Overview
Sponsor-declared trial summary
Cancer (Future parent protocols may include other cancer that are not included in this section)
To provide continued access to atezolizumab-based therapy and/or comparator agent(s) for eligible patients still on study treatment at the time of the parent-study closure and who do not have access to the study treatment locally
Key facts
- Sponsor
- F. Hoffmann-La Roche AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 4 Sep 2017 → ongoing
- Decision date (initial)
- 2024-02-19
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- F. Hoffmann-La Roche Ltd
External identifiers
- EU CT number
- 2023-506186-57-00
- EudraCT number
- 2016-005189-75
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy, Others
To provide continued access to atezolizumab-based therapy and/or comparator agent(s) for eligible patients still on study treatment at the time of the parent-study closure and who do not have access to the study treatment locally
Secondary objectives 2
- To evaluate the safety following exposure to atezolizumab monotherapy or atezolizumab administered with combined agent(s)
- To evaluate overall survival following exposure to atezolizumab monotherapy or atezolizumab administered with combined agent(s) (For patients from Impower 133 study only)
Conditions and MedDRA coding
Cancer (Future parent protocols may include other cancer that are not included in this section)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10046721 | Urothelial carcinoma bladder stage III | 10029104 |
| 21.1 | LLT | 10029514 | Non-small cell lung cancer NOS | 10029104 |
| 20.1 | LLT | 10023400 | Kidney cancer | 10029104 |
| 21.1 | PT | 10061873 | Non-small cell lung cancer | 100000004864 |
Study design 3 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Screening Screening period
|
Not Applicable | None | ||
| 2 | Treatment Period Study treatment period
|
2 | None | ||
| 3 | Follow-Up Post-study treatment safety period
|
Not Applicable | None |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Specific criteria for patients who continue treatment as well as safety follow-up in the extension study (and survival follow up for patients who roll over from IMpower133): Eligible for continuing or crossing over to atezolizumab-based therapy at the time of the parent-study closure as per the parent study or Eligible for continuing the comparator agent(s) in a Genentech- or Roche-sponsored study at the time of the parent-study closure as per the parent study, with no access to commercially available comparator agent.
- Specific criteria for patients who continue treatment as well as safety follow-up in the extension study (and survival follow up for patients who roll over from IMpower133): First dose of study treatment in the extension study will be received within 7 days of the treatment interruption window allowed by the parent study.
- Specific criteria for patients who continue treatment as well as safety follow-up in the extension study (and survival follow up for patients who roll over from IMpower133): Continue to benefit from atezolizumab-based study treatment or from the comparator at the time of parent-study closure as assessed by the investigator.
- Specific criteria for patients who continue treatment as well as safety follow-up in the extension study (and survival follow up for patients who roll over from IMpower133): Able to comply with the extension study, in the investigator’s judgment; Negative blood pregnancy test within 7 days prior to start of study treatment in women of childbearing potential.
- Specific criteria for patients from the IMpower133 parent study only who do not continue treatment in the extension study and/or receive commercially available atezolizumab (Tecentriq®) outside this extension study but continue safety and survival follow-up only in the extension study: Discontinuation of atezolizumab-based therapy in the IMpower133 parent study and in survival follow-up at the time of IMpower133 parent study closure
- Specific criteria for patients from the IMpower133 parent study only who do not continue treatment in the extension study and/or receive commercially available atezolizumab (Tecentriq®) outside this extension study but continue safety and survival follow-up only in the extension study: Eligible for continuing or crossing over to atezolizumab-based therapy as per the IMpower133 parent protocol and have access to commercially available atezolizumab (Tecentriq®) outside this extension study at the time of the IMpower133 parent-study closure.
Exclusion criteria 6
- Meet of any of the study treatment discontinuation criteria specified in the parent study at the time of enrollment in the extension study
- Study treatment is commercially marketed in the patient’s country for the patient-specific disease and is accessible to the patient.
- Ongoing serious adverse event(s) that has not resolved to baseline level or Grade<=1 from the parent study or during the time between last treatment in the parent study and the first dose of study treatment in the extension study
- Treatment with any anti-cancer treatment (other than treatment permitted in the parent study) during the time between last treatment in the parent study and the first dose of study treatment in the extension study
- Permanent discontinuation of atezolizumab for any reason during the parent study or during the time between last treatment in the parent study and the first dose of study treatment in the extension study (if applicable)
- Any unresolved or irreversible toxicities during the parent study that required permanent discontinuation of study treatment, in accordance to the parent study or local prescribing information
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- N/A (Not Applicable)
Secondary endpoints 3
- Incidence and severity of serious adverse events, with severity determined according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v4.0
- Incidence and severity of adverse events of special interest, with severity determined according to NCI CTCAE, v4.0
- Time from randomization or treatment initiation (as indicated in parent study protocol) to death due to any cause (For patients from Impower 133 only)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
Tecentriq 1 200 mg concentrate for solution for infusion
PRD5434939 · Product
- Active substance
- Atezolizumab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 1200 mg milligram(s)
- Max total dose
- 208 g gram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01FF05 — -
- Marketing authorisation
- EU/1/17/1220/001
- MA holder
- ROCHE REGISTRATION GMBH
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Re-labelled for clinical trial use
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
F. Hoffmann-La Roche AG
- Sponsor organisation
- F. Hoffmann-La Roche AG
- Address
- Grenzacherstrasse 124
- City
- Basel
- Postcode
- 4058
- Country
- Switzerland
Scientific contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Public contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Other |
Locations
6 EU/EEA countries · 9 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ongoing, recruitment ended | 2 | 2 |
| Czechia | Ended | 2 | 1 |
| France | Ongoing, recruitment ended | 28 | 2 |
| Hungary | Ended | 3 | 2 |
| Poland | Ongoing, recruitment ended | 8 | 1 |
| Spain | Ended | 56 | 1 |
| Rest of world
New Zealand, Ukraine, Chile, Argentina, Thailand, Australia, Israel, Russian Federation, Brazil, Canada, Serbia, Turkey, Japan, Switzerland, United States, Taiwan, Korea, Republic of, United Kingdom
|
— | 239 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2019-12-05 | 2019-12-12 | 2020-09-04 | ||
| Czechia | 2018-08-03 | 2025-10-10 | 2018-08-06 | 2020-09-04 | |
| France | 2017-12-08 | 2018-01-15 | 2020-09-04 | ||
| Hungary | 2018-11-20 | 2023-09-12 | 2018-11-21 | 2020-09-04 | |
| Poland | 2017-09-04 | 2017-09-18 | 2020-09-04 | ||
| Spain | 2017-10-27 | 2026-04-23 | 2017-11-15 | 2020-09-04 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 33 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2023-506186-57-00 Redacted | 13 |
| Protocol (for publication) | D1_Protocol Clarification Letter 2023-506186-57-00 Redacted | NA |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangement_NTF | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2 |
| Recruitment arrangements (for publication) | K1_RecruitmentArrangement_AT | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_FU IMpower133 | 8 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_TR | 13 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_TR and FU | 12 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PP | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Treatment Continue | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_General_Follow up | 9 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_General_Treatment | 9 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_General_Treatment and Follow up | 8 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy Health | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner_BO39633_FR | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment ICF Addendum 1_BO39633_FR | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment ICF Addendum 2_BO39633_FR | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment ICF Addendum 3_BO39633_FR | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment ICF Addendum 4_BO39633_FR | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment ICF Addendum 5_BO39633_FR | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment ICF Addendum 6_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS andICF_Treatment ICF V6_BO39633_FR | 6 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Austrian Pregnant Partner ICF | 1.1 |
| Subject information and informed consent form (for publication) | L1_SISandICF_for FU_AT | 3.2 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Treatment and FU_AT_redacted | 8 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_AT_DE 2023-506186-57-00 | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_CZ 2023-506186-57-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ENG 2023-506186-57-00.pdf | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ES 2023-506186-57-00 | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_FR 2023-506186-57-00 | 2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_HU 2023-506186-57-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL 2023-506186-57-00 | 2 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-01-10 | Czechia | Acceptable 2024-02-14
|
2024-02-14 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-03-26 | Czechia | Acceptable 2024-05-30
|
2024-05-30 |
| 3 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-09-09 | Czechia | Acceptable 2024-11-07
|
2024-11-08 |
| 4 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-08-29 | Czechia | Acceptable 2025-10-09
|
2025-10-09 |
| 5 | SUBSTANTIAL MODIFICATION | SM-5 | 2026-01-30 | Acceptable 2026-03-12
|
2026-03-12 |