A Study to Evaluate the Safety and Tolerability of RO7296682 in Combination With Atezolizumab in Participants With Advanced Solid Tumors.
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04642365 |
Recruitment Status :
Recruiting
First Posted : November 24, 2020
Last Update Posted : May 26, 2023
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Condition or disease | Intervention/treatment | Phase |
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Solid Tumors | Drug: RO7296682 Drug: Atezolizumab | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 180 participants |
Allocation: | Non-Randomized |
Intervention Model: | Sequential Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | An Open-Label, Multicenter, Phase Ib Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Anti-Tumor Activity of RO7296682 in Combination With Atezolizumab in Participants With Advanced and/or Metastatic Solid Tumors |
Actual Study Start Date : | January 4, 2021 |
Estimated Primary Completion Date : | December 1, 2023 |
Estimated Study Completion Date : | December 1, 2023 |

Arm | Intervention/treatment |
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Experimental: Part I
Dose-Escalation: Mixed solid tumors participants will receive ascending doses of RO7296682 with a fixed dose of Atezolizumab, every three weeks (Q3W) until either the Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) is defined.
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Drug: RO7296682
RO7296682 will be administered as per the schedules specified in the respective arms. Drug: Atezolizumab Atezolizumab will be administered as per the schedules specified in the respective arms. |
Experimental: Part II
Dose-Expansion: Will start once MTD/RP2D dose of RO7296682 in combination with Atezolizumab is defined in Part I. Participants with selected tumor types will receive a fixed dose of RO7296682 in combination with Atezolizumab.
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Drug: RO7296682
RO7296682 will be administered as per the schedules specified in the respective arms. Drug: Atezolizumab Atezolizumab will be administered as per the schedules specified in the respective arms. |
Experimental: Part III (Exploratory)
Dose-Expansion: Will start once MTD/RP2D dose of RO7296682 in combination with Atezolizumab is defined in Part I and if clinical activity is seen in this trial or in the single agent study (WP41188). Participants with selected tumor types will receive a fixed dose of RO7296682 in combination with Atezolizumab at the dosing regimen established in Part I.
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Drug: RO7296682
RO7296682 will be administered as per the schedules specified in the respective arms. Drug: Atezolizumab Atezolizumab will be administered as per the schedules specified in the respective arms. |
- Percentage of Participants with Adverse Events (AEs) [ Time Frame: Up to 31 months ]
- Percentage of Participants with Dose-Limiting Toxicities (DLTs) [ Time Frame: Up to 31 months ]
- Objective Response Rate (ORR) (Part II and III only) [ Time Frame: Up to 31 months ]
- Objective Response Rate (ORR) (Part I only) [ Time Frame: Up to 31 months ]
- Disease Control Rate (DCR) [ Time Frame: Up to 31 months ]
- Duration of Response (DoR) [ Time Frame: Up to 31 months ]
- Progression-Free Survival (PFS) [ Time Frame: Up to 31 months ]
- Overall Survival (OS) [ Time Frame: Up to 31 months ]
- Area under the Curve (AUC) of RO7296682 [ Time Frame: Up to 31 months ]
- Minimum Concentration (Cmin) of RO7296682 [ Time Frame: Up to 31 months ]
- Maximum Concentration (Cmax) of RO7296682 [ Time Frame: Up to 31 months ]
- Time of maximum concentration (Tmax) of RO7296682 [ Time Frame: Up to 31 months ]
- Volume of distribution at steady-state conditions (Vss) of RO7296682 [ Time Frame: Up to 31 months ]
- Half-life (t~1/2) of RO7296682 [ Time Frame: Up to 31 months ]
- Treatment-induced changes in Treg levels in blood and/or tumor as compared to baseline [ Time Frame: Up to 31 months ]
- Treatment-induced changes in Teff/Treg (T-effector cell; T-regulatory cell) ratio in blood and/or tumor as compared to baseline [ Time Frame: Up to 31 months ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosis of advanced and/or metastatic solid tumors who have progressed on a standard therapy, are intolerant to standard of care (SoC), and/or and non-amenable to SoC.
Participants whose tumors have known sensitizing mutations must have experienced disease progression (during or after treatment) or intolerance to treatment with a respective targeted therapy.
- Measurable disease according to RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
- Able to provide the most recent archival tumor tissue samples.
- Adequate cardiovascular, haematological, liver and renal function.
- Participants on therapeutic anticoagulation must be on a stable anticoagulant regimen.
- Women of Childbearing Potential: Agreement to remain abstinent (refrain from heterosexual intercourse) or use highly effective contraceptive methods.
- Men: Agreement to remain abstinent (refrain from heterosexual intercourse) or use highly effective contraceptive methods and refrain from donating sperm.
Exclusion Criteria:
- Pregnancy, lactation, or breastfeeding.
- Known hypersensitivity to any of the components of RO7296682 and atezolizumab, including but not limited to hypersensitivity to Chinese hamster ovary cell products or other recombinant human or humanized antibodies.
- History or clinical evidence of central nervous system (CNS) primary tumors or metastases.
- Participants with another invasive malignancy in the last two years.
- Participants with known active or uncontrolled infection.
- Positive HIV test at screening.
- Positive for Hepatitis B and C.
- Vaccination with live vaccines within 28 days prior to C1D1.
- Major surgical procedure or significant traumatic injury within 28 days prior to first RO7296682 and atezolizumab infusion.
- Participants with wound healing complications.
- Dementia or altered mental status that would prohibit informed consent.
- History of Stevens-Johnson syndrome, toxic epidermal necrolysis, or DRESS (drug rash with eosinophilia and systemic symptoms).
- Active or history of autoimmune disease or immune deficiency.
- Prior treatment with CPIs (e.g. anti-CTLA4, anti-PD1, anti-PDL1), immunomodulatory monoclonal antibodies (mAbs) and/or mAb-derived therapies (approved or investigational) is approved.
- Treatment with standard radiotherapy, any chemotherapeutic agent, targeted therapy or treatment with any other investigational drug (defined as treatment for which there is currently no regulatory authority-approved indication) within 28 days or 5 half-lives of the drug (whichever is shorter), prior to the first RO7296882 administration on C1D1.
- Radiotherapy within the last 4 weeks before start of study drug treatment, with the exception of limited palliative radiotherapy (for which no wash out period is required).

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04642365
Contact: Reference Study ID Number: BP42595 https://forpatients.roche.com/ | 888-662-6728 (U.S. and Canada) | global-roche-genentech-trials@gene.com |
United States, California | |
City of Hope Cancer Center | Withdrawn |
Duarte, California, United States, 91010 | |
United States, Texas | |
MD Anderson Cancer Center | Terminated |
Houston, Texas, United States, 77030 | |
Australia, Victoria | |
Peter Maccallum Cancer Institute; Clinical Trial Unit | Active, not recruiting |
Melbourne, Victoria, Australia, 3000 | |
Belgium | |
Cliniques Universitaires St-Luc | Active, not recruiting |
Bruxelles, Belgium, 1200 | |
Canada, British Columbia | |
BC Cancer Agency - Vancouver | Active, not recruiting |
Vancouver, British Columbia, Canada, V5Z 4E6 | |
Canada, Ontario | |
The Ottawa Hospital Cancer Centre | Completed |
Ottawa, Ontario, Canada, K2H 6C2 | |
Princess Margaret Cancer Centre | Active, not recruiting |
Toronto, Ontario, Canada, M5G 1Z5 | |
Denmark | |
Rigshospitalet; Onkologisk Klinik | Recruiting |
København Ø, Denmark, 2100 | |
Spain | |
Clinica Universitaria de Navarra | Active, not recruiting |
Pamplona, Navarra, Spain, 31008 | |
Vall d?Hebron Institute of Oncology (VHIO), Barcelona | Completed |
Barcelona, Spain, 08035 | |
Fundacion Jimenez Diaz; Servicio de Oncologia | Active, not recruiting |
Madrid, Spain, 28040 | |
Centro Integral Oncologico Clara Campal; Servicio de Oncología | Active, not recruiting |
Madrid, Spain, 28050 | |
Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia | Completed |
Valencia, Spain, 46010 |
Study Director: | Clinical Trials | Hoffmann-La Roche |
Responsible Party: | Hoffmann-La Roche |
ClinicalTrials.gov Identifier: | NCT04642365 |
Other Study ID Numbers: |
BP42595 2020-003164-82 ( EudraCT Number ) |
First Posted: | November 24, 2020 Key Record Dates |
Last Update Posted: | May 26, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Plan Description: | Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm). |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
RG6292 |
Neoplasms Atezolizumab Immune Checkpoint Inhibitors |
Molecular Mechanisms of Pharmacological Action Antineoplastic Agents, Immunological Antineoplastic Agents |