This is a Phase Ib, open-label, multicenter study designed to assess the safety, tolerability, and pharmacokinetics of coadministration of intravenous (IV) dosing of atezolizumab (an engineered anti-programmed death-ligand 1 \[anti-PD-L1\] antibody) and oral dosing of cobimetinib in participants with metastatic or locally advanced cancer for which no standard therapy exists.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
153
Atezolizumab will be administered at a fixed dose as specified via IV infusion.
Cobimetinib will be administered orally at an escalating dose during Stage 1 and at RP2D during Stage 2.
Stanford University Medical Center
Palo Alto, California, United States
Phase I: Percentage of Participants With Dose-Limiting Toxicities (DLTs)
Time frame: Day 15 to Day 42 of Cycle 1 (cycle length=42 days) of dose-escalation phase
Phase I: Maximum Tolerated Dose of Cobimetinib
Time frame: Day 15 to Day 42 of Cycle 1 (cycle length=42 days) of dose-escalation phase
Phase I: Recommended Phase II Dose of Cobimetinib when Combined with Atezolizumab
Time frame: Day 15 to Day 42 of Cycle 1 (cycle length=42 days) of dose-escalation phase
Percentage of Participants With Anti-Therapeutic Antibody (ATA) Response to Azetolizumab
Time frame: Pre-infusion (Hour 0) on Day 1 of Cycles 1, 2, 3, 4, 8 (cycle length=42 days for Cycle 1; 28 days for subsequent cycles) and at treatment completion visit (up to approximately 3.5 years)
Percentage of Participants With Adverse Events (AEs) or Serious AEs (SAEs)
Time frame: Baseline up to approximately 3.5 years
Serum Maximum Concentration (Cmax) of Atezolizumab
Time frame: Pre-infusion (Hour 0) on Day 1 of Cycles 2, 3, 4, 8 (cycle length=28 days) and at treatment completion visit (up to approximately 3.5 years); 30 minutes post-infusion (duration=60 minutes) on Cycle 1 Day 1 (cycle length=42 days)
Serum Minimum Concentration (Cmin) of Atezolizumab
Time frame: Pre-infusion (Hour 0) on Day 1 of Cycles 2, 3, 4, 8 (cycle length=28 days) and at treatment completion visit (up to approximately 3.5 years)
Plasma Cmax of Cobimetinib
Time frame: Pre-dose (Hour 0) and Hours 2, 4, 6 post-dose on Day 29 of Cycle 1 (cycle length=42 days) and Day 15 of Cycle 2 (cycle length=28 days)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Rocky Mountain Cancer Center - Denver
Denver, Colorado, United States
Yale University School Of Medicine
New Haven, Connecticut, United States
Massachusets General Hospital Clinical Trial Network and Institute
Boston, Massachusetts, United States
Beth Israel Deaconess Med Ctr; Neurology/MS Center
Boston, Massachusetts, United States
Sloan Kettering Cancer Center; Pediatric Hematology/Oncology
New York, New York, United States
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, United States
Compass Oncology
Portland, Oregon, United States
SCRI-Tennessee Oncology
Nashville, Tennessee, United States
Texas Oncology, P.A.
Arlington, Texas, United States
...and 11 more locations
Plasma Cmin of Cobimetinib
Time frame: Pre-dose (Hour 0) on Day 29 of Cycle 1 (cycle length=42 days) and Day 15 of Cycle 2 (cycle length=28 days)
Area Under the Concentration-Time Curve (AUC) of Cobimetinib
Time frame: Pre-dose (Hour 0) and Hours 2, 4, 6 post-dose on Day 29 of Cycle 1 (cycle length=42 days) and Day 15 of Cycle 2 (cycle length=28 days)
Percentage of Participants With Best Overall Response, as Determined by Investigator Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 of Cycle 1 \[cycle length=42 days\]; thereafter every 12 weeks until progressive disease \[PD\] or death due to any cause, whichever occurs first \[up to approximately 3.5 years\])
Time frame: Baseline up to 3.5 years (detailed time frame is provided in the description)
Percentage of Participants With Objective Response (OR; Confirmed Complete Response or Partial Response) as Assessed by Investigator Using RECIST v1.1
Time frame: Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 Cycle 1 [cycle length=42 days]; thereafter every 12 weeks until PD or death due to any cause, whichever occurs first [up to approximately 3.5 years])
Duration of OR, as Determined by Investigator Using RECIST v1.1
Time frame: Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 Cycle 1 [cycle length=42 days]; thereafter every 12 weeks until PD or death due to any cause, whichever occurs first [up to approximately 3.5 years])
Progression-Free Survival (PFS), as Determined by Investigator Using RECIST v1.1
Time frame: Baseline up to 3.5 years (assessed at Baseline then every 8 weeks for the first 48 weeks following Day 1 Cycle 1 [cycle length=42 days]; thereafter every 12 weeks until PD or death due to any cause, whichever occurs first [up to approximately 3.5 years])
Overall Survival (OS)
Time frame: Baseline up to death due to any cause (up to approximately 3.5 years)