Carcinoma, Non-Small-Cell LungPhase 3IMpower150NCT02366143
A Study of Atezolizumab in Combination With Carboplatin Plus (+) Paclitaxel With or Without Bevacizumab Compared With Carboplatin+Paclitaxel+Bevacizumab in Participants With Stage IV Non-Squamous Non-Small Cell Lung Cancer (NSCLC)
A Phase 3 study testing Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Bevacizumab and Carboplatin in people with Carcinoma, Non-Small-Cell Lung, run by Hoffmann-La Roche at 240 sites in 26 countries.
Trial summary
This randomized, open-label study evaluated the safety and efficacy of atezolizumab (an engineered anti-programmed death-ligand 1 [PD-L1] antibody) in combination with carboplatin+paclitaxel with or without bevacizumab compared with treatment with carboplatin+paclitaxel+bevacizumab in chemotherapy-naïve participants… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Bevacizumab and Carboplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,202 participants
- Where
- 240 sitesin 26 countries
- Study dates
- 31 Mar 2015to 7 Dec 2020
- Phase
- Phase 3
- 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
- Eastern Cooperative Oncology Group performance status 0 or 1
- Histologically or cytologically confirmed, Stage IV non-squamous NSCLC
- Participants with no prior treatment for Stage IV non-squamous NSCLC
- Known PD-L1 status as determined by immunohistochemistry assay performed on previously obtained archival tumor tissue or tissue obtained from a biopsy at screening
- Measurable disease as defined by RECIST v1.1
- Adequate hematologic and end organ function
Who cannot join
- Cancer-Specific Exclusions:
- Active or untreated central nervous system metastases
- Malignancies other than NSCLC within 5 years prior to randomization, with the exception of those with a negligible risk of metastasis or death treated with expected curative outcome
- General Medical Exclusions:
- Pregnant or lactating women
- History of autoimmune disease
Show all 13Show fewer
- History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
- Positive test for human immunodeficiency virus
- Active hepatitis B or hepatitis C
- Severe infection within 4 weeks prior to randomization
- Significant cardiovascular disease
- Illness or condition that interferes with the participant's capacity to understand, follow and/or comply with study procedures
- Prior treatment with cluster of differentiation 137 agonists or immune checkpoint blockade therapies, anti-programmed death-1, and anti-PD-L1 therapeutic antibodies
Trial locations and contacts
240 sites in 26 countries.
240 sites in 26 countries
United States61 sites
St. Joseph Mercy Health System
Ann Arbor, Michigan, 48106
Piedmont Cancer Institute, PC
Atlanta, Georgia, 30318
MultiCare Regional Cancer Center - Auburn
Auburn, Washington, 98002-4117
Mercy Medical Center
Baltimore, Maryland, 21202
Southern CA Permanente Med Grp
Bellflower, California
Bend Memorial Clinic
Bend, Oregon, 97701
St. Charles Medical Center Bend; Cancer Care Of The Cascades
Bend, Oregon, 97701
Summit Medical Group
Berkeley Heights, New Jersey, 07922
Regional Cancer Care Associates
Bethesda, Maryland, 20817
St. Luke's Cancer Care Associates
Bethlehem, Pennsylvania, 18015
Hematology-Oncology; Associates of the Quad Cities
Bettendorf, Iowa, 52722
Billings Clinic
Billings, Montana, 59102
Maimonides Medical Center
Brooklyn, New York, 11219
Ironwood Cancer & Research Centers
Chandler, Arizona, 85224
Rush University Medical Center
Chicago, Illinois, 60612
Univ of Chicago
Chicago, Illinois, 60637
University of Cincinnati
Cincinnati, Ohio, 45203-0542
Maryland Oncology Hematology, P.A.
Columbia, Maryland, 21044
Danbury Hospital
Danbury, Connecticut, 06810
Rocky Mountain Cancer Center
Denver, Colorado, 80218
St. Luke's Regional Cancer Center
Duluth, Minnesota, 55805
Providence Regional Cancer Partnership
Everett, Washington, 98201
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Arizona Oncology Associates
Flagstaff, Arizona, 86001
Holy Cross Hospital Inc
Fort Lauderdale, Florida, 33308
West Clinic
Germantown, Tennessee, 38138
Marin Cancer Care Inc
Greenbrae, California, 94904
Ingalls Memorial Hospital
Harvey, Illinois, 60426
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89014
Houston Methodist Cancer Center
Houston, Texas, 77030
Cancer Specialists of North Florida - Baptist South
Jacksonville, Florida, 32258
St. Luke's Cancer Institute
Kansas City, Missouri, 64111
Tennessee Cancer Specialists
Knoxville, Tennessee, 37920
Scripps Health
La Jolla, California, 92037
Kaiser Permanente
Lonetree, Colorado, 80124
Longview Cancer Center
Longview, Texas, 75601
Norton Cancer Institute
Louisville, Kentucky, 40202
Mount Sinai Medical Center
Miami Beach, Florida, 33140
Montana Cancer Specialists
Missoula, Montana, 59802
West Virginia University; Mary Babb Randolph Can Ctr
Morgantown, West Virginia, 26506
Yale Cancer Center
New Haven, Connecticut, 06520
Virginia Oncology Associates
Norfolk, Virginia, 23502
Chao Family Comprehensive Cancer Center UCI
Orange, California, 92868
Valley Hospital; Oncology Research
Paramus, New Jersey, 07652
Oncology Specialists, S.C.
Park Ridge, Illinois, 60068
First Health of the Carolinas
Pinehurst, North Carolina, 28374
Allegheny Cancer Center
Pittsburgh, Pennsylvania, 15212
Univ of Pittsburgh Medical Ctr
Pittsburgh, Pennsylvania, 15232
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida, 34952
Virginia Cancer Institute
Richmond, Virginia, 23226
Blue Ridge Cancer Care
Roanoke, Virginia, 24014
Park Nicolett - Frauenshuh Cancer Center
Saint Louis Park, Minnesota, 55426
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
New England Cancer Specialists
Scarborough, Maine, 04074
Virginia Mason Medical Center
Seattle, Washington, 98101
Regional Cancer Care Associates LLC
Sewell, New Jersey, 08080
Medical Oncology Associates
Spokane, Washington, 99208
Willamette Valley Cancer Insitute and Research Center
Springfield, Oregon, 97477
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Montefiore Medical Center
The Bronx, New York, 10467
Mercy St Anne Hospital
Toledo, Ohio, 43623
Spain20 sites
Hospital del Mar
Barcelona, 08003
Hospital Univ Vall d'Hebron; Servicio de Oncologia
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario Reina Sofia
Córdoba, 14004
Instituto Catalan de Oncologia de Hospitalet (ICO); Servicio de Farmacia
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital Universitario Insular de Gran Canaria
Las Palmas de Gran Canaria, LAS Palmas, 35016
Hospital Lucus Augusti; Servicio de Oncologia
Lugo, 27003
Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
Madrid, 28007
Hospital Universitario La Paz
Madrid, 280146
Hospital Ramon y Cajal; Servicio de Oncologia
Madrid, 28034
Hospital Clinico San Carlos; Servicio de Oncologia
Madrid, 28040
Hospital Universitario Fundación Jimenez Díaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario HM Sanchinarro-CIOCC
Madrid, 28050
Complejo Hospitalario U. de Ourense
Ourense, Orense, 32005
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07014
Corporacio Sanitaria Parc Tauli; Servicio de Oncologia
Sabadell, Barcelona, 8208
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital Lluis Alcanyis De Xativa
Xàtiva, Valencia, 46800
Germany17 sites
Zentralklinikum Augsburg
Augsburg, 86156
Helios Klinikum Emil von Behring GmbH
Berlin, 14165
Ev.Krankenhaus Bielefeld gGmbH; Klinik für Innere Medizin und Geriatrie
Bielefeld, 33611
Augusta Kranken-Anstalt gGmbH
Bochum, 44791
Kliniken der Stadt Koln gGmbH; Lungenklinik Onkologische Ambulanz
Cologne, 51109
Universitätsklinikum "Carl Gustav Carus" der Technischen Universität Dresden
Dresden, 01307
St. Elisabethen Krankenhaus
Frankfurt am Main, 60487
LungenClinic Großhansdorf GmbH
Großhansdorf, 22927
Krankenhaus Martha-Maria; Halle-Dolau gGmbH
Halle, 06120
Asklepios Klinik Harburg
Hamburg, 21075
Lungenklinik Hemer
Hemer, 58675
Universität Des Saarlandes; Klinik für Innere Medizin V
Homburg, 66421
Klinik Loewenstein gGmbH; Onk & Pal
Löwenstein, 74245
Klinikum Bogenhausen
München, 81925
Krankenhaus Barmherzige Bruder Regensburg
Regensburg, 93049
Klinikum der Universität Regensburg
Regensburg, 93053
Stiftung Mathias-Spital Rheine
Rheine, 48431
Australia16 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
Prince Charles Hospital; Department of Medical Oncology
Chermside, Queensland, 4032
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Frankston Hospital
Frankston, Victoria, 3199
Austin Health
Heidelberg, Victoria, 3084
Royal Hobart Hospital
Hobart, Tasmania, 7000
Adelaide Cancer Centre
Kurralta Park, South Australia, 5037
Launceston General Hospital
Launceston, Tasmania, 7250
Cabrini Hospital Malvern
Malvern, Victoria, 3144
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009
The Alfred Hospital
Prahan, Victoria, 3181
Sunshine Hospital
St Albans, Victoria, 3021
Nepean Cancer Care Centre
Sydney, New South Wales, 2747
Townsville Hospital
Townsville, Queensland, 4810
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Japan15 sites
National Hospital Organization Shikoku Cancer Center
Ehime, 791-0280
National Hospital Organization Kyushu Medical Center
Fukuoka, 810-8563
NHO Kyushu Cancer Center
Fukuoka, 811-1395
Kurume University Hospital
Fukuoka, 830-0011
Kanagawa Cardiovascular and Respiratory Center
Kanagawa, 236-0051
Kitasato University Hospital
Kanagawa, 252-0375
Kyoto University Hospital
Kyoto, 606-8507
Miyagi Cancer Center
Miyagi, 981-1293
Niigata Cancer Center Hospital
Niigata, 951-8566
Osaka City University Hospital
Osaka, 545-8586
National Hospital Organization Osaka Toneyama Medical Center
Osaka, 560-8552
Toranomon Hospital
Tokyo, 105-8470
Center Hospital of the National Center for Global Health and Medicine
Tokyo, 162-0052
Kyorin University Hospital
Tokyo, 181-8611
Wakayama Medical University Hospital
Wakayama, 641-8510
Ukraine13 sites
ME Bukovinian Clinical Oncology Center
Chernivtsi, Chernihiv Governorate, 58013
Municipal Institution City Clinical Hospital #4 of Dnipro City Council - PPDS; Dept of Chemotherapy
Dnipropetrovsk, Katerynoslav Governorate, 49102
Municipal Institution SubCarpathian Clinical Oncological Centre; Surgical department#2
Ivano-Frankivsk, KIEV Governorate, 76018
Communal Non profit Enterprise Regional Center of Oncology; Oncosurgical dept of thoracic organs
Kharkiv, Kharkiv Governorate, 61070
SI Institute of Medical Radiology n.a. S.P. Hryhoriev of NAMS of Ukraine
Kharkiv, 61024
ME Kryviy Rih Oncology Dispensary of Dnipropetrovs'k Regional Council; Chemotherapy Department
Kryvyi Rih, 50048
Kyiv City Clinical Oncological Center
Kyiv, 03115
Poltava Regional Clinical Oncology Dispensary of Poltava Regional Council; Thoracic department
Poltava, 36011
Regional Municipal Institution Sumy Regional Clinical Oncology Dispensary
Sumy, 40005
Uzhgorod Central City Clinical Hospital
Uzhhorod, Katerynoslav Governorate, 88000
MNPE Transcarpathian Antitumor Center of the Transcarpathian Regional Council; Chemotherapy Dept
Uzhhorod, Kherson Governorate, 88014
Communal Nonprofit Enterprise Podilsky Regional Center Of Oncology OfTheVinnytsia Regional Council
Vinnytsia, KIEV Governorate, 21029
MNPE Zaporizhzhia Regional Antitumor Center ZRC
Zaporizhzhya, Katerynoslav Governorate, 69040
France12 sites
Institut Bergonié Centre Régional de Lutte Contre Le Cancer de Bordeaux Et Sud Ouest
Bordeaux, 33076
CHU de Grenoble
Grenoble, 38043
Centre Jean Bernard Clinique Victor Hugo
Le Mans, 72015
Hôpital Saint Joseph
Marseille, 13008
Hopital Nord AP-HM
Marseille, 13015
Hôpital Européen Georges Pompidou
Paris, 75908
CHU de Bordeaux
Pessac, 33600
Service de Pneumologie Centre Hospitalier Régional La Réunion Site Felix Guyon
Saint-Denis, 97405
CH de Saint Quentin
Saint-Quentin, 2100
Centre Hospitalier Intercommunal Toulon - La Seyne sur Mer
Toulon, 83000
Hôpital d'Instruction des Armées de Sainte Anne; Service de Pneumologie
Toulon, 83000
Hôpital Larrey;Université Paul Sabatier
Toulouse, 31059
Netherlands12 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, 5223 GZ
Amsterdam UMC Location VUMC
Amsterdam, 1081 HV
Amphia Ziekenhuis; Afdeling Longziekten
Breda, 4818 CK
Ziekenhuis Gelderse Vallei
Ede, 6716 RP
Tergooiziekenhuizen
Hilversum, 1201 DA
Spaarne Gasthuis; Spaarne Ziekenhuis
Hoofddorp, 2134 TM
Maastricht University Medical Center
Maastricht, 6229 HX
St. Antonius Ziekenhuis; R&D Long
Nieuwegein, 3435 CM
Erasmus MC; Afdeling Longziekten
Rotterdam, 3015 GD
Maasstad ziekenhuis
Rotterdam, 3079 DZ
Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX
Gelre Ziekenhuizen, Zutphen
Zutphen, 7207 AE
Italy11 sites
Policlinico Vittorio Emanuele
Catania, Sicily, 95123
Istituto Nazionale per la Ricerca sul Cancro di Genova
Genoa, Liguria, 16132
ASL 3 Genovese; DSM
Genoa, Liguria, 16147
Ospedale Versilia
Lido di Camaiore, Tuscany, 55043
Ospedale Civile - Livorno
Livorno, Tuscany, 57124
AORN A Cardarelli
Naples, Campania, 80131
A.O.U. Maggiore della Carità
Novara, Piedmont, 28100
Policlinico Universitario Campus Biomedico; Uoc Oncologia Medica
Rome, Lazio, 00128
Azienda Ospedaliera San Camillo Forlanini
Rome, Lazio, 00152
Università Cattolica Del S Cuore
Rome, Lazio, 00168
Azienda Unita Sanitaria Locale N1 Sassari; Unita Operativa Di Oncologia Medica
Sassari, Sardinia, 07100
Taiwan10 sites
Changhua Christian Hospital; Hematology-Oncology
Changhua, 500
Kaohsiung Medical University Hospital; Department of Urology
Kaohsiung City, 807
Chi Mei Medical Center Liou Ying Campus
Liuying Township, 736
Chang Gung Memorial Hospital Chiayi
Putzu, 613
National Cheng Kung Univ Hosp
Tainan, 00704
National Taiwan Uni Hospital
Taipei, 10041
Cheng Hsin General Hospital
Taipei, 112
Tri-Service General Hospital
Taipei, 11490
Chang Gung Medical Foundation Linkou Branch
Taoyuan City, 333
Taichung Veterans General Hospital
Xitun Dist., 40705
Brazil9 sites
Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
IPCEM; Instituto de Pesquisa de Estudos Multicêntricos
Caxias do Sul, Rio Grande do Sul, 95070-560
Instituto Do Cancer Delondrina_X; Unidade De Pesquisa Clinica
Londrina, Paraná, 86 015 520
Liga Norte Riograndense Contra O Câncer
Natal, Rio Grande do Norte, 59040150
Hospital Mae de Deus
Porto Alegre, Rio Grande do Sul, 90470-340
Instituto Ribeirãopretano de Combate Ao Câncer; Centro Especializado De Oncologia
Ribeirão Preto, São Paulo, 14015-130
Hospital de Base de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
Hospital A. C. Camargo; Oncologia
São Paulo, São Paulo, 01509-010
CETUS Hospital Dia Oncologia
Uberaba, Minas Gerais, 38082-049
Argentina7 sites
Centro Medico Austral
Buenos Aires, 1019
Fundación CENIT para la Investigación en Neurociencias
Buenos Aires, C1125ABD
Sanatorio Allende
Córdoba, X5000JHQ
Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE
Hospital Provincial del Centenario
Rosario, 2000
Fundacion Koriza
Santa Rosa, 6300
Centro de Investigacion; Clinica - Clinica Viedma S.A.
Viedma, R8500ACE
Portugal6 sites
Centro Hospitalar E Universitário de Coimbra EPE
Coimbra, 3000-602
Instituto Portugues Oncologia de Lisboa Francisco Gentil EPE
Lisbon, 1099-023
Hospital Pulido Valente; Servico de Pneumologia
Lisbon, 1796-001
Centro Hospitalar do Porto - Hospital de Santo António
Porto, 4099-001
Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe
Porto, 4200-072
Hospital de Sao Joao; Servico de Pneumologia
Porto, 4200
Russia5 sites
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423
Russian Oncology Research Center n.a. N.N. Blokhin
Moscow, 115478
Clinical Oncology Dispensary
Omsk, 644013
Evromedservis LCC
Pushkin, 196603
City Clinical Oncology Dispensary
Saint Petersburg, 197022
Chile3 sites
Clinica Santa Maria
Santiago, 0
Health & Care SPA
Santiago, 7500006
Sociedad de Investigaciones Medicas Ltda (SIM)
Temuco, 4810469
Mexico3 sites
Centro Universitario Contra El Cancer
Monterrey, 64020
Cancerologia de Queretaro
Querétaro, 76090
Centro Hemato Oncologico Privado; Oncologia
Toluca, 50080
Peru3 sites
Centro Medico Monte Carmelo
Arequipa, 04001
Centro Especializado de Enfermedades Neoplásicas
Arequipa
Instituto Nacional de Enfermedades Neoplasicas
Lima, Lima 34
Slovakia3 sites
Univerzitna nemocnica Bratislava
Bratislava, 813 69
Narodny onkologicky ustav
Bratislava, 833 10
POKO Poprad s.r.o.
Poprad, 058 01
Switzerland3 sites
Kantonsspital Baselland
Bruderholz, 4101
Luzerner Kantonsspital Sursee
Lucerne, 6000
Kantonsspital St. Gallen; Onkologie/Hämatologie
Sankt Gallen, 9007
Austria2 sites
Paracelsus Medizinische Privatuniversität
Salzburg, 5020
Klinikum Wels-Grieskirchen
Wels, 4600
Bulgaria2 sites
Multiprofile Hospital for Active Treatment Central Onco Hospital OOD
Plovdiv, 4000
MHAT Serdika, EOOD
Sofia, 1303
Latvia2 sites
Pauls Stradins Clinical University Hospital
Riga, LV-1002
Riga East Clinical University Hospital Latvian Oncology Centre
Riga, LV-1079
About this study
Official title: A Phase III, Open-Label, Randomized Study of Atezolizumab (MPDL3280A, Anti-PD-L1 Antibody) in Combination With Carboplatin+Paclitaxel With or Without Bevacizumab Compared With Carboplatin + Paclitaxel + Bevacizumab in Chemotherapy-Naïve Patients With Stage IV Non-Squamous Non-Small Cell Lung Cancer
This randomized, open-label study evaluated the safety and efficacy of atezolizumab (an engineered anti-programmed death-ligand 1 [PD-L1] antibody) in combination with carboplatin+paclitaxel with or without bevacizumab compared with treatment with carboplatin+paclitaxel+bevacizumab in chemotherapy-naïve participants with Stage IV non-squamous NSCLC. Participants were randomized in a 1:1:1 ratio to Arm A (Atezolizumab+Carboplatin+Paclitaxel), Arm B (Atezolizumab+Carboplatin+Paclitaxel+Bevacizumab), or Arm C (Carboplatin+Paclitaxel+Bevacizumab).
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Bevacizumab, Carboplatin, Paclitaxel
- 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), an engineered anti-PD-L1 antibodyDrug
Also called MPDL3280A, RO5541267, Tecentriq
Atezolizumab was administered as IV infusion at a dose of 1200 milligrams (mg) on Day 1 of each 21-day cycle until loss of clinical benefit.
BevacizumabDrug
Bevacizumab was administered as IV infusion at a dose of 15 milligrams per kilogram (mg/kg) on Day 1 of each 21-day cycle until progressive disease, unacceptable toxicity, or death.
CarboplatinDrug
Carboplatin was administered at area under the concentration-time curve (AUC) 6 milligrams per milliliter per minute (mg/mL/min) on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first.
PaclitaxelDrug
Paclitaxel was administered as IV infusion at a dose of 200 milligrams per square meter (mg/m^2) on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first.
| Study group | Role | What they receive |
|---|---|---|
| Arm A (Atezolizumab+Paclitaxel+Carboplatin) | Experimental | Participants received intravenous (IV) infusion of atezolizumab on Day 1 of each 21-day cycle followed by IV infusion of paclitaxel and carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first, during induction treatment phase. Participants received IV infusion of atezolizumab during maintenance treatment phase until loss of clinical benefit. Receives: Drug: Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody; Drug: Carboplatin; Drug: Paclitaxel |
| Arm B (Atezolizumab+Bevacizumab+Paclitaxel + Carboplatin) | Experimental | Participants received IV infusion of atezolizumab and bevacizumab on Day 1 of each 21-day cycle followed by IV infusion of paclitaxel and carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first, during induction treatment phase. Participants received IV infusion of atezolizumab until loss of clinical benefit and bevacizumab until progressive disease, unacceptable toxicity, or death during maintenance treatment phase. Receives: Drug: Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody; Drug: Bevacizumab; Drug: Carboplatin; Drug: Paclitaxel |
| Arm C (Bevacizumab+Paclitaxel+Carboplatin) | Active comparator | Participants received IV infusion of bevacizumab on Day 1 of each 21-day cycle followed by IV infusion of paclitaxel and carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles or loss of clinical benefit whichever occurs first, during induction treatment phase. Participants received IV infusion of bevacizumab during maintenance treatment phase until progressive disease, unacceptable toxicity, or death. Receives: Drug: Bevacizumab; Drug: Carboplatin; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS), as Determined by the Investigator in Arm B Versus Arm C in the Teff-high WT Population and ITT-WT Population
Progression Free Survival (PFS), as Determined by the Investigator using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) in Arm B versus Arm C in the T-effector (Teff)-high wild type (WT) population and the intent-to-treat (ITT)-WT population.
Measured: Baseline until disease progression or death, whichever occurs first until data cut-off on 15 September 2017 (up to approximately 29 months)
Overall Survival (OS) in Arm B Versus Arm C in ITT-WT Population
Overall Survival (OS) in Arm B Versus Arm C in ITT-WT Population
Measured: Baseline until death until data cut-off on 22 January 2018 (up to approximately 34 months)
Overall Survival (OS) in Arm A Versus Arm C in ITT-WT Population
Overall Survival (OS) in Arm A Versus Arm C in ITT-WT Population
Measured: Baseline until death (up approximately 53 months)
Secondary outcomes (24)
PFS, as Determined by the Independent Review Facility (IRF) in Arm B Versus Arm C in Teff-High-WT Population and ITT-WT Population
PFS, as determined by the independent review facility (IRF) Using RECIST v1.1 in Arm B versus Arm C in the T-effector (Teff)-high wild type (WT) population and the intent-to-treat (ITT)-WT population.
Measured: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
PFS, as Determined by the Investigator in Arm B Versus Arm C in Teff High Population and ITT Population
PFS, as determined by the investigator according to RECIST v1.1, in Arm B versus C in the Teff high population and ITT population.
Measured: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
PFS, as Determined by the Investigator in Arm A Versus Arm B in Teff High-WT Population and ITT-WT Population
PFS, as determined by the investigator according to RECIST v1.1, in Arm A versus B in the Teff high-WT population and ITT-WT population.
Measured: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
PFS, as Determined by the Investigator in Arm B Versus Arm C by PD-L1 Subgroup
PFS as Determined by the Investigator according to RECIST v1.1, in Arm B Versus Arm C by PD-L1 Subgroup: TC2/3 or 1C2/3 and TC1/2/3 or IC1/2/3 (ITT-WT Population)
Measured: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
OS in Arm B Versus Arm C by PD-L1 Subgroup
OS in Arm B Versus Arm C by PD-L1 Subgroup: TC2/3 or 1C2/3 and TC1/2/3 or IC1/2/3 (ITT-WT Population)
Measured: Baseline until death (up to approximately 34 months)
OS in Arm A Versus Arm C by PD-L1 Subgroup
OS in Arm A Versus Arm C by PD-L1 Subgroup: TC2/3 or 1C2/3 and TC1/2/3 or IC1/2/3 (ITT-WT Population)
Measured: Baseline until death (up approximately 53 months)
OS in Arm B Versus Arm C in Teff High-WT Population, Teff High Population, and ITT Population
Measured: Baseline until death (up to approximately 34 months)
OS in Arm A Versus Arm C in Teff High-WT Population, Teff High Population, and ITT Population
Measured: Baseline until death (up approximately 53 months)
OS in Arm A Versus Arm B in Teff High-WT Population and ITT-WT Population
Measured: Baseline until death (up approximately 53 months)
Duration of Response (DOR), as Determined By Investigator in Arm B Versus Arm C
DOR, as determined by investigator according to RECIST v1.1 in Arm B versus Arm C in the Teff high-WT population and the ITT-WT population.
Measured: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
Percentage of Participants With an Objective Response (OR) (Complete Response [CR] or Partial Response [PR]) as Determined by the Investigator in the Teff-High-WT Population and ITT-WT Population
Percentage of Participants With an Objective Response (OR) (Complete Response [CR] or Partial Response [PR]) as Determined by the Investigator using RECIST v1.1 in the Teff-High-WT population and ITT-WT population.
Measured: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
OS Rates at Years 1 and 2 in Arm B Versus Arm C
OS at 1- and 2-year landmark timepoints in Teff-high WT population and ITT-WT population.
Measured: Baseline to 2 years or death, whichever occurs first.
OS Rates at Years 1 and 2 in Arm A Versus Arm C
OS at 1- and 2-year landmark timepoints in Teff-high WT population and ITT-WT population.
Measured: Baseline to 2 years or death, whichever occurs first.
Time to Deterioration (TTD) in Patient-Reported Lung Cancer Symptoms Determined by European Organization for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire-Core 30 (QLQ-C30) Score
EORTC QLQ-C30 is a validated \& reliable self-report measure (Aaronson et al.1993;Fitzsimmons et al.1999) that consists of 30 questions that assess 5 aspects of patient functioning (physical,emotional,role, cognitive,and social), 3 symptom scales (fatigue,nausea \& vomiting, pain),global health/quality of life,and six single items (dyspnea,insomnia, appetite loss,constipation,diarrhea, and financial difficulties). EORTC QLQ-C30 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life);however a high score for a symptom scale or item represents a high level of symptomatology or problems. A ≥10-point change in the symptoms subscale score is perceived by patients as clinically significant (Osoba et al.1998).
Measured: Baseline up to approximately 29 months
TTD in Patient-Reported Lung Cancer Symptoms as Determined by EORTC Quality-of-Life Questionnaire-Core Lung Cancer Module 13 (QLQ-LC13) Score
QLQ-LC13 Quality-of-Life Questionnaire Lung Cancer Module incorporates one multiple-item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. The EORTC QLQ-LC13 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however, a high score for a symptom scale or item represents a high level of symptomatology or problems. A ≥10-point change in the symptoms subscale score is perceived by patients as clinically significant (Osoba et al. 1998).
Measured: Baseline up to approximately 29 months
Change From Baseline in Patient-Reported Lung Cancer Symptoms Score Using the Symptoms in Lung Cancer (SILC) Scale
The SILC (Symptoms in Lung Cancer) scale was used to assess patient-reported severity of lung cancer symptoms (chest pain, dyspnea, and cough). The SILC scale is a 9-item content validated self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a symptom severity score. The SILC questionnaire comprises three individual symptoms (dyspnea, cough, chest pain) and are scored at the individual symptom level, thus have a dyspnea score, chest pain score, and cough score. Each individual symptom score is calculated as the average of responses for the symptom items [e.g. Chest Pain Score=mean (item 1; item 2)]. An increase in score is suggestive of a worsening in symptomology (i.e. frequency or severity). A score change of ≥0.3 points for the dyspnea and cough symptom scores is considered to be clinically significant; whereas a score change of ≥0.5 points for the chest pain score is considered to be clinically significant.
Measured: Baseline up to approximately 29 months
Percentage of Participants With Adverse Events
Percentage of participants with at least one adverse event.
Measured: Baseline up to data cutoff date 7 December 2020 (up to approximately 68 months)
Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab
Measured: Baseline up to approximately 29 months
Maximum Observed Serum Concentration (Cmax) of Atezolizumab in Arm A and Arm B
The predose samples will be collected on the same day of treatment administration. The infusion duration of atezolizumab will be of 30-60 minutes.
Measured: Day 1 of Cycle 1 and 3 (Cycle length=21 days)
Minimum Observed Serum Concentration (Cmin) of Atezolizumab Prior to Infusion in Arm A and Arm B
Measured: Day 21 of Cycles 1, 2 3, and 7 (Cycle length=21 days)
Plasma Concentrations for Carboplatin in Arm A, Arm B, and Arm C
Measured: Predose (same day of treatment administration), 5-10 minutes before end of carboplatin infusion, 1 h after carboplatin infusion (infusion duration=15 to 30 minutes) on D1 of Cy1,3 (Cycle length=21 days)
Plasma Concentrations for Paclitaxel in Arm A, Arm B, and Arm C
Measured: Predose (same day of treatment administration), 5-10 minutes before end of paclitaxel infusion, 1 h after paclitaxel infusion (infusion duration=3 h) on D1 of Cy1,3 (Cycle length=21 days)
Cmax of Bevacizumab in Arm B and Arm C
Measured: Cycle 1 Day 1 and Cycle 3 Day 1 (Cycle length=21 days)
Cmin of Bevacizumab in Arm B and Arm C
Measured: Cycle 1 Day 1 and Cycle 2 Day 21 (Cycle length=21 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Feb 2015 (estimated)
- Study start31 Mar 2015
- Primary completion13 Sep 2019
- Study completion7 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,202 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02366143
- Sponsor's protocol ID
- GO29436
- Other IDs
- 2014-003207-30, 2014
- Acronym
- IMpower150
- Status last verified
- Aug 2021
- First submitted
- 12 Feb 2015
- Last updated
- 23 Sep 2021
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Zhou C, Dong X, Chen G, Wang Z, Wu X, Yao Y, Zhang Y, Cheng Y, Pan H, Zhang X, Cui J, Wang L, Chen X, Li X, Wang Z, Wang Q, He J, Wang M, Yan I, Qian L, Xu M, Huang X, Sun C, Cai J, Wu Q, Ballinger M, Kaul M, Srivastava MK. Atezolizumab plus bevacizumab and chemotherapy in metastatic nonsquamous NSCLC: the randomized double-blind phase 3 IMpower151 trial. Nat Med. 2025 Jul;31(7):2375-2384. doi: 10.1038/s41591-025-03658-y. Epub 2025 May 16.
PubMed 40379995Mang A, Zou W, Rolny V, Reck M, Cigoianu D, Schulze K, Holdenrieder S, Socinski MA, Shames DS, Wehnl B, Patil NS. Combined use of CYFRA 21-1 and CA 125 predicts survival of patients with metastatic NSCLC and stable disease in IMpower150. Tumour Biol. 2024;46(s1):S177-S190. doi: 10.3233/TUB-230001.
PubMed 37545290Socinski MA, Jotte RM, Cappuzzo F, Nishio M, Mok TSK, Reck M, Finley GG, Kaul MD, Yu W, Paranthaman N, Bara I, West HJ. Association of Immune-Related Adverse Events With Efficacy of Atezolizumab in Patients With Non-Small Cell Lung Cancer: Pooled Analyses of the Phase 3 IMpower130, IMpower132, and IMpower150 Randomized Clinical Trials. JAMA Oncol. 2023 Apr 1;9(4):527-535. doi: 10.1001/jamaoncol.2022.7711.
PubMed 36795388Ton TGN, Pal N, Trinh H, Mahrus S, Bretscher MT, Machado RJM, Sadetsky N, Chaudhary N, Lu MW, Riely GJ. Replication of Overall Survival, Progression-Free Survival, and Overall Response in Chemotherapy Arms of Non-Small Cell Lung Cancer Trials Using Real-World Data. Clin Cancer Res. 2022 Jul 1;28(13):2844-2853. doi: 10.1158/1078-0432.CCR-22-0471.
PubMed 35511917Nogami N, Barlesi F, Socinski MA, Reck M, Thomas CA, Cappuzzo F, Mok TSK, Finley G, Aerts JG, Orlandi F, Moro-Sibilot D, Jotte RM, Stroyakovskiy D, Villaruz LC, Rodriguez-Abreu D, Wan-Teck Lim D, Merritt D, Coleman S, Lee A, Shankar G, Yu W, Bara I, Nishio M. IMpower150 Final Exploratory Analyses for Atezolizumab Plus Bevacizumab and Chemotherapy in Key NSCLC Patient Subgroups With EGFR Mutations or Metastases in the Liver or Brain. J Thorac Oncol. 2022 Feb;17(2):309-323. doi: 10.1016/j.jtho.2021.09.014. Epub 2021 Oct 7.
PubMed 34626838Socinski MA, Nishio M, Jotte RM, Cappuzzo F, Orlandi F, Stroyakovskiy D, Nogami N, Rodriguez-Abreu D, Moro-Sibilot D, Thomas CA, Barlesi F, Finley G, Kong S, Lee A, Coleman S, Zou W, McCleland M, Shankar G, Reck M. IMpower150 Final Overall Survival Analyses for Atezolizumab Plus Bevacizumab and Chemotherapy in First-Line Metastatic Nonsquamous NSCLC. J Thorac Oncol. 2021 Nov;16(11):1909-1924. doi: 10.1016/j.jtho.2021.07.009. Epub 2021 Jul 24.
PubMed 34311108Reck M, Wehler T, Orlandi F, Nogami N, Barone C, Moro-Sibilot D, Shtivelband M, Gonzalez Larriba JL, Rothenstein J, Fruh M, Yu W, Deng Y, Coleman S, Shankar G, Patel H, Kelsch C, Lee A, Piault E, Socinski MA. Safety and Patient-Reported Outcomes of Atezolizumab Plus Chemotherapy With or Without Bevacizumab Versus Bevacizumab Plus Chemotherapy in Non-Small-Cell Lung Cancer. J Clin Oncol. 2020 Aug 1;38(22):2530-2542. doi: 10.1200/JCO.19.03158. Epub 2020 May 27.
PubMed 32459597Reck M, Mok TSK, Nishio M, Jotte RM, Cappuzzo F, Orlandi F, Stroyakovskiy D, Nogami N, Rodriguez-Abreu D, Moro-Sibilot D, Thomas CA, Barlesi F, Finley G, Lee A, Coleman S, Deng Y, Kowanetz M, Shankar G, Lin W, Socinski MA; IMpower150 Study Group. Atezolizumab plus bevacizumab and chemotherapy in non-small-cell lung cancer (IMpower150): key subgroup analyses of patients with EGFR mutations or baseline liver metastases in a randomised, open-label phase 3 trial. Lancet Respir Med. 2019 May;7(5):387-401. doi: 10.1016/S2213-2600(19)30084-0. Epub 2019 Mar 25.
PubMed 30922878Socinski MA, Jotte RM, Cappuzzo F, Orlandi F, Stroyakovskiy D, Nogami N, Rodriguez-Abreu D, Moro-Sibilot D, Thomas CA, Barlesi F, Finley G, Kelsch C, Lee A, Coleman S, Deng Y, Shen Y, Kowanetz M, Lopez-Chavez A, Sandler A, Reck M; IMpower150 Study Group. Atezolizumab for First-Line Treatment of Metastatic Nonsquamous NSCLC. N Engl J Med. 2018 Jun 14;378(24):2288-2301. doi: 10.1056/NEJMoa1716948. Epub 2018 Jun 4.
PubMed 29863955
Study at a glance
From the registry record, last updated by the sponsor on 23 Sep 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Open-Label, Randomized Study of Atezolizumab (MPDL3280A, Anti-PD-L1 Antibody) in Combination With Carboplatin+Paclitaxel With or Without Bevacizumab Compared With Carboplatin + Paclitaxel + Bevacizumab in Chemotherapy-Naïve Patients With Stage IV Non-Squamous Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT02366143
- Acronym / sponsor ID
- IMpower150 / GO29436
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,202 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 31 Mar 2015 (actual)
- Primary completion
- 13 Sep 2019 (actual)
- Study completion
- 7 Dec 2020 (actual)
- First posted
- 19 Feb 2015 (estimated)
- Results
- Posted 27 Oct 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, open-label study evaluated the safety and efficacy of atezolizumab (an engineered anti-programmed death-ligand 1 [PD-L1] antibody) in combination with carboplatin+paclitaxel with or without bevacizumab compared with treatment with carboplatin+paclitaxel+bevacizumab in chemotherapy-naïve participants with Stage IV non-squamous NSCLC. Participants were randomized in a 1:1:1 ratio to Arm A (Atezolizumab+Carboplatin+Paclitaxel), Arm B (Atezolizumab+Carboplatin+Paclitaxel+Bevacizumab), or Arm C (Carboplatin+Paclitaxel+Bevacizumab).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A (Atezolizumab+Paclitaxel+Carboplatin) | Experimental | Drug: Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Drug: Carboplatin, Drug: PaclitaxelParticipants received intravenous (IV) infusion of atezolizumab on Day 1 of each 21-day cycle followed by IV infusion of paclitaxel and carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first, during induction treatment phase. Participants received IV infusion of atezolizumab during maintenance treatment phase until loss of clinical benefit. |
| Arm B (Atezolizumab+Bevacizumab+Paclitaxel + Carboplatin) | Experimental | Drug: Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Drug: Bevacizumab, Drug: Carboplatin, Drug: PaclitaxelParticipants received IV infusion of atezolizumab and bevacizumab on Day 1 of each 21-day cycle followed by IV infusion of paclitaxel and carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first, during induction treatment phase. Participants received IV infusion of atezolizumab until loss of clinical benefit and bevacizumab until progressive disease, unacceptable toxicity, or death during maintenance treatment phase. |
| Arm C (Bevacizumab+Paclitaxel+Carboplatin) | Active comparator | Drug: Bevacizumab, Drug: Carboplatin, Drug: PaclitaxelParticipants received IV infusion of bevacizumab on Day 1 of each 21-day cycle followed by IV infusion of paclitaxel and carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles or loss of clinical benefit whichever occurs first, during induction treatment phase. Participants received IV infusion of bevacizumab during maintenance treatment phase until progressive disease, unacceptable toxicity, or death. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Eastern Cooperative Oncology Group performance status 0 or 1
- Histologically or cytologically confirmed, Stage IV non-squamous NSCLC
- Participants with no prior treatment for Stage IV non-squamous NSCLC
- Known PD-L1 status as determined by immunohistochemistry assay performed on previously obtained archival tumor tissue or tissue obtained from a biopsy at screening
- Measurable disease as defined by RECIST v1.1
Key exclusion criteria (13 listed)
- Active or untreated central nervous system metastases
- Malignancies other than NSCLC within 5 years prior to randomization, with the exception of those with a negligible risk of metastasis or death treated with expected curative outcome
- Pregnant or lactating women
- History of autoimmune disease
- History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
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 |
|---|---|---|
| Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibodyAlso: MPDL3280A, RO5541267, TecentriqAtezolizumab was administered as IV infusion at a dose of 1200 milligrams (mg) on Day 1 of each 21-day cycle until loss of clinical benefit. | Drug | Arm A (Atezolizumab+Paclitaxel+Carboplatin), Arm B (Atezolizumab+Bevacizumab+Paclitaxel + Carboplatin) |
| BevacizumabBevacizumab was administered as IV infusion at a dose of 15 milligrams per kilogram (mg/kg) on Day 1 of each 21-day cycle until progressive disease, unacceptable toxicity, or death. | Drug | Arm B (Atezolizumab+Bevacizumab+Paclitaxel + Carboplatin), Arm C (Bevacizumab+Paclitaxel+Carboplatin) |
| CarboplatinCarboplatin was administered at area under the concentration-time curve (AUC) 6 milligrams per milliliter per minute (mg/mL/min) on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first. | Drug | Arm A (Atezolizumab+Paclitaxel+Carboplatin), Arm B (Atezolizumab+Bevacizumab+Paclitaxel + Carboplatin), Arm C (Bevacizumab+Paclitaxel+Carboplatin) |
| PaclitaxelPaclitaxel was administered as IV infusion at a dose of 200 milligrams per square meter (mg/m^2) on Day 1 of each 21-day cycle for 4 or 6 cycles or until loss of clinical benefit whichever occurs first. | Drug | Arm A (Atezolizumab+Paclitaxel+Carboplatin), Arm B (Atezolizumab+Bevacizumab+Paclitaxel + Carboplatin), Arm C (Bevacizumab+Paclitaxel+Carboplatin) |
Primary outcome
Progression Free Survival (PFS), as Determined by the Investigator in Arm B Versus Arm C in the Teff-high WT Population and ITT-WT Population
Time frame: Baseline until disease progression or death, whichever occurs first until data cut-off on 15 September 2017 (up to approximately 29 months)
Progression Free Survival (PFS), as Determined by the Investigator using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) in Arm B versus Arm C in the T-effector (Teff)-high wild type (WT) population and the intent-to-treat (ITT)-WT population.
Overall Survival (OS) in Arm B Versus Arm C in ITT-WT Population
Time frame: Baseline until death until data cut-off on 22 January 2018 (up to approximately 34 months)
Overall Survival (OS) in Arm B Versus Arm C in ITT-WT Population
Overall Survival (OS) in Arm A Versus Arm C in ITT-WT Population
Time frame: Baseline until death (up approximately 53 months)
Overall Survival (OS) in Arm A Versus Arm C in ITT-WT Population
24 secondary outcomes
PFS, as Determined by the Independent Review Facility (IRF) in Arm B Versus Arm C in Teff-High-WT Population and ITT-WT Population
Time frame: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
PFS, as Determined by the Investigator in Arm B Versus Arm C in Teff High Population and ITT Population
Time frame: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
PFS, as Determined by the Investigator in Arm A Versus Arm B in Teff High-WT Population and ITT-WT Population
Time frame: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
PFS, as Determined by the Investigator in Arm B Versus Arm C by PD-L1 Subgroup
Time frame: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
OS in Arm B Versus Arm C by PD-L1 Subgroup
Time frame: Baseline until death (up to approximately 34 months)
OS in Arm A Versus Arm C by PD-L1 Subgroup
Time frame: Baseline until death (up approximately 53 months)
OS in Arm B Versus Arm C in Teff High-WT Population, Teff High Population, and ITT Population
Time frame: Baseline until death (up to approximately 34 months)
OS in Arm A Versus Arm C in Teff High-WT Population, Teff High Population, and ITT Population
Time frame: Baseline until death (up approximately 53 months)
OS in Arm A Versus Arm B in Teff High-WT Population and ITT-WT Population
Time frame: Baseline until death (up approximately 53 months)
Duration of Response (DOR), as Determined By Investigator in Arm B Versus Arm C
Time frame: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
Percentage of Participants With an Objective Response (OR) (Complete Response [CR] or Partial Response [PR]) as Determined by the Investigator in the Teff-High-WT Population and ITT-WT Population
Time frame: Baseline until disease progression or death, whichever occurs first (up to approximately 29 months)
OS Rates at Years 1 and 2 in Arm B Versus Arm C
Time frame: Baseline to 2 years or death, whichever occurs first.
OS Rates at Years 1 and 2 in Arm A Versus Arm C
Time frame: Baseline to 2 years or death, whichever occurs first.
Time to Deterioration (TTD) in Patient-Reported Lung Cancer Symptoms Determined by European Organization for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire-Core 30 (QLQ-C30) Score
Time frame: Baseline up to approximately 29 months
TTD in Patient-Reported Lung Cancer Symptoms as Determined by EORTC Quality-of-Life Questionnaire-Core Lung Cancer Module 13 (QLQ-LC13) Score
Time frame: Baseline up to approximately 29 months
Change From Baseline in Patient-Reported Lung Cancer Symptoms Score Using the Symptoms in Lung Cancer (SILC) Scale
Time frame: Baseline up to approximately 29 months
Percentage of Participants With Adverse Events
Time frame: Baseline up to data cutoff date 7 December 2020 (up to approximately 68 months)
Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab
Time frame: Baseline up to approximately 29 months
Maximum Observed Serum Concentration (Cmax) of Atezolizumab in Arm A and Arm B
Time frame: Day 1 of Cycle 1 and 3 (Cycle length=21 days)
Minimum Observed Serum Concentration (Cmin) of Atezolizumab Prior to Infusion in Arm A and Arm B
Time frame: Day 21 of Cycles 1, 2 3, and 7 (Cycle length=21 days)
Plasma Concentrations for Carboplatin in Arm A, Arm B, and Arm C
Time frame: Predose (same day of treatment administration), 5-10 minutes before end of carboplatin infusion, 1 h after carboplatin infusion (infusion duration=15 to 30 minutes) on D1 of Cy1,3 (Cycle length=21 days)
Plasma Concentrations for Paclitaxel in Arm A, Arm B, and Arm C
Time frame: Predose (same day of treatment administration), 5-10 minutes before end of paclitaxel infusion, 1 h after paclitaxel infusion (infusion duration=3 h) on D1 of Cy1,3 (Cycle length=21 days)
Cmax of Bevacizumab in Arm B and Arm C
Time frame: Cycle 1 Day 1 and Cycle 3 Day 1 (Cycle length=21 days)
Cmin of Bevacizumab in Arm B and Arm C
Time frame: Cycle 1 Day 1 and Cycle 2 Day 21 (Cycle length=21 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Sep 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40379995Zhou C, Dong X, Chen G, Wang Z, Wu X, Yao Y, Zhang Y, Cheng Y, Pan H, Zhang X, Cui J, Wang L, Chen X, Li X, Wang Z, Wang Q, He J, Wang M, Yan I, Qian L, Xu M, Huang X, Sun C, Cai J, Wu Q, Ballinger M, Kaul M, Srivastava MK. Atezolizumab plus bevacizumab and chemotherapy in metastatic nonsquamous NSCLC: the randomized double-blind phase 3 IMpower151 trial. Nat Med. 2025 Jul;31(7):2375-2384. doi: 10.1038/s41591-025-03658-y. Epub 2025 May 16.
- Derived from this study: PubMed 37545290Mang A, Zou W, Rolny V, Reck M, Cigoianu D, Schulze K, Holdenrieder S, Socinski MA, Shames DS, Wehnl B, Patil NS. Combined use of CYFRA 21-1 and CA 125 predicts survival of patients with metastatic NSCLC and stable disease in IMpower150. Tumour Biol. 2024;46(s1):S177-S190. doi: 10.3233/TUB-230001.
- Derived from this study: PubMed 36795388Socinski MA, Jotte RM, Cappuzzo F, Nishio M, Mok TSK, Reck M, Finley GG, Kaul MD, Yu W, Paranthaman N, Bara I, West HJ. Association of Immune-Related Adverse Events With Efficacy of Atezolizumab in Patients With Non-Small Cell Lung Cancer: Pooled Analyses of the Phase 3 IMpower130, IMpower132, and IMpower150 Randomized Clinical Trials. JAMA Oncol. 2023 Apr 1;9(4):527-535. doi: 10.1001/jamaoncol.2022.7711.
- Derived from this study: PubMed 35511917Ton TGN, Pal N, Trinh H, Mahrus S, Bretscher MT, Machado RJM, Sadetsky N, Chaudhary N, Lu MW, Riely GJ. Replication of Overall Survival, Progression-Free Survival, and Overall Response in Chemotherapy Arms of Non-Small Cell Lung Cancer Trials Using Real-World Data. Clin Cancer Res. 2022 Jul 1;28(13):2844-2853. doi: 10.1158/1078-0432.CCR-22-0471.
- Derived from this study: PubMed 34626838Nogami N, Barlesi F, Socinski MA, Reck M, Thomas CA, Cappuzzo F, Mok TSK, Finley G, Aerts JG, Orlandi F, Moro-Sibilot D, Jotte RM, Stroyakovskiy D, Villaruz LC, Rodriguez-Abreu D, Wan-Teck Lim D, Merritt D, Coleman S, Lee A, Shankar G, Yu W, Bara I, Nishio M. IMpower150 Final Exploratory Analyses for Atezolizumab Plus Bevacizumab and Chemotherapy in Key NSCLC Patient Subgroups With EGFR Mutations or Metastases in the Liver or Brain. J Thorac Oncol. 2022 Feb;17(2):309-323. doi: 10.1016/j.jtho.2021.09.014. Epub 2021 Oct 7.
- Derived from this study: PubMed 34311108Socinski MA, Nishio M, Jotte RM, Cappuzzo F, Orlandi F, Stroyakovskiy D, Nogami N, Rodriguez-Abreu D, Moro-Sibilot D, Thomas CA, Barlesi F, Finley G, Kong S, Lee A, Coleman S, Zou W, McCleland M, Shankar G, Reck M. IMpower150 Final Overall Survival Analyses for Atezolizumab Plus Bevacizumab and Chemotherapy in First-Line Metastatic Nonsquamous NSCLC. J Thorac Oncol. 2021 Nov;16(11):1909-1924. doi: 10.1016/j.jtho.2021.07.009. Epub 2021 Jul 24.
- Derived from this study: PubMed 32459597Reck M, Wehler T, Orlandi F, Nogami N, Barone C, Moro-Sibilot D, Shtivelband M, Gonzalez Larriba JL, Rothenstein J, Fruh M, Yu W, Deng Y, Coleman S, Shankar G, Patel H, Kelsch C, Lee A, Piault E, Socinski MA. Safety and Patient-Reported Outcomes of Atezolizumab Plus Chemotherapy With or Without Bevacizumab Versus Bevacizumab Plus Chemotherapy in Non-Small-Cell Lung Cancer. J Clin Oncol. 2020 Aug 1;38(22):2530-2542. doi: 10.1200/JCO.19.03158. Epub 2020 May 27.
- Derived from this study: PubMed 30922878Reck M, Mok TSK, Nishio M, Jotte RM, Cappuzzo F, Orlandi F, Stroyakovskiy D, Nogami N, Rodriguez-Abreu D, Moro-Sibilot D, Thomas CA, Barlesi F, Finley G, Lee A, Coleman S, Deng Y, Kowanetz M, Shankar G, Lin W, Socinski MA; IMpower150 Study Group. Atezolizumab plus bevacizumab and chemotherapy in non-small-cell lung cancer (IMpower150): key subgroup analyses of patients with EGFR mutations or baseline liver metastases in a randomised, open-label phase 3 trial. Lancet Respir Med. 2019 May;7(5):387-401. doi: 10.1016/S2213-2600(19)30084-0. Epub 2019 Mar 25.
- Derived from this study: PubMed 29863955Socinski MA, Jotte RM, Cappuzzo F, Orlandi F, Stroyakovskiy D, Nogami N, Rodriguez-Abreu D, Moro-Sibilot D, Thomas CA, Barlesi F, Finley G, Kelsch C, Lee A, Coleman S, Deng Y, Shen Y, Kowanetz M, Lopez-Chavez A, Sandler A, Reck M; IMpower150 Study Group. Atezolizumab for First-Line Treatment of Metastatic Nonsquamous NSCLC. N Engl J Med. 2018 Jun 14;378(24):2288-2301. doi: 10.1056/NEJMoa1716948. Epub 2018 Jun 4.
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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
Hoffmann-La Roche
240 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Bevacizumab and Carboplatin in people with Carcinoma, Non-Small-Cell Lung, run by Hoffmann-La Roche at 240 sites in 26 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 13 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 23 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 240 sites in United States, Spain, Germany, Australia, Japan and 21 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 27 Oct 2020). 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?
Progression Free Survival (PFS), as Determined by the Investigator in Arm B Versus Arm C in the Teff-high WT Population and ITT-WT Population (time frame: Baseline until disease progression or death, whichever occurs first until data cut-off on 15 September 2017 (up to approximately 29 months)). 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 NCT02366143, which also lists 9 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 23 Sep 2021.