Ipilimumab
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Also known as BMS-734016BMS734016MDX-010MDX-010 MDX-CTLA4MDX-101MDX-CTLA-4MDX010Yervoy
Summary
Ipilimumab (CHEMBL1789844) is an approved antibody (ATC L01FX04) targeting CTLA4; indicated across 111 conditions including melanoma and metastatic melanoma; with CIViC clinical evidence for 7 variant-indication associations (e.g. CD274 Expression in melanoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Antibody
- ATC class: L01FX04
- Targets: 1 (CTLA4)
- Indications: 111 conditions
- Clinical trials: 753
- Precision-oncology evidence (CIViC): 7 variant–indication associations
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1789844 |
| Name | Ipilimumab |
| Type | Antibody |
| Max phase | 4 |
| ATC | L01FX04 |
Also known as: BMS-734016, BMS734016, Ipilimumab, MDX-010, MDX-010 MDX-CTLA4, MDX-101, MDX-CTLA-4, MDX010, Yervoy, IPILIMUMAB
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| CTLA4 | cytotoxic T-lymphocyte-associated protein 4 (CD152) | Binding | 8.07 | 0% | P16410 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
Aggregated over 1 target gene(s): CTLA4.
Top Reactome pathways
3 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Co-stimulation by CD28 | 1 | CTLA4 |
| Co-inhibition by CTLA4 | 1 | CTLA4 |
| RUNX1 and FOXP3 control the development of regulatory T lymphocytes (Tregs) | 1 | CTLA4 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| adaptive immune response | 1 |
| immune response | 1 |
| DNA damage response | 1 |
| negative regulation of B cell proliferation | 1 |
| negative regulation of T cell proliferation | 1 |
| positive regulation of apoptotic process | 1 |
| negative regulation of regulatory T cell differentiation | 1 |
| T cell receptor signaling pathway | 1 |
| B cell receptor signaling pathway | 1 |
| negative regulation of T cell receptor signaling pathway | 1 |
| negative regulation of T cell activation | 1 |
| immune system process | 1 |
| regulation of T cell proliferation | 1 |
Indications & clinical
Indications
111 indications (15 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| melanoma | 4 | MONDO:0005105 | EFO:0000756 |
| metastatic melanoma | 4 | MONDO:0005191 | EFO:0002617 |
| non-small cell lung carcinoma | 4 | MONDO:0005233 | EFO:0003060 |
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| cutaneous melanoma | 4 | MONDO:0005012 | EFO:0000389 |
| clear cell renal carcinoma | 4 | MONDO:0005005 | EFO:0000349 |
| renal cell carcinoma | 4 | MONDO:0005086 | EFO:0000681 |
| colorectal carcinoma | 4 | MONDO:0024331 | EFO:1001951 |
| colorectal adenocarcinoma | 4 | MONDO:0005008 | EFO:0000365 |
| colorectal neoplasm | 4 | MONDO:0005335 | EFO:0004142 |
| malignant mesothelioma | 4 | MONDO:0006292 | EFO:1000355 |
| renal carcinoma | 4 | MONDO:0005206 | EFO:0002890 |
| renal cell adenocarcinoma | 4 | MONDO:0005549 | EFO:0005708 |
| small cell lung carcinoma | 3 | MONDO:0008433 | EFO:0000702 |
| gastric adenocarcinoma | 3 | MONDO:0005036 | EFO:0000503 |
| head and neck squamous cell carcinoma | 3 | MONDO:0010150 | EFO:0000181 |
| hepatocellular carcinoma | 3 | MONDO:0007256 | EFO:0000182 |
| glioblastoma | 3 | MONDO:0018177 | EFO:0000519 |
| mesothelioma | 3 | MONDO:0005065 | EFO:0000588 |
| sarcoma | 3 | MONDO:0005089 | EFO:0000691 |
| squamous cell lung carcinoma | 3 | MONDO:0005097 | EFO:0000708 |
| malignant pleural mesothelioma | 3 | MONDO:0005112 | EFO:0000770 |
| upper aerodigestive tract neoplasm | 3 | MONDO:0005398 | EFO:0004284 |
| head and neck cancer | 3 | MONDO:0005627 | EFO:0006859 |
| soft tissue sarcoma | 3 | MONDO:0018078 | EFO:1001968 |
| gastric neoplasm | 3 | MONDO:0021085 | MONDO:0001056 |
| kidney cancer | 3 | MONDO:0002367 | MONDO:0002367 |
| lung neoplasm | 3 | MONDO:0021117 | MONDO:0008903 |
| squamous cell carcinoma | 3 | MONDO:0005096 | EFO:0000707 |
| kidney neoplasm | 3 | MONDO:0021163 | EFO:0003865 |
| carcinoma | 2 | MONDO:0004993 | EFO:0000313 |
| prostate carcinoma | 2 | MONDO:0005159 | EFO:0001663 |
| exocrine pancreatic carcinoma | 2 | MONDO:0005192 | EFO:0002618 |
| prostate adenocarcinoma | 2 | MONDO:0005082 | EFO:0000673 |
| breast carcinoma | 2 | MONDO:0004989 | EFO:0000305 |
| cutaneous neuroendocrine carcinoma | 2 | MONDO:0019210 | EFO:1001471 |
| Hodgkins lymphoma | 2 | MONDO:0004952 | EFO:0000183 |
| adenocarcinoma | 2 | MONDO:0004970 | EFO:0000228 |
| Kaposi’s sarcoma | 2 | MONDO:0005055 | EFO:0000558 |
| ovarian carcinoma | 2 | MONDO:0005140 | EFO:0001075 |
| synovial sarcoma | 2 | MONDO:0010434 | EFO:0001376 |
| carcinoma of esophagus | 2 | MONDO:0019086 | EFO:0002916 |
| biliary tract neoplasm | 2 | MONDO:0005304 | EFO:0003891 |
| inflammatory breast carcinoma | 2 | MONDO:0006804 | EFO:1000984 |
| gliosarcoma | 2 | MONDO:0016681 | EFO:1001465 |
| colon carcinoma | 2 | MONDO:0002032 | EFO:1001950 |
| metastatic prostate carcinoma | 2 | MONDO:0004956 | EFO:0000196 |
| lung adenocarcinoma | 2 | MONDO:0005061 | EFO:0000571 |
| cervical carcinoma | 2 | MONDO:0005131 | EFO:0001061 |
| dedifferentiated liposarcoma | 2 | MONDO:0020563 | EFO:0003085 |
| basal cell carcinoma | 2 | MONDO:0020804 | EFO:0004193 |
| urothelial carcinoma | 2 | MONDO:0040679 | EFO:0008528 |
| rectal cancer | 2 | MONDO:0006519 | EFO:1000657 |
| undifferentiated pleomorphic sarcoma | 2 | MONDO:0002142 | EFO:1001972 |
| carcinoid tumor | 2 | MONDO:0005369 | EFO:0004243 |
| uterine carcinosarcoma | 2 | MONDO:0006485 | EFO:1000613 |
| neuroendocrine carcinoma | 2 | MONDO:0002120 | MONDO:0002120 |
| salivary gland cancer | 2 | MONDO:0004669 | MONDO:0004669 |
| breast neoplasm | 2 | MONDO:0021100 | MONDO:0007254 |
| ovarian cancer | 2 | MONDO:0008170 | MONDO:0008170 |
| meningioma | 2 | MONDO:0016642 | MONDO:0020634 |
| small cell carcinoma | 2 | MONDO:0000402 | EFO:0008524 |
| cervical adenocarcinoma | 2 | MONDO:0005153 | EFO:0001416 |
| colonic neoplasm | 2 | MONDO:0005401 | EFO:0004288 |
| nevoid basal cell carcinoma syndrome | 2 | MONDO:0007187 | MONDO:0007187 |
| gastrointestinal stromal tumor | 2 | MONDO:0011719 | MONDO:0011719 |
| malignant pancreatic neoplasm | 2 | MONDO:0009831 | EFO:1000359 |
| leiomyosarcoma | 2 | MONDO:0005058 | EFO:0000564 |
| ocular melanoma | 2 | MONDO:0006325 | EFO:1000403 |
| uveal melanoma | 2 | MONDO:0006486 | EFO:1000616 |
| neuroendocrine neoplasm | 2 | MONDO:0019496 | EFO:1001901 |
| nasopharyngeal carcinoma | 2 | MONDO:0015459 | MONDO:0015459 |
| chronic myeloid leukemia | 1 | MONDO:0011996 | EFO:0000339 |
| B-cell chronic lymphocytic leukemia | 1 | MONDO:0004948 | EFO:0000095 |
| neoplasm of mature B-cells | 1 | MONDO:0004949 | EFO:0000096 |
| myelodysplastic syndrome | 1 | MONDO:0018881 | EFO:0000198 |
| acute lymphoblastic leukemia | 1 | MONDO:0004967 | EFO:0000220 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| diffuse large B-cell lymphoma | 1 | MONDO:0018905 | EFO:0000403 |
| lymphoma | 1 | MONDO:0005062 | EFO:0000574 |
| HIV infectious disease | 1 | MONDO:0005109 | EFO:0000764 |
| plasma cell myeloma | 1 | MONDO:0009693 | EFO:0001378 |
| non-Hodgkin lymphoma | 1 | MONDO:0018908 | EFO:0005952 |
| retroperitoneal cancer | 1 | MONDO:0005941 | EFO:0007466 |
| metastatic neoplasm | 1 | MONDO:0024883 | EFO:0009709 |
| fallopian tube carcinoma | 1 | MONDO:0006206 | EFO:1000251 |
| endometrial carcinoma | 1 | MONDO:0002447 | EFO:1001512 |
| neuroblastoma | 1 | MONDO:0005072 | EFO:0000621 |
| peritoneal neoplasm | 1 | MONDO:0006901 | MONDO:0002087 |
| nerve sheath neoplasm | 1 | MONDO:0002547 | MONDO:0002547 |
| glioma | 1 | MONDO:0021042 | MONDO:0100342 |
| skin neoplasm | 1 | MONDO:0002531 | MONDO:0002898 |
| endometrium neoplasm | 1 | MONDO:0021251 | MONDO:0011962 |
| cholangiocarcinoma | 1 | MONDO:0019087 | EFO:0005221 |
| triple-negative breast carcinoma | 1 | MONDO:0005494 | EFO:0005537 |
| leukemia | 1 | MONDO:0005059 | EFO:0000565 |
| myeloid leukemia | 1 | MONDO:0004643 | MONDO:0004643 |
| pancreatic ductal adenocarcinoma | 1 | MONDO:0005184 | MONDO:0005184 |
13 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 753.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 329 |
| PHASE1 | 190 |
| PHASE1/PHASE2 | 115 |
| PHASE3 | 64 |
| Not specified | 29 |
| PHASE2/PHASE3 | 10 |
| EARLY_PHASE1 | 10 |
| PHASE4 | 6 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02068196 | PHASE4 | ACTIVE_NOT_RECRUITING | A National Phase IV Study With Ipilimumab for Patients With Advanced Malignant Melanoma. |
| NCT06031233 | PHASE4 | RECRUITING | Evaluating the Safety of Shortened Infusion Times for dIfferent Oncological Immunotherapie |
| NCT07504796 | PHASE4 | RECRUITING | ctDNA-guided Addition of Ipilimumab to Patients Receiving Nivolumab and Relatlimab |
| NCT01856023 | PHASE4 | TERMINATED | HD IL-2 + Ipilimumab in Patients With Metastatic Melanoma |
| NCT02982954 | PHASE4 | COMPLETED | A Study to Evaluate the Safety of Nivolumab and Ipilimumab in Subjects With Previously Untreated Advanced or Metastatic Renal Cell Cancer |
| NCT04513522 | PHASE4 | COMPLETED | A Study to Evaluate the Safety and Efficacy of Nivolumab With Ipilimumab in Participants With Untreated Advanced Kidney Cancer Conducted in India |
| NCT01274338 | PHASE3 | ACTIVE_NOT_RECRUITING | Ipilimumab or High-Dose Interferon Alfa-2b in Treating Patients With High-Risk Stage III-IV Melanoma That Has Been Removed by Surgery |
| NCT02224781 | PHASE3 | ACTIVE_NOT_RECRUITING | Dabrafenib and Trametinib Followed by Ipilimumab and Nivolumab or Ipilimumab and Nivolumab Followed by Dabrafenib and Trametinib in Treating Patients With Stage III-IV BRAFV600 Melanoma |
| NCT02339571 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | A Phase II/III Trial of Nivolumab, Ipilimumab, and GM-CSF in Patients With Advanced Melanoma |
| NCT02506153 | PHASE3 | ACTIVE_NOT_RECRUITING | Physician/Patient Choice of Either High-Dose Recombinant Interferon Alfa-2B or Ipilimumab, Versus Pembrolizumab in Treating Patients With Stage III-IV High Risk Melanoma That Has Been Removed by Surgery |
| NCT02785952 | PHASE3 | ACTIVE_NOT_RECRUITING | Lung-MAP: Nivolumab With or Without Ipilimumab as Second-Line Therapy in Treating Patients With Recurrent Stage IV Squamous Cell Lung Cancer and No Matching Biomarkers |
| NCT03036098 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Nivolumab in Combination With Ipilimumab or Standard of Care Chemotherapy Compared to the Standard of Care Chemotherapy Alone in Treatment of Participants With Untreated Inoperable or Metastatic Urothelial Cancer |
| NCT03141177 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Nivolumab Combined With Cabozantinib Compared to Sunitinib in Previously Untreated Advanced or Metastatic Renal Cell Carcinoma |
| NCT03391869 | PHASE3 | ACTIVE_NOT_RECRUITING | Nivolumab and Ipilimumab With or Without Local Consolidation Therapy in Treating Patients With Stage IV Non-Small Cell Lung Cancer |
| NCT03793166 | PHASE3 | ACTIVE_NOT_RECRUITING | Immunotherapy With Nivolumab and Ipilimumab Followed by Nivolumab or Nivolumab With Cabozantinib for Patients With Advanced Kidney Cancer, The PDIGREE Study |
| NCT03873402 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Nivolumab Combined With Ipilimumab Versus Nivolumab Alone in Participants With Advanced Kidney Cancer |
| NCT03937219 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Cabozantinib in Combination With Nivolumab and Ipilimumab in Patients With Previously Untreated Advanced or Metastatic Renal Cell Carcinoma |
| NCT04008030 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Nivolumab, Nivolumab Plus Ipilimumab, or Investigator’s Choice Chemotherapy for the Treatment of Participants With Deficient Mismatch Repair (dMMR)/Microsatellite Instability High (MSI-H) Metastatic Colorectal Cancer (mCRC) |
| NCT04039607 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Nivolumab in Combination With Ipilimumab in Participants With Advanced Hepatocellular Carcinoma |
| NCT05141721 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | A Study of a Patient-Specific Neoantigen Vaccine in Combination With Immune Checkpoint Blockade for Patients With Metastatic Colorectal Cancer |
| NCT05144854 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Evaluate the Efficacy and Safety of ONO-4538 in Combination With Ipilimumab and Chemotherapy in Chemotherapy-naïve Participants With HER2-negative Unresectable Advanced or Recurrent Gastric Cancer (Including Esophagogastric Junction Cancer) |
| NCT05987332 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | IDE196 (Darovasertib) in Combination With Crizotinib as First-line Therapy in Metastatic Uveal Melanoma |
| NCT06097728 | PHASE3 | RECRUITING | MEDI5752 in Combination With Carboplatin Plus Pemetrexed in Unresectable Pleural Mesothelioma |
| NCT06364631 | PHASE3 | RECRUITING | CARE1 Pragmatic Clinical Trial |
| NCT06490536 | PHASE3 | RECRUITING | The Sagittarius Trial |
| NCT06581406 | PHASE2/PHASE3 | RECRUITING | A Randomized, Phase 2/3 Study to Investigate the Efficacy and Safety of RP2 in Combination With Nivolumab in Immune Checkpoint Inhibitor-Naïve Adult Patients With Metastatic Uveal Melanoma |
| NCT06743126 | PHASE3 | RECRUITING | SUPRAME-ACTengine® IMA203 vs. Investigator’s Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous Melanoma |
| NCT06794775 | PHASE3 | RECRUITING | SWE-NEO: Swedish NeoAdjuvant Trial Comparing Monotherapy to Combined Immunotherapy in Resectable Stage III Melanoma |
| NCT07000149 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Investigate the Efficacy and Safety of Volrustomig ± Casdatifan vs Nivolumab + Ipilimumab as 1L Treatment for Advanced ccRCC |
| NCT07166406 | PHASE3 | RECRUITING | Testing Immunotherapy With or Without Stereotactic Body Radiation Therapy in Patients With Advanced Liver Cancer, HELIO-RT Trial |
| NCT07338981 | PHASE3 | NOT_YET_RECRUITING | The Impact of Time-of-day-Dependent Administration of Nivolumab-Ipilimumab (ICI/ICI) Combination on Overall Survival in Adults With Advanced Kidney Cancer: A Pragmatic Multicenter, Randomized Controlled Trial. |
| NCT07383441 | PHASE3 | NOT_YET_RECRUITING | Adding Biotherapy or Placebo to Standard Treatment for Advanced Kidney Cancer |
| NCT00094653 | PHASE3 | COMPLETED | MDX-010 Antibody, MDX-1379 Melanoma Vaccine, or MDX-010/MDX-1379 Combination Treatment for Patients With Unresectable or Metastatic Melanoma |
| NCT00324155 | PHASE3 | COMPLETED | Dacarbazine and Ipilimumab vs. Dacarbazine With Placebo in Untreated Unresectable Stage III or IV Melanoma |
| NCT00636168 | PHASE3 | COMPLETED | Efficacy Study of Ipilimumab Versus Placebo to Prevent Recurrence After Complete Resection of High Risk Stage III Melanoma |
| NCT00861614 | PHASE3 | COMPLETED | Study of Immunotherapy to Treat Advanced Prostate Cancer |
| NCT01057810 | PHASE3 | COMPLETED | Phase 3 Study of Immunotherapy to Treat Advanced Prostate Cancer |
| NCT01285609 | PHASE3 | COMPLETED | Phase 3 Trial in Squamous Non Small Cell Lung Cancer Subjects Comparing Ipilimumab Versus Placebo in Addition to Paclitaxel and Carboplatin |
| NCT01450761 | PHASE3 | COMPLETED | Trial in Extensive-Disease Small Cell Lung Cancer (ED-SCLC) Subjects Comparing Ipilimumab Plus Etoposide and Platinum Therapy to Etoposide and Platinum Therapy Alone |
| NCT01515189 | PHASE3 | COMPLETED | Phase 3 Trial in Subjects With Metastatic Melanoma Comparing 3 mg/kg Ipilimumab Versus 10 mg/kg Ipilimumab |
Clinical evidence (CIViC)
Variant × indication × effect (7 predictive associations from 7 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| CD274 Expression | Melanoma | Sensitivity/Response | Ipilimumab + Nivolumab | CIViC B | EID1615 |
| NRAS Q61H | Melanoma | Sensitivity/Response | Ipilimumab | CIViC B | EID7333 |
| PBRM1 Loss-of-function | Renal Cell Carcinoma | Sensitivity/Response | Ipilimumab | CIViC B | EID7301 |
| TMB High | Melanoma | Sensitivity/Response | Ipilimumab | CIViC B | EID12036 |
| MDM2 Amplification | Cancer | Adverse Response | Nivolumab + Pembrolizumab + Ipilimumab | CIViC B | EID2916 |
| CTLA4::CD28 Fusion | Sezary’s Disease | Sensitivity/Response | Ipilimumab | CIViC C | EID1520 |
| IFNGR1 Loss | Melanoma | Resistance | Ipilimumab | CIViC D | EID12142 |
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).
Related Atlas pages
- Genes: CTLA4
- Diseases: melanoma, metastatic melanoma, non-small cell lung carcinoma, neoplasm, cutaneous melanoma, clear cell renal carcinoma, renal cell carcinoma, colorectal carcinoma, colorectal adenocarcinoma, colorectal neoplasm, malignant mesothelioma, renal carcinoma, renal cell adenocarcinoma, small cell lung carcinoma, gastric adenocarcinoma, head and neck squamous cell carcinoma, hepatocellular carcinoma, glioblastoma, mesothelioma, sarcoma, squamous cell lung carcinoma, malignant pleural mesothelioma, upper aerodigestive tract neoplasm, head and neck cancer, soft tissue sarcoma, gastric neoplasm, kidney cancer, lung neoplasm, squamous cell carcinoma, kidney neoplasm, cancer, Sezary syndrome
- Biomarker genes: IFNGR1, NRAS