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RO5490258

Phase 3

Non-Squamous Non-Small Cell Lung Cancer | Monoclonal antibody | Oncology |Roche Holding AG|Trials Updated: Jul 23, 2019

RO5490258 development status

Highest phase Phase 3 (NCT01456325)
Phase scored for RHHBYPhase 2
Registered trials 15 across 2 sponsors since Mar 2009

RO5490258 target and mechanism

ModalityMonoclonal antibody

Also known as MetMAb, Onartuzumab (MetMab), Onartuzumab

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials10
Total Enrollment1,867

FDA Designations

No designations recorded

RO5490258 clinical trials

RO5490258 · 10 trials · 6 indications

Phase 3 4Phase 2 5Phase 1 1
NCT02488330An Extension Study of Onartuzumab in Participants With Solid Tumors on Study Treatment Previously Enrolled in a Company Sponsored StudySolid Tumor
COMPLETED12 Analytics
NCT02031744A Study of the Efficacy and Safety of MetMAb Combined With Tarceva in Patients With Met-Positive Non-Small Cell Lung CancerNon-Small Cell Lung Cancer
COMPLETED530 Analytics
NCT01887886A Study of Onartuzumab in Combination With Erlotinib in Patients With MET-Positive Stage IIIB or IV Non-Small Cell Lung Cancer Carrying an Activating Epidermal Growth Factor Receptor (EGFR) MutationNon-Squamous Non-Small Cell Lung Cancer
COMPLETED10 Analytics
NCT01456325A Study of Onartuzumab (MetMAb) in Combination With Tarceva (Erlotinib) in Participants With Met Diagnostic-Positive Non-Small Cell Lung Cancer Who Have Received Chemotherapy For Advanced or Metastatic Disease (MetLung)Non-Squamous Non-Small Cell Lung Cancer
COMPLETED494 Analytics
PHASE3COMPLETED
An Extension Study of Onartuzumab in Participants With Solid Tumors on Study Treatment Previously Enrolled in a Company Sponsored Study
Solid TumorUnlock trial analytics
PHASE3COMPLETED
A Study of the Efficacy and Safety of MetMAb Combined With Tarceva in Patients With Met-Positive Non-Small Cell Lung Cancer
Non-Small Cell Lung CancerUnlock trial analytics
PHASE3COMPLETED
A Study of Onartuzumab in Combination With Erlotinib in Patients With MET-Positive Stage IIIB or IV Non-Small Cell Lung Cancer Carrying an Activating Epidermal Growth Factor Receptor (EGFR) Mutation
Non-Squamous Non-Small Cell Lung CancerUnlock trial analytics
PHASE3COMPLETED
A Study of Onartuzumab (MetMAb) in Combination With Tarceva (Erlotinib) in Participants With Met Diagnostic-Positive Non-Small Cell Lung Cancer Who Have Received Chemotherapy For Advanced or Metastatic Disease (MetLung)
Non-Squamous Non-Small Cell Lung CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Serious Adverse Events Considered Related to Onartuzumab
Baseline through the end of trial (approximately 3 years)

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.

Overall survival (OS)
Up to 36 months
Incidence of adverse events
Up to 33 months
Progression-free survival (investigator-assessed according to RECIST v1.1)
approximately 3 years
Overall Survival
Randomization until death (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
Progression-free survival (PFS) in all patients
Up to 18 months
Progression-free survival (PFS) in patients with Met-positive tumors
Up to 18 months
Progression-free survival (tumor assessments according to RECIST criteria)
up to approximately 23 months
Progression-free survival: Subgroup of patients with Met diagnostic positive tumors
up to approximately 23 months
Progression-free survival: Subgroup of patients with Met diagnostic-positive squamous NSCLC
up to approximately 32 months
Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) in Participants Who Have not Received Prior Systemic Therapy or Have Progressed to Prior First-line Treatment
From randomization until disease progression (PD), relapse, or death on study (within 30 days of last study drug administration) from any cause, whichever occurs first (to be assessed according to local standard of care overall up to 5 years)
Progression-free Survival
Time from randomization to the first occurrence of progression/relapse or death on study. (Up to 20 months)

Progression-free survival was defined as the time from randomization to the first occurrence of progression or relapse (as per Response Evaluation Criteria in Solid Tumors (RECIST 1.0) and assessed by the site radiologist or investigator) or death on study from any cause (within 30 days of last treatment).

Progression-free Survival in Patients With Met Diagnostic-Positive Tumors
Time from randomization to the first occurrence of progression/relapse or death on study. (Up to 20 months)

Progression-free survival (PFS) in participants with Met Diagnostic-Positive tumors as determined by immunohistochemistry. PFS was defined as the time from randomization to the first occurrence of progression or relapse (as per Response Evaluation Criteria in Solid Tumors (RECIST 1.0) and assessed by the site radiologist or investigator) or death on study from any cause (within 30 days of last treatment).

Number of Participants with Dose-limiting Toxicities (DLT)
Maximum up to 42 days
Number of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)
Up to approximately 31 months

Secondary Endpoints

Progression-free survival (PFS), defined as time from randomization until progression as measured by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or death.
Up to 36 months
Overall response rate (ORR), as measured by RECIST v1.1
Up to 36 months
Health-related quality of life (HRQOL) as measured by the European Organization for the Research and Treatment of Cancer (EORTC) assessments
Up to 33 months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Control and/or Onartuzumab treatmentEXPERIMENTALParticipants will receive treatment with either the control treatment (erlotinib, bevacizumab) and/or onartuzumab-based study treatment (as during their P-trial) until progression of disease, unacceptable treatment related toxicity, withdrawal of consent, or death (whichever occurs first). All participants will continue on the same dose and schedule of control treatment as specified in their respective P-trial. The dose of onartuzumab will be calculated based on the participant's weight at the screening visit for the E-trial.
erlotinib [Tarceva] + placeboPLACEBO_COMPARATOR -
erlotinib [Tarceva] + onartuzumab [MetMAb]EXPERIMENTAL -
Onartuzumab + ErlotinibEXPERIMENTAL -
Placebo + ErlotinibACTIVE_COMPARATOR -
Onartuzumab+ErlotinibEXPERIMENTALParticipants will receive onartuzumab 15 milligrams per kilogram (mg/kg) intravenous (IV) infusion on Day 1 of every cycle of 3 weeks along with erlotinib 150 mg tablet orally once daily (QD) from Day 1, Cycle 1 until there is evidence of disease progression, death, or unacceptable toxicity, whichever occurred first.
Placebo+ErlotinibPLACEBO_COMPARATORParticipants will receive onartuzumab matching placebo on Day 1 of every cycle of 3 weeks along with erlotinib 150 mg tablet orally QD from Day 1, Cycle 1 until there is evidence of disease progression, death, or unacceptable toxicity, whichever occurred first.
Onartuzumab (MetMAb) with mFOLFOX6EXPERIMENTALOnartuzumab (MetMAb) in combination with mFOLFOX6 (modified 5-fluorouracil, folinic acid \[leucovorin\], and oxaliplatin)
Placebo with mFOLFOX6PLACEBO_COMPARATORPlacebo in combination with mFOLFOX6 (modified 5-fluorouracil, folinic acid \[leucovorin\], and oxaliplatin)
Bevacizumab+MetMAbEXPERIMENTAL -
Bevacizumab+PlaceboACTIVE_COMPARATOR -
Pemetrexed+MetMAbEXPERIMENTAL -
Pemetrexed+PlaceboACTIVE_COMPARATOR -
MetMAb+paclitaxel+platinumEXPERIMENTAL -
Placebo+paclitaxel+platinumACTIVE_COMPARATOR -
Onartuzumab + Bevacizumab + PaclitaxelEXPERIMENTALParticipants will receive treatment with onartuzumab, bevacizumab, and paclitaxel, which may continue until disease progression, unacceptable drug-related toxicity, investigator decision, death, or completion of study, whichever occurs first (up to approximately 5 years).
Onartuzumab + Placebo + PaclitaxelEXPERIMENTALParticipants will receive treatment with onartuzumab, placebo matching to bevacizumab, and paclitaxel, which may continue until disease progression, unacceptable toxicity, investigator decision, death, or completion of study, whichever occurs first (up to approximately 5 years).
Placebo + Bevacizumab + PaclitaxelACTIVE_COMPARATORParticipants will receive treatment with placebo matching to onartuzumab, bevacizumab, and paclitaxel, which may continue until disease progression, unacceptable toxicity, investigator decision, death, or completion of study, whichever occurs first (up to approximately 5 years).
MetMAb + ErlotinibEXPERIMENTALMetMab 15 mg/kg intravenous (IV) infusion every 3 weeks + Erlotinib 150 mg orally once daily until progression of disease or unacceptable toxicity.
Cohort 1 (Onartuzumab)EXPERIMENTAL -
Cohorts 2/3 (Onartuzumab + Sorafenib)EXPERIMENTAL -

Interventions

NameTypeDescription
OnartuzumabDRUGOnartuzumab 10 mg/kg or 15 mg/kg will be administered intravenously on Day 1 of each 14- or 21-day cycle as specified in the P-trial and as per clinical judgment and discretion of the investigator. The actual dose of onartuzumab will be determined on the bases of participants weight at the time of enrollment in extension trial (E-trial).
BevacizumabDRUGAll participants will continue on the same dose and schedule of control treatment (bevacizumab) as specified in their respective P-trial.
ErlotinibDRUGAll participants will continue on the same dose and schedule of control treatment (erlotinib) as specified in their respective P-trial.
erlotinib [Tarceva]DRUG150 mg oral administration once daily
PlaceboDRUG15 mg/kg intravenous administration every 3 weeks
Onartuzumab [MetMAb]DRUG15 mg/kg intravenous administration every 3 weeks
Onartuzumab (MetMab)DRUGParticipants will receive onartuzumab 15 mg/kg IV infusion on Day 1 of every 3-week cycle.
OxaliplatinDRUGOxaliplatin 85 mg/m2 IV every 2 weeks until disease progression, unacceptable toxicity, or patient or physician decision to discontinue treatment
Folinic acidDRUGFolinic acid 400 mg/m2 every 2 weeks until disease progression, unacceptable toxicity, or patient or physician decision to discontinue treatment
Levofolinic acidDRUGIf folinic acid is unavailable: levofolinic acid 200 mg/m2 every 2 weeks until disease progression, unacceptable toxicity, or patient or physician decision to discontinue treatment
5-FluorouracilDRUG5-Fluorouracil 400 mg/m2 IV followed by 2400 mg/m2 IV infusion every 2 weeks until disease progression, unacceptable toxicity, or patient or physician decision to discontinue treatment
RO5490258DRUG15 mg/kg iv, Day 1 of each 21-day cycle
bevacizumab [Avastin]DRUG15 mg/kg iv, Day 1 of each 21-day cycle
cisplatin/carboplatinDRUGstandard dose iv, Day 1 of each 21-day cycle, 4 cycles
paclitaxelDRUG200 mg/m2 iv, Day 1 of each 21-day cycle, 4 cycles
pemetrexedDRUG500 mg/m2, Day 1 of each 21-day cycle
Bevacizumab PlaceboDRUGPlacebo matching to bevacizumab will be administered as IV infusion on Day 1 and Day 15 of each 28-day cycle.
Onartuzumab PlaceboDRUGPlacebo matching to onartuzumab will be administered as IV infusion on Day 1 and Day 15 of each 28-day cycle.
Erlotinib HClDRUGErlotinib 150 mg oral dose once daily.
MetMAbDRUGMetMab (a monovalent antagonist antibody to the receptor MET) 15 mg/kg in 250 CC 0.9% saline intravenous infusion every 3 weeks.
placebo (0.9 % saline)DRUGPlacebo Intravenous infusion every 3 weeks.
SorafenibDRUGSorafenib 400 milligram (mg) tablets (2 tablets of 200 mg each) orally once daily or twice daily depending on the cohort assigned until disease progression or unacceptable toxicity occurs (maximum up to 31 months).
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Enrolled and receiving either control treatment or onartuzumab-based study treatment in an eligible P-trial * Has not met the treatment discontinuation criteria specified in their P-trial protocol at the time of enrollment into the extension trial (E-trial) * Ability to begin ...

Countries:FranceItalyJapanLatviaRussiaSerbiaSouth AfricaSpainChinaUnited StatesGermanyMalaysiaSouth KoreaTaiwanArgentinaAustraliaBelgiumBrazilCanadaChileCroatiaHong KongHungaryIrelandIsraelNetherlandsPeruPolandUkraineUnited KingdomSingaporeThailandMexicoPhilippines
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Frequently asked questions about RO5490258

What is RO5490258 used for in Non-Squamous Non-Small Cell Lung Cancer?

RO5490258 is an investigational small molecule being studied for the treatment of Non-Squamous Non-Small Cell Lung Cancer. It is currently in Phase 2 clinical development and is not approved for use. The drug is being evaluated in combination with other therapies to assess its safety and efficacy in this patient population.

Who is developing RO5490258?

RO5490258 is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company is conducting clinical research to evaluate the drug's potential in treating Non-Squamous Non-Small Cell Lung Cancer. As an investigational agent, it is not yet available commercially.

What phase is RO5490258 in?

RO5490258 is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The Phase 2 study is designed to evaluate the drug's efficacy and safety in patients with Non-Squamous Non-Small Cell Lung Cancer.

What clinical trials is RO5490258 in?

RO5490258 is being studied in a completed Phase 2 clinical trial with the identifier NCT01496742. The trial enrolled 259 participants and evaluated the drug in combination with bevacizumab plus platinum and paclitaxel, or with pemetrexed plus platinum, in patients with Non-Squamous Non-Small Cell Lung Cancer.

Is RO5490258 the same as onartuzumab?

RO5490258 is also known as onartuzumab, and the two names refer to the same investigational drug. In clinical trials, it is studied under the name onartuzumab, and it is being developed by Roche for the treatment of Non-Squamous Non-Small Cell Lung Cancer.

What is the mechanism of action of RO5490258?

RO5490258 is a small molecule therapeutic agent. Its specific molecular target has not been disclosed in the available clinical trial information. The drug is being investigated for its potential role in treating Non-Squamous Non-Small Cell Lung Cancer, but its exact mechanism of action remains under study.