approved in China by the National Medical Products Administration

Primary Outcome(s)

Primary Outcome(s)
PFS
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
8.0 months (prespecified interim analysis)
PFS Gain
3.7 months
PFS HR
0.52 (0.36-0.74)
OS Control
Imature

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
354
Scorecard version
1
Issue date
22.09.2022
Last update
29.07.2024
Toripalimab JUPITER-02

PRELIMINARY SCORE

PFS

ADJUSTMENTS

?
QoL data pending
Toripalimab JUPITER-02

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
3
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Head and neck cancer
Toripalimab with cisplatin and gemcitabine for the first-line treatment of adults with metastatic or recurrent, locally advanced nasopharyngeal carcinoma (NPC)
Toripalimab + Gemcitabine + cisplatin
Placebo + gemcitabine + cisplatin

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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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