Based on the Phase 3 CheckMate-8HW trial,
Opdivo
plus
Yervoy
demonstrated reduction in the risk of disease progression or death by 79% vs. chemotherapy in the first-line setting and by 38% vs.
Opdivo
monotherapy across all lines of therapy
1
The approval was granted more than two months ahead of the Prescription Drug User Fee Act goal date
PRINCETON, NJ, USA I April 08, 2025 I
Bristol Myers Squibb
(NYSE: BMY) today announced that the U.S. Food and Drug Administration (FDA) approved
Opdivo
®
(nivolumab) plus
Yervoy
®
(ipilimumab) as a first-line treatment of adult and pediatric patients (12 years and older) with unresectable or metastatic microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) colorectal cancer (CRC).
1
This approval is based on the CheckMate-8HW trial, which is the largest Phase 3 trial (n=839) of immunotherapy in patients with MSI-H/dMMR mCRC, evaluating
Opdivo
plus
Yervoy
(n=354) vs.
Opdivo
monotherapy (n=353) in the all-lines setting and
Opdivo
plus
Yervoy
(n=202) vs. investigator’s choice chemotherapy (n=101) (mFOLFOX-6 or FOLFIRI with or without bevacizumab or cetuximab) in the first-line setting.
1
Opdivo
plus
Yervoy
met the dual primary endpoints of progression free survival (PFS) when compared to
Opdivo
monotherapy across all lines of therapy and when compared to chemotherapy in the first-line setting, as assessed by Blinded Independent Central Review (BICR).
1
This approval, granted more than two months ahead of the June 23, 2025 Prescription Drug User Fee Act goal date, follows the FDA’s prior decision to grant the application Breakthrough Therapy Designation and Priority Review status.
“There is an unmet need for additional treatment options such as a dual immunotherapy approach for patients with previously untreated MSI-H/dMMR unresectable or metastatic CRC, which is an aggressive form of cancer and can be particularly difficult to treat,” said Heinz-Josef Lenz, MD, CheckMate-8HW investigator and Deputy Director for Research Programs and Head of the Gastrointestinal Cancers Program at the USC Norris Comprehensive Cancer Center.
2,3,4,5,6
“The meaningful outcomes in CheckMate-8HW underscore how initiating treatment with the dual immunotherapy combination of nivolumab plus ipilimumab may result in a notable survival benefit.
1,5
This approval has the potential to redefine traditional approaches of care for patients with this form of CRC.”
In the CheckMate-8HW trial,
Opdivo
plus
Yervoy
demonstrated a 38% reduction in the risk of disease progression or death vs.
Opdivo
monotherapy in immunotherapy-naïve patients across all lines of therapy (Hazard Ratio [HR] 0.62; 95% Confidence Interval [CI] 0.48–0.81;
P
=0.0003).
1
Assessing the dual primary endpoint of PFS, the trial demonstrated that median PFS was not reached with
Opdivo
plus
Yervoy
(95% CI: 53.8-Not Estimable [NE]) and was 39.3 months with
Opdivo
monotherapy (95% CI: 22.1-NE).
1
PFS rates at 12-, 24-, and 36-months were also numerically higher compared to
Opdivo
monotherapy (76% vs. 63%, 71% vs. 56%, and 68% vs. 51%, respectively).
1
In Kaplan-Meier (KM) curves showing PFS rates with
Opdivo
plus
Yervoy
compared to
Opdivo
monotherapy, an early separation was observed at two months and sustained at three years.
1
Opdivo
plus
Yervoy
also met a key secondary endpoint, demonstrating superior overall response rate (ORR) by BICR compared to
Opdivo
monotherapy (n=296, 71% vs. n=286, 58%;
P
=0.0011).
1
Of the most common all-cause adverse reactions (ARs) occurring in ≥10% of patients, similar rates of grade 3-4 ARs were observed between
Opdivo
plus
Yervoy
and
Opdivo
monotherapy.
1
The safety profile for the dual immunotherapy combination remained consistent with previously reported data and the ARs observed were manageable with established protocols, with no new safety signals identified.
1,5
Additional safety information can be found in the U.S. Full Prescribing Information for
Opdivo
.
The
Opdivo
plus
Yervoy
vs. chemotherapy arm of the CheckMate-8HW trial showed that the combination regimen reduced the risk of cancer progression or death by 79% compared to chemotherapy in first-line patients (HR 0.21; 95% CI: 0.14-0.32;
P
<0.0001).
1
This arm also assessed the other dual primary endpoint of PFS, where median PFS was not reached with
Opdivo
plus
Yervoy
(95% CI: 38.4-NE) compared to 5.8 months with chemotherapy (95% CI: 4.4-7.8). PFS rates were numerically higher with
Opdivo
plus
Yervoy
vs. chemotherapy at 12- and 24-months (79% vs. 21% and 72% vs. 14%, respectively).
1
KM curves comparing PFS with
Opdivo
plus
Yervoy
vs. chemotherapy showed an early separation at three months, which was sustained through two years.
1
The regimen of
Opdivo
plus
Yervoy
represents the first-ever dual immune checkpoint inhibitor combination to demonstrate significant efficacy benefit compared to
Opdivo
monotherapy and chemotherapy in MSI-H/dMMR mCRC patients.
1,5
Opdivo
and
Yervoy
are associated with the following Warnings and Precautions: severe and fatal immune-mediated adverse reactions including pneumonitis, colitis, hepatitis and hepatotoxicity, endocrinopathies, nephritis with renal dysfunction, dermatologic adverse reactions, other immune-mediated adverse reactions; infusion-related reactions; complications of allogeneic hematopoietic stem cell transplantation (HSCT); embryo-fetal toxicity; and increased mortality in patients with multiple myeloma when
Opdivo
is added to a thalidomide analogue and dexamethasone, which is not recommended outside of controlled clinical trials.
1
Please see the Important Safety Information section below.
“This approval marks our ninth indication for an
Opdivo
-based treatment in the gastrointestinal space.
1
We are witnessing the transformative potential of dual immunotherapy in treating GI cancers,” said Wendy Short Bartie, senior vice president of Oncology Commercialization at Bristol Myers Squibb.
2,3,4,5
“People with MSI-H/dMMR metastatic colorectal cancer face high unmet need, and
Opdivo
plus
Yervoy
is an important new approach in the first-line setting.
2,3,4,5
This milestone can offer hope, and it underscores our commitment to continue reaching more patients with new treatment options.”
1
“Colorectal cancer is the third most commonly diagnosed cancer and the second most common cause of cancer-related death for men and women combined in the U.S., and concerning trends show that incidence is increasing in people younger than 50,” said Nicole Sheahan, President of the Global Colon Cancer Association.
6,7
“Despite the prevalence of CRC, there remains a high unmet need, highlighting the urgency for additional treatment options.
2,3,5,6,7
We are thrilled with this FDA approval as
Opdivo
plus
Yervoy
offers an exciting new first-line approach for patients with MSI-H/dMMR metastatic colorectal cancer.”
1
Opdivo
as a single agent, or in combination with
Yervoy
, was previously granted accelerated approval in MSI-H/dMMR CRC adult and pediatric patients (12 years and older) that has progressed following treatment with a fluoropyrimidine, oxaliplatin, and irinotecan.
1
Today’s FDA decision converts this second-line indication to full approval for
Opdivo
monotherapy and expands the indication for
Opdivo
plus
Yervoy
into the first-line setting based on the CheckMate-8HW trial.
1
About CheckMate-8HW
CheckMate-8HW is a Phase 3, randomized, multicenter, open-label trial evaluating
Opdivo
plus
Yervoy
compared to
Opdivo
alone or chemotherapy (mFOLFOX-6 or FOLFIRI with or without bevacizumab or cetuximab) in patients with unresectable MSI-H/dMMR mCRC.
8
In the CheckMate-8HW study, 839 patients were randomized to receive either
Opdivo
monotherapy (
Opdivo
240 mg Q2W for six doses, followed by
Opdivo
480 mg Q4W),
Opdivo
plus
Yervoy
(
Opdivo
240 mg plus
Yervoy
1 mg/kg Q3W for four doses, followed by
Opdivo
480 mg Q4W), or investigator’s choice of chemotherapy.
8
The dual primary endpoints of the trial were PFS for
Opdivo
plus
Yervoy
compared to
Opdivo
alone across all lines of therapy and PFS for
Opdivo
plus
Yervoy
compared to chemotherapy in the first-line setting, as assessed by Blinded Independent Central Review (BICR).
8
The study is ongoing to assess various secondary endpoints, including overall survival (OS), and BMS will continue to work with the study investigators to present these data and longer-term follow-up in the future.
8
Select Safety Profile from CheckMate-8HW
The safety analysis in CheckMate-8HW included 288 patients, of whom 200 received
Opdivo
plus
Yervoy.
1
Serious adverse reactions occurred in 46% of patients receiving
Opdivo
plus
Yervoy
.
1
The most frequent serious adverse reactions reported in ≥1% of patients who received
Opdivo
plus
Yervoy
were adrenal insufficiency (2.8%), hypophysitis (2.8%), diarrhea (2.0%), abdominal pain (2.0%), small intestinal obstruction (2.0%), pneumonia (1.7%), acute kidney injury (1.4%), immune mediated enterocolitis (1.4%), pneumonitis (1.4%), colitis (1.1%), large intestinal obstruction (1.1%), and urinary tract infection (1.1%).
1
The most common adverse reactions reported in ≥ 20% of patients treated with
Opdivo
plus
Yervoy
were fatigue, diarrhea, pruritis, abdominal pain, musculoskeletal pain, and nausea.
1
Fatal adverse reactions occurred in 2 (0.6%) patients who received
Opdivo
plus
Yervoy
; these included myocarditis and pneumonitis, 1 each.
1
Opdivo
and/or
Yervoy
were discontinued in 19% of patients and were delayed in 48% of patients for an adverse reaction.
1
About Colorectal Cancer
Colorectal cancer (CRC) is cancer that develops in the colon or the rectum, which are part of the body’s digestive or gastrointestinal system.
9
With more than 154,000 new cases estimated to be diagnosed in the United States in 2025, CRC is the third most commonly diagnosed cancer.
7,10
Trends show that incidence is increasing in people younger than 50, and mortality rates have increased in people younger than 55 since the mid-2000s.
7
Mismatch repair deficiency (dMMR) occurs when the proteins that repair mismatch errors in DNA replication are missing or non-functional, leading to microsatellite instability-high (MSI-H) tumors.
11,12
Up to 7% of people with mCRC have MSI-H/dMMR tumors and may often have poor outcomes with standard chemotherapy.
5
INDICATIONS
OPDIVO
®
(nivolumab), in combination with YERVOY
®
(ipilimumab), is indicated for the treatment of adult and pediatric patients 12 years and older with unresectable or metastatic microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) colorectal cancer (CRC).
OPDIVO
®
(nivolumab), as a single agent, is indicated for the treatment of adult and pediatric patients 12 years and older with unresectable or metastatic microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) colorectal cancer (CRC) that has progressed following treatment with a fluoropyrimidine, oxaliplatin, and irinotecan.
OPDIVO
®
(nivolumab), in combination with YERVOY
®
(ipilimumab), is indicated for the treatment of adult patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib. This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in the confirmatory trials.
OPDIVO
®
(nivolumab) is indicated for the treatment of adult patients with unresectable advanced, recurrent or metastatic esophageal squamous cell carcinoma (ESCC) after prior fluoropyrimidine- and platinum-based chemotherapy.
OPDIVO
®
(nivolumab) is indicated for the adjuvant treatment of completely resected esophageal or gastroesophageal junction cancer with residual pathologic disease in adult patients who have received neoadjuvant chemoradiotherapy (CRT).
OPDIVO
®
(nivolumab), in combination with fluoropyrimidine- and platinum-containing chemotherapy, is indicated for the first-line treatment of adult patients with unresectable advanced or metastatic esophageal squamous cell carcinoma (ESCC).
OPDIVO
®
(nivolumab), in combination with YERVOY
®
(ipilimumab), is indicated for the first-line treatment of adult patients with unresectable advanced or metastatic esophageal squamous cell carcinoma (ESCC).
OPDIVO
®
(nivolumab), in combination with fluoropyrimidine- and platinum-containing chemotherapy, is indicated for the treatment of adult patients with advanced or metastatic gastric cancer, gastroesophageal junction cancer, and esophageal adenocarcinoma.
Please see U.S. Full Prescribing Information for
OPDIVO
and
YERVOY
.
Clinical Trials and Patient Populations
CheckMate-649–previously untreated advanced or metastatic gastric cancer, gastroesophageal junction and esophageal adenocarcinoma; CheckMate-577–adjuvant treatment of esophageal or gastroesophageal junction cancer; 8HW: Previously CheckMate-142–MSI-H or dMMR metastatic colorectal cancer in combination with YERVOY; 8HW: Previously CheckMate-142–MSI-H or dMMR metastatic colorectal cancer, as a single agent; Attraction-3–esophageal squamous cell carcinoma; CheckMate-648—previously untreated, unresectable advanced recurrent or metastatic esophageal squamous cell carcinoma in combination with chemotherapy; CheckMate-648—previously untreated, unresectable advanced recurrent or metastatic esophageal squamous cell carcinoma combination with YERVOY; CheckMate-040–hepatocellular carcinoma, in combination with YERVOY.
Bristol Myers Squibb: Creating a Better Future for People with Cancer
Bristol Myers Squibb is inspired by a single vision — transforming patients’ lives through science. The goal of the company’s cancer research is to deliver medicines that offer each patient a better, healthier life and to make cure a possibility. Building on a legacy across a broad range of cancers that have changed survival expectations for many, Bristol Myers Squibb researchers are exploring new frontiers in personalized medicine and, through innovative digital platforms, are turning data into insights that sharpen their focus. Deep understanding of causal human biology, cutting-edge capabilities and differentiated research platforms uniquely position the company to approach cancer from every angle.
Cancer can have a relentless grasp on many parts of a patient’s life, and Bristol Myers Squibb is committed to taking actions to address all aspects of care, from diagnosis to survivorship. As a leader in cancer care, Bristol Myers Squibb is working to empower all people with cancer to have a better future.
About Bristol Myers Squibb’s Patient Access Support
Bristol Myers Squibb remains committed to providing assistance so that cancer patients who need our medicines can access them and expedite time to therapy.
BMS Access Support
®
, the Bristol Myers Squibb patient access and reimbursement program, is designed to help appropriate patients initiate and maintain access to BMS medicines during their treatment journey. BMS Access Support offers benefit investigation, prior authorization assistance, as well as co-pay assistance for eligible, commercially insured patients. More information about our access and reimbursement support can be obtained by calling BMS Access Support at 1-800-861-0048 or by visiting
www.bmsaccesssupport.com
.
About the Bristol Myers Squibb and Ono Pharmaceutical Collaboration
In 2011, through a collaboration agreement with Ono Pharmaceutical Co., Bristol Myers Squibb expanded its territorial rights to develop and commercialize
Opdivo
globally, except in Japan, South Korea and Taiwan, where Ono had retained all rights to the compound at the time. On July 23, 2014, Ono and Bristol Myers Squibb further expanded the companies’ strategic collaboration agreement to jointly develop and commercialize multiple immunotherapies – as single agents and combination regimens – for patients with cancer in Japan, South Korea and Taiwan.
About Bristol Myers Squibb
Bristol Myers Squibb is a global biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases. For more information about Bristol Myers Squibb, visit us at
BMS.com
or follow us on
LinkedIn
,
X
,
YouTube
,
Facebook
and
Instagram
.
References
SOURCE:
Bristol Myers Squibb