4
Indication details
- Control Arm
- Dabrafenib
- Treatment setting
- Dabrafenib in combination with trametinib for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation
- Tumour Type
-
Skin Cancers
- Tumour Sub-type
- Cutaneous Melanoma
- Tumour Stage
- Unresectable or metastatic
- Tumour Sub-Group
- BRAF V600
- Trial Name
- COMBI-d
- NCT Number
- NCT01072175
- Trial Phase
- Phase II
Approval details
- EMA Approval
- EMA (CHMP) July 2015 EC decision September 2015
Primary Outcome(s)
- Primary Outcome(s)
- PFS
- Evaluated Outcome
- OS
- Form(s)
- Form 2b
Outcome Data
- PFS Control
- 8.8 months
- PFS Gain
- 3.6 months
- PFS HR
- 0.67 (0.53-0.84)
- OS HR
- 0.71 (0.55-0.92)
Adjustments
- QoL Comment
-
QoL was an exploratory endpoint
- Toxicity Comment
-
7% reduction skin cancer (does not warrant an upgrade)
Final Score (after adjustments)
- Preliminary non-curative score
-
3
- QoL adjustment
- 1+
- Final non-curative score
-
4
- Comment
-
EMA (CHMP) July 2015 EC decision September 2015
Scorecard details
- ESMO-MCBS version
- ESMO-MCBS v1.1
- Scorecard ID
- 85
- Scorecard version
- 1
- Issue date
- 11.12.2018
- Last update
- 16.01.2023
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.