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ASTRUM-002 (final overall survival): reconstructed Kaplan–Meier curves

Updated 2026-09-25 · reconstructed by TrialCurve from a CC BY-licensed publication

Serplulimab Plus Chemotherapy, with or without HLX04, versus Chemotherapy as First-Line Treatment for Nonsquamous NSCLC: Final Survival Analysis of the Phase III ASTRUM-002 Study. Curves rebuilt as patient-level data (Guyot 2012) and checked against the statistics printed on the figure.

PublicationCancer Commun (Lond). 2026 Jun 10;46:0034. doi: 10.34133/cancomm.0034
DOI10.34133/cancomm.0034
RegistryNCT03952403
PhasePhase 3
ConditionsCarcinoma, Non-Small-Cell Lung
InterventionsHLX10, an engineered anti-PD-1 antibody, HLX04, a bevacizumab biosimilar, Carboplatin, Pemetrexed
SponsorShanghai Henlius Biotech
Enrolment643
Source licenceFigure published under CC BY 4.0

Progression-free survival (BICR-assessed) — ITT population

From figure panel A · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Group B 10.6 months; Group A 11.2 months; Group C 5.7 months. Survival at 18 months: Group B 37%; Group A 37%; Group C 17%. Hazard ratio Group B vs Group C 0.53 (95% CI 0.42–0.67).

0%20%40%60%80%100%061218243036424854MonthsGroup BGroup AGroup C
ArmNEventsMedian (Months)
Group B21414410.6
Group A21215311.2
Group C2101685.7

Landmark survival (reconstructed)

TimeGroup BGroup AGroup C
6 mo68.8%73.1%48.1%
12 mo43.7%49.4%25.2%
18 mo37.2%37.1%17.0%
24 mo29.7%25.4%10.9%
36 mo22.7%18.3%6.6%
48 mo19.2%14.7%3.2%

Checks against the published figure

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Overall survival — ITT population

From figure panel A · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Group B 26.1 months; Group A 23.7 months; Group C 20.2 months. Survival at 18 months: Group B 63%; Group A 62%; Group C 53%. Hazard ratio Group B vs Group C 0.67 (95% CI 0.53–0.84).

0%20%40%60%80%100%01224364860MonthsGroup BGroup AGroup C
ArmNEventsMedian (Months)
Group B21413326.1
Group A21214223.7
Group C21016320.2

Landmark survival (reconstructed)

TimeGroup BGroup AGroup C
6 mo91.0%87.7%83.1%
12 mo74.6%75.2%65.4%
18 mo63.0%62.1%53.4%
24 mo52.3%48.3%44.6%
36 mo39.9%36.6%31.0%
48 mo33.6%29.9%16.0%
60 mo32.5%—13.9%

Checks against the published figure

Download pseudo-IPD (CSV)

About these data

Pseudo-IPD reproduces the published curves and numbers at risk; the rows are not real patients. Cite the publication (DOI above) and TrialCurve. The source figure is © the authors (CC BY 4.0); the charts here are redrawn from the reconstruction.

Load these data in R or Python
# R
library(survival)
d <- read.csv("https://trialcurve.com/data/trials/astrum-002-final-overall-survival-1.csv")
survfit(Surv(time, event) ~ arm, data = d)
coxph(Surv(time, event) ~ arm, data = d)

# Python
import pandas as pd
from lifelines import KaplanMeierFitter
d = pd.read_csv("https://trialcurve.com/data/trials/astrum-002-final-overall-survival-1.csv")
for arm, g in d.groupby("arm"):
    KaplanMeierFitter().fit(g.time, g.event, label=arm).plot_survival_function()

Suggested citation: Cancer Commun (Lond). 2026 Jun 10;46:0034. doi: 10.34133/cancomm.0034 doi:10.34133/cancomm.0034. Reconstructed data: TrialCurve (2026), https://trialcurve.com/trials/astrum-002-final-overall-survival

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