This is a phase III, randomized, double-blinded, comparative, multi-centre study to assess the efficacy of atezolizumab in combination with platinum-based chemotherapy plus bevacizumab administered concurrent to chemotherapy and in maintenance, in patients presenting epithelial ovarian cancer (including patients with primary peritoneal and / or fallopian tube adenocarcinoma) who have platinum-sensitive relapse (platinum-free interval \> 6 months).
Who can participate
Age range18 Years β 95 Years
SexFEMALE
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Inclusion criteria
β. Female Patients must be β₯18 years of age.
β. Signed informed consent and ability to comply with treatment and follow-up.
β. Patients with histologically confirmed progressive non-mucinous epithelial ovarian cancer, primary peritoneal adenocarcinoma and / or fallopian-tube adenocarcinoma
β. Patients with PD-L1 status determined for stratification on mandatory de novo biopsy sent to central laboratory as a formalin-fixed, paraffin-embedded (FFPE) sample.
β. Patients whose disease has relapsed more than 6 months from the last dose of platinum before randomization:
β. criterion for relapse can be according to RECIST v1.1, CA-125 (GCIG) or clinical symptoms
β. the interval between last dose of platinum and entry in the study should be free of new anti-cancer treatment, with the exception of a maintenance therapy which is allowed up to 21 days before study entry.
β. Patients with one or 2 prior lines of chemotherapy. The last line of chemotherapy should have included platinum.
Exclusion criteria
β. Non-epithelial tumor origin of the ovary, the fallopian tube or the peritoneum (i.e. germ cell tumors).
β. Ovarian tumors of low malignant potential (e.g. borderline tumors)
β. Patients with synchronous primary endometrial cancer unless both of the following criteria are met:
What they're measuring
1
Efficacy: Progression free survival, where the date of progression is based on investigator assessment using the RECIST version 1.1
β. Less than 60 years old at the time of diagnosis of endometrial cancer with stage IA or IB grade 1 or 2, or stage IA grade 3 endometrioid adenocarcinoma OR β₯ 60 years old at the time of diagnosis of endometrial cancer with stage IA grade 1or 2 endometrioid adenocarcinoma.
β. Patients with serous or clear cell adenocarcinoma or carcinosarcoma of the endometrium are not eligible.
β. Other malignancy within the last 5 years except cervix or breast in situ carcinoma, breast cancer β₯ 3 years free of disease and treatment, type I stage I endometrial cancer).
β. Patients receiving radiotherapy within 6 weeks prior to study treatment.