Opdivo vs Keytruda

Side-by-side comparison of Opdivo and Keytruda — mechanism, indications, safety, trials, sponsor, and pricing.

At a glance

OpdivoKeytruda
Generic namenivolumabpembrolizumab
SponsorBristol-Myers SquibbMerck & Co.
Drug classProgrammed Death Receptor-1 Blocking Antibody [EPC]Monoclonal antibody; PD-1 inhibitor
Molecular targetProgrammed cell death protein 1PD-1 receptor
ModalityMonoclonal antibodyMonoclonal antibody
PhaseFDA-approvedFDA-approved
Therapeutic areaOncologyOncology
First approval20142014-09-04

Mechanism of action

OpdivoOpdivo works by blocking the PD-1 receptor on immune cells, allowing them to attack cancer cells.
KeytrudaPembrolizumab blocks PD-1 receptor, releasing immune inhibition and enhancing anti-tumor T-cell response.

Approved indications

Opdivo

  • Advanced melanoma with tumour cell PD-L1 expression below 1%
  • Classical Hodgkin lymphoma
  • Head and neck cancer
  • Malignant tumor of esophagus
  • Malignant tumor of stomach
  • Metastatic malignant melanoma
  • Metastatic renal cell carcinoma
  • Microsatellite instability-high colorectal cancer

Keytruda

  • Melanoma
  • NSCLC (nonsquamous)
  • NSCLC (squamous)
  • NSCLC (PD-L1+)
  • NSCLC (PD-L1+, post-platinum)
  • NSCLC (neoadjuvant)
  • NSCLC (adjuvant)
  • MPM

Common side effects

Opdivo

  • Fatigue
  • Rash
  • Musculoskeletal pain
  • Pruritus
  • Diarrhea
  • Nausea
  • Asthenia
  • Cough

Keytruda

  • Nausea
  • Fatigue
  • Anaemia
  • Diarrhoea
  • Constipation
  • Decreased appetite
  • Hypothyroidism
  • Vomiting

Further reading