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3

Indication details

Control Arm
Placebo
FDA Therapeutic Indication
Unresectable or metastatic, well-differentiated (Grade 1 or Grade 2) non-functional neuroendocrine tumours of gastrointestinal or lung origin in adults with progressive disease
Tumour Type
Endocrine Tumours
Tumour Sub-type
Neuroendocrine Tumour - Gastrointestinal or lung
Tumour Stage
Unresectable or metastatic
Trial Name
RADIANT 4
NCT Number
NCT01524783
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval February 2016
EMA Approval
EMA (CHMP) April 2016 EC decision July 2016

Primary Outcome(s)

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

Outcome Data

PFS Control
3.9 months
PFS Gain
7.1 months
PFS HR
0.48 (0.35-0.67)
OS Gain
OS not significant (immature)

Adjustments

QoL Comment
No QoL benefit observed
Toxicity Comment
Moderate toxicity

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
93
Scorecard version
1
Issue date
11.12.2018
Last update
14.09.2023
Everolimus RADIANT 4

PRELIMINARY SCORE

PFS

ADJUSTMENTS

No QoL benefit observed
Everolimus RADIANT 4

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
3
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Endocrine Tumours
Unresectable or metastatic, well-differentiated (Grade 1 or Grade 2) non-functional neuroendocrine tumours of gastrointestinal or lung origin in adults with progressive disease
Everolimus
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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