Locally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN)Phase 3IMvoke010NCT03452137
A Study of Atezolizumab (Anti-PD-L1 Antibody) as Adjuvant Therapy After Definitive Local Therapy in Patients With High-Risk Locally Advanced Squamous Cell Carcinoma of the Head and Neck
A Phase 3 study testing Atezolizumab in people with Locally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN), run by Hoffmann-La Roche at 135 sites in 23 countries.
Trial summary
This study will evaluate the efficacy and safety of atezolizumab compared with placebo as adjuvant therapy after definitive local therapy in patients with high-risk locally advanced squamous cell carcinoma of the head and neck (SCCHN) Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Locally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN)
- 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
- 406 participants
- Where
- 135 sitesin 23 countries
- Study dates
- 3 Apr 2018to 6 Mar 2024
- 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
- Histologically or cytologically confirmed Squamous Cell Carcinoma of the Head and Neck (SCCHN)
- Human Papilloma Virus (HPV) status
- Completed definitive local therapy
- Absence of metastatic disease as documented by radiographic scans
- Adequate hematologic and end-organ function
- For patients receiving therapeutic anticoagulation: stable anticoagulant regimen
- For women of childbearing potential: agreement to remain abstinent or use contraceptive methods with a failure rate of < 1% per year during the treatment period and for 5 months after the last dose of study treatment. Women must refrain from donating eggs during this same period.
- Confirmed response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) to definitive local therapy documented by CT with contrast or MRI with contract to head and neck region done >= 8 weeks after completion of definitive local therapy and within 28 days prior to initiation of study drug.
Who cannot join
- Patients who have received surgery alone or radiotherapy alone as definitive local therapy
- Squamous cell carcinoma of the nasopharynx or paranasal sinuses or non-squamous histology
- Evidence of disease progression or metastatic disease during or following definitive local therapy documented in post-definitive local therapy screening scans
- Uncontrolled or symptomatic hypercalcemia
- Active or history of autoimmune disease or immune deficiency
- Active tuberculosis
Show all 16Show fewer
- Significant cardiovascular disease
- History of malignancy, including prior SCCHN primary tumors within 5 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death
- Prior allogeneic stem cell or solid organ transplantation
- Current treatment with anti-viral therapy for Hepatitis B Virus (HBV)
- Treatment with systemic immunostimulatory agents
- Treatment with systemic immunosuppressive medication
- History of severe allergic anaphylactic reactions to chimeric or humanized antibodies or fusion proteins
- Pregnancy or breastfeeding, or intention of becoming pregnant during study treatment or within 5 months after the last dose of study treatment
- Patients who have received a non-FDA or non-EMA approved anti-EGFR agent or any other non-FDA or non-EMA, approved agent as part of definitive local therapy, unless the unapproved agent was given in addition to an approved agent
- Any systemic therapies after permitted definitive local therapies
Trial locations and contacts
135 sites in 23 countries.
135 sites in 23 countries
Japan14 sites
Aichi Cancer Center Hospital
Aichi, 464-8681
National Cancer Center Hospital East
Chiba, 277-8577
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Hokkaido University Hospital
Hokkaido, 060-8648
Kobe University Hospital
Hyōgo, 650-0017
Miyagi Cancer Center
Miyagi, 981-1293
Okayama University Hospital
Okayama, 700-8558
Osaka International Cancer Institute
Osaka, 541-8567
Shizuoka Cancer Center
Shizuoka, 411-8777
National Cancer Center Hospital
Tokyo, 104-0045
The Jikei University Hospital
Tokyo, 105-8471
Tokyo Medical and Dental University Hospital
Tokyo, 113-8519
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Tokyo Medical University Hospital
Tokyo, 160-0023
United States12 sites
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30329
Billings Clinic Research Center
Billings, Montana, 59101
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Cleveland Clinic; Taussig Cancer Institute
Cleveland, Ohio, 44195
City of Hope National Medical Center
Duarte, California, 91010
University of California San Diego Medical Center; Moores Cancer Center
La Jolla, California, 92093
Northwest Georgia Oncology Centers, a Service of WellStar Cobb Hospital
Marietta, Georgia, 30060
Miami Cancer Institute of Baptist Health, Inc.
Miami, Florida, 33176
Woodlands Medical Specialists, P.A.
Pensacola, Florida, 32503
Blue Ridge Cancer Care
Roanoke, Virginia, 24014
UCLA Hematology/Oncology
Santa Monica, California, 90404
Cancer Center of Kansas
Wichita, Kansas, 67214-3728
Italy11 sites
Spedali Civili di Brescia
Brescia, Lombardy, 25123
Azienda Ospedaliero-Universitaria Careggi; SOD Radioterapia
Florence, Tuscany, 50134
Ospedale Umberto I ASL di Ravenna Presidio Ospedaliero di Lugo
Lugo, Emilia-Romagna, 48022
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica
Meldola, Emilia-Romagna, 47014
Fondazione IRCCS Istituto Nazionale dei Tumori;S.S. Trattamento MedicoTumori dellaTesta e delCollo
Milan, Lombardy, 20133
Asst Santi Paolo E Carlo; Unita Operativa Di Oncologia Medica
Milan, Lombardy, 20142
Istituto Nazionale Tumori Fondazione G. Pascale; S.C. Oncol. Medica Testa-Collo e Sarcoma
Naples, Campania, 80131
IOV - Istituto Oncologico Veneto IRCCS
Padova, Veneto, 35128
Policlinico Umberto i di Roma; dip. Scienze Radiologiche, Oncologiche, Anatomopatologiche
Rome, Lazio, 00161
Istituto Clinico Humanitas;U.O. Oncologia Medica Ed Ematologia
Rozzano, Lombardy, 20089
Ospedale Civile; Servizio Oncologia
Savona, Liguria, 17100
Russia11 sites
Krasnoyarsk Regional Oncology Dispensary n.a. Krizhanovsky; Chemotherapy
Krasnoyarsk, Krasnodarskiy Kray, 660133
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423
Main Military Clinical Hospital named after N.N. Burdenko
Moscow, Moscow Oblast, 105229
P.A. Herzen Oncological Inst. ; Oncology
Moscow, Moscow Oblast, 125248
First MSMU n.a. Sechenov Univercity Hospital 1; Plastic surgery
Moskva, Moscow Oblast, 119435
FSAI Treatment and rehabilitation Centre Ministry of Health; Clinical research and chemotherapy.
Moskva, Moscow Oblast, 125367
Novosibirsk Regional Oncological Dispancer
Novosibirsk, 630108
BHI of Omsk region Clinical Oncology Dispensary
Omsk, 644013
S-Pb clinical scientific practical center of specialized kinds of medical care (oncological)
Saint Petersburg, Sankt-Peterburg, 197758
Tomsk scientific research institute of oncology SO RAMN, PAD; Pathological
Tomsk, 634028
Sverdlovsk Regional Oncology Dispensary; Chemotherapy
Yekaterinburg, Sverdlovsk Oblast, 620905
China9 sites
Beijing Cancer Hospital
Beijing, 100142
West China Hospital, Sichuan University
Chengdu, 610041
Fujian Cancer Hospital
Fuzhou, 350014
Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, 200011
Fudan University Shanghai Cancer Center
Shanghai, 200120
Shanghai East Hospital
Shanghai
Tianjin Medical University General Hospital
Tianjin, 300052
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430023
Zhejiang Cancer Hospital
Zhejiang, 310022
France9 sites
Institut Sainte Catherine
Avignon, 84082
Centre Georges Francois Leclerc
Dijon, 21000
CENTRE LEON BERARD; Département d?Hématologie et d?Oncologie
Lyon, 69373
Hopital Timone Adultes; Oncologie Medicale Et Usp
Marseille, 13385
ICM; Radiotherapie
Montpellier, 34298
Hopital Tenon; Oncologie Radiotherapie
Paris, 75970
CHU Bordeaux
Pessac, 33604
Hôpitaux D'Instruction Des Armees Begin
Saint-Mandé, 94160
Gustave Roussy Cancer Campus; Radiotherapie
Villejuif, 94805
Brazil7 sites
Hospital Nossa Senhora da Conceicao
Porto Alegre, Rio Grande do Sul, 90040-373
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital do Cancer de Pernambuco - HCP
Recife, Pernambuco, 50040-000
Instituto Nacional de Cancer - INCa; Oncologia
Rio de Janeiro, Rio de Janeiro, 20560-120
Santa Casa de Misericordia de Salvador
Salvador, Estado de Bahia, 40050-410
Faculdade de Medicina do ABC - FMABC
Santo André, São Paulo, 09060-650
Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, 01246-000
Spain7 sites
Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia
Badalona, Barcelona, 08916
Hospital Clínic i Provincial; Servicio de Hematología y Oncología
Barcelona, 08036
Insititut Catala D'Oncologia
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
Madrid, 28009
Hospital Clinico Universitario de Salamanca; Servicio de Oncologia
Salamanca, 37007
Hospital Univ. Nuestra Señora de Valme; Servicio de Oncologia
Seville, 41014
Hospital Universitario la Fe; Servicio de Oncologia
Valencia, 46026
Ukraine7 sites
Ivano-Frankivsk Regional Oncology Center
Ivano-Frankivsk, 76018
Municipal Noncommercial Institution Regional Center of Oncology
Kharkiv, Kharkiv Governorate, 61070
Kyiv City Clinical Oncological Center, Day Hospital Department for Oncological patients
Kiev, 03115
ME Kryviy Rih Oncology Dispensary of Dnipropetrovs?k Regional Council; Chemotherapy Department
Kryvyi Rih, 50048
Lviv State Oncology Regional Treatment and Diagnostic Centre; Department of hemotherapy
Lviv, 79031
RCI Sumy Regional Clinical Oncological Dispensary
Sumy, 40005
Vinnytsya Regional Clinical Oncology Dispensary
Vinnytsia, Podolia Governorate, 21029
Taiwan5 sites
China Medical University Hospital;Oncology and Hematology Office Critical Care Center, 14H
Taichung, 404
Taichung Veterans General Hospital; Radiation Oncology
Taichung
National Cheng Kung University Hospital; Oncology
Tainan, 00704
Division of Hematology and Oncology, Taipei Veterans General Hospital
Taipei, 112
National Taiwan University Hospital; Oncology
Zhongzheng Dist., 10048
United Kingdom5 sites
Aberdeen Royal Infirmary; Medical Oncology Dept
Aberdeen, AB25 2ZN
Velindre Cancer Centre
Cardiff, CF14 2TL
The Royal Marsden Hospital, Fulham
London, SW3 6JJ
Derriford Hospital
Plymouth, PL6 8BT
Royal Marsden NHS Foundation Trust
Sutton, SM2 5PT
Australia4 sites
St George Hospital
Kogarah, New South Wales, 2217
Adelaide Cancer Centre
Kurralta Park, South Australia, 5037
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009
Peter MacCallum Cancer Center
North Melbourne, Victoria, 3051
Germany4 sites
Universitätsklinikum Bonn; Med. Klinik und Poliklinik III; Hämatologie, Onkologie und Rheumatologie
Bonn, 53127
Universitätsklinikum Freiburg, Klinik für Strahlenheilkunde
Freiburg im Breisgau, 79106
Klinikum d. Uni. München; Campus Großhadern; Klinik und Poliklinik f. Strahlenthera. und Radioonko
München, 81377
Universitätsmedizin Rostock, Klinik und Poliklinik für Strahlentherapie; Zentrum für Radiologie
Rostock, 18059
South Africa4 sites
Tygerberg Hospital; Oncology Dept
Cape Town, 7530
GVI Oncology Outeniqua Unit
George, 6530
The Oncology Centre; Haematology - Radiation Oncology
Mayville, 4001
Steve Biko Academic Hospital; Oncology
Pretoria, 0002
South Korea4 sites
Seoul National University Bundang Hospital
Seongnam-si, 463-707
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Turkey (Türkiye)4 sites
Hacettepe Universitesi Tip Fakultesi Hastanesi
Ankara, 06100
Dr. Abdurrahman Yurtarslan Oncology Hospital; 2nd Oncology Clinic
Ankara, 06200
Gazi University Medical Faculty, Oncology Hospital
Ankara, 06500
?zmir Medical Point; Oncology
Kar?iyaka, 35575
Canada3 sites
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
London Health Sciences Centre
London, Ontario, N6A 4L6
Cancer Care Manitoba
Winnipeg, Manitoba, R3E 0V9
Hungary3 sites
Orszagos Onkologial Intezet; Onkologiai Osztaly X
Budapest, 1122
Budapesti Uzsoki Utcai Kórház
Budapest, 1145
Pécsi Tudományegyetem; Klinikai Központ Onkoterápiás Intézet
Pécs, 7623
Poland3 sites
Uniwersyteckie Centrum Kliniczne; Klinika Onkologii i Radioterapii
Gdansk, 80-214
Narodowy Inst.Onkol.im.Sklodowskiej-Curie Panstw.Inst.Bad Gliwice; III Klin. Radioter. i Chemioter.
Gliwice, 44-101
Narodowy Inst.Onkologii im.Sklodowskiej-Curie Panstw.Inst.Bad; Klinika Nowotworów G?owy i Szyi
Warsaw, 02-781
Portugal3 sites
IPO de Coimbra; Servico de Oncologia Medica
Coimbra, 3000-075
Hospital de Santa Maria; Servico de Oncologia Medica
Lisbon, 1649-035
IPO do Porto; Servico de Oncologia Medica
Porto, 4200-072
Thailand3 sites
Ramathibodi Hospital; Dept of Med.-Div. of Med. Onc
Bangkok, 10400
Faculty of Med. Siriraj Hosp.; Med.-Div. of Med. Oncology
Bangkok, 10700
Songklanagarind Hospital; Department of Oncology
Songkhla, 90110
India2 sites
Medanta-The Medicity
Gurgaon, Haryana, 122001
Tata Memorial Hospital; Dept of Medical Oncology
Mumbai, Maharashtra, 400012
About this study
Official title: A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of Atezolizumab (Anti-PD-L1 Antibody) as Adjuvant Therapy After Definitive Local Therapy in Patients With High-Risk Locally Advanced Squamous Cell Carcinoma of the Head and Neck
This study will evaluate the efficacy and safety of atezolizumab compared with placebo as adjuvant therapy after definitive local therapy in patients with high-risk locally advanced squamous cell carcinoma of the head and neck (SCCHN)
- Being tested
- Atezolizumab, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtezolizumabDrug
Atezolizumab intravenous infusion will be administered at a fixed dose on Day 1 of each 21-day cycle for 16 cycles.
PlaceboDrug
Placebo intravenous infusion will be administered a fixed dose on Day 1 of each 21-day cycle for 16 cycles.
| Study group | Role | What they receive |
|---|---|---|
| Atezolizumab | Active comparator | Participants will receive Atezolizumab for 16 cycles, or up to 1 year (whichever occurs first) Receives: Drug: Atezolizumab |
| Placebo | Experimental | Participants will receive Placebo for 16 cycles, or up to 1 year (whichever occurs first). Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator-Assessed Event-Free Survival (INV-assessed EFS)
EFS was defined as the time from randomization to the first documented disease recurrence (per unequivocal radiographic evidence of local recurrence, new second primary SCCHN lesion, or development of distant metastasis), or disease progression [per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)] per assessment by investigator, or death from any cause, whichever occurred first. Progressive disease (PD) was defined as at least a 20% increase in the sum of diameters (SOD) of target lesions, taking as reference the smallest SOD on study (including baseline). Participants without disease recurrence, progression or death at the time of analysis were censored at the time of the last tumor assessment. EFS was estimated using the Kaplan-Meier method.
Measured: Randomization to the first documented disease recurrence, disease progression or death from any cause, whichever occurs first (up to 5 years)
Secondary outcomes (10)
Overall Survival (OS)
OS was defined as the time from randomization to death from any cause. Data from participants who were alive at the time of the analysis was censored as of the last date they were known to be alive. OS was estimated using the Kaplan-Meier method.
Measured: Randomization to death from any cause (up to 5 years, 5 months)
Independent Review Facility (IRF) Assessed EFS
EFS was defined as the time from randomization to the first documented disease recurrence (per unequivocal radiographic evidence of local recurrence, new second primary SCCHN lesion, or development of distant metastasis), or disease progression (per RECIST v1.1) per assessment by IRF, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD on study (including baseline). Participants without disease recurrence, progression or death at the time of analysis were censored at the time of the last tumor assessment. EFS was estimated using the Kaplan-Meier method.
Measured: Randomization to the first documented disease recurrence, disease progression or death from any cause, whichever occurs first (up to 5 years)
Percentage of Participants Event-Free for IRF-assessed EFS at 1, 2, 3, and 4 Years
EFS was defined as the time from randomization to the first documented disease recurrence (per unequivocal radiographic evidence of local recurrence, new second primary SCCHN lesion, or development of distant metastasis), or disease progression (per RECIST v1.1) per assessment by IRF, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD on study (including baseline). Participants without disease recurrence, progression or death at the time of analysis were censored at the time of the last tumor assessment. Kaplan-Meier approach was used to estimate percentage of participants who were event-free for EFS at 1, 2, 3 \& 4 years.
Measured: From randomization to EFS event or date last known to be alive and event-free at 1, 2, 3, and 4 years
Percentage of Participants Event-Free for INV-assessed EFS at 1, 2, 3, and 4 Years
EFS was defined as the time from randomization to the first documented disease recurrence (per unequivocal radiographic evidence of local recurrence, new second primary SCCHN lesion, or development of distant metastasis), or disease progression (per RECIST v1.1) per assessment by the investigator, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD on study (including baseline). Participants without disease recurrence, progression or death at the time of analysis were censored at the time of the last tumor assessment. Kaplan-Meier approach was used to estimate percentage of participants who were event-free for EFS at 1, 2, 3 \& 4 years.
Measured: From randomization to EFS event or date last known to be alive and event-free at 1, 2, 3, and 4 years
Percentage of Participants Event-Free for OS at 2, 3, and 5 Years
OS was defined as the time from randomization to death from any cause. Data from participants who were alive at the time of the analysis was censored as of the last date they were known to be alive. Kaplan-Meier approach was used to estimate the percentage of participants who were event-free for OS at 2, 3 and 5 years.
Measured: From randomization to OS event or date last known to be alive at 2, 3, and 5 Years
Change From Baseline in Physical Function (PF) as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire- Core 30 (EORTC-QLQ-C30) Score
EORTC QLQ-C30 scale consists of 30 questions that assess participant functioning (physical, emotional, role, cognitive, and social), symptoms (fatigue, nausea and vomiting, pain), global health/quality of life (QoL), and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Change in PF was assessed using the PF scale, where participant responses to 5 questions about daily activities (strenuous activities, long walks, short walks, bed/chair rest \& needing help with eating, dressing, washing themselves, or using the toilet) was scored on a 4-point scale (1=Not at All to 4=Very Much). Scores were linearly transformed on a scale of 0 to 100, with a high score indicating worst functioning.
Measured: Baseline, Day 1 of Cycles 2 to 16 (Cycle length = 21 days); study discontinuation visit (up to 1 year); Follow-up approximately every 3 months until disease recurrence or progression (up to approximately 4.5 years)
Change From Baseline in Health-related Quality of Life (HRQoL) as Assessed by EORTC-QLQ-C30 Score
EORTC QLQ-C30 scale consists of 30 questions that assess participant functioning (physical, emotional, role, cognitive, and social), symptom (fatigue, nausea and vomiting, pain), global health/quality of life (QoL), and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Change in HRQoL was assessed using participant responses to questions regarding Global Health Status (Question 29: GHS; "How would you rate your overall health during the past week?") and QoL (Question 30: QoL; "How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores are standardized. Scores range from 0-100. A higher score indicates a better outcome.
Measured: Baseline, Day 1 of Cycles 2 to 16 (Cycle length = 21 days); study discontinuation visit (up to 1 year); Follow-up approximately every 3 months until disease recurrence or progression (up to approximately 4.5 years)
Number of Participants With at Least One Adverse Event (AE)
An AE is untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. An AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product.
Measured: From first dose of study drug until 90 days after the last dose of study drug (up to 1 year, 3 months)
Serum Concentration of Atezolizumab
Measured: Predose and 0.5 hours post dose on Cycle 1 Day 1; Predose on Day 1 of Cycles 2, 4, 8, and 16 (Cycle length=21 days); study discontinuation visit (up to 1 year)
Number of Participants With Anti-Drug Antibodies (ADA) to Atezolizumab
Number of participants positive for Treatment Emergent ADA is the number of post-baseline evaluable participants determined to have treatment induced ADA or treatment-enhanced ADA during the study period.
Measured: Predose on Day 1 of Cycles 1, 2, 4, 8 and 16 (Cycle length=21 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2018
- Study start3 Apr 2018
- Primary completion27 Sep 2023
- Study completion6 Mar 2024
Why it stopped: Decision to terminate the study as its primary endpoint of investigator-assessed event free survival (INV-EFS) was not met at its final EFS analysis. No new safety signals were identified.
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 (1)Papers the sponsor has linked to this study.
- Other trials for Locally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN)Studies 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 406 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
- NCT03452137
- Sponsor's protocol ID
- WO40242
- Other IDs
- 2017-003302-40, 2017
- Acronym
- IMvoke010
- Status last verified
- Sep 2024
- First submitted
- 25 Feb 2018
- Last updated
- 9 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Haddad R, Fayette J, Teixeira M, Prabhash K, Mesia R, Kawecki A, Dechaphunkul A, Dinis J, Guo Y, Masuda M, Hsieh CY, Ghi MG, Vaz de Melo Sette C, Harrington K, Tahara M, Saba NF, Lau A, Jiang T, Yan Y, Ballinger M, Kaul M, Matheny C, Cuchelkar V, Wong DJ. Atezolizumab in High-Risk Locally Advanced Squamous Cell Carcinoma of the Head and Neck: A Randomized Clinical Trial. JAMA. 2025 May 13;333(18):1599-1607. doi: 10.1001/jama.2025.1483.
PubMed 40079944
Study at a glance
From the registry record, last updated by the sponsor on 9 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of Atezolizumab (Anti-PD-L1 Antibody) as Adjuvant Therapy After Definitive Local Therapy in Patients With High-Risk Locally Advanced Squamous Cell Carcinoma of the Head and Neck
- ClinicalTrials.gov ID
- NCT03452137
- Acronym / sponsor ID
- IMvoke010 / WO40242
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Decision to terminate the study as its primary endpoint of investigator-assessed event free survival (INV-EFS) was not met at its final EFS analysis. No new safety signals were identified.
- Enrolment
- 406 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 3 Apr 2018 (actual)
- Primary completion
- 27 Sep 2023 (actual)
- Study completion
- 6 Mar 2024 (actual)
- First posted
- 2 Mar 2018 (actual)
- Results
- Posted 9 Oct 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy and safety of atezolizumab compared with placebo as adjuvant therapy after definitive local therapy in patients with high-risk locally advanced squamous cell carcinoma of the head and neck (SCCHN)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Atezolizumab | Active comparator | Drug: AtezolizumabParticipants will receive Atezolizumab for 16 cycles, or up to 1 year (whichever occurs first) |
| Placebo | Experimental | Drug: PlaceboParticipants will receive Placebo for 16 cycles, or up to 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 (8 listed)
- Histologically or cytologically confirmed Squamous Cell Carcinoma of the Head and Neck (SCCHN)
- Human Papilloma Virus (HPV) status
- Completed definitive local therapy
- Absence of metastatic disease as documented by radiographic scans
- Adequate hematologic and end-organ function
Key exclusion criteria (16 listed)
- Patients who have received surgery alone or radiotherapy alone as definitive local therapy
- Squamous cell carcinoma of the nasopharynx or paranasal sinuses or non-squamous histology
- Evidence of disease progression or metastatic disease during or following definitive local therapy documented in post-definitive local therapy screening scans
- Uncontrolled or symptomatic hypercalcemia
- Active or history of autoimmune disease or immune deficiency
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 intravenous infusion will be administered at a fixed dose on Day 1 of each 21-day cycle for 16 cycles. | Drug | Atezolizumab |
| PlaceboPlacebo intravenous infusion will be administered a fixed dose on Day 1 of each 21-day cycle for 16 cycles. | Drug | Placebo |
Primary outcome
Investigator-Assessed Event-Free Survival (INV-assessed EFS)
Time frame: Randomization to the first documented disease recurrence, disease progression or death from any cause, whichever occurs first (up to 5 years)
EFS was defined as the time from randomization to the first documented disease recurrence (per unequivocal radiographic evidence of local recurrence, new second primary SCCHN lesion, or development of distant metastasis), or disease progression [per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)] per assessment by investigator, or death from any cause, whichever occurred first. Progressive disease (PD) was defined as at least a 20% increase in the sum of diameters (SOD) of target lesions, taking as reference the smallest SOD on study (including baseline). Participants without disease recurrence, progression or death at the time of analysis were censored at the time of the last tumor assessment. EFS was estimated using the Kaplan-Meier method.
10 secondary outcomes
Overall Survival (OS)
Time frame: Randomization to death from any cause (up to 5 years, 5 months)
Independent Review Facility (IRF) Assessed EFS
Time frame: Randomization to the first documented disease recurrence, disease progression or death from any cause, whichever occurs first (up to 5 years)
Percentage of Participants Event-Free for IRF-assessed EFS at 1, 2, 3, and 4 Years
Time frame: From randomization to EFS event or date last known to be alive and event-free at 1, 2, 3, and 4 years
Percentage of Participants Event-Free for INV-assessed EFS at 1, 2, 3, and 4 Years
Time frame: From randomization to EFS event or date last known to be alive and event-free at 1, 2, 3, and 4 years
Percentage of Participants Event-Free for OS at 2, 3, and 5 Years
Time frame: From randomization to OS event or date last known to be alive at 2, 3, and 5 Years
Change From Baseline in Physical Function (PF) as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire- Core 30 (EORTC-QLQ-C30) Score
Time frame: Baseline, Day 1 of Cycles 2 to 16 (Cycle length = 21 days); study discontinuation visit (up to 1 year); Follow-up approximately every 3 months until disease recurrence or progression (up to approximately 4.5 years)
Change From Baseline in Health-related Quality of Life (HRQoL) as Assessed by EORTC-QLQ-C30 Score
Time frame: Baseline, Day 1 of Cycles 2 to 16 (Cycle length = 21 days); study discontinuation visit (up to 1 year); Follow-up approximately every 3 months until disease recurrence or progression (up to approximately 4.5 years)
Number of Participants With at Least One Adverse Event (AE)
Time frame: From first dose of study drug until 90 days after the last dose of study drug (up to 1 year, 3 months)
Serum Concentration of Atezolizumab
Time frame: Predose and 0.5 hours post dose on Cycle 1 Day 1; Predose on Day 1 of Cycles 2, 4, 8, and 16 (Cycle length=21 days); study discontinuation visit (up to 1 year)
Number of Participants With Anti-Drug Antibodies (ADA) to Atezolizumab
Time frame: Predose on Day 1 of Cycles 1, 2, 4, 8 and 16 (Cycle length=21 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40079944Haddad R, Fayette J, Teixeira M, Prabhash K, Mesia R, Kawecki A, Dechaphunkul A, Dinis J, Guo Y, Masuda M, Hsieh CY, Ghi MG, Vaz de Melo Sette C, Harrington K, Tahara M, Saba NF, Lau A, Jiang T, Yan Y, Ballinger M, Kaul M, Matheny C, Cuchelkar V, Wong DJ. Atezolizumab in High-Risk Locally Advanced Squamous Cell Carcinoma of the Head and Neck: A Randomized Clinical Trial. JAMA. 2025 May 13;333(18):1599-1607. doi: 10.1001/jama.2025.1483.
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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
135 sites in 23 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 Locally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN), run by Hoffmann-La Roche at 135 sites in 23 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 8 inclusion and 16 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 9 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 135 sites in Japan, United States, Italy, Russia, China and 18 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 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 9 Oct 2024). 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 Event-Free Survival (INV-assessed EFS) (time frame: Randomization to the first documented disease recurrence, disease progression or death from any cause, whichever occurs first (up to 5 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 NCT03452137, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Oct 2024.