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YERVOY
Proper Name
Ipilimumab
Indication
YERVOY is a human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody indicated for the treatment of unresectable or metastatic melanoma.
Description

YERVOY (ipilimumab) is a recombinant, human monoclonal antibody that binds to the cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4). Ipilimumab is an IgG1 kappa immunoglobulin with an approximate molecular weight of 148 kDa.

Manufacturing Platform

PARAMETER

DATA

Manufacturer

Bristol-Myers Squibb Company

Indication

YERVOY is a human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody indicated for the treatment of unresectable or metastatic melanoma.

Cell Substrate

CHO cell line

Manufacturing platform

Ipilimumab is produced as a secreted protein in large-scale cell culture employing a CHO cell line that was transfected with an expression vector containing the coding sequences for both heavy and light chains of ipilimumab. This cell line is maintained with a Master Cell Bank and a Working Cell Bank (WCB) both of which have been tested consistent with ICH guidance documents.

Dose in vial/final container

50 mg/10 mL (5 mg/mL).

200 mg/40 mL (5 mg/mL).

Dose to patient

3 mg/kg administered intravenously over 90 minutes every 3 weeks for a total of four doses

CLINICAL TRIALS

NCT

TRIAL PHASE

NO OF PATIENTS ENROLLED

TITLE

COUNTRIES

Primary efficacy and safety study

NCT00094653

3

1783

MDX-010 Antibody, MDX-1379 Melanoma Vaccine, or MDX-010/MDX-1379 Combination Treatment for Patients with Unresectable or Metastatic Melanoma

United States, Chile, Belgium, Brazil, Canada, France, Germany, Hungary, Argentina, Netherlands, South Africa, Switzerland, United Kingdom

Other efficacy study of interest

NCT00324155

3

681

Dacarbazine and Ipilimumab vs. Dacarbazine With Placebo in Untreated Unresectable Stage III or IV Melanoma

United States, Argentina, Australia, Austria, Belgium, Brazil, Canada, Spain, Chile, France, Israel, Germany, Italy, Hungary, Ireland, Czech Republic, Poland, Norway, Portugal, Netherlands, Russian Federation, South Africa, Switzerland, Ukraine, United Kingdom

Other studies

NCT00289640

2

210

Study of Ipilimumab (MDX-010) Monotherapy in Patients with Previously Treated Unresectable Stage III or IV Melanoma

United States, Australia, Belgium, Brazil, Canada, Czech Republic, France, Germany, Hungary, South Africa

NCT00289627

2

155

A Single Arm Study of Ipilimumab Monotherapy in Patients with Previously Treated Unresectable Stage III or IV Melanoma

United States, Italy, Austria, Finland, Norway, Poland, Russian Federation, Spain, Sweden, Ukraine

NCT00135408

2

115

A Study of MDX-010 (BMS-734016) Administered with or Without Prophylactic Oral Budesonide

United States, Peru, Canada, Israel, Italy, United Kingdom

NCT00261365

1, 2

80

Phase II Study to Determine Predictive Markers of Response to BMS-734016 (MDX-010)

United States, Peru, Denmark, Israel, Italy, Norway, Sweden

NCT00050102

2

-

Comparison Study of MDX-010 (CTLA-4) Alone and Combined with DTIC in the Treatment of Metastatic Melanoma

United States

NCT00623766

2

99

Evaluation of Tumor Response to Ipilimumab in the Treatment of Melanoma with Brain Metastases

United States

NCT00928031

-

160

Long-term Data Collection for Subjects in MDX-010 Studies

United States

Key Regulatory Milestones

US pre-IND

April 25, 2008

US Approval

March 25, 2011

EU Approval

July 12, 2011

Health Canada Approval

February 1, 2012

TGA

June 27, 2011

Advisory Committee

Advice regarding the approvability of this application was not sought from the Oncologic Drugs Advisory Committee Since demonstration of overall survival in two controlled, clinical trials provided sufficient evidence of clinical benefit, particularly in this malignancy where there is currently no highly effective treatment. evidence of improved survival also provides assurance that the benefits generally outweigh the risk.

Advanced Facts