ClinicalTrials.gg
CompletedNCT03394885AdORNUpdated Aug 12, 2021Results posted

Atezolizumab With Neoadjuvant Chemotherapy for Patients With Newly-Diagnosed Advanced-Stage Ovarian Cancer

A Phase 1/2 interventional study of Atezolizumab and Carboplatin in Ovarian Cancer and Ovarian Neoplasms, sponsored by Duke University. Completed at 3 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-12.

Sponsored by Duke University · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 14 studies testing atezolizumab in Ovarian Neoplasms — 1 open to participants now, 4 under way, 1 of them phase 3. atezolizumab · Ovarian Neoplasms.

Enrollment
12th of 14
18 · median 149
Started
2018
with 3 others
Phase 1/2
2 of 14
1 open now
Registered
9th of 14
by date
Lead sponsor
1 of 14
Duke University

Among the 14 studies testing atezolizumab in Ovarian Neoplasms, this one is the 12th largest by enrollment, is one of 4 that started in 2018, is one of 2 in phase 1/2, and was the 9th registered.

Ovarian Neoplasms

3,385 studies on the registry are indexed under Ovarian Neoplasms; 792 are open to participants now.

Browse Ovarian Neoplasms studies →

Open to participants now

1 of the 14 studies testing atezolizumab in Ovarian Neoplasms is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About atezolizumab

atezolizumab: first FDA approval 2016 (TECENTRIQ), first EMA approval 2017. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 605 Ovarian Neoplasms studies recruiting now, 442 (73%) set no upper age limit and 107 (18%) stop at 75 or younger; 39 take children under 18; 45 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

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02

Study summary

The main purpose of this study is to validate a safe dose of atezolizumab with dose-dense paclitaxel and carboplatin when utilized with neoadjuvant chemotherapy and interval cytoreductive surgery followed by maintenance atezolizumab in women with advanced ovarian cancer.

Read the detailed description

This is a Phase IB non-randomized, single-arm, open-label study of atezolizumab in combination with primary NACT-ICS in patients with advanced-stage epithelial ovarian cancer. The target population is women with previously untreated epithelial ovarian cancer (including fallopian tube and primary peritoneal cancer) with advanced stage (FIGO III-IV) disease suitable for NACT and ICS. The following regimen will be administered every 3 weeks for 3 cycles prior to ICS, then for 3 cycles following ICS:

  • Carboplatin AUC = 5 or 6 IV, D1 of each cycle
  • Paclitaxel 70 to 80mg/m2 IV, over one hour, on D1, 8, 15 of each cycle
  • Atezolizumab 1200mg IV D1 of each cycle of chemotherapy and will be continued as maintenance therapy every 3 weeks until there is a lack of clinical benefit, unacceptable toxicity, or a total duration of 18 months.
  • Bevacizumab (15 mg/kg IV every 3 weeks) may be added at cycle 5 of chemotherapy as per FDA approval. Those who opt for bevacizumab will receive chemotherapy, atezolizumab, and bevacizumab for cycles 5 and 6 followed by atezolizumab and bevacizumab maintenance. Maintenance bevacizumab will be given for a total duration of 16 cycles. Patients who have completed chemotherapy may opt for bevacizumab in the maintenance setting only if the amendment to add bevacizumab was not approved before after they started maintenance therapy.
  • Upon completion of concurrent chemotherapy and atezolizumab therapy, patients will commence maintenance treatment with atezolizumab + bevacizumab for a total of up 16 cycles of maintenance therapy (22 total cycles of atezolizumab, and 18 total cycles of bevacizumab).

Each cycle is 21 days in duration and will be administered in the outpatient setting. Limited individualized flexibility in dose assignment (as noted) is permitted per physician discretion in regards to advanced-stage disease, nutritional status, ascites, non-physiologic creatinine measurements, and other comorbidities.

Three cycles of NACT with atezolizumab will be administered every 3 weeks prior to ICS (occurring between cycles 3 and 4) followed by 3 additional cycles (cycles 4-6) of chemotherapy with atezolizumab. Surgery must be performed after the third course of chemotherapy as soon as nadir counts permit, but preferably within six weeks after the completion of the third chemotherapy cycle. Fourth cycle of chemotherapy is to be administered as soon as possible, but preferably no more than six weeks after ICS.

Safety monitoring, including assessment for irAEs, will occur at each cycle and for 90 days after the last administration of atezolizumab or until start of next anti-cancer regimen, whichever occurs first. Image assessment by CT scan or MRI will be performed at baseline, prior to ICS to assess response, after completion of 6 cycles of chemotherapy with atezolizumab to assess response at end of chemotherapy treatment, and as clinically indicated during the maintenance phase and after completion of study treatment to assess PFS. Disease progression/recurrence will be defined per RECIST criteria and will not include isolated asymptomatic progression on the basis of CA125 levels. Immune function analysis will be performed on blood and tumor samples obtained at two time points: 1. confirmatory biopsy prior to start of therapy and 2. ICS.

It is estimated that 40 patients will be enrolled at an accrual rate of 3-5 patients/month and followed for a median of 3 years.

03

Conditions studied

  • Ovarian Cancer
  • Ovarian Neoplasms

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
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

  • Signed Form (ICF)
  • Ability and willingness to comply with the requirements of the study protocol
  • Age ≥ 18 years
  • No prior treatment for primary advanced (stage III or IV) epithelial ovarian, fallopian tube, or primary peritoneal carcinoma
  • Confirmation of diagnosis (by surgical excisional/incisional or imaging-guided core biopsy), and patients for whom the plan of management will include NACT followed by ICS. The decision to proceed with NACT will be at the treating physician's discretion and include patients with advanced stage disease considered at low likelihood for optimal cytoreduction with primary debulking surgery.
  • All patients must have per v1.1

Patients must meet the following criteria prior to initiation of study treatment:

  • Histology consistent with high-grade epithelial ovarian cancer (excluding mucinous carcinoma, clear cell carcinoma, and carcinosarcoma)
  • An adequate pre-treatment tumor biopsy is required to confirm histologic diagnosis. Acceptable options include laparoscopic biopsy or image-guided core needle biopsy (minimum of two cores). Fine needle aspiration (FNA) biopsy or cytology from ascites is not adequate.
  • Adequate hematologic and end organ function, defined by the following laboratory results obtained within 14 days prior to the first study treatment
  • (ECOG) Performance Status of 0, 1 or 2 (see Appendix 6)
  • Peripheral neuropathy less than or equal to Grade 1
  • For female patients of , agreement (by patient) to use highly effective form(s) of (i.e., one that results in a low failure rate [\< 1% per year] when used consistently and correctly) and to continue its use at least until ICS or if ICS is not performed then 90 days post last dose of atezolizumab

Exclusion criteria

Exclusion Criteria:

  • Mucinous, low-grade histology, clear cell carcinoma, or carcinosarcoma
  • Prior systemic chemotherapy for epithelial ovarian, fallopian tube, or primary peritoneal cancer.
  • Prior invasive (except non-melanomatous skin cancer) unless disease free for a minimum of 3 years. (Exceptions include basal cell or squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy.)
  • AEs from prior anticancer therapy that have not resolved to Grade ≤ 1 except for alopecia
  • Bisphosphonate therapy for symptomatic hypercalcemia
  • Known liver disease, including active viral, alcoholic, or other hepatitis; cirrhosis; fatty liver; and inherited liver disease
  • Known primary central nervous system (CNS) malignancy or symptomatic
  • Pregnancy, lactation, or breastfeeding
  • Known to Chinese hamster ovary cell products or other recombinant human antibodies
  • Inability to comply with study and follow-up procedures
  • History or risk of disease, including but not limited to systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Bell's palsy, Guillain-Barré syndrome, multiple sclerosis, autoimmune thyroid disease, vasculitis, or glomerulonephritis
  • History of idiopathic pulmonary fibrosis, pneumonitis (including drug induced), organizing pneumonia (i.e., bronchiolitis obliterans, cryptogenic organizing pneumonia, etc.), or evidence of active pneumonitis on screening chest computed tomography (CT) scan
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an drug or that may affect the interpretation of the results or render the patient at high risk from treatment complications
  • History of infection or active (chronic or acute) or infection
  • Active tuberculosis
  • Severe infections within 4 weeks prior to Cycle 1, Day 1, including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia
  • Signs or symptoms of infection within 2 weeks prior to Cycle 1, Day 1
  • Received oral or IV antibiotics within 2 weeks prior to Cycle 1, Day 1
  • Administration of a live, attenuated vaccine within 4 weeks before Cycle 1, Day 1 or anticipation that such a live, attenuated vaccine will be required during the study
  • Prior history of treatment with , anti-PD-L1, anti-PD-L2, anti-CD137, anti-CTLA4 or any other antibodies targeting co-stimulation or checkpoint pathways
  • Treatment with systemic immunostimulatory agents (including but not limited to interferon [IFN] alpha or interleukin [IL]-2) within 6 weeks or five half-lives of the drug (whichever is shorter) prior to Cycle 1, Day 1
  • Treatment with investigational agent within 4 weeks prior to Cycle 1, Day 1 (or within five half lives of the investigational product, whichever is longer)
  • Treatment with systemic medications (including but not limited to prednisone, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor [anti-TNF] agents) within 2 weeks prior to Cycle 1, Day 1
  • History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins
  • Patients with prior bone marrow transplantation or prior solid organ transplantation
Terms in these criteria, in plain language(20)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)

    1. Atezolizumab administered over 90 (± 15) minutes (for the first infusion, shortening to 60 (± 15) minutes and 30 ± 15) minutes for subsequent infusions as described below) followed by 2. Paclitaxel 70-80mg/m2 IV administered over approximately one hour followed by 3. Carboplatin IV administered over 15-30 minutes to achieve an initial target AUC of 5-6 mg/mL/Min (Calvert formula dosing). 4. (Optional, Physician choice) Bevacizumab IV maintenance administered starting at cycle 5 of chemotherapy over 30-90 minutes. For those who receive bevacizumab, it will be given for a total duration of 16 cycles

    Drug: Atezolizumab · Drug: Carboplatin · Drug: Paclitaxel · Drug: Bevacizumab

Interventions

  • 1200mg IV q3weeks

    Also known as: Tecentriq

  • 5-6mg/ML IV q3 weeks

    Also known as: Paraplatin

  • 70-80 mg/m2 IV q1 week

    Also known as: Taxol

  • 15 mg/kg IV q3 weeks

    Also known as: Avastin

06

What researchers measure

Primary outcomes

  1. Safety: Incidence of Post Chemotherapy Surgical Debulking

    The number of subjects able to undergo interval cytoreductive surgery will be utilized as a measure of safety regarding the initial dosing of atezolizumab.

    Time frame: 9 weeks

  2. Safety: Incidence of Treatment Emergent Adverse Events

    The number of adverse events experienced while receiving study drugs will be utilized to assess safety of atezolizumab.

    Time frame: 18 months

  3. Safety: Dose Intensity

    Percentage of planned doses of atezolizumab received at each cycle (21 day period) will be utilized as a measure of safety and tolerability for each subject.

    Time frame: Cycles 1-6,18 months total

  4. Safety: Incidence of Dose Modifications

    The number of dose modifications for atezolizumab at each cycle (21 day period) will be utilized as a measure of safety and tolerability for each subject. Dose modifications are defined as doses delayed, doses discontinued, or doses held.

    Time frame: Cycles 1-6,18 months total

Secondary outcomes

  1. Number of Participants With a Complete or Partial Response as Measured by RECIST (Response Evaluation Criteria in Solid Tumors)

    RECIST criteria will be utilized for subjects over the course of the study to measure their response to study drugs. A Complete Response (disappearance of all tumor lesions) or Partial Response (reduction of greater than 30% in total tumor size) is considered a response.

    Time frame: 18 months

  2. Number of Participants With Pathologic Complete Remission

    Cytoreduction pathologic complete remission will be measured using RECIST (Response Evaluation Criteria in Solid Tumors) and immune-related response criteria.

    Time frame: 9 weeks

  3. Progression Free Survival Rate

    All patients will be evaluated for progression free survival from the date of first treatment to the date of first observation of progressive disease or death due to any cause or will be stopped at date of last follow-up for those still alive without disease progression. 18-month progression free survival rate as estimated by Kaplan-Meier method.

    Time frame: 18 months

  4. Overall Survival Rate

    All patients will be evaluated for overall survival from the date of first treatment on protocol to the date of death due to any cause and will be stopped at date of last follow-up for those still alive.18-month overall survival rate as estimated by Kaplan-Meier method.

    Time frame: 18 months

Other outcomes

  1. Translational: PD-L1 Expression

    Analyzing changes in PD-L1 expression measured based on: immunohistochemistry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing), and progression free survival.

    Time frame: 18 months

  2. Translational: Tumor Infiltrating Lymphocytes

    Analyzing changes in tumor infiltrating lymphocytes expression based on: immunohistochemistry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

    Time frame: 18 months

  3. Translational: Immune Checkpoint Receptors

    Analyzing changes in immune checkpoint receptor expression based on: flow cytometry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

    Time frame: 18 months

  4. Translational: Fold Change in Cytokine Expression

    Analyzing changes in cytokine expression based on: ELISA (enzyme-linked immunosorbent assay) after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

    Time frame: Baseline, 18 months

  5. Translational: Gene Expression Profiles

    Analyzing changes in gene expression profiles based on: RNA sequencing after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

    Time frame: 18 months

07

Results

Posted Aug 10, 2021

Participant flow

Participant flow — Overall Study
MilestoneAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Started18
Completed3
Not completed15
Withdrew: Adverse event4
Withdrew: Lack of efficacy1
Withdrew: Physician decision1
Withdrew: Withdrawal by subject8
Withdrew: Alternative therapy1

Outcome measures

PrimarySafety: Incidence of Post Chemotherapy Surgical Debulking

The number of subjects able to undergo interval cytoreductive surgery will be utilized as a measure of safety regarding the initial dosing of atezolizumab.

Time frame:
9 weeks
Reported as:
Count of participants · Participants
Safety: Incidence of Post Chemotherapy Surgical Debulking
ParticipantsAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Safety: Incidence of Post Chemotherapy Surgical Debulking15
Statistical analysis
  • Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab) · Exact binomial confidence interval: 83 · 95% CI 66 to 100
PrimarySafety: Incidence of Treatment Emergent Adverse Events

The number of adverse events experienced while receiving study drugs will be utilized to assess safety of atezolizumab.

Time frame:
18 months
Reported as:
Count of participants · Participants
Safety: Incidence of Treatment Emergent Adverse Events
ParticipantsAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
None (Grade 0)1
Mild (Grade 1)2
Moderate (Grade 2)9
Severe (Grade 3)4
Life Threatening (Grade 4)2
Lethal (Grade 5)0
PrimarySafety: Dose Intensity

Percentage of planned doses of atezolizumab received at each cycle (21 day period) will be utilized as a measure of safety and tolerability for each subject.

Time frame:
Cycles 1-6,18 months total
Reported as:
Number · percentage of planned doses
Safety: Dose Intensity
percentage of planned dosesAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Cycle 1100.0
Cycle 281.3
Cycle 393.3
Cycle 486.7
Cycle 586.7
Cycle 6100.0
PrimarySafety: Incidence of Dose Modifications

The number of dose modifications for atezolizumab at each cycle (21 day period) will be utilized as a measure of safety and tolerability for each subject. Dose modifications are defined as doses delayed, doses discontinued, or doses held.

Time frame:
Cycles 1-6,18 months total
Reported as:
Number · dose modifications
Safety: Incidence of Dose Modifications
dose modificationsAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Cycle 10
Cycle 23
Cycle 31
Cycle 42
Cycle 53
Cycle 62
SecondaryNumber of Participants With a Complete or Partial Response as Measured by RECIST (Response Evaluation Criteria in Solid Tumors)

RECIST criteria will be utilized for subjects over the course of the study to measure their response to study drugs. A Complete Response (disappearance of all tumor lesions) or Partial Response (reduction of greater than 30% in total tumor size) is considered a response.

Time frame:
18 months
Reported as:
Count of participants · Participants
Number of Participants With a Complete or Partial Response as Measured by RECIST (Response Evaluation Criteria in Solid Tumors)
ParticipantsAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Number of Participants With a Complete or Partial Response as Measured by RECIST (Response Evaluation Criteria in Solid Tumors)12
SecondaryNumber of Participants With Pathologic Complete Remission

Cytoreduction pathologic complete remission will be measured using RECIST (Response Evaluation Criteria in Solid Tumors) and immune-related response criteria.

Time frame:
9 weeks
Reported as:
Count of participants · Participants
Number of Participants With Pathologic Complete Remission
ParticipantsAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Number of Participants With Pathologic Complete Remission0
SecondaryProgression Free Survival Rate

All patients will be evaluated for progression free survival from the date of first treatment to the date of first observation of progressive disease or death due to any cause or will be stopped at date of last follow-up for those still alive without disease progression. 18-month progression free survival rate as estimated by Kaplan-Meier method.

Time frame:
18 months
Reported as:
Number · proportion of participants
Progression Free Survival Rate
proportion of participantsAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Progression Free Survival Rate0.65 (0.26 to 0.92)
SecondaryOverall Survival Rate

All patients will be evaluated for overall survival from the date of first treatment on protocol to the date of death due to any cause and will be stopped at date of last follow-up for those still alive.18-month overall survival rate as estimated by Kaplan-Meier method.

Time frame:
18 months
Reported as:
Number · proportion of participants
Overall Survival Rate
proportion of participantsAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Overall Survival Rate0.93 (0.82 to 1.00)
Other pre-specifiedTranslational: PD-L1 Expression

Analyzing changes in PD-L1 expression measured based on: immunohistochemistry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing), and progression free survival.

Time frame:
18 months

Results for this outcome have not been posted.

Other pre-specifiedTranslational: Tumor Infiltrating Lymphocytes

Analyzing changes in tumor infiltrating lymphocytes expression based on: immunohistochemistry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Time frame:
18 months

Results for this outcome have not been posted.

Other pre-specifiedTranslational: Immune Checkpoint Receptors

Analyzing changes in immune checkpoint receptor expression based on: flow cytometry after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Time frame:
18 months

Results for this outcome have not been posted.

Other pre-specifiedTranslational: Fold Change in Cytokine Expression

Analyzing changes in cytokine expression based on: ELISA (enzyme-linked immunosorbent assay) after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Time frame:
Baseline, 18 months
Reported as:
Median · Fold change
Translational: Fold Change in Cytokine Expression
Fold changeAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
CXCL10 Fold Change0.7 (0.2 to 3.8)
INFgamma Fold Change0.8 (0.0 to 6.0)
IL10 Fold Change0.9 (0.2 to 1.5)
IL12p70 Fold Change1.4 (0.0 to 13.5)
IL1b Fold Change0.9 (0.2 to 16.5)
IL2RA Fold Change1.1 (0.4 to 2.8)
IL6 Fold Change0.4 (0.0 to 5.6)
TNFalpha Fold Change0.8 (0.2 to 1.9)
TIM3 Fold Change1.0 (0.6 to 2.3)
Other pre-specifiedTranslational: Gene Expression Profiles

Analyzing changes in gene expression profiles based on: RNA sequencing after treatment with atezolizumab, association with BRCA mutation status, tumor mutation profile (next generation sequencing) and progression free survival.

Time frame:
18 months

Results for this outcome have not been posted.

Adverse events

Collected over 18 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)1/18 (5.6%)4/18 (22.2%)18/18 (100%)
Most frequent serious events
Most frequent serious events
EventAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Infections and infestations - Other: MRSAInfections and infestations1/18
Neutrophil count decreasedInvestigations1/18
HypokalemiaMetabolism and nutrition disorders1/18
HyponatremiaMetabolism and nutrition disorders1/18
Thromboembolic eventVascular disorders1/18
Most frequent other events
Showing 10 of 123
Most frequent other events
EventAtezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
AnemiaBlood and lymphatic system disorders16/18
Neutrophil count decreasedInvestigations16/18
FatigueGeneral disorders15/18
Platelet count decreasedInvestigations15/18
Peripheral sensory neuropathyNervous system disorders14/18
White blood cell decreasedInvestigations13/18
DiarrheaGastrointestinal disorders12/18
NauseaGastrointestinal disorders12/18
HypoalbuminemiaMetabolism and nutrition disorders10/18
HypocalcemiaMetabolism and nutrition disorders10/18

Baseline characteristics

Age, Continuous
Age, Continuous(years)Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Median67.9 ± 10.2
Sex: Female, Male
Sex: Female, Male(Participants)Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Female18
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
Hispanic or Latino1
Not Hispanic or Latino17
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Atezolizumab, Carboplatin, Paclitaxel (+Optional Bevacizumab)
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American2
White14
More than one race1
Unknown or Not Reported0
08

Study locations

3 sites
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
    Baltimore, Maryland 21287, United States
  • Duke Cancer Institute
    Durham, North Carolina 27710, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2018 to primary completion in Jul 2020, 25 months.

Results were first posted in Aug 2021, 1 year after primary completion.

Of 57 non-industry phase 1/2 interventional studies under Ovarian Neoplasms, half reached primary completion within 66 months of starting (the median), counting those still running; a quarter within 45 and three quarters within 110. This study's 25 months is below that.

Counting every sponsor, half of 173 studies reached it within 65 months; a quarter within 44 and three quarters within 88.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 29, 2017
First posted
Jan 9, 2018
StartActual
Jun 19, 2018
Primary completionActual
Jul 20, 2020
CompletionActual
Jul 20, 2020
Results first posted
Aug 10, 2021
Last update
Aug 12, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03394885
Lead sponsor
Duke University
Responsible party
Sponsor
First posted
Jan 9, 2018
Start date
Jun 19, 2018
Primary completion
Jul 20, 2020
Completion
Jul 20, 2020
Results posted
Aug 10, 2021
Last update
Aug 12, 2021

Study contacts

Angeles A Secord, MD
principal investigator · Duke University

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Atezolizumab

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