Nonsquamous nonsmall cell neoplasm of lung

Active Ingredient: Atezolizumab

Indication for Atezolizumab

Population group: only adults (18 years old or older)

Atezolizumab, in combination with bevacizumab, paclitaxel and carboplatin, is indicated for the first-line treatment of adult patients with metastatic non-squamous non-small cell lung cancer (NSCLC). In patients with EGFR mutant or ALK-positive NSCLC, atezolizumab, in combination with bevacizumab, paclitaxel and carboplatin, is indicated only after failure of appropriate targeted therapies.

Atezolizumab as monotherapy is indicated for the treatment of adult patients with locally advanced or metastatic NSCLC after prior chemotherapy. Patients with EGFR mutant or ALK-positive NSCLC should also have received targeted therapies before receiving atezolizumab.

Atezolizumab, in combination with nab-paclitaxel and carboplatin, is indicated for the first-line treatment of adult patients with metastatic non-squamous NSCLC who do not have EGFR mutant or ALK-positive NSCLC.

For this indication, competent medicine agencies globally authorize below treatments:

1.2 gr once every 3 weeks

Route of admnistration

Intravenous

Defined daily dose

1,200 - 1,200 mg

Dosage regimen

From 1,200 To 1,200 mg once every 21 day(s)

Detailed description

Atezolizumab in combination with bevacizumab, paclitaxel, and carboplatin

During the induction phase, the recommended dose of atezolizumab is 1,200 mg administered by intravenous infusion, followed by bevacizumab, paclitaxel, and then carboplatin every three weeks for four or six cycles.

The induction phase is followed by a maintenance phase without chemotherapy in which 1,200 mg atezolizumab followed by bevacizumab, is administered by intravenous infusion every three weeks.

Atezolizumab in combination with nab-paclitaxel and carboplatin

During the induction phase, the recommended dose of atezolizumab is 1,200 mg administered by intravenous infusion, followed by nab-paclitaxel and carboplatin every three weeks for four or six cycles. For each 21-day cycle, atezolizumab, nab-paclitaxel, and carboplatin are administered on day 1. In addition, nab-paclitaxel is administered on days 8 and 15.

The induction phase is followed by a maintenance phase without chemotherapy in which 1,200 mg atezolizumab is administered by intravenous infusion every three weeks.

Dosage considerations

The initial dose of atezolizumab must be administered over 60 minutes. If the first infusion is well tolerated, all subsequent infusions may be administered over 30 minutes.

Active ingredient

Atezolizumab

Atezolizumab is an Fc-engineered, humanised immunoglobulin G1 (IgG1) monoclonal antibody that directly binds to PD-L1 and provides a dual blockade of the PD-1 and B7.1 receptors, releasing PD-L1/PD-1 mediated inhibition of the immune response, including reactivating the antitumour immune response without inducing antibody-dependent cellular cytotoxicity.

Read more about Atezolizumab

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