Hepatocellular carcinoma

Active Ingredient: Atezolizumab

Indication for Atezolizumab

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Atezolizumab, in combination with bevacizumab, is indicated for the treatment of adult patients with advanced or unresectable HCC who have not received prior systemic therapy.

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

840 mg every 2 weeks or 1,200 mg every 3 weeks or 1,680 mg every 4 weeks

For:

Dosage regimens

Regimen A: Intravenous, 840 milligrams atezolizumab, once every 2 weeks.

Regimen B: Intravenous, 1,200 milligrams atezolizumab, once every 3 weeks.

Regimen C: Intravenous, 1,680 milligrams atezolizumab, once every 4 weeks.

Detailed description

  • 840 mg every 2 weeks or
  • 1 200 mg every 3 weeks or
  • 1 680 mg every 4 weeks

Atezolizumab should be administered prior to bevacizumab when given on the same day. Bevacizumab is administered at 15 mg/kg body weight (bw) every 3 weeks.

Duration of treatment

Until loss of clinical benefit or unmanageable toxicity.

Delayed or missed doses

If a planned dose of atezolizumab is missed, it should be administered as soon as possible. The schedule of administration must be adjusted to maintain the appropriate interval between doses.

Dose modifications during treatment

Dose reductions of atezolizumab are not recommended.

Dosage considerations

The infusions must not be administered as an intravenous push or bolus.

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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