NCT02409355

Brief Summary

This randomized, open-label study was designed to evaluate and compare the safety and efficacy of atezolizumab with gemcitabine + cisplatin or carboplatin in PD-L1 selected participants with chemotherapy-naive, Stage IV squamous NSCLC. The study was closed due to low patient enrollment and the Sponsor's decision to include patients with squamous NSCLC into the GO29431 study, NCT02409342. Therefore the planned objectives of this study are no longer applicable and formal analyses of efficacy or safety have not been performed.

Trial Health

68
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
8

participants targeted

Target at below P25 for phase_3 nonsmall-cell-lung-cancer

Timeline
Completed

Started May 2015

Shorter than P25 for phase_3 nonsmall-cell-lung-cancer

Geographic Reach
14 countries

82 active sites

Status
terminated

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

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 6, 2015

Completed
1 month until next milestone

Study Start

First participant enrolled

May 7, 2015

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 7, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 7, 2017

Completed
11 months until next milestone

Results Posted

Study results publicly available

November 14, 2018

Completed
Last Updated

February 15, 2019

Status Verified

February 1, 2019

Enrollment Period

2.6 years

First QC Date

April 1, 2015

Results QC Date

October 8, 2018

Last Update Submit

February 11, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS) as Determined by the Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

    Baseline up to death or disease progression, whichever occurs first (up to approximately 2.5 years)

Study Arms (2)

Atezolizumab

EXPERIMENTAL

Participants will receive intravenous (IV) infusion of atezolizumab once on Day 1 of each 21-day cycle until loss of clinical benefit.

Drug: Atezolizumab

Gemcitabine + Cisplatin/Carboplatin

ACTIVE COMPARATOR

Participants will receive IV infusion of gemcitabine + cisplatin or gemcitabine + carboplatin once on Day 1 of each 21-day cycle for four or six cycles as per local standard of care.

Drug: CarboplatinDrug: CisplatinDrug: Gemcitabine

Interventions

Atezolizumab will be administered at a dose of 1200 milligrams (mg) by IV infusion on Day 1 of each 21-day cycle until loss of clinical benefit.

Also known as: MPDL3280A; Tecentriq
Atezolizumab

Carboplatin will be administered at area under the concentration-time curve (AUC) 5 IV infusion once on Day 1 of each 21-day cycle for 4 or 6 cycles.

Gemcitabine + Cisplatin/Carboplatin

Cisplatin will be administered at 75 milligrams per square meter (mg/m\^2) IV infusion once on Day 1 of each 21-day cycle for 4 or 6 cycles.

Gemcitabine + Cisplatin/Carboplatin

Gemcitabine will be administered at 1000 mg/m\^2 (when coadministered with carboplatin) or 1250 mg/m\^2 (when coadministered with cisplatin) IV infusion on Days 1 and 8 of each 21-day cycle for 4 or 6 cycles.

Gemcitabine + Cisplatin/Carboplatin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed Stage IV squamous NSCLC
  • Tumor programmed death-ligand 1 (PD-L1) expression, as determined by immunohistochemistry (IHC) assay of archival tumor tissue or tissue obtained at screening
  • No prior treatment for Stage IV squamous NSCLC
  • Measurable disease as defined by RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Adequate hematologic and end-organ function

You may not qualify if:

  • Active or untreated central nervous system (CNS) metastases
  • Untreated or inadequately treated spinal cord compression
  • Leptomeningeal disease
  • Uncontrolled pleural effusion, pericardial effusion, or ascites
  • Uncontrolled tumor-related pain
  • Uncontrolled hypercalcemia
  • Any other malignancies within 5 years except those with negligible risk of metastasis or death
  • Pregnant or lactating women
  • Known hypersensitivity to any component of atezolizumab formulation or other study medication
  • History of autoimmune disease except controlled, treated hypothyroidism or type I diabetes
  • Prior allogeneic bone marrow or solid organ transplantation
  • Positive human immunodeficiency virus (HIV) test
  • Active hepatitis B or C
  • Active tuberculosis
  • Significant cardiovascular disease
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (82)

California Cancer Associates for Research & Excellence, Inc.

Encinitas, California, 92008, United States

Location

Marin Cancer Care Inc

Greenbrae, California, 94904, United States

Location

University of California San Diego

La Jolla, California, 92093, United States

Location

Chao Family Comprehensive Cancer Center; UC Irvine Medical Center

Orange, California, 92868, United States

Location

Eastern Connecticut Hematology and Oncology Associates; (ECHO)

Norwich, Connecticut, 06360, United States

Location

Georgetown University Medical Center

Washington D.C., District of Columbia, 20007, United States

Location

Mount Sinai Medical Center

Miami Beach, Florida, 33140, United States

Location

Florida Hospital

Orlando, Florida, 32803, United States

Location

Straub Clinic & Hospital; Oncology

Honolulu, Hawaii, 96813, United States

Location

Ingalls Memorial Hospital

Harvey, Illinois, 60426, United States

Location

Consultants in Blood Disorders & Cancer

Louisville, Kentucky, 40207, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

Bay Hematology Oncology

Easton, Maryland, 21601, United States

Location

Montana Cancer Specialists

Missoula, Montana, 59802, United States

Location

Atlantic Health Cancer Center

Summit, New Jersey, 07902, United States

Location

Maimonides Medical Center

Brooklyn, New York, 11219, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Presbyterian Hospital

Charlotte, North Carolina, 28204, United States

Location

Carolina Oncology Specialists, PA - Hickory

Hickory, North Carolina, 28602, United States

Location

First Health of the Carolinas

Pinehurst, North Carolina, 28374, United States

Location

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

Location

Spartanburg Regional Medical Center

Spartanburg, South Carolina, 29303, United States

Location

Wellmont Cancer Institute

Bristol, Tennessee, 37620, United States

Location

University Oncology Associates

Chattanooga, Tennessee, 37403, United States

Location

Sarah Cannon Cancer Center

Germantown, Tennessee, 38138, United States

Location

Vanderbilt Medical Center

Nashville, Tennessee, 37232-7610, United States

Location

MultiCare Regional Cancer Center - Auburn

Auburn, Washington, 98002-4117, United States

Location

West Virginia University Hospital

Morgantown, West Virginia, 26506, United States

Location

Multiscan s.r.o.

Pardubice, 532 03, Czechia

Location

Hôpital du Cluzeau

Limoges, 87042, France

Location

Hopital Tenon; Oncologie Radiotherapie

Paris, 75970, France

Location

Centre Paul Strauss

Strasbourg, 67085, France

Location

KRH Klinikum Siloah-Oststadt-Heidehaus

Hanover, 30459, Germany

Location

Brüderkrankenhaus St. Josef Paderborn

Paderborn, 33098, Germany

Location

Sotiria Chest Hospital of Athens

Athens, 11527, Greece

Location

Attikon University General Hospital

Athens, 12464, Greece

Location

Bioclinic Thessaloniki

Thessaloniki, 546 22, Greece

Location

Georgios Papanikolaou General Hosp. of Thessaloniki

Thessaloniki, 57010, Greece

Location

Semmelweis Egyetem

Budapest, 1083, Hungary

Location

Uzsoki Utcai Korhaz

Budapest, 1145, Hungary

Location

Matrai Gyogyintezet

Mátraháza, 3233, Hungary

Location

Szabolcs-Szatmar-Bereg Megyei; Korhazak es Egyetemi Oktatokorhaz

Nyíregyháza, 4400, Hungary

Location

University of Pecs, I st Dept of Internal Medicine

Pécs, 7624, Hungary

Location

Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rend.Int.

Szolnok, 5000, Hungary

Location

IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica

Meldola, Emilia-Romagna, 47014, Italy

Location

Ospedale Infermi di Rimini

Rimini, Emilia-Romagna, 47900, Italy

Location

Irccs Centro Di Riferimento Oncologico (CRO)

Aviano, Friuli Venezia Giulia, 33081, Italy

Location

Asst Papa Giovanni XXIII

Bergamo, Lombardy, 24100, Italy

Location

Azienda Ospedaliera Istituti Ospitalieri

Cremona, Lombardy, 26100, Italy

Location

Ospedale San Raffaele S.r.l.

Milan, Lombardy, 20132, Italy

Location

Irccs Istituto Nazionale Dei Tumori (Int);S.C. Medicina Oncologica 2

Milan, Lombardy, 20133, Italy

Location

Istituto Europeo Di Oncologia

Milan, Lombardy, 20141, Italy

Location

Asst Di Monza

Monza, Lombardy, 20900, Italy

Location

Istituto Clinico Humanitas

Rozzano (MI), Lombardy, 20089, Italy

Location

Azienda Ospedaliera Città della Salute e della Scienza di Torino

Turin, Piedmont, 10126, Italy

Location

A.O.U.I. VERONA-OSPEDALE BORGO TRENTO; ONCOLODIA MEDICA-d.O.

Verona, Veneto, 37126, Italy

Location

Uniwersyteckie Centrum Kliniczne

Gdansk, 80-214, Poland

Location

County Hospital Alba; Oncology

Alba Iulia, 510073, Romania

Location

Dr Constantin Opris Emergency County Hospital Baia Mare

Baia Mare, 430031, Romania

Location

Teo Health SA - Saint Constantin Hospital

Brasov, 500091, Romania

Location

Oncology Center Sf. Nectarie

Craiova, 200347, Romania

Location

Institutul Regional de Oncologie Iasi; Clinica de Hematologie

Iași, 700483, Romania

Location

Sibiu Emergency Clinical County Hospital

Sibiu, 550245, Romania

Location

Oncomed SRL

Timișoara, 300239, Romania

Location

Arkhangelsk Regional Clinical Oncology Dispensary

Arkhangelsk, 163045, Russia

Location

Kursk Regional Clinical Oncology Dispensary

Kursk, 305035, Russia

Location

Filial #1 Regional Oncology Dispensary of Nizhniy Novgorod

Nizhny Novgorod, 603081, Russia

Location

Leningrad Regional Clinical Hospital

Saint Petersburg, 194291, Russia

Location

Mordovia State University

Saransk, 430032, Russia

Location

Clinical Hospital Center Bezanijska kosa; Clinic for Oncology

Belgrade, 11000, Serbia

Location

Institute of Lung Diseases Vojvodina

Kamenitz, 21204, Serbia

Location

Clin Hospital Center - Kragujevac; Pulmonary Diseases

Kragujevac, 34000, Serbia

Location

Seoul National University Bundang Hospital

Gyeonggi-do, 13620, South Korea

Location

Chonnam National University Hwasun Hospital

Jeollanam-do, 58128, South Korea

Location

The Catholic University of Korea St. Vincent's Hospital

Suwon, 442-723, South Korea

Location

Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia

Badalona, Barcelona, 08916, Spain

Location

Fundacion Investigacion Hospital La Fe de Valencia

Valencia, 46026, Spain

Location

Hosp Clinico Univ Lozano Blesa

Zaragoza, 50009, Spain

Location

Birmingham Heartlands Hospital

Birmingham, B9 5SS, United Kingdom

Location

Diana Princess of Wales Hosp.

Grimsby, DN33 2BA, United Kingdom

Location

Sarah Cannon Research Institute

London, W1G 6AD, United Kingdom

Location

Christie Hospital NHS Trust

Manchester, M20 4BX, United Kingdom

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

atezolizumabCarboplatinCisplatinGemcitabine

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Coordination ComplexesOrganic ChemicalsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsHeterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Limitations and Caveats

The study was closed due to low enrollment and the Sponsor's decision to include patients with squamous NSCLC into the GO29431 study.

Results Point of Contact

Title
Medical Communications
Organization
Hoffmann-La Roche

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY DIRECTOR

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

May 7, 2015

Primary Completion

December 7, 2017

Study Completion

December 7, 2017

Last Updated

February 15, 2019

Results First Posted

November 14, 2018

Record last verified: 2019-02

Locations