A Study of Atezolizumab in Participants With Programmed Death-Ligand 1 (PD-L1) Positive Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) [FIR]
Non-Small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Non-Small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Stage IIIB (not eligible for definitive chemoradiotherapy), Stage IV, or recurrent NSCLC
- PDL1-positive status as determined by an immunohistochemistry assay performed by a central laboratory. A positive result in chemotherapy, chemoradiation of the tumor sample biopsy will satisfy the eligibility criterion
- Eastern Cooperative Oncology group Performance Status of 0 or 1
- Life expectancy greater than or equal to 12 weeks
- Measurable disease, as defined by Response Evaluation Criteria in Solid Tumors Version 1.1
- Adequate hematologic and end organ function
Exclusion Criteria:
- Any approved anti-cancer therapy, including chemotherapy, or hormonal therapy within 3 weeks prior to initiation of study treatment; the following exceptions are allowed. Hormone-replacement therapy or oral contraceptives, and tyrosine kinase inhibitors approved for treatment of NSCLC discontinued greater than 7 days prior to Cycle 1 Day 1
- Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment
Known central nervous system disease, including treated brain metastases in the following participants:
- who will not receive prior chemotherapy for advanced disease
- who progress during or following a prior-platinum based chemotherapy regimen for advanced disease (referred as 2L+ participants)
- Participants with a history of treated asymptomatic brain metastases are allowed in the 2L+ participants and previously treated for brain metastases.
- Leptomeningeal disease
- Uncontrolled tumor-related pain
- Uncontrolled hypercalcemia
Sites / Locations
- HonorHealth Research Institute - Pima Center
- Stanford University/Lucile Packard Children's Hospital
- The Angeles Clinic and Research Institute, Santa Monica Office
- University Of Colorado
- Yale University School Of Medicine
- Georgetown University
- Florida Hospital Cancer Inst
- Hematology Oncology Associates of the Treasure Coast
- Florida Cancer Specialists.
- H. Lee Moffitt Cancer Center and Research Inst.
- Northwest Georgia Oncology Centers P.C.
- The University of Chicago Medical Center
- Dartmouth Hitchcock Med Center; Norris Cotton Cancer Ctr
- Memorial Sloan Kettering Cancer Center
- Duke University Health Systems
- Carolina BioOncology Institute; Can Therapy & Res Ctr
- Ohio State Uni Hospital
- Oncology Hematology Care, Inc.
- Penn State Univ. Milton S. Hershey Medical Center; MSHMC Cardiology
- Penn Presbyterian Medical Center; Abramson Cancer Center
- University of Pennsylvania
- SCRI-Tennessee Oncology
- Huntsman Cancer Institute; University of Utah
- Virginia Cancer Institute
- University of Washington Seattle Cancer Care Alliance
- Sint Augustinus Wilrijk
- Centre Léon Bérard
- Antoni van Leeuwenhoek Ziekenhuis
- Queen Mary University of London
- Royal Marsden Hospital - Fulham; Oncology Department
- Royal Marsden Hospital - Fulham
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Atezolizumab (MPDL3280): 1L Participants
Atezolizumab (MPDL3280): 2L+ Participants
Atezolizumab (MPDL3280): 2L+ Brain Metastases Participants
Participants with no prior chemotherapy for advanced NSCLC disease will receive atezolizumab IV as a fixed dose of 1200-mg on Day 1 of each 21-day cycle until disease progression.
Participants who progress during or following a prior platinum-based chemotherapy regimen without restriction to maximum number of prior therapies will receive atezolizumab IV as a fixed dose of 1200-mg on Day 1 of each 21-day cycle until no longer deemed to be experiencing clinical benefit as assessed by the investigator.
Participants with previously treated brain metastases and who progress during or following a prior platinum-based chemotherapy regimen without restriction to the maximum number of prior therapies, will receive atezolizumab IV as a fixed dose of 1200-mg on Day 1 of each 21-day cycle until no longer deemed to be experiencing clinical benefit as assessed by the investigator.