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A

Indication details

Combined Agent(s)
Cis retinoic acid+GMCSF+IL2
Control Arm
Cis retinoic acid
Therapeutic Indication
<32 years old with high-risk neuroblastoma after remission and stem cell transplatation
Tumour Type
Central Nervous System Malignancies
Tumour Sub-type
Neuro-oncology cancer - Neuroblastoma
Tumour Stage
Early
NCT Number
NCT00026312
Trial Phase
Phase III

Approval details

EMA Approval
EMA (CHMP) March 2017 EC decision May 2017

Primary Outcome(s)

Primary Outcome(s)
EFS
Evaluated Outcome
EFS
Form(s)
Form 1

Outcome Data

PFS Control
2 years 45%
PFS Gain
Gain 20%
OS Control
5-year survival 57%
OS Gain
Gain 17%
OS HR
0.58 (0.37-0.91)

Final Score (after adjustments)

Final curative score

A

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
96
Scorecard version
1
Issue date
11.12.2018
Dinutuximab

PRELIMINARY SCORE

DFS

ADJUSTMENTS

Dinutuximab

FINAL SCORE

A

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
Overall Response Rate / Duration of Response
Central Nervous System Malignancies
<32 years old with high-risk neuroblastoma after remission and stem cell transplatation
Dinutuximab + Cis retinoic acid+GMCSF+IL2
Cis retinoic acid

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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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