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1

Indication details

Combined Agent(s)
Paclitaxel + carboplatin
Control Arm
Paclitaxel + carboplatin
Therapeutic Indication
In combination with carboplatin and paclitaxel for the front-line treatment of adult patients with advanced epithelial ovarian, fallopian tube, or primary peritoneal cancer
Tumour Type
Gynaecological Malignancies
Tumour Sub-type
Ovarian Cancer
Tumour Stage
Advanced
Trial Name
ICON7
NCT Number
NCT00483782
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval June 2018
EMA Approval
EMA (CHMP) September 2011 EC decision November 2011
Comment
EMA and FDA approvals are limited to patients with high risk for progression. This is supported by an exploratory subgroup analysis that is not eligible for ESMO-MCBS scoring (median OS control 30.2 months; median OS gain 9.5 months; HR OS 0.78 (95% CI 0.63-0.97).

Primary Outcome(s)

Primary Outcome(s)
PFS stratified for stage and risk of progression (All)
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
17.4 months
PFS Gain
2.4 months
PFS HR
0.87 (0.77-0.99)
OS Control
58.6 months
OS Gain
negative 0.6 months
OS HR
0.99 (0.85-1.14) mature, NS, (data cut-off March 31, 2013)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit
Toxicity Comment
>10% incremental discontinuation due to AEs

Score (after adjustments)

Preliminary non-curative score

1

Non-curative score

1

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
38
Scorecard version
1
Issue date
11.12.2018
Last update
21.11.2024
Bevacizumab ICON7

PRELIMINARY SCORE

PFS

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Bevacizumab ICON7

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
1
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Gynaecological Malignancies
In combination with carboplatin and paclitaxel for the front-line treatment of adult patients with advanced epithelial ovarian, fallopian tube, or primary peritoneal cancer
Bevacizumab + Paclitaxel + carboplatin
Paclitaxel + carboplatin

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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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