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CompletedNCT02650713Updated Feb 12, 2020

A Study of the Safety, Pharmacokinetics, and Therapeutic Activity of RO6958688 in Combination With Atezolizumab in Participants With Locally Advanced and/or Metastatic Carcinoembryonic Antigen (CEA)-Positive Solid Tumors

A Phase 1 interventional study of Atezolizumab and RO6958688 in Solid Tumors, sponsored by Hoffmann-La Roche. Completed at 24 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-02-12.

Sponsored by Hoffmann-La Roche · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
228
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is an open-label, multicenter, dose-escalation and expansion Phase Ib clinical study of RO6958688 in combination with atezolizumab. Part I of the study is subdivided into parts IA and IB. Part IA is dose escalation with a starting dose of 5 mg of RO6958688 given QW (once a week) and a fixed, flat dose of 1200 mg given Q3W (every 3 weeks) of atezolizumab, to evaluate the safety and determine the MTD of RO6958688 in combination with atezolizumab. Part IB is a dose/schedule finding part that will explore different administration schedules of RO6958688 in combination with atezolizumab (1200 mg Q3W) to establish the appropriate dose/schedule of RO6958688 in combination with atezolizumab.

02

Conditions studied

  • Solid Tumors

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03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's enrollment of 228 is above the median of 50 across 7,253 interventional studies indexed under Neoplasms.

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Lead sponsor

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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Confirmed locally advanced and/or metastatic solid tumor, with at least one tumor lesion of accessible non-critical location to biopsy, in participants who have progressed on a standard therapy, are intolerant to standard therapy, and/or are non-amenable to standard therapy
  • Radiologically measurable and clinically evaluable disease (as per RECIST v1.1)
  • Life expectancy (in the opinion of the investigator) of at least 12 weeks and lactate dehydrogenase (LDH) levels \</= 2.5 ULN (upper limit of normal)
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-1
  • All acute toxic effects of any prior radiotherapy, chemotherapy, or surgical procedure must have resolved to Grade \</= 1 or returned to baseline except alopecia (any grade) and Grade 2 peripheral neuropathy
  • Adequate hematological, liver, and renal function
  • Negative serum pregnancy test within 7 days prior to study treatment in premenopausal women and women \</= 2 years after start of menopause (menopause is defined as amenorrhea for more than 2 years)
  • Participants must agree to remain abstinent or be willing to use effective methods of contraception as defined in the protocol
  • Participants with non-colorectal cancer should have confirmed CEA expression in tumor tissue. For colorectal cancer (CRC), the CEA assessment should be performed but the result is not required for participant selection

Exclusion criteria

Exclusion Criteria

  • Active or untreated central nervous system (CNS) metastases as determined by computed tomography (CT) or magnetic resonance imaging (MRI) evaluation during screening and prior radiographic assessments
  • 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 at least 2 weeks prior to enrollment
  • Leptomeningeal disease
  • Participants with paraspinal, paratracheal, and mediastinal pathological lesions larger than 2 cm unless they are previously irradiated
  • Malignancies within 5 years prior to enrollment, with the exception of those with a negligible risk of metastasis or death and treated with expected curative outcome
  • Significant, uncontrolled concomitant diseases which could affect compliance with the protocol or interpretation of results
  • Uncontrolled hypertension, unstable angina, congestive heart failure (CHF), serious cardiac arrhythmia requiring treatment history of myocardial infarction within 6 months of enrollment
  • Administration of a live, attenuated vaccine within 28 days before Cycle 1 Day 1 or anticipation that such a live attenuated vaccine will be required during the study
  • Human Inmmunodeficiency Virus (HIV), active Hepatitis B or Hepatitis C (HCV)
  • Severe infections within 28 days prior to Cycle 1 Day 1, including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia or active tuberculosis
  • Received oral or intravenous (IV) antibiotics within 14 days prior to Day 1
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that would contraindicate the use of an investigational drug
  • Major surgery or significant traumatic injury less than 28 days prior to Cycle 1 Day 1 (excluding biopsies) or anticipation of the need for major surgery during study treatment
  • Known history of autoimmune disease as defined in the protocol
  • History of idiopathic pulmonary fibrosis, pneumonitis (including drug induced), organizing pneumonia (i.e., bronchiolitis obliterans, cryptogenic organizing pneumonia, etc.), or evidence of active pneumonitis (including drug induced) on screening chest CT scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
  • Participants with bilateral lung lesions and dyspnea and/or oxygen saturation level (SaO2) less than 92% (at rest, room air and exertion) or participants with lobectomy or pneumonectomy with lung metastases in the remaining lung and either dyspnea or SaO2 less than 92% (at rest, room air and exertion) at baseline
  • Pregnant or breast-feeding
  • Known hypersensitivity to any of the components of RO6958688 and atezolizumab; hypersensitivity to Chinese hamster ovary cell products or other recombinant human antibodies
  • Investigational therapy (defined as treatment for which there is no regulatory authority approved indication) or last dose of prior immunotherapies within 28 days prior to Cycle 1 Day 1. Participants previously treated with anti-programmed death-ligand 1 (PD-L1), or anti-PD-1 are excluded
  • Last dose of any approved anti-cancer therapy within 28 days prior to the first RO6958688 infusion
  • Prior systemic corticosteroids greater than 10mg prednisone (or equivalent) within 14 days of Cycle 1 Day 1. Inhaled and/or topical steroids are permitted
  • Expected need for regular immunosuppressive therapy
  • Radiotherapy within the last 28 days before Cycle 1 Day 1 with the exception of limited-field palliative radiotherapy
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
228 participants (actual)

Study arms

  • Experimental
    Dose-Escalation (Part IA): RO6958688 + Atezolizumab

    Participants will receive RO6958688 weekly (QW) at escalating doses starting at 5 mg, in combination with a fixed dose (1200 mg) of atezolizumab every 3 weeks (Q3W). RO6958688 dosage will not exceed the MTD if defined in the BP29541 study.

    Drug: Atezolizumab · Drug: RO6958688

  • Experimental
    Dose/Schedule Finding (Part IB): RO6958688 + Atezolizumab

    Part IB will explore different RO6958688 administration schedules in combination with atezolizumab, consisting of: Cohort A: will compare the QW vs Q3W dosing schedules at a flat dose of RO6958688. Step Up dosing schedules: RO6958688 dose will start at 40 mg and increase with each administration up to the MTD or 1200 mg, whichever occurs first.

    Drug: Atezolizumab · Drug: RO6958688

Interventions

  • DrugAtezolizumab

    Atezolizumab will be administered at a fixed dose of 1200 milligrams (mg) by intravenous (IV) infusion.

    Also known as: Tecentriq

  • DrugRO6958688

    RO6958688 is administered by IV infusion In Part IA: RO6958688 is administered weekly (QW) on days 1,8 and 15 of each 21-day cycle. In Part 1b: RO6958688 is administered weekly (QW) or every 3 weeks (Q3W). Cohort A: RO6958688 starting dose will be 100 mg either QW or Q3W. Step Up dose cohorts: RO6958688 starting dose will be 40mg and increase with each administration up to the MTD or 1200 mg whichever is lower.

06

What researchers measure

Primary outcomes

  1. Number of Participants with Adverse Events (AEs)

    Time frame: Baseline up to 60 months

  2. Percentage of Participants with Dose-Limiting Toxicities (DLTs)

    Time frame: Day 1 up to Day 21

  3. Maximum-Tolerated Dose (MTD) of RO6958688

    Time frame: Part IA: Day 1 up to Day 21; Part IB Step-up Cohorts: Day 1 up to Day 7 after each dose escalation

  4. Recommended Phase II Dose (RP2D) of RO6958688

    Time frame: Day 1 up to 60 months

Secondary outcomes

  1. Pharmacokinetic (PK): Area Under the Concentration-Time Curve (AUC) of RO6958688

    Time frame: Baseline up to 60 months

  2. PK: Volume of Distribution at Steady State (Vss) of RO6958688

    Time frame: Baseline up to 60 months

  3. PK: Maximum Serum Concentration (Cmax) of RO6958688

    Time frame: Baseline up to 60 months

  4. PK: Clearance (CL) of RO6958688

    Time frame: Baseline up to 60 months

  5. PK: AUC of Atezolizumab

    Time frame: Baseline up to 60 months

  6. PK: Vss of Atezolizumab

    Time frame: Baseline up to 60 months

  7. PK: Cmax of Atezolizumab

    Time frame: Baseline up to 60 months

  8. PK: CL of Atezolizumab

    Time frame: Baseline up to 60 months

  9. Pharmacodynamics: Immune Cell Numbers as Assessed using Flow Cytometry

    Time frame: Pre-infusion (1 hour before infusion start) on Day 1 of Cycles 1, 2, 3, 6; Cycle 1 Days 2 and 8 (cycle length=21 days)

  10. Percentage of Participants with Objective Response (Partial Response [PR] or Complete Response [CR] as Assessed Using Response Evaluation Criteria in Solid Tumors [RECIST])

    Assessed at screening and after the start of treatment every 8 weeks for the first year, then every 12 weeks thereafter until disease progression or treatment discontinuation.

    Time frame: Baseline up to 60 months

  11. Percentage of Participants with Disease Control (PR, CR, or Stable Disease [SD]) as Assessed Using RECIST

    Assessed at screening and after the start of treatment every 8 weeks for the first year, then every 12 weeks thereafter until disease progression or treatment discontinuation.

    Time frame: Baseline up to 60 months

  12. Percentage of Participants with Stable Disease (SD) as Assessed Using RECIST

    Assessed at screening and after the start of treatment every 8 weeks for the first year, then every 12 weeks thereafter until disease progression or treatment discontinuation.

    Time frame: Baseline up to 60 months

  13. Duration of Response (DOR) as Assessed Using RECIST

    Assessed at screening and after the start of treatment every 8 weeks for the first year, then every 12 weeks thereafter until disease progression or treatment discontinuation.

    Time frame: From initial objective response (PR or CR to the first disease progression or death from any cause (up to 60 months)

  14. Progression-Free Survival (PFS) according to RECIST V1.1

    Assessed at screening and after the start of treatment every 8 weeks for the first year, then every 12 weeks thereafter until disease progression or treatment discontinuation.

    Time frame: From first study treatment to the first occurrence of objective disease progression or death from any cause (up to 60 months)

  15. Overall Survival (OS)

    Assessed at screening and after the start of treatment every 8 weeks for the first year, then every 12 weeks thereafter until disease progression or treatment discontinuation.

    Time frame: From first study treatment to death from any cause (up to 60 months)

  16. Best Overall Response (BOR)

    Assessed at screening and after the start of treatment every 8 weeks for the first year, then every 12 weeks thereafter until disease progression or treatment discontinuation.

    Time frame: Baseline up to 60 months

07

Study locations

24 sites
  • UCLA Cancer Center
    Santa Monica, California 90404, United States
  • Stanford Comprehensive Cancer Center
    Stanford, California 94305, United States
  • University Of Colorado
    Aurora, Colorado 80045, United States
  • Smilow Cancer Hospital at Yale- New Haven Oncology Investigational Drug Pharmacy
    New Haven, Connecticut 06510, United States
  • Dana Farber Can Ins
    Boston, Massachusetts 02215, United States
  • Columbia Univ Med Ctr
    New York, New York 10032, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Sarah Cannon Cancer Center
    Germantown, Tennessee 38138, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Princess Margaret Cancer Center
    Toronto, Ontario M5G 1Z5, Canada
  • Rigshospitalet; Onkologisk Klinik
    København Ø, 2100, Denmark
  • Centre Leon Berard; Departement Oncologie Medicale
    Lyon, 69373, France
  • Institut Gustave Roussy
    Villejuif, 94805, France
  • IRCCS IST. Tumori Fondaz. Pascale; S.C. Oncologia Medica,Melanoma,Immunoterapia E Terapie Innovative
    Napoli, Campania 80131, Italy
  • Azienda Ospedaliera Universitaria Senese, U.O.C. Immunoterapia Oncologica
    Siena, Toscana 53100, Italy
  • Antoni Van Leeuwenhoek Ziekenhuis; Gastro-Enterologie
    Amsterdam, 1066 CX, Netherlands
  • Clinica Universitaria de Navarra; Servicio de Oncologia
    Pamplona, Navarra 31008, Spain
  • Hospital del Mar; Servicio de Oncologia
    Barcelona, 08003, Spain
  • Hospital Univ Vall d'Hebron; Servicio de Oncologia
    Barcelona, 08035, Spain
  • START Madrid-FJD, Hospital Fundacion Jimenez Diaz
    Madrid, 28040, Spain
  • Hospital Universitario 12 de Octubre; Servicio de Oncologia
    Madrid, 28041, Spain
  • START Madrid. Centro Integral Oncologico Clara Campal; CIOCC
    Madrid, 28050, Spain
08

References and documents

Publications

  • Martinez-Sabadell A, Morancho B, Rius Ruiz I, Roman Alonso M, Ovejero Romero P, Escorihuela M, Chicote I, Palmer HG, Nonell L, Alemany-Chavarria M, Klein C, Bacac M, Arribas J, Arenas EJ. The target antigen determines the mechanism of acquired resistance to T cell-based therapies. Cell Rep. 2022 Oct 18;41(3):111430. doi: 10.1016/j.celrep.2022.111430. PubMed 36261015 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02650713
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Jan 8, 2016
Start date
Jan 7, 2016
Primary completion
Jan 13, 2020
Completion
Jan 13, 2020
Last update
Feb 12, 2020

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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