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Tecentriq

atezolizumab
1. Indications and Usage

Non-small cell lung cancer (multiple settings); Small cell lung cancer (extensive-stage, first-line with carboplatin and etoposide); Hepatocellular carcinoma (with bevacizumab); Melanoma (with cobimetinib and vemurafenib); Alveolar soft part sarcoma

2. Dosage and Administration

NSCLC/SCLC/HCC: 1200 mg IV q3w or 840 mg IV q2w or 1680 mg IV q4w
Infusion time: First infusion over 60 min; subsequent over 30 min if tolerated

3. Dosage Forms and Strengths

Injection: 60 mg/mL solution in 14 mL (840 mg) and 20 mL (1200 mg) single-dose vials

4. Contraindications

Refer to the complete prescribing information for contraindications. Tecentriq prescribing should account for patient-specific factors including hypersensitivity to the active ingredient or any excipients.

5. Warnings and Precautions
  • Immune-Mediated Adverse Reactions: Pneumonitis, hepatitis, colitis, endocrinopathies, nephritis, dermatologic reactions, myocarditis, neurological toxicities, pancreatitis.
  • Infusion-Related Reactions
  • Embryo-Fetal Toxicity
6. Adverse Reactions
Most Common Adverse Reactions

Fatigue (44%), decreased appetite (26%), nausea (24%), cough (21%), dyspnea (18%), rash (16%), constipation (14%), diarrhea (14%)

Fatigue
44%
Decreased Appetite
26%
Nausea
24%
Cough
21%
Dyspnea
18%
Rash
16%
Constipation
14%
Diarrhea
14%

Consult the complete prescribing information for a comprehensive list of adverse reactions and their frequencies.

7. Drug Interactions

Consult the complete prescribing information for drug interactions, including effects on CYP enzymes, transporters, and concomitant medications that may require dose adjustments or monitoring.

8. Use in Specific Populations
Pregnancy

Consult the full prescribing information for pregnancy-related considerations.

Lactation

Refer to prescribing information for lactation guidance.

Pediatric Use

Pediatric safety and efficacy information is detailed in the full label.

Hepatic/Renal Impairment

Dose modifications for organ impairment are specified in the complete prescribing information.

12. Clinical Pharmacology
Mechanism of Action

Atezolizumab is a humanized IgG1 monoclonal antibody that binds to PD-L1 and blocks its interactions with both PD-1 and B7.1 receptors. This releases PD-L1/PD-1-mediated inhibition of the anti-tumor immune response, including reactivation of the anti-tumor immune response without inducing antibody-dependent cellular cytotoxicity.

Pharmacokinetics

Half-life: 27 days. Clearance: 0.20 L/day. Vd: 6.9 L. Steady-state by 6-9 weeks. Linear PK at doses 1-20 mg/kg. Not affected by age, body weight, gender, albumin, tumor burden, or mild-moderate renal/hepatic impairment.

14. Clinical Studies

Clinical efficacy and safety data supporting the approval are available in the full prescribing information and from the clinical trials listed below.

Pivotal Clinical Trials
Additional Resources
FDA-Approved Tumor Types

Tecentriq has FDA-approved indications across the following cancer types covered on PipelineEvidence:

External Resources
Important Notice: This page is intended as a navigational reference to the FDA-approved prescribing information for Tecentriq. It does not replace the full prescribing information. Healthcare professionals should consult the complete package insert available at DailyMed before making prescribing decisions. Patient-specific factors should always guide clinical decision-making.