Atezolizumab
drugOn this page
Also known as 0ine2sfd9eAtezolizumab-tqjcAnti-PD-L1Anti-PDL1MPDL-3280AMPDL3280ARG-7446RG7446Tecentriq
Summary
Atezolizumab (CHEMBL3707227) is an approved antibody (ATC L01FF05); indicated across 97 conditions including non-small cell lung carcinoma and breast carcinoma; with CIViC clinical evidence for 21 variant-indication associations (e.g. BRAF V600 in melanoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Antibody
- ATC class: L01FF05
- Indications: 97 conditions
- Clinical trials: 690
- Precision-oncology evidence (CIViC): 21 variant–indication associations
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL3707227 |
| Name | Atezolizumab |
| Type | Antibody |
| Max phase | 4 |
| ATC | L01FF05 |
Also known as: 0ine2sfd9e, Atezolizumab, Atezolizumab-tqjc, Anti-PD-L1, Anti-PDL1, MPDL-3280A, MPDL3280A, RG-7446, RG7446, Tecentriq, ATEZOLIZUMAB
Targets
Targets
No target linkage available.
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
No target-pathway data for this drug (no mapped target genes).
Indications & clinical
Indications
97 indications (12 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| non-small cell lung carcinoma | 4 | MONDO:0005233 | EFO:0003060 |
| breast carcinoma | 4 | MONDO:0004989 | EFO:0000305 |
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| small cell lung carcinoma | 4 | MONDO:0008433 | EFO:0000702 |
| breast neoplasm | 4 | MONDO:0021100 | EFO:0003869 |
| triple-negative breast carcinoma | 4 | MONDO:0005494 | EFO:0005537 |
| urothelial carcinoma | 4 | MONDO:0040679 | EFO:0008528 |
| lung neoplasm | 4 | MONDO:0021117 | MONDO:0008903 |
| transitional cell carcinoma | 4 | MONDO:0006474 | EFO:1000601 |
| benign urinary system neoplasm | 4 | MONDO:0004180 | MONDO:0004180 |
| ovarian neoplasm | 3 | MONDO:0021068 | EFO:0003893 |
| hepatocellular carcinoma | 3 | MONDO:0007256 | EFO:0000182 |
| prostate adenocarcinoma | 3 | MONDO:0005082 | EFO:0000673 |
| renal cell carcinoma | 3 | MONDO:0005086 | EFO:0000681 |
| melanoma | 3 | MONDO:0005105 | EFO:0000756 |
| malignant pleural mesothelioma | 3 | MONDO:0005112 | EFO:0000770 |
| cervical carcinoma | 3 | MONDO:0005131 | EFO:0001061 |
| ovarian carcinoma | 3 | MONDO:0005140 | EFO:0001075 |
| carcinoma of esophagus | 3 | MONDO:0019086 | EFO:0002916 |
| colorectal carcinoma | 3 | MONDO:0024331 | EFO:1001951 |
| head and neck squamous cell carcinoma | 3 | MONDO:0010150 | EFO:0000181 |
| cutaneous melanoma | 3 | MONDO:0005012 | EFO:0000389 |
| metastatic melanoma | 3 | MONDO:0005191 | EFO:0002617 |
| peritoneal neoplasm | 3 | MONDO:0006901 | EFO:1001100 |
| metastatic prostate carcinoma | 3 | MONDO:0004956 | EFO:0000196 |
| fallopian tube neoplasm | 3 | MONDO:0021092 | MONDO:0002158 |
| ovarian cancer | 3 | MONDO:0008170 | MONDO:0008170 |
| endometrium neoplasm | 3 | MONDO:0021251 | MONDO:0011962 |
| esophageal squamous cell carcinoma | 3 | MONDO:0005580 | EFO:0005922 |
| mesothelioma | 3 | MONDO:0005065 | EFO:0000588 |
| papillary renal cell carcinoma | 3 | MONDO:0017884 | EFO:0000640 |
| colorectal neoplasm | 3 | MONDO:0005335 | EFO:0004142 |
| malignant peritoneal mesothelioma | 3 | MONDO:0005512 | EFO:0005567 |
| fallopian tube carcinoma | 3 | MONDO:0006206 | EFO:1000251 |
| uterine corpus cancer | 3 | MONDO:0006003 | EFO:0007532 |
| B-cell chronic lymphocytic leukemia | 2 | MONDO:0004948 | EFO:0000095 |
| neoplasm of mature B-cells | 2 | MONDO:0004949 | EFO:0000096 |
| Hodgkins lymphoma | 2 | MONDO:0004952 | EFO:0000183 |
| diffuse large B-cell lymphoma | 2 | MONDO:0018905 | EFO:0000403 |
| gastric adenocarcinoma | 2 | MONDO:0005036 | EFO:0000503 |
| glioblastoma | 2 | MONDO:0018177 | EFO:0000519 |
| lymphoma | 2 | MONDO:0005062 | EFO:0000574 |
| non-Hodgkin lymphoma | 2 | MONDO:0018908 | EFO:0005952 |
| head and neck cancer | 2 | MONDO:0005627 | EFO:0006859 |
| alveolar soft part sarcoma | 2 | MONDO:0011655 | EFO:0007143 |
| rectal cancer | 2 | MONDO:0006519 | EFO:1000657 |
| Sezary syndrome | 2 | MONDO:0017844 | EFO:1000785 |
| mycosis fungoides | 2 | MONDO:0009691 | EFO:1001051 |
| sarcoma | 2 | MONDO:0005089 | EFO:0000691 |
| exocrine pancreatic carcinoma | 2 | MONDO:0005192 | EFO:0002618 |
| upper aerodigestive tract neoplasm | 2 | MONDO:0005398 | EFO:0004284 |
| carcinoma | 2 | MONDO:0004993 | EFO:0000313 |
| cholangiocarcinoma | 2 | MONDO:0019087 | EFO:0005221 |
| uterine carcinosarcoma | 2 | MONDO:0006485 | EFO:1000613 |
| anus neoplasm | 2 | MONDO:0003046 | MONDO:0001879 |
| kidney cancer | 2 | MONDO:0002367 | MONDO:0002367 |
| follicular lymphoma | 2 | MONDO:0018906 | MONDO:0018906 |
| hematopoietic and lymphoid system neoplasm | 2 | MONDO:0002334 | MONDO:0044881 |
| thyroid gland carcinoma | 2 | MONDO:0015075 | EFO:0002892 |
| intrahepatic cholangiocarcinoma | 2 | MONDO:0003210 | EFO:1001961 |
| osteosarcoma | 2 | MONDO:0009807 | EFO:0000637 |
| colonic neoplasm | 2 | MONDO:0005401 | EFO:0004288 |
| gallbladder carcinoma | 2 | MONDO:0003220 | EFO:1001956 |
| gastrointestinal stromal tumor | 2 | MONDO:0011719 | MONDO:0011719 |
| lymphoid neoplasm | 2 | MONDO:0005157 | EFO:0001642 |
| gastric neoplasm | 2 | MONDO:0021085 | MONDO:0001056 |
| neuroendocrine carcinoma | 2 | MONDO:0002120 | MONDO:0002120 |
| astrocytoma (excluding glioblastoma) | 2 | MONDO:0019781 | EFO:0000272 |
| primary cutaneous T-cell non-Hodgkin lymphoma | 2 | MONDO:0000607 | EFO:0002913 |
| head and neck neoplasm | 2 | MONDO:0005586 | EFO:0005950 |
| malignant pancreatic neoplasm | 2 | MONDO:0009831 | EFO:1000359 |
| adrenal cortex carcinoma | 2 | MONDO:0006639 | EFO:1000796 |
| oropharynx cancer | 2 | MONDO:0004608 | EFO:1001931 |
| pancreatic ductal adenocarcinoma | 2 | MONDO:0005184 | MONDO:0005184 |
| myelodysplastic syndrome | 1 | MONDO:0018881 | EFO:0000198 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| plasma cell myeloma | 1 | MONDO:0009693 | EFO:0001378 |
| gliosarcoma | 1 | MONDO:0016681 | EFO:1001465 |
| chronic myeloid leukemia | 1 | MONDO:0011996 | EFO:0000339 |
| glioma | 1 | MONDO:0021042 | MONDO:0100342 |
| skin neoplasm | 1 | MONDO:0002531 | MONDO:0002898 |
| idiopathic pulmonary fibrosis | 1 | MONDO:0800504 | EFO:0000768 |
| rhabdomyosarcoma | 1 | MONDO:0005212 | EFO:0002918 |
| paraganglioma | 1 | MONDO:0000448 | EFO:1000453 |
| adenocarcinoma | 1 | MONDO:0004970 | MONDO:0003219 |
12 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 690.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 296 |
| PHASE1 | 131 |
| PHASE3 | 104 |
| PHASE1/PHASE2 | 104 |
| Not specified | 26 |
| PHASE2/PHASE3 | 14 |
| EARLY_PHASE1 | 9 |
| PHASE4 | 6 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05185505 | PHASE4 | RECRUITING | Atezolizumab and Bevacizumab Pre-Liver Transplantation for Patients With Hepatocellular Carcinoma Beyond Milan Criteria |
| NCT05689671 | PHASE4 | ACTIVE_NOT_RECRUITING | Pemetrexed-free vs. Pemetrexed-based Immunochemotherapy in Metastatic TTF-1 Negative Lung Adenocarcinoma |
| NCT06031233 | PHASE4 | RECRUITING | Evaluating the Safety of Shortened Infusion Times for dIfferent Oncological Immunotherapie |
| NCT07059494 | PHASE4 | RECRUITING | Atezolizumab and Bevacizumab in Combination With Y^90 Radioembolization in HCC for Liver Transplant |
| NCT03285763 | PHASE4 | COMPLETED | A Study of Atezolizumab (Tecentriq) to Investigate Long-term Safety and Efficacy in Previously-treated Participants With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) |
| NCT05717400 | PHASE4 | TERMINATED | Improving Response to Immunotherapy in Patients With Advanced Hepatocellular Carcinoma and Chronic Hepatitis C Virus Infection With Direct-Acting Antiviral Therapy |
| NCT01810913 | PHASE2/PHASE3 | RECRUITING | Testing Docetaxel-Cetuximab or the Addition of an Immunotherapy Drug, Atezolizumab, to the Usual Chemotherapy and Radiation Therapy in High-Risk Head and Neck Cancer |
| NCT02486718 | PHASE3 | ACTIVE_NOT_RECRUITING | Study to Assess Safety and Efficacy of Atezolizumab (MPDL3280A) Compared to Best Supportive Care Following Chemotherapy in Patients With Lung Cancer [IMpower010] |
| NCT02839707 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Pegylated Liposomal Doxorubicin Hydrochloride With Atezolizumab and/or Bevacizumab in Treating Patients With Recurrent Ovarian, Fallopian Tube, or Primary Peritoneal Cancer |
| NCT02912559 | PHASE3 | ACTIVE_NOT_RECRUITING | Combination Chemotherapy With or Without Atezolizumab in Treating Patients With Stage III Colon Cancer and Deficient DNA Mismatch Repair |
| NCT02997228 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Addition of Atezolizumab to Combination Chemotherapy or Atezolizumab Alone for Metastatic Colon or Rectal Cancer, the COMMIT Study |
| NCT03148418 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study in Participants Previously Enrolled in a Genentech- and/or F. Hoffmann-La Roche Ltd-Sponsored Atezolizumab Study (IMbrella A) |
| NCT03178552 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Evaluate the Efficacy and Safety of Multiple Targeted Therapies as Treatments for Participants With Non-Small Cell Lung Cancer (NSCLC) |
| NCT03281954 | PHASE3 | ACTIVE_NOT_RECRUITING | Clinical Trial of Neoadjuvant Chemotherapy With Atezolizumab or Placebo in Patients With Triple-Negative Breast Cancer Followed After Surgery by Atezolizumab or Placebo |
| NCT03595592 | PHASE3 | ACTIVE_NOT_RECRUITING | Neoadjuvant Treatment of HER2 Positive Early High-risk and Locally Advanced Breast Cancer |
| NCT03755791 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Cabozantinib in Combination With Atezolizumab Versus Sorafenib in Participants With Advanced Hepatocellular Carcinoma (HCC) Who Have Not Received Previous Systemic Anticancer Therapy |
| NCT03768063 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study in Patients Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Atezolizumab Study |
| NCT03775265 | PHASE3 | ACTIVE_NOT_RECRUITING | Chemoradiotherapy With or Without Atezolizumab in Treating Patients With Localized Muscle Invasive Bladder Cancer |
| NCT03799835 | PHASE3 | ACTIVE_NOT_RECRUITING | Atezolizumab Plus One-year BCG Bladder Instillation in BCG-naive High-risk Non-muscle Invasive Bladder Cancer Patients |
| NCT03811002 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Addition of a New Immunotherapy Drug, Atezolizumab (MPDL3280A), to the Usual Chemoradiation (CRT) Therapy Treatment for Limited Stage Small Cell Lung Cancer (LS-SCLC) |
| NCT03977194 | PHASE3 | ACTIVE_NOT_RECRUITING | Atezolizumab in Elderly Patients With Advanced Non-Small-Cell Lung Cancer and Receiving Carboplatin Paclitaxel Chemotherapy |
| NCT04102098 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Atezolizumab Plus Bevacizumab Versus Active Surveillance as Adjuvant Therapy in Patients With Hepatocellular Carcinoma at High Risk of Recurrence After Surgical Resection or Ablation |
| NCT04214262 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Addition of the Drug Atezolizumab to the Usual Radiation Treatment for Patients With Early Non-small Cell Lung Cancer |
| NCT04402788 | PHASE2/PHASE3 | RECRUITING | Testing the Addition of Radiation Therapy to the Usual Immune Therapy Treatment (Atezolizumab) for Extensive Stage Small Cell Lung Cancer, The RAPTOR Trial |
| NCT04446117 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Cabozantinib in Combination With Atezolizumab Versus Second NHT in Subjects With mCRPC |
| NCT04543617 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Atezolizumab With or Without Tiragolumab in Participants With Unresectable Esophageal Squamous Cell Carcinoma Whose Cancers Have Not Progressed Following Definitive Concurrent Chemoradiotherapy |
| NCT04637594 | PHASE3 | ACTIVE_NOT_RECRUITING | Trying to Find the Correct Length of Treatment With Immune Checkpoint Therapy |
| NCT04649489 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Evaluate Efficacy and Safety of Hepatic Resection for Liver Cancer With PVTT, HVTT or IVCTT After Initial Ate/Bev |
| NCT04660344 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Atezolizumab Versus Placebo as Adjuvant Therapy in Participants With High-risk Muscle-invasive Bladder Cancer (MIBC) Who Are ctDNA Positive Following Cystectomy |
| NCT04665856 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Atezolizumab Plus Carboplatin and Etoposide With or Without Tiragolumab in Participants With Untreated Extensive-Stage Small Cell Lung Cancer |
| NCT04712643 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of TACE Combined With Atezolizumab Plus Bevacizumab or TACE Alone in Patients With Untreated Heaptocellular Carcionma |
| NCT04770896 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Atezolizumab With Lenvatinib or Sorafenib Versus Lenvatinib or Sorafenib Alone in Hepatocellular Carcinoma Previously Treated With Atezolizumab and Bevacizumab |
| NCT04803994 | PHASE3 | RECRUITING | The ABC-HCC Trial: Atezolizumab Plus Bevacizumab vs. Transarterial Chemoembolization (TACE) in Intermediate-stage HepatoCellular Carcinoma |
| NCT04873362 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study Evaluating the Efficacy and Safety of Adjuvant Atezolizumab or Placebo and Trastuzumab Emtansine for Participants With HER2-Positive Breast Cancer at High Risk of Recurrence Following Preoperative Therapy |
| NCT05047250 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Atezolizumab in High PD-L1 Expression, Chemotherapy-Naïve Patients With Stage IV Non-Squamous or Squamous Non-Small Cell Lung Cancer |
| NCT05058651 | PHASE2/PHASE3 | RECRUITING | Evaluating the Addition of the Immunotherapy Drug Atezolizumab to Standard Chemotherapy Treatment for Advanced or Metastatic Neuroendocrine Carcinomas That Originate Outside the Lung |
| NCT05063552 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Use of Investigational Drugs Atezolizumab and/or Bevacizumab With or Without Standard Chemotherapy in the Second-Line Treatment of Advanced-Stage Head and Neck Cancers |
| NCT05091567 | PHASE3 | ACTIVE_NOT_RECRUITING | A Phase III, Open-Label Study of Maintenance Lurbinectedin in Combination With Atezolizumab Compared With Atezolizumab in Participants With Extensive-Stage Small-Cell Lung Cancer |
| NCT05112965 | PHASE3 | ACTIVE_NOT_RECRUITING | An Extension Study in Participants Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Atezolizumab Study (IMbrella C) |
| NCT05141721 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | A Study of a Patient-Specific Neoantigen Vaccine in Combination With Immune Checkpoint Blockade for Patients With Metastatic Colorectal Cancer |
Clinical evidence (CIViC)
Variant × indication × effect (21 predictive associations from 22 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| BRAF V600 | Melanoma | Sensitivity/Response | Atezolizumab + Vemurafenib + Cobimetinib | CIViC A | EID11238 |
| CD274 Expression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Atezolizumab | CIViC B | EID1172 +1 |
| BRAF V600E AND BRAF Amplification | Epithelial Ovarian Cancer | Sensitivity/Response | Atezolizumab + Bevacizumab | CIViC B | EID9885 |
| CD274 Expression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Atezolizumab + Avelumab + Nivolumab + Pembrolizumab | CIViC B | EID1167 |
| CD274 Expression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Atezolizumab + Avelumab + Pembrolizumab + Nivolumab + Durvalumab | CIViC B | EID4857 |
| CD274 Expression | Bladder Urothelial Carcinoma | Sensitivity/Response | Atezolizumab | CIViC B | EID9886 |
| CTLA4 EXPRESSION | Lung Non-small Cell Carcinoma | Sensitivity/Response | Atezolizumab | CIViC B | EID5810 |
| CX3CL1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Atezolizumab | CIViC B | EID5812 |
| EZH2 Y646N | Diffuse Large B-cell Lymphoma | Sensitivity/Response | Tazemetostat + Atezolizumab | CIViC B | EID11112 |
| HLA-DRA EXPRESSION | Skin Melanoma | Sensitivity/Response | Nivolumab + Atezolizumab + Pembrolizumab | CIViC B | EID985 |
| KRAS Mutation | Lung Non-small Cell Carcinoma | Sensitivity/Response | Atezolizumab + Nivolumab | CIViC B | EID4863 |
| PBRM1 Loss-of-function | Renal Cell Carcinoma | Sensitivity/Response | Atezolizumab + Durvalumab | CIViC B | EID7537 |
| TMB High | Lung Non-small Cell Carcinoma | Sensitivity/Response | Atezolizumab | CIViC B | EID12587 |
| DNMT3A Mutation | Cancer | Resistance | Atezolizumab + Nivolumab + Pembrolizumab | CIViC B | EID2926 |
| STK11 Mutation | Lung Adenocarcinoma | Resistance | Nivolumab + Atezolizumab + Pembrolizumab | CIViC B | EID6441 |
| MDM4 Amplification | Cancer | Adverse Response | Atezolizumab + Nivolumab + Pembrolizumab | CIViC B | EID2925 |
| MDM4 EXPRESSION | Cancer | Adverse Response | Nivolumab + Atezolizumab + Pembrolizumab | CIViC B | EID2917 |
| JAK3 S61C | Lung Adenocarcinoma | Sensitivity/Response | Atezolizumab | CIViC C | EID2979 |
| JAK3 V722I | Lung Adenocarcinoma | Sensitivity/Response | Atezolizumab | CIViC C | EID2978 |
| ARID1A Loss | Ovarian Cancer | Sensitivity/Response | Atezolizumab + Pembrolizumab + Nivolumab | CIViC D | EID6399 |
| CD274 v242 | Lung Non-small Cell Carcinoma | Resistance | Durvalumab + Atezolizumab + Avelumab | CIViC E | EID9695 |
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).
Related Atlas pages
- Diseases: non-small cell lung carcinoma, breast carcinoma, neoplasm, small cell lung carcinoma, breast neoplasm, triple-negative breast carcinoma, urothelial carcinoma, lung neoplasm, transitional cell carcinoma, benign urinary system neoplasm, ovarian neoplasm, hepatocellular carcinoma, prostate adenocarcinoma, renal cell carcinoma, melanoma, malignant pleural mesothelioma, cervical carcinoma, ovarian carcinoma, carcinoma of esophagus, colorectal carcinoma, head and neck squamous cell carcinoma, cutaneous melanoma, metastatic melanoma, peritoneal neoplasm, metastatic prostate carcinoma, fallopian tube neoplasm, ovarian cancer, endometrium neoplasm, esophageal squamous cell carcinoma, mesothelioma, papillary renal cell carcinoma, colorectal neoplasm, malignant peritoneal mesothelioma, fallopian tube carcinoma, uterine corpus cancer, bladder transitional cell carcinoma, diffuse large B-cell lymphoma, cancer, lung adenocarcinoma
- Biomarker genes: CD274