Ipilimumab and nivolumab for cancer treatment: a pharmacovigilance study based on the FDA adverse event reporting system database - Scorecard - MDSpire

Ipilimumab and nivolumab for cancer treatment: a pharmacovigilance study based on the FDA adverse event reporting system database

  • By

  • Ruming Liu

  • Yaoyu Xiang

  • Xidan Hu

  • Min Zhang

  • Lujie Wang

  • Tao Liu

  • Xi Wang

  • Bin Qian

  • June 18, 2026

  • 0 min

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Clinical Scorecard: Pharmacovigilance Analysis of Ipilimumab and Nivolumab in Cancer Therapy Using the FDA Adverse Event Reporting System Database

At a Glance

CategoryDetail
Condition
Key MechanismsIpilimumab promotes anti-tumor T-cell responses; Nivolumab restores anti-neoplastic T-cell function.
Target Population
Care Setting

Key Highlights

  • Analysis of 21,712,563 reports from FAERS database.
  • Identified adverse reactions include colitis, adrenal insufficiency, and malignant neoplasm progression.
  • Adverse reaction onset shows a bimodal pattern related to age.
  • Age and weight are potential factors associated with reporting adverse reactions.

Guideline-Based Recommendations

Diagnosis

  • Monitor for immune-related adverse events (irAEs) in patients receiving ipilimumab and nivolumab.

Management

  • Implement routine endocrinological monitoring for patients on combination therapy.

Monitoring & Follow-up

  • Heightened clinical vigilance is necessary for early detection of adverse reactions.

Risks

  • Significant immune-related toxicities associated with combination therapy.

Patient & Prescribing Data

Patients treated with ipilimumab, nivolumab, or their combination for cancer.

Combination therapy shows enhanced therapeutic efficacy but is associated with a broader spectrum of adverse events.

Clinical Best Practices

  • Conduct thorough patient assessments prior to initiating immunotherapy.
  • Educate patients on potential adverse reactions and the importance of reporting them.

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