Active Ingredient: Atezolizumab
Atezolizumab, in combination with carboplatin and etoposide, is indicated for the first-line treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC).
For this indication, competent medicine agencies globally authorize below treatments:
For:
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.
Induction and maintenance phases:
Atezolizumab should be administered first when given on the same day.
Induction phase for combination partners (four cycles):
Carboplatin, and then etoposide are administered on day 1; etoposide is also administered on days 2 and 3 of each 3-weekly cycle.
Until disease progression or unmanageable toxicity. Atypical responses (i.e., an initial disease progression followed by tumour shrinkage) have been observed with continued atezolizumab treatment after disease progression. Treatment beyond disease progression may be considered at the discretion of the physician.
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 reductions of atezolizumab are not recommended.
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.
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