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Trial ยท NCT02302807

A Study of Atezolizumab Compared With Chemotherapy in Participants With Locally Advanced or Metastatic Urothelial Bladder Cancer [IMvigor211]

NCT02302807, Phase 3, Completed, Hoffmann-La Roche; results first posted 2018-04-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Atezolizumab Compared With Chemotherapy in Participants With Locally Advanced or Metastatic Urothelial Bladder Cancer [IMvigor211]. Trials, record NCT02302807. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02302807

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Atezolizumab Compared With Chemotherapy in Participants With Locally Advanced or Metastatic Urothelial Bladder Cancer [IMvigor211]
NCT number
NCT02302807
Status
Completed
Phases
Phase 3
Enrollment
931 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Bladder Cancer
Interventions
Atezolizumab (MPDL3280A) [TECENTRIQ], an engineered anti-PDL1 antibody, Docetaxel, Paclitaxel, Vinflunine
First posted
2014-11-27
Last updated
2019-08-01
Other registries' IDs
eudract:2014-003231-19
Results first posted
2018-04-11

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Survival (OS)Between randomization and death due to any cause, up to approximately 25 months after first participant enrolledOS was defined as time from randomization to death from any cause.
SecondaryProgression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1Up to approximately 25 months after first participant enrolled
PFS was defined as the time between the date of randomization and the date of first documented progression of disease (PD) or death, whichever occurred first. PD was determined on the basis of investigator assessment with use of RECIST v1.1. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters had to demonstrate an absolute increase of \>/= 5 millimeters (mm).
SecondaryUnconfirmed Duration of Response (DOR) as Determined by the Investigator With Use of RECIST v1.1Up to approximately 25 months after first participant enrolled
DOR was defined as the time from first occurrence of a CR or PR, whichever came first, to first documented PD or death, whichever occurred first. Disease progression was determined on the basis of investigator assessment with use of RECIST v1.1. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters on study (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of \>/= 5 mm.
SecondaryPercentage of Participants With Adverse Events (AEs)Up to approximately 46 months after first participant enrolled
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.
SecondaryPercentage of Participants With Post-Baseline Anti-therapeutic Antibodies (ATA) to Atezolizumab
Predose (0 hours) on Day 1 of Cycles 1, 2, 3, 4 and every 8 cycles thereafter; at treatment discontinuation (up to 25 months); at 120 days after last dose of atezolizumab (up to 25 months; each cycle is 21 days)
Participants were considered post-baseline ATA positive if they had post-baseline ATAs to Atezolizumab that were treatment-induced or treatment-enhanced. Participants had treatment-induced ATAs if they had a baseline-negative ATA result and developed ATAs at any time after initial drug administration. Participants had treatment-enhanced ATAs if they had a baseline-positive ATA result that showed an enhanced signal that was \>/= 0.60 titer units at any time after initial drug initiation.
SecondaryMinimum Observed Serum Atezolizumab Concentration (Cmin)
Predose (0 hours) on Day 1 of Cycles 1, 2, 3, 4 and every 8 cycles thereafter; at treatment discontinuation (up to 25 months); at 120 days after last dose of atezolizumab (up to 25 months; each cycle is 21 days)
Cmin was measured for all participants that received at least one dose of Atezolizumab.
SecondaryPercentage of Participants With Unconfirmed Objective Response Rate (ORR) as Determined by the Investigator With Use of Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1)Up to approximately 25 months after first participant enrolled
ORR was defined as the percentage of participants, who had an objective response. Objective response was defined as either a complete response (CR) or partial response (PR) as determined by the investigator with use of Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1). Objective response in this study did not need to be a confirmed response. CR: disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. ORR=CR+PR
SecondaryMaximum Observed Serum Atezolizumab Concentration (Cmax)30 minutes post dose on Day 1 of Cycles 1Cmax was measured for all participants that received at least one dose of Atezolizumab.
SecondaryChange From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) Score: Global Health Status ScaleCycle 1 Day 1 (prior to any health care interaction), on Day 1 of each subsequent cycle, and at 30 days after the last treatment dose (Up to approximately 25 months; each cycle is 21 days)
The EORTC QLQ-C30 includes five functional scales (physical, role, cognitive, emotional, social); a global health status (GHS)/quality of life (QoL) scale; and items measuring fatigue, pain, nausea and vomiting, dyspnea, appetite loss, sleep disturbance, constipation, diarrhea, and financial difficulties. The score range for each scale and single-item measure is 0 to 100, where higher scores indicate a higher response level (i.e., better functioning, better QoL, worse symptoms). Key scales included physical functioning, and fatigue, and GHS.
SecondaryChange From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) Score: Physical Functioning ScaleCycle 1 Day 1 (prior to any health care interaction), on Day 1 of each subsequent cycle, and at 30 days after the last treatment dose (Up to approximately 25 months; each cycle is 21 days)
The EORTC QLQ-C30 includes five functional scales (physical, role, cognitive, emotional, social); a global health status (GHS)/quality of life (QoL) scale; and items measuring fatigue, pain, nausea and vomiting, dyspnea, appetite loss, sleep disturbance, constipation, diarrhea, and financial difficulties. The score range for each scale and single-item measure is 0 to 100, where higher scores indicate a higher response level (i.e., better functioning, better QoL, worse symptoms). Key scales included physical functioning, and fatigue, and GHS.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Survival (OS)Between randomization and death due to any cause, up to approximately 25 months after first participant enrolledIntent To Treat (ITT) was defined as all randomized participants, irrespective of whether the assigned treatment was actually received.MonthsMEDIAN
SECONDARYProgression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1Up to approximately 25 months after first participant enrolledIntent To Treat (ITT) was defined as all randomized participants, irrespective of whether the assigned treatment was actually received.monthsMEDIAN
SECONDARYUnconfirmed Duration of Response (DOR) as Determined by the Investigator With Use of RECIST v1.1Up to approximately 25 months after first participant enrolledDOR analyses was performed on the subset of patients who achieved an objective response.monthsMEDIAN
SECONDARYPercentage of Participants With Adverse Events (AEs)Up to approximately 46 months after first participant enrolled
Safety analyses was performed on all randomized patients who received any amount of study treatment, with patients grouped according to whether any amount of atezolizumab was received including the case when atezolizumab was received in error.
percentageNUMBER
SECONDARYPercentage of Participants With Post-Baseline Anti-therapeutic Antibodies (ATA) to Atezolizumab
Predose (0 hours) on Day 1 of Cycles 1, 2, 3, 4 and every 8 cycles thereafter; at treatment discontinuation (up to 25 months); at 120 days after last dose of atezolizumab (up to 25 months; each cycle is 21 days)
ATA evaluable population is defined as patients who received atezolizumab treatment and had at least one post-treatment ATA result.percentage of participantsNUMBER
SECONDARYMinimum Observed Serum Atezolizumab Concentration (Cmin)
Predose (0 hours) on Day 1 of Cycles 1, 2, 3, 4 and every 8 cycles thereafter; at treatment discontinuation (up to 25 months); at 120 days after last dose of atezolizumab (up to 25 months; each cycle is 21 days)
The PK-evaluable population is defined as patients who received atezolizumab treatment and had at least one measureable PK concentration.mcg/mLGEOMETRIC_MEAN
SECONDARYPercentage of Participants With Unconfirmed Objective Response Rate (ORR) as Determined by the Investigator With Use of Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1)Up to approximately 25 months after first participant enrolledORR analyses was performed on all randomized patients who had measureable disease at baselinePercentage of participantsNUMBER
SECONDARYMaximum Observed Serum Atezolizumab Concentration (Cmax)30 minutes post dose on Day 1 of Cycles 1The PK-evaluable population is defined as patients who received atezolizumab treatment and had at least one measureable PK concentration.mcg/mLGEOMETRIC_MEAN
SECONDARYChange From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) Score: Global Health Status ScaleCycle 1 Day 1 (prior to any health care interaction), on Day 1 of each subsequent cycle, and at 30 days after the last treatment dose (Up to approximately 25 months; each cycle is 21 days)All randomized patients with non-missing baseline assessment and at least one non-missing post-baseline assessment.units of a scaleMEAN
SECONDARYChange From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) Score: Physical Functioning ScaleCycle 1 Day 1 (prior to any health care interaction), on Day 1 of each subsequent cycle, and at 30 days after the last treatment dose (Up to approximately 25 months; each cycle is 21 days)All randomized patients with non-missing baseline assessment and at least one non-missing post-baseline assessment.units of a scaleMEAN

Results by group89

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Survival (OS)IC2/3 Chemotherapy10.695% Confidence Interval 8.4 to 12.2Months
Overall Survival (OS)IC2/3 Atezolizumab11.195% Confidence Interval 8.6 to 15.5Months
Overall Survival (OS)IC1/2/3 Chemotherapy8.295% Confidence Interval 7.4 to 9.5Months
Overall Survival (OS)IC1/2/3 Atezolizumab8.995% Confidence Interval 8.2 to 10.9Months
Overall Survival (OS)Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel)8.095% Confidence Interval 7.2 to 8.6Months
Overall Survival (OS)Atezolizumab8.695% Confidence Interval 7.8 to 9.6Months
Progression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel)4.095% Confidence Interval 3.4 to 4.2months
Progression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1Atezolizumab2.195% Confidence Interval 2.1 to 2.2months
Progression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1IC2/3 Chemotherapy4.295% Confidence Interval 3.7 to 5.0months
Progression-free Survival (PFS) as Determined by the Investigator With Use of RECIST v1.1IC2/3 Atezolizumab2.495% Confidence Interval 2.1 to 4.2months

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)464
Overall StudySTARTEDAtezolizumab467
Overall StudyReceived TreatmentChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)443
Overall StudyReceived TreatmentAtezolizumab459
Overall StudyCOMPLETEDChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)0
Overall StudyCOMPLETEDAtezolizumab0
Overall StudyNOT COMPLETEDChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)464
Overall StudyNOT COMPLETEDAtezolizumab467

Adverse events518

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)124443142
otherAnaemiaBlood and lymphatic system disordersAtezolizumab9045994
otherNeutropeniaBlood and lymphatic system disordersChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)5744375
otherNeutropeniaBlood and lymphatic system disordersAtezolizumab54596
otherAbdominal PainGastrointestinal disordersChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)5844363
otherAbdominal PainGastrointestinal disordersAtezolizumab5245960
otherAbdominal Pain UpperGastrointestinal disordersChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)2744332
otherAbdominal Pain UpperGastrointestinal disordersAtezolizumab2345923
otherConstipationGastrointestinal disordersChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)163443221
otherConstipationGastrointestinal disordersAtezolizumab131459147

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)393443
Total, all-cause mortalityAtezolizumab379459
Total, other adverse eventsChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)417443
Total, other adverse eventsAtezolizumab413459
Total, serious adverse eventsChemotherapy (Vinflunine, Paclitaxel, or Docetaxel)189443
Total, serious adverse eventsAtezolizumab192459

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26454620DERIVEDPubMed
27939400DERIVEDPubMed
29268948DERIVEDPubMed
29562804DERIVEDPubMed
31542806DERIVEDPubMed
33241650DERIVEDPubMed
33902955DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel) vs Atezolizumab: deaths from any causeTrial comparisons
Chemotherapy (Vinflunine, Paclitaxel, or Docetaxel) vs Atezolizumab: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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