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A

Indication details

Combined Agent(s)
Platinum-containing ChT
Control Arm
Placebo + platinum-containing ChT
FDA Therapeutic Indication
Pembrolizumab with platinum-containing chemotherapy as neoadjuvant treatment, and with continuation of single-agent pembrolizumab as post-surgical adjuvant treatment for resectable (tumors ≥4 cm or node positive) non-small cell lung cancer (NSCLC)
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Early stage resectable neoadjuvant
Trial Name
KEYNOTE-671
NCT Number
NCT03425643
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval October 2023
EMA Approval
EMA (CHMP) February 2024. EC decision April 2024.

Primary Outcome(s)

Primary Outcome(s)
EFS
Evaluated Outcome
EFS
Form(s)
Form 1

Outcome Data

EFS control
17 months - 2-year 40.6%
EFS gain
12.3 months estimated - 2-year 21.8%
EFS HR
0.58 (0.46-0.72)

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Curative score

A

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
402
Scorecard version
1
Issue date
20.11.2023
Pembrolizumab KEYNOTE-671

PRELIMINARY SCORE

EFS

ADJUSTMENTS

?
QoL data pending
Pembrolizumab KEYNOTE-671

SCORE

A

Overall Survival / Disease-Free Survival / Pathological Complete Response
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
Pembrolizumab with platinum-containing chemotherapy as neoadjuvant treatment, and with continuation of single-agent pembrolizumab as post-surgical adjuvant treatment for resectable (tumors ≥4 cm or node positive) non-small cell lung cancer (NSCLC)
Pembrolizumab + Platinum-containing ChT
Placebo + platinum-containing 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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