Esophageal Squamous Cell CarcinomaPhase 3SKYSCRAPER-07NCT04543617
A Study of Atezolizumab With or Without Tiragolumab in Participants With Unresectable Esophageal Squamous Cell Carcinoma Whose Cancers Have Not Progressed Following Definitive Concurrent Chemoradiotherapy
A Phase 3 study testing Tiragolumab and Atezolizumab in people with Esophageal Squamous Cell Carcinoma, run by Hoffmann-La Roche at 166 sites in 28 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of tiragolumab plus atezolizumab compared with placebo in participants with unresectable esophageal squamous cell carcinoma (or those who are unable or unwilling to undergo surgery) and whose cancers have not progressed following definitive concurrent… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Esophageal Squamous Cell Carcinoma
- What is being tested?
- Tiragolumab and Atezolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 760 participants
- Where
- 166 sitesin 28 countries
- Study dates
- 28 Sep 2020to 22 Jul 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Histologically or cytologically confirmed diagnosis of squamous cell carcinoma of the esophagus
- Unresectable disease ineligible for curative surgery based on the documented opinion of the qualified medical, surgical or radiation oncologist prior to dCRT and is not expected to undergo tumor resection during the course of the study
- dCRT treatment according to regional oncology guidelines for esophageal cancer
- Representative archival formalin-fixed, paraffin-embedded (FFPE) tumor specimens collected prior to initiation of dCRT
- Adequate hematologic and end-organ function prior to randomization
- Women of childbearing potential must remain abstinent or use contraceptive methods with a failure rate of < 1% per year during the treatment period, for 5 months after the final dose of atezolizumab/placebo, and for 90 days after the final dose of tiragolumab/placebo, whichever is later
- Men must agree to remain abstinent (refrain from heterosexual intercourse) or use a condom, and agree to refrain from donating sperm during the treatment period and for 90 days after the final dose of tiragolumab/placebo.
Who cannot join
- Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-CTLA-4, anti-PD-1, anti-PD-L1 and anti-TIGIT therapeutic antibodies
- Any unresolved toxicity of National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥ 2 from the prior chemoradiation therapy with the exception of irreversible and manageable hearing loss
- Prior allogeneic stem cell or solid organ transplantation
- Active or history of autoimmune disease or immune deficiency
- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis
- Malignancies other than esophageal cancer within 2 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death
- Treatment with any other investigational agent, including epidermal growth factor receptor (EGFR) inhibitors, with therapeutic intent for esophageal cancer prior to randomization.
Trial locations and contacts
166 sites in 28 countries.
166 sites in 28 countries
China35 sites
Anyang Tumor Hosptial
Anyang, 455000
Cancer Hospital Chinese Academy of Medical Sciences.
Beijing, 100021
Affiliated Hospital of Bengbu Medical College
Bengbu, 233004
Hunan Cancer Hospital
Changsha, 410013
Heping Hospital Affiliated to Changzhi Medical College
Changzhi, 046000
Changzhou Cancer hospital
Changzhou, 213000
Sichuan Provincial Cancer Hospital
Chengdu, 610041
West China Hospital, Sichuan University
Chengdu, 610041
Chongqing Cancer Hospital
Chongqing, 400030
Chongqing Sanxia Central Hospital
Chongqing, 404000
Fujian Cancer Hospital
Fuzhou, 350014
Sun Yet-sen University Cancer Center
Guangzhou, 510060
Nanfang Hospital, Southern Medical University
Guangzhou, 510515
Zhejiang Cancer Hospital
Hangzhou, 310022
Jieyang People's Hospital
Jieyang
Shandong Cancer Hospital
Jinan, 250117
Affiliated Hospital of Jining Medical University
Jining, 272029
The First People's Hospital of Lian Yun Gang
Lianyungang, 222002
Lishui Central Hospital
Lishui
The First Affiliated Hospital to Henan University of Science and Technology
Luoyang, 471003
Affiliated Drum Tower Hospital of Nanjing University Medical School
Nanjing, 210008
Shanghai Chest Hospital
Shanghai, 200000
Fudan University Shanghai Cancer Center
Shanghai, 200032
Cancer Hospital of Shantou University Medical College
Shantou, 515041
Liaoning cancer Hospital & Institute
Shenyang, 110042
Cancer Hospital Chinese Academy of Medical Sciences Shenzhen Center
Shenzhen
Hebei Medical University Fourth Hospital
Shijiazhuang, 050035
Tianjin Cancer Hospital
Tianjin, 300060
Wuhan Union Hospital Tongji Medical College, Huazhong University of Science and Technology
Wuhan, 430022
Hubei Cancer Hospital
Wuhan, 430079
The First Affiliated Hospital of Xiamen University
Xiamen, 361003
Zhongshan Hospital Xiamen University
Xiamen, 361004
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang
The Affiliated Hospital of Xuzhou Medical College
Xuzhou, 221000
Subei People's Hospital of Jiangsu province
Yangzhou, 225001
Japan15 sites
Aichi Cancer Center Hospital
Aichi, 464-8681
National Cancer Center Hospital East
Chiba, 277-8577
Hiroshima University Hospital
Hiroshima, 734-8551
Kobe University Hospital
Hyōgo, 650-0017
Yokohama City University Medical Center
Kanagawa, 232-0024
Kanagawa Cancer Center
Kanagawa, 241-8515
Tohoku University Hospital
Miyagi, 980-8574
Niigata Cancer Center Hospital
Niigata, 951-8566
Osaka International Cancer Institute
Osaka, 541-8567
The University of Osaka Hospital
Osaka, 565-0871
Saitama Medical University International Medical Center
Saitama, 350-1298
Saitama Cancer Center
Saitama, 362-0806
Shizuoka Cancer Center
Shizuoka, 411-8777
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Keio University Hospital
Tokyo, 160-8582
France10 sites
CHRU De Brest - Hopital Morvan - Institut De Cancerologie Et D'Hematologie
Brest, 29609
CHU Dijon Bourgogne Hôpital François Mitterand
Dijon, 21000
Hopital Claude Huriez
Lille, 59037
Centre Leon Berard
Lyon, 69373
Hopital Timone Adultes
Marseille, 13385
Centre Antoine Lacassagne
Nice, 06189
European Hospital Georges Pompidou (HEGP)
Paris, 75908
Hopital Du Haut-Leveque
Pessac, 33604
Chu La Miletrie
Poitiers, 86021
Hopital Rangueil
Toulouse, 31059
Spain9 sites
Complejo Hospitalario Universitario A Coruña (CHUAC)
A Coruña, LA Coruna, 15006
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Clinic I Provincial
Barcelona, 08036
Hospital Universitario Reina Sofia
Córdoba, 14004
Fundacion Jimenez Diaz
Madrid, 28040
Hospital Regional Universitario Carlos Haya
Málaga, 29010
Hospital Univ. Central de Asturias
Oviedo, Principality of Asturias, 33006
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital La Fe
Valencia
Russia8 sites
City Oncological Hospital
Izhevsk, Udmurtiya Republic, 426067
Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic
Kazan', Tatarstan Republic, 420029
Krasnoyarsk Regional Oncology Dispensary n.a. Krizhanovsky
Krasnoyarsk, Krasnodarskiy Kray, 660133
Russian Oncology Research Center n.a. N.N. Blokhin Dpt of Clinical Pharmacology and Chemotherapy
Moscow, Moscow Oblast, 115478
Limited Liability Company "RC Medical"
Novosibirsk, 630005
Scientific Research Institute n.a. N.N. Petrov
Saint Petersburg, Sankt-Peterburg, 187758
SBEI HPE "The First St.Petersburg State Medical University n.a. acad. I.P.Pavlova"of MoH of RF
Saint Petersburg, Sankt-Peterburg, 197022
Regional Oncology Dispensary
Tomsk, 634063
Germany7 sites
Universitätsklinikum Essen Klinik f.Strahlentherapie
Essen, 45122
Kliniken Essen-Mitte, Evang. Huyssens-Stiftung, Klinik für Internistische Onkologie / Haematologie
Essen, 45136
Klinik für Gastroenterologie und Gastrointestinale Onkologie der UMG
Göttingen, 37075
Universitaetsklinikum Leipzig
Leipzig, 04103
Med. Fak. d. Otto-von-Guericke-Universität
Magdeburg, 39120
Klinikum der Philipps-Universität Marburg
Marburg, 35032
Universitätsklinikum Klinik u.Poliklinik f.Strahlentherapie
Regensburg, 93053
South Korea7 sites
Kyungpook National University Chilgok Hospital
Daegu, 41404
Ajou University Medical Center
Gyeonggi-do, 16499
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Korea University Guro Hospital
Seoul, 08308
Turkey (Türkiye)7 sites
Baskent University Adana Dr. Turgut Noyan Practice and Research Hospital
Adana, 01250
Ankara University Faculty of Medicine Cebeci Hospital
Ankara, 06700
Ankara City Hospital
Ankara, 06800
Ataturk University Medical Faculty Yakutiye Research Hospital Medical Oncology Department
Erzurum, 25240
Goztepe Prof.Dr. Suleyman Yalcin City Hospital
Kadiköy, 34722
Inonu University Faculty of Medicine Turgut Ozal Medical Center
Malatya, 44280
Van Yuzuncu Yil University Hospital
Van
Poland6 sites
Centrum Onkologii
Bydgoszcz, 85-796
Centrum Onkologii Ziemi Lubelskiej Im. ?W. Jana Z Dukli
Lublin, 20-090
Szpital Kliniczny MSWiA z Warmi?sko-Mazurskim Centrum Onkologii
Olsztyn, 10-228
Wielkopolskie Centrum Onkologii im. Marii Sk?odowskiej-Curie
Późna, 61-866
NIO im Marii Sklodowskiej-Curie
Warsaw, 02-034
Dolno?l?skie Centrum Onkologii
Wroc?aw, 53-413
Taiwan6 sites
Chang Gung Medical Foundation - Kaohsiung;Oncology
Kaohisung
China Medical University Hospital
Taichung, 404
National Cheng Kung University Hospital
Tainan, 00704
Chi-Mei Medical Centre
Tainan, 710
National Taiwan University Hospital
Taipei, 100
Taipei Veterans General Hospital
Taipei, 112201
United Kingdom6 sites
Royal Bournemouth Hospital
Bournemouth, BH7 7DW
Addenbrookes Hospital
Cambridge, CB2 0QQ
Ninewells Hospital
London, DD1 9SY
Royal Marsden Hospital - Fulham
London, SW3 6JJ
Clatterbridge Cancer Centre
Metropolitan Borough of Wirral, CH63 4JY
Royal Marsden Hospital (Sutton)
Sutton, SM2 5PT
Austria4 sites
Tiroler Landeskrankenanstalten Ges.M.B.H.
Innsbruck, 6020
Klinikum Klagenfurt am Wörthersee
Klagenfurt, 9020
Ordensklinikum Linz Barmherzige Schwestern
Linz, 4010
AKH - Medizinische Universität Wien
Vienna, 1090
Italy4 sites
Ospedale Degli Infermi - Faenza
Faenza, Emilia-Romagna, 48018
Università degli Studi della Campania Luigi Vanvitelli
Naples, Campania, 80131
Istituto Oncologico Veneto IRCCS
Padova, Veneto, 35128
Asu Fc S. M. Della Misericordia
Udine, Friuli Venezia Giulia, 33100
Thailand4 sites
Vajira Hospital
Bangkok, 10300
Chulalongkorn Hospital
Bangkok, 10330
Ramathibodi Hospital
Bangkok, 10400
Songklanagarind Hospital
Songkhla, 90110
Ukraine4 sites
Municipal Noncommercial Institution Regional Center of Oncology
Kharkiv, Kharkiv Governorate, 61070
RCI Sumy Regional Clinical Oncological Dispensary
Sumy, 40005
Vinnytsya Regional Clinical Oncology Dispensary
Vinnytsia, Podolia Governorate, 21029
Zhytomyr Regional Oncology Center
Zhytomyr, KIEV Governorate
United States3 sites
Florida Cancer Specialists - Fort Myers (Broadway)
Fort Myers, Florida, 33901
Cancer Center of Kansas
Wichita, Kansas, 67214-3728
Great Lakes Cancer Center
Williamsville, New York, 14221
Argentina3 sites
Instituto de Investigaciones Metabolicas (Idim)
Buenos Aires, C1012AAR
Fundacion Favaloro
Buenos Aires, C1093AAS
Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE
Australia3 sites
Austin Health
Heidelberg, Victoria, 3084
St John of God Hospital
Subiaco, Western Australia, 6008
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Belgium3 sites
UZ Antwerpen
Edegem, 2650
UZ Leuven Gasthuisberg
Leuven, 3000
CHU de Liège (Sart Tilman)
Liège, 4000
Greece3 sites
Evgenidio Hospital "Agia Trias"
Athens, 115 28
Univ General Hosp Heraklion
Heraklion, 711 10
Euromedical General Clinic of Thessaloniki
Thessaloniki, 546 45
Israel3 sites
Hadassah Ein Karem Hospital
Jerusalem, 9112000
Rambam Health Corporation
Rambam, 3525408
Tel Aviv Sourasky Medical Ctr
Tel Aviv, 6423906
Morocco3 sites
Centre Hospitalier Universitaire Hassan II
Fes, 30000
Centre Hospitalier Universitaire Mohamed VI
Marrakesh, 40000
Institut National D'oncologie Sidi Med Benabdellah
Rabat, 10100
Portugal3 sites
HUC
Coimbra, 3000-075
Centro Hospitalar do Porto ? Hospital de Santo António
Porto, 4099-001
IPO do Porto
Porto, 4200-072
South Africa3 sites
Limpopo Cancer Research Institute
Polokwane
Cancercare
Port Elizabeth, 6045
Eugene Marais Hospital
Pretoria
Hungary2 sites
Pécsi Tudományegyetem
Pécs, 7623
Szegedi Tudományegyetem
Szeged, 6720
Kenya2 sites
International Cancer Institute (ICI)
Eldoret, 30100
The Aga Khan University-Kenya.
Nairobi, 00100
Switzerland2 sites
Inselspital Bern, Insel-Gruppe AG
Bern, 3010
UniversitätsSpital Zürich
Zurich, 8091
About this study
Official title: A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Atezolizumab With or Without Tiragolumab (Anti-TIGIT Antibody) in Patients With Unresectable Esophageal Squamous Cell Carcinoma Whose Cancers Have Not Progressed Following Definitive Concurrent Chemoradiotherapy
The purpose of this study is to evaluate the efficacy and safety of tiragolumab plus atezolizumab compared with placebo in participants with unresectable esophageal squamous cell carcinoma (or those who are unable or unwilling to undergo surgery) and whose cancers have not progressed following definitive concurrent chemoradiotherapy (dCRT). Participants will be randomized in a 1:1:1 ratio to receive either tiragolumab plus atezolizumab (Arm A), tiragolumab matching placebo plus atezolizumab (Arm B), or double placebo (Arm C).
- Conditions
- Esophageal Squamous Cell Carcinoma
- Being tested
- Tiragolumab, Atezolizumab, Tiragolumab Matching Placebo, Atezolizumab Matching Placebo
- Medical subject headings
- Esophageal Squamous Cell Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TiragolumabDrug
Also called MTIG7192A, RO7092284
Tiragolumab at a fixed dose of 600 milligrams (mg) administered by intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.
AtezolizumabDrug
Also called Tecentriq, RO5541267
Atezolizumab at a fixed dose of 1200 mg administered by IV infusion Q3W on Day 1 of each 21-day cycle.
Tiragolumab Matching PlaceboDrug
Tiragolumab matching placebo administered by IV infusion Q3W on Day 1 of each 21-day cycle.
Atezolizumab Matching PlaceboDrug
Atezolizumab matching placebo administered by IV infusion Q3W on Day 1 of each 21-day cycle.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Tiragolumab + Atezolizumab | Experimental | Participants will receive atezolizumab followed by tiragolumab. Receives: Drug: Tiragolumab; Drug: Atezolizumab |
| Arm B: Tiragolumab Placebo + Atezolizumab | Experimental | Participants will receive atezolizumab followed by tiragolumab matching placebo. Receives: Drug: Atezolizumab; Drug: Tiragolumab Matching Placebo |
| Arm C: Tiragolumab Placebo + Atezolizumab Placebo | Placebo comparator | Participants will receive matching placebos to tiragolumab and atezolizumab. Receives: Drug: Tiragolumab Matching Placebo; Drug: Atezolizumab Matching Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Arm A vs Arm C: Investigator-Assessed Progression-Free Survival (PFS)
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Arm A vs Arm C: Overall Survival (OS)
Measured: From randomization to death from any cause (up to approximately 6 years)
Arm B vs Arm C: OS
Measured: From randomization to death from any cause (up to approximately 6 years)
Secondary outcomes (15)
Arm B vs Arm C: Investigator-Assessed PFS
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Arm A vs Arm B: Investigator-Assessed PFS
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Arm A vs Arm B: OS
Measured: From randomization to death from any cause (up to approximately 6 years)
Independent Review Facility (IRF)-Assessed PFS
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Investigator-Assessed Confirmed Objective Response Rate (ORR)
Measured: From randomization up to approximately 6 years
IRF-Assessed Confirmed ORR
Measured: From randomization up to approximately 6 years
Investigator-Assessed Duration of Objective Response (DOR)
Measured: From the first occurrence of a documented confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
IRF-Assessed DOR
Measured: From the first occurrence of a documented confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Percentage of Participants With Clinically Meaningful Changes in Physical Functioning, Role Functioning, Quality of Life (QoL) as Measured by EORTC QLQ-C30
Clinically meaningful changes in physical functioning, role functioning, global health status (GHS)/QoL as measured by the European Organisation for Research and Treatment of Cancer Quality of Life-Core 30 Questionnaire (EORTC QLQ-C30). EORTC QLQ-C30 is a self-reported measure, consisting of 30 questions that assess 5 aspects of participants functioning (physical, emotional, role, cognitive and social), 3 symptom scales (fatigue, nausea and vomiting, and pain), GHS and QoL, and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties) within the previous week. Functioning and symptoms items are scored on a 4-point scale: 1=Not at all, 2=A little, 3=Quite a bit, 4=Very much. GHS and QoL items are scored on a 7-point scale: 1=Very poor, 2, 3, 4, 5, 6, 7=Excellent. Scores will be linearly transformed to a range of 0 to 100, with higher scores (i.e. closer to 100) reflecting better functioning, better GHS/QoL, and worse symptoms.
Measured: Up to approximately 6 years
Percentage of Participants With Clinically Meaningful Changes in Dysphagia as Measured by EORTC QLQ-OES18
Clinically meaningful changes in dysphagia as measured by the EORTC Quality of Life-Esophageal Cancer, Module 18 Questionnaire (EORTC QLQ-OES18). EORTC QLQ-OES18 is a modular supplement to the EORTC QLQ-C30 questionnaire for use in participants with esophageal cancer. EORTC QLQ-OES18 consists of 4 multiple-item scale (dysphagia, eating, reflux, and pain) and 6 single items (trouble swallowing saliva, choked when swallowing, dry mouth, trouble with taste, trouble with coughing, and trouble talking) with a recall period of the previous week. Each symptom item is scored on a 4-point scale: 1=Not at all, 2=A little, 3=Quite a bit, 4=Very much. Scores will be linearly transformed to a range of 0 to 100, with higher transformed scores (i.e. closer to 100) reflecting worse symptoms.
Measured: Up to approximately 6 years
Percentage of Participants With Adverse Events (AEs)
Measured: Up to approximately 6 years
Serum Concentration of Tiragolumab
Measured: Predose and postdose on Day 1 of Cycle 1 (each cycle=21 days) and predose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 and at treatment discontinuation (TD) visit (up to approximately 6 years)
Serum Concentration of Atezolizumab
Measured: Predose and postdose on Day 1 of Cycle 1 (each cycle=21 days) and predose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 and at TD visit (up to approximately 6 years)
Percentage of Participants With Anti-drug Antibodies (ADAs) to Tiragolumab
Measured: Predose on Day 1 of Cycles (each cycle=21 days) 1, 2, 3, 4, 8, 12 and 16 and at TD visit (up to approximately 6 years)
Percentage of Participants With ADAs to Atezolizumab
Measured: Predose on Day 1 of Cycles (each cycle=21 days) 1, 2, 3, 4, 8, 12 and 16 and at TD visit (up to approximately 6 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Sep 2020
- Study start28 Sep 2020
- Primary completion22 Jul 2026
- Study completion22 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Esophageal Squamous Cell CarcinomaStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 760 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trial, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04543617
- Sponsor's protocol ID
- YO42137
- Other IDs
- 2020-001178-31
- Acronym
- SKYSCRAPER-07
- Status last verified
- Sep 2026
- First submitted
- 3 Sep 2020
- Last updated
- 14 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Publications
Xu RH, Cho BC, Chen M, Muro K, Wyrwicz L, Li B, Gao S, Hsu C, Turpin A, Lordick F, Cha E, Wu Q, Kim S, Cai J, Zhang L, Fan J, Wang L, Sully K, Wang L, Goodman K, Shah MA, Chau I. Atezolizumab with or without tiragolumab in unresectable esophageal squamous cell carcinoma following definitive concurrent chemoradiotherapy (SKYSCRAPER-07): a randomised, phase III study. Ann Oncol. 2026 Aug 21:S0923-7534(26)01431-6. doi: 10.1016/j.annonc.2026.07.413. Online ahead of print.
PubMed 42628839
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Atezolizumab With or Without Tiragolumab (Anti-TIGIT Antibody) in Patients With Unresectable Esophageal Squamous Cell Carcinoma Whose Cancers Have Not Progressed Following Definitive Concurrent Chemoradiotherapy
- ClinicalTrials.gov ID
- NCT04543617
- Acronym / sponsor ID
- SKYSCRAPER-07 / YO42137
- Conditions
- Esophageal Squamous Cell Carcinoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 760 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 28 Sep 2020 (actual)
- Primary completion
- 22 Jul 2026 (actual)
- Study completion
- 22 Jul 2026 (actual)
- First posted
- 10 Sep 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of tiragolumab plus atezolizumab compared with placebo in participants with unresectable esophageal squamous cell carcinoma (or those who are unable or unwilling to undergo surgery) and whose cancers have not progressed following definitive concurrent chemoradiotherapy (dCRT). Participants will be randomized in a 1:1:1 ratio to receive either tiragolumab plus atezolizumab (Arm A), tiragolumab matching placebo plus atezolizumab (Arm B), or double placebo (Arm C).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A: Tiragolumab + Atezolizumab | Experimental | Drug: Tiragolumab, Drug: AtezolizumabParticipants will receive atezolizumab followed by tiragolumab. |
| Arm B: Tiragolumab Placebo + Atezolizumab | Experimental | Drug: Atezolizumab, Drug: Tiragolumab Matching PlaceboParticipants will receive atezolizumab followed by tiragolumab matching placebo. |
| Arm C: Tiragolumab Placebo + Atezolizumab Placebo | Placebo comparator | Drug: Tiragolumab Matching Placebo, Drug: Atezolizumab Matching PlaceboParticipants will receive matching placebos to tiragolumab and atezolizumab. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Histologically or cytologically confirmed diagnosis of squamous cell carcinoma of the esophagus
- Unresectable disease ineligible for curative surgery based on the documented opinion of the qualified medical, surgical or radiation oncologist prior to dCRT and is not expected to undergo tumor resection during the course of the study
- dCRT treatment according to regional oncology guidelines for esophageal cancer
- Representative archival formalin-fixed, paraffin-embedded (FFPE) tumor specimens collected prior to initiation of dCRT
Key exclusion criteria (7 listed)
- Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-CTLA-4, anti-PD-1, anti-PD-L1 and anti-TIGIT therapeutic antibodies
- Any unresolved toxicity of National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥ 2 from the prior chemoradiation therapy with the exception of irreversible and manageable hearing loss
- Prior allogeneic stem cell or solid organ transplantation
- Active or history of autoimmune disease or immune deficiency
- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis
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 |
|---|---|---|
| TiragolumabAlso: MTIG7192A, RO7092284Tiragolumab at a fixed dose of 600 milligrams (mg) administered by intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle. | Drug | Arm A: Tiragolumab + Atezolizumab |
| AtezolizumabAlso: Tecentriq, RO5541267Atezolizumab at a fixed dose of 1200 mg administered by IV infusion Q3W on Day 1 of each 21-day cycle. | Drug | Arm A: Tiragolumab + Atezolizumab, Arm B: Tiragolumab Placebo + Atezolizumab |
| Tiragolumab Matching PlaceboTiragolumab matching placebo administered by IV infusion Q3W on Day 1 of each 21-day cycle. | Drug | Arm B: Tiragolumab Placebo + Atezolizumab, Arm C: Tiragolumab Placebo + Atezolizumab Placebo |
| Atezolizumab Matching PlaceboAtezolizumab matching placebo administered by IV infusion Q3W on Day 1 of each 21-day cycle. | Drug | Arm C: Tiragolumab Placebo + Atezolizumab Placebo |
Primary outcome
Arm A vs Arm C: Investigator-Assessed Progression-Free Survival (PFS)
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Arm A vs Arm C: Overall Survival (OS)
Time frame: From randomization to death from any cause (up to approximately 6 years)
Arm B vs Arm C: OS
Time frame: From randomization to death from any cause (up to approximately 6 years)
15 secondary outcomes
Arm B vs Arm C: Investigator-Assessed PFS
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Arm A vs Arm B: Investigator-Assessed PFS
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Arm A vs Arm B: OS
Time frame: From randomization to death from any cause (up to approximately 6 years)
Independent Review Facility (IRF)-Assessed PFS
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Investigator-Assessed Confirmed Objective Response Rate (ORR)
Time frame: From randomization up to approximately 6 years
IRF-Assessed Confirmed ORR
Time frame: From randomization up to approximately 6 years
Investigator-Assessed Duration of Objective Response (DOR)
Time frame: From the first occurrence of a documented confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
IRF-Assessed DOR
Time frame: From the first occurrence of a documented confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)
Percentage of Participants With Clinically Meaningful Changes in Physical Functioning, Role Functioning, Quality of Life (QoL) as Measured by EORTC QLQ-C30
Time frame: Up to approximately 6 years
Percentage of Participants With Clinically Meaningful Changes in Dysphagia as Measured by EORTC QLQ-OES18
Time frame: Up to approximately 6 years
Percentage of Participants With Adverse Events (AEs)
Time frame: Up to approximately 6 years
Serum Concentration of Tiragolumab
Time frame: Predose and postdose on Day 1 of Cycle 1 (each cycle=21 days) and predose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 and at treatment discontinuation (TD) visit (up to approximately 6 years)
Serum Concentration of Atezolizumab
Time frame: Predose and postdose on Day 1 of Cycle 1 (each cycle=21 days) and predose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 and at TD visit (up to approximately 6 years)
Percentage of Participants With Anti-drug Antibodies (ADAs) to Tiragolumab
Time frame: Predose on Day 1 of Cycles (each cycle=21 days) 1, 2, 3, 4, 8, 12 and 16 and at TD visit (up to approximately 6 years)
Percentage of Participants With ADAs to Atezolizumab
Time frame: Predose on Day 1 of Cycles (each cycle=21 days) 1, 2, 3, 4, 8, 12 and 16 and at TD visit (up to approximately 6 years)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2026.
- Derived from this study: PubMed 42628839Xu RH, Cho BC, Chen M, Muro K, Wyrwicz L, Li B, Gao S, Hsu C, Turpin A, Lordick F, Cha E, Wu Q, Kim S, Cai J, Zhang L, Fan J, Wang L, Sully K, Wang L, Goodman K, Shah MA, Chau I. Atezolizumab with or without tiragolumab in unresectable esophageal squamous cell carcinoma following definitive concurrent chemoradiotherapy (SKYSCRAPER-07): a randomised, phase III study. Ann Oncol. 2026 Aug 21:S0923-7534(26)01431-6. doi: 10.1016/j.annonc.2026.07.413. Online ahead of print.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
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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 Trial study director
Hoffmann-La Roche
166 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Tiragolumab and Atezolizumab in people with Esophageal Squamous Cell Carcinoma, run by Hoffmann-La Roche at 166 sites in 28 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 166 sites in China, Japan, France, Spain, Russia and 23 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Arm A vs Arm C: Investigator-Assessed Progression-Free Survival (PFS) (time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 6 years)). The study lists 3 primary outcomes in all. 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 NCT04543617, 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 14 Sep 2026.