This review discusses the evidence on the use of nivolumab (Opdivo®), a fully human immunoglobulin G4 (IgG4) monoclonal antibody that binds to the programmed death-1 (PD-1) receptor and is indicated:
• In combination with the cytotoxic T-lymphocyte antigen-4 (CTLA-4) monoclonal antibody ipilimumab (Yervoy®) for the treatment of patients with intermediate- or poor-risk (IPR), previously untreated advanced renal cell carcinoma (RCC)
• In combination with the tyrosine kinase inhibitor (TKI) cabozantinib for the first-line treatment of patients with advanced RCC
• As monotherapy for the treatment of patients with advanced clear-cell RCC after prior antiangiogenic therapy.
Based on these indications, and recent data from international guidelines and large-scale, long-term clinical trials, this review highlights the clinical profile of: nivolumab + ipilimumab as a first-line therapy in IPR patients with advanced RCC; and nivolumab monotherapy in previously treated patients with advanced clear-cell RCC. This resource was created with funding from Bristol-Myers Squibb NZ Ltd.
Expert contributor
Dr Carmel Jacobs is a Medical Oncologist at Auckland City Hospital and Canopy Cancer Care. Carmel specialises in the treatment of genitourinary and prostate cancers. Carmel graduated from the Otago University School of Medicine in 2001 with Distinction. She completed training in oncology in 2011 with dual specialist training in Internal Medicine in 2012. Between […]
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