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IPI1/NIVO3

Vastra Gotaland Region · Phase 3 active Small molecule

IPI1/NIVO3 is a Checkpoint inhibitor combination (ICOS agonist + PD-1 inhibitor) Small molecule drug developed by Vastra Gotaland Region. It is currently in Phase 3 development for Advanced or metastatic melanoma, Non-small cell lung cancer. Also known as: Ipilimumab 1 mg/kg, Nivolumab 3 mg/kg.

IPI1/NIVO3 is a combination of an inducible T-cell co-stimulator (ICOS) agonist and a PD-1 inhibitor that enhances anti-tumor immune responses by activating T cells while removing inhibitory checkpoint signals.

IPI1/NIVO3 is a combination of an inducible T-cell co-stimulator (ICOS) agonist and a PD-1 inhibitor that enhances anti-tumor immune responses by activating T cells while removing inhibitory checkpoint signals. Used for Advanced or metastatic melanoma, Non-small cell lung cancer.

Likelihood of approval
61.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
  • Oncology Phase 3 boost +3.0pp
    Oncology Phase 3 trials have higher approval rates (~61%) than the cross-industry average due to clearer endpoints and FDA oncology pathway.
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameIPI1/NIVO3
Also known asIpilimumab 1 mg/kg, Nivolumab 3 mg/kg
SponsorVastra Gotaland Region
Drug classCheckpoint inhibitor combination (ICOS agonist + PD-1 inhibitor)
TargetICOS and PD-1
ModalitySmall molecule
Therapeutic areaOncology
PhasePhase 3

Mechanism of action

The combination works synergistically: the ICOS agonist (IPI1) activates and expands T cells through co-stimulation, while nivolumab (NIVO3), a PD-1 inhibitor, blocks the PD-1/PD-L1 checkpoint that normally suppresses T cell function. Together, these mechanisms enhance T cell proliferation, differentiation, and anti-tumor activity.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about IPI1/NIVO3

What is IPI1/NIVO3?

IPI1/NIVO3 is a Checkpoint inhibitor combination (ICOS agonist + PD-1 inhibitor) drug developed by Vastra Gotaland Region, indicated for Advanced or metastatic melanoma, Non-small cell lung cancer.

How does IPI1/NIVO3 work?

IPI1/NIVO3 is a combination of an inducible T-cell co-stimulator (ICOS) agonist and a PD-1 inhibitor that enhances anti-tumor immune responses by activating T cells while removing inhibitory checkpoint signals.

What is IPI1/NIVO3 used for?

IPI1/NIVO3 is indicated for Advanced or metastatic melanoma, Non-small cell lung cancer.

Who makes IPI1/NIVO3?

IPI1/NIVO3 is developed by Vastra Gotaland Region (see full Vastra Gotaland Region pipeline at /company/vastra-gotaland-region).

Is IPI1/NIVO3 also known as anything else?

IPI1/NIVO3 is also known as Ipilimumab 1 mg/kg, Nivolumab 3 mg/kg.

What drug class is IPI1/NIVO3 in?

IPI1/NIVO3 belongs to the Checkpoint inhibitor combination (ICOS agonist + PD-1 inhibitor) class. See all Checkpoint inhibitor combination (ICOS agonist + PD-1 inhibitor) drugs at /class/checkpoint-inhibitor-combination-icos-agonist-pd-1-inhibitor.

What development phase is IPI1/NIVO3 in?

IPI1/NIVO3 is in Phase 3.

What are the side effects of IPI1/NIVO3?

Common side effects of IPI1/NIVO3 include Immune-related adverse events (irAEs), Fatigue, Diarrhea, Rash, Hepatotoxicity.

What does IPI1/NIVO3 target?

IPI1/NIVO3 targets ICOS and PD-1 and is a Checkpoint inhibitor combination (ICOS agonist + PD-1 inhibitor).

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing