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Solid TumorsPhase 1NCT04857138

A Study to Evaluate Safety, Pharmacokinetics and Anti-Tumor Activity of RO7300490, as Single Agent or in Combination With Atezolizumab in Participants With Advanced Solid Tumors

A Phase 1 study testing RO7300490 and Atezolizumab in people with Solid Tumors, run by Hoffmann-La Roche at 11 sites in 5 countries.

Completed

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

Official record
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Trial summary

A study to evaluate the safety, pharmacokinetics and anti-tumor activity of RO7300490 as a single agent or in combination with atezolizumab. The study will consist of 3 parts: [Part 1] Dose-Escalation of RO7300490 as a single agent; [Part 2] Dose-Escalation of RO7300490 in combination with atezolizumab and [Part 3]… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumors
What is being tested?
RO7300490 and Atezolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
11 sitesin 5 countries
Study dates
18 May 2021to 18 Jan 2024
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Life expectancy of >= 12 weeks.
  • Histologically confirmed diagnosis of locally advanced and/or metastatic solid tumors that are not amenable to standard therapy.
  • Radiologically measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
  • Agreement to provide protocol-specific biopsy material.
  • Adverse Events (AEs) from prior anti-cancer therapy resolved to Grade =<1.
  • Adequate performance status and cardiovascular, hematological, liver, renal and coagulation function.
  • For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse), use contraceptive measures and refrain from donating eggs.
  • For male participants: agreement to remain abstinent (refrain from heterosexual intercourse), use contraceptive measures and refrain from donating sperm.

Who cannot join

  • Known central nervous system (CNS) primary tumors or metastases, including leptomeningeal metastases, unless protocol-specific conditions are met.
  • Active second invasive malignancy within two years prior to screening.
  • Significant cardiovascular/cerebrovascular disease within 6 months prior to study treatment start.
  • Any other diseases, metabolic dysfunction, physical examination finding or clinical laboratory finding that gives reasonable suspicion of a disease or condition that would contraindicate the use of an investigational drug.
  • Prior allogeneic bone marrow transplantation or prior solid organ transplantation.
  • Active or history of autoimmune disease.
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  • Known hypersensitivity to any of the components of RO7300490 formulation or to components of atezolizumab formulation.
  • Pregnancy, lactation or breastfeeding.
  • Dementia or altered mental status that would prohibit informed consent.
  • Major surgery or significant traumatic injury within 28 days prior to the first study drug administration (excluding biopsies) or anticipation of the need for major surgery during study treatment.
  • Treatment with radiotherapy, chemotherapy, hormonal therapy, targeted therapy, immunotherapy or investigational drug concurrent or within 28 days or 5 half-lives of the drug (whichever is shorter) before the first study drug administration.

Trial locations and contacts

11 sites in 5 countries.

11 sites in 5 countries

Spain4 sites
  • Vall d?Hebron Institute of Oncology (VHIO), Barcelona

    Barcelona, 08035

  • Clinica Universidad de Navarra Madrid; Servicio de Oncología

    Madrid, 28027

  • START Madrid-FJD, Hospital Fundacion Jimenez Diaz

    Madrid, 28040

  • Clinica Universitaria de Navarra; Servicio de Oncologia

    Pamplona, Navarre, 31008

Other trials in Spain

United Kingdom3 sites
  • Western General Hospital; Edinburgh Cancer Center

    Edinburgh, EH4 2XU

  • Guys and St Thomas Hospital; OHCT Clinical Trials

    London, SE1 9RT

  • Christie Hospital NHS Trust; Experimental Cancer Medicine Team

    Manchester, M20 4BX

Other trials in United Kingdom

South Korea2 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Asan Medical Center

    Seoul, 05505

Other trials in South Korea

Denmark1 site
  • Rigshospitalet; Fase 1 Enhed - Onkologi

    København Ø, 2100

Other trials in Denmark

France1 site
  • Gustave Roussy

    Villejuif, 94805

Other trials in France

About this study

Official title: An Open-Label, Multicenter, Dose-Escalation and Expansion, Phase I Study to Evaluate Safety, Pharmacokinetics, And Anti-Tumor Activity of RO7300490, A Fibroblast Activation Protein-α (FAP) Targeted CD40 Agonist, as Single Agent or in Combination With Atezolizumab in Participants With Advanced and/or Metastatic Solid Tumors

A study to evaluate the safety, pharmacokinetics and anti-tumor activity of RO7300490 as a single agent or in combination with atezolizumab. The study will consist of 3 parts: [Part 1] Dose-Escalation of RO7300490 as a single agent; [Part 2] Dose-Escalation of RO7300490 in combination with atezolizumab and [Part 3] Dose-Expansion of RO7300490 in combination with atezolizumab in selected cancer types.

Conditions
Solid Tumors
Being tested
RO7300490, Atezolizumab

What participants receive

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

  • RO7300490Drug

    Participants will receive RO7300490, as described in the Arm Descriptions.

  • AtezolizumabDrug

    Participants will receive Atezolizumab, as described in the Arm Descriptions.

Study groups in NCT04857138
Study groupRoleWhat they receive
Part 1: Dose Escalation (RO7300490 Monotherapy)ExperimentalParticipants will receive escalating doses of RO7300490 intravenously (IV) as a single agent for up to 24 months maximum or until progressive disease, unacceptable toxicities, death, or withdrawal of consent.
Receives: Drug: RO7300490
Part 2: Dose Escalation (RO7300490/atezolizumab combination therapy)ExperimentalParticipants will receive escalating doses of RO7300490 in combination with a fixed dose of atezolizumab IV (as per label) for up to 24 months maximum or until progressive disease, unacceptable toxicities, death, or withdrawal of consent.
Receives: Drug: RO7300490; Drug: Atezolizumab
Part 3: Dose Expansion (Disease-specific Expansion(s))ExperimentalParticipants with selected types of advanced and/or metastatic tumors will receive the maximum tolerated dose (MTD) or recommended dose for expansion (RDE) (determined from Parts 1 and 2) of RO7300490 in combination with a fixed dose of atezolizumab IV (as per label). Treatment will be administered for up to 24 months maximum or until progressive disease, unacceptable toxicities, death, or withdrawal of consent.
Receives: Drug: RO7300490; Drug: Atezolizumab

What is being measured

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

  1. Percentage of Participants with Adverse Events (AEs) (Parts 1 and 2)

    Measured: Up to 36 months

  2. Percentage of Participants with Dose-Limiting Toxicities (DLTs) (Parts 1 and 2)

    Measured: Up to 36 months

  3. Objective Response Rate (ORR) (Part 3)

    Measured: Up to 48 months

Secondary outcomes (11)
  1. Area Under The Curve (AUC) of RO7300490 (Parts 1, 2 and 3)

    Measured: Up to 48 months

  2. Minimum Concentration (Cmin) of RO7300490 (Parts 1, 2 and 3)

    Measured: Up to 48 months

  3. Maximum Concentration (Cmax) of RO7300490 (Parts 1, 2 and 3)

    Measured: Up to 48 months

  4. Clearance (CL) of RO7300490 (Parts 1, 2 and 3)

    Measured: Up to 48 months

  5. Volume of Distribution at Steady State (Vss) of RO7300490 (Parts 1, 2 and 3)

    Measured: Up to 48 months

  6. Percentage of Participants with Anti-RO7300490 Antibodies (Parts 1, 2 and 3)

    Measured: Up to 48 months

  7. Objective Response Rate (ORR) (Parts 1 and 2)

    Measured: Up to 48 months

  8. Disease Control Rate (DCR) (Parts 1, 2 and 3)

    Measured: Up to 48 months

  9. Duration of Response (DOR) (Parts 1, 2 and 3)

    Measured: Up to 48 months

  10. Progression-Free Survival (PFS) On-Treatment (Parts 1, 2 and 3)

    Measured: Up to 48 months

  11. Percentage of Participants With Adverse Events (AEs) (Part 3)

    Measured: Up to 48 months

Timeline

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

  1. First posted23 Apr 2021
  2. Study start18 May 2021
  3. Primary completion18 Jan 2024
  4. Study completion18 Jan 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04857138
Sponsor's protocol ID
WP42627
Other IDs
2020-004489-21
Status last verified
Feb 2024
First submitted
22 Apr 2021
Last updated
5 Feb 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Melero I, Reis B, Rusterholz C, Epp A, Kratochwil NA, Wu C, Hettich M, Kazantzidis G, Rieder N, Schwalie PC, Badillo S, Kumpesa N, Thommen A, Vugts DJ, Moreno V, Lostes Bardaji J, Alvarez EC, de Andrea CE, Spanggaard I, Lee DH, Spicer J, Thistlethwaite F, Oh DY, Hollebecque A, Cirovic O, Symeonides SN. Safety and activity of RO7300490, a bispecific CD40 agonist targeted to fibroblast activation protein, in patients with advanced solid tumors: a single-arm, multicenter, first-in-human, phase 1 trial. Nat Cancer. 2026 May;7(5):840-856. doi: 10.1038/s43018-026-01157-8. Epub 2026 May 1.

    PubMed 42067656

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing RO7300490 and Atezolizumab in people with Solid Tumors, run by Hoffmann-La Roche at 11 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 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 5 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Spain, United Kingdom, South Korea, Denmark, France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants with Adverse Events (AEs) (Parts 1 and 2) (time frame: Up to 36 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 NCT04857138, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2024.

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