Opdivo (Nivolumab) – NSCLC | HongKong DengYue Medicine

  • Generic Name/Brand Name: Nivolumab / Opdivo
  • Indications: NSCLC
  • Dosage Form: Intravenous injection
  • Specification: 100 mg/10ml; 40mg/4ml
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Opdivo Application Scope

Opdivo (nivolumab) is a PD-1 immune checkpoint inhibitor that enhances the immune system’s ability to fight cancer by blocking the PD-1 pathway, thereby promoting T-cell activation.

opdivo

Characteristics

  • Ingredients: Nivolumab

  • Properties: Human IgG4 monoclonal antibody targeting PD-1 receptors on T cells, enhancing immune response against tumors.

  • Packaging Specification:

    Available in single-dose vials:

    • 40 mg/4 mL

    • 100 mg/10 mL

  • Storage: Store refrigerated at 2°C to 8°C (36°F to 46°F). Do not freeze. Protect from light.

  • Expiry Date: ​Refer to the specific vial’s labeling for expiration information.

  • Executive Standard: FDA-approved Biologics License Application (BLA) No. 125554.

  • Approval Number: BLA 125554

  • Date of Revision: Refer to the latest prescribing information for the most recent revision date.

  • Manufacturer: Bristol-Myers Squibb Company

Guidelines for the Use of Opdivo

  • Dosage and Administration:

    • Dosage: Dosage varies based on cancer type, stage, and combination with other therapies.

      • Melanoma: 240 mg every 2 weeks or 480 mg every 4 weeks.

      • Non-Small Cell Lung Cancer (NSCLC): 240 mg every 2 weeks or 480 mg every 4 weeks.

      • In combination therapies, dosages are adjusted accordingly.

    • Administration: Administered as an intravenous infusion over 30 minutes.

 

  • Adverse Reactions:

    • Common (≥10%):

      • Fatigue, rash, musculoskeletal pain, pruritus, diarrhea, nausea, cough, dyspnea, constipation

      • decreased appetite, back pain, arthralgia, upper respiratory tract infection, pyrexia, headache, abdominal pain, vomiting.

    • Serious:

      • Immune-mediated adverse reactions include pneumonitis, colitis, hepatitis, endocrinopathies, nephritis, and skin reactions.

  • Contraindications:

    • None listed.

    • However, caution is advised in patients with severe hypersensitivity to nivolumab or any of its components.

  • Precautions:

    • Monitor for signs of immune-mediated adverse reactions.

    • Use with caution in patients with pre-existing autoimmune conditions.

    • Not recommended during pregnancy; may cause fetal harm.

Opdivo Interactions

  • Drug Interactions:

    • No formal drug interaction studies have been conducted.

    • However, immunosuppressive agents may diminish the efficacy of nivolumab.

Note:

  • If there is a new packaging for the drug, the new packaging shall prevail. The above information is sourced from DengYue Medicine.
  • It is only for internal discussion among medical staff and does not serve as a basis for medication. For specific medication guidelines, please consult the attending physician.
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