A Study of Atezolizumab Plus Tiragolumab in Combination With Paclitaxel and Cisplatin Compared With Paclitaxel and Cisplatin as First-Line Treatment in Participants With Unresectable Locally Advanced, Unresectable Recurrent, or Metastatic Esophageal Carcinoma (SKYSCRAPER-08)
A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Atezolizumab Plus Tiragolumab in Combination With Paclitaxel and Cisplatin Compared With Paclitaxel and Cisplatin as First-Line Treatment in Patients With Unresectable Locally Advanced, Unresectable Recurrent, or Metastatic Esophageal Squamous Cell Carcinoma
The purpose of this study is to evaluate the efficacy and safety of atezolizumab plus tiragolumab in combination with paclitaxel and cisplatin (PC) compared with atezolizumab matching placebo plus tiragolumab matching placebo plus PC as first-line treatment in participants with unresectable locally advanced, unresectable recurrent, or metastatic esophageal carcinoma (EC). Participants will be randomized in a 1:1 ratio to receive one of the following treatment regimens during induction phase:
Arm A: Atezolizumab plus Tiragolumab and PC Arm B: Atezolizumab placebo plus Tiragolumab placebo and PC Following the induction phase, participants will continue maintenance therapy with either atezolizumab plus tiragolumab (Arm A) or atezolizumab matching placebo plus tiragolumab matching placebo (Arm B).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Anhui, China, 230001
- Anhui Provincial Hospital
-
Anyang, China, 455000
- Anyang Tumor Hosptial
-
Beijing, China
- Beijing Luhe Hospital Capital Medical University
-
Changchun, China, 130021
- The First Hospital of Jilin University
-
Changchun, China, 132013
- Jilin cancer hospital
-
Changsha, China, 410013
- Hunan Cancer Hospital
-
Chengde, China, 067020
- Affiliated Hospital of Chengde Medical University
-
Chengdu, China, 610041
- West China Hospital, Sichuan University
-
Chengdu, China, 610041
- Sichuan Provincial Cancer Hospital
-
Chongqing, China, 404000
- Chongqing Sanxia Central Hospital
-
Foshan, China, 510000
- The First People's Hospital of Foshan
-
Fuzhou, China, 350014
- Fujian Cancer Hospital
-
Fuzhou, China
- Fujian Provincial Hospital
-
Guangdong Province Guangzhou City, China, 510515
- Southern medical university Nanfang hospital
-
Hangzhou, China, 310022
- Zhejiang Cancer Hospital
-
Harbin, China, 150081
- Harbin Medical University Cancer Hospital
-
Hefei, China, 230601
- The Second Affiliated Hospital of Anhui Medical University
-
Hefei, China, 12345
- Anhui Province Cancer Hospital
-
Huai'an, China
- Huai'an first people's hospital
-
Huai'an, China
- The Second People's Hospital of Huai'an
-
Jining, China
- Affiliated Hopsital of Jining Medical University
-
Lanzhou, China, 730000
- Gansu Province People Hospital
-
Lianyungang, China, 222002
- The First People's Hospital of Lian Yun Gang
-
Linyi, China, 276034
- Linyishi Cancer Hospital
-
Luoyang, China, 471003
- The First Affiliated Hospital to Henan University of Science and Technology
-
Nanjing, China, 211100
- Jiangsu Cancer Hospital
-
Nanjing, China, 210029
- Jiangsu Province Hospital of Chinese Medicine
-
Nantong, China, 226361
- Nan Tong Tumor Hospital
-
Shanghai, China, 200000
- Shanghai Chest Hospital
-
Shanghai, China, 200032
- Zhongshan Hospital Fudan University
-
Shanghai, China, 200120
- Fudan University Shanghai Cancer Center
-
Shantou, China, 515041
- Cancer Hospital of Shantou University Medical College
-
Shengyang, China, 110042
- Liaoning Provincial Cancer Hospital
-
Suining, China, 629000
- Suining Central Hospital
-
Tianjin, China, 300060
- Tianjin Cancer Hospital
-
Weifang, China
- Weifang People's Hospital
-
Wuhan, China, 430079
- Hubei Cancer Hospital
-
Wuhan, China, 430022
- Wuhan Union Hospital Tongji Medical College, Huazhong University of Science and Technology
-
Wuxi, China, 214122
- Affiliated Hospital of Jiangnan University(Wuxi Fourth People's Hospital )
-
Xi'an, China, 710061
- First Affiliated Hospital of Medical College of Xi'an Jiaotong University
-
Xi'an, China, 710038
- The Second Affiliated Hospital of The Fourth Military Medical University (Tangdu Hospital)
-
Xiamen, China, 361003
- The First Affiliated Hospital of Xiamen University
-
Xiamen, China, 361004
- Zhongshan Hospital Xiamen University
-
Xiangyang, China
- Xiangyang Central Hospital
-
Xinxiang, China
- The First Affiliated Hospital of Xinxiang Medical University
-
Xuzhou, China
- Xuzhou Central Hospital
-
Yangzhou, China, 225001
- Northern Jangsu People's Hospital
-
Zhengzhou, China, 450008
- Henan Cancer Hospital
-
Zhengzhou, China, 450052
- The First Affiliated Hospital of Zhengzhou University
-
-
-
-
-
Hong Kong, Hong Kong
- Queen Mary Hospital
-
Shatin, Hong Kong
- Prince of Wales Hosp
-
-
-
-
-
Daegu, South Korea, 41404
- Kyungpook National University Chilgok Hospital
-
Goyang-si, South Korea, 10408
- National Cancer Center
-
Seongnam-si, South Korea, 13605
- Seoul National University Bundang Hospital
-
Seoul, South Korea, 05505
- Asan Medical Center
-
Seoul, South Korea, 06351
- Samsung Medical Center
-
Seoul, South Korea, 03722
- Severance Hospital, Yonsei University Health System
-
Seoul, South Korea, 08308
- Korea University Guro Hospital
-
-
-
-
-
Kaohisung, Taiwan
- Chang Gung Medical Foundation - Kaohsiung
-
Tainan, Taiwan, 00704
- National Cheng Kung University Hospital
-
Taipei, Taiwan, 112201
- Taipei Veterans General Hospital
-
Zhongzheng Dist., Taiwan, 10048
- National Taiwan University Hospital
-
-
-
-
-
Bangkok, Thailand, 10700
- Siriraj Hospital
-
Bangkok, Thailand, 10400
- Rajavithi Hospital
-
Bangkok, Thailand, 10330
- Chulalongkorn Hospital
-
Bangkok, Thailand, 10400
- Ramathibodi Hospital
-
Songkhla, Thailand, 90110
- Songklanagarind Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Histologically confirmed EC
- Unresectable locally advanced, unresectable recurrent, or metastatic disease
- Measurable disease per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Adequate hematologic and end-organ function
- Female participants must be willing to avoid pregnancy and refrain from donating eggs during the treatment period and for 90 days after the final dose
- Male participants with partners of childbearing potential must commit to the use of two methods of contraception and must not donate sperm for the study duration and 90 days after the final dose
Key Exclusion Criteria:
- Palliative radiation treatment for EC within 4 weeks prior to initiation of study treatment
- Evidence of complete esophageal obstruction not amenable to treatment
- Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
- Uncontrolled tumor-related pain, uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures
- Active or history of autoimmune disease or immune deficiency or leptomeningeal disease
- History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis
- Malignancies other than EC within 2 years prior to screening with a negligible risk of metastasis or death adequately treated with expected curative outcome
- Severe infection within 4 weeks prior to initiation of study treatment or any active infection that, in the opinion of the investigator, could impact patient safety
- Positive test result for human immunodeficiency virus (HIV)
- Active hepatitis B or hepatitis C
- Prior treatment with CD137 agonists or immune checkpoint blockade therapies, anti-CTLA-4, anti-TIGIT, anti-PD-1, and anti-PD-L1 therapeutic antibodies
- Treatment with any investigational therapy prior to initiation of study treatment
- Poor peripheral venous access
- Prior allogeneic stem cell or solid organ transplantation
- Concurrent participation in another therapeutic clinical trial
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Atezolizumab + Tiragolumab + PC
Participants will receive atezolizumab and tiragolumab on Day 1 of each 21-day cycle during the study followed by paclitaxel and cisplatin on Day 1 of each 21-day cycle until disease progression, loss of clinical benefit or unacceptable toxicity, during the induction treatment phase.
|
Atezolizumab at a fixed dose of 1200 milligrams (mg) administered by intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.
Other Names:
Tiragolumab at a fixed dose of 600 mg administered by IV infusion every Q3W on Day 1 of each 21-day cycle.
Other Names:
Paclitaxel 175 mg/m^2 administered by IV infusion on Day 1 of each 21-day cycle for 6 cycles.
Cisplatin 60-80 mg/m^2 administered by IV infusion on Day 1 of each 21-day cycle for 6 cycles.
|
|
Placebo Comparator: Placebo + PC
Participants will receive atezolizumab matching placebo and tiragolumab matching placebo on Day 1 of each 21-day cycle during the study followed by paclitaxel and cisplatin on Day 1 of each 21-day cycle until disease progression, loss of clinical benefit or unacceptable toxicity, during the induction treatment phase.
|
Paclitaxel 175 mg/m^2 administered by IV infusion on Day 1 of each 21-day cycle for 6 cycles.
Cisplatin 60-80 mg/m^2 administered by IV infusion on Day 1 of each 21-day cycle for 6 cycles.
Atezolizumab matching placebo administered by IV infusion, Q3W on Day 1 of each 21-day cycle.
Tiragolumab matching placebo administered by IV infusion, Q3W on Day 1 of each 21-day cycle.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Independent Review Facility (IRF)-Assessed Progression-free Survival (PFS)
Time Frame: From randomization to the first occurrence of PD or death from any cause, whichever occurred first (up to approximately 19 months)
|
PFS was defined as the time from randomization to the first occurrence of progressive disease (PD) or death from any cause (whichever occurred first), as determined by an IRF according to Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1).
PD was defined as at least a 20% increase in the sum of diameters (SOD) of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline).
Additionally, the SOD must also demonstrate an absolute increase of ≥ 5 millimeters (mm) or unequivocal progression of existing non-target lesions.
Kaplan-Meier (KM) method was used to estimate median PFS.
|
From randomization to the first occurrence of PD or death from any cause, whichever occurred first (up to approximately 19 months)
|
|
Overall Survival (OS)
Time Frame: From randomization to death from any cause (up to approximately 27.5 months)
|
OS was defined as the time from randomization to death from any cause.
K-M method was used to estimate median OS.
|
From randomization to death from any cause (up to approximately 27.5 months)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Investigator-assessed PFS
Time Frame: From randomization to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 19 months)
|
PFS was defined as the time from randomization to the first occurrence of PD or death from any cause (whichever occurred first), as determined by the investigator according to RECIST v1.1.
PD was defined at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline).
Additionally, the SOD must also demonstrate an absolute increase of ≥ 5 mm or unequivocal progression of existing non-target lesions.
K-M method was used to estimate median PFS.
|
From randomization to the first occurrence of PD or death from any cause, whichever occurs first (up to approximately 19 months)
|
|
IRF-assessed Confirmed Objective Response Rate (ORR)
Time Frame: Up to approximately 19 months
|
IRF-assessed confirmed ORR was defined as the percentage of participants with an objective response (OR), characterized by a complete response (CR) or partial response (PR) on 2 consecutive occasions ≥ 4 weeks apart, as determined by an IRF according to RECIST v1.1.
CR was defined as disappearance of all target lesions.
& normalization of tumor marker level.
Additionally, any pathological lymph nodes (whether target or non-target) must have a reduction in short axis to <10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR.
|
Up to approximately 19 months
|
|
Investigator-assessed Confirmed ORR
Time Frame: Up to approximately 19 months
|
Investigator-assessed confirmed ORR was defined as the percentage of participants with an OR, characterized by a CR or a PR on 2 consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to RECIST v1.1.
CR was defined as disappearance of all target lesions.
& normalization of tumor marker level.
Additionally, any pathological lymph nodes (whether target or non-target) must have a reduction in short axis to <10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR.
|
Up to approximately 19 months
|
|
IRF-assessed Duration of Objective Response (DOR)
Time Frame: From the first occurrence of a of a confirmed OR to PD or death from any cause, whichever occurred first (up to approximately 19 months)
|
DOR was defined as the time from the first occurrence of a confirmed OR to PD or death from any cause (whichever occurred first), as determined by an IRF according to RECIST v1.1.
OR was defined as either a CR or a PR on 2 consecutive occasions ≥ 4 weeks apart.
CR was defined as disappearance of all target lesions.
& normalization of tumor marker level.
Additionally, any pathological lymph nodes (whether target or non-target) must have a reduction in short axis to <10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR.
PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD on study (including baseline).
Additionally, the SOD must also demonstrate an absolute increase of ≥ 5 mm or unequivocal progression of existing non-target lesions.
K-M method was used to estimate median DOR.
|
From the first occurrence of a of a confirmed OR to PD or death from any cause, whichever occurred first (up to approximately 19 months)
|
|
Investigator-assessed DOR
Time Frame: From the first occurrence of a of a confirmed OR to PD or death from any cause, whichever occurred first (up to approximately 19 months)
|
DOR was defined as the time from the first occurrence of a confirmed OR to PD or death from any cause (whichever occurred first), as determined by an IRF according to RECIST v1.1.
OR was defined as either a CR or a PR on 2 consecutive occasions ≥ 4 weeks apart.
CR was defined as disappearance of all target lesions.
& normalization of tumor marker level.
Additionally, any pathological lymph nodes (whether target or non-target) must have a reduction in short axis to <10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR.
PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD on study (including baseline).
Additionally, the SOD must also demonstrate an absolute increase of ≥ 5 mm or unequivocal progression of existing non-target lesions.
K-M method was used to estimate median DOR.
|
From the first occurrence of a of a confirmed OR to PD or death from any cause, whichever occurred first (up to approximately 19 months)
|
|
Time to Confirmed Deterioration (TTCD) in Participant-reported Physical Functioning, as Measured by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30)
Time Frame: Up to approximately 27 months
|
Clinically meaningful changes in physical functioning as measured by the EORTC QLQ-C30.
EORTC QLQ-C30 is a self-reported measure, consisting of 30 questions that assess 5 aspects of participants functioning (physical, emotional, role, cognitive and social), 3 symptom scales (fatigue, nausea and vomiting, and pain), global health status/quality of life (GHS/QoL), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties) within the previous week.
Physical functioning was scored on a 4-point scale: 1=Not at all, 2=A little, 3=Quite a bit, 4=Very much.
Scores were linearly transformed to a range of 0 to 100, with higher scores (i.e.
closer to 100) reflecting better functioning.
Participants were considered "Worsened" if their baseline score decreased by ≥10 points.
K-M method was used to estimate median TTCD.
|
Up to approximately 27 months
|
|
TTCD in Participant-reported Role Functioning (RF), as Measured by EORTC QLQ-C30
Time Frame: Up to approximately 27 months
|
Clinically meaningful changes in role functioning as measured by the EORTC QLQ-C30.
EORTC QLQ-C30 is a self-reported measure, consisting of 30 questions that assess 5 aspects of participants functioning (physical, emotional, role, cognitive and social), 3 symptom scales (fatigue, nausea and vomiting, and pain), GHS/QoL, and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties) within the previous week.
Role functioning was scored on a 4-point scale: 1=Not at all, 2=A little, 3=Quite a bit, 4=Very much.
Scores were linearly transformed to a range of 0 to 100, with higher scores (i.e.
closer to 100) reflecting better functioning.
Participants were considered "Worsened" if their baseline score decreased by ≥10 points.
K-M method was used to estimate median TTCD.
|
Up to approximately 27 months
|
|
TTCD in Participant-Reported GHS/QoL, as Measured by EORTC QLQ-C30
Time Frame: Up to approximately 27 months
|
Clinically meaningful changes in GHS/QoL as measured by the EORTC QLQ-C30.
EORTC QLQ-C30 is a self-reported measure, consisting of 30 questions that assess 5 aspects of participants functioning (physical, emotional, role, cognitive and social), 3 symptom scales (fatigue, nausea and vomiting, and pain), GHS/QoL, and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties) within the previous week.
GHS and QoL items were scored on a 7-point scale, with scores ranging from 1=Very poor to 7=Excellent.
Scores were linearly transformed to a range of 0 to 100, with higher scores (i.e.
closer to 100) reflecting better GHS/QoL.
Participants were considered "Worsened" if their baseline score decreased by ≥10 points.
K-M method was used to estimate median TTCD.
|
Up to approximately 27 months
|
|
TTCD in Participant-reported Dysphagia, as Measured by European Organisation for Research and Treatment of Cancer Quality-of-life Esophageal Cancer, Module 18 Questionnaire (EORTC QLQ-OES18)
Time Frame: Up to approximately 27 months
|
Clinically meaningful changes in dysphagia as measured by the EORTC QLQ-OES18.
EORTC QLQ-OES18 is a modular supplement to the EORTC QLQ-C30 questionnaire for use in participants with esophageal cancer.
EORTC QLQ-OES18 consists of 4 multiple-item scale (dysphagia, eating, reflux, and pain) and 6 single items (trouble swallowing saliva, choked when swallowing, dry mouth, trouble with taste, trouble with coughing, and trouble talking) with a recall period of the previous week.
Each symptom item was scored on a 4-point scale: 1=Not at all, 2=A little, 3=Quite a bit, 4=Very much.
Scores were linearly transformed to a range of 0 to 100, with higher transformed scores (i.e.
closer to 100) reflecting worse symptoms.
Participants were considered "Worsened" if their baseline score increased by ≥ 10 points.
K-M method was used to estimate median TTCD.
|
Up to approximately 27 months
|
|
Number of Participants With Adverse Events (AEs)
Time Frame: Up to approximately 49.6 months
|
An AE was any untoward medical occurrence in a participant administered a pharmaceutical product, and which does not necessarily have a causal relationship with the treatment.
An AE was therefore any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product.
|
Up to approximately 49.6 months
|
|
Number of Participants With Cytokine-release Syndrome (CRS), With Severity Determined by the American Society for Transplantation and Cell Therapy (ASTCT) Consensus Grading Scale
Time Frame: Up to approximately 49.6 months
|
CRS was defined as supraphysiologic response following administration of any immune therapy that results in activation/engagement of endogenous or infused T cells and/or other immune effector cells.
Symptoms may be progressive, including fever at onset, and may also include hypotension, capillary leak (hypoxia), and end-organ dysfunction.
Severity of CRS was determined per ASTCT Consensus Grading Criteria, which categorizes CRS into 5 grades: Grade 1: fever (≥38◦Celsius), with/without constitutional symptoms, in absence of hypotension & hypoxia; Grade 2: fever with hypotension not requiring vasopressors and/or hypoxia requiring low-flow oxygen; Grade 3: fever with hypotension requiring one vasopressor, with/without vasopressin, and/or hypoxia requiring high-flow oxygen; Grade 4: fever accompanied by hypotension requiring multiple vasopressors (excluding vasopressin) and/or hypoxia requiring positive-pressure ventilation; Grade 5: death due to CRS.
|
Up to approximately 49.6 months
|
|
Minimum Serum Concentration (Cmin) of Tiragolumab
Time Frame: Pre-dose on Day 1 of Cycles 2, 3, 4, 8, 12, and 16 (1 Cycle=21 days)
|
Pre-dose on Day 1 of Cycles 2, 3, 4, 8, 12, and 16 (1 Cycle=21 days)
|
|
|
Maximum Serum Concentration (Cmax) of Tiragolumab
Time Frame: 30 minutes post-dose on Day 1 of Cycle 1 (1 Cycle=21 days)
|
30 minutes post-dose on Day 1 of Cycle 1 (1 Cycle=21 days)
|
|
|
Cmin of Atezolizumab
Time Frame: Pre-dose on Day 1 of Cycles 2, 3, 4, 8, 12, and 16 (1 Cycle=21 days)
|
Pre-dose on Day 1 of Cycles 2, 3, 4, 8, 12, and 16 (1 Cycle=21 days)
|
|
|
Cmax of Atezolizumab
Time Frame: 30 minutes post-dose on Day 1 of Cycle 1 (1 Cycle=21 days)
|
30 minutes post-dose on Day 1 of Cycle 1 (1 Cycle=21 days)
|
|
|
Number of Participants With Anti-drug Antibodies (ADAs) to Tiragolumab
Time Frame: Up to approximately 27.5 months
|
Participants were considered to be ADA positive if they were ADA negative at baseline but developed an ADA response following tiragolumab administration (treatment-induced ADA response), or if they were ADA positive at baseline and the titer of one or more post-baseline samples was greater than the titer of the baseline sample by a scientifically reasonable margin such as at least 0.60 titer unit (t.u.) greater than the baseline titer result (treatment-enhanced ADA response).
Participants with a positive post-baseline sample have been reported here.
|
Up to approximately 27.5 months
|
|
Number of Participants With ADAs to Atezolizumab
Time Frame: Up to approximately 27.5 months
|
Participants were considered to be ADA positive if they were ADA negative at baseline but developed an ADA response following atezolizumab administration (treatment-induced ADA response), or if they were ADA positive at baseline and the titer of one or more post-baseline samples was greater than the titer of the baseline sample by a scientifically reasonable margin such as at least 0.60 t.u.
greater than the baseline titer result (treatment-enhanced ADA response).
Participants with a positive post-baseline sample have been reported here.
|
Up to approximately 27.5 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Publications and helpful links
General Publications
- Sun JM, Chao Y, Kim SB, Rha SY, Evans TRJ, Strickland AH, Wainberg Z, Chau I, Pelles-Avraham S, Ajani J, Malhotra R, Liu Q, Li S, Cha E, Kalaitzidou M, Huang X, Allen S, Hsu CH. First-line tiragolumab plus atezolizumab and chemotherapy in patients with previously untreated, locally advanced unresectable or metastatic oesophageal cancer (MORPHEUS-EC): a randomised, open-label, phase 1b/2 trial. Lancet Oncol. 2026 Jan;27(1):90-102. doi: 10.1016/S1470-2045(25)00402-4.
- Hsu CH, Lu Z, Gao S, Wang J, Sun JM, Liu T, Fan Q, Cai J, Ge F, Li S, Zhang L, Cha E, Allen S, Shen L. Tiragolumab plus atezolizumab and chemotherapy as first-line treatment for patients with unresectable oesophageal squamous cell carcinoma (SKYSCRAPER-08): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2026 Jan;27(1):103-115. doi: 10.1016/S1470-2045(25)00401-2.
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 (Actual)
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 by Site
- Neoplasms
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Head and Neck Neoplasms
- Esophageal Diseases
- Esophageal Neoplasms
- Organic Chemicals
- Hydrocarbons
- Cycloparaffins
- Hydrocarbons, Alicyclic
- Hydrocarbons, Cyclic
- Terpenes
- Inorganic Chemicals
- Chlorine Compounds
- Nitrogen Compounds
- Taxoids
- Cyclodecanes
- Diterpenes
- Platinum Compounds
- Paclitaxel
- Cisplatin
- atezolizumab
- Tiragolumab
Other Study ID Numbers
Other Study ID Numbers
- YO42138
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.