A Study to Assess the Safety and Tolerability of Atezolizumab in Combination With Other Immune-Modulating Therapies in Participants With Locally Advanced or Metastatic Solid Tumors



Status:Active, not recruiting
Conditions:Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:1/26/2019
Start Date:August 18, 2014
End Date:February 28, 2019

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A Phase Ib Study of The Safety And Pharmacology of Atezolizumab (Anti−Pd-L1 Antibody) Administered With Ipilimumab, Interferon-Alpha, or Other Immune-Modulating Therapies in Patients With Locally Advanced or Metastatic Solid Tumors

This global, multicenter, open-label study will evaluate the safety and tolerability of
atezolizumab in combination with other immune-modulating therapies in the treatment of
selected advanced or metastatic malignancies. The atezolizumab plus ipilimumab arm (Arm A)
will focus primarily on participants with advanced or metastatic non-small cell lung cancer
(NSCLC). The atezolizumab plus interferon alfa-2b arm (Arm B), plus pegylated interferon
alfa-2a (PEG−interferon alfa-2a, Arm C), and atezolizumab plus PEG-interferon Alfa-2a plus
bevacizumab (Arm D) will enroll participants with advanced or metastatic renal cell carcinoma
(RCC), metastatic NSCLC and melanoma. The atezolizumab plus obinutuzumab) (Arm E) will enroll
participants with recurrent and/or metastatic (R/M) head and neck squamous cell carcinoma
(HNSCC). Atezolizumab will be administered as intravenous (IV) infusion every 3 weeks (q3w).


Inclusion Criteria:

- Histologically or cytologically documented locally advanced or metastatic solid tumors
meeting the following study drug-specific criteria:

- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1

- Life expectancy greater than or equal to (>/=) 12 weeks

- Measurable disease, as defined by RECIST v1.1

- Adequate hematologic and end organ function as confirmed by laboratory results within
14 days prior to the first study treatment

Inclusion criteria specific to Arm A: Atezolizumab+ Ipilimumab

- Escalation stage: NSCLC participants

- Mandatory biopsy cohort: NSCLC or melanoma atezolizumab

- Prior atezolizumab-treated cohort: participants with NSCLC or melanoma previously
treated with atezolizumab

Inclusion criteria specific to Arm B: Atezolizumab+ Interferon alfa-2b

- Escalation stage: RCC or melanoma participants

- Expansion stage: RCC or melanoma participants

- Mandatory biopsy cohort: RCC or melanoma participants

- Prior immunotherapy-treated cohort: participants with RCC, NSCLC, or melanoma
previously treated with programmed death-ligand 1 (PD-L1)/ Programmed death 1 (PD-1)

Inclusion Criteria Specific to Arm C (Atezolizumab plus PEG-Interferon Alafa-2a):

- Cohort 1: participants with RCC

Inclusion Criteria Specific to Arm D (Atezolizumab plus PEG−Interferon Alfa-2a
+Bevacizumab)

- Cohort 1: participants with metastatic RCC with no prior line of systemic therapy for
metastatic disease

- Cohorts 2-3: disease progression during or after at least one previous systemic,
anti-cancer treatment for locally advanced or metastatic non-squamous solid tumors;
participants with sensitizing epidermal growth factor receptor (EGFR) mutations or
anaplastic lymphoma kinase (ALK) rearrangements must have failed or are intolerant to
prior treatment with EGFR or ALK inhibitors; participants with melanoma with
actionable BRAF mutations (e.g., V600) must have failed or are intolerant to prior
treatment with BRAF inhibitors

Inclusion Criteria Specific to Arm E (Atezolizumab +Obinutuzumab)

- R/M HNSCC participants with at least one prior line of systemic therapy

Inclusion Criteria Specific to prior Anti−PD-L1/PD-1 Treated Cohorts:

- No permanent discontinuation of atezolizumab or other immunotherapies due to a
treatment-related adverse event

- Recovery from all immunotherapy-related adverse events to Grade less than or equal to
(≤) 1 or baseline at the time of consent

Exclusion Criteria:

General Medical Exclusions:

- Pregnant and lactating women

- Any approved anti-cancer therapy, including chemotherapy or hormonal therapy, within 3
weeks prior to initiation of study treatment, with the following exception: (1)
hormone-replacement therapy or oral contraceptives; (2) tyrosine kinase inhibitors
(TKIs) that have been discontinued greater than (>) 7 days prior to Cycle 1, Day 1,
baseline scans must be obtained after discontinuation of prior TKIs

- Investigational therapy within 28 days prior to initiation of study treatment

- History of severe allergic, anaphylactic, or other hypersensitivity reactions to
chimeric or humanized antibodies or fusion proteins

- Known hypersensitivity or allergy to Chinese hamster ovary cell products or any
component of the atezolizumab formulation

- History of or active autoimmune disease

- History of idiopathic pulmonary fibrosis (including pneumonitis), drug-induced
pneumonitis, organizing pneumonia, risk of pulmonary toxicity, or evidence of active
pneumonitis on screening chest computed tomography (CT) scan

- Prior allogeneic bone marrow transplantation or prior solid organ transplantation

- History of human immunodeficiency virus (HIV)

- Participants with active hepatitis B

- Participants with active hepatitis C

- Participants with active tuberculosis

- Participants with a history of confirmed progressive multifocal leukoencephalopathy

- Any serious medical condition, physical examination finding, or abnormality in
clinical laboratory tests that, in the investigator's judgment, precludes the
participant's safe participation in and completion of the study

Cancer-Specific Exclusions:

- Active or untreated central nervous system (CNS) metastases, as determined by CT or
magnetic resonance imaging (MRI) evaluation during screening and prior radiographic
assessments

- Spinal cord compression not definitively treated with surgery and/or radiation or
previously diagnosed and treated spinal cord compression without evidence that disease
has been clinically stable for >/= 2 weeks prior to screening

- Leptomeningeal disease

- Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent
drainage procedures (once monthly or more frequently); participants with indwelling
catheters are allowed.

- Uncontrolled tumor-related pain

- Uncontrolled hypercalcemia or symptomatic hypercalcemia requiring continued use of
bisphosphonate therapy or denosumab

- History of other malignancy within 2 years prior to screening, except for
appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma,
Stage I uterine cancer, localized prostate cancer treated with curative intent, ductal
carcinoma in situ treated surgically with curative intent, or other cancers with a
similar outcome

Exclusion Criteria Related to Medications:

- Prior treatment with cluster of differentiation 137 (CD137) agonists or immune
checkpoint blockade therapies (Note: Participants enrolled in the prior
anti−PD-L1/PD-1 treated cohorts with melanoma may have received prior anti-cytotoxic
T-lymphocyte-associated protein 4 treatment or other immunotherapies)

- Treatment with systemic immunostimulatory agents within four weeks or five half-lives
of the drug, whichever is shorter, prior to Cycle 1, Day 1

- Treatment with systemic immunosuppressive medications within 2 weeks prior to Cycle 1,
Day 1 (the use of inhaled corticosteroids and mineralocorticoids is allowed)

Exclusion Criteria Specific to Interferon Alpha Therapy (Arms B−D):

- History of depression, suicidal ideation or behavior, bipolar disorder, or psychosis

- Hypersensitivity to interferon alpha or any component of the product

Exclusion Criteria Specific to Bevacizumab (Arm D)

- Inadequately controlled hypertension

- Prior history of hypertensive crisis or hypertensive encephalopathy

- Significant vascular disease within 6 months prior to Day 1

- History of hemoptysis

- Evidence of bleeding diathesis or significant coagulopathy (in the absence of
therapeutic anticoagulation)

- History of tracheoesophageal fistula, gastrointestinal perforation, or intra-abdominal
abscess within 6 months prior to Day 1

- Clinical signs or symptoms of gastrointestinal obstruction or requirement for routine
parenteral hydration, parenteral nutrition, or tube feeding

- Evidence of abdominal free air that is not explained by paracentesis or recent
surgical procedure

- Proteinuria, as demonstrated by urine dipstick or > 1.0 gram of protein in a 24-hour
urine collection

- Metastatic disease that involves major airways or blood vessels, or centrally located
mediastinal tumor masses of large volume

Exclusion Criteria Specific Obinutuzumab (Arm E)

- Hypersensitivity to obinutuzumab

- Prior treatment with obinutuzumab
We found this trial at
9
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Nashville, Tennessee 37203
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Chapel Hill, North Carolina 27599
(919) 962-2211
University of North Carolina at Chapel Hill Carolina’s vibrant people and programs attest to the...
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Chapel Hill, NC
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Amsterdam,
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Jacksonville, Florida 32216
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Los Angeles, California 90095
(310) 825-4321
UCLA UCLA's primary purpose as a public research university is the creation, dissemination, preservation and...
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Los Angeles, CA
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Nashville, Tennessee 37212
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New Haven, Connecticut 6520
(203) 432-4771
Yale University Yale's roots can be traced back to the 1640s, when colonial clergymen led...
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New Haven, CT
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5777 E Mayo Blvd
Scottsdale, Arizona 85259
(480) 515-6296
Mayo Clinic Scottsdale Mayo Clinic Arizona was the second Mayo practice to be established outside...
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8850 East Pima Center Parkway
Scottsdale, Arizona 85258
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Scottsdale, AZ
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