2
Indication details
- Control Arm
- Single arm
- FDA Therapeutic Indication
- Indicated for the treatment of adult patients with advanced non-small cell lung cancer (NSCLC) with KRAS G12C mutation and disease progression after at least one prior systemic therapy
- Tumour Type
-
Thoracic Malignancies
- Tumour Sub-type
- Non-small-cell Lung Cancer
- Tumour Stage
- Advanced
- Tumour Sub-Group
- KRAS G12C
- Trial Name
- KRYSTAL-1
- NCT Number
- NCT03785249
- Trial Phase
- Phase I/II
Approval details
- FDA Approval
- FDA accelerated approval December 2022
- EMA Approval
- EMA (CHMP) November 2023, EC decision January 2024
- Comment
- On re-examination the EMA adopted a positive opinion recommending the conditional marketing authorisation.
Primary Outcome(s)
- Primary Outcome(s)
- ORR
- Evaluated Outcome
- PFS
- Form(s)
- Form 3
Outcome Data
- PFS Control
- 6.5 months
- ORR
- 42.90%
- DoR
- 8.5 months
Adjustments
- Toxicity Comment
-
>30% grade 3-4 toxicities
Score (after adjustments)
- Preliminary non-curative score
-
3
- Toxicity adjustment
- 1-
- Non-curative score
-
2
Scorecard details
- ESMO-MCBS version
- ESMO-MCBS v1.1
- Scorecard ID
- 367
- Scorecard version
- 1
- Issue date
- 19.01.2023
- Last update
- 13.11.2023
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.