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A

5

Indication details

Combined Agent(s)
Vemurafenib
Control Arm
Vemurafenib + placebo
FDA Therapeutic Indication
In combination with vemurafenib for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation
Tumour Type
Skin Cancers
Tumour Sub-type
Cutaneous Melanoma
Tumour Stage
Metastatic
Tumour Sub-Group
BRAF V600E
Trial Name
coBRIM
NCT Number
NCT01689519
Trial Phase
Phase III

Approval details

EMA Approval
EMA (CHMP) September 2015 EC decision November 2015

Primary Outcome(s)

Primary Outcome(s)
PFS
Evaluated Outcome
OS
Form(s)
Form 2a / Form 1

Outcome Data

PFS Control
7.2 months
PFS Gain
5.1 months
PFS HR
0.58 (0.46-0.72)
OS Control
17.4 months, 5-year: 26%
OS Gain
5.1 months, 5-year: 5%
OS HR
0.80 (0.64-0.99)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit
Toxicity Comment
9% reduction in skin cancer

2.8% increase in Grade 3+ retinopathy

Score (after adjustments)

Preliminary non-curative score

4

Toxicity adjustment
1+
Non-curative score

5

Curative score

A

Comment
EMA (CHMP) September 2015 EC decision November 2015

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
88
Scorecard version
1
Issue date
11.12.2018
Last update
28.06.2024
Cobimetinib coBRIM

PRELIMINARY SCORE

A

OS

ADJUSTMENTS

Improved toxicity profile
Cobimetinib coBRIM

SCORE

A

Overall Survival / Disease-Free Survival / Pathological Complete Response
5
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Skin Cancers
In combination with vemurafenib for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation
Cobimetinib + Vemurafenib
Vemurafenib + placebo

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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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