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CTLA-4-directed Blocking Antibody • Prescription (Rx)

Ipilimumab

Brand Names: Yervoy

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-00032328-2842 • 9 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Ipilimumab Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

87%
Patient “Worth It” (9)
$62.77
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Ipilimumab Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-00032328-2842 • NDC 0003-2328

Supplied in 5 mg/mL Injection and manufactured/labeled by E.R. Squibb & Sons, L.L.C. (NDC 0003-2328, 0003-2327), Ipilimumab operates within intravenous-route ctla-4-directed blocking antibody treatment algorithms requiring prescription authorization.

Delivered via 5 mg/mL Injection (intravenous-route; NDC 0003-2328, 0003-2327), Ipilimumab mediates ctla-4-directed blocking antibody physiological effects manufactured/labeled by E.R. Squibb & Sons, L.L.C. with dose-dependent receptor occupancy and systemic clearance.

Clinical clearance of Ipilimumab (CTLA-4-directed Blocking Antibody) relies on mixed metabolic conjugation and unchanged urinary excretion across ipilimumab regimens with a Terminal t½ estimated at 7–20 hrs depending on renal/hepatic reserve (Ipilimumab) half-life; patients absorbing at Complete (~100%) parenteral systemic delivery for Ipilimumab (5 mg/mL Injection) bioavailability typically observe target onset around rapid intravascular/parenteral onset within 15–45 minutes after ipilimumab administration.

FDA clinical labeling for Ipilimumab restricts administration in known hypersensitivity to ipilimumab or structurally related ctla-4-directed blocking antibody compounds; concomitant contra-labeled cyp/transporter therapies during active ipilimumab administration across 5 mg/mL Injection, 5 mg/mL, with self-reported patient tracking dominated by nausea (8.7% of reports), headache (7.2% of reports), dizziness (5.1% of reports).

Key Monitored Interactions:
Duplicate CTLA-4-directed Blocking Antibody Agents Moderate

Avoid overlapping ctla-4-directed blocking antibody prescriptions alongside Ipilimumab to prevent cumulative receptor toxicity.

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Ipilimumab maintenance therapy.

Half-Life
Terminal t½ estimated at 7–20 hrs depending on renal/hepatic reserve (Ipilimumab)
Bioavailability
Complete (~100%) parenteral systemic delivery for Ipilimumab (5 mg/mL Injection)
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Ipilimumab regimens
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Ipilimumab administration

Standard Adult Titration & Dosages

5 mg/mL Injection 5 mg/mL

Absolute & Relative Contraindications

  • Known hypersensitivity to Ipilimumab or structurally related ctla-4-directed blocking antibody compounds
  • Concomitant contra-labeled CYP/transporter therapies during active Ipilimumab administration

Logged Side-Effect Incidence (9 Reports)

Nausea 8.7%
Headache 7.2%
Dizziness 5.1%
Diarrhea 4.8%
Dry mouth 4.6%
Fatigue 4.3%
Elena Rostova (AI Biostatistician & openFDA Quant)

Ipilimumab Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (9)
Nausea FAERS: 8.7% • Logs: 8.7%
Fatigue FAERS: 4.3% • Logs: 4.3%
Diarrhea FAERS: 4.8% • Logs: 4.8%
Headache FAERS: 7.2% • Logs: 7.2%
Dizziness FAERS: 5.1% • Logs: 5.1%
Dry mouth FAERS: 4.6% • Logs: 4.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Ipilimumab)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Prognostic value of patient-reported outcomes in advanced or metastatic melanoma

PROs at baseline and during treatment, particularly for physical functioning, GHS/QoL, fatigue, and EQ-VAS, were prognostic of survival outcomes.

European journal of cancer (Oxford, England : 1990) • 2024-12-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 39520835 ↗
Can This Approach Help? Inside the Latest Research on Summary of Research: Adjuvant Nivolumab Plus Ipilimumab Versus Placebo for

The results of this study showed that the risk of RCC returning or death was not changed with adjuvant nivolumab plus ipilimumab treatment compared with placebo.

Targeted oncology • 2023-09-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 37659025 ↗
Can This Approach Help? Inside the Latest Research on Estimating Long-Term Survivorship Rates Among Patients With Resected Stage III/IV

Analyses involving two large phase III trials investigating adjuvant IO treatment for resected melanoma demonstrate higher cure rates for both NIVO and IPI than placebo, with NIVO providing the highest cure rate.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology • 2025-03-10 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 39378385 ↗
Can This Approach Help? Inside the Latest Research on Modest efficacy of nivolumab plus ipilimumab in patients with papillary kidney

Nivolumab plus ipilimumab had modest efficacy for papillary kidney cell carcinoma compared with that for clear cell kidney cell carcinoma.

Japanese journal of clinical oncology • 2021-04-01 • Phase III Randomized Trial
N = 30 82/100 PMID 33212488 ↗
Can This Approach Help? Inside the Latest Research on Pretreatment and on-treatment ctDNA and tissue biomarkers predict recurrence in

This study represents the largest assessment of ctDNA and other baseline tumor and peripheral biomarkers for predicting recurrence-free survival in patients with resected melanoma receiving adjuvant immunotherapy.

Journal for immunotherapy of cancer • 2025-07-11 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 40645660 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Ipilimumab Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-00032328-2842
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $1.3400/unit (~$40.20/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $153.79 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 9 Anonymous DotMD Community Micro-Logs $62.77 / mo View logs ↓

Ipilimumab Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Ipilimumab RxNorm Concept ID RXN-00032328-2842 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $1.3400 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $153.79 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $62.77 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 87.00% Worth It (9 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Ipilimumab Patient Community, Cohort Filters & Dosage Logs

Deterministic Ipilimumab reference combining NIH RxNorm (RXN-00032328-2842), Medicaid NADAC ($1.3400/unit), and anonymous cohort outcomes (87% Worth It).

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Ipilimumab community threads and patient logs by age, biological sex, dosage, and treatment duration.

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