A Study to Evaluate Participant and Healthcare Professional Reported Preference for Subcutaneous Atezolizumab Compared With Intravenous Atezolizumab Formulation in Participants With Non-Small Cell Lung Cancer
CompletedPhase 2Results postedLast updated 11 December 2025
What this trial tests
Phase 2 trial testing Atezolizumab in Non-small Cell Lung Cancer in 179 participants. Completed in 25 October 2024.
18 and older, any sex, with Non-small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Percentage of Participants Who Preferred Atezolizumab SC to Atezolizumab IV Assessed Using Patient Preference Questionnaire (PPQ)Primary· Cycle 6 Day 1 (cycle length=21 days)
Participants preference was assessed based on the Question 1 of PPQ. Question 1 (All things considered, which route of administration did you prefer?) asks participants to report their preference for the route of administration (IV, SC, or no preference). A point estimate with associated 95% CI for the percentage of participants who preferred atezolizumab SC was calculated. Participants experiencing any of the following events: treatment withdrawal prior to eligibility for PPQ, or death without answering Question 1 of PPQ, or treatment not started; were excluded from the analysis set. Particip
Group
Value
95% CI
Crossover Atezolizumab IV/SC
71.67
58.56 – 82.55
Crossover Atezolizumab SC/IV
69.84
56.98 – 80.77
All Participants
70.73
61.85 – 78.59
Number of Participants by Their Level of Satisfaction With Atezolizumab SC and Atezolizumab IV Assessed Using Therapy Administration Satisfaction Questionnaire - Subcutaneous (TASQ-SC) and Intravenous (TASQ-IV)Secondary· Cycles 3 Day 1 and Cycle 6 Day 1 (cycle length=21 days)
TASQ is a 12-item, participant-reported questionnaire measuring the impact of each mode of treatment administration (TASQ-IV for IV treatment and TASQ-SC for SC treatment) on five domains: Physical Impact, Psychological Impact, Impact on Activities of Daily Living, Convenience, and Satisfaction. TASQ-IV/-SC was administered at treatment Cycles 3 and 6 according to the order of treatment received per arm during the Crossover Period. Participants satisfaction was assessed based on the Question 1 of TASQ-IV/SC which asks participants about their satisfaction with respect to route of administratio
TASQ- IV- Very Satisfied
Group
Value
95% CI
Crossover Atezolizumab IV/SC
25
Crossover Atezolizumab SC/IV
10
TASQ- IV- Satisfied
Group
Value
95% CI
Crossover Atezolizumab IV/SC
31
Crossover Atezolizumab SC/IV
34
TASQ- IV- Neither Satisfied nor Dissatisfied
Group
Value
95% CI
Crossover Atezolizumab IV/SC
17
Crossover Atezolizumab SC/IV
11
TASQ- IV- Dissatisfied
Group
Value
95% CI
Crossover Atezolizumab IV/SC
1
Crossover Atezolizumab SC/IV
1
TASQ- IV- Very Dissatisfied
Group
Value
95% CI
Crossover Atezolizumab IV/SC
0
Crossover Atezolizumab SC/IV
3
TASQ- IV- Participant did not Answer Question
Group
Value
95% CI
Crossover Atezolizumab IV/SC
0
Crossover Atezolizumab SC/IV
0
TASQ- SC- Very Satisfied
Group
Value
95% CI
Crossover Atezolizumab IV/SC
22
Crossover Atezolizumab SC/IV
30
TASQ- SC- Satisfied
Group
Value
95% CI
Crossover Atezolizumab IV/SC
21
Crossover Atezolizumab SC/IV
36
Percentage of Participants Who Select Atezolizumab SC for Treatment Continuation PeriodSecondary· Cycle 6 Day 1 (Cycle length=21 days)
At Cycle 6, Day 1, participants were expected to select the route of study treatment administration (SC or IV) they would like to receive during the Treatment Continuation Period (starting at Cycle 7). Percentage of participants who chose SC administration have been reported here. Percentages have been rounded off.
Group
Value
95% CI
Crossover Atezolizumab IV/SC
78.2
Crossover Atezolizumab SC/IV
76.7
Duration of Treatment Preparation According to Healthcare Professionals (HCPs) Response to Perception of Time, Assessed Using Question 1 of Healthcare Professional Questionnaires (HCPQs) - Drug Preparation AreaSecondary· Day 1 of Cycles 1 to 6 (cycle length= 21 days)
The HCPQ- Drug Preparation Area Question 1 was completed by the HCPs within the pharmacy/drug preparation area where atezolizumab IV reconstitution or atezolizumab SC was prepared before the actual drug administration took place. The HCPQs were completed for every participant at each treatment cycle (Cycles 1-6, i.e., 3 cycles of atezolizumab IV followed by 3 cycles of atezolizumab SC or vice versa) of the treatment cross-over period. HCPs responded to the following parts of Question 1 that sought to evaluate the amount of time it took to prepare the IV infusion/SC injection of atezolizumab: "
Cycle 1
Group
Value
95% CI
Atezolizumab IV/SC
5.0
1 – 40
Atezolizumab SC/IV
5.0
1 – 45
Cycle 2
Group
Value
95% CI
Atezolizumab IV/SC
5.0
1 – 40
Atezolizumab SC/IV
5.0
1 – 35
Cycle 3
Group
Value
95% CI
Atezolizumab IV/SC
5.0
1 – 45
Atezolizumab SC/IV
4.5
1 – 40
Cycle 4
Group
Value
95% CI
Atezolizumab IV/SC
5.0
1 – 35
Atezolizumab SC/IV
5.0
1 – 50
Cycle 5
Group
Value
95% CI
Atezolizumab IV/SC
5.0
1 – 35
Atezolizumab SC/IV
5.0
1 – 59
Cycle 6
Group
Value
95% CI
Atezolizumab IV/SC
5.0
1 – 35
Atezolizumab SC/IV
5.0
1 – 36
Percentage of HCPs by Their Response to Perception of Impact on Clinical Management and Clinical Efficiency of Atezolizumab SC and IV, Assessed Using Question 2 of HCPQ - Drug Preparation AreaSecondary· Cycle 6 Day 1 (cycle length=21 days)
HCPs within pharmacy/drug preparation area responded to HCPQ-Drug Preparation Area Question 2 at Cycle 6 of Treatment Crossover Period for every participant: "If all IV infusions are switched to SC, please indicate how strongly you agree/disagree with each of following statements: a=Staff will have increased availability for other tasks in pharmacy; b=Administrative procedures around atezolizumab SC will require less time; c=Atezolizumab SC formulations will provide more flexibility for staff in managing their workload; d=Due to ready-to-use atezolizumab SC formulations, potential dosing error
a=Strongly Disagree
Group
Value
95% CI
Atezolizumab IV/ SC
7.0
Atezolizumab SC/ IV
10.0
a=Disagree
Group
Value
95% CI
Atezolizumab IV/ SC
7.0
Atezolizumab SC/ IV
0
a=Neutral
Group
Value
95% CI
Atezolizumab IV/ SC
21.1
Atezolizumab SC/ IV
31.7
a=Agree
Group
Value
95% CI
Atezolizumab IV/ SC
24.6
Atezolizumab SC/ IV
20.0
a=Strongly Agree
Group
Value
95% CI
Atezolizumab IV/ SC
31.6
Atezolizumab SC/ IV
25.0
a=Not Applicable
Group
Value
95% CI
Atezolizumab IV/ SC
3.5
Atezolizumab SC/ IV
1.7
a=Missing
Group
Value
95% CI
Atezolizumab IV/ SC
5.3
Atezolizumab SC/ IV
11.7
b=Strongly Disagree
Group
Value
95% CI
Atezolizumab IV/ SC
7.0
Atezolizumab SC/ IV
10.0
Percentage of HCPs by Their Response to Perception of Time/Resource Use for Atezolizumab SC and Atezolizumab IV, Assessed Using Questions 3 and 4 of HCPQ - Drug Preparation AreaSecondary· Cycle 6 Day 1 (cycle length= 21 days)
HCPs who prepared study treatment within the pharmacy/drug preparation area responded at to the following HCPQ-Drug Preparation Area Questions 3 and 4, at Cycle 6 of the Treatment Crossover Period for every participant: "Looking back over the Atezolizumab treatment sessions, please indicate based on your opinion which administration method: Question 3. Was quickest from start to end of preparation to finish of administration (excluding observation period)?; Question 4. Required less resource use for preparation and administration, for example nursing time, facility costs, equipment etc?" The f
Question 3=Atezolizumab SC
Group
Value
95% CI
Atezolizumab IV/ SC
71.9
Atezolizumab SC/ IV
58.3
Question 3=Atezolizumab IV
Group
Value
95% CI
Atezolizumab IV/ SC
0
Atezolizumab SC/ IV
0
Question 3=No Difference
Group
Value
95% CI
Atezolizumab IV/ SC
17.5
Atezolizumab SC/ IV
21.7
Question 3=Missing
Group
Value
95% CI
Atezolizumab IV/ SC
10.5
Atezolizumab SC/ IV
20.0
Question 4=Atezolizumab SC
Group
Value
95% CI
Atezolizumab IV/ SC
64.9
Atezolizumab SC/ IV
60.0
Question 4=Atezolizumab IV
Group
Value
95% CI
Atezolizumab IV/ SC
3.5
Atezolizumab SC/ IV
0
Question 4=No Difference
Group
Value
95% CI
Atezolizumab IV/ SC
21.1
Atezolizumab SC/ IV
20.0
Question 4=Missing
Group
Value
95% CI
Atezolizumab IV/ SC
10.5
Atezolizumab SC/ IV
20.0
Duration of Treatment Administration Activities According to HCPs Response to Perception of Time, Assessed Using Question 1 of HCPQs - Treatment RoomSecondary· Day 1 of Cycles 1 to 6 (cycle length=21 days)
The HCPQ-Treatment Room Question 1 was completed for every participant at each treatment cycle of the Treatment Crossover Period (Cycles 1-6,i.e., 3 cycles of atezolizumab IV followed by 3 cycles of atezolizumab SC/vice versa) by HCPs who administered treatment to the study participants. HCPs responded to following parts of Question 1 that sought to evaluate the amount of time it took to complete activities related to treatment administration: "If new IV access was needed for this cycle of treatment, please indicate what type of IV access was provided (central venous catheter, peripherally ins
Cycle 1: Duration of Central Venous Catheter set up?
Group
Value
95% CI
Atezolizumab IV/ SC
5
5 – 5
Cycle 1: Duration of Peripherally Inserted Central Catheter set up?
Group
Value
95% CI
Atezolizumab IV/ SC
30.0
8 – 30
Cycle 1: Duration of Peripheral Vein Cannulation set up?
Group
Value
95% CI
Atezolizumab IV/ SC
5.0
1 – 70
Cycle 1: How Long did it Take to Administer the Treatment?
Group
Value
95% CI
Atezolizumab IV/ SC
60.0
10 – 120
Atezolizumab SC/ IV
8.0
5 – 75
Cycle 1: How Long was the Participant in the Treatment Room in Total?
Group
Value
95% CI
Atezolizumab IV/ SC
92.0
35 – 390
Atezolizumab SC/ IV
55.0
10 – 260
Cycle 2: Duration of Peripherally Inserted Central Catheter set up?
Group
Value
95% CI
Atezolizumab IV/ SC
30.0
5 – 35
Cycle 2: Duration of Peripheral Vein Cannulation set up?
Group
Value
95% CI
Atezolizumab IV/ SC
5.0
3.0 – 10.0
Cycle 2: How Long did it Take to Administer the Treatment?
Group
Value
95% CI
Atezolizumab IV/ SC
30.0
13 – 90
Atezolizumab SC/ IV
6.0
3 – 30
Percentage of HCPs by Their Response to Perception of Impact on Clinical Management and Clinical Efficiency of Atezolizumab SC and IV, Assessed Using Question 2 of HCPQ - Treatment RoomSecondary· Cycle 6 Day 1 (cycle length=21 days)
HCPs who administered treatment responded to Question 2: If all IV are switched to SC, please indicate how strongly you agree/disagree with each of following statements: a= Participants will be moved outside of infusion unit to receive SC injections (physician consultation room); b=Atezolizumab SC route will allow more flexible treatment scheduling; c=More participants will be treated in infusion unit; d=Waiting list for any IV treatment at infusion unit will be reduced; e=Staff resources will be re distributed to other departments of the hospital (less staffing required within infusion unit);
a=Strongly Disagree
Group
Value
95% CI
Atezolizumab IV/SC
13.8
Atezolizumab SC/ IV
11.5
a=Disagree
Group
Value
95% CI
Atezolizumab IV/SC
15.5
Atezolizumab SC/ IV
23.0
a=Neutral
Group
Value
95% CI
Atezolizumab IV/SC
1.7
Atezolizumab SC/ IV
6.6
a=Agree
Group
Value
95% CI
Atezolizumab IV/SC
27.6
Atezolizumab SC/ IV
23.0
a=Strongly Agree
Group
Value
95% CI
Atezolizumab IV/SC
17.2
Atezolizumab SC/ IV
14.8
a=Not Applicable
Group
Value
95% CI
Atezolizumab IV/SC
10.3
Atezolizumab SC/ IV
1.6
a=Missing
Group
Value
95% CI
Atezolizumab IV/SC
13.8
Atezolizumab SC/ IV
19.7
b=Strongly Disagree
Group
Value
95% CI
Atezolizumab IV/SC
5.3
Atezolizumab SC/ IV
1.6
Percentage of HCPs by Their Response to Perception of Time/Resource Use and Convenience for Atezolizumab SC and Atezolizumab IV, Assessed Using Questions 3 to 7 of HCPQ - Treatment RoomSecondary· Cycle 6 Day 1 (cycle length=21 days)
HCPs who administered study treatment responded at Cycle 6 of the Treatment Crossover Period to the following HCPQ-treatment room Questions 3 to 7: "Looking back over the atezolizumab treatment sessions, please indicate based on your opinion which administration method: Question 3. Which method was most convenient for the participant? Question 4. Which method was best for optimizing participant care in your center? Question 5. Which method took the least time from start to finish of administration? Question 6. Which method required the least resource use for administration? Question 7. Which m
Q3=Atezolizumab SC
Group
Value
95% CI
Atezolizumab IV/ SC
72.4
Atezolizumab SC/ IV
63.9
Q3=Atezolizumab IV
Group
Value
95% CI
Atezolizumab IV/ SC
5.2
Atezolizumab SC/ IV
10.1
Q3=No Difference
Group
Value
95% CI
Atezolizumab IV/ SC
6.9
Atezolizumab SC/ IV
8.4
Q3=Unsure
Group
Value
95% CI
Atezolizumab IV/ SC
1.7
Atezolizumab SC/ IV
3.3
Q3= Missing
Group
Value
95% CI
Atezolizumab IV/ SC
13.8
Atezolizumab SC/ IV
14.4
Q4=Atezolizumab SC
Group
Value
95% CI
Atezolizumab IV/ SC
55.2
Atezolizumab SC/ IV
39.3
Q4=Atezolizumab IV
Group
Value
95% CI
Atezolizumab IV/ SC
6.9
Atezolizumab SC/ IV
1.5
Q4=No Difference
Group
Value
95% CI
Atezolizumab IV/ SC
20.7
Atezolizumab SC/ IV
31.1
Percentage of HCPs by Their Response to Perception of Time/Resource Use and Convenience for Atezolizumab SC and Atezolizumab IV, Assessed Using Questions 8 of HCPQ - Treatment RoomSecondary· Cycle 6 Day 1 (cycle length= 21 days)
HCPs who administered study treatment responded at Cycle 6 of the treatment Cross-over Period to the following HCPQ-treatment room Question 8: How frequently would you offer or recommend atezolizumab SC administration to your participants in the future? The four available response options were Always, Sometimes, Never and Missing. Percentages have been rounded off.
Question 8=Always
Group
Value
95% CI
Atezolizumab IV/ SC
41.4
Atezolizumab SC/ IV
31.1
Question 8=Sometimes
Group
Value
95% CI
Atezolizumab IV/ SC
34.5
Atezolizumab SC/ IV
37.7
Question 8=Never
Group
Value
95% CI
Atezolizumab IV/ SC
10.3
Atezolizumab SC/ IV
14.8
Question 8=Missing
Group
Value
95% CI
Atezolizumab IV/ SC
13.8
Atezolizumab SC/ IV
16.4
Change From Baseline Over Time in Physical Functioning Scale Score as Assessed by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC-QLQ-C30)Secondary· Baseline, Day 1 of Cycles 3, 6, 7, 10, 13, 16 and End of Treatment (up to approximately 2.2 years)
EORTC QLQ-C30 consists of 30 questions that assess five aspects of participant functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, and pain), global health status (GHS) and quality of life (QoL), and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties) with a recall period of the previous week. Scale scores can be obtained for the multi-item scales. The functioning items are scored on a 4-point scale (1=Not at All to 4=Very Much). Scores are linearly transformed on a scale of 0 to
Baseline
Group
Value
95% CI
Crossover Atezolizumab IV/SC
75.00
± 19.79
Crossover Atezolizumab SC/IV
72.09
± 20.10
Change at Cycle 3 Day 1
Group
Value
95% CI
Crossover Atezolizumab IV/SC
-0.46
± 19.62
Crossover Atezolizumab SC/IV
-2.01
± 16.00
Change at Cycle 6 Day 1
Group
Value
95% CI
Crossover Atezolizumab IV/SC
0.00
± 16.19
Crossover Atezolizumab SC/IV
-1.60
± 16.74
Change at Cycle 7 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
-2.22
± 13.85
Continuation Atezolizumab SC
0.03
± 15.39
Change at Cycle 10 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
0.91
± 19.55
Continuation Atezolizumab SC
2.06
± 16.64
Change at Cycle 13 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
-5.10
± 19.93
Continuation Atezolizumab SC
-0.43
± 17.98
Change at Cycle 16 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
0.48
± 16.22
Continuation Atezolizumab SC
1.03
± 15.77
Change at End of Treatment
Group
Value
95% CI
Crossover Atezolizumab IV/SC
-13.75
± 28.39
Crossover Atezolizumab SC/IV
-14.67
± 25.49
Continuation Atezolizumab IV
-8.06
± 21.26
Continuation Atezolizumab SC
-3.92
± 21.67
Change From Baseline Over Time in Role Functioning Scale Score as Assessed by EORTC-QLQ-C30Secondary· Baseline, Day 1 of Cycles 3, 6, 7, 10, 13, 16 and End of Treatment (up to approximately 2.2 years)
EORTC QLQ-C30 consists of 30 questions that assess five aspects of participant functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, and pain), GHS and QoL, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties) with a recall period of the previous week. Scale scores can be obtained for the multi-item scales. The functioning items are scored on a 4-point scale (1=Not at All to 4=Very Much). Scores are linearly transformed on a scale of 0 to 100, with a high score indicating better
Baseline
Group
Value
95% CI
Crossover Atezolizumab IV/SC
77.46
± 25.15
Crossover Atezolizumab SC/IV
73.73
± 27.86
Change at Cycle 3 Day 1
Group
Value
95% CI
Crossover Atezolizumab IV/SC
1.16
± 29.25
Crossover Atezolizumab SC/IV
-1.33
± 21.88
Change at Cycle 6 Day 1
Group
Value
95% CI
Crossover Atezolizumab IV/SC
-2.01
± 26.13
Crossover Atezolizumab SC/IV
-1.64
± 24.10
Change at Cycle 7 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
-8.33
± 18.39
Continuation Atezolizumab SC
-5.41
± 26.00
Change at Cycle 10 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
-6.82
± 23.94
Continuation Atezolizumab SC
-2.03
± 24.20
Change at Cycle 13 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
-6.86
± 21.29
Continuation Atezolizumab SC
-1.60
± 26.52
Change at Cycle 16 Day 1
Group
Value
95% CI
Continuation Atezolizumab IV
-2.38
± 14.41
Continuation Atezolizumab SC
-2.74
± 26.84
Change at End of Treatment
Group
Value
95% CI
Crossover Atezolizumab IV/SC
-16.67
± 43.81
Crossover Atezolizumab SC/IV
-15.00
± 24.15
Continuation Atezolizumab IV
-9.72
± 24.04
Continuation Atezolizumab SC
-8.01
± 25.88
Adverse events — posted to ClinicalTrials.gov
Time frame: Up to 90 days after the final dose of study drug (Up to 2.4 years).
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
This is a Phase II, randomized, multi-center, multinational, open-label, cross-over study in adult participants with PD-L1-positive NSCLC. Two populations will be included: participants with resected Stage II, IIIA, and selected IIIB (T3-N2) NSCLC who have completed adjuvant platinum-based chemotherapy without evidence of disease relapse/recurrence, and chemotherapy-naïve participants with Stage IV NSCLC. The study will evaluate participant- and healthcare professionals (HCP)-reported preference for atezolizumab subcutaneous (SC) compared with atezolizumab intravenous (IV).
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Hoffmann-La Roche
Last refreshed: 11 December 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05171777.