MO39171: A Study of Atezolizumab (Tecentriq) to Investigate Long-term Safety and Efficacy in Previously-treated Participants With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) (Tail)

A Study of Atezolizumab (Tecentriq) to Investigate Long-term Safety and Efficacy in Previously-treated Participants With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC)

  • Cancer
  • Lung Cancer
  • Non-Small Cell Lung Cancer (NSCLC)
Please note that the recruitment status of the trial at your site may differ from the overall study status because some study sites may recruit earlier than others.
Trial Status:

Completed

This trial runs in
Cities
  • Ciudad de Guatemala
  • Panamá
  • San José
Trial Identifier:

NCT03285763 2017-001409-34 MO39171

      Show trial locations

      The source of the below information is public registry websites such as ClinicalTrials.gov, EuClinicalTrials.eu, ISRCTN.com, etc.. It has been summarised and edited into simpler language. For more information about this clinical trial see the For Expert tab on the specific ForPatients page or follow these links to https://clinicaltrials.gov and/or https://euclinicaltrials.eu and/or https://www.isrctn.com.

      The below information is taken directly from public registry websites such as ClinicalTrials.gov, EuClinicalTrials.eu, ISRCTN.com, etc., and has not been edited.

      Results Disclaimer

      Trial Summary

      This is a Phase III/IV, single-arm, multicenter study of the long-term safety and efficacy of atezolizumab treatment in participants with Stage IIIb or Stage IV NSCLC who have progressed after standard systemic chemotherapy (including if given in combination with anti-programmed cell death protein 1 [anti-PD-1] therapy, after anti-PD-1 as monotherapy, or after tyrosine kinase inhibitor [TKI] therapy). The study will consist of a Screening Period, a Treatment Period, a Treatment Discontinuation Visit, and a Follow-Up Period.

      Hoffmann-La Roche Sponsor
      Phase 4 Phase
      NCT03285763,MO39171,2017-001409-34 Trial Identifier
      All Gender
      ≥ 18 Years Age
      No Healthy Volunteers

      This clinical trial, named MO39171 (or TAIL) is recruiting patients with locally advanced or metastatic non-small cell lung cancer whose cancer has worsened after prior standard chemotherapy.

      If you think this clinical trial is suitable for you, keep reading this text to know more details and discuss this trial with your doctor

      What is the purpose of this clinical trial?
      It is common for advanced/metastatic patients to receive platinum-based chemotherapy. If your cancer worsens after initial treatment, there are some treatment options available, including atezolizumab which is the drug under study in this clinical trial.

      **Atezolizumab is an antibody-drug which boosts your immune system’s response to fight cancer. This drug is currently approved in the U.S. and Europe to treat previously treated metastatic lung cancer**

      This clinical trial investigates how well tolerated is atezolizumab experimental drug in advanced or metastatic lung cancer patients, whose illness has worsened after standard chemotherapy.

      What treatment will I be given in this clinical trial?
      All patients in this clinical trial will be treated with atezolizumab. Atezolizumab will be directly administered through a drip into your vein every three weeks in your medical center.

      What type of trial is M039171 (TAIL)?
      MO39171 (TAIL) is a phase III/IV clinical trial. This means it has been studied in previous phases which have identified that the study drug is effective and well tolerated in small groups of patients. Phase III studies include a great number of patients, this study will include more than 600 patients.

      Summary

      This is a clinical trial for patients who have been diagnosed with stage IIIB-IV non-small cells lung cancer that has worsened after standard chemotherapy. All patients participating in this trial will be treated with atezolizumab experimental drug. 

      Follow this link to Clinicaltrials.gov to know more about this clinical trial. 

      https://clinicaltrials.gov/ct2/show/NCT03285763?titles=TAIL&rank=1 

      Clinical trial identifier-NCT03285763 

      Share this link with your doctor and find out if you are eligible for this trial. It is important that you know for when you feel ready to participate. 

      If you are eligible to participate and give your consent to join the trial, your treatment can start. 

       

      Trial Summary

      This is a Phase III/IV, single-arm, multicenter study of the long-term safety and efficacy of atezolizumab treatment in participants with Stage IIIb or Stage IV NSCLC who have progressed after standard systemic chemotherapy (including if given in combination with anti-programmed cell death protein 1 [anti-PD-1] therapy, after anti-PD-1 as monotherapy, or after tyrosine kinase inhibitor [TKI] therapy). The study will consist of a Screening Period, a Treatment Period, a Treatment Discontinuation Visit, and a Follow-Up Period.

      Hoffmann-La Roche Sponsor
      Phase 4 Phase
      NCT03285763,MO39171,2017-001409-34 Trial Identifier
      Atezolizumab Treatments
      Carcinoma, Non-Small-Cell Lung Condition
      Official Title

      A Phase III/IV, Single Arm, Multicenter Study of Atezolizumab (Tecentriq) to Investigate Long-term Safety and Efficacy in Previously-treated Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (TAIL)

      Eligibility Criteria

      All Gender
      ≥ 18 Years Age
      No Healthy Volunteers
      Inclusion Criteria
      • Histologically or cytologically documented Stage IIIb or Stage IV NSCLC that has progressed following standard systemic chemotherapy (including if given in combination with anti-PD-1 therapy, after anti-PD-1 as monotherapy, or after TKI therapy). Participants with a previously detected sensitizing epidermal growth factor receptor (EGFR) mutation or echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (ALK) fusion oncogene must have received targeted therapy (TKI) followed by at least one line of standard systemic chemotherapy prior to receiving atezolizumab. Overall, participants should not have received more than two lines of standard systemic chemotherapy. Participants who have discontinued first-line or second-line therapy due to intolerance are also eligible
      • The last dose of prior systemic anticancer therapy or targeted therapy must have been administered more than or equal to (≥) 21 days prior to randomization.
      • The last dose of prior anti-PD-1 therapy must have been administered. Nivolumab must have been discontinued >= 14 days and pembrolizumab >= 21 days prior to study treatment initiation, providing that these treatments were not administered in a clinical trial setting.
      • Measurable disease, as defined by Response Evaluation Criteria for Solid Tumors, Version 1.1 (RECIST v1.1)
      • Participants with asymptomatic central nervous system (CNS) metastases (treated or untreated), as determined by computed tomography (CT) or magnetic resonance imaging evaluation during screening and prior radiographic evaluation, are eligible
      • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2
      • Life expectancy ≥ 12 weeks
      • Adequate hematologic and end-organ function
      • For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods that result in a failure rate of less than (<) 1 percent (%) per year during the treatment period and for at least 5 months after the last dose of atezolizumab
      • Participants must have recovered (i.e., improvement to Grade 1 or better) from all acute toxicities from previous therapy, excluding alopecia and toxicities related to prior anti-PD-1-therapy
      Exclusion Criteria
      • Symptomatic CNS metastases
      • Spinal cord compression not definitively treated with surgery and/or radiation or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for ≥ 2 weeks prior to study treatment initiation
      • Leptomeningeal disease
      • Uncontrolled pericardial effusion or ascites requiring recurrent drainage procedures
      • Pregnant or lactating, or intending to become pregnant during the study
      • Evidence of significant uncontrolled concomitant disease that could affect compliance with the protocol, including significant liver disease (such as cirrhosis, uncontrolled major seizure disorder, or superior vena cava syndrome)
      • Significant cardiovascular disease, such as New York Heart Association cardiac disease ≥ Class III, myocardial infarction within 3 months, unstable arrhythmias, or unstable angina
      • Significant renal disorder requiring dialysis or indication for renal transplant
      • Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to study treatment initiation
      • Major surgical procedure within 4 weeks prior to study treatment initiation or anticipation of need for a major surgical procedure during the course of the study other than for diagnosis
      • Inability to understand the local language(s) for which the EORTC QLQ-LC13 and EQ-5D-5L questionnaires are available
      • 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 any component of the atezolizumab formulation
      • History of autoimmune disease are allowed if controlled and on stable treatment (i.e., same treatment, same dose) for the last 12 weeks
      • Prior allogeneic stem cell or solid organ transplantation
      • History of idiopathic pulmonary fibrosis, including pneumonitis, drug-induced pneumonitis, organizing pneumonia (i.e., bronchiolitis obliterans, cryptogenic organizing pneumonia), or evidence of active pneumonitis on screening chest CT scan
      • Active tuberculosis
      • Administration of a live, attenuated vaccine within 4 weeks prior to study treatment initiation
      • Prior treatment with cluster of differentiation 137 (CD137) agonists or immune checkpoint blockade therapies other than anti-PD-1 therapy, including anti−programmed death-ligand 1 therapeutic antibodies
      • Treatment with systemic immunostimulatory agents (including, but not limited to, interferons or interleukin-2) within 4 weeks or five half-lives of the drug, whichever is longer, prior to initiation of study treatment
      • Specifically for participants without autoimmune disease: treatment with systemic corticosteroids or other systemic immunosuppressive medications (including but not limited to prednisone, dexamethasone, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti−tumor necrosis factor agents) within 2 weeks prior to study treatment initiation, or anticipated requirement for systemic immunosuppressive medications during the trial. For participants with CNS metastases, use of prednisone at a stable dose (or dose equivalent) of <= 20 mg/day is acceptable.

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