Triple Negative Breast Cancer
Conditions
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.
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.
Placebo administered via IV infusion on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants | Baseline up to approximately 34 months | 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. |
| PFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1) | Baseline up to approximately 34 months | 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. |
| Overall Survival (OS) in All Randomized Participants | Baseline 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-L1 | Baseline 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
| Measure | Time frame | Description |
|---|---|---|
| DOR Acccording to RECIST v1.1 in Participants With Detectable PD-L1 | Baseline up to approximately 34 months | 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 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 | Baseline up to approximately 58 months | 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. |
| TTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L1 | Baseline up to approximately 58 months | 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. |
| Minimum Serum Concentration (Cmin) for Atezolizumab | Day 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 Atezolizumab | Baseline up to approximately 53 months | Percentage of Participants with Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab |
| Maximum Serum Concentration (Cmax) for Atezolizumab | Cycle 1 Day 1 (Cycle = 28 days) | Maximum serum concentration for atezolizumab. |
| Plasma Concentrations of Total Paclitaxel | 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) | Plasma Concentrations of Total Paclitaxel |
| Percentage of Participants With at Least One Adverse Event | Baseline 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 Participants | Baseline up to approximately 34 months | 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. |
| Percentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L1 | Baseline up to approximately 34 months | 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. |
| Duration of Response (DOR) According to RECIST v1.1 in All Randomized Participants | Baseline up to approximately 34 months | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 902 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Accidentally randomized screen failure participant | 0 | 1 |
| Overall Study | Death | 333 | 314 |
| Overall Study | Lost to Follow-up | 4 | 6 |
| Overall Study | Non-Compliance | 1 | 1 |
| Overall Study | Physician Decision | 0 | 1 |
| Overall Study | Protocol Violation | 1 | 1 |
| Overall Study | Study Terminated By Sponsor | 85 | 95 |
| Overall Study | Withdrawal by Subject | 27 | 32 |
Baseline characteristics
| Characteristic | Atezolizumab Plus Nab-Paclitaxel | Total | Placebo Plus Nab-Paclitaxel |
|---|---|---|---|
| Age, Continuous | 54.3 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 Participants | 143 Participants | 83 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 368 Participants | 708 Participants | 340 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 23 Participants | 51 Participants | 28 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 17 Participants | 40 Participants | 23 Participants |
| Race (NIH/OMB) Asian | 85 Participants | 161 Participants | 76 Participants |
| Race (NIH/OMB) Black or African American | 26 Participants | 58 Participants | 32 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 5 Participants | 3 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 12 Participants | 28 Participants | 16 Participants |
| Race (NIH/OMB) White | 308 Participants | 609 Participants | 301 Participants |
| Sex: Female, Male Female | 449 Participants | 899 Participants | 450 Participants |
| Sex: Female, Male Male | 2 Participants | 3 Participants | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 333 / 451 | 314 / 451 |
| other Total, other adverse events | 414 / 430 | 450 / 460 |
| serious Total, serious adverse events | 80 / 430 | 110 / 460 |
Outcome results
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | OS in Participants With Detectable PD-L1 | 17.91 Months |
| Atezolizumab Plus Nab-Paclitaxel | OS in Participants With Detectable PD-L1 | 25.43 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | Overall Survival (OS) in All Randomized Participants | 18.73 Months |
| Atezolizumab Plus Nab-Paclitaxel | Overall Survival (OS) in All Randomized Participants | 21.03 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | PFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1) | 4.96 Months |
| Atezolizumab Plus Nab-Paclitaxel | PFS According to RECIST v1.1 in Participants With Detectable Programmed Death-Ligand 1 (PD-L1) | 7.46 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants | 5.49 Months |
| Atezolizumab Plus Nab-Paclitaxel | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v1.1) in All Randomized Participants | 7.16 Months |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | DOR Acccording to RECIST v1.1 in Participants With Detectable PD-L1 | 5.49 Months |
| Atezolizumab Plus Nab-Paclitaxel | DOR Acccording to RECIST v1.1 in Participants With Detectable PD-L1 | 8.48 Months |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | Duration of Response (DOR) According to RECIST v1.1 in All Randomized Participants | 5.62 Months |
| Atezolizumab Plus Nab-Paclitaxel | Duration of Response (DOR) According to RECIST v1.1 in All Randomized Participants | 7.39 Months |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo Plus Nab-Paclitaxel | Maximum Serum Concentration (Cmax) for Atezolizumab | 329 µg/mL | Standard Deviation 98.9 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo Plus Nab-Paclitaxel | Minimum Serum Concentration (Cmin) for Atezolizumab | Cycle 1 Day 27 | 145 µg/mL | Standard Deviation 52.6 |
| Placebo Plus Nab-Paclitaxel | Minimum Serum Concentration (Cmin) for Atezolizumab | Cycle 2 Day 27 | 215 µg/mL | Standard Deviation 78.3 |
| Placebo Plus Nab-Paclitaxel | Minimum Serum Concentration (Cmin) for Atezolizumab | Cycle 3 Day 27 | 245 µg/mL | Standard Deviation 90.3 |
| Placebo Plus Nab-Paclitaxel | Minimum Serum Concentration (Cmin) for Atezolizumab | Cycle 7 Day 27 | 274 µg/mL | Standard Deviation 111 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | Percentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized Participants | 45.9 Percentage of Participants |
| Atezolizumab Plus Nab-Paclitaxel | Percentage of Participants With an Objective Response of Complete Response (CR) or Partial Response (PR) According to RECIST v1.1 in All Randomized Participants | 56.0 Percentage of Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | Percentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L1 | 42.6 Percentage of participants |
| Atezolizumab Plus Nab-Paclitaxel | Percentage of Participants With an Objective Response of CR or PR According to RECIST v1.1 in Participants With Detectable PD-L1 | 58.9 Percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo Plus Nab-Paclitaxel | Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab | Baseline Prevalence of ADAs | 1.6 Percentage of participants |
| Placebo Plus Nab-Paclitaxel | Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) Against Atezolizumab | Incidence of Treatment Emergent ADAs | 13.1 Percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | Percentage of Participants With at Least One Adverse Event | 99.3 Percentage of participants |
| Atezolizumab Plus Nab-Paclitaxel | Percentage of Participants With at Least One Adverse Event | 97.9 Percentage of participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C1D1/Predose | NA ng/mL | — |
| Placebo Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C3D1/Predose | NA ng/mL | — |
| Placebo Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C3D1/ Before End of Infusion | 2970 ng/mL | Standard Deviation 2300 |
| Placebo Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C3D1/Postdose Paclit | 370 ng/mL | Standard Deviation 244 |
| Atezolizumab Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C3D1/Postdose Paclit | 400 ng/mL | Standard Deviation 275 |
| Atezolizumab Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C1D1/Predose | NA ng/mL | — |
| Atezolizumab Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C3D1/ Before End of Infusion | 3080 ng/mL | Standard Deviation 2050 |
| Atezolizumab Plus Nab-Paclitaxel | Plasma Concentrations of Total Paclitaxel | C3D1/Predose | NA ng/mL | — |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | 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 | 7.98 Months |
| Atezolizumab Plus Nab-Paclitaxel | 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 | 8.18 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Placebo Plus Nab-Paclitaxel | TTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L1 | 6.41 Months |
| Atezolizumab Plus Nab-Paclitaxel | TTD in Global Health Status/Health Related Quality of Life According to EORTC QLQ-C30 v3.0 in Participants With Detectable PD-L1 | 7.56 Months |