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4

Indication details

Combined Agent(s)
Platinum-based ChT
Control Arm
Placebo + Platinum-based ChT
Therapeutic Indication
Cemiplimab in combination with platinum-based chemotherapy for adult patients with advanced non-small cell lung cancer (NSCLC) with no EGFR, ALK, or ROS1 aberrations
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Advanced
Trial Name
EMPOWER-Lung 3
NCT Number
NCT03409614
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval November 2022
EMA Approval
EMA (CHMP) February 2023 EC decision May 2023
Comment
EMA approval is for the PD-L1 ≥1% subgroup which does not meet the ESMO-MCBS requirements for subgroups (i.e., exploratory analysis, without multiplicity adjustment), so no score is provided for this subgroup.

Primary Outcome(s)

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

Outcome Data

OS Control
12.9 months
OS Gain
8.2 months
OS HR
0.65 (0.51-0.82)

Adjustments

QoL Comment
No QoL benefit

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMo-MCBS v1.1
Scorecard ID
397
Scorecard version
1
Issue date
22.09.2023
Cemiplimab EMPOWER-Lung 3

PRELIMINARY SCORE

OS

ADJUSTMENTS

No QoL benefit
Cemiplimab EMPOWER-Lung 3

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
Thoracic Malignancies
Cemiplimab in combination with platinum-based chemotherapy for adult patients with advanced non-small cell lung cancer (NSCLC) with no EGFR, ALK, or ROS1 aberrations
Cemiplimab + Platinum-based ChT
Placebo + Platinum-based ChT

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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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