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  1. ESMO
  2. Guidelines
  3. ESMO-MCBS
  4. ESMO-MCBS for Solid Tumours

ESMO-MCBS Scorecards

ESMO MCBS 1000x150

The ESMO-MCBS Scorecards provides a centralised location of cancer medicines that have been scored and published by ESMO.

It includes all cancer medicines approved by the European Medicines Agency (from January 2016) and the US Food and Drug Administration (from January 2020).

ESMO-MCBS Scores
Number of studies
Non-curative setting
5 22
4 133
3 152
2 52
1 25
NEB 4
Curative setting
A 54
C 2
NEB 4
ESMO-MCBS Scores by tumour type
Non-curative setting
Brain Tumours 4
Breast Cancer 37
Endocrine Tumours 21
Gastrointestinal Cancers 73
Genitourinary Cancers 70
Gynaecological Malignancies 38
Head and neck cancer 12
Non-cancerous soft-tissue tumour 1
Sarcoma 12
Skin Cancers 29
Thoracic Malignancies 84
TMB-H solid tumours 1
Tumour agnostic 6
Curative setting
Brain Tumours 2
Breast Cancer 9
Endocrine Tumours 0
Gastrointestinal Cancers 16
Genitourinary Cancers 3
Gynaecological Malignancies 1
Head and neck cancer 1
Non-cancerous soft-tissue tumour 0
Sarcoma 3
Skin Cancers 14
Thoracic Malignancies 11
TMB-H solid tumours 0
Tumour agnostic 0

The ESMO-MCBS Scorecards

reset selection
Evaluation form 1  For new approaches to adjuvant therapy or new potentially curative therapies
Evaluation form 2a For therapies that are not likely to be curative with primary endpoint of OS with separate sheets for:
Evaluation form 2b For therapies that are not likely to be curative with primary endpoint PFS with separate sheets for:
Evaluation form 2c  For therapies that are not likely to be curative with primary endpoint other than OS or PFS or equivalent (non-inferiority) studies
Evaluation form 3  For single-arm studies in orphan diseases and for diseases with high unmet need when primary outcome is PFS or ORR.
To evaluate ESMO-MCBS score adjustments based on quality of life .

My 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
    Pembrolizumab ChT with our without bevacizumab Placebo + ChT with our without bevacizumab Persistent, recurrent, or metastatic cervical cancer in adults whose tumours express PD-L1 with a CPS ≥1 KEYNOTE-826
    Gynaecological Malignancies
    		 Cervical Cancer PD-L1 (CPS ≥1) KEYNOTE-826

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4
    Pembrolizumab Cisplatin + 5-FU Placebo + cisplatin + 5-FU First-line treatment locally advanced or metastatic oesophageal or gastroesophageal junction carcinoma that is not amenable to surgical resection or definitive CRT in combination with platinum- and fluoropyrimidine-based ChT KEYNOTE-590
    Gastrointestinal Cancers
    		 Oesophageal or gastroesophageal junction carcinoma HER2- GEJ (all randomized) KEYNOTE-590

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4
    Pembrolizumab Cisplatin + 5-FU Placebo + cisplatin + 5-FU Pembrolizumab in combination with platinum and fluoropyrimidine-based chemotherapy, is indicated for the first-line treatment of locally advanced unresectable or metastatic carcinoma of the oesophagus in adults whose tumours express PD-L1 with a CPS ≥ 10 KEYNOTE-590
    Gastrointestinal Cancers
    		 Oesophageal squamous cell carcinoma PD-L1 CPS ≥10 KEYNOTE-590

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4
    Pembrolizumab Cisplatin and 5-FU ChT Placebo + cisplatin and 5-FU ChT First-line treatment KEYNOTE-590
    Gastrointestinal Cancers
    		 Oesophageal squamous cell carcinoma HER2- GEJ (squamous cell) KEYNOTE-590

    3

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      3
    Pembrolizumab Cisplatin and 5-FU ChT Placebo + cisplatin and 5-FU ChT First-line treatment KEYNOTE-590
    Gastrointestinal Cancers
    		 Oesophageal squamous cell carcinoma HER2- GEJ PD-L1 (squamous cell) CPS ≥10 KEYNOTE-590

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4
    Nab-sirolimus - Single arm (Phase II) Efficacy in Patients With Advanced Malignant Perivascular Epithelioid Cell Tumors (PEComa) AMPECT
    Sarcoma
    		 Perivascular epithelioid - AMPECT

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Pembrolizumab - Placebo Adjuvant treatment of adults with RCC at increased risk of recurrence following nephrectomy, or following nephrectomy and resection of metastatic lesions KEYNOTE-564
    Genitourinary Cancers
    		 Renal cell cancer - KEYNOTE-564

    A

    PRELIMINARY SCORE

    • DFS

    ADJUSTMENTS

    SCORE

    • F1

      A
    Belzutifan - Single arm EMA: Belzutifan as monotherapy for the treatment of adult patients with von Hippel-Lindau disease who require therapy for associated, localised renal cell carcinoma (RCC), central nervous system (CNS) haemangioblastomas, or pancreatic neuroendocrine tumours (pNET), and for whom localised procedures are unsuitable. FDA: For adult patients with von Hippel-Lindau (VHL) disease who require therapy for associated renal cell carcinoma (RCC), central nervous system (CNS) hemangioblastomas, or pancreatic neuroendocrine tumors (pNET), not requiring immediate surgery. MK-6482 (Study 004)
    Genitourinary Cancers
    		 von Hippel-Lindau disease-associated Renal Cell Carcinoma - MK-6482 (Study 004)

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    FOLFOX (folinic acid, fluorouracil, oxaliplatin) - Symptomatic care Second-line treatment of advanced biliary tract cancer ABC-06
    Gastrointestinal Cancers
    		 Biliary tract cancer - ABC-06

    1

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      1
    Tebentafusp - Investigator Choice (either dacarbazine, ipilimumab or pembrolizumab) Treatment of human leukocyte antigen (HLA)-A*02:01-positive adult patients with unresectable or metastatic uveal melanoma IMCgp100-202
    Skin Cancers
    		 Uveal melanoma HLA-A*0201positive IMCgp100-202

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4
    Amivantamab - Single arm Advanced NSCLC with activating EGFR exon 20 insertion mutations, after failure of platinum-based therapy CHRYSALIS
    Thoracic Malignancies
    		 Non-small-cell Lung Cancer EGFR+ exon 20 insertion mutations CHRYSALIS

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Pembrolizumab Trastuzumab, fluoropyrimidine + platinum-containing ChT Placebo + trastuzumab, fluoropyrimidine + platinum-containing ChT First-line treatment of locally advanced unresectable or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma in adults whose tumours express PD-L1 with a CPS ≥1. KEYNOTE-811
    Gastrointestinal Cancers
    		 Gastric or gastroesophageal junction adenocarcinoma HER-2 positive KEYNOTE-811

    2

    PRELIMINARY SCORE

    • PFS

    ADJUSTMENTS

    SCORE

    • F2b
      2
    Pembrolizumab - Single arm cohort study Patients with unresectable of metastatic TMB-H solid tumours that have progressed following prior treatment and have no alternative treatment options KEYNOTE-158
    TMB-H solid tumours
    		 - TMB-H KEYNOTE-158

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Pembrolizumab - Single arm cohort study (Phase II) Patients with advanced or recurrent dMMR/MSI-H endometrial carcinoma who have disease progression on or following prior treatment with a platinum-containing therapy in any setting and who are not candidates for curative surgery or radiation KEYNOTE-158
    Gynaecological Malignancies
    		 Endometrial Cancer dMMR/MSI-H KEYNOTE-158

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Relugolix - Leuprolide Treatment of adult patients with advanced HSPC HERO
    Genitourinary Cancers
    		 Prostate cancer - HERO

    4

    PRELIMINARY SCORE

    • NI

    ADJUSTMENTS

    SCORE

    • F2c
      4
    Nivolumab + ipilimumab - ChT First-line treatment of adult patients with unresectable advanced, recurrent or metastatic oesophageal squamous cell carcinoma with tumour cell PD-L1 expression ≥1% CheckMate 648
    Gastrointestinal Cancers
    		 Oesophageal squamous cell carcinoma PD-L1 expression ≥1% CheckMate 648

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4
    Nivolumab - Placebo Monotherapy for the adjuvant treatment of adults with muscle invasive urothelial carcinoma (MIUC) with tumour cell PD-L1 expression ≥ 1%, who are at high risk of recurrence after undergoing radical resection of MIUC. CheckMate 274
    Genitourinary Cancers
    		 Urothelial Carcinoma PD-L1 expression ≥1% CheckMate 274

    A

    PRELIMINARY SCORE

    • DFS

    ADJUSTMENTS

    SCORE

    • F1

      A
    Nivolumab - Placebo Adjuvant treatment of patients with urothelial carcinoma who are at high risk of recurrence after undergoing radical resection CheckMate 274
    Genitourinary Cancers
    		 Urothelial Carcinoma - CheckMate 274

    A

    PRELIMINARY SCORE

    • DFS

    ADJUSTMENTS

    SCORE

    • F1

      A
    Nivolumab Fluoropyrimidine + platinum-based combination ChT ChT First-line treatment of adult patients with unresectable advanced, recurrent or metastatic oesophageal squamous cell carcinoma with tumour cell PD-L1 expression ≥1% CheckMate 648
    Gastrointestinal Cancers
    		 Oesophageal squamous cell carcinoma PD-L1 expression ≥1% CheckMate 648

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4
    Pembrolizumab - Single arm Adult and pediatric patients with recurrent, locally advanced or metastatic Merkel cell carcinoma KEYNOTE-017
    Skin Cancers
    		 Merkel cell carcinoma - KEYNOTE-017

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Pembrolizumab - Ipilimumab Treatment of adults and adolescents aged 12 years and older with advanced (unresectable or metastatic) melanoma KEYNOTE-006
    Skin Cancers
    		 Cutaneous Melanoma - KEYNOTE-006

    A

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a/F1
      4

      A
    Sorafenib - Placebo Treatment of HCC SHARP
    Gastrointestinal Cancers
    		 Hepatobiliary Cancers - Hepatocellular Carcinoma - SHARP

    3

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      3
    177Lu-PSMA-617 Best standard of care (restricted) Best standard of care (restricted) In combination with androgen deprivation therapy (ADT) with or without androgen receptor (AR) pathway inhibition is indicated for the treatment of adult patients with progressive prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer (mCRPC) who have been treated with AR pathway inhibition and taxane based chemotherapy. VISION
    Genitourinary Cancers
    		 Prostate cancer PSMA-positive mCRPC VISION

    5

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      5
    Relatlimab Nivolumab Nivolumab Treatment of adult and paediatric patients 12 years of age or older with unresectable or metastatic melanoma RELATIVITY-047
    Skin Cancers
    		 Cutaneous Melanoma - RELATIVITY-047

    3

    PRELIMINARY SCORE

    • PFS

    ADJUSTMENTS

    SCORE

    • F2b
      3
    Olaparib - Placebo Adjuvant treatment of adult patients with germline BRCA1/2-mutations who have HER2-negative, high risk early breast cancer previously treated with neoadjuvant or adjuvant ChT OlympiA
    Breast Cancer
    		 Early Breast Cancer gBRCAm HER2-negative OlympiA

    A

    PRELIMINARY SCORE

    • DFS

    ADJUSTMENTS

    SCORE

    • F1

      A
    Pembrolizumab - Single arm Treatment of adults with MSI-H or dMMR unresectable or mCRC after previous fluoropyrimidine-based combination therapy KEYNOTE-164
    Gastrointestinal Cancers
    		 Colorectal Cancer dMMR or MSI-H KEYNOTE-164

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Pembrolizumab - Single arm cohort study Treatment of MSI-H or dMMR tumours in adults with unresectable or metastatic gastric cancer, who have disease progression on or following at least one prior therapy KEYNOTE-158
    Gastrointestinal Cancers
    		 Gastric Cancer dMMR or MSI-H KEYNOTE-158

    2

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      2
    Pembrolizumab - Single arm cohort study (Phase II) Treatment of MSI-H or dMMR tumours in adults with unresectable or metastatic small intestine cancer, who have disease progression on or following at least one prior therapy. KEYNOTE-158
    Gastrointestinal Cancers
    		 Small intestine dMMR or MSI-H KEYNOTE-158

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Pembrolizumab - Single arm cohort study (Phase II) Treatment of MSI-H or dMMR tumours in adults with unresectable or metastatic biliary cancer, who have disease progression on or following at least one prior therapy. KEYNOTE-158
    Gastrointestinal Cancers
    		 Biliary tract cancer dMMR or MSI-H KEYNOTE-158

    3

    PRELIMINARY SCORE

    • ORR

    ADJUSTMENTS

    SCORE

    • F3
      3
    Pembrolizumab Lenvatinib Treatment of physician's choice (doxorubicin or paclitaxel) Patients with advanced or recurrent endometrial carcinoma who have progressed following prior platinum-containing therapy in any setting and who are not candidates for curative surgery or RT KEYNOTE-775
    Gynaecological Malignancies
    		 Endometrial Cancer - KEYNOTE-775

    4

    PRELIMINARY SCORE

    • OS

    ADJUSTMENTS

    SCORE

    • F2a
      4

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