A Study of Atezolizumab and Tiragolumab Compared With Durvalumab in Participants With Locally Advanced, Unresectable Stage III Non-Small Cell Lung Cancer (NSCLC)

NCT ID: NCT04513925

Last Updated: 2025-09-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

829 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-24

Study Completion Date

2025-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to evaluate the efficacy and safety of atezolizumab in combination with tiragolumab compared with durvalumab in participants with locally advanced, unresectable Stage III non-small cell lung cancer (NSCLC) who have received at least two cycles of concurrent platinum-based chemoradiotherapy (CRT) and have not had radiographic disease progression.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Non-small Cell Lung Cancer (NSCLC)

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Atezolizumab + Tiragolumab

Participants will receive atezolizumab administered intravenously (IV) on Day 1 of each 28-day cycle followed by tiragolumab administered IV on Day 1 of each 28-day cycle for a maximum of 13 cycles.

Group Type EXPERIMENTAL

Atezolizumab

Intervention Type DRUG

Atezolizumab 1680 mg every 4 weeks (Q4W) will be administered IV on Day 1 of each 28-day cycle.

Tiragolumab

Intervention Type DRUG

Tiragolumab 840 mg Q4W will be administered IV on Day 1 of each 28-day cycle.

Durvalumab

Participants will receive durvalumab administered IV during each 28-day cycle for a maximum of 13 cycles.

Group Type ACTIVE_COMPARATOR

Durvalumab

Intervention Type DRUG

Durvalumab will be administered based on weight at 10 mg/kg IV every 2 weeks (Q2W) on Days 1 and 15 of each 28-day cycle, or will be administered at a fixed dose of 1500 mg IV every 4 weeks (Q4W) (for participants whose weight \>/= 30 kg) on Day 1 of each 28-day cycle.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Atezolizumab

Atezolizumab 1680 mg every 4 weeks (Q4W) will be administered IV on Day 1 of each 28-day cycle.

Intervention Type DRUG

Tiragolumab

Tiragolumab 840 mg Q4W will be administered IV on Day 1 of each 28-day cycle.

Intervention Type DRUG

Durvalumab

Durvalumab will be administered based on weight at 10 mg/kg IV every 2 weeks (Q2W) on Days 1 and 15 of each 28-day cycle, or will be administered at a fixed dose of 1500 mg IV every 4 weeks (Q4W) (for participants whose weight \>/= 30 kg) on Day 1 of each 28-day cycle.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Tecentriq; RO5541267 MTIG7192A; RO7092284

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Histologically or cytologically documented NSCLC with locally advanced, unresectable Stage III NSCLC of either squamous or non-squamous histology
* Whole-body Positron Emission Tomography-Computed Tomography (PET-CT) scan, performed prior and within 42 days of the first dose of concurrent chemoradiotherapy (cCRT)
* At least two prior cycles of platinum-based chemotherapy administered concurrently with radiotherapy (RT), which must be completed within 1 to 42 days prior to randomization in the study (one cycle of cCRT is defined as 21 or 28 days)
* The radiotherapy (RT) component in the cCRT must have been at a total dose of radiation of 60 (±10 percent \[%\]) gray (Gy) (54 Gy to 66 Gy) administered by intensity modulated RT (preferred) or 3D-conforming technique
* No progression during or following concurrent platinum-based CRT
* A known PD-L1 result
* Life expectancy \>/= 12 weeks
* Adequate hematologic and end-organ function
* Female participants must be willing to avoid pregnancy for 90 days after the final dose of tiragolumab and 5 months after the final dose of atezolizumab, or for 3 months after the final dose of durvalumab
* Male participants must remain abstinent or use a condom during the treatment period and for 90 days after the final dose of tiragolumab
* Male participants must not donate sperm during the treatment period and for 90 days after the final dose of tiragolumab

Exclusion Criteria

* Any history of prior NSCLC and/or any history of prior treatment for NSCLC (participants must be newly diagnosed with unresectable Stage III disease)
* NSCLC known to have a mutation in the epidermal growth factor receptor (EGFR) gene or an anaplastic lymphoma kinase (ALK) fusion oncogene
* Any evidence of Stage IV disease
* Treatment with sequential CRT for locally advanced NSCLC
* Participants with locally advanced NSCLC who have progressed during or after the definitive cCRT prior to randomization
* Any Grade \>2 unresolved toxicity from previous CRT
* Grade \>= 2 pneumonitis from prior CRT
* Active or history of autoimmune disease or immune deficiency
* History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis or evidence of active pneumonitis
* History of malignancy other than NSCLC within 5 years prior to screening with the exception of malignancies with a negligible risk of metastasis or death
* Prior allogeneic stem cell or solid organ transplantation
* Active Epstein-Barr virus (EBV) infection or known or suspected chronic active EBV infection at screening
* Treatment with investigational therapy within 28 days prior to initiation of study treatment
* Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-cytotoxic T lymphocyte-associated protein 4, anti-T-cell immunoreceptor with Ig and ITIM domains (anti-TIGIT), anti-PD-1 and anti-PD-L1
* Any prior Grade \>/= 3 immune-mediated adverse event or any unresolved Grade \> 1 immune-mediated adverse event while receiving any previous immunotherapy agent other than immune checkpoint blockade agents
* Treatment with systemic immunosuppressive medication
* Women who are pregnant, or breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Stanford University

Palo Alto, California, United States

Site Status

Banner MD Anderson Cancer Center

Greeley, Colorado, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Cancer Care Centers of Brevard

Palm Bay, Florida, United States

Site Status

Woodlands Medical Specialists, P.A.

Pensacola, Florida, United States

Site Status

Florida Cancer Specialist, North Region

St. Petersburg, Florida, United States

Site Status

Northwest Georgia Oncology Centers PC - Marietta

Marietta, Georgia, United States

Site Status

Illinois Cancer Care

Peoria, Illinois, United States

Site Status

New England Cancer Specialists

Brunswick, Maine, United States

Site Status

Southcoast Health System

Fairhaven, Massachusetts, United States

Site Status

Minnesota Oncology Hematology

Minneapolis, Minnesota, United States

Site Status

HCA Midwest Health

Kansas City, Missouri, United States

Site Status

Cox Health Systems

Springfield, Missouri, United States

Site Status

Optum Health Care

Las Vegas, Nevada, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

Titan Health Partners LLC, d/b/a Astera Cancer Care

East Brunswick, New Jersey, United States

Site Status

San Juan Oncology Associates

Farmington, New Mexico, United States

Site Status

New York Oncology Hematology,P.C.-Albany

Albany, New York, United States

Site Status

Mount Sinai Medical Center

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Prisma Health ? Upstate

Greenville, South Carolina, United States

Site Status

Tennessee Oncology Chattanooga

Chattanooga, Tennessee, United States

Site Status

Sarah Cannon Research Institute / Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Virginia Cancer Specialists

Fairfax, Virginia, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

CEMIC

Buenos Aires, , Argentina

Site Status

Hospital Britanico de Buenos Aires

Ciudad Autonoma Buenos Aires, , Argentina

Site Status

Clinica Universitaria Reina Fabiola

Córdoba, , Argentina

Site Status

Sanatorio Parque S.A.

Rosario, , Argentina

Site Status

Blacktown Hospital

Blacktown, New South Wales, Australia

Site Status

Macarthur Cancer Therapy Centre

Campbelltown, New South Wales, Australia

Site Status

St George Hospital

Kogarah, New South Wales, Australia

Site Status

Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status

Monash Health Translational Precinct

Victoria, Victoria, Australia

Site Status

Fiona Stanley Hospital

Bull Creek, Western Australia, Australia

Site Status

Tiroler Landeskrankenanstalten Ges.M.B.H.

Innsbruck, , Austria

Site Status

Kepler Universitätskliniken GmbH - Med Campus III

Linz, , Austria

Site Status

Klinik Penzing

Vienna, , Austria

Site Status

GHdC Site Les Viviers

Charleroi, , Belgium

Site Status

AZ Maria Middelares

Ghent, , Belgium

Site Status

Jessa Zkh (Campus Virga Jesse)

Hasselt, , Belgium

Site Status

Crio - Centro Regional Integrado de Oncologia

Fortaleza, Ceará, Brazil

Site Status

Centro Integrado de Oncologia de Curitiba

Curitiba, Paraná, Brazil

Site Status

Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda

Ijuí, Rio Grande do Sul, Brazil

Site Status

Hospital Sao Lucas - PUCRS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital de Cancer de Barretos

Barretos, São Paulo, Brazil

Site Status

Hospital de Base de Sao Jose do Rio Preto

São José do Rio Preto, São Paulo, Brazil

Site Status

Instituto do Cancer do Estado de Sao Paulo - ICESP

São Paulo, São Paulo, Brazil

Site Status

BC Cancer ? Abbotsford

Abbotsford, British Columbia, Canada

Site Status

BC Cancer - Victoria

Victoria, British Columbia, Canada

Site Status

Royal Victoria Regional Health Centre

Barrie, Ontario, Canada

Site Status

William Osler Health System Brampton Civic Hospital

Brampton, Ontario, Canada

Site Status

Ottawa Hospital Research Institute

Ottawa, Ontario, Canada

Site Status

Beijing Cancer Center

Beijing, , China

Site Status

Beijing Chest Hospital

Beijing, , China

Site Status

Xiangya Hospital Central South University

Changsha, , China

Site Status

Sichuan Provincial Cancer Hospital

Chengdu, , China

Site Status

Chongqing Cancer Hospital

Chongqing, , China

Site Status

Fujian Medical University Union Hospital

Fujian, , China

Site Status

Cancer Center, Sun Yat-sen University of Medical Sciences

Guangzhou, , China

Site Status

Hangzhou Cancer Hospital

Hangzhou, , China

Site Status

Shandong Cancer Hospital

Jinan, , China

Site Status

Zhongda Hospital Affiliated to Southeast University

Nanjing, , China

Site Status

The affiliated hospital of Qingdao university

Qingdao, , China

Site Status

Shanghai Chest Hospital

Shanghai, , China

Site Status

Cancer Hospital of Shantou University Medical College

Shantou, , China

Site Status

Shanxi Provincial Cancer Hospital

Taiyuan, , China

Site Status

Tianjin Cancer Hospital

Tianjin, , China

Site Status

The 2nd School of Medicine, WMU

Wenzhou, , China

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status

The Affiliated Hospital of Xuzhou Medical College

Xuzhou, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

CHU Angers

Angers, , France

Site Status

Centre Francois Baclesse

Caen, , France

Site Status

Hopital Nord AP-HM

Marseille, , France

Site Status

Clinique Clémentville

Montpellier, , France

Site Status

Hopital Robert Schuman

Vantoux, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Klinikum Braunschweig

Braunschweig, , Germany

Site Status

Klinikum Koeln-Merheim

Cologne, , Germany

Site Status

Thoraxklinik Heidelberg gGmbH

Heidelberg, , Germany

Site Status

Universitätsklinikum Regensburg

Regensburg, , Germany

Site Status

General Hospital "G.Papanikolaou"

Asvestochóri, , Greece

Site Status

Sotiria Hospital

Athens, , Greece

Site Status

Agioi Anargyroi Cancer Hospital

Kifissia, , Greece

Site Status

Princess Margaret Hospital, Oncology

Hong Kong, , Hong Kong

Site Status

Queen Elizabeth Hospital

Hong Kong, , Hong Kong

Site Status

Pamela Youde Nethersole Eastern Hospital

Hong Kong, , Hong Kong

Site Status

Tuen Mun Hospital

Hong Kong, , Hong Kong

Site Status

Pécsi Tudományegyetem

Pécs, , Hungary

Site Status

Szent Borbala Korhaz

Tatabánya, , Hungary

Site Status

Tudogyogyintezet Torokbalint

Törökbálint, , Hungary

Site Status

Soroka Medical Center

Beersheba, , Israel

Site Status

Rambam Medical Center

Haifa, , Israel

Site Status

Shaare Zedek Medical Center

Jerusalem, , Israel

Site Status

Rabin Medical Center

Petah Tikva, , Israel

Site Status

Istituto Nazionale per lo Studio e la Cura dei Tumori Fondazione G. 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

Azienda Ospedaliero Universitaria di Parma

Parma, Emilia-Romagna, Italy

Site Status

Policlinico Universitario Campus Biomedico

Rome, Lazio, Italy

Site Status

IRCCS Istituto Regina Elena (IFO)

Rome, Lazio, Italy

Site Status

IRCCS AOU San Martino - IST

Genoa, Liguria, Italy

Site Status

A.O. Spedali Civili Di Brescia-P.O. Spedali Civili

Brescia, Lombardy, Italy

Site Status

Azienda Socio Sanitaria Territoriale Niguarda (Ospedale Niguarda Ca' Granda)

Milan, Lombardy, Italy

Site Status

Fondazione IRCCS Policlinico San Matteo

Pavia, Lombardy, Italy

Site Status

Azienda Ospedaliera Universitaria Pisana - Ospedale Cisanello

Pisa, Tuscany, Italy

Site Status

Azienda ULSS 8 Berica

Vicenza, Veneto, Italy

Site Status

Aichi Cancer Center

Aichi, , Japan

Site Status

National Cancer Center East

Chiba, , Japan

Site Status

National Hospital Organization Himeji Medical Center

Hyōgo, , Japan

Site Status

Kitasato University Hospital

Kanagawa, , Japan

Site Status

Kyoto University Hospital

Kyoto, , Japan

Site Status

Sendai Kousei Hospital

Miyagi, , Japan

Site Status

Niigata Cancer Center Hospital

Niigata, , Japan

Site Status

Kindai University Hospital

Osaka, , Japan

Site Status

Saitama Cancer Center

Saitama, , Japan

Site Status

Shizuoka Cancer Center

Shizuoka, , Japan

Site Status

National Cancer Center Hospital

Tokyo, , Japan

Site Status

The Cancer Institute Hospital of JFCR

Tokyo, , Japan

Site Status

Wakayama Medical University Hospital

Wakayama, , Japan

Site Status

Meander Medisch Centrum

Amersfoort, , Netherlands

Site Status

Amphia Ziekenhuis

Breda, , Netherlands

Site Status

Medisch Centrum Haaglanden, locatie Antoniushove

Leidschendam, , Netherlands

Site Status

Zuyderland Medisch Centrum - Sittard Geleen

Sittard-Geleen, , Netherlands

Site Status

Auckland City Hospital, Cancer and Blood Research

Auckland, , New Zealand

Site Status

Uniwersyteckie Centrum Kliniczne

Gda?sk, , Poland

Site Status

Szpital Kliniczny MSWiA z Warmi?sko-Mazurskim Centrum Onkologii

Olsztyn, , Poland

Site Status

Mazowieckie Centrum Leczenia Chorob Pluc I Gruzlicy

Otwock, , Poland

Site Status

Narod.Inst.Onkol. im. M.Sklodowskiej - Curie-Panst.Inst.Bad

Warsaw, , Poland

Site Status

Dolnoslaskie Centrum Onkologii, Pulmonologii i Hematologii

Wroc?aw, , Poland

Site Status

IPO de Coimbra

Coimbra, , Portugal

Site Status

Hospital da Luz

Lisbon, , Portugal

Site Status

Hospital CUF Porto

Porto, , Portugal

Site Status

IPO do Porto

Porto, , Portugal

Site Status

Chungbuk National University Hospital

Cheongju-si, , South Korea

Site Status

Kyungpook National University Chilgok Hospital

Daegu, , South Korea

Site Status

National Cancer Center

Gyeonggi-do, , South Korea

Site Status

Seoul National University Bundang Hospital

Gyeonggi-do, , South Korea

Site Status

St. Vincent's Hospital

Gyeonggi-do, , South Korea

Site Status

Ajou University Medical Center

Gyeonggi-do, , South Korea

Site Status

Pusan National University Yangsan Hospital

Gyeongsangnam-do, , South Korea

Site Status

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status

Chonnam National University Hwasun Hospital

Jeollanam-do, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Korea University Guro Hospital

Seoul, , South Korea

Site Status

Ulsan University Hosiptal

Ulsan, , South Korea

Site Status

Hospital Son Llatzer

Palma de Mallorca, Balearic Islands, Spain

Site Status

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status

Hospital Provincial de Castellon

Castellon, Castellon, Spain

Site Status

Complejo Hospitalario Universitario A Coruña (CHUAC)

A Coruña, , Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Marañon

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Regional Universitario Carlos Haya

Málaga, , Spain

Site Status

Hospital Universitario Virgen del Rocio

Seville, , Spain

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Vajira Hospital

Bangkok, , Thailand

Site Status

Rajavithi Hospital

Bangkok, , Thailand

Site Status

Ramathibodi Hospital;Medicine/Oncology

Bangkok, , Thailand

Site Status

Songklanagarind Hospital

Songkhla, , Thailand

Site Status

Adana Baskent University Medical Faculty

Adana, , Turkey (Türkiye)

Site Status

Ankara University Medical Faculty

Ankara, , Turkey (Türkiye)

Site Status

Hacettepe Universitesi Tip Fakultesi Hastanesi

Ankara, , Turkey (Türkiye)

Site Status

Gazi University Medical Faculty, Oncology Hospital

Ankara, , Turkey (Türkiye)

Site Status

Ege University Medical Faculty

Bornova, ?zm?r, , Turkey (Türkiye)

Site Status

Dicle University Faculty of Medicine

Diyarbakır, , Turkey (Türkiye)

Site Status

Trakya Universitesi Tip Fakultesi, Medikal Onkoloji Bilim Dali, Balkan Yerleskesi

Edirne, , Turkey (Türkiye)

Site Status

Istanbul University Cerrahpasa Faculty of Medicine

Istanbul, , Turkey (Türkiye)

Site Status

Medipol University Medical Faculty

Istanbul, , Turkey (Türkiye)

Site Status

Inonu University Faculty of Medicine Turgut Ozal Medical Center

Malatya, , Turkey (Türkiye)

Site Status

Birmingham Heartlands Hospital

Birmingham, , United Kingdom

Site Status

Addenbrooke's NHS Trust

Cambridge, , United Kingdom

Site Status

Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

Christie Foundation Trust

Manchester, , United Kingdom

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Argentina Australia Austria Belgium Brazil Canada China France Germany Greece Hong Kong Hungary Israel Italy Japan Netherlands New Zealand Poland Portugal South Korea Spain Taiwan Thailand Turkey (Türkiye) United Kingdom

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2019-004773-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GO41854

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.