Atezolizumab 1.875g/15ml solution for injection vials
Requires a prescription from a doctor or prescriber
Monoclonal anti-PD-L1 antibody
Official documents, adverse reaction reporting, and safety monitoring
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Official medicine documents
Safety monitoring data
Yellow Card reports
The MHRA Yellow Card scheme collects reports of suspected side effects from healthcare professionals and patients. View the Drug Analysis Profile (iDAP) for real-world adverse reaction data.
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Suspected adverse reactions reported for Atezolizumab
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Submit a Yellow Card report to the MHRA
Data from the MHRA Yellow Card scheme. A reported reaction does not necessarily mean the medicine caused it. Contains public sector information licensed under the Open Government Licence v3.0.
EudraVigilance
The European Medicines Agency (EMA) collects suspected adverse reaction reports from across the EU/EEA through the EudraVigilance system. Search for safety data on this medicine.
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Suspected adverse reactions reported for Atezolizumab
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EudraVigilance data is published by the European Medicines Agency (EMA). A suspected adverse reaction is not necessarily caused by the medicine.
1 branded products available
MHRA licensed products
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Tecentriq 1875mg/15ml solution for injection vials
Therapeutically similar medicines
Similarity is based on WHO Anatomical Therapeutic Chemical (ATC) classification and on a factual NHS dm+d therapeutic-grouping code prefix. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
NHS prescribing volume and spending trends
Guidelines from the National Institute for Health and Care Excellence
NICE clinical guidance(12)
Atezolizumab with bevacizumab for treating advanced or unresectable hepatocellular carcinoma (TA666)
Atezolizumab monotherapy for untreated advanced non-small-cell lung cancer (TA705)
Atezolizumab for adjuvant treatment of resected non-small-cell lung cancer (TA1071)
Atezolizumab for treating locally advanced or metastatic urothelial carcinoma after platinum-containing chemotherapy (TA525)
Atezolizumab with carboplatin and etoposide for untreated extensive-stage small-cell lung cancer (TA638)
Atezolizumab for untreated PD-L1-positive advanced urothelial cancer when cisplatin is unsuitable (TA739)
Atezolizumab in combination for treating metastatic non-squamous non-small-cell lung cancer (TA584)
Atezolizumab for treating locally advanced or metastatic non-small-cell lung cancer after chemotherapy (TA520)
Atezolizumab with nab-paclitaxel for untreated PD-L1-positive, locally advanced or metastatic, triple-negative breast cancer (TA639)
Atezolizumab with carboplatin and nab-paclitaxel for untreated advanced non-squamous non-small-cell lung cancer (terminated appraisal) (TA618)
Atezolizumab for untreated advanced or recurrent non-small-cell lung cancer when platinum-doublet chemotherapy is unsuitable (terminated appraisal) (TA1047)
Serplulimab with carboplatin and etoposide for untreated extensive-stage small-cell lung cancer (TA1167)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
Check stock at pharmacies and supply information
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Supply & safety information
Official UK regulator monitoring and safety alerts
Pharmacy links redirect to the retailer's own search and do not represent real-time stock levels. Shortage and safety information sourced from MHRA drug safety updates (gov.uk, Crown Copyright under OGL v3.0).
Codes for healthcare professionals and prescribing systems
These codes are used by healthcare IT systems and prescribers to identify this medicine.
NHS UK identifiers
Browse tools
SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. BNF code shown is the factual mapping value distributed by NHS Business Services Authority (NHSBSA) in the dm+d supplementary file under OGL v3.0; it is not affiliated with, nor licensed from, the publishers of the British National Formulary. ATC codes from the WHO Collaborating Centre for Drug Statistics Methodology (whocc.no).
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Academic studies and reviews for this medicine's active substance
Showing the 50 most relevant studies.
Reviews & meta-analyses: 3 · Randomised trials: 38 · 2016–2026
Showing the 50 most relevant studies, sorted by most relevant.
S. Qin, Minshan Chen, A. Cheng, et al.
Lancet, 2023
E. Felip, N. Altorki, C. Zhou, et al.
Annals of oncology : official journal of the European Society for Medical Oncology, 2023
A. Oaknin, L. Gladieff, J. Martínez-Garcia, et al.
Lancet, 2023
A. Rittmeyer, F. Barlesi, D. Waterkamp, et al.
Lancet (London, England), 2016
L. Fehrenbacher, A. Spira, M. Ballinger, et al.
Lancet, 2016
H. West, M. Mccleod, M. Hussein, et al.
The Lancet. Oncology, 2019
E. Felip, N. Altorki, Caicun Zhou, et al.
Lancet, 2021
R. Kelley, L. Rimassa, A. Cheng, et al.
The Lancet. Oncology, 2022
T. Powles, I. Durán, M. S. van der Heijden, et al.
Lancet, 2018
P. Schmid, H. Rugo, S. Adams, et al.
The Lancet. Oncology, 2019
Sources: aggregated from Europe PMC (EMBL-EBI), OpenAlex, Crossref, PubMed and other open scholarly databases. Retracted articles are excluded. Study information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
None known
Half-life
27 days
Mechanism
Atezolizumab is a humanized IgG antibody that binds PD-L1, preventing its interaction with PD-1 and B7-1.
Food interactions
None known
Human targets
1 target
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
2.19-2.73day
[A181223]…
Half-life
27 days
[A18492][A181223]
Protein binding
Volume of distribution
6.91L
[A18492][A181223]
Metabolism
[A31470]
Elimination
[A181238]
Clearance
0.200L
[A18492][A181223]
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
Non-Small Cell Lung Cancer (NSCLC)
- as adjuvant treatment following resection and platinum-based chemotherapy for adult patients with Stage II to IIIA NSCLC whose tumours have PD-L1 expression on ≥ 1% of tumour cells, as determined by an FDA-approved test.
- for the first-line treatment of adult patients with metastatic NSCLC whose tumours have high PD-L1 expression (PD-L1 stained ≥ 50% of tumour cells [TC ≥ 50%] or PD-L1 stained tumour-infiltrating immune cells IC covering ≥ 10% of the tumour area [IC ≥ 10%]), as determined by an FDAapproved test, with no EGFR or ALK genomic tumour aberrations.
- in combination with [bevacizumab], [paclitaxel], and [carboplatin], for the first-line treatment of adult patients with metastatic non-squamous NSCLC with no EGFR or ALK genomic tumour aberrations.
- in combination with paclitaxel protein-bound and carboplatin for the firstline treatment of adult patients with metastatic non-squamous NSCLC with no EGFR or ALK genomic tumor aberrations.
- for the treatment of adult patients with metastatic NSCLC who have disease progression during or following platinum-containing chemotherapy. Patients with EGFR or ALK genomic tumour aberrations should have disease progression on FDA-approved therapy for NSCLC harbouring these aberrations prior to receiving atezolizumab.
Small Cell Lung Cancer (SCLC)
- in combination with carboplatin and [etoposide], for the first-line treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC).
- in combination with [lurbinectedin] for the maintenance treatment of adult patients with ES-SCLC whose disease has not progressed after first-line induction therapy with atezolizumab (or atezolizumab/hyaluronidase), carboplatin and etoposide.
Hepatocellular Carcinoma (HCC)
- in combination with bevacizumab for the treatment of patients with unresectable or metastatic HCC who have not received prior systemic therapy.
Melanoma
- in combination with [cobimetinib] and [vemurafenib] for the treatment of patients with BRAF V600 mutation-positive unresectable or metastatic melanoma.
Atezolizumab has approved indications for the following condition, administered intravenously [L44336], in adult and pediatric patients:
Alveolar Soft Part Sarcoma (ASPS)
- for the treatment of adult and pediatric patients 2 years of age and older with unresectable or metastatic ASPS.
[L44336]
Atezolizumab has an approved indication for the following condition, administered subcutaneously in combination with [Hyaluronidase (human recombinant)] [L52490], in adult patients:
- for the treatment of adult patients with unresectable or metastatic ASPS.
[L52490]
Known interactions with other medications. Always consult a healthcare professional.
Showing 50 of 417 interactions
Overdose data for atezolizumab is scarce[A181241] but the most common adverse reactions are fatigue, nausea, cough, dyspnea, decreased appetite, alopecia, constipation, diarrhea, peripheral neuropathies, anemia, headache, neutropenia, and vomiting.
[L7489]
How the body processes this drug — absorption, distribution, metabolism, and elimination
[A181223]
In these patients, the AUC was 2.19-2.73day\*µg/mL/mg, the Cmax was 0.27-0.35µg/mL/mg, and the Cmin was 0.004-0.008µg/mL/mg.
[A181223]
[A18492][A181223]
[A18492][A181223]
[A31470]
[A181238]
[A18492][A181223]
Proteins and enzymes this drug interacts with in the body
PMID:11015443 PMID:28813410 PMID:28813417 PMID:31399419
As a ligand for the inhibitory receptor PDCD1/PD-1, modulates the activation threshold of T-cells and limits T-cell effector response .
PMID:11015443 PMID:28813410 PMID:28813417 PMID:36727298
Through a yet unknown activating receptor, may costimulate T-cell subsets that predominantly produce interleukin-10 (IL10) .
PMID:10581077
Can also act as a transcription coactivator: in response to hypoxia, translocates into the nucleus via its interaction with phosphorylated STAT3 and promotes transcription of GSDMC, leading to pyroptosis PMID:32929201
ATC L01FF05
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
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Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Atezolizumab
DrugBank citations
If you use DrugBank data in your research, please cite the following publications:
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Structured knowledge from the free knowledge base
ATC classifications (Wikidata)
Linked open data from Wikidata (Q20707748), a free and open knowledge base operated by the Wikimedia Foundation. Data is available under the Creative Commons CC0 1.0 Public Domain Dedication. WHO INN from the World Health Organization.