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ESMO Magnitude of Clinical Benefit Scale

(ESMO-MCBS)

Cure takes precedence over deferral of death.

Direct endpoints

such as

survival

and

quality of life

take

precedence over surrogates such as progression-free survival

or response rate.

Disease-free survival in curative disease is a more valid

surrogate than progression-free survival or response rate in

noncurative disease.

Interpretation of the evidence of benefit derived from surrogate

outcomes (such as progression-free survival) may be

influenced by secondary outcome data.

Cherny NI, Ann Oncol 2015