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

The Study of ONO-7913, ONO-4538 and the Standard of Care as First-line Treatment in Patients Colorectal Cancer

Phase 1
Active, not recruiting
Conditions
Unresectable Colorectal Cancer
Interventions
First Posted Date
2024-08-06
Last Posted Date
2024-08-06
Lead Sponsor
Ono Pharmaceutical Co. Ltd
Target Recruit Count
65
Registration Number
NCT06540261
Locations
🇯🇵

Kanagawa Cancer Center, Yokohama, Kanagawa, Japan

🇯🇵

Kurashiki Central Hospital, Kurashiki, Okayama, Japan

🇯🇵

Saitama Medical University International Medical Center, Hidaka, Saitama, Japan

and more 14 locations

An Open-label, Uncontrolled Study of ONO-4578 and ONO-4538 in Combination With Standard-of-care Modified FOLFIRINOX (mFFX) or Gemcitabine Plus Nab-paclitaxel (GnP) Therapy as First-line Treatment in Patients With Metastatic Pancreatic Cancer

Phase 1
Completed
Conditions
Metastatic Pancreatic Cancer
Interventions
First Posted Date
2024-08-05
Last Posted Date
2025-02-06
Lead Sponsor
Ono Pharmaceutical Co. Ltd
Target Recruit Count
46
Registration Number
NCT06538207
Locations
🇯🇵

National Cancer Center Hospital East, Kashiwa-shi, Chiba, Japan

🇯🇵

Kanagawa Cancer Center, Yokohama-shi, Kanagawa, Japan

🇯🇵

Seirei Hamamatsu General Hospital, Hamamatsu-shi, Shizuoka, Japan

and more 6 locations

Study of ONO-7914 Alone and in Combination With ONO-4538 in Patients With Solid Tumors

Phase 1
Active, not recruiting
Conditions
Solid Tumor
Interventions
First Posted Date
2024-08-02
Last Posted Date
2025-02-21
Lead Sponsor
Ono Pharmaceutical Co. Ltd
Target Recruit Count
204
Registration Number
NCT06535009
Locations
🇯🇵

Cancer Institute Hospital of JFCR, Koto-ku, Tokyo, Japan

A Study to Evaluate the Efficacy and Safety of Autogene Cevumeran With Nivolumab Versus Nivolumab Alone in Participants With High-Risk Muscle-Invasive Urothelial Carcinoma (MIUC)

Phase 2
Recruiting
Conditions
Muscle Invasive Urothelial Carcinoma
Interventions
First Posted Date
2024-08-02
Last Posted Date
2025-04-29
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
362
Registration Number
NCT06534983
Locations
🇩🇪

Uniklinik-Eppendorf, Hamburg, Germany

🇩🇪

Uniklinikum Heidelberg, Heidelberg, Germany

🇩🇪

Marien Hospital Herne, Herne, Germany

and more 84 locations

CD8 PET Imaging in Metastatic Solid Tumours

Phase 2
Recruiting
Conditions
Locally Advanced Solid Tumor
Interventions
Radiation: 89Zr-Df-crefmirlimab PET scan
Other: zirconium Zr 89 crefmirlimab berdoxam
First Posted Date
2024-08-02
Last Posted Date
2025-03-30
Lead Sponsor
University Medical Center Groningen
Target Recruit Count
30
Registration Number
NCT06534190
Locations
🇳🇱

VUMC, Amsterdam, Netherlands

🇪🇸

Vall d'Hebron Institute of Oncology (VHIO) / Vall d'Hebron Institute Research (VHIR), Barcelona, Spain

🇳🇱

University Medical Center Groningen, Groningen, Netherlands

and more 1 locations

An Open-label, Uncontrolled Study of ONO-7913 and ONO-4538 in Combination With Modified FOLFIRINOX Therapy, the Standard of Care, as First-line Treatment in Patients With Metastatic Pancreatic Cancer

Phase 1
Active, not recruiting
Conditions
Metastatic Pancreatic Cancer
Interventions
First Posted Date
2024-08-01
Last Posted Date
2024-11-14
Lead Sponsor
Ono Pharmaceutical Co. Ltd
Target Recruit Count
32
Registration Number
NCT06532344
Locations
🇯🇵

National Cancer Center Hospital, Chuo Ku, Japan

🇯🇵

Kanagawa Cancer Center, Yokohama-shi, Kanagawa, Japan

🇯🇵

National Cancer Center Hospital East, Kashiwa-shi, Chiba, Japan

and more 6 locations

ERectile Dysfunctions, gOnadotoxicity and Sexual Health Assessment in Men With Lung Cancer

First Posted Date
2024-08-01
Last Posted Date
2024-08-09
Lead Sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Target Recruit Count
80
Registration Number
NCT06532149
Locations
🇮🇹

Fondazione Policlinico Gemelli IRCCS, Rome, Italy

A PhaseⅠStudy of ONO-7475 in Combination With ONO-4538 and Gemcitabine Plus Nab-paclitaxel (GnP), the Standard of Care, and ONO-7475 in Combination With GnP in Patients With Pancreatic Cancer

Phase 1
Active, not recruiting
Conditions
Metastatic Pancreatic Cancer
Interventions
First Posted Date
2024-08-01
Last Posted Date
2025-04-18
Lead Sponsor
Ono Pharmaceutical Co. Ltd
Target Recruit Count
87
Registration Number
NCT06532331
Locations
🇯🇵

Aichi Cancer Center, Nagoya-shi, Aichi, Japan

🇯🇵

National Cancer Center Hospital East, Kashiwa-shi, Chiba, Japan

🇯🇵

Kanazawa University Hospital, Kanazawa-shi, Ishikawa, Japan

and more 6 locations

Nivolumab in Multiple Myeloma Patients After Idecabtagene Vicleucel

Phase 2
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2024-07-26
Last Posted Date
2025-03-13
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
50
Registration Number
NCT06523621
Locations
🇺🇸

Levine Cancer Institute, Charlotte, North Carolina, United States

🇺🇸

Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, United States

A Pilot Study Investigating Upfront Adaptive Immunotherapy Approach in Children, Adolescent and Young Adult (CAYA) Patients With Replication-Repair Deficient (RRD) High-Grade Gliomas (HGG)

Not Applicable
Recruiting
Conditions
High Grade Glioma
Replication Repair Deficient
Interventions
Radiation: Radiation
First Posted Date
2024-07-25
Last Posted Date
2025-05-15
Lead Sponsor
Daniel Morgenstern
Target Recruit Count
20
Registration Number
NCT06519682
Locations
🇨🇦

Hospital for Sick Children, Toronto, Ontario, Canada

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