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5

Indication details

Control Arm
Platinum-based chemotherapy
Therapeutic Indication
First line treatment of mNSCLC with tumour PD-L1 expression ≥50% TPS with no EGFR or ALK positive tumour mutations
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Metastatic and advanced
Tumour Sub-Group
PD-L1 ≥50%
Trial Name
KEYNOTE-24
NCT Number
NCT02142738
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval October 2016
EMA Approval
EMA (December 2016) EC decision March 2017
Comment
FDA approval is for PD-L1 ≥1% TPS

Primary Outcome(s)

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

Outcome Data

PFS Control
6 months
PFS Gain
4.3 months
PFS HR
0.50 (0.37-0.68)
OS Control
13.4 months
OS Gain
12.9 months
OS HR
0.62 (0.48-0.81)

Adjustments

Toxicity Comment
Improved toxicity profile

Final Score (after adjustments)

Preliminary non-curative score

4

Toxicity adjustment
1+
Final non-curative score

5

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
68
Scorecard version
1
Issue date
11.12.2018
Last update
18.08.2023
Pembrolizumab KEYNOTE-24

PRELIMINARY SCORE

OS

ADJUSTMENTS

Less serious adverse events observed
Pembrolizumab KEYNOTE-24

FINAL SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
5
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Thoracic Malignancies
First line treatment of mNSCLC with tumour PD-L1 expression ≥50% TPS with no EGFR or ALK positive tumour mutations
Pembrolizumab
Platinum-based chemotherapy

My watchlist

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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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