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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03434379
Other study ID # YO40245
Secondary ID 2017-003691-31
Status Completed
Phase Phase 3
First received
Last updated
Start date March 15, 2018
Est. completion date November 17, 2022

Study information

Verified date September 2023
Source Hoffmann-La Roche
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will evaluate the efficacy and safety of atezolizumab in combination with bevacizumab compared with sorafenib in participants with locally advanced or metastatic Hepatocellular Carcinoma (HCC) who have received no prior systemic treatment.


Description:

The participants will be randomized in a 2:1 ratio to one of the two treatment arms: Arm A (experimental arm): Atezolizumab +bevacizumab; Arm B (control arm): Sorafenib


Recruitment information / eligibility

Status Completed
Enrollment 558
Est. completion date November 17, 2022
Est. primary completion date August 31, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Locally advanced or metastatic and/or unresectable Hepatocellular Carcinoma (HCC) - No prior systemic therapy for HCC. Previous use of herbal therapies/traditional Chinese medicines with anti-cancer activity included in the label is allowed, provided that these medications are discontinued prior to randomization. - At least one measurable untreated lesion - ECOG Performance Status of 0 or 1 - Adequate hematologic and end-organ function - For women of childbearing potential: agreement to remain abstinent - For men: agreement to remain abstinent - Child-Pugh class A Exclusion Criteria: - History of leptomeningeal disease - Active or history of autoimmune disease or immune deficiency - History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography scan - Known active tuberculosis - History of malignancy other than HCC within 5 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death - Pregnancy or breastfeeding, or intention of becoming pregnant during study treatment or within at least 5 months after the last dose of atezolizumab, 6 months after the last dose of bevacizumab, or 1 month after the last dose of sorafenib - Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC - Untreated or incompletely treated esophageal and/or gastric varices with bleeding or high-risk for bleeding - A prior bleeding event due to esophageal and/or gastric varices within 6 months prior to initiation of study treatment. - Moderate or severe ascites - History of hepatic encephalopathy - Co-infection of HBV and HCV - Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases - Uncontrolled tumor-related pain - Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures - Uncontrolled or symptomatic hypercalcemia - Treatment with systemic immunostimulatory agents - Inadequately controlled arterial hypertension - Prior history of hypertensive crisis or hypertensive encephalopathy - Evidence of bleeding diathesis or significant coagulopathy - History of intestinal obstruction and/or clinical signs or symptoms of GI obstruction including sub-occlusive disease related to the underlying disease or requirement for routine parenteral hydration - Serious, non-healing or dehiscing wound, active ulcer, or untreated bone fracture - Metastatic disease that involves major airways or blood vessels, or centrally located mediastinal tumor masses - Local therapy to liver within 28 days prior to initiation of study treatment or non-recovery from side effects of any such procedure - Chronic daily treatment with a non-steroidal anti-inflammatory drug (NSAID)

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Atezolizumab
Atezolizumab will be administered by IV, 1200 mg on day 1 of each 21 day cycle
Bevacizumab
Bevacizumab will be administered by IV, 15 mg/kg on day 1 of each 21 day cycle
Sorafenib
Sorafenib will be administered by mouth, 400 mg twice per day, on days 1-21 of each 21-day cycle

Locations

Country Name City State
Australia Bankstown-Lidcombe Hospital Bankstown New South Wales
Australia St George Hospital Kogarah New South Wales
Australia Sunshine Hospital St Albans Victoria
Australia The Queen Elizabeth Hospital Woodville South Australia
Canada Centre hospitalier de l'Universite de Montreal (CHUM) Montreal Quebec
Canada Jewish General Hospital Montreal Quebec
Canada McGill University Health Centre - Glen Site Montreal Quebec
Canada Ottawa Hospital Research Institute Ottawa Ontario
China Beijing Cancer Hospital Beijing
China Beijing Friendship Hospital Beijing
China Peking Union Medical College Hospital Beijing City
China Jilin Cancer Hospital Changchun
China the First Hospital of Jilin University Changchun
China Hunan Cancer Hospital Changsha CITY
China The First People's Hospital of Foshan; Local Ethic Committee Foshan
China The 900th Hospital of PLA joint service support force Fuzhou
China Nanfang Hospital, Southern Medical University Guangzhou
China Sun Yet-sen University Cancer Center Guangzhou City
China The First Affiliated Hospital of College of Medicine, Zhejiang University Hangzhou
China Sir Run Run Shaw Hospital Hangzhou City
China Zhejiang Cancer Hospital; Zhejiang Cancer Hospital cancer department Hangzhou City
China Harbin Medical University Cancer Hospital Harbin
China The First Affiliated Hospital of Anhui Medical University Hefei
China Anhui Province Cancer Hospital Hefei City
China General Hospital of Jinan Military Command of PLA Jinan
China The 81st Hospital of P.L.A. Nanjing City
China Zhongshan Hospital Fudan University Shanghai
China Fudan University Shanghai Cancer Center Shanghai City
China Tongji Hosp, Tongji Med. Col, Huazhong Univ. of Sci. & Tech Wuhan
Czechia Masarykuv onkologicky ustav Brno
Czechia Fakultni nemocnice Olomouc; Onkologicka klinika Olomouc
France Hopital Claude Huriez;Gastro Enterologie Lille
France Hopital De La Croix Rousse; Hepatologie Gastro Enterologie Lyon
France Hopital Timone Adultes; Gastro Enterologie Marseille
France Hopital Saint-Eloi; Hepatologie-Gastro-Enterologie Montpellier
France Hopital Hotel Dieu Et Hme; Hepatologie Gastro Enterologie Nantes
France CHU Nice - Hôpital de l'Archet 2; service Hepato gastro enterologie Nice Cedex
France Hopital Charles Nicolle; Gastroenterologie Rouen
France Hopital Hautepierre; Gastro Enterologie Strasbourg
France Hôpital d'Adultes; Service hépato-gastro-entérologie Vandoeuvre-les-nancy
France Institut Gustave Roussy; Gastro-Enterologie Villejuif
Germany Campus Virchow-Klinikum Charité Centrum 13; Medizinische Klinik; Abt.Hepatologie u.Gastroenterologie Berlin
Germany Klinik Johann Wolfgang von Goethe Uni; Zentrum der Inneren Medizin; Medizinische Klinik I Frankfurt
Germany Universitaetsklinikum Hamburg-Eppendorf; I. Medizinische Klinik - Gastroenterologie Hamburg
Germany Med. Hochschule Hannover; Gastroenterologie Hannover
Germany Universitätsklinikum Leipzig Medizinische Klinik II Gastroenterolog. u. Hepatolog. Leipzig
Germany Uniklinik Mainz; I. Medizinische Klinik Mainz
Germany Klinikum der Uni Regensburg; Klinik f.Innere Medizin I Abt. Hämatologie und Internistische Onkologie Regensburg
Hong Kong Queen Mary Hospital; Dept. Of Haematology & Oncology Hong Kong
Hong Kong Prince of Wales Hosp; Dept. Of Clinical Onc Shatin
Italy Az. Osp. Rummo; Oncologia Medica Benevento Campania
Italy A.O.U. Cagliari-P.O. Monserrato;U.O. Oncologia Cagliari Sardegna
Italy IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica Meldola Emilia-Romagna
Italy Az. Osp. S. Luigi Gonzaga; Divisione Di Oncologia Medica Orbassano Piemonte
Italy IRCCS Istituto Oncologico Veneto (IOV); Oncologia Medica Prima Padova Veneto
Italy Azienda Ospedaliero - Universitaria Pisana U.O. Oncologia Medica 2 Universitaria ? Polo Oncologico Pisa Toscana
Japan Chiba University Hospital Chiba
Japan National Cancer Center Hospital East Chiba
Japan Kurume University Hospital Fukuoka
Japan Hokkaido University Hospital Hokkaido
Japan Sapporo Kosei Genaral Hospital Hokkaido
Japan Kanazawa University Hospital Ishikawa
Japan Kitasato University Hospital Kanagawa
Japan Kumamoto University Hospital Kumamoto
Japan Kindai University Hospital Osaka
Japan Osaka Metropolitan University Hospital Osaka
Japan Saga-ken Medical Centre Koseikan Saga
Japan Shizuoka Cancer Center Shizuoka
Japan Japanese Red Cross Musashino Hospital Tokyo
Korea, Republic of Chonnam National University Hwasun Hospital Jeollanam-do
Korea, Republic of Asan Medical Center Seoul
Korea, Republic of Samsung Medical Center Seoul
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of Severance Hospital, Yonsei University Health System Seoul
Korea, Republic of Ulsan University Hosiptal Ulsan
Poland Copernicus Podmiot Medyczny Sp. z o.o. Wojewodzkie Centrum Onkologii Gdansk
Poland ID Clinic Myslowice
Poland SP ZOZ MSWiA z WARMINSKO-MAZURSKIM CENTRUM ONKOLOGII; CLINICAL ONCOLOGY, CLINICAL IMMUNOLOGY Olsztyn
Poland Narodowy Instytut Onkologii im. Marii Sk?odowskiej-Curie - Pa?stwowy Instytut Badawczy Warszawa
Poland Dolno?l?skie Centrum Onkologii; Oddzia? Onkologii Klinicznej i Chemioterapii Wroc?aw
Russian Federation FSBI "National Medical Research Center of Oncology N.N. Blokhin?; Clinical Biotechnologies Moscow Moskovskaja Oblast
Russian Federation GBUZ Saint Petersburg Clinical Research Center of Specialized Types of Care (Oncology) Saint Petersburg Sankt Petersburg
Singapore National Cancer Centre Singapore
Singapore Tan Tock Seng Hospital; Oncology Singapore
Spain Hospital Universitari Vall d'Hebron; Oncology Barcelona
Spain Centro Integral Oncologico Clara Campal; Servicio de Oncología Madrid
Spain Hospital Clinico San Carlos; Servicio de Oncologia Madrid
Spain Hospital Universitario La Paz; Servicio de Oncologia Madrid
Spain Hospital Universitario Miguel Servet; Servicio de Oncologia Medica Zaragoza
Taiwan Chi-Mei Medical Centre; Hematology & Oncology Tainan
Taiwan National Cheng Kung University Hospital; Oncology Tainan
Taiwan National Taiwan Uni Hospital; Dept of Oncology Taipei
Taiwan Veterans General Hospital; Cancer Center Taipei
Taiwan Chang Gung Memorial Hospital-Linkou; Dept of Oncology Taoyuan County
United Kingdom Beatson West of Scotland Cancer Centre Glasgow
United Kingdom King'S College Hospital London
United Kingdom Royal Free Hospital; Dept of Oncology London
United Kingdom Christie Hospital Nhs Trust; Medical Oncology Manchester
United States University of New Mexico Comprehensive Cancer Center Albuquerque New Mexico
United States Massachusetts General Hospital Boston Massachusetts
United States Henry Ford Health System Detroit Michigan
United States City of Hope Duarte California
United States Banner MD Anderson Cancer Center Greeley Colorado
United States M.D Anderson Cancer Center; Uni of Texas At Houston Houston Texas
United States Uni of California - San Diego; Cancer Center & Dept of Medicine La Jolla California
United States Laura and ISAAC Perlmutter Cancer Center at NYU Langone. New York New York
United States Kaiser Permanente Northern California Novato California
United States University of California Irvine Medical Center Orange California
United States Thomas Jefferson University Philadelphia Pennsylvania
United States St. Josephs Hospital and Medical Center Phoenix Arizona
United States Kaiser Permanente Sacramento Medical Center Sacramento California
United States Washington University; Wash Uni. Sch. Of Med Saint Louis Missouri
United States California Pacific Medical Center San Francisco California
United States Kaiser Permanente - San Francisco Medical Center San Francisco California
United States University of California Los Angeles Santa Monica California
United States Swedish Cancer Inst. Seattle Washington
United States Moffitt Cancer Center Tampa Florida
United States Kaiser Permanente - Walnut Creek Walnut Creek California
United States Georgetown University Washington District of Columbia

Sponsors (1)

Lead Sponsor Collaborator
Hoffmann-La Roche

Countries where clinical trial is conducted

United States,  Australia,  Canada,  China,  Czechia,  France,  Germany,  Hong Kong,  Italy,  Japan,  Korea, Republic of,  Poland,  Russian Federation,  Singapore,  Spain,  Taiwan,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Overall Survival (OS) in the Global Population OS was defined as the time from randomization to death from any cause. From randomization to death from any cause up to the clinical cut off date (CCOD) of 29Aug2019 (up to approximately 18 months) and 31Aug2020 (up to approximately 30 months)
Primary Progression Free Survival by Independent Review Facility-Assessment (PFS-IRF) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 in the Global Population PFS was defined as the time from randomization to the first occurrence of progressive disease (PD) or death from any cause whichever occurs first as determined by an IRF according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Primary Overall Survival (OS) in the China Population OS was defined as the time from randomization to death from any cause. From randomization to death from any cause up to the clinical cut off date (CCOD) of 29Aug2019 (up to approximately 18 months) and 31Aug2020 (up to approximately 30 months)
Primary PFS-IRF Per RECIST v1.1 in the China Population PFS was defined as the time from randomization to the first occurrence of progressive disease (PD) or death from any cause whichever occurs first as determined by an IRF according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Objective Response Rate by IRF-Assessment (ORR-IRF) Per RECIST v1.1 in the Global Population ORR was defined as the percentage of participants with a complete response (CR) or a partial response (PR) as determined by the IRF according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. OR=CR+PR Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Objective Response Rate by IRF-Assessment (ORR-IRF) Per Hepatocellular Carcinoma (HCC) Modified RECIST (mRECIST) in the Global Population ORR was defined as the percentage of participants with CR or PR as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver measuring only the residual vital tumor mass in the liver. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. OR=CR+PR Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary ORR by Investigator-Assessment (ORR-INV) Per RECIST v1.1 in the Global Population ORR was defined as the percentage of participants with CR or PR as determined by the investigator according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. OR=CR+PR Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Duration of Response by IRF-Assessment (DOR-IRF) Per RECIST v1.1 in the Global Population DOR was defined as the time interval from the date of first occurrence of a documented objective response (CR or PR, whichever status is recorded first) until the first date that disease progression (PD) or death was documented, whichever occurs first as determined by the IRF according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 mm. Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Duration of Response by IRF Assessment (DOR-IRF) Per HCC mRECIST in the Global Population DOR was defined as the time interval from the date of first occurrence of a documented objective response (CR or PR, whichever status is recorded first) until the first date that disease progression (PD) or death was documented, whichever occurs first as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver, measuring only the residual vital tumor mass in the liver CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 mm. Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Duration of Response by Investigator Assessment (DOR-INV) Per RECIST v1.1 in the Global Population DOR was defined as the time interval from the date of first occurrence of a documented objective response (CR or PR, whichever status is recorded first) until the first date that disease progression (PD) or death was documented, whichever occurs first as determined by the investigator according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 mm. Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary PFS-IRF Per HCC mRECIST in the Global Population PFS was defined as the time from randomization to the first occurrence of progressive disease or death from any cause whichever occurs first as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver, measuring only the residual vital tumor mass in the liver. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary PFS by Investigator Assessment (PFS-INV) Per RECIST v1.1 in the Global Population PFS was defined as the time from randomization to the first occurrence of progressive disease or death from any cause whichever occurs first as determined by the investigator according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Time to Progression (TTP) by IRF Assessment (TTP-IRF) Per RECIST v1.1 in the Global Population Time to progression was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the IRF according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary TTP-IRF Per HCC mRECIST in the Global Population Time to progression was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver, measuring only the residual vital tumor mass in the liver. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary TTP by Investigator Assessment (TTP-INV) Per RECIST v1.1 in the Global Population Time to progression was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the investigator according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Overall Survival by Baseline AFP in the Global Population OS was defined as the time from randomization to death from any cause. Subpopulations with baseline AFP <400 ng/mL and AFP>/= 400 ng/mL were analyzed. From randomization to death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary PFS-IRF Per RECIST v1.1 by Baseline AFP in the Global Population PFS was defined as the time from randomization to the first occurrence of progressive disease or death from any cause whichever occurs first as determined by the IRF according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Subpopulations with baseline AFP <400 ng/mL and AFP>/= 400 ng/mL were analyzed. Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary PFS-INV Per RECIST v1.1 by Baseline AFP in the Global Population PFS was defined as the time from randomization to the first occurrence of progressive disease or death from any cause whichever occurs first as determined by the investigator according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Subpopulations with baseline AFP <400 ng/mL and AFP>/= 400 ng/mL were analyzed. Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Time to Deterioration (TTD) in the Global Population TTD was defined as the time from randomization to the first deterioration (decrease from baseline of >/= 10 points) in the patient-reported health-related global health status/quality of life (GHS /HRQoL), physical function or role function scales of the European Organization for Research and Treatment of Cancer quality-of-life questionnaire for cancer (EORTC) QLQ-C30, maintained for two consecutive assessments, or one assessment followed by death from any cause within 3 weeks. Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Number of Participants With Adverse Events (AEs) in the Global Population An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. Up to end of study (up to approximately 56 months)
Secondary Maximum Serum Concentration (Cmax) of Atezolizumab at Cycle 1 in the Global Population Post-dose on Day 1 of Cycle 1 (cycle length = 21 days)
Secondary Trough Serum Concentration (Cmin) of Atezolizumab in the Global Population Pre-dose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 (cycle length = 21 days)
Secondary Percentage of Participants With Anti-Drug Antibodies (ADAs) to Atezolizumab in the Global Population Baseline and post-baseline on Day 1 (pre-dose) of Cycles 2, 3, 4, 8, 12, 16 (cycle length = 21 days) and treatment discontinuation visit (up to approximately 30 months)
Secondary Objective Response Rate by IRF-Assessment (ORR-IRF) Per RECIST v1.1 in the China Population ORR was defined as the percentage of participants with a complete response (CR) or a partial response (PR) as determined by the IRF according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. OR=CR+PR Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Objective Response Rate by IRF-Assessment (ORR-IRF) Per Hepatocellular Carcinoma (HCC) Modified RECIST (mRECIST) in the China Population ORR was defined as the percentage of participants with CR or PR as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver measuring only the residual vital tumor mass in the liver. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. OR=CR+PR Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary ORR by Investigator-Assessment (ORR-INV) Per RECIST v1.1 in the China Population ORR was defined as the percentage of participants with CR or PR as determined by the investigator according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. OR=CR+PR Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Duration of Response by IRF-Assessment (DOR-IRF) Per RECIST v1.1 in the China Population DOR was defined as the time interval from the date of first occurrence of a documented objective response (CR or PR, whichever status is recorded first) until the first date that disease progression (PD) or death was documented, whichever occurs first as determined by the IRF according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 mm. Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Duration of Response by IRF Assessment (DOR-IRF) Per HCC mRECIST in the China Population DOR was defined as the time interval from the date of first occurrence of a documented objective response (CR or PR, whichever status is recorded first) until the first date that disease progression (PD) or death was documented, whichever occurs first as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver, measuring only the residual vital tumor mass in the liver CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 mm. Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Duration of Response by Investigator Assessment (DOR-INV) Per RECIST v1.1 in the China Population DOR was defined as the time interval from the date of first occurrence of a documented objective response (CR or PR, whichever status is recorded first) until the first date that disease progression (PD) or death was documented, whichever occurs first as determined by the investigator according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 mm. Randomization up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary PFS-IRF Per HCC mRECIST in the China Population PFS was defined as the time from randomization to the first occurrence of progressive disease or death from any cause whichever occurs first as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver, measuring only the residual vital tumor mass in the liver. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary PFS by Investigator Assessment (PFS-INV) Per RECIST v1.1 in the China Population PFS was defined as the time from randomization to the first occurrence of progressive disease or death from any cause whichever occurs first as determined by the investigator according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Time to Progression (TTP) by IRF Assessment (TTP-IRF) Per RECIST v1.1 in the China Population Time to progression was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the IRF according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary TTP-IRF Per HCC mRECIST in the China Population Time to progression was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the IRF according to HCC mRECIST. HCC mRECIST differentiates between vital tumor and necrotic areas in the liver, measuring only the residual vital tumor mass in the liver. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary TTP by Investigator Assessment (TTP-INV) Per RECIST v1.1 in the China Population Time to progression was defined as the time from the date of randomization to the date of the first documented tumor progression as determined by the investigator according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of >/= 5 millimeters (mm). Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Time to Deterioration (TTD) in the China Population TTD was defined as the time from randomization to the first deterioration (decrease from baseline of >/= 10 points) in the patient-reported health-related global health status/quality of life (GHS /HRQoL), physical function or role function scales of the European Organization for Research and Treatment of Cancer quality-of-life questionnaire for cancer (EORTC) QLQ-C30, maintained for two consecutive assessments, or one assessment followed by death from any cause within 3 weeks. Randomization to the first occurrence of disease progression or death from any cause up to CCOD of 29Aug2019 (up to approximately 18 months)
Secondary Number of Participants With Adverse Events (AEs) in the China Population An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. Up to end of study (up to approximately 56 months)
Secondary Maximum Serum Concentration (Cmax) of Atezolizumab in the China Population Post-dose on Day 1 of Cycle 1 (cycle length = 21 days)
Secondary Trough Serum Concentration (Cmin) of Atezolizumab in the China Population Pre-dose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 (cycle length = 21 days)
Secondary Percentage of Participants With Anti-Drug Antibodies (ADAs) to Atezolizumab in the China Population Baseline and post-baseline on Day 1 (pre-dose) of Cycles 2, 3, 4, 8, 12, 16 (cycle length = 21 days) and treatment discontinuation visit (up to approximately 18 months)
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