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3

Indication details

Control Arm
Single arm
Therapeutic Indication
Afamitresgene autoleucel, a melanoma-associated antigen A4 (MAGE-A4)-directed genetically modified autologous T cell immunotherapy, for adults with unresectable or metastatic synovial sarcoma who have received prior chemotherapy, are HLA-A*02:01P, -A*02:02P, -A*02:03P, or -A*02:06P positive and whose tumour expresses the MAGE-A4 antigen as determined by FDA-approved or cleared companion diagnostic devices
Tumour Type
Sarcoma
Tumour Sub-type
Soft tissue - synovial sarcoma
Tumour Stage
Unresectable or metastatic
Tumour Sub-Group
HLA-A*02:01P, -A*02:02P, -A*02:03P, or -A*02:06P positive and MAGE-A4 Ag positive
Trial Name
SPEARHEAD-1
NCT Number
NCT04044768
Trial Phase
Phase II

Approval details

FDA Approval
FDA accelerated approval, August 2024

Primary Outcome(s)

Primary Outcome(s)
ORR (RECIST v1.1 by IR), DOR. OS as secondary endpoint
Evaluated Outcome
ORR
Form(s)
Form 3

Outcome Data

PFS Control
3.8 months
ORR
39%
DoR
11.6 months

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
462
Scorecard version
1
Issue date
09.10.2024
Afamitresgene autoleucel SPEARHEAD-1

PRELIMINARY SCORE

ORR

ADJUSTMENTS

Afamitresgene autoleucel SPEARHEAD-1

SCORE

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
3
Overall Response Rate / Duration of Response
Sarcoma
Afamitresgene autoleucel, a melanoma-associated antigen A4 (MAGE-A4)-directed genetically modified autologous T cell immunotherapy, for adults with unresectable or metastatic synovial sarcoma who have received prior chemotherapy, are HLA-A*02:01P, -A*02:02P, -A*02:03P, or -A*02:06P positive and whose tumour expresses the MAGE-A4 antigen as determined by FDA-approved or cleared companion diagnostic devices
Afamitresgene autoleucel
Single arm

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