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 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
2 other identifiers
interventional
572
19 countries
142
Brief 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 (PD-L1)-selected, chemotherapy-naive participants with Stage IV Non-Squamous or Squamous NSCLC.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jul 2015
Longer than P75 for phase_3
142 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 1, 2015
CompletedFirst Posted
Study publicly available on registry
April 6, 2015
CompletedStudy Start
First participant enrolled
July 20, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 4, 2020
CompletedResults Posted
Study results publicly available
February 18, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 8, 2022
CompletedMarch 15, 2023
February 1, 2023
4.5 years
April 1, 2015
January 26, 2021
February 17, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
Overall Survival (OS) in the TC3 or IC3-WT Populations
OS is defined as the time from randomization to death from any cause.
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.
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
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
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
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
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
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)
- +16 more secondary outcomes
Study Arms (2)
(Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine)
ACTIVE COMPARATORParticipants 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
EXPERIMENTALParticipants 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).
Interventions
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).
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.
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.
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.
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).
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (142)
University of California San Diego
La Jolla, California, 92093, United States
Yale Cancer Center
New Haven, Connecticut, 06520, United States
Lynn Cancer Institute - West
Boca Raton, Florida, 33428, United States
University of Maryland Greenebaum Cancer Center
Baltimore, Maryland, 21201, United States
Oregon Health & Science Uni
Portland, Oregon, 97239, United States
Sarah Cannon Cancer Center
Germantown, Tennessee, 38138, United States
Vanderbilt University Medical Center; Multiple Sclerosis Center
Nashville, Tennessee, 37204, United States
Hematology Oncology Associates of Fredericksburg, Inc.
Fredericksburg, Virginia, 22408, United States
VA Puget Sound Health Care Sys
Seattle, Washington, 98108, United States
Centro de Pesquisas Clinicas em Oncologia - CPCO
Cachoeiro de Itapemirim, Espírito Santo, 29308-014, Brazil
Oncovida*X
Salvador, Estado de Bahia, 41820-021, Brazil
Instituto Nacional de Cancer - INCa; Oncologia
Rio de Janeiro, Rio de Janeiro, 20560-120, Brazil
Associacao Hospital de Caridade Ijui*X; Departamento De Oncologia
Ijuí, Rio Grande do Sul, 98700-000, Brazil
Hospital da Cidade de Passo Fundo; Centro de Pesquisa em Oncologia
Passo Fundo, Rio Grande do Sul, 99010-260, Brazil
Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090, Brazil
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
Instituto Joinvilense de Hematologia E Oncologia
Joinville, Santa Catarina, 89201-260, Brazil
*X*Fundacao PIO XII
Barretos, São Paulo, 14784-400, Brazil
Instituto Do Câncer Do Estado de São Paulo Octávio Frias de Oliveira
São Paulo, São Paulo, 01246 000, Brazil
Hospital Santa Marcelina
São Paulo, São Paulo, 08270-070, Brazil
Harbin Medical University Tumor Hospital
Harbin, 150081, China
CHU Angers
Angers, 49933, France
Hospital d Instructions des Armees Percy
Clamart, 92141, France
Hôpital Universitaire Dupuytren
Limoges, 87042, France
Clinique Clémentville
Montpellier, 34070, France
Centre D'oncologie de Gentilly
Nancy, 54100, France
Hopital Tenon
Paris, 75020, France
Centre Hospitalier Regional La Reunion Site Felix Guyon
Saint-Denis, 97405, France
Hopital d'Instruction des Armees de Begin
Saint-Mandé, 94160, France
Centre Hospitalier Regional Sud Reunion
Saint-Pierre, 97448, France
Centre Paul Strauss
Strasbourg, 67000, France
Asklepios-Fachklinik Muenchen-Gauting; Klinik Für Pneumologie
Gauting, 82131, Germany
Pius-Hospital Oldenburg
Oldenburg, 26121, Germany
Sotiria Chest Hospital of Athens
Athens, 11527, Greece
IASO General Hospital of Athens
Athens, 155 62, Greece
Metropolitan Hospital
Athens, 185 47, Greece
Attikon University General Hospital
Chaïdári, 124 62, Greece
University General Hospital of Larissa
Larissa, 412 21, Greece
University General Hospital of Patras
Pátrai, 265 00, Greece
Thermi Clinic
Thermi, Thessaloniki, 57001, Greece
Bioclinic Thessaloniki
Thessaloniki, 546 22, Greece
EUROMEDICA General Clinic of Thessaloniki; Gastroenterology Department
Thessaloniki, 54645, Greece
Papageorgiou General Hospital of Thessaloniki
Thessaloniki, 564 29, Greece
Georgios Papanikolaou General Hosp. of Thessaloniki
Thessaloniki, 57010, Greece
Uzsoki Utcai Korhaz
Budapest, 1145, Hungary
Szabolcs-Szatmar-Bereg Megyei; Korhazak es Egyetemi Oktatokorhaz
Nyíregyháza, 4400, Hungary
Pecsi Tudomanyegyetem
Pécs, 7624, Hungary
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet; Megyei Onkologiai Kozpont
Szolnok, 5004, Hungary
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica
Meldola, Emilia-Romagna, 47014, Italy
Centro Di Riferimento Oncologico; Struttura Operativa Complessa Di Oncologia Medica B
Aviano, Friuli Venezia Giulia, 33081, Italy
Asst Papa Giovanni XXIII
Bergamo, Lombardy, 24100, Italy
Azienda Ospedaliera Istituti Ospitalieri
Cremona, Lombardy, 26100, Italy
Ospedale San Raffaele S.r.l.
Milan, Lombardy, 20132, Italy
Istituto Europeo Di Oncologia
Milan, Lombardy, 20141, Italy
Azienda Socio Sanitaria Territoriale ? ASST di Monza
Monza, Lombardy, 20052, Italy
Istituto Nazionale dei Tumori
Monza, Lombardy, 20052, Italy
Istituto Clinico Humanitas
Rozzano (MI), Lombardy, 20089, Italy
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Turin, Piedmont, 10126, Italy
Azienda Ospedaliero-Universitaria ?PoliclinicoVittorio Emanuele?- P.O. G. Rodolico; Oncologia Medica
Catania, Sicily, 95123, Italy
Azienda Ospedaliera Universitaria Integrata Verona; UOC Oncologia
Verona, Veneto, 37126, Italy
Aichi Cancer Center Hospital; Respiratory Medicine
Aichi, 464-8681, Japan
Nagoya University Hospital; Respiratory Medicine
Aichi, 466-8560, Japan
Kyushu University Hospital; Respiratory
Fukuoka, 812-8582, Japan
Hokkaido University Hospital
Hokkaido, 060-8648, Japan
Kobe City Medical Center General Hospital; Respiratory Medicine
Hyōgo, 650-0047, Japan
Hyogo Cancer Center; Thoracic Oncology
Hyōgo, 673-8558, Japan
Ibaraki Prefectural Central Hospital; Division of respiratory
Ibaraki, 309-1793, Japan
Sendai Kousei Hospital; Pulmonary Medicine
Miyagi, 980-0873, Japan
Okayama University Hospital; Respiratory and Allergy Medicine
Okayama, 700-8558, Japan
Osaka International Cancer Institute; Thoracic Oncology
Osaka, 541-8567, Japan
Kansai Medical university Hospital; Thoracic Oncology
Osaka, 573-1191, Japan
Osaka Habikino Medical Center
Osaka, 583-8588, Japan
National Hospital Organization Kinki-Chuo Chest Medical Center
Sakaishi, 591-8555, Japan
Saitama Cancer Center; Thoracic Oncology
Satima, 362-0806, Japan
National Cancer Center Hospital; Thoracic Medical Oncology
Tokyo, 104-0045, Japan
Tokyo Medical University Hospital; Dept of Surgery
Tokyo, 160-0023, Japan
Uniwersyteckie Centrum Kliniczne
Gdansk, Poland
Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie; Oddzial onkologii z pododdzialem chemioterapii
Olsztyn, 10-357, Poland
Mazowieckie Centrum Leczenia Chorob Pluc i Gruzlicy
Otwock, 05-400, Poland
Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu
Poznan, 60-569, Poland
Med-Polonia Sp. z o.o.
Poznan, 60-693, Poland
Teo Health SA - Saint Constantin Hospital
Brasov, 500091, Romania
Prof. Dr. I. Chiricuta Institute of Oncology
Cluj-Napoca, 400015, Romania
Oncology Center Sf. Nectarie
Craiova, 200347, Romania
Institutul Regional de Oncologie Iasi; Clinica de Hematologie
Iași, 700483, Romania
Sibiu Emergency Clinical County Hospital
Sibiu, 550245, Romania
Oncocenter Clinical Oncology
Timi?oara, 300210, Romania
Oncomed SRL
Timișoara, 300239, Romania
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, Arhangelsk, 163045, Russia
Federal State Institution Medical Radiology Research Center
Obninsk, Kaluga Oblast, 249036, Russia
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423, Russia
Principal Military Clinical Hospital n.a. N.N. Burdenko
Moscow, Moscow Oblast, 105229, Russia
Saint Petersburg Clinical Hospital of the Russian Academy of Sciences
Saint Petersburg, Sankt-Peterburg, 194017, Russia
Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic
Kazan', Tatarstan Republic, 420029, Russia
Regional Clinical Oncology Center
Ryazan, 390046, Russia
Leningrad Regional Clinical Hospital
Saint Petersburg, 194291, Russia
St. Petersburg Med Univ; n.a. I.P. Pavlov; Pulmonology Research
Saint Petersburg, 197089, Russia
Mordovia State University
Saransk, 430032, Russia
Volgograd Regional Clinical Oncology Dispensary
Volgograd, 400138, Russia
Clinical Center of Serbia
Belgrade, 11000, Serbia
Institute for Oncology and Radiology of Serbia; Medical Oncology
Belgrade, 11000, Serbia
Institute of Lung Diseases Vojvodina
Kamenitz, 21204, Serbia
Clinical Center Kragujevac
Kragujevac, 34000, Serbia
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128, South Korea
Seoul National University Bundang Hospital
Seongnam-si, 13620, South Korea
Kangbuk Samsung Hospital
Seoul, 03181, South Korea
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07010, Spain
Hospital Son Llatzer
Palma de Mallorca, Balearic Islands, 07198, Spain
Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia
Badalona, Barcelona, 08916, Spain
Consorcio Hospitalario Provincial de Castellon
Castellon de LA Plana/castello de LA Plana, Castellon, 12002, Spain
Hospital Universitario A Coruña
A Coruña, LA Coruña, 15006, Spain
Hospital Universitario Cruces
Barakaldo, Vizcaya, 48903, Spain
Hospital del Mar
Barcelona, 08003, Spain
Hospital Universitario Vall d'Hebron - PPDS
Barcelona, 08035, Spain
Complejo Hospitalario de Jaen
Jaén, 23007, Spain
Hospital Clinico San Carlos; Servicio de Oncologia
Madrid, 28040, Spain
Hospital Universitario Virgen Macarena
Seville, 41009, Spain
Hospital Clinico Universitario de Valencia
Valencia, 46010, Spain
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026, Spain
Hosp Clinico Univ Lozano Blesa; División De Oncología Médica
Zaragoza, 50009, Spain
Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
Prince of Songkla University; Department Of Internal Medicine, Faculty Of Medicine
Hat Yai, 90110, Thailand
Khon Kaen University
Khon Kaen, 40002, Thailand
Chiang Rai Prachanukroh Hospital
Muang, 57000, Thailand
Buddhachinnaraj Hospital
Phitsanulok, 65000, Thailand
Cukurova University Medical Faculty Balcali Hospital
Adana, 1330, Turkey (Türkiye)
Hacettepe Universitesi Tip Fakultesi Hastanesi
Ankara, 06100, Turkey (Türkiye)
Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34000, Turkey (Türkiye)
Ege Universitesi Tip Fakultesi Hastanesi
Izmir, 35100, Turkey (Türkiye)
Izmir Dr. Suat Seren Gogus Hastaliklari ve Cerrahisi Egitim ve Arastirma Hastanesi
Izmir, 35110, Turkey (Türkiye)
Inonu University Faculty of Medicine Turgut Ozal Medical Center
Malatya, 44280, Turkey (Türkiye)
Municipal Noncommercial Institution Regional Center of Oncology
Kharkiv, Kharkiv Governorate, 61070, Ukraine
Municipal Noncomercial Enterprise Odessa Regional Oncology Center ofthe Odessa StateAdministration
Odesa, Kherson Governorate, 65055, Ukraine
Municipal non profit enterprise of Sumy Regional Council Sumy Regional Clinical Oncology Disp
Sumy, Kholm Governorate, 40005, Ukraine
Communal Non-profit Enterprise City Clinical Hospital #4 of Dnipro City Council - PPDS; Chemotherapy
Dnipro, KIEV Governorate, 49102, Ukraine
Kyiv Railway Clinical Hospital #3 of Branch Health Center of the PJSC Ukrainian Railway
Kyiv, KIEV Governorate, 02096, Ukraine
Communal Nonprofit Enterprise Podilsky Regional Center Of Oncology OfTheVinnytsia Regional Council
Vinnytsia, KIEV Governorate, 21029, Ukraine
The Municipal Enterprise Volyn Regional Medical Oncology Centre of the Volyn Regional Council
Lutsk, Volhynian Governorate, 43018, Ukraine
Private Enterprise Private Manufacturing Company Acinus
Kirovograd, 25006, Ukraine
Birmingham Heartlands Hospital
Birmingham, B9 5SS, United Kingdom
Colchester General Hospital
Colchester, Essex, CO4 5JL, United Kingdom
Christie Hospital
Manchester, M20 3BG, United Kingdom
Related Publications (2)
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.
PMID: 39532375DERIVEDHerbst 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.
PMID: 32997907DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-La Roche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 1, 2015
First Posted
April 6, 2015
Study Start
July 20, 2015
Primary Completion
February 4, 2020
Study Completion
March 8, 2022
Last Updated
March 15, 2023
Results First Posted
February 18, 2021
Record last verified: 2023-02