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3

Indication details

Combined Agent(s)
Nab-paclitaxel
Control Arm
Placebo + nab-paclitaxel
Therapeutic Indication
In combination with nab-paclitaxel is indicated for the treatment of adult patients with unresectable locally advanced or metastatic triple-negative breast cancer whose tumours have PD-L1 expression ≥1% and who have not received prior ChT for metastatic disease.
Tumour Sub-type
Breast Cancer
Tumour Stage
Unresectable locally advanced or metastatic
Tumour Sub-Group
Triple-negative PD-L1+≥1%
Trial Name
IMpassion130
NCT Number
NCT02425891
Trial Phase
Phase III

Approval details

FDA Approval
Not FDA approved
EMA Approval
EMA (CHMP) June 2019 EU Decision October 2019
Comment
FDA accelerated Approval in March 2019 withdrawn by the FDA August 2021

Primary Outcome(s)

Primary Outcome(s)
PFS stratified for PD-L1+
Evaluated Outcome
PFS
Form(s)
Form 2b

Outcome Data

PFS Control
5.0 months
PFS Gain
2.5 months
PFS HR
0.62 (0.49-0.78)
OS Control
18.0 months
OS Gain
7.0 months
OS HR
0.71 (0.54-0.94)*

Adjustments

QoL Comment
No QoL benefit observed

Final Score (after adjustments)

Preliminary non-curative score

3

Final non-curative score

3

Comment
*Exploratory unplanned post hoc analysis not eligible for ESMO-MCBS grading

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
171
Scorecard version
1
Issue date
13.05.2020
Last update
14.08.2023
Atezolizumab IMpassion130

PRELIMINARY SCORE

PFS

ADJUSTMENTS

No QoL benefit observed
Atezolizumab IMpassion130

FINAL SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
3
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
In combination with nab-paclitaxel is indicated for the treatment of adult patients with unresectable locally advanced or metastatic triple-negative breast cancer whose tumours have PD-L1 expression ≥1% and who have not received prior ChT for metastatic disease.
Atezolizumab + Nab-paclitaxel
Placebo + nab-paclitaxel

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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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