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2

Indication details

Combined Agent(s)
Platinum + etoposide (carboplatin or cisplatin)
Control Arm
Placebo + platinum + etoposide (carboplatin or cisplatin)
Therapeutic Indication
Tislelizumab, in combination with etoposide and platinum chemotherapy, is indicated for the first-line treatment of adult patients with extensive-stage SCLC.
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Small-cell lung cancer
Trial Name
RATIONALE 312
NCT Number
NCT04005716
Trial Phase
Phase III

Approval details

EMA Approval
EMA (CHMP) March 2025. Pending EC decision.

Primary Outcome(s)

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

Outcome Data

PFS Control
4.3 months
PFS Gain
0.4 months
PFS HR
0.64 (0.52-0.78)
OS Control
13.5 months
OS Gain
2 months
OS HR
0.75 (0.61-0.93)

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Preliminary non-curative score

2

Non-curative score

2

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
491
Scorecard version
1
Issue date
31.03.2025
Tislelizumab RATIONALE 312

PRELIMINARY SCORE

OS

ADJUSTMENTS

QoL data pending
Tislelizumab RATIONALE 312

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
2
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
Tislelizumab, in combination with etoposide and platinum chemotherapy, is indicated for the first-line treatment of adult patients with extensive-stage SCLC.
Tislelizumab + Platinum + etoposide (carboplatin or cisplatin)
Placebo + platinum + etoposide (carboplatin or cisplatin)

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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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