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Systemic Anti-Cancer Therapy Regimen Library

LUNG NSCLC Locally advanced/Metastatic - aTEZOLIzumab Q3W

Treatment Overview

Cycle 1 (and all further cycles) - 21 days

Cycle length:
21

aTEZOLIzumab, subsequent doses: Administer appropriate premedications if patient had a previous infusion-related reaction of a grade where re-challenge is possible.

Cycle details

Cycle 1 (and all further cycles) - 21 days

Medication Dose Route Days Max Duration
aTEZOLIzumab 1200 mg intravenous 1 60 minutes

aTEZOLIzumab, subsequent doses: Administer appropriate premedications if patient had a previous infusion-related reaction of a grade where re-challenge is possible.

Full details

Cycle 1 (and all further cycles) - 21 days

Day: 1

Medication Dose Route Max duration Details
aTEZOLIzumab 1200 mg intravenous 60 minutes
Instructions:
  • If the initial dose is well tolerated, subsequent doses may be administered over 30 minutes.
  • Administer appropriate premedications if patient had a previous infusion-related reaction of a grade where re-challenge is possible.


Supportive Care Factors

Factor Value
Emetogenicity: Minimal
Hypersensitivity / Infusion related reaction risk: Low - routine premedication not recommended

References

Rittmeyer, A., F. Barlesi, D. Waterkamp, et al. 2017. "Atezolizumab versus docetaxel in patients with previously treated non-small-cell lung cancer (OAK): a phase 3, open-label, multicentre randomised controlled trial." Lancet 389(10066):255-265., PMID: 27979383

Rittmeyer A, Barlesi F, Waterkamp D, et al. 2016 "Supplement to: Atezolizumab versus docetaxel in patients with previously treated non-small-cell lung cancer (OAK): a phase 3, open-label, multicentre randomised controlled trial." Lancet; published online Dec 12. http://dx.doi.org/10.1016/ S0140-6736(16)32517-X.

Roche Products (New Zealand) Limited. Tecentriq New Zealand Data Sheet 04 March 2024. https://www.medsafe.govt.nz/profs/Datasheet/t/Tecentriqinf.pdf (Accessed 23 July 2024).

* The medicines, doses, combinations, and schedule in this treatment regimen have been carefully reviewed against international best practice guidelines by specialists in medical oncology around New Zealand and this advice has been accepted for publication by Te Aho o Te Kahu (the Cancer Control Agency). Sometimes medicines that are used in routine clinical practice have not been through a formal review process by the NZ Medicines Regulator Medsafe and are therefore considered unapproved or off-label. These medicines are legally able to be prescribed through sections 25 and 29 of the Medicines Act and by obtaining informed consent from patients. All treatment regimens listed on this website have been through robust peer review and are considered an accepted standard of care, whether prescribed through sections 25 or 29 or carrying formal Medsafe Approval.

s29: This symbol indicates that some formulations of the associated medicine are legally only able to be prescribed under section 29 of the Medicines Act. You can see which formulations are section 29 by hovering over the s29 symbol. You can access full medication details from the New Zealand Formulary by clicking on the medication name. Each clinician retains full responsibility for ensuring they have complied with all relevant obligations and requirements of section 29 including obtaining informed patient consent prior to prescribing the applicable medicine.