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3

Indication details

Combined Agent(s)
Carboplatin and paclitaxel/carboplatin (Arm A)
Control Arm
Placebo + Chemoradiotherapy (Paclitaxel + Carboplatin) (Arm C)
Therapeutic Indication
Tislelizumab in combination with carboplatin and paclitaxel is indicated for the first-line treatment of adult patients with squamous NSCLC who have locally advanced NSCLC and are not candidates for surgical resection or platinum-based chemoradiation, or metastatic NSCLC
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer - Squamous cell
Tumour Stage
Locally advanced or metastatic
Trial Name
RATIONALE 307
NCT Number
NCT03594747
Trial Phase
Phase III

Approval details

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

Primary Outcome(s)

Primary Outcome(s)
PFS (IRC)
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
5.5 months
PFS Gain
2.1 months
PFS HR
0.52 (0.37-0.74)
OS HR
NM

Adjustments

QoL Comment
No QoL benefit

Final Score (after adjustments)

Preliminary non-curative score

3

Final non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
449
Scorecard version
1
Issue date
24.07.2024
Last update
26.09.2024
Tislelizumab RATIONALE 307

PRELIMINARY SCORE

PFS

ADJUSTMENTS

No QoL benefit
Tislelizumab RATIONALE 307

FINAL 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
Tislelizumab in combination with carboplatin and paclitaxel is indicated for the first-line treatment of adult patients with squamous NSCLC who have locally advanced NSCLC and are not candidates for surgical resection or platinum-based chemoradiation, or metastatic NSCLC
Tislelizumab + Carboplatin and paclitaxel/carboplatin (Arm A)
Placebo + Chemoradiotherapy (Paclitaxel + Carboplatin) (Arm C)

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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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