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3

Indication details

Combined Agent(s)
Osimertinib ± Platinum Plus Pemetrexed ChT (Carboplatin, Cisplatin)
Control Arm
Osimertinib
FDA Therapeutic Indication
FDA/EMA: Osimertinib with platinum-based chemotherapy for patients with locally advanced or metastatic non-small cell lung cancer (la/mNSCLC) whose tumors have EGFR exon 19 deletions or exon 21 L858R mutations.
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Locally advanced or metastatic
Tumour Sub-Group
EGFR exon 19 deletions or exon 21 L858R mutations
Trial Name
FLAURA 2
NCT Number
NCT04035486
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval February 2024
EMA Approval
EMA (CHMP) May 2024. EC decision August 2024

Primary Outcome(s)

Primary Outcome(s)
PFS. OS as secondary endpoint
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
16.7 months
PFS Gain
8.8 months
PFS HR
0.62 (0.49-0.79)
OS HR
Immature

Adjustments

QoL Comment
QoL as secondary endpoint (not reported)

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
429
Scorecard version
1
Issue date
22.03.2024
Last update
18.09.2024
Osimertinib FLAURA 2

PRELIMINARY SCORE

PFS

ADJUSTMENTS

?
QoL data pending
Osimertinib FLAURA 2

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
Thoracic Malignancies
FDA/EMA: Osimertinib with platinum-based chemotherapy for patients with locally advanced or metastatic non-small cell lung cancer (la/mNSCLC) whose tumors have EGFR exon 19 deletions or exon 21 L858R mutations.
Osimertinib + Osimertinib ± Platinum Plus Pemetrexed ChT (Carboplatin, Cisplatin)
Osimertinib

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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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