A Study of Atezolizumab (MPDL3280A) Compared With a Platinum Agent (Cisplatin or Carboplatin) + (Pemetrexed or Gemcitabine) in Participants With Stage IV Non-Squamous or Squamous Non-Small Cell Lung Cancer (NSCLC) [IMpower110]
Non-Squamous Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Non-Squamous Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed, Stage IV non-squamous or squamous NSCLC
- No prior treatment for Stage IV non-squamous or squamous NSCLC. Participant known to have a sensitizing mutation in the epidermal growth factor receptor (EGFR) gene or an anaplastic lymphoma kinase (ALK) fusion oncogene are excluded from the study
- Tumor PD-L1 expression as determined by immunohistochemistry (IHC) assay of archival tumor tissue or tissue obtained at screening
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
- Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
- Adequate hematologic and end-organ function
Exclusion Criteria:
- Known sensitizing mutation in the EGFR gene or ALK fusion oncogene
- Active or untreated central nervous system (CNS) metastases as determined by Computed Tomography (CT) or magnetic resonance imaging (MRI) evaluation
- Malignancies other than NSCLC within 5 years prior to randomization, with the exception of those with a negligible risk of metastasis or death treated with expected curative outcome
- Pregnant or lactating women
- History of autoimmune disease
- History of idiopathic pulmonary fibrosis, organizing pneumonia, drug induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
- Positive test for Human Immunodeficiency Virus (HIV)
- Active hepatitis B or hepatitis C
- Prior treatment with cluster of differentiation (CD) 137 agonists or immune checkpoint blockade therapies, anti PD1, and anti-PD-L1 therapeutic antibody
- Severe infection within 4 weeks prior to randomization
- Significant history of cardiovascular disease
Sites / Locations
- University of California San Diego
- Yale Cancer Center
- Lynn Cancer Institute - West
- University of Maryland Greenebaum Cancer Center
- Oregon Health & Science Uni
- Sarah Cannon Cancer Center
- Vanderbilt University Medical Center; Multiple Sclerosis Center
- Hematology Oncology Associates of Fredericksburg, Inc.
- VA Puget Sound Health Care Sys
- Oncovida*X
- Centro de Pesquisas Clinicas em Oncologia - CPCO
- Instituto Nacional de Cancer - INCa; Oncologia
- Associacao Hospital de Caridade Ijui*X; Departamento De Oncologia
- Hospital da Cidade de Passo Fundo; Centro de Pesquisa em Oncologia
- Santa Casa de Misericordia de Porto Alegre
- Hospital Sao Lucas - PUCRS
- Instituto Joinvilense de Hematologia E Oncologia
- *X*Fundacao PIO XII
- Hospital Santa Marcelina
- Instituto Do Câncer Do Estado de São Paulo Octávio Frias de Oliveira
- Harbin Medical University Tumor Hospital
- CHU Angers
- Hospital d Instructions des Armees Percy
- Hôpital Universitaire Dupuytren
- Clinique Clémentville
- Centre D'oncologie de Gentilly
- Hopital Tenon
- Centre Hospitalier Regional La Reunion Site Felix Guyon
- Hopital d'Instruction des Armees de Begin
- Centre Hospitalier Regional Sud Reunion
- Centre Paul Strauss
- Asklepios-Fachklinik Muenchen-Gauting; Klinik Für Pneumologie
- Pius-Hospital Oldenburg
- Sotiria Chest Hospital of Athens
- IASO General Hospital of Athens
- Metropolitan Hospital
- Attikon University General Hospital
- University General Hospital of Larissa
- University General Hospital of Patras
- Thermi Clinic
- Bioclinic Thessaloniki
- EUROMEDICA General Clinic of Thessaloniki; Gastroenterology Department
- Papageorgiou General Hospital of Thessaloniki
- Georgios Papanikolaou General Hosp. of Thessaloniki
- Uzsoki Utcai Korhaz
- Szabolcs-Szatmar-Bereg Megyei; Korhazak es Egyetemi Oktatokorhaz
- Pecsi Tudomanyegyetem
- Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet; Megyei Onkologiai Kozpont
- IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica
- Centro Di Riferimento Oncologico; Struttura Operativa Complessa Di Oncologia Medica B
- Asst Papa Giovanni XXIII
- Azienda Ospedaliera Istituti Ospitalieri
- Ospedale San Raffaele S.r.l.
- Istituto Europeo Di Oncologia
- Azienda Socio Sanitaria Territoriale ? ASST di Monza
- Istituto Nazionale dei Tumori
- Istituto Clinico Humanitas
- Azienda Ospedaliera Città della Salute e della Scienza di Torino
- Azienda Ospedaliero-Universitaria ?PoliclinicoVittorio Emanuele?- P.O. G. Rodolico; Oncologia Medica
- Azienda Ospedaliera Universitaria Integrata Verona; UOC Oncologia
- Aichi Cancer Center Hospital; Respiratory Medicine
- Nagoya University Hospital; Respiratory Medicine
- Kyushu University Hospital; Respiratory
- Hokkaido University Hospital
- Kobe City Medical Center General Hospital; Respiratory Medicine
- Hyogo Cancer Center; Thoracic Oncology
- Ibaraki Prefectural Central Hospital; Division of respiratory
- Sendai Kousei Hospital; Pulmonary Medicine
- Okayama University Hospital; Respiratory and Allergy Medicine
- Osaka International Cancer Institute; Thoracic Oncology
- Kansai Medical university Hospital; Thoracic Oncology
- Osaka Habikino Medical Center
- National Hospital Organization Kinki-Chuo Chest Medical Center
- Saitama Cancer Center; Thoracic Oncology
- National Cancer Center Hospital; Thoracic Medical Oncology
- Tokyo Medical University Hospital; Dept of Surgery
- Chonnam National University Hwasun Hospital
- Seoul National University Bundang Hospital
- Kangbuk Samsung Hospital
- Uniwersyteckie Centrum Kliniczne
- Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie; Oddzial onkologii z pododdzialem chemioterapii
- Mazowieckie Centrum Leczenia Chorob Pluc i Gruzlicy
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu
- Med-Polonia Sp. z o.o.
- Teo Health SA - Saint Constantin Hospital
- Prof. Dr. I. Chiricuta Institute of Oncology
- Oncology Center Sf. Nectarie
- Institutul Regional de Oncologie Iasi; Clinica de Hematologie
- Sibiu Emergency Clinical County Hospital
- Oncocenter Clinical Oncology
- Oncomed SRL
- Arkhangelsk Regional Clinical Oncology Dispensary
- Federal State Institution Medical Radiology Research Center
- Moscow City Oncology Hospital #62
- Principal Military Clinical Hospital n.a. N.N. Burdenko
- Saint Petersburg Clinical Hospital of the Russian Academy of Sciences
- Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic
- Regional Clinical Oncology Center
- Mordovia State University
- Leningrad Regional Clinical Hospital
- St. Petersburg Med Univ; n.a. I.P. Pavlov; Pulmonology Research
- Volgograd Regional Clinical Oncology Dispensary
- Clinical Center of Serbia
- Institute for Oncology and Radiology of Serbia; Medical Oncology
- Clinical Center Kragujevac
- Institute of Lung Diseases Vojvodina
- Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia
- Consorcio Hospitalario Provincial de Castellon
- Hospital Universitario Son Espases
- Hospital Son Llatzer
- Hospital Universitario A Coruña
- Hospital Universitario Cruces
- Hospital del Mar
- Hospital Universitario Vall d'Hebron - PPDS
- Complejo Hospitalario de Jaen
- Hospital Clinico San Carlos; Servicio de Oncologia
- Hospital Universitario Virgen Macarena
- Hospital Clinico Universitario de Valencia
- Hospital Universitari i Politecnic La Fe de Valencia
- Hosp Clinico Univ Lozano Blesa; División De Oncología Médica
- Hospital Universitario Miguel Servet
- Prince of Songkla University; Department Of Internal Medicine, Faculty Of Medicine
- Khon Kaen University
- Chiang Rai Prachanukroh Hospital
- Buddhachinnaraj Hospital
- Cukurova University Medical Faculty Balcali Hospital
- Hacettepe Universitesi Tip Fakultesi Hastanesi
- Istanbul University Cerrahpasa Medical Faculty
- Ege Universitesi Tip Fakultesi Hastanesi
- Izmir Dr. Suat Seren Gogus Hastaliklari ve Cerrahisi Egitim ve Arastirma Hastanesi
- Inonu University Faculty of Medicine Turgut Ozal Medical Center
- Municipal Noncommercial Institution Regional Center of Oncology
- Municipal Noncomercial Enterprise Odessa Regional Oncology Center ofthe Odessa StateAdministration
- Municipal non profit enterprise of Sumy Regional Council Sumy Regional Clinical Oncology Disp
- Communal Non-profit Enterprise City Clinical Hospital #4 of Dnipro City Council - PPDS; Chemotherapy
- Kyiv Railway Clinical Hospital #3 of Branch Health Center of the PJSC Ukrainian Railway
- Communal Nonprofit Enterprise Podilsky Regional Center Of Oncology OfTheVinnytsia Regional Council
- The Municipal Enterprise Volyn Regional Medical Oncology Centre of the Volyn Regional Council
- Private Enterprise Private Manufacturing Company Acinus
- Birmingham Heartlands Hospital
- Colchester General Hospital
- Christie Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
(Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine)
Atezolizumab
Participants with non-squamous NSCLC will receive chemotherapy with pemetrexed in combination with either cisplatin or carboplatin (per investigator discretion) on Day 1 of each 21-day cycle for 4 or 6 cycles as per local standard of care, followed by maintenance therapy with pemetrexed alone as per local standard of care until disease progression (per RECIST v1.1), unacceptable toxicity, or death (maximum up to approximately 58 months). Participants with squamous NSCLC will receive chemotherapy with gemcitabine on Days 1 and 8 of each 21-day cycle in combination with either cisplatin or carboplatin on Day 1 of each 21-day cycle for 4 or 6 cycles as per local standard of care, followed by best supportive care as per local standard of care until disease progression, unacceptable toxicity, or death (maximum up to approximately 58 months).
Participants with squamous or non-squamous NSCLC will receive atezolizumab on Day 1 of each 21-day cycle until loss of clinical benefit (as assessed by the investigator), unacceptable toxicity, or death (maximum up to approximately 58 months).