Atezolizumab + Cobimetinib for Lung Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This phase II trial studies how well atezolizumab and cobimetinib work in treating patients with non-small cell lung cancer that has spread from where it first started (primary site) to other places in the body (metastatic), has come back (recurrent), or does not respond to treatment (refractory). Immunotherapy with monoclonal antibodies, such as atezolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Cobimetinib is used in patients whose cancer has a mutated (changed) form of a gene called BRAF. It is in a class of medications called kinase inhibitors. It works by blocking the action of an abnormal protein that signals cancer cells to multiply. This helps slow or stop the spread of cancer cells. Giving atezolizumab and cobimetinib may work better in treating patients with non-small cell lung cancer.
Will I have to stop taking my current medications?
The trial protocol does not specify if you must stop taking your current medications. However, you cannot take certain medications like strong or moderate inhibitors or inducers of CYP3A4 enzymes, and systemic immunosuppressive medications within 2 weeks before starting the trial. It's best to discuss your current medications with the study team.
Is the combination of Atezolizumab and Cobimetinib safe for humans?
Atezolizumab, also known as Tecentriq, has been shown to have an acceptable safety profile in clinical trials for lung cancer, with common side effects including fatigue, decreased appetite, and nausea. Serious side effects can include pneumonia and liver inflammation, but these are less common. Cobimetinib, known as Cotellic, is not specifically mentioned in the provided research, so its safety in combination with Atezolizumab is not detailed here.12345
How is the drug combination of Atezolizumab and Cobimetinib unique for treating lung cancer?
The combination of Atezolizumab and Cobimetinib is unique because Atezolizumab is an immunotherapy drug that blocks PD-L1, helping the immune system attack cancer cells, while Cobimetinib is a targeted therapy that inhibits a specific protein involved in cancer cell growth. This dual approach aims to enhance the body's immune response and directly target cancer cell pathways, offering a novel strategy compared to traditional chemotherapy.26789
What data supports the effectiveness of the drug Atezolizumab for lung cancer?
Who Is on the Research Team?
Stephen V. Liu
Principal Investigator
JHU Sidney Kimmel Comprehensive Cancer Center LAO
Are You a Good Fit for This Trial?
Adults with metastatic, recurrent, or treatment-resistant non-small cell lung cancer who have previously not responded well to anti-PD-1/PD-L1 therapy. Participants must be over 18, have measurable disease, and acceptable organ function. Those with certain gene mutations may join specific cohorts. Pregnant women and individuals with uncontrolled diseases or recent significant adverse events from cancer therapies are excluded.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive atezolizumab intravenously and cobimetinib orally. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Follow-up
Participants are monitored for safety and effectiveness after treatment completion, including CT scan, MRI, biopsy, and blood collection.
What Are the Treatments Tested in This Trial?
Interventions
- Atezolizumab
- Cobimetinib
Atezolizumab is already approved in United States, European Union for the following indications:
- Melanoma
- Hepatocellular carcinoma
- Small cell lung cancer
- Non-small cell lung cancer
- Urothelial carcinoma
- Melanoma
- Hepatocellular carcinoma
- Small cell lung cancer
- Non-small cell lung cancer
- Urothelial carcinoma
Find a Clinic Near You
Who Is Running the Clinical Trial?
National Cancer Institute (NCI)
Lead Sponsor