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A

Indication details

Control Arm
Platinum-Based ChT
Therapeutic Indication
Alectinib for adjuvant treatment following tumor resection in patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Sub-Group
ALK positive
Trial Name
ALINA
NCT Number
NCT03456076
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval April 2024
EMA Approval
EMA (CHMP) April 2024. Pending EC decision (recommendations on extensions)
Comment
FDA approval for ITT

Primary Outcome(s)

Primary Outcome(s)
DFS (investigator assessment)
Evaluated Outcome
DFS
Form(s)
Form 1

Outcome Data

OS HR
Immature
DFS Control
41.3 months: 63.7% (intention-to-treat population)
DFS Gain
NR
DFS HR
0.24 (95% CI, 0.13-0.43) (intention-to-treat population)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Final Score (after adjustments)

Final curative score

A

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
439
Scorecard version
1
Issue date
27.05.2024
Alectnib ALINA

PRELIMINARY SCORE

DFS

ADJUSTMENTS

Alectnib ALINA

FINAL 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
Alectinib for adjuvant treatment following tumor resection in patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer
Alectnib
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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