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

SWE-NEO: Swedish NeoAdjuvant Trial Comparing Monotherapy to Combined Immunotherapy in Resectable Stage III Melanoma

Phase 3
Not yet recruiting
Conditions
Malignant Melanoma Stage III
Interventions
First Posted Date
2025-01-27
Last Posted Date
2025-01-29
Lead Sponsor
Hildur Helgadottir
Target Recruit Count
128
Registration Number
NCT06794775
Locations
🇸🇪

Sahlgrenska University Hospital, Gothenburg, Sweden

🇸🇪

Karolinska University Hospital, Stockholm, Sweden

🇸🇪

Skane University Hospital, Lund, Sweden

Real-world Study of First Line Pembrolizumab- or Nivolumab-treated HPV-positive Recurrent/Metastatic Oropharyngeal Squamous Cell Carcinoma

Active, not recruiting
Conditions
Oropharyngeal Squamous Cell Carcinoma
Interventions
First Posted Date
2025-01-13
Last Posted Date
2025-03-11
Lead Sponsor
Hookipa Biotech GmbH
Target Recruit Count
663
Registration Number
NCT06771674
Locations
🇺🇸

Cardinal Health, Dublin, Ohio, United States

Golcadomide and Nivolumab in Patients with Non-Hodgkin Lymphoma with Refractory Disease After Chimeric Antigen T-cell Therapy

Phase 1
Not yet recruiting
Conditions
Non Hodgkin Lymphoma
Interventions
First Posted Date
2025-01-10
Last Posted Date
2025-01-10
Lead Sponsor
Natalie Galanina
Target Recruit Count
30
Registration Number
NCT06767956
Locations
🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

A Study of BMS-986488 as Monotherapy and Combination Therapy in Participants With Advanced Malignant Tumors

Phase 1
Recruiting
Conditions
Advanced Malignant Tumors
Interventions
First Posted Date
2025-01-08
Last Posted Date
2025-05-14
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
437
Registration Number
NCT06764771
Locations
🇺🇸

John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, New Jersey, United States

🇺🇸

Local Institution - 0020, Allentown, Pennsylvania, United States

🇺🇸

The West Clinic, PLLC dba West Cancer Center, Germantown, Tennessee, United States

and more 5 locations

Personalized Reduction of Chemotherapy Intensity Through ctDNA Evaluation for the Treatment of Patients With Advanced Hodgkin Lymphoma

Phase 2
Recruiting
Conditions
Advanced Hodgkin Lymphoma
Classic Hodgkin Lymphoma
Lugano Classification Stage III Hodgkin Lymphoma AJCC v8
Lugano Classification Stage IV Hodgkin Lymphoma AJCC v8
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Echocardiography
Procedure: Multigated Acquisition Scan
Procedure: Positron Emission Tomography
Other: Questionnaire
First Posted Date
2024-12-20
Last Posted Date
2025-03-10
Lead Sponsor
University of Washington
Target Recruit Count
125
Registration Number
NCT06745076
Locations
🇺🇸

Fred Hutch/University of Washington Cancer Consortium, Seattle, Washington, United States

SUPRAME-ACTengine® IMA203 vs. Investigator's Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous Melanoma

First Posted Date
2024-12-19
Last Posted Date
2025-05-20
Lead Sponsor
Immatics US, Inc.
Target Recruit Count
360
Registration Number
NCT06743126
Locations
🇺🇸

SCRI Oncology Partners, Nashville, Tennessee, United States

🇺🇸

UCLA Hematology/Oncology, Los Angeles, California, United States

🇺🇸

Honor Health Research Institute, Scottsdale, Arizona, United States

and more 19 locations

Clinical Outcomes of Patients With Resectable Non-Small Cell Lung Cancer Receiving Neoadjuvant Nivolumab Plus Chemotherapy in France

Completed
Conditions
Non-small Cell Lung Cancer (NSCLC)
Interventions
First Posted Date
2024-12-16
Last Posted Date
2024-12-16
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
101
Registration Number
NCT06735781
Locations
🇫🇷

Centre François Baclesse, Caen, France

🇫🇷

Centre Léon Bérard, Lyon, France

🇫🇷

Hospices Civils de Lyon, Lyon, France

and more 4 locations

Diclofenac for the Treatment of Patients with Metastatic Non-small Cell Lung Cancer on Single Agent Immunotherapy

Phase 2
Not yet recruiting
Conditions
Advanced Lung Non-Small Cell Carcinoma
Metastatic Lung Non-Small Cell Carcinoma
Stage III Lung Cancer AJCC V8
Stage IV Lung Cancer AJCC V8
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Other: Electronic Health Record Review
Procedure: Magnetic Resonance Imaging
Procedure: Positron Emission Tomography
First Posted Date
2024-12-12
Last Posted Date
2025-03-19
Lead Sponsor
Emory University
Target Recruit Count
20
Registration Number
NCT06731270
Locations
🇺🇸

Emory University Hospital Midtown, Atlanta, Georgia, United States

🇺🇸

Emory University Hospital/Winship Cancer Institute, Atlanta, Georgia, United States

Observational Study of the Effectiveness of Funded Drugs for Genitourinary Tumors.

Recruiting
Conditions
Genitourinary Cancers
Interventions
First Posted Date
2024-12-09
Last Posted Date
2025-05-21
Lead Sponsor
Spanish Oncology Genito-Urinary Group
Target Recruit Count
500
Registration Number
NCT06724159
Locations
🇪🇸

Hospital Universitario Torrecárdenas, Almería, Andalucia, Spain

🇪🇸

Hospital Universitario Reina Sofía, Córdoba, Andalucia, Spain

🇪🇸

Hospital Universitario Clínico San Cecilio, Granada, Andalucia, Spain

and more 73 locations

Trial of Relatlimab, Nivolumab, and Ipilimumab in Patients With Asymptomatic and Symptomatic Melanoma Brain Metastases

Phase 2
Not yet recruiting
Conditions
Melanoma
Brain Metastases
Interventions
First Posted Date
2024-12-03
Last Posted Date
2025-04-08
Lead Sponsor
Stanford University
Target Recruit Count
60
Registration Number
NCT06712927
Locations
🇺🇸

Stanford University, Palo Alto, California, United States

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