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NCT03513952 · OUTCOME

Clinical Benefit Rate (CBR) Measured by RECIST v1.1

Atezolizumab and CYT107 in Treating Participants With Locally Advanced, Inoperable, or Metastatic Urothelial Carcinoma · Source last updated 2024-07-26

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

Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
Up to 2 years

What was measured

CBR is defined as the percentage of patients with advanced or metastatic cancer who have achieved CR (disappearance of all target lesions), PR (\>=30% decrease in the sum of the longest diameter of target lesions), and stable disease (SD) (neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum diameters of target lesions) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1; CBR = CR + PR + SD. Will also assess CBR in patients stratified by PD-L1 expression levels in the tumor microenvironment.

Analysis population: The PD-L1 assay produced no data due to expired antibody. Stratification by PD-L1 expression levels in the tumor microenvironment cannot be reported.

Groups in this outcome

Group 1 (CYT107, Atezolizumab)

Patients receive CYT107 on days 1, 8, 15, and 22, and atezolizumab on day 8 of cycle 1. Following cycle 1, patients receive atezolizumab on day 1. Cycles with atezolizumab repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Atezolizumab: Given IV Glycosylated Recombinant Human Interleukin-7: Given IM

Group 2 (Atezolizumab)

Patients receive atezolizumab on day 1 of each cycle. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Atezolizumab: Given IV

Safety Run in Phase

Patients were not randomized; they were assigned to the experimental arm treatment (atezolizumab + CYT107). Patients receive CYT107 on days 1, 8, 15, and 22, and atezolizumab on day 8 of cycle 1. Following cycle 1, patients receive atezolizumab on day 1. Cycles with atezolizumab repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Atezolizumab: Given IV Glycosylated Recombinant Human Interleukin-7: Given IM

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

Analysis denominator · Participants

GroupSource count
Group 1 (CYT107, Atezolizumab)19
Group 2 (Atezolizumab)21
Safety Run in Phase7

Reported measurements

Stable Disease (SD)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Group 1 (CYT107, Atezolizumab)2Not reportedNot reportedNot reportedNot reported
Group 2 (Atezolizumab)4Not reportedNot reportedNot reportedNot reported
Safety Run in Phase2Not reportedNot reportedNot reportedNot reported
Partial Response (PR)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Group 1 (CYT107, Atezolizumab)3Not reportedNot reportedNot reportedNot reported
Group 2 (Atezolizumab)4Not reportedNot reportedNot reportedNot reported
Safety Run in Phase0Not reportedNot reportedNot reportedNot reported
Complete Response (CR)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Group 1 (CYT107, Atezolizumab)2Not reportedNot reportedNot reportedNot reported
Group 2 (Atezolizumab)1Not reportedNot reportedNot reportedNot reported
Safety Run in Phase0Not reportedNot reportedNot reportedNot reported
Combined total CR + PR + SD
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Group 1 (CYT107, Atezolizumab)7Not reportedNot reportedNot reportedNot reported
Group 2 (Atezolizumab)9Not reportedNot reportedNot reportedNot reported
Safety Run in Phase2Not reportedNot reportedNot reportedNot reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    -36.3
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    24.3
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Two-sided Cochran-Mantel-Haenszel test for the CBR was performed, which is used for testing zero effect or "equivalence" between treatments. A two-sided significance level of 0.05 will be considered for the test.
    non Inferiority Type
    EQUIVALENCE
    p Value
    0.702
    param Type
    Risk Difference (RD)
    param Value
    -6.0
    statistical Method
    Cochran-Mantel-Haenszel
Complete source fields
analyses
  1. ci Lower Limit
    -36.3
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    24.3
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Two-sided Cochran-Mantel-Haenszel test for the CBR was performed, which is used for testing zero effect or "equivalence" between treatments. A two-sided significance level of 0.05 will be considered for the test.
    non Inferiority Type
    EQUIVALENCE
    p Value
    0.702
    param Type
    Risk Difference (RD)
    param Value
    -6.0
    statistical Method
    Cochran-Mantel-Haenszel
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        4
      3. group Id
        OG002
        value
        2
    title
    Stable Disease (SD)
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        4
      3. group Id
        OG002
        value
        0
    title
    Partial Response (PR)
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        0
    title
    Complete Response (CR)
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        9
      3. group Id
        OG002
        value
        2
    title
    Combined total CR + PR + SD
denoms
  1. counts
    1. group Id
      OG000
      value
      19
    2. group Id
      OG001
      value
      21
    3. group Id
      OG002
      value
      7
    units
    Participants
description
CBR is defined as the percentage of patients with advanced or metastatic cancer who have achieved CR (disappearance of all target lesions), PR (\>=30% decrease in the sum of the longest diameter of target lesions), and stable disease (SD) (neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum diameters of target lesions) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1; CBR = CR + PR + SD. Will also assess CBR in patients stratified by PD-L1 expression levels in the tumor microenvironment.
groups
  1. description
    Patients receive CYT107 on days 1, 8, 15, and 22, and atezolizumab on day 8 of cycle 1. Following cycle 1, patients receive atezolizumab on day 1. Cycles with atezolizumab repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Atezolizumab: Given IV Glycosylated Recombinant Human Interleukin-7: Given IM
    id
    OG000
    title
    Group 1 (CYT107, Atezolizumab)
  2. description
    Patients receive atezolizumab on day 1 of each cycle. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Atezolizumab: Given IV
    id
    OG001
    title
    Group 2 (Atezolizumab)
  3. description
    Patients were not randomized; they were assigned to the experimental arm treatment (atezolizumab + CYT107). Patients receive CYT107 on days 1, 8, 15, and 22, and atezolizumab on day 8 of cycle 1. Following cycle 1, patients receive atezolizumab on day 1. Cycles with atezolizumab repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Atezolizumab: Given IV Glycosylated Recombinant Human Interleukin-7: Given IM
    id
    OG002
    title
    Safety Run in Phase
param Type
COUNT_OF_PARTICIPANTS
population Description
The PD-L1 assay produced no data due to expired antibody. Stratification by PD-L1 expression levels in the tumor microenvironment cannot be reported.
reporting Status
POSTED
time Frame
Up to 2 years
title
Clinical Benefit Rate (CBR) Measured by RECIST v1.1
type
SECONDARY
unit Of Measure
Participants

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Preserved source evidence · Not medical advice