A Study of Atezolizumab in Advanced Solid Tumors
An Open-Label, Multicohort, Phase II Study of Atezolizumab in Advanced Solid Tumors
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 2
Kontakty a umístění
Studijní místa
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RJ
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Rio de Janeiro, RJ, Brazílie, 20231-050
- INCA 1- Instituto Nacional de Câncer X
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RS
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Porto Alegre, RS, Brazílie, 90035-903
- Hospital das Clinicas - UFRGS
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SP
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Sao Paulo, SP, Brazílie, 01246-000
- Instituto do Cancer do Estado de Sao Paulo - ICESP
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Aarhus N, Dánsko, 8200
- Aarhus Universitetshospital; Kræftafdelingen
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Herlev, Dánsko, 2730
- Herlev Hospital; Afdeling for Kræftbehandling
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Odense C, Dánsko, 5000
- Odense Universitetshospital, Onkologisk Afdeling, Klinisk Forsknings Enhed
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Helsinki, Finsko, 00029
- Helsinki University Central Hospital; Dept of Oncology
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Bordeaux, Francie, 33076
- Institut Bergonie
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Lyon, Francie, 69373
- Centre Leon Berard; Departement Oncologie Medicale
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Paris, Francie, 75475
- Hopital Saint Louis, Service D Oncologie Medicale
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Villejuif, Francie, 94805
- Institut Gustave Roussy
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Amsterdam, Holandsko, 1066 CX
- Antoni van Leeuwenhoek Ziekenhuis
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Rotterdam, Holandsko, 3015 GD
- Erasmus MC
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Utrecht, Holandsko, 3584 CX
- Universitair Medisch Centrum Utrecht
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Dublin, Irsko, 4
- St Vincent'S Uni Hospital; Medical Oncology
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Dublin, Irsko
- St James' Hospital; Cancer Clinical Trials Office
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Campania
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Napoli, Campania, Itálie, 80131
- Istituto Nazionale Tumori Fondazione G. Pascale
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Lombardia
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Milano, Lombardia, Itálie, 20133
- Fondazione IRCCS Istituto Nazionale dei Tumori
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Toscana
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Siena, Toscana, Itálie, 53100
- Azienda Ospedaliera Universitaria Senese, U.O.C. Immunoterapia Oncologica
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British Columbia
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Vancouver, British Columbia, Kanada, V5Z 4E6
- BCCA-Vancouver Cancer Centre
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Ontario
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Toronto, Ontario, Kanada, M5G 2M9
- University Health Network; Princess Margaret Hospital; Medical Oncology Dept
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Edirne, Krocan, 22030
- Trakya University Medical Faculty
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Istanbul, Krocan, 34300
- Istanbul Uni Cerrahpasa Medical Faculty Hospital; Medical Oncology
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Istanbul, Krocan, 34384
- Prof. Dr. Cemil Tascioglu City Hospital; Med Onc
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Sihhiye/Ankara, Krocan, 06230
- Hacettepe Uni Medical Faculty Hospital; Oncology Dept
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Bergen, Norsko, 5021
- Haukeland Universitetssjukehus; Klinisk forskningspost
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Oslo, Norsko, 0310
- Oslo Universitetssykehus HF; Radiumhospitalet
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Hamburg, Německo, 20246
- Uniklinik-Eppendorf; Zentren F. Innere Medizin-Klinik U. Poliklinik
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Heidelberg, Německo, 69120
- Universitatsklinik Heidelberg; Universitätshautklinik und Nationales Centrum für Tumorerkrankungen
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Trier, Německo, 54290
- Klinikum Mutterhaus der Borromaeerinnen gGmbH; Haematologie/Onkologie
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Bydgoszcz, Polsko, 85-796
- Centrum Onkologii w Bydgoszczy
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Gdańsk, Polsko, 80-214
- Uniwersyteckie Centrum Kliniczne; Klinika Onkologii i Radioterapii
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Warszawa, Polsko, 02-781
- Narodowy Instytut Onkologii im. M.Sklodowskiej-Curie; Klinika Now. Tkanek Miekkich,Kosci i Czer.
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Graz, Rakousko, 8036
- LKH-UNIV. KLINIKUM GRAZ; Klinische Abteilung für Onkologie
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Wien, Rakousko, 1090
- Medizinische Universität Wien; Univ.Klinik für Innere Medizin I - Chemotherapie & Infektionskrankhei
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Moscow, Ruská Federace, 115478
- Russian Oncology Research Center n.a. N.N. Blokhin Dpt of Clinical Pharmacology and Chemotherapy
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Saint-Petersburg, Ruská Federace, 197758
- S-Pb clinical scientific practical center of specialized kinds of medical care (oncological)
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Bebington, Spojené království, CH63 4JY
- Clatterbridge Cancer Centre
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Southampton, Spojené království, SO16 6YD
- Southampton General Hospital; Medical Oncology
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New York
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New York, New York, Spojené státy, 10027
- Columbia University Medical Center
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New York, New York, Spojené státy, 10065
- Memorial Sloan Kettering
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Ohio
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Cleveland, Ohio, Spojené státy, 44195
- The Cleveland Clinic Foundation
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Tennessee
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Nashville, Tennessee, Spojené státy, 37203
- Sarah Cannon Cancer Center and Research Institute
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Texas
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Houston, Texas, Spojené státy, 77030
- MD Anderson Cancer Center
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Barcelona, Španělsko, 08035
- Hospital Univ Vall d'Hebron; Servicio de Oncologia
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Navarra
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Pamplona, Navarra, Španělsko, 31008
- Clinica Universitaria de Navarra; Servicio de Oncologia
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Fribourg, Švýcarsko, 1708
- Freiburger Spital; Onkologie
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St. Gallen, Švýcarsko, 9007
- Kantonsspital St. Gallen; Onkologie/Hämatologie
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Histologically documented advanced solid tumors that meet protocol-defined cohort specifications, have progressive disease at study entry, and have received at least one line of prior systemic therapy or for which no alternative therapy to prolong survival exists
- Representative formalin-fixed paraffin-embedded (FFPE) tumor specimens in paraffin blocks (preferred) or in freshly cut and unstained slides (exceptional cases) with an associated pathology report for central testing
- Measurable disease as defined by RECIST v1.1 or disease-specific criteria for prostate cancer and malignant pleural mesothelioma
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Negative serum pregnancy test result within 14 days prior to study drug among women of childbearing potential
- Life expectancy > 3 months
Exclusion Criteria:
- Malignancies other than disease under study within 5 years prior to Day 1 of Cycle 1 except those with a negligible risk of metastasis or death
- Uncontrolled tumor-related pain
- Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures >/=1 time per month
- History of asymptomatic or symptomatic central nervous system (CNS) metastasis
- Leptomeningeal disease
- Spinal cord compression not definitively treated with surgery and/or radiation, or previously diagnosed and treated but without evidence that disease has been clinically stable for >/=2 weeks prior to Day 1 of Cycle 1
- Pregnant and lactating women
- Significant cardiovascular disease within 3 months prior to Day 1 of Cycle 1
- Severe infection within 4 weeks prior to Day 1 of Cycle 1
- Oral or IV antibiotics within 2 weeks prior to Day 1 of Cycle 1
- History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins
- Known hypersensitivity or allergy to biopharmaceuticals produced in Chinese hamster ovary cells or to any component of the atezolizumab formulation
- History of autoimmune disease except treated/stable hypothyroidism, Type 1 diabetes mellitus, and protocol-specified dermatologic conditions
- Active tuberculosis
- Signs or symptoms of infection within 2 weeks prior to Day 1 of Cycle 1
- Prior treatment with cluster of differentiation (CD) 137 agonists or immune checkpoint blockade therapies, or anti-programmed cell death-1 (PD-1) or anti-PD-L1 therapeutic antibodies
- Treatment with systemic corticosteroids or other systemic immunosuppressive medications within 2 weeks prior to Day 1 of Cycle 1, or anticipated requirement for systemic immunosuppressive medications during the trial
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Experimentální: Atezolizumab
The dose of atezolizumab in this study will be 1200 milligrams (mg) administered by intravenous (IV) infusion on Day 1 of each 3-week cycle until disease progression or unacceptable toxicity.
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Atezolizumab will be given as IV infusion over 60 minutes on Day 1 of Cycle 1, then over 30 minutes (as tolerated) on Day 1 of each subsequent 3-week cycle.
Ostatní jména:
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Non-progression Rate (NPR) at 18 Weeks
Časové okno: At Week 18
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NPR was defined as the percentage of participants with complete response (CR), partial response (PR) or stable disease (SD) as assessed by the Investigator according to Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 or for malignant pleural mesothelioma according to Malignant Pleural Mesothelioma Response Evaluation Criteria.
CR: Disappearance of all target lesions.
PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR.
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).
PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions.
For prostate cancer according to Prostate Response Evaluation Criteria.
CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated.
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At Week 18
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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NPR at 24 Weeks
Časové okno: At Week 24
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NPR was defined as the percentage of participants with complete response (CR), partial response (PR) or stable disease (SD) as assessed by the Investigator according to Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 or for malignant pleural mesothelioma according to Malignant Pleural Mesothelioma Response Evaluation Criteria.
CR: Disappearance of all target lesions.
PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR.
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).
PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions.
For prostate cancer according to Prostate Response Evaluation Criteria.
CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated.
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At Week 24
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Overall Response Rate (ORR)
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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ORR was defined as the percentage of participants with CR or PR as assessed by the investigator using RECIST v1.1 or Malignant Pleural Mesothelioma Response Evaluation Criteria.
CR: Disappearance of all target lesions.
PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions, taking as reference the baseline sum of diameters, in the absence of CR.
For prostate cancer according to Prostate Response Evaluation Criteria.
CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Percentage of Participants by Best Overall Response (BOR)
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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BOR was based on RECIST v1.1, Malignant Pleural Mesothelioma Response Evaluation Criteria or Prostate Response Evaluation Criteria.
For an individual participant BOR was obtained as follows: 1) CR: overall tumor response assessment of CR at 2 consecutive visits at least 28 days apart.
2) PR: overall tumor response assessment of PR or CR at 2 consecutive visits at least 28 days apart without being a CR. 3) SD: overall tumor response assessment of SD, PR, or CR at one or more visits at least 42 days after start of study treatment, but was not a confirmed CR or PR. 4) PD: an overall tumor response assessment of PD at any visit, and did not meet the criteria for a BOR of CR, PR or SD. 5) Missing: an assessment of SD, PR or CR in the first 42 days after start of study treatment and no further tumor assessments thereafter.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Clinical Benefit Rate (CBR)
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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CBR was defined as the percentage of participants with CR, PR, or SD according to RECIST v1.1, Malignant Pleural Mesothelioma Response Evaluation Criteria or Prostate Response Evaluation Criteria lasting for >/=6 weeks.
CR: Disappearance of all target lesions.
PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR.
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).
PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions.
For prostate cancer: CR: PSA <5 ng/ml measured twice at least 3 weeks apart or PSA response: PSA < 50% of the PSA reference value occurring at any time after treatment was initiated.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Duration of Objective Response (DOR)
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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DOR, based on RECIST v1.1, was defined as the time from the first occurrence of a documented objective response (CR or PR) to the time of progression or death from any cause, whichever occurred first.
CR: Disappearance of all target lesions.
PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR.
PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions.
As pre-specified in the Statistical Analysis Plan (SAP) DOR was not analyzed if there were less than 4 participants available for the analysis.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Progression-Free Survival (PFS)
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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PFS, based on RECIST v1.1, was defined as the time from the first day of study treatment to the first occurrence of disease progression or death from any cause, whichever occurred first.
PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Time to Progression (TTP)
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Time to progression (TTP), based on RECIST v1.1, was defined as time from the first day of study treatment to the first occurrence of progressive disease or death due to disease progression, whichever occurred first.
PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Overall Survival (OS)
Časové okno: Baseline until death due to any cause (up to 4.5 years)
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OS was defined as the time from the first day of study treatment to death from any cause.
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Baseline until death due to any cause (up to 4.5 years)
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Number of Participants With Adverse Events
Časové okno: Baseline up to 4.5 years
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An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment.
An adverse event can therefore be 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.
Preexisting conditions which worsen during a study are also considered as adverse events.
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Baseline up to 4.5 years
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Treatment Duration of Atezolizumab
Časové okno: Baseline up to approximately 4.5 years
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Baseline up to approximately 4.5 years
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Mean Number of Doses of Atezolizumab
Časové okno: Baseline up to approximately 4.5 years
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Baseline up to approximately 4.5 years
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Percentage of Participants With Anti-drug Antibodies (ADAs) to Atezolizumab
Časové okno: Baseline up to 4.5 years
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Baseline up to 4.5 years
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Serum Concentration of Atezolizumab
Časové okno: Predose and postdose on Day 1 of Cycle 1, predose on Day 1 of Cycles 2, 3, 4, 8 (cycle length = 21 days), and every 8 cycles until treatment discontinuation; at follow up (approximately 120 days after last dose) up to approximately 4.5 years
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Predose and postdose on Day 1 of Cycle 1, predose on Day 1 of Cycles 2, 3, 4, 8 (cycle length = 21 days), and every 8 cycles until treatment discontinuation; at follow up (approximately 120 days after last dose) up to approximately 4.5 years
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Percentage of Participants by Best Overall Response Based on Modified RECIST v1.1 (mBOR)
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Modified RECIST was based on the following: 1) New measurable lesions were added into the total tumor burden and followed; 2) Non-target lesions contributed only in the assessment of a CR; 3) Radiographic progression was determined only on the basis of measurable disease; had to be confirmed by a consecutive assessment =/>4 weeks from the date first documented.
mBOR: 1) CR: overall tumor response assessment of CR at 2 consecutive visits at least 28 days apart.
2) PR: overall tumor response assessment of PR/CR at 2 consecutive visits at least 28 days apart without being a CR. 3) SD: overall tumor response assessment of SD/PR/CR at one or more visits at least 42 days after start of study treatment, but was not a confirmed CR or PR. 4) PD: an overall tumor response assessment of PD at any visit, and did not meet the criteria for a BOR of CR, PR or SD. 5) Missing: an assessment of SD, PR or CR in the first 42 days after start of study treatment and no further tumor assessments thereafter.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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ORR Based on Modified RECIST v1.1
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Modified RECIST was based on the following: 1) New measurable lesions were added into the total tumor burden and followed; 2) Non-target lesions contributed only in the assessment of a CR; 3) Radiographic progression was determined only on the basis of measurable disease; had to be confirmed by a consecutive assessment =/>4 weeks from the date first documented.
ORR was defined as the percentage of participants with CR or PR.
CR: Disappearance of all target lesions.
PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions, taking as reference the baseline sum of diameters, in the absence of CR.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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CBR Based on Modified RECIST v1.1
Časové okno: Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Modified RECIST was based on the following: 1) New measurable lesions were added into the total tumor burden and followed; 2) Non-target lesions contributed only in the assessment of a CR; 3) Radiographic progression was determined only on the basis of measurable disease; had to be confirmed by a consecutive assessment =/>4 weeks from the date first documented.
CBR was defined as the percentage of participants with CR, PR, or SD lasting for >/=6 weeks.
CR: Disappearance of all target lesions.
PR: At least a 30% decrease in the sum of the diameters of all target and all new measurable lesions in the absence of CR.
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).
PD: At least a 20% increase in the sum of diameters of all target and all new measurable lesions.
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Baseline up to 4.5 years (assessed every 6 weeks for first 24 weeks and thereafter every 12 weeks up to loss of clinical benefit, withdrawal of consent, death, or study termination by the Sponsor, whichever occurs first)
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- MO29518
- 2015-000269-30 (Číslo EudraCT)
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