A Phase 3 interventional study of Atezolizumab in Carcinoma, Transitional Cell, sponsored by Hoffmann-La Roche. Terminated at 186 sites in 24 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-18.
Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment
This Phase III, open-label, randomized, multicenter study is to evaluate the efficacy and safety of adjuvant treatment with atezolizumab compared with observation in participants with muscle-invasive UC who are at high risk for recurrence following resection. Eligible participants were randomized by a 1:1 ratio into atezolizumab group or control group.
6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.
This study's enrollment of 809 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.
Browse Carcinoma studies →Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.
Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will receive intravenous (IV) atezolizumab on Day 1 of each 21-day cycle for 16 cycles (up to 1 year).
Drug: Atezolizumab
Participants will undergo observation starting on Day 1 for 16 cycles (up to 1 year).
Atezolizumab will be administered at a dose of 1200 milligrams (mg).
Also known as: TECENTRIQ®; MPDL3280A
Disease-Free Survival (DFS), as Assessed by Investigator
DFS is defined as the time from randomization to the time of first occurrence of a DFS event. DFS events include: local (pelvic) recurrence of UC (including soft tissue and regional lymph nodes); urinary tract recurrence of UC (including all pathological stages and grades); distant metastasis of UC; or death from any cause. Tumor assessment will be performed using radiographic evaluations.
Time frame: Randomization up to first occurrence of DFS event (up to approximately 50 months)
Overall Survival (OS)
Overall survival is defined as the time from randomization to the date of death from any cause, regardless of whether the death occurs during study treatment or following treatment discontinuation.
Time frame: Randomization until death due to any cause (up to approximately 80 months)
Disease-Specific Survival (DSS), as Assessed by Investigator
DSS is defined as the time from randomization until the date of death from UC.
Time frame: Randomization until death due to UC (up to approximately 50 months)
Distant Metastasis-Free Survival (DMFS)
DMFS is defined as the time from randomization to the date of diagnosis of distant (that is, non-locoregional) metastases or death from any cause. Tumor assessment will be performed using radiographic evaluations.
Time frame: Randomization up to diagnosis of distant metastases or death from any cause (up to approximately 50 months)
Non-Urinary Tract Recurrence-Free Survival (NURFS)
NURFS is defined as the time from randomization to the time of first occurrence of a NURFS event. NURFS events include: local (pelvic) recurrence of UC (including soft tissue and regional lymph nodes); distant metastasis of UC; or death from any cause. Tumor assessment will be performed using radiographic evaluations.
Time frame: Randomization up to time of first occurrence of a NURFS event (up to approximately 50 months)
Percentage of Participants With Adverse Events (AEs)
Percentage of participants with at least one Adverse Event.
Time frame: Screening up to approximately 80 months
Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab
Percentage of participants with anti-therapeutic antibodies to atezolizumab.
Time frame: Baseline up to approximately 50 months
EuroQol 5-Dimension 5-Level (EQ-5D-5L) Visual Analogue Scale Score
The EQ-5D-5L is a generic preference-based HRQoL questionnaire that provides a single index value for health status and is used to inform pharmacoeconomic evaluations and to measure general health status. Visual analog scale (VAS) allows the patient to indicate, on a scale of 0-100, how his or her health is on the day of assessment, with 100 being the "best imaginable health state" and 0 being the "worst imaginable health state."
Time frame: Day 1 of Cycle 1 up to approximately 50 months (Cycle length = 21 days)
Minimum Observed Serum Atezolizumab Concentration (Cmin)
Minimum observed serum atezolizumab concentration (Cmin) prior to infusion on Day 1 of Cycles 1, 2, 3, and 4; every 8 cycles starting on Cycle 8; at treatment discontinuation; and at 120 days after the last dose of atezolizumab.
Time frame: Pre-dose (Hour 0) on Day 1 of Cycles 1, 2, 3, 4, every 8 cycles from Cycle 8, at treatment discontinuation, 120 days after treatment discontinuation (up to approximately 50 months))(Cycle length = 21 days)
Maximum Observed Serum Atezolizumab Concentration (Cmax)
Maximum observed serum atezolizumab concentration (Cmax) after infusion on Day 1 of Cycle 1.
Time frame: Day 1 of Cycle 1 (Cycle length = 21 days)
| Milestone | Observation | Atezolizumab |
|---|---|---|
| Started | 403 | 406 |
| Completed | 171 | 178 |
| Not completed | 232 | 228 |
| Withdrew: Death | 162 | 171 |
| Withdrew: Lost to follow-up | 14 | 12 |
| Withdrew: Withdrawal by subject | 55 | 44 |
| Withdrew: Non-specified other | 1 | 1 |
DFS is defined as the time from randomization to the time of first occurrence of a DFS event. DFS events include: local (pelvic) recurrence of UC (including soft tissue and regional lymph nodes); urinary tract recurrence of UC (including all pathological stages and grades); distant metastasis of UC; or death from any cause. Tumor assessment will be performed using radiographic evaluations.
| Months | Observation | Atezolizumab |
|---|---|---|
| Disease-Free Survival (DFS), as Assessed by Investigator | 16.6 (11.2 to 24.8) | 19.4 (15.9 to 24.8) |
Overall survival is defined as the time from randomization to the date of death from any cause, regardless of whether the death occurs during study treatment or following treatment discontinuation.
| Months | Observation | Atezolizumab |
|---|---|---|
| Overall Survival (OS) | 59.0 (47.7 to NA) | 61.4 (47.0 to NA) |
DSS is defined as the time from randomization until the date of death from UC.
| Months | Observation | Atezolizumab |
|---|---|---|
| Disease-Specific Survival (DSS), as Assessed by Investigator | NA (NA to NA) | NA (NA to NA) |
DMFS is defined as the time from randomization to the date of diagnosis of distant (that is, non-locoregional) metastases or death from any cause. Tumor assessment will be performed using radiographic evaluations.
| Months | Observation | Atezolizumab |
|---|---|---|
| Distant Metastasis-Free Survival (DMFS) | 31.1 (21.7 to 41.4) | 27.5 (22.6 to NA) |
NURFS is defined as the time from randomization to the time of first occurrence of a NURFS event. NURFS events include: local (pelvic) recurrence of UC (including soft tissue and regional lymph nodes); distant metastasis of UC; or death from any cause. Tumor assessment will be performed using radiographic evaluations.
| Months | Observation | Atezolizumab |
|---|---|---|
| Non-Urinary Tract Recurrence-Free Survival (NURFS) | 19.5 (12.3 to 27.7) | 22.1 (17.2 to 27.6) |
Percentage of participants with at least one Adverse Event.
| Percentage of Participants | Observation | Atezolizumab |
|---|---|---|
| Percentage of Participants With Adverse Events (AEs) | 79.1 | 94.4 |
Percentage of participants with anti-therapeutic antibodies to atezolizumab.
| Percentage of Participants | Atezolizumab |
|---|---|
| Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab | 29.3 |
The EQ-5D-5L is a generic preference-based HRQoL questionnaire that provides a single index value for health status and is used to inform pharmacoeconomic evaluations and to measure general health status. Visual analog scale (VAS) allows the patient to indicate, on a scale of 0-100, how his or her health is on the day of assessment, with 100 being the "best imaginable health state" and 0 being the "worst imaginable health state."
| Score on scale | Observation | Atezolizumab |
|---|---|---|
| Cycle 1 Day 1 | 77.41 ± 15.74 | 78.89 ± 16.13 |
| Cycle 3 Day 1 | 78.64 ± 15.73 | 81.05 ± 14.96 |
| Cycle 5 Day 1 | 79.94 ± 16.32 | 81.95 ± 14.32 |
| Cycle 7 Day 1 | 80.81 ± 16.37 | 82.39 ± 14.43 |
| Cycle 9 Day 1 | 81.24 ± 15.70 | 82.06 ± 15.34 |
| Cycle 11 Day 1 | 81.39 ± 17.02 | 82.81 ± 14.96 |
| Cycle 13 Day 1 | 81.39 ± 16.99 | 82.59 ± 14.81 |
| Cycle 15 Day 1 | 82.78 ± 16.01 | 83.67 ± 14.47 |
| Treatment Discontinuation | 82.68 ± 16.19 | 81.91 ± 15.96 |
Minimum observed serum atezolizumab concentration (Cmin) prior to infusion on Day 1 of Cycles 1, 2, 3, and 4; every 8 cycles starting on Cycle 8; at treatment discontinuation; and at 120 days after the last dose of atezolizumab.
| µg/mL | Atezolizumab |
|---|---|
| Cycle 2 Day 1 | 78.4 ± 25.2 |
| Cycle 3 Day 1 | 125 ± 46.0 |
| Cycle 4 Day 1 | 152 ± 71.1 |
| Cycle 8 Day 1 | 203 ± 92.0 |
| Cycle 16 Day 1 | 225 ± 106 |
| Day 120 Post Last Dose MPDL3280A | 15.9 ± 19.5 |
| Study Drug or Study Phase Comp or Early Disc | 164 ± 106 |
Maximum observed serum atezolizumab concentration (Cmax) after infusion on Day 1 of Cycle 1.
| µg/mL | Atezolizumab |
|---|---|
| Maximum Observed Serum Atezolizumab Concentration (Cmax) | 365 ± 121 |
Collected over From the first study drug to the data cutoff date: 14 June 2022 (up to 80 months). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| OBSERVATION | 162/403 (40.2%) | 72/398 (18.1%) | 234/398 (58.8%) |
| ATEZOLIZUMAB | 171/406 (42.1%) | 122/390 (31.3%) | 324/390 (83.1%) |
| Event | OBSERVATION | ATEZOLIZUMAB |
|---|---|---|
| Urinary tract infectionInfections and infestations | 19/398 | 30/390 |
| PyelonephritisInfections and infestations | 9/398 | 12/390 |
| PyrexiaGeneral disorders | 3/398 | 11/390 |
| Acute kidney injuryRenal and urinary disorders | 4/398 | 8/390 |
| DiarrhoeaGastrointestinal disorders | 0/398 | 5/390 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 5/398 | 1/390 |
| ColitisGastrointestinal disorders | 0/398 | 4/390 |
| Intestinal obstructionGastrointestinal disorders | 2/398 | 4/390 |
| PneumoniaInfections and infestations | 2/398 | 4/390 |
| DeathGeneral disorders | 1/398 | 3/390 |
| Event | OBSERVATION | ATEZOLIZUMAB |
|---|---|---|
| PruritusSkin and subcutaneous tissue disorders | 10/398 | 92/390 |
| FatigueGeneral disorders | 43/398 | 89/390 |
| DiarrhoeaGastrointestinal disorders | 25/398 | 81/390 |
| PyrexiaGeneral disorders | 30/398 | 71/390 |
| Urinary tract infectionInfections and infestations | 59/398 | 63/390 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 26/398 | 53/390 |
| NauseaGastrointestinal disorders | 20/398 | 52/390 |
| ConstipationGastrointestinal disorders | 39/398 | 51/390 |
| CoughRespiratory, thoracic and mediastinal disorders | 23/398 | 47/390 |
| Decreased appetiteMetabolism and nutrition disorders | 20/398 | 45/390 |
| Age, Continuous(Years) | Observation | Atezolizumab | Total |
|---|---|---|---|
| Mean | 65.9 ± 9.3 | 66.0 ± 9.0 | 65.9 ± 9.1 |
| Sex: Female, Male(Participants) | Observation | Atezolizumab | Total |
|---|---|---|---|
| Female | 87 | 84 | 171 |
| Male | 316 | 322 | 638 |
| Ethnicity (NIH/OMB)(Participants) | Observation | Atezolizumab | Total |
|---|---|---|---|
| Hispanic or Latino | 9 | 16 | 25 |
| Not Hispanic or Latino | 357 | 369 | 726 |
| Unknown or Not Reported | 37 | 21 | 58 |
| Race/Ethnicity, Customized(Number of Participants) | Observation | Atezolizumab | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 1 |
| Asian | 68 | 64 | 132 |
| Black or African American | 3 | 3 | 6 |
| White | 307 | 320 | 627 |
| Other | 4 | 6 | 10 |
| Unknown | 21 | 12 | 33 |
Showing the first 100 of 186 sites across 24 countries.
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