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NCT02302807 · OUTCOME

Progression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1

A Study of Atezolizumab Compared With Chemotherapy in Participants With Locally Advanced or Metastatic Urothelial Bladder Cancer [IMvigor211] · Source last updated 2019-08-01

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
Up to approximately 25 months after first participant enrolled

What was measured

PFS was defined as the time between the date of randomization and the date of first documented progression of disease (PD) or death, whichever occurred first. PD was determined on the basis of investigator assessment with use of RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters had to demonstrate an absolute increase of \>/= 5 millimeters (mm).

Analysis population: Intent To Treat (ITT) was defined as all randomized participants, irrespective of whether the assigned treatment was actually received.

Groups in this outcome

Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel)

Participants randomized to the chemotherapy arm received vinflunine, paclitaxel, or docetaxel per the investigators choice. Vinflunine 320 milligrams per square meter (mg/m\^2), paclitaxel 175 mg/m\^2, or docetaxel 75 mg/m\^2 were administered intravenously on Day 1 of each 21-day cycle until disease progression per standard RECIST v1.1 or unacceptable toxicity.

Atezolizumab

Atezolizumab was administered intravenously at a fixed dose of 1200 milligrams (mg) on Day 1 of each 21-day cycle. Participants received atezolizumab as long as they continued to experience clinical benefit in the opinion of the investigator until unacceptable toxicity or symptomatic deterioration attributed to disease progression as determined by the investigator.

IC2/3 Chemotherapy

PD-L1 immunohistochemistry (IHC) score of IC2/3

IC2/3 Atezolizumab

PD-L1 immunohistochemistry (IHC) score of IC2/3

IC1/2/3 Chemotherapy

PD-L1 immunohistochemistry (IHC) score of IC1/2/3

IC1/2/3 Atezolizumab

PD-L1 immunohistochemistry (IHC) score of IC1/2/3

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel)464
Atezolizumab467
IC2/3 Chemotherapy118
IC2/3 Atezolizumab116
IC1/2/3 Chemotherapy309
IC1/2/3 Atezolizumab316

Reported measurements

Source class 1
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel)4.0Not reported3.44.2Not reported
Atezolizumab2.1Not reported2.12.2Not reported
IC2/3 Chemotherapy4.2Not reported3.75.0Not reported
IC2/3 Atezolizumab2.4Not reported2.14.2Not reported
IC1/2/3 Chemotherapy4.1Not reported3.64.2Not reported
IC1/2/3 Atezolizumab2.1Not reported2.12.2Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        3.4
        upper Limit
        4.2
        value
        4.0
      2. group Id
        OG001
        lower Limit
        2.1
        upper Limit
        2.2
        value
        2.1
      3. group Id
        OG002
        lower Limit
        3.7
        upper Limit
        5.0
        value
        4.2
      4. group Id
        OG003
        lower Limit
        2.1
        upper Limit
        4.2
        value
        2.4
      5. group Id
        OG004
        lower Limit
        3.6
        upper Limit
        4.2
        value
        4.1
      6. group Id
        OG005
        lower Limit
        2.1
        upper Limit
        2.2
        value
        2.1
denoms
  1. counts
    1. group Id
      OG000
      value
      464
    2. group Id
      OG001
      value
      467
    3. group Id
      OG002
      value
      118
    4. group Id
      OG003
      value
      116
    5. group Id
      OG004
      value
      309
    6. group Id
      OG005
      value
      316
    units
    Participants
description
PFS was defined as the time between the date of randomization and the date of first documented progression of disease (PD) or death, whichever occurred first. PD was determined on the basis of investigator assessment with use of RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters had to demonstrate an absolute increase of \>/= 5 millimeters (mm).
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants randomized to the chemotherapy arm received vinflunine, paclitaxel, or docetaxel per the investigators choice. Vinflunine 320 milligrams per square meter (mg/m\^2), paclitaxel 175 mg/m\^2, or docetaxel 75 mg/m\^2 were administered intravenously on Day 1 of each 21-day cycle until disease progression per standard RECIST v1.1 or unacceptable toxicity.
    id
    OG000
    title
    Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel)
  2. description
    Atezolizumab was administered intravenously at a fixed dose of 1200 milligrams (mg) on Day 1 of each 21-day cycle. Participants received atezolizumab as long as they continued to experience clinical benefit in the opinion of the investigator until unacceptable toxicity or symptomatic deterioration attributed to disease progression as determined by the investigator.
    id
    OG001
    title
    Atezolizumab
  3. description
    PD-L1 immunohistochemistry (IHC) score of IC2/3
    id
    OG002
    title
    IC2/3 Chemotherapy
  4. description
    PD-L1 immunohistochemistry (IHC) score of IC2/3
    id
    OG003
    title
    IC2/3 Atezolizumab
  5. description
    PD-L1 immunohistochemistry (IHC) score of IC1/2/3
    id
    OG004
    title
    IC1/2/3 Chemotherapy
  6. description
    PD-L1 immunohistochemistry (IHC) score of IC1/2/3
    id
    OG005
    title
    IC1/2/3 Atezolizumab
param Type
MEDIAN
population Description
Intent To Treat (ITT) was defined as all randomized participants, irrespective of whether the assigned treatment was actually received.
reporting Status
POSTED
time Frame
Up to approximately 25 months after first participant enrolled
title
Progression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1
type
SECONDARY
unit Of Measure
months

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Preserved source evidence · Not medical advice