MedPath

Nivolumab

Generic Name
Nivolumab
Brand Names
Opdivo, Opdualag
Drug Type
Biotech
CAS Number
946414-94-4
Unique Ingredient Identifier
31YO63LBSN
Background

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.

Indication

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.

Associated Conditions
Advanced Esophageal Adenocarcinoma, Advanced Gastric Adenocarcinoma, Advanced Gastric Carcinoma, Advanced Gastroesophageal Junction Adenocarcinoma, Advanced Renal Cell Carcinoma, Classical Hodgkin's Lymphoma, Completely resected Stage IIB melanoma, Completely resected Stage III melanoma, Completely resected Stage IV melanoma, Hepatocellular Carcinoma, Locally Advanced Hepatocellular Carcinoma, Locally Advanced Non-Small Cell Lung Cancer, Melanoma, Metastatic Colorectal Cancer (CRC), Metastatic Esophageal Adenocarcinoma, Metastatic Esophageal Squamous Cell Carcinoma, Metastatic Gastric Adenocarcinoma, Metastatic Gastric Cancers, Metastatic Gastroesophageal Junction Adenocarcinoma, Metastatic Hepatocellular Carcinoma, Metastatic Melanoma, Metastatic Non-Small Cell Lung Cancer, Metastatic Renal Cell Carcinoma ( mRCC), Metastatic Squamous Cell Carcinoma of the Head and Neck (HNSCC), Metastatic Urothelial Carcinoma (UC), Mismatch Repair-deficient (dMMR) Metastatic Colorectal Cancer (CRC), Muscle-invasive Urothelial Carcinoma, Poor Risk Advanced Renal Cell Cancer, Recurrent Non-small Cell Lung Cancer, Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma, Relapsed or Refractory Classical Hodgkin's Lymphoma, Resectable Non-small Cell Lung Cancer, Stage IIB Melanoma, Stage IIC Melanoma, Unresectable Esophageal Squamous Cell Carcinoma, Unresectable Locally Advanced Urothelial Cancer, Unresectable Melanoma, Urothelial Carcinoma, Completely resected Stage IIC melanoma, Intermediate risk Advanced Renal Cell Cancer, Locally advanced Urothelial Carcinoma, Metastatic Microsatellite Instability High Colorectal Cancer, Metastatic Mismatch Repair Deficient Colorectal Cancer, Metastatic gastroesphageal juntion adenocarcinoma, Recurrent Squamous Cell Carcinoma of the Head and Neck (SCCHN), Relapsed Classical Hodgkin's Lymphoma, Residual Esophageal Cancer, Residual Gastroesophageal Junction Cancer, Unresectable Malignant Pleural Mesothelioma (MPM), Unresectable advanced, recurrent or metastatic oesophageal squamous cell carcinoma, Unresectable, advanced Esophageal Squamous Cell Carcinoma (ESCC), Unresectable, metastatic Esophageal Squamous Cell Carcinoma (ESCC), Unresectable, recurrent Esophageal Squamous Cell Carcinoma (ESCC)
Associated Therapies
Complete Surgical Resection, Neoadjuvant Therapies

Tepotinib vs Standard Treatment in Patients With Advanced MET Exon 14 Mutated Non-Small Cell Lung Cancer Previously Treated

First Posted Date
2025-04-03
Last Posted Date
2025-04-03
Lead Sponsor
Intergroupe Francophone de Cancerologie Thoracique
Target Recruit Count
133
Registration Number
NCT06908993
Locations
🇫🇷

Montpellier - CHU, Montpellier, France

🇫🇷

Centre Antoine Lacassagne, Nice, France

🇫🇷

AP-HP Hôpital Cochin, Paris, France

and more 26 locations

Intrathecal Azacitidine and Nivolumab in Patients with Recurrent High-grade Glioma

Phase 1
Not yet recruiting
Conditions
Glioblastoma (GBM)
Diffuse Midline Glioma (DMG)
Astrocytoma, IDH-Mutant, Grade 4
Diffuse Hemispheric Glioma, H3 G34-Mutant
Gliosarcoma of Brain
Interventions
Procedure: lumbar puncture
Diagnostic Test: MRI Contrast
First Posted Date
2025-03-26
Last Posted Date
2025-03-30
Lead Sponsor
Andrew P. Groves
Target Recruit Count
34
Registration Number
NCT06896110
Locations
🇺🇸

Holden Comprehensive Cancer Center, Iowa City, Iowa, United States

Neoadjuvant Zanzalintinib Plus Nivolumab in Patients With Locally Advanced and/or Inoperable Clear Cell Renal Cell Carcinoma With or Without Non-measurable Metastasis

Phase 2
Not yet recruiting
Conditions
Locally Advanced Renal Cell Carcinoma
Interventions
First Posted Date
2025-03-25
Last Posted Date
2025-04-01
Lead Sponsor
Qian Qin
Target Recruit Count
69
Registration Number
NCT06794229

SVV-001 With Nivolumab and Ipilimumab in Patients With Poorly Differentiated Neuroendocrine Carcinomas (NEC) or Well-Differentiated High-Grade Neuroendocrine Tumors (NET)

Phase 1
Recruiting
Conditions
Neuroendocrine Carcinoma
Neuroendocrine Tumors
Interventions
Biological: Seneca Valley Virus-001 (SVV-001)
First Posted Date
2025-03-21
Last Posted Date
2025-05-02
Lead Sponsor
Aman Chauhan, MD
Target Recruit Count
36
Registration Number
NCT06889493
Locations
🇺🇸

University of Miami, Miami, Florida, United States

Nivolumab and DA-EPOCH-R in Pediatric Primary Mediastinal (Thymic) Large B-cell Lymphoma

Phase 1
Conditions
Primary Mediastinal (Thymic) Large B-cell Lymphoma
Children
Nivolumab
Interventions
First Posted Date
2025-03-11
Last Posted Date
2025-03-11
Lead Sponsor
St. Petersburg State Pavlov Medical University
Target Recruit Count
22
Registration Number
NCT06871007
Locations
🇷🇺

Dmitry Rogachev National Research Center, Moscow, Russian Federation

🇷🇺

Pavlov University, RM Gorbacheva Research Institute, Saint-Petersburg, Russian Federation

Inulin Gel in Combination With Ipilimumab and Nivolumab for the Treatment of Metastatic or Locally Advanced Kidney Cell Cancer, ICON Trial

Phase 1
Not yet recruiting
Conditions
Locally Advanced Clear Cell Renal Cell Carcinoma
Locally Advanced Sarcomatoid Renal Cell Carcinoma
Metastatic Sarcomatoid Renal Cell Carcinoma
Metastatic Clear Cell Renal Cell Carcinoma
Stage III Renal Cell Cancer AJCC v8
Stage IV Renal Cell Cancer AJCC v8
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Dietary Supplement: Inulin
Procedure: Magnetic Resonance Imaging
Other: Questionnaire Administration
First Posted Date
2025-03-10
Last Posted Date
2025-05-02
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
55
Registration Number
NCT06866262
Locations
🇺🇸

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

Trial of XL092 in Combination With Immunotherapy in Patients Who Progress on Adjuvant Therapy in Clear Cell RCC

Phase 2
Recruiting
Conditions
Advanced Renal Cell Carcinoma
Metastatic Renal Cell Carcinoma
Clear Cell Renal Cell Carcinoma
Interventions
First Posted Date
2025-03-07
Last Posted Date
2025-05-04
Lead Sponsor
Karie Runcie
Target Recruit Count
70
Registration Number
NCT06863311
Locations
🇺🇸

Columbia University Irving Medical Center, New York, New York, United States

Towards Cure Via Only Ultra-short ICB in CSCC

Phase 2
Not yet recruiting
Conditions
Cutaneous Squamous Cell Carcinoma (CSCC)
Cutaneous Squamous Cell Cancer
Cutaneous Squamous Cell Carcinoma of the Head and Neck
Cutaneous Squamous Cell Carcinoma
Interventions
Drug: Ipilumimab
First Posted Date
2025-02-12
Last Posted Date
2025-02-12
Lead Sponsor
The Netherlands Cancer Institute
Target Recruit Count
41
Registration Number
NCT06823479
Locations
🇳🇱

Maastricht UMC, Maastricht, Limburg, Netherlands

🇳🇱

Netherlands Cancer Institute - Antoni van Leeuwenhoek, Amsterdam, Noord-Holland, Netherlands

🇳🇱

Amsterdam UMC, Amsterdam, Noord-Holland, Netherlands

and more 2 locations

Trial of Glioblastoma Immunotherapy Advancement With Nivolumab and Relatlimab

Phase 2
Not yet recruiting
Conditions
Newly Diagnosed Glioblastoma
Interventions
Radiation: Radiation Therapy
First Posted Date
2025-02-10
Last Posted Date
2025-02-10
Lead Sponsor
Duke University
Target Recruit Count
92
Registration Number
NCT06816927
Locations
🇺🇸

Duke University, Durham, North Carolina, United States

A Phase I, Single-Arm, Single-Institution Study Evaluating Neoadjuvant Chemoimmunotherapy with Immunosensitizing Radiation for Borderline Resectable Non-Small Cell Lung Cancer

Phase 1
Not yet recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
Drug: Chemotherapy
Radiation: SBRT
Procedure: Surgical Resection
First Posted Date
2025-01-30
Last Posted Date
2025-01-30
Lead Sponsor
University of Maryland, Baltimore
Target Recruit Count
18
Registration Number
NCT06800339
Locations
🇺🇸

Maryland Proton Treatment Center, Baltimore, Maryland, United States

🇺🇸

University of Maryland Greenebaum Cancer Center, Baltimore, Maryland, United States

🇺🇸

Upper Chesapeake- Kaufman Cancer Center, Bel Air, Maryland, United States

and more 1 locations
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