Lung cancer patients may soon get immunotherapy as a quick shot instead of a long IV drip
NCT ID NCT03735121
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a subcutaneous (under-the-skin) injection of the immunotherapy drug atezolizumab works as well as the standard intravenous (IV) infusion in people with advanced non-small cell lung cancer who had already tried platinum-based chemotherapy. The trial enrolled 438 participants and had two parts: first to find the right dose for the shot, then to confirm that the shot delivers similar drug levels in the blood. If successful, this could make treatment much more convenient.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- atezolizumab (Tecentriq) and rHuPH20 (ENHANZE)
- What this could lead to
- If successful, this could offer a more convenient, faster way to receive atezolizumab as a shot under the skin instead of a lengthy IV infusion.
- What could go wrong
- This is a Phase 3 trial, but it primarily checks whether the subcutaneous version reaches similar drug levels in the blood. It may not show better cancer control or survival, and there could be injection-site reactions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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438 people
The number who actually took part.
- Started
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Dec 2018
- Finished
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Nov 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically or cytologically documented locally advanced or metastatic NSCLC * Prior platinum-containing regimen or disease recurrence ≤ 6 months since prior platinum-based adjuvant/neoadjuvant regimen. * Measurable disease as defined by RECIST v1.1 * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 * Life expectancy ≥12 weeks * Adequate hematologic and end-organ function Additional Inclusion Criteria (Part 2 Only) • Availability of tissue and known epidermal growth factor receptor (EGFR) status Exclusion Criteria: * Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases * Uncontrolled or symptomatic hypercalcemia * Pregnancy or breastfeeding * Active or history of autoimmune disease or immune deficiency * History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis * Severe infection ≤ 4 weeks * Treatment with therapeutic oral or IV antibiotics ≤ 2 weeks prior to study treatment * Significant cardiovascular disease * Prior allogeneic stem cell or solid organ transplantation * Treatment with a live, attenuated vaccine ≤ 4 weeks * Treatment with systemic immunostimulatory agents ≤ 4 weeks or 5 half-lives of the drug * Treatment with systemic immunosuppressive medication ≤ 2 weeks Additional Exclusion Criteria (Part 2 Only) • Tested tumor programmed death-ligand-1 (PD-L1) expression status with an intention to treat the patient if positive
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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APHM
Marseille, 13385, France
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Asan Medical Center
Seoul, 05505, South Korea
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Asst Papa Giovanni XXIII
Bergamo, Lombardy, 24128, Italy
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Auckland City Hospital, Cancer and Blood Research
Auckland, 1023, New Zealand
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Birmingham Heartlands Hospital
Birmingham, B9 5SS, United Kingdom
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Bradford Hill Centro de Investigaciones Clinicas
Recoleta, 8420383, Chile
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Centro Medico Monte Carmelo
Arequipa, 04001, Peru
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Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE, Argentina
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Centrum Terapii Wspolczesnej
Lodz, 93-319, Poland
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Chelyabinsk Regional Clinical Oncology Dispensary
Chelyabinsk, Moscow Oblast, 454087, Russia
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Christchurch Clinical Studies Trust Ltd
Christchurch, New Zealand
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Chulalongkorn Hospital
Bangkok, 10330, Thailand
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Clinica CIMCA
San José, 10103, Costa Rica
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Clinica Internacional, Sede San Borja
Lima, Lima 41, Peru
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Clínica San Gabriel
Lima, 15088, Peru
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Communal Non profit Enterprise Regional Center of Oncology
Kharkiv, Kharkiv Governorate, 61070, Ukraine
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Consultorio Dr. Miguel Angel Escudero
Salta, 4400, Argentina
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Cuidados oncologicos
Querétaro City, Querétaro, 76000, Mexico
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Ege Uni Medical Faculty Hospital
Izmir, 35100, Turkey (Türkiye)
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FSBI Russian Oncology Research Center n.a. Blokhin of MOH RF
Moscow, Moscow Oblast, 115478, Russia
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Faculty of Med. Siriraj Hosp.
Bangkok, 10700, Thailand
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Filial #1 Regional Oncology Dispensary of Nizhniy Novgorod
Nizhny Novgorod, Niznij Novgorod, 603081, Russia
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Fundación CENIT para la Investigación en Neurociencias
Buenos Aires, C1125ABD, Argentina
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General Hospital "G.Papanikolaou"
Asvestochóri, 570 10, Greece
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Groote Schuur Hospital ( Uni of Capetown )
Cape Town, 7506, South Africa
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Grupo Angeles
Guatemala City, 01015, Guatemala
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Health Pharma Professional Research
Mexico City, Mexico CITY (federal District), 03100, Mexico
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Henan Cancer Hospital
Zhengzhou, 450008, China
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Hospital El Pilar
Guatemala City, 01015, Guatemala
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Hospital Nossa Senhora da Conceicao
Porto Alegre, Rio Grande do Sul, 91350-200, Brazil
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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ICIMED Instituto de Investigación en Ciencias Médicas
San José, 10108, Costa Rica
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INCA 1- Instituto Nacional de Câncer X
Rio de Janeiro, 20231-050, Brazil
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INTEGRA Cancer Institute
Guatemala City, 01010, Guatemala
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IRCCS Istituto Clinico Humanitas
Rozzano, Lombardy, 20089, Italy
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Ico Rene Gauducheau
Saint-Herblain, 44805, France
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Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, 01246-000, Brazil
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Ivano-Frankivsk Regional Oncology Center
Ivano-Frankivsk, 76018, Ukraine
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James Lind Centro de Investigación Del Cáncer
Temuco, 4800827, Chile
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Jilin Cancer Hospital
Changchun, 132013, China
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Jinan Central Hospital
Jinan, 250013, China
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MEDSI Clinical Hospital on Pyatnitsky Highway
Moscow, Moscow Oblast, 143422, Russia
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Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200, Thailand
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Matrai Gyogyintezet
Mátraháza, 3233, Hungary
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Mazowieckie Centrum Leczenia Chorob Pluc i Gruzlicy
Otwock, 05-400, Poland
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Medipol University Medical Faculty
Istanbul, 34214, Turkey (Türkiye)
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Mordovia State University
Saransk, Respublika Mordoviya, 430032, Russia
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Multidisciplinary clinic Reaviz
Samara, 443011, Russia
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Municipal Institution City Clinical Hospital #4 of Dnipro City Council
Dnipropetrovsk, Katerynoslav Governorate, 49102, Ukraine
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Murmansk Regional Clinical Hospital named after P.A. Bayandin
Murmansk, 183047, Russia
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Narodowy Instytut Onkologii im. M. Sklodowskiej-Curie
Warsaw, 02-781, Poland
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Oncocentro Apys
Viña del Mar, 2520598, Chile
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Oncomedica
Guatemala City, 01010, Guatemala
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Oncosalud Sac
Lima, 41, Peru
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Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda
Ijuí, Rio Grande do Sul, 98700-000, Brazil
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Prapokklao Hospital
Chanthaburi, 22000, Thailand
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Prince of Songkla University
Hat Yai, 90110, Thailand
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RCI Sumy Regional Clinical Oncological Dispensary
Sumy, 40005, Ukraine
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Rajavithi Hospital
Bangkok, 10400, Thailand
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Református Pulmonológiai Centrum
Törökbálint, 2045, Hungary
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Regionalny Szpital Specjalistyczny im. W. Bieganskiego
Grudzi?dz, 86-300, Poland
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Riga East Clinical University Hospital Latvian Oncology Centre
Riga, LV-1079, Latvia
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SBIH Kaluga Region Clinical Oncology Dispensary
Kaluga, 248007, Russia
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Samsung Medical Centre
Seoul, 135-170, South Korea
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Sandton Oncology Medical Group
Sandton, 2196, South Africa
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Sir Run Run Shaw Hospital Zhejiang University
Hangzhou, 310016, China
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Sotiria Hospital
Athens, 104 31, Greece
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Tauranga Hospital, Clinical Trials Unit
Tauranga, 3112, New Zealand
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Udonthani Cancer Hospital, Udonthani
Muang,Udonthani, 41330, Thailand
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Vajira Hospital
Bangkok, 10300, Thailand
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Waikato Hospital - Cancer and Blood Research Trials Unit
Hamilton, 3204, New Zealand
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West China Hospital - Sichuan University
Chengdu, 610047, China
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Wilgers Oncology Centre
Pretoria, 0001, South Africa
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo targets stubborn KRAS lung cancer
- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can PET scan signals predict who beats lung cancer with immunotherapy?
- Two-Drug combo takes aim at Hard-to-Treat lung cancer