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3

Indication details

Combined Agent(s)
ADT (androgen deprivation therapy)
Control Arm
ADT + placebo
Therapeutic Indication
Non-metastatic castration resistant prostate cancer for adult men who are at high risk of developing metastatic disease
Tumour Type
Genitourinary Cancers
Tumour Sub-type
Prostate cancer
Tumour Stage
Non-metastatic
Trial Name
ARAMIS
NCT Number
NCT02200614
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval December 2019
EMA Approval
EMA (January 2020) approval April 2020

Primary Outcome(s)

Primary Outcome(s)
MFS
Evaluated Outcome
MFS*
Form(s)
Form 2b

Outcome Data

PFS Control
18.4 months
PFS Gain
22.0 months
PFS HR
0.41 (0.34-0.50)
OS Control
3-year: 77%
OS Gain
6% at 3 years
OS HR
0.69 (0.53-0.88)

Adjustments

QoL Comment
QoL was not a prespecified secondary endpoint

Final Score (after adjustments)

Preliminary non-curative score

3

Final non-curative score

3

Comment
*Scoring of MFS on the same basis as PFS

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
183
Scorecard version
1
Issue date
01.07.2020
Last update
08.08.2023
Darolutamide ARAMIS

PRELIMINARY SCORE

PFS

ADJUSTMENTS

Darolutamide ARAMIS

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
Genitourinary Cancers
Non-metastatic castration resistant prostate cancer for adult men who are at high risk of developing metastatic disease
Darolutamide + ADT (androgen deprivation therapy)
ADT + placebo

My watchlist

    pdf
    pptx

    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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