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Avelumab

JAVELIN Merkel 200 (Part A - pretreated patients)
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4

Indication details

Control Arm
Single arm
Therapeutic Indication
Adult patients with metastatic Merkel cell carcinoma (MCC)
Tumour Type
Skin Cancers
Tumour Sub-type
Merkel cell carcinoma
Tumour Stage
Metastatic
Trial Name
JAVELIN Merkel 200 (Part A - pretreated patients)
NCT Number
NCT02155647
Trial Phase
Phase II

Approval details

FDA Approval
FDA approval March 2017
EMA Approval
EMA (CHMP) July 2017 EC decision September 2017

Primary Outcome(s)

Primary Outcome(s)
ORR/DoR
Evaluated Outcome
ORR
Form(s)
Form 3

Outcome Data

ORR
33.0%
DoR
40.5 months 5-year survival: 26%*

Adjustments

QoL Comment
QoL was not a prespecified endpoint

Final Score (after adjustments)

Preliminary non-curative score

3

QoL adjustment
1+ (Upgrade based on expanded access and real-world experience)
Final non-curative score

4

Comment
*Prior to the use of immunotherapies targeting PD-1 or its major ligand, PD-L1, patients with advanced Merkel cell carcinoma had an expected 5-year OS of 14%-27%.

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
248
Scorecard version
1
Issue date
26.03.2021
Last update
04.12.2023
Avelumab JAVELIN Merkel 200 (Part A - pretreated patients)

PRELIMINARY SCORE

ORR

ADJUSTMENTS

Adequate Phase 4 experience
Avelumab JAVELIN Merkel 200 (Part A - pretreated patients)

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
4
Overall Response Rate / Duration of Response
Skin Cancers
Adult patients with metastatic Merkel cell carcinoma (MCC)
Avelumab
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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