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4

Indication details

Control Arm
Physician's choice chemotherapy (eribulin, vinorelbine, capecitabine, or gemcitabine) 
Therapeutic Indication
Treatment of adult patients with unresectable or metastatic hormone receptor (HR)-positive, HER2-negative breast cancer who have received endocrine-based therapy, and at least two additional systemic therapies in the advanced setting
Tumour Sub-type
Breast Cancer
Tumour Stage
Unresectable or metastatic
Tumour Sub-Group
HR-positive HER2-negative
Trial Name
TROPiCS-02
NCT Number
NCT03901339
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval February 2023
EMA Approval
EMA (CHMP) June 2023 EC decision August 2023

Primary Outcome(s)

Primary Outcome(s)
PFS
Evaluated Outcome
OS
Form(s)
Form 2a

Outcome Data

PFS Control
4.0 months
PFS Gain
1.5 months
PFS HR
0.66 (0.53-0.83)
OS Control
11.2 months
OS Gain
3.2 months
OS HR
0.79 (0.65-0.96)

Adjustments

QoL Comment
Delayed deterioration claimed, does not meet ESMO-MCBS QoL standards

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
374
Scorecard version
1
Issue date
20.03.2023
Last update
30.10.2023
Sacituzumab govitecan TROPiCS-02

PRELIMINARY SCORE

OS

ADJUSTMENTS

Delayed deterioration claimed, does not meet ESMO-MCBS QoL standards
Sacituzumab govitecan TROPiCS-02

SCORE

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
Treatment of adult patients with unresectable or metastatic hormone receptor (HR)-positive, HER2-negative breast cancer who have received endocrine-based therapy, and at least two additional systemic therapies in the advanced setting
Sacituzumab govitecan
Physician's choice chemotherapy (eribulin, vinorelbine, capecitabine, or gemcitabine) 

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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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