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.
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.
Kanagawa Cancer Center, Yokohama, Kanagawa, Japan
Kurashiki Central Hospital, Kurashiki, Okayama, Japan
Saitama Medical University International Medical Center, Hidaka, Saitama, Japan
National Cancer Center Hospital East, Kashiwa-shi, Chiba, Japan
Kanagawa Cancer Center, Yokohama-shi, Kanagawa, Japan
Seirei Hamamatsu General Hospital, Hamamatsu-shi, Shizuoka, Japan
Cancer Institute Hospital of JFCR, Koto-ku, Tokyo, Japan
Uniklinik-Eppendorf, Hamburg, Germany
Uniklinikum Heidelberg, Heidelberg, Germany
Marien Hospital Herne, Herne, Germany
VUMC, Amsterdam, Netherlands
Vall d'Hebron Institute of Oncology (VHIO) / Vall d'Hebron Institute Research (VHIR), Barcelona, Spain
University Medical Center Groningen, Groningen, Netherlands
National Cancer Center Hospital, Chuo Ku, Japan
Kanagawa Cancer Center, Yokohama-shi, Kanagawa, Japan
National Cancer Center Hospital East, Kashiwa-shi, Chiba, Japan
Fondazione Policlinico Gemelli IRCCS, Rome, Italy
Aichi Cancer Center, Nagoya-shi, Aichi, Japan
National Cancer Center Hospital East, Kashiwa-shi, Chiba, Japan
Kanazawa University Hospital, Kanazawa-shi, Ishikawa, Japan
Levine Cancer Institute, Charlotte, North Carolina, United States
Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, United States
Hospital for Sick Children, Toronto, Ontario, Canada
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