Triple Negative Breast CancerPhase 3NCT02425891
A Study of Atezolizumab in Combination With Nab-Paclitaxel Compared With Placebo With Nab-Paclitaxel for Participants With Previously Untreated Metastatic Triple-Negative Breast Cancer (IMpassion130)
A Phase 3 study testing Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibody and Nab-Paclitaxel in people with Triple Negative Breast Cancer, run by Hoffmann-La Roche at 247 sites in 40 countries.
Trial summary
This multicenter, randomized, double-blind study evaluated the efficacy, safety, and pharmacokinetics of atezolizumab (MPDL3280A) administered with nab-paclitaxel compared with placebo in combination with nab-paclitaxel in participants with locally advanced or metastatic triple-negative breast cancer (TNBC) who have… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Triple Negative Breast Cancer
- What is being tested?
- Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibody and Nab-Paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 902 participants
- Where
- 247 sitesin 40 countries
- Study dates
- 23 Jun 2015to 31 Aug 2021
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Metastatic or locally advanced, histologically documented TNBC characterized by absence of human epidermal growth factor 2 (HER2), estrogen receptor (ER), and progesterone receptor (PR) expression
- No prior chemotherapy or targeted systemic therapy for inoperable locally advanced or metastatic TNBC
- Eligible for taxane monotherapy (i.e., absence of rapid clinical progression, life-threatening visceral metastases, or the need for rapid symptom and/or disease control)
- A representative formalin-fixed, paraffin-embedded tumor specimen in paraffin blocks, or at least 20 unstained slides with an associated pathology report documenting ER, PR, and HER2 negativity. Participants with fewer than 20 unstained slides available at baseline, and not fewer than 12 unstained slides will be eligible upon discussion with Medical Monitor
- Eastern Cooperative Oncology Group performance status of 0 or 1
- Measurable disease as defined by RECIST v1.1
- Adequate hematologic and end-organ function
Who cannot join
- Known central nervous system (CNS) disease, except for treated asymptomatic CNS metastases
- Leptomeningeal disease
- Pregnancy or lactation
- History of autoimmune disease
- Prior allogeneic stem cell or solid organ transplantation
- Positive test for human immunodeficiency virus
- Active hepatitis B or hepatitis C
- Receipt of a live, attenuated vaccine within 4 weeks prior to randomization, during treatment, or within 5 months following the last dose of atezolizumab/placebo
Trial locations and contacts
247 sites in 40 countries.
247 sites in 40 countries
United States49 sites
Kaiser Permanente Of Colorado
Aurora, Colorado, 80014
Mercy Medical Center
Baltimore, Maryland, 21202
Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, 21287
St. Luke's Cancer Care Associates
Bethlehem, Pennsylvania, 18015
University of Alabama at Birmingham
Birmingham, Alabama, 35249
Wellmont Bristol Regional Medical Center
Bristol, Tennessee, 37620
Rush University Medical Center - Chicago
Chicago, Illinois, 60612
Onc/Hem Care Clin Trials LLC
Cincinnati, Ohio, 45242
The Mark H. Zangmeister Ctr; Mid Ohio Onc/Hem Inc.
Columbus, Ohio, 43219
Barbara Ann Karmanos Cancer Institute; Oncology
Detroit, Michigan, 48201
Texas Oncology- El Paso Cancer Treatment Center Gateway
El Paso, Texas, 79915
Inova Medical Group
Fairfax, Virginia, 22031
Florida Cancer Specialists - SCRI; Pharmacy
Fort Myers, Florida, 33901
West Clinic
Germantown, Tennessee, 38138
Greenville Health System (GHS) Cancer Institute
Greenville, South Carolina, 29605
The Methodist Cancer Center
Houston, Texas, 77030
University of Texas;M.D. Anderson Cancer Center
Houston, Texas, 77030
Jackson Oncology Associates, PLLC
Jackson, Mississippi, 39202
Cancer Specialists; North Florida ;Jacksonville (AC Skinner Pkwy)
Jacksonville, Florida, 32256
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Health Midwest Ventures Group, Inc d/b/a HCA MidAmerica Division, LLC
Kansas City, Missouri, 64132
ProHEALTH Care Associates LLP
Lake Success, New York, 11042
New Hampshire Hematology Oncology
Manchester, New Hampshire, 03103
Northwest Georgia Oncology Centers PC - Marietta
Marietta, Georgia, 30060
The Mount Siani Comprehensive Cancer Center
Miami Beach, Florida, 33140
Sarah Cannon Cancer Center - Tennessee Oncology, Pllc
Nashville, Tennessee, 37203
Vanderbilt
Nashville, Tennessee, 37232
Yale Cancer Center; Medical Oncology
New Haven, Connecticut, 06520
Laura and ISAAC Perlmutter Cancer Center at NYU Langone.
New York, New York, 10016
Norwalk Hospital
Norwalk, Connecticut, 06856
Kaiser Permanente of Northern California
Oakland, California, 94612
Magee Womens Hospital
Pittsburgh, Pennsylvania, 15213
Florida Cancer Research Institute
Plantation, Florida, 33324
Kaiser Perm NW - Rheuma
Portland, Oregon, 97227
Providence Cancer Center
Portland, Oregon, 97231
Emad Ibrahim, Md, Inc
Redlands, California, 92373
The Valley Hospital
Ridgewood, New Jersey, 07450
Maryland Oncology Hematology
Rochville, Maryland, 20850
Univ of Calif, San Francisco; Breast Cancer Center
San Francisco, California, 94115
Kaiser Permanente - San Marcos
San Marcos, California, 92069
Cancer Research Collaboration, Inc.
Santa Ana, California, 92705
Cancer Care Northwest
Spokane, Washington, 99204
Highlands Oncology Group
Springdale, Arkansas, 72762
Washington University School of Medicine
St Louis, Missouri, 63110
Florida Cancer Specialists (St. Petersburg - St. Anthony's Professional Building)
St. Petersburg, Florida, 33705
Stamford Hospital; BCC, MOHR
Stamford, Connecticut, 06904
Stanford Univ School of Med; Oncology
Stanford, California, 94305-5821
Montefiore Medical Center
The Bronx, New York, 10467
MedStar Georgetown University Hospital (Lombardi Comprehensive Cancer Center)
Washington D.C., District of Columbia, 20007
Japan27 sites
Aichi Cancer Center Hospital
Aichi, 464-8681
Fukushima Medical University Hospital
Fukushima, 960-1295
Gunma Prefectural Cancer Center
Gunma, 373-8550
Hiroshima City Hiroshima Citizens Hospital
Hiroshima, 730-8518
Hiroshima University Hospital
Hiroshima, 734-8551
National Hospital Organization Hokkaido Cancer Center
Hokkaido, 003-0804
Hyogo Medical University Hospital
Hyōgo, 663-8501
Sagara Hospital
Kagoshima, 892-0833
St. Marianna University Hospital
Kanagawa, 216-8511
Tokai University Hospital
Kanagawa, 259-1193
Kumamoto University Hospital
Kumamoto, 860-8556
Kyoto University Hospital
Kyoto, 606-8507
Mie University Hospital
Mie, 514-8507
Tohoku University Hospital
Miyagi, 980-8574
Niigata Cancer Center Hospital
Niigata, 951-8566
Okayama University Hospital
Okayama, 700-8558
Naha-nishi Clinic
Okinawa, 901-0154
National Hospital Organization Osaka National Hospital
Osaka, 540-0006
Osaka International Cancer Institute
Osaka, 541-8567
Kindai University Hospital
Osaka, 589-8511
Saitama Medical University International Medical Center
Saitama, 350-1298
Saitama Cancer Center
Saitama, 362-0806
Shizuoka Cancer Center
Shizuoka, 411-8777
National Cancer Center Hospital
Tokyo, 104-0045
St. Luke's International Hospital
Tokyo, 104-8560
Komagome Hospital
Tokyo, 113-8677
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Germany20 sites
Ambulantes Tumorzentrum Spandau; Dres. Benno Mohr und Uwe Peters
Berlin, 13581
St. Elisabeth-Krankenhaus; Brustzentrum
Cologne, 50935
St. Johannes Hospital; Abt. für Hämatologie und Onkologie
Dortmund, 44137
Universitätsklinikum "Carl Gustav Carus" der Technischen Universität Dresden
Dresden, 01307
Universitätsklinikum Erlangen; Frauenklinik
Erlangen, 91054
Uniklinik Essen; Gynäkologie
Essen, 45122
Niels-Stensen-Kliniken Franziskus-Hospital Harderberg GmbH
Georgsmarienhütte, 49124
Universitätsklinikum Halle (Saale); Universitätsklinik Und Poliklinik Für Gynäkologie
Halle, 06120
Universitätsklinikum Hamburg-Eppendorf; Frauenklinik
Hamburg, 20246
Facharztzentrum Eppendorf, Studien GbR
Hamburg, 20249
Universitatsklinik Heidelberg; Universitätshautklinik und Nationales Centrum für Tumorerkrankungen
Heidelberg, 69120
Praxis Köppler, Heymann, Weide, Thomalla; Fä Für Innere Medizin
Koblenz, 56068
Universitätsklinikum Schleswig-Holstein; Campus Lübeck
Lübeck, 23538
Klinikum rechts der Isar der TU München; Klinik und Poliklinik für Frauenheilkunde
München, 81675
Gemeinschaftspraxis für Hämatologie und Onkologie
Münster, 48153
MVZ Nordhausen gGmbH, Praxis Dr. Grafe
Nordhausen, 99734
Oncologianova GmbH - Gesellschaft für Innovationen in der Onkologie
Recklinghausen, 45659
Mutterhaus der Borromäerinnen gGmbH, Abteilung Hämatologie-Onkologie
Trier, 54290
Dres. Helmut Forstbauer, Carsten Ziske und Kollegen; Onkologische Schwerpunktpraxis
Troisdorf, 53840
Universitätsklinik Tübingen; Frauenklinik & Poliklinik
Tübingen, 72076
France12 sites
Ico - Paul Papin
Angers, 49000
Institut Sainte Catherine
Avignon, 84082
Hopital Jean Minjoz
Besançon, 25030
HOPITAL MICHALLON - CENTRE HOSPITALIER UNIVERSITAIRE DE GRENOBLE, Service d'oncologie Médicale
Grenoble, 38043
Centre Oscar Lambret
Lille, 59020
Centre Leon Berard
Lyon, 69008
Institut régional du Cancer Montpellier
Montpellier, 34298
Clinique Catherine de Sienne
Nantes, 44202
Institut Curie
Paris, 75005
Hopital La Pitie Salpetriere
Paris, 75013
Institut De Cancerologie De L'Ouest; Medical Oncology
Saint-Herblain, 44115
Centre Paul Strauss
Strasbourg, 67000
Canada11 sites
Tom Baker Cancer Centre-Calgary
Calgary, Alberta, T2N 4N2
Cross Cancer Institute ; Dept of Medical Oncology
Edmonton, Alberta, T6G 1Z2
Queen Elizabeth II Health Sciences Centre; Oncology
Halifax, Nova Scotia, B3H 2Y9
BC Cancer - Kelowna (Sindi Ahluwalia Hawkins Centre)
Kelowna, British Columbia, V1Y 5L3
Kingston General Hospital
Kingston, Ontario, K7L 2V7
Jewish General Hospital
Montreal, Quebec, H3T 1E2
Lakeridge Health Oshawa; Oncology
Oshawa, Ontario, L1G 2B9
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K2H 6C2
Hopital du Saint Sacrement
Québec, Quebec, G1S 4L8
Sunnybrook Odette Cancer Centre
Toronto, Ontario, M4N 3M5
British Columbia Cancer Agency (Bcca) - Vancouver Cancer Centre
Vancouver, British Columbia, V5Z 4E6
Brazil10 sites
Centro de Pesquisas Oncologicas - CEPON
Florianópolis, Santa Catarina, 88034-000
Crio - Centro Regional Integrado de Oncologia
Fortaleza, Ceará, 60336-550
Hospital Araujo Jorge; Departamento de Ginecologia E Mama
Goiânia, Goiás, 74605-070
Hospital de Caridade de Ijui; Oncologia
Ijuí, Rio Grande do Sul, 98700-000
Clinica de Neoplasias Litoral
Itajaí, Santa Catarina, 88301-220
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Santa Casa de Misericordia de Salvador
Salvador, Estado de Bahia, 40050-410
Hospital Perola Byington
São Paulo, São Paulo, 01317-000
Hospital Sao Jose
São Paulo, São Paulo, 01321-001
United Kingdom10 sites
Velindre Cancer Centre
Cardiff, CF14 2TL
Western General Hospital; Clinical Oncology
Edinburgh, EH4 2XU
St Bartholomew's Hospital
London, EC1M 6BQ
Guys ST Thomas Hospital
London, SE1 9RT
Royal Marsden Hospital - London
London, SW3 6JJ
Christie Hospital Nhs Trust; Medical Oncology
Manchester, M2O 4BX
Derriford Hospital
Plymouth, PL6 8DH
Royal Preston Hosptial
Preston, PR2 9HT
Weston Park Hospital
Sheffield, S10 2SJ
Royal Marsden Hospital; Dept of Medical Oncology
Sutton, SM2 5PT
Australia8 sites
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
Peninsula and South Eastern Haematology and Oncology Group
Frankston, Victoria, 3199
Peter MacCallum Cancer Centre; Medical Oncology
Melbourne, Victoria, 3000
Icon Cancer Foundation
South Brisbane, Queensland, 4101
Sunshine Hospital
St Albans, Victoria, 3021
St John of God Hospital; Bendat Cancer Centre
Subiaco, Western Australia, 6008
Nepean Cancer Care Centre
Sydney, New South Wales, 2747
Princess Alexandra Hospital; Division of Cancer Services
Woolloongabba, Queensland, 4102
Spain8 sites
Hospital del Mar; Servicio de Oncologia
Barcelona, 08003
Hospital Univ Vall d'Hebron; Servicio de Oncologia
Barcelona, 08035
Hospital Duran i Reynals; Oncologia
Barcelona, 08907
Hospital Universitario Reina Sofia; Servicio de Oncologia
Córdoba, Cordoba, 14004
Hospital Universitario 12 de Octubre; Servicio de Oncologia
Madrid, 28041
Hospital Universitario La Paz; Servicio de Oncologia
Madrid, 28046
Hospital Clinico Universitario Virgen de la Victoria; Servicio de Oncologia
Málaga, 29010
Instituto Valenciano Oncologia; Oncologia Medica
Valencia, 46009
Russia7 sites
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, Arhangelsk, 163045
Ivanovo Regional Oncology Dispensary
Ivanovo, 153040
Clinical Oncology Dispensary of Ministry of Health of Tatarstan
Kazan', 420029
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423
Main Military Clinical Hospital named after N.N. Burdenko
Moscow, Moscow Oblast, 105229
Blokhin Cancer Research Center; Combined Treatment
Moskva, Moscow Oblast, 115478
S-Pb clinical scientific practical center of specialized kinds of medical care (oncological)
Saint Petersburg, 197758
Belgium6 sites
Institut Jules Bordet
Anderlecht, 1070
Cliniques Universitaires St-Luc
Brussels, 1200
GHdC Site Notre Dame
Charleroi, 6000
AZ Groeninge
Kortrijk, 8500
UZ Leuven Gasthuisberg
Leuven, 3000
Sint Augustinus Wilrijk
Wilrijk, 2610
Poland6 sites
Centrum Onkologii w Bydgoszczy; Oddzial Kliniczny Onkologii
Bydgoszcz, 85-796
Szpitale Wojewodzkie w Gdyni Sp. z o.o.
Gdynia, 81-519
Szpital Uniwersytecki w Krakowie, Oddział Kliniczny Kliniki Onkologii
Krakow, 30-688
Centrum Onkologii Ziemi LUBELSKIEJ im. Sw Jana z Dukli, I oddz. Chemioterapii
Lublin, 20-090
Narodowy Inst.Onkologii im.Sklodowskiej-Curie Panstw.Inst.Bad; Klinika Nowtw.Piersi i Chir.Rekonstr
Warsaw, 02-781
Wojskowy Instytut Medyczny
Warsaw, 04-141
Greece5 sites
Anticancer Hospital Ag Savas; 1St Dept of Internal Medicine
Athens, 115 22
IASO General Hospital of Athens
Athens, 155 62
Univ General Hosp Heraklion; Medical Oncology
Heraklion, 711 10
University Hospital of Patras Medical Oncology
Pátrai, 265 04
Euromedical General Clinic of Thessaloniki; Oncology Department
Thessaloniki, 546450
Mexico5 sites
Instituto Estatal de Cancerologia Colima
Colima, 28000
Iem-Fucam
D.F., 04980
Centro Medico Dalinde
Mexico City, Mexico CITY (federal District), 06760
Consultorio de Medicina Especializada; Dentro de Condominio San Francisco
Mexico City, 03100
Centro Médico Zambrano Hellion
Monterrey, Nuevo León, 66278
South Korea5 sites
National Cancer Center
Goyang-si, 10408
Seoul National University Hospital
Seoul, 03080
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Turkey (Türkiye)5 sites
Cukurova Uni Faculty of Medicine; Medical Oncology
Adana, 01330
Istanbul University Cerrahpasa Medical Faculty; Radiation Oncology Department
Istanbul, 34098
Medipol University MF; Oncology Department
Istanbul, 34214
Ege Uni Medical Faculty Hospital; Oncology Dept
Izmir, 35100
Hacettepe Uni Medical Faculty Hospital; Oncology Dept
Sihhiye/Ankara, 06230
Austria4 sites
Lkh-Univ. Klinikum Graz; Klinik Für Innere Medizin I
Graz, 8036
Ordensklinikum Linz Barmherzige Schwestern; Abt. fur Innere Medizin 1
Linz, 4010
A.Ö. Lhk; Ii. Medizinische Abt. Mit Schwerpunkt Gaströnter. & Onkologie
Steyr, 4400
Medizinische Universität Wien; Univ.Klinik für Innere Medizin I
Vienna, 1090
Taiwan4 sites
Kaohsiung Medical Uni Chung-Ho Hospital; Dept of Surgery
Kaohsiung City, 807
China Medical University Hospital; Surgery
Taichung, 404
VETERANS GENERAL HOSPITAL; Department of General Surgery
Taipei, 00112
National Taiwan Uni Hospital; General Surgery
Taipei, 100
Ukraine4 sites
Chemotherapy SI Dnipropetrovsk MA of MOHU
Dnipropetrovsk, 49102
Kyiv City Clinical Oncological Center
Kyiv, 03115
Treatment and Prevention Institution Volyn Regional Oncology Dispensary
Lutsk, 43018
Lviv State Oncology Regional Treatment and Diagnostic Centre
Lviv, 79031
Argentina3 sites
Centro de Oncologia e Investigacion Buenos Aires (COIBA)
Buenos Aires, B1884BBF
Fundación CENIT para la Investigación en Neurociencias
Buenos Aires, C1125ABD
Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE
Czechia3 sites
Fakultni nemocnice Olomouc; Onkologicka klinika
Olomouc, 779 00
Fakultni Poliklinika Vseobecne Fakultni Niemocnice; Onkologicka Klinika
Prague, 128 08
Fakultni nemocnice v Motole
Prague, 150 06
Hungary3 sites
Orszagos Onkologiai Intezet; B Belgyogyaszati Osztaly
Budapest, 1122
Fövárosi Önkormányzat uzsoki utcai Kórház
Budapest, 1145
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, 6720
Norway3 sites
Helse Bergen HF Haukeland universitetssjukehus kreftavdelingen poliklinikk
Bergen
Sørlandet Sykehus Kristiansand
Kristiansand, 4604
Stavanger Universitetssykehus, Helse Stavanger HF
Stavanger, 4011
Switzerland3 sites
Universitaetsspital Basel; Onkologie
Basel, 4031
Kantonsspital St.Gallen Brustzentrum/Chirurgie; Brustzentrum
Sankt Gallen, 9007
Universitätsspital Zürich
Zurich, 8038
Thailand3 sites
Ramathibodi Hospital; Dept of Med.-Div. of Med. Onc
Bangkok, 10400
Faculty of Med. Siriraj Hosp.; Med.-Div. of Med. Oncology
Bangkok, 10700
Songklanagarind Hospital; Department of Oncology
Songkhla, 90110
Chile2 sites
Centro de Cancer Pontificie Universidad Catolica de Chile
Santiago, 8330074
Sociedad de Investigaciones Medicas Ltda (SIM)
Temuco, 4810469
Colombia2 sites
Clinica del Country
Bogotá, 11001
Oncomedica S.A.
Montería, 230002
Costa Rica2 sites
Clinica CIMCA
San José, 10103
ICIMED Instituto de Investigación en Ciencias Médicas
San José, 10108
Estonia2 sites
North Estonia Medical Centre Foundation; Oncology Centre
Tallinn, 13419
Tartu Uni Hospital; Hematology - Oncology Clinic
Tartu, 51014
Italy2 sites
Irccs Istituto Europeo Di Oncologia (IEO); Ricerca Di Senologia Medica
Milan, Lombardy, 20141
Istituto Nazionale Tumori Irccs Fondazione g. PASCALE;U.O.C. Oncologia Medica Senologica
Naples, Campania, 80131
Latvia2 sites
Daugavpils Regional Hospital
Daugavpils, 5417
Riga East Clinical University Hospital Latvian Oncology Centre
Riga, LV-1079
Singapore2 sites
National University Hospital
Singapore, 119074
National Cancer Centre
Singapore, 169610
Sweden2 sites
Sodersjukhuset; Onkologkliniken
Stockholm, 118 83
Akademiska sjukhuset, Onkologkliniken
Uppsala, 751 85
Bosnia and Herzegovina1 site
Clinic of Oncology, University Clinical Center Sarajevo
Sarajevo, 7100
About this study
Official title: A Phase III, Multicenter, Randomized, Placebo-Controlled Study of Atezolizumab (Anti-PD-L1 Antibody) in Combination With Nab-Paclitaxel Compared With Placebo With Nab-Paclitaxel for Patients With Previously Untreated Metastatic Triple-Negative Breast Cancer
This multicenter, randomized, double-blind study evaluated the efficacy, safety, and pharmacokinetics of atezolizumab (MPDL3280A) administered with nab-paclitaxel compared with placebo in combination with nab-paclitaxel in participants with locally advanced or metastatic triple-negative breast cancer (TNBC) who have not received prior systemic therapy for metastatic breast cancer (mBC). The safety of single-agent nab-paclitaxel has been determined in previous studies of participants with mBC and the safety data to date suggest that atezolizumab can be safely combined with standard chemotherapy agents.
- Conditions
- Triple Negative Breast Cancer
- Being tested
- Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibody, Nab-Paclitaxel, Placebo
- Medical subject headings
- Triple Negative Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibodyDrug
Also called Tecentriq, MPDL3280A
Atezolizumab at a fixed dose of 840 milligrams via intravenous (IV) infusion on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity.
Nab-PaclitaxelDrug
Also called Abraxane®
Nab-Paclitaxel at a starting dose of 100 milligrams per square meter via IV infusion on Days 1, 8, and 15 of each 28-day cycle. Nab-Paclitaxel was administered for a target of at least 6 cycles, with no maximum in the absence of disease progression or unacceptable toxicity.
PlaceboDrug
Placebo administered via IV infusion on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity.
| Study group | Role | What they receive |
|---|---|---|
| Atezolizumab Plus Nab-Paclitaxel | Experimental | Participants assigned to atezolizumab plus nab-paclitaxel received both agents until disease progression or unacceptable toxicity. Receives: Drug: Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibody; Drug: Nab-Paclitaxel |
| Placebo Plus Nab-Paclitaxel | Placebo comparator | Participants assigned to placebo plus nab-paclitaxel received both agents until disease progression or unacceptable toxicity. Receives: Drug: Nab-Paclitaxel; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants
PFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.
Measured: Baseline up to approximately 34 months
PFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1)
PFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.
Measured: Baseline up to approximately 34 months
Overall Survival (OS) in All Randomized Participants
OS was defined as the time from the date of randomization to the date of death from any cause.
Measured: Baseline until death due to any cause (up to approximately 58 months)
OS in Participants With Detectable PD-L1
OS was defined as the time from the date of randomization to the date of death from any cause.
Measured: Baseline until death due to any cause (up to approximately 58 months)
Secondary outcomes (11)
Percentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized Participants
An objective response was defined for participants with measurable disease at baseline as either a partial response (PR) or a complete response (CR) using RECIST v1.1.
Measured: Baseline up to approximately 34 months
Percentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L1
An objective response was defined for participants with measurable disease at baseline as either a partial response (PR) or a complete response (CR) using RECIST v1.1.
Measured: Baseline up to approximately 34 months
Duration of Response (DOR) According to RECIST v1.1 in All Randomized Participants
DOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response (CR or PR) to the date of disease progression per RECIST v1.1 or death from any cause, whichever occurred first.
Measured: Baseline up to approximately 34 months
DOR Acccording to RECIST v1.1 in Participants With Detectable PD-L1
DOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response (CR or PR) to the date of disease progression per RECIST v1.1 or death from any cause, whichever occurred first.
Measured: Baseline up to approximately 34 months
Time to Deterioration (TTD) in Global Health Status/Health Related Quality of Life According to European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) v3.0 in All Randomized Participants
Deterioration in GHS/HRQoL (Items 29, 30 of the EORTC QLQ C30) was defined by the following two criteria: 1. The time from randomization to the first time the participant's GHS/HRQoL scale score showed a >=10-point decrease from the baseline scale score. A 10-point change was defined as the minimally important difference (MID). 2. The score decrease of >= 10-points from baseline was held for at least two consecutive cycles, or an initial score decrease of >= 10-points was followed by death or treatment discontinuation within 3 weeks from the last assessment.
Measured: Baseline up to approximately 58 months
TTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L1
Deterioration in GHS/HRQoL (Items 29, 30 of the EORTC QLQ C30) was defined by the following two criteria: 1. The time from randomization to the first time the participants's GHS/HRQoL scale score showed a >=10-point decrease from the baseline scale score. A 10-point change was defined as the minimally important difference (MID). 2. The score decrease of >= 10-points from baseline was held for at least two consecutive cycles, or an initial score decrease of >= 10-points was followed by death or treatment discontinuation within 3 weeks from the last assessment.
Measured: Baseline up to approximately 58 months
Percentage of Participants With at Least One Adverse Event
Percentage of participants with at least one adverse event.
Measured: Baseline up to to the data cutoff date: 31 August 2021 (up to approximately 74 months)
Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab
Percentage of Participants with Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab
Measured: Baseline up to approximately 53 months
Maximum Serum Concentration (Cmax) for Atezolizumab
Maximum serum concentration for atezolizumab.
Measured: Cycle 1 Day 1 (Cycle = 28 days)
Minimum Serum Concentration (Cmin) for Atezolizumab
Minimum serum concentration for atezolizumab.
Measured: Day 27 of Cycle 1, 2, 3, and 7 (Cycle = 28 days)
Plasma Concentrations of Total Paclitaxel
Plasma Concentrations of Total Paclitaxel
Measured: Pre-dose (Hour 0) on Cycle 1 Day 1, pre-dose (Hour 0), 5-10 minutes before end of nab-paclitaxel infusion, 1 hour after end of nab-paclitaxel infusion (infusion duration = 30 minutes) on Cycle 3 Day 1 (Cycle = 28 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Apr 2015 (estimated)
- Study start23 Jun 2015
- Primary completion14 Apr 2020
- Study completion31 Aug 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Triple Negative Breast CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 902 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02425891
- Sponsor's protocol ID
- WO29522
- Other IDs
- 2014-005490-37, 2014
- Status last verified
- Jun 2022
- First submitted
- 21 Apr 2015
- Last updated
- 19 Jul 2022
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Li M, Yang B. Prognostic Value of NUSAP1 and Its Correlation with Immune Infiltrates in Human Breast Cancer. Crit Rev Eukaryot Gene Expr. 2022;32(3):45-60. doi: 10.1615/CritRevEukaryotGeneExpr.2021040248.
PubMed 35695609Wang H, Ma H, Sove RJ, Emens LA, Popel AS. Quantitative systems pharmacology model predictions for efficacy of atezolizumab and nab-paclitaxel in triple-negative breast cancer. J Immunother Cancer. 2021 Feb;9(2):e002100. doi: 10.1136/jitc-2020-002100.
PubMed 33579739Adams S, Dieras V, Barrios CH, Winer EP, Schneeweiss A, Iwata H, Loi S, Patel S, Henschel V, Chui SY, Rugo HS, Emens LA, Schmid P. Patient-reported outcomes from the phase III IMpassion130 trial of atezolizumab plus nab-paclitaxel in metastatic triple-negative breast cancer. Ann Oncol. 2020 May;31(5):582-589. doi: 10.1016/j.annonc.2020.02.003. Epub 2020 Feb 20.
PubMed 32178964Schmid P, Rugo HS, Adams S, Schneeweiss A, Barrios CH, Iwata H, Dieras V, Henschel V, Molinero L, Chui SY, Maiya V, Husain A, Winer EP, Loi S, Emens LA; IMpassion130 Investigators. Atezolizumab plus nab-paclitaxel as first-line treatment for unresectable, locally advanced or metastatic triple-negative breast cancer (IMpassion130): updated efficacy results from a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2020 Jan;21(1):44-59. doi: 10.1016/S1470-2045(19)30689-8. Epub 2019 Nov 27.
PubMed 31786121Schmid P, Adams S, Rugo HS, Schneeweiss A, Barrios CH, Iwata H, Dieras V, Hegg R, Im SA, Shaw Wright G, Henschel V, Molinero L, Chui SY, Funke R, Husain A, Winer EP, Loi S, Emens LA; IMpassion130 Trial Investigators. Atezolizumab and Nab-Paclitaxel in Advanced Triple-Negative Breast Cancer. N Engl J Med. 2018 Nov 29;379(22):2108-2121. doi: 10.1056/NEJMoa1809615. Epub 2018 Oct 20.
PubMed 30345906
Study at a glance
From the registry record, last updated by the sponsor on 19 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicenter, Randomized, Placebo-Controlled Study of Atezolizumab (Anti-PD-L1 Antibody) in Combination With Nab-Paclitaxel Compared With Placebo With Nab-Paclitaxel for Patients With Previously Untreated Metastatic Triple-Negative Breast Cancer
- ClinicalTrials.gov ID
- NCT02425891
- Acronym / sponsor ID
- WO29522
- Conditions
- Triple Negative Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 902 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 23 Jun 2015 (actual)
- Primary completion
- 14 Apr 2020 (actual)
- Study completion
- 31 Aug 2021 (actual)
- First posted
- 24 Apr 2015 (estimated)
- Results
- Posted 17 May 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This multicenter, randomized, double-blind study evaluated the efficacy, safety, and pharmacokinetics of atezolizumab (MPDL3280A) administered with nab-paclitaxel compared with placebo in combination with nab-paclitaxel in participants with locally advanced or metastatic triple-negative breast cancer (TNBC) who have not received prior systemic therapy for metastatic breast cancer (mBC). The safety of single-agent nab-paclitaxel has been determined in previous studies of participants with mBC and the safety data to date suggest that atezolizumab can be safely combined with standard chemotherapy agents.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Atezolizumab Plus Nab-Paclitaxel | Experimental | Drug: Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibody, Drug: Nab-PaclitaxelParticipants assigned to atezolizumab plus nab-paclitaxel received both agents until disease progression or unacceptable toxicity. |
| Placebo Plus Nab-Paclitaxel | Placebo comparator | Drug: Nab-Paclitaxel, Drug: PlaceboParticipants assigned to placebo plus nab-paclitaxel received both agents until disease progression or unacceptable toxicity. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Metastatic or locally advanced, histologically documented TNBC characterized by absence of human epidermal growth factor 2 (HER2), estrogen receptor (ER), and progesterone receptor (PR) expression
- No prior chemotherapy or targeted systemic therapy for inoperable locally advanced or metastatic TNBC
- Eligible for taxane monotherapy (i.e., absence of rapid clinical progression, life-threatening visceral metastases, or the need for rapid symptom and/or disease control)
- A representative formalin-fixed, paraffin-embedded tumor specimen in paraffin blocks, or at least 20 unstained slides with an associated pathology report documenting ER, PR, and HER2 negativity. Participants with fewer than 20 unstained slides available at baseline, and not fewer than 12 unstained slides will be eligible upon discussion with Medical Monitor
- Eastern Cooperative Oncology Group performance status of 0 or 1
Key exclusion criteria (8 listed)
- Known central nervous system (CNS) disease, except for treated asymptomatic CNS metastases
- Leptomeningeal disease
- Pregnancy or lactation
- History of autoimmune disease
- Prior allogeneic stem cell or solid organ transplantation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibodyAlso: Tecentriq, MPDL3280AAtezolizumab at a fixed dose of 840 milligrams via intravenous (IV) infusion on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity. | Drug | Atezolizumab Plus Nab-Paclitaxel |
| Nab-PaclitaxelAlso: Abraxane®Nab-Paclitaxel at a starting dose of 100 milligrams per square meter via IV infusion on Days 1, 8, and 15 of each 28-day cycle. Nab-Paclitaxel was administered for a target of at least 6 cycles, with no maximum in the absence of disease progression or unacceptable toxicity. | Drug | Atezolizumab Plus Nab-Paclitaxel, Placebo Plus Nab-Paclitaxel |
| PlaceboPlacebo administered via IV infusion on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity. | Drug | Placebo Plus Nab-Paclitaxel |
Primary outcome
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants
Time frame: Baseline up to approximately 34 months
PFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.
PFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1)
Time frame: Baseline up to approximately 34 months
PFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.
Overall Survival (OS) in All Randomized Participants
Time frame: Baseline until death due to any cause (up to approximately 58 months)
OS was defined as the time from the date of randomization to the date of death from any cause.
OS in Participants With Detectable PD-L1
Time frame: Baseline until death due to any cause (up to approximately 58 months)
OS was defined as the time from the date of randomization to the date of death from any cause.
11 secondary outcomes
Percentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized Participants
Time frame: Baseline up to approximately 34 months
Percentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L1
Time frame: Baseline up to approximately 34 months
Duration of Response (DOR) According to RECIST v1.1 in All Randomized Participants
Time frame: Baseline up to approximately 34 months
DOR Acccording to RECIST v1.1 in Participants With Detectable PD-L1
Time frame: Baseline up to approximately 34 months
Time to Deterioration (TTD) in Global Health Status/Health Related Quality of Life According to European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) v3.0 in All Randomized Participants
Time frame: Baseline up to approximately 58 months
TTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L1
Time frame: Baseline up to approximately 58 months
Percentage of Participants With at Least One Adverse Event
Time frame: Baseline up to to the data cutoff date: 31 August 2021 (up to approximately 74 months)
Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab
Time frame: Baseline up to approximately 53 months
Maximum Serum Concentration (Cmax) for Atezolizumab
Time frame: Cycle 1 Day 1 (Cycle = 28 days)
Minimum Serum Concentration (Cmin) for Atezolizumab
Time frame: Day 27 of Cycle 1, 2, 3, and 7 (Cycle = 28 days)
Plasma Concentrations of Total Paclitaxel
Time frame: Pre-dose (Hour 0) on Cycle 1 Day 1, pre-dose (Hour 0), 5-10 minutes before end of nab-paclitaxel infusion, 1 hour after end of nab-paclitaxel infusion (infusion duration = 30 minutes) on Cycle 3 Day 1 (Cycle = 28 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Jul 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35695609Li M, Yang B. Prognostic Value of NUSAP1 and Its Correlation with Immune Infiltrates in Human Breast Cancer. Crit Rev Eukaryot Gene Expr. 2022;32(3):45-60. doi: 10.1615/CritRevEukaryotGeneExpr.2021040248.
- Derived from this study: PubMed 33579739Wang H, Ma H, Sove RJ, Emens LA, Popel AS. Quantitative systems pharmacology model predictions for efficacy of atezolizumab and nab-paclitaxel in triple-negative breast cancer. J Immunother Cancer. 2021 Feb;9(2):e002100. doi: 10.1136/jitc-2020-002100.
- Derived from this study: PubMed 32178964Adams S, Dieras V, Barrios CH, Winer EP, Schneeweiss A, Iwata H, Loi S, Patel S, Henschel V, Chui SY, Rugo HS, Emens LA, Schmid P. Patient-reported outcomes from the phase III IMpassion130 trial of atezolizumab plus nab-paclitaxel in metastatic triple-negative breast cancer. Ann Oncol. 2020 May;31(5):582-589. doi: 10.1016/j.annonc.2020.02.003. Epub 2020 Feb 20.
- Derived from this study: PubMed 31786121Schmid P, Rugo HS, Adams S, Schneeweiss A, Barrios CH, Iwata H, Dieras V, Henschel V, Molinero L, Chui SY, Maiya V, Husain A, Winer EP, Loi S, Emens LA; IMpassion130 Investigators. Atezolizumab plus nab-paclitaxel as first-line treatment for unresectable, locally advanced or metastatic triple-negative breast cancer (IMpassion130): updated efficacy results from a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2020 Jan;21(1):44-59. doi: 10.1016/S1470-2045(19)30689-8. Epub 2019 Nov 27.
- Derived from this study: PubMed 30345906Schmid P, Adams S, Rugo HS, Schneeweiss A, Barrios CH, Iwata H, Dieras V, Hegg R, Im SA, Shaw Wright G, Henschel V, Molinero L, Chui SY, Funke R, Husain A, Winer EP, Loi S, Emens LA; IMpassion130 Trial Investigators. Atezolizumab and Nab-Paclitaxel in Advanced Triple-Negative Breast Cancer. N Engl J Med. 2018 Nov 29;379(22):2108-2121. doi: 10.1056/NEJMoa1809615. Epub 2018 Oct 20.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
247 sites in 40 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atezolizumab (MPDL3280A), an engineered anti-PDL1 antibody and Nab-Paclitaxel in people with Triple Negative Breast Cancer, run by Hoffmann-La Roche at 247 sites in 40 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 247 sites in United States, Japan, Germany, France, Canada and 35 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 17 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants (time frame: Baseline up to approximately 34 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02425891, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jul 2022.