The Drug-Induced Cardiotoxicity Website and App

Nivolumab

Specialities: Dermatology · Oncology · Thoracic oncology

An anti–PD-1 monoclonal antibody formerly known as BMS-936558 (PMID 23714523). Approximate rate of pneumonitis is 3%, with 1% being severe (Grade 3/4). Incidence of pneumonitis is higher in those patients on concomitant nivolumab plus ipilimumab or other ICPI combo therapy (PMID 25891304)

Frequency - Incidence

Incidence of cardiac adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for cardiac adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

I - Myocardial dysfunction - Heart failure

III - Myocardial ischemia - Coronary artery disease

IV - Heart block (bundle branch-, AV-block)

V - Myocarditis

VII - Cardiotoxicity

X - Pulmonary edema - ALI/ARDS

XII - Pericardial involvement

XXII - Acute respiratory/cardiorespiratory failure

XXVIII - Large airway involvement including UAO

XXIX - Small airway involvement

XXXII - Esophageal pathology

XXXVI - Autoimmune syndromes - Systemic reactions or conditions