Work

Comparative effectiveness analysis between entrectinib clinical trial and crizotinib real-world data inROS1+ NSCLC

Year: 2021

Type: article

Abstract: Aim:Generating direct comparative evidence in prospective randomized trials is difficult for rare diseases. Real-world cohorts may supplement control populations.Methods:Entrectinib-treated adults with advancedROS1fusion-positive NSCLC (n = 94) from Phase I/II trials (ALKA-372-001 [EudraCT2012-00148-88], STARTRK-1 [NCT02097810], and STARTRK-2 [NCT02568267]) were compared with a real-world crizotinib-treated cohort (n = 65). Primary end point, time-to-treatment discontinuation (TTD); secondary end points, PFS and OS.Results:Median (95% CI) weighted TTD: 12.9 (9.9–17.4) months for entrectinib; 8.2 (6.2–9.9) months for crizotinib (weighted hazard ratio: 0.72 [0.51–1.02]). Median OS with entrectinib was not reached, weighted median OS with crizotinib was 18.5 (15.1–47.2) months.Conclusion:Entrectinib administered in clinical trials may be associated with longer TTD than a real-world crizotinib population.

Source: Journal of Comparative Effectiveness Research

DOI: 10.2217/cer-2021-0131