ESMO-MCBS scores are based on peer reviewed clinical trial reports. They are generated using a validated standard methodology and are reviewed by a team of clinicians and statisticians before publication. ESMO-MCBS scores should be interpreted in the context of an evolving treatment landscape, in connection with clinical practice guidelines.
5-FU/LV (fluorouracil + leucovorin) or 5-FU/LEV (fluorouracil + levamisole)
-
Surgery alone (Pooled-analysis)
Patients with stage II and III colon cancer
Gastrointestinal Cancers
Colon Cancer
-
-
A
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F1
A
5-FU/LV (fluorouracil + leucovorin) or 5-FU/LEV (fluorouracil + levamisole)
-
Surgery alone (Meta-analysis)
Patients with resected stage II and III colon cancer
Gastrointestinal Cancers
Colon Cancer
-
-
A
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F1
A
5-FU/LV (fluorouracil + leucovorin) or 5-FU/LEV (fluorouracil + levamisole)
-
Surgery alone (Meta-analysis)
Patients with resected stage II and III colon cancer
Gastrointestinal Cancers
Colon Cancer
-
-
A
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F1
A
5FU/LEV (5-fluorouracil + levamisole)
-
Levamisole
Resected stage III (Dukes stage C) colon cancerIntergroup 0035
Gastrointestinal Cancers
Colon Cancer
-
Intergroup 0035
A
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F1
A
Tivozanib
-
Sorafenib
Adult patients with relapsed or refractory advanced RCC following ≥2 prior systemic therapies TIVO-3
Genitourinary Cancers
Renal cell cancer
-
TIVO-3
3
PRELIMINARY SCORE
PFS
ADJUSTMENTS
SCORE
F2b
3
Enzalutamide
ADT (androgen deprivation therapy)
Placebo + ADT
For the treatment of adult men with metastatic hormone-sensitive prostate cancer (mHSPC) in combination with androgen deprivation therapyARCHES
Genitourinary Cancers
Prostate cancer
-
ARCHES
3
PRELIMINARY SCORE
PFS
ADJUSTMENTS
SCORE
F2b
3
Lorlatinib
-
Crizotinib
Treatment of adult patients with anaplastic lymphoma kinase (ALK) positive (NSCLC) previously not treated with an ALK inhibitor CROWN
Thoracic Malignancies
Non-small-cell Lung Cancer
ALK+
CROWN
4
PRELIMINARY SCORE
PFS
ADJUSTMENTS
SCORE
F2b
4
Sacituzumab govitecan
-
Physician’s choice of single agent ChT
Treatment of patients with unresectable or metastatic TNBC who have received ≥2 prior systemic therapies, ≥1 of them for advanced disease ASCENT
Breast Cancer
Breast Cancer
Triple-negative
ASCENT
5
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
5
Nivolumab
Cabozantinib
Sunitinib
First-line treatment of adult patients with advanced RCCCheckMate-9ER
Genitourinary Cancers
Renal cell cancer
-
CheckMate-9ER
1
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
1
Atezolizumab
-
Single arm (Phase II)
Single-arm study of atezolizumab in patients with locally advanced or metastatic urothelial bladder cancerIMvigor210 (Cohort 2)
Genitourinary Cancers
Urothelial Carcinoma
-
IMvigor210 (Cohort 2)
1
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
1
Enfortumab vedotin
-
Single arm (Phase II)
Patients with locally advanced or metastatic UC who are ineligible for cisplatin-containing ChT and have previously received ≥1 prior lines of therapy EV-201 - Cohort 2
Genitourinary Cancers
Urothelial Carcinoma
-
EV-201 - Cohort 2
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Erdafitinib
-
Single arm (Phase II)
Locally advanced or metastatic urothelial carcinoma with susceptible FGFR3 or FGFR2 genetic alterations and disease progression during/after ≥1 prior platinum-containing ChTBLC2001
Genitourinary Cancers
Urothelial Carcinoma
FGFR3 or FGFR2 genetic alterations
BLC2001
1
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
1
Pembrolizumab
-
Single arm
Locally advanced or metastatic UC in adults who are not eligible for cisplatin-containing ChT and whose tumours express PD-L1 with a CPS ≥10KEYNOTE-052
Genitourinary Cancers
Urothelial Carcinoma
PD-L1 CPS ≥10%
KEYNOTE-052
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Pembrolizumab
-
Investigator’s choice of ChT (paclitaxel, docetaxel or vinflunine)
Locally advanced or metastatic UC in adults who have received prior platinum-containing ChTKEYNOTE-045
Genitourinary Cancers
Urothelial Carcinoma
-
KEYNOTE-045
4
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
4
Nivolumab
-
Placebo
Adjuvant therapy for adult patients with oesophageal or gastroesophageal junction cancer who have residual pathologic disease following prior neoadjuvant chemoradiotherapy CheckMate 577
Gastrointestinal Cancers
Oesophageal or gastroesophageal junction carcinoma
-
CheckMate 577
A
PRELIMINARY SCORE
DFS
ADJUSTMENTS
SCORE
F1
A
Sotorasib
-
Single arm
Treatment of adults with advanced non-small cell lung cancer with KRAS G12C mutation and who have progressed after at least one prior line of systemic therapy CodeBreaK 100
Thoracic Malignancies
Non-small-cell Lung Cancer
KRAS G12C mutated
CodeBreaK 100
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Cemiplimab
-
Single arm (Phase II)
Treatment of basal cell carcinoma (laBCC or mBCC) who have progressed on or are intolerant to a hedgehog pathway inhibitor (HHI) Study 1620
Skin Cancers
Basal Cell Carcinoma
-
Study 1620
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Nivolumab + ipilimumab
-
Single arm
FDA: Treatment of adult patients with dMMR or MSI-H mCRC after prior fluoropyrimidine-based combination ChT. EMA: Nivolumab in combination with ipilimumab for the treatment adult patients with dMMR or MSI-H colorectal cancer after prior fluoropyrimidine based combination chemotherapyCheckMate142
Gastrointestinal Cancers
Colorectal Cancer
dMMR+ or MSI-H+
CheckMate142
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Pemetrexed
Cisplatin
Cisplatin
In combination with cisplatin for the treatment of chemotherapy naïve patients with unresectable malignant pleural mesotheliomaEMPHACIS
Thoracic Malignancies
Pleural mesothelioma
-
EMPHACIS
3
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
3
Lenvatinib
Pembrolizumab
Sunitinib
Treatment of adults with advanced renal cell carcinoma in combination with pembrolizumab as first-line treatmentCLEAR
Genitourinary Cancers
Renal cell cancer
-
CLEAR
4
PRELIMINARY SCORE
PFS
ADJUSTMENTS
SCORE
F2b
4
Pembrolizumab
ChT (paclitaxel + carboplatin)
Placebo plus ChT (paclitaxel + carboplatin)
In combination with ChT as neoadjuvant treatment and then continued as monotherapy as adjuvant treatment after surgery, is indicated for the treatment of adults with locally advanced, or early‑stage triple‑negative breast cancer at high risk of recurrenceKEYNOTE-522
Breast Cancer
Early Breast Cancer
Triple-negative
KEYNOTE-522
A
PRELIMINARY SCORE
DFS
ADJUSTMENTS
SCORE
F1
A
Enfortumab vedotin
-
Investigator-chosen ChT (standard docetaxel, paclitaxel or vinflunine)
Treatment of adult patients with locally advanced or metastatic urothelial cancer who have previously received a platinum-containing chemotherapy and a programmed death receptor-1 or programmed death-ligand 1 inhibitorEV-301
Genitourinary Cancers
Urothelial Carcinoma
-
EV-301
4
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
4
Pembrolizumab
-
Single arm
Bacillus Calmette-Guerin (BCG)-unresponsive, high-risk, non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS) with or without papillary tumors who are ineligible for or have elected not to undergo cystectomyKEYNOTE-057
Genitourinary Cancers
Urothelial Carcinoma
-
KEYNOTE-057
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Nivolumab
Fluoropyrimidine + platinum ChT (FOLFOX or CAPOX)
ChT (FOLFOX or CAPOX)
Treatment for adult patients with advanced or metastatic gastric cancer, gastroesophageal junction cancer and oesophageal adenocarcinoma CheckMate 649
Gastrointestinal Cancers
Gastric or gastroesophageal junction cancer and oesophageal adenocarcinoma
-
CheckMate 649
1
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
1
Nivolumab
Fluoropyrimidine + platinum ChT (FOLFOX or CAPOX)
ChT (FOLFOX or CAPOX)
First‑line treatment for patients with HER2‑negative advanced or metastatic gastric, gastroesophageal junction or oesophageal adenocarcinoma whose tumours express PD-L1 with a CPS ≥5CheckMate 649
Gastrointestinal Cancers
Gastric or gastroesophageal junction cancer and oesophageal adenocarcinoma
HER2- PD-L1 CPS ≥5
CheckMate 649
4
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
4
Pralsetinib
-
Single arm
Treatment for adult patients with metastatic rearranged during transfection (RET) fusion-positive non-small cell lung cancer (NSCLC) as detected by an FDA-approved testARROW
Thoracic Malignancies
Non-small-cell Lung Cancer
RET fusion-positive
ARROW
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Pralsetinib
-
Single arm
Treatment for adult patients with metastatic RET fusion-positive non-small cell lung cancer (NSCLC) not previously treated with a RET inhibitorARROW
Breast Cancer
Non-small-cell Lung Cancer
RET fusion-positive
ARROW
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Pembrolizumab
-
Single arm cohort study
Patients with unresectable or metastatic dMMR/MSI-H solid tumours that have progressed following prior treatment and have no alternative treatment options KEYNOTE-158 - Cohort K
Tumour agnostic
-
dMMR/MSI-H
KEYNOTE-158 - Cohort K
3
PRELIMINARY SCORE
ORR
ADJUSTMENTS
SCORE
F3
3
Trastuzumab
ChT (cisplatin + capecitabine or 5-FU)
ChT
HER2-positive metastatic adenocarcinoma of the stomach or gastroesophageal junction in patients who have not received prior anti-cancer treatment for their metastatic diseaseToGA
Gastrointestinal Cancers
Stomach or gastroesophageal junction cancer
HER2+
ToGA
3
PRELIMINARY SCORE
OS
ADJUSTMENTS
SCORE
F2a
3
Ivosidenib
-
Placebo
For adult patients with locally advanced or metastatic cholangiocarcinoma with an IDH1 R132 mutation who were previously treated by at least one prior line of systemic therapy.ClarIDHy
Gastrointestinal Cancers
Cholangiocarcinoma
IDH1
ClarIDHy
2
PRELIMINARY SCORE
PFS
ADJUSTMENTS
SCORE
F2b
2
Watchlist
Tested Agent(s)
Combined Agent(s)
Control Arm
Therapeutic Indication
Tumour Type
Tumour Sub-type
Tumour Sub-group
Trial Name
Ref.
Score
Scorecard
Scorecard
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