TECENTRIQ - cancer bronchique non à petites cellules 1ère ligne (atézolizumab)

ONCOLOGY - New indication
Opinions on drugs - Posted on Mar 04 2020

Reason for request

Extension of indication

In combination with bevacizumab, paclitaxel and carboplatin, in metastatic non-squamous non-small cell lung cancer (NSCLC):

  • moderate clinical benefit as first-line treatment in patients who do not have EGFR mutant or ALK-positive NSCLC without clinical added value compared to bevacizumab, paclitaxel and carboplatin combination ;
  • insufficient clinical benefit to justify reimbursement in patients with EGFR mutant or ALK-positive (ALK+) NSCLC, after failure of appropriate targeted therapies, due to a lack of clinical data.

 

 

  • TECENTRIQ has a market authorisation in combination with bevacizumab, paclitaxel and carboplatin, for the first-line treatment of adult patients with metastatic non-squamous non-small cell lung cancer (NSCLC). In patients with EGFR mutant or ALK-positive NSCLC, TECENTRIQ, in combination with bevacizumab and the chemotherapy concerned, is indicated only after failure of appropriate targeted therapies.
  • The superiority of TECENTRIQ in combination with bevacizumab, paclitaxel and carboplatin compared to bevacizumab, paclitaxel and carboplatinwas demonstrated in terms of progression-free survival assessed by the investigator in an open-label study in the population without EGFR mutations or ALK rearrangements, with a modest absolute increase (+ 1.5 months) and an absolute increase of + 4.5 months overall survival in this same subpopulation on a second interim analysis scheduled in the protocol, with uncertainties relating to these results and the long-term effect.
  • The frequency of adverse events having resulted in treatment discontinuation (34% versus 25%) was higher among patients treated with TECENTRIQ + bevacizumab + chemotherapy than among those receiving the combination of bevacizumab + chemotherapy only.

 


Clinical Benefit

Moderate

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Insufficient

Clinical Added Value

no clinical added value

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