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Data updated: Mar 10, 2026

IMJUDO

TREMELIMUMAB-ACTL CTLA-4-directed Antibody Interactions
Oncology Approved 2022-10-21

IMJUDO (tremelimumab-actl) is a CTLA-4-directed blocking antibody indicated for the treatment of specific adult cancers. It is used in combination with durvalumab for patients with unresectable hepatocellular carcinoma. Additionally, it is approved for use with durvalumab and platinum-based chemotherapy in patients with metastatic non-small cell lung cancer lacking EGFR or ALK genomic tumor aberrations.

Source: FDA Label • AstraZeneca • CTLA-4-directed Blocking Antibody

How IMJUDO Works

Tremelimumab-actl is a monoclonal antibody that targets CTLA-4, a protein that acts as a negative regulator of T-cell activity. By binding to CTLA-4, the drug blocks its interaction with the ligands CD80 and CD86. This action releases the CTLA-4-mediated inhibition of T-cell activation, which can lead to decreased tumor growth and increased T-cell proliferation within tumors.

Source: FDA Label
2
Indications
--
Phase 3 Trials
1
Priority Reviews
3
Years on Market

Details

Status
Prescription
First Approved
2022-10-21
Routes
INTRAVENOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: TREMELIMUMAB-ACTL

IMJUDO Approval History

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What IMJUDO Treats

2 indications

IMJUDO is approved for 2 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hepatocellular Carcinoma
  • Non-Small Cell Lung Cancer
Source: FDA Label

IMJUDO Target & Pathway

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Target

CTLA-4 (Cytotoxic T-Lymphocyte-Associated Protein 4) Immune Checkpoint

An immune checkpoint receptor that downregulates T-cell activation. Unlike PD-1 which works in peripheral tissues, CTLA-4 primarily regulates T-cell activation in lymph nodes. Blocking CTLA-4 enhances T-cell activation and proliferation, boosting anti-tumor immunity.

IMJUDO Competitors

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1 other drug also targets CTLA-4. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (CTLA-4). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to IMJUDO

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

IMJUDO FDA Label Details

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Indications & Usage

FDA Label (PDF)

IMJUDO is a cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) blocking antibody indicated: • in combination with durvalumab, for the treatment of adult patients with unresectable hepatocellular carcinoma (uHCC). • in combination with durvalumab and platinum-based chemotherapy for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) with no sensitizing epidermal growth factor receptor (EGFR) mutation or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. 1.1 Hepatocellular Carcinoma IMJUDO, in combination with durvalumab, is indicated for the treatment o...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.