Urothelial CarcinomaIMrealNCT03782207
A Study Investigating the Outcomes and Safety of Atezolizumab Under Real-World Conditions in Patients Treated in Routine Clinical Practice
An observational study of Urothelial Carcinoma and Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 257 sites in 30 countries.
Trial summary
This is a non-interventional, multi-country, multi-centre, multiple cohort prospective study, with retrospective collection of prior medical/treatment history data from medical records, designed to assess the real-world outcomes and safety of atezolizumab for indications in the existing label in the real world setting… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Urothelial Carcinoma, Non-Small Cell Lung Cancer, Small Cell Lung Cancer
- What is being tested?
- Atezolizumab
- How many people
- 2,756 participants
- Where
- 257 sitesin 30 countries
- Study dates
- 7 Feb 2019to 31 Jul 2026
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Participants diagnosed with locally advanced /mUC previously treated with platinum-containing chemotherapy, participants diagnosed with locally advanced/metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy, participants diagnosed with extensive-stage small cell lung cancer (ES-SCLC), participants diagnosed with metastatic NSCLC previously untreated,and participants diagnosed with locally unresectable locally advanced or metastatic hepatocellular carcinoma previously untreated with systemic therapy.
Who may be able to join
- Patient must have one of the following confirmed diagnoses for which atezolizumab is locally approved in the SmPC: (1) As monotherapy for the treatment of adult patients with locally advanced/metastatic UC after prior platinum-containing chemotherapy (Cohort 1 LOT2+mUC) or (2) As monotherapy for the treatment of adult patients with locally advanced/metastatic NSCLC after prior chemotherapy. Patients with EGFR activating mutations or ALK-positive tumour mutations should also have received targeted therapy before receiving atezolizumab (Cohort 2 LOT2+NSCLC) or (3) In combination with bevacizumab, paclitaxel and carboplatin for the first line treatment of adult patients with metastatic non-squamous NSCLC. Patients with EGFR activating mutations or ALK- positive tumour mutations should also have received targeted therapy (Cohort 3 LOT1 NSCLC) or (4) In combination with carboplatin and etoposide, is indicated for the first-line treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC) (Cohort 4 LOT1 ES-SCLC) or (5) As a monotherapy, for the treatment of metastatic NSCLC with high PD-L1 expression, previously untreated (Cohort 5 LOT1 NSCLC) or (6) In combination with bevacizumab for unresectable locally advanced or metastatic hepatocellular carcinoma previously untreated with systemic therapy (Cohort 6 LOT1 HCC) .
- Patient is administered atezolizumab therapy for the first time.
- Decision to administer atezolizumab must be made and documented prior to inclusion into the study and must follow local clinical practice.
Who cannot join
- Patients not receiving treatment for a disease with atezolizumab according to standard of care and in line with the current summary of product characteristics (SPC) or local labelling. Cisplatin ineligible patients receiving atezolizumab LOT1 for the treatment of locally advanced/metastatic UC patients will be excluded
- Concomitant anti-cancer therapy at the time of starting atezolizumab on the index date not part of locally approved combination therapy with atezolizumab.
- Treatment with atezolizumab as part of a clinical trial or for compassionate use as part of a pre-approval or compassionate use program.
- Patients not receiving atezolizumab, but a biosimilar or non-original biologic.
Trial locations and contacts
257 sites in 30 countries.
257 sites in 30 countries
France52 sites
Clinique Du Docteur Calabet
Agen, 47000
Ch Du Pays D Aix
Aix-en-Provence, 13616
Clinique de l'Europe
Amiens, 80090
Centre Hospitalier Uni Ire
Angers, 49933
Hopital Prive D Antony
Antony, 92166
CHG Henri Dufaut médecine interne-onco-hematologie
Avignon, 84902
CH de Beauvais
Beauvais, 60000
Hopital Jean Minjoz
Besançon, 25030
Ch De Beziers
Béziers, 34525
Clinique Tivoli
Bordeaux, 33030
Polyclinique Bordeaux Nord Aquitaine
Bordeaux, 33077
Hopital Cote De Nacre
Caen, 14033
Ch De Chambery
Chambéry, 73011
Oncologie 37
Chambray-lès-Tours, 37170
Hopital Gabriel Montpied
Clermont-Ferrand, 63003
Ch De Compiegne
Compiègne, 60321
Ch Laennec
Creil, 60109
Centre Georges Francois Leclerc
Dijon, 21079
Hopital Simone Veil Eaubonne
Eaubonne, 95602
Chi Alpes Du Sud Site De Gap
Gap, 05007
Hopital Nord Ouest
Gleizé, 69400
Ch Saint Louis
La Rochelle, 17019
Hopital La Source
La Source, 45100
Hopital Louis Pasteur
Le Coudray, 28630
Centre Hospitalier Du Mans
Le Mans, 72037
Hôpital Privé La Louviere
Lille, 59042
Hopital Dupuytren
Limoges, 87042
Ch Bretagne Sud Site Scorff
Lorient, 56100
Hopital Privé Jean Mermoz
Lyon, 69008
Hopital Europeen
Marseille, 13003
Clinique Clementville
Montpellier, 34070
Centre Regional de Lutte contre le Cancer Val d Aurelle - Paul Lamarque
Montpellier, 34298
Hopital Emile Muller
Mulhouse, 68070
Hopital Caremeau
Nîmes, 30029
Polyclinique Kenval
Nîmes, 30900
Institut Curie
Paris, 75005
Hopital Cochin
Paris, 75014
Hopital Europeen Georges Pompidou
Paris, 75908
Centre Hospitalier
Pau, 64046
Centre Catalan D' Oncologie
Perpignan, 66000
Ch Annecy - Genevois
Pringy, 74374
Hopital De La Maison Blanche
Reims, 51092
Clinique Mutualiste L Estuaire
Saint-Nazaire, 44606
Hopital Nord
Saint-Priest-en-Jarez, 42770
Ch De Saint Quentin
Saint-Quentin, 02321
Hopital Robert Pax
Sarreguemines, DUMMY_VALUE
Hopital Sainte Musse
Toulon, 83056
Hopital Larrey
Toulouse, 31059
Centre Hospitalier de Valence
Valence, 26000
Service de pneumologie Clinique médico-chirurgicale Tessier
Valenciennes, 59326
Ch Bretagne Atlantique
Vannes, 56017
Hopital Robert Schuman
Vantoux, 57070
United Kingdom39 sites
Barnet Hospital
Barnet, EN5 3DJ
Royal United Hospital
Bath, BA1 3NG
Clatterbridge Cancer Centre
Bebington, CH63 4JY
Queen Elizabeth Hospital
Birmingham, B15 2TH
Heartlands Hospital
Birmingham, B9 5SS
East Lancashire Hospitals NHS Trust
Burnley, BB10 2PQ
Addenbrookes Hospital
Cambridge, CB2 0QQ
Velindre Cancer Centre
Cardiff, CF14 2TL
Castle Hill Hospital
Cottingham, HU16 5JG
Royal Surrey County Hospital
Guildford, GU2 7XX
Northwick Park Hospital
Harrow, HA1 3UJ
Huddersfield Royal Infirmary
Huddersfield, HD3 3EA
Airedale General Hospital
Keighley, BD20 6TD
Royal Marsden Hospital
Kingston upon Thames, KT2 7QB
St James Hospital
Leeds, LS9 7TF
St Bartholomew's Hospital
London, EC1A 7BE
Royal Free Hospital
London, NW3 2QG
Guys and St Thomas Hospital
London, SE1 9RT
Queen Elizabeth Hospital
London, SE18 4QH
St George's Hospital
London, SW17 0QT
Royal Marsden Hospital - Fulham
London, SW3 6JJ
Hammersmith Hospital
London, W12 OHS
Charing Cross Hospital
London, W6 8RF
Maidstone Hospital
Maidstone, ME16 0FS
The Christie
Manchester, M20 4BX
James Cook Hospital
Middlesbrough, TS4 3BW
Freeman Hospital
Newcastle upon Tyne, NE7 7DN
Nottingham City Hospital
Nottingham, NG5 1PB
Churchill Hospital
Oxford, OX3 7LJ
Royal Preston Hospital
Preston, PR2 9HT
Weston Park Hospital
Sheffield, S10 2SJ
Royal Stoke University Hospital
Stoke-on-Trent, ST4 6QG
Royal Marsden Hospital (Sutton)
Sutton, SM2 5PT
Torbay Hospital
Torquay, TQ27AA
Royal Cornwall Hospital
Truro, TR1 3LQ
Pinderfields General Hospital
Wakefield, WF1 4DG
Great Western Hospitals NHS Foundation Trust.
Wiltshire, SN3 6BB
New Cross Hospital
Wolverhampton, WV10 0QP
The York Hospital
York, YO31 8HE
Spain28 sites
Complejo Hospitalario Torrecardenas
Almería, Almeria, 04009
Hospital Universitario Infanta Cristina
Badajoz, 06080
Hospital Universitari Dexeus - Grupo Quironsalud
Barcelona, 08028
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Complejo Asistencial Universitario De Burgos
Burgos, 09006
Hospital San Pedro De Alcantara
Cáceres, 10003
Hospital Clinico de Granada
Granada, 18006
Complejo Hospitalario de Jaen-Hospital Universitario Medico Quirurgico
Jaén, 23007
Complejo Asistencial Universitario de Leon
León, 24071
Hospital Lucus Augusti
Lugo, 27003
Hospital Universitario La Paz
Madrid, 28046
Hospital de Madrid Norte Sanchinarro- Centro Integral Oncologico Clara Campal
Madrid, 28050
Hospital Universitario Puerta de Hierro
Madrid, 28222
Hospital Quiron de Madrid
Madrid, 28223
Hospital General de Mataro
Mataró, Barcelona, 08304
Complejo Hospitalario de Orense
Ourense, 32005
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07014
Clinica Universitaria de Navarra
Pamplona, Navarre, 31008
Complejo Hospitalario de Navarra
Pamplona, Navarre, 31008
Corporacio Sanitaria Parc Tauli
Sabadell, Barcelona, 08208
Hospital Universitario de Canarias
San Cristóbal de La Laguna, Tenerife, 38320
Hospital Infanta Sofia
San Sebastián de los Reyes, Madrid, 28702
Complejo Hospitalario Nuestra Señora de la Candelaria
Santa Cruz de Tenerife, Tenerife, 38010
Complejo Hospitalario Universitario de Santiago (CHUS)
Santiago de Compostela, LA Coruna, 15706
Hospital General de Segovia
Segovia, 40002
Hospital Univ. Nuestra Señora de Valme
Seville, 41014
Hospital Clinico Universitario de Valladolid
Valladolid, 47005
Hospital Universitario Miguel Servet
Zaragoza, 50009
Italy23 sites
Ospedale Civile SS. Antonio E Biagio DI Alessandria
Alessandria, Piedmont, 15100
Ospedale Oncologico A.Businco
Cagliari, Sardinia, 09121
Az Ospedaliera Nuovo Garibaldi Quartiere Nesima
Catania, Sicily, 95122
Azienda Ospedaliero Universitaria Careggi
Florence, Tuscany, 50134
Azienda Ospedaliero-Universitaria Careggi
Florence, Tuscany, 50134
IRCCS Istituto Nazionale Per La Ricerca Sul Cancro (IST)
Genoa, Liguria, 16132
Ospedale San Salvatore, UOC Oncologia
L’Aquila, Abruzzo, 67100
Ospedale Nuovo Della Versilia
Lido di Camaiore, Tuscany, 55043
Az. Osp. Uni. Ria Policlinico G. Martino
Messina, Sicily, 98124
Ospedale Maggiore Policlinico
Milan, Lombardy, 20122
Asst Santi Paolo E Carlo
Milan, Lombardy, 20142
Asst Grande Ospedale Metropolitano Niguarda
Milan, Lombardy, 20162
A.O. Universitaria Policlinico Di Modena
Modena, Emilia-Romagna, 41100
Az. Osp. Monaldi
Naples, Campania, 80131
Istituto Nazionale Tumori Fondazione G. Pascale
Naples, Campania, 80131
Ospedale Di Macerata
Province of Macerata, The Marches, 62100
Grande Ospedale Metropolitano
Reggio Calabria, Calabria, 89133
Azienda Ospedaliera San Camillo Forlanini
Rome, Lazio, 00152
Azienda Ospedaliero Universitaria Di Sassari
Sassari, Sardinia, 07100
Ospedale S.S. Trinità Nuovo
Sora, Lazio, 03039
Ospedale Di Circolo E Fondazione Macchi
Varese, Lombardy, 21100
A.O.U. Integrata Verona - Policlinico G.B. Rossi
Verona, Veneto, 37134
Azienda ULSS 8 Berica
Vicenza, Veneto, 36100
Poland14 sites
WZZOZ Centrum Leczenia Chorob Pluc i Rehabilitacji
?ód?, 91-520
Wojewódzki Szpital Specjalistyczny im. M. Kopernika w ?odzi
?ód?, 93-513
Beskidzkie Centrum Onkologii - Szpital Miejski im. Jana Pawla II
Bielsko-Bia?a, 43-300
Centrum Onkologii im. Prof. Franciszka ?ukaszczyka
Bydgoszcz, 85-796
Centrum Pulmonologii i Torakochirurgii
Bystra, 43-360
Wojewodzki Szpital Zespolony
Elblag, 82-300
Regionalny Szpital Specjalistyczny im. W. Bieganskiego
Grudzi?dz, 86-300
Uniwersytecki Szpital Kliniczny nr 4 w Lublinie
Lublin, 20-954
Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie
Olsztyn, 10-357
Mazowieckie Centrum Leczenia Chorob Pluc I Gruzlicy
Otwock, 05-400
Szpital Kliniczny im. Heliodora ?wi?cickiego UM w Poznaniu
Późna, 60-569
Instytut Gruzlicy i Chorob P?uc
Warsaw, 01-138
Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego
Warsaw, 02-091
Dolno?L?Skie Centrum Onkologii, Pulmonologii I Hematologii
Wroc?aw, 53-439
Bulgaria13 sites
Complex Oncology Center Burgas
Burgas, DUMMY_VALUE
Multiprofile Hospital for Active Treatment Uni Hospital
Panagyurishte, 4500
Umhat Dr Georgi Stranski
Pleven, 5800
University Hospital Palmed
Plovdiv, 4001
Complex Oncological Center - Plovdiv, EOOD
Plovdiv, 4004
Complex Oncology Center - Plovdiv First Internal Chemotherapy Department
Plovdiv, 4004
DDODIU-Plovdiv, EOOD
Plovdiv, 4004
Complex Oncological Center-Ruse EOOD
Rousse, 7000
Tokuda Hospital
Sofia, 1407
UMHAT "Sv. Ivan Rilski", EAD
Sofia, 1431
MBAL Serdika EOOD
Sofia, 1632
MHAT SofiaMed
Sofia, 1797
Specialized Hospital for Active Cancer Treatment, Dr. Mark Antonov Markov - Varna Ltd
Varna, 9010
Russia11 sites
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, Arhangelsk, 163045
Altai Regional Oncological Center
Barnaul, Altayskiy Kray, 656049
SBIH Kaluga Region Clinical Oncology Dispensary
Kaluga, 248007
Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic
Kazan', Tatarstan Republic, 420029
Krasnoyarsk Regional Oncology Dispensary n.a. Krizhanovsky
Krasnoyarsk, Krasnodarskiy Kray, 660133
FSBI Russian Oncology Research Center n.a. Blokhin of MOH RF
Moscow, Moscow Oblast, 115478
Medical Clinic "AB Medical group"
Saint Petersburg, Sankt-Peterburg, 196006
EuroCityClinic
Saint Petersburg, Sankt-Peterburg, 197022
S-Pb clinical scientific practical center of specialized kinds of medical care (oncological)
Saint Petersburg, Sankt-Peterburg, 197758
Tver Regional Oncology Clinical Dispensary
Tver', 170008
Bashkirian Republican Clinical Oncology Dispensary
Ufa, Bashkortostan Republic, 450054
Argentina7 sites
Hospital Universitario Austral
Buenos Aires, 16290
Lucen S.A.
Buenos Aires, C1405CUB
Consultorio Privado Korbenfeld
CABA, C1426AGE
Hospital Italiano de Buenos Aires
Ciudad Autonoma Buenos Aires, C1199ABB
Sanatorio Allende
Córdoba, X5000JHQ
Sanatorio de la Mujer
Rosario, S2000ORE
Fundacion Koriza
Santa Rosa, 6300
India7 sites
HCG Cancer Center
Ahmedabad, Gujarat, 380060
Manipal Hospital
Bangalore, Karnataka, 560017
AIG Hospitals
Gachibowli, Telangana, 500032
Aster Medcity
Kochi, Kerala, 682027
MVR Cancer Centre and Research Institute
Kozhikode, Kerala, 673601
MOC Cancer Care & Research Centre
Mumbai, Maharashtra, 400056
Sunshine Global Hospital (A unit of Baroda Medicare Pvt Ltd)
Surat, Gujarat, 395007
Portugal7 sites
Hospital Geral
Coimbra, 3041-801
Centro Clinico Champalimaud
Lisbon, 1400-038
Hospital Pulido Valente
Lisbon, 1796-001
Hospital Pedro Hispano
Matosinhos Municipality, 4454-509
Centro Hospitalar do Porto ? Hospital de Santo António
Porto, 4099-001
Hospital CUF Porto
Porto, 4100-180
CHVNG/E_Unidade 1
Vila Nova de Gaia, 4434-502
Belgium6 sites
AZ KLINA
Brasschaat, 2930
AZ St Maarten Campus Leopoldstr
Mechelen, 2800
CHU UCL Mont-Godinne
Mont-godinne, 5530
AZ Oostende
Ostend, 8400
AZ Delta (Campus Rumbeke)
Roeselare, 8800
Sint Trudo Ziekenhuis
Sint-Truiden, 3800
Egypt6 sites
SUN Oncology center- Alexandria
Alexandria, DUMMY_VALUE
Yasser Abdel Kader Private Clinic
Cairo, 11391
Air Force Specialized Hospital
Cairo, DUMMY_VALUE
Barsoum Oncology Center
Cairo, DUMMY_VALUE
Cairo Oncology Center
Cairo, DUMMY_VALUE
International Medical Center
Cairo, DUMMY_VALUE
Hungary5 sites
Orszagos Koranyi TBC es Pulmonologiai Intezet
Budapest, 1121
Semmelweis Egyetem, AOK, Pulmonologiai Klinika
Budapest, 1125
Debreceni Egyetem, Klinikai Kozpont, Tudogyogyaszati Klinika
Debrecen, 4032
University of Pecs
Pécs, 7623
Református Pulmonológiai Centrum
Törökbálint, 2045
Austria4 sites
Klinikum Klagenfurt
Klagenfurt, 9020
Landesklinikum Krems
Krems, 3500
Salzkammergut-Klinikum Voecklabruck
Vöcklabruck, 4840
Klinikum Wels-Grieskirchen
Wels, 4600
Colombia4 sites
Angiografia del Occidente
Cali, 760045
Fundacion Clinica Valle del Lili
Cali, DUMMY_VALUE
Hospital Pablo Tobon Uribe
Medellín, 050034
Clinica ASTORGA
Medellín, 50010
Croatia4 sites
Clinical Hospital Centre Osijek
Osijek, 31000
Klinicki Bolnicki Centar Split
Split, 21000
Clinical Hospital Center Sestre Milosrdnice
Zagreb, 10000
Clinical Hospital Centre Zagreb
Zagreb, 10000
Netherlands4 sites
Onze Lieve Vrouwe Gasthuis, locatie Oost
Amsterdam, 1091 AC
Catharina ziekenhuis
Eindhoven, 5623 EJ
Frisius MC Leeuwarden
Leeuwarden, 8934 AD
Zaans Medisch Centrum
Zaandam, 1502 DV
Slovenia3 sites
Institute of Oncology Ljubljana
Ljubljana, 1000
University Medical Center Ljubljana
Ljubljana, 1000
Univerzitetni klini?ni center Maribor
Maribor, 2000
Estonia2 sites
North Estonia Medical Centre Foundation
Tallinn, 13419
Tartu Uni Hospital
Tartu, 51014
Kuwait2 sites
Kuwait Cancer control center
Kuwait City, DUMMY_VALUE
Kuwait Cancer control center
Shuwakh Industrial, 70653
Lebanon2 sites
Saint George Hospital
Beirut, 166378
Middle East Institute of Health Hospital
Bsalim, Mount Lebanon-Metn, 2624 0000
Lithuania2 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics Public Institution
Kaunas, 50009
National Cancer Institute
Vilnius, LT-08660
Mexico2 sites
Medica sur Hospital
Mexico City, Mexico CITY (federal District), 14050
Clinica Opcion Oncologia S.A. de C.V.
Monterrey, Nuevo León, 64000
Oman2 sites
Royal Hospital
Muscat, 111
Sultan Qaboos Comprehensive Cancer Care & Research Center
Muscat, DUMMY_VALUE
Pakistan2 sites
Aga Khan University
Karachi, Sindh, 74800
Shaukat Khanum Memorial Cancer Hospital
Lahore, Punjab Province, 54000
Romania2 sites
Institutul Clinic Fundeni Bucuresti
Bucharest, 022328
Institutul Regional de Gastroenterologie si Hepatologie Prof. Dr. Octavian Fodor
Cluj-Napoca, 400162
Brazil1 site
Beneficencia Portuguesa de Sao Paulo
São Paulo, São Paulo, 01323-900
About this study
Official title: A Non-Interventional, Multicenter, Multiple Cohort Study Investigating the Outcomes and Safety of Atezolizumab Under Real-World Conditions in Patients Treated in Routine Clinical Practice
This is a non-interventional, multi-country, multi-centre, multiple cohort prospective study, with retrospective collection of prior medical/treatment history data from medical records, designed to assess the real-world outcomes and safety of atezolizumab for indications in the existing label in the real world setting of routine clinical practice.
Read the detailed description
The study will be split into separate cohorts based on the approved indications for atezolizumab treatment, excluding cisplatin ineligible participants receiving atezolizumab as first line of therapy (LOT1) for locally advanced/metastatic urothelial cancer (locally advanced/metastatic UC). The study may be amended for inclusion of new cohorts as these are approved in the participating countries. Participants will be included into each cohort based on their indication for receiving atezolizumab.
- Conditions
- Urothelial Carcinoma, Non-Small Cell Lung Cancer, Small Cell Lung Cancer, Hepatocellular Carcinoma
- Being tested
- Atezolizumab
- Medical subject headings
- Carcinoma, Transitional Cell, Carcinoma, Non-Small-Cell Lung, Small Cell Lung Carcinoma, Carcinoma, Hepatocellular
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtezolizumabDrug
Also called Tecentriq
Atezolizumab will be administered at the discretion of the treating physician per local guidelines and independently of participation in this study.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1 (UC LOT2+later lines[LOT2+] & platinum eligible LOT1) | Participants diagnosed with locally advanced or metastatic Urothelial Cancer previously treated with platinum-containing chemotherapy.
Enrollment is closed. Receives: Drug: Atezolizumab | |
| Cohort 2 (NSCLC LOT2 plus later lines [LOT2+]) | Participants diagnosed with Locally advanced or metastatic Non-Small Cell Lung Cancer (NSCLC) after prior chemotherapy. Participants with epidermal growth factor receptor (EGFR) activating mutations or anaplastic lymphoma kinase (ALK)-positive tumor mutations should also have received targeted therapy.
Enrollment closed. Receives: Drug: Atezolizumab | |
| Cohort 3 (NSCLC LOT1 plus EGFR+/ALK+ LOT2+) | EMA: Participants diagnosed with locally advanced/metastatic non-squamous NSCLC not previously treated. Participants with EGFR-activating mutations or ALK-positive tumor mutations should have received at least one line of targeted therapy.
FDA: for the treatment of adult participants with metastatic NSCLC who have disease progression during or following platinum-containing chemotherapy. Participants with EGFR or ALK genomic tumor aberrations should have disease progression on FDA-approved therapy for NSCLC harboring these aberrations prior to receiving TECENTRIQ.
Enrollment is closed. Receives: Drug: Atezolizumab | |
| Cohort 4 (ES-SCLC LOT1) | Participants diagnosed with extensive stage (ES) small cell lung cancer (SCLC) not previously treated.
Enrollment is closed. Receives: Drug: Atezolizumab | |
| Cohort 5 (NSCLC LOT1) | Participants diagnosed with metastatic Non-Small Cell Lung cancer with high PD-L1 expression, previously untreated. Receives: Drug: Atezolizumab | |
| Cohort 6 (HCC LOT1) | Participants diagnosed with unresectable locally advanced or metastatic hepatocellular carcinoma previously untreated with systemic therapy. Receives: Drug: Atezolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Time from index date until date of death from any cause. Index date is the date of administration of the first ever dose of atezolizumab for each patient.
Measured: Index date up to approximately 6 years
OS at 2 Years
Percentage of participants alive 2 years after initiation of atezolizumab treatment.
Measured: After index date up to 2 years
Secondary outcomes (15)
Time to Loss of Clinical Benefit (TTLCB)
Time from the index date to loss of clinical benefit as assessed by the treating physician.
Measured: Index date up to approximately 6 years
Progression Free Survival (PFS)
Time from index date to death or disease progression (PD).
Measured: Index date up to approximately 6 years
Objective Response Rate (ORR)
Percentage of participants who have a best overall response (BOR) of Complete Response (CR) or Partial Response (PR). BOR for each participant is the best response achieved after the index date prior to initiation of any subsequent treatment.
Measured: After index date up to approximately 6 years
Time to Response
Time from index date to first objective tumor response, CR or PR.
Measured: Index date up to approximately 6 years
Duration of Response (DoR)
Time from first documentation of CR or PR (whichever occurs first) after index until death or PD.
Measured: Index date up to approximately 6 years
Disease Control Rate (DCR)
Percentage of participants who have achieved CR, PR and stable disease at least 12 weeks after the index date.
Measured: From 12 weeks after index date up to approximately 6 years
Duration of DCR
Time from first documentation of CR, PR or stable disease (whichever occurs first) after index until death or PD.
Measured: After index date up to approximately 6 years
EuroQol 5-Dimension 5-Level (EQ-5D-5L) Questionnaire Score
EQ-5D-5L during and after atezolizumab treatment will be used to assess HRQoL. Scale is from 1-5 (no problems, slight problems, moderate problems, severe problems and extreme problems).
Measured: Index date or after ICF signature, & approx. at 6, 12, and 24 weeks of treatment; then at approx. 3 months, 6 months, 12 months, & every 12 months thereafter until end of study (study planned duration up to approximately 6 years)
Number of Paricipants with Disease Stage TNM and IUCC
Measured: At index date (Index date is the date of administration of the first ever dose of atezolizumab for each patient.)
Number of Participants at Each Level of Karnofsky or ECOG Performance Status
Measured: At index date (Index date is the date of administration of the first ever dose of atezolizumab for each patient.
Total Number of Infusions of Atezolizuamb
Measured: Treatment period until discontinuation (up to approximately 6 years)
Duration of Treatment With Atezolizumab
Measured: Index date until date of treatment discontinuation (up to approximately 6 years)
Time to initiation of the first subsequent cancer-related therapy
Measured: Up to approximately 6 years
Percentage of Participants with Adverse Events
Measured: Up to approximately 6 years
Number of Lines of Prior and Subsequent Cancer-Related Therapies
Measured: Up to approximately 6 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Dec 2018
- Study start7 Feb 2019
- Primary completion31 Jul 2026
- Study completion31 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Urothelial CarcinomaStudies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 2,756 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
- NCT03782207
- Sponsor's protocol ID
- MO40653
- Acronym
- IMreal
- Status last verified
- Aug 2026
- First submitted
- 28 Nov 2018
- Last updated
- 13 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Non-Interventional, Multicenter, Multiple Cohort Study Investigating the Outcomes and Safety of Atezolizumab Under Real-World Conditions in Patients Treated in Routine Clinical Practice
- ClinicalTrials.gov ID
- NCT03782207
- Acronym / sponsor ID
- IMreal / MO40653
- Conditions
- Urothelial Carcinoma, Non-Small Cell Lung Cancer, Small Cell Lung Cancer, Hepatocellular Carcinoma
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 2,756 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 7 Feb 2019 (actual)
- Primary completion
- 31 Jul 2026 (actual)
- Study completion
- 31 Jul 2026 (actual)
- First posted
- 20 Dec 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a non-interventional, multi-country, multi-centre, multiple cohort prospective study, with retrospective collection of prior medical/treatment history data from medical records, designed to assess the real-world outcomes and safety of atezolizumab for indications in the existing label in the real world setting of routine clinical practice.
Detailed description
The study will be split into separate cohorts based on the approved indications for atezolizumab treatment, excluding cisplatin ineligible participants receiving atezolizumab as first line of therapy (LOT1) for locally advanced/metastatic urothelial cancer (locally advanced/metastatic UC). The study may be amended for inclusion of new cohorts as these are approved in the participating countries. Participants will be included into each cohort based on their indication for receiving atezolizumab.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Cohort 1 (UC LOT2+later lines[LOT2+] & platinum eligible LOT1) | – | Drug: AtezolizumabParticipants diagnosed with locally advanced or metastatic Urothelial Cancer previously treated with platinum-containing chemotherapy. Enrollment is closed. |
| Cohort 2 (NSCLC LOT2 plus later lines [LOT2+]) | – | Drug: AtezolizumabParticipants diagnosed with Locally advanced or metastatic Non-Small Cell Lung Cancer (NSCLC) after prior chemotherapy. Participants with epidermal growth factor receptor (EGFR) activating mutations or anaplastic lymphoma kinase (ALK)-positive tumor mutations should also have received targeted therapy. Enrollment closed. |
| Cohort 3 (NSCLC LOT1 plus EGFR+/ALK+ LOT2+) | – | Drug: AtezolizumabEMA: Participants diagnosed with locally advanced/metastatic non-squamous NSCLC not previously treated. Participants with EGFR-activating mutations or ALK-positive tumor mutations should have received at least one line of targeted therapy. FDA: for the treatment of adult participants with metastatic NSCLC who have disease progression during or following platinum-containing chemotherapy. Participants with EGFR or ALK genomic tumor aberrations should have disease progression on FDA-approved therapy for NSCLC harboring these aberrations prior to receiving TECENTRIQ. Enrollment is closed. |
| Cohort 4 (ES-SCLC LOT1) | – | Drug: AtezolizumabParticipants diagnosed with extensive stage (ES) small cell lung cancer (SCLC) not previously treated. Enrollment is closed. |
| Cohort 5 (NSCLC LOT1) | – | Drug: AtezolizumabParticipants diagnosed with metastatic Non-Small Cell Lung cancer with high PD-L1 expression, previously untreated. |
| Cohort 6 (HCC LOT1) | – | Drug: AtezolizumabParticipants diagnosed with unresectable locally advanced or metastatic hepatocellular carcinoma previously untreated with systemic therapy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Participants diagnosed with locally advanced /mUC previously treated with platinum-containing chemotherapy, participants diagnosed with locally advanced/metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy, participants diagnosed with extensive-stage small cell lung cancer (ES-SCLC), participants diagnosed with metastatic NSCLC previously untreated,and participants diagnosed with locally unresectable locally advanced or metastatic hepatocellular carcinoma previously untreated with systemic therapy.
Key inclusion criteria (3 listed)
- Patient must have one of the following confirmed diagnoses for which atezolizumab is locally approved in the SmPC: (1) As monotherapy for the treatment of adult patients with locally advanced/metastatic UC after prior platinum-containing chemotherapy (Cohort 1 LOT2+mUC) or (2) As monotherapy for the treatment of adult patients with locally advanced/metastatic NSCLC after prior chemotherapy. Patients with EGFR activating mutations or ALK-positive tumour mutations should also have received targeted therapy before receiving atezolizumab (Cohort 2 LOT2+NSCLC) or (3) In combination with bevacizumab, paclitaxel and carboplatin for the first line treatment of adult patients with metastatic non-squamous NSCLC. Patients with EGFR activating mutations or ALK- positive tumour mutations should also have received targeted therapy (Cohort 3 LOT1 NSCLC) or (4) In combination with carboplatin and etoposide, is indicated for the first-line treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC) (Cohort 4 LOT1 ES-SCLC) or (5) As a monotherapy, for the treatment of metastatic NSCLC with high PD-L1 expression, previously untreated (Cohort 5 LOT1 NSCLC) or (6) In combination with bevacizumab for unresectable locally advanced or metastatic hepatocellular carcinoma previously untreated with systemic therapy (Cohort 6 LOT1 HCC) .
- Patient is administered atezolizumab therapy for the first time.
- Decision to administer atezolizumab must be made and documented prior to inclusion into the study and must follow local clinical practice.
Key exclusion criteria (4 listed)
- Patients not receiving treatment for a disease with atezolizumab according to standard of care and in line with the current summary of product characteristics (SPC) or local labelling. Cisplatin ineligible patients receiving atezolizumab LOT1 for the treatment of locally advanced/metastatic UC patients will be excluded
- Concomitant anti-cancer therapy at the time of starting atezolizumab on the index date not part of locally approved combination therapy with atezolizumab.
- Treatment with atezolizumab as part of a clinical trial or for compassionate use as part of a pre-approval or compassionate use program.
- Patients not receiving atezolizumab, but a biosimilar or non-original biologic.
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 |
|---|---|---|
| AtezolizumabAlso: TecentriqAtezolizumab will be administered at the discretion of the treating physician per local guidelines and independently of participation in this study. | Drug | Cohort 1 (UC LOT2+later lines[LOT2+] & platinum eligible LOT1), Cohort 2 (NSCLC LOT2 plus later lines [LOT2+]), Cohort 3 (NSCLC LOT1 plus EGFR+/ALK+ LOT2+), Cohort 4 (ES-SCLC LOT1), Cohort 5 (NSCLC LOT1), Cohort 6 (HCC LOT1) |
Primary outcome
Overall Survival (OS)
Time frame: Index date up to approximately 6 years
Time from index date until date of death from any cause. Index date is the date of administration of the first ever dose of atezolizumab for each patient.
OS at 2 Years
Time frame: After index date up to 2 years
Percentage of participants alive 2 years after initiation of atezolizumab treatment.
15 secondary outcomes
Time to Loss of Clinical Benefit (TTLCB)
Time frame: Index date up to approximately 6 years
Progression Free Survival (PFS)
Time frame: Index date up to approximately 6 years
Objective Response Rate (ORR)
Time frame: After index date up to approximately 6 years
Time to Response
Time frame: Index date up to approximately 6 years
Duration of Response (DoR)
Time frame: Index date up to approximately 6 years
Disease Control Rate (DCR)
Time frame: From 12 weeks after index date up to approximately 6 years
Duration of DCR
Time frame: After index date up to approximately 6 years
EuroQol 5-Dimension 5-Level (EQ-5D-5L) Questionnaire Score
Time frame: Index date or after ICF signature, & approx. at 6, 12, and 24 weeks of treatment; then at approx. 3 months, 6 months, 12 months, & every 12 months thereafter until end of study (study planned duration up to approximately 6 years)
Number of Paricipants with Disease Stage TNM and IUCC
Time frame: At index date (Index date is the date of administration of the first ever dose of atezolizumab for each patient.)
Number of Participants at Each Level of Karnofsky or ECOG Performance Status
Time frame: At index date (Index date is the date of administration of the first ever dose of atezolizumab for each patient.
Total Number of Infusions of Atezolizuamb
Time frame: Treatment period until discontinuation (up to approximately 6 years)
Duration of Treatment With Atezolizumab
Time frame: Index date until date of treatment discontinuation (up to approximately 6 years)
Time to initiation of the first subsequent cancer-related therapy
Time frame: Up to approximately 6 years
Percentage of Participants with Adverse Events
Time frame: Up to approximately 6 years
Number of Lines of Prior and Subsequent Cancer-Related Therapies
Time frame: Up to approximately 6 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Aug 2026.
- Individual participant dataSharing planned: No
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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
257 sites in 30 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Urothelial Carcinoma and Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 257 sites in 30 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 3 inclusion and 4 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 13 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 257 sites in France, United Kingdom, Spain, Italy, Poland and 25 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: Index date up to approximately 6 years). 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?
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 13 Aug 2026.