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    Summary
    EudraCT Number:2014-005490-37
    Sponsor's Protocol Code Number:WO29522
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2016-02-02
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2014-005490-37
    A.3Full title of the trial
    A PHASE III, MULTICENTER, RANDOMIZED, PLACEBO-CONTROLLED STUDY OF ATEZOLIZUMAB (ANTI?PD-L1 ANTIBODY) IN COMBINATION WITH NAB-PACLITAXEL COMPARED WITH PLACEBO WITH NAB-PACLITAXEL FOR PATIENTS WITH PREVIOUSLY UNTREATED METASTATIC TRIPLE-NEGATIVE BREAST CANCER
    ESTUDIO EN FASE III, MULTICÉNTRICO, ALEATORIZADO Y CONTROLADO CON PLACEBO DE ATEZOLIZUMAB (ANTICUERPO ANTI-PD-L1) COMBINADO CON NAB-PACLITAXEL EN COMPARACIÓN CON PLACEBO CON NAB-PACLITAXEL EN PACIENTES CON CÁNCER DE MAMA TRIPLE NEGATIVO METASTÁSICO NO TRATADO PREVIAMENTE
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A trial of MPDL3280A and nab-Paclitaxel in metastatic triple negative breast cancer
    Ensayo con MPDL3280A y nab-Paclitaxel en cáncer de mama triple negativo metastásico.
    A.4.1Sponsor's protocol code numberWO29522
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorRoche Farma S.A. que representa en España a F. Hoffmann-La Roche Ltd
    B.1.3.4CountrySwitzerland
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportF. Hoffmann La Roche Ltd
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGenentech Inc. c/o F. Hoffmann La Roche Ltd
    B.5.2Functional name of contact pointTrial Information Support Line-TISL
    B.5.3 Address:
    B.5.3.1Street AddressGrenzacherstrasse 124
    B.5.3.2Town/ cityBasel
    B.5.3.3Post code4070
    B.5.3.4CountrySwitzerland
    B.5.4Telephone number(+)34913257300
    B.5.6E-mailglobal.rochegenentechtrials@roche.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMPDL3280A-RO5541267-F-03
    D.3.4Pharmaceutical form Solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAtezolizumab
    D.3.9.2Current sponsor codeRO5541267
    D.3.9.3Other descriptive nameMPDL3280A
    D.3.9.4EV Substance CodeSUB126162
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number60
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Abraxane
    D.2.1.1.2Name of the Marketing Authorisation holderCelgene
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namenab-paclitaxel
    D.3.2Product code RO024-7506
    D.3.4Pharmaceutical form Powder for concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPACLITAXEL
    D.3.9.1CAS number 33069-62-4
    D.3.9.4EV Substance CodeSUB09583MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for infusion
    D.8.4Route of administration of the placeboIntravenous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Previously untreated metastatic triple negative breast cancer
    Cáncer de mama triple negativo metastásico no tratado previamente
    E.1.1.1Medical condition in easily understood language
    Metastatic breast cancer
    Cáncer de mama metastásico
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 18.1
    E.1.2Level LLT
    E.1.2Classification code 10027475
    E.1.2Term Metastatic breast cancer
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    ? to evaluate the efficacy of MPDL3280A + nab-paclitaxel compared with placebo + nab-paclitaxel as measured by progression-free survival (PFS; per investigator assessment using Response Evaluation Criteria in Solid Tumors [RECIST] v1.1)
    ? To evaluate the efficacy of atezolizumab + nab-paclitaxel compared with
    placebo + nab-paclitaxel as measured by overall survival (OS)
    ? Evaluar la eficacia de atezolizumab (MPDL3280A) + nab-paclitaxel en comparación con placebo + nab-paclitaxel, medida mediante la supervivencia sin progresión (SSP; conforme a la evaluación del investigador aplicando los Criterios de evaluación de la respuesta en tumores sólidos [RECIST] v1.1)
    ? Evaluar la eficacia de atezolizumab + nab-paclitaxel en comparación con placebo + nab-paclitaxel, medida mediante la supervivencia global (SG)
    E.2.2Secondary objectives of the trial
    ? To evaluate the efficacy of atezolizumab + nab-paclitaxel compared with
    placebo + nab-paclitaxel as measured by objective response rate (ORR; per
    investigator assessment using RECIST v1.1)
    ? To evaluate the efficacy of atezolizumab + nab-paclitaxel compared with
    placebo + nab-paclitaxel as measured by duration of objective response (DOR; per
    investigator using RECIST v1.1) among patients with an objective response
    ? To evaluate patient-reported outcomes (PROs) of health status/health-related
    quality of life (HRQoL) associated with atezolizumab + nab-paclitaxel compared with
    placebo + nab-paclitaxel, as measured by the time to deterioration (TTD) in
    Items 29 and 30 of the European Organisation for Research and Treatment of
    Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30)
    ? Evaluar la eficacia de atezolizumab + nab-paclitaxel en comparación con placebo + nab-paclitaxel, medida mediante la tasa de respuestas objetivas (TRO; conforme a la evaluación del investigador aplicando los criterios RECIST v1.1)
    ? Evaluar la eficacia de atezolizumab + nab-paclitaxel en comparación con placebo + nab-paclitaxel, medida mediante la duración de la respuesta objetiva (DRO; conforme al investigador aplicando los criterios RECIST v1.1) en las pacientes con una respuesta objetiva
    ? Evaluar los resultados comunicados por las pacientes (RCP) del estado de salud/calidad de vida relacionada con la salud (CVRS) asociados a atezolizumab + nab-paclitaxel en comparación con placebo + nab-paclitaxel, medidos mediante el tiempo transcurrido hasta el deterioro (TTD) en los ítems 29 y 30 del Cuestionario de calidad de vida esencial 30 (QLQ-C30) de la European Organisation for Research and Treatment of Cancer
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    ? Women aged ? 18 years
    ? Metastatic or locally advanced, histologically documented TNBC (absence of HER2, ER, and PR expression)
    ? No prior chemotherapy or targeted systemic therapy for inoperable locally advanced or metastatic TNBC
    ? Representative FFPE tumor specimens in paraffin blocks (preferred) or at least
    15 unstained slides, with an associated pathology report documenting ER, PR, and HER2 negativity
    ?A tumor specimen obtained from metastatic or locally advanced disease (if applicable) must be submitted if clinically feasible
    ? ECOG performance status of 0 or 1
    ? Life expectancy ? 12 weeks
    ? Measurable disease, as defined by RECIST v1.1
    ?Adequate hematologic and end-organ function defined by laboratory results obtained within 2 weeks prior to first study treatment.
    ?Women of child bearing potential must agree to use adequate contraception (double barrier
    methods of birth control or abstinence) prior to study entry, for the duration of study treatment, and for 90 days after the last dose of study treatment.
    ? Patients who are not postmenopausal (? 12 months of non?therapy-induced amenorrhea) or surgically sterile must have a negative serum pregnancy test result within 14 days prior to initiation of study drug
    ? Mujeres o varones de ? 18 años de edad
    ? CMTN metastásico o localmente avanzado, documentado mediante examen histológico (ausencia de expresión de HER2, RE y RP)
    ? Ausencia de quimioterapia o tratamiento sistémico dirigido previos para CMTN localmente avanzado o metastásico inoperable
    ? Muestras tumorales FFIP representativas (una muestra de archivo o tejido reciente de la recidiva tumoral antes del tratamiento) en bloques de parafina (preferido) o al menos 15 cortes no teñidos, con un informe de anatomía patológica adjunto que documente negatividad de RE, RP y HER2
    ? También se debe enviar (si procede) una muestra tumoral obtenida de enfermedad metastásica o localmente avanzada recidivante, si es clínicamente factible.
    ? Estado funcional de 0 o 1 del ECOG
    ? Esperanza de vida ? 12 semanas
    ? Enfermedad mensurable, definida según los criterios RECIST v1.1
    ? Función hematológica y orgánica adecuada, definida por los resultados analíticos siguientes obtenidos en las dos semanas previas a la administración de la primera dosis del tratamiento del estudio
    ? Mujeres en edad fértil deben comprometerse a usar métodos anticonceptivos adecuados (métodos de control de natalidad de doble barrera o abstinencia) antes de la primera dosis del estudio, durante el periodo de tratamiento y durante al menos 90 días después de la última dosis.
    ? Las mujeres que no sean posmenopáusicas (? 12 meses de amenorrea no inducida por tratamiento) ni quirúrgicamente estériles deben tener un resultado negativo en una prueba de embarazo en suero en los 14 días previos al inicio del fármaco del estudio.
    E.4Principal exclusion criteria
    ? Spinal cord compression not definitively treated with surgery and/or radiation, or previously
    diagnosed and treated spinal cord compression without evidence that disease has been
    clinically stable for > 2 weeks prior to randomization
    ? Known CNS disease, except for treated asymptomatic CNS metastases
    ? Leptomeningeal disease
    ? Uncontrolled pleural effusion, pericardial effusion, or ascites (indwelling drainage catheters are permitted)
    ? Uncontrolled tumor-related pain
    ? Uncontrolled hypercalcemia
    ?Pregnancy or lactation
    ? Evidence of significant uncontrolled concomitant disease that could affect compliance with
    the protocol or interpretation of results, including significant liver disease (such as cirrhosis,
    uncontrolled major seizure disorder, or superior vena cava syndrome)
    ? Significant cardiovascular disease
    ? Severe infection within 4 weeks prior to randomization, including but not limited to
    hospitalization for complications of infection, bacteremia, or severe pneumonia
    ? History of autoimmune disease (Autoimmune-related hypothyroidism on a stable dose of thyroid replacement hormone and Type 1 diabetes mellitus on an stable insulin regimen may be eligible for this study)
    ? Prior allogeneic stem cell or solid organ transplantation
    ? History of idiopathic pulmonary fibrosis (including pneumonitis), drug-induced pneumonitis,
    organizing pneumonia (i.e., bronchiolitis obliterans, cryptogenic organizing pneumonia), or
    evidence of active pneumonitis on screening chest CT scan.
    History of radiation pneumonitis in the radiation field (fibrosis) is permitted.
    ? Positive test for HIV
    ? Active hepatitis B or hepatitis C
    ?Active tuberculosis
    ?Treatment with systemic corticosteroids or other systemic immunosuppressive medications (including but not limited to prednisone, dexamethasone, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor [TNF] agents) within 2 weeks prior to randomization, or anticipated requirement for systemic immunosuppressive medications during the trial.
    Low dose steroids for nausea, adrenocortical insufficiency or orthostatic hypotension, IV contrast allergic reactions and inhaled corticosteroids are permitted.
    ? Compresión de médula espinal no tratada definitivamente con cirugía o radioterapia o diagnosticada y tratada previamente sin signos de estabilización clínica de la enfermedad durante > 2 semanas previas a la aleatorización.
    ? Enfermedad confirmada en el SNC, salvo las metástasis asintomáticas en el SNC tratadas
    ? Afectación leptomeníngea
    ? Derrame pleural, derrame pericárdico o ascitis no controlados (Las pacientes con catéteres permanentes podrán participar)
    ? Dolor no controlado relacionado con el tumor.
    ? Hipercalcemia no controlada
    ? Embarazo o lactancia
    ? Signos de enfermedades concomitantes importantes no controladas que podrían afectar al cumplimiento del protocolo o a la interpretación de los resultados, como hepatopatías importantes (por ejemplo, cirrosis, trastorno convulsivo importante no controlado o síndrome de la vena cava superior).
    ? Enfermedades cardiovasculares importantes
    ? Infecciones graves en las 4 semanas previas a la aleatorización, entre ellas, infecciones complicadas que requieran hospitalización, bacteriemia o neumonía grave
    ? Antecedentes de enfermedades autoinmunitarias (podrán participar pacientes con antecedentes de hipotiroidismo autoinmunitario que estén recibiendo dosis estables de tratamiento hormonal sustitutivo y pacientes con con diabetes mellitus de tipo 1 controlada que estén recibiendo dosis estables de insulina)
    ? Alotrasplante previo de células progenitoras u órganos sólidos
    ? Antecedentes de fibrosis pulmonar idiopática (incluida la neumonitis), neumonitis inducida por fármacos, neumonía organizada (p. ej., bronquiolitis obliterante, neumonía organizada criptogénica) o signos de neumonitis activa en la TC de tórax de la selección. Están permitidos los antecedentes de neumonitis inducida por radiación en el campo irradiado (fibrosis).
    ? Resultado positivo en el análisis del VIH
    ? Hepatitis B o Hepatitis C
    ? Tuberculosis activa
    ? Tratamiento sistémico con corticosteroides u otros inmunodepresores (entre ellos, prednisona, dexametasona, ciclofosfamida, azatioprina, metotrexato, talidomida y antagonistas del factor de necrosis tumoral [TNF]) en las 2 semanas previas a la aleatorización o pacientes que previsiblemente requieran tratamiento sistémico con inmunodepresores durante el estudio. Las pacientes que hayan recibido inmunodepresores sistémicos en dosis bajas y durante períodos breves (por ejemplo, una sola dosis de dexametasona por náuseas), con antecedente de reacción alérgica al contraste IV y al uso de corticosteroides inhalados podrán participar en el estudio.
    E.5 End points
    E.5.1Primary end point(s)
    Progression free survival (PFS)
    Supervivencia sin progresión (SSP)
    E.5.1.1Timepoint(s) of evaluation of this end point
    Tumor assessments will be performed every 8 weeks for the first 12 months and every 12 weeks thereafter until disease progression or treatment discontinuation, whichever is later
    Las evaluaciones del tumor llevarán a cabo cada 8 semanas durante los 12 primeros meses y luego cada 12 semanas hasta la progresión de la enfermedad o la suspensión del tratamiento, lo que ocurra más tarde.
    E.5.2Secondary end point(s)
    Overall survival (OS), Objective response rate (ORR) and duration of objective response (DOR), Patient reported outcomes (PRO) of health status and health quality of life (HRQoL)
    Supervivencia global (SG), Tasa de respuestas objetiva (TRO), Duración de la respuesta objetiva (DRO), resultados comunicados por las pacientes (RCP) del estado de salud/calidad de vida relacionada con la salud (CVRS).
    E.5.2.1Timepoint(s) of evaluation of this end point
    OS - every 3 months until death, withdrawal of consent, loss to follow-up, or study
    termination by the Sponsor
    ORR and DOR ? tumor assessments will be performed every 8 weeks for the first 12 months and every 12 weeks thereafter until disease progression or treatment discontinuation, whichever is later
    PRO and HRQoL - at baseline (Cycle 1,Day 1); at Day 1 of each subsequent cycle; and at the treatment discontinuation visit. In
    addition, all patients will complete the PRO questionnaires every 28 days for 1 year after
    treatment discontinuation, regardless of whether the patient is receiving subsequent
    anti-cancer therapy.
    SG - cada 3 meses hasta el fallecimiento, retirada del consentimiento, pérdida del seguimiento o finalización del estudio por parte del promotor.
    TRO y DRO - Las evaluaciones del tumor llevarán a cabo cada 8 semanas durante los 12 primeros meses y luego cada 12 semanas hasta la progresión de la enfermedad o la suspensión del tratamiento, lo que ocurra más tarde.
    RCP y CVRS - en la visita basal (Ciclo 1, Día 1); al Día 1 de cada ciclo posterior y hasta la visita de discontinuación. Adicionalmente, todos los pacientes completarán el cuestionario RCP cada 28 días durante un año tras la discontinuación del tratamiento, independientemente de si el paciente está recibiendo tratamiento contra el cáncer.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned9
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA90
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Australia
    Austria
    Belgium
    Canada
    Czech Republic
    Denmark
    Estonia
    Finland
    France
    Germany
    Greece
    Hungary
    Italy
    Korea, Republic of
    Latvia
    Norway
    Poland
    Portugal
    Romania
    Slovenia
    Spain
    United Kingdom
    United States
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The end of the study is expected to occur about 53 months after FPI when
    approximately the pre-planned number of deaths will have been observed
    Está previsto que el estudio termine alrededor de 53 meses después de la inclusión de la primera paciente (IPP) cuando se haya observado aproximadamente la cifra prevista de muertes
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months4
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months6
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 228
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 122
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male No
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state30
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 120
    F.4.2.2In the whole clinical trial 350
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    The Sponsor will evaluate the appropriateness of continuing to provide MPDL3280A to
    patients assigned to this treatment after evaluating the primary and secondary efficacy
    outcome measures and safety data gathered in the study. These analyses may be
    conducted prior to completion of the study.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2016-03-16
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2016-03-08
    P. End of Trial
    P.End of Trial StatusOngoing
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