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IPI3/NIVO1

Vastra Gotaland Region · Phase 3 active Small molecule

IPI3/NIVO1 is a ICOS agonist + PD-1 inhibitor combination 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 3 mg/kg, Nivolumab 1 mg/kg.

IPI3/NIVO1 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.

IPI3/NIVO1 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 nameIPI3/NIVO1
Also known asIpilimumab 3 mg/kg, Nivolumab 1 mg/kg
SponsorVastra Gotaland Region
Drug classICOS agonist + PD-1 inhibitor combination
TargetICOS and PD-1
ModalitySmall molecule
Therapeutic areaOncology
PhasePhase 3

Mechanism of action

The ICOS agonist component (IPI3) activates CD4+ and CD8+ T cells through the inducible T-cell co-stimulator pathway, promoting T-cell proliferation and effector function. Nivolumab (NIVO1), a PD-1 inhibitor, blocks the PD-1/PD-L1 checkpoint interaction that normally suppresses T-cell activity. Together, this dual mechanism aims to generate a more robust and durable anti-tumor immune response than either agent alone.

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 IPI3/NIVO1

What is IPI3/NIVO1?

IPI3/NIVO1 is a ICOS agonist + PD-1 inhibitor combination drug developed by Vastra Gotaland Region, indicated for Advanced or metastatic melanoma, Non-small cell lung cancer.

How does IPI3/NIVO1 work?

IPI3/NIVO1 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 IPI3/NIVO1 used for?

IPI3/NIVO1 is indicated for Advanced or metastatic melanoma, Non-small cell lung cancer.

Who makes IPI3/NIVO1?

IPI3/NIVO1 is developed by Vastra Gotaland Region (see full Vastra Gotaland Region pipeline at /company/vastra-gotaland-region).

Is IPI3/NIVO1 also known as anything else?

IPI3/NIVO1 is also known as Ipilimumab 3 mg/kg, Nivolumab 1 mg/kg.

What drug class is IPI3/NIVO1 in?

IPI3/NIVO1 belongs to the ICOS agonist + PD-1 inhibitor combination class. See all ICOS agonist + PD-1 inhibitor combination drugs at /class/icos-agonist-pd-1-inhibitor-combination.

What development phase is IPI3/NIVO1 in?

IPI3/NIVO1 is in Phase 3.

What are the side effects of IPI3/NIVO1?

Common side effects of IPI3/NIVO1 include Immune-related colitis, Immune-related pneumonitis, Immune-related hepatitis, Fatigue, Rash.

What does IPI3/NIVO1 target?

IPI3/NIVO1 targets ICOS and PD-1 and is a ICOS agonist + PD-1 inhibitor combination.

Related

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