This study has been transitioned to CTIS with ID 2022-502480-38-00 check the CTIS register for the current data. This study will evaluate the efficacy and safety of consolidation maintenance treatment consisting of atezolizumab and tiragolumab…
ID
Source
Brief title
Condition
- Respiratory and mediastinal neoplasms malignant and unspecified
- Respiratory tract neoplasms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- To evaluate the efficacy of tiragolumab plus atezolizumab compared with
durvalumab with durvalumab in the programmed death ligand 1 positive analysis
set (PPAS) on the basis of PFS, as assessed by an IRF as assessed by an
independent review facility (IRF)
- To evaluate the efficacy of tiragolumab plus atezolizumab compared with
durvalumab in the programmed death ligand 1 positive analysis set
(PPAS) on the basis of PFS, as assessed by an IRF.
Secondary outcome
The secondary efficacy objective for this study is to evaluate the efficacy of
atezolizumab plus tiragolumab compared with durvalumab in the ITT and the
PD-L1-positive populations on the basis of the following endpoints:
- To evaluate the efficacy of tiragolumab plus atezolizumab compared with
durvalumab in the FAS and PPAS on the basis of overall survival
(OS), PFS as assessed by investigator, Confirmed objective response rate (ORR),
as assessed by an IRF and investigator, DOR, as assessed by
an IRF and investigator
- To evaluate the quality of life of patients treated with tiragolumab plus
atezolizumab compared with durvalumab in the FAS and PPAS
- To evaluate the efficacy of tiragolumab plus atezolizumab compared with
durvalumab on the basis of PFS rate at 12, 18, and 24 months (FAS and PPAS), OS
rate at 12, 24, 36, and 48 months (FAS and PPAS), and time to distant
metastasis (TTDM) (FAS and PPAS)
- To evaluate the safety and tolerability of tiragolumab plus atezolizumab
compared with durvalumab.
See chapter 2 of protocol for all endpoints
Background summary
This study is designed to evaluate whether consolidation therapy with the
combination of the anti-TIGIT antibody tiragolumab with atezolizumab yields
improved clinical benefit compared with durvalumab monotherapy in patients with
locally advanced, unresectable Stage III NSCLC who have received at least two
prior cycles of platinum-based CRT and have not progressed.
The study will evaluate the efficacy in the PD-L1-positive and ITT populations
given that the dependence of efficacy on PD-L1 expression with the combination
in the post-CRT setting has yet to be determined.
Although the added tiragolumab plus atezolizumab benefit relative to
atezolizumab alone was primarily observed in patients with PD-L1 high
expression in Study GO40290 (CITYSCAPE), the dependence may be different for
patients who have just received CRT.
Study objective
This study has been transitioned to CTIS with ID 2022-502480-38-00 check the CTIS register for the current data.
This study will evaluate the efficacy and safety of consolidation maintenance
treatment consisting of atezolizumab and tiragolumab compared with durvalumab
in patients with locally advanced, unresectable Stage III NSCLC who have
received at least two cycles of concurrent platinum-based CRT and have not had
radiographic disease progression.
Study design
This is a Phase III, open-label, randomized, global, multicenter study designed
to evaluate the efficacy and safety of atezolizumab in combination with
tiragolumab compared with durvalumab administered to patients with locally
advanced, unresectable Stage III NSCLC who have not progressed following
concurrent platinum-based CRT as consolidation therapy.
Eligible patients will be randomized in a 1:1 ratio to receive either
atezolizumab plus tiragolumab or durvalumab.
See chapter 3 of the protocol for details.
Intervention
In the experimental arm, atezolizumab will be administered to patients by IV
infusion at a fixed dose of 1680 mg, followed by tiragolumab at a fixed dose of
840 mg administered by IV infusion on Day 1 of each 28-day cycle for a maximum
of 13 cycles.
The comparator arm gives 2 options:
- patients will receive the approved durvalumab dose, 10 mg/kg Q2W,
administered by IV infusion on Days 1 and 15 of each 28-day cycle for a maximum
of 13 cycles (not to exceed 26 doses) .
- Patients receive a fixed dose of 1500 mg, Q4W, administered by IV infusion on
Day 1 of each 28-day cycle, for a maximum of 13 cycles (not to exceed 13 doses)
Study burden and risks
The general burden for the patient consists of (a.o.) the withdrawal of blood
samples, possible collection of tumor sample,
administration of investigational products (intravenously) which may lead to
various adverse events.
Beneluxlaan 2a
Woerden 3446 GR
NL
Beneluxlaan 2a
Woerden 3446 GR
NL
Listed location countries
Age
Inclusion criteria
Age>= 18 years
- Eastern Cooperative Oncology Group Performance Status of 0 or 1
- Histologically or cytologically documented NSCLC with locally advanced
unresectable Stage III NSCLC of either squamous or non-squamous histology
- Whole-body PET-CT scan for the purposes of staging, performed prior and
within 42 days of the first dose of concurrent chemoradiotherapy (CRT)
- At least two prior cycles of platinum-based chemotherapy concurrent with
radio therapy (cCRT), which must be completed within 1 to 42 days prior to
randomization in the study (one cycle of cCRT is defined as 21 or 28 days)
- The RT component in the CRT must have been at a total dose of radiation of
60 Gy±10% (54 Gy to 66 Gy) administered by intensity-modulated radiotherapy
(preferred) or 3D-conforming technique
- No progression during or following concurrent platinum-based CRT
- Tumor PD-L1 expression, as determined by the investigational Ventana PD-L1
(SP263) CDx assay and documented by means of central testing of a
representative tumor tissue, in either a previously obtained archival tumor
tissue or fresh tissue obtained from a biopsy collected prior to the first dose
of cCRT
- Adequate hematologic and end-organ function.
Exclusion criteria
- Any history of prior NSCLC - NSCLC known to have a mutation in the epidermal
growth factor mutation and/or an anaplastic lymphoma kinase translocation - Any
evidence of Stage IV disease - Treatment with sequential CRT for locally
advanced NSCLC - Patients with locally advanced NSCLC who have progressed
during or after the definitive concurrent CRT prior to randomization - Any
Grade > 2 unresolved toxicity from previous CRT - Grade >=2 pneumonitis from
prior CRT - Active or history of autoimmune disease or immune deficiency,
history of idiopathic pulmonary fibrosis, organizing pneumonia - History of
malignancy other than NSCLC within 5 years prior to screening - Severe
infection within 4 weeks prior to initiation of study treatment, including, but
not limited to, hospitalization for complications of infection, bacteremia, or
severe pneumonia, or any active infection that, in the opinion of the
investigator, could impact patient safety - Prior allogeneic stem cell or solid
organ transplantation - Active Epstein-Barr virus (EBV) infection or known or
suspected chronic active EBV infection at screening - Treatment with
investigational therapy within 28 days prior to initiation of study treatment -
Prior treatment with CD137 agonists or immune checkpoint blockade therapies -
Any prior Grade >= 3 immune-mediated adverse event or any unresolved Grade > 1
immune-mediated adverse event while receiving any previous immunotherapy agent
other than immune checkpoint blockade agents - Current treatment with
anti-viral therapy for hepatitis B virus or hepatitis C virus - Prior treatment
with CD137 agonists or immune checkpoint blockade therapies, including
anti-cytotoxic T lymphocyte-associated protein 4, anti-T-cell immunoreceptor
with Ig and ITIM domains, anti-PD-1, and anti-PD-L1 therapeutic antibodies -
Treatment with systemic immunosuppressive medication (including, but not
limited to, corticosteroids, cyclophosphamide, azathioprine, methotrexate,
thalidomide, and anti-tumor necrosis factor-[antiTNF-alpha]agents) within 2
weeks prior to initiation of study treatment, or anticipation of need for
systemic immunosuppressivemedication during study treatment.
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EU-CTR | CTIS2022-502480-38-00 |
EudraCT | EUCTR2019-004773-29-NL |
CCMO | NL74054.056.20 |