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4

Indication details

Control Arm
Placebo
Therapeutic Indication
For the treatment of patients with HCC secondary to hepatitis B who have received prior systemic therapy other than a PD- 1/PD-L1-containing regimen
Tumour Type
Gastrointestinal Cancers
Tumour Sub-type
Hepatobiliary Cancers - Hepatocellular Carcinoma
Tumour Stage
Advanced
Trial Name
KEYNOTE-394
NCT Number
NCT03062358
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval November 2018
EMA Approval
Not EMA approved
Comment
The approval was based on the HBV+ patients which correspond to approximately 80% of the overall cohort

Primary Outcome(s)

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

Outcome Data

OS Control
13.0 months
OS Gain
1.6 months. 3-year survival gain>10% (24/300 = 8% at risk at 3 years in the experimental arm)
OS HR
0.79 (0.63-0.99)

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
473
Scorecard version
1
Issue date
20.11.2024
Pembrolizumab KEYNOTE-394

PRELIMINARY SCORE

OS

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Pembrolizumab KEYNOTE-394

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
Gastrointestinal Cancers
For the treatment of patients with HCC secondary to hepatitis B who have received prior systemic therapy other than a PD- 1/PD-L1-containing regimen
Pembrolizumab
Placebo

My watchlist

    pdf
    pptx

    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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