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Entrectinib

STARTRK-1; STARTRK-2; ALKA-372-001
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3

Indication details

Control Arm
Single arm
Therapeutic Indication
Treatment of adult patients with ROS1-positive, advanced non-small cell lung cancer (NSCLC) not previously treated with ROS1 inhibitors
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Advanced
Tumour Sub-Group
Refractory NTRK fusion–positive cancers
Trial Name
STARTRK-1; STARTRK-2; ALKA-372-001
NCT Number
NCT02097810 │ NCT02568267
Trial Phase
Phase I/II

Approval details

FDA Approval
FDA approval August 2019
EMA Approval
EMA (May 2020) EC decision July 2020

Primary Outcome(s)

Primary Outcome(s)
ORR, DOR
Evaluated Outcome
ORR, DOR
Form(s)
Form 3

Outcome Data

PFS Control
15.7 months
ORR
67.1%
DoR
15.7 months

Final Score (after adjustments)

Preliminary non-curative score

3

Final non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
210
Scorecard version
1
Issue date
23.07.2020
Last update
16.08.2023
Entrectinib STARTRK-1; STARTRK-2; ALKA-372-001

PRELIMINARY SCORE

ORR

ADJUSTMENTS

Entrectinib STARTRK-1; STARTRK-2; ALKA-372-001

FINAL SCORE

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
3
Overall Response Rate / Duration of Response
Thoracic Malignancies
Treatment of adult patients with ROS1-positive, advanced non-small cell lung cancer (NSCLC) not previously treated with ROS1 inhibitors
Entrectinib
Single arm

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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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