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Eflornithine

Study 3b, NMTRC003B - ANBL0032
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A

Indication details

Control Arm
Popensity score matched external control from ANBL0032. Matched cohort 3:1
Therapeutic Indication
Eflornithine to reduce the risk of relapse in adult and pediatric patients with high-risk neuroblastoma (HRNB) who have demonstrated at least a partial response to prior multiagent, multimodality therapy including anti-GD2 immunotherapy. HRNB postimmunotherapy maintenance
Tumour Type
Brain Tumours
Tumour Sub-type
Neuroblastoma
Trial Name
Study 3b, NMTRC003B - ANBL0032
NCT Number
NCT02395666
Trial Phase
Phase II comparative study

Approval details

FDA Approval
FDA approval December 2023

Primary Outcome(s)

Primary Outcome(s)
EFS, as secondary endpoint OS
Evaluated Outcome
EFS
Form(s)
Form 1

Outcome Data

OS Control
4 year OS 84%
OS Gain
4 year OS gain 12%
OS HR
0.32 (0.15-0-70)
DFS Control
4 year EFS 73%
DFS Gain
4 year EFS gain 11%
DFS HR
0.48 (0.27- 0.85)

Adjustments

QoL Comment
Not specified

Final Score (after adjustments)

Final curative score

A

Comment
Scored on the same basis as a comparative study, using the propensity matched external control as if it were a randomized control arm.

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
424
Scorecard version
1
Issue date
01.02.2024
Eflornithine Study 3b, NMTRC003B - ANBL0032

PRELIMINARY SCORE

EFS

ADJUSTMENTS

Eflornithine Study 3b, NMTRC003B - ANBL0032

FINAL SCORE

A

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
Overall Response Rate / Duration of Response
Brain Tumours
Eflornithine to reduce the risk of relapse in adult and pediatric patients with high-risk neuroblastoma (HRNB) who have demonstrated at least a partial response to prior multiagent, multimodality therapy including anti-GD2 immunotherapy. HRNB postimmunotherapy maintenance
Eflornithine
Popensity score matched external control from ANBL0032. Matched cohort 3:1

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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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