A Study Evaluating the Efficacy and Safety of Adjuvant Platinum-Doublet Chemotherapy, With or Without Atezolizumab, in Patients Who Are ctDNA Positive After Complete Surgical Resection of Stage IB to Select IIIB Non-Small Cell Lung Cancer

NCT ID: NCT04611776

Last Updated: 2021-06-16

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

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-01

Study Completion Date

2026-01-08

Brief Summary

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This is a Phase II, multicenter, double-blind, randomized study designed to evaluate the efficacy and safety of adjuvant treatment with atezolizumab in combination with platinum-doublet chemotherapy followed by atezolizumab compared with adjuvant placebo in combination with platinum-doublet chemotherapy followed by placebo in patients with Stage IB to IIIB (T3N2) NSCLC following surgical resection who are positive for ctDNA.

Detailed Description

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Conditions

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Carcinoma, Non-Small Cell Lung

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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Arm A: Atezolizumab + platinum-doublet followed by atezolizumab maintenance

Group Type EXPERIMENTAL

Atezolizumab

Intervention Type DRUG

Atezolizumab will be administered intravenously during the induction phase and the maintenance phase.

Carboplatin

Intervention Type DRUG

Carboplatin will be administered intravenously during the induction phase.

Cisplatin

Intervention Type DRUG

Cisplatin will be administered intravenously during the induction phase.

Pemetrexed

Intervention Type DRUG

Pemetrexed will be administered intravenously during the induction phase.

Gemcitabine

Intervention Type DRUG

Gemcitabine will be administered intravenously during the induction phase.

Paclitaxel

Intervention Type DRUG

Paclitaxel will be administered intravenously during the induction phase.

Arm B: Placebo + platinum-doublet followed by placebo maintenance

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered intravenously during the induction phase and the maintenance phase.

Carboplatin

Intervention Type DRUG

Carboplatin will be administered intravenously during the induction phase.

Cisplatin

Intervention Type DRUG

Cisplatin will be administered intravenously during the induction phase.

Pemetrexed

Intervention Type DRUG

Pemetrexed will be administered intravenously during the induction phase.

Gemcitabine

Intervention Type DRUG

Gemcitabine will be administered intravenously during the induction phase.

Paclitaxel

Intervention Type DRUG

Paclitaxel will be administered intravenously during the induction phase.

Interventions

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Atezolizumab

Atezolizumab will be administered intravenously during the induction phase and the maintenance phase.

Intervention Type DRUG

Placebo

Placebo will be administered intravenously during the induction phase and the maintenance phase.

Intervention Type DRUG

Carboplatin

Carboplatin will be administered intravenously during the induction phase.

Intervention Type DRUG

Cisplatin

Cisplatin will be administered intravenously during the induction phase.

Intervention Type DRUG

Pemetrexed

Pemetrexed will be administered intravenously during the induction phase.

Intervention Type DRUG

Gemcitabine

Gemcitabine will be administered intravenously during the induction phase.

Intervention Type DRUG

Paclitaxel

Paclitaxel will be administered intravenously during the induction phase.

Intervention Type DRUG

Other Intervention Names

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Tecentriq

Eligibility Criteria

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Inclusion Criteria

* Complete resection (R0) and pathologically confirmed Stage IB to select IIIB NSCLC (8th edition)
* Submission of pre-surgery blood sample and surgically resected tumor tissue slides or block
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Normal life expectancy excluding lung cancer mortality risk
* Positive ctDNA status in plasma confirmed by central laboratory testing after surgical resection and prior to start of adjuvant therapy.

Exclusion Criteria

* Resected NSCLC with positive margins (R1 or R2)
* NSCLC with histology of large cell neuroendocrine carcinoma or sarcomatoid carcinoma
* Mixed NSCLC and SCLC histology
* Any prior therapy for lung cancer, including neoadjuvant therapy, or radiotherapy
* NSCLC with an activating EGFR mutation or ALK fusion oncogene
* Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-CTLA-4, anti-PD-1, and anti-PD-L1 therapeutic antibodies
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

Other Identifiers

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YO41867

Identifier Type: -

Identifier Source: org_study_id

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