ClinicalTrials.gg
CompletedNCT03417544Updated Aug 21, 2026Results posted

Atezolizumab + Pertuzumab + Trastuzumab In CNS Mets In BC

A Phase 2 interventional study of ATEZOLIZUMAB and PERTUZUMAB in HER2-positive Metastatic Breast Cancer and Central Nervous System Metastases, sponsored by Nancy Lin, MD. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Nancy Lin, MD · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 39 studies testing atezolizumab in Breast Neoplasms — 7 open to participants now, 15 under way, 2 of them phase 3. atezolizumab · Breast Neoplasms.

Enrollment
31st of 39
19 · median 67
Started
2018
with 5 others
Phase 2
24 of 39
6 open now
Registered
13th of 39
by date

Among the 39 studies testing atezolizumab in Breast Neoplasms, this one is the 31st largest by enrollment, is one of 6 that started in 2018, is one of 24 in phase 2, and was the 13th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

7 of the 39 studies testing atezolizumab in Breast Neoplasms are open now, in 6 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open 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 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

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

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 39 studies testing atezolizumab in Breast Neoplasms, or all of them as a file.
02

Study summary

This research study is studying a drug called atezolizumab as a possible treatment HER2-positive metastatic breast cancer (MBC) that has spread to the brain.

The names of the study drugs involved in this study are:

  • Atezolizumab
  • Pertuzumab
  • Trastuzumab
Read the detailed description

This research study is a Phase II clinical trial. Phase II clinical trials test the safety and effectiveness of an investigational intervention to learn whether the intervention works in treating a specific disease. "Investigational" means that the intervention is being studied. It also means that the FDA (U.S. Food and Drug Administration) has not approved the combination of atezolizumab, trastuzumab, and pertuzumab for use in humans. The FDA has not approved atezolizumab for this specific disease but it has been approved for other uses.

  • Atezolizumab is a protein that affects the immune system by blocking the PD-L1 pathway. The PD-L1 pathway controls the body's natural immune response, but for some types of cancer the immune system does not work as it should and is prevented from attacking tumors. Atezolizumab works by blocking the PD-L1 pathway, which may help the immune system identify and catch tumor cells.
  • Pertuzumab and trastuzumab are targeted therapies approved by the FDA to be used alone or in combination with a chemotherapy drug to treat HER2-positive metastatic breast cancer that hasn't been treated with either trastuzumab or chemotherapy yet.
  • Pertuzumab and trastuzumab are called "targeted therapies" because they work by attaching themselves to specific receptors on the surface of breast cancer cells, known as HER2 receptors. When these targeted therapies attach to HER2 receptors, the signals that tell the cells to grow are blocked and the cancer cell may be marked for destruction by your immune system. This process allows pertuzumab and trastuzumab to help slow or stop the growth of the breast cancer. Pertuzumab and trastuzumab target different areas of the HER2 cell, so they are believed to work together more effectively.

In this research study, investigators are looking to see how well the cancer responds to the combination of atezolizumab in combination with pertuzumab and trastuzumab.

03

Conditions studied

  • HER2-positive Metastatic Breast Cancer
  • Central Nervous System Metastases

Keywords

  • HER2-positive metastatic Breast Cancer
  • Central Nervous System Metastases
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

- Eligibility will be assessed as part of the screening procedures for all patients.

  • confirmed -positive MBC by local laboratory with the following requirements: HER2 overexpressed or amplified (immunohistochemistry of 3+ or HER2 gene amplification by in situ hybridization with a ratio of HER2-gene signals to centromere 17 signals ≥ 2.0 or average HER2 copy number ≥ 6.0 signals/cells).
  • At least one measurable , defined as ≥ 10 mm in at least one dimension
  • Unequivocal evidence of new and/or progressive brain metastases, and at least one of the following scenarios:

    • Treated with SRS or surgery with residual un-treated lesions remaining. Such participants are eligible for immediate enrollment on this study providing that at least one untreated lesion is measurable
    • Participants who have had prior WBRT and/or SRS and then whose lesions have subsequently progressed are also eligible. In this case, lesions which have been treated with SRS may be considered as target lesions if there is unequivocal evidence, in the opinion of the treating physician, of progression following SRS.
    • Participants who have not previously been treated with cranial radiation (e.g., WBRT or SRS) are eligible to enter the study, but such participants must be asymptomatic from their CNS metastases and not requiring for symptom control.
    • Both participants who present with systemic stable/absent or progressive disease are eligible to this trial, as long as they fulfill one of the above criteria.
  • (ECOG) Performance Status of 0 or 1.
  • (LVEF) ≥ 50% by echocardiogram (echo) or multigated acquisition (MUGA) scan within 28 days before day 1 of study.
  • Stable dose of dexamethasone 2mg or less for at least 7 days prior to initiation of treatment
  • Concurrent administration of other anti-cancer therapy during the course of this study is not allowed. Note that concurrent use of supportive care medications (e.g. anti-resorptive agents, pain medications) is allowed.
  • The subject is 18 years old.
  • Participants must have normal organ and marrow function as defined below:

    • ≥1,000/μl
    • ≥75,000/μl
    • ≥9 g/dL
    • total ≤1.5mg/dL () except subject with documented Gilbert's syndrome (≤5 x ULN) or liver , who must have a baseline total bilirubin ≤3.0 mg/dL;
    • (SGOT)/ALT(SGPT) ≤ 2.5 × institutional ULN ≤ 5.0 × institutional ULN for patients with documented liver metastases.
    • albumin >2.5mg/dL
    • serum creatinine ≤ 1.5 mg/dL (or ≥ 60 ml/min as determined by the equation)
  • Female subjects of must have a negative serum or urine pregnancy test within 8 days of initiating protocol therapy.
  • The effects of atezolizumab on the developing human fetus are unknown and radiotherapy has known teratogenic effects so women of child-bearing potential and men must agree to use adequate (barrier method of birth control; abstinence) prior to study entry and for the duration of study participation and 4 months after completion of atezolizumab administration.
  • The subject is capable of understanding and complying with the protocol and has signed the document.

Exclusion criteria

Exclusion Criteria:

  • Visceral crisis or impending visceral crisis at time of screening.
  • CNS complications for whom urgent neurosurgical intervention is indicated (e.g., resection, shunt placement).
  • Known or brainstem [Defined as positive CSF cytology and/or unequivocal radiological evidence of leptomeningeal involvement. CSF sampling is not required in the absence of suggestive symptoms to exclude leptomeningeal involvement].
  • Treatment with high dose systemic defined as dexamethasone > 2mg/day or bioequivalent within 7 days of initiating therapy.
  • Patients unable to undergo gadolinium contrast-enhanced MRI or receive IV contrast for any reason (e.g., due to pacemaker, ferromagnetic implants, claustrophobia, extreme obesity, ).
  • Chemotherapy or targeted therapy within 14 days prior to cycle 1 day 1 of protocol therapy.
  • Has received prior therapy with an , anti-PD-L1, anti-PD-L2, anti-CD137, or anti-Cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways).
  • No is required for endocrine therapy. If a patient has been on endocrine therapy within 28 days of study entry, that same endocrine therapy is permitted to be continued during protocol therapy, at the investigator's discretion, as is continuation of ovarian suppression in premenopausal women. Starting a new endocrine therapy during protocol therapy is not permitted
  • Current use or history of receiving a non-approved, treatment within 14 days prior to cycle 1 day 1 of protocol therapy
  • Subjects with a history of hypersensitivity to compounds of similar biologic composition to atezolizumab or any constituent of the product
  • The subject has an uncontrolled intercurrent illness, including, but not limited to, ongoing or active infection, uncontrolled hypertension, unstable angina pectoris, uncontrolled cardiac arrhythmia, congestive heart failure- Class III or IV, active ischemic heart disease, myocardial infarction within the previous six months, uncontrolled diabetes mellitus, gastric or duodenal ulceration diagnosed within the previous 6 months, chronic liver or renal disease, or severe malnutrition.
  • The subject is pregnant or breast-feeding
  • No active, second potentially life-threatening cancer
  • Has had major surgery within 21 days before cycle 1, day 1
  • Active infection requiring iv antibiotics at day 1 of cycle 1
  • Participant has a medical condition that requires chronic systemic steroid therapy or on any other form of medication. For example, patients with disease that requires systemic steroids or immunosuppression agents should be excluded. Replacement therapy (eg., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
  • Symptomatic intrinsic lung disease or extensive tumor involvement of the lungs, resulting in dyspnea at rest
  • The participant is known to be positive for the (HIV), HepBsAg, or . HIV-positive participants on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with atezolizumab.
  • Has received a within 28 days of planned start of study therapy.
  • Known intolerance to trastuzumab or pertuzumab or atezolizumab.
Terms in these criteria, in plain language(30)

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.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Metastases

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

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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.

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.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

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.

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.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

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.

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.

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.

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.

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 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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

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

Study arms

  • Experimental
    ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB

    Patients will receive the following treatment: * Atezolizumab (IV) every 3 weeks (q3w)\] * Pertuzumab (loading dose ), followed q3w thereafter by a predetermined dose in the protocol via IV) * High-dose Trastuzumab weekly for the first 24 weeks, and thereafter trastuzumab q3w).

    Drug: ATEZOLIZUMAB · Drug: PERTUZUMAB · Drug: TRASTUZUMAB

Interventions

  • (IV) every 3 weeks

    Also known as: Tecentriq

  • Loading dose, followed every 3 weeks thereafter by a predetermined dose in the protocol via IV

    Also known as: Perjeta

  • Predetermined dose per protocol via IV, weekly for 24 weeks and after every 3 weeks

    Also known as: Herceptin

06

What researchers measure

Primary outcomes

  1. Confirmed Overall Response Rate in CNS

    The proportion of patients who had confirmed complete response or confirmed partial response, assessed using neuro-oncology-brain metastases (RANO-BM) criteria. RANO-BM assess the response of brain metastases to treatment, using MRI scan. There are four categories as results: Complete Response (CR), Partial Response (PR), Stable Disease (SD), and Progressive Disease (PD), which is separately defined as disappearance of all target lesions, at least a 30% decrease in the sum of the diameters of target lesions, neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as progressive disease (PD) and at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest) or the appearance of one or more new lesions.

    Time frame: Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data

Secondary outcomes

  1. Objective Non-CNS Response Rates

    The proportion of patients who had confirmed complete response or partial response, according to response Evaluation Criteria in Solid Tumors (RECIST 1.1) criteria. RECIST is used to assess the response of solid tumors to treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions.

    Time frame: Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data

  2. Clinical Benefit Rate in CNS at 18 Weeks

    The proportion of patients who had stable disease, confirmed partial response or complete response, respectively, \>=18 weeks, according to RANO-BM criteria

    Time frame: Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data

  3. Patient Reported Outcomes by MDASI-BT Stratified by CBR at 18 Weeks

    Evaluated by M.D. Anderson Symptom Inventory Brain Tumor (MDASI-BT). MDASI-BT assess 13 symptom items and 6 interference items from the core MDAST as well as 9 symptoms specific to brain tumors, and generate Symptom Severity Score (SSS) and Symptom Interference Score (SIS) separately. The scale of the scores are in a range of 0 to 10, where 0 represents "not present" or "not severe," and 10 represents "as bad as you can imagine" or "most severe." A higher score indicates a higher level of symptom severity. Mean of the scores are reported across groups with and without CBR at 18 weeks and in baseline, week 9 and week 24.

    Time frame: 24 weeks

  4. Patient Reported Outcomes by EQ-5D Stratified by CBR at 18 Weeks

    Evaluated by EuroQol Five Dimension Questionnaire (EQ-5D) evaluations assessments to assess the general health status of patients enrolled in the study. EQ-5D scores are assessed with five dimensions with the range of 0 to 5, and a higher score indicates worse health. Mean of the scores are reported across groups with and without CBR at 18 weeks and in baseline, week 9 and week 24.

    Time frame: 24 weeks

  5. Investigator-Assessed Neurological Evaluation (NANO) Stratified by CBR at 18 Weeks

    Evaluated by physician assessed Neurological Assessment in Neuro-Oncology (NANO) scale. The NANO scale is a quantifiable evaluation of 9 relevant neurologic domains based on direct observation and testing conducted during visits. The score defines overall response criteria and is with the range of 0 to 4. Higher score means worse response to the treatment. Mean of the scores are reported across groups with and without CBR at 18 weeks and in baseline, week 9 and week 24.

    Time frame: 24 weeks

  6. Clinical Benefit Rate in CNS at 24 Weeks

    The proportion of patients who had stable disease, confirmed partial response or complete response, respectively, \>=24 weeks, according to RANO-BM criteria

    Time frame: Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data

07

Results

Posted May 7, 2024

Participant flow

Participant flow — Overall Study
MilestoneATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Started19
Completed19
Not completed0

Outcome measures

PrimaryConfirmed Overall Response Rate in CNS

The proportion of patients who had confirmed complete response or confirmed partial response, assessed using neuro-oncology-brain metastases (RANO-BM) criteria. RANO-BM assess the response of brain metastases to treatment, using MRI scan. There are four categories as results: Complete Response (CR), Partial Response (PR), Stable Disease (SD), and Progressive Disease (PD), which is separately defined as disappearance of all target lesions, at least a 30% decrease in the sum of the diameters of target lesions, neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as progressive disease (PD) and at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest) or the appearance of one or more new lesions.

Time frame:
Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data
Reported as:
Count of participants · Participants
Confirmed Overall Response Rate in CNS
ParticipantsATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Confirmed Overall Response Rate in CNS2
SecondaryObjective Non-CNS Response Rates

The proportion of patients who had confirmed complete response or partial response, according to response Evaluation Criteria in Solid Tumors (RECIST 1.1) criteria. RECIST is used to assess the response of solid tumors to treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions.

Time frame:
Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data
Reported as:
Count of participants · Participants
Objective Non-CNS Response Rates
ParticipantsATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Objective Non-CNS Response Rates1
SecondaryClinical Benefit Rate in CNS at 18 Weeks

The proportion of patients who had stable disease, confirmed partial response or complete response, respectively, \>=18 weeks, according to RANO-BM criteria

Time frame:
Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data
Reported as:
Count of participants · Participants
Clinical Benefit Rate in CNS at 18 Weeks
ParticipantsATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Clinical Benefit Rate in CNS at 18 Weeks8
SecondaryPatient Reported Outcomes by MDASI-BT Stratified by CBR at 18 Weeks

Evaluated by M.D. Anderson Symptom Inventory Brain Tumor (MDASI-BT). MDASI-BT assess 13 symptom items and 6 interference items from the core MDAST as well as 9 symptoms specific to brain tumors, and generate Symptom Severity Score (SSS) and Symptom Interference Score (SIS) separately. The scale of the scores are in a range of 0 to 10, where 0 represents "not present" or "not severe," and 10 represents "as bad as you can imagine" or "most severe." A higher score indicates a higher level of symptom severity. Mean of the scores are reported across groups with and without CBR at 18 weeks and in baseline, week 9 and week 24.

Time frame:
24 weeks
Reported as:
Mean · score on a scale
Patient Reported Outcomes by MDASI-BT Stratified by CBR at 18 Weeks
score on a scaleATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
SSS Score for patients with CBR at 18 weeks at Baseline1.8 ± 1.2
SSS Score for patients with CBR at 18 weeks at Week 91.5 ± 0.9
SSS Score for patients with CBR at 18 weeks at Week 241.7 ± 1.3
SSS Score for patients without CBR at 18 weeks at Baseline1.9 ± 1.2
SSS Score for patients without CBR at 18 weeks at Week 91.9 ± 1.1
SSS Score for patients without CBR at 18 weeks at Week 242.5 ± 1.4
SIS Score for patients with CBR at 18 weeks at Baseline4.0 ± 2.3
SIS Score for patients with CBR at 18 weeks at Week 92.8 ± 2.6
SIS Score for patients with CBR at 18 weeks at Week 242.6 ± 3.4
SIS Score for patients without CBR at 18 weeks at Baseline2.2 ± 2.1
SIS Score for patients without CBR at 18 weeks at Week 92.4 ± 2.4
SIS Score for patients without CBR at 18 weeks at Week 244.2 ± 2.9
SecondaryPatient Reported Outcomes by EQ-5D Stratified by CBR at 18 Weeks

Evaluated by EuroQol Five Dimension Questionnaire (EQ-5D) evaluations assessments to assess the general health status of patients enrolled in the study. EQ-5D scores are assessed with five dimensions with the range of 0 to 5, and a higher score indicates worse health. Mean of the scores are reported across groups with and without CBR at 18 weeks and in baseline, week 9 and week 24.

Time frame:
24 weeks
Reported as:
Mean · units on a scale
Patient Reported Outcomes by EQ-5D Stratified by CBR at 18 Weeks
units on a scaleATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Patients with CBR at 18 weeks at Baseline0.7 ± 0.5
Patients with CBR at 18 weeks at Week 90.5 ± 0.4
Patients with CBR at 18 weeks at Week 240.7 ± 0.9
Patients without CBR at 18 weeks at Baseline0.9 ± 0.7
Patients without CBR at 18 weeks at Week 90.8 ± 0.4
Patients without CBR at 18 weeks at Week 241.4 ± 0.7
SecondaryInvestigator-Assessed Neurological Evaluation (NANO) Stratified by CBR at 18 Weeks

Evaluated by physician assessed Neurological Assessment in Neuro-Oncology (NANO) scale. The NANO scale is a quantifiable evaluation of 9 relevant neurologic domains based on direct observation and testing conducted during visits. The score defines overall response criteria and is with the range of 0 to 4. Higher score means worse response to the treatment. Mean of the scores are reported across groups with and without CBR at 18 weeks and in baseline, week 9 and week 24.

Time frame:
24 weeks
Reported as:
Mean · units on a scale
Investigator-Assessed Neurological Evaluation (NANO) Stratified by CBR at 18 Weeks
units on a scaleATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Patients with CBR at 18 weeks at Baseline0.03 ± 0.08
Patients with CBR at 18 weeks at Week 90.1 ± 0.13
Patients with CBR at 18 weeks at Week 240.17 ± 0.27
Patients without CBR at 18 weeks at Baseline0.1 ± 0.14
Patients without CBR at 18 weeks at Week 90.18 ± 0.24
Patients without CBR at 18 weeks at Week 240.39 ± 0.27
SecondaryClinical Benefit Rate in CNS at 24 Weeks

The proportion of patients who had stable disease, confirmed partial response or complete response, respectively, \>=24 weeks, according to RANO-BM criteria

Time frame:
Participants were evaluated for response every 6 weeks for the first 24 weeks and then every 9 weeks thereafter, through study completion, an average of 24 weeks in the real study data
Reported as:
Count of participants · Participants
Clinical Benefit Rate in CNS at 24 Weeks
ParticipantsATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Clinical Benefit Rate in CNS at 24 Weeks6

Adverse events

Collected over All adverse events were reported after initiation of study treatment and until 30 days after the last dose of study treatment or until initiation of new systemic anti-cancer therapy, an average of one and a half years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB1/19 (5.3%)10/19 (52.6%)19/19 (100%)
Most frequent serious events
Showing 10 of 21
Most frequent serious events
EventATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
AnemiaBlood and lymphatic system disorders3/19
DiarrheaGastrointestinal disorders2/19
Lymphocyte count decreasedInvestigations2/19
HyperglycemiaMetabolism and nutrition disorders2/19
Edema cerebralNervous system disorders2/19
HypertensionVascular disorders2/19
Heart failureCardiac disorders1/19
Abdominal painGastrointestinal disorders1/19
OtherGeneral disorders1/19
FatigueGeneral disorders1/19
Most frequent other events
Showing 10 of 131
Most frequent other events
EventATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
FatigueGeneral disorders16/19
DiarrheaGastrointestinal disorders11/19
HeadacheNervous system disorders11/19
NauseaGastrointestinal disorders10/19
Aspartate aminotransferase increasedInvestigations9/19
HypertensionVascular disorders9/19
HyperglycemiaMetabolism and nutrition disorders8/19
ConstipationGastrointestinal disorders7/19
Lymphocyte count decreasedInvestigations7/19
CoughRespiratory, thoracic and mediastinal disorders7/19

Baseline characteristics

Age, Continuous
Age, Continuous(years)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Median50 (35 to 71)
Sex: Female, Male
Sex: Female, Male(Participants)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Female19
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
Hispanic or Latino0
Not Hispanic or Latino19
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American2
White17
More than one race0
Unknown or Not Reported0
ECOG PS
ECOG PS(Participants)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
012
17
Stage at Initial Diagnosis
Stage at Initial Diagnosis(Participants)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
I1
II5
III5
IV5
Not IV, but otherwise unknown3
Hormone Receptor Status of Primary Tumor
Hormone Receptor Status of Primary Tumor(Participants)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
ER and PR positive7
ER positive/PR negative2
ER negative/PR positive1
ER and PR negative9
Hormone Receptor Status of Metastatic Tumor
Hormone Receptor Status of Metastatic Tumor(Participants)ATEZOLIZUMAB, PERTUZUMAB, TRASTUZUMAB
ER and PR positive1
ER positive/PR negative2
ER negative/PR positive1
ER and PR negative10
Unknown5

8 further baseline measures are reported on the registry.

08

Study locations

2 sites
  • Northwestern University
    Chicago, Illinois 60611, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, 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 May 2018 to primary completion in May 2020, 23 months.

Results were first posted in May 2024, 3 years 11 months after primary completion.

Of 1,070 non-industry phase 2 interventional studies under Breast Neoplasms, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 89. This study's 23 months is below that.

Counting every sponsor, half of 1,302 studies reached it within 51 months; a quarter within 30 and three quarters within 82.

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

Registered
Jan 16, 2018
First posted
Jan 31, 2018
StartActual
May 21, 2018
Primary completionActual
May 20, 2020
CompletionActual
Apr 17, 2026
Results first posted
May 7, 2024
Last update
Aug 21, 2026
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 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03417544
Lead sponsor
Nancy Lin, MD
Collaborators
Genentech, Inc.
Responsible party
Nancy Lin, MD (Sponsor Investigator, Dana-Farber Cancer Institute) — Sponsor-investigator
First posted
Jan 31, 2018
Start date
May 21, 2018
Primary completion
May 20, 2020
Completion
Apr 17, 2026
Results posted
May 7, 2024
Last update
Aug 21, 2026

Study contacts

Nancy Lin, MD
principal investigator · Dana-Farber Cancer Institute

Oversight

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

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Atezolizumab

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