A Study to Evaluate Safety, Pharmacokinetics, & Activity of RO7496353 in Combination With a Checkpoint Inhibitor With or Without Standard-of-care Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumors; Urothelial Carcinoma Substudy in Association With RO7496353 Study GO44010

NCT ID: NCT05867121

Last Updated: 2025-11-05

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-02

Study Completion Date

2026-06-30

Brief Summary

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The purpose of this study is to evaluate the safety and tolerability of RO7496353 in combination with a checkpoint inhibitor (CPI) with or without standard-of-care (SOC) chemotherapy in participants with locally advanced or metastatic solid tumors such as non-small cell lung cancer (NSCLC), gastric cancer (GC) and pancreatic ductal adenocarcinoma (PDAC).

The substudy will evaluate the safety, tolerability, pharmacokinetics, immunogenicity, and preliminary anti-tumor activity of RO7496353 in combination with atezolizumab in patients with locally advanced or metastatic urothelial carcinoma (UC).

The parent and substudy will be conducted in 2 stages: an initial safety run-in stage and an expansion stage.

Detailed Description

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Conditions

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Non-small Cell Lung Cancer Gastric Cancer Pancreatic Ductal Adenocarcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Substudy: UC

Participants with UC will receive RO7496353, and atezolizumab, given as an IV infusion at an assigned dose on Day 1 of each 21-day cycle until unacceptable toxicity or symptomatic deterioration attributed to PD.

Group Type EXPERIMENTAL

RO7496353

Intervention Type DRUG

RO7496353 will be administered as per the schedules specified in the respective arms.

Atezolizumab

Intervention Type DRUG

Atezolizumab will be administered as per the schedules specified in the respective arms.

Cohort A: NSCLC

Participants with NSCLC will receive RO7496353, and atezolizumab, given as an intravenous (IV) infusion at an assigned dose on Day 1 of each 21-day cycle until unacceptable toxicity or symptomatic deterioration attributed to disease progression (PD).

Group Type EXPERIMENTAL

RO7496353

Intervention Type DRUG

RO7496353 will be administered as per the schedules specified in the respective arms.

Atezolizumab

Intervention Type DRUG

Atezolizumab will be administered as per the schedules specified in the respective arms.

Cohort B: GC

Participants with GC will receive RO7496353, nivolumab, and oxaliplatin, given as an IV infusion at an assigned dose on Day 1 of each 21-day cycle along with either capecitabine or S-1, orally, twice daily on Days 1 to 14 of each cycle until unacceptable toxicity or symptomatic deterioration attributed to PD.

Group Type EXPERIMENTAL

RO7496353

Intervention Type DRUG

RO7496353 will be administered as per the schedules specified in the respective arms.

Capecitabine

Intervention Type DRUG

Capecitabine will be administered as per the schedule specified in the respective arm.

S-1

Intervention Type DRUG

S-1 will be administered as per the schedule specified in the respective arm.

Nivolumab

Intervention Type DRUG

Nivolumab will be administered as per the schedule specified in the respective arm.

Oxaliplatin

Intervention Type DRUG

Oxaliplatin will be administered as per the schedule specified in the respective arm.

Cohort C: PDAC

Participants with PDAC will receive RO7496353, and atezolizumab, given as an IV infusion at an assigned dose on Days 1 and 15 of each 28-day cycle along with nab-paclitaxel, and gemcitabine, also given as an IV infusion on Days 1, 8, 15 of each 28-day cycle until unacceptable toxicity or symptomatic deterioration attributed to PD.

Group Type EXPERIMENTAL

RO7496353

Intervention Type DRUG

RO7496353 will be administered as per the schedules specified in the respective arms.

Atezolizumab

Intervention Type DRUG

Atezolizumab will be administered as per the schedules specified in the respective arms.

Nab-paclitaxel

Intervention Type DRUG

Nab-paclitaxel will be administered as per the schedule specified in the respective arm.

Gemcitabine

Intervention Type DRUG

Gemcitabine will be administered as per the schedule specified in the respective arm.

Interventions

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RO7496353

RO7496353 will be administered as per the schedules specified in the respective arms.

Intervention Type DRUG

Atezolizumab

Atezolizumab will be administered as per the schedules specified in the respective arms.

Intervention Type DRUG

Capecitabine

Capecitabine will be administered as per the schedule specified in the respective arm.

Intervention Type DRUG

S-1

S-1 will be administered as per the schedule specified in the respective arm.

Intervention Type DRUG

Nivolumab

Nivolumab will be administered as per the schedule specified in the respective arm.

Intervention Type DRUG

Oxaliplatin

Oxaliplatin will be administered as per the schedule specified in the respective arm.

Intervention Type DRUG

Nab-paclitaxel

Nab-paclitaxel will be administered as per the schedule specified in the respective arm.

Intervention Type DRUG

Gemcitabine

Gemcitabine will be administered as per the schedule specified in the respective arm.

Intervention Type DRUG

Other Intervention Names

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RO5541267; Tecentriq Tegafur/Gimeracil/Oteracil potassium SOF 10

Eligibility Criteria

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Inclusion Criteria

* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Life expectancy of at least 3 months
* Adequate hematologic and end-organ function
* Histologically confirmed locally advanced, recurrent, or metastatic incurable solid tumor malignancy
* Measurable disease according to RECIST v1.1 on computed tomography (CT) or magnetic resonance imaging (MRI) images within 28 days prior to enrollment
* Availability of representative tumor specimens in formalin-fixed, paraffin-embedded (FFPE) blocks or at least 15 unstained slides

Exclusion Criteria

* Any anti-cancer therapy, whether investigational or approved, including chemotherapy, hormonal therapy, and/or radiotherapy, within 3 weeks prior to initiation of study treatment
* Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
* Significant cardiovascular disease (such as New York Heart Association Class II or greater cardiac disease, myocardial infarction, or cerebrovascular accident) within 3 months prior to initiation of study treatment, unstable arrhythmia, or unstable angina
* History of leptomeningeal disease
* Uncontrolled tumor-related pain
* Positive test for human immunodeficiency virus (HIV) infection
* Positive hepatitis B surface antigen (HbsAg) test, and/or positive total hepatitis B core antibody (HbcAb) test at screening
* Positive hepatitis C virus (HCV) antibody test at screening
* Known allergy or hypersensitivity to any component of the RO7496353 formulation or any of the study drugs or their excipients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chugai Pharmaceutical

INDUSTRY

Sponsor Role collaborator

Genentech, Inc.

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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UCLA University of California Los Angeles

Los Angeles, California, United States

Site Status

Yale School of Medicine

New Haven, Connecticut, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

St Vincent'S Hospital

Darlinghurst, New South Wales, Australia

Site Status

Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status

Hospital de Clinicas de Porto Alegre (HCPA) - PPDS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital de Câncer de Barretos

Barretos, São Paulo, Brazil

Site Status

Fondazione Policlinico Universitario A Gemelli

Rome, Lazio, Italy

Site Status

ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda Ca' Granda

Milan, Lombardy, Italy

Site Status

Centro Ricerche Cliniche Di Verona

Verona, Veneto, Italy

Site Status

National Cancer Center Hospital East

Chiba, , Japan

Site Status

Kanagawa Cancer Center

Kanagawa, , Japan

Site Status

Shizuoka Cancer Center

Shizuoka, , Japan

Site Status

National Cancer Center Hospital

Tokyo, , Japan

Site Status

The Cancer Institute Hospital of Japanese Foundation For Cancer Research

Tokyo, , Japan

Site Status

Auckland City Hospital

Auckland, , New Zealand

Site Status

Clinical Hospital Center Bezanijska Kosa

Belgrade, , Serbia

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center - PPDS

Seoul, , South Korea

Site Status

The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, , South Korea

Site Status

Severance Hospital Yonsei University Health System - Clinical Trials Center Pharmacy

Seoul, , South Korea

Site Status

NEXT Oncology-Hospital Quironsalud Madrid

Pozuelo de Alarcón, Madrid, Spain

Site Status

Clinica Universitaria de Navarra

Pamplona, Navarre, Spain

Site Status

Clinica Universidad de Navarra-Madrid

Madrid, , Spain

Site Status

Hospital Clinico Universitario de Valencia

Valencia, , Spain

Site Status

Ankara City Hospital

Ankara, , Turkey (Türkiye)

Site Status

Dokuz Eylul Universitesi Tip Fakultesi

Lzmir, , Turkey (Türkiye)

Site Status

Countries

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United States Australia Brazil Italy Japan New Zealand Serbia South Korea Spain Turkey (Türkiye)

Other Identifiers

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2022-502615-11-00

Identifier Type: CTIS

Identifier Source: secondary_id

GO44010

Identifier Type: -

Identifier Source: org_study_id

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