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3

Indication details

Combined Agent(s)
Gemcitabine + carboplatin
Control Arm
Gemcitabine + carboplatin
FDA Therapeutic Indication
In combination with carboplatin and gemcitabine for treatment of adult patients with first recurrence platinum-sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents
Tumour Type
Gynaecological Malignancies
Tumour Sub-type
Ovarian Cancer
Tumour Stage
Metastatic
Trial Name
OCEANS
NCT Number
NCT00434642
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval December 2016
EMA Approval
EMA (CHMP) September 2012 EC decision November 2012

Primary Outcome(s)

Primary Outcome(s)
PFS (crossover allowed), OS
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
8.4 months
PFS Gain
4 months
PFS HR
0.48 (0.39-0.61)
OS Control
32.9 months
OS Gain
0.7 months
OS HR
0.95 (0.77-1.18) OS NS (mature)

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

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
40
Scorecard version
1
Issue date
11.12.2018
Last update
21.11.2024
Bevacizumab OCEANS

PRELIMINARY SCORE

PFS

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Bevacizumab OCEANS

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
3
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 gemcitabine for treatment of adult patients with first recurrence platinum-sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents
Bevacizumab + Gemcitabine + carboplatin
Gemcitabine + 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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