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4

Indication details

Control Arm
Dacarbazine
FDA Therapeutic Indication
As monotherapy for the treatment of adult patients with BRAF V600 mutation-positive unresectable or metastatic melanoma
Tumour Type
Skin Cancers
Tumour Sub-type
Cutaneous Melanoma
Tumour Stage
Metastatic
Tumour Sub-Group
BRAF V600K
Trial Name
BRIM-3
NCT Number
NCT01006980
Trial Phase
Phase III

Approval details

EMA Approval
EMA (CHMP) December 2011 EC decision February 2012

Primary Outcome(s)

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

Outcome Data

PFS Control
1.6 months
PFS Gain
5.3 months
PFS HR
0.38 (0.32-0.46)
OS Control
Longer follow-up: 9.7 months
OS Gain
Longer follow-up: 3.9 months
OS HR
OS significant at interim with 63% reduction in death. Longer follow-up: 0.81 (0.67-0.98)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Preliminary non-curative score

3

Early stopping or crossover
Upgrade for early stopping based on interim analysis of OS
Non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
83
Scorecard version
1
Issue date
11.12.2018
Last update
31.07.2024
Vemurafenib BRIM-3

PRELIMINARY SCORE

PFS

ADJUSTMENTS

Upgrade for early stopping based on interim analysis of OS
Vemurafenib BRIM-3

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
4
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Skin Cancers
As monotherapy for the treatment of adult patients with BRAF V600 mutation-positive unresectable or metastatic melanoma
Vemurafenib
Dacarbazine

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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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