CancerPhase 1NCT01633970
A Study of Atezolizumab Administered in Combination With Bevacizumab and/or With Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumors
A Phase 1 study testing 5-FU, Atezolizumab and Bevacizumab in people with Cancer, run by Genentech, Inc. at 11 sites in United States.
Trial summary
This open-label, Phase Ib study that has six treatment arms is designed to assess the safety, pharmacology and preliminary efficacy of atezolizumab (MPDL3280A; an engineered anti-programmed death-ligand 1 [PDL1] antibody) administered with bevacizumab (Arm A) and with bevacizumab plus oxaliplatin, leucovorin, and… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Cancer
- What is being tested?
- 5-FU, Atezolizumab and Bevacizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 240 participants
- Where
- 11 sitesUnited States
- Study dates
- 11 Jul 2012to 26 Feb 2020
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- General Inclusion Criteria:
- Histologically or cytologically documented advanced solid tumors
- Adequate hematologic and end organ function
- Measurable disease by RECIST v1.1
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Resolution of any acute, clinically significant treatment-related toxicity from prior therapy to Grade less than or equal to (</=) 1 prior to study entry, with the exception of alopecia
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- Eligible Tumor Types:
- Arm A Escalation Cohorts and Arms A and B Biopsy Cohort (Cutaneous/Subcutaneous Lesions)
- Histologically or cytologically documented, incurable or metastatic solid malignancy that has failed all available or acceptable standard therapy for which the participant is eligible Arm A and B Safety Expansion Cohorts, Arm B Escalation Cohorts, and Arm B Biopsy Cohort (Liver Lesions)
- Histologically or cytologically confirmed metastatic colorectal cancer (mCRC). Participants in the Arm A Safety Expansion Cohort must have mCRC for which established therapies have proved ineffective or intolerable. Participants with malignancies other than mCRC within 5 years prior to Day 1 (except for those with a negligible risk of metastasis or death, such as adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, localized prostate cancer treated surgically with curative intent, or ductal carcinoma in situ treated surgically with curative intent) are not eligible.
- Arm A renal cell carcinoma (RCC) Cohort:
- Histologically or cytologically confirmed advanced or metastatic RCC with a clear cell component.
- Arm A Tumor Type-Specific Cohort:
- Gastric Cancer:
- Histologically or cytologically confirmed locally advanced or metastatic adenocarcinoma of the stomach or gastroesophageal junction for which established therapies have proved ineffective or intolerable. The decision may be made to restrict enrollment to participants with a specified tumor PD-L1 status (e.g., immunohistochemistry [IHC] status 0/1 or 2/3)
- Ovarian Cancer:
- Measurable/assessable ovarian cancer (defined as epithelial ovarian, fallopian tube, or primary peritoneal cancer) that has progressed less than (<) 6 months after completing platinum-based therapy. The following histological types are eligible: Adenocarcinoma NOS, clear cell adenocarcinoma, endometriod adenocarcinoma, malignant Brenner's tumour, mixed epithelial carcinoma, mucinous adenocarcinoma, serous adenocarcinoma, transitional cell carcinoma, undifferentiated carcinoma
- Bladder Cancer:
- Histologically or cytologically documented locally advanced (T4b, any N; or any T, N 2-3) or metastatic (M1, Stage IV) transitional cell carcinoma of the urothelium (including renal pelvis, ureters, urinary bladder, urethra)
- Participants with mixed histologies are required to have a dominant transitional cell pattern
- Locally advanced bladder cancer must be inoperable based on involvement of pelvic sidewall or adjacent viscera (clinical stage T4b) or bulky nodal metastasis (N2-N3)
- Disease progression during or following treatment with at least one platinum-containing regimen (e.g., GC, MVAC, CarboGem, etc.) for inoperable locally advanced or metastatic urothelial carcinoma or disease recurrence
- Cervical Cancer:
- Persistent or recurrent squamous cell carcinoma of the cervix (including adenosquamous tumors)
- Arms C, D, and E Cohorts:
- Histologically or cytologically documented Stage IIIB (not eligible for definitive chemoradiotherapy), Stage IV, or recurrent non-small cell lung cancer (NSCLC)
- Arm F Cohort:
- Histologically confirmed estrogen receptor (ER)-, progesterone receptor (PR)-, and human epidermal growth factor receptor (HER)-negative (triple-negative) adenocarcinoma of the breast that has been treated with systemic cytotoxic therapy. Locally recurrent disease must not be amenable to resection with curative intent
- Participants with tumors amenable to excisional, punch, or core needle biopsy are eligible for a separate biopsy expansion cohort
- Tumor molecular status:
- Arm A safety expansion cohort
- Up to 10 participants with CRC and high microsatellite instability (MSI-H) may be enrolled
Who cannot join
- General Exclusions
- Any approved anti-cancer therapy, including chemotherapy, hormonal therapy, radiotherapy, or herbal therapy intended as anti-cancer therapy, within 3 weeks prior to initiation of study treatment; the following are allowed: hormonal therapy with gonadotropin-releasing hormone agonists or antagonists for prostate cancer, hormone-replacement therapy, and palliative radiotherapy for bone metastases greater than (>) 2 weeks prior to Day 1
- Bisphosphonate therapy for symptomatic hypercalcemia
- Known clinically significant liver disease
- Known primary central nervous (CNS) malignancy or active CNS metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control)
- Pregnant or lactating women
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- Known hypersensitivity to Chinese hamster ovary cell products or any component of the atezolizumab formulation
- History of autoimmune disease, idiopathic pulmonary fibrosis, human immunodeficiency virus (HIV), hepatitis B or C infection; history of hepatitis B is allowed if infection has resolved (absence of hepatitis B surface antigen [HBsAg])
- Severe infections within 4 weeks prior to Day 1, or signs or symptoms of significant infection within 2 weeks prior to Day 1
- Received oral or IV antibiotics within 2 weeks prior to Cycle 1 Day 1
- History of myocardial infarction, unstable angina stroke or transient ischemic attack within 6 months prior to Day 1
- Administration of a live, attenuated vaccine within 4 weeks before Day 1 or anticipation that such a live attenuated vaccine will be required during the study Bevacizumab-Specific Exclusions (Arms A and B) Exclusion Criteria Unique to Arm A RCC Cohort
- Any prior systemic treatment (including tyrosine kinase inhibitors, antibody therapy, immunotherapy, chemotherapy, hormonal therapy, or investigational therapy) for RCC. All treatments, neo-adjuvant, adjuvant, or for locally advanced or metastatic RCC are not permitted
- Arm A Tumor Type-Specific Cohort:
- Gastric Cancer:
- Prior approved or experimental anti-vascular endothelial growth factor or its receptor (VEGF/VEGFR) therapy (including, for example, bevacizumab or nintedanib). The decision may be made to allocate a specified number of slots to participants who have received prior anti-VEGF/VEGFR therapy
- Ovarian Cancer:
- Refractory disease
- History of bowel obstruction
- >2 prior anticancer regimens
- Prior approved or experimental anti-VEGF/VEGFR therapy (including, for example, bevacizumab or nintedanib)
- Cervical Cancer:
- > 2 prior cytotoxic regimens, not including prior cisplatin-based chemotherapy concomitantly administered with primary pelvic radiation
- Prior treatment with an oxaliplatin-containing regimen. Oxaliplatin >12 months prior to the diagnosis of metastatic disease is permitted.
- Known dihydropyrimidine dehydrogenase deficiency or thymidylate synthase gene polymorphism predisposing the participant for 5-FU toxicity
- Prior chemotherapy for locally advanced or metastatic NSCLC
- For participants who received prior adjuvant/neo-adjuvant chemotherapy or chemoradiation for NSCLC, a treatment-free interval >6 months between the last treatment administration and the date of recurrence in required
- Participants with a known epidermal growth factor receptor (EGFR) sensitizing mutation must have experienced disease progression during or after treatment with an approved EGFR tyrosine kinase inhibitor
- Participants with a known anaplastic lymphoma kinase (ALK) fusion oncogene must have experienced disease progression during or after treatment with crizotinib
- For Arm D (carboplatin + pemetrexed), squamous cell histology or evidence of mixed NSCLC histology with a predominance of the squamous cell type
- For Arm D (carboplatin + pemetrexed), inability to discontinue treatment with non-steroidal anti-inflammatory drugs (NSAIDs) for 5 days
- Prior therapy with more than two cytotoxic regimens for metastatic or locally advanced triple-negative breast cancer (TNBC)
- Treatment with a taxane-containing regimen within 6 months before enrollment
Trial locations and contacts
11 sites in 1 country.
11 sites in 1 country
United States11 sites
University of Colorado Cancer Center
Aurora, Colorado, 80045
Massachusetts General Hospital.
Boston, Massachusetts, 02114
Beth Israel Deaconess Med Ctr
Boston, Massachusetts, 02215
Dana Farber Can Ins
Boston, Massachusetts, 02215
Uni of Chicago
Chicago, Illinois, 60637
Duke University Medical Center
Durham, North Carolina, 27705
Carolina BioOncology Institute; Can Therapy & Res Ctr
Huntersville, North Carolina, 28078
Sarah Cannon Research Inst.
Nashville, Tennessee, 37203
Yale University
New Haven, Connecticut, 06511
Laura and ISAAC Perlmutter Cancer Center at NYU Langone.
New York, New York, 10016
Georgetown University Medical Center Lombardi Cancer Center
Washington D.C., District of Columbia, 20007
About this study
Official title: A Phase Ib Study of the Safety and Pharmacology of Atezolizumab (Anti-PD-L1 Antibody) Administered With Bevacizumab and/or Chemotherapy in Patients With Advanced Solid Tumors
This open-label, Phase Ib study that has six treatment arms is designed to assess the safety, pharmacology and preliminary efficacy of atezolizumab (MPDL3280A; an engineered anti-programmed death-ligand 1 [PDL1] antibody) administered with bevacizumab (Arm A) and with bevacizumab plus oxaliplatin, leucovorin, and 5-fluorouracil (5-FU) (FOLFOX) (Arm B), with carboplatin and paclitaxel (Arm C), with carboplatin and pemetrexed (Arm D), with carboplatin and nab-paclitaxel (Arm E), and with nab-paclitaxel (Arm F) in participants with locally advanced or metastatic solid tumors. The study includes dose escalation cohort for establishing the maximum tolerated dose (MTD) or maximum administered dose (MAD) and then expansion cohort will be initiated based on a selected dose level at or below the MTD or MAD.
- Conditions
- Cancer
- Being tested
- 5-FU, Atezolizumab, Bevacizumab, Carboplatin, Leucovorin
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
5-FUDrug
Participants will receive 5-FU 400 mg/m^2 IV q2w.
AtezolizumabDrug
Also called MPDL3280A
Participants will receive IV atezolizumab (800 mg q2w or 1200 mg q3w) q3w.
BevacizumabDrug
Also called Avastin
Participants will receive bevacizumab 10 mg/kg or 15 mg/kg IV q3w.
CarboplatinDrug
Participants will receive carboplatin IV q3w with target AUC of 6 mg/mL.
LeucovorinDrug
Participants will receive leucovorin 400 mg/m^2 IV q2w.
Nab-paclitaxelDrug
Participants will receive nab-paclitaxel 100 mg/m^2 IV qw.
OxaliplatinDrug
Participants will receive oxaliplatin 85 mg/m^2 IV q2w.
PaclitaxelDrug
Participants will receive paclitaxel 200 mg/m^2 IV q3w.
PemetrexedDrug
Participants will receive pemetrexed 500 mg/m^2 IV q3w.
| Study group | Role | What they receive |
|---|---|---|
| A: Atezolizumab + Bevacizumab | Experimental | Participants will receive atezolizumab 10 milligrams per kilogram (mg/kg) intravenous (IV) infusion (or a selected dose level not to exceed the single agent MTD or MAD determined in Study PCD4989g) with bevacizumab 15 mg/kg every 3 weeks (q3w). After establishment of MTD or MAD, participants will receive bevacizumab 15 mg/kg IV infusion on Day 1 of Cycle 1 followed by atezolizumab 1200 mg IV infusion q3w after Days 5-7 and then atezolizumab 1200 mg q3w and bevacizumab 15 mg/kg q3w on Day 1 of all subsequent cycles until disease progression or unacceptable toxicity. Receives: Drug: Atezolizumab; Drug: Bevacizumab |
| B: Atezolizumab + Bevacizumab + FOLFOX | Experimental | Participants will receive FOLFOX IV infusion (oxaliplatin [85 milligrams per square meter {mg/m^2}], leucovorin [400 mg/m^2], 5-FU [400 mg/m^2]) on Day 1 of Cycle 1 and then atezolizumab 800 mg IV infusion every 2 weeks (q2w), bevacizumab 10 mg/kg IV infusion q3w and FOLFOX q2w on Day 1 of all subsequent cycles as per institutional guidelines until disease progression or unacceptable toxicity. Receives: Drug: 5-FU; Drug: Atezolizumab; Drug: Bevacizumab; Drug: Leucovorin; Drug: Oxaliplatin |
| C: Atezolizumab + Carboplatin + Paclitaxel | Experimental | Participants will receive atezolizumab 1200 mg IV infusion q3w in combination with paclitaxel 200 mg/m^2 IV infusion q3w and then carboplatin IV q3w (on Day 1 of every 3-week cycle) to achieve an initial target area under the curve (AUC) of 6 milligrams per milliliter*minute (mg/mL*min) until disease progression or unacceptable toxicity. Receives: Drug: Atezolizumab; Drug: Carboplatin; Drug: Paclitaxel |
| D: Atezolizumab + Carboplatin + Pemetrexed | Experimental | Participants will receive atezolizumab 1200 mg IV infusion q3w in combination with premetrexed 500 mg/m^2 IV infusion q3w and then carboplatin IV q3w (on Day 1 of every 3-week cycle) to achieve an initial target AUC of 6 mg/mL*min until disease progression or unacceptable toxicity. Receives: Drug: Atezolizumab; Drug: Carboplatin; Drug: Pemetrexed |
| E: Atezolizumab + Carboplatin + Nab-paclitaxel | Experimental | Participants will receive atezolizumab 1200 mg IV infusion q3w (on Day 1 of every 3-week cycle) in combination with nab-paclitaxel 100 mg/m^2 IV infusion once weekly (qw) (on Days 1, 8 and 15 of every 3-week cycle) and then carboplatin IV infusion q3w (on Day 1 of every 3-week cycle) to achieve an initial target AUC of 6 mg/mL*min until disease progression or unacceptable toxicity. Receives: Drug: Atezolizumab; Drug: Carboplatin; Drug: Nab-paclitaxel |
| F: Atezolizumab + Nab-paclitaxel | Experimental | Participants will receive atezolizumab 800 mg IV infusion q2w (Days 1 and 15) in combination with nab-paclitaxel 125 mg/m^2 IV infusion qw (on Days 1, 8 and 15 of every 3-week cycle) until disease progression or unacceptable toxicity. Receives: Drug: Atezolizumab; Drug: Nab-paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Tolerated Atezolizumab Dose
Measured: Days 1-21 of Cycle 1 (Cycle length = 21 days) for Arms A, C, D and E and the 28 days following the first administration of atezolizumab in Arm B
Percentage of Participants With Adverse Events
Measured: From Baseline up to 90 days after last dose of study drug or until initiation of another anti-cancer therapy (up to approximately 5 years)
Percentage of Participants With Dose-Limiting Toxicities (DLTs)
Measured: Days 1-21 of Cycle 1 (Cycle length = 21 days) for Arms A, C, D and E and the 28 days following the first administration of atezolizumab in Arm B
Secondary outcomes (26)
Duration of Objective Response According to RECIST v1.1
Measured: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Duration of Objective Response According to irRC
Measured: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Progression-Free Survival According to RECIST v1.1
Measured: From treatment initiation until documented disease progression or death from any cause, whichever occurs first (up to approximately 5 years)
Progression-Free Survival According to irRC
Measured: From treatment initiation until documented disease progression or death from any cause, whichever occurs first (up to approximately 5 years)
Pharmacokinetics: Area Under the Serum Concentration-Time Curve (AUC) of Atezolizumab
Measured: Pre-infusion (0 hour [hr]) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Maximum Serum Concentration (Cmax) of Atezolizumab
Measured: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Minimum Serum Concentration (Cmin) of Atezolizumab
Measured: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Percentage of Participants With Best Overall Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Measured: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Percentage of Participants With Best Overall Response According to Immune-Related Response Criteria (irRC)
Measured: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Percentage of Participants With Objective Response (Complete Response + Partial Response) According to RECIST v1.1
Measured: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Percentage of Participants With Objective Response (Complete Response + Partial Response) According to irRC
Measured: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Pharmacokinetics: Clearance of Atezolizumab
Measured: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Volume of Distribution of Atezolizumab
Measured: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Accumulation Ratio of Atezolizumab
Measured: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Half-Life of Atezolizumab
Measured: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Cmax of Bevacizumab
Measured: Pre-infusion (0 hr), 0.5 hrs after EOI (infusion duration=90 min) on Day 1 Cycles 1 & 3 (each cycle = 21 days); EOT; every 30 days (for up to 120 days) after EOT until death or withdrawal or study closure (up to approximately 5 years)
Pharmacokinetics: Cmin of Bevacizumab
Measured: Pre-infusion (0 hr), 0.5 hrs after EOI (infusion duration=90 min) on Day 1 Cycles 1 & 3 (each cycle = 21 days); EOT; every 30 days (for up to 120 days) after EOT until death or withdrawal or study closure (up to approximately 5 years)
Maximum Plasma Concentration of 5-FU
Measured: Pre- infusion (0 hr) on Day 1 Cycle 1; end of 5-FU bolus and 2 and 12-24 hrs after end of 5-FU bolus (infusion duration = 46 hrs) on Day 1 of Cycles 1 and 3 (each cycle=14 days)
Pharmacokinetics: Maximum Plasma Concentration of Oxaliplatin
Measured: Pre-infusion (0 hr) on Day 1 Cycle 1; 5-10 min before end of oxaliplatin infusion (infusion duration = 120 min) and 2 and 12-24 hrs after end of 5-FU bolus (infusion duration = 46 hrs) on Day 1 of Cycles 1 and 3 (each cycle=14 days)
Pharmacokinetics: Maximum Plasma Concentration of Carboplatin
Measured: Pre-infusion (0 hr), 5-10 min before and 1 hr after carboplatin EOI (infusion duration=15-30 min),24 hr after atezolizumab EOI (infusion duration=90 min)on Day 1 Cycle 1; 5-10 min before and 1 hr after carboplatin EOI Day 1 Cycle 3 (each cycle=21 days)
Maximum Plasma Concentration of Paclitaxel
Measured: Pre-infusion (0 hr), 5-10 min before and 1 hr after paclitaxel EOI (infusion duration=180 min), 24 hr after atezolizumab EOI (infusion duration=90 min) on Day 1 Cycle 1; 5-10 min before and 1 hr after paclitaxel EOI on Day 1 Cycle 3 (each cycle=21 days)
Pharmacokinetics: Maximum Plasma Concentration of Pemetrexed
Measured: Pre-infusion (0 hr), 5-10 min before and 1 hr after pemetrexed EOI (infusion duration=10 min), 24 hr after atezolizumab EOI (infusion duration=90 min) on Day 1 Cycle 1; 5-10 min before and 1 hr after pemetrexed EOI on Day 1 Cycle 3 (each cycle = 21 days)
Maximum Plasma Concentration of Nab-Paclitaxel (Total Paclitaxel)
Measured: Pre-infusion (0 hr), 5-10 min before and 1 hr after nab-paclitaxel EOI (infusion duration=30 min) on Day 1 of Cycles 1 and 3; 24 hr after atezolizumab EOI (infusion duration=90 min) on Day 1 Cycle 1 (each cycle=7 days)
Number of Cycles of Each Component of Treatment Administer
Measured: From Baseline up to approximately 5 years
Dose Intensity of Each Component of Treatment Administer
Measured: From Baseline up to approximately 5 years
Overall Survival (OS)
Measured: From first dose of study treatment until death from any cause (up to approximately 5 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jul 2012 (estimated)
- Study start11 Jul 2012
- Primary completion26 Feb 2020
- Study completion26 Feb 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for CancerStudies of the same condition, open and under way.
- More trials run by Genentech, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 240 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Genentech, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01633970
- Sponsor's protocol ID
- GP28328
- Other IDs
- 2012-001422-10
- Status last verified
- Oct 2020
- First submitted
- 22 Jun 2012
- Last updated
- 8 Oct 2020
- Results posted
- No
Publications
Adams S, Diamond JR, Hamilton E, Pohlmann PR, Tolaney SM, Chang CW, Zhang W, Iizuka K, Foster PG, Molinero L, Funke R, Powderly J. Atezolizumab Plus nab-Paclitaxel in the Treatment of Metastatic Triple-Negative Breast Cancer With 2-Year Survival Follow-up: A Phase 1b Clinical Trial. JAMA Oncol. 2019 Mar 1;5(3):334-342. doi: 10.1001/jamaoncol.2018.5152.
PubMed 30347025Liu SV, Camidge DR, Gettinger SN, Giaccone G, Heist RS, Hodi FS, Ready NE, Zhang W, Wallin J, Funke R, Waterkamp D, Foster P, Iizuka K, Powderly J. Long-term survival follow-up of atezolizumab in combination with platinum-based doublet chemotherapy in patients with advanced non-small-cell lung cancer. Eur J Cancer. 2018 Sep;101:114-122. doi: 10.1016/j.ejca.2018.06.033. Epub 2018 Jul 24.
PubMed 30053670
Study at a glance
From the registry record, last updated by the sponsor on 8 Oct 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase Ib Study of the Safety and Pharmacology of Atezolizumab (Anti-PD-L1 Antibody) Administered With Bevacizumab and/or Chemotherapy in Patients With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT01633970
- Acronym / sponsor ID
- GP28328
- Conditions
- Cancer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 240 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Study start
- 11 Jul 2012 (actual)
- Primary completion
- 26 Feb 2020 (actual)
- Study completion
- 26 Feb 2020 (actual)
- First posted
- 6 Jul 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This open-label, Phase Ib study that has six treatment arms is designed to assess the safety, pharmacology and preliminary efficacy of atezolizumab (MPDL3280A; an engineered anti-programmed death-ligand 1 [PDL1] antibody) administered with bevacizumab (Arm A) and with bevacizumab plus oxaliplatin, leucovorin, and 5-fluorouracil (5-FU) (FOLFOX) (Arm B), with carboplatin and paclitaxel (Arm C), with carboplatin and pemetrexed (Arm D), with carboplatin and nab-paclitaxel (Arm E), and with nab-paclitaxel (Arm F) in participants with locally advanced or metastatic solid tumors. The study includes dose escalation cohort for establishing the maximum tolerated dose (MTD) or maximum administered dose (MAD) and then expansion cohort will be initiated based on a selected dose level at or below the MTD or MAD.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| A: Atezolizumab + Bevacizumab | Experimental | Drug: Atezolizumab, Drug: BevacizumabParticipants will receive atezolizumab 10 milligrams per kilogram (mg/kg) intravenous (IV) infusion (or a selected dose level not to exceed the single agent MTD or MAD determined in Study PCD4989g) with bevacizumab 15 mg/kg every 3 weeks (q3w). After establishment of MTD or MAD, participants will receive bevacizumab 15 mg/kg IV infusion on Day 1 of Cycle 1 followed by atezolizumab 1200 mg IV infusion q3w after Days 5-7 and then atezolizumab 1200 mg q3w and bevacizumab 15 mg/kg q3w on Day 1 of all subsequent cycles until disease progression or unacceptable toxicity. |
| B: Atezolizumab + Bevacizumab + FOLFOX | Experimental | Drug: 5-FU, Drug: Atezolizumab, Drug: Bevacizumab, Drug: Leucovorin, Drug: OxaliplatinParticipants will receive FOLFOX IV infusion (oxaliplatin [85 milligrams per square meter {mg/m^2}], leucovorin [400 mg/m^2], 5-FU [400 mg/m^2]) on Day 1 of Cycle 1 and then atezolizumab 800 mg IV infusion every 2 weeks (q2w), bevacizumab 10 mg/kg IV infusion q3w and FOLFOX q2w on Day 1 of all subsequent cycles as per institutional guidelines until disease progression or unacceptable toxicity. |
| C: Atezolizumab + Carboplatin + Paclitaxel | Experimental | Drug: Atezolizumab, Drug: Carboplatin, Drug: PaclitaxelParticipants will receive atezolizumab 1200 mg IV infusion q3w in combination with paclitaxel 200 mg/m^2 IV infusion q3w and then carboplatin IV q3w (on Day 1 of every 3-week cycle) to achieve an initial target area under the curve (AUC) of 6 milligrams per milliliter*minute (mg/mL*min) until disease progression or unacceptable toxicity. |
| D: Atezolizumab + Carboplatin + Pemetrexed | Experimental | Drug: Atezolizumab, Drug: Carboplatin, Drug: PemetrexedParticipants will receive atezolizumab 1200 mg IV infusion q3w in combination with premetrexed 500 mg/m^2 IV infusion q3w and then carboplatin IV q3w (on Day 1 of every 3-week cycle) to achieve an initial target AUC of 6 mg/mL*min until disease progression or unacceptable toxicity. |
| E: Atezolizumab + Carboplatin + Nab-paclitaxel | Experimental | Drug: Atezolizumab, Drug: Carboplatin, Drug: Nab-paclitaxelParticipants will receive atezolizumab 1200 mg IV infusion q3w (on Day 1 of every 3-week cycle) in combination with nab-paclitaxel 100 mg/m^2 IV infusion once weekly (qw) (on Days 1, 8 and 15 of every 3-week cycle) and then carboplatin IV infusion q3w (on Day 1 of every 3-week cycle) to achieve an initial target AUC of 6 mg/mL*min until disease progression or unacceptable toxicity. |
| F: Atezolizumab + Nab-paclitaxel | Experimental | Drug: Atezolizumab, Drug: Nab-paclitaxelParticipants will receive atezolizumab 800 mg IV infusion q2w (Days 1 and 15) in combination with nab-paclitaxel 125 mg/m^2 IV infusion qw (on Days 1, 8 and 15 of every 3-week cycle) until disease progression or unacceptable toxicity. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (32 listed)
- Histologically or cytologically documented advanced solid tumors
- Adequate hematologic and end organ function
- Measurable disease by RECIST v1.1
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Resolution of any acute, clinically significant treatment-related toxicity from prior therapy to Grade less than or equal to (</=) 1 prior to study entry, with the exception of alopecia
Key exclusion criteria (33 listed)
- General Exclusions
- Any approved anti-cancer therapy, including chemotherapy, hormonal therapy, radiotherapy, or herbal therapy intended as anti-cancer therapy, within 3 weeks prior to initiation of study treatment; the following are allowed: hormonal therapy with gonadotropin-releasing hormone agonists or antagonists for prostate cancer, hormone-replacement therapy, and palliative radiotherapy for bone metastases greater than (>) 2 weeks prior to Day 1
- Bisphosphonate therapy for symptomatic hypercalcemia
- Known clinically significant liver disease
- Known primary central nervous (CNS) malignancy or active CNS metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 5-FUParticipants will receive 5-FU 400 mg/m^2 IV q2w. | Drug | B: Atezolizumab + Bevacizumab + FOLFOX |
| AtezolizumabAlso: MPDL3280AParticipants will receive IV atezolizumab (800 mg q2w or 1200 mg q3w) q3w. | Drug | A: Atezolizumab + Bevacizumab, B: Atezolizumab + Bevacizumab + FOLFOX, C: Atezolizumab + Carboplatin + Paclitaxel, D: Atezolizumab + Carboplatin + Pemetrexed, E: Atezolizumab + Carboplatin + Nab-paclitaxel, F: Atezolizumab + Nab-paclitaxel |
| BevacizumabAlso: AvastinParticipants will receive bevacizumab 10 mg/kg or 15 mg/kg IV q3w. | Drug | A: Atezolizumab + Bevacizumab, B: Atezolizumab + Bevacizumab + FOLFOX |
| CarboplatinParticipants will receive carboplatin IV q3w with target AUC of 6 mg/mL. | Drug | C: Atezolizumab + Carboplatin + Paclitaxel, D: Atezolizumab + Carboplatin + Pemetrexed, E: Atezolizumab + Carboplatin + Nab-paclitaxel |
| LeucovorinParticipants will receive leucovorin 400 mg/m^2 IV q2w. | Drug | B: Atezolizumab + Bevacizumab + FOLFOX |
| Nab-paclitaxelParticipants will receive nab-paclitaxel 100 mg/m^2 IV qw. | Drug | E: Atezolizumab + Carboplatin + Nab-paclitaxel, F: Atezolizumab + Nab-paclitaxel |
| OxaliplatinParticipants will receive oxaliplatin 85 mg/m^2 IV q2w. | Drug | B: Atezolizumab + Bevacizumab + FOLFOX |
| PaclitaxelParticipants will receive paclitaxel 200 mg/m^2 IV q3w. | Drug | C: Atezolizumab + Carboplatin + Paclitaxel |
| PemetrexedParticipants will receive pemetrexed 500 mg/m^2 IV q3w. | Drug | D: Atezolizumab + Carboplatin + Pemetrexed |
Primary outcome
Maximum Tolerated Atezolizumab Dose
Time frame: Days 1-21 of Cycle 1 (Cycle length = 21 days) for Arms A, C, D and E and the 28 days following the first administration of atezolizumab in Arm B
Percentage of Participants With Adverse Events
Time frame: From Baseline up to 90 days after last dose of study drug or until initiation of another anti-cancer therapy (up to approximately 5 years)
Percentage of Participants With Dose-Limiting Toxicities (DLTs)
Time frame: Days 1-21 of Cycle 1 (Cycle length = 21 days) for Arms A, C, D and E and the 28 days following the first administration of atezolizumab in Arm B
26 secondary outcomes
Duration of Objective Response According to RECIST v1.1
Time frame: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Duration of Objective Response According to irRC
Time frame: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Progression-Free Survival According to RECIST v1.1
Time frame: From treatment initiation until documented disease progression or death from any cause, whichever occurs first (up to approximately 5 years)
Progression-Free Survival According to irRC
Time frame: From treatment initiation until documented disease progression or death from any cause, whichever occurs first (up to approximately 5 years)
Pharmacokinetics: Area Under the Serum Concentration-Time Curve (AUC) of Atezolizumab
Time frame: Pre-infusion (0 hour [hr]) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Maximum Serum Concentration (Cmax) of Atezolizumab
Time frame: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Minimum Serum Concentration (Cmin) of Atezolizumab
Time frame: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Percentage of Participants With Best Overall Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Time frame: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Percentage of Participants With Best Overall Response According to Immune-Related Response Criteria (irRC)
Time frame: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Percentage of Participants With Objective Response (Complete Response + Partial Response) According to RECIST v1.1
Time frame: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Percentage of Participants With Objective Response (Complete Response + Partial Response) According to irRC
Time frame: From Baseline until death or disease progression, whichever occurs first (up to approximately 5 years)
Pharmacokinetics: Clearance of Atezolizumab
Time frame: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Volume of Distribution of Atezolizumab
Time frame: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Accumulation Ratio of Atezolizumab
Time frame: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Half-Life of Atezolizumab
Time frame: Pre-infusion (0 hr) on Cycle 1 Day 1 (cycle length = 21 or 14 days) up to approximately 5 years (detailed timeframe is provided in outcome measure description)
Pharmacokinetics: Cmax of Bevacizumab
Time frame: Pre-infusion (0 hr), 0.5 hrs after EOI (infusion duration=90 min) on Day 1 Cycles 1 & 3 (each cycle = 21 days); EOT; every 30 days (for up to 120 days) after EOT until death or withdrawal or study closure (up to approximately 5 years)
Pharmacokinetics: Cmin of Bevacizumab
Time frame: Pre-infusion (0 hr), 0.5 hrs after EOI (infusion duration=90 min) on Day 1 Cycles 1 & 3 (each cycle = 21 days); EOT; every 30 days (for up to 120 days) after EOT until death or withdrawal or study closure (up to approximately 5 years)
Maximum Plasma Concentration of 5-FU
Time frame: Pre- infusion (0 hr) on Day 1 Cycle 1; end of 5-FU bolus and 2 and 12-24 hrs after end of 5-FU bolus (infusion duration = 46 hrs) on Day 1 of Cycles 1 and 3 (each cycle=14 days)
Pharmacokinetics: Maximum Plasma Concentration of Oxaliplatin
Time frame: Pre-infusion (0 hr) on Day 1 Cycle 1; 5-10 min before end of oxaliplatin infusion (infusion duration = 120 min) and 2 and 12-24 hrs after end of 5-FU bolus (infusion duration = 46 hrs) on Day 1 of Cycles 1 and 3 (each cycle=14 days)
Pharmacokinetics: Maximum Plasma Concentration of Carboplatin
Time frame: Pre-infusion (0 hr), 5-10 min before and 1 hr after carboplatin EOI (infusion duration=15-30 min),24 hr after atezolizumab EOI (infusion duration=90 min)on Day 1 Cycle 1; 5-10 min before and 1 hr after carboplatin EOI Day 1 Cycle 3 (each cycle=21 days)
Maximum Plasma Concentration of Paclitaxel
Time frame: Pre-infusion (0 hr), 5-10 min before and 1 hr after paclitaxel EOI (infusion duration=180 min), 24 hr after atezolizumab EOI (infusion duration=90 min) on Day 1 Cycle 1; 5-10 min before and 1 hr after paclitaxel EOI on Day 1 Cycle 3 (each cycle=21 days)
Pharmacokinetics: Maximum Plasma Concentration of Pemetrexed
Time frame: Pre-infusion (0 hr), 5-10 min before and 1 hr after pemetrexed EOI (infusion duration=10 min), 24 hr after atezolizumab EOI (infusion duration=90 min) on Day 1 Cycle 1; 5-10 min before and 1 hr after pemetrexed EOI on Day 1 Cycle 3 (each cycle = 21 days)
Maximum Plasma Concentration of Nab-Paclitaxel (Total Paclitaxel)
Time frame: Pre-infusion (0 hr), 5-10 min before and 1 hr after nab-paclitaxel EOI (infusion duration=30 min) on Day 1 of Cycles 1 and 3; 24 hr after atezolizumab EOI (infusion duration=90 min) on Day 1 Cycle 1 (each cycle=7 days)
Number of Cycles of Each Component of Treatment Administer
Time frame: From Baseline up to approximately 5 years
Dose Intensity of Each Component of Treatment Administer
Time frame: From Baseline up to approximately 5 years
Overall Survival (OS)
Time frame: From first dose of study treatment until death from any cause (up to approximately 5 years)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Oct 2020.
- Derived from this study: PubMed 30347025Adams S, Diamond JR, Hamilton E, Pohlmann PR, Tolaney SM, Chang CW, Zhang W, Iizuka K, Foster PG, Molinero L, Funke R, Powderly J. Atezolizumab Plus nab-Paclitaxel in the Treatment of Metastatic Triple-Negative Breast Cancer With 2-Year Survival Follow-up: A Phase 1b Clinical Trial. JAMA Oncol. 2019 Mar 1;5(3):334-342. doi: 10.1001/jamaoncol.2018.5152.
- Derived from this study: PubMed 30053670Liu SV, Camidge DR, Gettinger SN, Giaccone G, Heist RS, Hodi FS, Ready NE, Zhang W, Wallin J, Funke R, Waterkamp D, Foster P, Iizuka K, Powderly J. Long-term survival follow-up of atezolizumab in combination with platinum-based doublet chemotherapy in patients with advanced non-small-cell lung cancer. Eur J Cancer. 2018 Sep;101:114-122. doi: 10.1016/j.ejca.2018.06.033. Epub 2018 Jul 24.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Genentech, Inc.
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing 5-FU, Atezolizumab and Bevacizumab in people with Cancer, run by Genentech, Inc. at 11 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 32 inclusion and 33 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maximum Tolerated Atezolizumab Dose (time frame: Days 1-21 of Cycle 1 (Cycle length = 21 days) for Arms A, C, D and E and the 28 days following the first administration of atezolizumab in Arm B). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01633970, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Oct 2020.