2
Indication details
- Combined Agent(s)
- Trastuzumab, fluoropyrimidine and platinum-containing ChT
- Control Arm
- Placebo plus trastuzumab and ChT
- Treatment setting
- First-line treatment locally advanced unresectable or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma
- Tumour Type
-
Gastrointestinal Cancers
- Tumour Sub-type
- Gastric or gastroesophageal junction adenocarcinoma
- Tumour Stage
- Locally advanced unresectable or metastatic
- Tumour Sub-Group
- HER2+
- Trial Name
- KEYNOTE-811
- NCT Number
- NCT03615326
- Trial Phase
- Phase III
Approval details
- FDA Approval
- FDA accelerated approval May 2021
- EMA Approval
- EMA (CHMP) July 2023 EC decision August 2023
- Comment
- EMA approval is limited to patients with CPS>1. This is supported by an exploratory subgroup analysis that is not eligible for ESMO-MCBS scoring
Primary Outcome(s)
- Primary Outcome(s)
- PFS, OS key secondary evaluated outcome: ORR
- Evaluated Outcome
- ORR (ITT)
- Form(s)
- Form 2c
Outcome Data
- ORR
- 22.5% gain (74.4% vs 51.9%)
Final Score (after adjustments)
- Preliminary non-curative score
-
2
- Final non-curative score
-
2
Scorecard details
- ESMO-MCBS version
- ESMO-MCBS v1.1
- Scorecard ID
- 318
- Scorecard version
- 1
- Issue date
- 16.03.2022
- Last update
- 31.08.2023
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.