NICE Approves Nivolumab and Relatlimab Combination for Advanced Melanoma Treatment

Source: Medriva, January 2024

The National Institute for Health and Care Excellence (NICE) has made a significant stride in the management of advanced melanoma by approving the drug combination of nivolumab and relatlimab as a first-line treatment. This recommendation is a beacon of new hope for patients grappling with this aggressive form of cancer, as the combination therapy has shown promising results in clinical trials. The approval by NICE is a testament to its effectiveness and safety and is likely to positively transform the management of advanced melanoma and improve patient outcomes.

Final Draft Guidance and Eligibility

According to a report from the British Medical Journal, NICE has issued final draft guidance recommending nivolumab-relatlimab (Opdualag) for people aged 12 or older with untreated advanced melanoma. This makes nearly 1300 patients eligible for the treatment. The combination of these two monoclonal antibodies is exclusively given for advanced melanoma, thereby expanding the treatment options for this severe form of skin cancer.

Advanced Melanoma Treatment Landscape

The landscape of advanced melanoma treatment is characterized by a plethora of options, with the use of single agent versus combination immunotherapy taking center stage. The efficacy of PD-1 inhibitors such as Pembrolizumab and Nivolumab, when compared to chemotherapy and CTLA-4 inhibitors, is noteworthy. However, the emergence of the Nivolumab-Relatlimab combination as a promising option with a favorable toxicity profile underscores the need for mature survival data to capture the real benefit.

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