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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Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

514 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-13

Study Completion Date

2024-07-01

Brief Summary

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This is a Phase III, double-blinded, placebo-controlled, randomized, multicenter study designed to evaluate the efficacy, safety, and pharmacokinetics of atezolizumab + cobimetinib + vemurafenib compared with placebo + cobimetinib + vemurafenib in patients with previously untreated BRAFv600 mutation-positive metastatic or unresectable locally advanced melanoma.

Detailed Description

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Conditions

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Melanoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

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.

Group Type EXPERIMENTAL

Atezolizumab

Intervention Type DRUG

Will be administered as per the schedule described in individual arm.

Cobimetinib

Intervention Type DRUG

Will be administered as per the schedule described in individual arm.

Vemurafenib

Intervention Type DRUG

Will be administered as per the schedule described in individual arm.

Vemurafenib Placebo

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

Atezolizumab Placebo

Intervention Type DRUG

Will be administered as per the schedule described in individual arm.

Cobimetinib

Intervention Type DRUG

Will be administered as per the schedule described in individual arm.

Vemurafenib

Intervention Type DRUG

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.

Intervention Type DRUG

Atezolizumab Placebo

Will be administered as per the schedule described in individual arm.

Intervention Type DRUG

Cobimetinib

Will be administered as per the schedule described in individual arm.

Intervention Type DRUG

Vemurafenib

Will be administered as per the schedule described in individual arm.

Intervention Type DRUG

Vemurafenib Placebo

Will be administered as per the schedule described in individual arm.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Females of child bearing potential and males with female partners must and use of contraceptive methods with a failure rate of less than or equal to (\</=)1% per year is required during treatment and for 6 months post treatment. Males should not expose pregnant partners to sperm and refrain from donating sperm for 6 months post treatment. Women must refrain from donating eggs during this same period
* 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

* Major surgical procedure within 4 weeks prior study treatment initiation
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Arizona Oncology Associates, PC - HAL

Tempe, Arizona, United States

Site Status

Highlands Oncology Group

Springdale, Arkansas, United States

Site Status

UC Irvine Medical Center

Orange, California, United States

Site Status

Mount Sinai Medical Center

Miami Beach, Florida, United States

Site Status

UF Health Cancer Center at Orlando Health

Orlando, Florida, United States

Site Status

St. Luke's University Health network

Bethlehem, Pennsylvania, United States

Site Status

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Peter Maccallum Cancer Centre

Melbourne, Victoria, Australia

Site Status

Fiona Stanley Hospital

Murdoch, Western Australia, Australia

Site Status

Medical University of Graz, Department of Dermatology

Graz, , Austria

Site Status

LKH Innsbruck

Innsbruck, , Austria

Site Status

Medizinische Universität Wien

Vienna, , Austria

Site Status

Cliniques Universitaires St-Luc

Brussels, , Belgium

Site Status

UZ Leuven Gasthuisberg

Leuven, , Belgium

Site Status

CHU Sart-Tilman

Liège, , Belgium

Site Status

Sint Augustinus Wilrijk

Wilrijk, , Belgium

Site Status

Hospital das Clinicas - UFRGS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Centro de Pesquisa e Ensino em Oncologia de Santa Catarina - CEPEN

Florianópolis, Santa Catarina, Brazil

Site Status

Instituto do Cancer do Estado de Sao Paulo - ICESP

São Paulo, São Paulo, Brazil

Site Status

Clinicas Oncologicas Integradas - COI

Rio de Janeiro, , Brazil

Site Status

Beneficencia Portuguesa de Sao Paulo

São Paulo, , Brazil

Site Status

Arthur J.E. Child Comprehensive Cancer Center-Calgary

Calgary, Alberta, Canada

Site Status

Cancer Care Manitoba

Winnipeg, Manitoba, Canada

Site Status

Juravinski Cancer Clinic

Hamilton, Ontario, Canada

Site Status

LHSC - Victoria Hospital

London, Ontario, Canada

Site Status

Lakeridge Health Oshawa

Oshawa, Ontario, Canada

Site Status

The Ottawa Hospital Cancer Centre

Ottawa, Ontario, Canada

Site Status

Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status

CHU de Quebec - Hopital de l'Enfant-Jesus

Québec, , Canada

Site Status

Groupe Hospitalier Saint André - Hôpital Saint André

Bordeaux, , France

Site Status

Centre Hospitalier Universitaire de Grenoble - Albert Michallon

Grenoble, , France

Site Status

Hopital Claude Huriez - CHU Lille

Lille, , France

Site Status

CHU de Nantes

Nantes, , France

Site Status

Hopital Robert Debre

Reims, , France

Site Status

Centre Eugene Marquis

Rennes, , France

Site Status

CHU de Rouen - Hôpital Charles Nicolle

Rouen, , France

Site Status

Charite - Universitätsmedizin Berlin

Berlin, , Germany

Site Status

Elbekliniken Buxtehude

Buxtehude, , Germany

Site Status

Klinikum d.Universität zu Köln Klinik u.Poliklinik f.Dermatologie

Cologne, , Germany

Site Status

HELIOS Klinikum Erfurt

Erfurt, , Germany

Site Status

Universitatsklinikum Essen

Essen, , Germany

Site Status

Universitätsmedizin Göttingen

Göttingen, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

Universitatsklinik Heidelberg

Heidelberg, , Germany

Site Status

UKSH Kiel

Kiel, , Germany

Site Status

Universitätsklinikum Leipzig

Leipzig, , Germany

Site Status

UKSH Universitatsklinikum Schleswig-Holstein

Lübeck, , Germany

Site Status

Universitatsklinikum Mainz

Mainz, , Germany

Site Status

Klinikum der Ludwigs-Maximilians-Universität München

München, , Germany

Site Status

Fachklinik Hornheide

Münster, , Germany

Site Status

Harzklinikum Dorothea Christiane Erxleben GmbH, Standort Quedlinburg

Quedlinburg, , Germany

Site Status

Universitätsklinikum Regensburg

Regensburg, , Germany

Site Status

Zentrum für Dermatoonkologie, Universitäts-Hautklinik Tübingen

Tübingen, , Germany

Site Status

Universitätsklinikum Würzburg

Würzburg, , Germany

Site Status

Laiko General Hospital Athen

Athens, , Greece

Site Status

Metropolitan Hospital

Pireaus, , Greece

Site Status

Orszagos Onkologiai Intezet

Budapest, , Hungary

Site Status

University of Szeged Szent-Györgyi Albert Clinical Center

Szeged, , Hungary

Site Status

Rambam Health Care Campus

Haifa, , Israel

Site Status

Sharett Institute - Hadassah Hebrew University Medical Center

Jerusalem, , Israel

Site Status

Rabin MC

Petah Tikva, , Israel

Site Status

Ella Institute - Sheba Medical Center

Ramat Gan, , Israel

Site Status

Istituto Tumori ?Giovanni Paolo II?, Oncologia

Bari, Apulia, Italy

Site Status

IRCCS Istituto Nazionale Tumori Fondazione Pascale

Napoli, Campania, Italy

Site Status

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

Meldola, Emilia-Romagna, Italy

Site Status

A.O. Universitaria S. Maria Della Misericordia Di Udine

Udine, Friuli Venezia Giulia, Italy

Site Status

IFO - Istituto Regina Elena

Rome, Lazio, Italy

Site Status

IRCCS Istituto Nazionale Per La Ricerca Sul Cancro (IST)

Genoa, Liguria, Italy

Site Status

Irccs Istituto Nazionale Dei Tumori (Int)

Milan, Lombardy, Italy

Site Status

Irccs Istituto Europeo Di Oncologia (IEO)

Milan, Lombardy, Italy

Site Status

Fondazione Del Piemonte Per L'oncologia Ircc Di Candiolo

Candiolo, Piedmont, Italy

Site Status

A.O.U. Senese Policlinico Santa Maria Alle Scotte

Siena, Tuscany, Italy

Site Status

Erasmus Mc - Daniel Den Hoed Kliniek

Rotterdam, , Netherlands

Site Status

Wellington Hospital

Newtown, Wellington, , New Zealand

Site Status

Mid Central DHB

Palmerston North, , New Zealand

Site Status

Tauranga Hospital, Clinical Trials Unit

Tauranga, , New Zealand

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Narodowy Inst.Onkol.im.Sk?odowskiej-Curie Pa?stw.Inst.Badawczy Kraków

Krakow, , Poland

Site Status

COZL Oddzial Onkologii Klinicznej z pododdzialem Chemioterapii Dziennej

Lublin, , Poland

Site Status

Uniwersytecki Szpital Kliniczny w Poznaniu

Późna, , Poland

Site Status

Narodowy Instytut Onkologii im. Marii Sk?odowskiej-Curie - Pa?stwowy Instytut Badawczy

Warsaw, , Poland

Site Status

Dolno?l?skie Centrum Onkologii, Pulmonologii i Hematologii

Wroclaw, , Poland

Site Status

IPO de Lisboa

Lisbon, , Portugal

Site Status

IPO do Porto

Porto, , Portugal

Site Status

Moscow City Oncology Hospital #62

Moscovskaya Oblast, Moscow Oblast, Russia

Site Status

FSBSI "Russian Oncological Scientific Center n.a. N.N. Blokhin"

Moscow, Moscow Oblast, Russia

Site Status

FBI "Scientific Research Institute of Oncology n. a. N. N. Petrov"

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Clinica Universitaria de Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Clínic i Provincial

Barcelona, , Spain

Site Status

Hospital Ramon y Cajal

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Universitario Virgen de la Macarena

Seville, , Spain

Site Status

Fundacion Instituto Valenciano de Oncologia (IVO)

Valencia, , Spain

Site Status

Hospital General Universitario de Valencia

Valencia, , Spain

Site Status

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status

Bristol Haematology and Oncology centre

Bristol, , United Kingdom

Site Status

Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

Ipswich Hospital

Ipswich, , United Kingdom

Site Status

St James Uni Hospital

Leeds, , United Kingdom

Site Status

Guys and St Thomas NHS Foundation Trust, Guys Hospital

London, , United Kingdom

Site Status

Freeman Hospital

New Castle Upon Tyne, , United Kingdom

Site Status

Singleton Hospital

Swansea, , United Kingdom

Site Status

Royal Cornwall Hospital

Truro, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Brazil Canada France Germany Greece Hungary Israel Italy Netherlands New Zealand Poland Portugal Russia South Korea Spain United Kingdom

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.

Reference Type DERIVED
PMID: 36653848 (View on PubMed)

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.

Reference Type DERIVED
PMID: 36460017 (View on PubMed)

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.

Reference Type DERIVED
PMID: 35131452 (View on PubMed)

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.

Reference Type DERIVED
PMID: 33476492 (View on PubMed)

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.

Reference Type DERIVED
PMID: 32534646 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

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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