A Phase 2 interventional study of Atezolizumab and Tiragolumab in Non-small Cell Lung Cancer, sponsored by Genentech, Inc.. Completed at 40 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-04.
Sponsored by Genentech, Inc. · Phase 2, Interventional, and Treatment
This study will evaluate the safety and efficacy of tiragolumab plus atezolizumab compared with placebo plus atezolizumab in chemotherapy-naive patients with locally advanced unresectable or metastatic PD-L1-selected non-small cell lung cancer (NSCLC), excluding patients with a sensitizing EGFR mutation or ALK translocation.
6,485 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,630 are open to participants now.
This study's enrollment of 135 is above the median of 62 across 5,211 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.
Browse Carcinoma, Non-Small-Cell Lung studies →Genentech, Inc. is the lead sponsor of 507 studies on the registry; 23 are open to participants now.
Of its 90 completed or terminated interventional studies of FDA-regulated products, 50 (56%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Cancer-Specific Exclusions:
General Medical Exclusions:
Treatment-Specific Exclusions:
Participants will receive atezolizumab at a fixed dose of 1200 mg administered by IV infusion Q3W on Day 1 of each 21-day cycle and placebo administered by IV infusion Q3W on Day 1 of each 21-day cycle.
Drug: Atezolizumab · Drug: Placebo
Participants will receive atezolizumab at a fixed dose of 1200 mg administered by intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle and tiragolumab at a dose of 600 mg administered by IV infusion Q3W on Day 1 of each 21-day cycle.
Drug: Atezolizumab · Drug: Tiragolumab
Atezolizumab at a fixed dose of 1200 mg will be administered first by IV infusion Q3W on Day 1 of each 21-day cycle.
Also known as: Tecentriq
Tiragolumab at a fixed dose of 600 mg will be administered by IV infusion Q3W on Day 1 of each 21-day cycle.
Also known as: MTIG7192A
Placebo will be administered by IV infusion Q3W on Day 1 of each 21-day cycle.
Objective Response Rate (ORR)
ORR was defined as a complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to RECIST v1.1. CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target lesions) must have a reduction in short axis to \<10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters (SOD) of all target lesions, taking as reference the baseline SOD, in the absence of CR. Percentages have been rounded off.
Time frame: From baseline until a total of 80 progression-free survival (PFS) events have occurred (up to approximately 11 months)
Progression-free Survival (PFS)
PFS was defined as the time from randomization to the first occurrence of PD, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline) or unequivocal progression of existing non-target lesions. In addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm. Kaplan-Meier (KM) methodology was used to estimate the median PFS.
Time frame: From baseline until a total of 80 PFS events have occurred (up to approximately 11 months)
Duration of Objective Response (DOR)
DOR was defined as the time from the first occurrence of a documented objective response (OR) (CR or PR) to PD, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurred first. CR was defined as the disappearance of all target and non-target lesions and normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target lesions) must have a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR. PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline) or unequivocal progression of existing non-target lesions. In addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm. KM methodology was used to estimate the median DOR.
Time frame: Up to approximately 36 months
Overall Survival (OS)
OS was defined as the time from randomization to death from any cause. KM methodology was used to estimate the median OS.
Time frame: Up to approximately 36 months
Number of Participants With Adverse Events (AEs)
An AE was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time frame: From initiation of study drug up to approximately 83.7 months
Minimum Serum Concentration (Cmin) of Tiragolumab
Time frame: Predose on Day 1 of Cycles 1, 3 and 11 (Cycle length = 21 days)
Cmin of Atezolizumab
Time frame: Predose on Day 1 of Cycles 1, 3 and 11 (Cycle length = 21 days)
Number of Participants With Treatment-Emergent Anti-drug Antibodies (ADAs) to Tiragolumab
Participants who received tiragolumab were considered to be treatment-emergent ADA-positive if they were ADA-negative or had missing data at baseline but developed an ADA response following tiragolumab exposure (treatment-induced ADA response), or if they were ADA-positive at baseline and the titer of one or more post-baseline samples was at least 0.60 titer units (t.u.) greater than the titer of the baseline sample (treatment-enhanced ADA response). Participants with a positive post-baseline sample has been reported here.
Time frame: Up to approximately 36 months
Number of Participants With Treatment-Emergent ADAs to Atezolizumab
Participants who received atezolizumab were considered to be treatment-emergent ADA-positive if they were ADA-negative or had missing data at baseline but developed an ADA response following atezolizumab exposure (treatment-induced ADA response), or if they were ADA-positive at baseline and the titer of one or more post-baseline samples was at least 0.60 titer units (t.u.) greater than the titer of the baseline sample (treatment-enhanced ADA response). Participants with a positive post-baseline sample has been reported here.
Time frame: Up to approximately 36 months
A total of 135 participants with previously untreated, locally advanced, unresectable, or metastatic programmed death-ligand 1 (PD-L1)-selected non-small cell lung cancer (NSCLC) took part in the study at 39 investigative sites across 6 countries from 08 Aug 2018 to 14 Nov 2025.
| Milestone | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Started | 68 | 67 |
| Completed | 0 | 0 |
| Not completed | 68 | 67 |
| Withdrew: Death | 57 | 51 |
| Withdrew: Lost to follow-up | 2 | 0 |
| Withdrew: Study ended by sponsor | 6 | 14 |
| Withdrew: Withdrawal by subject | 3 | 2 |
ORR was defined as a complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to RECIST v1.1. CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target lesions) must have a reduction in short axis to \<10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters (SOD) of all target lesions, taking as reference the baseline SOD, in the absence of CR. Percentages have been rounded off.
| percentage of participants | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Objective Response Rate (ORR) | 16.2 (6.69 to 25.66) | 31.3 (19.49 to 43.20) |
PFS was defined as the time from randomization to the first occurrence of PD, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline) or unequivocal progression of existing non-target lesions. In addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm. Kaplan-Meier (KM) methodology was used to estimate the median PFS.
| months | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Progression-free Survival (PFS) | 3.58 (2.73 to 4.44) | 5.42 (4.21 to NA) |
DOR was defined as the time from the first occurrence of a documented objective response (OR) (CR or PR) to PD, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurred first. CR was defined as the disappearance of all target and non-target lesions and normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target lesions) must have a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR. PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints (including baseline) or unequivocal progression of existing non-target lesions. In addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of ≥5 mm. KM methodology was used to estimate the median DOR.
| months | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Duration of Objective Response (DOR) | 10.7 (6.0 to 18.8) | 17.6 (9.1 to 26.1) |
OS was defined as the time from randomization to death from any cause. KM methodology was used to estimate the median OS.
| months | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Overall Survival (OS) | 14.5 (9.6 to 20.4) | 23.2 (14.1 to 31.5) |
An AE was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
| Participants | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Number of Participants With Adverse Events (AEs) | 66 | 66 |
| micrograms per milliliter (μg/mL) | Tiragolumab + Atezolizumab |
|---|---|
| Predose on Cycle 1 Day 1 | 18.6 ± 155.0 |
| Predose on Cycle 3 Day 1 | 37.9 ± 67.8 |
| Predose on Cycle 11 Day 1 | 63.8 ± 46.3 |
| μg/mL | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Predose on Cycle 1 Day 1 | 69.8 ± 48.3 | 57.9 ± 147.0 |
| Predose on Cycle 3 Day 1 | 114 ± 72.8 | 95.5 ± 300.5 |
| Predose on Cycle 11 Day 1 | 181 ± 52.1 | 192 ± 40.3 |
Participants who received tiragolumab were considered to be treatment-emergent ADA-positive if they were ADA-negative or had missing data at baseline but developed an ADA response following tiragolumab exposure (treatment-induced ADA response), or if they were ADA-positive at baseline and the titer of one or more post-baseline samples was at least 0.60 titer units (t.u.) greater than the titer of the baseline sample (treatment-enhanced ADA response). Participants with a positive post-baseline sample has been reported here.
| Participants | Tiragolumab + Atezolizumab |
|---|---|
| Number of Participants With Treatment-Emergent Anti-drug Antibodies (ADAs) to Tiragolumab | 1 |
Participants who received atezolizumab were considered to be treatment-emergent ADA-positive if they were ADA-negative or had missing data at baseline but developed an ADA response following atezolizumab exposure (treatment-induced ADA response), or if they were ADA-positive at baseline and the titer of one or more post-baseline samples was at least 0.60 titer units (t.u.) greater than the titer of the baseline sample (treatment-enhanced ADA response). Participants with a positive post-baseline sample has been reported here.
| Participants | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| Number of Participants With Treatment-Emergent ADAs to Atezolizumab | 28 | 24 |
Collected over From initiation of study drug up to approximately 83.7 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo + Atezolizumab | 57/68 (83.8%) | 28/68 (41.2%) | 59/68 (86.8%) |
| Tiragolumab + Atezolizumab | 51/67 (76.1%) | 40/67 (59.7%) | 63/67 (94%) |
| Event | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| PneumoniaInfections and infestations | 5/68 | 9/67 |
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 1/68 | 4/67 |
| ColitisGastrointestinal disorders | 0/68 | 2/67 |
| HepatitisHepatobiliary disorders | 0/68 | 2/67 |
| InfluenzaInfections and infestations | 0/68 | 2/67 |
| Lipase increasedInvestigations | 0/68 | 2/67 |
| HaemoptysisRespiratory, thoracic and mediastinal disorders | 0/68 | 2/67 |
| COVID-19Infections and infestations | 1/68 | 2/67 |
| Diabetic ketoacidosisMetabolism and nutrition disorders | 0/68 | 2/67 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 2/68 | 0/67 |
| Event | Placebo + Atezolizumab | Tiragolumab + Atezolizumab |
|---|---|---|
| ArthralgiaMusculoskeletal and connective tissue disorders | 12/68 | 21/67 |
| Infusion related reactionInjury, poisoning and procedural complications | 7/68 | 20/67 |
| AstheniaGeneral disorders | 18/68 | 19/67 |
| PruritusSkin and subcutaneous tissue disorders | 11/68 | 19/67 |
| FatigueGeneral disorders | 11/68 | 17/67 |
| RashSkin and subcutaneous tissue disorders | 6/68 | 17/67 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 16/68 | 10/67 |
| DiarrhoeaGastrointestinal disorders | 11/68 | 15/67 |
| Decreased appetiteMetabolism and nutrition disorders | 15/68 | 15/67 |
| ConstipationGastrointestinal disorders | 10/68 | 13/67 |
Intent-to-Treat (ITT) population included all participants randomized in the study.
| Age, Continuous(years) | Placebo + Atezolizumab | Tiragolumab + Atezolizumab | Total |
|---|---|---|---|
| Mean | 67.0 ± 9.9 | 65.8 ± 10.4 | 66.4 ± 10.1 |
| Sex: Female, Male(Participants) | Placebo + Atezolizumab | Tiragolumab + Atezolizumab | Total |
|---|---|---|---|
| Female | 20 | 28 | 48 |
| Male | 48 | 39 | 87 |
| Ethnicity (NIH/OMB)(Participants) | Placebo + Atezolizumab | Tiragolumab + Atezolizumab | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 1 |
| Not Hispanic or Latino | 63 | 60 | 123 |
| Unknown or Not Reported | 5 | 6 | 11 |
| Race (NIH/OMB)(Participants) | Placebo + Atezolizumab | Tiragolumab + Atezolizumab | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 23 | 18 | 41 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 40 | 42 | 82 |
| More than one race | 1 | 0 | 1 |
| Unknown or Not Reported | 4 | 7 | 11 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
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Carcinoma, Non-Small-Cell Lung→
Genentech, Inc.