Yervoy

— THERAPEUTIC CATEGORIES —
  • Bladder, kidney, and other urologic cancers
  • Colorectal and other GI cancers
  • Melanoma and other skin cancers
  • Respiratory and thoracic cancers

Yervoy Generic Name & Formulations

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

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

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

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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