Non-Squamous Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung CancerPhase 3NCT02409342
A Study of Atezolizumab (MPDL3280A) Compared With a Platinum Agent (Cisplatin or Carboplatin) + (Pemetrexed or Gemcitabine) in Participants With Stage IV Non-Squamous or Squamous Non-Small Cell Lung Cancer (NSCLC) [IMpower110]
A Phase 3 study testing Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody, Carboplatin and Cisplatin in people with Non-Squamous Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 142 sites in 19 countries.
Trial summary
This randomized, open-label study will evaluate the efficacy and safety of atezolizumab compared with chemotherapy consisting of a platinum agent (cisplatin or carboplatin per investigator discretion) combined with either pemetrexed (non-squamous disease) or gemcitabine (squamous disease) in programmed death-ligand 1… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Squamous Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer
- What is being tested?
- Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody, Carboplatin and Cisplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 572 participants
- Where
- 142 sitesin 19 countries
- Study dates
- 20 Jul 2015to 8 Mar 2022
- 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
- Histologically or cytologically confirmed, Stage IV non-squamous or squamous NSCLC
- No prior treatment for Stage IV non-squamous or squamous NSCLC. Participant known to have a sensitizing mutation in the epidermal growth factor receptor (EGFR) gene or an anaplastic lymphoma kinase (ALK) fusion oncogene are excluded from the study
- Tumor PD-L1 expression as determined by immunohistochemistry (IHC) assay of archival tumor tissue or tissue obtained at screening
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
- Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
- Adequate hematologic and end-organ function
Who cannot join
- Known sensitizing mutation in the EGFR gene or ALK fusion oncogene
- Active or untreated central nervous system (CNS) metastases as determined by Computed Tomography (CT) or magnetic resonance imaging (MRI) evaluation
- 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 CT scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
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- Positive test for Human Immunodeficiency Virus (HIV)
- Active hepatitis B or hepatitis C
- Prior treatment with cluster of differentiation (CD) 137 agonists or immune checkpoint blockade therapies, anti PD1, and anti-PD-L1 therapeutic antibody
- Severe infection within 4 weeks prior to randomization
- Significant history of cardiovascular disease
Trial locations and contacts
142 sites in 19 countries.
142 sites in 19 countries
Japan16 sites
Aichi Cancer Center Hospital; Respiratory Medicine
Aichi, 464-8681
Nagoya University Hospital; Respiratory Medicine
Aichi, 466-8560
Kyushu University Hospital; Respiratory
Fukuoka, 812-8582
Hokkaido University Hospital
Hokkaido, 060-8648
Kobe City Medical Center General Hospital; Respiratory Medicine
Hyōgo, 650-0047
Hyogo Cancer Center; Thoracic Oncology
Hyōgo, 673-8558
Ibaraki Prefectural Central Hospital; Division of respiratory
Ibaraki, 309-1793
Sendai Kousei Hospital; Pulmonary Medicine
Miyagi, 980-0873
Okayama University Hospital; Respiratory and Allergy Medicine
Okayama, 700-8558
Osaka International Cancer Institute; Thoracic Oncology
Osaka, 541-8567
Kansai Medical university Hospital; Thoracic Oncology
Osaka, 573-1191
Osaka Habikino Medical Center
Osaka, 583-8588
National Hospital Organization Kinki-Chuo Chest Medical Center
Sakaishi, 591-8555
Saitama Cancer Center; Thoracic Oncology
Satima, 362-0806
National Cancer Center Hospital; Thoracic Medical Oncology
Tokyo, 104-0045
Tokyo Medical University Hospital; Dept of Surgery
Tokyo, 160-0023
Spain15 sites
Hospital Universitario A Coruña
A Coruña, LA Coruña, 15006
Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia
Badalona, Barcelona, 08916
Hospital Universitario Cruces
Barakaldo, Vizcaya, 48903
Hospital del Mar
Barcelona, 08003
Hospital Universitario Vall d'Hebron - PPDS
Barcelona, 08035
Consorcio Hospitalario Provincial de Castellon
Castellon de LA Plana/castello de LA Plana, Castellon, 12002
Complejo Hospitalario de Jaen
Jaén, 23007
Hospital Clinico San Carlos; Servicio de Oncologia
Madrid, 28040
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07010
Hospital Son Llatzer
Palma de Mallorca, Balearic Islands, 07198
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
Hosp Clinico Univ Lozano Blesa; División De Oncología Médica
Zaragoza, 50009
Hospital Universitario Miguel Servet
Zaragoza, 50009
Italy12 sites
Centro Di Riferimento Oncologico; Struttura Operativa Complessa Di Oncologia Medica B
Aviano, Friuli Venezia Giulia, 33081
Asst Papa Giovanni XXIII
Bergamo, Lombardy, 24100
Azienda Ospedaliero-Universitaria ?PoliclinicoVittorio Emanuele?- P.O. G. Rodolico; Oncologia Medica
Catania, Sicily, 95123
Azienda Ospedaliera Istituti Ospitalieri
Cremona, Lombardy, 26100
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica
Meldola, Emilia-Romagna, 47014
Ospedale San Raffaele S.r.l.
Milan, Lombardy, 20132
Istituto Europeo Di Oncologia
Milan, Lombardy, 20141
Azienda Socio Sanitaria Territoriale ? ASST di Monza
Monza, Lombardy, 20052
Istituto Nazionale dei Tumori
Monza, Lombardy, 20052
Istituto Clinico Humanitas
Rozzano (MI), Lombardy, 20089
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Turin, Piedmont, 10126
Azienda Ospedaliera Universitaria Integrata Verona; UOC Oncologia
Verona, Veneto, 37126
Brazil11 sites
*X*Fundacao PIO XII
Barretos, São Paulo, 14784-400
Centro de Pesquisas Clinicas em Oncologia - CPCO
Cachoeiro de Itapemirim, Espírito Santo, 29308-014
Associacao Hospital de Caridade Ijui*X; Departamento De Oncologia
Ijuí, Rio Grande do Sul, 98700-000
Instituto Joinvilense de Hematologia E Oncologia
Joinville, Santa Catarina, 89201-260
Hospital da Cidade de Passo Fundo; Centro de Pesquisa em Oncologia
Passo Fundo, Rio Grande do Sul, 99010-260
Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Instituto Nacional de Cancer - INCa; Oncologia
Rio de Janeiro, Rio de Janeiro, 20560-120
Oncovida*X
Salvador, Estado de Bahia, 41820-021
Instituto Do Câncer Do Estado de São Paulo Octávio Frias de Oliveira
São Paulo, São Paulo, 01246 000
Hospital Santa Marcelina
São Paulo, São Paulo, 08270-070
Greece11 sites
Sotiria Chest Hospital of Athens
Athens, 11527
IASO General Hospital of Athens
Athens, 155 62
Metropolitan Hospital
Athens, 185 47
Attikon University General Hospital
Chaïdári, 124 62
University General Hospital of Larissa
Larissa, 412 21
University General Hospital of Patras
Pátrai, 265 00
Thermi Clinic
Thermi, Thessaloniki, 57001
Bioclinic Thessaloniki
Thessaloniki, 546 22
EUROMEDICA General Clinic of Thessaloniki; Gastroenterology Department
Thessaloniki, 54645
Papageorgiou General Hospital of Thessaloniki
Thessaloniki, 564 29
Georgios Papanikolaou General Hosp. of Thessaloniki
Thessaloniki, 57010
Russia11 sites
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, Arhangelsk, 163045
Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic
Kazan', Tatarstan Republic, 420029
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423
Principal Military Clinical Hospital n.a. N.N. Burdenko
Moscow, Moscow Oblast, 105229
Federal State Institution Medical Radiology Research Center
Obninsk, Kaluga Oblast, 249036
Regional Clinical Oncology Center
Ryazan, 390046
Saint Petersburg Clinical Hospital of the Russian Academy of Sciences
Saint Petersburg, Sankt-Peterburg, 194017
Leningrad Regional Clinical Hospital
Saint Petersburg, 194291
St. Petersburg Med Univ; n.a. I.P. Pavlov; Pulmonology Research
Saint Petersburg, 197089
Mordovia State University
Saransk, 430032
Volgograd Regional Clinical Oncology Dispensary
Volgograd, 400138
France10 sites
CHU Angers
Angers, 49933
Hospital d Instructions des Armees Percy
Clamart, 92141
Hôpital Universitaire Dupuytren
Limoges, 87042
Clinique Clémentville
Montpellier, 34070
Centre D'oncologie de Gentilly
Nancy, 54100
Hopital Tenon
Paris, 75020
Centre Hospitalier Regional La Reunion Site Felix Guyon
Saint-Denis, 97405
Hopital d'Instruction des Armees de Begin
Saint-Mandé, 94160
Centre Hospitalier Regional Sud Reunion
Saint-Pierre, 97448
Centre Paul Strauss
Strasbourg, 67000
United States9 sites
University of Maryland Greenebaum Cancer Center
Baltimore, Maryland, 21201
Lynn Cancer Institute - West
Boca Raton, Florida, 33428
Hematology Oncology Associates of Fredericksburg, Inc.
Fredericksburg, Virginia, 22408
Sarah Cannon Cancer Center
Germantown, Tennessee, 38138
University of California San Diego
La Jolla, California, 92093
Vanderbilt University Medical Center; Multiple Sclerosis Center
Nashville, Tennessee, 37204
Yale Cancer Center
New Haven, Connecticut, 06520
Oregon Health & Science Uni
Portland, Oregon, 97239
VA Puget Sound Health Care Sys
Seattle, Washington, 98108
Ukraine8 sites
Communal Non-profit Enterprise City Clinical Hospital #4 of Dnipro City Council - PPDS; Chemotherapy
Dnipro, KIEV Governorate, 49102
Municipal Noncommercial Institution Regional Center of Oncology
Kharkiv, Kharkiv Governorate, 61070
Private Enterprise Private Manufacturing Company Acinus
Kirovograd, 25006
Kyiv Railway Clinical Hospital #3 of Branch Health Center of the PJSC Ukrainian Railway
Kyiv, KIEV Governorate, 02096
The Municipal Enterprise Volyn Regional Medical Oncology Centre of the Volyn Regional Council
Lutsk, Volhynian Governorate, 43018
Municipal Noncomercial Enterprise Odessa Regional Oncology Center ofthe Odessa StateAdministration
Odesa, Kherson Governorate, 65055
Municipal non profit enterprise of Sumy Regional Council Sumy Regional Clinical Oncology Disp
Sumy, Kholm Governorate, 40005
Communal Nonprofit Enterprise Podilsky Regional Center Of Oncology OfTheVinnytsia Regional Council
Vinnytsia, KIEV Governorate, 21029
Romania7 sites
Teo Health SA - Saint Constantin Hospital
Brasov, 500091
Prof. Dr. I. Chiricuta Institute of Oncology
Cluj-Napoca, 400015
Oncology Center Sf. Nectarie
Craiova, 200347
Institutul Regional de Oncologie Iasi; Clinica de Hematologie
Iași, 700483
Sibiu Emergency Clinical County Hospital
Sibiu, 550245
Oncocenter Clinical Oncology
Timi?oara, 300210
Oncomed SRL
Timișoara, 300239
Turkey (Türkiye)6 sites
Cukurova University Medical Faculty Balcali Hospital
Adana, 1330
Hacettepe Universitesi Tip Fakultesi Hastanesi
Ankara, 06100
Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34000
Ege Universitesi Tip Fakultesi Hastanesi
Izmir, 35100
Izmir Dr. Suat Seren Gogus Hastaliklari ve Cerrahisi Egitim ve Arastirma Hastanesi
Izmir, 35110
Inonu University Faculty of Medicine Turgut Ozal Medical Center
Malatya, 44280
Poland5 sites
Uniwersyteckie Centrum Kliniczne
Gdansk
Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie; Oddzial onkologii z pododdzialem chemioterapii
Olsztyn, 10-357
Mazowieckie Centrum Leczenia Chorob Pluc i Gruzlicy
Otwock, 05-400
Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu
Poznan, 60-569
Med-Polonia Sp. z o.o.
Poznan, 60-693
Hungary4 sites
Uzsoki Utcai Korhaz
Budapest, 1145
Szabolcs-Szatmar-Bereg Megyei; Korhazak es Egyetemi Oktatokorhaz
Nyíregyháza, 4400
Pecsi Tudomanyegyetem
Pécs, 7624
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet; Megyei Onkologiai Kozpont
Szolnok, 5004
Serbia4 sites
Clinical Center of Serbia
Belgrade, 11000
Institute for Oncology and Radiology of Serbia; Medical Oncology
Belgrade, 11000
Institute of Lung Diseases Vojvodina
Kamenitz, 21204
Clinical Center Kragujevac
Kragujevac, 34000
Thailand4 sites
Prince of Songkla University; Department Of Internal Medicine, Faculty Of Medicine
Hat Yai, 90110
Khon Kaen University
Khon Kaen, 40002
Chiang Rai Prachanukroh Hospital
Muang, 57000
Buddhachinnaraj Hospital
Phitsanulok, 65000
South Korea3 sites
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
Seoul National University Bundang Hospital
Seongnam-si, 13620
Kangbuk Samsung Hospital
Seoul, 03181
United Kingdom3 sites
Birmingham Heartlands Hospital
Birmingham, B9 5SS
Colchester General Hospital
Colchester, Essex, CO4 5JL
Christie Hospital
Manchester, M20 3BG
Germany2 sites
Asklepios-Fachklinik Muenchen-Gauting; Klinik Für Pneumologie
Gauting, 82131
Pius-Hospital Oldenburg
Oldenburg, 26121
About this study
Official title: A Phase III, Open Label, Randomized Study of Atezolizumab (Anti-PD-L1 Antibody) Compared With a Platinum Agent (Cisplatin or Carboplatin) in Combination With Either Pemetrexed or Gemcitabine for PD-L1-Selected, Chemotherapy-Naive Patients With Stage IV Non-Squamous Or Squamous Non-Small Cell Lung Cancer
This randomized, open-label study will evaluate the efficacy and safety of atezolizumab compared with chemotherapy consisting of a platinum agent (cisplatin or carboplatin per investigator discretion) combined with either pemetrexed (non-squamous disease) or gemcitabine (squamous disease) in programmed death-ligand 1 (PD-L1)-selected, chemotherapy-naive participants with Stage IV Non-Squamous or Squamous NSCLC.
- Being tested
- Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody, Carboplatin, Cisplatin, Gemcitabine, Pemetrexed
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
Also called MPDL3280A, RO5541267
Atezolizumab 1200 milligram (mg) will be administered as intravenous infusion every 21 days until loss of clinical benefit (as assessed by the investigator), unacceptable toxicity, or death (maximum up to approximately 58 months).
CarboplatinDrug
Carboplatin will be administered as intravenous infusion at a dose of area under the concentration-time curve (AUC) 6 when given in combination with pemetrexed or at a dose of AUC 5 when given in combination with gemcitabine, every 21 days for 4 or 6 cycles as per local standard of care.
CisplatinDrug
Cisplatin will be administered as intravenous infusion at a dose of 75 mg per meter squared (mg/m^2) every 21 days for 4 or 6 cycles as per local standard of care.
GemcitabineDrug
Gemcitabine will be administered as intravenous infusion at a dose of 1250 mg/m^2 (in combination with cisplatin) or 1000 mg/m^2 (in combination with carboplatin), on Days 1 and 8 of each 21-day cycle for 4 or 6 cycles as per local standard of care.
PemetrexedDrug
Pemetrexed will be administered as intravenous infusion at a dose of 500 mg/m^2 on Day 1 of each 21-day cycle as per local standard of care until disease progression (per RECIST v1.1), unacceptable toxicity, or death (maximum up to approximately 58 months).
| Study group | Role | What they receive |
|---|---|---|
| (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | Active comparator | Participants with non-squamous NSCLC will receive chemotherapy with pemetrexed in combination with either cisplatin or carboplatin (per investigator discretion) on Day 1 of each 21-day cycle for 4 or 6 cycles as per local standard of care, followed by maintenance therapy with pemetrexed alone as per local standard of care until disease progression (per RECIST v1.1), unacceptable toxicity, or death (maximum up to approximately 58 months). Participants with squamous NSCLC will receive chemotherapy with gemcitabine on Days 1 and 8 of each 21-day cycle in combination with either cisplatin or carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles as per local standard of care, followed by best supportive care as per local standard of care until disease progression, unacceptable toxicity, or death (maximum up to approximately 58 months). Receives: Drug: Carboplatin; Drug: Cisplatin; Drug: Gemcitabine; Drug: Pemetrexed |
| Atezolizumab | Experimental | Participants with squamous or non-squamous NSCLC will receive atezolizumab on Day 1 of each 21-day cycle until loss of clinical benefit (as assessed by the investigator), unacceptable toxicity, or death (maximum up to approximately 58 months). 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.
Overall Survival (OS) in the TC3 or IC3-WT Populations
OS is defined as the time from randomization to death from any cause.
Measured: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Overall Survival (OS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
OS is defined as the time from randomization to death from any cause.
Measured: From randomization to death from any cause until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Secondary outcomes (21)
Progression-free Survival (PFS) in the TC3 or IC3-WT Populations
PFS is defined as the time from randomization to the first occurrence of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. PFS could not be formally tested.
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Progression-free Survival (PFS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
PFS is defined as the time from randomization to the first occurrence of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. PFS could not be formally tested.
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Percentage of Participants With Objective Response (ORR) in the TC3 or IC3-WT Populations
Objective response (partial response plus complete response) as determined by the investigator according to RECIST v1.1.
Measured: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 10 Sep 2018 (up to approximately 38 months)
Percentage of Participants With Objective Response (ORR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Objective response (partial response plus complete response) as determined by the investigator according to RECIST v1.1.
Measured: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 4 Feb 2020 (up to approximately 54.5 months)
Duration of Response (DOR) in the TC3 or IC3-WT Populations
DOR is defined as the time from the first occurrence of a documented objective response to the time of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first.
Measured: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Duration of Response (DOR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
DOR is defined as the time from the first occurrence of a documented objective response to the time of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first.
Measured: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Percentage of Participants Who Are Alive at 1 Year in the TC3 or IC3-WT Populations
Measured: Baseline to 1 year or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Percentage of Participants Who Are Alive at 2 Years in the TC3 or IC3-WT Populations
Measured: Baseline to 2 years or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Percentage of Participants Who Are Alive at 1 Year in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Measured: Baseline to 1 year or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Percentage of Participants Who Are Alive at 2 Years in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Measured: Baseline to 2 years or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Time to Deterioration (TTD) in Patient-reported Lung Cancer Symptoms Score as Assessed by the Symptoms in Lung Cancer (SILC) Scale Symptom Score in the TC3 or IC3-WT Populations
TTD in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant.
Measured: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations
Change from baseline in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant.
Measured: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
TTD as Assessed Using EORTC QLQ Supplementary Lung Cancer Module (EORTC QLQ-LC13) in the TC3 or IC3-WT Populations
TTD in patient-reported lung cancer symptoms, defined as time from randomization to deterioration (10-point change) in any of the following symptom subscales (cough, dyspnea [multi-item scale], and chest pain), whichever occurs first, as measured by the EORTC QLQ-LC13. EORTC QLQ-LC13 module incorporates one multi-item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis.
Measured: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
OS in Participants With PD-L1 Expression
OS is defined as the time from randomization to death from any cause.
Measured: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Investigator-Assessed PFS in Participants With PD-L1 Expression According to RECIST v1.1
Investigator-assessed PFS according to RECIST v1.1 in the PD-L1 (defined with SP263 IHC assay)
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
OS in Participants With Blood Tumor Mutational Burden (bTMB)
OS is defined as the time from randomization to death from any cause.
Measured: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Investigator-Assessed PFS in Participants With bTMB According to RECIST v1.1
PFS according to RECIST v1.1 in the bTMB subpopulations.
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Minimum Observed Serum Concentration (Cmin) of Atezolizumab
Measured: Prior to infusion (0 hour) on Day 1 of Cycles 2, 3, 4, 8, 16, and every eighth cycle thereafter, and at treatment discontinuation until data cut-off on 10 September 2018 (up to approximately 38 months) (cycle duration = 21 days)
Maximum Observed Serum Concentration (Cmax) of Atezolizumab
Measured: 0 hour (predose) and 30 minutes after atezolizumab infusion on Day 1 (infusion duration = up to 1 hour)
Percentage of Participants With at Least One Adverse Event
Percentage of participants with at least one adverse event.
Measured: Baseline up to until data cut-off on 8 March 2022 (up to approximately 79.5 months)
Percentage of Participants With Anti-therapeutic Antibodies (ATAs)
Measured: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Apr 2015 (estimated)
- Study start20 Jul 2015
- Primary completion4 Feb 2020
- Study completion8 Mar 2022
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 (2)Papers the sponsor has linked to this study.
- Other trials for Non-Squamous Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung CancerStudies 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
- 572 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
- NCT02409342
- Sponsor's protocol ID
- GO29431
- Other IDs
- 2014-003083-21, 2014
- Status last verified
- Feb 2023
- First submitted
- 1 Apr 2015
- Last updated
- 15 Mar 2023
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Li B, Rong D, Lin H. Atezolizumab monotherapy as first-line treatment for non-small cell lung cancer ineligible for treatment with a platinum-containing regimen (IPSOS): a cost-effectiveness analysis in the USA. BMJ Open. 2024 Nov 12;14(11):e083716. doi: 10.1136/bmjopen-2023-083716.
PubMed 39532375Herbst RS, Giaccone G, de Marinis F, Reinmuth N, Vergnenegre A, Barrios CH, Morise M, Felip E, Andric Z, Geater S, Ozguroglu M, Zou W, Sandler A, Enquist I, Komatsubara K, Deng Y, Kuriki H, Wen X, McCleland M, Mocci S, Jassem J, Spigel DR. Atezolizumab for First-Line Treatment of PD-L1-Selected Patients with NSCLC. N Engl J Med. 2020 Oct 1;383(14):1328-1339. doi: 10.1056/NEJMoa1917346.
PubMed 32997907
Study at a glance
From the registry record, last updated by the sponsor on 15 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Open Label, Randomized Study of Atezolizumab (Anti-PD-L1 Antibody) Compared With a Platinum Agent (Cisplatin or Carboplatin) in Combination With Either Pemetrexed or Gemcitabine for PD-L1-Selected, Chemotherapy-Naive Patients With Stage IV Non-Squamous Or Squamous Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT02409342
- Acronym / sponsor ID
- GO29431
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 572 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 20 Jul 2015 (actual)
- Primary completion
- 4 Feb 2020 (actual)
- Study completion
- 8 Mar 2022 (actual)
- First posted
- 6 Apr 2015 (estimated)
- Results
- Posted 18 Feb 2021
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 will evaluate the efficacy and safety of atezolizumab compared with chemotherapy consisting of a platinum agent (cisplatin or carboplatin per investigator discretion) combined with either pemetrexed (non-squamous disease) or gemcitabine (squamous disease) in programmed death-ligand 1 (PD-L1)-selected, chemotherapy-naive participants with Stage IV Non-Squamous or Squamous NSCLC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | Active comparator | Drug: Carboplatin, Drug: Cisplatin, Drug: Gemcitabine, Drug: PemetrexedParticipants with non-squamous NSCLC will receive chemotherapy with pemetrexed in combination with either cisplatin or carboplatin (per investigator discretion) on Day 1 of each 21-day cycle for 4 or 6 cycles as per local standard of care, followed by maintenance therapy with pemetrexed alone as per local standard of care until disease progression (per RECIST v1.1), unacceptable toxicity, or death (maximum up to approximately 58 months). Participants with squamous NSCLC will receive chemotherapy with gemcitabine on Days 1 and 8 of each 21-day cycle in combination with either cisplatin or carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles as per local standard of care, followed by best supportive care as per local standard of care until disease progression, unacceptable toxicity, or death (maximum up to approximately 58 months). |
| Atezolizumab | Experimental | Drug: Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibodyParticipants with squamous or non-squamous NSCLC will receive atezolizumab on Day 1 of each 21-day cycle until loss of clinical benefit (as assessed by the investigator), unacceptable toxicity, or death (maximum up to approximately 58 months). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Histologically or cytologically confirmed, Stage IV non-squamous or squamous NSCLC
- No prior treatment for Stage IV non-squamous or squamous NSCLC. Participant known to have a sensitizing mutation in the epidermal growth factor receptor (EGFR) gene or an anaplastic lymphoma kinase (ALK) fusion oncogene are excluded from the study
- Tumor PD-L1 expression as determined by immunohistochemistry (IHC) assay of archival tumor tissue or tissue obtained at screening
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
- Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
Key exclusion criteria (11 listed)
- Known sensitizing mutation in the EGFR gene or ALK fusion oncogene
- Active or untreated central nervous system (CNS) metastases as determined by Computed Tomography (CT) or magnetic resonance imaging (MRI) evaluation
- 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
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) [TECENTRIQ], an engineered anti-PDL1 antibodyAlso: MPDL3280A, RO5541267Atezolizumab 1200 milligram (mg) will be administered as intravenous infusion every 21 days until loss of clinical benefit (as assessed by the investigator), unacceptable toxicity, or death (maximum up to approximately 58 months). | Drug | Atezolizumab |
| CarboplatinCarboplatin will be administered as intravenous infusion at a dose of area under the concentration-time curve (AUC) 6 when given in combination with pemetrexed or at a dose of AUC 5 when given in combination with gemcitabine, every 21 days for 4 or 6 cycles as per local standard of care. | Drug | (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) |
| CisplatinCisplatin will be administered as intravenous infusion at a dose of 75 mg per meter squared (mg/m^2) every 21 days for 4 or 6 cycles as per local standard of care. | Drug | (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) |
| GemcitabineGemcitabine will be administered as intravenous infusion at a dose of 1250 mg/m^2 (in combination with cisplatin) or 1000 mg/m^2 (in combination with carboplatin), on Days 1 and 8 of each 21-day cycle for 4 or 6 cycles as per local standard of care. | Drug | (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) |
| PemetrexedPemetrexed will be administered as intravenous infusion at a dose of 500 mg/m^2 on Day 1 of each 21-day cycle as per local standard of care until disease progression (per RECIST v1.1), unacceptable toxicity, or death (maximum up to approximately 58 months). | Drug | (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) |
Primary outcome
Overall Survival (OS) in the TC3 or IC3-WT Populations
Time frame: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
OS is defined as the time from randomization to death from any cause.
Overall Survival (OS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Time frame: From randomization to death from any cause until data cut-off on 4 February 2020 (up to approximately 54.5 months)
OS is defined as the time from randomization to death from any cause.
21 secondary outcomes
Progression-free Survival (PFS) in the TC3 or IC3-WT Populations
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Progression-free Survival (PFS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Percentage of Participants With Objective Response (ORR) in the TC3 or IC3-WT Populations
Time frame: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 10 Sep 2018 (up to approximately 38 months)
Percentage of Participants With Objective Response (ORR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Time frame: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 4 Feb 2020 (up to approximately 54.5 months)
Duration of Response (DOR) in the TC3 or IC3-WT Populations
Time frame: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Duration of Response (DOR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Time frame: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Percentage of Participants Who Are Alive at 1 Year in the TC3 or IC3-WT Populations
Time frame: Baseline to 1 year or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Percentage of Participants Who Are Alive at 2 Years in the TC3 or IC3-WT Populations
Time frame: Baseline to 2 years or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Percentage of Participants Who Are Alive at 1 Year in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Time frame: Baseline to 1 year or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Percentage of Participants Who Are Alive at 2 Years in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Time frame: Baseline to 2 years or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Time to Deterioration (TTD) in Patient-reported Lung Cancer Symptoms Score as Assessed by the Symptoms in Lung Cancer (SILC) Scale Symptom Score in the TC3 or IC3-WT Populations
Time frame: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations
Time frame: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
TTD as Assessed Using EORTC QLQ Supplementary Lung Cancer Module (EORTC QLQ-LC13) in the TC3 or IC3-WT Populations
Time frame: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
OS in Participants With PD-L1 Expression
Time frame: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Investigator-Assessed PFS in Participants With PD-L1 Expression According to RECIST v1.1
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
OS in Participants With Blood Tumor Mutational Burden (bTMB)
Time frame: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Investigator-Assessed PFS in Participants With bTMB According to RECIST v1.1
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Minimum Observed Serum Concentration (Cmin) of Atezolizumab
Time frame: Prior to infusion (0 hour) on Day 1 of Cycles 2, 3, 4, 8, 16, and every eighth cycle thereafter, and at treatment discontinuation until data cut-off on 10 September 2018 (up to approximately 38 months) (cycle duration = 21 days)
Maximum Observed Serum Concentration (Cmax) of Atezolizumab
Time frame: 0 hour (predose) and 30 minutes after atezolizumab infusion on Day 1 (infusion duration = up to 1 hour)
Percentage of Participants With at Least One Adverse Event
Time frame: Baseline up to until data cut-off on 8 March 2022 (up to approximately 79.5 months)
Percentage of Participants With Anti-therapeutic Antibodies (ATAs)
Time frame: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Mar 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39532375Li B, Rong D, Lin H. Atezolizumab monotherapy as first-line treatment for non-small cell lung cancer ineligible for treatment with a platinum-containing regimen (IPSOS): a cost-effectiveness analysis in the USA. BMJ Open. 2024 Nov 12;14(11):e083716. doi: 10.1136/bmjopen-2023-083716.
- Derived from this study: PubMed 32997907Herbst RS, Giaccone G, de Marinis F, Reinmuth N, Vergnenegre A, Barrios CH, Morise M, Felip E, Andric Z, Geater S, Ozguroglu M, Zou W, Sandler A, Enquist I, Komatsubara K, Deng Y, Kuriki H, Wen X, McCleland M, Mocci S, Jassem J, Spigel DR. Atezolizumab for First-Line Treatment of PD-L1-Selected Patients with NSCLC. N Engl J Med. 2020 Oct 1;383(14):1328-1339. doi: 10.1056/NEJMoa1917346.
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
142 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody, Carboplatin and Cisplatin in people with Non-Squamous Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 142 sites in 19 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 11 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 15 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 142 sites in Japan, Spain, Italy, Brazil, Greece and 14 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 18 Feb 2021). 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?
Overall Survival (OS) in the TC3 or IC3-WT Populations (time frame: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)). The study lists 2 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 NCT02409342, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Mar 2023.