ClinicalTrials.gg
Active, not recruitingNCT03178552B-FASTUpdated Sep 3, 2026

A Study to Evaluate the Efficacy and Safety of Multiple Targeted Therapies as Treatments for Participants With Non-Small Cell Lung Cancer (NSCLC)

A Phase 2/3 interventional study of Alectinib and Atezolizumab in Non-Small Cell Lung Cancer, sponsored by Hoffmann-La Roche. Active, not recruiting at 161 sites in 27 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by Hoffmann-La Roche · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 27 studies testing alectinib in Carcinoma, Non-Small-Cell Lung — 7 open to participants now, 14 under way, 4 of them phase 3. alectinib · Carcinoma, Non-Small-Cell Lung.

Planned enrollment
2nd of 27
1,000 · median 90
Started
2017
with 5 others
Phase 2/3
2 of 27
none open now
Primary completion
2027-06
later than 9 of 13 live
Registered
11th of 27
by date
Lead sponsor
12 of 27
Hoffmann-La Roche

Among the 27 studies testing alectinib in Carcinoma, Non-Small-Cell Lung, this one is the 2nd largest by planned enrollment, is one of 6 that started in 2017, is one of 2 in phase 2/3, reaches primary completion later than 9 of the 13 other live ones, and was the 11th registered.

How this study gives alectinib

On this site’s reading of the record, alectinib is the treatment under test here. Read study by study →

By phase

27 studies; the count open now beside each. This study's row is marked.

Phase 29 · 4 open
Phase 37 · 0 open
Phase 1/26 · 1 open
Phase 2/3this study2 · 0 open
No phase1 · 1 open
Phase 11 · 0 open
Phase 41 · 1 open

By the year they started

First in 2013; this study’s year is marked. 6 started in 2017.

Size and results

Median enrollment 90 across the 27 interventional studies. Of the 13 that completed or were terminated, 9 (69%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 27 studies testing alectinib in Carcinoma, Non-Small-Cell Lung, or all of them as a file.
02

Study summary

This is a phase 2/3, global, multicenter, open-label, multi-cohort study designed to evaluate the safety and efficacy of targeted therapies or immunotherapy as single agents or in combination in participants with unresectable, advanced or metastatic NSCLC determined to harbor oncogenic somatic mutations or positive by tumor mutational burden (TMB) assay as identified by a blood-based next-generation sequencing (NGS) circulating tumor DNA (ctDNA) assay.

03

Conditions studied

  • Non-Small Cell Lung Cancer
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • or cytologically confirmed diagnosis of unresectable Stage IIIb not amenable to treatment with combined modality chemoradiation (advanced) or Stage IV () NSCLC
  • (ECOG) Performance Status 0-2
  • Adequate recovery from most recent systemic or local treatment for cancer
  • Adequate organ function
  • greater than or equal to (>/=) 12 weeks
  • For female participants of and male participants, willingness to use acceptable methods of

Exclusion criteria

Exclusion Criteria:

  • Inability to swallow oral medication
  • Women who are pregnant or lactating
  • Symptomatic, untreated
  • History of other than NSCLC within 5 years prior to screening with the exception of malignancies with negligible risk of or death
  • Significant cardiovascular disease, such as cardiac disease (Class II or greater), myocardial infarction, or cerebrovascular accident within 3 months prior to randomization, unstable arrhythmias, or unstable angina
  • Known active or uncontrolled (HIV) infection
  • Either a concurrent condition or history of a prior condition that places the patient at unacceptable risk if he/she were treated with the study drug or confounds the ability to interpret data from the study
  • Inability to comply with other requirements of the protocol
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,000 participants (estimated)

Study arms

  • Experimental
    Cohort A: Alectinib 600 Milligrams (mg)

    This cohort includes participants with anaplastic lymphoma kinase (ALK) positive NSCLC. Participants will receive alectinib 600 mg orally twice in a day (BID) until disease progression, unacceptable toxicity, withdrawal of consent or death. Enrollment to Cohort A is complete.

    Drug: Alectinib

  • Experimental
    Cohort B: Dose Finding Phase (DFP) Alectinib

    This cohort includes participants with rearranged during transfection (RET) positive NSCLC. Participants may receive alectinib 900 or 1200 mg orally BID until disease progression, unacceptable toxicity, withdrawal of consent or death if the recommended phase 2 dose (RP2D) is not established in any other clinical study. Participants may receive 750 mg or 600 mg, if it is unsafe to pursue the higher starting dose. Enrollment to Cohort B is complete.

    Drug: Alectinib

  • Experimental
    Cohort B: Dose Expansion Phase (DEP) Alectinib

    This cohort includes participants with RET positive NSCLC. Participants will receive alectinib at the RP2D established in the DFP of Cohort B or a separate clinical study. Participants will continue receiving study treatment until disease progression, unacceptable toxicity, withdrawal of consent or death. Enrollment to Cohort B is complete.

    Drug: Alectinib

  • Experimental
    Cohort C: Atezolizumab 1200 mg

    This cohort includes participants with bTMB positive NSCLC. Participants will receive atezolizumab at a dose of 1200 mg administered by IV infusion every 21 days (Q21D) until disease progression, loss of clinical benefit, unacceptable toxicity, withdrawal of consent or death. Enrollment to Cohort C is complete.

    Drug: Atezolizumab

  • Active comparator
    Cohort C: Pemetrexed, Cisplatin or Carboplatin

    This cohort includes participants with bTMB positive, non-squamous NSCLC. Participants will receive 4 or 6 cycles of treatment, with each cycle being 21 days in duration. Carboplatin at a dose of area under the concentration-time curve (AUC) of 5 or 6 IV or cisplatin at a dose of 75 milligrams per meter square (mg/m\^2) IV on Day 1 of each cycle combined with pemetrexed at a dose of 500 mg/m\^2 IV on Day 1 of each cycle. Pemetrexed may be continued as maintenance therapy every 21 days (Q21D) as per local standard of care. Enrollment to Cohort C is complete.

    Drug: Pemetrexed · Drug: Cisplatin · Drug: Carboplatin

  • Active comparator
    Cohort C: Gemcitabine, Cisplatin or Carboplatin

    This cohort includes participants with bTMB positive, squamous NSCLC. Participants will receive 4 or 6 cycles of treatment, with each cycle being 21 days in duration. Gemcitabine 1250 mg/m\^2 IV on Days 1 and 8 of every cycle and cisplatin 75 mg/m\^2 IV on Day 1 Q21D or gemcitabine 1000 mg/m\^2 IV on Days 1 and 8 of every cycle and carboplatin AUC 5 IV on Day 1 Q21D. Enrollment to Cohort C is complete.

    Drug: Cisplatin · Drug: Carboplatin · Drug: Gemcitabine

  • Experimental
    Cohort D: Entrectinib 600 Milligrams (mg)

    This cohort includes participants with c-ros oncogene 1 positive (ROS1+) NSCLC. Participants will receive entrectinib 600 mg orally once a day (QD) until disease progression, unacceptable toxicity, withdrawal of consent or death. Enrollment to Cohort D is complete.

    Drug: Entrectinib

  • Experimental
    Cohort E: Atezolizumab, Vemurafenib, and Cobimetinib

    This cohort includes participants with BRAF V600 mutation. Participants will receive: atezolizumab 1680 mg IV Q4W after the run-in period; cobimetinib 60 mg orally (PO) QD on Days 1-21 of each cycle during the run-in and triple-combination periods; and vemurafenib 960 mg PO twice daily (BID) on Days 1-21 of the initial run-in period, then 720 mg PO BID on Days 1-22 of the initial run-in period and on Days 1-28 of each cycle during the triple-combination period. Enrollment to Cohort E is complete.

    Drug: Atezolizumab · Drug: Cobimetinib · Drug: Vemurafenib

  • Experimental
    Cohort F: Atezolizumab, Bevacizumab, Carboplatin, and Pemetrexed

    This cohort includes participants with EGFR exon 20+ NSCLC. Participants will receive atezolizumab + bevacizumab + carboplatin + pemetrexed for 4 or 6 induction cycles (cycle = 21 days). After induction therapy, participants will continue maintenance treatment with atezolizumab + bevacizumab + pemetrexed until disease progression, unacceptable toxicity, withdrawal of consent, or death. Enrollment to Cohort F is complete.

    Drug: Atezolizumab · Drug: Pemetrexed · Drug: Carboplatin · Drug: Bevacizumab

  • Experimental
    Cohort G: Divarasib or Docetaxel

    Experimental: Cohort G: GDC-6036 or Docetaxel This cohort includes participants with KRAS G12C mutation. Participants will receive GDC-6036 PO QD or IV docetaxel Q3W (75 mg/m\^2) until disease progression or unacceptable toxicity New participants will no longer receive docetaxel.

    Drug: Divarasib · Drug: Docetaxel

  • No intervention
    Cohort Z: Natural History Cohort

    Participants with genomic profiles of interest that are not enrolled in the other cohorts will enter into natural history follow-up.

Interventions

  • Participants will receive 600 mg BID (Cohort A); 900, 1200, or 750 mg BID (Cohort B) or RP2D BID; orally until disease progression, unacceptable toxicity, withdrawal of consent or death.

    Also known as: RO5424802

  • Participants will receive atezolizumab 1200 mg IV infusion Q21D (Cohorts C and F) or 1680 mg IV infusion Q4W starting on Day 29 (Cohort E).

    Also known as: RO5541267

  • Participants will receive pemetrexed 500 mg/m\^2 IV infusion on Day 1 Q21D.

  • Participants will receive cisplatin 75 mg/m\^2 IV on Day 1 Q21D.

  • Participants will receive carboplatin of AUC 5 or 6 IV on Day 1 Q21D.

  • Participants will receive gemcitabine 1000 or 1250 mg/m\^2 on Days 1 and 8 of every cycle (1 Cycle=21 days).

  • Participants will receive entrectinib 600 mg orally QD.

    Also known as: RO7102122

  • Participants will receive 60 mg PO QD on Days 1-21 of the initial run-in and triple-combination periods.

    Also known as: RO5514041

  • Participants will receive 960 mg PO BID on Days 1-21 of the initial run-in period, and 720 mg PO BID on Days 22-28 of the initial run-in period and on Days 1-28 of each cycle during the triple-combination period.

    Also known as: RO5185426

  • Participants will receive 15 mg/kg of IV bevacizumab on Day 1 of each 21-day cycle during the induction and maintenance periods.

    Also known as: RO4876646

  • Participants will receive divarasib PO QD until disease progression or unacceptable toxicity.

    Also known as: RO7435846; GDC-6036

  • Participants will receive IV docetaxel Q3W (75 mg/m\^2) until disease progression or unacceptable toxicity

06

What researchers measure

Primary outcomes

  1. Cohort A: Percentage of Participants with Confirmed Objective Response as Assessed by the Investigator Based on the Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  2. Cohort B: Percentage of Participants with Confirmed Objective Response as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  3. Cohort C: Progression Free Survival (PFS) as Assessed by the Investigator Based on RECIST v1.1 in bTMB PP1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  4. Cohort D: Percentage of Participants with Confirmed Objective Response as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  5. Cohort E: Time in Response (TIR) as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Month 12

  6. Cohort F: Investigator-Assessed Objective Response Rate (ORR) Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  7. Cohort G: Incidence of Adverse Events (AEs)

    Time frame: Baseline to last dose of study treatment + 30 days or until initiation of new anticancer therapy, whichever occurs first (up to approximately 6 years)

Secondary outcomes

  1. Cohorts A-F: Duration of Response (DOR) as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  2. Cohorts A, B and D: Percentage of Participants with Clinical Benefit Response as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  3. Cohorts A, B, D, F: PFS as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  4. Cohorts A-F: Duration of Response as Assessed by the Independent Review Facility (IRF) Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  5. Cohorts A, B and D: Percentage of Participants with Clinical Benefit Response as Assessed by IRF Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  6. Cohorts A-F: PFS as Assessed by IRF Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  7. Cohorts A-F: Percentage of Participants with Confirmed Objective Response as Assessed by IRF Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  8. Cohorts A-F: Overall Survival (OS)

    Time frame: Baseline up to approximately 6 years

  9. Cohorts A-F: Percentage of Participants with Adverse Events (AEs)

    Time frame: Baseline up to approximately 6 years

  10. Cohorts A, B, D, E, F: Percentage of Participants with Improvement Compared with Baseline in Total Severity Symptom Score as Measured by Symptoms in Lung Cancer (SILC) Scale in Patient-Reported Lung Cancer Symptoms (Cough, Dyspnea and Chest Pain)

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  11. Cohorts A-F: Time to Deterioration in Patient-Reported Lung Cancer Symptoms (Cough, Dyspnea and Chest Pain) as Measured by the SILC Scale

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  12. Cohorts C, E, F: Change from Baseline in Patient-Reported Lung Cancer Symptom (Cough, Dyspnea, Chest pain) Score as Measured by the SILC Scale

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  13. Cohorts A-F: Change from Baseline in Health Related Quality of Life (HRQoL) Scores as Measured by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - C30 (EORTC QLQ-C30)

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  14. Cohorts A, B, D, E, F: Change from Baseline in HRQoL Scores as Measured by the SILC Scale

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  15. Cohorts A-F: Change from Baseline in Patient Functioning and Symptoms Score as Measured by the EORTC QLQ-C30

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  16. Cohorts A, B, D, E, F: Change from Baseline in Patient Functioning and Symptoms Score as Measured by the SILC Scale

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  17. Cohorts A-F: Health Status Assessed as an Index Score Using the European Quality of Life 5-Dimension 5-Level (EQ-5D-5L) Questionnaire

    Time frame: Baseline, every 4 weeks through Cycle 6 (1 Cycle = 21 or 28 days), every 8 weeks thereafter up to approximately 6 years

  18. Cohort B: Percentage of Participants with Dose-Limiting Toxicities (DLTs)

    Time frame: Day 1 to Day 28 of Cycle 1 (cycle length = 28 days)

  19. Cohort B: Maximum Plasma Concentration (Cmax) of Alectinib

    DFP: Dose-Finding Phase; DEP: Dose-Expanding Phase.

    Time frame: DFP: pre-dose (0 hours [hr]) on Day 1 of Cycle 2; 0.5, 1, 2, 4, 6, 8 and 10 hr post-dose on Day 1 of Cycle 2 (1 Cycle=28 days)

  20. Cohort B: Area Under the Concentration-Time Curve from Time Zero to the Last Measurable Concentration (AUC0-last) of Alectinib

    Time frame: DFP: pre-dose (0 hr) on Day 1 of Cycle 2; 0.5, 1, 2, 4, 6, 8 and 10 hr post-dose on Day 1 of Cycle 2 (1 Cycle=28 days)

  21. Cohort B: Time to Reach Cmax (Tmax) of Alectinib

    Time frame: DFP: pre-dose (0 hr) on Day 1 of Cycle 2; 0.5, 1, 2, 4, 6, 8 and 10 hr post-dose on Day 1 of Cycle 2 (1 Cycle=28 days)

  22. Cohort B: Half-Life (t1/2) of Alectinib

    Time frame: DFP: pre-dose (0 hr) on Day 1 of Cycle 2; 0.5, 1, 2, 4, 6, 8 and 10 hr post-dose on Day 1 of Cycle 2 (1 Cycle=28 days)

  23. Cohort B: Metabolite to Parent Exposure Ratio for AUC0-last

    Time frame: DFP: pre-dose (0 hr) on Day 1 of Cycle 2; 0.5, 1, 2, 4, 6, 8 and 10 hr post-dose on Day 1 of Cycle 2 (1 Cycle=28 days)

  24. Cohort B: Metabolite to Parent Exposure Ratio for Cmax

    Time frame: DFP: pre-dose (0 hr) on Day 1 of Cycle 2; 0.5, 1, 2, 4, 6, 8 and 10 hr post-dose on Day 1 of Cycle 2 (1 Cycle=28 days)

  25. Cohort C: Percentage of Participants with Objective Response as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  26. Cohort C: Percentage of Participants Free from Disease Progression as Assessed by the Investigator Based on RECIST v1.1 at Months 6 and 12

    Time frame: Months 6, 12

  27. Cohort C: PFS as Assessed by the Investigator based on RECIST v1.1 in bTMB PP2

    Time frame: Baseline up to disease progression or death (up to approximately 6 years)

  28. Cohort C: OS in bTMB PP2

    Time frame: Baseline up to approximately 6 years

  29. Cohort D: Time to CNS progression as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Baseline up to CNS progression (up to approximately 6 years)

  30. Cohort D: Time to CNS progression as Assessed by the IRF Based on RECIST v1.1

    Time frame: Baseline up to CNS progression (up to approximately 6 years)

  31. Cohort D: Percentage of Participants who have shown improvement compared with Baseline in patient-reported cognitive function, fatigue, HRQoL, headache and vision disorder per the EORTC QLQ-C30

    Time frame: Baseline, every 4 weeks until disease progression, up to approximately 6 years

  32. Cohort D: Percentage of Participants who have shown improvement compared with Baseline in patient-reported cognitive function, fatigue, HRQoL, headache and vision disorder per the EORTC QLQ-BN20

    Time frame: Baseline, every 4 weeks until disease progression, up to approximately 6 years

  33. Cohort D: Mean Plasma Concentration of Entrectinib

    Time frame: Pre-dose (0 hr), 1.5 and 4 hr post-dose on Day 1 of Cycles 1, 2, 3, 4 and 5; and pre-dose on Day 1 of each subsequent treatment cycle (1 cycle = 28 days).

  34. Cohort D: Mean Plasma Concentration of Entrectinib Metabolite M5

    Time frame: Pre-dose (0 hr), 1.5 and 4 hr post-dose on Day 1 of Cycles 1, 2, 3, 4 and 5; and pre-dose on Day 1 of each subsequent treatment cycle (1 cycle = 28 days).

  35. Cohort E: TIR as Assessed by the Investigator Based on RECIST v1.1

    Time frame: Month 9

  36. Cohort E: TIR as Assessed by IRF

    Time frame: Month 12

  37. Cohorts E, F: Serum Concentration of Atezolizumab

    Time frame: Pre-dose (0 hr), 1.5 and 4 hr post-dose on Day 1 of Cycles 1, 2, 3, 4 and 5; and pre-dose on Day 1 of each subsequent treatment cycle (1 cycle = 28 days)

  38. Cohorts E, F: Change from Baseline in Anti-Drug Antibodies (ADAs)

    Time frame: Baseline up to approximately 6 years

  39. Cohorts E, F: Time to Confirmed Deterioration (TTCD) in Participant-Reported Lung Cancer Symptoms of Cough, Dyspnea, and Chest Pain, as Measured by the Symptoms in Lung Cancer (SILC)

    Time frame: Baseline up to approximately 6 years

  40. Cohorts E, F: Proportion of Participants who Improve Compared with Baseline in Participant-Reported Lung Cancer Symptoms of Cough, Dyspnea, and Chest Pain, as Measured by the SILC

    Time frame: Baseline up to approximately 6 years

  41. Cohort G: Plasma Concentration of Divarasib

    Time frame: Baseline up to approximately 6 years

07

Study locations

161 sites

Showing the first 100 of 161 sites across 27 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Mayerhoefer ME, Kienzle A, Woo S, Vargas HA. Update on Liquid Biopsy. Radiology. 2025 Jun;315(3):e241030. doi: 10.1148/radiol.241030. PubMed 40525978 ↗
  • Peters S, Gadgeel SM, Mok T, Nadal E, Kilickap S, Swalduz A, Cadranel J, Sugawara S, Chiu CH, Yu CJ, Moskovitz M, Tanaka T, Nersesian R, Shagan SM, Maclennan M, Mathisen M, Bhagawati-Prasad V, Diarra C, Assaf ZJ, Archer V, Dziadziuszko R. Entrectinib in ROS1-positive advanced non-small cell lung cancer: the phase 2/3 BFAST trial. Nat Med. 2024 Jul;30(7):1923-1932. doi: 10.1038/s41591-024-03008-4. Epub 2024 Jun 19. PubMed 38898120 ↗
  • Wang HY, Ho CC, Lin YT, Liao WY, Chen CY, Shih JY, Yu CJ. Comprehensive Genomic Analysis of Patients With Non-Small-Cell Lung Cancer Using Blood-Based Circulating Tumor DNA Assay: Findings From the BFAST Database of a Single Center in Taiwan. JCO Precis Oncol. 2024 Jan;8:e2300314. doi: 10.1200/PO.23.00314. PubMed 38190582 ↗
  • Peters S, Dziadziuszko R, Morabito A, Felip E, Gadgeel SM, Cheema P, Cobo M, Andric Z, Barrios CH, Yamaguchi M, Dansin E, Danchaivijitr P, Johnson M, Novello S, Mathisen MS, Shagan SM, Schleifman E, Wang J, Yan M, Mocci S, Voong D, Fabrizio DA, Shames DS, Riehl T, Gandara DR, Mok T. Atezolizumab versus chemotherapy in advanced or metastatic NSCLC with high blood-based tumor mutational burden: primary analysis of BFAST cohort C randomized phase 3 trial. Nat Med. 2022 Sep;28(9):1831-1839. doi: 10.1038/s41591-022-01933-w. Epub 2022 Aug 22. PubMed 35995953 ↗

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03178552
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Jun 7, 2017
Start date
Sep 22, 2017
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Sep 3, 2026

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Alectinib · Atezolizumab · Pemetrexed · Carboplatin · Entrectinib · Cobimetinib · Vemurafenib · Bevacizumab · Divarasib

Start the discussion