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Solid TumorPhase 1NCT02471846

A Study of GDC-0919 and Atezolizumab Combination Treatment in Participants With Locally Advanced or Metastatic Solid Tumors

A Phase 1 study testing Atezolizumab and GDC-0919 in people with Solid Tumor, run by Genentech, Inc. at 18 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate the safety, tolerability, and pharmacokinetics of the combination of GDC-0919 and atezolizumab in participants with locally advanced, recurrent, or metastatic incurable solid malignancy that has progressed after available standard therapy or for which standard therapy is ineffective… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor
What is being tested?
Atezolizumab and GDC-0919
Could I receive a placebo?
No, everyone receives an active treatment
How many people
158 participants
Where
18 sitesin 4 countries
Study dates
28 Jul 2015to 2 Oct 2019
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Life expectancy at least 12 weeks
  • Adequate hematologic and end organ function
  • Negative pregnancy test and willingness to utilize contraception among women of childbearing potential
  • Locally advanced, recurrent, or metastatic incurable solid malignancy with measurable disease per RECIST v1.1
  • Progression following at least one standard therapy; or standard therapy considered ineffective, intolerable, or inappropriate; or use of an investigational agent recognized as a standard of care
Show all 9Show fewer
  • For the expansion stage, histologically confirmed renal cell cancer (RCC), urothelial bladder cancer (UBC), triple-negative breast cancer (TNBC), non-small cell lung cancer (NSCLC), melanoma, head and neck squamous cell carcinoma (HNSCC), gastric cancer, ovarian cancer, cervical cancer, endometrial cancer, or Merkel cell cancer
  • For the expansion stage, evaluable for PD-L1 expression
  • Anti PD-1/PD-L1 relapsed cohorts (I and II), participants whose most recent anti-cancer therapy consisted of single-agent PD-1/PD-L1 blockade will be enrolled

Who cannot join

  • Significant cardiovascular or liver disease
  • Major surgery within 28 days of study drug
  • Any anti-cancer therapy within 3 weeks of study drug
  • Malabsorption syndrome or poor upper gastrointestinal integrity
  • Primary central nervous system (CNS) malignancy or active metastases within 5 years
  • Uncontrolled tumor pain
Show all 12Show fewer
  • Autoimmune disease other than stable hypothyroidism or vitiligo
  • Human immunodeficiency virus (HIV), active hepatitis B or C, or tuberculosis
  • Signs/symptoms of infection, or use of antibiotics within 2 weeks of study drug
  • Live attenuated vaccine within 4 weeks of study drug
  • Known history or predisposition to QT interval prolongation
  • Prior cancer immunotherapy, specifically indoleamine 2,3-dioxygenase (IDO) or tryptophan 2,3-dioxygenase (TDO) inhibitors, T-cell costimulatory receptor agonist antibodies, or checkpoint inhibitors among certain participants

Trial locations and contacts

18 sites in 4 countries.

18 sites in 4 countries

United States10 sites
  • University of Colorado

    Aurora, Colorado, 80045-2517

  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

    Baltimore, Maryland, 21231

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Yale Cancer Center

    New Haven, Connecticut, 06520

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • The Angeles Clinic and Research Institute, Santa Monica Office

    Santa Monica, California, 90025

  • HonorHealth Research Institute - Bisgrove

    Scottsdale, Arizona, 85258

  • H. Lee Moffitt Cancer Center and Research Inst.

    Tampa, Florida, 33612

Other trials in United States

South Korea3 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Asan Medical Center - Oncology

    Seoul, 05505

  • Samsung Medical Center

    Seoul, 6351

Other trials in South Korea

Spain3 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • Hospital Universitario HM Sanchinarro-CIOCC

    Madrid, 28050

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010

Other trials in Spain

France2 sites
  • Hopital Nord AP-HM

    Marseille, 13015

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

About this study

Official title: A Phase Ib, Open-Label, Dose-Escalation Study of the Safety and Pharmacology of GDC-0919 Administered With Atezolizumab in Patients With Locally Advanced or Metastatic Solid Tumors

This study will evaluate the safety, tolerability, and pharmacokinetics of the combination of GDC-0919 and atezolizumab in participants with locally advanced, recurrent, or metastatic incurable solid malignancy that has progressed after available standard therapy or for which standard therapy is ineffective, intolerable, or inappropriate. Participants will be enrolled in two stages, including a dose-escalation stage and an expansion stage.

Conditions
Solid Tumor
Being tested
Atezolizumab, GDC-0919

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AtezolizumabDrug

    Also called Tecentriq, MPDL3280A, RO5541267

    Participants will receive atezolizumab at a fixed dose of 1200 milligrams (mg) via intravenous (IV) infusion on Day 1 of each 21-day cycle with the exception of biopsy cohort A, where atezolizumab administration will start on Cycle 2 Day 1.

  • GDC-0919Drug

    Participants will receive GDC-0919 by mouth (PO) twice daily (BID), specifically every 12 hours. During the dose-escalation stage, the first cohort will receive GDC-0919 at a starting dose of 50 mg PO BID. Dosing will commence on Day -1 for Cycle 1 and follow subsequent 21-day (Days 1 to 21) dosing cycles. The dose will be modified based upon evaluation of DLTs, with single dose escalations not to exceed 2.5-fold of the previous dose. The proposed dosages for evaluation are 50, 100, 200, 400, 600, and 1000 mg PO BID. During the expansion stage, selected solid tumor types will be treated at the MTD or MAD as determined during the dose-escalation stage.

Study groups in NCT02471846
Study groupRoleWhat they receive
Anti-PD-1/PD-L1 Relapsed Cohort IExperimentalApproximately 20 participants whose most recent anti-cancer therapy consisted of single-agent programmed death-1 (PD-1)/programmed death-ligand 1 (PD-L1) blockade and achieved best response of confirmed complete or partial response, or stable disease will receive GDC-0919, at the MTD or maximum administered dose (MAD) determined during the dose-escalation stage, in combination with atezolizumab. Treatment may continue until unacceptable toxicity or disease progression with an unfavorable risk-benefit ratio.
Receives: Drug: Atezolizumab; Drug: GDC-0919
Anti-PD-1/PD-L1 Relapsed Cohort IIExperimentalApproximately 20 participants whose most recent anti-cancer therapy consisted of single-agent PD-1/PD-L1 blockade and achieved unconfirmed partial response or stable disease will receive GDC-0919, at the MTD or MAD determined during the dose-escalation stage, in combination with atezolizumab. Treatment may continue until unacceptable toxicity or disease progression with an unfavorable risk-benefit ratio.
Receives: Drug: Atezolizumab; Drug: GDC-0919
Biopsy Cohort AExperimentalApproximately 20 participants with melanoma, HNSCC, gastric, ovarian, Merkel cell, cervical, or endometrial cancer will receive GDC-0919 during Cycle 1, followed by combination treatment with GDC-0919 and atezolizumab from Cycle 2 onwards. Serial biopsies of extrahepatic lesions will be performed. Treatment may continue until unacceptable toxicity or disease progression with an unfavorable risk-benefit ratio.
Receives: Drug: Atezolizumab; Drug: GDC-0919
Biopsy Cohort BExperimentalApproximately 20 participants with melanoma, HNSCC, gastric, ovarian, Merkel cell, cervical, or endometrial cancer will receive atezolizumab during Cycle 1, followed by combination treatment with GDC-0919 and atezolizumab from Cycle 2 onwards. Serial biopsies of extrahepatic lesions will be performed. Treatment may continue until unacceptable toxicity or disease progression with an unfavorable risk-benefit ratio.
Receives: Drug: Atezolizumab; Drug: GDC-0919
Dose-Escalation Cohort(s)ExperimentalApproximately 6 to 65 participants will be enrolled and treated at escalating doses of GDC-0919 in combination with fixed-dose atezolizumab. Treatment may continue until unacceptable toxicity or disease progression with an unfavorable risk-benefit ratio. Successive groups of at least 3 participants will be evaluated during a 21-day window for DLTs, which will determine the enrollment and dosing for subsequent cohorts in the dose-escalation stage. The MTD or MAD, whichever is reached first, will be considered for the expansion stage.
Receives: Drug: Atezolizumab; Drug: GDC-0919
Expansion CohortsExperimentalApproximately 160 participants (40 per diagnosis) with NSCLC, RCC, TNBC, and UBC will receive GDC-0919, at the MTD or MAD determined during the dose-escalation stage, in combination with Atezolizumab. Treatment may continue until unacceptable toxicity or disease progression with an unfavorable risk-benefit ratio.
Receives: Drug: Atezolizumab; Drug: GDC-0919

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Dose-limiting Toxicities (DLTs)

    Measured: From Day -1 to 21 of Cycle 1 (each cycle is 21 days)

  2. Percentage of Participants With Adverse Events

    Measured: From Screening until new anti-cancer therapy or up to 60 days after last dose (up to approximately 3 years)

Secondary outcomes (15)
  1. Maximum Tolerated Dose (MTD) of GDC-0919

    Measured: From Day -1 to 21 of Cycle 1 (each cycle is 21 days)

  2. Recommended Phase II Dose (RP2D) for GDC-0919

    Measured: From Day -1 to 21 of Cycle 1 (each cycle is 21 days)

  3. Number of Treatment Cycles Received With GDC-0919 and Atezolizumab

    Measured: From Day -1 of Cycle 1 (each cycle is 21 days) until treatment discontinuation (up to approximately 3 years)

  4. Dose Intensity of GDC-0919 and Atezolizumab

    Measured: From Day -1 of Cycle 1 (each cycle is 21 days) until treatment discontinuation (up to approximately 3 years)

  5. Percentage of Participants With Anti-therapeutic Antibody (ATA) Response to Atezolizumab

    Measured: Pre-dose from Day 1 of Cycle 1 (each cycle is 21 days) up to 120 days after last dose of atezolizumab (up to approximately 3 years)

  6. Plasma Maximum Concentration (Cmax) of GDC-0919

    Measured: Post-dose on Day -1 of Cycle 1 (each cycle is 21 days) and Day 1 of Cycle 2

  7. Plasma Minimum Concentration (Cmin) of GDC-0919

    Measured: Pre-dose from Day -1 of Cycle 1 (each cycle is 21 days) through Day 1 of Cycle 8

  8. Area Under the Concentration-time Curve to the Last Measurable Concentration (AUC0-last) of GDC-0919

    Measured: Pre-dose and post-dose from Day -1 of Cycle 1 (each cycle is 21 days) through Day 1 of Cycle 8

  9. Time to Maximum Concentration (Tmax) of GDC-0919

    Measured: Post-dose on Day -1 of Cycle 1 (each cycle is 21 days) and Day 1 of Cycle 2

  10. Serum Cmax of Atezolizumab

    Measured: Post-dose from Day 1 of Cycle 1 (each cycle is 21 days) up to 120 days after last dose of atezolizumab (up to approximately 3 years)

  11. Serum Cmin of Atezolizumab

    Measured: Pre-dose from Day 1 of Cycle 1 up to 120 days after last dose of atezolizumab (up to approximately 3 years)

  12. Percentage of Participants With Objective Response According to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as Determined by the Investigator

    Measured: From Screening until disease progression, death, new anti-cancer therapy, or premature study withdrawal (up to approximately 3 years)

  13. Duration of Objective Response According to RECIST v1.1 as Determined by the Investigator

    Measured: From Screening until disease progression, death, new anti-cancer therapy, or premature study withdrawal (up to approximately 3 years)

  14. Percentage of Participants With Objective Response According to Modified RECIST as Determined by the Sponsor

    Measured: From Screening until disease progression, death, new anti-cancer therapy, or premature study withdrawal (up to approximately 3 years)

  15. Duration of Objective Response According to Modified RECIST as Determined by the Sponsor

    Measured: From Screening until disease progression, death, new anti-cancer therapy, or premature study withdrawal (up to approximately 3 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jun 2015 (estimated)
  2. Study start28 Jul 2015
  3. Primary completion2 Oct 2019
  4. Study completion2 Oct 2019

Resources

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
158 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02471846
Sponsor's protocol ID
GO29779
Other IDs
2015-001741-88, 2015
Status last verified
Oct 2019
First submitted
4 Jun 2015
Last updated
22 Oct 2019
Results posted
No

Publications

  • Jung KH, LoRusso P, Burris H, Gordon M, Bang YJ, Hellmann MD, Cervantes A, Ochoa de Olza M, Marabelle A, Hodi FS, Ahn MJ, Emens LA, Barlesi F, Hamid O, Calvo E, McDermott D, Soliman H, Rhee I, Lin R, Pourmohamad T, Suchomel J, Tsuhako A, Morrissey K, Mahrus S, Morley R, Pirzkall A, Davis SL. Phase I Study of the Indoleamine 2,3-Dioxygenase 1 (IDO1) Inhibitor Navoximod (GDC-0919) Administered with PD-L1 Inhibitor (Atezolizumab) in Advanced Solid Tumors. Clin Cancer Res. 2019 Jun 1;25(11):3220-3228. doi: 10.1158/1078-0432.CCR-18-2740. Epub 2019 Feb 15.

    PubMed 30770348

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Atezolizumab and GDC-0919 in people with Solid Tumor, run by Genentech, Inc. at 18 sites in 4 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 9 inclusion and 12 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 22 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, South Korea, Spain, France. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Percentage of Participants With Dose-limiting Toxicities (DLTs) (time frame: From Day -1 to 21 of Cycle 1 (each cycle is 21 days)). The study lists 2 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 NCT02471846, which also lists 1 linked publication.

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 22 Oct 2019.

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