Combining tocilizumab and atezolizumab for advanced lung cancer after previous treatments
Official title: A Phase Ib-II Trial of Tocilizumab and Atezolizumab in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Refractory to 1st Line Immune Checkpoint Inhibitor-Based Therapy
Run by Abramson Cancer Center at Penn Medicine · NCT04691817 · Data updated 2026-11-12
This study is testing if combining two medications, tocilizumab and atezolizumab, can help adults with advanced lung cancer that hasn't improved with previous treatments.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 28 (estimated) |
| Sponsor | Abramson Cancer Center at Penn Medicine Academic / other |
| Drugs / interventions | immunotherapy, tocilizumab, atezolizumab |
| Locations | 1 site (Philadelphia, Pennsylvania) |
| Status | Recruiting |
| Started | July 25, 2023 |
| Main results expected | December 2026 |
| Study ends | September 2027 |
| Registry record updated | January 7, 2026 |
| Trial ID | NCT04691817 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 or older with advanced non-squamous NSCLC who have previously received at least one line of therapy, including a checkpoint inhibitor.
✕Probably not a fit
Patients with driver mutations susceptible to targeted therapy or those with uncontrolled tumor-related pain may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the safety and effectiveness of tocilizumab in combination with atezolizumab for adults with locally advanced or metastatic non-small cell lung cancer (NSCLC) that has not responded to prior immune checkpoint inhibitor therapy. Participants must have advanced non-squamous NSCLC and have received at least one line of therapy before enrolling. The study aims to determine how well this combination therapy works in this specific patient population.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced lung cancer who have limited treatment alternatives.
How similar studies have gone: Other studies have shown promise in using combination therapies for lung cancer, but this specific combination is being evaluated for the first time in this context.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Advanced non-squamous NSCLC (Stage IV or recurrent after initial curative intent therapy) in adults age 18 or older * Prior exposure to at least 1 line of therapy * Exposure to a including checkpoint inhibitor in line of therapy immediately prior to enrollment on trial * ECOG PS 0-2 Exclusion Criteria: * Presence of a driver mutation that is susceptible to targeted therapy * No greater than CTCAE v5 grade 3 toxicity attributed to prior immunotherapy * Other active invasive malignancy requiring ongoing therapy * Evidence of progressing or untreated brain metastases * Evidence or history of leptomeningeal disease * Uncontrolled tumor related pain * History of an autoimmune disease or IPF
Where it's running
-
Abramson Cancer Center of the University of Pennsylvania
Philadelphia, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Melina Marmarelis, MD, MSCE — Abramson Cancer Center at Penn Medicine
- Study coordinator: Melissa Volpe, BA
- Email: melissa.volpe@pennmedicine.upenn.edu
- Phone: 215-220-9703
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.