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4

Indication details

Combined Agent(s)
Standard systemic therapy (investigator’s choice of immune checkpoint inhibitor [nivolumab, pembrolizumab, or atezolizumab] or docetaxel)
Control Arm
Standard therapy alone
FDA Therapeutic Indication
Addition of tumor-treating fields (TTFields) to standard-of-care (SOC) therapies in patients with non­–small cell lung cancer (NSCLC) after disease progression on or following platinum-based treatment
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Metastatic
Trial Name
LUNAR
NCT Number
NCT02973789
Trial Phase
Phase III

Approval details

FDA Approval
Premarket approval January 2024
Comment
Premarket approval (PMA), January 2024. Under substantive review by the FDA. Novocure expects to receive a regulatory decision from FDA in second half 2024.

Primary Outcome(s)

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

Outcome Data

PFS Control
4.1 months
PFS Gain
0.7 months
PFS HR
0.85 (0.67-1.11)
OS Control
9.9 months
OS Gain
3.3 months
OS HR
0.74 (0.56-0.98)

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
476
Scorecard version
1
Issue date
27.11.2024
TTFields (NovoTTF-200T) LUNAR

PRELIMINARY SCORE

OS

ADJUSTMENTS

?
QoL data pending
TTFields (NovoTTF-200T) LUNAR

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
Addition of tumor-treating fields (TTFields) to standard-of-care (SOC) therapies in patients with non­–small cell lung cancer (NSCLC) after disease progression on or following platinum-based treatment
TTFields (NovoTTF-200T) + Standard systemic therapy (investigator’s choice of immune checkpoint inhibitor [nivolumab, pembrolizumab, or atezolizumab] or docetaxel)
Standard therapy alone

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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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