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A Study of Atezolizumab in Combination With Nab-Paclitaxel Compared With Placebo With Nab-Paclitaxel for Participants With Previously Untreated Metastatic Triple-Negative Breast Cancer (IMpassion130)

A Phase III, Multicenter, Randomized, Placebo-Controlled Study of Atezolizumab (Anti-PD-L1 Antibody) in Combination With Nab-Paclitaxel Compared With Placebo With Nab-Paclitaxel for Patients With Previously Untreated Metastatic Triple-Negative Breast Cancer

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02425891
Enrollment
902
Registered
2015-04-24
Start date
2015-06-23
Completion date
2021-08-31
Last updated
2022-07-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Triple Negative Breast Cancer

Brief summary

This multicenter, randomized, double-blind study evaluated the efficacy, safety, and pharmacokinetics of atezolizumab (MPDL3280A) administered with nab-paclitaxel compared with placebo in combination with nab-paclitaxel in participants with locally advanced or metastatic triple-negative breast cancer (TNBC) who have not received prior systemic therapy for metastatic breast cancer (mBC). The safety of single-agent nab-paclitaxel has been determined in previous studies of participants with mBC and the safety data to date suggest that atezolizumab can be safely combined with standard chemotherapy agents.

Interventions

Atezolizumab at a fixed dose of 840 milligrams via intravenous (IV) infusion on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity.

DRUGNab-Paclitaxel

Nab-Paclitaxel at a starting dose of 100 milligrams per square meter via IV infusion on Days 1, 8, and 15 of each 28-day cycle. Nab-Paclitaxel was administered for a target of at least 6 cycles, with no maximum in the absence of disease progression or unacceptable toxicity.

DRUGPlacebo

Placebo administered via IV infusion on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Metastatic or locally advanced, histologically documented TNBC characterized by absence of human epidermal growth factor 2 (HER2), estrogen receptor (ER), and progesterone receptor (PR) expression * No prior chemotherapy or targeted systemic therapy for inoperable locally advanced or metastatic TNBC * Eligible for taxane monotherapy (i.e., absence of rapid clinical progression, life-threatening visceral metastases, or the need for rapid symptom and/or disease control) * A representative formalin-fixed, paraffin-embedded tumor specimen in paraffin blocks, or at least 20 unstained slides with an associated pathology report documenting ER, PR, and HER2 negativity. Participants with fewer than 20 unstained slides available at baseline, and not fewer than 12 unstained slides will be eligible upon discussion with Medical Monitor * Eastern Cooperative Oncology Group performance status of 0 or 1 * Measurable disease as defined by RECIST v1.1 * Adequate hematologic and end-organ function

Exclusion criteria

* Known central nervous system (CNS) disease, except for treated asymptomatic CNS metastases * Leptomeningeal disease * Pregnancy or lactation * History of autoimmune disease * Prior allogeneic stem cell or solid organ transplantation * Positive test for human immunodeficiency virus * Active hepatitis B or hepatitis C * Receipt of a live, attenuated vaccine within 4 weeks prior to randomization, during treatment, or within 5 months following the last dose of atezolizumab/placebo

Design outcomes

Primary

MeasureTime frameDescription
Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized ParticipantsBaseline up to approximately 34 monthsPFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.
PFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1)Baseline up to approximately 34 monthsPFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.
Overall Survival (OS) in All Randomized ParticipantsBaseline until death due to any cause (up to approximately 58 months)OS was defined as the time from the date of randomization to the date of death from any cause.
OS in Participants With Detectable PD-L1Baseline until death due to any cause (up to approximately 58 months)OS was defined as the time from the date of randomization to the date of death from any cause.

Secondary

MeasureTime frameDescription
DOR Acccording to RECIST v1.1 in Participants With Detectable PD-L1Baseline up to approximately 34 monthsDOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response (CR or PR) to the date of disease progression per RECIST v1.1 or death from any cause, whichever occurred first.
Time to Deterioration (TTD) in Global Health Status/Health Related Quality of Life According to European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) v3.0 in All Randomized ParticipantsBaseline up to approximately 58 monthsDeterioration in GHS/HRQoL (Items 29, 30 of the EORTC QLQ C30) was defined by the following two criteria: 1. The time from randomization to the first time the participant's GHS/HRQoL scale score showed a \>=10-point decrease from the baseline scale score. A 10-point change was defined as the minimally important difference (MID). 2. The score decrease of \>= 10-points from baseline was held for at least two consecutive cycles, or an initial score decrease of \>= 10-points was followed by death or treatment discontinuation within 3 weeks from the last assessment.
TTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L1Baseline up to approximately 58 monthsDeterioration in GHS/HRQoL (Items 29, 30 of the EORTC QLQ C30) was defined by the following two criteria: 1. The time from randomization to the first time the participants's GHS/HRQoL scale score showed a \>=10-point decrease from the baseline scale score. A 10-point change was defined as the minimally important difference (MID). 2. The score decrease of \>= 10-points from baseline was held for at least two consecutive cycles, or an initial score decrease of \>= 10-points was followed by death or treatment discontinuation within 3 weeks from the last assessment.
Minimum Serum Concentration (Cmin) for AtezolizumabDay 27 of Cycle 1, 2, 3, and 7 (Cycle = 28 days)Minimum serum concentration for atezolizumab.
Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against AtezolizumabBaseline up to approximately 53 monthsPercentage of Participants with Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab
Maximum Serum Concentration (Cmax) for AtezolizumabCycle 1 Day 1 (Cycle = 28 days)Maximum serum concentration for atezolizumab.
Plasma Concentrations of Total PaclitaxelPre-dose (Hour 0) on Cycle 1 Day 1, pre-dose (Hour 0), 5-10 minutes before end of nab-paclitaxel infusion, 1 hour after end of nab-paclitaxel infusion (infusion duration = 30 minutes) on Cycle 3 Day 1 (Cycle = 28 days)Plasma Concentrations of Total Paclitaxel
Percentage of Participants With at Least One Adverse EventBaseline up to to the data cutoff date: 31 August 2021 (up to approximately 74 months)Percentage of participants with at least one adverse event.
Percentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized ParticipantsBaseline up to approximately 34 monthsAn objective response was defined for participants with measurable disease at baseline as either a partial response (PR) or a complete response (CR) using RECIST v1.1.
Percentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L1Baseline up to approximately 34 monthsAn objective response was defined for participants with measurable disease at baseline as either a partial response (PR) or a complete response (CR) using RECIST v1.1.
Duration of Response (DOR) According to RECIST v1.1 in All Randomized ParticipantsBaseline up to approximately 34 monthsDOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response (CR or PR) to the date of disease progression per RECIST v1.1 or death from any cause, whichever occurred first.

Countries

Argentina, Australia, Austria, Belgium, Bosnia and Herzegovina, Brazil, Canada, Chile, Colombia, Costa Rica, Czechia, Estonia, Finland, France, Germany, Greece, Guatemala, Hong Kong, Hungary, Italy, Japan, Latvia, Mexico, Norway, Panama, Poland, Romania, Russia, Singapore, Slovenia, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey (Türkiye), Ukraine, United Kingdom, United States

Participant flow

Recruitment details

The observation of Overall Survival events was complete. Participants still on treatment were handed over to follow-up programs or studies. The study status is Completed but some participants discontinued the study because the Sponsor terminated it after it reached the Completed state.

Participants by arm

ArmCount
Placebo Plus Nab-Paclitaxel
Participants assigned to placebo plus nab-paclitaxel received both agents until disease progression or unacceptable toxicity.
451
Atezolizumab Plus Nab-Paclitaxel
Participants assigned to atezolizumab plus nab-paclitaxel received both agents until disease progression or unacceptable toxicity.
451
Total902

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAccidentally randomized screen failure participant01
Overall StudyDeath333314
Overall StudyLost to Follow-up46
Overall StudyNon-Compliance11
Overall StudyPhysician Decision01
Overall StudyProtocol Violation11
Overall StudyStudy Terminated By Sponsor8595
Overall StudyWithdrawal by Subject2732

Baseline characteristics

CharacteristicAtezolizumab Plus Nab-PaclitaxelTotalPlacebo Plus Nab-Paclitaxel
Age, Continuous54.3 Years
STANDARD_DEVIATION 12.3
54.9 Years
STANDARD_DEVIATION 12.2
55.4 Years
STANDARD_DEVIATION 12.1
Ethnicity (NIH/OMB)
Hispanic or Latino
60 Participants143 Participants83 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
368 Participants708 Participants340 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
23 Participants51 Participants28 Participants
Race (NIH/OMB)
American Indian or Alaska Native
17 Participants40 Participants23 Participants
Race (NIH/OMB)
Asian
85 Participants161 Participants76 Participants
Race (NIH/OMB)
Black or African American
26 Participants58 Participants32 Participants
Race (NIH/OMB)
More than one race
2 Participants5 Participants3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants1 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
12 Participants28 Participants16 Participants
Race (NIH/OMB)
White
308 Participants609 Participants301 Participants
Sex: Female, Male
Female
449 Participants899 Participants450 Participants
Sex: Female, Male
Male
2 Participants3 Participants1 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
333 / 451314 / 451
other
Total, other adverse events
414 / 430450 / 460
serious
Total, serious adverse events
80 / 430110 / 460

Outcome results

Primary

OS in Participants With Detectable PD-L1

OS was defined as the time from the date of randomization to the date of death from any cause.

Time frame: Baseline until death due to any cause (up to approximately 58 months)

Population: The PD-L1-selected subpopulation is defined as patients in the ITT population whose PD-L1 status is IC1/2/3 at the time of randomization.

ArmMeasureValue (MEDIAN)
Placebo Plus Nab-PaclitaxelOS in Participants With Detectable PD-L117.91 Months
Atezolizumab Plus Nab-PaclitaxelOS in Participants With Detectable PD-L125.43 Months
p-value: 0.001695% CI: [0.53, 0.86]Log Rank
Primary

Overall Survival (OS) in All Randomized Participants

OS was defined as the time from the date of randomization to the date of death from any cause.

Time frame: Baseline until death due to any cause (up to approximately 58 months)

Population: The ITT population is defined as all randomized patients, whether or not the assigned study treatment was received.

ArmMeasureValue (MEDIAN)
Placebo Plus Nab-PaclitaxelOverall Survival (OS) in All Randomized Participants18.73 Months
Atezolizumab Plus Nab-PaclitaxelOverall Survival (OS) in All Randomized Participants21.03 Months
p-value: 0.07795% CI: [0.75, 1.02]Log Rank
Primary

PFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1)

PFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.

Time frame: Baseline up to approximately 34 months

Population: The PD-L1-selected subpopulation is defined as patients in the ITT population whose PD-L1 status is IC1/2/3 at the time of randomization.

ArmMeasureValue (MEDIAN)
Placebo Plus Nab-PaclitaxelPFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1)4.96 Months
Atezolizumab Plus Nab-PaclitaxelPFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1)7.46 Months
p-value: <0.000195% CI: [0.49, 0.78]Log Rank
Primary

Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants

PFS was defined as the time from randomization to the occurrence of disease progression, as determined by investigators from tumor assessments per RECIST v1.1, or death from any cause, whichever occurred first.

Time frame: Baseline up to approximately 34 months

Population: The ITT population is defined as all randomized patients, whether or not the assigned study treatment was received.

ArmMeasureValue (MEDIAN)
Placebo Plus Nab-PaclitaxelProgression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants5.49 Months
Atezolizumab Plus Nab-PaclitaxelProgression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants7.16 Months
p-value: 0.002595% CI: [0.69, 0.92]Log Rank
Secondary

DOR Acccording to RECIST v1.1 in Participants With Detectable PD-L1

DOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response (CR or PR) to the date of disease progression per RECIST v1.1 or death from any cause, whichever occurred first.

Time frame: Baseline up to approximately 34 months

Population: The duration of response (DOR)-evaluable population is defined as patients with an objective response.

ArmMeasureValue (NUMBER)
Placebo Plus Nab-PaclitaxelDOR Acccording to RECIST v1.1 in Participants With Detectable PD-L15.49 Months
Atezolizumab Plus Nab-PaclitaxelDOR Acccording to RECIST v1.1 in Participants With Detectable PD-L18.48 Months
p-value: 0.004795% CI: [0.43, 0.86]Log Rank
Secondary

Duration of Response (DOR) According to RECIST v1.1 in All Randomized Participants

DOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response (CR or PR) to the date of disease progression per RECIST v1.1 or death from any cause, whichever occurred first.

Time frame: Baseline up to approximately 34 months

Population: The duration of response (DOR)-evaluable population is defined as patients with an objective response.

ArmMeasureValue (NUMBER)
Placebo Plus Nab-PaclitaxelDuration of Response (DOR) According to RECIST v1.1 in All Randomized Participants5.62 Months
Atezolizumab Plus Nab-PaclitaxelDuration of Response (DOR) According to RECIST v1.1 in All Randomized Participants7.39 Months
p-value: 0.028595% CI: [0.63, 0.98]Log Rank
Secondary

Maximum Serum Concentration (Cmax) for Atezolizumab

Maximum serum concentration for atezolizumab.

Time frame: Cycle 1 Day 1 (Cycle = 28 days)

Population: The pharmacokinetic (PK)-evaluable population is defined as all patients who received any dose of study medication and who have at least one post-baseline PK sample available.

ArmMeasureValue (MEAN)Dispersion
Placebo Plus Nab-PaclitaxelMaximum Serum Concentration (Cmax) for Atezolizumab329 µg/mLStandard Deviation 98.9
Secondary

Minimum Serum Concentration (Cmin) for Atezolizumab

Minimum serum concentration for atezolizumab.

Time frame: Day 27 of Cycle 1, 2, 3, and 7 (Cycle = 28 days)

Population: The pharmacokinetic (PK)-evaluable population is defined as all patients who received any dose of study medication and who have at least one post-baseline PK sample available.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Plus Nab-PaclitaxelMinimum Serum Concentration (Cmin) for AtezolizumabCycle 1 Day 27145 µg/mLStandard Deviation 52.6
Placebo Plus Nab-PaclitaxelMinimum Serum Concentration (Cmin) for AtezolizumabCycle 2 Day 27215 µg/mLStandard Deviation 78.3
Placebo Plus Nab-PaclitaxelMinimum Serum Concentration (Cmin) for AtezolizumabCycle 3 Day 27245 µg/mLStandard Deviation 90.3
Placebo Plus Nab-PaclitaxelMinimum Serum Concentration (Cmin) for AtezolizumabCycle 7 Day 27274 µg/mLStandard Deviation 111
Secondary

Percentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized Participants

An objective response was defined for participants with measurable disease at baseline as either a partial response (PR) or a complete response (CR) using RECIST v1.1.

Time frame: Baseline up to approximately 34 months

Population: The ORR-evaluable population is defined as patients in the ITT population with measurable disease at baseline.

ArmMeasureValue (NUMBER)
Placebo Plus Nab-PaclitaxelPercentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized Participants45.9 Percentage of Participants
Atezolizumab Plus Nab-PaclitaxelPercentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized Participants56.0 Percentage of Participants
p-value: 0.002195% CI: [3.4, 16.84]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L1

An objective response was defined for participants with measurable disease at baseline as either a partial response (PR) or a complete response (CR) using RECIST v1.1.

Time frame: Baseline up to approximately 34 months

Population: The PD-L1-ORR-evaluable population is defined as patients in the PD-L1-selected subpopulation with measurable disease at baseline.

ArmMeasureValue (NUMBER)
Placebo Plus Nab-PaclitaxelPercentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L142.6 Percentage of participants
Atezolizumab Plus Nab-PaclitaxelPercentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L158.9 Percentage of participants
p-value: 0.001695% CI: [5.67, 26.92]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab

Percentage of Participants with Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab

Time frame: Baseline up to approximately 53 months

Population: The anti-drug antibodies (ADA)-evaluable population is defined as all patients treated with atezolizumab who have at least one post-baseline ADA result.

ArmMeasureGroupValue (NUMBER)
Placebo Plus Nab-PaclitaxelPercentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against AtezolizumabBaseline Prevalence of ADAs1.6 Percentage of participants
Placebo Plus Nab-PaclitaxelPercentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against AtezolizumabIncidence of Treatment Emergent ADAs13.1 Percentage of participants
Secondary

Percentage of Participants With at Least One Adverse Event

Percentage of participants with at least one adverse event.

Time frame: Baseline up to to the data cutoff date: 31 August 2021 (up to approximately 74 months)

Population: The safety-evaluable population is defined as participants who received any amount of any study drug.

ArmMeasureValue (NUMBER)
Placebo Plus Nab-PaclitaxelPercentage of Participants With at Least One Adverse Event99.3 Percentage of participants
Atezolizumab Plus Nab-PaclitaxelPercentage of Participants With at Least One Adverse Event97.9 Percentage of participants
Secondary

Plasma Concentrations of Total Paclitaxel

Plasma Concentrations of Total Paclitaxel

Time frame: Pre-dose (Hour 0) on Cycle 1 Day 1, pre-dose (Hour 0), 5-10 minutes before end of nab-paclitaxel infusion, 1 hour after end of nab-paclitaxel infusion (infusion duration = 30 minutes) on Cycle 3 Day 1 (Cycle = 28 days)

Population: The pharmacokinetic (PK)-evaluable population is defined as all patients who received any dose of study medication and who have at least one post-baseline PK sample available.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC1D1/PredoseNA ng/mL
Placebo Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC3D1/PredoseNA ng/mL
Placebo Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC3D1/ Before End of Infusion2970 ng/mLStandard Deviation 2300
Placebo Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC3D1/Postdose Paclit370 ng/mLStandard Deviation 244
Atezolizumab Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC3D1/Postdose Paclit400 ng/mLStandard Deviation 275
Atezolizumab Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC1D1/PredoseNA ng/mL
Atezolizumab Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC3D1/ Before End of Infusion3080 ng/mLStandard Deviation 2050
Atezolizumab Plus Nab-PaclitaxelPlasma Concentrations of Total PaclitaxelC3D1/PredoseNA ng/mL
Secondary

Time to Deterioration (TTD) in Global Health Status/Health Related Quality of Life According to European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) v3.0 in All Randomized Participants

Deterioration in GHS/HRQoL (Items 29, 30 of the EORTC QLQ C30) was defined by the following two criteria: 1. The time from randomization to the first time the participant's GHS/HRQoL scale score showed a \>=10-point decrease from the baseline scale score. A 10-point change was defined as the minimally important difference (MID). 2. The score decrease of \>= 10-points from baseline was held for at least two consecutive cycles, or an initial score decrease of \>= 10-points was followed by death or treatment discontinuation within 3 weeks from the last assessment.

Time frame: Baseline up to approximately 58 months

Population: The patient-reported outcome (PRO)-evaluable population is defined as patients in the ITT population with a baseline and ≥1 post-baseline PRO assessment.

ArmMeasureValue (MEDIAN)
Placebo Plus Nab-PaclitaxelTime to Deterioration (TTD) in Global Health Status/Health Related Quality of Life According to European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) v3.0 in All Randomized Participants7.98 Months
Atezolizumab Plus Nab-PaclitaxelTime to Deterioration (TTD) in Global Health Status/Health Related Quality of Life According to European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) v3.0 in All Randomized Participants8.18 Months
p-value: 0.807895% CI: [0.81, 1.18]Log Rank
Secondary

TTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L1

Deterioration in GHS/HRQoL (Items 29, 30 of the EORTC QLQ C30) was defined by the following two criteria: 1. The time from randomization to the first time the participants's GHS/HRQoL scale score showed a \>=10-point decrease from the baseline scale score. A 10-point change was defined as the minimally important difference (MID). 2. The score decrease of \>= 10-points from baseline was held for at least two consecutive cycles, or an initial score decrease of \>= 10-points was followed by death or treatment discontinuation within 3 weeks from the last assessment.

Time frame: Baseline up to approximately 58 months

Population: The patient-reported outcome (PRO)-evaluable population is defined as patients in the ITT population with a baseline and ≥1 post-baseline PRO assessment.

ArmMeasureValue (MEDIAN)
Placebo Plus Nab-PaclitaxelTTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L16.41 Months
Atezolizumab Plus Nab-PaclitaxelTTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L17.56 Months
p-value: 0.887995% CI: [0.73, 1.31]Log Rank

Source: ClinicalTrials.gov · Data processed: Mar 2, 2026