Drug updated on 10/24/2024
Dosage Form | Injection (intravenous; 240 mg of nivolumab and 80 mg of relatlimab per 20 mL [12 mg and 4 mg per mL]) |
Drug Class | Programmed death receptor-1 (PD-1) blocking antibodies and lymphocyte activation gene-3 (LAG-3) blocking antibodies |
Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated for the treatment of adult and pediatric patients 12 years of age or older with unresectable or metastatic melanoma.
Latest News
Summary
- This summary is based on the review of two systematic review(s)/meta-analysis(es). [1-2]
- The combination of relatlimab/nivolumab and ipilimumab/nivolumab exhibited comparable effectiveness for progression-free survival (PFS) with a hazard ratio of 0.99 (95% Confidence Interval (CI) 0.75-1.31) and for overall response rate (RR) with a relative risk of 0.99 (95% CI 0.78-1.27).
- For patients with BRAF-mutant melanoma, the PD-(L)1/BRAF/MEK inhibitors triplet combination demonstrated superior PFS (HR = 0.56, 95% CI 0.37-0.84) and ORR (RR = 3.07, 95% CI 1.61-5.85) compared to ipilimumab/nivolumab.
- Nivolumab/relatlimab was suggested as a treatment for patients with unresectable or metastatic cutaneous melanoma, regardless of BRAF mutation status, broadening its applicability to a wider patient population.
- The combination of relatlimab/nivolumab was associated with a lower risk of grade ≥3 treatment-related adverse events (TRAEs) compared to ipilimumab/nivolumab (RR = 0.71, 95% CI 0.30-1.67), though the risk was still higher than monotherapy.
- Relatlimab/nivolumab had a lower but still notable risk of severe dermatologic immune-related adverse events (irAEs) compared to ipilimumab/nivolumab, which was associated with the highest toxicity for grade ≥3 TRAEs.
- There is no population types or subgroups information available in the reviewed documents.
Product Monograph / Prescribing Information
Document Title | Year | Source |
---|---|---|
Opdualag (nivolumab and relatlimab-rmbw) Prescribing Information. | 2024 | Bristol-Myers Squibb Company Princeton, NJ |
Systematic Reviews / Meta-Analyses
Document Title | Year | Source |
---|---|---|
Comparative severe dermatologic toxicities of immune checkpoint inhibitors in malignant melanoma: A systematic review and network meta-analysis | 2024 | Journal of Cosmetic Dermatology |
Activity and safety of first-line treatments for advanced melanoma: A network meta-analysis | 2023 | European Journal of Cancer |
Clinical Practice Guidelines
Document Title | Year | Source |
---|---|---|
Systemic Therapy for Melanoma: ASCO Guideline Update | 2023 | Journal of Clinical Oncology |