A Study of Atezolizumab Plus Tiragolumab and Atezolizumab Plus Placebo as First-Line Treatment in Participants With Recurrent/Metastatic PD-L1 Positive Squamous Cell Carcinoma of the Head and Neck

NCT ID: NCT04665843

Last Updated: 2025-09-30

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-02

Study Completion Date

2025-08-27

Brief Summary

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The primary objective of this study is to evaluate the efficacy of atezolizumab plus tiragolumab and atezolizumab plus placebo as first-line (1L) treatment in recurrent/metastatic PD-L1-positive squamous cell carcinoma of the head and neck (SCCHN) on the basis of confirmed objective response rate. In addition, safety, pharmacokinetics, immunogenicity of atezolizumab and tiragolumab will be evaluated.

Detailed Description

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Conditions

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Squamous Cell Carcinoma of Head and Neck

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Atezolizumab + Tiragolumab

Participants will receive atezolizumab followed by tiragolumab every three weeks (Q3W) on Day 1 of each 21-day cycle.

Group Type EXPERIMENTAL

Atezolizumab

Intervention Type DRUG

Atezolizumab at a fixed dose of 1200 mg will be administered by intravenous (IV) infusion Q3W on Day 1 of each 21-day cycle.

Tiragolumab

Intervention Type DRUG

Tiragolumab at a fixed dose of 600 mg will be administered by IV infusion Q3W on Day 1 of each 21-day cycle.

Atezolizumab + Placebo

Participants will receive atezolizumab followed by placebo Q3W on Day 1 of each 21-day cycle.

Group Type PLACEBO_COMPARATOR

Atezolizumab

Intervention Type DRUG

Atezolizumab at a fixed dose of 1200 mg will be administered by intravenous (IV) infusion Q3W on Day 1 of each 21-day cycle.

Placebo

Intervention Type DRUG

Placebo will be administered by IV infusion Q3W on Day 1 of each 21-day cycle.

Interventions

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Atezolizumab

Atezolizumab at a fixed dose of 1200 mg will be administered by intravenous (IV) infusion Q3W on Day 1 of each 21-day cycle.

Intervention Type DRUG

Tiragolumab

Tiragolumab at a fixed dose of 600 mg will be administered by IV infusion Q3W on Day 1 of each 21-day cycle.

Intervention Type DRUG

Placebo

Placebo will be administered by IV infusion Q3W on Day 1 of each 21-day cycle.

Intervention Type DRUG

Other Intervention Names

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Tecentriq RO5541267 RO7092284

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed recurrent/metastatic SCCHN involving the oropharynx, oral cavity, larynx, or hypopharynx, that is considered incurable by local therapies
* Known results from human papillomavirus (HPV) status test for oropharyngeal carcinoma
* No prior systemic therapy for metastatic and/or recurrent SCCHN
* Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
* Tumor PD-L1 expression as determined by PD-L1 immunohistochemistry assay
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Life expectancy \>=12 weeks

Exclusion Criteria

* Disease suitable for local therapy with curative intent
* Progressive or recurrent disease within 6 months of the last dose of curative intent systemic treatment for locally advanced SCCHN
* Rapidly progressing disease in the opinion of the treating investigator
* Grade \>=2 unresolved toxicity related to surgery or other prior therapies
* Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
* History of leptomeningeal disease
* 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 on screening chest computed tomography (CT) scan
* History of additional malignancy other than SCCHN within 5 years prior to randomization
* Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-CTLA-4, anti-TIGIT, anti-PD-L1, and anti-PD-1 therapeutic antibodies
* Treatment with systemic immunostimulatory agents or systemic immunosuppressive medication
* Pregnancy or breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Moores Cancer Center at UC San Diego Health

La Jolla, California, United States

Site Status

UCLA

Los Angeles, California, United States

Site Status

SCRI Florida Cancer Specialists PAN

Tallahassee, Florida, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Tennessee Oncology - Nashville

Nashville, Tennessee, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Masarykuv onkologicky ustav

Brno, , Czechia

Site Status

Fakultni nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status

Fakultni nemocnice v Motole

Prague, , Czechia

Site Status

CHU Bordeaux

Bordeaux, , France

Site Status

Centre Francois Baclesse

Caen, , France

Site Status

Centre Leon Berard

Lyon, , France

Site Status

Institut régional du Cancer Montpellier

Montpellier, , France

Site Status

Institut Curie

Paris, , France

Site Status

Institut de Cancérologie de Lorraine

Vandœuvre-lès-Nancy, , France

Site Status

Anticancer Hospital Ag Savas

Athens, , Greece

Site Status

Attiko Hospital University of Athens

Athens, , Greece

Site Status

Periph. University General Hospital of Heraklion Crete

Heraklion, , Greece

Site Status

Euromedical General Clinic of Thessaloniki

Thessaloniki, , Greece

Site Status

Gy?r-Moson-Sopron Vármegyei Petz Aladár Egyetemi Oktató Kórház

Gy?r, , Hungary

Site Status

Bacs-Kiskun Megyei Korhaz, SZTE AOK Oktato Korhaza, Onkoradiologiai Kozpont

Kecskemét, , Hungary

Site Status

Pécsi Tudományegyetem

Pécs, , Hungary

Site Status

Asst Degli Spedali Civili Di Brescia

Brescia, Lombardy, Italy

Site Status

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Lombardy, Italy

Site Status

Azienda Ospedaliero-Universitaria Careggi

Florence, Tuscany, Italy

Site Status

Auckland City Hospital, Cancer and Blood Research

Auckland, , New Zealand

Site Status

Beskidzkie Centrum Onkologii- Szpital Miejski

Bielsko-Biala, , Poland

Site Status

Uniwersyteckie Centrum Kliniczne

Gda?sk, , Poland

Site Status

Centrum Terapii Wspolczesnej J.M.Jasnorzewska Spolka Komandytowo-Akcyjna

Lodz, , Poland

Site Status

Centrum Onkologii Ziemi Lubelskiej Im. ?W. Jana Z Dukli

Lublin, , Poland

Site Status

Uniwersytecki Szpital Kliniczny w Poznaniu

Poznan, , Poland

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

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status

Institut Catala d Oncologia Hospital Duran i Reynals

Barcelona, , Spain

Site Status

Hospital Universitari i Politecnic La Fe

Valencia, , Spain

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

National Taiwan University Hospital

Zhongzheng Dist., , Taiwan

Site Status

Ramathibodi Hospital

Bangkok, , Thailand

Site Status

Songklanagarind Hospital

Songkhla, , Thailand

Site Status

Velindre Cancer Centre

Cardiff, , United Kingdom

Site Status

Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

Guys and St Thomas NHS Foundation Trust, Guys Hospital

London, , United Kingdom

Site Status

Royal Marsden NHS Foundation Trust

Sutton, , United Kingdom

Site Status

Countries

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United States Czechia France Greece Hungary Italy New Zealand Poland South Korea Spain Taiwan Thailand United Kingdom

Other Identifiers

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2020-002852-19

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BO42533

Identifier Type: -

Identifier Source: org_study_id

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