Carcinoma, Non-Small-Cell LungPhase 4TAILNCT03285763
A Study of Atezolizumab (Tecentriq) to Investigate Long-term Safety and Efficacy in Previously-treated Participants With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC)
A Phase 4 study testing Atezolizumab in people with Carcinoma, Non-Small-Cell Lung, run by Hoffmann-La Roche at 111 sites in 24 countries.
Trial summary
This is a Phase III/IV, single-arm, multicenter study of the long-term safety and efficacy of atezolizumab treatment in participants with Stage IIIb or Stage IV NSCLC who have progressed after standard systemic chemotherapy (including if given in combination with anti-programmed cell death protein 1 [anti-PD-1]… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- Atezolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 619 participants
- Where
- 111 sitesin 24 countries
- Study dates
- 25 Oct 2017to 7 Apr 2022
- Phase
- Phase 4
- 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
- Histologically or cytologically documented Stage IIIb or Stage IV NSCLC that has progressed following standard systemic chemotherapy (including if given in combination with anti-PD-1 therapy, after anti-PD-1 as monotherapy, or after TKI therapy). Participants with a previously detected sensitizing epidermal growth factor receptor (EGFR) mutation or echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (ALK) fusion oncogene must have received targeted therapy (TKI) followed by at least one line of standard systemic chemotherapy prior to receiving atezolizumab. Overall, participants should not have received more than two lines of standard systemic chemotherapy. Participants who have discontinued first-line or second-line therapy due to intolerance are also eligible
- The last dose of prior systemic anticancer therapy or targeted therapy must have been administered more than or equal to (≥) 21 days prior to randomization.
- The last dose of prior anti-PD-1 therapy must have been administered. Nivolumab must have been discontinued >= 14 days and pembrolizumab >= 21 days prior to study treatment initiation, providing that these treatments were not administered in a clinical trial setting.
- Measurable disease, as defined by Response Evaluation Criteria for Solid Tumors, Version 1.1 (RECIST v1.1)
- Participants with asymptomatic central nervous system (CNS) metastases (treated or untreated), as determined by computed tomography (CT) or magnetic resonance imaging evaluation during screening and prior radiographic evaluation, are eligible
- Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2
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- Life expectancy ≥ 12 weeks
- Adequate hematologic and end-organ function
- For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods that result in a failure rate of less than (<) 1 percent (%) per year during the treatment period and for at least 5 months after the last dose of atezolizumab
- Participants must have recovered (i.e., improvement to Grade 1 or better) from all acute toxicities from previous therapy, excluding alopecia and toxicities related to prior anti-PD-1-therapy
Who cannot join
- Symptomatic CNS metastases
- Spinal cord compression not definitively treated with surgery and/or radiation or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for ≥ 2 weeks prior to study treatment initiation
- Leptomeningeal disease
- Uncontrolled pericardial effusion or ascites requiring recurrent drainage procedures
- Pregnant or lactating, or intending to become pregnant during the study
- Evidence of significant uncontrolled concomitant disease that could affect compliance with the protocol, including significant liver disease (such as cirrhosis, uncontrolled major seizure disorder, or superior vena cava syndrome)
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- Significant cardiovascular disease, such as New York Heart Association cardiac disease ≥ Class III, myocardial infarction within 3 months, unstable arrhythmias, or unstable angina
- Significant renal disorder requiring dialysis or indication for renal transplant
- Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to study treatment initiation
- Major surgical procedure within 4 weeks prior to study treatment initiation or anticipation of need for a major surgical procedure during the course of the study other than for diagnosis
- Inability to understand the local language(s) for which the EORTC QLQ-LC13 and EQ-5D-5L questionnaires are available
- History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins
- Known hypersensitivity or allergy to biopharmaceuticals produced in Chinese hamster ovary cells or any component of the atezolizumab formulation
- History of autoimmune disease are allowed if controlled and on stable treatment (i.e., same treatment, same dose) for the last 12 weeks
- Prior allogeneic stem cell or solid organ transplantation
- 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
- Active tuberculosis
- Administration of a live, attenuated vaccine within 4 weeks prior to study treatment initiation
- Prior treatment with cluster of differentiation 137 (CD137) agonists or immune checkpoint blockade therapies other than anti-PD-1 therapy, including anti-programmed death-ligand 1 therapeutic antibodies
- Treatment with systemic immunostimulatory agents (including, but not limited to, interferons or interleukin-2) within 4 weeks or five half-lives of the drug, whichever is longer, prior to initiation of study treatment
- Specifically for participants without autoimmune disease: treatment with systemic corticosteroids or other systemic immunosuppressive medications (including but not limited to prednisone, dexamethasone, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents) within 2 weeks prior to study treatment initiation, or anticipated requirement for systemic immunosuppressive medications during the trial. For participants with CNS metastases, use of prednisone at a stable dose (or dose equivalent) of <= 20 mg/day is acceptable.
Trial locations and contacts
111 sites in 24 countries.
111 sites in 24 countries
Spain27 sites
Hospital General Univ. de Alicante; Servicio de Oncologia
Alicante, 3010
Hospital del Mar; Servicio de Oncologia
Barcelona, 08003
Hospital Clínic i Provincial; Servicio de Hematología y Oncología
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau; Servicio de Oncologia
Barcelona, 08041
Hospital Provincial de Castellon; Servicio de Oncologia
Castellon, Castellon, 12002
Hospital Universitario Reina Sofia; Servicio de Oncologia
Córdoba, Cordoba, 14004
Hospital de Donostia; Servicio de Oncologia Medica
Donostia / San Sebastian, Guipuzcoa, 20080
Hospital Universitari de Girona Dr Josep Trueta; Departamento de Oncologia Medica
Girona, 17007
Hospital Universitario Virgen de las Nieves; Servicio de Oncologia
Granada, 18014
Complejo Hospitalario de Jaen-Hospital Universitario Medico Quirurgico; Servicio de Oncologia
Jaén, 23007
Complejo Hospitalario Universitario Insular?Materno Infantil; Servicio de Oncologia
Las Palmas de Gran Canaria, LAS Palmas, 35016
Hospital Lucus Augusti; Servicio de Oncologia
Lugo, 27003
Hospital Ramon y Cajal; Servicio de Oncologia
Madrid, 28034
Hospital Universitario 12 de Octubre; Servicio de Oncologia
Madrid, 28041
Hospital Universitario La Paz; Servicio de Oncologia
Madrid, 28046
Hospital Universitario Puerta de Hierro; Servicio de Oncologia
Majadahonda, Madrid, 28222
Hospital Univ. Central de Asturias; Servicio de Oncologia
Oviedo, Principality of Asturias, 33011
Hospital Universitario Son Espases; Servicio de Oncologia
Palma de Mallorca, Balearic Islands, 07014
Complejo Hospitalario de Navarra; Servicio de Oncologia
Pamplona, Navarre, 31008
Hospital Quiron de Madrid; Servicio de Oncologia
Pozuelo de Alarcón, Madrid, 28223
Hospital Universitario de Canarias;servicio de Oncologia
San Cristóbal de La Laguna, Tenerife, 38320
Hospital Infanta Sofia; Servico de Oncologia
San Sebastián de los Reyes, Madrid, 28702
Hospital Universitario Marques de Valdecilla; Servicio de Oncologia
Santander, Cantabria, 39008
Hospital Universitario Virgen del Rocio; Servicio de Oncologia
Seville, 41013
Hospital General Universitario de Valencia; Servicio de oncologia
Valencia, 46014
Hospital Universitario la Fe; Servicio de Oncologia
Valencia, 46026
Hospital Clinico Universitario Lozano Blesa; Servicio de Oncologia
Zaragoza, 50009
Italy16 sites
Ospedali Riuniti Di Ancona; Oncology
Ancona, The Marches, 60121
Ospedale Regionale Umberto Parini; S.C. Oncologia
Aosta, Aosta Valley, 11100
Cliniche Gavazzeni S.p.A.; Dip. di Oncologia Pneumologica ed Urologica
Bergamo, Lombardy, 24125
Azienda Ospedaliero-Universitaria S.Orsola-Malpighi; Unità Operativa Oncologia Medica
Bologna, Emilia-Romagna, 40138
ASST DEGLI SPEDALI CIVILI DI BRESCIA; Oncologia Medica
Brescia, Lombardy, 25123
Ospedale Oncologico A.Businco; Div. Oncologia Medica II
Cagliari, Sardinia, 09121
Ospedale Cannizzaro, Oncologia
Catania, Sicily, 95126
Campus Universitario S.Venuta; Centro Oncologico T.Campanella
Catanzaro, Calabria, 88100
Azienda Ospedaliero-Universitaria Careggi; SOD Radioterapia
Florence, Tuscany, 50134
Asst Grande Ospedale Metropolitano Niguarda; Dipartimento Di Ematologia Ed Oncologia
Milan, Lombardy, 20162
Azienda Ospedaliera Universitaria Pisana - Ospedale Cisanello; Dipartimento Cardio Toraco Vascolare
Pisa, Tuscany, 56124
Arcispedale Santa Maria Nuova; Medicina Nucleare
Reggio Emilia, Emilia-Romagna, 42100
Ist. Ricovero e Cura a Carattere Scientifico-Centro Rif. Oncologico della Basilica
Rionero in Vulture (PZ), Basilicate, 85028
Policlinico Umberto i di Roma; dip. Scienze Radiologiche, Oncologiche, Anatomopatologiche
Rome, Lazio, 00161
AZ. Ospedaliera San Giovanni - Addolorata
Rome, Lazio, 00184
ULSS2 Marca Trevigiana; UOC Oncologia Medica - Distretto di Treviso
Treviso, Veneto, 31100
United Kingdom7 sites
Royal United Hospital
Bath, BA1 3NG
Birmingham Heartlands Hospital ; Department of Respiratory Medicine (Rm 30)
Birmingham, B9 5SS
Castle Hill Hospital; The Queen's Centre for Oncology & Haematology
Hull, HU16 5JQ
Forth Valley Royal Hospital ; Oncology Department
Larbert, FK5 4QE
Chelsea & Westminster Hospital
London, SW10 9TH
Mount Vernon Cancer Centre
Northwood, HA6 2RN
New Cross Hospital
Wolverhampton, WV10 0QP
Greece6 sites
Anticancer Hospital Ag Savas; 1St Dept of Internal Medicine
Athens, 115 22
Uoa Sotiria Hospital; Oncology
Athens, 115 27
Agioi Anargyroi; 3Rd Dept. of Medical Oncology
Athens, 145 64
Univ General Hosp Heraklion; Medical Oncology
Heraklion, 711 10
University Hospital of Patras Medical Oncology
Pátrai, 265 04
Diavalkaniko Hospital
Thessaloniki, 570 01
Netherlands6 sites
Meander Medisch Centrum
Amersfoort, 3813 TZ
Ziekenhuis Rijnstate
Arnhem, 6815 AD
Amphia Ziekenhuis; Afdeling Longziekten
Breda, 4818 CK
Tergooiziekenhuizen, loc. Hilversum
Hilversum, 1213 HX
UMC Radboud Nijmegen
Nijmegen, 6500 HB
Isala
Zwolle, 8025 AB
China5 sites
Beijing Hospital
Beijing, 100006
Chinese PLA General Hospital
Beijing, 100853
Shandong Cancer Hospital
Jinan, 250117
First Affiliated Hospital of Soochow University
Suzhou, 215006
Henan Cancer Hospital
Zhengzhou, 450008
Malaysia5 sites
Hospital Pulau Pinang; Jabatan Respiratori
George Town, Pulau Pinang, 10450
University Malaya Medical Centre; Clinical Oncology Unit,
Kuala Lumpur, FED. Territory of Kuala Lumpur, 59100
Hospital Umum Sarawak; Oncology and Radiotherapy
Kuching, Sarawak, 93586
Mount Miriam Cancer Hospital
Pulau Pinang, Pulau Pinang, 11200
Institute Kanser Negara (IKN)
Putrajaya, FED. Territory of Kuala Lumpur, 62250
Mexico5 sites
Investigacion Clinica Merida
Mérida, Yucatán, 97125
Health Pharma Professional Research
Mexico City, Mexico CITY (federal District), 03100
Centro Oncologico Internacional
Mexico City, Mexico CITY (federal District), 04700
Oaxaca Site Management Organization
Oaxaca City, Oaxaca, 68000
Oncologico Potosino
San Luis Potosí City, San Luis Potosí, 78209
Poland5 sites
Narodowy Instytut Onkologii Oddzial Gliwice; II Klinika Radioterapii i Chemioterapii
Gliwice, 44-101
Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc w Olsztynie
Olsztyn, 10-357
Mazowieckie Centrum Leczenia Chorob Pluc I Gruzlicy; Oddzial Iii
Otwock, 05-400
Szpital Kliniczny; Przemienienia Panskiego;Uniwersytetu Medyczny im.; Karola Marcinkowskiego w Pozna
Poznan, 60-569
Narod.Inst.Onkol. im. M.Sklodowskiej - Curie-Panst.Inst.Bad; Klinika Nowot.Pluca i Klatki Piers
Warsaw, 02-781
Brazil3 sites
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Alemao Oswaldo Cruz
São Paulo, São Paulo, 01327-001
CETUS Hospital Dia Oncologia
Uberaba, Minas Gerais, 38082-049
Denmark3 sites
Sjællands Universitetshospital, Næstved; Onkologisk Afdeling
Næstved, 4700
Odense Universitetshospital, Onkologisk Afdeling R
Odense C, 5000
Vejle Sygehus; Onkologisk Afdeling
Vejle, 7100
Morocco3 sites
Clinique le Littoral
Casablanca, 20100
Centre Hospitalier Universitaire Hassan II
Fes, 30000
Institut National D'oncologie Sidi Med Benabdellah
Rabat, 6213
Philippines3 sites
University of Perpetual Help System DALTA Medical Center
Las Piñas, 1740
The Medical City Hospital; Cancer Research Room
Pasig, 1605
East Avenue Medical Center
Quezon City, 1100
Sweden3 sites
Sahlgrenska Universitetssjukhuset, Lungmedicinkliniken
Gothenburg, 41345
Karolinska Universitetssjukhuset, Solna; Kliniska prövningsenheten Z:4:01
Stockholm, 171 76
Uppsala University Hospital; Department of Oncology
Uppsala, 751 85
Argentina2 sites
Hospital Aleman
Caba, C1118AAT
Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE
Latvia2 sites
Pauls Stradins Clinical University Hospital
R?ga, LV-1002
Riga East Clinical University Hospital Latvian Oncology Centre
Riga, LV-1079
Lebanon2 sites
Hotel Dieu de France; Oncology
Beirut, 2063 1111
Bellevue Medical Center
El-Metn, 2241
Peru2 sites
Instituto Regional de Enfermedades Neoplásicas del Sur; Centro de Inv. de Medicina Oncológica
Arequipa, 5154
Clinica Internacional, Sede San Borja; Unidad de Investigacion de Clínica Internacional
Lima, 15036
About this study
Official title: A Phase III/IV, Single Arm, Multicenter Study of Atezolizumab (Tecentriq) to Investigate Long-term Safety and Efficacy in Previously-treated Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (TAIL)
This is a Phase III/IV, single-arm, multicenter study of the long-term safety and efficacy of atezolizumab treatment in participants with Stage IIIb or Stage IV NSCLC who have progressed after standard systemic chemotherapy (including if given in combination with anti-programmed cell death protein 1 [anti-PD-1] therapy, after anti-PD-1 as monotherapy, or after tyrosine kinase inhibitor [TKI] therapy). The study will consist of a Screening Period, a Treatment Period, a Treatment Discontinuation Visit, and a Follow-Up Period.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- Atezolizumab
- 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 RO5541267, Tecentriq
Participants will receive 1200 milligrams (mg) of atezolizumab administered by intravenous infusion on Day 1 of every 3-week cycle until Investigator-assessed loss of clinical benefit, unacceptable toxicity, investigator or participant's decision to withdraw from therapy, or death (whichever occurs first).
| Study group | Role | What they receive |
|---|---|---|
| Atezolizumab | Experimental | Participants with Stage IIIb or State IV NSCLC who have progressed after standard systemic chemotherapy will receive atezolizumab until Investigator-assessed loss of clinical benefit, unacceptable toxicity, investigator or participant's decision to withdraw from therapy, or death (whichever occurs first). Receives: Drug: Atezolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
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: Baseline up to 4 years
Secondary outcomes (16)
Percentage of Participants Alive 2 Years After Initiation of Treatment
The overall survival (OS) rate at 2 years, was defined as the percentage of participants remaining alive 2 years after initiation of study treatment.
Measured: Baseline up to Year 2
Overall Survival (OS)
OS was defined as the time (in months) from initiation of study treatment to death from any cause.
Measured: Baseline up to death (up to 4 years)
Progression-Free Survival (PFS) as Evaluated By the Investigator in Accordance With Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 (v.1.1)
PFS was defined as the time (in months) from initiation of study treatment to the first documented disease progression or death from any cause, whichever occurred first. PFS was evaluated by the investigator according to RECIST v1.1.
Measured: Baseline up to disease progression or death whichever occurs first (up to 4 years)
EuroQol 5-Dimension 5-Level (EQ-5D-5L) Questionnaire - Mobility Item
The EQ-5D-5L was a self-reported health status questionnaire that consisted of six questions used to calculate a health utility score for use in health economic analysis. The EQ-5D-5L has two components: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, as well as a Visual Analogue Scale (VAS) that measures health state. Each item was rated from 1 (no problems) to 5 (extreme problems). Categories with non-zero values are reported here. Number of participants who rated the mobility item ranging from 1-5 are reported. Participants who had a invalid response were presented under the category 'Invalid Response'.
Measured: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Self-Care Item
The EQ-5D-5L was a self-reported health status questionnaire that consisted of six questions used to calculate a health utility score for use in health economic analysis. The EQ-5D-5L has two components: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, as well as a VAS that measures health state. Each item was rated from 1 (no problems) to 5 (extreme problems). Categories with non-zero values are reported here. Number of participants who rated the self-care item ranging from 1-5 are reported. Participants who had a invalid response were presented under the category 'Invalid Response'.
Measured: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Usual Activities Item
The EQ-5D-5L was a self-reported health status questionnaire that consisted of six questions used to calculate a health utility score for use in health economic analysis. The EQ-5D-5L has two components: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, as well as a VAS that measures health state. Each item was rated from 1 (no problems) to 5 (extreme problems). Categories with non-zero values are reported here. Number of participants who rated the usual activities item ranging from 1-5 are reported. Participants who had a invalid response were presented under the category 'Invalid Response'.
Measured: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Pain/Discomfort Item
The EQ-5D-5L was a self-reported health status questionnaire that consisted of six questions used to calculate a health utility score for use in health economic analysis. The EQ-5D-5L has two components: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, as well as a VAS that measures health state. Each item was rated from 1 (no problems) to 5 (extreme problems). Categories with non-zero values are reported here. Number of participants who rated the pain/discomfort item ranging from 1-5 are reported. Participants who had a invalid response were presented under the category 'Invalid Response'.
Measured: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Anxiety/Depression Item
The EQ-5D-5L was a self-reported health status questionnaire that consisted of six questions used to calculate a health utility score for use in health economic analysis. The EQ-5D-5L has two components: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, as well as a VAS that measures health state. Each item was rated from 1 (no problems) to 5 (extreme problems). Categories with non-zero values are reported here. Number of participants who rated the anxiety/depression item ranging from 1-5 are reported. Participants who had a invalid response were presented under the category 'Invalid Response'.
Measured: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - VAS Scores
The EQ-5D-5L was a self-reported health status questionnaire that consisted of six questions used to calculate a health utility score for use in health economic analysis. The EQ-5D-5L has two components: a five-item health state profile that assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, as well as a VAS that measures health state. The VAS is designed to rate the participant's current health state on a scale from 0 to 100, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state. Values presented after baseline represent the change from baseline.
Measured: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Supplemental Lung Cancer Module (EORTC QLQ-LC13)
The EORTC QLQ-LC13 consisted of 13 items that address key lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related adverse effects (sore mouth, dysphagia, peripheral neuropathy and alopecia) and pain medication. The dysphagia scale is multi-item, while the rest are single-item scales. The scales are linearly transformed so that each score has a range from 0 to 100. A high scale score represents a higher response level (e.g. a high score for global health status represents a high QoL). A high score for the symptom scale represents a high level of symptoms. A >=10-point change in the EORTC scale score was perceived by participants as clinically significant. Values presented after baseline represent the change from baseline.
Measured: Day 1 of first 3 cycles (21-day cycle), then every 6 weeks for 48 weeks; thereafter every 9 weeks until disease progression or until treatment discontinuation (up to 4 years)
Progression-Free Survival as Evaluated By the Investigator in Accordance With Modified RECIST
PFS was defined as the time (in months) from initiation of study treatment to the first documented disease progression or death from any cause, whichever occurred first. PFS was evaluated by the investigator according to modified RECIST.
Measured: Baseline up to disease progression or death whichever occurs first (up to 4 years)
Percentage of Participants Alive 3 Years After Initiation of Treatment
The OS rate at 3 years, was defined as the percentage of participants remaining alive 3 years after initiation of study treatment.
Measured: Baseline up to Year 3
Percentage of Participants With Objective Reponse as Assessed by the Investigator According to RECIST v1.1
Objective response rate (ORR), according to RECIST v1.1, was defined as the percentage of participants with a confirmed best overall response (BOR), either complete response (CR) or partial response (PR), as determined by the investigator using RECIST v1.1.
Measured: Baseline up to disease progression or death whichever occurs first (up to 4 years)
Percentage of Participants With Objective Reponse as Assessed by the Investigator According to Modified RECIST
The investigator-assessed ORR was defined as the proportion of participants whose confirmed BOR is either a PR or CR per modified RECIST.
Measured: Baseline up to disease progression or death whichever occurs first (up to 4 years)
Duration of Response as Assessed by the Investigator According to RECIST v.1.1
DOR was defined as the time from the first tumor assessment that supported the participant's objective response (CR or PR, whichever was first reported) to documented disease progression as determined by the investigator according to RECIST v1.1 or death from any cause, whichever occurred first, among participants who had a best overall response as CR or PR.
Measured: From date of first objective response up to disease progression or death whichever occurs first (up to 4 years)
Duration of Response as Assessed by the Investigator According to Modified RECIST
DOR was defined as the duration from the first tumor assessment that supports the participant's objective response (CR or PR, whichever is first recorded) to disease progression or death due to any cause, whichever occurred first.
Measured: From date of first objective response up to disease progression or death whichever occurs first (up to 4 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Sep 2017
- Study start25 Oct 2017
- Primary completion7 Apr 2022
- Study completion7 Apr 2022
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 Carcinoma, Non-Small-Cell LungStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 619 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03285763
- Sponsor's protocol ID
- MO39171
- Other IDs
- 2017-001409-34, 2017
- Acronym
- TAIL
- Status last verified
- Dec 2024
- First submitted
- 14 Sep 2017
- Last updated
- 23 Jan 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Ardizzoni A, Azevedo S, Rubio-Viqueira B, Rodriguez-Abreu D, Alatorre-Alexander J, Smit HJM, Yu J, Syrigos K, Hoglander E, Kaul M, Tolson J, Hu Y, Vollan HK, Newsom-Davis T. Final results from TAIL: updated long-term efficacy of atezolizumab in a diverse population of patients with previously treated advanced non-small cell lung cancer. J Immunother Cancer. 2022 Nov;10(11):e005581. doi: 10.1136/jitc-2022-005581.
PubMed 36450379Ardizzoni A, Azevedo S, Rubio-Viqueira B, Rodriguez-Abreu D, Alatorre-Alexander J, Smit HJM, Yu J, Syrigos K, Trunzer K, Patel H, Tolson J, Cardona A, Perez-Moreno PD, Newsom-Davis T. Primary results from TAIL: a global single-arm safety study of atezolizumab monotherapy in a diverse population of patients with previously treated advanced non-small cell lung cancer. J Immunother Cancer. 2021 Mar;9(3):e001865. doi: 10.1136/jitc-2020-001865.
PubMed 33737339
Study at a glance
From the registry record, last updated by the sponsor on 23 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III/IV, Single Arm, Multicenter Study of Atezolizumab (Tecentriq) to Investigate Long-term Safety and Efficacy in Previously-treated Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (TAIL)
- ClinicalTrials.gov ID
- NCT03285763
- Acronym / sponsor ID
- TAIL / MO39171
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 619 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 25 Oct 2017 (actual)
- Primary completion
- 7 Apr 2022 (actual)
- Study completion
- 7 Apr 2022 (actual)
- First posted
- 18 Sep 2017 (actual)
- Results
- Posted 23 Jan 2025
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/IV, single-arm, multicenter study of the long-term safety and efficacy of atezolizumab treatment in participants with Stage IIIb or Stage IV NSCLC who have progressed after standard systemic chemotherapy (including if given in combination with anti-programmed cell death protein 1 [anti-PD-1] therapy, after anti-PD-1 as monotherapy, or after tyrosine kinase inhibitor [TKI] therapy). The study will consist of a Screening Period, a Treatment Period, a Treatment Discontinuation Visit, and a Follow-Up Period.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Atezolizumab | Experimental | Drug: AtezolizumabParticipants with Stage IIIb or State IV NSCLC who have progressed after standard systemic chemotherapy will receive atezolizumab until Investigator-assessed loss of clinical benefit, unacceptable toxicity, investigator or participant's decision to withdraw from therapy, or death (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 (10 listed)
- Histologically or cytologically documented Stage IIIb or Stage IV NSCLC that has progressed following standard systemic chemotherapy (including if given in combination with anti-PD-1 therapy, after anti-PD-1 as monotherapy, or after TKI therapy). Participants with a previously detected sensitizing epidermal growth factor receptor (EGFR) mutation or echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (ALK) fusion oncogene must have received targeted therapy (TKI) followed by at least one line of standard systemic chemotherapy prior to receiving atezolizumab. Overall, participants should not have received more than two lines of standard systemic chemotherapy. Participants who have discontinued first-line or second-line therapy due to intolerance are also eligible
- The last dose of prior systemic anticancer therapy or targeted therapy must have been administered more than or equal to (≥) 21 days prior to randomization.
- The last dose of prior anti-PD-1 therapy must have been administered. Nivolumab must have been discontinued >= 14 days and pembrolizumab >= 21 days prior to study treatment initiation, providing that these treatments were not administered in a clinical trial setting.
- Measurable disease, as defined by Response Evaluation Criteria for Solid Tumors, Version 1.1 (RECIST v1.1)
- Participants with asymptomatic central nervous system (CNS) metastases (treated or untreated), as determined by computed tomography (CT) or magnetic resonance imaging evaluation during screening and prior radiographic evaluation, are eligible
Key exclusion criteria (21 listed)
- Symptomatic CNS metastases
- Spinal cord compression not definitively treated with surgery and/or radiation or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for ≥ 2 weeks prior to study treatment initiation
- Leptomeningeal disease
- Uncontrolled pericardial effusion or ascites requiring recurrent drainage procedures
- Pregnant or lactating, or intending to become pregnant during the study
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 |
|---|---|---|
| AtezolizumabAlso: RO5541267, TecentriqParticipants will receive 1200 milligrams (mg) of atezolizumab administered by intravenous infusion on Day 1 of every 3-week cycle until Investigator-assessed loss of clinical benefit, unacceptable toxicity, investigator or participant's decision to withdraw from therapy, or death (whichever occurs first). | Drug | Atezolizumab |
Primary outcome
Percentage of Participants With Adverse Events
Time frame: Baseline up to 4 years
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.
16 secondary outcomes
Percentage of Participants Alive 2 Years After Initiation of Treatment
Time frame: Baseline up to Year 2
Overall Survival (OS)
Time frame: Baseline up to death (up to 4 years)
Progression-Free Survival (PFS) as Evaluated By the Investigator in Accordance With Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 (v.1.1)
Time frame: Baseline up to disease progression or death whichever occurs first (up to 4 years)
EuroQol 5-Dimension 5-Level (EQ-5D-5L) Questionnaire - Mobility Item
Time frame: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Self-Care Item
Time frame: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Usual Activities Item
Time frame: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Pain/Discomfort Item
Time frame: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - Anxiety/Depression Item
Time frame: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
EQ-5D-5L Questionnaire - VAS Scores
Time frame: Day 1 of first 2 cycles (21-day cycle), then every 6 weeks for 54 weeks; thereafter every 3 weeks or 6 weeks until disease progression or until treatment discontinuation (up to 4 years)
European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Supplemental Lung Cancer Module (EORTC QLQ-LC13)
Time frame: Day 1 of first 3 cycles (21-day cycle), then every 6 weeks for 48 weeks; thereafter every 9 weeks until disease progression or until treatment discontinuation (up to 4 years)
Progression-Free Survival as Evaluated By the Investigator in Accordance With Modified RECIST
Time frame: Baseline up to disease progression or death whichever occurs first (up to 4 years)
Percentage of Participants Alive 3 Years After Initiation of Treatment
Time frame: Baseline up to Year 3
Percentage of Participants With Objective Reponse as Assessed by the Investigator According to RECIST v1.1
Time frame: Baseline up to disease progression or death whichever occurs first (up to 4 years)
Percentage of Participants With Objective Reponse as Assessed by the Investigator According to Modified RECIST
Time frame: Baseline up to disease progression or death whichever occurs first (up to 4 years)
Duration of Response as Assessed by the Investigator According to RECIST v.1.1
Time frame: From date of first objective response up to disease progression or death whichever occurs first (up to 4 years)
Duration of Response as Assessed by the Investigator According to Modified RECIST
Time frame: From date of first objective response up to disease progression or death whichever occurs first (up to 4 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jan 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36450379Ardizzoni A, Azevedo S, Rubio-Viqueira B, Rodriguez-Abreu D, Alatorre-Alexander J, Smit HJM, Yu J, Syrigos K, Hoglander E, Kaul M, Tolson J, Hu Y, Vollan HK, Newsom-Davis T. Final results from TAIL: updated long-term efficacy of atezolizumab in a diverse population of patients with previously treated advanced non-small cell lung cancer. J Immunother Cancer. 2022 Nov;10(11):e005581. doi: 10.1136/jitc-2022-005581.
- Derived from this study: PubMed 33737339Ardizzoni A, Azevedo S, Rubio-Viqueira B, Rodriguez-Abreu D, Alatorre-Alexander J, Smit HJM, Yu J, Syrigos K, Trunzer K, Patel H, Tolson J, Cardona A, Perez-Moreno PD, Newsom-Davis T. Primary results from TAIL: a global single-arm safety study of atezolizumab monotherapy in a diverse population of patients with previously treated advanced non-small cell lung cancer. J Immunother Cancer. 2021 Mar;9(3):e001865. doi: 10.1136/jitc-2020-001865.
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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.
The record lists no contact. Use the official record to reach the sponsor.
111 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Atezolizumab in people with Carcinoma, Non-Small-Cell Lung, run by Hoffmann-La Roche at 111 sites in 24 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 10 inclusion and 21 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 23 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 111 sites in Spain, Italy, United Kingdom, Greece, Netherlands and 19 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 23 Jan 2025). 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?
Percentage of Participants With Adverse Events (time frame: Baseline up to 4 years). 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 NCT03285763, 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 23 Jan 2025.