Drug Monograph

Opdivo (Nivolumab)

nivolumab — fully human IgG4 anti-PD-1 monoclonal antibody

PD-1 Immune Checkpoint Inhibitor · Intravenous / Subcutaneous · Bristol-Myers Squibb
Pharmacokinetic Profile
Half-Life
25–27 days
Volume of Distribution
6.8 L (Vdss)
Clearance
8.2 mL/h (steady state)
Metabolism
Proteolytic catabolism
Steady State
~12 weeks (Q2W dosing)
Clinical Information
Drug Class
PD-1 Checkpoint Inhibitor
Available Formulations
40 mg/4 mL, 100 mg/10 mL, 120 mg/12 mL, 240 mg/24 mL (all 10 mg/mL)
Route
IV infusion (30 min); SC (Opdivo Qvantig)
Renal Adjustment
None required
Hepatic Adjustment
None for mild; not studied moderate/severe
Pregnancy
Can cause fetal harm
Lactation
Advise not to breastfeed
Schedule / Legal
Prescription only (biologic)
Generic Available
No (biosimilars not approved in US)
Rx

Indications

Nivolumab carries one of the broadest FDA-approved indication portfolios of any immune checkpoint inhibitor. It is approved across more than a dozen solid tumour and haematological malignancy settings, as monotherapy or in combination with ipilimumab, chemotherapy, or cabozantinib. The following table summarises currently approved indications as of the March 2026 label revision.

IndicationApproved PopulationTherapy TypeStatus
Unresectable / metastatic melanomaAdults & paediatric ≥12 yrMonotherapy or + ipilimumabFDA Approved
Adjuvant melanoma (Stage IIB–IV resected)Adults & paediatric ≥12 yrMonotherapyFDA Approved
Resectable NSCLC — neoadjuvantAdults (≥4 cm or node+)+ platinum-doublet chemoFDA Approved
Resectable NSCLC — neoadjuvant + adjuvantAdults (no EGFR/ALK)+ platinum-doublet chemo → mono adjuvantFDA Approved
Metastatic NSCLC — first-line (+ ipi)Adults (PD-L1 ≥1%, no EGFR/ALK)+ ipilimumabFDA Approved
Metastatic NSCLC — first-line (+ ipi + chemo)Adults (no EGFR/ALK; any PD-L1)+ ipilimumab + 2 cycles platinum-doubletFDA Approved
Metastatic NSCLC — second-lineAdults (post-platinum)MonotherapyFDA Approved
Malignant pleural mesotheliomaAdults (unresectable, first-line)+ ipilimumabFDA Approved
Advanced RCC — first-line (+ ipilimumab)Adults (intermediate/poor risk)+ ipilimumabFDA Approved
Advanced RCC — first-line (+ cabozantinib)Adults (all risk categories)+ cabozantinibFDA Approved
Advanced RCC — second-lineAdults (prior anti-angiogenic)MonotherapyFDA Approved
Classical Hodgkin lymphoma — first-line (Stage III–IV)Adults & paediatric ≥12 yr+ AVD (doxorubicin, vinblastine, dacarbazine)FDA Approved
Classical Hodgkin lymphoma — relapsed/refractoryAdults (post-HSCT + BV, or ≥3 lines)MonotherapyFDA Approved
Recurrent / metastatic SCCHNAdults (post-platinum)MonotherapyFDA Approved
Urothelial carcinoma — adjuvantAdults (high recurrence risk)MonotherapyFDA Approved
Urothelial carcinoma — first-line metastaticAdults+ cisplatin + gemcitabineFDA Approved
Urothelial carcinoma — post-platinumAdults (locally advanced or metastatic)MonotherapyFDA Approved
MSI-H/dMMR colorectal cancerAdults & paediatric ≥12 yr+ ipilimumab (all lines) or monotherapy (post-chemo)FDA Approved
Hepatocellular carcinomaAdults (first-line or post-sorafenib)+ ipilimumabFDA Approved
Esophageal / GEJ cancer — adjuvantAdults (resected, residual disease post-CRT)MonotherapyFDA Approved
Esophageal squamous cell carcinomaAdults (PD-L1 ≥1 for first-line)+ chemo or + ipilimumab; monotherapy 2L+FDA Approved
Gastric / GEJ / esophageal adenocarcinomaAdults (PD-L1 ≥1)+ fluoropyrimidine-platinum chemoFDA Approved

Nivolumab was the second PD-1 inhibitor approved in the United States, receiving initial clearance for melanoma in December 2014. Its label has since been expanded to cover cancers across virtually every major organ system. The most recent label update (March 2026) includes biomarker-selected populations such as PD-L1-expressing NSCLC for first-line combination therapy and MSI-H/dMMR colorectal cancer. A subcutaneous formulation (Opdivo Qvantig, co-formulated with hyaluronidase) was approved in December 2024 for most adult solid tumour indications, though it is not indicated in combination with intravenous ipilimumab.

Off-Label Uses

Small cell lung cancer (SCLC) — third-line+: Nivolumab monotherapy has been explored for metastatic SCLC after progression on platinum-based therapy and at least one other line. The initial accelerated approval was voluntarily withdrawn by BMS in 2021, though some institutions continue to offer it on a case-by-case basis. Evidence quality: moderate.

Non-clear-cell RCC: Some oncologists use nivolumab-based regimens in non-clear-cell subtypes based on extrapolation from pivotal RCC data. Evidence quality: low.

Dose

Dosing

Nivolumab dosing varies substantially by clinical scenario. No dose reductions are recommended; instead, treatment is withheld or permanently discontinued for immune-mediated toxicity. All IV doses are infused over 30 minutes. When given with ipilimumab, nivolumab is administered first on the same day.

Nivolumab Monotherapy

Clinical ScenarioStarting DoseMaintenance DoseMaximum DoseNotes
Metastatic melanoma, NSCLC 2L, RCC 2L, SCCHN, UC 2L, ESCC 2L, cHL relapsed240 mg Q2W240 mg Q2W or 480 mg Q4W480 mg Q4WFlat dosing for adults ≥40 kg. Continue until progression or unacceptable toxicity.
Pediatric <40 kg: 3 mg/kg Q2W or 6 mg/kg Q4W
Adjuvant melanoma240 mg Q2W240 mg Q2W or 480 mg Q4W480 mg Q4WMaximum treatment duration: 1 year or until recurrence
Pediatric <40 kg: 3 mg/kg Q2W or 6 mg/kg Q4W
Adjuvant urothelial carcinoma240 mg Q2W240 mg Q2W or 480 mg Q4W480 mg Q4WMaximum treatment duration: 1 year
Start within 120 days of radical resection
Adjuvant esophageal / GEJ cancer240 mg Q2W240 mg Q2W or 480 mg Q4W480 mg Q4WTotal treatment duration: 1 year. Post-neoadjuvant CRT with residual pathologic disease.

Nivolumab + Ipilimumab Combinations

Clinical ScenarioStarting DoseMaintenance DoseMaximum DoseNotes
Melanoma — nivo 1 mg/kg + ipi 3 mg/kg1 mg/kg Q3W + ipi 3 mg/kg240 mg Q2W or 480 mg Q4W (mono)480 mg Q4WCombination phase: max 4 doses, then nivolumab monotherapy
Higher toxicity regimen; ipi at higher dose
HCC (first-line or post-sorafenib) — nivo 1 mg/kg + ipi 3 mg/kg1 mg/kg Q3W + ipi 3 mg/kg240 mg Q2W or 480 mg Q4W (mono)480 mg Q4WCombination phase: max 4 doses, then single-agent nivolumab up to 2 years.
RCC first-line (intermediate/poor risk) — nivo 3 mg/kg + ipi 1 mg/kg3 mg/kg Q3W + ipi 1 mg/kg240 mg Q2W or 480 mg Q4W (mono)480 mg Q4WCombination phase: 4 doses, then single-agent nivolumab.
Metastatic NSCLC first-line, mesothelioma — nivo 360 mg + ipi 1 mg/kg360 mg Q3W + ipi 1 mg/kg Q6WSame (continuous)360 mg Q3WContinue combination until progression, toxicity, or up to 2 years. For NSCLC, may add 2 cycles platinum-doublet chemo.
ESCC first-line (PD-L1 ≥1) — nivo + ipi3 mg/kg Q2W or 360 mg Q3W + ipi 1 mg/kg Q6WSame (continuous)360 mg Q3WTwo nivolumab dosing options available. Continue until progression, toxicity, or up to 2 years.
MSI-H/dMMR CRC — nivo 240 mg + ipi 1 mg/kg240 mg Q3W + ipi 1 mg/kg240 mg Q2W or 480 mg Q4W (mono)480 mg Q4WCombination phase: max 4 doses. Then monotherapy up to 2 years.
Pediatric <40 kg: 3 mg/kg + ipi 1 mg/kg Q3W

Nivolumab + Chemotherapy Combinations

Clinical ScenarioStarting DoseMaintenance DoseMaximum DoseNotes
NSCLC neoadjuvant (resectable)360 mg Q3W + platinum-doubletN/A (3 cycles only)360 mg Q3W3 preoperative cycles. Neoadjuvant-only pathway.
NSCLC neoadjuvant + adjuvant360 mg Q3W + platinum-doublet480 mg Q4W (adjuvant, post-surgery)480 mg Q4WUp to 4 neoadjuvant cycles, then up to 13 adjuvant cycles (~1 year). No EGFR/ALK.
Urothelial carcinoma first-line360 mg Q3W + cisplatin + gemcitabine240 mg Q2W or 480 mg Q4W (mono)480 mg Q4WCombination phase: up to 6 cycles, then single-agent nivolumab up to 2 years.
Gastric / GEJ / esophageal adenocarcinoma (PD-L1 ≥1)360 mg Q3W or 240 mg Q2W + FP-platinum chemoSame regimen (continuous)360 mg Q3WContinue until progression, toxicity, or up to 2 years. Match nivolumab schedule to chemotherapy cycle.
ESCC first-line (PD-L1 ≥1) + chemotherapy240 mg Q2W or 480 mg Q4W + FP-platinum chemoSame regimen (continuous)480 mg Q4WNivolumab continues up to 2 years; chemotherapy until progression or toxicity.
Classical Hodgkin lymphoma first-line (+ AVD)240 mg Q2W + AVDN/A (6 cycles)240 mg Q2W6 treatment cycles total. G-CSF recommended from cycle 1.
Pediatric <40 kg: 3 mg/kg Q2W

Nivolumab + Cabozantinib

Clinical ScenarioStarting DoseMaintenance DoseMaximum DoseNotes
Advanced RCC first-line240 mg Q2W or 480 mg Q4W + cabo 40 mg PO dailySame (continuous)480 mg Q4WNivolumab up to 2 years; cabozantinib continues until progression. Take cabozantinib without food.
Clinical Pearl: Dose Modification Philosophy

Unlike cytotoxic chemotherapy, nivolumab is never dose-reduced. For Grade 3 immune-mediated adverse reactions, the drug is withheld and high-dose corticosteroids initiated. For Grade 4 or recurrent Grade 3 events, nivolumab is permanently discontinued. When given with ipilimumab, both agents are withheld or discontinued together. After completing the ipilimumab combination phase, the patient transitions to single-agent nivolumab maintenance.

PK

Pharmacology

Mechanism of Action

Nivolumab is a fully human immunoglobulin G4 (IgG4) monoclonal antibody that selectively binds the programmed death-1 (PD-1) receptor on activated T cells. Under normal physiological conditions, PD-1 engagement by its ligands PD-L1 and PD-L2 attenuates T-cell activity, serving as an immune checkpoint that prevents autoimmunity. Tumour cells exploit this pathway by overexpressing PD-L1 on their surface, effectively shielding themselves from cytotoxic T-cell recognition and destruction.

By binding PD-1 with high affinity (Kd ≈ 2.6 nmol/L), nivolumab prevents the PD-1/PD-L1 and PD-1/PD-L2 interactions, releasing the T-cell inhibitory brake. This restores anti-tumour immune surveillance and facilitates tumour-specific cytotoxic T-cell responses. When combined with ipilimumab (anti-CTLA-4), the dual checkpoint blockade produces complementary and non-redundant enhancement of T-cell activation.

ADME Profile

ParameterValueClinical Implication
AbsorptionIV route (100% bioavailability); Tmax 1–4 h post-infusion end. SC formulation achieves comparable Cavg and Cmin at steady state.SC administration provides equivalent exposure with no IV access requirement. PK is linear across the therapeutic dose range.
DistributionVdss = 6.8 L; limited extravascular distribution typical of large IgG molecules.Small Vd reflects confinement primarily to vascular and interstitial spaces. Body weight modestly influences Vd but not in a clinically meaningful way.
MetabolismCatabolised by non-specific proteolytic pathways; not CYP-mediated. FcRn recycling extends circulating half-life.No hepatic CYP interactions. No dose adjustment required for mild hepatic impairment. FcRn-mediated recycling prevents lysosomal degradation.
EliminationTerminal t½ = 25–27 days; CLss = 8.2 mL/h (geometric mean). Clearance decreases ~25% over time (time-varying CL).Long half-life supports Q2W or Q4W flat dosing. Steady state reached by ~12 weeks with Q2W dosing. Time-varying CL may reflect tumour burden reduction.
SE

Side Effects

Nivolumab’s toxicity profile is dominated by immune-mediated adverse reactions (irAEs), which can affect virtually any organ system. The incidence and severity of adverse reactions are substantially higher when nivolumab is combined with ipilimumab compared to monotherapy. Data below are derived from pooled monotherapy analyses and landmark trials (CheckMate-066, -067, -577) as referenced in the FDA prescribing information.

≥10% Very Common
Adverse EffectIncidenceClinical Note
Fatigue / asthenia49–59%Most frequently reported; can be debilitating. Exclude thyroid dysfunction and adrenal insufficiency before attributing to drug effect.
Musculoskeletal pain32–42%Includes arthralgia, myalgia, back pain. Usually manageable with analgesics; distinguish from immune-mediated arthritis.
Rash (all types)21–40%Typically maculopapular; usually Grade 1–2. Vitiligo may occur in melanoma patients and is associated with treatment response.
Diarrhea18–36%Most cases are low-grade; distinguish from immune-mediated colitis which may require corticosteroids and treatment interruption.
Nausea23–30%Generally mild; rarely requires antiemetic escalation beyond standard measures.
Pruritus13–27%Can be severe; topical emollients and antihistamines for Grade 1–2. Gabapentin may be useful for refractory pruritus.
Cough20–28%Distinguish from immune-mediated pneumonitis; imaging warranted if persistent or worsening.
Decreased appetite22–29%Monitor weight; consider endocrine causes such as adrenal insufficiency or hypothyroidism.
Constipation15–22%Usually mild and manageable with standard bowel regimens.
Dyspnea14–24%Requires prompt evaluation to exclude pneumonitis or disease progression.
Pyrexia14–22%Low-grade fever is common; high fever warrants infection workup and consideration of immune-mediated aetiology.
1–10% Common
Adverse EffectIncidenceClinical Note
Hypothyroidism8–11%Immune-mediated; permanent in most cases. Monitor TSH regularly; initiate levothyroxine replacement.
Hyperthyroidism3–7%Often transient thyroiditis preceding hypothyroidism. Beta-blockers for symptomatic management.
Elevated AST / ALT3–8%Screen for immune-mediated hepatitis. Withhold for >3× ULN; permanently discontinue for >8× ULN (monotherapy).
Pneumonitis (all grades)3–5%Higher incidence in NSCLC. Grade ≥2 requires treatment interruption and systemic corticosteroids.
Infusion-related reactions1–4%Grade 1–2 manageable with rate reduction; Grade 3–4 requires permanent discontinuation.
Colitis1–3%Significantly higher with ipilimumab combinations (up to 13%). Requires prompt corticosteroid treatment.
Vitiligo3–9%Primarily in melanoma populations; associated with improved tumour response and survival.
Peripheral neuropathy2–5%Higher with chemotherapy combinations. Usually sensory and Grade 1–2.
Elevated creatinine2–4%May indicate immune-mediated nephritis; withhold treatment and evaluate with renal biopsy if indicated.
Serious Serious (Regardless of Frequency)
Adverse EffectEstimated FrequencyTypical OnsetRequired Action
Immune-mediated pneumonitis3–5% (mono); up to 10% (+ ipi)2–24 monthsWithhold for Grade 2; permanently discontinue for Grade 3–4. High-dose corticosteroids (1–2 mg/kg/day prednisone).
Immune-mediated colitis1–3% (mono); 10–13% (+ ipi)1–10 monthsWithhold for Grade 2–3; permanently discontinue for Grade 4. Corticosteroids; infliximab for steroid-refractory cases.
Immune-mediated hepatitis1–3% (mono); 7–11% (+ ipi)1–6 monthsWithhold for AST/ALT >3–8× ULN; permanently discontinue for >8× ULN. High-dose corticosteroids; add mycophenolate if refractory.
Immune-mediated myocarditis<1% (rare but up to 45% fatality)First 1–2 cyclesPermanently discontinue for Grade 2–4. High-dose corticosteroids. Consider additional immunosuppression. Cardiology consultation.
Immune-mediated nephritis1–2%2–12 monthsWithhold for Grade 2–3 creatinine elevation; permanently discontinue for Grade 4. Corticosteroids; consider renal biopsy.
Immune-mediated endocrinopathies (adrenal insufficiency, hypophysitis, type 1 diabetes)Adrenal: 1%; Hypophysitis: <1%; T1DM: <1%Variable; weeks to monthsWithhold for Grade 3–4 until clinically stable with hormone replacement. Lifelong replacement often required.
Severe dermatologic reactions (SJS, TEN, DRESS)Rare (<1%)Days to weeksWithhold for suspected SJS/TEN/DRESS; permanently discontinue if confirmed. Dermatology and burns unit consultation.
Neurological toxicity (encephalitis, Guillain-Barré, myasthenia gravis)Rare (<1%)VariableWithhold for Grade 2; permanently discontinue for Grade 3–4. High-dose corticosteroids; IVIG or plasmapheresis as indicated.
Discontinuation Discontinuation Rates
Monotherapy (pooled)
7–9%
Top reasons: pneumonitis, hepatitis, colitis, rash, endocrinopathy
+ Ipilimumab (melanoma, CheckMate-067)
36–40%
Top reasons: colitis/diarrhea, hepatitis, pneumonitis. Despite high discontinuation, durable responses seen even after early cessation.
Reason for DiscontinuationMonotherapy+ Ipilimumab
Immune-mediated hepatitis1–2%8–11%
Immune-mediated colitis<1%6–10%
Immune-mediated pneumonitis1–2%2–4%
Immune-mediated endocrinopathy<1%2–3%
Rash / dermatologic<1%2–3%
Managing Immune-Mediated Adverse Reactions

The cornerstone of irAE management is early recognition and prompt corticosteroid initiation. For most Grade 2 immune-mediated reactions, withhold nivolumab and begin prednisone 0.5–1 mg/kg/day. For Grade 3–4 reactions, use methylprednisolone 1–2 mg/kg/day IV. Steroid-refractory colitis may respond to infliximab (5 mg/kg), while hepatitis may require mycophenolate. Once the event resolves to Grade 0–1 and the steroid taper is complete, rechallenge with nivolumab can be considered for monotherapy-related events, but rechallenge with combination ipilimumab is generally not recommended.

Int

Drug Interactions

As a monoclonal antibody, nivolumab is eliminated through proteolytic catabolism and does not undergo cytochrome P450 metabolism. Formal drug-drug interaction studies have not been conducted. The primary interaction concerns involve pharmacodynamic effects on the immune system rather than pharmacokinetic changes.

Major Systemic Corticosteroids (chronic use)
MechanismBroad immunosuppression counteracts T-cell activation restored by nivolumab
EffectMay reduce antitumour efficacy. Baseline prednisone >10 mg/day excluded from pivotal trials.
ManagementAvoid chronic systemic corticosteroids before and during treatment. Short-course corticosteroids for irAE management are appropriate and do not appear to compromise efficacy.
FDA PI · Clinical Trials
Major Thalidomide Analogues + Dexamethasone (Multiple Myeloma)
MechanismUnclear; synergistic toxicity without corresponding efficacy benefit
EffectIncreased mortality observed in randomised trials. The FDA label explicitly warns against this combination.
ManagementContraindicated outside clinical trials. Do not combine PD-1 inhibitors with thalidomide analogues plus dexamethasone for myeloma.
FDA PI · Boxed Warning
Major Other Immunosuppressants (e.g., tacrolimus, ciclosporin, azathioprine)
MechanismPharmacodynamic antagonism of checkpoint inhibitor-mediated immune activation
EffectMay diminish antitumour activity. Patients on organ transplant immunosuppression have high risk of graft rejection if PD-1 blockade is used.
ManagementAvoid in solid organ transplant recipients. If used, close multidisciplinary coordination with transplant team is essential.
Case Reports · Expert Consensus
Moderate Live Vaccines
MechanismAltered immune regulation may produce unpredictable responses to live attenuated organisms
EffectTheoretical risk of vaccine-strain infection or reduced vaccine efficacy. Limited data.
ManagementAvoid live vaccines during treatment; inactivated vaccines may be administered. Ensure influenza and COVID-19 vaccinations are current before initiation.
Expert Consensus · ASCO Guidelines
Moderate Cabozantinib (when co-administered)
MechanismAdditive hepatotoxicity from both agents
EffectIncreased incidence and severity of liver enzyme elevations compared to either agent alone. Specific hepatotoxicity thresholds differ from monotherapy.
ManagementMonitor LFTs more frequently. Both agents withheld for ALT/AST >3× ULN with bilirubin <2× ULN; both permanently discontinued for >10× ULN or concurrent bilirubin elevation.
FDA PI (CheckMate-9ER)
Minor Levothyroxine
MechanismNot a drug interaction per se; immune-mediated thyroiditis alters levothyroxine requirements
EffectPatients who develop immune-mediated hypothyroidism require lifelong thyroid hormone replacement
ManagementMonitor TSH and free T4 at baseline and before each cycle. Titrate levothyroxine to maintain TSH within reference range.
FDA PI · Endocrine Guidelines
Mon

Monitoring

  • Liver Function (AST, ALT, bilirubin) Baseline, then before each cycle
    Routine
    Threshold for withholding differs between monotherapy, ipilimumab combinations, and cabozantinib combinations. Monitor more frequently if elevations are detected.
  • Renal Function (creatinine, eGFR) Baseline, then before each cycle
    Routine
    Rising creatinine may indicate immune-mediated nephritis. Withhold for Grade 2–3 elevation; permanently discontinue for Grade 4.
  • Thyroid Function (TSH, free T4) Baseline, then every 4–6 weeks
    Routine
    Hypothyroidism develops in 8–11% of patients on monotherapy and is usually permanent. Hyperthyroidism may precede hypothyroidism (thyroiditis phase).
  • Blood Glucose / HbA1c Baseline, then periodically
    Trigger-based
    Immune-mediated type 1 diabetes is rare but can present acutely with diabetic ketoacidosis. High index of suspicion for new-onset hyperglycaemia.
  • Adrenal Function (AM cortisol, ACTH) If symptoms suggest
    Trigger-based
    Evaluate if fatigue, hypotension, or hyponatraemia develop. Adrenal insufficiency and hypophysitis may require lifelong hormone replacement.
  • Pulmonary Symptoms / Chest Imaging Baseline CT; re-image if respiratory symptoms develop
    Trigger-based
    New or worsening cough, dyspnoea, or hypoxia should prompt urgent CT chest to evaluate for pneumonitis. Higher suspicion in NSCLC patients.
  • Cardiac Biomarkers (troponin, BNP/NT-proBNP) If cardiac symptoms develop
    Trigger-based
    Check promptly for chest pain, dyspnoea, new arrhythmia, or heart failure symptoms. Myocarditis has high mortality if not recognised early. Consider baseline troponin before combination therapy.
  • Complete Blood Count Baseline, then before each cycle
    Routine
    Especially important when co-administered with chemotherapy. Immune-mediated haemolytic anaemia and thrombocytopenia are rare but reported.
CI

Contraindications & Cautions

Absolute Contraindications

The FDA prescribing information lists no absolute contraindications to nivolumab. However, clinical judgement dictates avoidance in the following situations:

  • Life-threatening hypersensitivity to nivolumab or any excipient in a prior exposure.
  • Combination with thalidomide analogues + dexamethasone for multiple myeloma — the FDA label explicitly warns of increased mortality with this combination outside of controlled clinical trials.

Relative Contraindications (Specialist Input Recommended)

  • Active, severe autoimmune disease requiring systemic immunosuppression (e.g., lupus nephritis, active inflammatory bowel disease, organ transplant recipients). Risk of life-threatening flare or graft rejection.
  • Prior organ transplantation: checkpoint inhibitor use may trigger acute allograft rejection. Decision requires multidisciplinary discussion with transplant specialists.
  • Prior life-threatening irAE from any PD-1/PD-L1 or CTLA-4 inhibitor (e.g., Grade 4 myocarditis, fulminant hepatitis). Rechallenge carries substantial risk.
  • Pregnancy or planned pregnancy: nivolumab can cause fetal harm based on its mechanism and animal data. Effective contraception required during treatment and for 5 months after last dose.

Use with Caution

  • Controlled autoimmune conditions (e.g., well-managed rheumatoid arthritis, psoriasis): may be treated with close monitoring, but risk of flare is elevated.
  • ECOG performance status ≥2: limited trial data; higher risk of treatment-related complications with diminished reserve.
  • Pre-existing interstitial lung disease: higher baseline risk for treatment-emergent pneumonitis.
  • Moderate-to-severe hepatic impairment: not formally studied; use with heightened monitoring.
  • Elderly patients (≥75 years): similar efficacy but potentially higher irAE rates in some combination regimens.
FDA Warnings & Precautions Increased Mortality with PD-1 Blockade in Multiple Myeloma

In randomised clinical trials, adding a PD-1 blocking antibody (including nivolumab) to a thalidomide analogue plus dexamethasone for multiple myeloma resulted in increased mortality. Treatment of multiple myeloma patients with a PD-1 or PD-L1 blocking antibody in combination with a thalidomide analogue plus dexamethasone is not recommended outside of controlled clinical trials (FDA PI Section 5.5).

FDA Class-Wide Regulatory Warning Immune-Mediated Adverse Reactions

Nivolumab can cause severe and fatal immune-mediated adverse reactions in any organ system. The most clinically significant include pneumonitis, colitis, hepatitis, endocrinopathies, nephritis, and dermatologic reactions. These may occur during treatment or after discontinuation. Early identification with appropriate laboratory monitoring and prompt management with corticosteroids are essential. Complications of allogeneic haematopoietic stem cell transplantation can occur in patients who receive checkpoint inhibitors before or after transplant.

Pt

Patient Counselling

Purpose of Therapy

Nivolumab helps the patient’s own immune system recognise and attack cancer cells. It works differently from traditional chemotherapy — rather than killing dividing cells directly, it removes a “brake” that the tumour uses to hide from immune detection. Treatment is given by intravenous infusion (or subcutaneous injection for eligible patients) on a regular schedule and continues as long as there is clinical benefit without unacceptable side effects.

How to Take

Patients attend the infusion centre on their scheduled day. The IV infusion takes approximately 30 minutes. When given with ipilimumab, nivolumab is infused first, followed by ipilimumab, with separate infusion bags and lines. The subcutaneous formulation (Opdivo Qvantig) can be administered as an injection in approximately 5 minutes at the clinical site.

Immune-Related Side Effects
Tell patient Nivolumab works by activating the immune system, which means it can cause inflammation in healthy organs. Side effects can appear during or even after treatment ends. Most are manageable when caught early. Carry the immunotherapy patient card at all times.
Call prescriber New or worsening cough or breathlessness, persistent diarrhea (more than 3 loose stools/day), yellowing of skin or eyes, dark urine, severe skin rash or blistering, new or worsening joint pain, unexplained weight changes, excessive thirst or urination, severe headaches, vision changes, or chest pain.
Fatigue & General Wellbeing
Tell patient Tiredness is the most common side effect, affecting roughly half of patients. It usually does not worsen over time and may improve after the first few cycles. Light exercise and pacing activities can help.
Call prescriber If fatigue becomes severe enough to limit self-care, or if accompanied by dizziness on standing, nausea, or significant weight loss — these may indicate an endocrine problem that needs blood testing.
Skin Reactions & Pruritus
Tell patient Rash and itching are common. Use fragrance-free moisturisers liberally and avoid hot showers. Over-the-counter antihistamines may help mild itching. Patches of skin lightening (vitiligo) can occur in melanoma patients and are generally considered a favourable sign.
Call prescriber Any blistering rash, skin peeling, mouth sores, or rash covering a large body surface area. These may indicate a serious dermatologic reaction requiring urgent evaluation.
Thyroid Changes
Tell patient Nivolumab commonly causes thyroid dysfunction. The treatment team will monitor thyroid blood tests regularly. If the thyroid becomes underactive, a daily replacement tablet (levothyroxine) will be prescribed, which is typically lifelong.
Call prescriber Symptoms of overactive thyroid (rapid heartbeat, tremor, weight loss, heat intolerance) or underactive thyroid (severe fatigue, cold intolerance, constipation, weight gain) before the next clinic visit.
Fertility & Contraception
Tell patient Nivolumab may harm an unborn baby based on how it works. Women of childbearing potential must use effective contraception during treatment and for at least 5 months after the last dose. Do not breastfeed during treatment. Discuss fertility preservation options before starting therapy.
Call prescriber Immediately if pregnancy is suspected during treatment.
Infusion-Day Expectations
Tell patient The infusion itself takes about 30 minutes, but plan for a longer visit to allow for check-in, blood work, and post-infusion observation. Stay hydrated before the visit. Report any shivering, flushing, or difficulty breathing during or immediately after infusion.
Call prescriber Fever, chills, facial swelling, or breathing difficulty within 24 hours of infusion.
Ref

Sources

Regulatory (PI / SmPC)
  1. Bristol-Myers Squibb. OPDIVO (nivolumab) injection, for intravenous use. Full Prescribing Information. Revised 03/2026. https://packageinserts.bms.com/pi/pi_opdivo.pdf Primary source for all dosing, indications, adverse reactions, and warnings in this monograph.
  2. U.S. FDA. FDA approves nivolumab and hyaluronidase-nvhy for subcutaneous injection. December 27, 2024. FDA.gov Regulatory basis for the subcutaneous Opdivo Qvantig approval across adult solid tumour indications.
  3. U.S. FDA. FDA approves nivolumab with ipilimumab for unresectable or metastatic MSI-H or dMMR colorectal cancer. April 8, 2025. FDA.gov Most recent indication expansion, converting MSI-H CRC from accelerated to regular approval.
Key Clinical Trials
  1. Robert C, Long GV, Brady B, et al. Nivolumab in previously untreated melanoma without BRAF mutation. N Engl J Med. 2015;372(4):320–330. doi:10.1056/NEJMoa1412082 CheckMate-066: established nivolumab superiority over dacarbazine in treatment-naive BRAF wild-type melanoma.
  2. Larkin J, Chiarion-Sileni V, Gonzalez R, et al. Five-year survival with combined nivolumab and ipilimumab in advanced melanoma. N Engl J Med. 2019;381(16):1535–1546. doi:10.1056/NEJMoa1910836 CheckMate-067 five-year update: demonstrated 52% five-year OS with nivolumab + ipilimumab in advanced melanoma.
  3. Wolchok JD, Chiarion-Sileni V, Gonzalez R, et al. Final, 10-year outcomes with nivolumab plus ipilimumab or nivolumab alone versus ipilimumab in patients with advanced melanoma: CheckMate 067. N Engl J Med. 2025;392(1):11–22. doi:10.1056/NEJMoa2407417 Landmark 10-year follow-up showing 43% OS rate with combination therapy, establishing long-term durability.
  4. Kelly RJ, Ajani JA, Kuzdzal J, et al. Adjuvant nivolumab in resected esophageal or gastroesophageal junction cancer. N Engl J Med. 2021;384(13):1191–1203. doi:10.1056/NEJMoa2032125 CheckMate-577: basis for adjuvant nivolumab in resected esophageal/GEJ cancer with residual disease post-CRT.
  5. Motzer RJ, Tannir NM, McDermott DF, et al. Nivolumab plus ipilimumab versus sunitinib in advanced renal-cell carcinoma. N Engl J Med. 2018;378(14):1277–1290. doi:10.1056/NEJMoa1712126 CheckMate-214: established nivolumab + ipilimumab as first-line standard for intermediate/poor-risk advanced RCC.
Guidelines
  1. NCCN Clinical Practice Guidelines in Oncology. Melanoma: Cutaneous. Version 2.2025. NCCN.org Incorporates nivolumab-based regimens as preferred options across melanoma treatment settings.
  2. Brahmer JR, Abu-Sbeih H, Ascierto PA, et al. Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immune checkpoint inhibitor-related adverse events. J Immunother Cancer. 2021;9(6):e002435. doi:10.1136/jitc-2021-002435 Comprehensive irAE management guidelines applicable to nivolumab mono- and combination therapy.
Mechanistic / Basic Science
  1. Sharpe AH, Pauken KE. The diverse functions of the PD1 inhibitory pathway. Nat Rev Immunol. 2018;18(3):153–167. doi:10.1038/nri.2017.108 Authoritative review of PD-1 biology underpinning nivolumab’s mechanism of action.
Pharmacokinetics / Special Populations
  1. Bajaj G, Wang X, Agrawal S, Gupta M, Roy A, Feng Y. Model-based population pharmacokinetic analysis of nivolumab in patients with solid tumors. CPT Pharmacometrics Syst Pharmacol. 2017;6(1):58–66. doi:10.1002/psp4.12143 Definitive population PK analysis from 11 trials establishing the two-compartment model and covariate effects on nivolumab clearance.
  2. Centanni M, Moes DJAR, Troconiz IF, Ciccolini J, van Hasselt JGC. Clinical pharmacokinetics and pharmacodynamics of immune checkpoint inhibitors. Clin Pharmacokinet. 2019;58(7):835–857. doi:10.1007/s40262-019-00748-2 Comprehensive PK/PD overview of checkpoint inhibitors including nivolumab, covering exposure-response relationships.