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Drug: Ipilimumab
Brand: Yervoy 200mg/40ml
Manufacturer /
TM Owner
Bristol Myers Squibb
Origin: USA

Yervoy 200mg/40ml Injection

Yervoy delivers Ipilimumab as a monoclonal antibody. It binds precisely to a disease-driving target, blocking harmful signalling or flagging abnormal cells for immune destruction. It is used in the treatment of a range of cancers. It is supplied as an injection (200mg/40ml). Its targeted profile makes it a valued choice in contemporary clinical practice.
Strength: 200mg/40ml
Pack Size: 1s
Storage: 2°C to 8°C
Form: Injection

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Indications & Clinical Uses

  • Yervoy 200mg/40ml is a single-dose vial of ipilimumab (5 mg/mL), a CTLA-4 blocking monoclonal antibody that boosts the immune system's attack on cancer.
  • Yervoy is given only by a healthcare provider as an intravenous infusion over 30 minutes, in a hospital or specialist clinic.
  • In the US label it is used for unresectable or metastatic melanoma (alone or with nivolumab), adjuvant treatment of melanoma, advanced renal cell carcinoma, MSI-H or dMMR colorectal cancer, hepatocellular carcinoma, metastatic non-small cell lung cancer, malignant pleural mesothelioma and oesophageal squamous cell carcinoma, mostly combined with nivolumab.
  • The EU label lists a similar set.
  • Dose and schedule depend on the cancer type, and a 50 mg/10 mL vial also exists.

Side Effects

  • In the US label, the most common reactions (20% or more) with Yervoy alone were fatigue, diarrhoea, itching, rash, nausea and headache.
  • With nivolumab they were fatigue, diarrhoea, rash, itching, nausea, muscle and joint pain, fever, cough and reduced appetite.
  • The most important risk is severe and sometimes fatal immune-mediated reactions that can affect any organ, including bowel (colitis), liver, skin, hormone glands, lungs and nerves, and can appear during treatment or after it has stopped.
  • Infusion-related reactions can also occur.
  • Report severe diarrhoea, blood in stools, yellow skin, new rash, persistent cough, marked tiredness or headache promptly.
  • The current US label has no boxed warning.

Precautions & Warnings

  • Yervoy is given under specialist supervision, with blood tests for liver, kidney and thyroid function checked before and during treatment so immune-mediated reactions are caught early; they are usually managed with corticosteroids and by pausing or stopping Yervoy.
  • The US label lists no contraindications; the EU label contraindicates hypersensitivity to ipilimumab or its excipients.
  • Yervoy can harm an unborn baby: use effective contraception during treatment and for 3 months after the last dose, and do not breastfeed.
  • Complications can arise if allogeneic stem cell transplant follows treatment.
  • Do not mix other medicines in the same infusion line.
  • The infusion is given through a sterile low-protein-binding in-line filter.

Avoid Interactions

  • Increase risk: anticoagulants may raise the risk of gastrointestinal bleeding, and vemurafenib given before or with Yervoy is not recommended because of severe skin and liver reactions (EU label).
  • Reduce efficacy: systemic corticosteroids or other immunosuppressants at the start of treatment should be avoided because they may interfere with Yervoy, although they are used afterwards to treat immune-related side effects.
  • Other medicines must not be infused through the same line.
  • The US label has no separate drug interaction section.
  • Tell your healthcare team about every medicine and supplement you use, including those bought without a prescription.

References

Frequently Asked Questions

Yervoy (ipilimumab) is an immunotherapy given by infusion for advanced melanoma, kidney cancer, colorectal cancer, liver cancer, lung cancer, mesothelioma and oesophageal cancer, usually together with nivolumab. It is also used after surgery for melanoma. Your cancer team chooses the combination and schedule.

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