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A Study of Tiragolumab Plus Atezolizumab and Atezolizumab Monotherapy in Participants With Metastatic and/or Recurrent PD-L1-Positive Cervical Cancer

A Phase II, Safety, and Efficacy Study of Tiragolumab Plus Atezolizumab and Atezolizumab Monotherapy in Patients With Metastatic and/or Recurrent PD-L1-Positive Cervical Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04300647
Acronym
SKYSCRAPER-04
Enrollment
172
Registered
2020-03-09
Start date
2020-06-30
Completion date
2025-02-24
Last updated
2026-03-12

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

Conditions

Cervical Cancer

Brief summary

The purpose of this study is to evaluate the efficacy and safety of tiragolumab in combination with atezolizumab and atezolizumab monotherapy in patients with programmed death-ligand 1 (PD-L1)-positive cervical cancer (metastatic and/or recurrent).

Interventions

DRUGTiragolumab

Tiragolumab at a fixed dose of 600 milligrams (mg) will be administered by intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.

DRUGAtezolizumab

Atezolizumab at a fixed dose of 1200 mg will be administered by IV infusion Q3W on Day 1 of each 21-day cycle.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Histologically confirmed recurrent or persistent squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix after progression on or after 1-2 lines of prior systemic chemotherapy in the metastatic/recurrent setting that is not amenable to curative treatment with systemic chemotherapy, surgery, and/or radiotherapy * Radiologically-measurable disease * Eastern Cooperative Oncology Group (ECOG) performance Status of 0 or 1 * Cervical cancer tissue for study analysis (archival or fresh biopsy specimen) * Life expectancy of at least 12 weeks * Adequate hematologic and organ function * Female of childbearing potential must be willing to comply with adequate contraception

Exclusion criteria

* Treatment with investigational therapy with therapeutic intent within 28 days prior to randomization * Active or untreated central nervous system (CNS) or brain metastases * Active or history of autoimmune disease or immune deficiency * Active tuberculosis * Known, clinically significant liver disease * Severe infection per investigator judgement at the time of randomization or any active infection that, in the opinion of the investigator, could impact patient safety * Prior treatment with CD137 agonists or immune checkpoint blockade therapies, anti-CTLA-4, anti-TIGIT, anti-PD-1, and anti-PD-L1 therapeutic antibodies * Treatment with systemic immunostimulatory agents within 4 weeks or 5 drug-elimination half-lives (whichever is longer) prior to randomization * Treatment with systemic immunosuppressive medications within 1 week prior to randomization or anticipation of need for systemic immunosuppressive medication during study * Pregnant or breastfeeding woman * Known hypersensitivity to any component of the tiragolumab or atezolizumab formulations

Design outcomes

Primary

MeasureTime frameDescription
Pre-crossover Period: Independent Review Committee (IRC)-Assessed Objective Response Rate (ORR)From randomization up to approximately 17 monthsORR was defined as the percentage of participants with a complete response (CR) or a partial response (PR) on two consecutive occasions ≥4 weeks apart, as determined by the IRC according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). CR=Disappearance of all target \& non-target lesions or any pathological lymph nodes (whether target or non-target) have reduction in short axis to \<10 millimeters (mm). PR=At least a 30% decrease in the sum of diameters (SOD) of all target lesions, taking as reference the baseline SOD, in the absence of CR. The study enrolled participants with measurable disease as determined by the investigator. Participants found to have non-measurable disease at baseline according to RECIST v1.1 (through IRC assessment or Protocol Deviations) were only considered responders if they achieved a CR. Percentages have been rounded off.

Secondary

MeasureTime frameDescription
Pre- and Post-crossover Periods: Number of Participants With Adverse Events (AEs)Up to approximately 50.3 monthsAn AE was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Pre-crossover Period: IRC-assessed Duration of Response (DOR)First occurrence of a documented objective response to the date of PD or death from any cause, whichever occurred first (up to approximately 17 months)DOR was defined for participants who had objective response (OR) as time from first occurrence of a documented OR (CR/PR) to date of PD or death from any cause (whichever occurred first), determined by IRC per RECIST v1.1. CR=Disappearance of all target \& non-target lesions or any pathological lymph nodes (whether target/non-target) have reduction in short axis to \<10 mm. PR=≥30% decrease in SOD of all target lesions, taking as reference baseline SOD, in absence of CR. PD = ≥ 20% increase in SOD of target lesions, taking as reference smallest SOD at prior timepoints (including baseline); in addition to relative increase of 20%, SOD must also demonstrate an absolute increase of ≥5 mm or unequivocal progression in non-target lesion(s). Study enrolled participants with measurable disease as per investigator. Participants who had non-measurable disease at baseline according to RECIST v1.1 (IRC assessment or Protocol Deviations) were only considered responders if they achieved CR.
Pre-crossover Period: IRC-assessed Disease Control Rate (DCR)From randomization up to approximately 17 monthsDCR was defined as the percentage of participants with a CR, PR, or stable disease (SD), as determined by the IRC according to RECIST v1.1. CR and PR were defined the same as in the description of primary outcome measure (OM), ORR. SD=Neither sufficient shrinkage to qualify for CR/PR nor sufficient increase to qualify for PD. Participants were classified as SD only if SD was observed on two consecutive assessments ≥6 weeks apart. PD = ≥ 20% increase in SOD of target lesions, taking as reference smallest SOD at prior timepoints (including baseline); in addition to relative increase of 20%, SOD must also demonstrate an absolute increase of ≥5 mm or unequivocal progression in non-target lesion(s). Study enrolled participants with measurable disease as per the investigator. Participants who had non-measurable disease at baseline per RECIST v1.1 (IRC assessment or Protocol Deviations) were only considered responders if they achieved CR.
Pre-crossover Period: Investigator-assessed Best Clinical Response (BCR) RateFrom randomization up to approximately 17 monthsBCR was defined as the percentage of participants with a CR, PR, or SD, as determined by the investigator according to RECIST v1.1. CR=Disappearance of all target \& non-target lesions or any pathological lymph nodes (whether target/non-target) have reduction in short axis to \<10 mm. PR=At least a 30% decrease in SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR. SD=Neither sufficient shrinkage to qualify for CR/PR nor sufficient increase to qualify for PD. Participants were classified as SD only if SD was observed on two consecutive assessments ≥6 weeks apart. PD=At least 20% increase in SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline); in addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm or unequivocal progression in non-target lesion(s). Percentages have been rounded off.
Pre-crossover Period: Investigator-assessed Duration of BCRFirst occurrence of a documented clinical response to the date of PD or death from any cause, whichever occurred first (up to approximately 17 months)Duration of BCR was defined for BCR responders as the time from first occurrence of a documented response (CR, PR, or SD) to date of PD or death from any cause (whichever occurred first), as clinically determined by the investigator according to RECIST v1.1. CR=Disappearance of all target \& non-target lesions or any pathological lymph nodes (whether target/non-target) have reduction in short axis to \<10 mm. PR = ≥30% decrease in SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR. SD=Neither sufficient shrinkage to qualify for CR/PR nor sufficient increase to qualify for PD. Participants were classified as SD only if SD was observed on two consecutive assessments ≥6 weeks apart. PD = ≥20% increase in SOD of target lesions, taking as reference smallest SOD at prior timepoints (including baseline); in addition to relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm or unequivocal progression in non-target lesion(s).
Pre-crossover Period: IRC-assessed Progression-free Survival (PFS)From randomization to the first occurrence of PD or death from any cause, whichever occurred first (up to approximately 17 months)PFS was defined as the time from randomization to the first occurrence of PD or death from any cause (whichever occurred first), as determined by the IRC according to RECIST v1.1. PD was defined as at least 20% increase in SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline); in addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm or unequivocal progression in non-target lesion(s).
Pre-crossover Period: IRC-assessed PFS Rate at 6 MonthsAt Month 6PFS rate was defined as the percentage of participants who were event-free at 6 months post-randomization, as determined by the IRC according to RECIST v1.1. PFS was defined as the time from randomization to the first occurrence of PD or death from any cause (whichever occurred first), as determined by the IRC according to RECIST v1.1. PD was defined as at least 20% increase in SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline); in addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm or unequivocal progression in non-target lesion(s)..
Pre-crossover Period: Overall Survival (OS)From randomization to death from any cause (up to approximately 17 months)OS was defined as the time of randomization to death from any cause.
Pre-crossover Period: OS Rate at 6 Months and 12 MonthsAt Months 6 and 12OS rate was defined as the percentage of participants who were still alive at 6 months and 12 months. OS was defined as the time of randomization to death from any cause.
Pre-crossover Period: Minimum Serum Concentration (Cmin) of TiragolumabPredose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 (1 cycle = 21 days)
Pre-crossover Period: Maximum Serum Concentration (Cmax) of TiragolumabAt 30 minutes post-dose on Cycle 1 Day 1 (1 Cycle = 21 days)
Pre-crossover Period: Cmin of AtezolizumabPredose on Day 1 of Cycles 2, 3, 4, 8, 12 and 16 (1 cycle = 21 days)
Pre-crossover Period: Cmax of AtezolizumabAt 30 minutes post-dose on Day 1 of Cycle 1 (1 cycle = 21 days)
Pre-crossover Period: Percentage of Participants With Anti-Drug Antibodies (ADAs) to TiragolumabUp to approximately 17 monthsParticipants were considered treatment-emergent ADA-positive if they were ADA negative at baseline or missing data but developed an ADA response following study drug administration (treatment-induced ADA response) or if they were ADA-positive at baseline and the titre of one or more post-baseline samples was at least 4-fold greater (i.e., ≥ 0.60 titre units\[t.u\]) than the titre of the baseline sample (treatment-enhanced ADA response).
Pre-crossover Period: Percentage of Participants With ADAs to AtezolizumabUp to approximately 17 monthsParticipants were considered treatment-emergent ADA-positive if they were ADA negative at baseline or missing data but developed an ADA response following study drug administration (treatment-induced ADA response) or if they were ADA-positive at baseline and the titre of one or more post-baseline samples was at least 4-fold greater (i.e., ≥ 0.60 t.u) than the titre of the baseline sample (treatment-enhanced ADA response). Percentages have been rounded off.

Countries

Australia, Brazil, Canada, Costa Rica, France, Italy, Mexico, Panama, Peru, Poland, Russia, South Korea, Spain, Taiwan, Thailand, United Kingdom, United States

Contacts

STUDY_DIRECTORClinical Trials

Hoffmann-La Roche

Participant flow

Recruitment details

A total of 172 participants took part in the study at 59 investigative sites across 17 countries from 30 June 2020 to 24 February 2025. 1 participant was enrolled but not treated. The study is considered "Completed" because all the pre-planned study activities and analyses have been performed.

Pre-assignment details

Participants with programmed death-ligand 1 (PDL1)-positive cervical cancer in the pre-crossover period were randomized in a 3:1 ratio to receive either atezolizumab plus tiragolumab or atezolizumab monotherapy. Participants in the atezolizumab monotherapy arm with unequivocal disease progression (PD) were given the option to crossover and receive atezolizumab + tiragolumab in the crossover period. Crossover was allowed at investigator's discretion, after consultation with Medical Monitor.

Participants by arm

ArmCount
Atezolizumab
Participants received atezolizumab monotherapy until disease progression, loss of clinical benefit, or unacceptable toxicity as determined by the investigator.
45
Tiragolumab Plus Atezolizumab
Participants received tiragolumab and atezolizumab until disease progression, loss of clinical benefit, or unacceptable toxicity as determined by the investigator.
126
Total171

Baseline characteristics

CharacteristicAtezolizumabTiragolumab Plus AtezolizumabTotal
Age, Continuous51.0 years
STANDARD_DEVIATION 11.8
50.8 years
STANDARD_DEVIATION 11.8
50.9 years
STANDARD_DEVIATION 11.7
ECOG Performance Status
ECOG Performance Status 0
23 Participants55 Participants78 Participants
ECOG Performance Status
ECOG Performance Status 1
22 Participants71 Participants93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants18 Participants25 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants81 Participants113 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants27 Participants33 Participants
Prior Use of Chemoradiotherapy or Radiotherapy
No
9 Participants28 Participants37 Participants
Prior Use of Chemoradiotherapy or Radiotherapy
Yes
36 Participants98 Participants134 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants3 Participants6 Participants
Race (NIH/OMB)
Asian
6 Participants16 Participants22 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants27 Participants34 Participants
Race (NIH/OMB)
White
28 Participants79 Participants107 Participants
Sex: Female, Male
Female
45 Participants126 Participants171 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants
Treatment History
Persistent Disease
19 Participants61 Participants80 Participants
Treatment History
Recurrent Disease
26 Participants65 Participants91 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
23 / 4589 / 12610 / 17
other
Total, other adverse events
36 / 45109 / 12614 / 17
serious
Total, serious adverse events
12 / 4542 / 1261 / 17

Outcome results

Primary

Independent Review Committee (IRC)-Assessed Objective Response Rate (ORR)

ORR is defined as the percentage of participants with a complete response (CR) or a partial response (PR) on two consecutive occasions \>/=4 weeks apart, as determined by the IRC according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. The study enrolled patients with measurable disease as determined by the investigator. Participants found to have non-measurable disease at baseline according to RECIST v1.1 (through IRC assessment or Protocol Deviations) were only considered responders if they achieved a CR.

Time frame: From randomization up to approximately 17 months

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received.

ArmMeasureValue (NUMBER)
AtezolizumabIndependent Review Committee (IRC)-Assessed Objective Response Rate (ORR)15.6 percentage of participants
Tiragolumab Plus AtezolizumabIndependent Review Committee (IRC)-Assessed Objective Response Rate (ORR)19.0 percentage of participants
Secondary

Investigator-Assessed Best Clinical Response (BCR) Rate

BCR is defined as the percentage of participants with a CR, PR, or SD, as determined by the investigator. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. SD: neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD. Participants were classified as SD only if SD was observed on two consecutive assessments \>/= 6 weeks apart.

Time frame: From randomization up to approximately 17 months

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received.

ArmMeasureValue (NUMBER)
AtezolizumabInvestigator-Assessed Best Clinical Response (BCR) Rate33.3 percentage of participants
Tiragolumab Plus AtezolizumabInvestigator-Assessed Best Clinical Response (BCR) Rate44.4 percentage of participants
Secondary

Investigator-Assessed Duration of BCR

Duration of BCR is defined for BCR responders as the time from the first occurrence of a documented response (CR, PR, or SD) to the date of PD or death from any cause (whichever occurred first), as clinically determined by the investigator according to RECIST v1.1. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. SD: neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD. Participants were classified as SD only if SD was observed on two consecutive assessments \>/= 6 weeks apart. PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters at prior timepoints (including baseline).

Time frame: First occurrence of a documented clinical response to the date of disease progression or death from any cause, whichever occurs first (up to approximately 17 months)

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received. Duration of BCR was assessed in participants with a clinical response.

ArmMeasureValue (MEDIAN)
AtezolizumabInvestigator-Assessed Duration of BCR7.0 months
Tiragolumab Plus AtezolizumabInvestigator-Assessed Duration of BCR5.5 months
Secondary

IRC-Assessed Disease Control Rate (DCR)

Disease control rate is defined as the percentage of participants with a CR, PR, or stable disease (SD), as determined by the IRC according to RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. SD: neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD. Participants were classified as SD only if SD was observed on two consecutive assessments \>/= 6 weeks apart. The study enrolled patients with measurable disease as determined by the investigator. Participants found to have non-measurable disease at baseline according to RECIST v1.1 (through IRC assessment or Protocol Deviations) were only considered responders if they achieved a CR.

Time frame: From randomization up to approximately 17 months

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received.

ArmMeasureValue (NUMBER)
AtezolizumabIRC-Assessed Disease Control Rate (DCR)20.0 percentage of participants
Tiragolumab Plus AtezolizumabIRC-Assessed Disease Control Rate (DCR)31.0 percentage of participants
Secondary

IRC-Assessed Duration of Response (DOR)

DOR is defined for participants who had an objective response as the time from the first occurrence of a documented objective response (CR or PR) to the date of progressive disease (PD) or death from any cause (whichever occurred first), as determined by the IRC according to RECIST v1.1. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters at prior timepoints (including baseline). The study enrolled patients with measurable disease as determined by the investigator. Participants found to have non-measurable disease at baseline according to RECIST v1.1 (through IRC assessment or Protocol Deviations) were only considered responders if they achieved a CR.

Time frame: First occurrence of a documented objective response to the date of disease progression or death from any cause, whichever occurs first (up to approximately 17 months)

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received. DOR was assessed in participants with an objective response.

ArmMeasureValue (MEDIAN)
AtezolizumabIRC-Assessed Duration of Response (DOR)NA months
Tiragolumab Plus AtezolizumabIRC-Assessed Duration of Response (DOR)11.8 months
Secondary

IRC-Assessed PFS Rate at 6 Months

PFS rate is defined as the percentage of participants that were event free, as determined by the IRC according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline).

Time frame: 6 months

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received. Overall number analyzed are number of participants with data available for analysis. Number analyzed is the number of participants with data available for analysis at specified timepoints

ArmMeasureValue (NUMBER)
AtezolizumabIRC-Assessed PFS Rate at 6 Months21.50 percentage of participants
Tiragolumab Plus AtezolizumabIRC-Assessed PFS Rate at 6 Months30.56 percentage of participants
Secondary

IRC-Assessed Progression-Free Survival (PFS)

PFS is defined as the time from randomization to the first occurrence of PD or death from any cause (whichever occurred first), as determined by the IRC according to RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline).

Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 17 months)

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received.

ArmMeasureValue (MEDIAN)
AtezolizumabIRC-Assessed Progression-Free Survival (PFS)1.9 months
Tiragolumab Plus AtezolizumabIRC-Assessed Progression-Free Survival (PFS)2.8 months
Secondary

OS Rate at 6 Months and 12 Months

Reported here are the percentages of participants who were still alive at 6 months and 12 months.

Time frame: 6 months, 12 months

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Overall number analyzed are number of participants with data available for analysis. Number analyzed is the number of participants with data available for analysis at specified timepoints.

ArmMeasureGroupValue (NUMBER)
AtezolizumabOS Rate at 6 Months and 12 Months6 Months69.49 percentage of participants
AtezolizumabOS Rate at 6 Months and 12 Months12 Months37.88 percentage of participants
Tiragolumab Plus AtezolizumabOS Rate at 6 Months and 12 Months12 Months47.19 percentage of participants
Tiragolumab Plus AtezolizumabOS Rate at 6 Months and 12 Months6 Months73.56 percentage of participants
Secondary

Overall Survival (OS)

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

Time frame: From randomization to death from any cause (up to approximately 17 months)

Population: The Treated Population was defined as all randomized participants that received at least any dose of study treatment. Participants are grouped according to the actual treatment received.

ArmMeasureValue (MEDIAN)
AtezolizumabOverall Survival (OS)10.6 months
Tiragolumab Plus AtezolizumabOverall Survival (OS)11.0 months
Secondary

Percentage of Participants With Adverse Events

An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

Time frame: Up to 36 months

Other Pre-specified

Cmax of Atezolizumab

Time frame: Day 1 of Cycle 1 at 30 minutes post-dose

Other Pre-specified

Cmin of Atezolizumab

Time frame: Pre dose: Day 1 of Cycles 2, 3, 4, 8, 12 and 16

Other Pre-specified

Maximum Serum Concentration (Cmax) of Tiragolumab

Time frame: Cycle 1 Day 1 at 30 minutes post-dose

Other Pre-specified

Minimum Serum Concentration (Cmin) of Tiragolumab

Time frame: Pre dose: Day 1 of Cycles 2, 3, 4, 8, 12 and 16

Other Pre-specified

Percentage of Participants With ADAs to Atezolizumab

Participants were classified as treatment-emergent ADA-positive if they were ADA negative at baseline or missing data but developed an ADA response following study drug administration (treatment-induced ADA response) or if they were ADA-positive at baseline and the titre of one or more post-baseline samples was at least 4-fold greater (i.e., ≥ 0.60 titre units) than the titre of the baseline sample (treatment-enhanced ADA response).

Time frame: Predose on Day 1 of Cycles (each cycle is 21 days) 1, 2, 3, 4, 8, 12 and 16

Other Pre-specified

Percentage of Participants With Anti-Drug Antibodies (ADAs) to Tiragolumab

Participants were classified as treatment-emergent ADA-positive if they were ADA negative at baseline or missing data but developed an ADA response following study drug administration (treatment-induced ADA response) or if they were ADA-positive at baseline and the titre of one or more post-baseline samples was at least 4-fold greater (i.e., ≥ 0.60 titre units) than the titre of the baseline sample (treatment-enhanced ADA response).

Time frame: Predose on Day 1 of Cycles (each cycle is 21 days) 1, 2, 3, 4, 8, 12 and 16

Source: ClinicalTrials.gov · Data processed: Mar 13, 2026