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Atezolizumab

Phase 2

Prostate Adenocarcinoma | Small molecule | Oncology |Arcus Biosciences, Inc.|Last Updated: Jun 4, 2026

Target and mechanism

Molecular targetCD274
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment68

FDA Designations

No designations recorded

Clinical trial landscape

Atezolizumab · 1 trial · 3 indications

Phase 2 1
NCT03821246Neoadjuvant Atezolizumab-Based Combination Therapy in Men With Localized Prostate Cancer Prior to Radical ProstatectomyProstate Adenocarcinoma
RECRUITING68 Analytics
PHASE2RECRUITING
Neoadjuvant Atezolizumab-Based Combination Therapy in Men With Localized Prostate Cancer Prior to Radical Prostatectomy
Prostate AdenocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of subjects who demonstrate a positive response to neoadjuvant atezolizumab and atezolizumab-based combination therapy for each Cohort of the study
Up to 12 months

A positive response is defined as a ≥40% increase in the number of infiltrating cluster of differentiation 3 (CD3) + T cells between the pre-treatment biopsy at baseline and the post-treatment RP specimen. Thus, a negative response is a \<40% increase. The primary endpoint will include all enrolled subjects who receive at least 1 dose of study treatment and undergo RP. Analysis of the primary endpoint will be performed for each cohort independently

Secondary Endpoints

Number of treatment-related of adverse events
Up to 12 months
Sum of Pathologic complete response (pCR) and Minimal residual disease (MRD) rate
Up to 12 months
Rate of Pathologic complete response (pCR) rate
Up to 12 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A (atezolizumab monotherapy)EXPERIMENTALParticipants receive one (1) cycle of atezolizumab, 1200mg intravenously (IV) over 30-60 minutes on day 1 of a 14 day cycle. Radical Prostatectomy (RP) will occur 21 days (+/- 7 days) following the final dose of atezolizumab. No further study therapy will be administered following RP.
Cohort B (atezolizumab, etrumadenant)EXPERIMENTALParticipants will receive one (1) cycle of atezolizumab, 1200mg intravenously (IV) over 30-60 minutes on day 1 of a 14 day cycle and etrumadenant will be taken at a dose of 150mg PO, once daily, until 48 hours prior to RP, for at least 12 days. Radical Prostatectomy (RP) will occur 21 days (+/- 7 days) following the final dose of atezolizumab. No further study therapy will be administered following RP.
Cohort C (atezolizumab, tocilizumab)EXPERIMENTALParticipants will receive one (1) cycle of neoadjuvant atezolizumab and one (1) cycle of tocilizumab, 6mg/kg will be administered IV on day 1 of a 14 day IV prior to RP; atezolizumab will be administered in an identical fashion as Cohort A. RP will occur 21 days (+/- 7 days) following the final dose of atezolizumab. No further study therapy will be administered following RP.

Interventions

NameTypeDescription
AtezolizumabDRUGGiven IV
TocilizumabDRUGGiven IV
EtrumadenantDRUGGiven Orally
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. Histologically confirmed adenocarcinoma of the prostate. a. Subjects with small cell or neuroendocrine PC are not eligible. 2. Eligible for radical prostatectomy as determined by urologic oncology surgeon, and subject consents to proceeding with radical prostatectomy. ...

Countries:United States
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Frequently asked questions about Atezolizumab

What is Atezolizumab used for in prostate adenocarcinoma?

Atezolizumab is an investigational small molecule being studied for the treatment of prostate adenocarcinoma. It is currently in a Phase 2 clinical trial as a neoadjuvant therapy, given prior to radical prostatectomy in men with localized prostate cancer. The drug is not yet approved and remains in clinical development.

What does Atezolizumab target?

Atezolizumab targets CD274, also known as PD-L1, and acts as an inhibitor of this protein. By inhibiting CD274, the drug is designed to modulate the immune response against cancer cells. This mechanism is being evaluated in the context of prostate adenocarcinoma in an ongoing Phase 2 trial.

Who is developing Atezolizumab?

Atezolizumab is being developed by Arcus Biosciences, Inc., a biopharmaceutical company traded on the stock exchange under the ticker symbol RCUS. The company is conducting clinical research on this drug for the treatment of prostate adenocarcinoma, with the drug currently in Phase 2 development.

What phase is Atezolizumab in?

Atezolizumab is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The ongoing Phase 2 trial is evaluating the drug as a neoadjuvant treatment for men with localized prostate cancer prior to radical prostatectomy.

What clinical trials is Atezolizumab in?

Atezolizumab is being studied in one active Phase 2 clinical trial with the identifier NCT03821246. This trial is titled 'Neoadjuvant Atezolizumab-Based Combination Therapy in Men With Localized Prostate Cancer Prior to Radical Prostatectomy' and is recruiting participants in the United States. The trial enrolls male patients aged 18 years and older.