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A Study of Atezolizumab (Anti-PD-L1 Antibody) in Combination With Enzalutamide in Participants With Metastatic Castration-Resistant Prostrate Cancer (mCRPC) After Failure of an Androgen Synthesis Inhibitor And Failure of, Ineligibility For, or Refusal of a Taxane Regimen (IMbassador250)

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ClinicalTrials.gov Identifier: NCT03016312
Recruitment Status : Completed
First Posted : January 10, 2017
Results First Posted : April 30, 2021
Last Update Posted : February 17, 2023
Sponsor:
Information provided by (Responsible Party):
Hoffmann-La Roche

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Prostatic Neoplasms, Castration-Resistant
Interventions Drug: Atezolizumab
Drug: Enzalutamide
Enrollment 772
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months). Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Period Title: Overall Study
Started 391 380
Completed 150 162
Not Completed 241 218
Reason Not Completed
Death             194             164
Lost to Follow-up             11             12
Started new therapy, loss of contact             2             1
Physician Decision             0             2
Withdrawal by Subject             34             39
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide Total
Hide Arm/Group Description Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months). Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months). Total of all reporting groups
Overall Number of Baseline Participants 391 380 771
Hide Baseline Analysis Population Description
[Not Specified]
Age, Categorical  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 391 participants 380 participants 771 participants
<=18 years
0
   0.0%
0
   0.0%
0
   0.0%
Between 18 and 65 years
101
  25.8%
90
  23.7%
191
  24.8%
>=65 years
290
  74.2%
290
  76.3%
580
  75.2%
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 391 participants 380 participants 771 participants
70.3  (8.3) 70.6  (8.5) 70.4  (8.4)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 391 participants 380 participants 771 participants
Female
0
   0.0%
0
   0.0%
0
   0.0%
Male
391
 100.0%
380
 100.0%
771
 100.0%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 391 participants 380 participants 771 participants
Hispanic or Latino
18
   4.6%
11
   2.9%
29
   3.8%
Not Hispanic or Latino
349
  89.3%
345
  90.8%
694
  90.0%
Unknown or Not Reported
24
   6.1%
24
   6.3%
48
   6.2%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 391 participants 380 participants 771 participants
American Indian or Alaska Native
0
   0.0%
1
   0.3%
1
   0.1%
Asian
71
  18.2%
65
  17.1%
136
  17.6%
Native Hawaiian or Other Pacific Islander
1
   0.3%
0
   0.0%
1
   0.1%
Black or African American
8
   2.0%
7
   1.8%
15
   1.9%
White
290
  74.2%
287
  75.5%
577
  74.8%
More than one race
2
   0.5%
0
   0.0%
2
   0.3%
Unknown or Not Reported
19
   4.9%
20
   5.3%
39
   5.1%
1.Primary Outcome
Title Overall Survival (OS)
Hide Description Overall Survival is defined as the time from randomization to death from any cause.
Time Frame Baseline until death from any cause (up to approximately 42 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population is defined as all randomized participants regardless of whether the assigned study treatment was received. For efficacy analyses, participants were analyzed according to their randomized treatment assignment. Here, "Number Analyzed" refers to number of participants from whom data was collected and analyzed.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 379 380
Median (95% Confidence Interval)
Unit of Measure: Months
15.2
(14.0 to 17.0)
16.6
(14.7 to 18.4)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Unstratified Analysis
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0940
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.184
Confidence Interval (2-Sided) 95%
0.971 to 1.445
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Stratified Analysis
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2786
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.118
Confidence Interval (2-Sided) 95%
0.913 to 1.370
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Percentage of Participants Who Survived at Month 12 and 24
Hide Description OS (Overall Survival is defined as the time from randomization to death from any cause) probability at 12 and 24 months
Time Frame Months 12, 24
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population is defined as all randomized participants regardless of whether the assigned study treatment was received. For efficacy analyses, participants were analyzed according to their randomized treatment assignment. Here, "Number Analyzed" refers to number of participants from whom data was collected and analyzed.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 379 380
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of Participants
6 Months
85.12
(81.45 to 88.78)
85.32
(81.67 to 88.97)
12 Months
60.61
(55.52 to 65.71)
64.65
(59.60 to 69.70)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Difference in Event Free Rate - 6 months
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.9391
Comments [Not Specified]
Method z-test
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in Event Free Rate
Estimated Value -0.20
Confidence Interval (2-Sided) 95%
-5.38 to 4.97
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Difference in Event Free Rate - 12 months
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2706
Comments [Not Specified]
Method z-test
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in Event Free Rate
Estimated Value -4.03
Confidence Interval (2-Sided) 95%
-11.21 to 3.14
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Time to First Symptomatic Skeletal Event (SSE)
Hide Description An SSE is defined as external beam radiation therapy to relieve skeletal symptoms (including initiation of radium-223 dichloride or other types of radionuclide therapy to treat symptoms of bone metastases), new symptomatic pathologic bone fracture, clinically apparent occurrence of spinal cord compression, or tumor related orthopedic surgical intervention.
Time Frame Baseline up to end of study (up to approximately 42 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population is defined as all randomized participants regardless of whether the assigned study treatment was received. For efficacy analyses, participants were analyzed according to their randomized treatment assignment. Here, "Number Analyzed" refers to number of participants from whom data was collected and analyzed.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 379 380
Median (95% Confidence Interval)
Unit of Measure: Months
24.1 [1] 
(24.1 to NA)
24.9 [1] 
(24.9 to NA)
[1]
Due to censoring, the upper limit was not estimable.
4.Secondary Outcome
Title Radiographic Progression-Free Survival (rPFS), as Assessed by the Investigator and Adapted From the PCWG3 Criteria
Hide Description

rPFS is defined as the time from randomization to the earliest occurrence of one of the following:

  • A participant is considered to have progressed by bone scan if: The first bone scan with ≥2 new lesions compared to baseline is observed < 12 weeks from randomization and is confirmed by a second bone scan taken ≥6 weeks later showing ≥2 additional new lesions (a total of ≥4 new lesions compared to baseline); the date of progression is the date of the first post-treatment scan, OR After the first post-treatment scan, ≥2 new lesions are observed relative to the first post-treatment scan, which is confirmed on a subsequent scan ≥6 weeks later; the date of progression is the date of the post-treatment scan when ≥2 new lesions were first documented.
  • Progression of soft tissue lesions, as defined per PCWG3 modified RECIST v1.1
  • Death from any cause
Time Frame Baseline until disease progression or death from any cause (up to approximately 42 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population is defined as all randomized participants regardless of whether the assigned study treatment was received. For efficacy analyses, participants were analyzed according to their randomized treatment assignment. Here, "Number Analyzed" refers to number of participants from whom data was collected and analyzed.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 379 380
Median (95% Confidence Interval)
Unit of Measure: Months
4.2
(4.1 to 5.3)
4.1
(3.7 to 4.5)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Unstratified Analysis
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3157
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.917
Confidence Interval (2-Sided) 95%
0.775 to 1.086
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Stratified Analysis
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2366
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.899
Confidence Interval (2-Sided) 95%
0.754 to 1.072
Estimation Comments [Not Specified]
5.Secondary Outcome
Title Percentage of Participants Who Are Radiographic Progression-Free, as Assessed by the Investigator and Adapted From the PCWG3 Criteria
Hide Description

rPFS is defined as the time from randomization to the earliest occurrence of one of the following:

  • A participant is considered to have progressed by bone scan if: The first bone scan with ≥2 new lesions compared to baseline is observed < 12 weeks from randomization and is confirmed by a second bone scan taken ≥6 weeks later showing ≥2 additional new lesions (a total of ≥4 new lesions compared to baseline); the date of progression is the date of the first post-treatment scan, OR After the first post-treatment scan, ≥2 new lesions are observed relative to the first post-treatment scan, which is confirmed on a subsequent scan ≥6 weeks later; the date of progression is the date of the post-treatment scan when ≥2 new lesions were first documented.
  • Progression of soft tissue lesions, as defined per PCWG3 modified RECIST v1.1
  • Death from any cause
Time Frame Months 6, 12
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population is defined as all randomized participants regardless of whether the assigned study treatment was received. For efficacy analyses, participants were analyzed according to their randomized treatment assignment. Here, "Number Analyzed" refers to number of participants from whom data was collected and analyzed.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 379 380
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of Participants
6 months
41.84
(36.09 to 47.60)
39.64
(33.86 to 45.42)
12 months
14.89
(10.74 to 19.05)
13.45
(9.42 to 17.49)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Difference in Event Free Rate - 6 months
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.5959
Comments [Not Specified]
Method z-test
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in Event Free Rate
Estimated Value 2.21
Confidence Interval (2-Sided) 95%
-5.95 to 10.37
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Difference in Event Free Rate - 12 months
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6262
Comments [Not Specified]
Method z-test
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in Event Free Rate
Estimated Value 1.44
Confidence Interval (2-Sided) 95%
-4.35 to 7.23
Estimation Comments [Not Specified]
6.Secondary Outcome
Title Percentage of Participants With Greater Than (>) 50 Percent (%) Decrease in Prostate-Specific Antigen (PSA) From Baseline
Hide Description PSA response rate, defined as a > 50% decrease in PSA from baseline that is confirmed after ≥ 3 weeks by a consecutive confirmatory PSA measurement
Time Frame Baseline until disease progression (up to approximately 42 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population is defined as all randomized participants regardless of whether the assigned study treatment was received. For efficacy analyses, participants were analyzed according to their randomized treatment assignment. Here, "Number Analyzed" refers to number of participants from whom data was collected and analyzed.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 379 380
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of Participants
25.9
(21.5 to 30.5)
24.2
(20.0 to 28.7)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in 50% Decrease Response Rate
Estimated Value 1.6
Confidence Interval (2-Sided) 2%
-4.5 to 7.8
Estimation Comments [Not Specified]
Other Statistical Analysis Odds Ratio: 1.1 95%CI: 0.8, 1.5
7.Secondary Outcome
Title Time to PSA Progression, Assessed as Per PCWG3 Criteria
Hide Description In participants with no PSA decline from baseline, PSA progression is defined as a ≥25% increase and an absolute increase of ≥2 ng/mL above the baseline value, ≥12 weeks after baseline. In participants with an initial PSA decline from baseline, PSA progression is defined as a ≥25% increase and an absolute increase of ≥2 ng/mL above the nadir value, which is confirmed by a consecutive second value obtained ≥3 weeks later.
Time Frame Baseline until disease progression (up to approximately 42 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat (ITT) population is defined as all randomized participants regardless of whether the assigned study treatment was received. For efficacy analyses, participants were analyzed according to their randomized treatment assignment. Here, "Number Analyzed" refers to number of participants in the ITT population with measurable soft tissue lesions at baseline.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 379 380
Median (95% Confidence Interval)
Unit of Measure: Months
2.8
(2.8 to 2.9)
2.8
(2.8 to 2.9)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Unstratified Analysis
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.5359
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.055
Confidence Interval (2-Sided) 95%
0.890 to 1.251
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Atezolizumab + Enzalutamide, Enzalutamide
Comments Stratified Analysis
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6857
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.037
Confidence Interval (2-Sided) 95%
0.869 to 1.238
Estimation Comments [Not Specified]
8.Secondary Outcome
Title Percentage of Participant With Objective Response, as Determined by the Investigator Through Use of PCWG3 Criteria
Hide Description Objective response rate in soft tissue lesions, defined as the percentage of participants with either a CR or PR on two consecutive occasions ≥ 6 weeks apart, as determined by the investigator through use of PCWG3 criteria
Time Frame Baseline until disease progression or death from any cause (up to approximately 42 months)
Hide Outcome Measure Data
Hide Analysis Population Description
  • Participants were classified as missing or unevaluable if no post-baseline response assessments were available or all post-baseline response baseline assessments were unevaluable.
  • Responders had to have a CR or PR on two consecutive occasions at least 6 weeks apart.
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description:
Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
Overall Number of Participants Analyzed 131 135
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of Participants
13.7
(8.4 to 20.7)
7.4
(3.7 to 13.0)
9.Secondary Outcome
Title Percentage of Participants With Adverse Events
Hide Description Verbatim description of adverse events will be coded to MedDRA preferred terms and graded according to NCI CTCAE v4.0.
Time Frame Baseline up to end of study (up to approximately 42 month
Outcome Measure Data Not Reported
10.Secondary Outcome
Title Minimum Observed Serum Concentration (Cmin) of Atezolizumab
Hide Description Atezolizumab serum concentration data (minimum [Cmin]) will be reported and summarized for each cycle where collected as appropriate.
Time Frame Pre-infusion (0 hour[hr]) on Day 1 Cycles 1, 2, 3, 4, 8, 12, 16 (Cycle length: 21 days); treatment discontinuation visit, 120 days after last dose (up to approximately 42 months)
Outcome Measure Data Not Reported
11.Secondary Outcome
Title Maximum Observed Serum Concentration (Cmax) of Atezolizumab
Hide Description Atezolizumab serum concentration data (maximum [Cmax]) will be reported and summarized for each cycle where collected as appropriate.
Time Frame Pre-infusion (0 hr) on Day 1 Cycles 1, 2, 3, 4, 8, 12, 16 (Cycle length: 21 days); 0.5 hr post-infusion (infusion duration: 60 minutes [min]) on Day 1 Cycle 1; treatment discontinuation visit, 120 days after last dose (up to approximately 42 months)
Outcome Measure Data Not Reported
12.Secondary Outcome
Title Plasma Concentration of Enzalutamide
Hide Description Plasma concentrations of Enzalutamide will be reported and summarized using descriptive statistics for each cycle and treatment arm, as appropriate.
Time Frame Predose (0 hr) and 1 hr postdose on Day 1 Cycle 1 and 3 (Cycle length: 21 days); pre-dose (within 1 hr) on Day 1 Cycle 8
Outcome Measure Data Not Reported
13.Secondary Outcome
Title Plasma Concentration of N-Desmethyl Enzalutamide
Hide Description Plasma concentrations of N-desmethyl enzalutamide will be reported and summarized using descriptive statistics for each cycle and treatment arm, as appropriate.
Time Frame Predose (0 hr) and 1 hr postdose on Day 1 Cycle 1 and 3 (Cycle length: 21 days); pre-dose (within 1 hr) on Day 1 Cycle 8
Outcome Measure Data Not Reported
14.Secondary Outcome
Title Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab
Hide Description The numbers and proportions of ATA-positive participants and ATA-negative participants at baseline (baseline prevalence) and after baseline (post-baseline incidence) will be summarized by treatment group.
Time Frame Predose (0 hr) on Day 1 Cycles 1, 2, 3, 4, 8, 12, 16 (Cycle length: 21 days); at atezolizumab discontinuation visit (30 days after last dose); 120 days after last dose of atezolizumab; up to 42 months
Outcome Measure Data Not Reported
Time Frame Baseline to primary completion date (up to 2 years 2 months, cut off date: June-24-2019)
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Atezolizumab + Enzalutamide Enzalutamide
Hide Arm/Group Description Participants will receive atezolizumab along with enzalutamide until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months). Participants will receive enzalutamide alone until investigator-assessed confirmed radiographic disease progression per PCWG3 criteria or unacceptable toxicity (up to approximately 42 months).
All-Cause Mortality
Atezolizumab + Enzalutamide Enzalutamide
Affected / at Risk (%) Affected / at Risk (%)
Total   216/386 (55.96%)      180/376 (47.87%)    
Hide Serious Adverse Events
Atezolizumab + Enzalutamide Enzalutamide
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   140/386 (36.27%)      83/376 (22.07%)    
Blood and lymphatic system disorders     
Anaemia  1  9/386 (2.33%)  11 11/376 (2.93%)  15
Bone marrow failure  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Disseminated intravascular coagulation  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Febrile neutropenia  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Heparin-induced thrombocytopenia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Leukopenia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Neutropenia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Cardiac disorders     
Acute coronary syndrome  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Acute myocardial infarction  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Arrhythmia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Atrial fibrillation  1  1/386 (0.26%)  1 2/376 (0.53%)  2
Atrial flutter  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Autoimmune myocarditis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Cardiac arrest  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Cardiac disorder  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Cardiac failure  1  4/386 (1.04%)  4 2/376 (0.53%)  4
Cardiac failure congestive  1  1/386 (0.26%)  2 0/376 (0.00%)  0
Cardiopulmonary failure  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Cardiovascular insufficiency  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Coronary artery disease  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Left ventricular failure  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Myocardial infarction  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Myocardial ischaemia  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Myocarditis  1  3/386 (0.78%)  3 0/376 (0.00%)  0
Sinus bradycardia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Ventricular fibrillation  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Ear and labyrinth disorders     
Deafness unilateral  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Endocrine disorders     
Adrenal insufficiency  1  3/386 (0.78%)  3 0/376 (0.00%)  0
Hypothyroidism  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Eye disorders     
Uveitis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Gastrointestinal disorders     
Abdominal pain  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Abdominal pain upper  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Colitis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Constipation  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Diarrhoea  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Diverticular perforation  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Enteritis  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Gastroduodenal ulcer  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Gastrointestinal haemorrhage  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Intestinal obstruction  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Nausea  1  1/386 (0.26%)  1 2/376 (0.53%)  2
Small intestinal obstruction  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Subileus  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Upper gastrointestinal haemorrhage  1  0/386 (0.00%)  0 2/376 (0.53%)  2
Vomiting  1  1/386 (0.26%)  1 1/376 (0.27%)  1
General disorders     
Asthenia  1  5/386 (1.30%)  5 2/376 (0.53%)  2
Chest pain  1  3/386 (0.78%)  3 1/376 (0.27%)  1
Complication of device insertion  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Death  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Fatigue  1  3/386 (0.78%)  3 3/376 (0.80%)  4
General physical health deterioration  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Ill-defined disorder  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Influenza like illness  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Malaise  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Multiple organ dysfunction syndrome  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Necrosis  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Non-cardiac chest pain  1  2/386 (0.52%)  3 0/376 (0.00%)  0
Oedema  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Pain  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Pyrexia  1  6/386 (1.55%)  7 2/376 (0.53%)  7
Hepatobiliary disorders     
Hepatitis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Immune system disorders     
Anaphylactic reaction  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Hypersensitivity  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Infections and infestations     
Bacteraemia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Cellulitis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Clostridium difficile colitis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Encephalitis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Infected cyst  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Infection  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Influenza  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Neutropenic sepsis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Nosocomial infection  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Pneumonia  1  10/386 (2.59%)  10 10/376 (2.66%)  13
Pneumonia legionella  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Pyelonephritis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Pyelonephritis acute  1  1/386 (0.26%)  3 0/376 (0.00%)  0
Sepsis  1  4/386 (1.04%)  4 4/376 (1.06%)  4
Septic shock  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Spinal cord infection  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Superinfection  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Urinary tract infection  1  4/386 (1.04%)  5 1/376 (0.27%)  1
Urosepsis  1  2/386 (0.52%)  2 1/376 (0.27%)  1
Injury, poisoning and procedural complications     
Facial bones fracture  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Fall  1  3/386 (0.78%)  3 1/376 (0.27%)  1
Femur fracture  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Infusion related reaction  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Jaw fracture  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Lower limb fracture  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Multiple injuries  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Road traffic accident  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Subdural haematoma  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Investigations     
Alanine aminotransferase increased  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Aspartate aminotransferase increased  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Blood bilirubin increased  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Blood creatine phosphokinase increased  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Lymphocyte count decreased  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Platelet count decreased  1  3/386 (0.78%)  3 1/376 (0.27%)  1
Transaminases increased  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Troponin increased  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Metabolism and nutrition disorders     
Decreased appetite  1  3/386 (0.78%)  3 2/376 (0.53%)  2
Failure to thrive  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Hypercalcaemia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Hypocalcaemia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Hypokalaemia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Hyponatraemia  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Musculoskeletal and connective tissue disorders     
Arthralgia  1  4/386 (1.04%)  4 2/376 (0.53%)  2
Back pain  1  3/386 (0.78%)  3 5/376 (1.33%)  5
Bone pain  1  6/386 (1.55%)  7 2/376 (0.53%)  2
Haemarthrosis  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Muscle spasms  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Muscular weakness  1  2/386 (0.52%)  3 0/376 (0.00%)  0
Musculoskeletal chest pain  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Myalgia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Myositis  1  3/386 (0.78%)  3 0/376 (0.00%)  0
Neck pain  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Pain in extremity  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Pathological fracture  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Torticollis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Bladder cancer  1  0/386 (0.00%)  0 1/376 (0.27%)  2
Colon cancer  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Renal cancer  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Tumour pain  1  2/386 (0.52%)  2 1/376 (0.27%)  1
Tumour rupture  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Nervous system disorders     
Cerebral infarction  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Cerebrovascular accident  1  3/386 (0.78%)  3 1/376 (0.27%)  1
Cranial nerve palsies multiple  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Encephalopathy  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Headache  1  0/386 (0.00%)  0 2/376 (0.53%)  2
Hypoaesthesia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
IIIrd nerve paralysis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Ischaemic stroke  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Lacunar infarction  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Lethargy  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Myasthenic syndrome  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Neuropathy peripheral  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Paraesthesia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Paralysis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Paraparesis  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Peripheral motor neuropathy  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Seizure  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Spinal cord compression  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Subarachnoid haemorrhage  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Syncope  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Transient ischaemic attack  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Psychiatric disorders     
Anxiety  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Confusional state  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Delirium  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Renal and urinary disorders     
Acute kidney injury  1  5/386 (1.30%)  5 1/376 (0.27%)  1
Haematuria  1  7/386 (1.81%)  13 5/376 (1.33%)  7
Hydronephrosis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Renal failure  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Urinary retention  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Urinary tract obstruction  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Respiratory, thoracic and mediastinal disorders     
Dyspnoea  1  1/386 (0.26%)  1 2/376 (0.53%)  2
Hydrothorax  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Hypercapnia  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Pleural effusion  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Pleuritic pain  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Pneumonia aspiration  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Pneumonitis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Pulmonary embolism  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Respiratory arrest  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Respiratory failure  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Skin and subcutaneous tissue disorders     
Erythema  1  2/386 (0.52%)  2 0/376 (0.00%)  0
Erythema multiforme  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Rash  1  3/386 (0.78%)  3 0/376 (0.00%)  0
Rash maculo-papular  1  4/386 (1.04%)  4 0/376 (0.00%)  0
Stevens-Johnson syndrome  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Surgical and medical procedures     
Bladder neoplasm surgery  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Vascular disorders     
Haematoma  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Hypertension  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Hypertensive crisis  1  0/386 (0.00%)  0 1/376 (0.27%)  1
Hypotension  1  1/386 (0.26%)  1 1/376 (0.27%)  1
Pelvic venous thrombosis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
Peripheral artery thrombosis  1  1/386 (0.26%)  1 0/376 (0.00%)  0
1
Term from vocabulary, MedDRA 22.0
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0.05%
Atezolizumab + Enzalutamide Enzalutamide
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   348/386 (90.16%)      304/376 (80.85%)    
Blood and lymphatic system disorders     
Anaemia  1  82/386 (21.24%)  96 49/376 (13.03%)  58
Endocrine disorders     
Hypothyroidism  1  23/386 (5.96%)  24 5/376 (1.33%)  5
Gastrointestinal disorders     
Constipation  1  80/386 (20.73%)  90 61/376 (16.22%)  62
Diarrhoea  1  89/386 (23.06%)  111 41/376 (10.90%)  51
Nausea  1  93/386 (24.09%)  113 65/376 (17.29%)  72
Vomiting  1  35/386 (9.07%)  43 32/376 (8.51%)  35
General disorders     
Asthenia  1  81/386 (20.98%)  97 62/376 (16.49%)  67
Fatigue  1  134/386 (34.72%)  152 102/376 (27.13%)  115
Oedema peripheral  1  34/386 (8.81%)  40 27/376 (7.18%)  30
Pain  1  23/386 (5.96%)  25 11/376 (2.93%)  11
Pyrexia  1  34/386 (8.81%)  41 9/376 (2.39%)  9
Infections and infestations     
Nasopharyngitis  1  12/386 (3.11%)  14 20/376 (5.32%)  23
Urinary tract infection  1  21/386 (5.44%)  24 18/376 (4.79%)  21
Investigations     
Weight decreased  1  54/386 (13.99%)  57 31/376 (8.24%)  32
Metabolism and nutrition disorders     
Decreased appetite  1  117/386 (30.31%)  131 98/376 (26.06%)  113
Musculoskeletal and connective tissue disorders     
Arthralgia  1  70/386 (18.13%)  86 46/376 (12.23%)  62
Back pain  1  82/386 (21.24%)  100 54/376 (14.36%)  62
Bone pain  1  27/386 (6.99%)  31 34/376 (9.04%)  38
Musculoskeletal chest pain  1  21/386 (5.44%)  25 14/376 (3.72%)  15
Musculoskeletal pain  1  30/386 (7.77%)  35 30/376 (7.98%)  35
Pain in extremity  1  26/386 (6.74%)  29 37/376 (9.84%)  43
Nervous system disorders     
Dizziness  1  26/386 (6.74%)  31 20/376 (5.32%)  26
Headache  1  34/386 (8.81%)  37 19/376 (5.05%)  21
Psychiatric disorders     
Insomnia  1  30/386 (7.77%)  30 28/376 (7.45%)  29
Respiratory, thoracic and mediastinal disorders     
Cough  1  24/386 (6.22%)  25 16/376 (4.26%)  17
Dyspnoea  1  23/386 (5.96%)  25 17/376 (4.52%)  19
Skin and subcutaneous tissue disorders     
Pruritus  1  36/386 (9.33%)  43 8/376 (2.13%)  8
Rash  1  54/386 (13.99%)  62 10/376 (2.66%)  10
Rash maculo-papular  1  21/386 (5.44%)  24 5/376 (1.33%)  6
Vascular disorders     
Hot flush  1  14/386 (3.63%)  14 21/376 (5.59%)  22
Hypertension  1  27/386 (6.99%)  33 22/376 (5.85%)  22
1
Term from vocabulary, MedDRA 22.0
Indicates events were collected by systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Medical Communications
Organization: Hoffmann-La Roche
Phone: 800 821-8590
EMail: genentech@druginfo.com
Layout table for additonal information
Responsible Party: Hoffmann-La Roche
ClinicalTrials.gov Identifier: NCT03016312    
Other Study ID Numbers: CO39385
2016-003092-22 ( EudraCT Number )
First Submitted: January 9, 2017
First Posted: January 10, 2017
Results First Submitted: April 5, 2021
Results First Posted: April 30, 2021
Last Update Posted: February 17, 2023