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

MAPK Inhibition Combined with Anti-PD1 Therapy for BRAF-altered Pediatric Gliomas

Phase 1
Recruiting
Conditions
Low Grade Glioma
High Grade Glioma
Interventions
First Posted Date
2024-12-02
Last Posted Date
2025-02-12
Lead Sponsor
Ann & Robert H Lurie Children's Hospital of Chicago
Target Recruit Count
27
Registration Number
NCT06712875
Locations
🇺🇸

Children's National Hospital, Washington DC, District of Columbia, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

🇺🇸

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States

A Study of BMS-986482 Alone or as Combination Therapy in Participants With Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Advanced Solid Tumors
Interventions
First Posted Date
2024-11-20
Last Posted Date
2025-05-09
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
413
Registration Number
NCT06697197
Locations
🇺🇸

Fred Hutchinson Cancer Center, Seattle, Washington, United States

🇺🇸

Local Institution - 0005, Irvine, California, United States

🇺🇸

Local Institution - 0030, Los Angeles, California, United States

and more 18 locations

Adjuvant Sacituzumab Govitecan and Nivolumab in Muscle-Invasive Urothelial Carcinoma At High-Risk Recurrence

Phase 2
Recruiting
Conditions
Urothelial Carcinoma
Muscle-invasive Bladder Cancer
Interventions
Drug: Sacituzumab Govitecan (SG)
First Posted Date
2024-11-12
Last Posted Date
2025-03-26
Lead Sponsor
University of California, Irvine
Target Recruit Count
23
Registration Number
NCT06682728
Locations
🇺🇸

Chao Family Comprehensive Cancer Center, University of California, Irvine, Orange, California, United States

Phase I/IIa Dose Finding Study of Triplet Regimen of Relatlimab Ipilimumab and NIvolumab in First Line Therapy of Metastatic Melanoma (TRINITY)

Phase 1
Not yet recruiting
Conditions
Melanoma
Interventions
First Posted Date
2024-11-11
Last Posted Date
2024-11-11
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
30
Registration Number
NCT06683755
Locations
🇺🇸

The University of Texas M. D. Anderson Cancer Center, Houston, Texas, United States

Agnostic Therapy in Rare Solid Tumors

Phase 2
Recruiting
Conditions
Fibrosarcoma
Urachal Cancer
Parathyroid Carcinoma
Fibrolamellar Carcinoma
Angiosarcoma
Secretory Carcinoma of Breast
Anal Neoplasms
Metaplastic Breast Carcinoma
Translocation Renal Cell Carcinoma
Carcinosarcoma
Interventions
First Posted Date
2024-10-15
Last Posted Date
2024-10-15
Lead Sponsor
Instituto do Cancer do Estado de São Paulo
Target Recruit Count
28
Registration Number
NCT06638931
Locations
🇧🇷

Hospital São Rafael, Salvador, Bahia, Brazil

🇧🇷

Hospital São Carlos, Fortaleza, Ceará, Brazil

🇧🇷

Hospital Santa Cruz, Curitiba, Paraná, Brazil

and more 5 locations

PEP-CMV + Nivolumab for Newly Diagnosed Diffuse Midline Glioma/High-grade Glioma and Recurrent Diffuse Midline Glioma/High-grade Glioma, Medulloblastoma, and Ependymoma

Phase 1
Not yet recruiting
Conditions
Diffuse Midline Glioma
Diffuse Midline High-grade Glioma
Medulloblastoma
Ependymoma
Interventions
Biological: PEP-CMV vaccine
Biological: Tetanus booster
First Posted Date
2024-10-15
Last Posted Date
2025-01-14
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
68
Registration Number
NCT06639607
Locations
🇺🇸

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

🇺🇸

Duke University Medical Center, Durham, North Carolina, United States

🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

Clinical Study of the Efficacy and Safety of BCD-263 and Opdivo® As Monotherapy in Subjects with Advanced Melanoma of the Skin

Phase 3
Recruiting
Conditions
Advanced Melanoma
Melanoma (Skin)
Interventions
First Posted Date
2024-10-14
Last Posted Date
2024-10-14
Lead Sponsor
Biocad
Target Recruit Count
392
Registration Number
NCT06640530
Locations
🇧🇾

Healthcare Institution "Brest Regional Oncological Dispensary", Brest, Belarus

🇧🇾

Health Institution "Gomel Regional Clinical Oncology Center", Gomel, Belarus

🇧🇾

Healthcare Institution "Minsk City Clinical Cancer Center", Minsk, Belarus

and more 41 locations

Comparing Impact of Treatment Before or After Surgery in Patients With Stage II-IIIB Resectable Non-small Cell Lung Cancer

Phase 3
Recruiting
Conditions
Resectable Lung Non-Small Cell Carcinoma
Stage II Lung Cancer AJCC v8
Stage IIIA Lung Cancer AJCC v8
Stage IIIB Lung Cancer AJCC v8
Interventions
Procedure: Surgical Procedure
Procedure: Computed Tomography
Procedure: Magnetic Resonance Imaging
Procedure: Positron Emission Tomography
First Posted Date
2024-10-09
Last Posted Date
2025-03-30
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
1100
Registration Number
NCT06632327
Locations
🇺🇸

South Sacramento Cancer Center, Sacramento, California, United States

🇺🇸

Kaiser Permanente-San Francisco, San Francisco, California, United States

🇺🇸

Kaiser Permanente-Santa Teresa-San Jose, San Jose, California, United States

and more 223 locations

Neoadjuvant Opdualag Versus Nivolumab for Resectable High-Risk Basal Cell Carcinoma

Phase 2
Not yet recruiting
Conditions
Basal Cell Carcinoma
Interventions
First Posted Date
2024-10-03
Last Posted Date
2025-03-14
Lead Sponsor
University of California, San Diego
Target Recruit Count
30
Registration Number
NCT06624475
Locations
🇺🇸

University of California, San Diego Moores Cancer Center, La Jolla, California, United States

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