CV: peripheral edema, myocarditis, pericarditis.
Derm: pruritus, rash, DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS (DRESS), STEVENS-JOHNSON SYNDROME (SJS), TOXIC EPIDERMAL NECROLYSIS (TEN).
Endo: hypothyroidism, ADRENAL INSUFFICIENCY, hyperglycemia, hyperthyroidism, hypophysitis, type 1 diabetes mellitus.
F and E: hyponatremia, dehydration.
GI: ↓ appetite, colitis/diarrhea, constipation, hepatotoxicity, nausea, vomiting, ↑ liver enzymes, abdominal pain, PANCREATITIS.
GU: hematuria, ↓ fertility (females), ↑ serum creatinine, acute kidney injury, nephritis, urinary obstruction.
Hemat: lymphopenia, anemia.
Metab: hypoalbuminemia.
MS: arthralgia.
Neuro: Guillain-Barre syndrome, ENCEPHALITIS, MENINGITIS, MYASTHENIA GRAVIS, myelitis, nerve paresis.
Resp: cough, dyspnea, INTERSTITIAL LUNG DISEASE.
Misc: fatigue, fever, infections (including herpes encephalitis and tuberculosis), INFUSION-RELATED REACTIONS.
Non-Small Cell Lung Cancer
- IV (Adults): As monotherapy (metastatic NSCLC): 840 mg every 2 wk until disease progression or unacceptable toxicity or1200 mg every 3 wk until disease progression or unacceptable toxicity or1680 mg every 4 wk until disease progression or unacceptable toxicity. As monotherapy (adjuvant treatment): 840 mg every 2 wk for up to 1 yr unless there is disease recurrence or unacceptable toxicity or1200 mg every 3 wk for up to 1 yr unless there is disease recurrence or unacceptable toxicity or1680 mg every 4 wk for up to 1 yr unless there is disease recurrence or unacceptable toxicity. Combination therapy: 840 mg every 2 wk until disease progression or unacceptable toxicity or1200 mg every 3 wk until disease progression or unacceptable toxicity or1680 mg every 4 wk until disease progression or unacceptable toxicity. Administer prior to bevacizumab and chemotherapy when given on same day.
Small Cell Lung Cancer
- IV (Adults): 840 mg every 2 wk until disease progression or unacceptable toxicity or1200 mg every 3 wk until disease progression or unacceptable toxicity or1680 mg every 4 wk until disease progression or unacceptable toxicity. Administer prior to carboplatin and etoposide when given on same day.
Hepatocellular Carcinoma
- IV (Adults): 840 mg every 2 wk until disease progression or unacceptable toxicity or1200 mg every 3 wk until disease progression or unacceptable toxicity or1680 mg every 4 wk until disease progression or unacceptable toxicity. Administer prior to bevacizumab when given on same day.
Melanoma
- IV (Adults): 840 mg every 2 wk until disease progression or unacceptable toxicity or1200 mg every 3 wk until disease progression or unacceptable toxicity or1680 mg every 4 wk until disease progression or unacceptable toxicity. A 28day treatment cycle of cobimetinib and vemurafenib should be administered prior to starting atezolizumab therapy.
Alveolar Soft Part Sarcoma
- IV (Adults): 840 mg every 2 wk until disease progression or unacceptable toxicity or1200 mg every 3 wk until disease progression or unacceptable toxicity or1680 mg every 4 wk until disease progression or unacceptable toxicity.
- IV (Children ≥2 yr): 15 mg/kg (max dose = 1200 mg) every 3 wk until disease progression or unacceptable toxicity.
Therapeutic Classification: antineoplastics
Pharmacologic Classification: monoclonal antibodies
Absorption: IV administration results in complete bioavailability.
Distribution: Minimally distributed to tissues.
Metabolism/Excretion: Unknown.
Half-life: 27 days.