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4

Indication details

Control Arm
Investigator-chosen ChT (standard docetaxel, paclitaxel or vinflunine)
Therapeutic Indication
Treatment of adult patients with locally advanced or metastatic urothelial cancer who have previously received a platinum-containing chemotherapy and a programmed death receptor-1 or programmed death-ligand 1 inhibitor
Tumour Type
Genitourinary Cancers
Tumour Sub-type
Urothelial Carcinoma
Tumour Stage
Locally advanced or metastatic
Trial Name
EV-301
NCT Number
NCT03474107
Trial Phase
Phase III

Approval details

FDA Approval
FDA regular approval July 2021
EMA Approval
EMA (CHMP) December 2021 and February 2022 EC decision May 2022
Comment
FDA approval also for patients who are ineligible for cisplatin-containing chemotherapy and have previously received one or more prior lines of therapy. Previously granted accelerated approval in December 2019 by the FDA in a phase II single-arm study, this is the phase III confirmatory trial

Primary Outcome(s)

Primary Outcome(s)
OS
Evaluated Outcome
OS
Form(s)
Form 2a

Outcome Data

OS Control
8.94 months
OS Gain
3.97 months
OS HR
0.70 (0.58-0.85)

Adjustments

QoL Comment
QoL data pending

Final Score (after adjustments)

Preliminary non-curative score

4

Final non-curative score

4

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
286
Scorecard version
1
Issue date
31.08.2021
Last update
21.12.2023
Enfortumab vedotin EV-301

PRELIMINARY SCORE

OS

ADJUSTMENTS

?
QoL data pending
Enfortumab vedotin EV-301

FINAL SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
4
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Genitourinary Cancers
Treatment of adult patients with locally advanced or metastatic urothelial cancer who have previously received a platinum-containing chemotherapy and a programmed death receptor-1 or programmed death-ligand 1 inhibitor
Enfortumab vedotin
Investigator-chosen ChT (standard docetaxel, paclitaxel or vinflunine)

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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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