Trial Outcomes & Findings for Cobimetinib (Targeted Therapy) Plus Atezolizumab (Immunotherapy) in Participants With Advanced Melanoma Whose Cancer Has Worsened During or After Treatment With Previous Immunotherapy and Atezolizumab Monotherapy in Participants With Previously Untreated Advanced Melanoma (NCT NCT03178851)

NCT ID: NCT03178851

Last Updated: 2021-11-19

Results Overview

ORR is defined as the percentage of participants with confirmed objective response (OR). Confirmed OR is defined as complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

155 participants

Primary outcome timeframe

Up to approximately 2 years

Results posted on

2021-11-19

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort A
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Overall Study
STARTED
92
11
52
Overall Study
COMPLETED
0
0
0
Overall Study
NOT COMPLETED
92
11
52

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort A
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Overall Study
Death
48
2
25
Overall Study
Withdrawal by Subject
8
0
0
Overall Study
Lost to Follow-up
5
2
0
Overall Study
Adverse Event
0
0
1
Overall Study
Study Termination by Sponsor
31
7
26

Baseline Characteristics

Cobimetinib (Targeted Therapy) Plus Atezolizumab (Immunotherapy) in Participants With Advanced Melanoma Whose Cancer Has Worsened During or After Treatment With Previous Immunotherapy and Atezolizumab Monotherapy in Participants With Previously Untreated Advanced Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Total
n=155 Participants
Total of all reporting groups
Age, Continuous
60.7 Years
STANDARD_DEVIATION 11.8 • n=99 Participants
62.3 Years
STANDARD_DEVIATION 9.6 • n=107 Participants
61.2 Years
STANDARD_DEVIATION 11.8 • n=206 Participants
61.0 Years
STANDARD_DEVIATION 11.6 • n=7 Participants
Sex: Female, Male
Female
33 Participants
n=99 Participants
3 Participants
n=107 Participants
17 Participants
n=206 Participants
53 Participants
n=7 Participants
Sex: Female, Male
Male
59 Participants
n=99 Participants
8 Participants
n=107 Participants
35 Participants
n=206 Participants
102 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=99 Participants
1 Participants
n=107 Participants
25 Participants
n=206 Participants
32 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
82 Participants
n=99 Participants
10 Participants
n=107 Participants
26 Participants
n=206 Participants
118 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
5 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
2 Participants
n=7 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
2 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
0 Participants
n=107 Participants
4 Participants
n=206 Participants
5 Participants
n=7 Participants
Race (NIH/OMB)
White
88 Participants
n=99 Participants
11 Participants
n=107 Participants
46 Participants
n=206 Participants
145 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants

PRIMARY outcome

Timeframe: Up to approximately 2 years

ORR is defined as the percentage of participants with confirmed objective response (OR). Confirmed OR is defined as complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Investigator-Assessed Objective Response Rate (ORR)
12.0 Percentage of Participants
Interval 6.12 to 20.39
36.4 Percentage of Participants
Interval 10.93 to 69.21
38.5 Percentage of Participants
Interval 25.3 to 52.98

PRIMARY outcome

Timeframe: Week 16

DCR is defined as the percentage of participants with CR, PR, or stable disease (SD) at 16 weeks. Per RECIST v1.1, CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum on study. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline, or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Investigator-Assessed Disease Control Rate (DCR)
37.0 Percentage of Participants
Interval 27.12 to 47.66
54.5 Percentage of Participants
Interval 23.38 to 83.25
46.2 Percentage of Participants
Interval 32.23 to 60.53

SECONDARY outcome

Timeframe: Up to approximately 2 years

DOR is defined as the time from the first occurrence of documented OR to disease progression, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurs first. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline; or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Investigator-Assessed Duration of Response (DOR)
24.2 Months
Interval 7.4 to 24.2
NA Months
Interval 7.8 to
Value is not available due to an insufficient number of participants with the event.
NA Months
Interval 20.1 to
Value is not available due to an insufficient number of participants with the event.

SECONDARY outcome

Timeframe: Up to approximately 2 years

OS is defined as the time from Cycle 1, Day 1 to death from any cause.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Overall Survival (OS)
12.5 Months
Interval 9.4 to 16.7
NA Months
Value is not available due to an insufficient number of participants with the event.
22.0 Months
Interval 11.7 to
Value is not available due to an insufficient number of participants with the event.

SECONDARY outcome

Timeframe: Up to approximately 2 years

PFS is defined as the time from Cycle 1, Day 1 to the first occurrence of disease progression, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurs first. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline; or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Investigator-Assessed Progression-Free Survival (PFS)
3.7 Months
Interval 3.5 to 5.6
9.3 Months
Interval 1.8 to 20.1
3.7 Months
Interval 2.1 to 7.4

SECONDARY outcome

Timeframe: Cycle 1, Day 15; Day 1 of Cycles 2, 3, 4, 8

Population: Pharmacokinetic (PK) analyses were performed on all participants that received at least one dose of study drug and who had at least one evaluable PK sample.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Serum Concentration of Atezolizumab
Cmax - Cycle 1 Day 15
271 ug/mL
Geometric Coefficient of Variation 22.1
275 ug/mL
Geometric Coefficient of Variation 21.9
388 ug/mL
Geometric Coefficient of Variation 20.5
Serum Concentration of Atezolizumab
Cmin - Cycle 2 Day 1
65.3 ug/mL
Geometric Coefficient of Variation 330
32.9 ug/mL
Geometric Coefficient of Variation 1540
73.2 ug/mL
Geometric Coefficient of Variation 55.0
Serum Concentration of Atezolizumab
Cmin - Cycle 3 Day 1
92.4 ug/mL
Geometric Coefficient of Variation 442
37.6 ug/mL
Geometric Coefficient of Variation 7490
113 ug/mL
Geometric Coefficient of Variation 47.8
Serum Concentration of Atezolizumab
Cmin - Cycle 4 Day 1
121 ug/mL
Geometric Coefficient of Variation 237
83.7 ug/mL
Geometric Coefficient of Variation 844
128 ug/mL
Geometric Coefficient of Variation 50.8
Serum Concentration of Atezolizumab
Cmin - Cycle 8 Day 1
210 ug/mL
Geometric Coefficient of Variation 46.8
NA ug/mL
Geometric Coefficient of Variation NA
Value unavailable due to insufficient number of evaulable samples.
159 ug/mL
Geometric Coefficient of Variation 58.7

SECONDARY outcome

Timeframe: Cycle 1, Day 15

Population: Pharmacokinetic (PK) analyses were performed on all participants that received at least one dose of study drug and who had at least one evaluable PK sample.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Plasma Concentration of Cobimetinib
Cycle 1 Day 15 - Ctrough
165 ug/mL
Geometric Coefficient of Variation 137
125 ug/mL
Geometric Coefficient of Variation 86.6
Plasma Concentration of Cobimetinib
Cycle 1 Day 15 - Css
318 ug/mL
Geometric Coefficient of Variation 75.2
208 ug/mL
Geometric Coefficient of Variation 59.6

SECONDARY outcome

Timeframe: Baseline through follow up

An adverse event is any untoward medical occurrence in a participant 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.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Percentage of Participants With Adverse Events
98.9 Percentage of Participants
100 Percentage of Participants
100 Percentage of Participants

SECONDARY outcome

Timeframe: Cycle 1 Day 1 pre-dose to 120 days after the last dose of study medication

To evaluate the immune response to atezolizumab the percentage of participants with ADAs to atezolizumab will be determined at baseline and during the study.

Outcome measures

Outcome measures
Measure
Cohort A
n=92 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 Participants
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Change From Baseline in Percentage of Participants With Anti-drug Antibodies (ADAs) to Atezolizumab
32.5 Percentage of Participants
30.0 Percentage of Participants
10.0 Percentage of Participants

SECONDARY outcome

Timeframe: Approximately 2 years for Cohorts A and B and 19 months for Cohort C

Population: The analysis populations included all participants with measureable disease at baseline as measured by either the investigator or by an IRC.

ORR is defined as the percentage of participants with confirmed objective response (OR), as determined by an independent review committee (IRC) according to RECIST v1.1. Confirmed OR is defined as complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart, as determined by an independent review committee (IRC) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

Outcome measures

Outcome measures
Measure
Cohort A
n=44 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Cohort C: Independent-Review-Committee-Assessed (IRC) ORR
27.3 Percentage of Participants
Interval 14.96 to 42.79

SECONDARY outcome

Timeframe: Approximately 21 months

Population: The analysis populations included all participants with measureable disease at baseline as measured by either the investigator or by an IRC.

DCR is defined as the percentage of participants with CR, PR, or stable disease (SD), as determined by an independent review committee (IRC) according to RECIST v1.1. CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum on study. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline, or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Cohort A
n=44 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Cohort C: IRC-Assessed DCR
38.6 Percentage of Participants
Interval 24.36 to 54.5

SECONDARY outcome

Timeframe: Approximately 21 months

Population: The analysis populations included all participants with measureable disease at baseline as measured by either the investigator or by an IRC.

DOR is defined as the time from the first occurrence of documented OR to disease progression, as determined by an independent review committee (IRC) according to RECIST v1.1, or death from any cause, whichever occurs first. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline; or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Cohort A
n=52 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Cohort C: IRC-Assessed DOR
NA Months
Value is not available due to an insufficient number of participants with the event.

SECONDARY outcome

Timeframe: Approximately 21 months

PFS is defined as the time from Cycle 1, Day 1 to the first occurrence of disease progression, as determined by an independent review committee (IRC) according to RECIST v1.1, or death from any cause, whichever occurs first. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline; or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Cohort A
n=52 Participants
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Cohort C: IRC-Assessed PFS
3.7 Months
Interval 2.1 to 11.7

Adverse Events

Cohort A

Serious events: 42 serious events
Other events: 90 other events
Deaths: 48 deaths

Cohort B

Serious events: 5 serious events
Other events: 11 other events
Deaths: 2 deaths

Cohort C

Serious events: 15 serious events
Other events: 50 other events
Deaths: 25 deaths

Serious adverse events

Serious adverse events
Measure
Cohort A
n=92 participants at risk
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 participants at risk
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 participants at risk
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Gastrointestinal disorders
Diarrhoea
4.3%
4/92 • Number of events 4 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Blood and lymphatic system disorders
Anaemia
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Blood and lymphatic system disorders
Thrombocytopenia
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Cardiac disorders
Cardiomyopathy
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Cardiac disorders
Myocarditis
3.3%
3/92 • Number of events 3 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Cardiac disorders
Stress cardiomyopathy
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Endocrine disorders
Adrenal insufficiency
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Abdominal pain
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Abdominal pain upper
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Colitis
2.2%
2/92 • Number of events 3 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Gastrointestinal disorders
Diarrhoea haemorrhagic
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Oesophagitis
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Small intestinal perforation
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Vomiting
2.2%
2/92 • Number of events 2 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
General disorders
Mucosal inflammation
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
General disorders
Pyrexia
4.3%
4/92 • Number of events 4 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
3.8%
2/52 • Number of events 2 • Baseline through follow up
Hepatobiliary disorders
Hepatitis
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Hepatobiliary disorders
Immune-mediated hepatitis
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Cellulitis
2.2%
2/92 • Number of events 2 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Encephalitis
3.3%
3/92 • Number of events 3 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Helicobacter infection
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Meningitis
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Respiratory tract infection
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Sepsis
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Urinary tract infection
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Viral infection
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Wound infection
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Injury, poisoning and procedural complications
Fracture
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Amylase increased
2.2%
2/92 • Number of events 2 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Aspartase aminotransferase increased
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Blood creatine phosphokinase increased
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Investigations
Lipase increased
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 2 • Baseline through follow up
Metabolism and nutrition disorders
Hyponatraemia
3.3%
3/92 • Number of events 3 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Pathological fracture
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Encephalitis autoimmune
2.2%
2/92 • Number of events 2 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Encephalopathy
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Syncope
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Renal and urinary disorders
Acute kidney injury
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.2%
2/92 • Number of events 2 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Dermatitis acneiform
2.2%
2/92 • Number of events 2 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Rash
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Vascular disorders
Deep vein thrombosis
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Vascular disorders
Hypertension
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Vascular disorders
Hypotension
2.2%
2/92 • Number of events 2 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Gastric haemorrhage
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Infections and infestations
Gastroenteritis
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Infections and infestations
Lung infection
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Infections and infestations
Mastoiditis
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Injury, poisoning and procedural complications
Pelvic fracture
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Pleurisy
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Cardiac disorders
Acute coronary syndrome
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
General disorders
Chest pain
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Septic shock
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Injury, poisoning and procedural complications
Infusion related reaction
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Angiogram
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Headache
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Immune-mediated encephalitis
1.1%
1/92 • Number of events 1 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Gastrointestinal disorders
Dysphagia
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Infections and infestations
Pneumonia
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon neoplasm
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up
Vascular disorders
Arterial thrombosis
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
1.9%
1/52 • Number of events 1 • Baseline through follow up

Other adverse events

Other adverse events
Measure
Cohort A
n=92 participants at risk
Participants with disease progression on or after treatment with an anti-PD-1 agent initiated dosing with atezolizumab concurrently with cobimetinib. Participants received intravenous (IV) atezolizumab every two weeks (Q2W) on Days 1 and 15 of all cycles. Participants received oral cobimetinib once daily (QD) on Days 1-21 of each 28-day cycle.
Cohort B
n=11 participants at risk
Participants with disease progression on or after treatment with an anti-PD-1 agent received cobimetinib prior to initiating IV atezolizumab treatment on Day 15 of Cycle 1. Participants continued to receive atezolizumab on Days 1 and 15 from Cycle 2 onwards. Oral cobimetinib was given QD on Days 1-21 of each 28-day cycle. Participants in this cohort underwent tumor biopsies before and during treatment.
Cohort C
n=52 participants at risk
Participants with advanced melanoma, who had not received previous treatment, received IV atezolizumab monotherapy every 3 weeks (Q3W).
Blood and lymphatic system disorders
Anaemia
15.2%
14/92 • Number of events 20 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
28.8%
15/52 • Number of events 19 • Baseline through follow up
Blood and lymphatic system disorders
Neutropenia
3.3%
3/92 • Number of events 3 • Baseline through follow up
9.1%
1/11 • Number of events 5 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Blood and lymphatic system disorders
Thrombocytopenia
5.4%
5/92 • Number of events 6 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Ear and labyrinth disorders
Eustachian tube dysfunction
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Endocrine disorders
Cushingoid
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Endocrine disorders
Hypothyroidism
3.3%
3/92 • Number of events 3 • Baseline through follow up
18.2%
2/11 • Number of events 2 • Baseline through follow up
21.2%
11/52 • Number of events 11 • Baseline through follow up
Eye disorders
Chorioretinopathy
5.4%
5/92 • Number of events 7 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Eye disorders
Diplopia
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Eye disorders
Eyelid disorder
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Eye disorders
Iridocyclitis
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Eye disorders
MEK inhibitor-assessed serous retinopathy
15.2%
14/92 • Number of events 15 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Eye disorders
Vision blurred
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Eye disorders
Visual impairment
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Abdominal discomfort
4.3%
4/92 • Number of events 4 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Abdominal pain
7.6%
7/92 • Number of events 7 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
5.8%
3/52 • Number of events 3 • Baseline through follow up
Gastrointestinal disorders
Abdominal pain upper
4.3%
4/92 • Number of events 4 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Constipation
29.3%
27/92 • Number of events 37 • Baseline through follow up
36.4%
4/11 • Number of events 8 • Baseline through follow up
17.3%
9/52 • Number of events 11 • Baseline through follow up
Gastrointestinal disorders
Diarrhoea
70.7%
65/92 • Number of events 111 • Baseline through follow up
90.9%
10/11 • Number of events 26 • Baseline through follow up
17.3%
9/52 • Number of events 10 • Baseline through follow up
Gastrointestinal disorders
Dry mouth
13.0%
12/92 • Number of events 13 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Dyspepsia
4.3%
4/92 • Number of events 4 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Gastrooesophageal reflux disease
4.3%
4/92 • Number of events 4 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Mouth ulceration
12.0%
11/92 • Number of events 11 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Nausea
52.2%
48/92 • Number of events 67 • Baseline through follow up
36.4%
4/11 • Number of events 5 • Baseline through follow up
13.5%
7/52 • Number of events 13 • Baseline through follow up
Gastrointestinal disorders
Rectal haemorrhage
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Stomatitis
6.5%
6/92 • Number of events 6 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Gastrointestinal disorders
Vomiting
38.0%
35/92 • Number of events 44 • Baseline through follow up
27.3%
3/11 • Number of events 4 • Baseline through follow up
13.5%
7/52 • Number of events 8 • Baseline through follow up
General disorders
Asthenia
13.0%
12/92 • Number of events 15 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
21.2%
11/52 • Number of events 14 • Baseline through follow up
General disorders
Chest discomfort
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
General disorders
Chills
13.0%
12/92 • Number of events 13 • Baseline through follow up
18.2%
2/11 • Number of events 2 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
General disorders
Fatigue
45.7%
42/92 • Number of events 49 • Baseline through follow up
63.6%
7/11 • Number of events 7 • Baseline through follow up
9.6%
5/52 • Number of events 7 • Baseline through follow up
General disorders
Oedema
2.2%
2/92 • Number of events 2 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
General disorders
Oedema peripheral
17.4%
16/92 • Number of events 20 • Baseline through follow up
27.3%
3/11 • Number of events 4 • Baseline through follow up
5.8%
3/52 • Number of events 3 • Baseline through follow up
General disorders
Peripheral swelling
3.3%
3/92 • Number of events 3 • Baseline through follow up
9.1%
1/11 • Number of events 2 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
General disorders
Pyrexia
40.2%
37/92 • Number of events 47 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
5.8%
3/52 • Number of events 8 • Baseline through follow up
Hepatobiliary disorders
Autoimmune hepatitis
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Hepatobiliary disorders
Hypertransaminasaemia
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Cellulitis
6.5%
6/92 • Number of events 6 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Oral candidiasis
3.3%
3/92 • Number of events 4 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Infections and infestations
Sinusitis
2.2%
2/92 • Number of events 2 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
5.8%
3/52 • Number of events 4 • Baseline through follow up
Infections and infestations
Upper respiratory tract infection
6.5%
6/92 • Number of events 6 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
7.7%
4/52 • Number of events 6 • Baseline through follow up
Infections and infestations
Urinary tract infection
14.1%
13/92 • Number of events 14 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
9.6%
5/52 • Number of events 5 • Baseline through follow up
Injury, poisoning and procedural complications
Fall
5.4%
5/92 • Number of events 5 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Injury, poisoning and procedural complications
Infusion related reaction
7.6%
7/92 • Number of events 13 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Injury, poisoning and procedural complications
Sunburn
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 2 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Alanine aminotransferase increased
7.6%
7/92 • Number of events 10 • Baseline through follow up
36.4%
4/11 • Number of events 6 • Baseline through follow up
9.6%
5/52 • Number of events 6 • Baseline through follow up
Investigations
Aspartate aminotrasferase increased
10.9%
10/92 • Number of events 15 • Baseline through follow up
36.4%
4/11 • Number of events 4 • Baseline through follow up
11.5%
6/52 • Number of events 6 • Baseline through follow up
Investigations
Blood alkaline phosphatase increased
2.2%
2/92 • Number of events 3 • Baseline through follow up
18.2%
2/11 • Number of events 3 • Baseline through follow up
7.7%
4/52 • Number of events 5 • Baseline through follow up
Investigations
Blood creatine phosphokinase increased
27.2%
25/92 • Number of events 41 • Baseline through follow up
18.2%
2/11 • Number of events 3 • Baseline through follow up
9.6%
5/52 • Number of events 7 • Baseline through follow up
Investigations
Blood pressure increased
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Ejection fraction decreased
4.3%
4/92 • Number of events 5 • Baseline through follow up
9.1%
1/11 • Number of events 2 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Gamma-glutamyltransferase increased
2.2%
2/92 • Number of events 2 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Lipase increased
7.6%
7/92 • Number of events 11 • Baseline through follow up
9.1%
1/11 • Number of events 4 • Baseline through follow up
17.3%
9/52 • Number of events 10 • Baseline through follow up
Investigations
Urine output decreased
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Weight increased
0.00%
0/92 • Baseline through follow up
18.2%
2/11 • Number of events 2 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Metabolism and nutrition disorders
Decreased appetite
23.9%
22/92 • Number of events 23 • Baseline through follow up
18.2%
2/11 • Number of events 2 • Baseline through follow up
11.5%
6/52 • Number of events 7 • Baseline through follow up
Metabolism and nutrition disorders
Dehydration
6.5%
6/92 • Number of events 7 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Metabolism and nutrition disorders
Fluid retention
3.3%
3/92 • Number of events 3 • Baseline through follow up
18.2%
2/11 • Number of events 3 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Metabolism and nutrition disorders
Hyperglycaemia
7.6%
7/92 • Number of events 8 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
13.5%
7/52 • Number of events 10 • Baseline through follow up
Metabolism and nutrition disorders
Hyperkalaemia
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
5.8%
3/52 • Number of events 4 • Baseline through follow up
Metabolism and nutrition disorders
Hyperalbuminaemia
4.3%
4/92 • Number of events 6 • Baseline through follow up
9.1%
1/11 • Number of events 2 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Metabolism and nutrition disorders
Hypokalaemia
8.7%
8/92 • Number of events 11 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
9.6%
5/52 • Number of events 7 • Baseline through follow up
Metabolism and nutrition disorders
Hyponatraemia
7.6%
7/92 • Number of events 7 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Metabolism and nutrition disorders
Hypophosphataemia
9.8%
9/92 • Number of events 17 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Arthralgia
8.7%
8/92 • Number of events 10 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
17.3%
9/52 • Number of events 10 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Back pain
9.8%
9/92 • Number of events 9 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
13.5%
7/52 • Number of events 8 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Flank pain
7.6%
7/92 • Number of events 8 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Groin pain
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Muscle spasms
1.1%
1/92 • Number of events 1 • Baseline through follow up
18.2%
2/11 • Number of events 3 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Muscular weakness
5.4%
5/92 • Number of events 5 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Myalgia
6.5%
6/92 • Number of events 7 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Neck pain
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lip neoplasm
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Nasal neoplasm
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Dizziness
14.1%
13/92 • Number of events 14 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Dysgeusia
6.5%
6/92 • Number of events 6 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Headache
10.9%
10/92 • Number of events 12 • Baseline through follow up
18.2%
2/11 • Number of events 2 • Baseline through follow up
26.9%
14/52 • Number of events 19 • Baseline through follow up
Nervous system disorders
Neuropathy peripheral
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Presyncope
2.2%
2/92 • Number of events 2 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Syncope
3.3%
3/92 • Number of events 3 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Nervous system disorders
Taste disorder
1.1%
1/92 • Number of events 1 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Psychiatric disorders
Insomnia
5.4%
5/92 • Number of events 5 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Renal and urinary disorders
Dysuria
4.3%
4/92 • Number of events 4 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Renal and urinary disorders
Haematuria
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Cough
7.6%
7/92 • Number of events 8 • Baseline through follow up
18.2%
2/11 • Number of events 2 • Baseline through follow up
9.6%
5/52 • Number of events 5 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Dyspnoea
10.9%
10/92 • Number of events 10 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 5 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
2.2%
2/92 • Number of events 2 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Nasal polyps
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Pneumonitis
7.6%
7/92 • Number of events 8 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Alopecia
6.5%
6/92 • Number of events 6 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Dermatitis acneiform
53.3%
49/92 • Number of events 62 • Baseline through follow up
63.6%
7/11 • Number of events 11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Dry skin
5.4%
5/92 • Number of events 5 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Pruritis
17.4%
16/92 • Number of events 19 • Baseline through follow up
36.4%
4/11 • Number of events 6 • Baseline through follow up
9.6%
5/52 • Number of events 7 • Baseline through follow up
Skin and subcutaneous tissue disorders
Rash
33.7%
31/92 • Number of events 44 • Baseline through follow up
45.5%
5/11 • Number of events 5 • Baseline through follow up
11.5%
6/52 • Number of events 6 • Baseline through follow up
Skin and subcutaneous tissue disorders
Rash maculo-papular
10.9%
10/92 • Number of events 18 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Rash pruritic
5.4%
5/92 • Number of events 5 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Skin and subcutaneous tissue disorders
Skin ulcer
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Vascular disorders
Hypertension
6.5%
6/92 • Number of events 6 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
19.2%
10/52 • Number of events 13 • Baseline through follow up
Vascular disorders
Hypotension
7.6%
7/92 • Number of events 9 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
5.8%
3/52 • Number of events 7 • Baseline through follow up
General disorders
Chest pain
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 3 • Baseline through follow up
Endocrine disorders
Hyperthyroidism
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 3 • Baseline through follow up
Infections and infestations
Bronchitis
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 5 • Baseline through follow up
Investigations
Amylase increased
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
11.5%
6/52 • Number of events 8 • Baseline through follow up
Investigations
Blood lactate dehydrogenase increased
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
9.6%
5/52 • Number of events 5 • Baseline through follow up
Metabolism and nutrition disorders
Hypertriglyceridaemia
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 3 • Baseline through follow up
Metabolism and nutrition disorders
Hyperuricaemia
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
7.7%
4/52 • Number of events 7 • Baseline through follow up
Metabolism and nutrition disorders
Hypoalbuminaemia
4.3%
4/92 • Number of events 6 • Baseline through follow up
9.1%
1/11 • Number of events 2 • Baseline through follow up
9.6%
5/52 • Number of events 5 • Baseline through follow up
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
19.2%
10/52 • Number of events 12 • Baseline through follow up
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Psychiatric disorders
Depression
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 4 • Baseline through follow up
Skin and subcutaneous tissue disorders
Vitiligo
2.2%
2/92 • Number of events 2 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
13.5%
7/52 • Number of events 11 • Baseline through follow up
Investigations
Weight decreased
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
11.5%
6/52 • Number of events 7 • Baseline through follow up
General disorders
Influenza like illness
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 7 • Baseline through follow up
Infections and infestations
Influenza
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 3 • Baseline through follow up
Infections and infestations
Pharyngitis
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
5.8%
3/52 • Number of events 4 • Baseline through follow up
Infections and infestations
Pneumonia
0.00%
0/92 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Metabolism and nutrition disorders
Hypomagnesaemia
2.2%
2/92 • Number of events 3 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
7.7%
4/52 • Number of events 4 • Baseline through follow up
Blood and lymphatic system disorders
Leukopenia
2.2%
2/92 • Number of events 2 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Endocrine disorders
Adrenal insufficiency
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Eye disorders
Eye pruritis
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Metabolism and nutrition disorders
Hypoproteinaemia
0.00%
0/92 • Baseline through follow up
9.1%
1/11 • Number of events 1 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.4%
5/92 • Number of events 5 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up
Investigations
Blood creatinine increased
5.4%
5/92 • Number of events 7 • Baseline through follow up
0.00%
0/11 • Baseline through follow up
0.00%
0/52 • Baseline through follow up

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 1-800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or present ation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER