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BRISTOL MYERS SQUIBB โ€” Opdivo FDA Review (NDA/BLA 125554, 2020)

Bristol-Myers Squibb Company ยท 2020 ยท FDA Review (Drugs@FDA) ยท company profile โ†’

Report summary

This FDA approval package for Bristol-Myers Squibb's Opdivo (nivolumab) details its March 5, 2018 approval and numerous indications across various cancers, including melanoma, NSCLC, RCC, and cHL. It outlines new dosage regimens (e.g., 480 mg Q4W) and reduced infusion times. The report comprehensively covers Opdivo's safety profile, both as monotherapy and in combination with ipilimumab, highlighting immune-mediated adverse reactions, their incidence, onset, and management strategies. Efficacy data, including overall survival, progression-free survival, and overall response rates, are presented from multiple clinical trials (e.g., CHECKMATE-037, -066, -067, -238, -017, -057, -025, -205, -039, -141, -275, -142, -040), often comparing Opdivo to standard treatments. Regulatory history and pharmacokinetic bridging analyses for new dosing regimens are also included.

Key findings โ€” cited to the page

rash (Grade 3-4)0.4 %CHECKMATE-037 ยท p.29
upper respiratory tract infection (all grades)11 %CHECKMATE-037 ยท p.29
diarrhea (all grades, Opdivo)37 %CHECKMATE-238 ยท p.36
rash (all grades)21 %CHECKMATE-037 ยท p.29
cough (all grades)17 %CHECKMATE-037 ยท p.29
increased alkaline phosphatase (all grades)21 %CHECKMATE-066 ยท p.32
increased AST (Grade 3-4)3.6 %CHECKMATE-066 ยท p.32
hyponatremia (Grade 3-4, Opdivo plus Ipilimumab arm)9 %CHECKMATE-067 ยท p.34
pruritus (Grade 3-4)0.5 %CHECKMATE-066 ยท p.31
Grade 3 and 4 adverse reactions42 %CHECKMATE-037 ยท p.29
pruritus (all grades)19 %CHECKMATE-037 ยท p.29
peripheral edema (all grades)10 %CHECKMATE-037 ยท p.29

Source: Bristol-Myers Squibb Company โ†— ยท License: US Government public domain. Summary and findings are extracted from the published document; every figure cites its page. Informational only โ€” not investment advice. Explore the Oncology library โ†’

BRISTOL MYERS SQUIBB โ€” Opdivo FDA Review (NDA/BLA 125554, 2020) โ€” Summary & Key Findings | BioPharmaPT