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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02458638
Other study ID # MO29518
Secondary ID 2015-000269-30
Status Completed
Phase Phase 2
First received
Last updated
Start date July 16, 2015
Est. completion date July 28, 2020

Study information

Verified date May 2021
Source Hoffmann-La Roche
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary efficacy objective for this study is to evaluate non-progression rate (NPR) at 18 weeks in participants with advanced solid tumors treated with atezolizumab, defined as the percentage of participants with complete response (CR), partial response (PR), or stable disease (SD) as assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1, or according to disease-specific criteria for prostate cancer and malignant pleural mesothelioma.


Recruitment information / eligibility

Status Completed
Enrollment 474
Est. completion date July 28, 2020
Est. primary completion date April 4, 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Histologically documented advanced solid tumors that meet protocol-defined cohort specifications, have progressive disease at study entry, and have received at least one line of prior systemic therapy or for which no alternative therapy to prolong survival exists - Representative formalin-fixed paraffin-embedded (FFPE) tumor specimens in paraffin blocks (preferred) or in freshly cut and unstained slides (exceptional cases) with an associated pathology report for central testing - Measurable disease as defined by RECIST v1.1 or disease-specific criteria for prostate cancer and malignant pleural mesothelioma - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 - Negative serum pregnancy test result within 14 days prior to study drug among women of childbearing potential - Life expectancy > 3 months Exclusion Criteria: - Malignancies other than disease under study within 5 years prior to Day 1 of Cycle 1 except those with a negligible risk of metastasis or death - Uncontrolled tumor-related pain - Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures >/=1 time per month - History of asymptomatic or symptomatic central nervous system (CNS) metastasis - Leptomeningeal disease - Spinal cord compression not definitively treated with surgery and/or radiation, or previously diagnosed and treated but without evidence that disease has been clinically stable for >/=2 weeks prior to Day 1 of Cycle 1 - Pregnant and lactating women - Significant cardiovascular disease within 3 months prior to Day 1 of Cycle 1 - Severe infection within 4 weeks prior to Day 1 of Cycle 1 - Oral or IV antibiotics within 2 weeks prior to Day 1 of Cycle 1 - History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins - Known hypersensitivity or allergy to biopharmaceuticals produced in Chinese hamster ovary cells or to any component of the atezolizumab formulation - History of autoimmune disease except treated/stable hypothyroidism, Type 1 diabetes mellitus, and protocol-specified dermatologic conditions - Active tuberculosis - Signs or symptoms of infection within 2 weeks prior to Day 1 of Cycle 1 - Prior treatment with cluster of differentiation (CD) 137 agonists or immune checkpoint blockade therapies, or anti-programmed cell death-1 (PD-1) or anti-PD-L1 therapeutic antibodies - Treatment with systemic corticosteroids or other systemic immunosuppressive medications within 2 weeks prior to Day 1 of Cycle 1, or anticipated requirement for systemic immunosuppressive medications during the trial

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Atezolizumab (MPDL3280A), an engineered anti-programmed death-ligand 1 (PD-L1) antibody
Atezolizumab will be given as IV infusion over 60 minutes on Day 1 of Cycle 1, then over 30 minutes (as tolerated) on Day 1 of each subsequent 3-week cycle.

Locations

Country Name City State
Austria LKH-UNIV. KLINIKUM GRAZ; Klinische Abteilung für Onkologie Graz
Austria Medizinische Universität Wien; Univ.Klinik für Innere Medizin I - Chemotherapie & Infektionskrankhei Wien
Brazil Hospital das Clinicas - UFRGS Porto Alegre RS
Brazil INCA 1- Instituto Nacional de Câncer X Rio de Janeiro RJ
Brazil Instituto do Cancer do Estado de Sao Paulo - ICESP Sao Paulo SP
Canada University Health Network; Princess Margaret Hospital; Medical Oncology Dept Toronto Ontario
Canada BCCA-Vancouver Cancer Centre Vancouver British Columbia
Denmark Aarhus Universitetshospital; Kræftafdelingen Aarhus N
Denmark Herlev Hospital; Afdeling for Kræftbehandling Herlev
Denmark Odense Universitetshospital, Onkologisk Afdeling, Klinisk Forsknings Enhed Odense C
Finland Helsinki University Central Hospital; Dept of Oncology Helsinki
France Institut Bergonie Bordeaux
France Centre Leon Berard; Departement Oncologie Medicale Lyon
France Hopital Saint Louis, Service D Oncologie Medicale Paris
France Institut Gustave Roussy Villejuif
Germany Uniklinik-Eppendorf; Zentren F. Innere Medizin-Klinik U. Poliklinik Hamburg
Germany Universitatsklinik Heidelberg; Universitätshautklinik und Nationales Centrum für Tumorerkrankungen Heidelberg
Germany Klinikum Mutterhaus der Borromaeerinnen gGmbH; Haematologie/Onkologie Trier
Ireland St James' Hospital; Cancer Clinical Trials Office Dublin
Ireland St Vincent'S Uni Hospital; Medical Oncology Dublin
Italy Fondazione IRCCS Istituto Nazionale dei Tumori Milano Lombardia
Italy Istituto Nazionale Tumori Fondazione G. Pascale Napoli Campania
Italy Azienda Ospedaliera Universitaria Senese, U.O.C. Immunoterapia Oncologica Siena Toscana
Netherlands Antoni van Leeuwenhoek Ziekenhuis Amsterdam
Netherlands Erasmus MC Rotterdam
Netherlands Universitair Medisch Centrum Utrecht Utrecht
Norway Haukeland Universitetssjukehus; Klinisk forskningspost Bergen
Norway Oslo Universitetssykehus HF; Radiumhospitalet Oslo
Poland Centrum Onkologii w Bydgoszczy Bydgoszcz
Poland Uniwersyteckie Centrum Kliniczne; Klinika Onkologii i Radioterapii Gdansk
Poland Narodowy Instytut Onkologii im. M.Sklodowskiej-Curie; Klinika Now. Tkanek Miekkich,Kosci i Czer. Warszawa
Russian Federation Russian Oncology Research Center n.a. N.N. Blokhin Dpt of Clinical Pharmacology and Chemotherapy Moscow
Russian Federation S-Pb clinical scientific practical center of specialized kinds of medical care (oncological) Saint-Petersburg
Spain Hospital Univ Vall d'Hebron; Servicio de Oncologia Barcelona
Spain Clinica Universitaria de Navarra; Servicio de Oncologia Pamplona Navarra
Switzerland Freiburger Spital; Onkologie Fribourg
Switzerland Kantonsspital St. Gallen; Onkologie/Hämatologie St. Gallen
Turkey Trakya University Medical Faculty Edirne
Turkey Istanbul Uni Cerrahpasa Medical Faculty Hospital; Medical Oncology Istanbul
Turkey Prof. Dr. Cemil Tascioglu City Hospital; Med Onc Istanbul
Turkey Hacettepe Uni Medical Faculty Hospital; Oncology Dept Sihhiye/Ankara
United Kingdom Clatterbridge Cancer Centre Bebington
United Kingdom Southampton General Hospital; Medical Oncology Southampton
United States The Cleveland Clinic Foundation Cleveland Ohio
United States MD Anderson Cancer Center Houston Texas
United States Sarah Cannon Cancer Center and Research Institute Nashville Tennessee
United States Columbia University Medical Center New York New York
United States Memorial Sloan Kettering New York New York

Sponsors (1)

Lead Sponsor Collaborator
Hoffmann-La Roche

Countries where clinical trial is conducted

United States,  Austria,  Brazil,  Canada,  Denmark,  Finland,  France,  Germany,  Ireland,  Italy,  Netherlands,  Norway,  Poland,  Russian Federation,  Spain,  Switzerland,  Turkey,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Non-progression Rate (NPR) at 18 Weeks NPR was defined as the percentage of participants with complete response (CR), partial response (PR) or stable disease (SD) as assessed by the Investigator according to Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 or for malignant pleural mesothelioma according to Malignant Pleural Mesothelioma Response Evaluation Criteria. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions. For prostate cancer according to Prostate Response Evaluation Criteria. CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated. At Week 18
Secondary NPR at 24 Weeks NPR was defined as the percentage of participants with complete response (CR), partial response (PR) or stable disease (SD) as assessed by the Investigator according to Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 or for malignant pleural mesothelioma according to Malignant Pleural Mesothelioma Response Evaluation Criteria. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions. For prostate cancer according to Prostate Response Evaluation Criteria. CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated. At Week 24
Secondary Overall Response Rate (ORR) ORR was defined as the percentage of participants with CR or PR as assessed by the investigator using RECIST v1.1 or Malignant Pleural Mesothelioma Response Evaluation Criteria. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions, taking as reference the baseline sum of diameters, in the absence of CR. For prostate cancer according to Prostate Response Evaluation Criteria. CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary Percentage of Participants by Best Overall Response (BOR) BOR was based on RECIST v1.1, Malignant Pleural Mesothelioma Response Evaluation Criteria or Prostate Response Evaluation Criteria. For an individual participant BOR was obtained as follows: 1) CR: overall tumor response assessment of CR at 2 consecutive visits at least 28 days apart. 2) PR: overall tumor response assessment of PR or CR at 2 consecutive visits at least 28 days apart without being a CR. 3) SD: overall tumor response assessment of SD, PR, or CR at one or more visits at least 42 days after start of study treatment, but was not a confirmed CR or PR. 4) PD: an overall tumor response assessment of PD at any visit, and did not meet the criteria for a BOR of CR, PR or SD. 5) Missing: an assessment of SD, PR or CR in the first 42 days after start of study treatment and no further tumor assessments thereafter. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary Clinical Benefit Rate (CBR) CBR was defined as the percentage of participants with CR, PR, or SD according to RECIST v1.1, Malignant Pleural Mesothelioma Response Evaluation Criteria or Prostate Response Evaluation Criteria lasting for >/=6 weeks. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions. For prostate cancer: CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary Duration of Objective Response (DOR) DOR, based on RECIST v1.1, was defined as the time from the first occurrence of a documented objective response (CR or PR) to the time of progression or death from any cause, whichever occurred first. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR. PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions. As pre-specified in the Statistical Analysis Plan (SAP) DOR was not analyzed if there were less than 4 participants available for the analysis. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary Progression-Free Survival (PFS) PFS, based on RECIST v1.1, was defined as the time from the first day of study treatment to the first occurrence of disease progression or death from any cause, whichever occurred first. PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary Time to Progression (TTP) Time to progression (TTP), based on RECIST v1.1, was defined as time from the first day of study treatment to the first occurrence of progressive disease or death due to disease progression, whichever occurred first. PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary Overall Survival (OS) OS was defined as the time from the first day of study treatment to death from any cause. Baseline until death due to any cause (up to 4.5 years)
Secondary Number of Participants With Adverse Events 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. Baseline up to 4.5 years
Secondary Treatment Duration of Atezolizumab Baseline up to approximately 4.5 years
Secondary Mean Number of Doses of Atezolizumab Baseline up to approximately 4.5 years
Secondary Percentage of Participants With Anti-drug Antibodies (ADAs) to Atezolizumab Baseline up to 4.5 years
Secondary Serum Concentration of Atezolizumab Predose and postdose on Day 1 of Cycle 1, predose on Day 1 of Cycles 2, 3, 4, 8 (cycle length = 21 days), and every 8 cycles until treatment discontinuation; at follow up (approximately 120 days after last dose) up to approximately 4.5 years
Secondary Percentage of Participants by Best Overall Response Based on Modified RECIST v1.1 (mBOR) Modified RECIST was based on the following: 1) New measurable lesions were added into the total tumor burden and followed; 2) Non-target lesions contributed only in the assessment of a CR; 3) Radiographic progression was determined only on the basis of measurable disease; had to be confirmed by a consecutive assessment =/>4 weeks from the date first documented. mBOR: 1) CR: overall tumor response assessment of CR at 2 consecutive visits at least 28 days apart. 2) PR: overall tumor response assessment of PR/CR at 2 consecutive visits at least 28 days apart without being a CR. 3) SD: overall tumor response assessment of SD/PR/CR at one or more visits at least 42 days after start of study treatment, but was not a confirmed CR or PR. 4) PD: an overall tumor response assessment of PD at any visit, and did not meet the criteria for a BOR of CR, PR or SD. 5) Missing: an assessment of SD, PR or CR in the first 42 days after start of study treatment and no further tumor assessments thereafter. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary ORR Based on Modified RECIST v1.1 Modified RECIST was based on the following: 1) New measurable lesions were added into the total tumor burden and followed; 2) Non-target lesions contributed only in the assessment of a CR; 3) Radiographic progression was determined only on the basis of measurable disease; had to be confirmed by a consecutive assessment =/>4 weeks from the date first documented. ORR was defined as the percentage of participants with CR or PR. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions, taking as reference the baseline sum of diameters, in the absence of CR. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
Secondary CBR Based on Modified RECIST v1.1 Modified RECIST was based on the following: 1) New measurable lesions were added into the total tumor burden and followed; 2) Non-target lesions contributed only in the assessment of a CR; 3) Radiographic progression was determined only on the basis of measurable disease; had to be confirmed by a consecutive assessment =/>4 weeks from the date first documented. CBR was defined as the percentage of participants with CR, PR, or SD lasting for >/=6 weeks. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions. Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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