A Study of Atezolizumab Plus Cobimetinib and Vemurafenib Versus Placebo Plus Cobimetinib and Vemurafenib in Previously Untreated BRAFv600 Mutation-Positive Patients With Metastatic or Unresectable Locally Advanced Melanoma
NCT ID: NCT02908672
Last Updated: 2025-07-20
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
514 participants
INTERVENTIONAL
2017-01-13
2024-07-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Atezolizumab + Cobimetinib + Vemurafenib + Vemurafenib Placebo
Run-In Period (Cycle 1=28 days): Participants will receive vemurafenib 960 mg (four, 240 mg tablets) PO BID along with cobimetinib 60 mg (three, 20 mg tablets) PO QD on Days 1 to 21 followed by vemurafenib 720 mg (three, 240 mg tablets) PO BID on Days 22 to 28 and vemurafenib placebo (1 tablet) PO BID on Days 22 to 28. Triple Combination Period (Cycle 1 onwards): Participants will receive atezolizumab 840 mg IV infusion on Day 1 and 15, cobimetinib 60 mg (three, 20 mg tablets) PO QD on Days 1 to 21, vemurafenib 720 mg (three, 240 mg tablets) PO BID on Days 1 to 28, and vemurafenib placebo (1 tablet) PO BID on Days 1 to 28 of each 28-day cycle. Study treatment will continue until investigator-determined disease progression, death, unacceptable toxicity, withdrawal of consent, or pregnancy, whichever occurs first.
Atezolizumab
Will be administered as per the schedule described in individual arm.
Cobimetinib
Will be administered as per the schedule described in individual arm.
Vemurafenib
Will be administered as per the schedule described in individual arm.
Vemurafenib Placebo
Will be administered as per the schedule described in individual arm.
Atezolizumab Placebo + Cobimetinib + Vemurafenib
Run-In Period (Cycle1=28 days): Participants will receive vemurafenib 960 milligrams (mg) (four, 240 mg tablets) orally (PO) twice a day (BID) along with cobimetinib 60 mg (three, 20 mg tablets) PO once a day (QD) on Days 1 to 21 followed by vemurafenib 960 mg (four, 240 mg tablets) PO BID on Days 22 to 28. Triple Combination Period (Cycle 1 onwards): Participants will receive ATZ placebo by intravenous (IV) infusion on Day 1 and 15, cobimetinib 60 mg (three, 20 mg tablets) PO QD on Days 1 to 21, and vemurafenib 960 mg (four, 240 mg tablets) PO BID on Days 1 to 28 of each 28-day cycle. Study treatment will continue until investigator-determined disease progression, death, unacceptable toxicity, withdrawal of consent, or pregnancy, whichever occurs first.
Atezolizumab Placebo
Will be administered as per the schedule described in individual arm.
Cobimetinib
Will be administered as per the schedule described in individual arm.
Vemurafenib
Will be administered as per the schedule described in individual arm.
Interventions
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Atezolizumab
Will be administered as per the schedule described in individual arm.
Atezolizumab Placebo
Will be administered as per the schedule described in individual arm.
Cobimetinib
Will be administered as per the schedule described in individual arm.
Vemurafenib
Will be administered as per the schedule described in individual arm.
Vemurafenib Placebo
Will be administered as per the schedule described in individual arm.
Eligibility Criteria
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Inclusion Criteria
* Histologically confirmed Stage IV (metastatic) or unresectable Stage IIIc (locally advanced) melanoma
* Naive to prior systemic anti-cancer therapy for melanoma (example: chemotherapy, hormonal therapy, targeted therapy, immunotherapy, or other biologic therapies) except adjuvant treatment with interferon (IFN), interleukin (IL)-2, or vaccine therapies or herbal therapies
* Documentation of BRAFv600 mutation-positive status in melanoma tumor tissue (archival or newly obtained) through use of a clinical mutation test approved by the local health authority
* Eastern Cooperative Oncology Group Performance (ECOG) Status of 0 or 1
* Measurable disease according to RECIST v1.1 (must be outside central nervous system (CNS))
* Life expectancy \>/=18 weeks
* For participants not receiving therapeutic anticoagulation: International normalized ratio (INR) or activated partial thromboplastin time (aPTT) less than or equal to (\</=) 1.5\*upper limit of normal (ULN) within 28 days prior to initiation of study treatment
* For participants receiving therapeutic anticoagulation: stable anticoagulant regimen and stable INR during the 28 days immediately preceding initiation of study treatment
Exclusion Criteria
* Traumatic injury or palliative radiotherapy within 2 weeks prior study treatment initiation
* Active malignancy (other than BRAFv600 mutation-positive melanoma) or malignancy within 3 years prior to screening are excluded, with the exception of resected melanoma, resected basal cell carcinoma (BCC), resected cutaneous squamous cell carcinoma (SCC), resected carcinoma in situ of the cervix, resected carcinoma in situ of the breast, in situ prostate cancer, limited-stage bladder cancer, or any other curatively treated malignancies from which the participant has been disease-free for at least 3 years
* History of or evidence of retinal pathology on ophthalmologic examination that is considered a risk factor for neurosensory retinal detachment, central serous chorioretinopathy, retinal vein occlusion (RVO), or neovascular macular degeneration
* History of clinically significant cardiac dysfunction
* Left ventricular ejection fraction (LVEF) below the institutional lower limit of normal or below 50%
* Untreated or actively progressing CNS lesions (carcinomatous meningitis)
* History of metastases to brain stem, midbrain, pons, or medulla, or within 10 millimeter (mm) of the optic apparatus (optic nerves and chiasm); or leptomeningeal metastatic disease; or intracranial hemorrhage
* Uncontrolled diabetes or symptomatic hyperglycemia
* Current severe, uncontrolled systemic disease (including, but not limited to, clinically significant cardiovascular, pulmonary, or renal disease) other than cancer
* History of malabsorption or other clinically significant metabolic dysfunction
* Pregnant or breastfeeding, or intending to become pregnant during the study
* Prior allogeneic stem cell or solid organ transplantation
* History of idiopathic pulmonary fibrosis, organizing pneumonia (example: bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan
* Active or history of autoimmune disease or immune deficiency
* Known clinically significant liver disease, inherited liver disease and active viral disease
* Active tuberculosis
* Treatment with therapeutic oral or intravenous (IV) antibiotics; or with a live, attenuated vaccine; or systemic immunosuppressive medication
* Known hypersensitivity to biopharmaceutical agents produced in Chinese hamster ovary cells or any component of the atezolizumab, cobimetinib, or vemurafenib formulations
* Any grade \>/=3 hemorrhage or bleeding event within 4 weeks prior to initiation of study treatment
* History of stroke, reversible ischemic neurological defect, or transient ischemic attack within 6 months prior to initiation of study treatment
18 Years
ALL
No
Sponsors
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Hoffmann-La Roche
INDUSTRY
Responsible Party
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Principal Investigators
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Clinical Trials
Role: STUDY_DIRECTOR
Hoffmann-La Roche
Locations
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University of Alabama at Birmingham
Birmingham, Alabama, United States
Arizona Oncology Associates, PC - HAL
Tempe, Arizona, United States
Highlands Oncology Group
Springdale, Arkansas, United States
UC Irvine Medical Center
Orange, California, United States
Mount Sinai Medical Center
Miami Beach, Florida, United States
UF Health Cancer Center at Orlando Health
Orlando, Florida, United States
St. Luke's University Health network
Bethlehem, Pennsylvania, United States
Princess Alexandra Hospital
Woolloongabba, Queensland, Australia
Royal Adelaide Hospital
Adelaide, South Australia, Australia
Peter Maccallum Cancer Centre
Melbourne, Victoria, Australia
Fiona Stanley Hospital
Murdoch, Western Australia, Australia
Medical University of Graz, Department of Dermatology
Graz, , Austria
LKH Innsbruck
Innsbruck, , Austria
Medizinische Universität Wien
Vienna, , Austria
Cliniques Universitaires St-Luc
Brussels, , Belgium
UZ Leuven Gasthuisberg
Leuven, , Belgium
CHU Sart-Tilman
Liège, , Belgium
Sint Augustinus Wilrijk
Wilrijk, , Belgium
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, Brazil
Centro de Pesquisa e Ensino em Oncologia de Santa Catarina - CEPEN
Florianópolis, Santa Catarina, Brazil
Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, Brazil
Clinicas Oncologicas Integradas - COI
Rio de Janeiro, , Brazil
Beneficencia Portuguesa de Sao Paulo
São Paulo, , Brazil
Arthur J.E. Child Comprehensive Cancer Center-Calgary
Calgary, Alberta, Canada
Cancer Care Manitoba
Winnipeg, Manitoba, Canada
Juravinski Cancer Clinic
Hamilton, Ontario, Canada
LHSC - Victoria Hospital
London, Ontario, Canada
Lakeridge Health Oshawa
Oshawa, Ontario, Canada
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, Canada
Princess Margaret Hospital
Toronto, Ontario, Canada
CHU de Quebec - Hopital de l'Enfant-Jesus
Québec, , Canada
Groupe Hospitalier Saint André - Hôpital Saint André
Bordeaux, , France
Centre Hospitalier Universitaire de Grenoble - Albert Michallon
Grenoble, , France
Hopital Claude Huriez - CHU Lille
Lille, , France
CHU de Nantes
Nantes, , France
Hopital Robert Debre
Reims, , France
Centre Eugene Marquis
Rennes, , France
CHU de Rouen - Hôpital Charles Nicolle
Rouen, , France
Charite - Universitätsmedizin Berlin
Berlin, , Germany
Elbekliniken Buxtehude
Buxtehude, , Germany
Klinikum d.Universität zu Köln Klinik u.Poliklinik f.Dermatologie
Cologne, , Germany
HELIOS Klinikum Erfurt
Erfurt, , Germany
Universitatsklinikum Essen
Essen, , Germany
Universitätsmedizin Göttingen
Göttingen, , Germany
Medizinische Hochschule Hannover
Hanover, , Germany
Universitatsklinik Heidelberg
Heidelberg, , Germany
UKSH Kiel
Kiel, , Germany
Universitätsklinikum Leipzig
Leipzig, , Germany
UKSH Universitatsklinikum Schleswig-Holstein
Lübeck, , Germany
Universitatsklinikum Mainz
Mainz, , Germany
Klinikum der Ludwigs-Maximilians-Universität München
München, , Germany
Fachklinik Hornheide
Münster, , Germany
Harzklinikum Dorothea Christiane Erxleben GmbH, Standort Quedlinburg
Quedlinburg, , Germany
Universitätsklinikum Regensburg
Regensburg, , Germany
Zentrum für Dermatoonkologie, Universitäts-Hautklinik Tübingen
Tübingen, , Germany
Universitätsklinikum Würzburg
Würzburg, , Germany
Laiko General Hospital Athen
Athens, , Greece
Metropolitan Hospital
Pireaus, , Greece
Orszagos Onkologiai Intezet
Budapest, , Hungary
University of Szeged Szent-Györgyi Albert Clinical Center
Szeged, , Hungary
Rambam Health Care Campus
Haifa, , Israel
Sharett Institute - Hadassah Hebrew University Medical Center
Jerusalem, , Israel
Rabin MC
Petah Tikva, , Israel
Ella Institute - Sheba Medical Center
Ramat Gan, , Israel
Istituto Tumori ?Giovanni Paolo II?, Oncologia
Bari, Apulia, Italy
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Napoli, Campania, Italy
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola
Meldola, Emilia-Romagna, Italy
A.O. Universitaria S. Maria Della Misericordia Di Udine
Udine, Friuli Venezia Giulia, Italy
IFO - Istituto Regina Elena
Rome, Lazio, Italy
IRCCS Istituto Nazionale Per La Ricerca Sul Cancro (IST)
Genoa, Liguria, Italy
Irccs Istituto Nazionale Dei Tumori (Int)
Milan, Lombardy, Italy
Irccs Istituto Europeo Di Oncologia (IEO)
Milan, Lombardy, Italy
Fondazione Del Piemonte Per L'oncologia Ircc Di Candiolo
Candiolo, Piedmont, Italy
A.O.U. Senese Policlinico Santa Maria Alle Scotte
Siena, Tuscany, Italy
Erasmus Mc - Daniel Den Hoed Kliniek
Rotterdam, , Netherlands
Wellington Hospital
Newtown, Wellington, , New Zealand
Mid Central DHB
Palmerston North, , New Zealand
Tauranga Hospital, Clinical Trials Unit
Tauranga, , New Zealand
Uniwersyteckie Centrum Kliniczne
Gdansk, , Poland
Narodowy Inst.Onkol.im.Sk?odowskiej-Curie Pa?stw.Inst.Badawczy Kraków
Krakow, , Poland
COZL Oddzial Onkologii Klinicznej z pododdzialem Chemioterapii Dziennej
Lublin, , Poland
Uniwersytecki Szpital Kliniczny w Poznaniu
Późna, , Poland
Narodowy Instytut Onkologii im. Marii Sk?odowskiej-Curie - Pa?stwowy Instytut Badawczy
Warsaw, , Poland
Dolno?l?skie Centrum Onkologii, Pulmonologii i Hematologii
Wroclaw, , Poland
IPO de Lisboa
Lisbon, , Portugal
IPO do Porto
Porto, , Portugal
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, Russia
FSBSI "Russian Oncological Scientific Center n.a. N.N. Blokhin"
Moscow, Moscow Oblast, Russia
FBI "Scientific Research Institute of Oncology n. a. N. N. Petrov"
Saint Petersburg, Sankt-Peterburg, Russia
Seoul National University Hospital
Seoul, , South Korea
Severance Hospital, Yonsei University Health System
Seoul, , South Korea
Asan Medical Center
Seoul, , South Korea
Samsung Medical Center
Seoul, , South Korea
Clinica Universitaria de Navarra
Pamplona, Navarre, Spain
Hospital Universitari Vall d'Hebron
Barcelona, , Spain
Hospital Clínic i Provincial
Barcelona, , Spain
Hospital Ramon y Cajal
Madrid, , Spain
Hospital Universitario La Paz
Madrid, , Spain
Hospital Universitario Virgen de la Macarena
Seville, , Spain
Fundacion Instituto Valenciano de Oncologia (IVO)
Valencia, , Spain
Hospital General Universitario de Valencia
Valencia, , Spain
Hospital Universitario Miguel Servet
Zaragoza, , Spain
Bristol Haematology and Oncology centre
Bristol, , United Kingdom
Beatson West of Scotland Cancer Centre
Glasgow, , United Kingdom
Ipswich Hospital
Ipswich, , United Kingdom
St James Uni Hospital
Leeds, , United Kingdom
Guys and St Thomas NHS Foundation Trust, Guys Hospital
London, , United Kingdom
Freeman Hospital
New Castle Upon Tyne, , United Kingdom
Singleton Hospital
Swansea, , United Kingdom
Royal Cornwall Hospital
Truro, , United Kingdom
Countries
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References
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Li SN, Wan X, Peng LB, Li YM, Li JH. Cost-effectiveness of immune checkpoint inhibition and targeted treatment in combination as adjuvant treatment of patient with BRAF-mutant advanced melanoma. BMC Health Serv Res. 2023 Jan 18;23(1):49. doi: 10.1186/s12913-023-09058-7.
Ascierto PA, Stroyakovskiy D, Gogas H, Robert C, Lewis K, Protsenko S, Pereira RP, Eigentler T, Rutkowski P, Demidov L, Zhukova N, Schachter J, Yan Y, Caro I, Hertig C, Xue C, Kusters L, McArthur GA, Gutzmer R. Overall survival with first-line atezolizumab in combination with vemurafenib and cobimetinib in BRAFV600 mutation-positive advanced melanoma (IMspire150): second interim analysis of a multicentre, randomised, phase 3 study. Lancet Oncol. 2023 Jan;24(1):33-44. doi: 10.1016/S1470-2045(22)00687-8. Epub 2022 Nov 29.
Robert C, Lewis KD, Gutzmer R, Stroyakovskiy D, Gogas H, Protsenko S, Pereira RP, Eigentler T, Rutkowski P, Demidov L, Caro I, Forbes H, Shah K, Yan Y, Li H, McArthur GA, Ascierto PA. Biomarkers of treatment benefit with atezolizumab plus vemurafenib plus cobimetinib in BRAFV600 mutation-positive melanoma. Ann Oncol. 2022 May;33(5):544-555. doi: 10.1016/j.annonc.2022.01.076. Epub 2022 Feb 4.
de Azevedo SJ, de Melo AC, Roberts L, Caro I, Xue C, Wainstein A. First-line atezolizumab monotherapy in patients with advanced BRAFV600 wild-type melanoma. Pigment Cell Melanoma Res. 2021 Sep;34(5):973-977. doi: 10.1111/pcmr.12960. Epub 2021 Feb 15.
Gutzmer R, Stroyakovskiy D, Gogas H, Robert C, Lewis K, Protsenko S, Pereira RP, Eigentler T, Rutkowski P, Demidov L, Manikhas GM, Yan Y, Huang KC, Uyei A, McNally V, McArthur GA, Ascierto PA. Atezolizumab, vemurafenib, and cobimetinib as first-line treatment for unresectable advanced BRAFV600 mutation-positive melanoma (IMspire150): primary analysis of the randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2020 Jun 13;395(10240):1835-1844. doi: 10.1016/S0140-6736(20)30934-X.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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2016-002482-54
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
CO39262
Identifier Type: -
Identifier Source: org_study_id
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