MedPath

Nivolumab

Generic Name
Nivolumab
Brand Names
Opdivo, Opdualag
Drug Type
Biotech
Chemical Formula
-
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

CYTO Reductive Surgery in Kidney Cancer Plus Immunotherapy and Targeted Kinase Inhibition

Phase 2
Recruiting
Conditions
Kidney Cancer
Renal Cell Carcinoma
Interventions
Drug: Cabozantinib
Drug: Nivolumab
Procedure: Cytoreductive nephrectomy
First Posted Date
2020-03-26
Last Posted Date
2023-10-23
Lead Sponsor
Mark Stein
Target Recruit Count
48
Registration Number
NCT04322955
Locations
🇺🇸

The Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States

🇺🇸

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

🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

and more 1 locations

Vopratelimab (JTX-2011) Alone and in Combination With Anti-Programmed Cell Death Protein 1 (PD-1) or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA-4) in Subjects With Advanced and/or Refractory Solid Tumors

Phase 1
Terminated
Conditions
Cancer
Interventions
First Posted Date
2020-03-24
Last Posted Date
2024-05-30
Lead Sponsor
Jounce Therapeutics, Inc.
Target Recruit Count
4
Registration Number
NCT04319224
Locations
🇺🇸

The University of Texas - MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

University of Virginia Health Systems, Charlottesville, Virginia, United States

🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

Testing the Addition of an Anti-cancer Drug, Copanlisib, to the Usual Immunotherapy (Nivolumab With or Without Ipilimumab) in Patients With Advanced Solid Cancers That Have Changes in the Following Genes: PIK3CA and PTEN

Phase 1
Active, not recruiting
Conditions
Unresectable Malignant Solid Neoplasm
Advanced Malignant Solid Neoplasm
Metastatic Malignant Solid Neoplasm
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Drug: Copanlisib Hydrochloride
Procedure: Echocardiography
Biological: Ipilimumab
Biological: Nivolumab
Procedure: X-Ray Imaging
First Posted Date
2020-03-23
Last Posted Date
2024-11-26
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
102
Registration Number
NCT04317105
Locations
🇺🇸

University of Texas Medical Branch, Galveston, Texas, United States

🇨🇦

University Health Network-Princess Margaret Hospital, Toronto, Ontario, Canada

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

and more 3 locations

Evaluating Safety & Efficacy Belinostat Combo w Nivo Alone & w Ipi in Patients w Treated Metastatic/Advanced Carcinomas w ARID1A Lof Mutation

Phase 1
Withdrawn
Conditions
Metastatic Adenocarcinoma
Interventions
First Posted Date
2020-03-19
Last Posted Date
2020-10-28
Lead Sponsor
University of Utah
Registration Number
NCT04315155

A Study Evaluating the Drug Levels of Iplimumab Given Under the Skin Alone and in Combination With Nivolumab in Multiple Tumor Types

Phase 1
Terminated
Conditions
Tumor
Interventions
Drug: ipilimumab
Drug: ENHANZE (rHuPH20)
Drug: nivolumab
First Posted Date
2020-03-17
Last Posted Date
2023-02-24
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
21
Registration Number
NCT04311710
Locations
🇳🇿

Local Institution - 0010, Auckland, New Zealand

🇺🇸

Local Institution - 0013, Fort Wayne, Indiana, United States

🇮🇹

Istituto Nazionale Tumori IRCCS Fondazione Pascale-s.c. melanoma, immunoterapia oncologica e terapie, Napoli, Italy

and more 3 locations

Testing the Addition of the Pill Chemotherapy, Cabozantinib, to the Standard Immune Therapy Nivolumab Compared to Standard Chemotherapy for Non-small Cell Lung Cancer

Phase 2
Active, not recruiting
Conditions
Metastatic Lung Non-Squamous Non-Small Cell Carcinoma
Recurrent Lung Non-Squamous Non-Small Cell Carcinoma
Stage IV Lung Cancer AJCC v8
Interventions
First Posted Date
2020-03-17
Last Posted Date
2024-12-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
117
Registration Number
NCT04310007
Locations
🇺🇸

Advocate Sherman Hospital, Elgin, Illinois, United States

🇺🇸

Illinois CancerCare-Eureka, Eureka, Illinois, United States

🇺🇸

The Carle Foundation Hospital, Urbana, Illinois, United States

and more 614 locations

Adjuvant Nivolumab Treatment in Stage II (IIA, IIB, IIC) High-risk Melanoma

Phase 3
Active, not recruiting
Conditions
Malignant Melanoma Stage II
Interventions
First Posted Date
2020-03-16
Last Posted Date
2024-05-23
Lead Sponsor
University Hospital, Essen
Target Recruit Count
374
Registration Number
NCT04309409
Locations
🇩🇪

Universitätsklinik Carl Gustav Carus der Technischen Universität Dresden - Klinik und Poliklinik für Dermatologie, Dresden, Germany

🇩🇪

St. Josef-Hospital - Dermatologische Studienambulanz, Bochum, Germany

🇩🇪

Universitätsklinikum Würzburg - Klinik für Dermatologie, Venerologie und Allergologie, Würzburg, Bayern, Germany

and more 17 locations

Safety and Efficacy Study of AVB-S6-500 (Batiraxcept) in Patients With Advanced or Metastatic Clear Cell Renal Cell Carcinoma

Phase 1
Terminated
Conditions
Clear Cell Renal Cell Carcinoma
Interventions
First Posted Date
2020-03-09
Last Posted Date
2023-10-30
Lead Sponsor
Aravive, Inc.
Target Recruit Count
72
Registration Number
NCT04300140
Locations
🇺🇸

University of Pennsylvania Abramson Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

University of Texas Southwestern, Dallas, Texas, United States

🇺🇸

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

and more 14 locations

Rollover Study to Provide Continued Access to Napabucasin for Patients Enrolled in Boston Biomedical-sponsored Protocols

First Posted Date
2020-03-09
Last Posted Date
2023-11-08
Lead Sponsor
Sumitomo Pharma America, Inc.
Target Recruit Count
7
Registration Number
NCT04299880
Locations
🇯🇵

Kyorin University Hospital, Tokyo, Japan

🇺🇸

Maine Center for Cancer Medicine, Scarborough, Maine, United States

🇺🇸

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

and more 4 locations

A First-in-human Study Using BDC-1001 as a Single Agent and in Combination With Nivolumab in Advanced HER2-Expressing Solid Tumors

Phase 1
Active, not recruiting
Conditions
HER2-positive Colorectal Cancer
HER2-positive Solid Tumors
HER2-positive Endometrial Cancer
HER2-positive Breast Cancer
HER2-positive Gastroesophageal Cancer
Interventions
Drug: BDC-1001
Drug: Nivolumab
First Posted Date
2020-02-20
Last Posted Date
2024-10-09
Lead Sponsor
Bolt Biotherapeutics, Inc.
Target Recruit Count
175
Registration Number
NCT04278144
Locations
🇺🇸

The University of Chicago Medical Center, Chicago, Illinois, United States

🇺🇸

Stanford University, Palo Alto, California, United States

🇺🇸

Georgetown University Medical Center, Washington, District of Columbia, United States

and more 18 locations
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