Nivolumab is a fully human IgG4 antibody targeting the immune checkpoint programmed death receptor-1 (PD-1). This antibody was produced entirely in mice and grafted onto human kappa and IgG4 Fc region with the mutation S228P for additional stability and reduced variability. It was developed by Bristol Myers Squibb.
Nivolumab was granted FDA approval on 22 December 2014.
Nivolumab is indicated to treat unresectable or metastatic melanoma, melanoma as adjuvant treatment, resectable or metastatic non-small cell lung cancer, small cell lung cancer, advanced renal cell carcinoma, classical Hodgkin lymphoma, squamous cell carcinoma of the head and neck, urothelial carcinoma, microsatellite instability-high or mismatch repair deficient metastatic colorectal cancer, hepatocellular carcinoma, and esophageal cancer. The indication for classical Hodgkin lymphoma, microsatellite instability-high or mismatch repair deficient metastatic colorectal cancer, and hepatocellular carcinoma were approved under accelerated approval based on the overall response rate. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.
Nivolumab is also approved for the treatment of HER2-negative advanced or metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma when used in combination with a fluoropyrimidine- and platinum-containing chemotherapy regimen.
In combination with relatlimab, nivolumab is indicated for the treatment of patients ≥12 years old with unresectable or metastatic melanoma.
Ishikawa Prefectural Central Hospital, Kanazawa-shi, Ishikawa, Japan
Kagawa University Hospital, Kita-gun, Kagawa, Japan
Northport Veterans Affairs Medical Center, Northport, New York, United States
Yale University, New Haven, Connecticut, United States
Centre Léon Bérard, Lyon, France
CHU Jean Minjoz, Besançon, France
ICM Val d'Aurelle, Montpellier, France
Cancer Hematology Centers - Flint, Flint, Michigan, United States
CTCA at Western Regional Medical Center, Goodyear, Arizona, United States
Mercy Cancer Center - Carmichael, Carmichael, California, United States
Children's National Hospital, Washington, District of Columbia, United States
Local Institution - 0021, Birmingham, Alabama, United States
University California San Diego Moores Cancer Center, La Jolla, California, United States
The Angeles Clinic and Research Institute, A Cedars-Sinai Affiliate, Los Angeles, California, United States
Memorial Sloan Kettering Monmouth (Limited Protocol Activities), Middletown, New Jersey, United States
Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities), Basking Ridge, New Jersey, United States
Memorial Sloan Kettering Westchester (Limited Protocol Activities), Harrison, New York, United States
NYU Langone Hospital - Long Island, Mineola, New York, United States
University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States
University of Chicago Comprehensive Cancer Center, Chicago, Illinois, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Local Institution - 0010, Aviano, Italy
Local Institution - 0007, Bologna, Italy
Azienda Ospedaliero Universitaria Meyer, Florence, Italy
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