A Study of Multiple Immunotherapy-Based Treatment Combinations in Participants With Metastatic Pancreatic Ductal Adenocarcinoma (Morpheus-Pancreatic Cancer)
A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Metastatic Pancreatic Ductal Adenocarcinoma (Morpheus-Pancreatic Cancer)
A Phase Ib/II, open-label, multicenter, randomized study designed to assess the safety, tolerability, pharmacokinetics and preliminary anti-tumor activity of immunotherapy-based treatment combinations in participants with metastatic Pancreatic Ductal Adenocarcinoma (PDAC).
Two cohorts will be enrolled in parallel in this study: Cohort 1 will consist of patients who have received no prior systemic therapy for metastatic PDAC, and Cohort 2 will consist of patients who have received one line of prior systemic therapy for PDAC. In each cohort, eligible patients will be assigned to one of several treatment arms.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Reference Study ID Number: WO39608 www.roche.com/about_roche/roche_worldwide.htm
- Phone Number: 888-662-6728 (U.S. and Canada)
- Email: global-roche-genentech-trials@gene.com
Study Locations
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Essen, Germany, 45122
- Universitatsklinikum Essen
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Chiba, Japan, 277-8577
- National Cancer Center Hospital East
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Kanagawa, Japan, 241-8515
- Kanagawa Cancer Center
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Tokyo, Japan, 104-0045
- National Cancer Center Hospital
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Seoul, South Korea, 03080
- Seoul National University Hospital
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Seoul, South Korea, 05505
- Asan Medical Center
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Seoul, South Korea, 06351
- Samsung Medical Center
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Barcelona, Spain, 08035
- Hospital Universitario Vall D hebron
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Madrid, Spain, 28007
- Hosp. G. U Gregorio Marañón
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Madrid, Spain, 28037
- Hospital Universitario Ramon y Cajal
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Navarre
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Pamplona, Navarre, Spain, 31008
- Clinica Universidad de Navarra
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California
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Duarte, California, United States, 91010
- City of Hope Comprehensive Cancer Center
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San Francisco, California, United States, 94158
- Helen Diller Fam Comp Can Ctr
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Connecticut
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New Haven, Connecticut, United States, 06510
- Smilow Cancer Hospital at Yale New Haven
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District of Columbia
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Washington D.C., District of Columbia, United States, 20007
- Lombardi Cancer Center, Georgetown University
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Illinois
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Chicago, Illinois, United States, 60637
- Uni of Chicago Medical Center
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Dana-Farber Cancer Institute
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New Jersey
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Morristown, New Jersey, United States, 07962
- MorristownMedicalCenter
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New York
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New York, New York, United States, 10032
- Columbia University
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- Hillman Cancer Center
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma
- For patients in Cohort 1: no prior systemic treatment for PDAC
- For patients in Cohort 2: disease progression during administration of either 5-FU- or gemcitabine-based first-line chemotherapy
- Life expectancy greater than or equal to 3 months
- Availability of a representative tumor specimen that is suitable for determination of programmed death-ligand 1 (PD-L1) and/or additional biomarker status via central testing
- Measurable disease (at least one target lesion) according to RECIST v1.1
- Adequate hematologic and end-organ function test results
- Tumor accessible for biopsy
- For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating eggs, as outlined for each specific treatment arm
- For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm, as outlined for each specific treatment arm
Exclusion Criteria:
- Uncontrolled pleural effusion, pericardial effusion, or ascites requiring drainage procedure (i.e., more than one time per month)
- 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
- Positive human immunodeficiency (HIV) test at screening or at any time prior to screening
- Active hepatitis B or C virus infection or active tuberculosis
- Severe infection within 4 weeks prior to initiation of study treatment
- Prior allogeneic stem cell or solid organ transplantation
- History of malignancy other than pancreatic carcinoma within 2 years prior to screening, with the exception of those with a negligible risk of metastasis or death
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Active Comparator: Cohort 1: Control (Nab-Paclitaxel and Gemcitabine)
Cohort 1: Participants will receive Nab-Paclitaxel 125 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; and Gemcitabine 1000 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle. Participants in the Cohort 1 control arm who experience disease progression will be given the option of enrolling into Cohort 2 (if open for enrollment), provided they meet eligibility criteria. |
Nab-Paclitaxel will be administered as per the schedule specified in the respective arm.
Gemcitabine will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 1: Atezolizumab + Chemotherapy + Selicrelumab
Cohort 1: Participants will receive Atezolizumab 840 mg IV infusion on Days 1 and 15 of each 28 day cycle; Nab-paclitaxel 125 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; Gemcitabine 1000 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; and Selicrelumab 16 mg subcutaneous injection on Day 1 of Cycles 1-4 and every third cycle thereafter (i.e.
Cycles 7, 10, 13 etc.) of each 28-day cycle.
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Atezolizumab will be administered as per the schedule specified in the respective arm.
Nab-Paclitaxel will be administered as per the schedule specified in the respective arm.
Gemcitabine will be administered as per the schedule specified in the respective arm.
Selicrelumab will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 1: Atezolizumab + Chemotherapy + Bevacizumab
Cohort 1: Participants will receive Atezolizumab 840 mg IV infusion on Days 1 and 15 of each 28 day cycle; Bevacizumab 10 mg/kg IV infusion on Days 1 and 15 of each 28 day cycle; Nab-paclitaxel 125 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; Gemcitabine 1000 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle.
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Atezolizumab will be administered as per the schedule specified in the respective arm.
Nab-Paclitaxel will be administered as per the schedule specified in the respective arm.
Gemcitabine will be administered as per the schedule specified in the respective arm.
Bevacizumab will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 1: Atezolizumab + Chemotherapy + AB928
Cohort 1: Participant will receive AB928 150 mg orally once daily on Days 1 to 28 of each 28 day cycle; Atezolizumab 840 mg IV infusion on Days 1 and 15 of each 28 day cycle; Nab-paclitaxel 125 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; Gemcitabine 1000 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle.
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Atezolizumab will be administered as per the schedule specified in the respective arm.
Nab-Paclitaxel will be administered as per the schedule specified in the respective arm.
Gemcitabine will be administered as per the schedule specified in the respective arm.
AB928 will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 1: Atezolizumab + Chemotherapy + Tiragolumab
Cohort 1: Participants will receive Atezolizumab 840 mg IV infusion on Days 1 and 15 of each 28 day cycle; Tiragolumab 420 mg IV infusion on Days 1 and 15 of each 28 day cycle; Nab-paclitaxel 125 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; Gemcitabine 1000 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle.
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Atezolizumab will be administered as per the schedule specified in the respective arm.
Nab-Paclitaxel will be administered as per the schedule specified in the respective arm.
Gemcitabine will be administered as per the schedule specified in the respective arm.
Tiragolumab will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 2: Atezolizumab + Cobimetinib
Cohort 2: Participants will receive Cobimetinib 60 milligrams (mg) once daily orally on Days 1-21 of each 28-day cycle; and Atezolizumab 840 mg IV infusion on Days 1 and 15 of each 28-day cycle. Participants who progressed on treatment may have the option of receiving Atezolizumab + RO6874281 treatment, provided they meet the eligibility criteria and the arm is open for enrollment. |
Atezolizumab will be administered as per the schedule specified in the respective arm.
Cobimetinib will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 2: Atezolizumab + PEGPH20
Cohort 2: Participants will receive PEGPH20 3 micrograms per kilogram (mcg/kg) IV infusion on Days 1, 8 and 15 of each 21-day cycle; and Atezolizumab 1200 mg IV infusion on Day 1 of each 21-day cycle. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Cobimetinib or Atezolizumab + RO6874281 treatment, provided they meet the eligibility criteria and the arms are open for enrollment. |
Atezolizumab will be administered as per the schedule specified in the respective arm.
PEGPH20 will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 2: Atezolizumab + BL-8040
Cohort 2: Participants will receive BL-8040 1.25 milligrams per kilogram (mg/kg) subcutaneously (SC) on Days 1-5 of the first week, followed by combination treatment consisting of BL-8040 1.25 mg/kg SC three times a week on non-consecutive days and Atezolizumab 1200 mg IV infusion on Day 1 of each 21-day cycle. Participants who progressed on treatment may have the option of receiving Atezolizumab + Cobimetinib or Atezolizumab + RO6874281 treatment, provided they meet the eligibility criteria and the arms are open for enrollment. |
Atezolizumab will be administered as per the schedule specified in the respective arm.
BL-8040 will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 2: Atezolizumab + RO6874281 every 2 weeks
Cohort 2: Participants will receive Atezolizumab 840 mg IV infusion on days 1 and 15 of each 28 day cycle; RO6874281 will be administered 10 mg by IV infusion on day 1 and 15 mg on days 8, 15, and 22 for cycle 1 (28 day cycle). RO6874281 will be administered 15 mg by IV infusion on days 1 and 15 of each subsequent 28 day cycle. Participants who progressed on treatment may have the option of receiving Atezolizumab + Cobimetinib, provided they meet the eligibility criteria and the arm is open for enrollment. |
Atezolizumab will be administered as per the schedule specified in the respective arm.
RO6874281 will be administered as per the schedule specified in the respective arm
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Experimental: Cohort 2: Atezolizumab + RO6874281 every 3 weeks
Cohort 2: Participants will receive Atezolizumab 1200 mg IV infusion on Day 1 of each 21 day cycle; and RO6874281 10 mg by IV infusion on day 1 of each 21 day cycle. Participants who progressed on treatment may have the option of receiving Atezolizumab + Cobimetinib, provided they meet the eligibility criteria and the arm is open for enrollment. |
Atezolizumab will be administered as per the schedule specified in the respective arm.
RO6874281 will be administered as per the schedule specified in the respective arm
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Active Comparator: Cohort 2: Control (Nab-Paclitaxel and Gemcitabine or mFOLFOX6)
Cohort 2: Participants who progressed on a prior fluoropyrimidine-based regimen will receive Nab-paclitaxel 125 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; and Gemcitabine 1000 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle. Participants who progressed on a prior gemcitabine-based regimen will receive 5-fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6). Participants will receive Oxaliplatin 85 mg/m^2 IV on Days 1 and 15 of each 28 day cycle; Leucovorin 400 mg/m^2 IV on Days 1 and 15 of each 28 day cycle; Fluorouracil 400 mg/m^2 IV push on Days 1 and 15 of each 28 day cycle; and Fluorouracil 2400 mg/m^2 IV continuous infusion over 46 hours on Days 1 and 2 and on Days 15 and 16 of each 28 day cycle. Participants who progressed on treatment, may have the option of receiving Atezolizumab + Cobimetinib or Atezolizumab + RO6874281 treatment, provided they meet the eligibility criteria and the arms are open for enrollment. |
Nab-Paclitaxel will be administered as per the schedule specified in the respective arm.
Gemcitabine will be administered as per the schedule specified in the respective arm.
Oxaliplatin will be administered as per the schedule specified in the respective arm.
Leucovorin will be administered as per the schedule specified in the respective arm.
Fluorouracil will be administered as per the schedule specified in the respective arm.
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Experimental: Cohort 1: Atezolizumab + Chemotherapy + Tocilizumab
Cohort 1: Participants will receive Tocilizumab 8 mg/kg IV infusion on Day 1 of each 28 day cycle; Atezolizumab 1680 mg IV infusion on Day 1 of each 28 day cycle; Nab-paclitaxel 125 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle; and Gemcitabine 1000 mg/m^2 IV infusion on Days 1, 8, and 15 of each 28 day cycle.
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Atezolizumab will be administered as per the schedule specified in the respective arm.
Nab-Paclitaxel will be administered as per the schedule specified in the respective arm.
Gemcitabine will be administered as per the schedule specified in the respective arm.
Tocilizumab will be administered as per the schedule specified in the respective arm.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Stage 1: Percentage of Participants With Objective Response (OR), as Determined by Investigator According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Time Frame: Up to 33.3 months
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OR was defined as a complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart during Stage 1 as determined by the investigator using RECIST v.1.1.
Objective response rate (ORR) was defined as the percentage of participants with OR.
CR was defined as the disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) have a reduction in short axis to <10 millimeters (mm).
PR was defined as at least a 30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the baseline SOD.
95% confidence intervals (CI) for rates were constructed using Clopper-Pearson method.
Percentages have been rounded off.
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Up to 33.3 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Adverse Events (AEs)
Time Frame: Up to 33.3 months
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An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment.
An AE can therefore be any unfavorable and unintended sign (including abnormal laboratory values or abnormal clinical test results), symptoms, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product.
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Up to 33.3 months
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Stage 1: Progression-Free Survival (PFS), as Determined by Investigator According to RECIST v1.1
Time Frame: Up to 33.3 months
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PFS was defined as the time from study treatment initiation to the first occurrence of documented PD, as determined by the investigator according to RECIST v1.1 or death from any cause, whichever occurs first.
PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum in the study, including baseline, in addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Kaplan-Meier (K-M) method was used to estimate PFS.
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Up to 33.3 months
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Stage 1: Overall Survival (OS), as Determined by Investigator According to RECIST v1.1
Time Frame: Up to 33.3 months
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OS was defined as the time from randomization to death from any cause.
K-M method was used to estimate OS.
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Up to 33.3 months
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Stage 1: OS Rate at Month 6
Time Frame: Month 6
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OS was defined as the time from randomization to death from any cause.
OS rate at 6 months was defined as the percentage of participants who did not experience death from any cause at 6 months from randomization.
K-M method was used to estimate OS.
Percentages have been rounded off.
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Month 6
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Stage 1: Duration of Response (DOR), as Determined by Investigator According to RECIST v1.1
Time Frame: Up to 33.3 months
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DOR was defined as time from first occurrence of a documented OR until the time of documented PD or death from any cause, whichever occurs first as determined by investigator assessment using RECIST v1.1.
DOR was calculated for participants who had a best confirmed OR of CR/PR.
CR=the disappearance of all target lesions or any pathological lymph nodes (whether target or non-target) having a reduction in short axis to <10 mm.
PR=at least a 30% decrease in the SOD of target lesions, taking as reference the baseline SOD.
PD=at least a 20% increase in the SOD of target lesions, taking as reference the smallest sum on the study including baseline (nadir).
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
K-M method was used to estimate DOR.
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Up to 33.3 months
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Stage 1: Percentage of Participants With Disease Control (DC), as Determined by Investigator According to RECIST v1.1
Time Frame: Up to 33.3 months
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DC was defined as stable disease (SD) for ≥ 12 weeks or a CR or PR, as determined by the investigator according to RECIST v1.1 Disease control rate (DCR) was defined as the percentage of participants with DC.
CR was defined as the disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) have a reduction in short axis to <10 mm.
PR was defined as at least a 30% decrease in the SOD of target lesions, taking as reference the baseline SOD.
SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.
Percentages have been rounded off.
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Up to 33.3 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Carcinoma
- Adenocarcinoma
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Enzymes and Coenzymes
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Coordination Complexes
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Formyltetrahydrofolates
- Tetrahydrofolates
- Folic Acid
- Pterins
- Pteridines
- Uracil
- Pyrimidinones
- Coenzymes
- Oxaliplatin
- Bevacizumab
- Gemcitabine
- Fluorouracil
- Leucovorin
- tocilizumab
- atezolizumab
- Tiragolumab
- 130-nm albumin-bound paclitaxel
- cobimetinib
- 4-fluorobenzoyl-TN-14003
- PEGPH20
- selicrelumab
Other Study ID Numbers
Other Study ID Numbers
- WO39608
- 2016-004126-42 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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