Nivolumab and relatlimab received FDA approval for the treatment of unresectable or metastatic melanoma on March 18, 2022. This approval allows its use in patients meeting the specified criteria, aiming to manage advanced stages of melanoma where surgical removal isn't feasible.
Nivolumab and relatlimab work together as immune checkpoint inhibitors, specifically targeting programmed cell death protein 1 (PD-1) and lymphocyte-activation gene 3 (LAG-3), respectively. By blocking these checkpoints, the drug combination enhances the body's immune response against cancer cells, thereby slowing their growth and spread.
Common side effects of nivolumab and relatlimab include muscle and bone pain, rash, itching, diarrhea, tiredness, and abnormal blood test results. However, it may also lead to serious adverse reactions such as immune-related complications affecting various organs, which require immediate medical attention.
Nivolumab and relatlimab are administered intravenously every 4 weeks. The typical adult dose comprises 480 mg of nivolumab and 160 mg of relatlimab, tailored based on the patient's weight and tolerance. Treatment continues until disease progression or unacceptable toxicity develops, with regular monitoring through blood tests.
Before starting treatment, patients should inform their healthcare providers about any history of nervous system disorders, immune system problems, or recent transplants. Nivolumab and relatlimab can harm an unborn baby, necessitating effective contraception during treatment and for a specified period thereafter.
In conclusion, nivolumab and relatlimab, under the brand Opdualag, represent a significant advancement in the treatment landscape for unresectable or metastatic melanoma. Its FDA approval underscores its efficacy in managing this challenging condition, offering new hope to eligible patients.
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