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Trial · NCT02450331

A Study of Atezolizumab Versus Observation as Adjuvant Therapy in Participants With High-Risk Muscle-Invasive Urothelial Carcinoma (UC) After Surgical Resection

NCT02450331, Phase 3, Terminated, Hoffmann-La Roche; results first posted 2020-11-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Atezolizumab Versus Observation as Adjuvant Therapy in Participants With High-Risk Muscle-Invasive Urothelial Carcinoma (UC) After Surgical Resection. Trials, record NCT02450331. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02450331

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Trial

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

Title
A Study of Atezolizumab Versus Observation as Adjuvant Therapy in Participants With High-Risk Muscle-Invasive Urothelial Carcinoma (UC) After Surgical Resection
NCT number
NCT02450331
Status
Terminated
Phases
Phase 3
Enrollment
809 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Carcinoma, Transitional Cell
Interventions
Atezolizumab
First posted
2015-05-21
Last updated
2023-06-18
Other registries' IDs
eudract:2014-005603-25
Results first posted
2020-11-18

Source ClinicalTrials.gov

Registered outcomes10

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

ListOutcomeTime frameDescription
PrimaryDisease-Free Survival (DFS), as Assessed by InvestigatorRandomization up to first occurrence of DFS event (up to approximately 50 months)
DFS is defined as the time from randomization to the time of first occurrence of a DFS event. DFS events include: local (pelvic) recurrence of UC (including soft tissue and regional lymph nodes); urinary tract recurrence of UC (including all pathological stages and grades); distant metastasis of UC; or death from any cause. Tumor assessment will be performed using radiographic evaluations.
SecondaryOverall Survival (OS)Randomization until death due to any cause (up to approximately 80 months)Overall survival is defined as the time from randomization to the date of death from any cause, regardless of whether the death occurs during study treatment or following treatment discontinuation.
SecondaryDisease-Specific Survival (DSS), as Assessed by InvestigatorRandomization until death due to UC (up to approximately 50 months)DSS is defined as the time from randomization until the date of death from UC.
SecondaryDistant Metastasis-Free Survival (DMFS)Randomization up to diagnosis of distant metastases or death from any cause (up to approximately 50 months)
DMFS is defined as the time from randomization to the date of diagnosis of distant (that is, non-locoregional) metastases or death from any cause. Tumor assessment will be performed using radiographic evaluations.
SecondaryNon-Urinary Tract Recurrence-Free Survival (NURFS)Randomization up to time of first occurrence of a NURFS event (up to approximately 50 months)
NURFS is defined as the time from randomization to the time of first occurrence of a NURFS event. NURFS events include: local (pelvic) recurrence of UC (including soft tissue and regional lymph nodes); distant metastasis of UC; or death from any cause. Tumor assessment will be performed using radiographic evaluations.
SecondaryPercentage of Participants With Adverse Events (AEs)Screening up to approximately 80 monthsPercentage of participants with at least one Adverse Event.
SecondaryPercentage of Participants With Anti-Therapeutic Antibodies (ATAs) to AtezolizumabBaseline up to approximately 50 monthsPercentage of participants with anti-therapeutic antibodies to atezolizumab.
SecondaryEuroQol 5-Dimension 5-Level (EQ-5D-5L) Visual Analogue Scale ScoreDay 1 of Cycle 1 up to approximately 50 months (Cycle length = 21 days)
The EQ-5D-5L is a generic preference-based HRQoL questionnaire that provides a single index value for health status and is used to inform pharmacoeconomic evaluations and to measure general health status. Visual analog scale (VAS) allows the patient to indicate, on a scale of 0-100, how his or her health is on the day of assessment, with 100 being the "best imaginable health state" and 0 being the "worst imaginable health state."
SecondaryMinimum Observed Serum Atezolizumab Concentration (Cmin)
Pre-dose (Hour 0) on Day 1 of Cycles 1, 2, 3, 4, every 8 cycles from Cycle 8, at treatment discontinuation, 120 days after treatment discontinuation (up to approximately 50 months))(Cycle length = 21 days)
Minimum observed serum atezolizumab concentration (Cmin) prior to infusion on Day 1 of Cycles 1, 2, 3, and 4; every 8 cycles starting on Cycle 8; at treatment discontinuation; and at 120 days after the last dose of atezolizumab.
SecondaryMaximum Observed Serum Atezolizumab Concentration (Cmax)Day 1 of Cycle 1 (Cycle length = 21 days)Maximum observed serum atezolizumab concentration (Cmax) after infusion on Day 1 of Cycle 1.

Outcomes10

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDisease-Free Survival (DFS), as Assessed by InvestigatorRandomization up to first occurrence of DFS event (up to approximately 50 months)The ITT population is defined as all randomized patients, whether or not the patient received the assigned treatment (atezolizumab/observation).MonthsMEDIAN
SECONDARYOverall Survival (OS)Randomization until death due to any cause (up to approximately 80 months)The ITT population is defined as all randomized patients, whether or not the patient received the assigned treatment (atezolizumab/observation).MonthsMEDIAN
SECONDARYDisease-Specific Survival (DSS), as Assessed by InvestigatorRandomization until death due to UC (up to approximately 50 months)The ITT population is defined as all randomized patients, whether or not the patient received the assigned treatment (atezolizumab/observation).MonthsMEDIAN
SECONDARYDistant Metastasis-Free Survival (DMFS)Randomization up to diagnosis of distant metastases or death from any cause (up to approximately 50 months)The ITT population is defined as all randomized patients, whether or not the patient received the assigned treatment (atezolizumab/observation).MonthsMEDIAN
SECONDARYNon-Urinary Tract Recurrence-Free Survival (NURFS)Randomization up to time of first occurrence of a NURFS event (up to approximately 50 months)The ITT population is defined as all randomized patients, whether or not the patient received the assigned treatment (atezolizumab/observation).MonthsMEDIAN
SECONDARYPercentage of Participants With Adverse Events (AEs)Screening up to approximately 80 months
The safety population is defined as patients who received at least one dose of atezolizumab, and all patients who did not receive any dose of atezolizumab who had at least one post-baseline safety assessment (e.g.,adverse event, lab, vital signs, ECG, etc.), regardless of their assigned treatment (atezolizumab/observation).
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Anti-Therapeutic Antibodies (ATAs) to AtezolizumabBaseline up to approximately 50 monthsThe anti-drug antibodies (ADA)-evaluable population is defined as all patients treated with atezolizumab who have at least one post-baseline ADA result.Percentage of ParticipantsNUMBER
SECONDARYEuroQol 5-Dimension 5-Level (EQ-5D-5L) Visual Analogue Scale ScoreDay 1 of Cycle 1 up to approximately 50 months (Cycle length = 21 days)The ITT population is defined as all randomized patients, whether or not the patient received the assigned treatment (atezolizumab/observation).Score on scaleMEAN
SECONDARYMinimum Observed Serum Atezolizumab Concentration (Cmin)
Pre-dose (Hour 0) on Day 1 of Cycles 1, 2, 3, 4, every 8 cycles from Cycle 8, at treatment discontinuation, 120 days after treatment discontinuation (up to approximately 50 months))(Cycle length = 21 days)
The pharmacokinetic-evaluable population is defined as all patients who received any dose of atezolizumab and who have evaluable pharmacokinetic (PK) samples.µg/mLMEAN
SECONDARYMaximum Observed Serum Atezolizumab Concentration (Cmax)Day 1 of Cycle 1 (Cycle length = 21 days)The pharmacokinetic-evaluable population is defined as all patients who received any dose of atezolizumab and who have evaluable pharmacokinetic (PK) samples.µg/mLMEAN

Results by group39

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

OutcomeGroupCategoryValueSpreadUnits
Disease-Free Survival (DFS), as Assessed by InvestigatorObservation16.695% Confidence Interval 11.2 to 24.8Months
Disease-Free Survival (DFS), as Assessed by InvestigatorAtezolizumab19.495% Confidence Interval 15.9 to 24.8Months
Overall Survival (OS)Observation59.095% Confidence Interval 47.7 to NAMonths
Overall Survival (OS)Atezolizumab61.495% Confidence Interval 47.0 to NAMonths
Disease-Specific Survival (DSS), as Assessed by InvestigatorObservationNA95% Confidence Interval NA to NAMonths
Disease-Specific Survival (DSS), as Assessed by InvestigatorAtezolizumabNA95% Confidence Interval NA to NAMonths
Distant Metastasis-Free Survival (DMFS)Observation31.195% Confidence Interval 21.7 to 41.4Months
Distant Metastasis-Free Survival (DMFS)Atezolizumab27.595% Confidence Interval 22.6 to NAMonths
Non-Urinary Tract Recurrence-Free Survival (NURFS)Observation19.595% Confidence Interval 12.3 to 27.7Months
Non-Urinary Tract Recurrence-Free Survival (NURFS)Atezolizumab22.195% Confidence Interval 17.2 to 27.6Months

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDObservation403
Overall StudySTARTEDAtezolizumab406
Overall StudyCOMPLETEDObservation171
Overall StudyCOMPLETEDAtezolizumab178
Overall StudyNOT COMPLETEDObservation232
Overall StudyNOT COMPLETEDAtezolizumab228

Adverse events334

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersOBSERVATION3239834
otherAnaemiaBlood and lymphatic system disordersATEZOLIZUMAB4239053
otherHypothyroidismEndocrine disordersOBSERVATION03980
otherHypothyroidismEndocrine disordersATEZOLIZUMAB3539038
otherAbdominal painGastrointestinal disordersOBSERVATION2939832
otherAbdominal painGastrointestinal disordersATEZOLIZUMAB3139039
otherConstipationGastrointestinal disordersOBSERVATION3939840
otherConstipationGastrointestinal disordersATEZOLIZUMAB5139060
otherDiarrhoeaGastrointestinal disordersOBSERVATION2539829
otherDiarrhoeaGastrointestinal disordersATEZOLIZUMAB81390104

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOBSERVATION162403
Total, all-cause mortalityATEZOLIZUMAB171406
Total, other adverse eventsOBSERVATION234398
Total, other adverse eventsATEZOLIZUMAB324390
Total, serious adverse eventsOBSERVATION72398
Total, serious adverse eventsATEZOLIZUMAB122390

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33721560DERIVEDPubMed
37500339DERIVEDPubMed
37601688DERIVEDPubMed
41144872DERIVEDPubMed
41720562DERIVEDPubMed

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
OBSERVATION vs ATEZOLIZUMAB: deaths from any causeTrial comparisons
OBSERVATION 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.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02450331

GET https://conductscience.org/api/trials/v1/NCT02450331/results?page=2