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Clinical Trials

Date: 2016-10-09

Type of information: Presentation of results at a congress

phase: 3

Announcement: presentation of results at the European Society for Medical Oncology (ESMO) 2016 Congress

Company: Roche (Switzerland)

Product: Tecentriq® (atezolizumab) (MPDL3280A)

Action mechanism:

  • immunotherapy product/monoclonal antibody/immune checkpoint inhibitor. Anti-PDL1 antibody MPDL3280A is an investigational monoclonal antibody designed to make cancer cells more vulnerable to the body’s immune system by interfering with a protein called PD-L1. PD-L1 is found on the surface of cells in tumours and is believed to act as a “stop sign,” preventing the immune system from destroying cancer cells. By inhibiting PD-L1, MPDL3280A may enable the activation of T cells, restoring their ability to effectively detect and attack tumour cells. MPDL3280A is being studied in clinical trials to understand whether blocking PD-L1 will help the immune system respond to cancer.
  • In February 2015, MPDL3280A received Breakthrough Therapy from the FDA for the treatment of people whose NSCLC expresses PD-L1 and who progressed during or after standard treatments (e.g., platinum-based chemotherapy and appropriate targeted therapy for EGFR mutation-positive or ALK-positive disease). Roche’s Biologics Licence Application (BLA) for NSCLC was granted Priority Review with an action date of 19 October 2016.

Disease: non-squamous non-small cell lung cancer (NSCLC)

Therapeutic area: Cancer - Oncology

Country: Argentina, Austria, Brazil, Canada, Chile, Finland, France, Germany, Greece, Guatemala, Hungary, Italy, Japan, Republic of Korea, The Netherlands, New Zealand, Norway, Panama, Poland, Portugal, Russian Federation, Serbia, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, Ukraine, UK, USA, Belgium, Mexico

Trial details:

  • OAK is a global, multicentre, open-label, randomised, controlled Phase III study that evaluated the efficacy and safety of Tecentriq® compared with docetaxel in 1,225 people with locally advanced or metastatic NSCLC whose disease had progressed following previous treatment with platinum-containing chemotherapy, with the primary analysis consisting of the first 850 randomised patients. Approximately one-quarter of patients had squamous disease (26 percent). Patients were randomised (1:1) to receive either Tecentriq® administered intravenously at 1200 mg every 3 weeks or docetaxel administered intravenously at 75 mg/m2 every 3 weeks until unacceptable toxicity or disease progression. The co-primary endpoints were overall survival (OS) in all randomised patients (ITT population) and in a PD-L1-selected subgroup in the primary analysis population. (NCT02008227)

Latest news:

  • • On October 9, 2016, Roche announced data from the positive, pivotal Phase III OAK study of  Tecentriq® (atezolizumab) at the European Society of Medical Oncology (ESMO) 2016 Annual Meeting in Copenhagen, Denmark. The study showed Tecentriq® helped people live a median of 13.8 months, 4.2 months longer than those treated with docetaxel chemotherapy (median overall survival [mOS]: 13.8 vs 9.6months; HR=0.73, 95% CI: 0.62-0.87), regardless of their levels of programmed death-ligand 1 (PD-L1) expression. The OAK study evaluated people with NSCLC whose disease had progressed on or after treatment with one or more platinum-based chemotherapy (second-line and third-line. The study enrolled people regardless of their PD-L1 status and included both squamous and non-squamous disease types. Adverse events (AEs) were consistent with those observed in previous Tecentriq® studies. Full results from the OAK study have been presented by Fabrice Barlesi, Assistance Publique Hôpitaux de Marseille, Marseille, France (abstract #LBA44).

Is general: Yes