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Solid TumorsPhase 1NCT01988896

Study of Atezolizumab in Combination With Cobimetinib in Participants With Locally Advanced or Metastatic Solid Tumors

A Phase 1 study testing Atezolizumab and Cobimetinib in people with Solid Tumors, run by Hoffmann-La Roche at 21 sites in 6 countries.

Completed

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

Official record
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Trial summary

This is a Phase Ib, open-label, multicenter study designed to assess the safety, tolerability, and pharmacokinetics of coadministration of intravenous (IV) dosing of atezolizumab (an engineered anti-programmed death-ligand 1 [anti-PD-L1] antibody) and oral dosing of cobimetinib in participants with metastatic or… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumors
What is being tested?
Atezolizumab and Cobimetinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
153 participants
Where
21 sitesin 6 countries
Study dates
27 Dec 2013to 4 Nov 2019
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

  • Solid tumor that is metastatic, locally advanced or recurrent
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Life expectancy greater than or equal to (>/=) 12 weeks
  • Measurable disease, as defined by RECIST v 1.1
  • Adequate hematologic and end organ function
  • Use of highly effective contraception
Show all 11Show fewer
  • Histological tumor tissue specimen
  • Participants enrolling in the indication-specific expansion cohorts in Stage 2 must consent to tumor biopsies and must have one of the following types of cancer:
  • Metatastic colorectal cancer
  • Non-small cell lung cancer
  • Melanoma

Who cannot join

  • Cancer-Specific Exclusion Criteria:
  • Any approved anti-cancer therapy, including chemotherapy, or hormonal therapy within 3 weeks prior to initiation of study treatment
  • Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment
  • Known active or untreated central nervous system (CNS) metastases
  • Leptomeningeal disease
  • Uncontrolled tumor-related pain or uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent (once monthly or more frequently) drainage procedures
Show all 28Show fewer
  • Uncontrolled hypercalcemia or symptomatic hypercalcemia requiring continued use of bisphosphonate therapy or denosumab
  • General Medical Exclusion Criteria:
  • Pregnant and lactating women
  • History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins
  • Known hypersensitivity to biopharmaceuticals produced in Chinese hamster ovary cell or any component of the atezolizumab formulation
  • History of autoimmune disease
  • Participants with prior allogeneic stem cell or solid organ transplantation
  • Positive test for human immunodeficiency virus (HIV)
  • Participants with active hepatitis B, hepatitis C, or tuberculosis
  • Severe infections within 4 weeks prior to Cycle 1 Day 1
  • Signs or symptoms of infection within 2 weeks prior to Cycle 1 Day 1
  • Received therapeutic oral or IV antibiotics within 2 weeks prior to Cycle 1 Day 1
  • Significant cardiovascular disease
  • Major surgical procedure other than for diagnosis within 28 days prior to Cycle 1 Day 1 or anticipation of need for a major surgical procedure during the course of the study
  • Administration of a live, attenuated vaccine within 4 weeks before Cycle 1 Day 1
  • History of prior significant toxicity from another mitogen-activated protein kinase (MEK) pathway inhibitor requiring discontinuation of treatment
  • Allergy or hypersensitivity to components of the cobimetinib formulations
  • History of congenital long QT syndrome or corrected QT interval (QTc) greater than (>) 450 milliseconds at screening
  • Left ventricular ejection fraction (LVEF) below institutional lower limit of normal (LLN) or below 50%, whichever is lower, as determined by echocardiogram or Multi Gated Acquisition Scan (MUGA) scan
  • History of or evidence of retinal pathology on ophthalmologic examination that is considered a risk factor for neurosensory retinal detachment, central serous chorioretinopathy (CSCR), retinal vein occlusion (RVO), or neovascular macular degeneration
  • History of malabsorption syndrome or other condition that would interfere with enteral absorption
  • Prior treatment with clusters of differentiation (CD) 137 agonists or immune checkpoint blockade therapies, systemic immunostimulatory agents, or systemic immunosuppressive medications

Trial locations and contacts

21 sites in 6 countries.

21 sites in 6 countries

United States11 sites
  • Texas Oncology, P.A.

    Arlington, Texas, 76012

  • Massachusets General Hospital Clinical Trial Network and Institute

    Boston, Massachusetts, 02114

  • Beth Israel Deaconess Med Ctr; Neurology/MS Center

    Boston, Massachusetts, 02215

  • UNC Lineberger Comprehensive Cancer Center

    Chapel Hill, North Carolina, 27514

  • Rocky Mountain Cancer Center - Denver

    Denver, Colorado, 80220

  • SCRI-Tennessee Oncology

    Nashville, Tennessee, 37203

  • Yale University School Of Medicine

    New Haven, Connecticut, 06510

  • Sloan Kettering Cancer Center; Pediatric Hematology/Oncology

    New York, New York, 10065

  • Stanford University Medical Center

    Palo Alto, California, 94304

  • Compass Oncology

    Portland, Oregon, 97225

  • University of Washington Seattle Cancer Care Alliance

    Seattle, Washington, 98195

Other trials in United States

Canada3 sites
  • CHUM Hôpital Notre-Dame

    Montreal, Quebec, H2L 4M1

  • Jewish General Hospital

    Montreal, Quebec, H3T 1E2

  • Princess Margaret Hospital; Department of Med Oncology

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Australia2 sites
  • Peter MacCallum Cancer Centre-East Melbourne

    Melbourne, Victoria, 3000

  • Royal Melbourne Hospital

    Parkville, Victoria, 3050

Other trials in Australia

Germany2 sites
  • Universitätsklinikum "Carl Gustav Carus" der Technischen Universität Dresden

    Dresden, 01307

  • Universitaetsklinikum Freiburg

    Freiburg im Breisgau, 79106

Other trials in Germany

South Korea2 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Asan Medical Center - Oncology

    Seoul, 05505

Other trials in South Korea

Singapore1 site
  • National University Hospital; Cancer Center

    Singapore, 119074

Other trials in Singapore

About this study

Official title: A Phase Ib Study of the Safety and Pharmacology of Atezolizumab Administered With Cobimetinib in Patients With Locally Advanced or Metastatic Solid Tumors

This is a Phase Ib, open-label, multicenter study designed to assess the safety, tolerability, and pharmacokinetics of coadministration of intravenous (IV) dosing of atezolizumab (an engineered anti-programmed death-ligand 1 [anti-PD-L1] antibody) and oral dosing of cobimetinib in participants with metastatic or locally advanced cancer for which no standard therapy exists.

Conditions
Solid Tumors
Being tested
Atezolizumab, Cobimetinib

What participants receive

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

  • AtezolizumabDrug

    Also called MPDL3280

    Atezolizumab will be administered at a fixed dose as specified via IV infusion.

  • CobimetinibDrug

    Also called GDC-0973

    Cobimetinib will be administered orally at an escalating dose during Stage 1 and at RP2D during Stage 2.

Study groups in NCT01988896
Study groupRoleWhat they receive
Dose-Escalation: Cobimetinib, AtezolizumabExperimentalParticipants will receive single dose of 800 milligrams (mg) of atezolizumab IV infusion on Day 1, 15 and 29 of Cycle 1 (cycle length=42 days [14-day run-in period + 28-day concomitant dosing period]), thereafter with atezolizumab IV dosing every 2 weeks (q2w) in all subsequent treatment cycles (28 days each). Combination with cobimetinib will begin on Cycle 1 Day 15 and will be given at increasing dose levels during Stage 1. During Stage 1, cobimetinib will be administered once daily (QD) orally for 21 consecutive days out of 28 days (21/7 dosing schedule) at a starting dose of 20 mg with escalation of 20 mg until the maximum tolerated dose (MTD; not more than 60 mg) for the two-drug combination.
Receives: Drug: Atezolizumab; Drug: Cobimetinib
Dose-Expansion: Cobimetinib, AtezolizumabExperimentalParticipants will receive single dose of 800 mg of atezolizumab IV infusion q2w in all subsequent treatment cycles (28 days each). Participants will receive cobimetinib at the selected recommended RP2D on Days 1-14 of each 28-day cycle during Stage 2.
Receives: Drug: Atezolizumab; Drug: Cobimetinib

What is being measured

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

  1. Phase I: Percentage of Participants With Dose-Limiting Toxicities (DLTs)

    Measured: Day 15 to Day 42 of Cycle 1 (cycle length=42 days) of dose-escalation phase

  2. Phase I: Maximum Tolerated Dose of Cobimetinib

    Measured: Day 15 to Day 42 of Cycle 1 (cycle length=42 days) of dose-escalation phase

  3. Phase I: Recommended Phase II Dose of Cobimetinib when Combined with Atezolizumab

    Measured: Day 15 to Day 42 of Cycle 1 (cycle length=42 days) of dose-escalation phase

Secondary outcomes (12)
  1. Percentage of Participants With Anti-Therapeutic Antibody (ATA) Response to Azetolizumab

    Measured: Pre-infusion (Hour 0) on Day 1 of Cycles 1, 2, 3, 4, 8 (cycle length=42 days for Cycle 1; 28 days for subsequent cycles) and at treatment completion visit (up to approximately 3.5 years)

  2. Percentage of Participants With Adverse Events (AEs) or Serious AEs (SAEs)

    Measured: Baseline up to approximately 3.5 years

  3. Serum Maximum Concentration (Cmax) of Atezolizumab

    Measured: Pre-infusion (Hour 0) on Day 1 of Cycles 2, 3, 4, 8 (cycle length=28 days) and at treatment completion visit (up to approximately 3.5 years); 30 minutes post-infusion (duration=60 minutes) on Cycle 1 Day 1 (cycle length=42 days)

  4. Serum Minimum Concentration (Cmin) of Atezolizumab

    Measured: Pre-infusion (Hour 0) on Day 1 of Cycles 2, 3, 4, 8 (cycle length=28 days) and at treatment completion visit (up to approximately 3.5 years)

  5. Plasma Cmax of Cobimetinib

    Measured: Pre-dose (Hour 0) and Hours 2, 4, 6 post-dose on Day 29 of Cycle 1 (cycle length=42 days) and Day 15 of Cycle 2 (cycle length=28 days)

  6. Plasma Cmin of Cobimetinib

    Measured: Pre-dose (Hour 0) on Day 29 of Cycle 1 (cycle length=42 days) and Day 15 of Cycle 2 (cycle length=28 days)

  7. Area Under the Concentration-Time Curve (AUC) of Cobimetinib

    Measured: Pre-dose (Hour 0) and Hours 2, 4, 6 post-dose on Day 29 of Cycle 1 (cycle length=42 days) and Day 15 of Cycle 2 (cycle length=28 days)

  8. Percentage of Participants With Best Overall Response, as Determined by Investigator Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

    Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 of Cycle 1 [cycle length=42 days]; thereafter every 12 weeks until progressive disease [PD] or death due to any cause, whichever occurs first [up to approximately 3.5 years])

    Measured: Baseline up to 3.5 years (detailed time frame is provided in the description)

  9. Percentage of Participants With Objective Response (OR; Confirmed Complete Response or Partial Response) as Assessed by Investigator Using RECIST v1.1

    Measured: Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 Cycle 1 [cycle length=42 days]; thereafter every 12 weeks until PD or death due to any cause, whichever occurs first [up to approximately 3.5 years])

  10. Duration of OR, as Determined by Investigator Using RECIST v1.1

    Measured: Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 Cycle 1 [cycle length=42 days]; thereafter every 12 weeks until PD or death due to any cause, whichever occurs first [up to approximately 3.5 years])

  11. Progression-Free Survival (PFS), as Determined by Investigator Using RECIST v1.1

    Measured: Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 Cycle 1 [cycle length=42 days]; thereafter every 12 weeks until PD or death due to any cause, whichever occurs first [up to approximately 3.5 years])

  12. Overall Survival (OS)

    Measured: Baseline up to death due to any cause (up to approximately 3.5 years)

Timeline

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

  1. First posted20 Nov 2013 (estimated)
  2. Study start27 Dec 2013
  3. Primary completion4 Nov 2019
  4. Study completion4 Nov 2019

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
153 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01988896
Sponsor's protocol ID
GP28363
Other IDs
2013-003329-27
Status last verified
Dec 2019
First submitted
14 Nov 2013
Last updated
17 Dec 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Hellmann MD, Kim TW, Lee CB, Goh BC, Miller WH Jr, Oh DY, Jamal R, Chee CE, Chow LQM, Gainor JF, Desai J, Solomon BJ, Das Thakur M, Pitcher B, Foster P, Hernandez G, Wongchenko MJ, Cha E, Bang YJ, Siu LL, Bendell J. Phase Ib study of atezolizumab combined with cobimetinib in patients with solid tumors. Ann Oncol. 2019 Jul 1;30(7):1134-1142. doi: 10.1093/annonc/mdz113.

    PubMed 30918950

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Atezolizumab and Cobimetinib in people with Solid Tumors, run by Hoffmann-La Roche at 21 sites in 6 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 11 inclusion and 28 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 17 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in United States, Canada, Australia, Germany, South Korea and 1 more country. 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?

Phase I: Percentage of Participants With Dose-Limiting Toxicities (DLTs) (time frame: Day 15 to Day 42 of Cycle 1 (cycle length=42 days) of dose-escalation phase). 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 NCT01988896, 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 17 Dec 2019.

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