Study to Assess Safety and Efficacy of Atezolizumab (MPDL3280A) Compared to Best Supportive Care Following Chemotherapy in Patients With Lung Cancer [IMpower010]

Inclusion Criteria:

Inclusion Criteria for Enrollment Phase

• Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

• Histological or cytological diagnosis of Stage IB (tumors greater than or equal to [>/=] 4 centimeters [cm])-IIIA (T2-3 N0, T1-3 N1, T1-3 N2, T4 N0-1) NSCLC (per theUnion Internationale Contre le Cancer staging system (UICC)/American Joint Committeeon Cancer staging system (AJCC) staging system, 7th edition; Detterbeck et al. 2009)

• Participants must have had complete resection of NSCLC 4-12 weeks (>/=28 days andless than or equal to [</=] 84 days) prior to enrollment and must be adequatelyrecovered from surgery

• If mediastinoscopy was not performed preoperatively, it is required that, at aminimum, mediastinal lymph node systematic sampling will have occurred. Systematicsampling is defined as removal of at least one representative lymph node atspecified levels. MLND entails resection of all lymph nodes at those same levels.For a right thoracotomy, sampling or MLND is required at levels 4 and 7 and for aleft thoracotomy, levels 5 and/or 6 and 7. Exceptions will be granted if there isclear documentation in the operative report or in a separately submitted addendum bythe surgeon of exploration of the required lymph node areas, the participant will beconsidered eligible if no lymph nodes are found in those areas; if participants havedocumented N2 disease in one level (per the UICC/AJCC staging system, 7th edition;Detterbeck et al. 2009), not all levels need to be sampled; if the preoperativestaging imaging results (contrast computed tomography [CT] and positron emissiontomography [PET] scans) do not suggest evidence of disease in the mediastinum, theparticipant will be considered eligible if N2 nodal sampling is not performed persurgeon's decision

• Eligible to receive a cisplatin-based chemotherapy regimen

• Adequate hematologic and end-organ function

• Women who are not postmenopausal (>/=12 months of non-therapy-induced amenorrhea) orsurgically sterile must have a negative serum pregnancy test result within 14 daysprior to initiation of cisplatin-based chemotherapy

Inclusion Criteria for Randomized Phase - Women who are not postmenopausal (>/=12 months of non-therapy-induced amenorrhea) or surgically sterile must have a negative serum pregnancy test result within 14 days prior to initiation of atezolizumab or BSC

Exclusion Criteria:

Exclusion Criteria for Enrollment Phase

• Illness or condition that may interfere with a participant's capacity to understand,follow, and/or comply with study procedures

• Pregnant and lactating women

• Treatment with prior systemic chemotherapy: Chemotherapy for early stage ofmalignancy with curative intent, provided that the last dose received was more than 5 years prior to enrollment and low-dose chemotherapy for non-malignant conditionsmay be allowed upon approval by the Medical Monitor

• Hormonal cancer therapy or radiation therapy as prior cancer treatment within 5years before enrollment

• Treatment with any other investigational agent with therapeutic intent within 28days prior to enrollment

• Participants with hearing impairment

• Known sensitivity to any component of the chemotherapy regimen the participant willbe assigned to, or to mannitol

• Prior treatment with cluster of differentiation (CD) 137 (CD137) agonists or immunecheckpoint blockade therapies, anti-programmed death-1 (PD-1), and anti programmeddeath ligand 1 (PD-L1) therapeutic antibodies

• Malignancies other than NSCLC within 5 years prior to randomization, with theexception of those with a negligible risk of metastasis or death (e.g., expected 5-year OS greater than [>] 90 percent [%]) treated with expected curative outcome (such as adequately treated carcinoma in situ of the cervix, basal or squamous cellskin cancer, localized prostate cancer treated surgically with curative intent,ductal carcinoma in situ treated surgically with curative intent)

• History of severe allergic, anaphylactic, or other hypersensitivity reactions tochimeric or humanized antibodies or fusion proteins

• Known hypersensitivity to biopharmaceuticals produced in Chinese hamster ovary cellsor any component of the atezolizumab formulation

• History of autoimmune disease, including but not limited to myasthenia gravis,myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis,inflammatory bowel disease, vascular thrombosis associated with antiphospholipidsyndrome, Wegener's granulomatosis, Sjögren's syndrome, Guillain-Barré syndrome,multiple sclerosis, vasculitis, or glomerulonephritis

• Positive test for human immunodeficiency virus (HIV)

• Participants with active hepatitis B (chronic or acute; defined as having a positivehepatitis B surface antigen [HBsAg] test at screening) or hepatitis C

• Active tuberculosis

• Significant cardiovascular disease, such as New York Heart Association cardiacdisease (Class II or greater), myocardial infarction, or cerebrovascular accidentwithin the previous 3 months, unstable arrhythmias, or unstable angina

• History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitisobliterans), drug-induced pneumonitis, idiopathic pneumonitis, or evidence of activepneumonitis on screening chest CT scan

• Prior allogeneic bone marrow transplantation or solid organ transplant

• Any other diseases, metabolic dysfunction, physical examination finding, or clinicallaboratory finding giving reasonable suspicion of a disease or condition thatcontraindicates the use of an investigational drug or that may affect theinterpretation of the results or render the participant at high risk from treatmentcomplications

• Known tumor PD-L1 expression status as determined by an immunohistochemistry (IHC)assay from other clinical studies (e.g., participants whose PD-L1 expression statuswas determined during screening for entry into a study with anti-PD-1 or anti-PD-L1antibodies but were not eligible are excluded)

Specific Exclusions for Pemetrexed Treatment

• Participants with squamous cell histology

Exclusion Criteria for Randomized Phase

• Signs or symptoms of infection within 14 days prior to randomization (severeinfection within 28 days prior to randomization), including but not limited tohospitalization for complications of infection, bacteremia, or severe pneumonia

• Received therapeutic oral or intravenous (IV) antibiotics within 14 days prior torandomization

• Major surgical procedure within 28 days prior to randomization or anticipation ofneed for a major surgical procedure during the course of the study

• Administration of a live, attenuated vaccine within 4 weeks prior to initiation ofstudy treatment or anticipation that such a live attenuated vaccine will be requiredduring the study

• Treatment with systemic immunostimulatory agents (including but not limited tointerferons or interleukin-2) within 4 weeks or 5 half-lives of the drug, whicheveris longer, prior to randomization: Prior treatment with cancer vaccines is allowed

• Treatment with systemic corticosteroids or other immunosuppressive medications (including but not limited to prednisone, dexamethasone, cyclophosphamide,azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor [anti-TNF]agents) within 14 days prior to randomization