Safety and Pharmacokinetics (PK) of Escalating Doses of MTIG7192A as a Single Agent and in Combination With Atezolizumab With and Without Chemotherapy in Locally Advanced or Metastatic Tumors
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT02794571 |
Recruitment Status :
Recruiting
First Posted : June 9, 2016
Last Update Posted : November 13, 2020
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Condition or disease | Intervention/treatment | Phase |
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Advanced/Metastatic Tumors | Drug: Atezolizumab Drug: MTIG7192A Drug: Carboplatin Drug: Cisplatin Drug: Pemetrexed Drug: Paclitaxel Drug: Etoposide | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 400 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase Ia/Ib Open-Label, Dose-Escalation Study of the Safety and Pharmacokinetics of MTIG7192A as a Single Agent and in Combination With Atezolizumab Administered With and Without Chemotherapy in Patients With Locally Advanced or Metastatic Tumors |
Actual Study Start Date : | May 23, 2016 |
Estimated Primary Completion Date : | November 1, 2022 |
Estimated Study Completion Date : | November 1, 2022 |

Arm | Intervention/treatment |
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Experimental: Phase Ia Dose-Escalation Stage: MTIG7192A
Cohorts of at least 3 participants each will be treated with escalating doses of MTIG7192A.
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Drug: MTIG7192A
Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
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Experimental: Phase Ia Dose-Expansion Stage: MTIG7192A+Atezolizumab
Participants will be treated with MTIG7192A at or below the maximum tolerated dose (MTD) or maximum administered dose (MAD) in the study.
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Drug: MTIG7192A
Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
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Experimental: Phase Ib Q3W Dose-Escalation Stage: MTIG7192A+Atezolizumab
A minimum of 3 participants will be treated for each dose level of MTIG7192A in combination with a fixed dose of atezolizumab.
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Drug: Atezolizumab
Atezolizumab will be given as 1200 mg via IV infusion on Day 1 of each 21-day cycle (phase Ib dose-escalation, Q3W dose-expansion and chemotherapy dose-expansion cohorts) and atezolizumab at dose 1680 mg IV will be administered on Day 1 of each 28-day cycle (phase Ib Q4W dose-expansion).
Other Names:
Drug: MTIG7192A Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
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Experimental: Phase Ib Q3W Dose-Expansion Stage: MTIG7192A+Atezolizumab
Participants will be treated every 3 weeks (Q3W) with MTIG7192A at or below the MTD or MAD in combination with a fixed dose of atezolizumab.
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Drug: Atezolizumab
Atezolizumab will be given as 1200 mg via IV infusion on Day 1 of each 21-day cycle (phase Ib dose-escalation, Q3W dose-expansion and chemotherapy dose-expansion cohorts) and atezolizumab at dose 1680 mg IV will be administered on Day 1 of each 28-day cycle (phase Ib Q4W dose-expansion).
Other Names:
Drug: MTIG7192A Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
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Experimental: Phase Ib Chemotherapy Dose-Expansion Stage: Cohort A
In Cohort A, carboplatin or cisplatin and pemetrexed chemotherapy will be administered after atezolizumab and MTIG7192A IV infusion. During induction phase, participants will receive atezolizumab and MTIG7192A in combination with carboplatin or cisplatin and pemetrexed on Day 1 of each 21-day cycle for 4 to 6 cycles. During maintenance phase, participants will receive atezolizumab and MTIG7192A in combination with pemetrexed on Day 1 of each 21-day cycle.
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Drug: Atezolizumab
Atezolizumab will be given as 1200 mg via IV infusion on Day 1 of each 21-day cycle (phase Ib dose-escalation, Q3W dose-expansion and chemotherapy dose-expansion cohorts) and atezolizumab at dose 1680 mg IV will be administered on Day 1 of each 28-day cycle (phase Ib Q4W dose-expansion).
Other Names:
Drug: MTIG7192A Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
Drug: Carboplatin Carboplatin, AUC of 6 milligram per milliliter per minute (mg/ml/min) for Cohorts A and B and AUC of 5 mg/ml/min for Cohort C, IV infusion will be administered on Day 1 of each 21-day cycle after combination treatment of atezolizumab and MTIG7192A IV infusion. Drug: Cisplatin Cisplatin 75 milligram per square meter (mg/m^2) IV infusion will be administered on day 1 of each 21-day cycle after combination treatment of atezolizumab and MTIG7192A. Drug: Pemetrexed Pemetrexed 500 mg/m^2 IV infusion will be administered on Day 1 of each 21-day cycle after carboplatin or cisplatin IV infusion with combination treatment of atezolizumab and MTIG7192. |
Experimental: Phase Ib Chemotherapy Dose-Expansion Stage: Cohort B
In Cohort B, carboplatin and paclitaxel chemotherapy will be administered after atezolizumab and MTIG7192A IV infusion. During induction phase, participants will receive atezolizumab and MTIG7192A in combination with carboplatin and paclitaxel on Day 1 of each 21-day cycle for 4 to 6 cycles. During maintenance phase, participants will receive atezolizumab and MTIG7192A on Day 1 of each 21-day cycle.
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Drug: Atezolizumab
Atezolizumab will be given as 1200 mg via IV infusion on Day 1 of each 21-day cycle (phase Ib dose-escalation, Q3W dose-expansion and chemotherapy dose-expansion cohorts) and atezolizumab at dose 1680 mg IV will be administered on Day 1 of each 28-day cycle (phase Ib Q4W dose-expansion).
Other Names:
Drug: MTIG7192A Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
Drug: Carboplatin Carboplatin, AUC of 6 milligram per milliliter per minute (mg/ml/min) for Cohorts A and B and AUC of 5 mg/ml/min for Cohort C, IV infusion will be administered on Day 1 of each 21-day cycle after combination treatment of atezolizumab and MTIG7192A IV infusion. Drug: Paclitaxel Paclitaxel 200 mg/m^2 IV infusion on Day 1 of each 21-day cycle after combination treatment with atezolizumab and MTIG7192A. |
Experimental: Phase Ib Chemotherapy Dose-Expansion Stage: Cohort C
In Cohort C, carboplatin or cisplatin and etoposide chemotherapy will be administered after atezolizumab and MTIG7192A IV infusion. During induction phase, participants will receive atezolizumab and MTIG7192A in combination with carboplatin or cisplatin on Day 1 of each 21-day cycle and etoposide on Day 1 to 3 of each 21-day cycle for 4 cycles. During maintenance phase, participants will receive atezolizumab and MTIG7192A on Day 1 of each 21-day cycle.
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Drug: Atezolizumab
Atezolizumab will be given as 1200 mg via IV infusion on Day 1 of each 21-day cycle (phase Ib dose-escalation, Q3W dose-expansion and chemotherapy dose-expansion cohorts) and atezolizumab at dose 1680 mg IV will be administered on Day 1 of each 28-day cycle (phase Ib Q4W dose-expansion).
Other Names:
Drug: MTIG7192A Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
Drug: Carboplatin Carboplatin, AUC of 6 milligram per milliliter per minute (mg/ml/min) for Cohorts A and B and AUC of 5 mg/ml/min for Cohort C, IV infusion will be administered on Day 1 of each 21-day cycle after combination treatment of atezolizumab and MTIG7192A IV infusion. Drug: Cisplatin Cisplatin 75 milligram per square meter (mg/m^2) IV infusion will be administered on day 1 of each 21-day cycle after combination treatment of atezolizumab and MTIG7192A. Drug: Etoposide Etoposide 100 mg/m^2 IV infusion on Days 1, 2, 3 Q3W in 21-day cycle with combination treatment of atezolizumab and MTIG7192. |
Experimental: Phase Ib Q4W Dose-Expansion Stage: MTIG7192A + Atezolizumab
Participants will be treated every 4 weeks (Q4W) with fixed doses of MTIG7192A and atezolizumab
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Drug: Atezolizumab
Atezolizumab will be given as 1200 mg via IV infusion on Day 1 of each 21-day cycle (phase Ib dose-escalation, Q3W dose-expansion and chemotherapy dose-expansion cohorts) and atezolizumab at dose 1680 mg IV will be administered on Day 1 of each 28-day cycle (phase Ib Q4W dose-expansion).
Other Names:
Drug: MTIG7192A Several dose levels will be evaluated for MTIG7192A administered as a single agent and in combination with atezolizumab with and without chemotherapy. MTIG7192A will be given via intravenous (IV) infusion on Day 1 of each cycle (21-day cycle for phase Ia and Ib dose escalation, phase Ia dose-expansion, phase Ib Q3W dose-expansion and phase 1b chemotherapy dose-expansion cohorts; and 28-day cycle for phase Ib Q4W dose-expansion) until disease progression or loss of clinical benefit. Those who discontinue treatment with single-agent MTIG7192A may receive combination treatment with MTIG7192A and atezolizumab with and without chemotherapy. Combination treatment may continue until disease progression or loss of clinical benefit.
Other Names:
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- Percentage of Participants with Dose-Limiting Toxicities (DLTs) [ Time Frame: From Baseline to the end of Cycle 1 (up to 21 days) ]
- Percentage of Participants with Adverse Events (AEs) Graded per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0 [ Time Frame: From Baseline up to 90 days after last dose of study treatment or until initiation of another systemic anti-cancer therapy (up to approximately 8 years) ]
- Number of Cycles with MTIG7192A [ Time Frame: From Baseline to last dose (up to approximately 8 years) ]
- Phase Ia and Ib: Percentage of Participants with Anti-Drug Antibodies (ADAs) to MTIG7192A [ Time Frame: Day 1 up to 8 years ]Phase (Ph) 1a: Pre-dose on Day 1, Cycles 1-4, 8, 16, every eight cycles (Q8C), at discontinuation (DC), every 30 days up to 120 days; Phase 1b without Chemotherapy: Pre-dose on Day 1, Cycles 1-4, 8, then Q8C, DC (Cycle length 21 days); Phase 1b (Chemotherapy Cohorts and Q4W): Pre-dose on Day 1, Cycles 1-4, 8, 12 and 16, then DC (Cycle length 21/28 days).
- Phase Ib: Percentage of Participants with ADAs to Atezolizumab [ Time Frame: Day 1 up to 8 years ]Phase 1b (without Chemotherapy): Pre-dose on Day 1, Cycles 1-4, 8, then Q8C, at DC, every 30 days up to 120 days (Cycle length 21 days); Phase 1b (Chemotherapy Cohorts and Q4W): Pre-dose on Day 1, Cycles 1-4, 8, 12 and 16, then DC (Cycle length 21/28 days).
- Area Under the Concentration-Time Curve (AUC) of MTIG7192A [ Time Frame: Day 1 up to 8 years ]
During Phase Ia and Phase Ib dose-escalation stages time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2-7 (Ph 1a), Cycles 2, 3, 4 ,8, 16 -0.5 h post-dose; ph1a and 1b - Q8C, DC; every 30 days up to 120 days.
During Phase Ia dose-expansion stage and Phase Ib dose-expansion stages with and without chemotherapy time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2, 3, 4, 8, 12* 16 (C12* only applicable to Q4W and Chemotherapy cohorts): 0.5 h post-dose; ph1a and 1b (Q3W)- Q8C, DC; every 30 days up to 120 days.
- Maximum Serum Concentration (Cmax) of MTIG7192A [ Time Frame: Day 1 up to 8 years ]
During Phase Ia and Phase Ib dose-escalation stages time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2-7 (Ph 1a), Cycles 2, 3, 4 ,8, 16 -0.5 h post-dose; ph1a and 1b - Q8C, DC; every 30 days up to 120 days.
During Phase Ia dose-expansion stage and Phase Ib dose-expansion stages with and without chemotherapy time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2, 3, 4, 8, 12* 16 (C12* only applicable to Q4W and Chemotherapy cohorts): 0.5 h post-dose; ph1a and 1b (Q3W)- Q8C, DC; every 30 days up to 120 days.
- Minimum Serum Concentration (Cmin) of MTIG7192A [ Time Frame: Day 1 up to 8 years ]
During Phase Ia and Phase Ib dose-escalation stages time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2-7 (Ph 1a), Cycles 2, 3, 4 ,8, 16 -0.5 h post-dose; ph1a and 1b - Q8C, DC; every 30 days up to 120 days.
During Phase Ia dose-expansion stage and Phase Ib dose-expansion stages with and without chemotherapy time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2, 3, 4, 8, 12* 16 (C12* only applicable to Q4W and Chemotherapy cohorts): 0.5 h post-dose; ph1a and 1b (Q3W)- Q8C, DC; every 30 days up to 120 days.
- Clearance (CL) of MTIG7192A [ Time Frame: Day 1 up to 8 years ]
During Phase Ia and Phase Ib dose-escalation stages time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2-7 (Ph 1a), Cycles 2, 3, 4 ,8, 16 -0.5 h post-dose; ph1a and 1b - Q8C, DC; every 30 days up to 120 days.
During Phase Ia dose-expansion stage and Phase Ib dose-expansion stages with and without chemotherapy time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2, 3, 4, 8, 12* 16 (C12* only applicable to Q4W and Chemotherapy cohorts): 0.5 h post-dose; ph1a and 1b (Q3W)- Q8C, DC; every 30 days up to 120 days.
- Volume of Distribution at Steady State (Vss) of MTIG7192A [ Time Frame: Day 1 up to 8 years ]
During Phase Ia and Phase Ib dose-escalation stages time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2-7 (Ph 1a), Cycles 2, 3, 4 ,8, 16 -0.5 h post-dose; ph1a and 1b - Q8C, DC; every 30 days up to 120 days.
During Phase Ia dose-expansion stage and Phase Ib dose-expansion stages with and without chemotherapy time frame is as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2, 3, 4, 8, 12* 16 (C12* only applicable to Q4W and Chemotherapy cohorts): 0.5 h post-dose; ph1a and 1b (Q3W)- Q8C, DC; every 30 days up to 120 days.
- Cmax of Atezolizumab [ Time Frame: Day 1 up to 8 years ]
During Phase Ib dose-escalation stage time frame will be as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2 ,3, 4, 8, 16: 0.5 h post-dose; Q8C, DC; every 30 days up to 120 days.
During Phase Ib dose-expansion stages time frame will be as follows: Pre-dose on Day 1 of Cycles 1-4,8, 12*, 16 (C12* only applicable to Q4W and Chemotherapy cohorts); Post-dose (0.5 h or 24h), on Day 1 of Cycles 1-4, 8, 12, 16; then Q8C until/at DC, every 30 days up to 120 days.
- Cmin of Atezolizumab [ Time Frame: Day 1 up to 8 years ]
During Phase Ib dose-escalation stage time frame will be as follows: Pre-dose Day 1,Cycles 1-4, 8; Cycle 1: Post-dose-0.5 hour (h), 24 h, Days 8 and 15; Day 1, Cycles 2 ,3, 4, 8, 16: 0.5 h post-dose; Q8C, DC; every 30 days up to 120 days.
During Phase Ib dose-expansion stages time frame will be as follows: Pre-dose on Day 1 of Cycles 1-4,8, 12*, 16 (C12* only applicable to Q4W and Chemotherapy cohorts); Post-dose (0.5 h or 24h), on Day 1 of Cycles 1-4, 8, 12, 16; then Q8C until/at DC, every 30 days up to 120 days.
- Plasma Concentration of Cisplatin [ Time Frame: Pre-dose (5 min) and post-dose (1 h) on Day 1 of Cycles 1 and 3 ]
- Plasma Concentration of Carboplatin [ Time Frame: Pre-dose (5 min) and post-dose (1 h) on Day 1 of Cycles 1 and 3 ]
- Plasma Concentration of Pemetrexed [ Time Frame: Pre-dose (5 min) and post-dose (1 h) on Day 1 of Cycles 1 and 3 ]
- Plasma Concentration of Paclitaxel [ Time Frame: Pre-dose (5 min) and post-dose (1 h) on Day 1 of Cycles 1 and 3 ]
- Plasma Concentration of Etoposide [ Time Frame: Pre-dose (5 min) and post-dose (1 h) on Day 1 of Cycles 1 and 3 ]
- Objective Response According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 [ Time Frame: From Baseline until disease progression (up to 8 years) ]
- Duration of Objective Response (DOR) According to RECIST Version 1.1 [ Time Frame: From Baseline until disease progression (up to 8 years) ]
- Progression-Free Survival (PFS) According to RECIST Version 1.1 [ Time Frame: From Baseline until disease progression (up to 8 years) ]
- Overall survival (OS) According to RECIST Version 1.1 [ Time Frame: Baseline until death from any cause (up to approximately 8 years) ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adults 18 years of age or older
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Life expectancy at least 12 weeks
- Adequate hematologic and end organ function
- Histologic documentation of locally advanced, recurrent, or metastatic incurable malignancy that has progressed after at least one available standard therapy; or for which standard therapy has proven ineffective, intolerable, or considered inappropriate; or for which a clinical trial of an investigational agent is a recognized standard of care
- Confirmed availability of representative tumor specimens
- Measurable disease according to RECIST Version 1.1
Exclusion Criteria:
- Any anti-cancer therapy, whether investigational or approved, including chemotherapy, hormonal therapy, or radiotherapy, within 3 weeks prior to initiation of study treatment
- Malignancies other than disease under study within 5 years prior to Day 1 of Cycle 1
- Primary central nervous system (CNS) malignancy, or untreated/active CNS metastases
- Leptomeningeal disease
- History of idiopathic pulmonary fibrosis, pneumonitis, organizing pneumonia, or evidence of active pneumonitis on Screening chest computed tomograph (CT) scan
- History of autoimmune disease
- Positive human immunodeficiency virus (HIV) test
- Active hepatitis B or C, or tuberculosis
- Severe infection within 4 weeks prior to randomization
- Prior allogeneic bone marrow or solid organ transplant
- Significant cardiovascular disease
- Known clinically significant liver disease

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02794571
Contact: Reference Study ID Number: GO30103 www.roche.com/about_roche/roche_worldwide.htm | 888-662-6728 (U.S. and Canada) | global-roche-genentech-trials@gene.com |

Study Director: | Clinical Trials | Hoffmann-La Roche |
Responsible Party: | Genentech, Inc. |
ClinicalTrials.gov Identifier: | NCT02794571 |
Other Study ID Numbers: |
GO30103 2016-000944-33 ( EudraCT Number ) |
First Posted: | June 9, 2016 Key Record Dates |
Last Update Posted: | November 13, 2020 |
Last Verified: | November 2020 |
Neoplasm Metastasis Neoplastic Processes Neoplasms Pathologic Processes Paclitaxel Etoposide Carboplatin Pemetrexed Atezolizumab Antineoplastic Agents, Phytogenic |
Antineoplastic Agents Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action Topoisomerase II Inhibitors Topoisomerase Inhibitors Enzyme Inhibitors Folic Acid Antagonists Nucleic Acid Synthesis Inhibitors |