Study Stopped
Study was closed early as the sponsor decided not to continue development of certain treatment combinations.
A Study Of Multiple Immunotherapy-Based Treatment Combinations In Participants With Metastatic Non-Small Cell Lung Cancer (Morpheus- Non-Small Cell Lung Cancer)
Morpheus Lung
A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating The Efficacy And Safety Of Multiple Immunotherapy-Based Treatment Combinations In Patients With Metastatic Non-Small Cell Lung Cancer (Morpheus-Lung)
2 other identifiers
interventional
314
7 countries
29
Brief Summary
This study will evaluate the efficacy, safety, and pharmacokinetics of immunotherapy-based treatment combinations in participants with metastatic non-small cell lung cancer (NSCLC). Two cohorts will be enrolled in parallel in this study: Cohort 1 will consist of participants with tumor PD-L1 expression who have received no prior systemic therapy for metastatic NSCLC, and Cohort 2 will consist of participants who experienced disease progression during or following treatment with a platinum-containing regimen and a PD-L1/PD-1 checkpoint inhibitor, given in combination as one line of therapy or as two separate lines of therapy, regardless of PD-L1 expression. In each cohort, eligible participants will initially be assigned to one of several treatment arms (Stage 1). Participants who experience disease progression, loss of clinical benefit, or unacceptable toxicity during Stage 1 may be eligible to continue treatment with a different treatment regimen (Stage 2).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Dec 2017
Longer than P75 for phase_1
29 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
November 7, 2017
CompletedFirst Posted
Study publicly available on registry
November 9, 2017
CompletedStudy Start
First participant enrolled
December 27, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 14, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
November 25, 2025
CompletedResults Posted
Study results publicly available
May 12, 2026
CompletedMay 12, 2026
April 1, 2026
7.8 years
November 7, 2017
March 23, 2026
April 20, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Stage 1: Percentage of Participants With Objective Response (OR) as Determined by Investigator According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST V1.1)
OR was defined as a complete response (CR) or partial response (PR) on two consecutive occasions, ≥4 weeks apart, during Stage 1 as determined by the investigator using RECIST v.1.1. Objective response rate (ORR) was defined as the percentage of participants with OR. CR was defined as the disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) have a reduction in short axis to \<10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters (SOD) of all target lesions, taking as reference the baseline SOD, in the absence of CR. 95% confidence intervals (CI) for rates were constructed using Clopper-Pearson method. Percentages have been rounded off. The participant in the 'Stage 1 Cohort 2 (S1C2): Idasanutlin + Docetaxel' arm did not receive study treatment and was therefore excluded from the efficacy analyses.
Up to 50.4 months
Secondary Outcomes (7)
Stage 1: Progression-free Survival (PFS) as Determined by Investigator According to RECIST V1.1
From randomization to the first occurrence of PD or death (Up to 48.6 months)
Stage 1: PFS Rate at Month 6
At Month 6
Stage 1: Overall Survival (OS)
From randomization to death (Up to 67 months)
Stage 1: OS Rate at Month 6
At Month 6
Stage 1: Duration of Response (DOR), as Determined by Investigator According to RECIST V1.1
From first occurrence of a documented OR until the time of documented PD or death (Up to 50.4 months)
- +2 more secondary outcomes
Study Arms (23)
Stage 1: Cohort 1: Atezolizumab
ACTIVE COMPARATORParticipants in the Atezolizumab arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Pemetrexed + Carboplatin or Atezolizumab + Gemcitabine + Carboplatin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 1: Atezolizumab + Cobimetinib
EXPERIMENTALParticipants in the Atezolizumab + Cobimetinib arm will receive treatment (cycle length 28 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on 1L treatment, may have the option of receiving Atezolizumab + Pemetrexed + Carboplatin or Atezolizumab + Gemcitabine + Carboplatin treatment, provided they meet the eligibility criteria. Participants who progressed on 2L/3L treatment, may have the option of receiving Atezolizumab + RO6958688, Atezolizumab + Docetaxel or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 1: Atezolizumab + RO6958688
EXPERIMENTALParticipants in the Atezolizumab + RO6958688 arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on 1L treatment, may have the option of receiving Atezolizumab + Pemetrexed + Carboplatin or Atezolizumab + Gemcitabine + Carboplatin treatment, provided they meet the eligibility criteria. Participants who progressed on 2L/3L treatment, may have the option of receiving Atezolizumab + Docetaxel treatment or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 2: Docetaxel
ACTIVE COMPARATORParticipants in the Docetaxel arm will receive treatment (cycle length 21 days) until unacceptable toxicity or disease progression. Participants who progressed on treatment may have the option of receiving Atezolizumab + RO6958688 or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 2: Atezolizumab + Cobimetinib
EXPERIMENTALParticipants in the Atezolizumab + Cobimetinib arm will receive treatment (cycle length 28 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Pemetrexed + Carboplatin, Atezolizumab + Gemcitabine + Carboplatin, Atezolizumab + RO6958688, Atezolizumab + Docetaxel or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 2: Atezolizumab + CPI-444
EXPERIMENTALParticipants in the Atezolizumab + CPI-444 arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on treatment, may have the option of receiving Atezolizumab + RO6958688, Atezolizumab + Docetaxel or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 2: Atezolizumab + RO6958688
EXPERIMENTALParticipants in the Atezolizumab + RO6958688 arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Pemetrexed + Carboplatin, Atezolizumab + Gemcitabine + Carboplatin, Atezolizumab + Docetaxel or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 2: Atezolizumab + Ipatasertib
EXPERIMENTALParticipants in the Atezolizumab + Ipatasertib arm will receive treatment (cycle length 28 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Docetaxel treatment or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 2: Atezolizumab + Docetaxel
EXPERIMENTALParticipants in Atezolizumab + Docetaxel arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 1: Cohort 2: Atezolizumab + Bevacizumab
EXPERIMENTALParticipants in Atezolizumab + Bevacizumab arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Docetaxel or Atezolizumab + Linagliptin treatment, provided they meet the eligibility criteria.
Stage 2: Cohort 1: Atezolizumab + Pemetrexed + Carboplatin
EXPERIMENTALParticipants in the Atezolizumab + Pemetrexed + Carboplatin arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 2: Cohort 1: Atezolizumab + Gemcitabine + Carboplatin
EXPERIMENTALParticipants in the Atezolizumab + Gemcitabine + Carboplatin arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 2: Cohort 2: Atezolizumab + RO6958688
EXPERIMENTALParticipants in the Atezolizumab + RO6958688 arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 2: Cohort 2: Atezolizumab + Docetaxel
EXPERIMENTALParticipants in the Atezolizumab + Docetaxel arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit. Participants who have received treatment with Atezolizumab + Docetaxel in Stage 1 will not receive this treatment in Stage 2.
Stage 2: Cohort 2: Atezolizumab + Linagliptin
EXPERIMENTALParticipants in the Atezolizumab + Linagliptin arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 2: Atezolizumab + Sacituzumab Govitecan
EXPERIMENTALParticipants in the Atezolizumab + Sacituzumab Govitecan arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 2: Atezolizumab + Bevacizumab + Radiotherapy
EXPERIMENTALParticipants in the Atezolizumab + Bevacizumab + Radioatherapy arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 2: Atezolizumab + Evolocumab
EXPERIMENTALParticipants in the Atezolizumab + Evolocumab arm will receive treatment (cycle length 28 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 1: Atezolizumab + Tiragolumab
ACTIVE COMPARATORParticipants in the Atezolizumab + Tiragolumab arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 1: Atezolizumab + Tiragolumab + XL092 (Zanzalintinib)
EXPERIMENTALParticipants in the Atezolizumab + Tiragolumab + XL092 arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 2: Atezolizumab + Camonsertib
EXPERIMENTALParticipants in the Atezolizumab + Camonsertib arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 2: Atezolizumab + Bevacizumab + Camonsertib
EXPERIMENTALParticipants in the Atezolizumab + Bevacizumab + Comonsertib arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Stage 1: Cohort 2: Atezolizumab + Bevacizumab + Tiragolumab
EXPERIMENTALParticipants in the Atezolizumab + Bevacizumab + Tiragolumab arm will receive treatment (cycle length 21 days) until unacceptable toxicity or loss of clinical benefit.
Interventions
Atezolizumab is administered by IV on Day 1 of each 21 day cycle or on Days 1 and 15 of each 28 day cycle.
Cobimetinib is administered orally on Days 1-21 of a 28 day cycle.
Cycle 1: RO6958688 is administered by IV infusion on Days 1, 8, and 15 of a 21 day cycle at increasing dosage. Subsequent cycles: RO6958688 is administered by IV infusion on Days 1, 8, and 15 of a 21 day cycle.
XL092 is administered orally once a day on Day 1 to Day 21 of a 21 day cycle.
Docetaxel is administered by IV on Day 1 of each 21 day cycle.
CPI-444 is administered orally twice daily on Days 1- 21, of a 21 day cycle.
Pemetrexed is administered by IV on Day 1 of a 21 day cycle.
Carboplatin is administered by IV on day 1 of the first 4 or 6 cycles out of a 21 day cycle.
Gemcitabine is administered by IV on Days 1 and 8 of the first 4 or 6 cycles out of a 21 day cycle.
Linagliptin is administered orally once daily on Days 1 to 21 out of a 21 day cycle.
Tocilizumab is administered for the management of cytokine-release syndrome in the RO6958688-containing arms.
Ipatasertib will be administered orally once a day on Days 1-21 of each 28-day cycle.
Bevacizumab is administered by IV on Day 1 of each 21-day cycle.
Sacituzumab Govitecan is administered by IV on Day 1 and 8 of each 21-day cycle.
Radiotherapy up to 21 days
Evolocumab is administered subcutaneously at a dose of 140 mg on Days 1 and 15 of each 28-day cycle.
Tiragolumab is administered on Day 1 of each 21 day cycle.
Camonsertib is administered orally on Days 1-3, Days 8-10 of a 21 day cycle.
Eligibility Criteria
You may qualify if:
- Eastern Cooperative Oncology Group (ECOG) performance Status of 0 or 1
- Life expectancy greater than or equal to 3 months
- Histologically or cytologically confirmed metastatic, non-squamous or squamous Non-Small Cell Lung Cancer (NSCLC)
- Measurable disease (at least one target lesion)
- Adequate hematologic and end-organ function
- Tumor accessible for biopsy
- For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures and agreement to refrain from donating eggs as outlined for each specific treatment arm
- For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm, as outlined for each specific treatment arm
- No prior systemic therapy for metastatic NSCLC
- High tumor PD-L1 expression, defined as Tumor Proportion Score (TPS) or TCs \>= 50% or TC3
- \- Disease progression during or following treatment for metastatic or locally advanced, inoperable NSCLC
You may not qualify if:
- Prior allogeneic stem cell or solid organ transplantation
- Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently)
- Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
- History of leptomeningeal disease
- Active or history of autoimmune disease or immune deficiency
- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography scan
- History of malignancy other than NSCLC within 2 years prior to screening
- Active tuberculosis
- Severe infection within 4 weeks prior to initiation of study treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (29)
Comprehensive Cancer Centers of Nevada (CCCN) - Central Valley
Las Vegas, Nevada, 89169, United States
Columbia University Medical Center
New York, New York, 10032, United States
University Hospitals Case Medical Center
Cleveland, Ohio, 44106, United States
SCRI Oncology Partners
Nashville, Tennessee, 37203, United States
Blacktown Hospital
Blacktown, New South Wales, 2148, Australia
Peter Mac Callum Cancer Center
East Melbourne, Victoria, 3002, Australia
Centre Georges Francois Leclerc
Dijon, 21079, France
Centre Léon Bérard
Lyon, 69008, France
Hopital de la Timone
Marseille, 13005, France
Institut Régional du Cancer de Montpellier
Montpellier, 34298, France
Institut De Cancerologie De L'Ouest
Saint-Herblain, 44115, France
Institut Universitaire du Cancer de Toulouse-Oncopole
Toulouse, 31100, France
Rambam Medical Center
Haifa, 3109601, Israel
Rabin Medical Center
Petah Tikva, 4941492, Israel
Chaim Sheba Medical Center
Ramat Gan, 52620-00, Israel
Seoul National University Hospital
Seoul, 03080, South Korea
Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
Korea University Guro Hospital
Seoul, 08308, South Korea
University of Ulsan College of Medicine - Asan Medical Center (AMC) - Asan Cancer Center (ACC)
Songpa-gu, 05505, South Korea
Clínica Universidad de Navarra
Pamplona, Navarre, 31008, Spain
Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
Hospital Universitario La Paz
Madrid, 280146, Spain
Fundación Jimenez Díaz
Madrid, 28040, Spain
Hospital Universitario HM Sanchinarro-CIOCC
Madrid, 28050, Spain
Hospital Regional Universitario de Malaga
Málaga, 29010, Spain
Hospital Clinico Universitario de Valencia
Valencia, 46010, Spain
Barts Cancer Institute
London, E1 2AT, United Kingdom
The Newcastle upon Tyne Hospitals NHS Foundation Trust
Newcastle upon Tyne, NE1 4LP, United Kingdom
Royal Marsden Hospital
Sutton, SM2 5PT, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 7, 2017
First Posted
November 9, 2017
Study Start
December 27, 2017
Primary Completion
October 14, 2025
Study Completion
November 25, 2025
Last Updated
May 12, 2026
Results First Posted
May 12, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing