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4

Indication details

Control Arm
Chemotherapy
FDA Therapeutic Indication
Indicated for the treatment of adult patients with unresectable, locally advanced or metastatic oesophageal squamous cell carcinoma after prior platinum-based chemotherapy
Tumour Type
Gastrointestinal Cancers
Tumour Sub-type
Oesophageal squamous cell carcinoma
Tumour Stage
Unresectable locally advanced or metastatic
Trial Name
RATIONALE 302
NCT Number
NCT03430843
Trial Phase
Phase III

Approval details

FDA Approval
not FDA approved
EMA Approval
EMA (CHMP) July 2023 EC decision September 2023

Primary Outcome(s)

Primary Outcome(s)
OS (ITT)
Evaluated Outcome
OS

Outcome Data

OS Control
6.3 months
OS Gain
2.3 months
OS HR
0.70 (0.57-0.85)

Adjustments

QoL Comment
Improved QoL
Toxicity Comment
Less serious adverse events observed

Score (after adjustments)

Preliminary non-curative score

3

Toxicity adjustment
1+
Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
394
Scorecard version
1
Issue date
18.08.2023
Last update
26.09.2024
Tislelizumab RATIONALE 302

PRELIMINARY SCORE

OS

ADJUSTMENTS

Improved QoL
Less serious adverse events observed
Tislelizumab RATIONALE 302

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
Gastrointestinal Cancers
Indicated for the treatment of adult patients with unresectable, locally advanced or metastatic oesophageal squamous cell carcinoma after prior platinum-based chemotherapy
Tislelizumab
Chemotherapy

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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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