Trial Outcomes & Findings for A Study Evaluating the Safety and Efficacy of Cobimetinib Plus Atezolizumab in BRAFV600 Wild-type Melanoma With Central Nervous System Metastases and Cobimetinib Plus Atezolizumab and Vemurafenib in BRAFV600 Mutation-positive Melanoma With Central Nervous System Metastases (NCT NCT03625141)

NCT ID: NCT03625141

Last Updated: 2024-04-11

Results Overview

Intracranial ORR is defined as the percentage of participants with either a complete response (CR) or a partial response (PR) in their intracranial disease based on two consecutive assessments \>= 4 weeks apart. Disease status for this endpoint will be determined by an Independent Review Committee (IRC) in accordance with Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) with modified measurability definition for intracranial lesions (\>= 0.5 cm by MRI) and allowing up to five intracranial target lesions. CR is defined as disappearance of all lesions. PR is defined as \>=30% decrease in tumor burden, in the absence of CR. The primary endpoint is analyzed on the BRAFV600 mutation positive (Cohort 2) only as the Sponsor had discontinued enrolment into Cohort 1. Data for Cohort 1 was not collected nor analyzed for this outcome measure.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

80 participants

Primary outcome timeframe

Baseline up to cut of date (approximately 2.5 years)

Results posted on

2024-04-11

Participant Flow

The study was conducted at 21 centers in 7 countries.

A total of 80 participants were enrolled at 21 centers.

Participant milestones

Participant milestones
Measure
Cohort 1- Cobimetinib and Atezolizumab
Participants with BRAFV600 wild-type disease will be administered cobimetinib on Days 1-21 of each 28-day cycle; and atezolizumab on Days 1 and 15 of each treatment cycle.
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Overall Study
STARTED
15
65
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
15
65

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1- Cobimetinib and Atezolizumab
Participants with BRAFV600 wild-type disease will be administered cobimetinib on Days 1-21 of each 28-day cycle; and atezolizumab on Days 1 and 15 of each treatment cycle.
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Overall Study
Adverse Event
0
2
Overall Study
Study Terminated By Sponsor
1
13
Overall Study
Withdrawal by Subject
3
0
Overall Study
Withdrawal Of Consent
0
1
Overall Study
Death
11
47
Overall Study
Progressive Disease
0
2

Baseline Characteristics

A Study Evaluating the Safety and Efficacy of Cobimetinib Plus Atezolizumab in BRAFV600 Wild-type Melanoma With Central Nervous System Metastases and Cobimetinib Plus Atezolizumab and Vemurafenib in BRAFV600 Mutation-positive Melanoma With Central Nervous System Metastases

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1- Cobimetinib and Atezolizumab
n=15 Participants
Participants with BRAFV600 wild-type disease will be administered cobimetinib on Days 1-21 of each 28-day cycle; and atezolizumab on Days 1 and 15 of each treatment cycle.
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=65 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
60.9 Years
STANDARD_DEVIATION 12.5 • n=5 Participants
54.4 Years
STANDARD_DEVIATION 13.9 • n=7 Participants
55.6 Years
STANDARD_DEVIATION 13.8 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
24 Participants
n=7 Participants
33 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
41 Participants
n=7 Participants
47 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
9 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
50 Participants
n=7 Participants
61 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
61 Participants
n=7 Participants
72 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline up to cut of date (approximately 2.5 years)

Population: The evaluable population included all enrolled participants who received study medication and had at least two post-baseline intracranial tumour assessments for response evaluation.

Intracranial ORR is defined as the percentage of participants with either a complete response (CR) or a partial response (PR) in their intracranial disease based on two consecutive assessments \>= 4 weeks apart. Disease status for this endpoint will be determined by an Independent Review Committee (IRC) in accordance with Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) with modified measurability definition for intracranial lesions (\>= 0.5 cm by MRI) and allowing up to five intracranial target lesions. CR is defined as disappearance of all lesions. PR is defined as \>=30% decrease in tumor burden, in the absence of CR. The primary endpoint is analyzed on the BRAFV600 mutation positive (Cohort 2) only as the Sponsor had discontinued enrolment into Cohort 1. Data for Cohort 1 was not collected nor analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=56 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Intracranial Objective Response Rate (ORR)
46.4 Percentage of participants
Interval 32.99 to 60.26

SECONDARY outcome

Timeframe: Baseline up to cut of date (approximately 2.5 years)

Population: The safety population included all participants who received at least one dose of study treatment.

Extracranial ORR, defined as the percentage of participants with either a CR or PR in their extracranial disease based on two consecutive assessments \>=4 weeks apart, as determined by the investigator according to RECIST v1.1.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=15 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=65 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Extracranial ORR
20.0 Percentage of participants
Interval 4.33 to 48.09
56.9 Percentage of participants
Interval 44.04 to 69.15

SECONDARY outcome

Timeframe: Baseline up to cut of date (approximately 2.5 years)

Population: The safety population included all participants who received at least one dose of study treatment.

Overall ORR, defined as the percentage of participants with either a CR or PR in their overall disease (i.e. including intracranial and extracranial disease) based on two consecutive assessments \>= 4 weeks apart, as determined by the investigator according to RECIST v1.1. CR was defined as disappearance of all target and non-target lesions and (if applicable) normalization of tumor marker levels. PR was defined as at least a 30 percent (%) decrease in sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=15 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=65 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Overall ORR
26.7 Percentage of participants
Interval 7.79 to 55.1
52.3 Percentage of participants
Interval 39.54 to 64.85

SECONDARY outcome

Timeframe: Baseline up to cut of date (approximately 2.5 years)

Population: The safety population included all participants who received at least one dose of study treatment.

Intracranial, extracranial and overall PFS defined as the time from study treatment initiation to the first occurrence of disease progression or death from any cause, whichever occurs first, as determined by the investigator according to RECIST v1.1.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=15 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=65 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Progression-Free Survival (PFS)
Extracranial
4.21 Months
Interval 1.84 to 12.65
10.68 Months
Interval 7.85 to 13.67
Progression-Free Survival (PFS)
Intracranial
2.17 Months
Interval 1.74 to 7.98
5.78 Months
Interval 5.36 to 7.43
Progression-Free Survival (PFS)
Overall
1.81 Months
Interval 1.71 to 3.71
5.49 Months
Interval 5.13 to 7.43

SECONDARY outcome

Timeframe: Baseline up to cut of date (approximately 2.5 years)

Population: The safety population included all participants who received at least one dose of study treatment.

Intracranial, extracranial and overall DOR, defined as the time from the first occurrence of a documented objective response based on two consecutive assessments ≥ 4 weeks apart to disease progression or death from any cause (whichever occurs first), as determined by the investigator according to RECIST v1.1. This endpoint is analyzed on the BRAFV600 mutation positive (Cohort 2) only as the Sponsor had discontinued enrolment into Cohort 1. Data for Cohort 1 was not collected nor analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=65 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Duration of Response (DOR)
Intracranial
6.7 Months
Interval 5.6 to 9.5
Duration of Response (DOR)
Extracranial
11.6 Months
Interval 9.2 to 13.0
Duration of Response (DOR)
Overall
7.4 Months
Interval 5.5 to 9.5

SECONDARY outcome

Timeframe: At 16 weeks

Population: The safety population included all participants who received at least one dose of study treatment.

Intracranial, extracranial and overall DCR, defined as the percentage of participants with a CR or PR or stable disease (SD) at 16 weeks from study treatment initiation, as determined by the investigator according to RECIST v1.1. CR was defined as disappearance of all target and non-target lesions and (if applicable) normalization of tumor marker levels. PR was defined as at least a 30 percent (%) decrease in sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. SD is defined as neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for disease progression. Disease progression is defined as \>=20% increase in tumor burden. This endpoint is analyzed on the BRAFV600 mutation positive (Cohort 2) only as the Sponsor had discontinued enrolment into Cohort 1. Data for Cohort 1 was not collected nor analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=65 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Disease Control Rate (DCR)
Intracranial
50.8 Percentage of participants
Interval 38.07 to 63.4
Disease Control Rate (DCR)
Extracranial
50.8 Percentage of participants
Interval 38.07 to 63.4
Disease Control Rate (DCR)
Overall
50.8 Percentage of participants
Interval 38.07 to 63.4

SECONDARY outcome

Timeframe: Baseline up to 4 years, 4 months

Population: The safety population included all participants who received at least one dose of study treatment.

OS is defined as the time from study treatment initiation to death from any cause.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=65 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Overall Survival (OS)
13.40 Months
Interval 10.68 to 16.92

SECONDARY outcome

Timeframe: Up to 48 months

Population: The PRO-evaluable population included all participants who received any amount of any study medication (e.g., atezolizumab, cobimetinib, or vemurafenib) and had a baseline and at least one post baseline PRO assessment in the questionnaire of interest (EORTC QLQ-C30 or EORTC QLQBN20).

Time from study treatment initiation to cognitive symptom deterioration, defined as a change (\>= 10 points on a 0-100 scale) on selected scales of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-BN20) (visual disorder, motor dysfunction, communication deficit, headaches, seizures and drowsiness).

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=13 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=63 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Time to Cognitive Symptom Deterioration
Visual Disorder
3.75 Months
Interval 1.87 to
Insufficient number of participants with event.
2.99 Months
Interval 1.41 to 8.74
Time to Cognitive Symptom Deterioration
Motor Dysfunction
1.87 Months
Interval 1.08 to 19.84
6.70 Months
Interval 3.94 to 13.9
Time to Cognitive Symptom Deterioration
Communication Deficit
6.44 Months
Interval 2.83 to
Insufficient number of participants with event.
13.90 Months
Interval 6.54 to 21.13
Time to Cognitive Symptom Deterioration
Headaches
NA Months
Interval 1.08 to
Insufficient number of participants with event.
10.84 Months
Interval 5.55 to
Insufficient number of participants with event.
Time to Cognitive Symptom Deterioration
Seizures
8.31 Months
Interval 8.31 to
Insufficient number of participants with event.
NA Months
Interval 17.74 to
Insufficient number of participants with event.
Time to Cognitive Symptom Deterioration
Drowsiness
2.83 Months
Interval 1.08 to
Insufficient number of participants with event.
7.16 Months
Interval 1.94 to
Insufficient number of participants with event.

SECONDARY outcome

Timeframe: Up to 48 months

Population: The PRO-evaluable population included all participants who received any amount of any study medication (e.g., atezolizumab, cobimetinib, or vemurafenib) and had a baseline and at least one post baseline PRO assessment in the questionnaire of interest (EORTC QLQ-C30 or EORTC QLQBN20).

Time from study treatment initiation to symptom and function deterioration defined as a change (\>= 10 points on a 0-100 scale) in fatigue, physical functioning, cognitive functioning, or role functioning as measured by the Fatigue, Physical, Cognitive, Role Functioning scales of the EORTC QLQ-C30.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=13 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=63 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Time to Symptom and Function Deterioration
Physical Functioning
NA Months
Interval 0.99 to
Insufficient number of participants with event.
11.56 Months
Interval 5.55 to
Insufficient number of participants with event.
Time to Symptom and Function Deterioration
Cognitive Functioning
11.99 Months
Interval 1.91 to
Insufficient number of participants with event.
8.25 Months
Interval 5.55 to
Insufficient number of participants with event.
Time to Symptom and Function Deterioration
Role Functioning
2.83 Months
Interval 1.35 to 6.47
4.07 Months
Interval 1.61 to 6.47
Time to Symptom and Function Deterioration
Fatigue
1.35 Months
Interval 0.95 to
Insufficient number of participants with event.
1.45 Months
Interval 1.38 to 6.47

SECONDARY outcome

Timeframe: Baseline up to cut of date (approximately 2.5 years)

Population: The PRO-evaluable population included all participants who received any amount of any study medication (e.g., atezolizumab, cobimetinib, or vemurafenib) and had a baseline and at least one post baseline PRO assessment in the questionnaire of interest (EORTC QLQ-C30 or EORTC QLQBN20).

Duration of Stable/Improved HRQoL scores as assessed through use of the two-item Global Health Status (GHS)/HRQoL subscale (Questions 29 and 30) of the EORTC QLQ-C30.

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=13 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=63 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Duration of Stable/Improved Health-related Quality of Life (HRQoL) Scores
NA Months
Interval 15.21 to
There were an insufficient number of participants with an event.
6.14 Months
Interval 3.68 to 10.32

SECONDARY outcome

Timeframe: Baseline up to 4 years, 4 months

Population: The safety population included all participants who received at least one dose of study treatment.

The safety profile of Cobimetinib plus Atezolizumab and Cobimetinib plus Atezolizumab plus Vemurafenib is evaluated in terms of occurrence and severity of AEs. Severity will be determined according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI CTCAE v4.0)

Outcome measures

Outcome measures
Measure
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=15 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=60 Participants
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
n=5 Participants
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Percentage of Participants With Adverse Events
Occurrence
15 Participants
60 Participants
5 Participants
Percentage of Participants With Adverse Events
Grade 1
1 Participants
1 Participants
0 Participants
Percentage of Participants With Adverse Events
Grade 2
3 Participants
13 Participants
1 Participants
Percentage of Participants With Adverse Events
Grade 3
9 Participants
35 Participants
2 Participants
Percentage of Participants With Adverse Events
Grade 4
1 Participants
10 Participants
0 Participants
Percentage of Participants With Adverse Events
Grade 5
1 Participants
1 Participants
2 Participants

Adverse Events

Cohort 1- Cobimetinib and Atezolizumab

Serious events: 6 serious events
Other events: 15 other events
Deaths: 11 deaths

Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib

Serious events: 21 serious events
Other events: 60 other events
Deaths: 47 deaths

Cohort 2 - Cobimetinib and Vemurafenib

Serious events: 5 serious events
Other events: 4 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1- Cobimetinib and Atezolizumab
n=15 participants at risk
Participants with BRAFV600 wild-type disease will be administered cobimetinib on Days 1-21 of each 28-day cycle; and atezolizumab on Days 1 and 15 of each treatment cycle.
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=60 participants at risk
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
n=5 participants at risk
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Cardiac disorders
Cardiac failure
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Cardiac disorders
Myocarditis
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Eye disorders
Retinal detachment
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Diarrhoea
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Pancreatitis
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Vomiting
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Death
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Influenza like illness
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Oedema
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Hepatobiliary disorders
Gallbladder rupture
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Hepatobiliary disorders
Hepatitis toxic
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Immune system disorders
Cytokine release syndrome
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Bacterial diarrhoea
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Diverticulitis
0.00%
0/15 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 2 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Pneumonia
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Postoperative wound infection
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Sepsis
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Septic shock
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Investigations
Alanine aminotransferase increased
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Aspartate aminotransferase increased
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Transaminases increased
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Musculoskeletal and connective tissue disorders
Myositis
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Cerebral haemorrhage
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Epilepsy
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Limbic encephalitis
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Seizure
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 2 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Renal and urinary disorders
Acute kidney injury
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Drug reaction with eosinophilia and systemic symptoms
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Photosensitivity reaction
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Pustular psoriasis
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Rash
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Rash morbilliform
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Appendicitis
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Blood and lymphatic system disorders
Disseminated intravascular coagulation
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Hepatobiliary disorders
Drug-induced liver injury
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Cellulitis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colorectal adenoma
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Brain oedema
0.00%
0/15 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Vascular disorders
Thrombophlebitis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months

Other adverse events

Other adverse events
Measure
Cohort 1- Cobimetinib and Atezolizumab
n=15 participants at risk
Participants with BRAFV600 wild-type disease will be administered cobimetinib on Days 1-21 of each 28-day cycle; and atezolizumab on Days 1 and 15 of each treatment cycle.
Cohort 2 - Cobimetinib, Atezolizumab and Vemurafenib
n=60 participants at risk
Participants with BRAFV600 mutation-positive disease will be administered cobimetinib, atezolizumab and vemurafenib in 28-day treatment cycles. Treatment includes a 28-day run-in period where participants will receive cobimetinib and vemurafenib only. Upon completion of the 28-day run-in period, atezolizumab will be added to their treatment regimen
Cohort 2 - Cobimetinib and Vemurafenib
n=5 participants at risk
There were 5 participants in Cohort 2 administered with cobimetinib and vemurafenib only as they dropped out during the run-in period.
Nervous system disorders
Sciatica
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Tremor
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Psychiatric disorders
Anxiety
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Psychiatric disorders
Confusional state
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Psychiatric disorders
Insomnia
0.00%
0/15 • Baseline up to 4 years, 4 months
8.3%
5/60 • Number of events 6 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Renal and urinary disorders
Dysuria
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Respiratory, thoracic and mediastinal disorders
Cough
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
10.0%
6/60 • Number of events 6 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/15 • Baseline up to 4 years, 4 months
8.3%
5/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Dermatitis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 2 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Dermatitis acneiform
26.7%
4/15 • Number of events 9 • Baseline up to 4 years, 4 months
30.0%
18/60 • Number of events 21 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Erythema
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Hyperkeratosis
0.00%
0/15 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Photosensitivity reaction
0.00%
0/15 • Baseline up to 4 years, 4 months
18.3%
11/60 • Number of events 16 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Pruritus
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
15.0%
9/60 • Number of events 9 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Blood and lymphatic system disorders
Anaemia
26.7%
4/15 • Number of events 5 • Baseline up to 4 years, 4 months
18.3%
11/60 • Number of events 11 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Blood and lymphatic system disorders
Eosinophilia
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Blood and lymphatic system disorders
Lymphopenia
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Cardiac disorders
Left ventricular dysfunction
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Cardiac disorders
Mitral valve incompetence
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Cardiac disorders
Myocardial infarction
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Endocrine disorders
Hyperthyroidism
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Endocrine disorders
Hypothyroidism
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
13.3%
8/60 • Number of events 8 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Eye disorders
Detachment of retinal pigment epithelium
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Eye disorders
Eye pain
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Eye disorders
Keratitis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Eye disorders
Retinal detachment
0.00%
0/15 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 2 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Eye disorders
Serous retinal detachment
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Eye disorders
Serous retinopathy
0.00%
0/15 • Baseline up to 4 years, 4 months
13.3%
8/60 • Number of events 9 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Eye disorders
Uveitis
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Eye disorders
Vision blurred
0.00%
0/15 • Baseline up to 4 years, 4 months
8.3%
5/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Eye disorders
Visual impairment
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Abdominal pain
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
11.7%
7/60 • Number of events 8 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Abdominal pain upper
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
8.3%
5/60 • Number of events 6 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Constipation
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
10.0%
6/60 • Number of events 7 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Diarrhoea
40.0%
6/15 • Number of events 17 • Baseline up to 4 years, 4 months
48.3%
29/60 • Number of events 60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Dry mouth
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Dyspepsia
0.00%
0/15 • Baseline up to 4 years, 4 months
10.0%
6/60 • Number of events 6 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Gastritis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Gastrointestinal disorder
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 2 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Mouth ulceration
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Nausea
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
23.3%
14/60 • Number of events 22 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Odynophagia
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Stomatitis
0.00%
0/15 • Baseline up to 4 years, 4 months
8.3%
5/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Gastrointestinal disorders
Vomiting
13.3%
2/15 • Number of events 4 • Baseline up to 4 years, 4 months
16.7%
10/60 • Number of events 15 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
General disorders
Asthenia
26.7%
4/15 • Number of events 5 • Baseline up to 4 years, 4 months
31.7%
19/60 • Number of events 23 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Chills
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Fatigue
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Malaise
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Mass
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Mucosal inflammation
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
10.0%
6/60 • Number of events 12 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Oedema peripheral
13.3%
2/15 • Number of events 3 • Baseline up to 4 years, 4 months
13.3%
8/60 • Number of events 9 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
General disorders
Pyrexia
20.0%
3/15 • Number of events 5 • Baseline up to 4 years, 4 months
43.3%
26/60 • Number of events 56 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
General disorders
Xerosis
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Hepatobiliary disorders
Hepatic cytolysis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Infections and infestations
COVID-19
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Conjunctivitis
0.00%
0/15 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Fungal skin infection
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Furuncle
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Gastroenteritis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Hordeolum
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Infections and infestations
Influenza
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Rash pustular
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Rhinitis
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Upper respiratory tract infection
0.00%
0/15 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Urinary tract infection
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Injury, poisoning and procedural complications
Infusion related reaction
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 9 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Alanine aminotransferase increased
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
21.7%
13/60 • Number of events 26 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Amylase increased
0.00%
0/15 • Baseline up to 4 years, 4 months
31.7%
19/60 • Number of events 27 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Aspartate aminotransferase increased
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
23.3%
14/60 • Number of events 21 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Blood alkaline phosphatase increased
0.00%
0/15 • Baseline up to 4 years, 4 months
18.3%
11/60 • Number of events 13 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Blood cholesterol increased
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Blood creatine phosphokinase increased
13.3%
2/15 • Number of events 31 • Baseline up to 4 years, 4 months
46.7%
28/60 • Number of events 78 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Blood creatinine increased
0.00%
0/15 • Baseline up to 4 years, 4 months
15.0%
9/60 • Number of events 12 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Blood lactate dehydrogenase increased
0.00%
0/15 • Baseline up to 4 years, 4 months
8.3%
5/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Blood magnesium decreased
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Ejection fraction decreased
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Lipase increased
0.00%
0/15 • Baseline up to 4 years, 4 months
38.3%
23/60 • Number of events 45 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Thyroxine free increased
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Transaminases increased
0.00%
0/15 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Tri-iodothyronine free decreased
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Cell death
0.00%
0/15 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/15 • Baseline up to 4 years, 4 months
8.3%
5/60 • Number of events 5 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Hyperglycaemia
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
11.7%
7/60 • Number of events 11 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Hypoalbuminaemia
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 2 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/15 • Baseline up to 4 years, 4 months
10.0%
6/60 • Number of events 6 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Hypoproteinaemia
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Iron deficiency
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Vitamin D deficiency
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Musculoskeletal and connective tissue disorders
Arthralgia
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
31.7%
19/60 • Number of events 24 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/15 • Baseline up to 4 years, 4 months
10.0%
6/60 • Number of events 6 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/15 • Baseline up to 4 years, 4 months
18.3%
11/60 • Number of events 16 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Musculoskeletal and connective tissue disorders
Pain in extremity
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Musculoskeletal and connective tissue disorders
Sjogren's syndrome
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Dizziness
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
3.3%
2/60 • Number of events 2 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Dysgeusia
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
10.0%
6/60 • Number of events 6 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Headache
13.3%
2/15 • Number of events 6 • Baseline up to 4 years, 4 months
13.3%
8/60 • Number of events 13 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Rash
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
33.3%
20/60 • Number of events 29 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Rash follicular
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
28.3%
17/60 • Number of events 20 • Baseline up to 4 years, 4 months
20.0%
1/5 • Number of events 1 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Scab
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Vitiligo
0.00%
0/15 • Baseline up to 4 years, 4 months
6.7%
4/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Vascular disorders
Deep vein thrombosis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Vascular disorders
Hypertension
13.3%
2/15 • Number of events 2 • Baseline up to 4 years, 4 months
16.7%
10/60 • Number of events 12 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Vascular disorders
Lymphoedema
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Immune system disorders
Contrast media allergy
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Skin and subcutaneous tissue disorders
Dermatitis allergic
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Folliculitis
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Infections and infestations
Respiratory tract infection
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Blood bilirubin increased
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Investigations
Lymphocyte count decreased
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 3 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Metabolism and nutrition disorders
Hyperkalaemia
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
1.7%
1/60 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Nervous system disorders
Seizure
0.00%
0/15 • Baseline up to 4 years, 4 months
5.0%
3/60 • Number of events 4 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months
Vascular disorders
Hypotension
6.7%
1/15 • Number of events 1 • Baseline up to 4 years, 4 months
0.00%
0/60 • Baseline up to 4 years, 4 months
0.00%
0/5 • Baseline up to 4 years, 4 months

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee 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.
  • Publication restrictions are in place

Restriction type: OTHER