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Non-Small Cell Lung CancerPhase 2NCT01846416

A Study of Atezolizumab in Participants With Programmed Death-Ligand 1 (PD-L1) Positive Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) [FIR]

A Phase 2 study testing Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody in people with Non-Small Cell Lung Cancer, run by Genentech, Inc. at 31 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This multicenter, single-arm study will evaluate the efficacy and safety of atezolizumab (MPDL3280A) in participants with PD-L1-positive locally advanced or metastatic NSCLC. Participants will receive an intravenous (IV) dose of 1200 milligrams (mg) atezolizumab (MPDL3280A) on Day 1 of 21-day cycles until disease… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Small Cell Lung Cancer
What is being tested?
Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
138 participants
Where
31 sitesin 5 countries
Study dates
30 May 2013to 18 Dec 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Stage IIIB (not eligible for definitive chemoradiotherapy), Stage IV, or recurrent NSCLC
  • PDL1-positive status as determined by an immunohistochemistry assay performed by a central laboratory. A positive result in chemotherapy, chemoradiation of the tumor sample biopsy will satisfy the eligibility criterion
  • Eastern Cooperative Oncology group Performance Status of 0 or 1
  • Life expectancy greater than or equal to 12 weeks
  • Measurable disease, as defined by Response Evaluation Criteria in Solid Tumors Version 1.1
  • Adequate hematologic and end organ function

Who cannot join

  • Any approved anti-cancer therapy, including chemotherapy, or hormonal therapy within 3 weeks prior to initiation of study treatment; the following exceptions are allowed. Hormone-replacement therapy or oral contraceptives, and tyrosine kinase inhibitors approved for treatment of NSCLC discontinued greater than 7 days prior to Cycle 1 Day 1
  • Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment
  • Known central nervous system disease, including treated brain metastases in the following participants:
  • who will not receive prior chemotherapy for advanced disease
  • who progress during or following a prior-platinum based chemotherapy regimen for advanced disease (referred as 2L+ participants)
  • Participants with a history of treated asymptomatic brain metastases are allowed in the 2L+ participants and previously treated for brain metastases.
Show all 9Show fewer
  • Leptomeningeal disease
  • Uncontrolled tumor-related pain
  • Uncontrolled hypercalcemia

Trial locations and contacts

31 sites in 5 countries.

31 sites in 5 countries

United States25 sites
  • University Of Colorado

    Aurora, Colorado, 80045

  • Northwest Georgia Oncology Centers P.C.

    Carrollton, Georgia, 30117

  • The University of Chicago Medical Center

    Chicago, Illinois, 60637

  • Ohio State Uni Hospital

    Columbus, Ohio, 43210-1250

  • Duke University Health Systems

    Durham, North Carolina, 27710

  • Oncology Hematology Care, Inc.

    Hamilton, Ohio, 45103

  • Penn State Univ. Milton S. Hershey Medical Center; MSHMC Cardiology

    Hershey, Pennsylvania, 17033

  • Carolina BioOncology Institute; Can Therapy & Res Ctr

    Huntersville, North Carolina, 28078

  • Dartmouth Hitchcock Med Center; Norris Cotton Cancer Ctr

    Lebanon, New Hampshire, 03756

  • SCRI-Tennessee Oncology

    Nashville, Tennessee, 37203

  • Yale University School Of Medicine

    New Haven, Connecticut, 06510

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Florida Hospital Cancer Inst

    Orlando, Florida, 32804

  • Stanford University/Lucile Packard Children's Hospital

    Palo Alto, California, 94304

  • Penn Presbyterian Medical Center; Abramson Cancer Center

    Philadelphia, Pennsylvania, 19104

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Hematology Oncology Associates of the Treasure Coast

    Port Saint Lucie, Florida, 34952

  • Virginia Cancer Institute

    Richmond, Virginia, 23226

  • Huntsman Cancer Institute; University of Utah

    Salt Lake City, Utah, 84112

  • The Angeles Clinic and Research Institute, Santa Monica Office

    Santa Monica, California, 90025

  • HonorHealth Research Institute - Pima Center

    Scottsdale, Arizona, 85258

  • University of Washington Seattle Cancer Care Alliance

    Seattle, Washington, 98195

  • Florida Cancer Specialists.

    St. Petersburg, Florida, 33705

  • H. Lee Moffitt Cancer Center and Research Inst.

    Tampa, Florida, 33612

  • Georgetown University

    Washington D.C., District of Columbia, 20007

Other trials in United States

United Kingdom3 sites
  • Queen Mary University of London

    London, EC1M 6BQ

  • Royal Marsden Hospital - Fulham; Oncology Department

    London, SW3 6JJ

  • Royal Marsden Hospital - Fulham

    London, SW3 6JJ

Other trials in United Kingdom

Belgium1 site
  • Sint Augustinus Wilrijk

    Wilrijk, 2610

Other trials in Belgium

France1 site
  • Centre Léon Bérard

    Lyon, 69008

Other trials in France

Netherlands1 site
  • Antoni van Leeuwenhoek Ziekenhuis

    Amsterdam, 1066 CX

Other trials in Netherlands

About this study

Official title: A Phase II, Multicenter, Single-arm Study of MPDL3280A in Patients With PD-L1-Positive Locally Advanced or Metastatic Non-small Cell Lung Cancer

This multicenter, single-arm study will evaluate the efficacy and safety of atezolizumab (MPDL3280A) in participants with PD-L1-positive locally advanced or metastatic NSCLC. Participants will receive an intravenous (IV) dose of 1200 milligrams (mg) atezolizumab (MPDL3280A) on Day 1 of 21-day cycles until disease progression.

Eligible participants will be categorized in to three groups as follows:

  1. Participants with no prior chemotherapy for advanced disease;
  2. Participants who progress during or following a prior-platinum based chemotherapy regimen for advanced disease (2L+participants);
  3. Participants who are 2L+ and previously treated for brain metastases.
Being tested
Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibodyDrug

    Atezolizumab 1200 mg IV on Day 1 of each 21-day cycle until disease progression.

Study groups in NCT01846416
Study groupRoleWhat they receive
Atezolizumab (MPDL3280): 1L ParticipantsExperimentalParticipants with no prior chemotherapy for advanced NSCLC disease will receive atezolizumab IV as a fixed dose of 1200-mg on Day 1 of each 21-day cycle until disease progression.
Receives: Drug: Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody
Atezolizumab (MPDL3280): 2L+ ParticipantsExperimentalParticipants who progress during or following a prior platinum-based chemotherapy regimen without restriction to maximum number of prior therapies will receive atezolizumab IV as a fixed dose of 1200-mg on Day 1 of each 21-day cycle until no longer deemed to be experiencing clinical benefit as assessed by the investigator.
Receives: Drug: Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody
Atezolizumab (MPDL3280): 2L+ Brain Metastases ParticipantsExperimentalParticipants with previously treated brain metastases and who progress during or following a prior platinum-based chemotherapy regimen without restriction to the maximum number of prior therapies, will receive atezolizumab IV as a fixed dose of 1200-mg on Day 1 of each 21-day cycle until no longer deemed to be experiencing clinical benefit as assessed by the investigator.
Receives: Drug: Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Objective Response According to Modified Response Evaluation Criteria in Solid Tumors (RECIST)

    Objective response was defined as a complete response (CR) or partial response (PR), as determined by investigator according to modified RECIST criteria. Modified RECIST was derived from RECIST v1.1 conventions and immune related response criteria. CR was defined as disappearance of all tumor lesions (target lesion [TL] and non-target lesion [non-TL]) and no new measurable or unmeasurable lesions, all lymph node short axes must be less than 10 millimeters (mm), and PR was defined as at least 30 percent (%) decrease in sum of diameter of TLs and all new measurable lesions since baseline in absence of CR, and both confirmed by consecutive assessment greater than or equal to 4 weeks from date first documented. Participants not meeting these criteria, including participants without at least one post-baseline response assessment were considered as non-responders.

    Measured: Baseline, and Day 1 of Cycle 1 (21-day cycle), then every 6 weeks for the first 12 months and then every 9 weeks thereafter until disease progression (up to 20 months)

Secondary outcomes (13)
  1. Percentage of Participants With Objective Response According to RECIST Version 1.1 (v1.1)

    Objective response was defined as a CR or PR, as determined by the investigator according to RECIST v1.1. For TLs, CR was defined as disappearance of all TLs. Any pathological lymph nodes, whether target or non-target, must had reduction in short axis to less than 10 mm. PR was defined as at least a 30% decrease in the sum of diameter of TLs, taking as reference the baseline sum of diameters, in absence of CR. For non-TLs, CR was defined as disappearance of all non-TLs and if applicable, normalization of tumor marker level. Participants not meeting these criteria, including participants without at least 1 post-baseline response assessment were considered as non-responders.

    Measured: Baseline, and Day 1 of Cycle 1 (21-day cycle), then every 6 weeks for the first 12 months and then every 9 weeks thereafter until disease progression (up to 20 months)

  2. Duration of Objective Response According to RECIST v1.1

    Duration of objective response was defined as time from initial occurrence of documented CR or PR until documented disease progression (using RECIST v1.1 as determined by investigator) or death, whichever occurred first. For TLs, CR was defined as disappearance of all TLs. Any pathological lymph nodes, whether target or non-target, must had reduction in short axis to less than 10 mm. PR was defined as at least a 30% decrease in sum of diameter of TLs, taking as reference baseline sum of diameters, in absence of CR. Progressive disease was at least a 20% increase in sum of diameters of TLs, taking as reference smallest sum on study (nadir). For non-TLs, CR was defined as disappearance of all non-TLs and if applicable, normalization of tumor marker level. Progressive disease was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. Participants were censored at the date of last tumor assessment.

    Measured: Baseline, and Day 1 of Cycle 1 (21-day cycle), then every 6 weeks for the first 12 months and then every 9 weeks thereafter until disease progression (up to 20 months)

  3. Percentage of Participants With 6-Month Duration of Objective Response

    Duration of objective response at 6 months was defined as time from initial occurrence of documented CR or PR until Month 6. For TLs, CR was defined as disappearance of all TLs. Any pathological lymph nodes, whether target or non-target, must have reduction in short axis to less than 10 mm. PR was defined as at least a 30% decrease in sum of diameter of TLs, taking as reference baseline sum of diameters, in absence of CR. For non-TLs, CR was defined as disappearance of all non-TLs and if applicable, normalization of tumor marker level. Participants were censored at the date of last tumor assessment.

    Measured: Month 6

  4. Percentage of Participants With Disease Progression or Death According to RECIST v1.1

    For TLs, progressive disease was defined as at least a 20% increase in the sum of diameters of TLs, taking as reference the smallest sum on study (nadir). For non-TLs, progressive disease was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs.

    Measured: Baseline to the first occurrence of progression or death, whichever occurs earlier (up to 20 months)

  5. Progression-Free Survival (PFS) According to RECIST v1.1

    PFS was defined as time from randomization to first occurrence of documented disease progression (based on RECIST v1.1 criteria) or death due to any cause within 30 days of the last treatment, whichever occurs earlier as determined by investigator. For TLs, progressive disease was defined as at least a 20% increase in the sum of diameter of TLs, taking as reference the smallest sum on study (nadir). For non-TLs, progressive disease was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. In event of no disease progression or documented death, PFS was censored at date of last evaluable tumor assessment. Participants with no post-baseline tumor assessments were censored at the time of first dose plus 1 day.

    Measured: Baseline to the first occurrence of progression or death, whichever occurs earlier (up to 20 months)

  6. Percentage of Participants With PFS at Month 6, Month 12 and Month 30 According to RECIST v1.1

    Percentage of participants who were progression free at Month 6 and 12 (based on RECIST v1.1) was reported. For TLs, progressive disease was defined as at least a 20% increase in the sum of diameter of TLs, taking as reference the smallest sum on study (nadir). For non-TLs, progressive disease was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs.

    Measured: Months 6, 12 and 30

  7. Percentage of Participants With Disease Progression or Death According to Modified RECIST

    For TLs, progressive disease was defined as at least a 20% increase in the sum of diameters of TLs and new measurable lesions, taking as reference the smallest sum recorded since treatment started.

    Measured: Baseline to the first occurrence of progression or death, whichever occurs earlier (up to 20 months)

  8. PFS According to Modified RECIST

    PFS according to modified RECIST was defined as time from first dose of atezolizumab to first occurrence of documented disease progression or death due to any cause, as determined by investigator for participants who discontinued at first documented radiographic progression. For participants who continued beyond first documented progression and had follow-up tumor assessment or death, PFS was defined as time from first dose of atezolizumab to subsequent radiographic progression or death. For TLs, progressive disease was defined as at least a 20% increase in the sum of diameters of TLs and new measurable lesions, taking as reference the smallest sum recorded since treatment started. In event of no disease progression or documented death, PFS was censored at date of last evaluable tumor assessment.

    Measured: Baseline to the first occurrence of progression or death, whichever occurs earlier (up to 20 months)

  9. Percentage of Participants With PFS at Month 6, Month 12 and Month 30 According to Modified RECIST

    Percentage of participants who were progression free at Months 6 and 12 (according to modified RECIST). For TLs, progressive disease was defined as at least a 20% increase in the sum of diameters of TLs and new measurable lesions, taking as reference the smallest sum recorded since treatment started.

    Measured: Months 6, 12 and 30

  10. Percentage of Participants With Death

    Participants were followed for survival throughout the study.

    Measured: Baseline till death or up to 20 months, whichever occurred first

  11. Overall Survival (OS)

    OS was defined as the time from first dose of the study drug to the time of death from any cause of the study. Participants who were still alive at the time of analysis were censored at the time of their last study assessment (for active participants) or at the last date known alive (for participants in follow-up). If no post-baseline data were available, OS was censored at the date of first treatment plus 1 day.

    Measured: Baseline till death or up to 20 months, whichever occurred first

  12. Maximum Plasma Concentration (Cmax) for Atezolizumab

    Measured: Pre-dose (0 hour) and 30 minutes after infusion on Day 1 of Cycle 1

  13. Minimum Plasma Concentration (Cmin) for Atezolizumab

    Measured: Pre-dose (0 hour) on Day 1 of Cycles 2, 3, 4, 8, and 16

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2013 (estimated)
  2. Study start30 May 2013
  3. Primary completion7 Jan 2015
  4. Study completion18 Dec 2017

Resources

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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
138 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01846416
Sponsor's protocol ID
GO28625
Other IDs
2013-000177-69
Status last verified
Dec 2018
First submitted
1 May 2013
Last updated
8 Jan 2019

Publications

  • Shemesh CS, Chan P, Legrand FA, Shames DS, Das Thakur M, Shi J, Bailey L, Vadhavkar S, He X, Zhang W, Bruno R. Pan-cancer population pharmacokinetics and exposure-safety and -efficacy analyses of atezolizumab in patients with high tumor mutational burden. Pharmacol Res Perspect. 2020 Dec;8(6):e00685. doi: 10.1002/prp2.685.

    PubMed 33241650

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody in people with Non-Small Cell Lung Cancer, run by Genentech, Inc. at 31 sites in 5 countries.

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 6 inclusion and 9 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 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States, United Kingdom, Belgium, France, Netherlands. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Dec 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Participants With Objective Response According to Modified Response Evaluation Criteria in Solid Tumors (RECIST) (time frame: Baseline, and Day 1 of Cycle 1 (21-day cycle), then every 6 weeks for the first 12 months and then every 9 weeks thereafter until disease progression (up to 20 months)). 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 NCT01846416, which also lists 1 linked publication.

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 Jan 2019.

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