Renal Cell CarcinomaPhase 3IMmotion010NCT03024996
A Study of Atezolizumab as Adjuvant Therapy in Participants With Renal Cell Carcinoma (RCC) at High Risk of Developing Metastasis Following Nephrectomy
A Phase 3 study testing Atezolizumab in people with Renal Cell Carcinoma, run by Hoffmann-La Roche at 186 sites in 28 countries.
Trial summary
This is a Phase III, multicenter, randomized, placebo-controlled, double-blind study to evaluate the efficacy and safety of atezolizumab versus placebo in participants with RCC who are at high risk of disease recurrence following nephrectomy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Renal Cell Carcinoma
- What is being tested?
- Atezolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 778 participants
- Where
- 186 sitesin 28 countries
- Study dates
- 3 Jan 2017to 8 Dec 2022
- 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
- ECOG performance status of less than or equal to (</=) 1
- Pathologically confirmed RCC with a component of either clear cell histology or sarcomatoid histology that has not been previously treated in the adjuvant or neoadjuvant setting and classified as being at high risk of RCC recurrence
- Radical or partial nephrectomy with lymphadenectomy in select participants
- Absence of residual disease and absence of metastasis, as confirmed by a negative baseline computed tomography (CT) of the pelvis, abdomen, and chest no more than 4 weeks prior to randomization. Confirmation of disease-free status will be assessed by an independent central radiologic review of imaging data.
- Absence of brain metastasis, as confirmed by a negative CT with contrast or magnetic resonance imaging (MRI) scan of the brain, no more than 4 weeks prior to randomization. Applicable only to metastasectomy participants
- Full recovery from nephrectomy or metastasectomy within 12 weeks from randomization following surgery
Who cannot join
- Bilateral synchronous tumors with inheritable forms of RCC including von Hippel-Lindau
- Any approved anti-cancer therapy, including chemotherapy or hormonal therapy, within 3 weeks prior to initiation of study treatment
- Treatment with any other investigational agent or participation in another clinical study with therapeutic intent within 28 days or five half-lives of the investigational agent, whichever is longer, prior to enrollment
- Malignancies other than RCC within 5 years prior to Cycle 1, Day 1
- History of autoimmune disease
- Participants with prior allogeneic stem cell or solid organ transplantation
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- History of idiopathic pulmonary fibrosis (including pneumonitis), drug-induced pneumonitis, organizing pneumonia (i.e., bronchiolitis obliterans, cryptogenic organizing pneumonia), or evidence of active pneumonitis on screening chest CT scan
- Positive test for HIV
- Participants with active hepatitis B or hepatitis C
- Active tuberculosis
- Severe infections within 4 weeks prior to randomization including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia
- Major surgical procedure within 4 weeks prior to randomization or anticipation of need for a major surgical procedure during the course of the study other than for diagnosis
- Administration of a live, attenuated vaccine within 4 weeks before Cycle 1, Day 1
- 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
- Prior treatment with cluster of differentiation (CD)137 agonists, anti-cytotoxic T-lymphocyte-associated protein-4 (anti-CTLA-4), anti-programmed death-1 (anti-PD-1), or anti-programmed death-ligand 1 (anti-PD-L1) therapeutic antibody or pathway-targeting agents
- Treatment with systemic immunostimulatory agents (including but not limited to interferons or interleukin-2) within 6 weeks or five half-lives of the drug, whichever is shorter, prior to randomization
- Treatment with systemic immunosuppressive medications (including but not limited to corticosteroids, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents) within 2 weeks prior to randomization or anticipated need for systemic immunosuppressive medications during the study
Trial locations and contacts
186 sites in 28 countries.
186 sites in 28 countries
United States45 sites
New York Oncology Hematology at Albany Medical Center
Albany, New York, 12208
Emory Uni - Winship Cancer Center; Hematology/Oncology
Atlanta, Georgia, 30322
University of Colorado Cancer Center
Aurora, Colorado, 80045
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27514
Levine Cancer Institute
Charlotte, North Carolina, 28204
Erlanger Health Systems
Chattanooga, Tennessee, 37403
The University of Chicago Biological Sciences; Dept. of Medicine, Section of Hematology/Oncology
Chicago, Illinois, 60637
Fairview Hospital; Cleveland Clinic Cancer Center
Cleveland, Ohio, 44111
Cleveland Clinic Foundation; Hematology and Oncology
Cleveland, Ohio, 44195
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
City of Hope National Medical Center
Duarte, California, 91010
Florida Cancer Specialists-Broadway, Fort Myers
Fort Myers, Florida, 33908
University of Florida
Gainesville, Florida, 32607
MD Anderson Cancer Center
Houston, Texas, 77030-4095
Urology Associates of Kingsport, P.C.
Kingsport, Tennessee, 37660
City of Hope, Antelope Valley
Lancaster, California, 93534
UCLA Urology; Urology
Los Angeles, California
Norton Cancer Institute
Louisville, Kentucky, 40202
Hillcrest Hospital; Hirsch Cancer Center
Mayfield Heights, Ohio, 44124
Loyola University Medical Center, Cardinal Bernardin Cancer Center
Maywood, Illinois, 60151
Univ of Miami, School of Med; Hem/Onc
Miami, Florida, 33136
West Virginia University Hospitals Inc
Morgantown, West Virginia, 26056
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Vanderbilt University Medical Center; Vanderbilt University
Nashville, Tennessee, 37232
Yale School of Medicine
New Haven, Connecticut, 06510
Tulane Uni Health Sciences Center
New Orleans, Louisiana, 70112
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Bellevue Hospital
New York, New York, 10016
Laura and ISAAC Perlmutter Cancer Center at NYU Langone.
New York, New York, 10016
Mount SInai Medical Center
New York, New York, 10029
University of Oklahoma; Stephenson Oklahoma Canc Ctr
Oklahoma City, Oklahoma, 73104
University of California Irvine Medical Center
Orange, California, 92868
Fox Chase Cancer Center; Hematology/Oncology
Philadelphia, Pennsylvania, 19111
Oregon Health & Science Uni
Portland, Oregon, 97239
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
University of Rochester Medical Center; Urology
Rochester, New York, 14642
University of Utah; Huntsman Cancer Hospital
Salt Lake City, Utah, 84112
Mayo Clinic- Scottsdale
Scottsdale, Arizona, 85259
Sanford Cancer Cnt Onco Clinic
Sioux Falls, South Dakota, 57104
City of Hope-South Pasadena
South Pasadena, California, 91030
SUNY Upstate Medical University
Syracuse, New York, 13210
Moffitt Cancer Center
Tampa, Florida, 33612
Chesapeake Urology Research Associates
Towson, Maryland, 21204
City of Hope; Upland
Upland, California, 91786
Garden State Urology
Whippany, New Jersey
Japan16 sites
Nagoya University Hospital
Aichi, 466-8560
Hirosaki University Hospital
Aomori, 036-8563
Kyushu University Hospital
Fukuoka, 812-8582
Kobe University Hospital
Hyōgo, 650-0017
University of Tsukuba Hospital
Ibaraki, 305-8576
Mie University Hospital
Mie, 514-8507
Niigata University Medical & Dental Hospital
Niigata, 951-8520
Okayama University Hospital
Okayama, 700-8558
Jichi Medical University Hospital
Tochigi, 329-0498
Tokushima University Hospital
Tokushima, 770-8503
Toranomon Hospital
Tokyo, 105-8470
Tokyo Medical and Dental University Hospital
Tokyo, 113-8519
Nippon Medical School Hospital
Tokyo, 113-8603
Tokyo Women?s Medical University Adachi Medical Center
Tokyo, 123-8558
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Keio University Hospital
Tokyo, 160-8582
Canada11 sites
Tom Baker Cancer Centre-Calgary
Calgary, Alberta, T2N 4N2
Cross Cancer Institute
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
McGill University Health Centre - Glen Site
Montreal, Quebec, H4A 3J1
The Ottawa Hospital Cancer Centre; Oncology
Ottawa, Ontario, K1H 8L6
Centre Hospitalier universitaire de Québec/ Hotel Dieu de Québec
Québec, G1R 3S1
Centre Hospitalier Universitaire de Sherbrooke - Hopital Fleurimont
Sherbrooke, Quebec, J1H 5N4
North York General Hospital; Inpatient Pharmacy
Toronto, Ontario, M2K 1E1
Sunnybrook Odette Cancer Centre
Toronto, Ontario, M4N 3M5
Princess Margaret Cancer Center
Toronto, Ontario, M5G 1Z5
Spain10 sites
Hospital Clínic i Provincial; Servicio de Oncología
Barcelona, 08036
Institut Catala d Oncologia Hospital Duran i Reynals
Barcelona, 08908
Hospital Universitario Reina Sofia; Servicio de Oncologia
Córdoba, Cordoba, 14004
Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
Madrid, 28007
Hospital Ramon y Cajal; Servicio de Oncologia
Madrid, 28034
Hospital Universitario Clínico San Carlos; Servicio de Oncologia
Madrid, 28040
Hospital Universitario 12 de Octubre; Servicio de Oncologia
Madrid, 28041
Hospital Univ. Central de Asturias; Servicio de Oncologia
Oviedo, Principality of Asturias, 33011
Hospital Univ Vall d'Hebron; Servicio de Oncologia
Sant Andreu de la Barca, Barcelona, 08740
Complejo Hospitalario Universitario de Santiago (CHUS) ; Servicio de Oncologia
Santiago de Compostela, LA Coruña, 15706
France8 sites
CHU d'Angers
Angers, 49033
CHU Henri Mondor; Service d'Oncologie Medicale
Créteil, 94010
CHU de Nantes - Hotel Dieu
Nantes, 44093
Institut Mutualiste Montsouris; Oncologie
Paris, 75674
CHU Pontchaillou
Rennes, 35000
CHU de Rouen - Hôpital Charles Nicolle
Rouen, 76031
Nouvel Hopital Civil - CHU Strasbourg; Urologie
Strasbourg, 67091
Institut Gustave Roussy
Villejuif, 94805
Israel7 sites
Soroka Medical Center; Oncology Dept
Beersheba, 8410100
Rambam Health Care Campus; Oncology
Haifa, 3109601
Hadassah Ein Karem Hospital; Oncology Dept
Jerusalem, 9112000
Meir Medical Center; Oncology
Kfar Saba, 4428164
Belinson Medical Center, Division of Oncology
Petah Tikva, 4941492
Chaim Sheba medical center, Oncology division
Ramat Gan, 5262000
Sourasky Medical Center; Oncology Department
Tel Aviv, 6423900
Italy7 sites
Azienda USL8 Arezzo-Presidio Ospedaliero 1 San Donato;U.O.C. Oncologia
Arezzo, Tuscany, 52100
Azienda Ospedaliero-Universitaria S.Orsola-Malpighi; Unità Operativa Oncologia Medica
Bologna, Emilia-Romagna, 40138
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica
Meldola, Emilia-Romagna, 47014
Irccs Istituto Nazionale Dei Tumori (Int);S.C. Medicina Oncologica 2
Milan, Lombardy, 20133
A.O. Universitaria Policlinico Di Modena; Oncologia
Modena, Emilia-Romagna, 41100
IRCCS Istituto Oncologico Veneto (IOV); Oncologia Medica Prima
Padova, Veneto, 35128
Fondazione IRCCS Policlinico San Matteo, Oncologia
Pavia, Lombardy, 27100
Germany6 sites
Universitätsklinikum "Carl Gustav Carus"; Klinik und Poliklinik für Urologie
Dresden, 01307
Medizinische Hochschule Hannover; Zentrum Innere Medizin; Abt. Hämatologie u. Onkologie
Hanover, 30625
Universitatsklinik Heidelberg; Universitätshautklinik und Nationales Centrum für Tumorerkrankungen
Heidelberg, 69120
Universitätsklinikum des Saarlandes; Klinik für Urologie und Kinderurologie
Homburg/Saar, 66424
Klinikum rechts der Isar der TU München; Urologische Klinik und Poliklinik
München, 81675
Universitätsklinikum Tübingen; Klinik für Urologie
Tübingen, 72076
Poland6 sites
Szpital Uniwersytecki w Krakowie, Oddzia? Kliniczny Kliniki Onkologii
Krakow, 30-688
Narodowy Inst.Onkol.im.Sk?odowskiej-Curie Pa?stw.Inst.Badawczy Kraków; Klinika Onkologii Klinicznej
Krakow, 31-115
Centrum Onkologii Ziemi Lubelskiej im. ?w. Jana z Dukli
Lublin, 20-090
Szpital Kliniczny im. Heliodora ?wi?cickiego UM w Poznaniu; Oddzia? Chemioterapii
Późna, 60-569
Szpital Grochowski im. dr med. Rafa?a Masztaka Sp. z o.o.
Warsaw, 04-073
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
Wroclaw, 50-556
Russia6 sites
Altai Region Oncology Dispensory; Oncology
Barnaul, Altayskiy Kray, 656049
P.A. Herzen Oncological Inst. ; Oncology
Moscow, Moscow Oblast, 125248
City Clinical Oncology Hospital
Moscow, Moscow Oblast, 143423
Privolzhsk Regional Medical Center
Nizhny Novgorod, Niznij Novgorod, 603001
City Clinical Oncology Dispensary
Saint Petersburg, Sankt-Peterburg, 197022
Sverdlovsk Regional Clinical Hospital 1
Yekaterinburg, Sverdlovsk Oblast, 620102
United Kingdom6 sites
Leicester Royal Infirmary
Leicester, LE1 5WW
Royal Free Hospital
London, NW3 2QS
Christie Hospital
Manchester, M20 3BG
Freeman Hospital
Newcastle upon Tyne, NE7 7DN
Weston Park Hospital
Sheffield, S10 2SJ
Singleton Hospital; Pharmacy Department
Swansea, SA2 8QA
Brazil5 sites
Hospital Erasto Gaertner
Curitiba, Paraná, 81520-060
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, 01246-000
Hospital Alemao Oswaldo Cruz
São Paulo, São Paulo, 01323-903
Netherlands5 sites
VU Medisch Centrum; VU University Medical Center
Amsterdam, 1007 MB
Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis
Amsterdam, 1066 CX
UMC Radboud Nijmegen
Nijmegen, 6500 HB
Sint Franciscus Gasthuis; Inwendige Geneeskunde
Rotterdam, 3045 PM
St. Antonius locatie Leidsche Rijn
Utrecht, 3543 AZ
Taiwan5 sites
China Medical University Hospital; Urology
Taichung, 40447
Taichung Veterans General Hospital; Division of Urology
Taichung, 407
National Taiwan University Hospital, Department of Urology
Taipei, 10048
TAIPEI VETERANS GENERAL HOSPITAL, Urology
Taipei, 11217
Chang Gung Medical Foundation-Linkou, Urinary Oncology
Taoyuan, 333
Turkey (Türkiye)5 sites
Baskent University Adana Dr. Turgut Noyan Practice and Research Hospital; Medical Oncology
Adana, 01230
Gazi University Medical Faculty; Department of ?nternal Medicine
Ankara, 06500
Ankara Uni School of Medicine; Medical Oncology
Ankara, 06590
Trakya University Medical Faculty
Edirne, 22030
Hacettepe Uni Medical Faculty Hospital; Oncology Dept
Sihhiye/Ankara, 06230
Ukraine5 sites
CI Dnipropetrovsk CMCH #4 MA of MOHU Ch of Oncology and MR
Dnipropetrovsk, 49102
Regional Clinical Center of Urology and Nephrology n.a. V.I. Shapoval Department of Urology #4
Kharkiv, Kharkiv Governorate, 61037
Lviv Com. City Clinical Hospital #8; Cardiol.Dept. for Pat. with Myocard.Infarction
Lviv, 79034
Regional Municipal Institution Sumy Regional Clinical Oncology Dispensary
Sumy, 40005
Zaporizhzhia Regional Clinic
Zaporizhzhya, 69600
Australia4 sites
Austin Hospital; Medical Oncology
Heidelberg, Victoria, 3084
Royal Brisbane & Women's Hosp; Cancer Care Serv
Herston, Queensland, 4029
Ashford Cancer Center Research
Kurralta Park, South Australia, 5037
Calvary Mater Newcastle; Medical Oncology
Waratah, New South Wales, 2298
Czechia4 sites
Masarykuv onkologicky ustav
Brno, 656 53
Fakultni nemocnice Olomouc; Onkologicka klinika
Olomouc, 779 00
General University Hospital; CLINIC OF ONCOLOGY
Prague, 128 08
Thomayerova nemocnice
Praha 4 - Krc, 140 59
Argentina3 sites
Hospital Britanico; Oncologia
Buenos Aires, C1280AEB
Hospital Aleman
Caba, C1118AAT
Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE
Austria3 sites
Ordensklinikum Linz Elisabethinen; Abteilung für Urologie und Andrologie
Linz, 4020
Landeskrankenhaus Salzburg; Universitätsklinik für Urologie und Andrologie der PMU
Salzburg, 5020
Medizinische Universität Wien; Universitätsklinik für Urologie, Arbeitsgruppe Nierenzellkarzinome
Vienna, 1090
Chile3 sites
Bradford Hill Centro de Investigaciones Clinicas
Recoleta, 8420383
Sociedad de Investigaciones Medicas Ltda (SIM)
Temuco, 4800827
ONCOCENTRO APYS; Oncología
Viña del Mar, 2520598
Serbia3 sites
Clinic for Urology, Clinical Center of Serbia; Clinic for Urology
Belgrade, 11000
Clinic for Urology; Military Medical Academy
Belgrade, 11000
Oncology Institute of Vojvodina
Kamenitz, 21204
South Korea3 sites
National Cancer Center
Goyang-si, 10408
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 135-710
Belgium2 sites
Cliniques Universitaires St-Luc
Brussels, 1200
UZ Leuven Gasthuisberg
Leuven, 3000
China2 sites
Jiangsu Cancer Hospital
Nanjing, 211100
Fudan University Shanghai Cancer Center; Medical Oncology
Shanghai, 201315
Denmark2 sites
Aarhus Universitetshospital; Kræftafdelingen
Aarhus N, 8200
Herlev Hospital; Afdeling for Kræftbehandling
Herlev, 2730
Ireland2 sites
Cork Uni Hospital; Oncology Dept
Cork
Adelaide & Meath Hospital, Dublin, Incorporating the National Children's Hospital; Oncology Day Unit
Dublin, 24
Thailand2 sites
Division of Urological surgery; Department of surgery, Chulalongkorn University
Bangkok, 10330
Maharaj Nakorn Chiangmai Hospital; Department of Surgery/ Urology unit
Chiang Mai, 50200
About this study
Official title: A Phase III, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study of Atezolizumab (Anti-PD-L1 Antibody) as Adjuvant Therapy in Patients With Renal Cell Carcinoma at High Risk of Developing Metastasis Following Nephrectomy
This is a Phase III, multicenter, randomized, placebo-controlled, double-blind study to evaluate the efficacy and safety of atezolizumab versus placebo in participants with RCC who are at high risk of disease recurrence following nephrectomy.
- Conditions
- Renal Cell Carcinoma
- Being tested
- Atezolizumab, Placebo
- Medical subject headings
- Carcinoma, Renal Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtezolizumabDrug
Atezolizumab 1200 mg IV infusion q3w
PlaceboOther
Placebo matching to atezolizumab q3w
| Study group | Role | What they receive |
|---|---|---|
| Atezolizumab | Experimental | Participants will receive atezolizumab 1200 milligrams (mg) intravenous (IV) infusion every 3 weeks (q3w) for 16 cycles (each cycle=21 days) or 1 year (whichever occurs first). Receives: Drug: Atezolizumab |
| Placebo | Placebo comparator | Participants will receive placebo matching to atezolizumab q3w for 16 cycles (each cycle=21 days) or 1 year (whichever occurs first). Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator-assessed Disease-Free Survival (DFS)
Investigator-assessed DFS, defined as the time from randomization to death from any cause or the first documented recurrence assessed by investigator, whichever occurred first. Recurrence was defined as any of the following: Local recurrence of renal cell carcinoma (RCC), new primary RCC, or distant metastasis of RCC. Investigator-assessed DFS was analyzed similarly to the analysis of IRF-assessed DFS.
Measured: From baseline up to first occurence of event by investigator assessment (up to approximately 64 months)
Secondary outcomes (13)
Overall Survival (OS)
OS was defined as the time from randomization to death from any cause.
Measured: From baseline up to death due to any cause (up to approximately 64 months)
Investigator-assessed DFS in Participants With Tumor-Infiltrating Immune Cell (IC) 1/2/3
Investigator assessed DFS for participants with PD-L1 expression of IC1/2/3 vs IC0, defined as the time from randomization to death from any cause or the first documented recurrence assessed by investigator, whichever occurred first. Investigator-assessed DFS was analyzed similarly to the analysis of IRF-assessed DFS. PD-L1 IC0 was defined as <1% and IC1/2/3 was defined as >=1% of tumor-infiltrating IC expressing PD-L1 as assessed by immunohistochemistry using SP142 assay. Recurrence was defined as any of the following: Local recurrence of renal cell carcinoma (RCC), new primary RCC, or distant metastasis of RCC.
Measured: From baseline until first occurrence of DFS event (up to approximately 64 months)
Independent Review Facility (IRF)-Assessed DFS
IRF-assessed DFS was defined as the time from randomization to death from any cause or the first documented recurrence assessed by IRF, whichever occurred first.
Measured: From baseline until first documented recurrence event (up to approximately 64 months)
IRF-assessed DFS in Participants With Tumor-Infiltrating IC 1/2/3
IRF-assessed DFS was defined as the time from randomization to death from any cause or the first documented recurrence assessed by IRF, whichever occurred first. PD-L1 IC0 was defined as <1% and IC1/2/3 was defined as >=1% of tumor-infiltrating IC expressing PD-L1 as assessed by immunohistochemistry using SP142 assay.
Measured: From baseline until first occurrence of DFS event (up to approximately 64 months)
IRF-assessed Event-free Survival (EFS)
IRF-assessed EFS was defined as the time from randomization to death from any cause, or the first documented recurrence in participants without baseline disease by IRF or the first documented disease progression in participants identified as having baseline disease by IRF, whichever occurred first. Disease progression was defined as either unequivocal progression of baseline disease or new unequivocal lesions.
Measured: From baseline until first documented recurrence event (up to approximately 64 months)
Disease-Specific Survival
Disease-specific survival was defined as the time from randomization to death from renal cell carcinoma (RCC).
Measured: From baseline up to death due to RCC (up to approximately 64 months)
Distant Metastasis-Free Survival
Distant metastasis-free survival, defined as the time from randomization to death from any cause or the date of diagnosis of distant (i.e., non-locoregional) metastases assessed by the investigator, whichever occurred first.
Measured: From baseline up to date of diagnosis of distant metastases or death due to any cause (up to approximately 64 months)
Percentage of Participants Who Are Alive and IRF-assessed Recurrence Free at Year 1, 2, and 3
IRF-assessed DFS was defined as the percentage of participants being alive and free of recurrence assessed by IRF at Year 1, 2, and 3 after randomization.
Measured: Up to 3 years
Percentage of Participants Who Are Alive and Investigator-assessed Recurrence Free at Year 1, 2, and 3
Investigator-assessed DFS rate was defined as the percentage of participants being alive and free of recurrence assessed by investigator at Year 1, 2, and 3 after randomization.
Measured: Up to 3 years
Percentage of Participants With Adverse Events
An adverse event (AE) was defined as any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unitended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a pharmaceutical product whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as a AEs.
Measured: From baseline up to death due to any cause (up to approximately 71 months)
Maximum Serum Concentration (Cmax) of Atezolizumab
Measured: Predose (Hour[hr]0), 0.5 hr after end of infusion (infusion duration=1 hr) on Cycle 1 Day 1; predose (hr 0) on Day 1 of Cycles 2, 3, 4, 8; at treatment discontinuation (up to 1 year); 90-120 days after last dose (last dose = up to 1 year) (Cycle=21 days)
Minimum Serum Concentration (Cmin) of Atezolizumab
Measured: Predose (Hour[hr]0), 0.5 hr after end of infusion (infusion duration=1 hr) on Cycle 1 Day 1; predose (hr 0) on Day 1 of Cycles 2, 3, 4, 8; at treatment discontinuation (up to 1 year); 90-120 days after last dose (last dose = up to 1 year) (Cycle=21 days)
Percentage of Participants With Anti-Drug Antibodies (ADA) to Atezolizumab
Measured: Predose (hr 0) on Day 1 of Cycles 1, 2, 3, 4, 8; at treatment discontinuation (up to 1 year); 90-120 days after last dose (last dose = up to 1 year) (Cycle=21 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jan 2017 (estimated)
- Study start3 Jan 2017
- Primary completion3 May 2022
- Study completion8 Dec 2022
Why it stopped: The sponsor decided to terminate this study before the protocol-defined end-of-study, as permitted per protocol.
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 (2)Papers the sponsor has linked to this study.
- Other trials for Renal Cell CarcinomaStudies 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
- 778 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
- NCT03024996
- Sponsor's protocol ID
- WO39210
- Other IDs
- 2016-001881-27, 2016
- Acronym
- IMmotion010
- Status last verified
- Jul 2023
- First submitted
- 17 Jan 2017
- Last updated
- 3 Aug 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Pal SK, Uzzo R, Karam JA, Master VA, Donskov F, Suarez C, Albiges L, Rini B, Tomita Y, Kann AG, Procopio G, Massari F, Zibelman M, Antonyan I, Huseni M, Basu D, Ci B, Leung W, Khan O, Dubey S, Bex A. Adjuvant atezolizumab versus placebo for patients with renal cell carcinoma at increased risk of recurrence following resection (IMmotion010): a multicentre, randomised, double-blind, phase 3 trial. Lancet. 2022 Oct 1;400(10358):1103-1116. doi: 10.1016/S0140-6736(22)01658-0. Epub 2022 Sep 10.
PubMed 36099926Marconi L, Sun M, Beisland C, Klatte T, Ljungberg B, Stewart GD, Dabestani S, Choueiri TK, Bex A. Prevalence, Disease-free, and Overall Survival of Contemporary Patients With Renal Cell Carcinoma Eligible for Adjuvant Checkpoint Inhibitor Trials. Clin Genitourin Cancer. 2021 Apr;19(2):e92-e99. doi: 10.1016/j.clgc.2020.12.005. Epub 2021 Jan 7.
PubMed 33526329
Study at a glance
From the registry record, last updated by the sponsor on 3 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study of Atezolizumab (Anti-PD-L1 Antibody) as Adjuvant Therapy in Patients With Renal Cell Carcinoma at High Risk of Developing Metastasis Following Nephrectomy
- ClinicalTrials.gov ID
- NCT03024996
- Acronym / sponsor ID
- IMmotion010 / WO39210
- Conditions
- Renal Cell Carcinoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The sponsor decided to terminate this study before the protocol-defined end-of-study, as permitted per protocol.
- Enrolment
- 778 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 3 Jan 2017 (actual)
- Primary completion
- 3 May 2022 (actual)
- Study completion
- 8 Dec 2022 (actual)
- First posted
- 19 Jan 2017 (estimated)
- Results
- Posted 3 Aug 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase III, multicenter, randomized, placebo-controlled, double-blind study to evaluate the efficacy and safety of atezolizumab versus placebo in participants with RCC who are at high risk of disease recurrence following nephrectomy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Atezolizumab | Experimental | Drug: AtezolizumabParticipants will receive atezolizumab 1200 milligrams (mg) intravenous (IV) infusion every 3 weeks (q3w) for 16 cycles (each cycle=21 days) or 1 year (whichever occurs first). |
| Placebo | Placebo comparator | Other: PlaceboParticipants will receive placebo matching to atezolizumab q3w for 16 cycles (each cycle=21 days) or 1 year (whichever occurs first). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- ECOG performance status of less than or equal to (</=) 1
- Pathologically confirmed RCC with a component of either clear cell histology or sarcomatoid histology that has not been previously treated in the adjuvant or neoadjuvant setting and classified as being at high risk of RCC recurrence
- Radical or partial nephrectomy with lymphadenectomy in select participants
- Absence of residual disease and absence of metastasis, as confirmed by a negative baseline computed tomography (CT) of the pelvis, abdomen, and chest no more than 4 weeks prior to randomization. Confirmation of disease-free status will be assessed by an independent central radiologic review of imaging data.
- Absence of brain metastasis, as confirmed by a negative CT with contrast or magnetic resonance imaging (MRI) scan of the brain, no more than 4 weeks prior to randomization. Applicable only to metastasectomy participants
Key exclusion criteria (17 listed)
- Bilateral synchronous tumors with inheritable forms of RCC including von Hippel-Lindau
- Any approved anti-cancer therapy, including chemotherapy or hormonal therapy, within 3 weeks prior to initiation of study treatment
- Treatment with any other investigational agent or participation in another clinical study with therapeutic intent within 28 days or five half-lives of the investigational agent, whichever is longer, prior to enrollment
- Malignancies other than RCC within 5 years prior to Cycle 1, Day 1
- History of autoimmune disease
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 |
|---|---|---|
| AtezolizumabAtezolizumab 1200 mg IV infusion q3w | Drug | Atezolizumab |
| PlaceboPlacebo matching to atezolizumab q3w | Other | Placebo |
Primary outcome
Investigator-assessed Disease-Free Survival (DFS)
Time frame: From baseline up to first occurence of event by investigator assessment (up to approximately 64 months)
Investigator-assessed DFS, defined as the time from randomization to death from any cause or the first documented recurrence assessed by investigator, whichever occurred first. Recurrence was defined as any of the following: Local recurrence of renal cell carcinoma (RCC), new primary RCC, or distant metastasis of RCC. Investigator-assessed DFS was analyzed similarly to the analysis of IRF-assessed DFS.
13 secondary outcomes
Overall Survival (OS)
Time frame: From baseline up to death due to any cause (up to approximately 64 months)
Investigator-assessed DFS in Participants With Tumor-Infiltrating Immune Cell (IC) 1/2/3
Time frame: From baseline until first occurrence of DFS event (up to approximately 64 months)
Independent Review Facility (IRF)-Assessed DFS
Time frame: From baseline until first documented recurrence event (up to approximately 64 months)
IRF-assessed DFS in Participants With Tumor-Infiltrating IC 1/2/3
Time frame: From baseline until first occurrence of DFS event (up to approximately 64 months)
IRF-assessed Event-free Survival (EFS)
Time frame: From baseline until first documented recurrence event (up to approximately 64 months)
Disease-Specific Survival
Time frame: From baseline up to death due to RCC (up to approximately 64 months)
Distant Metastasis-Free Survival
Time frame: From baseline up to date of diagnosis of distant metastases or death due to any cause (up to approximately 64 months)
Percentage of Participants Who Are Alive and IRF-assessed Recurrence Free at Year 1, 2, and 3
Time frame: Up to 3 years
Percentage of Participants Who Are Alive and Investigator-assessed Recurrence Free at Year 1, 2, and 3
Time frame: Up to 3 years
Percentage of Participants With Adverse Events
Time frame: From baseline up to death due to any cause (up to approximately 71 months)
Maximum Serum Concentration (Cmax) of Atezolizumab
Time frame: Predose (Hour[hr]0), 0.5 hr after end of infusion (infusion duration=1 hr) on Cycle 1 Day 1; predose (hr 0) on Day 1 of Cycles 2, 3, 4, 8; at treatment discontinuation (up to 1 year); 90-120 days after last dose (last dose = up to 1 year) (Cycle=21 days)
Minimum Serum Concentration (Cmin) of Atezolizumab
Time frame: Predose (Hour[hr]0), 0.5 hr after end of infusion (infusion duration=1 hr) on Cycle 1 Day 1; predose (hr 0) on Day 1 of Cycles 2, 3, 4, 8; at treatment discontinuation (up to 1 year); 90-120 days after last dose (last dose = up to 1 year) (Cycle=21 days)
Percentage of Participants With Anti-Drug Antibodies (ADA) to Atezolizumab
Time frame: Predose (hr 0) on Day 1 of Cycles 1, 2, 3, 4, 8; at treatment discontinuation (up to 1 year); 90-120 days after last dose (last dose = up to 1 year) (Cycle=21 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Aug 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36099926Pal SK, Uzzo R, Karam JA, Master VA, Donskov F, Suarez C, Albiges L, Rini B, Tomita Y, Kann AG, Procopio G, Massari F, Zibelman M, Antonyan I, Huseni M, Basu D, Ci B, Leung W, Khan O, Dubey S, Bex A. Adjuvant atezolizumab versus placebo for patients with renal cell carcinoma at increased risk of recurrence following resection (IMmotion010): a multicentre, randomised, double-blind, phase 3 trial. Lancet. 2022 Oct 1;400(10358):1103-1116. doi: 10.1016/S0140-6736(22)01658-0. Epub 2022 Sep 10.
- Derived from this study: PubMed 33526329Marconi L, Sun M, Beisland C, Klatte T, Ljungberg B, Stewart GD, Dabestani S, Choueiri TK, Bex A. Prevalence, Disease-free, and Overall Survival of Contemporary Patients With Renal Cell Carcinoma Eligible for Adjuvant Checkpoint Inhibitor Trials. Clin Genitourin Cancer. 2021 Apr;19(2):e92-e99. doi: 10.1016/j.clgc.2020.12.005. Epub 2021 Jan 7.
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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
186 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atezolizumab in people with Renal Cell Carcinoma, run by Hoffmann-La Roche at 186 sites in 28 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 6 inclusion and 17 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: stopped early, as of the sponsor's last update on 3 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 186 sites in United States, Japan, Canada, Spain, France and 23 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 3 Aug 2023). 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?
Investigator-assessed Disease-Free Survival (DFS) (time frame: From baseline up to first occurence of event by investigator assessment (up to approximately 64 months)). 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 NCT03024996, which also lists 2 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 3 Aug 2023.