The purpose of this study is to compare the usual treatment alone to using atezolizumab plus the usual treatment. Another purpose is to compare using atezolizumab just at the beginning of treatment to continuing it beyond the initial treatment. The addition of atezolizumab to the usual treatment could help patients live longer. But it could also cause side effects, which are described in the risks section below.
This study will help the study doctors find out if this different approach is better or worse than the usual approach. To decide if it is better, the study doctors will be looking to see if the study approach increases the life of patients by six months or more compared to the usual approach.