Non-Small Cell Lung CancerPhase 3NCT02486718
Study to Assess Safety and Efficacy of Atezolizumab (MPDL3280A) Compared to Best Supportive Care Following Chemotherapy in Patients With Lung Cancer [IMpower010]
A Phase 3 study testing Atezolizumab, Cisplatin and Vinorelbine in people with Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 216 sites in 22 countries.
Trial summary
This is a Phase III, global, multicenter, open-label, randomized study to compare the efficacy and safety of 16 cycles (1 cycle duration=21 days) of atezolizumab (MPDL3280A) treatment compared with best supportive care (BSC) in participants with Stage IB-Stage IIIA non-small cell lung cancer (NSCLC) following… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- Atezolizumab, Cisplatin and Vinorelbine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,280 participants
- Where
- 216 sitesin 22 countries
- Study dates
- 31 Oct 2015to 26 Aug 2026
- Phase
- Phase 3
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
- Histological or cytological diagnosis of Stage IB (tumors greater than or equal to [>/=] 4 centimeters [cm])-IIIA (T2-3 N0, T1-3 N1, T1-3 N2, T4 N0-1) NSCLC (per the Union Internationale Contre le Cancer staging system (UICC)/American Joint Committee on Cancer staging system (AJCC) staging system, 7th edition; Detterbeck et al. 2009)
- Participants must have had complete resection of NSCLC 4-12 weeks (>/=28 days and less than or equal to [</=] 84 days) prior to enrollment and must be adequately recovered from surgery
- If mediastinoscopy was not performed preoperatively, it is required that, at a minimum, mediastinal lymph node systematic sampling will have occurred. Systematic sampling is defined as removal of at least one representative lymph node at specified levels. MLND entails resection of all lymph nodes at those same levels. For a right thoracotomy, sampling or MLND is required at levels 4 and 7 and for a left thoracotomy, levels 5 and/or 6 and 7. Exceptions will be granted if there is clear documentation in the operative report or in a separately submitted addendum by the surgeon of exploration of the required lymph node areas, the participant will be considered eligible if no lymph nodes are found in those areas; if participants have documented N2 disease in one level (per the UICC/AJCC staging system, 7th edition; Detterbeck et al. 2009), not all levels need to be sampled; if the preoperative staging imaging results (contrast computed tomography [CT] and positron emission tomography [PET] scans) do not suggest evidence of disease in the mediastinum, the participant will be considered eligible if N2 nodal sampling is not performed per surgeon's decision
- Eligible to receive a cisplatin-based chemotherapy regimen
- Adequate hematologic and end-organ function
- Women who are not postmenopausal (>/=12 months of non-therapy-induced amenorrhea) or surgically sterile must have a negative serum pregnancy test result within 14 days prior to initiation of cisplatin-based chemotherapy
- Inclusion Criteria for Randomized Phase - Women who are not postmenopausal (>/=12 months of non-therapy-induced amenorrhea) or surgically sterile must have a negative serum pregnancy test result within 14 days prior to initiation of atezolizumab or BSC
Who cannot join
- Illness or condition that may interfere with a participant's capacity to understand, follow, and/or comply with study procedures
- Pregnant and lactating women
- Treatment with prior systemic chemotherapy: Chemotherapy for early stage of malignancy with curative intent, provided that the last dose received was more than 5 years prior to enrollment and low-dose chemotherapy for non-malignant conditions may be allowed upon approval by the Medical Monitor
- Hormonal cancer therapy or radiation therapy as prior cancer treatment within 5 years before enrollment
- Treatment with any other investigational agent with therapeutic intent within 28 days prior to enrollment
- Participants with hearing impairment
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- Known sensitivity to any component of the chemotherapy regimen the participant will be assigned to, or to mannitol
- Prior treatment with cluster of differentiation (CD) 137 (CD137) agonists or immune checkpoint blockade therapies, anti-programmed death-1 (PD-1), and anti programmed death ligand 1 (PD-L1) therapeutic antibodies
- Malignancies other than NSCLC within 5 years prior to randomization, with the exception of those with a negligible risk of metastasis or death (e.g., expected 5-year OS greater than [>] 90 percent [%]) treated with expected curative outcome (such as adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, localized prostate cancer treated surgically with curative intent, ductal carcinoma in situ treated surgically with curative intent)
- History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins
- Known hypersensitivity to biopharmaceuticals produced in Chinese hamster ovary cells or any component of the atezolizumab formulation
- History of autoimmune disease, including but not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or glomerulonephritis
- Positive test for human immunodeficiency virus (HIV)
- Participants with active hepatitis B (chronic or acute; defined as having a positive hepatitis B surface antigen [HBsAg] test at screening) or hepatitis C
- Active tuberculosis
- Significant cardiovascular disease, such as New York Heart Association cardiac disease (Class II or greater), myocardial infarction, or cerebrovascular accident within the previous 3 months, unstable arrhythmias, or unstable angina
- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan
- Prior allogeneic bone marrow transplantation or solid organ transplant
- Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the participant at high risk from treatment complications
- Known tumor PD-L1 expression status as determined by an immunohistochemistry (IHC) assay from other clinical studies (e.g., participants whose PD-L1 expression status was determined during screening for entry into a study with anti-PD-1 or anti-PD-L1 antibodies but were not eligible are excluded)
- Specific Exclusions for Pemetrexed Treatment
- Participants with squamous cell histology
- Signs or symptoms of infection within 14 days prior to randomization (severe infection within 28 days prior to randomization), including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia
- Received therapeutic oral or intravenous (IV) antibiotics within 14 days prior to randomization
- Major surgical procedure within 28 days prior to randomization or anticipation of need for a major surgical procedure during the course of the study
- Administration of a live, attenuated vaccine within 4 weeks prior to initiation of study treatment or anticipation that such a live attenuated vaccine will be required during the study
- Treatment with systemic immunostimulatory agents (including but not limited to interferons or interleukin-2) within 4 weeks or 5 half-lives of the drug, whichever is longer, prior to randomization: Prior treatment with cancer vaccines is allowed
- Treatment with systemic corticosteroids or other immunosuppressive medications (including but not limited to prednisone, dexamethasone, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor [anti-TNF] agents) within 14 days prior to randomization
Trial locations and contacts
216 sites in 22 countries.
216 sites in 22 countries
United States45 sites
MultiCare Regional Cancer Center - Auburn
Auburn, Washington, 98002-4117
Lynn Cancer Institute - West
Boca Raton, Florida, 33486
Wellmont Medical Associates
Bristol, Virginia, 24201
Presbyterian Hospital
Charlotte, North Carolina, 28204
Sarah Cannon Research Institute / Tennessee Oncology
Chattanooga, Tennessee, 37403
University Oncology Associates
Chattanooga, Tennessee, 37403
Rush University Medical Center
Chicago, Illinois, 60612
University of Illinois at Chicago
Chicago, Illinois, 60612
University of Cincinnati
Cincinnati, Ohio, 45219
Oncology Hematology Care - SCRI
Cincinnati, Ohio, 45242
University of Miami School of Medicine - Sylvester at Deerfield
Deerfield Beach, Florida, 33442
California Cancer Associates for Research & Excellence, Inc.
Encinitas, California, 92024
Providence Everett Med Ctr
Everett, Washington, 98201
Highlands Oncology Group
Fayetteville, Arkansas, 72703
Hematology Oncology Associates of Northern New Jersey
Florham Park, New Jersey, 07932
Holy Cross Hospital Inc
Fort Lauderdale, Florida, 33308
Florida Cancer Specialists-Broadway, Fort Myers
Fort Myers, Florida, 33916
Compassionate Cancer Care Medical Group, Inc
Fountain Valley, California, 92708
Hematology Oncology Associates of Fredericksburg, Inc.
Fredericksburg, Virginia, 22408
Pinnacle Health
Harrisburg, Pennsylvania, 17109
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89052
Houston Methodist Cancer Center
Houston, Texas, 77030
St. Luke's Cancer Institute
Kansas City, Missouri, 64111
Clinical Research Alliance
Lake Success, New York, 11042
Saint Barnabas Medical Center
Livingston, New Jersey, 07039
University of California Los Angeles
Los Angeles, California, 90024
Southern California Permanente Medical Group Bellflower
Los Angeles, California, 90027
Norton Cancer Institute
Louisville, Kentucky, 40402
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital
Marietta, Georgia, 30060
Sarah Cannon Cancer Center
Nashville, Tennessee, 37203
Weill Cornell Medical College
New York, New York, 10065
Eastern Connecticut Hematology and Oncology Associates
Norwich, Connecticut, 06360
Valley Hospital
Paramus, New Jersey, 07652
Illinois Cancer Care
Peoria, Illinois, 61615
AHN Cancer Institute ? Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Oregon Health and Science University
Portland, Oregon, 97239
Rhode Island Hospital
Providence, Rhode Island, 02903
Swedish Medical Center
Seattle, Washington, 98122
Southern Illinois University, Simmons Cancer Institute
Springfield, Illinois, 62794
SCRI Florida Cancer Specialists North
St. Petersburg, Florida, 33705
Stanford University
Stanford, California, 94305
Overlook Medical Center
Summit, New Jersey, 07901
Lewis Hall Singletary Oncology Center
Thomasville, Georgia, 31792
Kaiser Permanente
Vallejo, California, 94589
Kaiser Permanente - Walnut Creek
Walnut Creek, California, 94596
Japan24 sites
Aichi Cancer Center Hospital
Aichi, 464-8681
Hyogo Cancer Center
Akashi, 673-0021
Juntendo University Hospital
Bunkyō City, 113-8431
Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital
Bunkyō City, 113-8677
National Cancer Center East
Chiba, 277-8577
National Cancer Center Hospital
Chūō, 104-0045
Kyushu University Hospital
Fukuoka, 812-8582
Hiroshima University Hospital
Hiroshima, 734-8551
Saitama Cancer Center
Kitaadachi-gun, 362-0806
Hospital of the University of Occupational and Environmental Health,Japan
Kitakyushu-shi, 807-8555
Kumamoto University Hospital
Kumamoto, 860-8556
Kyoto University Hospital
Kyoto, 606-8507
Shikoku Cancer Center
Matsuyama, 791-0280
Kyorin University Hospital
Mitaka-shi, 181-0004
Nagoya University Hospital
Nagoya, 466-8560
Niigata Cancer Center Hospital
Niigata, 951-8566
Okayama University Hospital
Okayama, 700-8558
National Hospital Organization Hokkaido Cancer Center
Sapporo, 003-0804
Sendai Kousei Hospital
Sendai, Miyagi, 981-0914
Shizuoka Cancer Center
Shizuoka, 411-8777
Toranomon Hospital
Tokyo, 105-8470
Tokyo Medical University Hospital
Tokyo, 160-0023
Wakayama Medical University Hospital
Wakayama, 641-8510
Kanagawa Cancer Center
Yokohama-shi, Asahi-ku, 241-8515
Germany22 sites
Evang. Lungenklinik Berlin Klinik für Pneumologie
Berlin, 13125
Ev.Krankenhaus Bielefeld gGmbH
Bielefeld, North Rhine-Westphalia, 33611
Stadtisches Klinikum Braunschweig
Braunschweig, 38114
Klinikum Chemnitz gGmbH
Chemnitz, 09113
Kliniken der Stadt Koln gGmbH
Cologne, 51109
Krankenhaus Nordwest
Frankfurt am Main, 60488
LungenClinic Grosshansdorf GmbH
Großhansdorf, 22927
Krankenhaus Martha-Maria
Halle, 06120
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
Asklepios Klinik Harburg
Hamburg, 21075
Thoraxklinik Heidelberg gGmbH
Heidelberg, 69126
Lungenklinik Hemer
Hemer, 58675
Universität Des Saarlandes
Homburg, 66421
Fachklinik für Lungenerkrankungen
Immenhausen, 34376
Vincentius-Diakonissen-Kliniken gAG
Karlsruhe, 76137
Katholisches Klinikum Marienhof
Koblenz Am Rhein, 56073
SLK Kliniken Heilbronn GmbH, Standort Fachklinik Löwenstein
Löwenstein, Baden-Wurttemberg, 74245
Klinikum Bogenhausen
München, 81925
Gemeinschaftspraxis für Hämatologie und Onkologie
Münster, 48149
Pius-Hospital Oldenburg
Oldenburg, 26121
Krankenhaus Barmherzige Bruder Regensburg
Regensburg, 93049
Praxis fur Hamatologie und internistische Onkologie
Velbert, 42551
Spain20 sites
Centro Oncologico de Galicia COG
A Coruña, LA Coruna, 15009
Hospital del Mar
Barcelona, 08003
Hospital Santa Creu i Sant Pau
Barcelona, 08025
Vall d'Hebron Institute of Oncology (VHIO), Barcelona
Barcelona, 08035
Hospital Universitari Germans Trias i Pujol
Barcelona, 08916
Consorcio Hospitalario Provincial de Castellon
Castellon, Castellon, 12002
C.H. Regional Reina Sofia
Córdoba, 14004
Hospital Universitario Virgen de La Arrixaca
El Palmar, Murcia, 30120
Complejo Hospitalario de Jaen
Jaén, 23007
Hospital Lucus Augusti
Lugo, 27003
Hospital Ramon y Cajal
Madrid, 28034
Hosp. Clinico San Carlos
Madrid, 28040
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario HM Sanchinarro-CIOCC
Madrid, 28050
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07010
Hospital Universitario de Canarias
San Cristóbal de La Laguna, Tenerife, 3820
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
Hosp Clinico Univ Lozano Blesa
Zaragoza, 50009
Italy15 sites
Asst Papa Giovanni XXIII
Bergamo, Lombardy, 24127
ASST Spedali Civili di Brescia
Brescia, Lombardy, 25123
Azienda Ospedaliera Di Rilievo Nazionale E Di Alta Specializzazione Garibaldi
Catania, Sicily, 95122
Ospedale Clinicizzato SS Annunziata
Chieti, Abruzzo, 66013
Azienda Sanitaria Ospedaliera s. Croce e Carle
Cuneo, Piedmont, 12100
Ospedale San Raffaele
Milan, Lombardy, 20132
A.O.U. Maggiore della Carità
Novara, Piedmont, 28100
Azienda Sanitaria Ospedaliera S Luigi Gonzaga
Orbassano, Piedmont, 10043
Ospedale Silvestrini
Perugia, Umbria, 06132
Azienda Ospedaliero Universitaria Pisana
Pisa, Tuscany, 56124
Azienda per l'Assistenza Sanitaria N° 5 - Friuli Occidentale
Pordenone, Friuli Venezia Giulia, 33170
Policlinico Universitario Campus Biomedico Di Roma
Rome, Lazio, 00128
Ospedale Santa Chiara
Trento, Trentino-Alto Adige, 38100
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Turin, Piedmont, 10126
Azienda Ospedaliera Universitaria Integrata Verona
Verona, Veneto, 37126
Russia14 sites
Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic
Kazan', Tatarstan Republic, 420029
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423
Principal Military Clinical Hospital n.a. N.N. Burdenko
Moscow, Moscow Oblast, 105229
Russian Oncology Research Center n a N N Blokhin
Moscow, Moscow Oblast, 115478
City Clinical Hospital #1
Novosibirsk, 630047
Evromedservis LCC
Pushkin, Sankt-Peterburg, 196603
Leningrad Regional Clinical Hospital
Saint Petersburg, Sankt-Peterburg, 194291
St. Petersburg Med Univ
Saint Petersburg, Sankt-Peterburg, 197022
GBUZ Saint Petersburg Clinical Research Center of Specialized Types of Care (Oncology)
Saint Petersburg, Sankt-Peterburg, 197758
Scientific Research Institute of Oncology n.a. N.N. Petrov
Saint Petersburg, Sankt-Peterburg, 197758
City Clinical Oncology Dispensary
Saint Petersburg, Sankt-Peterburg, 198255
Mordovia State University
Saransk, Respublika Mordoviya, 430032
Volgograd Regional Clinical Oncology Dispensary
Volgograd, 400138
Regional Clinical Oncology Hospital
Yaroslavl, 150040
China12 sites
Cancer Institute and Hospital Chinese Academy of Medical Sciences
Beijing, 100021
Beijing Cancer Hospital
Beijing, 100142
Chinese People's Liberation Army (PLA) General Hospital (301 Hospital)
Beijing, 100853
Affiliated Hospital of Guangdong Medical University
Guangdong, 524023
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, 510120
Zhejiang Cancer Hospital
Hangzhou, 310022
Anhui Province Cancer Hospital
Hefei
Shanghai Chest Hospital
Shanghai, 200030
Shanghai Pulmonary Hospital
Shanghai, 200433
Liaoning Provincial Cancer Hospital
Shengyang, 110042
First Hospital of China Medical University
Shenyang, 110001
First Affiliated Hospital of Soochow University
Suzhou, 215006
France12 sites
Hôpital Universitaire Dupuytren
Limoges, 87042
Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer Rhône Alpes
Lyon, 69373
Hôpital Saint Joseph
Marseille, 13008
Centre Hospitalier de Mont de Marsan - Hopital Layne
Mont-de-Marsan, 40000
Clinique Clémentville
Montpellier, 34070
Centre Regional de Lutte contre le Cancer Val d Aurelle - Paul Lamarque
Montpellier, 34298
Centre René Gauducheau Centre de Lutte Contre Le Cancer Nantes Atlantique
Nantes, 44093
Hopital d'Instruction des Armees de Begin
Saint-Mandé, 94160
Centre Hospitalier Regional Sud Reunion
Saint-Pierre, 97448
Centre Hospitalier de Saint-Quentin
Saint-Quentin, 02321
Centre Hospitalier Intercommunal Toulon - La Seyne sur Mer
Toulon, 83000
Hopital d Instruction des Armees de Sainte Anne
Toulon, 83041
Ukraine11 sites
MI Dnipropetrovsk City Multifield Clinical Hospital 4 of Dnipropetrovsk Regional Council
Dnipropetrovsk, Katerynoslav Governorate, 49102
Municipal Institution SubCarpathian ClinicalOncological Centre
Ivano-Frankivsk, Poltava Governorate, 76018
Communal Non profit Enterprise Regional Center of Oncology
Kharkiv, Kharkiv Governorate, 61070
Private Enterprise Private Manufacturing Company Acinus
Kropyvnytskyi, KIEV Governorate, 25006
CE Kryvyi Rih Oncology Dispensary of Dnipropetrovsk Regional Council
Kryvyi Rih, 50048
Kyiv Railway Clinical Hospital #3 of Branch Health Center of the PJSC Ukrainian Railway
Kyiv, KIEV Governorate, 02096
Kyiv City Clinical Oncological Center
Kyiv, 03115
Municipal Institution Odesa Regional Oncology Dispensary
Odesa, KIEV Governorate, 65055
Regional Municipal Institution Sumy Regional Clinical Oncology Dispensary
Sumy, 40022
Communal Nonprofit Enterprise Podilsky Regional Center Of Oncology OfTheVinnytsia Regional Council
Vinnytsia, Vinnytsia Oblast, 21018
MI Zaporizhzhia Regional Clinical Oncological Dispensary Zaporizhzhia SMU Ch of Oncology
Zaporizhzhya, 69040
Taiwan9 sites
Changhua Christian Hospital
Changhua, 500
Kaohsiung Medical University Hospital
Kaohsiung City, 807
Chang Gung Memorial Hospital Chiayi
Putzui City, 61363
Taichung Veterans General Hospital
Taichung, 40705
Chi Mei Medical Center Liou Ying Campus
Tainan, 736
Taipei Veterans General Hospital
Taipei, 00112
National Taiwan Uni Hospital
Taipei, 10048
Mackay Memorial Hospital
Taipei, 104
Chang Gung Medical Foundation Linkou Branch
Taoyuan City, 333
Israel6 sites
Rambam Medical Center
Haifa, 31096
Edith Wolfson Medical Center
Holon, 58100
Meir Medical Center
Kfar Saba, 44281
Rabin Medical Center
Petah Tikva, 49100
Tel Aviv Sourasky Medical Ctr
Tel Aviv, 64239
Chaim Sheba Medical Center
Tel Litwinsky, 52621
Hungary4 sites
Semmelweis Egyetem
Budapest, 1125
University of Pecs, I st Dept of Internal Medicine
Pécs, 7624
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rend.Int.
Szolnok, 5004
Reformatus Pulmonologiai Centrum
Törökbálint, 2045
Portugal4 sites
Centro Hospitalar E Universitário de Coimbra EPE
Coimbra, 3000-602
Centro Hospitalar de Lisboa Norte E.P.E ? Hospital Pulido Valente
Lisbon, 1769-001
Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe
Porto, 4200-072
Hospital de Sao Joao
Porto, 4200-319
Netherlands3 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, North Brabant, 5223 GZ
Martini Ziekenhuis
Groningen, 9728 NT
St. Antonius Ziekenhuis Nieuwegein
Nieuwegein, 3430 EM
United Kingdom3 sites
Birmingham Heartlands Hospital
Birmingham, B9 5SS
Colchester General Hospital
Colchester, Essex, CO4 5JL
St Bartholomew's Hospital
London, EC1A 7BE
Australia2 sites
Townsville Hospital
Douglas, Queensland, 4814
Cabrini Hospital Malvern
Malvern, Victoria, 3144
Belgium2 sites
Cliniques Universitaires St-Luc
Brussels, 1200
CHU de Liège (Sart Tilman)
Liège, 4000
Canada2 sites
William Osler Health Centre
Brampton, Ontario, L6R 3J7
Cite de La Sante de Laval
Laval, Quebec, H7M 3L9
Poland2 sites
Mazowieckie Centrum Leczenia Chorob Pluc i Gruzlicy
Otwock, 05-400
Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu
Poznan, 60569
South Korea2 sites
Chonnam National University Hwasun Hospital
Jeonnam, 519-763
The Catholic University of Korea St. Vincent's Hospital
Suwon, 442-723
About this study
Official title: A Phase III, Open-Label, Randomized Study to Investigate the Efficacy and Safety of Atezolizumab (Anti-PD-L1 Antibody) Compared With Best Supportive Care Following Adjuvant Cisplatin-Based Chemotherapy in Patients With Completely Resected Stage IB-IIIA Non-Small Cell Lung Cancer
This is a Phase III, global, multicenter, open-label, randomized study to compare the efficacy and safety of 16 cycles (1 cycle duration=21 days) of atezolizumab (MPDL3280A) treatment compared with best supportive care (BSC) in participants with Stage IB-Stage IIIA non-small cell lung cancer (NSCLC) following resection and adjuvant chemotherapy, as measured by disease-free survival (DFS) as assessed by the investigator and overall survival (OS). Participants, after completing up to 4 cycles of adjuvant cisplatin-based chemotherapy, will be randomized in a 1:1 ratio to receive atezolizumab for 16 cycles or BSC.
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- Atezolizumab, Cisplatin, Vinorelbine, Docetaxel, Gemcitabine
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtezolizumabDrug
Also called MPDL3280A; TECENTRIQ
Participants will receive atezolizumab (1200 mg IV) Q3W for 16 cycles (cycle length=21 days).
CisplatinDrug
Participants will receive cisplatin 75 milligrams per square meter (mg/m^2) IV on Day 1 of up to four 21-day cycles.
VinorelbineDrug
Participants will receive vinorelbine 30 mg/m^2 IV on Days 1 and 8 of each of the four 21-day cycles.
DocetaxelDrug
Participants will receive docetaxel 75 mg/m^2 IV on Day 1 of each of the four 21-day cycles.
GemcitabineDrug
Participants will receive gemcitabine 1250 mg/m^2 IV on Days 1 and 8 of each of the four 21-day cycles.
PemetrexedDrug
Participants will receive pemetrexed 500 mg/m^2 IV on Day 1 of each of the four 21-day cycles. Pemetrexed will be administered only in participants with non-squamous cell NSCLC.
| Study group | Role | What they receive |
|---|---|---|
| Atezolizumab | Experimental | Enrollment Phase: Participants will receive four 21-day cycles of cisplatin-based chemotherapy (cisplatin plus either vinorelbine or docetaxel or gemcitabine or pemetrexed [non-squamous cell NSCLC only]), unless unacceptable toxicity, disease relapse, or participant's decision to discontinue occur. Randomization Phase: Participants will receive atezolizumab 1200 milligrams (mg) intravenously (IV) every 3 weeks (Q3W) for sixteen 21-day cycles and will undergo periodic chest X-ray and CT scan. Receives: Drug: Atezolizumab; Drug: Cisplatin; Drug: Vinorelbine; Drug: Docetaxel; Drug: Gemcitabine; Drug: Pemetrexed |
| Best Supportive Care | Active comparator | Enrollment Phase: Participants will receive four 21-day cycles of cisplatin-based chemotherapy (cisplatin plus either vinorelbine or docetaxel or gemcitabine or pemetrexed [non-squamous cell NSCLC only]), unless unacceptable toxicity, disease relapse, or participant's decision to discontinue occur. Randomization Phase: After enrollment phase participants will receive only the best supportive care and will undergo periodic chest X-ray and CT scan. Receives: Drug: Cisplatin; Drug: Vinorelbine; Drug: Docetaxel; Drug: Gemcitabine; Drug: Pemetrexed |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-Free Survival (DFS) in Intent-to-treat (ITT) Population
DFS was defined as the time from randomization to the first recurrence of NSCLC or occurrence of new primary NSCLC as determined by the investigator or death, whichever occurs first. Kaplan-Meier methodology was used to estimate the median DFS for each treatment arm.
Measured: Up to 95 months
DFS in All Randomized Stage II-IIIA Population
DFS was defined as the time from randomization to the first recurrence of NSCLC or occurrence of new primary NSCLC as determined by the investigator or death, whichever occurs first. DFS was analyzed in participants with disease stage II-IIIA. Kaplan-Meier methodology was used to estimate the median DFS for each treatment arm.
Measured: Up to 95 months
DFS in the Programmed Death-ligand 1 (PD-L1) SP263 ≥ 1% Tumor Cell (TC) Subpopulation Within the Stage II-IIIA Population
DFS was defined as the time from randomization to the first recurrence of NSCLC or occurrence of new primary NSCLC as determined by the investigator or death, whichever occurs first. DFS was analyzed in PD-L1 ≥1% subpopulation within the Stage II-IIIA population. Kaplan-Meier methodology was used to estimate the median DFS for each treatment arm.
Measured: Up to 95 months
Secondary outcomes (12)
Overall Survival (OS) in the ITT Population
OS was defined as the time from randomization to death from any cause.
Measured: Baseline up to death from any cause (up to approximately 126 months)
Disease-free Rate at Year 3 in ITT Population
DFS rate was defined as percentage of participants who were disease-free at Year 3. The DFS rate was estimated by the Kaplan-Meier methodology for each treatment arm. Percentages have been rounded off to the nearest decimal.
Measured: Year 3
Disease-free Rate at Year 3 in All Randomized Stage II-IIIA Population
DFS rate was defined as percentage of participants who were disease-free at Year 3. DFS rate was analyzed in participants with disease stage II-IIIA. The DFS rate was estimated by the Kaplan-Meier methodology for each treatment arm. Percentages have been rounded off to the nearest decimal.
Measured: Year 3
Disease-free Rate at Year 3 in PD-L1 (SP263 ≥ 1% TC) Subpopulation Within the Stage II-IIIA Population
DFS rate was defined as percentage of participants who were disease-free at Year 3. DFS rate was analyzed in PD-L1 subpopulation within the Stage II-IIIA population. The DFS rate was estimated by the Kaplan-Meier methodology for each treatment arm. Percentages have been rounded off to the nearest decimal.
Measured: Year 3
Disease-free Rate at Year 5 in ITT Population
DFS rate was defined as percentage of participants who were disease-free at Year 5. The DFS rate was estimated by the Kaplan-Meier methodology for each treatment arm. Percentages have been rounded off to the nearest decimal.
Measured: Year 5
Disease-free Rate at Year 5 in All Randomized Stage II-IIIA Population
DFS rate was defined as percentage of participants who were disease-free at Year 5. DFS rate was analyzed in participants with disease stage II-IIIA. The DFS rate was estimated by the Kaplan-Meier methodology for each treatment arm. Percentages have been rounded off to the nearest decimal.
Measured: Year 5
Disease-free Rate at Year 5 in PD-L1 (SP263 ≥ 1% TC) Subpopulation Within the Stage II-IIIA Population
DFS rate was defined as percentage of participants who were disease-free at Year 5. DFS rate was analyzed in PD-L1 subpopulation within the Stage II-IIIA population. The DFS rate was estimated by the Kaplan-Meier methodology for each treatment arm. Percentages have been rounded off to the nearest decimal.
Measured: Year 5
DFS in the PD-L1 (SP263 ≥ 50% TC) Subpopulation Within the Stage II-IIIA Population
DFS was defined as the time from randomization to the first recurrence of NSCLC or occurrence of new primary NSCLC as determined by the investigator or death, whichever occurs first. DFS was analyzed in PD-L1 subpopulation within the Stage II-IIIA population. Kaplan-Meier methodology was used to estimate the median DFS for each treatment arm.
Measured: Up to 95 months
Percentage of Participants With Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant when administered a pharmaceutical product regardless of the causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product.
Measured: Up to 12 years
Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab
The percentage of ATA (Also called anti-drug antibodies (ADA))-positive participants after drug administration were determined for participants exposed to atezolizumab. For determining post-baseline incidence, participants were considered to be ADA-positive if they were ADA-negative or had missing data at baseline but developed an ADA response following study drug exposure, or if they were ADA-positive at baseline and the titer of 1 or more post-baseline samples was at least 0.60 titer units (t.u.) greater than the baseline titer result.
Measured: Predose (Hour 0) on Day 1 of Cycles 2, 3, 4, 8, 16 (Cycle length = 21 days), at treatment discontinuation (TD) (up to 12 months), 120 days after last atezolizumab administration (up to 16 months)
Maximum Plasma Concentration (Cmax) of Atezolizumab
Measured: 30 min post-infusion on Day 1 of Cycle 1 (Cycle length = 21 days)
Minimum Serum Concentration (Cmin) at Steady-State Within a Dosing Interval of Atezolizumab
Measured: Prior to infusion on Day 1 of Cycles 1, 2, 3, 4, 8, 16 (Cycle length = 21 days), at study discontinuation visit (up to 12 months), Day 120 post last dose of atezolizumab (up to 16 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2015 (estimated)
- Study start31 Oct 2015
- Primary completion26 Jan 2024
- Study completion26 Aug 2026
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 (6)Papers the sponsor has linked to this study.
- Other trials for Non-Small Cell Lung 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
- None (open label)
- Enrolment
- 1,280 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
- NCT02486718
- Sponsor's protocol ID
- GO29527
- Other IDs
- 2014-003205-15, 2023-505981-26-00, 2023, 2014
- Status last verified
- Sep 2026
- First submitted
- 4 Jun 2015
- Last updated
- 30 Sep 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Publications
Okada M, Sugawara S, Watanabe Y, Saito H, Chen-Yoshikawa TF, Goto Y, Nishio W, Nakagawa S, Hayashi M, Kenmotsu H. IMpower010: 5-Year Outcomes of Atezolizumab in Japanese Patients With Resected Stage IB-IIIA Non-Small Cell Lung Cancer. Cancer Sci. 2026 Mar;117(3):749-758. doi: 10.1111/cas.70297. Epub 2025 Dec 19.
PubMed 41416818Felip E, Altorki N, Zhou C, Vallieres E, Csoszi T, Vynnychenko IO, Goloborodko O, Rittmeyer A, Reck M, Martinez-Marti A, Kenmotsu H, Chen YM, Chella A, Sugawara S, Fu C, Ballinger M, Deng Y, Srivastava MK, Bennett E, Gitlitz BJ, Wakelee HA; IMpower010 Study Investigators. Five-Year Survival Outcomes With Atezolizumab After Chemotherapy in Resected Stage IB-IIIA Non-Small Cell Lung Cancer (IMpower010): An Open-Label, Randomized, Phase III Trial. J Clin Oncol. 2025 Jul 20;43(21):2343-2349. doi: 10.1200/JCO-24-01681. Epub 2025 May 30.
PubMed 40446184Zhou C, Srivastava MK, Xu H, Felip E, Wakelee H, Altorki N, Reck M, Liersch R, Kryzhanivska A, Oizumi S, Tanaka H, Hamm J, McCune SL, Bennett E, Gitlitz B, McNally V, Ballinger M, McCleland M, Zou W, Das Thakur M, Novello S. Comparison of SP263 and 22C3 immunohistochemistry PD-L1 assays for clinical efficacy of adjuvant atezolizumab in non-small cell lung cancer: results from the randomized phase III IMpower010 trial. J Immunother Cancer. 2023 Oct;11(10):e007047. doi: 10.1136/jitc-2023-007047.
PubMed 37903590Felip E, Altorki N, Zhou C, Vallieres E, Martinez-Marti A, Rittmeyer A, Chella A, Reck M, Goloborodko O, Huang M, Belleli R, McNally V, Srivastava MK, Bennett E, Gitlitz BJ, Wakelee HA. Overall survival with adjuvant atezolizumab after chemotherapy in resected stage II-IIIA non-small-cell lung cancer (IMpower010): a randomised, multicentre, open-label, phase III trial. Ann Oncol. 2023 Oct;34(10):907-919. doi: 10.1016/j.annonc.2023.07.001. Epub 2023 Jul 17.
PubMed 37467930Mohindra NA, Patel JD. Top advances in lung cancer, 2021. Cancer. 2022 Oct 1;128(19):3434-3437. doi: 10.1002/cncr.34406. Epub 2022 Aug 10.
PubMed 35947027Felip E, Altorki N, Zhou C, Csoszi T, Vynnychenko I, Goloborodko O, Luft A, Akopov A, Martinez-Marti A, Kenmotsu H, Chen YM, Chella A, Sugawara S, Voong D, Wu F, Yi J, Deng Y, McCleland M, Bennett E, Gitlitz B, Wakelee H; IMpower010 Investigators. Adjuvant atezolizumab after adjuvant chemotherapy in resected stage IB-IIIA non-small-cell lung cancer (IMpower010): a randomised, multicentre, open-label, phase 3 trial. Lancet. 2021 Oct 9;398(10308):1344-1357. doi: 10.1016/S0140-6736(21)02098-5. Epub 2021 Sep 20.
PubMed 34555333