Systemic Anti-Cancer Therapy Regimen Library
SKIN Melanoma Metastatic - ipilimumab 1mg/kg and nivolumab 3mg/kg
Treatment Overview
Nivolumab monotherapy may continue for up to two years or until disease progression/toxicity.
Cycles 1 to 4 - 21 days
Cycle details
Cycles 1 to 4 - 21 days
| Medication | Dose | Route | Days | Max Duration |
|---|---|---|---|---|
| nivolumab * | 3 mg/kg | intravenous | 1 | 30 minutes |
| ipilimumab * | 1 mg/kg | intravenous | 1 | 30 minutes |
Full details
Cycles 1 to 4 - 21 days
Day: 1
| Medication | Dose | Route | Max duration | Details |
|---|---|---|---|---|
| nivolumab * | 3 mg/kg | intravenous | 30 minutes |
Instructions:
Administer via a sterile, non-pyrogenic, low protein binding 0.2 to 1.2 micron in-line filter. |
| ipilimumab * | 1 mg/kg | intravenous | 30 minutes |
Instructions:
Administer via a sterile, non-pyrogenic, low protein binding 0.2 to 1.2 micron in-line filter. |
Supportive Care Factors
| Factor | Value |
|---|---|
| Emetogenicity: | Minimal |
| Hypersensitivity / Infusion related reaction risk: | Low - routine premedication not recommended |
References
Bristol-Myers Squibb (NZ) Limited. Opdivo New Zealand Data Sheet 20 May 2020. https://www.medsafe.govt.nz/profs/Datasheet/o/opdivoinf.pdf (Accessed 02 December 2020)
Bristol-Myers Squibb (NZ) Limited. Yervoy New Zealand Data Sheet 11 March 2021. https://www.medsafe.govt.nz/profs/Datasheet/y/yervoyinj.pdf (Accessed 14 June 2021).
* The medicines, doses, combinations, and schedule in this treatment regimen have been carefully reviewed against international best practice guidelines by specialists in medical oncology around New Zealand and this advice has been accepted for publication by Te Aho o Te Kahu (the Cancer Control Agency). Sometimes medicines that are used in routine clinical practice have not been through a formal review process by the NZ Medicines Regulator Medsafe and are therefore considered unapproved or off-label. These medicines are legally able to be prescribed through sections 25 and 29 of the Medicines Act and by obtaining informed consent from patients. All treatment regimens listed on this website have been through robust peer review and are considered an accepted standard of care, whether prescribed through sections 25 or 29 or carrying formal Medsafe Approval.
s29: This symbol indicates that some formulations of the associated medicine are legally only able to be prescribed under section 29 of the Medicines Act. You can see which formulations are section 29 by hovering over the s29 symbol. You can access full medication details from the New Zealand Formulary by clicking on the medication name. Each clinician retains full responsibility for ensuring they have complied with all relevant obligations and requirements of section 29 including obtaining informed patient consent prior to prescribing the applicable medicine.