Table 1.
Medicinal product | Trial(s) | Therapeutic area | Biomarker-based indication | Available therapies in treatment setting | Sample size calculationsa | Lower bound of the 95% CI for ORR to be ruled out | Justification | Ref. |
---|---|---|---|---|---|---|---|---|
Alectinib | NP28761 | Lung cancer | Yes | Chemotherapy | Yes | 35% | Not provided | 20 |
NP28673 | Lung cancer | Chemotherapy | Yes | 35% | Not provided | 21 | ||
Amivantamab | EDI1001 | Lung cancer | Yes | Chemotherapy or immunotherapy | Yes | 12% | Single-agent chemotherapy as the benchmark | 22 |
Avapritinib | BLU-285-1101 | Sarcoma | Yes | Tyrosine kinase inhibitors | Yes | 10% | Benchmarked against available therapies | 23 |
Avelumab | EMR100070-003 | Skin cancer | No | Chemotherapy | Yes | 20% | Absence of literature documenting treatment outcomes for second-line patients | 24 |
Cemiplimab | 2810-ONC-1540 | Skin cancer | No | EGFR inhibitors and/or chemotherapy | Yes |
laCSCC 25% |
Based on previous studies | 25 |
Yes | mCSCC 15% |
Based on previous studies | 26 | |||||
Ceritinib | CLDK378X2101 | Lung cancer | Yes | Chemotherapy | No | Not specified | Not applicable | 27 |
Crizotinib | A8081001 | Lung cancer | Yes | Chemotherapy | No | Not specified | Not applicable | 28 |
Dostarlimab | 4010-01-001 | Endometrial cancer | Yes | Chemotherapy or bevacizumab | Yes | 20% | Expected ORR for conventional therapy | 29 |
Entrectinibb | ALKA-372-001, RXDX-101-01, and RXDX-101-03 | Lung cancer | Yes | Crizotinib | Yes (on precision and implicitly on power) | 50% | Observed with standard-of-care ROS1 fusion-positive NSCLC treatment | 30 |
Cancer | No appropriate available therapies | Yes (on precision and implicitly on power) | 30% | Not provided | 31 | |||
Larotrectinibb | LOXO-TRK-14001, LOXO-TRK-15002, and LOXO-TRK-15003 | Cancer | Yes | No appropriate available therapies | Yes | 30% | Consistent with the response rates seen with approved targeted therapies in genetically defined patient populations who have progressed on prior therapies | 32 |
Lorlatinib | B7461001 | Lung cancer | Yes | (Platinum-based) chemotherapy/immunotherapy | No | Not specified | Not applicable | 33 |
Osimertinibc | AURA extension | Lung cancer | Yes | (Platinum-based) chemotherapy or tyrosine kinase inhibitor rechallenge | Yes (based on precision) | Not specified | Not applicable | 34 |
AURA 2 | (Platinum-based) chemotherapy or tyrosine kinase inhibitor rechallenge | Yes (based on precision) | Not specified | Not applicable | 35 | |||
Pemigatinib | INCB 54828-202 | Bile duct cancer | Yes | Chemotherapy | Yes | 15% | Proportions of patients with an objective response reported by previous studies | 36 |
Pralsetinib | BLU-667-1101 | Lung cancer | Yes | (Platinum-based) cytotoxic chemotherapy and/or immunotherapy | Yes | 48% | Not provided | 37 |
Chemotherapy ± ramucirumab or immunotherapy | Yes | 23% | Not provided | |||||
Rucaparibb | CO-338-010 | Ovarian cancer | Yes | Chemotherapy | No | Not specified | Not applicable | 38 |
CO-338-017 | Chemotherapy | No | Not specified | Not applicable | 39 | |||
Selpercatinib | LOXO-RET-17001 | Lung cancer | Yes | Chemotherapy ± ramucirumab or immunotherapy | Yes | NSCLC 30% |
Consistent with the response rates seen with approved targeted therapies in molecularly defined populations who failed prior therapies | 40 |
Thyroid cancer | Treatment options in these settings are limited—tyrosine kinase inhibitors rechallenge—or even lacking | Yes | MTC 20% |
The limited treatment options | 41 | |||
No | TC Not specified |
Not applicable | 41 | |||||
Trastuzumab deruxtecan | DS8201-A-U201 | Breast cancer | Yes | HER2-targeted therapy in combination with chemotherapy | Yes | 20% | Not provided | 42 |
Vismodegib | SHH4476g | Skin cancer | No | Radiation therapy or chemotherapy | Yes | mBCC 10% |
No therapeutic options exist for these patients and spontaneous responses have not been reported in this diseased | 43 |
Yes | aBCC 20% |
No therapeutic options exist for these patients and spontaneous responses have not been reported in this diseased | 43 |
Therapeutic areas are depicted in color: lung cancer in orange, skin cancer in yellow, cancer (general) in blue, and remaining areas in green. Information was retrieved from EPARs and complemented by scientific publications and protocols, if available and necessary.
aBCC, advanced basal cell carcinoma; CI, confidence interval; HER2, human epidermal growth factor receptor 2; laCSCC, locally advanced cutaneous squamous cell carcinoma; mBCC, metastatic basal cell carcinoma; mCSCC, metastatic cutaneous squamous cell carcinoma; MAH, marketing authorization holder; MTC, medullary thyroid cancer; NSCLC, non-small-cell lung cancer; ORR, objective response rate; ROS1, c-ros oncogene 1; TC, thyroid cancer.
Sample size calculations were based on power unless otherwise specified.
Integrated analysis was carried out based on two or three trials.
Separated and integrated analysis was carried out for trials AURA and AURA2.
Based on protocol.