Yervoy Generic Name & Formulations
Legal Class
Rx
General Description
Ipilimumab 5mg/mL; soln for IV infusion; preservative-free.
Pharmacological Class
Cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody.
How Supplied
Single-use vial (50mg, 200mg)—1
Manufacturer
Generic Availability
NO
Yervoy Indications
Indications
In combination with nivolumab for the treatment of patients with intermediate or poor risk, previously untreated advanced renal cell carcinoma (RCC).
Yervoy Dosage and Administration
Adult
Give by IV infusion over 30mins. ≥18yrs: 1mg/kg (given after nivolumab on the same day) every 3 weeks; after completing 4 doses of the combination, give nivolumab (as a single agent) until disease progression or unacceptable toxicity. Dose modifications: see full labeling.
Children
<18yrs: not established.
Yervoy Contraindications
Not Applicable
Yervoy Boxed Warnings
Not Applicable
Yervoy Warnings/Precautions
Warnings/Precautions
Severe and fatal immune-mediated adverse reactions can develop. Monitor closely for immune-related colitis, hepatitis (with or without tumor involvement), dermatologic reactions, endocrinopathies (thyroid disorders, adrenal insufficiency, diabetes, hypophysitis/hypopituitarism), pneumonitis, nephritis/renal dysfunction, myocarditis, neurological toxicities, ophthalmologic, others. Withhold or permanently discontinue based on severity and type of adverse reaction; see full labeling for management guidelines. Obtain clinical chemistries including LFTs, creatinine, ACTH levels, and thyroid function at baseline and before each dose. Evaluate for Vogt-Koyanagi-Harada-like syndrome if uveitis in combination with other immune-mediated reactions occur. Monitor for infusion-related reactions; discontinue if severe or life-threatening; interrupt or slow infusion rate if mild or moderate. Monitor closely for allogeneic HSCT-related complications (eg, graft-versus-host-disease) and manage promptly. Moderate or severe hepatic impairment. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception during and for 3 months after final dose. Pregnancy (esp. during 2nd & 3rd trimesters): exclude status prior to initiation. Nursing mothers: not recommended (during and for 3 months after final dose).
Yervoy Pharmacokinetics
See Literature
Yervoy Interactions
Not Applicable
Yervoy Adverse Reactions
Adverse Reactions
Fatigue, diarrhea, pruritus, rash, colitis, headache, weight loss, nausea, pyrexia, decreased appetite, vomiting, insomnia; CMV infection/reactivation; also with nivolumab: musculoskeletal pain, abdominal pain, cough, arthralgia, dyspnea, dizziness, hyperthyroidism, hypothyroidism, hypophysitis, adrenal insufficiency; also with platinum-doublet chemotherapy: constipation.
Yervoy Clinical Trials
See Literature
Yervoy Note
Notes
To enroll pregnant patients in the Pregnancy Safety Surveillance Study, call (844) 593-7869.
Yervoy Patient Counseling
See Literature
Yervoy Generic Name & Formulations
Legal Class
Rx
General Description
Ipilimumab 5mg/mL; soln for IV infusion; preservative-free.
Pharmacological Class
Cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody.
How Supplied
Single-use vial (50mg, 200mg)—1
Manufacturer
Generic Availability
NO
Yervoy Indications
Indications
In combination with nivolumab for the treatment of microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (CRC) in patients ≥12yrs who has progressed following treatment with a fluoropyrimidine, oxaliplatin, and irinotecan. In combination with nivolumab for the treatment of hepatocellular carcinoma (HCC) in patients previously treated with sorafenib. In combination with nivolumab for the first-line treatment of patients with unresectable advanced or metastatic esophageal squamous cell carcinoma (ESCC).
Yervoy Dosage and Administration
Adult
Give by IV infusion over 30mins. ≥12yrs: CRC: 1mg/kg (given after nivolumab on the same day) every 3 weeks. ≥18yrs: HCC: 3mg/kg (given after nivolumab on the same day) every 3 weeks. For CRC, HCC: after completing 4 doses of the combination, give nivolumab (as a single agent) until disease progression or unacceptable toxicity. ≥18yrs: ESCC: 1mg/kg (given after nivolumab on the same day) every 6 weeks; continue with nivolumab until disease progression, unacceptable toxicity, or up to 2 years. Dose modifications: see full labeling.
Children
CRC: <12yrs: not established. HCC, ESCC: <18yrs: not established.
Yervoy Contraindications
Not Applicable
Yervoy Boxed Warnings
Not Applicable
Yervoy Warnings/Precautions
Warnings/Precautions
Severe and fatal immune-mediated adverse reactions can develop. Monitor closely for immune-related colitis, hepatitis (with or without tumor involvement), dermatologic reactions, endocrinopathies (thyroid disorders, adrenal insufficiency, diabetes, hypophysitis/hypopituitarism), pneumonitis, nephritis/renal dysfunction, myocarditis, neurological toxicities, ophthalmologic, others. Withhold or permanently discontinue based on severity and type of adverse reaction; see full labeling for management guidelines. Obtain clinical chemistries including LFTs, creatinine, ACTH levels, and thyroid function at baseline and before each dose. Evaluate for Vogt-Koyanagi-Harada-like syndrome if uveitis in combination with other immune-mediated reactions occur. Monitor for infusion-related reactions; discontinue if severe or life-threatening; interrupt or slow infusion rate if mild or moderate. Monitor closely for allogeneic HSCT-related complications (eg, graft-versus-host-disease) and manage promptly. Moderate or severe hepatic impairment. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception during and for 3 months after final dose. Pregnancy (esp. during 2nd & 3rd trimesters): exclude status prior to initiation. Nursing mothers: not recommended (during and for 3 months after final dose).
Yervoy Pharmacokinetics
See Literature
Yervoy Interactions
Not Applicable
Yervoy Adverse Reactions
Adverse Reactions
Fatigue, diarrhea, pruritus, rash, colitis, headache, weight loss, nausea, pyrexia, decreased appetite, vomiting, insomnia; CMV infection/reactivation; also with nivolumab: musculoskeletal pain, abdominal pain, cough, arthralgia, dyspnea, dizziness, hyperthyroidism, hypothyroidism, hypophysitis, adrenal insufficiency; also with platinum-doublet chemotherapy: constipation.
Yervoy Clinical Trials
See Literature
Yervoy Note
Notes
To enroll pregnant patients in the Pregnancy Safety Surveillance Study, call (844) 593-7869.
Yervoy Patient Counseling
See Literature
Yervoy Generic Name & Formulations
Legal Class
Rx
General Description
Ipilimumab 5mg/mL; soln for IV infusion; preservative-free.
Pharmacological Class
Cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody.
How Supplied
Single-use vial (50mg, 200mg)—1
Manufacturer
Generic Availability
NO
Yervoy Indications
Indications
As a single agent or in combination with nivolumab for the treatment of unresectable or metastatic melanoma. Adjuvant treatment of cutaneous melanoma in patients with pathologic involvement of regional lymph nodes >1mm who have undergone complete resection, including total lymphadenectomy.
Yervoy Dosage and Administration
Adult
≥12yrs: Single agent: 3mg/kg every 3 weeks by IV infusion over 30mins for a max of 4 doses. In combination with nivolumab: 3mg/kg every 3 weeks by IV infusion over 30mins (given after nivolumab on the same day) for a max of 4 doses or until unacceptable toxicity, whichever occurs earlier; after completing 4 doses of the combination, give nivolumab (as a single agent) until disease progression or unacceptable toxicity. ≥18yrs: Adjuvant: 10mg/kg every 3 weeks for max of 4 doses, followed by 10mg/kg every 12 weeks by IV infusion over 90mins, for up to 3 years; may omit doses if toxicity occurs. Dose modifications: see full labeling.
Children
Unresectable, metastatic melanoma: <12yrs: not established. Adjuvant treatment: <18yrs: not established.
Yervoy Contraindications
Not Applicable
Yervoy Boxed Warnings
Not Applicable
Yervoy Warnings/Precautions
Warnings/Precautions
Severe and fatal immune-mediated adverse reactions can develop. Monitor closely for immune-related colitis, hepatitis (with or without tumor involvement), dermatologic reactions, endocrinopathies (thyroid disorders, adrenal insufficiency, diabetes, hypophysitis/hypopituitarism), pneumonitis, nephritis/renal dysfunction, myocarditis, neurological toxicities, ophthalmologic, others. Withhold or permanently discontinue based on severity and type of adverse reaction; see full labeling for management guidelines. Obtain clinical chemistries including LFTs, creatinine, ACTH levels, and thyroid function at baseline and before each dose. Evaluate for Vogt-Koyanagi-Harada-like syndrome if uveitis in combination with other immune-mediated reactions occur. Monitor for infusion-related reactions; discontinue if severe or life-threatening; interrupt or slow infusion rate if mild or moderate. Monitor closely for allogeneic HSCT-related complications (eg, graft-versus-host-disease) and manage promptly. Moderate or severe hepatic impairment. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception during and for 3 months after final dose. Pregnancy (esp. during 2nd & 3rd trimesters): exclude status prior to initiation. Nursing mothers: not recommended (during and for 3 months after final dose).
Yervoy Pharmacokinetics
See Literature
Yervoy Interactions
Not Applicable
Yervoy Adverse Reactions
Adverse Reactions
Fatigue, diarrhea, pruritus, rash, colitis, headache, weight loss, nausea, pyrexia, decreased appetite, vomiting, insomnia; CMV infection/reactivation; also with nivolumab: musculoskeletal pain, abdominal pain, cough, arthralgia, dyspnea, dizziness, hyperthyroidism, hypothyroidism, hypophysitis, adrenal insufficiency; also with platinum-doublet chemotherapy: constipation.
Yervoy Clinical Trials
See Literature
Yervoy Note
Notes
To enroll pregnant patients in the Pregnancy Safety Surveillance Study, call (844) 593-7869.
Yervoy Patient Counseling
See Literature
Yervoy Generic Name & Formulations
Legal Class
Rx
General Description
Ipilimumab 5mg/mL; soln for IV infusion; preservative-free.
Pharmacological Class
Cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody.
How Supplied
Single-use vial (50mg, 200mg)—1
Manufacturer
Generic Availability
NO
Yervoy Indications
Indications
In combination with nivolumab for first-line treatment of metastatic non-small cell lung cancer (NSCLC) in patients whose tumors express PD-L1 (≥1%) with no EGFR or ALK genomic tumor aberrations, as determined by an FDA-approved test. In combination with nivolumab and 2 cycles of platinum-doublet chemotherapy for first-line treatment of metastatic or recurrent NSCLC with no EGFR or ALK genomic tumor aberrations. In combination with nivolumab for first-line treatment of unresectable malignant pleural mesothelioma.
Yervoy Dosage and Administration
Adult
Give by IV infusion over 30mins. ≥18yrs: NSCLC with PD-L1: 1mg/kg every 6 weeks with nivolumab every 2 weeks. Metastatic or recurrent NSCLC: 1mg/kg every 6 weeks with nivolumab every 3 weeks and histology-based platinum doublet chemotherapy every 3 weeks (for 2 cycles). Mesothelioma: 1mg/kg every 6 weeks with nivolumab every 3 weeks. All: continue with nivolumab until disease progression, unacceptable toxicity, or up to 2 years in patients without disease progression. Dose modifications: see full labeling.
Children
<18yrs: not established.
Yervoy Contraindications
Not Applicable
Yervoy Boxed Warnings
Not Applicable
Yervoy Warnings/Precautions
Warnings/Precautions
Severe and fatal immune-mediated adverse reactions can develop. Monitor closely for immune-related colitis, hepatitis (with or without tumor involvement), dermatologic reactions, endocrinopathies (thyroid disorders, adrenal insufficiency, diabetes, hypophysitis/hypopituitarism), pneumonitis, nephritis/renal dysfunction, myocarditis, neurological toxicities, ophthalmologic, others. Withhold or permanently discontinue based on severity and type of adverse reaction; see full labeling for management guidelines. Obtain clinical chemistries including LFTs, creatinine, ACTH levels, and thyroid function at baseline and before each dose. Evaluate for Vogt-Koyanagi-Harada-like syndrome if uveitis in combination with other immune-mediated reactions occur. Monitor for infusion-related reactions; discontinue if severe or life-threatening; interrupt or slow infusion rate if mild or moderate. Monitor closely for allogeneic HSCT-related complications (eg, graft-versus-host-disease) and manage promptly. Moderate or severe hepatic impairment. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception during and for 3 months after final dose. Pregnancy (esp. during 2nd & 3rd trimesters): exclude status prior to initiation. Nursing mothers: not recommended (during and for 3 months after final dose).
Yervoy Pharmacokinetics
See Literature
Yervoy Interactions
Not Applicable
Yervoy Adverse Reactions
Adverse Reactions
Fatigue, diarrhea, pruritus, rash, colitis, headache, weight loss, nausea, pyrexia, decreased appetite, vomiting, insomnia; CMV infection/reactivation; also with nivolumab: musculoskeletal pain, abdominal pain, cough, arthralgia, dyspnea, dizziness, hyperthyroidism, hypothyroidism, hypophysitis, adrenal insufficiency; also with platinum-doublet chemotherapy: constipation.
Yervoy Clinical Trials
See Literature
Yervoy Note
Notes
To enroll pregnant patients in the Pregnancy Safety Surveillance Study, call (844) 593-7869.
Yervoy Patient Counseling
See Literature
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