A Study to Investigate Efficacy and Safety of Cobimetinib Plus Atezolizumab and Atezolizumab Monotherapy Versus Regorafenib in Participants With Metastatic Colorectal Adenocarcinoma (COTEZO IMblaze370)

Last updated: December 3, 2019
Sponsor: Hoffmann-La Roche
Overall Status: Completed

Phase

3

Condition

Adenocarcinoma

Colon Cancer

Colorectal Cancer

Treatment

N/A

Clinical Study ID

NCT02788279
GO30182
2016-000202-11
  • Ages > 18
  • All Genders

Study Summary

This is a Phase III, multicenter, open-label, three-arm, randomized study in participants with unresectable locally advanced or metastatic colorectal cancer (CRC) who have received at least two prior regimens of cytotoxic chemotherapy for metastatic disease. The study compares regorafenib, a standard of care therapy in this setting, to cobimetinib plus atezolizumab and atezolizumab monotherapy.

Eligibility Criteria

Inclusion

Inclusion Criteria: Disease-specific inclusion criteria:

  • Histologically confirmed adenocarcinoma originating from the colon or rectum (Stage 4American Joint Committee on Cancer [AJCC] 7th edition)

  • Experienced disease progression or was intolerant to at least two systemicchemotherapy regimens for metastatic colorectal cancer that must have includedfluroropyrimidines, irinotecan, and oxaliplatin; adjuvant regimen can be considered asone chemotherapy regimen for metastatic disease if the participant had diseaserecurrence within 6 months of completion; disease progression must have occurredwithin 3 months of the last systemic therapy administration General inclusion criteria:

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

  • Anticipated life expectancy greater than or equal to (>=) 3 months

  • Adequate hematologic and end organ function

  • Women of childbearing potential must agree to appropriately use an effective form ofcontraception (failure rate of less than [<] 1 percent [%] per year) during thetreatment period, within 5 months after the last dose of atezolizumab, and within 3months after the last dose of cobimetinib and regorafenib

  • Men must agree not to donate sperm or have intercourse with a female partner withoutusing appropriate barrier contraception during the treatment period and for 3 monthsafter the last dose of either cobimetinib or regorafenib

  • Provide an archival or newly obtained tumor tissue sample

Exclusion

Exclusion Criteria:

  • After the approximate 5% cap for microsatellite (MSI)-high participants is reached,only MSI-stable participants will be eligible

  • Once the 50% cap for wild-type RAS has been reached, only extended RAS-mutantparticipants will be eligible

  • Major surgery or radiotherapy within 21 days prior to Cycle 1 Day 1 or anticipation ofneeding such procedure while receiving study treatment

  • Treatment with any anti-cancer agent within 14 days prior to Cycle 1 Day 1

  • Uncontrolled tumor-related pain. Participants requiring narcotic pain medication mustbe on a stable regimen at study entry

  • Uncontrolled pleural effusion, pericardial effusion or ascites requiring repeateddrainage more than once every 28 days. Indwelling drainage catheters (e.g., PleurX®)are allowed

  • Active or untreated central nervous system (CNS) metastases are excluded

  • Prior therapy with any cancer immunotherapy, MEK inhibitor, or regorafenib

  • Participants with active malignancy (other than CRC) or a prior malignancy within thepast 3 years are excluded. Participants with completely resected cutaneous melanoma (early stage), basal cell carcinoma, cutaneous squamous cell carcinoma, cervicalcarcinoma in-situ, breast carcinoma in-situ, and localized prostate cancer areeligible

  • Unstable angina, new onset angina within last 3 months, myocardial infarction withinlast 6 months and current congestive heart failure New York Heart Association Class IIor higher

  • Left ventricular ejection fraction (LVEF) below institutional lower limit of normal orbelow 50%, whichever is lower

  • Poorly controlled hypertension, defined as a blood pressure consistently above 150/90millimeters of Mercury (mmHg) despite optimal medical management

  • Human immunodeficiency virus (HIV) infection

  • Active tuberculosis infection

  • Severe infections within 2 weeks prior to Cycle 1 Day 1

  • Active or chronic viral hepatitis B or C infection

  • History of or evidence of retinal pathology on ophthalmologic examination that isconsidered a risk factor for central serous retinopathy, retinal vein occlusion, orneovascular macular degeneration

  • Participants will be excluded if they currently have any of the risk factors asdefined in the study protocol for retinal vein occlusion

  • History of autoimmune disease

  • History of idiopathic pulmonary fibrosis, organizing pneumonia, bronchiolitisobliterans, drug-induced pneumonitis, or idiopathic pneumonitis

  • History of organ transplantation including allogeneic bone marrow transplantation

  • Inability to swallow medications

  • Malabsorption condition that would alter the absorption of orally administeredmedications

  • Pregnant, lactating, breastfeeding, or intending to become pregnant during the study

  • Administration of a live, attenuated vaccine within 4 weeks before randomization oranticipation of a live attenuated vaccine will be required during the study

Study Design

Total Participants: 363
Study Start date:
July 05, 2016
Estimated Completion Date:
December 26, 2018

Connect with a study center

  • Bankstown Hospital; Medical Oncology

    Bankstown, New South Wales 2200
    Australia

    Site Not Available

  • Port Macquarie Base Hospital;North Coast Cancer Institute

    Port Macquarie, New South Wales 2444
    Australia

    Site Not Available

  • Northern Cancer Institute

    St Leonards, New South Wales 2065
    Australia

    Site Not Available

  • Sydney Adventist Hospital; Clinical Trial Unit

    Sydney, New South Wales 2076
    Australia

    Site Not Available

  • Monash Medical Centre; Oncology

    Clayton, Victoria 3168
    Australia

    Site Not Available

  • Monash Medical Centre; Oncology

    East Bentleigh, Victoria VIC 3165
    Australia

    Site Not Available

  • Peninsula and South Eastern Haematology and Oncology Group

    Frankston, Victoria 3199
    Australia

    Site Not Available

  • Austin Health; Cancer Clinical Trial Centre

    Heidelberg, Victoria 3084
    Australia

    Site Not Available

  • Imeldaziekenhuis

    Bonheiden, 2820
    Belgium

    Site Not Available

  • Cliniques Universitaires St-Luc

    Bruxelles, 1200
    Belgium

    Site Not Available

  • GHdC Site Notre Dame

    Charleroi, 6000
    Belgium

    Site Not Available

  • AZ Groeninge

    Kortrijk, 8500
    Belgium

    Site Not Available

  • UZ Leuven Gasthuisberg

    Leuven, 3000
    Belgium

    Site Not Available

  • Tom Baker Cancer Centre-Calgary

    Calgary, Alberta T2N 4N2
    Canada

    Site Not Available

  • Cross Cancer Institute; Clinical Trials

    Edmonton, Alberta T6G 1Z2
    Canada

    Site Not Available

  • BCCA-Vancouver Cancer Centre

    Vancouver, British Columbia V5Z 4E6
    Canada

    Site Not Available

  • The Ottawa Hospital

    Ottawa, Ontario K1H 8L6
    Canada

    Site Not Available

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario M4N 3M5
    Canada

    Site Not Available

  • Hopital du Sacre-Coeur

    Montreal, Quebec J4B 5Z7
    Canada

    Site Not Available

  • McGill University Health Center, Cedar Cancer Center

    Montreal, Quebec H3G 1A4
    Canada

    Site Not Available

  • CHU de Québec

    Quebec City, Quebec G1J 1Z4
    Canada

    Site Not Available

  • Clinique Sainte Catherine

    Avignon, 84082
    France

    Site Not Available

  • Chr De Besancon - Hopital Jean Minjoz

    Besancon, 25030
    France

    Site Not Available

  • Institut Bergonie CLCC Bordeaux

    Bordeaux, 33000
    France

    Site Not Available

  • Centre Oscar Lambret

    Lille, 59020
    France

    Site Not Available

  • Centre Leon Berard

    Lyon, 69008
    France

    Site Not Available

  • Centre Antoine Lacassagne

    Nice, 06189
    France

    Site Not Available

  • European Hospital Georges Pompidou (HEGP)

    Paris, 75908
    France

    Site Not Available

  • ICO Rene Gauducheau; CEC

    St Herblain, 44805
    France

    Site Not Available

  • CHU de Toulouse - Hôpital Rangueil

    Toulouse Cedex 09, 31059
    France

    Site Not Available

  • Gemeinschaftspraxis Brudler/ Heinrich/ Bangerter

    Augsburg, 86150
    Germany

    Site Not Available

  • University Hospital Dresden Medizinische Klink I und Poliklinik I

    Dresden, 01307
    Germany

    Site Not Available

  • Krankenhaus Nordwest

    Frankfurt am Main, 60488
    Germany

    Site Not Available

  • Onkologische Schwerpunktpraxis Eppendorf

    Hamburg, 20249
    Germany

    Site Not Available

  • SLK-Kliniken Heilbronn GmbH

    Heilbronn, 74078
    Germany

    Site Not Available

  • Universitätsklinikum Mannheim, Tagestherapiezentrum, Interdisziplinäres Tumorzentrum

    Mannheim, 68167
    Germany

    Site Not Available

  • Klinikum am Steinenberg / Ermstalklinik

    Reutlingen, 72764
    Germany

    Site Not Available

  • Universitaetsklinikum Ulm

    Ulm, 89081
    Germany

    Site Not Available

  • Queen Mary Hospital; Dept. of Clinical Oncology

    Hong Kong,
    Hong Kong

    Site Not Available

  • Tuen Mun Hospital; Clinical Oncology

    Hong Kong,
    Hong Kong

    Site Not Available

  • Prince of Wales Hosp; Dept. Of Clinical Onc

    Shatin,
    Hong Kong

    Site Not Available

  • Azienda Osp Uni Seconda Università Degli Studi Di Napoli; Unità Operativa Oncologia Medica

    Napoli, Campania 80131
    Italy

    Site Not Available

  • A.O. Universitaria Policlinico Di Modena; Oncologia

    Modena, Emilia-Romagna 41100
    Italy

    Site Not Available

  • Arcispedale Santa Maria Nuova; Oncologia

    Reggio Emilia, Emilia-Romagna 42100
    Italy

    Site Not Available

  • Istit. Naz. per la Ricerca sul Cancro - Az. Osped. S. Martino

    Genova, Liguria 16132
    Italy

    Site Not Available

  • Fondazione Poliambulanza Istituto Ospedaliero

    Brescia, Lombardia 25124
    Italy

    Site Not Available

  • Asst Grande Ospedale Metropolitano Niguarda; Dipartimento Di Ematologia Ed Oncologia

    Milano, Lombardia 20162
    Italy

    Site Not Available

  • Irccs Istituto Nazionale Dei Tumori (Int);S.C. Medicina Oncologica 1

    Milano, Lombardia 20133
    Italy

    Site Not Available

  • IRCCS Ospedale Casa Sollievo Della Sofferenza; Oncologia

    San Giovanni Rotondo, Puglia 71013
    Italy

    Site Not Available

  • A.O. Universitaria Pisana; Oncologia

    Pisa, Toscana 56100
    Italy

    Site Not Available

  • Kyungpook National University Medical Center

    Daegu, 41404
    Korea, Republic of

    Site Not Available

  • National Cancer Center

    Gyeonggi-do, 10408
    Korea, Republic of

    Site Not Available

  • Chonnam National University Hwasun Hospital

    Jeollanam-do, 58128
    Korea, Republic of

    Site Not Available

  • Asan Medical Center - Oncology

    Seoul, 05505
    Korea, Republic of

    Site Not Available

  • Samsung Medical Center

    Seoul, 06351
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Yonsei University Health System/Severance Hospital

    Seoul, 120-752
    Korea, Republic of

    Site Not Available

  • Centrum Onkologii im. Prof. F. Lukaszczyka w Bydgoszczy

    Bydgoszcz, 85-796
    Poland

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne; Klinika Onkologii i Radioterapii

    Gdansk, 80-952
    Poland

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne; Klinika Onkologii i Radioterapii

    Gdańsk, 80-214
    Poland

    Site Not Available

  • Szpitale Pomorskie Sp. z o. o.

    Gdynia, 81-519
    Poland

    Site Not Available

  • empty

    Gdyr, 81-519
    Poland

    Site Not Available

  • Szpital Uniwersytecki w Krakowie, Oddział Kliniczny Kliniki Onkologii

    Krakow, 31-531
    Poland

    Site Not Available

  • Woj.Wielospecjalistyczne Centrum Onkologii i Traumatologii; Oddz.Hematologii Pododz.Chemioterapii

    Lodz, 93-513
    Poland

    Site Not Available

  • Arkhangelsk Regional Clinical Oncology Dispensary

    Arkhangelsk, 163045
    Russian Federation

    Site Not Available

  • N.N.Burdenko Main Military Clinical Hospital; Oncology Dept

    Moscow, 105229
    Russian Federation

    Site Not Available

  • BHI of Omsk region Clinical Oncology Dispensary

    Omsk, 644013
    Russian Federation

    Site Not Available

  • Hospital Universitario Reina Sofia; Servicio de Oncologia

    Córdoba, Cordoba 14004
    Spain

    Site Not Available

  • empty

    A Coruña, La Coruña 15706
    Spain

    Site Not Available

  • Complejo Hospitalario Universitario de Santiago (CHUS) ; Servicio de Oncologia

    Santiago de Compostela, La Coruña 15706
    Spain

    Site Not Available

  • empty

    Pamplona, Navarra 31008
    Spain

    Site Not Available

  • Hospital Univ Vall d'Hebron; Servicio de Oncologia

    Barcelona, 08035
    Spain

    Site Not Available

  • Hospital Universitario Reina Sofia; Servicio de Oncologia

    Cordoba, 14004
    Spain

    Site Not Available

  • Hospital Clinico San Carlos; Servicio de Oncologia

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Ramon y Cajal; Servicio de Oncologia

    Madrid, 28034
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre; Servicio de Oncologia

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital de Navarra; Servicio de Oncologia

    Navarra, 31008
    Spain

    Site Not Available

  • Hospital Clínico Universitario de Valencia; Servicio de Oncología

    Valencia, 46010
    Spain

    Site Not Available

  • Birmingham Heartlands Hospital; Dept of Oncology

    Birmingham, B9 5SS
    United Kingdom

    Site Not Available

  • St James Hospital; Dept of Oncology/Hematology

    Leeds, LS9 7TF
    United Kingdom

    Site Not Available

  • Royal Marsden Hospital - Fulham; Oncology Department

    London, SW3 6JJ
    United Kingdom

    Site Not Available

  • Maidstone & Tonbridge Wells Hospital; Kent Oncology Center

    Maidstone, ME16 9QQ
    United Kingdom

    Site Not Available

  • The Christie; GI Research Office

    Manchester, M20 4BX
    United Kingdom

    Site Not Available

  • Churchill Hospital; Department of Oncology

    Oxford, OX3 7LE
    United Kingdom

    Site Not Available

  • Queen's Hospital

    Romford, RM7 0AG
    United Kingdom

    Site Not Available

  • Scarborough General Hospital

    Scarborough, YO12 6QL
    United Kingdom

    Site Not Available

  • Weston Park Hospital; Cancer Clinical Trials Centre

    Sheffield, S10 2SJ
    United Kingdom

    Site Not Available

  • Royal Marsden Hospital; Dept of Medical Oncology

    Sutton, SM2 5PT
    United Kingdom

    Site Not Available

  • City of Hope Comprehensive Cancer Center

    Duarte, California 91010
    United States

    Site Not Available

  • USC Norris Cancer Center

    Los Angeles, California 90033
    United States

    Site Not Available

  • Kaiser Permanente Of Colorado

    Denver, Colorado 80205
    United States

    Site Not Available

  • Yale Cancer Center; Medical Oncology

    New Haven, Connecticut 06520
    United States

    Site Not Available

  • Georgetown University

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • Georgetown University

    Washington, D.C., District of Columbia 20007
    United States

    Site Not Available

  • Florida Cancer Specialists; SCRI

    Fort Myers, Florida 33901
    United States

    Site Not Available

  • Cancer Specialists; North Florida ;Jacksonville (AC Skinner Pkwy)

    Jacksonville, Florida 32256
    United States

    Site Not Available

  • Florida Cancer Specialists.

    Saint Petersburg, Florida 33705
    United States

    Site Not Available

  • Florida Cancer Specialists.

    St.Petersburg, Florida 33705
    United States

    Site Not Available

  • Florida Cancer Specialists

    West Palm Beach, Florida 33401
    United States

    Site Not Available

  • Ingalls Cancer Research Center

    Harvey, Illinois 60426
    United States

    Site Not Available

  • empty

    Fort Wayne, Indiana 46845
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Southdale Cancer Clinic U of M Medical Center, Fairview- Edina

    Edina, Minnesota 55435
    United States

    Site Not Available

  • Mayo Clinic - Rochester

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School of Medicine

    St. Louis, Missouri 63110
    United States

    Site Not Available

  • North Shore Hem Onc Associates

    East Setauket, New York 11733
    United States

    Site Not Available

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10065
    United States

    Site Not Available

  • INTEGRIS Cancer Inst of OK

    Oklahoma City, Oklahoma 73142
    United States

    Site Not Available

  • University of Pittsburgh Cancer Institute; Division of Medical Oncology

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • SCRI Tennessee Oncology Chattanooga

    Chattanooga, Tennessee 37404
    United States

    Site Not Available

  • Sarah Cannon Research Inst.

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • Medical Oncology Associates

    Spokane, Washington 99208
    United States

    Site Not Available

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