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2

Indication details

Combined Agent(s)
Erlotinib
Control Arm
Erlotinib
FDA Therapeutic Indication
In combination with erlotinib, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-squamous non-small cell lung cancer with Epidermal Growth Factor Receptor (EGFR) activating mutations
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Unresectable advanced, recurrent or metastatic
Tumour Sub-Group
EGFR+
Trial Name
JO25567
NCT Number
JapicCTI-111390 (Japan Pharmaceutical Information Center)
Trial Phase
Phase II

Approval details

FDA Approval
Not FDA approved
EMA Approval
EMA (CHMP) April 2016 EC decision June 2016

Primary Outcome(s)

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

Outcome Data

PFS Control
9.8 months
PFS Gain
6.6 months
PFS HR
0.52 (0.35-0.76)
OS Control
47.0 months
OS Gain
0.4 months
OS HR
0.81 (0.53-1.23) Not significant

Adjustments

QoL Comment
No improvement in QoL
Toxicity Comment
Deteriorated toxicity profile not reaching the toxicity thresholds for penalty

Score (after adjustments)

Preliminary non-curative score

3

Only improved PFS mature data shows no OS advantage and no improved QoL
1-
Non-curative score

2

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
69
Scorecard version
1
Issue date
11.12.2018
Last update
17.08.2023
Bevacizumab JO25567

PRELIMINARY SCORE

PFS

ADJUSTMENTS

No QoL benefit
Mature data shows no OS advantage and no improved QoL
Bevacizumab JO25567

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
2
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Thoracic Malignancies
In combination with erlotinib, is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-squamous non-small cell lung cancer with Epidermal Growth Factor Receptor (EGFR) activating mutations
Bevacizumab + Erlotinib
Erlotinib

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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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