A Study of Atezolizumab Versus Placebo in Combination With Paclitaxel, Carboplatin, and Bevacizumab in Participants With Newly-Diagnosed Stage III or Stage IV Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

Not Recruiting

Trial ID: NCT03038100


This is a Phase III, global, double-blind, 2-arm randomized study designed to compare the efficacy and safety of atezolizumab + paclitaxel + carboplatin + bevacizumab versus placebo + paclitaxel + carboplatin + bevacizumab. Study participants will have Stage 3 or 4 ovarian cancer (OC), fallopian tube cancer (FTC), or primary peritoneal cancer (PPC) with macroscopic residual disease postoperatively (i.e., after primary tumor reductive surgery) or who will undergo neoadjuvant therapy followed by interval surgery.

Official Title

A Phase III, Multicenter, Randomized, Study of Atezolizumab Versus Placebo Administered in Combination With Paclitaxel, Carboplatin, and Bevacizumab to Patients With Newly-Diagnosed Stage III or Stage IV Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

Stanford Investigator(s)

Oliver Dorigo, M.D., Ph.D.
Oliver Dorigo, M.D., Ph.D.

Mary Lake Polan Professor


Inclusion Criteria:

   - Participants receiving a histologic diagnosis of epithelial ovarian cancer (EOC),
   peritoneal primary carcinoma, or fallopian tube cancer

   - Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2

   - Life expectancy greater than (>) 12 weeks

   - For participants who receive therapeutic anticoagulation: stable anticoagulant regimen

   - Availability of a representative formalin-fixed, paraffin-embedded (FFPE) tumor
   specimen in paraffin blocks (preferred) or at least 20 unstained slides (for detailed
   tissue requirements at screening)

Exclusion Criteria:

   - Received a current diagnosis of borderline epithelial ovarian tumor (formerly tumors
   of low malignant potential)

   - Have recurrent invasive epithelial ovarian, fallopian tube, or primary peritoneal
   cancer that was treated only with surgery (example [e.g.], participants with Stage IA
   or Stage IB epithelial ovarian or fallopian tube cancers)

   - Have non-epithelial ovarian tumors (e.g., germ cell tumors, sex cord stromal tumors)

   - Received prior radiotherapy to any portion of the abdominal cavity or pelvis

   - Received prior chemotherapy for any abdominal or pelvic tumor that include neoadjuvant
   chemotherapy (NACT) for ovarian, primary peritoneal or fallopian tube cancer

   - Received any biological and/or targeted therapy (including but not limited to
   vaccines, antibodies, tyrosine kinase inhibitors) or hormonal therapy for management
   and/or treatment of epithelial ovarian or peritoneal primary cancer

   - Have synchronous primary endometrial cancer

   - Have a prior history of primary endometrial cancer, except: Stage IA cancer;
   superficial myometrial invasion, without lymphovascular invasion; grade less than (<)
   3 or poorly differentiated subtypes, and this includes papillary serous, clear cell or
   other International Federation of Gynecological Oncologists (FIGO) Grade 3 lesions

   - With the exception of non-melanoma skin cancer and other specific malignancies as
   noted above, other invasive malignancies with any evidence of other cancers present
   within the last 5 years or previous cancer treatment that contraindicates this
   protocol therapy

   - Have a known hypersensitivity or allergy to biopharmaceutical agents produced in
   Chinese hamster ovary cells or any component of the atezolizumab and/or bevacizumab

   - Undergo major surgical procedure within 28 days prior to first bevacizumab dose, or
   anticipation of the need for a major surgical procedure during the course of the study
   except participants who receive NACT and will need interval surgery. This may include
   but is not limited to laparotomy.

   - Have prior allogeneic bone marrow transplantation or solid organ transplant

   - Have any other diseases, metabolic dysfunction, physical examination finding, or
   clinical laboratory finding giving reasonable suspicion of a disease or condition that
   contraindicates the use of an investigational drug or that may affect the
   interpretation of the results

   - Have any approved or investigational anti-cancer therapy, including chemotherapy or
   hormonal therapy, with exceptions: Hormone-replacement therapy or oral contraceptives

   - Are administered treatment with any other investigational agent or participation in
   another clinical study with anti-cancer therapeutic intent

   - Have core biopsy or other minor surgical procedures within 7 days prior to the first
   dose of bevacizumab

   - Have known sensitivity to any component of bevacizumab

   - Have known sensitivity to any component of paclitaxel

   - Current treatment with anti-viral therapy for hepatitis B virus (HBV)

   - History of leptomeningeal disease


drug: Paclitaxel

drug: Carboplatin

drug: Atezolizumab

drug: Bevacizumab

drug: Atezolizumab Placebo

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305

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