Triple Negative Breast CancerPhase 3IMpassion030NCT03498716
A Study Comparing Atezolizumab (Anti PD-L1 Antibody) In Combination With Adjuvant Anthracycline/Taxane-Based Chemotherapy Versus Chemotherapy Alone In Patients With Operable Triple-Negative Breast Cancer
A Phase 3 study testing Atezolizumab, Paclitaxel and Dose-dense Doxorubicin or dose-dense Epirubicin in people with Triple Negative Breast Cancer, run by Hoffmann-La Roche at 364 sites in 31 countries.
Trial summary
This study will evaluate the efficacy, safety, and pharmacokinetics of adjuvant atezolizumab in combination with paclitaxel, followed by atezolizumab, dose-dense doxorubicin or epirubicin (investigator's choice), and cyclophosphamide, compared with paclitaxel followed by dose-dense doxorubicin or epirubicin… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Triple Negative Breast Cancer
- What is being tested?
- Atezolizumab, Paclitaxel and Dose-dense Doxorubicin or dose-dense Epirubicin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,199 participants
- Where
- 364 sitesin 31 countries
- Study dates
- 2 Aug 2018to 14 Aug 2023
- 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
- Non-metastatic operable Stage II-III breast cancer
- Histologically documented TNBC (Triple Negative Breast Cancer)
- Confirmed tumor PD-L1 evaluation as documented through central testing of a representative tumor tissue specimen
- Adequately excised: Patients must have undergone either breast-conserving surgery or mastectomy/nipple- or skin-sparing mastectomy
- Adequate hematologic and end-organ function
- For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures
Show all 9Show fewer
- For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures and agreement to refrain from donating sperm.
- No more than 8 weeks (56 days) may elapse between definitive breast surgery and randomization.
- Representative formalin-fixed, paraffin embedded (FFPE) tumor specimen from surgical resection in paraffin blocks (preferred) or at least 25 unstained slides.
Who cannot join
- Prior history of invasive breast cancer
- For the currently diagnosed breast cancer, any previous systemic anti-cancer treatment (e.g., neoadjuvant or adjuvant), including, but not limited to, chemotherapy, anti-HER2 therapy.
- Previous therapy with anthracyclines or taxanes for any malignancy
- Cardiopulmonary dysfunction
- Prior malignancies within 5 years prior to randomization, with the exception of those with a negligible risk of metastasis or death and treated with expected curative outcome
- Active or history of autoimmune disease or immune deficiency
Show all 12Show fewer
- History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan
- Urinary outflow obstruction
- Active tuberculosis
- Major surgical procedure other than for diagnosis within 4 weeks prior to initiation of study treatment or anticipation of need for a major surgical procedure during study treatment or within 5 months following the last dose of Atezolizumab (for patients randomized to Atezolizumab)
- Prior allogeneic stem cell or solid organ transplant
- Treatment with systemic immunosuppressive medications within 2 weeks prior to initiation of study treatment or anticipation of need for systemic immunosuppressive medication during the study
Trial locations and contacts
364 sites in 31 countries.
364 sites in 31 countries
France35 sites
Centre Hospitalier Regional Metz-Thionville - Hopital de Mercy
Ars-Laquenexy, 57530
Institut Sainte Catherine
Avignon, 84082
CH de Beauvais
Beauvais, 60000
CHU Jean Minjoz
Besançon, 25030
Clinique Tivoli; Sce Radiotherapie
Bordeaux, 33000
Polyclinique Bordeaux Nord Aquitaine
Bordeaux, 33300
Centre Hospitalier Fleyriat
Bourg-en-Bresse, 01012
CHRU De Brest - Hopital Morvan - Institut De Cancerologie Et D'Hematologie
Brest, 29609
CRLCC-Francois Baclesse; Oncologie Médicale
Caen, 14076
CH de Cholet; oncologie
Cholet, 49325
Centre Hospitalier de Compiegne
Compiègne, 60321
Centre Hospitalier Alpes Leman
Contamine-sur-Arve, 74130
Centre Georges Francois Leclerc
Dijon, 21000
Centre Hospitalier Departemental de Vendee
La Roche-sur-Yon, 85925
Clinique Chenieux; Oncology
Limoges, 87039
Centre Hospitalier Bretagne Sud
Lorient, 56100
Hopital Prive Jean Mermoz
Lyon, 69008
Hôpital Saint Joseph
Marseille, 13008
Clinique Clémentville
Montpellier, 34070
Institut régional du Cancer Montpellier
Montpellier, 34298
l'Hôpital privé du Confluent SAS
Nantes, 44202
Centre Antoine Lacassagne
Nice, 06189
CH Annecy Genevois site Annecy; Oncologie
Pringy, 74374
Chi De Cornouaille; Oncologie Hospitalisation
Quimper, 29107
Institut Jean Godinot
Reims, 51056
Institut du Cancer Coulancy Reims
Reims, 51100
Centre Henri Becquerel
Rouen, 76038
Institut De Cancerologie Lucien Newrth
Saint-Priest-en-Jarez, 42271
Centre Paul Strauss
Strasbourg, 67000
Hopitaux Du Leman - Site Georges Pianta
Thonon-les-Bains, 74200
Institut Claudius Régaud
Toulouse, 31059
CHU Tours - Hôpital Bretonneau
Tours, 37044
Hopital Prive Drome Ardeche; Hopital De Jour
Valence, 26000
Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy, 54519
Institut Gustave Roussy; Departement Oncologie Medicale
Villejuif, 94805
Spain30 sites
Centro Oncologico de Galicia COG; Medical Oncology
A Coruña, LA Coruña, 15009
Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia
Badalona, Barcelona, 08916
Hospital Universitario de Burgos
Burgos, 09006
Hospital San Pedro De Alcantara; Servicio de Oncologia
Cáceres, 10003
Hospital Provincial Castellón
Castellon de LA Plana/castello de LA Plana, Castellon, 12002
Complejo Hospitalario de Jaen
Jaén, 23007
Hospital de Jerez
Jerez de la Frontera, Cadiz, 11407
Complejo Asistencial Universitario de Leon; Servicio de Oncologia
León, 24071
Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
Madrid, 28009
Hospital Universitario Ramón y Cajal
Madrid, 28034
Hospital Universitario 12 de Octubre; Servicio de Oncologia
Madrid, 28041
Centro Integral Oncológico Clara Campal Ensayos Clínicos START
Madrid, 28050
Hosp Univ Fundacion Alcorcon
Madrid, 28922
Hospital Universitario de Fuenlabrada; Servicio de Oncologia
Madrid, 28943
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28220
Hospital Clinico Universitario Virgen de la Victoria; Servicio de Oncologia
Málaga, 29010
Hospital Universitario Virgen de Arrixaca; Servicio de Oncologia
Murcia, 30120
Hospital Son Llatzer
Palma de Mallorca, Balearic Islands, 07198
Hospital Universitari Sant Joan de Reus; Planta baja, color lila
Reus, Tarragona, 43204
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 General De Catalunya; Servicio de Oncologia
Sant Cugat del Vallès, Barcelona, 28981
Complejo Hospitalario Universitario de Santiago (CHUS) ; Servicio de Oncologia
Santiago de Compostela, LA Coruña, 15706
Hospital Quirón Sagrado Corazón
Seville, 41013
Consorci Hospitalari de Terrassa
Terrassa, Barcelona, 08227
Instituto Valenciano Oncologia; Oncologia Medica
Valencia, 46009
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital General Universitario de Valencia; Servicio de oncologia
Valencia, 46014
Complexo Hospitalario de Vigo. Hospital Álvaro Cunqueiro; Servicio de Oncología
Vigo, Pontevedra, 36312
Hospital Clinico Universitario Lozano Blesa; Servicio de Oncologia
Zaragoza, 50009
China28 sites
Peking University People's Hospital
Beijing, 100044
Beijing Hospital; Internal Medicine-Oncology
Beijing, 100730
Beijing Union Hospital
Beijing, 100730
The First Hospital of Jilin University
Changchun, 130021
Jilin Cancer Hospital
Changchun, 132013
West China Hospital, Sichuan University
Chengdu, 610041
Chongqing Cancer Hospital
Chongqing, 400030
The 900th Hospital of PLA joint service support force
Fuzhou, 110016
Fujian Medical University Union Hospital
Fuzhou, 350001
Sun yat-sen University Cancer Center; Internal Medicine of Oncology
Guangzhou, 510060
Guangdong General Hospital
Guangzhou, 510080
Sun Yat-Sen University Cancer Center - Huangpu Campus
Guangzhou
The First Affiliated Hospital of College of Medicine, Zhejiang University
Hangzhou, 310003
The Second Affiliated Hospital of Zhejiang University College
Hangzhou, 310009
Harbin Medical University Cancer Hospital
Harbin, 150081
Shandong Cancer Hospital
Jinan, 250117
Luoyang Central Hospital
Luoyang, 471000
Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School
Nanjing, 210008
Shanghai Jiao Tong University School of Medicine (SJTUSM) - Ruijin Hospital (GuangCi Hospital)
Shanghai, 200025
Zhongshan Hospital Fudan University
Shanghai, 200032
Fudan University Shanghai Cancer Center
Shanghai, 200120
The University of Hong Kong-Shenzhen Hospital; Local Ethic Committee
Shenzhen, 518053
Hebei Medical University Fourth Hospital;(Tumor Hospital of Hebei Province)
Shijiazhuang, 050035
Wuhan Union Hospital Tongji Medical College, Huazhong University of Science and Technology
Wuhan, 430022
Hubei Cancer Hospital
Wuhan, 430079
The First Affiliated Hospital of Xian Jiao Tong University
Xi'an, 710061
Zhejiang Cancer Hospital
Zhejiang, 310022
Henan Cancer Hospital
Zhengzhou, 450008
Russia27 sites
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, Arhangelsk, 163045
Evimed
Chelyabinsk, Kurgan Oblast
Regional Oncology Hospital
Irkutsk, 664035
Ivanovo Regional Oncology Dispensary
Ivanovo, 153040
Medsi Clinic
Moscow, Adygeya Republic, 143442
Moscow Clinical Scientific Center
Moscow, Moscow Oblast, 111123
FSBI Russian Oncology Research Center n.a. Blokhin of MOH RF
Moscow, Moscow Oblast, 115478
P.A. Herzen Oncological Inst. ; Oncology
Moscow, Moscow Oblast, 125248
Nizhny Novgorod Regional Clinical Oncology Center
Nizhny Novgorod, Niznij Novgorod, 603126
Regional Oncology Dispensary; Dept of Chemotherapy
Novgorod Veliky, 173016
BIH at Omsk Region "Clinical Oncology Dispensary", Outpatient clinic
Omsk, 644013
Pyatigorsky Oncologic Dispensary
Pyatigorsk, Stavropol Kray, 357524
National Medical Research Center for Oncology
Rostov-on-Don, Rostov Oblast, 344037
LLC Strategic Medical Systems
Saint Petersburg, Sankt-Peterburg, 194291
EosMed LLC
Saint Petersburg, Sankt-Peterburg, 195197
Private Healthcare Institution Clinical Hospital RZhD Medicine
Saint Petersburg, Sankt-Peterburg, 195271
LCC Center of Palliative Medicine - Devita
Saint Petersburg, Sankt-Peterburg, 197343
S-Pb clinical scientific practical center of specialized kinds of medical care (oncological)
Saint Petersburg, Sankt-Peterburg, 197758
FBI "Scientific Research Institute of Oncology n. a. N. N. Petrov"
Saint Petersburg, Sankt-Peterburg
Multidisciplinary clinic Reaviz
Samara, 443011
Samara Regional Oncology Dispensary
Samara, 443031
Mordovia State University
Saransk, Respublika Mordoviya, 430032
Regional Clinical Hospital
Saratov, 410053
Oncologica Dispensary #2
Sochi, Krasnodarskiy Kray, 354057
Bashkirian Republican Clinical Oncology Dispensary
Ufa, Bashkortostan Republic, 450054
SHI Volgograd Regional Clinical Oncological Dispensary#1
Volgograd, 400138
Regional Clinical Oncology Hospital
Yaroslavl, Yaroslavl Oblast, 150054
Germany26 sites
Studienzentrum Berlin City
Berlin, 14169
St. Elisabeth-Krankenhaus
Cologne, 50935
St. Johannes-Hospital
Dortmund, 44137
Onkozentrum Dres. Göhler
Dresden, 01127
BAG Freiberg-Richter, Jacobasch, Illmer, Wolf; Gemeinschaftspraxis Hämatologie-Onkologie
Dresden, 01307
Praxis für Hamatologie und Onkologie
Erfurt, 99085
Onkodok GmbH
Gütersloh, 33332
Albertinen-Krankenhaus Klinik f.Gynäkologie und Geburtshilfe
Hamburg, 22457
Ärztehaus am Bahnhofsplatz; Praxis Uleer/Pourfard
Hildesheim, 31134
ViDia Christliche Kliniken Karlsruhe, Vincentius-Diakonissen-Kliniken gAG; Frauenklinik
Karlsruhe, 76135
Klinikum Ludwigsburg; Studiensekretariat
Ludwigsburg, 71640
St. Vincenz-Elisabeth-Hospital; Katholisches Klinikum Mainz
Mainz, 55131
Universitätsmedizin Mainz; Klinik u. Poliklinik f. Geburtshilfe u. Frauenheilkunde
Mainz, 55131
Dres. Michael Maasberg Marion Schmitz und Maria Theresia Keller
Mayen, 56727
Klinikum Memmingen; Abt.Gynäkologie
Memmingen, 87700
Johannes Wesling Klinikum Minden; Hämatologie, Onkologie, Hämostaseologie und Palliativmedizin
Minden, 32429
Brustzentrum Rhein-Ruhr Servicegesellschaft mbH
Mönchengladbach, 41061
Klinikum der Universität München; Frauenklinik - Onkologie II
München, 80336
Klinikum Neumarkt; Frauenklinik
Neumarkt in der Oberpfalz, 92318
Sana Klinikum Offenbach GmbH; Klinik für Gynäkologie & Geburtshilfe
Offenbach, 63069
Johanniter Frauenklinik Stendal Germany
Stendal, 39676
Gynäkologie Kompetenzzentrum; Praxis Dr. med. Carsten Hielscher
Stralsund, 18439
Universitätsklinik Tübingen; Frauenklinik
Tübingen, 72076
GRN-Klinik Weinheim; Abt.Gynäkologie und Geburtshilfe
Weinheim, 69469
Marien-Hospital Witten, MVZ Witten
Witten, 58452
Klinikum Worms; Frauenklinik; Klinik für Gynäkologie und Geburtshilfe
Worms, 67550
Italy22 sites
Azienda Ospedaliera SS. Antonio E. Biagio E. Cesare Arrigo di Alessandria
Alessandria, Piedmont, 15121
Ospedale Santa Maria Annunziata; Oncologia
Bagno a Ripoli, Tuscany, 50012
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, Abruzzo, 24060
Azienda Ospedaliero Universitaria Di Bologna - Policlinico S.Orsola Malpighi; UO Farmacia Clinica
Bologna, Emilia-Romagna, 40138
U.O Medicina Oncologica Ospedale di Carpi
Carpi, Emilia-Romagna, 41012
Ospedale Degli Infermi - Faenza; Oncologia Medica
Faenza, Emilia-Romagna, 48018
Azienda Ospedaliero Universitaria San Martino
Genoa, Liguria, 16132
ASST DI LECCO; Oncologia Medica
Lecco, Lombardy, 23900
Ospedale Mater Salutis
Legnago (VR), Lombardy, 37045
Istituto Europeo Di Oncologia
Milan, Lombardy, 20141
Azienda Ospedaliero - Universitaria di Modena Policlinico
Modena, Emilia-Romagna, 41110
Azienda Ospedaliero Universitaria di Parma
Parma, Emilia-Romagna, 43126
Fondazione Salvatore Maugeri
Pavia, Lombardy, 27100
Policlinico San Mattea
Pavia, Lombardy, 27100
Azienda Ospedaliera di Perugia Ospedale S. Maria della Misericordia
Perugia, Umbria, 06100
Azienda Usl 7; Dept. Oncologico
Poggibonsi, Tuscany, 53036
Ospedale Degli Infermi Di Biella; Reparto Oncologia Medica
Ponderano (BI), Piedmont, 13875
Nuovo Ospedale Di Prato
Prato, Tuscany, 50047
Ospedale degli Infermi
Rimini, Emilia-Romagna, 47923
Policlinico Universitario Campus Biomedico Di Roma
Rome, Lazio, 00128
Istituto Clinico Humanitas
Rozzano (MI), Lombardy, 20089
A.O. Universitaria S. Maria Della Misericordia Di Udine; Oncologia
Udine, Friuli Venezia Giulia, 33100
Japan22 sites
Aichi Cancer Center Hospital
Aichi, 464-8681
Chiba Cancer Center
Chiba, 260-8717
Shikoku Cancer Center
Ehime, 791-0280
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Hiroshima City Hiroshima Citizens Hospital
Hiroshima, 730-8518
National Hospital Organization Hokkaido Cancer Center
Hokkaido, 003-0804
Hyogo Medical University Hospital
Hyōgo, 663-8501
University of Tsukuba Hospital
Ibaraki, 305-8576
Sagara Hospital
Kagoshima, 892-0833
Kanagawa Cancer Center
Kanagawa, 241-8515
Tokai University Hospital
Kanagawa, 259-1193
Kyoto University Hospital
Kyoto, 606-8507
Fukushima Medical University Hospital
Miyagi, 960-1295
Okayama University Hospital
Okayama, 700-8558
Naha-nishi Clinic
Okinawa, 901-0154
National Hospital Organization Osaka National Hospital
Osaka, 540-0006
Osaka International Cancer Institute
Osaka, 541-8567
Saitama Medical University International Medical Center
Saitama, 350-1298
Saitama Cancer Center
Saitama, 362-0806
Shizuoka Cancer Center
Shizuoka, 411-8777
St. Luke's Internat. Hospital, Breast Surgical Oncology
Tokyo, 104-8560
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
United States17 sites
University of Maryland Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
Advocate Illinois Masonic Outpatient Center for Advanced Care
Chicago, Illinois, 60657
John Muir Health Clinical Research Center
Concord, California, 94520
Des Moines Oncology Research Association
Des Moines, Iowa, 50309
Fairview Southdale Medical Oncology Clinic
Edina, Minnesota, 55435
St. Mary's Medical Center
Huntington, West Virginia, 25702
Baptist - MD Anderson Cancer Center
Jacksonville, Florida, 32207
HCA Midwest Division
Kansas City, Missouri, 64132
Monter Cancer Center
Lake Success, New York, 11042
Cedars-Sinai Medical Center
Los Angeles, California, 90048
New Hampshire Hematology Oncology
Manchester, New Hampshire, 03103
SCRI
Nashville, Tennessee, 37203
Memorial Sloan Kettering Cancer Center
New York, New York, 11101
Rochester General Hospital; Lipson Cancer and Blood Center
Rochester, New York, 14621
Intermountain Precision Genomics Cancer Research Clinic-Dixie
St. George, Utah, 84770
Martin-O?Neil Cancer Center
St. Helena, California, 94574
Cancer Center of Kansas
Wichita, Kansas, 67214-3728
South Korea17 sites
Chungbuk National University Hospital
Cheongju-si, 28644
Soon Chun Hyang University Cheonan Hospital
Dongnam-gu, Cheonan-si, 31151
National Cancer Center
Goyang-si, 10408
CHA Bundang Medical Center
Gyeonggi-do, 13496
Gachon University Gil Medical Center
Incheon, 21565
Inha University Hospital
Incheon, 22332
Seoul National University Bundang Hospital
Seongnam-si, 463-707
Seoul National University Hospital
Seoul, 03080
Severance Hospital; Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Gangnam Severance Hospital
Seoul, 06273
Samsung Medical Center
Seoul, 06351
Seoul St Mary's Hospital
Seoul, 06591
Ewha Womans University Mokdong Hospital
Seoul, 07985
Ajou University Hospital
Suwon, 443-721
Ulsan University Hosiptal
Ulsan, 44033
Wonju Christian Hospital
Wŏnju, 220-701
Ukraine16 sites
Regional Oncology Center; Department of Mammology
Chernihiv, 14029
Chernivtsi Regional Clinical Oncology Dispensary
Chernivtsi, 58013
MI "Clinical Oncological Dispensary" of Dnipro Reg Council; chemotherapy department
Dnipro, KIEV Governorate, 49100
City Clinical Hospital #4
Dnipropetrovsk, 49102
Municipal Institution Kirovograd Regional Oncology Dispensary
Kirovograd, 25011
ME Kryviy Rih Oncology Dispensary of Dnipropetrovs?k Regional Council; Chemotherapy Department
Kryvyi Rih, 50048
Volyn Regional Oncology Dispensary
Lutsk, 43018
Lviv State Oncological Regional Treatment and Diagnostic Center
Lviv, 79031
Municipal Institution Odesa Regional Oncology Dispensary
Odesa, KIEV Governorate, 65055
Municipal Institution Odesa Regional Clinical Hospital
Odesa, 65025
Sumy Reg. Clin. Oncological Dispensary; Thoracall Department
Sumy, 40005
CCCH City Oncological Center SHEI Uzhgorod NU
Uzhhorod, 88000
Transkarpathian Regional Oncology Clinic; Chemotherapy
Uzhhorod, 88000
Vinnytsya Regional Clinical Oncology Dispensary
Vinnytsia, Podolia Governorate, 21029
Yulis Medical and Diagnostic Center
Zaporizhzhya, Katerynoslav Governorate, 69061
Zaporizhzhia Regional Clinical Oncology Dispensary; Zaporizhzhya State Medical University
Zaporizhzhya, 69040
Australia15 sites
Royal Adelaide Hospital; Cancer Centre
Adelaide, South Australia, 5000
Icon Cancer Care Wesley
Auchenflower, Queensland, 4066
Icon Cancer Foundation; Icon Cancer Care Chermside
Chermside, Queensland, 4032
Monash Medical Centre
Clayton, Victoria, 3168
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Austin Hospital Olivia Newton John Cancer Centre
Heidelberg, Victoria, 3084
Ashford Cancer Center Research
Kurralta Park, South Australia, 5037
Lismore Base Hospital
Lismore, New South Wales, 2480
Macquarie University Hospital
Macquarie Park, New South Wales, 2113
Maroondah Hospital; Breast Clinic
Ringwood East, Victoria, 3135
Icon Cancer Care South Brisbane
South Brisbane, Queensland, 4101
Mater Hospital; Cancer Services
South Brisbane, Queensland, 4101
Icon Cancer Foundation; Icon Cancer Care Southport
Southport, Queensland, 4215
Sydney Adventist Hospital
Wahroonga, New South Wales, 2076
Princess Alexandra Hospital; Cancer Trials Unit
Woolloongabba, Queensland, 4102
Brazil14 sites
Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
Crio - Centro Regional Integrado de Oncologia
Fortaleza, Ceará, 60336-232
Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda
Ijuí, Rio Grande do Sul, 98700-000
Clinica de Neoplasias Litoral
Itajaí, Santa Catarina, 88301-220
Hospital Amaral Carvalho
Jaú, São Paulo, 17210-080
Hospital Moinhos de Vento
Porto Alegre, Rio Grande do Sul, 90035-001
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Mae de Deus
Porto Alegre, Rio Grande do Sul, 90110-000
Instituto Nacional de Cancer - INCa; Oncologia
Rio de Janeiro, Rio de Janeiro, 20560-120
Nucleo de Oncologia da Bahia - NOB
Salvador, Bahia, Estado de Bahia, 40170-380
Faculdade de Medicina do ABC - FMABC
Santo André, São Paulo, 09060-650
Instituto Do Câncer Do Estado de São Paulo Octávio Frias de Oliveira
São Paulo, São Paulo, 01246 000
Instituto Brasileiro de Controle Do Câncer ? São Camilo Oncologia
São Paulo, São Paulo, 04014-002
Hospital Jardim Amália
Volta Redonda, Rio de Janeiro, 27251-260
Taiwan10 sites
Chunghua Christian hospital
Changhua, 500
E-Da Cancer Hospital; Hematology- Oncology Department
Kaoshiung, 824
Kaohsiung Medical University Hospital; Chung-Ho Memorial Hospital
Kaoshiung City, 807
Chi Mei Medical Center Liou Ying Campus
Liuying Township, 736
National Cheng Kung University Hospital
Tainan, 70457
National Taiwan University Hospital
Taipei, 10002
Mackay Memorial Hospital - Taipei Branch
Taipei, 104
Taipei Veterans General Hospital
Taipei, 112
Tri-Service General Hospital
Taipei, 11490
Chang Gung Medical Foundation Linkou Branch
Taoyuan City, 333
Argentina9 sites
Centro de Oncologia e; Investigacion Buenos Aires - COIBA
Berazategui, B1880BBF
INSTITUTO DE INVESTIGACIONES METABOLICAS (IDIM); Oncology
Ciudad Autonoma Buenos Aires, C1012AAR
Hospital Britanico de Buenos Aires
Ciudad Autonoma Buenos Aires, C1284AEB
Clinica Universitaria Reina Fabiola
Córdoba, X5004FHP
Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE
Instituto de Oncología de Rosario
Rosario, S2000KZE
Centro Medico San Roque
San Miguel de Tucumán, T4000IAK
Fundación Ars Medica
San Salvador de Jujuy
Centro de Investigacion Clinica - Clinica Viedma S.A.; Oncology Department
Viedma, R8500ACE
Mexico9 sites
Iem-Fucam
D.F., Mexico CITY (federal District), 04980
Instituto Nacional De Cancerologia; Oncology; Tumores Mamarios
Distrito Federal, Mexico CITY (federal District), 14000
Merida | Investigacion Clinica
Mérida, Yucatán, 97125
Health Pharma Professional Research
Mexico City, Mexico CITY (federal District), 03100
CENEIT Oncologicos; DENTRO DE CONDOMINIO SAN FRANCISCO
Mexico City, 03100
Centro Medico Dalinde
Mexico City, 06700
Centro Médico Zambrano Hellion
Monterrey, Nuevo León, 66278
Centro de Investigacion Clinica de Oaxaca
Oaxaca City, Oaxaca, 68020
Oncologico Potosino
San Luis Potosí City, San Luis Potosí, 78209
Belgium8 sites
AZ KLINA
Brasschaat, 2930
Institut Jules Bordet
Brussels, 1000
UZ Leuven Gasthuisberg
Leuven, 3000
CHC MontLégia
Liège, 4000
Chr de La Citadelle
Liège, 4000
CHU Ambroise Paré
Mons, 7000
Clinique Sainte-Elisabeth; Oncologie
Namur, 5000
Vitaz
Sint-Niklaas, 9100
Austria7 sites
Medical University Innsbruck; Frauenklinik Innsbruck, Dept Gyn
Innsbruck, 6020
Ordensklinikum Linz Barmherzige Schwestern; Interne 1 - Hämato-Onkologie
Linz, 4010
Uniklinikum Salzburg, LKH; Univ.Klinik f. Innere Medizin III der PMU
Salzburg, 5020
AKH - Medizinische Universität Wien; Department of Oncology
Vienna, 1090
Medizinische Universität Wien; Univ.Klinik für Frauenheilkunde - Klinik für Gynäkologie
Vienna, 1090
Salzkammergut-Klinikum Voecklabruck
Vöcklabruck, 4840
Klinikum Kreuzschwestern Wels; Iv. Interne Abt.
Wels, 4600
Thailand7 sites
Rajavithi Hospital; Division of Medical Oncology
Bangkok, 10400
Ramathibodi Hospital; Medicine/Oncology
Bangkok, 10400
Siriraj Hospital; Clinical Research Center, Pharmacy Department
Bangkok, 10700
Songklanagarind Hospital
Hat Yai, 90110
Srinagarind Hospital, Khon Kaen University
Khon Kaen, 40002
Lampang Cancer Hospital
Lampang, 52000
King Chulalongkorn Memorial Hospital; Faculty of Medicine Chulalongkorn University
Patumwan, 10330
United Kingdom6 sites
NHS Lothian - Western General Hospital; NHS Lothian - Western General Hospital
Edinburgh, EH4 2XU
Calderdale and Huddersfield NHS Foundation Trust
Huddersfield, HD3 3EA
Leeds Teaching Hosp NHS Trust;St James's Institute of Onc
Leeds, LS9 7TF
The Christie NHS Foundation Trust
Manchester, M20 4BX
Nottingham University Hospitals NHS Trust - City Hospital
Nottingham, NG5 1PB
University Hospitals of North Midlands NHS Trust-Royal Stoke University Hospital
Stoke-on-Trent, ST4 6QG
Israel5 sites
Shaare Zedek Medical Center
Jerusalem, 9103102
Hadassah Med Org Kiryat; Oncology Institute
Jerusalem, 9112000
Meir Medical center, Pediatrics
Kfar Saba, 4428164
Rabin MC; Davidof Center - Oncology Institute
Petah Tikva, 4941492
The Chaim Sheba Medical Center
Ramat Gan, 5211401
Turkey (Türkiye)5 sites
Baskent Universitesi Adana Dr. Turgut Noyan Uygulama ve Arastirma Merkezi
Adana, 01240
Uludag Universitesi - Saglik Uygulama ve Arastirrma Merkezi
Bursa, 16059
Izmir Ekonomi Universitesi Medical Park Hastanesi
Izmir, 35575
Mersin Universitesi Tip Fakultesi Hastanesi; Tibbi Onkoloji Birimi
Mersin, 33110
Medikal Park Samsun
Samsun, 55200
Poland4 sites
Instytut MSF Sp. z o.o.
?ód?, 90-302
MedPolonia
Poznan, 60-693
Wielkopolskie Centrum Onkologi
Poznan, 61-866
Wojskowy Instytut Medyczny - Panstwowy Instytut Badawczy; Klinika Onkologii
Warsaw, 00-909
Czechia3 sites
Nemocnice Horovice, NH Hospital a.s.; Oncology Department
Hořovice, 26831
Fakultni Poliklinika Vseobecne Fakultni Niemocnice; Onkologicka Klinika
Prague, 128 08
Krajska nemocnice T. Bati, a.s.
Zlín, 76001
Denmark3 sites
Herlev Hospital; Afdeling for Kræftbehandling
Herlev, 2730
Odense Universitetshospital, Onkologisk Afdeling, Klinisk Forsknings Enhed
Odense C, 5000
Sygehus Lillebælt, Vejle
Vejle, 7100
Hong Kong3 sites
Queen Mary Hospital
Hong Kong, 999077
Pamela Youde Nethersole Eastern Hospital; Clinical Oncology
Hong Kong
Queen Elizabeth Hospital Department of Clinical Oncology
Kowloon
Hungary3 sites
National Institute of Oncology, A Dept of Internal Medicine
Budapest, 1122
Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház
Miskolc, 3526
Pécsi Tudományegyetem; Klinikai Központ Onkoterápiás Intézet
Pécs, 7623
Peru3 sites
Hospital Nacional Carlos Alberto Seguin Escobedo-Essalud; Oncology & Haemathology
Arequipa, 04001
Instituto Nacional de Enfermedades Neoplasicas
Lima, 15038
Oncosalud Sac; Oncología
Lima, 41
Romania3 sites
"Filantropia" Clinical Hospital; Gynecological Oncology
Bucharest, 011191
Institutul Oncologic Prof. Dr. Ion Chiricuta Cluj Napoca; Oncologie Medicala
Cluj-Napoca, 400015
Centrul de Oncologie Sfantul Nectarie
Craiova, 200347
Switzerland3 sites
Hirslanden Medical Center - Tumorzentrum
Aarau, 5000
Centre Hospitalier Universitaire Vaudois - Lausanne
Lausanne, 1011
Brust-Zentrum Zürich AG Seefeldstrasse 214 Zürich
Zurich, 8008
Ireland2 sites
Mater Misecordiae University Hospital
Dublin, 7
Beaumont Hospital; Cancer Clinical Trials Unit
Dublin, 9
Singapore2 sites
National University Hospital; Medical Oncology
Singapore, 119074
National Cancer Centre
Singapore, 169610
About this study
Official title: A Phase III, Multicenter, Randomized, Open-Label Study Comparing Atezolizumab (Anti PD-L1 Antibody) in Combination With Adjuvant Anthracycline/Taxane-Based Chemotherapy Versus Chemotherapy Alone in Patients With Operable Triple Negative Breast Cancer
This study will evaluate the efficacy, safety, and pharmacokinetics of adjuvant atezolizumab in combination with paclitaxel, followed by atezolizumab, dose-dense doxorubicin or epirubicin (investigator's choice), and cyclophosphamide, compared with paclitaxel followed by dose-dense doxorubicin or epirubicin (investigator's choice) and cyclophosphamide alone in patients with Stage II-III TNBC (Triple Negative Breast Cancer)
- Conditions
- Triple Negative Breast Cancer
- Being tested
- Atezolizumab, Paclitaxel, Dose-dense Doxorubicin or dose-dense Epirubicin, Cyclophosphamide
- Medical subject headings
- Triple Negative Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtezolizumabDrug
Atezolizumab will be administered by IV, 840 mg every 2 weeks, for 10 doses.
Atezolizumab maintenance will be administered by IV, 1200 mg every 3 weeks to complete 1 year
PaclitaxelDrug
Paclitaxel will be administered by IV, 80 mg/m^2 every week for 12 weeks.
Dose-dense Doxorubicin or dose-dense EpirubicinDrug
Dose-dense doxorubicin will be administered by IV, 60 mg/m^2 every 2 weeks for a total of 4 doses.
Or
Dose-dense epirubicin will be administered by IV, (90 mg/m^2) every 2 weeks for a total of 4 doses
CyclophosphamideDrug
Cyclophosphamide will be administered by IV, 600 mg/m^2 every 2 weeks for 4 doses
| Study group | Role | What they receive |
|---|---|---|
| Atezolizumab + Chemotherapy | Experimental | Participants will receive atezolizumab (in combination with chemotherapy as described below) every 2 weeks for 10 doses, followed by atezolizumab maintenance therapy every 3 weeks to complete 1 year of treatment from the first dose
Chemotherapy will consist of paclitaxel every week for 12 weeks, followed by dose-dense doxorubicin +cyclophosphamide or dose-dense epirubicin + cyclophosphamide every 2 weeks, for 4 doses supported with Granulocyte Colony-Stimulating Factor (G-CSF) or Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) Receives: Drug: Atezolizumab; Drug: Paclitaxel; Drug: Dose-dense Doxorubicin or dose-dense Epirubicin; Drug: Cyclophosphamide |
| Chemotherapy | Active comparator | Chemotherapy will consist of paclitaxel every week for 12 weeks, followed by dose-dense doxorubicin +cyclophosphamide or dose-dense epirubicin + cyclophosphamide every 2 weeks, for 4 doses supported with Granulocyte Colony-Stimulating Factor (G-CSF) or Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) Receives: Drug: Paclitaxel; Drug: Dose-dense Doxorubicin or dose-dense Epirubicin; Drug: Cyclophosphamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Invasive Disease-Free Survival (iDFS)
iDFS was defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast tumor recurrence (an invasive breast cancer involving the same breast parenchyma as the original primary lesion); Ipsilateral local-regional invasive breast cancer recurrence (an invasive breast cancer in the axilla, regional lymph nodes, chest wall, \&/or skin of the ipsilateral breast); Ipsilateral second primary invasive breast cancer; Contralateral invasive breast cancer; Distant recurrence (evidence of breast cancer in any anatomic site [other than the sites mentioned]) that has either been histologically confirmed \&/or clinically/radiographically diagnosed as recurrent invasive breast cancer; \& Death attributable to any cause, including breast cancer, non-breast cancer, or unknown cause. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis or no post-baseline information were censored.
Measured: From randomization until the occurrence of an iDFS event or death from any cause, whichever occurred earlier (up to 5 years)
Secondary outcomes (13)
Invasive Disease-Free Survival (iDFS) in the Subpopulation With Programmed Death-ligand 1 (PD-L1) Selected Tumor Status (IC1/2/3)
iDFS = the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast tumor recurrence (an invasive breast cancer involving the same breast parenchyma as the original primary lesion); Ipsilateral local-regional invasive breast cancer recurrence (an invasive breast cancer in the axilla, regional lymph nodes, chest wall, and/or skin of the ipsilateral breast); Ipsilateral second primary invasive breast cancer, Contralateral invasive breast cancer, Distant recurrence (i.e., evidence of breast cancer in any anatomic site [other than the sites mentioned]) that has either been histologically confirmed and/or clinically/radiographically diagnosed as recurrent invasive breast cancer and Death attributable to any cause, including breast cancer, non-breast cancer, or unknown cause. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis or no post-baseline information were censored.
Measured: From randomization until the occurrence of an iDFS event or death from any cause, whichever occurred earlier (up to 5 years)
Invasive Disease-Free Survival (iDFS) in the Node Positive Subpopulation
iDFS = the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast tumor recurrence (an invasive breast cancer involving the same breast parenchyma as the original primary lesion); Ipsilateral local-regional invasive breast cancer recurrence (an invasive breast cancer in the axilla, regional lymph nodes, chest wall, and/or skin of the ipsilateral breast); Ipsilateral second primary invasive breast cancer; Contralateral invasive breast cancer; Distant recurrence (evidence of breast cancer in any anatomic site [other than the sites mentioned]) that has either been histologically confirmed and/or clinically/radiographically diagnosed as recurrent invasive breast cancer; and Death attributable to any cause, including breast cancer, non-breast cancer, or unknown cause. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis or no post-baseline information were censored.
Measured: From randomization until the occurrence of an iDFS event or death from any cause, whichever occurred earlier (up to 5 years)
Overall Survival (OS)
Overall Survival (OS) is defined as the time from randomization to the date of death due to any cause. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis or no post-baseline information were censored.
Measured: From randomization up to death from any cause (up to 5 years)
Invasive Disease-Free Survival (iDFS) Including Second Primary Non-Breast Invasive Cancer
iDFS = the time from randomization until the date of first occurrence of one of the events: Ipsilateral invasive breast tumor recurrence (an invasive breast cancer involving same breast parenchyma as the original primary lesion); Ipsilateral local-regional invasive breast cancer recurrence (an invasive breast cancer in axilla, regional lymph nodes, chest wall, \&/or skin of the ipsilateral breast); Ipsilateral second primary invasive breast cancer; Second primary non-breast invasive cancer; Contralateral invasive breast cancer; Distant recurrence (i.e., evidence of breast cancer in any anatomic site [other than sites mentioned]) that has either been histologically confirmed \&/or clinically/radiographically diagnosed as recurrent invasive breast cancer; Death attributable to any cause, including breast cancer, non-breast cancer, or unknown cause. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis or no post-baseline information were censored.
Measured: From randomization up to death from any cause (up to 5 years)
Recurrence-Free Interval (RFI)
Recurrence-Free Interval (RFI) was defined as the time from randomization to the first occurrence of any recurrence (local, regional [including invasive ipsilateral tumor and invasive locoregional tumor], or distant), as determined by investigators. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis, participants with no events who died, or participants with no post-baseline information were censored.
Measured: From randomization up to 5 years
Distant Recurrence-Free Interval (DRFI)
Distant Recurrence-Free Interval (DRFI) was defined as the time from randomization to the distant breast cancer recurrence. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis, participants with no events who died, or participants with no post-baseline information were censored.
Measured: From randomization up to 5 years
Disease-Free Survival (DFS)
Disease-Free Survival (DFS) was defined as the time from randomization to the first occurrence of disease recurrence or death from any cause. DFS events include: Ipsilateral invasive breast tumor recurrence; Ipsilateral local-regional invasive breast cancer recurrence; Distant recurrence that has either been histologically confirmed or clinically diagnosed as recurrent invasive breast cancer; Contralateral invasive breast cancer; Ipsilateral or contralateral DCIS; Second primary non-breast invasive cancer; Death attributable to any cause. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis or no post-baseline information were censored.
Measured: From randomization up to first disease recurrence or death from any cause (up to 5 years)
Change From Baseline (CFB) in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) Patient-reported Function (Role Functioning [Q6, Q7])
The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. For the role functioning scale, participant responses to the 2 questions "Q6: Were you limited in doing either your work or daily activities" and "Q7: Were you limited in pursuing your hobbies or other leisure time activities" were scored on a 4-point scale (1=Not at All to 4=Very Much). The scores were linearly transformed on a scale of 0 to 100, with a low score indicating better functioning. Negative change from baseline indicated improvement.
Measured: Baseline (Cycle 1 Day 1), Day 1 of Cycles 4, 6, 8, 10, 12, 14 & 16; end of treatment/discontinuation (approximately at Day 351); Follow up: Months 3 to 48 (Total duration is up to 5 years); Cycles 1-5= 28 day cycles; Cycles 6-16: 21 day cycles
Change From Baseline in EORTC QLQ-C30 Patient-reported Function (Physical Functioning [Q1-Q5])
The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. For the physical functioning scale, 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) were scored on a 4-point scale (1=Not at All to 4=Very Much). The scores were linearly transformed on a scale of 0 to 100, with a high score indicating worst functioning. Negative change from baseline indicated improvement in functioning.
Measured: Baseline (Cycle 1 Day 1), Day 1 of Cycles 4, 6, 8, 10, 12, 14 & 16; end of treatment/discontinuation (approximately at Day 351); Follow up: Months 3 to 48 (Total duration is up to 5 years); Cycles 1-5= 28 day cycles; Cycles 6-16: 21 day cycles
Change From Baseline in EORTC QLQ-C30 Global Health Status (GHS) [Q29] and Health-Related Quality of Life (HRQoL) [Q30] Combined Score
The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to the questions regarding Global Health Status (Q29:GHS; "How would you rate your overall health during the past week?") and Quality of Life (Q30: QoL; "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better outcome. Negative change from Baseline values indicated deterioration in QOL or functioning and positive values indicated improvement.
Measured: Baseline (Cycle 1 Day 1), Day 1 of Cycles 4, 6, 8, 10, 12, 14 & 16; end of treatment/discontinuation (approximately 351 days); Follow up: Months 3 to 48 (Total duration is up to 5 years); Cycles 1-5= 28 day cycles; Cycles 6-16: 21 day cycles
Number of Participants With Adverse Events (AE)
An Adverse Event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), 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 adverse events. AEs are reported based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.0.
Measured: Up to 5 years
Serum Concentration of Atezolizumab
Measured: Postdose Day 1 of Cycle 1; Predose Day 1 of Cycles 2, 3, and 4; Predose Cycles 6, 10, and 14; Predose Day 2 of Cycle 16; Cycles 1-5= 28-day cycles; Cycles 6-16: 21-day cycles
Percentage of Participants With Anti-Drug Antibodies (ADAs) to Atezolizumab
Baseline evaluable participant= participant with an ADA assay result from a baseline sample(s). Post-baseline evaluable participant= participant with an ADA assay result from at least one postbaseline sample.
Measured: Up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2018
- Study start2 Aug 2018
- Primary completion14 Aug 2023
- Study completion14 Aug 2023
Why it stopped: The study was terminated by the sponsor following interim analysis as the primary endpoint of iDFS crossed the pre-specified futility boundary of hazard ratio \> 1 in the Intent-to-Treat (ITT) population.
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 Triple Negative Breast CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 2,199 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Breast International Group, Alliance Foundation Trials, LLC., Jules Bordet Institute, Frontier Science & Technology Research Foundation, Inc.
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03498716
- Sponsor's protocol ID
- WO39391
- Other IDs
- 2016-003695-47, BIG 16-05, AFT-27, ALEXANDRA, 2016
- Acronym
- IMpassion030
- Status last verified
- Jul 2024
- First submitted
- 28 Feb 2018
- Last updated
- 21 Aug 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Ignatiadis M, Bailey A, McArthur H, El-Abed S, de Azambuja E, Metzger O, Chui SY, Dieterich M, Perretti T, Shearer-Kang E, Molinero L, Steger GG, Jassem J, Lee SC, Higgins M, Zarba J, Schmidt M, Gomez H, Guerrero Zotano A, Moscetti L, Chiu J, Munzone E, Ben-Baruch NE, Bajetta E, Ohno S, Im SA, Werutsky G, Gal-Yam EN, Gonzalez Farre X, Tseng LM, Jacot W, Gluz O, Shao Z, Shparyk Y, Zimina A, Winer E, Cameron DA, Viale G, Saji S, Gelber R, Piccart M. Adjuvant Atezolizumab for Early Triple-Negative Breast Cancer: The ALEXANDRA/IMpassion030 Randomized Clinical Trial. JAMA. 2025 Jan 30;333(13):1150-60. doi: 10.1001/jama.2024.26886. Online ahead of print.
PubMed 39883436Perez-Garcia J, Soberino J, Racca F, Gion M, Stradella A, Cortes J. Atezolizumab in the treatment of metastatic triple-negative breast cancer. Expert Opin Biol Ther. 2020 Sep;20(9):981-989. doi: 10.1080/14712598.2020.1769063. Epub 2020 May 25.
PubMed 32450725
Study at a glance
From the registry record, last updated by the sponsor on 21 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicenter, Randomized, Open-Label Study Comparing Atezolizumab (Anti PD-L1 Antibody) in Combination With Adjuvant Anthracycline/Taxane-Based Chemotherapy Versus Chemotherapy Alone in Patients With Operable Triple Negative Breast Cancer
- ClinicalTrials.gov ID
- NCT03498716
- Acronym / sponsor ID
- IMpassion030 / WO39391
- Conditions
- Triple Negative Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was terminated by the sponsor following interim analysis as the primary endpoint of iDFS crossed the pre-specified futility boundary of hazard ratio \> 1 in the Intent-to-Treat (ITT) population.
- Enrolment
- 2,199 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Collaborators
- Breast International Group, Alliance Foundation Trials, LLC., Jules Bordet Institute, Frontier Science & Technology Research Foundation, Inc.
- Study start
- 2 Aug 2018 (actual)
- Primary completion
- 14 Aug 2023 (actual)
- Study completion
- 14 Aug 2023 (actual)
- First posted
- 17 Apr 2018 (actual)
- Results
- Posted 21 Aug 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, safety, and pharmacokinetics of adjuvant atezolizumab in combination with paclitaxel, followed by atezolizumab, dose-dense doxorubicin or epirubicin (investigator's choice), and cyclophosphamide, compared with paclitaxel followed by dose-dense doxorubicin or epirubicin (investigator's choice) and cyclophosphamide alone in patients with Stage II-III TNBC (Triple Negative Breast Cancer)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Atezolizumab + Chemotherapy | Experimental | Drug: Atezolizumab, Drug: Paclitaxel, Drug: Dose-dense Doxorubicin or dose-dense Epirubicin, Drug: CyclophosphamideParticipants will receive atezolizumab (in combination with chemotherapy as described below) every 2 weeks for 10 doses, followed by atezolizumab maintenance therapy every 3 weeks to complete 1 year of treatment from the first dose Chemotherapy will consist of paclitaxel every week for 12 weeks, followed by dose-dense doxorubicin +cyclophosphamide or dose-dense epirubicin + cyclophosphamide every 2 weeks, for 4 doses supported with Granulocyte Colony-Stimulating Factor (G-CSF) or Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) |
| Chemotherapy | Active comparator | Drug: Paclitaxel, Drug: Dose-dense Doxorubicin or dose-dense Epirubicin, Drug: CyclophosphamideChemotherapy will consist of paclitaxel every week for 12 weeks, followed by dose-dense doxorubicin +cyclophosphamide or dose-dense epirubicin + cyclophosphamide every 2 weeks, for 4 doses supported with Granulocyte Colony-Stimulating Factor (G-CSF) or Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Non-metastatic operable Stage II-III breast cancer
- Histologically documented TNBC (Triple Negative Breast Cancer)
- Confirmed tumor PD-L1 evaluation as documented through central testing of a representative tumor tissue specimen
- Adequately excised: Patients must have undergone either breast-conserving surgery or mastectomy/nipple- or skin-sparing mastectomy
- Adequate hematologic and end-organ function
Key exclusion criteria (12 listed)
- Prior history of invasive breast cancer
- For the currently diagnosed breast cancer, any previous systemic anti-cancer treatment (e.g., neoadjuvant or adjuvant), including, but not limited to, chemotherapy, anti-HER2 therapy.
- Previous therapy with anthracyclines or taxanes for any malignancy
- Cardiopulmonary dysfunction
- Prior malignancies within 5 years prior to randomization, with the exception of those with a negligible risk of metastasis or death and treated with expected curative outcome
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 will be administered by IV, 840 mg every 2 weeks, for 10 doses. Atezolizumab maintenance will be administered by IV, 1200 mg every 3 weeks to complete 1 year | Drug | Atezolizumab + Chemotherapy |
| PaclitaxelPaclitaxel will be administered by IV, 80 mg/m^2 every week for 12 weeks. | Drug | Atezolizumab + Chemotherapy, Chemotherapy |
| Dose-dense Doxorubicin or dose-dense EpirubicinDose-dense doxorubicin will be administered by IV, 60 mg/m^2 every 2 weeks for a total of 4 doses. Or Dose-dense epirubicin will be administered by IV, (90 mg/m^2) every 2 weeks for a total of 4 doses | Drug | Atezolizumab + Chemotherapy, Chemotherapy |
| CyclophosphamideCyclophosphamide will be administered by IV, 600 mg/m^2 every 2 weeks for 4 doses | Drug | Atezolizumab + Chemotherapy, Chemotherapy |
Primary outcome
Invasive Disease-Free Survival (iDFS)
Time frame: From randomization until the occurrence of an iDFS event or death from any cause, whichever occurred earlier (up to 5 years)
iDFS was defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast tumor recurrence (an invasive breast cancer involving the same breast parenchyma as the original primary lesion); Ipsilateral local-regional invasive breast cancer recurrence (an invasive breast cancer in the axilla, regional lymph nodes, chest wall, \&/or skin of the ipsilateral breast); Ipsilateral second primary invasive breast cancer; Contralateral invasive breast cancer; Distant recurrence (evidence of breast cancer in any anatomic site [other than the sites mentioned]) that has either been histologically confirmed \&/or clinically/radiographically diagnosed as recurrent invasive breast cancer; \& Death attributable to any cause, including breast cancer, non-breast cancer, or unknown cause. Analysis used Kaplan-Meier estimates where participants with no events at the time of analysis or no post-baseline information were censored.
13 secondary outcomes
Invasive Disease-Free Survival (iDFS) in the Subpopulation With Programmed Death-ligand 1 (PD-L1) Selected Tumor Status (IC1/2/3)
Time frame: From randomization until the occurrence of an iDFS event or death from any cause, whichever occurred earlier (up to 5 years)
Invasive Disease-Free Survival (iDFS) in the Node Positive Subpopulation
Time frame: From randomization until the occurrence of an iDFS event or death from any cause, whichever occurred earlier (up to 5 years)
Overall Survival (OS)
Time frame: From randomization up to death from any cause (up to 5 years)
Invasive Disease-Free Survival (iDFS) Including Second Primary Non-Breast Invasive Cancer
Time frame: From randomization up to death from any cause (up to 5 years)
Recurrence-Free Interval (RFI)
Time frame: From randomization up to 5 years
Distant Recurrence-Free Interval (DRFI)
Time frame: From randomization up to 5 years
Disease-Free Survival (DFS)
Time frame: From randomization up to first disease recurrence or death from any cause (up to 5 years)
Change From Baseline (CFB) in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) Patient-reported Function (Role Functioning [Q6, Q7])
Time frame: Baseline (Cycle 1 Day 1), Day 1 of Cycles 4, 6, 8, 10, 12, 14 & 16; end of treatment/discontinuation (approximately at Day 351); Follow up: Months 3 to 48 (Total duration is up to 5 years); Cycles 1-5= 28 day cycles; Cycles 6-16: 21 day cycles
Change From Baseline in EORTC QLQ-C30 Patient-reported Function (Physical Functioning [Q1-Q5])
Time frame: Baseline (Cycle 1 Day 1), Day 1 of Cycles 4, 6, 8, 10, 12, 14 & 16; end of treatment/discontinuation (approximately at Day 351); Follow up: Months 3 to 48 (Total duration is up to 5 years); Cycles 1-5= 28 day cycles; Cycles 6-16: 21 day cycles
Change From Baseline in EORTC QLQ-C30 Global Health Status (GHS) [Q29] and Health-Related Quality of Life (HRQoL) [Q30] Combined Score
Time frame: Baseline (Cycle 1 Day 1), Day 1 of Cycles 4, 6, 8, 10, 12, 14 & 16; end of treatment/discontinuation (approximately 351 days); Follow up: Months 3 to 48 (Total duration is up to 5 years); Cycles 1-5= 28 day cycles; Cycles 6-16: 21 day cycles
Number of Participants With Adverse Events (AE)
Time frame: Up to 5 years
Serum Concentration of Atezolizumab
Time frame: Postdose Day 1 of Cycle 1; Predose Day 1 of Cycles 2, 3, and 4; Predose Cycles 6, 10, and 14; Predose Day 2 of Cycle 16; Cycles 1-5= 28-day cycles; Cycles 6-16: 21-day cycles
Percentage of Participants With Anti-Drug Antibodies (ADAs) to Atezolizumab
Time frame: Up to 5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Aug 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39883436Ignatiadis M, Bailey A, McArthur H, El-Abed S, de Azambuja E, Metzger O, Chui SY, Dieterich M, Perretti T, Shearer-Kang E, Molinero L, Steger GG, Jassem J, Lee SC, Higgins M, Zarba J, Schmidt M, Gomez H, Guerrero Zotano A, Moscetti L, Chiu J, Munzone E, Ben-Baruch NE, Bajetta E, Ohno S, Im SA, Werutsky G, Gal-Yam EN, Gonzalez Farre X, Tseng LM, Jacot W, Gluz O, Shao Z, Shparyk Y, Zimina A, Winer E, Cameron DA, Viale G, Saji S, Gelber R, Piccart M. Adjuvant Atezolizumab for Early Triple-Negative Breast Cancer: The ALEXANDRA/IMpassion030 Randomized Clinical Trial. JAMA. 2025 Jan 30;333(13):1150-60. doi: 10.1001/jama.2024.26886. Online ahead of print.
- Derived from this study: PubMed 32450725Perez-Garcia J, Soberino J, Racca F, Gion M, Stradella A, Cortes J. Atezolizumab in the treatment of metastatic triple-negative breast cancer. Expert Opin Biol Ther. 2020 Sep;20(9):981-989. doi: 10.1080/14712598.2020.1769063. Epub 2020 May 25.
Related trials for Triple Negative Breast Cancer
RecruitingPhase 3
A Study of Camrelizumab Plus Chemotherapy in Combination With or Without Famitinib as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (BCTOP-T-N01)
TNBC - Triple-Negative Breast Cancer
RecruitingPhase 2
BrAin Metastasis in tripLe Negateive Breast Cancer: IvoneScimab and Trop2 ADC
Triple-Negative Breast Cancer (TNBC), Brain Metastases
Active, not recruitingPhase 1/2
Phase I/II Study of the Anti-Programmed Death Ligand-1 Durvalumab Antibody (MEDI4736) in Combination With Olaparib and/or Cediranib for Advanced Solid Tumors and Advanced or Recurrent Ovarian, Triple Negative Breast, Lung, Prostate and Colorectal Can...
Colorectal Neoplasms, Breast Neoplasms
RecruitingPhase 2
Study of Patritumab Deruxtecan Plus Pembrolizumab With Other Anticancer Agents in Participants With High-Risk Early-Stage Triple-Negative or Hormone Receptor-Low Positive/HER-2 Negative Breast Cancer (MK-1022-010, HERTHENA-Breast-03)
Breast Neoplasms, Breast Cancer
RecruitingObservational study
Collection of CSF Samples From Participants With Metastatic Triple Negative Breast Cancer (TNBC) and HER2+ Breast Cancer With no Prior History Nor Active Radiographically Detectable Brain Metastases
Breast Cancer, Breast Carcinoma
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
364 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atezolizumab, Paclitaxel and Dose-dense Doxorubicin or dose-dense Epirubicin in people with Triple Negative Breast Cancer, run by Hoffmann-La Roche at 364 sites in 31 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 21 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 364 sites in France, Spain, China, Russia, Germany and 26 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 21 Aug 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?
Invasive Disease-Free Survival (iDFS) (time frame: From randomization until the occurrence of an iDFS event or death from any cause, whichever occurred earlier (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 NCT03498716, 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 21 Aug 2024.