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4

Indication details

Combined Agent(s)
Platinum-based chemotherapy
Control Arm
Placebo + platinum-containing chemotherapy
FDA Therapeutic Indication
Sugemalimab for the first-line treatment of metastatic non-small cell lung cancer (NSCLC) in combination with chemotherapy
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Metastatic
Trial Name
GEMSTONE-302
NCT Number
NCT03789604
Trial Phase
Phase III

Approval details

EMA Approval
EMA (CHMP) approved May 2024. EC decision July 2024

Primary Outcome(s)

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

Outcome Data

PFS Control
4.9 months
PFS Gain
4.1 months
PFS HR
0.48 (0.36–0.60)
OS Control
16.9 months
OS Gain
8.5 months
OS HR
0.65 (0.50–0.84)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
443
Scorecard version
1
Issue date
20.06.2024
Sugemalimab GEMSTONE-302

PRELIMINARY SCORE

OS

ADJUSTMENTS

Sugemalimab GEMSTONE-302

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
Sugemalimab for the first-line treatment of metastatic non-small cell lung cancer (NSCLC) in combination with chemotherapy
Sugemalimab + Platinum-based chemotherapy
Placebo + platinum-containing chemotherapy

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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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