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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-004861-97 | EudraCT Number |
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This randomized, Phase I/III, multicenter, double-blinded, placebo-controlled study was designed to evaluate the safety and efficacy of atezolizumab (anti-programmed death-ligand 1 [PD-L1] antibody) in combination with carboplatin plus (+) etoposide compared with treatment with placebo + carboplatin + etoposide in chemotherapy-naive participants with ES-SCLC. Participants will be randomized in a 1:1 ratio to receive either atezolizumab + carboplatin + etoposide or placebo + carboplatin + etoposide on 21-day cycles for four cycles in the induction phase followed by maintenance with atezolizumab or placebo until progressive disease (PD) as assessed by the investigator using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1). Treatment can be continued until persistent radiographic PD or symptomatic deterioration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Atezolizumab + Carboplatin + Etoposide | Experimental | Participants received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
|
| Placebo + Carboplatin + Etoposide | Active Comparator | Participants received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Atezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody | Drug | Atezolizumab intravenous infusion was administered at a dose of 1200 mg on Day 1 of each 21-day cycle during the induction phase (Cycles 1-4) and maintenance phase (Cycle 5 onward). |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of Progression-Free Survival (PFS) as Assessed by the Investigator Using RECIST v1.1 in the Global Population | Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as at least 20% increase in the sum of the longest diameter of target lesions compared to baseline, or unequivocal progression in non-target lesion(s), or the appearance of new lesion(s). | Baseline until PD or death, whichever occurs first (up to approximately 23 months) |
| Duration of Overall Survival (OS) in the Global Population | OS is defined as the time from randomization to death from any cause. | Baseline until death from any cause (up to approximately 23 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Objective Response Rate (ORR) as Assessed by the Investigator Using RECIST v1.1 in the Global Population | Objective response (OR) is defined as complete response (CR) or partial response (PR) as determined by the investigator according to RECIST v1.1. | Baseline until partial response (PR) or complete response (CR), whichever occurs first (up to approximately 23 months) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Florida Cancer Specialists - Fort Myers (Broadway) | Fort Myers | Florida | 33901 | United States | ||
| Florida Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38280181 | Derived | Bernabe R, Liu SV, Sanchez-Gastaldo A, Alonso Garcia M. Long-Term Survival and Stable Disease in a Patient with Extensive-Stage Small-Cell Lung Cancer after Treatment with Carboplatin, Etoposide and Atezolizumab. Oncol Ther. 2024 Mar;12(1):175-182. doi: 10.1007/s40487-023-00257-0. Epub 2024 Jan 27. | |
| 37931445 | Derived |
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The total study population included 503 participants. The Global population included 403 participants. An additional 100 participants enrolled during the China Extension. The total China population included 10 Chinese participants from the Global population plus 100 participants from the China extension. 10 participants were part of the Global as well as China populations. Separate analyses were performed for the Global population and the China population in the study.
Participants were enrolled at 114 centers in 21 countries: United States of America, Poland, Japan, Russia, Spain, Austria, Hungary, Czech Republic, South Korea, Italy, Serbia, Australia, Greece, United Kingdom, Germany, Taiwan, France, Chile, Brazil, Mexico, and China.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo + Carboplatin + Etoposide - Global | Participants in the Global population received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Global Period |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 6, 2019 |
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|
| Carboplatin | Drug | Carboplatin intravenous infusion to achieve an initial target AUC of 5 mg/mL/min was administered on Day 1 of each 21-day cycle during the induction phase (Cycles 1-4). |
|
| Etoposide | Drug | Etoposide intravenous infusion was administered at a dose of 100 mg/m^2 on Days 1, 2, and 3 of each 21-day cycle during the induction phase (Cycles 1-4). |
|
| Placebo | Drug | Placebo intravenous infusion was administered on Day 1 of each 21-day cycle during the induction phase (Cycles 1-4) and maintenance phase (Cycle 5 onward). |
|
| Duration of Response (DOR) as Assessed by the Investigator Using RECIST v1.1 in the Global Population | DOR is defined as the time interval from first occurrence of a documented objective response to the time of disease progression as determined by the investigator using RECIST v1.1 or death from any cause, whichever comes first. | First occurrence of PR or CR until PD or death, whichever occurs first (up to approximately 23 months) |
| PFS Rate at 6 Months and at 1 Year in Global Population | PFS rates at 6 months and at 1 year is defined as the proportion of participants who are alive without disease progression 6 months and 1 year after randomization, respectively. | 6 months, 1 year |
| OS Rate at 1 Year and 2 Years in the Global Population | OS rates at 1 and 2 years is defined as the proportion of participants who are alive 1 year and 2 years after randomization, respectively. | 1 year, 2 years |
| Time to Deterioration (TTD) Per European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Core 30 (C30) and Supplemental Lung Cancer Module (QLQ-LC13) in the Global Population | TTD according to the EORTC QLQ-C30 and EORTC QLQ-LC13 measures were evaluated in each of the following linearly transformed symptom scores: cough, dyspnea (single item), dyspnea (multi-item subscale), chest pain, or arm/shoulder pain. The linear transformation gives each individual symptom subscale a possible score of 0 to 100. For the symptom to be considered "deteriorated," a score increase of ≥10 points above baseline must be held for at least two consecutive assessments or an initial score increase of ≥10 points is followed by death within 3 weeks from the last assessment. A ≥ 10-point change in the symptoms subscale score is perceived by participants as clinically significant. | Baseline until deterioration per symptom subscale (up to approximately 23 months) |
| Percentage of Participants With at Least One Adverse Event in the Global Population | The percentage of participants with at least one adverse event in the global population. | Baseline until up to 90 days after end of treatment (up to approximately 49 months) |
| Percentage of Participants With Anti-Drug Antibodies (ADA) to Atezolizumab in the Global Population | The baseline prevalence and post-baseline incidence of ADAs against atezolizumab. | Predose (0 hours [H]) on Day (D) 1 of Cycles (C) 1, 2, 3, 4, 8, 16, and every 8 cycles (Q8C) thereafter (cycle = 21 days) until treatment discontinuation (up to 23 months) and 120 days after last dose (up to approximately 23 months overall) |
| Maximum Observed Serum Concentration (Cmax) of Atezolizumab in the Global Population | Atezolizumab maximum observed plasma concentration (Cmax; 30 minutes following the end of the atezolizumab infusion) for each respective day. | Post-dose Day 1 of Cycle 1 (cycle length = 21 days) |
| Minimum Observed Serum Concentration (Cmin) of Atezolizumab in the Global Population | Atezolizumab pre-dose plasma concentration (Cmin) for each respective day. | Predose on Day 1 of Cycles 1, 3, 4, 8, 16 and 24 (cycle length = 21 days) |
| Plasma Concentration of Carboplatin in the Global Population | Plasma concentration of carboplatin in the Global population. | Predose, before end of infusion, and after end of carboplatin infusion on Day 1 of Cycle 1 and Cycle 3 (cycle = 21 days) |
| Plasma Concentration of Etoposide in the Global Population | Plasma concentration of etoposide in the Global Population. | Predose, before end of infusion, 1 and 4 hours after end of carboplatin infusion on Day 1 of Cycle 1 and Cycle 3 (cycle = 21 days) |
| Orlando |
| Florida |
| 32804 |
| United States |
| Florida Cancer Specialists. | St. Petersburg | Florida | 33705 | United States |
| Northwest Georgia Oncology Centers PC - Marietta | Marietta | Georgia | 30060 | United States |
| Rush University Medical Center | Chicago | Illinois | 60612-3244 | United States |
| Illinois Cancer Care | Peoria | Illinois | 61615 | United States |
| Cancer Treatment Centers of America - Midwestern Regional Medical Center | Zion | Illinois | 60099 | United States |
| Louisville Oncology | Louisville | Kentucky | 40202 | United States |
| New England Cancer Specialists | Scarborough | Maine | 04074 | United States |
| Weinberg CA Inst Franklin Sq | Baltimore | Maryland | 21237 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Comprehensive Cancer Centers of Nevada - Eastern Avenue | Las Vegas | Nevada | 89169 | United States |
| The Valley Hospital | Paramus | New Jersey | 07652 | United States |
| Broome Oncology - Binghamton | Binghamton | New York | 13905 | United States |
| Levine Cancer Institute | Charlotte | North Carolina | 28204 | United States |
| Tennessee Oncology Chattanooga | Chattanooga | Tennessee | 37404 | United States |
| Tennessee Oncology PLLC - Nashville (20th Ave) | Nashville | Tennessee | 37203 | United States |
| Vanderbilt Medical Center | Nashville | Tennessee | 37232-7610 | United States |
| Virginia Cancer Specialists, PC | Fairfax | Virginia | 22031 | United States |
| Blue Ridge Cancer Care | Roanoke | Virginia | 24014 | United States |
| Northwest Medical Specialties | Tacoma | Washington | 98405 | United States |
| University of Wisconsin | Madison | Wisconsin | 53705 | United States |
| Chris O'Brien Lifehouse | Camperdown | New South Wales | 2050 | Australia |
| The Prince Charles Hospital; Oncology Dept. | Chermside | Queensland | 4032 | Australia |
| Royal Melbourne Hospital; Hematology and Medical Oncology | Parkville | Victoria | 3052 | Australia |
| Kepler Universitätskliniken GmbH - Med Campus III; Abt. für Lungenkrankheiten | Linz | 4020 | Austria |
| Salzburger Landeskliniken; Universitätsklinik für Pneumologie/ Lungenheilkunde | Salzburg | 5020 | Austria |
| Klinik Penzing; Abteilung für Atemwegs- und Lungenkrankheiten | Vienna | 1140 | Austria |
| Krankenhaus Nord - Klinik Floridsdorf; Abteilung Pulmologie | Vienna | 1210 | Austria |
| Santa Casa de Misericordia de Salvador | Salvador | Estado de Bahia | 40050-410 | Brazil |
| Hospital Bruno Born | Lajeado | Rio Grande do Sul | 95900-000 | Brazil |
| Hospital das Clinicas - UFRGS | Porto Alegre | Rio Grande do Sul | 90035-903 | Brazil |
| Instituto do Cancer do Estado de Sao Paulo - ICESP | São Paulo | São Paulo | 01246-000 | Brazil |
| Bradford Hill Centro de Investigaciones Clinicas | Recoleta | 8420383 | Chile |
| OrlandiOncología | Santiago | 7500713 | Chile |
| Beijing Cancer Hospital | Beijing | 100142 | China |
| Jilin Cancer Hospital | Changchun | 132013 | China |
| The First Affiliated Hospital of Guangzhou Medical University | Guangzhou | 510120 | China |
| Harbin Medical University Cancer Hospital | Harbin | 150081 | China |
| Jiangsu Cancer Hospital | Nanjing | 211100 | China |
| Zhongshan Hospital Fudan University | Shanghai | 200032 | China |
| Fudan University Shanghai Cancer Center | Shanghai | 200120 | China |
| Zhejiang Cancer Hospital | Zhejiang | 310022 | China |
| Henan Cancer Hospital | Zhengzhou | 450008 | China |
| Fakultni nemocnice Olomouc | Olomouc | 779 00 | Czechia |
| Fakultni nemocnice Na Bulovce | Prague | 180 81 | Czechia |
| Thomayerova nemocnice | Praha 4 - Krc | 140 59 | Czechia |
| Institut Bergonie; Oncologie | Bordeaux | 33076 | France |
| Centre Francois Baclesse; Oncologie | Caen | 14076 | France |
| Hopital Calmette; Pneumologie Oncologie Ouest | Lille | 59037 | France |
| Hôpital Nord - AP-HM Marseille# | Marseille | 13915 | France |
| Asklepios-Fachklinik Muenchen-Gauting; Klinik Für Pneumologie | Gauting | 82131 | Germany |
| LungenClinic Großhansdorf GmbH | Großhansdorf | 22927 | Germany |
| Krankenhaus Martha-Maria Halle-Doelau gGmbH; Klinik fuer Innere Medizin II | Halle | 06120 | Germany |
| Thoraxklinik Heidelberg gGmbH | Heidelberg | 69126 | Germany |
| Fachklinik für Lungenerkrankungen | Immenhausen | 34376 | Germany |
| Sotiria Chest Hospital of Athens | Athens | 11527 | Greece |
| Agioi Anargyroi; 3Rd Dept. of Medical Oncology | Athens | 145 64 | Greece |
| University Hospital of Patras Medical Oncology | Pátrai | 265 04 | Greece |
| Semmelweis Egyetem, AOK, Pulmonologiai Klinika | Budapest | 1083 | Hungary |
| Orszagos Koranyi TBC es Pulmonologiai Intezet | Budapest | 1121 | Hungary |
| Debreceni Egyetem, Klinikai Kozpont, Tudogyogyaszati Klinika | Debrecen | 4032 | Hungary |
| Tudogyogyintezet Torokbalint | Törökbálint | 2045 | Hungary |
| IRCCS Ospedale Casa Sollievo Della Sofferenza; Oncologia | San Giovanni Rotondo | Apulia | 71013 | Italy |
| A.O. Universitaria Di Parma | Parma | Emilia-Romagna | 43100 | Italy |
| Policlinico Universitario Campus Biomedico; Uoc Oncologia Medica | Rome | Lazio | 00128 | Italy |
| Fondazione IRCCS Istituto Nazionale dei Tumori | Milan | Lombardy | 20133 | Italy |
| Irccs Istituto Europeo di Oncologia (IEO); Divisione di Oncologia | Milan | Lombardy | 20141 | Italy |
| Azienda Ospedaliera Universitaria Pisana - Ospedale Cisanello; Dipartimento Cardio Toraco Vascolare | Pisa | Tuscany | 56124 | Italy |
| Kyushu University Hospital; Respiratory | Fukuoka | 812-8582 | Japan |
| National Hospital Organization Himeji Medical Center | Hyōgo | 670-8520 | Japan |
| Kanagawa Cancer Center;Thoracic Oncology | Kanagawa | 241-8515 | Japan |
| University Hospital Kyoto Prefectural University of Medicine,?Pulmonary Medicine | Kyoto | 602-8566 | Japan |
| Sendai Kousei Hospital; Pulmonary Medicine | Miyagi | 980-0873 | Japan |
| Kurashiki Central Hospital; Respiratory Medicine | Okayama | 710-8602 | Japan |
| Kindai University Hospital; Medical Oncology | Osaka | 589-8511 | Japan |
| National Hospital Organization Kinki-Chuo Chest Medical Center; Internal Medicine | Osaka | 591-8555 | Japan |
| Saitama Cancer Center; Thoracic Oncology | Satima | 362-0806 | Japan |
| Shizuoka Cancer Center; Thoracic Oncology | Shizuoka | 411-8777 | Japan |
| Tokyo Metropolitan Komagome Hospital; Thoracic Oncology and Respiratory Medicine | Tokyo | 113-8677 | Japan |
| The Cancer Institute Hospital of JFCR, Respiratory Medicine | Tokyo | 135-8550 | Japan |
| Wakayama Medical University Hospital; Respiratory Medicine and Medical Oncology | Wakayama | 641-8509 | Japan |
| Health Pharma Professional Research | Mexico City | Mexico CITY (federal District) | 03100 | Mexico |
| Medical University of Gdansk | Gdansk | 80-952 | Poland |
| Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi | Lodz | 93-513 | Poland |
| Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc; Oddzial V Chemioterapii Nowotworow Pluc | Olsztyn | 10-357 | Poland |
| Mazowieckie Centrum Leczenia Chorob Pluc i Gruzlicy | Otwock | 05-400 | Poland |
| Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu | Poznan | 60-569 | Poland |
| Centrum Onkologii - Inst.Im. Marii Sklodowskiej-Curie; Oncology | Warsaw | 02-781 | Poland |
| Moscow City Oncology Hospital #62 | Moscovskaya Oblast | Moscow Oblast | 143423 | Russia |
| N.N.Burdenko Main Military Clinical Hospital; Oncology Dept | Moscow | Moscow Oblast | 105229 | Russia |
| Russian Oncology Research Center n.a. N.N. Blokhin | Moscow | Moscow Oblast | 115478 | Russia |
| Scientific Research Oncology Institute named after N.N. Petrov; Oncology | Saint Petersburg | Sankt-Peterburg | 197758 | Russia |
| City Clinical Onc. | Saint Petersburg | Sankt-Peterburg | 198255 | Russia |
| City Clinical Hospital No. 1 | Novosibirsk | 630047 | Russia |
| Clinical Center of Serbia | Belgrade | 11000 | Serbia |
| Clinical Center Nis; Clinic for pulmonary diseases | Niš | 18 000 | Serbia |
| Seoul National University Bundang Hospital | Seongnam-si | 463-707 | South Korea |
| Seoul National University Hospital | Seoul | 03080 | South Korea |
| Asan Medical Center | Seoul | 05505 | South Korea |
| Samsung Medical Center | Seoul | 135-710 | South Korea |
| Hospital Univ Vall d'Hebron; Servicio de Oncologia | Sant Andreu de la Barca | Barcelona | 08740 | Spain |
| Hospital Ramon y Cajal; Servicio de Oncologia | Madrid | 28034 | Spain |
| Hospital Universitario La Paz; Servicio de Oncologia | Madrid | 28046 | Spain |
| Hospital Clinico Universitario Virgen de la Victoria; Servicio de Oncologia | Málaga | 29010 | Spain |
| Hospital Universitario Virgen del Rocio; Servicio de Oncologia | Seville | 41013 | Spain |
| Hosp Clinico Univ Lozano Blesa; División De Oncología Médica | Zaragoza | 50009 | Spain |
| National Taiwan Uni Hospital; Internal Medicine | Taipei | 100 | Taiwan |
| Taipei Veterans General Hospital; Chest Dept , Section of Thoracic Oncology | Taipei | 112 | Taiwan |
| Chang Gung Medical Foundation - Linkou; Chest Dept | Taoyuan | 333 | Taiwan |
| Royal Devon & Exeter Hospital; Oncology Centre | Exeter | EX2 5DW | United Kingdom |
| Barts and the London NHS Trust. | London | EC1A 7BE | United Kingdom |
| Guys and St Thomas NHS Foundation Trust, Guys Hospital | London | SE1 9RT | United Kingdom |
| Christie Hospital Nhs Trust; Medical Oncology | Manchester | M2O 4BX | United Kingdom |
| Liu SV, Mok TSK, Nabet BY, Mansfield AS, De Boer R, Losonczy G, Sugawara S, Dziadziuszko R, Krzakowski M, Smolin A, Hochmair MJ, Garassino MC, Gay CM, Heymach JV, Byers LA, Lam S, Cardona A, Morris S, Adler L, Shames DS, Reck M. Clinical and molecular characterization of long-term survivors with extensive-stage small cell lung cancer treated with first-line atezolizumab plus carboplatin and etoposide. Lung Cancer. 2023 Dec;186:107418. doi: 10.1016/j.lungcan.2023.107418. Epub 2023 Oct 31. |
| 33439693 | Derived | Liu SV, Reck M, Mansfield AS, Mok T, Scherpereel A, Reinmuth N, Garassino MC, De Castro Carpeno J, Califano R, Nishio M, Orlandi F, Alatorre-Alexander J, Leal T, Cheng Y, Lee JS, Lam S, McCleland M, Deng Y, Phan S, Horn L. Updated Overall Survival and PD-L1 Subgroup Analysis of Patients With Extensive-Stage Small-Cell Lung Cancer Treated With Atezolizumab, Carboplatin, and Etoposide (IMpower133). J Clin Oncol. 2021 Feb 20;39(6):619-630. doi: 10.1200/JCO.20.01055. Epub 2021 Jan 13. |
| 31959349 | Derived | Mansfield AS, Kazarnowicz A, Karaseva N, Sanchez A, De Boer R, Andric Z, Reck M, Atagi S, Lee JS, Garassino M, Liu SV, Horn L, Wen X, Quach C, Yu W, Kabbinavar F, Lam S, Morris S, Califano R. Safety and patient-reported outcomes of atezolizumab, carboplatin, and etoposide in extensive-stage small-cell lung cancer (IMpower133): a randomized phase I/III trial. Ann Oncol. 2020 Feb;31(2):310-317. doi: 10.1016/j.annonc.2019.10.021. Epub 2019 Dec 9. |
| 31466854 | Derived | Nishio M, Sugawara S, Atagi S, Akamatsu H, Sakai H, Okamoto I, Takayama K, Hayashi H, Nakagawa Y, Kawakami T. Subgroup Analysis of Japanese Patients in a Phase III Study of Atezolizumab in Extensive-stage Small-cell Lung Cancer (IMpower133). Clin Lung Cancer. 2019 Nov;20(6):469-476.e1. doi: 10.1016/j.cllc.2019.07.005. Epub 2019 Jul 31. |
| 30280641 | Derived | Horn L, Mansfield AS, Szczesna A, Havel L, Krzakowski M, Hochmair MJ, Huemer F, Losonczy G, Johnson ML, Nishio M, Reck M, Mok T, Lam S, Shames DS, Liu J, Ding B, Lopez-Chavez A, Kabbinavar F, Lin W, Sandler A, Liu SV; IMpower133 Study Group. First-Line Atezolizumab plus Chemotherapy in Extensive-Stage Small-Cell Lung Cancer. N Engl J Med. 2018 Dec 6;379(23):2220-2229. doi: 10.1056/NEJMoa1809064. Epub 2018 Sep 25. |
| FG001 | Atezolizumab + Carboplatin + Etoposide - Global | Participants in the Global population received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
| FG002 | Placebo + Carboplatin + Etoposide - China | Participants in the China population received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
| FG003 | Atezolizumab + Carboplatin + Etoposide - China | Participants in the China population received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| China Period |
|
|
The intent-to-treat (ITT) population included 503 participants (All) with 403 in the Global population. An additional 100 participants enrolled in the China Extension. The China population included 10 Chinese participants from the Global population plus 100 participants from the China Extension. Separate analyses were performed for the Global population and the China population in the study.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo + Carboplatin + Etoposide - All | All participants in the Global or China population received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
| BG001 | Atezolizumab + Carboplatin + Etoposide - All | All participants in the Global or China population received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | The intent-to-treat (ITT) population included 503 participants (All) with 403 in the Global population. An additional 100 participants enrolled in the China Extension. The China population included 10 Chinese participants from the Global population plus 100 participants from the China Extension. | Mean | Standard Deviation | years |
| ||||||||||||||
| Sex: Female, Male | As reported from Electronic Case Report Form (eCRF). | The Global population included 403 participants. The China population included 100 participants enrolled during the China Extension plus 10 Chinese participants from the Global population. | Count of Participants | Participants |
| ||||||||||||||
| Ethnicity (NIH/OMB) | The intent-to-treat (ITT) population included 503 participants (All) with 403 in the Global population. An additional 100 participants enrolled in the China Extension. The China population included 10 Chinese participants from the Global population plus 100 participants from the China Extension. | Count of Participants | Participants |
| |||||||||||||||
| Race (NIH/OMB) | The intent-to-treat (ITT) population included 503 participants (All) with 403 in the Global population. An additional 100 participants enrolled in the China Extension. The China population included 10 Chinese participants from the Global population plus 100 participants from the China Extension. | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Duration of Progression-Free Survival (PFS) as Assessed by the Investigator Using RECIST v1.1 in the Global Population | Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as at least 20% increase in the sum of the longest diameter of target lesions compared to baseline, or unequivocal progression in non-target lesion(s), or the appearance of new lesion(s). | The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment. | Posted | Median | 95% Confidence Interval | Months | Baseline until PD or death, whichever occurs first (up to approximately 23 months) |
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| Primary | Duration of Overall Survival (OS) in the Global Population | OS is defined as the time from randomization to death from any cause. | The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment. | Posted | Median | 95% Confidence Interval | Months | Baseline until death from any cause (up to approximately 23 months) |
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| Secondary | Percentage of Participants With Objective Response Rate (ORR) as Assessed by the Investigator Using RECIST v1.1 in the Global Population | Objective response (OR) is defined as complete response (CR) or partial response (PR) as determined by the investigator according to RECIST v1.1. | The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment. | Posted | Number | 95% Confidence Interval | Percentage of participants | Baseline until partial response (PR) or complete response (CR), whichever occurs first (up to approximately 23 months) |
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| Secondary | Duration of Response (DOR) as Assessed by the Investigator Using RECIST v1.1 in the Global Population | DOR is defined as the time interval from first occurrence of a documented objective response to the time of disease progression as determined by the investigator using RECIST v1.1 or death from any cause, whichever comes first. | The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment. | Posted | Median | 95% Confidence Interval | Months | First occurrence of PR or CR until PD or death, whichever occurs first (up to approximately 23 months) |
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| Secondary | PFS Rate at 6 Months and at 1 Year in Global Population | PFS rates at 6 months and at 1 year is defined as the proportion of participants who are alive without disease progression 6 months and 1 year after randomization, respectively. | The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment. | Posted | Number | 95% Confidence Interval | Percentage of participants | 6 months, 1 year |
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| Secondary | OS Rate at 1 Year and 2 Years in the Global Population | OS rates at 1 and 2 years is defined as the proportion of participants who are alive 1 year and 2 years after randomization, respectively. | The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment. | Posted | Number | Percentage of participants | 1 year, 2 years |
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| Secondary | Time to Deterioration (TTD) Per European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Core 30 (C30) and Supplemental Lung Cancer Module (QLQ-LC13) in the Global Population | TTD according to the EORTC QLQ-C30 and EORTC QLQ-LC13 measures were evaluated in each of the following linearly transformed symptom scores: cough, dyspnea (single item), dyspnea (multi-item subscale), chest pain, or arm/shoulder pain. The linear transformation gives each individual symptom subscale a possible score of 0 to 100. For the symptom to be considered "deteriorated," a score increase of ≥10 points above baseline must be held for at least two consecutive assessments or an initial score increase of ≥10 points is followed by death within 3 weeks from the last assessment. A ≥ 10-point change in the symptoms subscale score is perceived by participants as clinically significant. | The ITT population was defined as all randomized participants, regardless of whether the participant received the assigned treatment. | Posted | Median | 95% Confidence Interval | Month | Baseline until deterioration per symptom subscale (up to approximately 23 months) |
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| Secondary | Percentage of Participants With at Least One Adverse Event in the Global Population | The percentage of participants with at least one adverse event in the global population. | The safety population included all treated participants, defined as participants who received any amount of any component of study treatment. For the safety analyses, patrticipants who received any amount of atezolizumab were analyzed as part of the Atezo + CE arm, even if atezolizumab was given in error. | Posted | Number | Percentage of participants | Baseline until up to 90 days after end of treatment (up to approximately 49 months) |
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| Secondary | Percentage of Participants With Anti-Drug Antibodies (ADA) to Atezolizumab in the Global Population | The baseline prevalence and post-baseline incidence of ADAs against atezolizumab. | ADA analyses were based on ADA observations from participants who had received atezolizumab treatment and were evaluated for immunogenicity. | Posted | Number | Percentage of participants | Predose (0 hours [H]) on Day (D) 1 of Cycles (C) 1, 2, 3, 4, 8, 16, and every 8 cycles (Q8C) thereafter (cycle = 21 days) until treatment discontinuation (up to 23 months) and 120 days after last dose (up to approximately 23 months overall) |
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| Secondary | Maximum Observed Serum Concentration (Cmax) of Atezolizumab in the Global Population | Atezolizumab maximum observed plasma concentration (Cmax; 30 minutes following the end of the atezolizumab infusion) for each respective day. | PK analyses were based on PK observations from all participants who had received atezolizumab, carboplatin, or etoposide treatment and who provided at least one evaluable atezolizumab PK sample. | Posted | Mean | Standard Deviation | μg/mL | Post-dose Day 1 of Cycle 1 (cycle length = 21 days) |
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| Secondary | Minimum Observed Serum Concentration (Cmin) of Atezolizumab in the Global Population | Atezolizumab pre-dose plasma concentration (Cmin) for each respective day. | PK analyses were based on PK observations from all participants who had received atezolizumab, carboplatin, or etoposide treatment and who provided at least one evaluable atezolizumab PK sample. | Posted | Mean | Standard Deviation | μg/mL | Predose on Day 1 of Cycles 1, 3, 4, 8, 16 and 24 (cycle length = 21 days) |
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| Secondary | Plasma Concentration of Carboplatin in the Global Population | Plasma concentration of carboplatin in the Global population. | PK analyses were based on PK observations from all participants who had received atezolizumab, carboplatin, or etoposide treatment and who provided at least one evaluable atezolizumab PK sample. | Posted | Mean | Standard Deviation | ng/mL | Predose, before end of infusion, and after end of carboplatin infusion on Day 1 of Cycle 1 and Cycle 3 (cycle = 21 days) |
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| Secondary | Plasma Concentration of Etoposide in the Global Population | Plasma concentration of etoposide in the Global Population. | PK analyses were based on PK observations from all participants who had received atezolizumab, carboplatin, or etoposide treatment and who provided at least one evaluable atezolizumab PK sample. | Posted | Mean | Standard Deviation | ng/mL | Predose, before end of infusion, 1 and 4 hours after end of carboplatin infusion on Day 1 of Cycle 1 and Cycle 3 (cycle = 21 days) |
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From the first study drug administration to the data cutoff date: 7 July 2022 (up to 49 months).
All-cause mortality reported for deaths that occurred during study based on ITT, which included all randomized participants. Serious & other adverse events reported based on safety population, which included participants who received any amount of any component of study treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo + Carboplatin + Etoposide - Global | Participants in the Global population received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. | 11 | 196 | 69 | 196 | 187 | 196 |
| EG001 | Atezolizumab + Carboplatin + Etoposide - Global | Participants in the Global population received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. | 5 | 198 | 81 | 198 | 191 | 198 |
| EG002 | Placebo + Carboplatin + Etoposide - China | Participants in the China population received intravenous infusions of placebo in combination with carboplatin to achieve an initial target AUC of 5 mg/mL/min followed by etoposide 100 mg/m^2 on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) placebo on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. | 1 | 52 | 14 | 52 | 52 | 52 |
| EG003 | Atezolizumab + Carboplatin + Etoposide - China | Participants in the China population received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. | 3 | 57 | 22 | 57 | 56 | 57 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Disseminated intravascular coagulation | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Granulocytopenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Leukocytosis | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Leukopenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Myelosuppression | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pancytopenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Atrial fibrillation | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Atrioventricular block complete | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Cardiac failure | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Cardiac tamponade | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Cardiopulmonary failure | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Coronary artery disease | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Palpitations | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pericardial effusion | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Supraventricular tachycardia | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Autoimmune thyroiditis | Endocrine disorders | MedDRA version 25.0 | Systematic Assessment |
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| Inappropriate antidiuretic hormone secretion | Endocrine disorders | MedDRA version 25.0 | Systematic Assessment |
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| Abdominal adhesions | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Autoimmune colitis | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Colitis | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Diverticular perforation | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Faeces discoloured | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Gastric ulcer perforation | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Gastritis | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Ileus | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Intestinal obstruction | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Lip oedema | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pancreatitis | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pancreatitis acute | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Proctitis | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Small intestinal obstruction | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Chest discomfort | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Chest pain | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Death | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| General physical health deterioration | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Influenza like illness | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Non-cardiac chest pain | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pain | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Systemic inflammatory response syndrome | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Cholangitis | Hepatobiliary disorders | MedDRA version 25.0 | Systematic Assessment |
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| Drug-induced liver injury | Hepatobiliary disorders | MedDRA version 25.0 | Systematic Assessment |
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| Jaundice | Hepatobiliary disorders | MedDRA version 25.0 | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Clostridium difficile colitis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Clostridium difficile infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Cytomegalovirus infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Device related sepsis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Lower respiratory tract infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Lung abscess | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Myelitis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Neutropenic sepsis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Pulmonary sepsis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Pyopneumothorax | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Respiratory tract infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Septic shock | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Femur fracture | Injury, poisoning and procedural complications | MedDRA version 25.0 | Systematic Assessment |
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| Head injury | Injury, poisoning and procedural complications | MedDRA version 25.0 | Systematic Assessment |
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| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA version 25.0 | Systematic Assessment |
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| Limb injury | Injury, poisoning and procedural complications | MedDRA version 25.0 | Systematic Assessment |
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| Radiation oesophagitis | Injury, poisoning and procedural complications | MedDRA version 25.0 | Systematic Assessment |
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| Thoracic vertebral fracture | Injury, poisoning and procedural complications | MedDRA version 25.0 | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Blood alkaline phosphatase increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Blood bilirubin increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Blood creatinine increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| C-reactive protein increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Liver function test increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Neutrophil count decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Platelet count decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Transaminases increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| White blood cell count decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
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| Decreased appetite | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
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| Electrolyte imbalance | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hypokalaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 25.0 | Systematic Assessment |
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| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA version 25.0 | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 25.0 | Systematic Assessment |
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| Metastatic neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 25.0 | Systematic Assessment |
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| Paraneoplastic syndrome | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 25.0 | Systematic Assessment |
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| Plasma cell myeloma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 25.0 | Systematic Assessment |
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| Tumour pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 25.0 | Systematic Assessment |
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| Cerebral infarction | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Cerebrovascular accident | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Dysarthria | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Guillain-Barre syndrome | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Neuropathy peripheral | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Spinal cord oedema | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Syncope | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Transient ischaemic attack | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Trigeminal neuralgia | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Alcohol abuse | Psychiatric disorders | MedDRA version 25.0 | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA version 25.0 | Systematic Assessment |
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| Acute kidney injury | Renal and urinary disorders | MedDRA version 25.0 | Systematic Assessment |
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| Tubulointerstitial nephritis | Renal and urinary disorders | MedDRA version 25.0 | Systematic Assessment |
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| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Bronchial obstruction | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hypercapnia | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA version 25.0 | Systematic Assessment |
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| Skin toxicity | Skin and subcutaneous tissue disorders | MedDRA version 25.0 | Systematic Assessment |
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| Peripheral arterial occlusive disease | Vascular disorders | MedDRA version 25.0 | Systematic Assessment |
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| Peripheral artery occlusion | Vascular disorders | MedDRA version 25.0 | Systematic Assessment |
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| Superior vena cava syndrome | Vascular disorders | MedDRA version 25.0 | Systematic Assessment |
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| Venous thrombosis limb | Vascular disorders | MedDRA version 25.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Leukopenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA version 25.0 | Systematic Assessment |
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| Sinus tachycardia | Cardiac disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hyperthyroidism | Endocrine disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hypothyroidism | Endocrine disorders | MedDRA version 25.0 | Systematic Assessment |
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| Abdominal distension | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Stomatitis | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA version 25.0 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Chest discomfort | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Chest pain | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA version 25.0 | Systematic Assessment |
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| Hepatic function abnormal | Hepatobiliary disorders | MedDRA version 25.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA version 25.0 | Systematic Assessment |
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| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA version 25.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Blood cholesterol increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Blood glucose increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Blood triglycerides increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Electrocardiogram QT prolonged | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Haemoglobin decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Protein urine present | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Weight increased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA version 25.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hypochloraemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hypoproteinaemia | Metabolism and nutrition disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Proteinuria | Renal and urinary disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA version 25.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA version 25.0 | Systematic Assessment |
|
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Communications | Hoffmann-La Roche | 800-821-8590 | genentech@druginfo.com |
| May 21, 2019 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D055752 | Small Cell Lung Carcinoma |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000594389 | atezolizumab |
| D016190 | Carboplatin |
| D005047 | Etoposide |
| ID | Term |
|---|---|
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D011034 | Podophyllotoxin |
| D013764 | Tetrahydronaphthalenes |
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D005960 | Glucosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
Not provided
Not provided
| Lost to Follow-up |
|
| Physician Decision |
|
| Study Terminated By Sponsor |
|
| Withdrawal by Subject |
|
| China |
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| China |
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| China |
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| China |
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| OG001 | Atezolizumab + Carboplatin + Etoposide | Participants received intravenous infusions of atezolizumab 1200 milligrams (mg) in combination with carboplatin to achieve an initial target area under the concentration-time curve (AUC) of 5 milligrams per milliliter per minute (mg/mL/min) followed by etoposide 100 milligrams per square meter (mg/m^2) on Day 1 of every 21-day cycle during the induction phase (Cycles 1-4). On Days 2 and 3 of every 21-day cycle during the induction phase (Cycles 1-4), etoposide 100 mg/m^2 was administered alone. Thereafter, participants received maintenance (Cycle 5 onward) atezolizumab 1200 mg on Day 1 of every 21-day cycle until persistent radiographic PD, symptomatic deterioration, intolerable toxicity, withdrawal of consent, death, or study termination by the Sponsor. |
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