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MedsAcross

Fixed-dose combination

Nivolumab and Relatlimab

Also known as nivolumab, relatlimab
Available on requestBiologicOrphanCold chainOncology
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Nivolumab and Relatlimab is a fixed-dose combination of a lymphocyte activation gene-3 blocker and a programmed death receptor-1 blocking antibody indicated for the treatment of adult, among other approved uses. MedsAcross supplies Nivolumab and Relatlimab for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Lymphocyte Activation Gene-3 Blocker, Programmed Death Receptor-1 Blocking Antibody, Lymphocyte Activation Gene-3 Antagonists, Programmed Death Receptor-1-directed Antibody Interactions
ATC classification
L01FY02 Nivolumab and Relatlimab · Cancer medicines (antineoplastics), subgroup L01F, subgroup L01FY
US FDA first approval
18 March 2022
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Injection
Biologic
Yes
Fixed-dose combination of
Nivolumab, Relatlimab

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

OPDUALAG™ is indicated for the treatment of adult and pediatric patients 12 years of age or older with unresectable or metastatic melanoma. OPDUALAG is a combination of nivolumab, a programmed death receptor-1 (PD-1) blocking antibody, and relatlimab, a lymphocyte activation gene-3 (LAG-3) blocking antibody, indicated for the treatment of adult and pediatric patients 12 years of age or older with unresectable or metastatic melanoma.

Source: US FDA prescribing information

How it works

Relatlimab is a human IgG4 monoclonal antibody that binds to the LAG-3 receptor, blocks interaction with its ligands, including MHC II, and reduces LAG-3 pathway-mediated inhibition of the immune response. Antagonism of this pathway promotes T cell proliferation and cytokine secretion. Binding of the PD-1 ligands, PD-L1 and PD-L2, to the PD-1 receptor found on T cells, inhibits T-cell proliferation and cytokine production. Upregulation of PD-1 ligands occurs in some tumors, and signaling through this pathway can contribute to inhibition of active T-cell immune surveillance of tumors. Nivolumab is a human IgG4 monoclonal antibody that binds to the PD-1 receptor, blocks interaction with its ligands PD-L1 and PD-L2, and reduces PD-1 pathway-mediated inhibition of the immune response, including the anti-tumor immune response.

Source: US FDA prescribing information

Dosing overview

• Adult patients and pediatric patients 12 years of age or older who weigh at least 40 kg: 480 mg nivolumab and 160 mg relatlimab intravenously every 4 weeks. • Administer OPDUALAG as an intravenous infusion over 30 minutes. • See full Prescribing Information for dosage modifications for adverse reactions and preparation and administration instructions for the injection.

Source: US FDA prescribing information

Warnings and precautions

• Immune-Mediated Adverse Reactions: o Immune-mediated adverse reactions, which may be severe or fatal, can occur in any organ system or tissue, including the following: immune-mediated pneumonitis, immune-mediated colitis, immune-mediated hepatitis, immune-mediated endocrinopathies, immune-mediated dermatologic adverse reactions, immune-mediated nephritis with renal dysfunction, and immune-mediated myocarditis. o Monitor for early identification and management. Evaluate liver enzymes, creatinine, and thyroid function at baseline and periodically during treatment. o Withhold or permanently discontinue based on severity and type of reaction. • Infusion-related reactions: Interrupt, slow the rate of infusion, or permanently discontinue OPDUALAG based on severity of reaction.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are discussed in greater detail in other sections of the labeling. • Severe and Fatal IMARs • Infusion-Related Reactions • Complications of Allogeneic HSCT The most common adverse reactions (≥20%) are musculoskeletal pain, fatigue, rash, pruritus, and diarrhea. The most common laboratory abnormalities (≥20%) are decreased hemoglobin, decreased lymphocytes, increased AST, increased ALT, and decreased sodium.

Source: US FDA prescribing information

Storage

Store OPDUALAG refrigerated at 2°C to 8°C (36°F to 46°F) in the original carton to protect from light until time of use. Do not freeze or shake.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Nivolumab and Relatlimab, sorted by availability.

MedicineActive ingredientManufacturerRegisterAvailability
Opdualag 240 mg/80 mg per 20 mL injectionIntravenous Cold chainNivolumab and RelatlimabER Squibb & SonsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 18 March 2022Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Nivolumab and Relatlimab available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Nivolumab and Relatlimab and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Nivolumab and Relatlimab have?

The catalogue lists 1 brand names for Nivolumab and Relatlimab, including Opdualag.

Is Nivolumab and Relatlimab approved by the US FDA?

Yes. The US FDA first approved Nivolumab and Relatlimab on 18 March 2022, according to Drugs@FDA.

Is Nivolumab and Relatlimab authorised in the European Union?

Yes. Nivolumab and Relatlimab has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Nivolumab and Relatlimab need cold chain shipping?

At least one listed presentation of Nivolumab and Relatlimab must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Nivolumab and Relatlimab in?

Nivolumab and Relatlimab is classified under ATC code L01FY02 (Nivolumab and Relatlimab).

References

  1. OPDUALAG prescribing information (ER Squibb & Sons). U.S. National Library of Medicine, DailyMed. Retrieved 8 June 2026
  2. Opdualag: European public assessment report (EPAR). European Medicines Agency. Retrieved 5 October 2026

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