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Indications

High Alert


Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Interactions

Drug-drug:

Availability

Route/Dosage

Unresectable or Metastatic Melanoma

Adjuvant Treatment of Melanoma

Hepatocellular Carcinoma

First-Line Treatment of Unresectable or Metastatic Urothelial Carcinoma

Adjuvant Treatment of Urothelial Carcinoma

Classical Hodgkin's Lymphoma, Urothelial Carcinoma, or Squamous Cell Carcinoma of Head and Neck

Esophageal Squamous Cell Carcinoma

Adjuvant Treatment of Resected Esophageal or Gastroesophageal Junction Cancer

Metastatic Non-Small-Cell Lung Cancer

Neoadjuvant Treatment of Resectable Non-Small-Cell Lung Cancer

Advanced Renal Cell Carcinoma

Microsatellite Instability-High or Mismatch Repair Deficient Metastatic Colorectal Cancer

Gastric Cancer, Gastroesophageal Junction Cancer, and Esophageal Adenocarcinoma

Malignant Pleural Mesothelioma

US Brand Names

Opdivo

Action

  • Programmed death receptor-1 (PD-1) blocking antibody (an IgG4 kappa immunoglobulin) that binds to PD-1 and blocks its interaction with its ligands, PD-L1 and PD-L2, resulting in activation of the immune system and decreased tumor growth.
Therapeutic effects:
  • Decreased progression of melanoma, Hodgkin's lymphoma, urothelial carcinoma, colorectal cancer, and hepatocellular carcinoma.
  • Decreased progression of and improved survival with NSCLC and advanced renal cell carcinoma.
  • Improved survival in squamous cell carcinoma of head and neck, esophageal cancer, gastric cancer, gastroesophageal junction cancer, esophageal adenocarcinoma, and malignant pleural mesothelioma.

Classifications

Therapeutic Classification: antineoplastics

Pharmacologic Classification: monoclonal antibodies, programmed death-1 inhibitors

Pharmacokinetics

Absorption: IV administration results in complete bioavailability.

Distribution: Unknown.

Metabolism/Excretion: Unknown.

Half-Life: 26.7 days.

Time/Action Profile

ROUTEONSETPEAKDURATION
IVunknownunknownunknown



Patient/Family Teaching

Pronunciation

nye-VOL-ue-mab