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Drug Safety-related Labeling Changes (SrLC)

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TECENTRIQ HYBREZA (BLA-761347)

(ATEZOLIZUMAB AND HYALURONIDASE-TQJS)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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05/12/2026 (SUPPL-9)

Approved Drug Label (PDF)

5 Warnings and Precautions

WARNINGS AND PRECAUTIONS

5.1 Severe and Fatal Immune-Mediated Adverse Reactions

Additions and/or revisions underlined:

. . .

Other Immune-Mediated Adverse Reactions

The following clinically significant immune-mediated adverse reactions occurred at an incidence of < 1% (unless otherwise noted) in patients who received TECENTRIQ or were reported with the use of other PD-1/PD-L1 blocking antibodies. Severe or fatal cases have been reported for some of these adverse reactions.

. . .

Other: Myocarditis-Myositis-Myasthenia Gravis (or Myasthenia-Like) Overlap Syndrome, reported as the co-occurence of either two or all three adverse reactions.

. . .

6 Adverse Reactions

ADVERSE REACTIONS

6.2 Postmarketing Experience

Additions and/or revisions underlined:

. . .

      • Musculoskeletal and Connective Tissue: tenosynovitis

11/24/2025 (SUPPL-4)

Approved Drug Label (PDF)

8 Use in Specific Populations

8.4 Pediatric Use

Newly added subsection

Alveolar Soft Part Sarcoma

The safety and effectiveness of TECENTRIQ HYBREZA as monotherapy for the treatment of pediatric patients (12 years of age and older who weigh 40 kg or greater) with unresectable or metastatic alveolar soft part sarcoma (ASPS) has been established. Use of TECENTRIQ HYBREZA for this pediatric indication is supported by evidence from adequate and well controlled studies of intravenous atezolizumab in adults, and additional pharmacokinetic and safety data for intravenous atezolizumab in pediatric patients 12 years and older [see Adverse Reactions (6.1) and Clinical Studies (14)]. Atezolizumab exposures following subcutaneous administration of TECENTRIQ HYBREZA (containing 1,875 mg of atezolizumab) every 3 weeks in pediatric patients 12 years of age and older who weigh 40 kg or greater are predicted to be within the range of those observed in adults at the same dosage.

The safety and effectiveness of TECENTRIQ HYBREZA have not been established in pediatric patients less than 12 years of age with unresectable or metastatic ASPS.

Solid Tumors and Lymphomas

The safety and effectiveness of TECENTRIQ HYBREZA in pediatric patients have not been established for other approved indications.

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

MEDICATION GUIDE

Additions and/or revisions underlined:

. . .

What is TECENTRIQ HYBREZA?

TECENTRIQ HYBREZA is a prescription medicine used to treat:

. . .

  • adults and children (12 years of age and older and who weigh 88 pounds (40 kg) or more), with a type of soft tissue tumor (cancer) called alveolar soft part sarcoma (ASPS). TECENTRIQ HYBREZA may be used alone when your sarcoma has spread to other parts of the body or cannot be removed by surgery.

    It is not known if TECENTRIQ HYBREZA is safe and effective when used in children:

  • younger than 12 years of age or who weigh less than 88 pounds (40 kg) for the treatment of ASPS.

    for the treatment of NSCLC, SCLC, HCC, or melanoma.

. . .

11/17/2025 (SUPPL-5)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Postmarketing Experience

Additions and/or revisions underlined:

The following adverse reactions have been identified during post-approval use of intravenous atezolizumab. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

  • Cardiac: pericarditis, pericardial effusion, cardiac tamponade
  • Musculoskeletal and Connective Tissue: tenosynovitis


10/02/2025 (SUPPL-3)

Approved Drug Label (PDF)

6 Adverse Reactions

6.1 Clinical Trials Experience

Extensive changes; please refer to label for complete information

8 Use in Specific Populations

8.5 Geriatric Use

Additions and/or revisions underlined:

TECENTRIQ HYBREZA as a Single-Agent

Of 247 adult patients treated with TECENTRIQ HYBREZA as monotherapy in IMscin001, 45% were 65 years and over and 10% were 75 years and over. No overall differences in safety or effectiveness of TECENTRIQ HYBREZA have been observed between patients aged 65 years or older and younger adult patients.

The safety of TECENTRIQ HYBREZA as monotherapy or in combination with other antineoplastic drugs for its approved indications [see Indications and Usage (1.1, 1.2, 1.3, 1.4, 1.5)] has been established in adequate and well-controlled studies of intravenous atezolizumab as a single agent and in combination with other antineoplastic drugs. Below is a description of geriatric use information from the intravenous atezolizumab studies.

Intravenous Atezolizumab as a Single-Agent

Of 2,616 adult patients with metastatic NSCLC and other tumor types treated with monotherapy intravenous atezolizumab in clinical studies, 49% were 65 years and over and 15% were 75 years and over. No overall differences in safety or effectiveness were observed between intravenous atezolizumab-treated patients aged 65 years or older and younger patients.

Intravenous Atezolizumab in Combination with Other Antineoplastic Drugs

Of 2,421 adult patients with NSCLC and EC-SCLC treated with intravenous atezolizumab in combination with other antineoplastic drugs in clinical studies, 48% were 65 years and over and 10% were 75 years and over. No overall differences in safety or effectiveness were observed between intravenous atezolizumab-treated patients aged 65 years or older and younger adult patients.

Intravenous Atezolizumab in Combination with Lurbinectedin

Of 242 adult patients with ES-SCLC treated with intravenous atezolizumab in combination with lurbinectedin in IMforte, 124 (51%) patients were 65 years of age and older, while 29 (12%) patients were 75 years of age and older. No overall differences in effectiveness were observed between older and younger patients. There was a higher incidence of Grade 3 or 4 adverse reactions (45% vs 31%) and treatment discontinuation (11% vs 0.8%) in patients greater than or equal to 65 years of age compared to younger patients, respectively.

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

MEDICATION GUIDE

Additions and/or revisions underlined:

…

What is TECENTRIQ HYBREZA?

TECENTRIQ HYBREZA is a prescription medicine used to treat:

…

  • adults with a type of lung cancer called “extensive-stage small cell lung cancer (SCLC)”, which is SCLC that has spread and grown.

    • TECENTRIQ HYBREZA may be used with the chemotherapy medicines carboplatin and etoposide as your first treatment.

    • TECENTRIQ HYBREZA may be used with the medicine lurbinectedin as maintenance treatment when your lung cancer:

      • has not progressed after first treatment with TECENTRIQ HYBREZA or intravenous atezolizumab and the chemotherapy medicines carboplatin and etoposide.

  • adults with a type of liver cancer called hepatocellular carcinoma (HCC). TECENTRIQ HYBREZA may be used with the medicine bevacizumab when your liver cancer:

    • has spread or cannot be removed by surgery, and

    • you have not received other medicines by mouth or injection through your vein (IV) to treat your cancer.

  • adults with a type of skin cancer called melanoma. TECENTRIQ HYBREZA may be used with the medicines cobimetinib and vemurafenib when your melanoma:

    • has spread to other parts of the body or cannot be removed by surgery, and

    • has a certain type of abnormal “BRAF” gene. Your healthcare provider will perform a test to make sure this TECENTRIQ HYBREZA combination is right for you.

  • adults with a type of soft tissue tumor (cancer) called alveolar soft part sarcoma (ASPS). TECENTRIQ HYBREZA may be used alone when your sarcoma has spread to other parts of the body or cannot be removed by surgery.

…

The most common side effects of TECENTRIQ when used in SCLC with lurbinectedin include:

  • low white and red blood cell

  • decreased sodium and calcium

  • decreased appetite counts

  • nausea

  • increased kidney function blood test (creatinine)

  • feeling tired or weak

  • increased liver function blood tests

  • muscle and join (musculoskeletal) pain

  • cough

  • diarrhea

  • vomiting

  • constipation

  • shortness of breath

…

08/18/2025 (SUPPL-2)

Approved Drug Label (PDF)

Boxed Warning

5.2 Infusion-Related Reactions

Additions and/or revisions underlined:

TECENTRIQ HYBREZA can cause severe or life-threatening infusion-related reactions, including Grade 3 adverse reactions and anaphylaxis. Monitor for signs and symptoms of infusion-related reactions. Pause, slow the rate of, or permanently discontinue TECENTRIQ HYBREZA based on the severity [see Dosage and Administration (2.3)]. For Grade 1 or 2 infusion-related reactions, consider using pre-medications with subsequent doses.