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3

Indication details

Control Arm
Single arm
Therapeutic Indication
Treatment of adult patients with unresectable or metastatic GIST harbouring the platelet-derived growth factor receptor alpha D842V mutation
Tumour Type
Sarcoma
Tumour Sub-type
GIST
Tumour Stage
Unresectable or metastatic
Tumour Sub-Group
PDGFRA D842V-mutant
Trial Name
NAVIGATOR
NCT Number
NCT02508532
Trial Phase
Phase I

Approval details

FDA Approval
FDA approval Jan 2020
EMA Approval
EMA (July 2020) EC decision September 2020

Primary Outcome(s)

Primary Outcome(s)
ORR,DOR (Phase I)
Evaluated Outcome
ORR,DOR
Form(s)
Form 3

Outcome Data

ORR
88%
DoR
70% 12 months+

Final Score (after adjustments)

Preliminary non-curative score

3

Final non-curative score

3

Comment
EMA approval Sept 2020
FDA approval Jan 2020

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
211
Scorecard version
1
Issue date
06.08.2020
Last update
02.10.2020
Avapritinib NAVIGATOR

PRELIMINARY SCORE

ORR

ADJUSTMENTS

Avapritinib NAVIGATOR

FINAL SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
3
Overall Response Rate / Duration of Response
Sarcoma
Treatment of adult patients with unresectable or metastatic GIST harbouring the platelet-derived growth factor receptor alpha D842V mutation
Avapritinib
Single arm

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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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