{
  "id": "opdivo",
  "recordTier": "source_traceable_archive",
  "editorial": {
    "reviewedAt": "2026-08-28",
    "status": "published_traceable_archive"
  },
  "names": {
    "brand": "Opdivo",
    "generic": "纳武利尤单抗",
    "aliases": [
      "nivolumab"
    ],
    "marketBrandNames": [],
    "mainlandChinaTradeNameCue": null
  },
  "identity": {
    "therapeuticArea": "肿瘤与血液",
    "sourceArchiveMarket": "美国 DailyMed 当前公开标签（2026-05 更新；四个准确单剂量瓶包装身份）",
    "dosageFormClass": "静脉输注用注射剂：40 mg/4 mL、100 mg/10 mL、120 mg/12 mL、240 mg/24 mL 单剂量瓶",
    "dosageFormClassCode": "intravenous_infusion",
    "route": "静脉输注",
    "routeCode": "intravenous",
    "historicalApprovalEntry": "2014（美国公开标签所列初始批准）",
    "archiveSponsorText": "Bristol Myers Squibb / DailyMed（NLM）美国公开标签"
  },
  "matchPolicy": {
    "contract": "reviewed_name_and_exclusion_cues_v1",
    "exactMatchNames": [],
    "excludedProductCues": [],
    "exclusionPrecedence": "before_name_candidate"
  },
  "productPresentations": [
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      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 美国公开标签（Bristol Myers Squibb；2026-05 更新）",
        "en": "DailyMed U.S. public label (Bristol Myers Squibb; updated May 2026)"
      },
      "dosageForm": {
        "zh": "OPDIVO 纳武利尤单抗静脉输注用注射液",
        "en": "OPDIVO nivolumab injection for intravenous infusion"
      },
      "route": {
        "zh": "静脉输注（仅为标签产品身份；不是操作指令）",
        "en": "intravenous infusion (label identity only; not a procedure instruction)"
      },
      "routeCodes": [
        "intravenous_infusion"
      ],
      "productCode": "NDC 0003-3772-11",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_single_dose_vial",
      "primaryDisplay": {
        "zh": "每个单剂量瓶含纳武利尤单抗 40 mg/4 mL（10 mg/mL）；每盒 1 瓶",
        "en": "Nivolumab 40 mg/4 mL (10 mg/mL) per single-dose vial; one vial per carton"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=opdivo-40mg-4ml-ctn.jpg&setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "纳武利尤单抗",
            "en": "nivolumab"
          },
          "value": 40,
          "unit": "mg",
          "basisCode": "per_single_dose_vial",
          "basisLabel": {
            "zh": "每个单剂量瓶的标签总量；不是个人输注量、瓶数、间隔、联合或换药方案",
            "en": "labelled total per single-dose vial; not an individual's infusion amount, vial count, interval, combination or switching plan"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "single_dose_vial",
        "typeLabel": {
          "zh": "单剂量瓶；未用部分须丢弃",
          "en": "single-dose vial; discard unused portion"
        },
        "fill": {
          "value": 4,
          "unit": "mL"
        },
        "countPerPackage": null,
        "countUnit": null
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-28",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 1,
        "unit": {
          "zh": "个单剂量瓶/盒",
          "en": "single-dose vial per carton"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "澄清至乳光、无色至淡黄色溶液（标签描述）",
          "en": "clear to opalescent, colourless to pale-yellow solution (label description)"
        },
        "shape": {
          "zh": "4 mL 单剂量玻璃瓶及纸盒",
          "en": "4 mL single-dose glass vial and carton"
        },
        "imprint": null,
        "scoreStatus": null,
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_ff06f39a33bac3c6",
        "label": "DailyMed（NLM）：OPDIVO 40 mg/4 mL 单剂量瓶美国公开标签面板（Bristol Myers Squibb；2026-05 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "publication_status_unresolved",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-opdivo-nivolumab-100mg-10ml-single-dose-vial-0003377412",
      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 美国公开标签（Bristol Myers Squibb；2026-05 更新）",
        "en": "DailyMed U.S. public label (Bristol Myers Squibb; updated May 2026)"
      },
      "dosageForm": {
        "zh": "OPDIVO 纳武利尤单抗静脉输注用注射液",
        "en": "OPDIVO nivolumab injection for intravenous infusion"
      },
      "route": {
        "zh": "静脉输注（仅为标签产品身份；不是操作指令）",
        "en": "intravenous infusion (label identity only; not a procedure instruction)"
      },
      "routeCodes": [
        "intravenous_infusion"
      ],
      "productCode": "NDC 0003-3774-12",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_single_dose_vial",
      "primaryDisplay": {
        "zh": "每个单剂量瓶含纳武利尤单抗 100 mg/10 mL（10 mg/mL）；每盒 1 瓶",
        "en": "Nivolumab 100 mg/10 mL (10 mg/mL) per single-dose vial; one vial per carton"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=opdivo-100mg-10ml-ctn.jpg&setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "纳武利尤单抗",
            "en": "nivolumab"
          },
          "value": 100,
          "unit": "mg",
          "basisCode": "per_single_dose_vial",
          "basisLabel": {
            "zh": "每个单剂量瓶的标签总量；不是个人输注量、瓶数、间隔、联合或换药方案",
            "en": "labelled total per single-dose vial; not an individual's infusion amount, vial count, interval, combination or switching plan"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "single_dose_vial",
        "typeLabel": {
          "zh": "单剂量瓶；未用部分须丢弃",
          "en": "single-dose vial; discard unused portion"
        },
        "fill": {
          "value": 10,
          "unit": "mL"
        },
        "countPerPackage": null,
        "countUnit": null
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-28",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 1,
        "unit": {
          "zh": "个单剂量瓶/盒",
          "en": "single-dose vial per carton"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "澄清至乳光、无色至淡黄色溶液（标签描述）",
          "en": "clear to opalescent, colourless to pale-yellow solution (label description)"
        },
        "shape": {
          "zh": "10 mL 单剂量玻璃瓶及纸盒",
          "en": "10 mL single-dose glass vial and carton"
        },
        "imprint": null,
        "scoreStatus": null,
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_ff06f39a33bac3c6",
        "label": "DailyMed（NLM）：OPDIVO 100 mg/10 mL 单剂量瓶美国公开标签面板（Bristol Myers Squibb；2026-05 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "publication_status_unresolved",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-opdivo-nivolumab-120mg-12ml-single-dose-vial-0003375614",
      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 美国公开标签（Bristol Myers Squibb；2026-05 更新）",
        "en": "DailyMed U.S. public label (Bristol Myers Squibb; updated May 2026)"
      },
      "dosageForm": {
        "zh": "OPDIVO 纳武利尤单抗静脉输注用注射液",
        "en": "OPDIVO nivolumab injection for intravenous infusion"
      },
      "route": {
        "zh": "静脉输注（仅为标签产品身份；不是操作指令）",
        "en": "intravenous infusion (label identity only; not a procedure instruction)"
      },
      "routeCodes": [
        "intravenous_infusion"
      ],
      "productCode": "NDC 0003-3756-14",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_single_dose_vial",
      "primaryDisplay": {
        "zh": "每个单剂量瓶含纳武利尤单抗 120 mg/12 mL（10 mg/mL）；每盒 1 瓶",
        "en": "Nivolumab 120 mg/12 mL (10 mg/mL) per single-dose vial; one vial per carton"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=opdivo-120mg-12ml-ctn.jpg&setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "纳武利尤单抗",
            "en": "nivolumab"
          },
          "value": 120,
          "unit": "mg",
          "basisCode": "per_single_dose_vial",
          "basisLabel": {
            "zh": "每个单剂量瓶的标签总量；不是个人输注量、瓶数、间隔、联合或换药方案",
            "en": "labelled total per single-dose vial; not an individual's infusion amount, vial count, interval, combination or switching plan"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "single_dose_vial",
        "typeLabel": {
          "zh": "单剂量瓶；未用部分须丢弃",
          "en": "single-dose vial; discard unused portion"
        },
        "fill": {
          "value": 12,
          "unit": "mL"
        },
        "countPerPackage": null,
        "countUnit": null
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-28",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 1,
        "unit": {
          "zh": "个单剂量瓶/盒",
          "en": "single-dose vial per carton"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "澄清至乳光、无色至淡黄色溶液（标签描述）",
          "en": "clear to opalescent, colourless to pale-yellow solution (label description)"
        },
        "shape": {
          "zh": "12 mL 单剂量玻璃瓶及纸盒",
          "en": "12 mL single-dose glass vial and carton"
        },
        "imprint": null,
        "scoreStatus": null,
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_ff06f39a33bac3c6",
        "label": "DailyMed（NLM）：OPDIVO 120 mg/12 mL 单剂量瓶美国公开标签面板（Bristol Myers Squibb；2026-05 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "publication_status_unresolved",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-opdivo-nivolumab-240mg-24ml-single-dose-vial-0003373413",
      "marketCode": "US",
      "labelVersion": {
        "zh": "DailyMed 美国公开标签（Bristol Myers Squibb；2026-05 更新）",
        "en": "DailyMed U.S. public label (Bristol Myers Squibb; updated May 2026)"
      },
      "dosageForm": {
        "zh": "OPDIVO 纳武利尤单抗静脉输注用注射液",
        "en": "OPDIVO nivolumab injection for intravenous infusion"
      },
      "route": {
        "zh": "静脉输注（仅为标签产品身份；不是操作指令）",
        "en": "intravenous infusion (label identity only; not a procedure instruction)"
      },
      "routeCodes": [
        "intravenous_infusion"
      ],
      "productCode": "NDC 0003-3734-13",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_single_dose_vial",
      "primaryDisplay": {
        "zh": "每个单剂量瓶含纳武利尤单抗 240 mg/24 mL（10 mg/mL）；每盒 1 瓶",
        "en": "Nivolumab 240 mg/24 mL (10 mg/mL) per single-dose vial; one vial per carton"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=opdivo-240mg-24ml-ctn.jpg&setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "纳武利尤单抗",
            "en": "nivolumab"
          },
          "value": 240,
          "unit": "mg",
          "basisCode": "per_single_dose_vial",
          "basisLabel": {
            "zh": "每个单剂量瓶的标签总量；不是个人输注量、瓶数、间隔、联合或换药方案",
            "en": "labelled total per single-dose vial; not an individual's infusion amount, vial count, interval, combination or switching plan"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "single_dose_vial",
        "typeLabel": {
          "zh": "单剂量瓶；未用部分须丢弃",
          "en": "single-dose vial; discard unused portion"
        },
        "fill": {
          "value": 24,
          "unit": "mL"
        },
        "countPerPackage": null,
        "countUnit": null
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-28",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 1,
        "unit": {
          "zh": "个单剂量瓶/盒",
          "en": "single-dose vial per carton"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "澄清至乳光、无色至淡黄色溶液（标签描述）",
          "en": "clear to opalescent, colourless to pale-yellow solution (label description)"
        },
        "shape": {
          "zh": "24 mL 单剂量玻璃瓶及纸盒",
          "en": "24 mL single-dose glass vial and carton"
        },
        "imprint": null,
        "scoreStatus": null,
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_ff06f39a33bac3c6",
        "label": "DailyMed（NLM）：OPDIVO 240 mg/24 mL 单剂量瓶美国公开标签面板（Bristol Myers Squibb；2026-05 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "publication_status_unresolved",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    }
  ],
  "comparisonPresentations": [],
  "appearanceReferences": [],
  "visualReference": {
    "presentationId": "us-opdivo-nivolumab-40mg-4ml-single-dose-vial-0003377211",
    "status": "historical_public_label_image_not_product_authentication",
    "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=opdivo-40mg-4ml-ctn.jpg&setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394&type=img",
    "alt": "OPDIVO 纳武利尤单抗在美国 DailyMed Bristol Myers Squibb 公开标签中的 40 mg/4 mL 纸盒展开图",
    "archiveMarket": "美国",
    "labelVersion": "DailyMed 公开标签（Bristol Myers Squibb，2026-05 更新）",
    "presentation": "OPDIVO 注射液：40 mg/4 mL（10 mg/mL）单剂量瓶纸盒展开图（DailyMed Bristol Myers Squibb 公开标签所列）。",
    "notice": "此为美国 DailyMed Bristol Myers Squibb 公开标签中明确对应 OPDIVO、纳武利尤单抗 40 mg/4 mL（10 mg/mL）单剂量瓶的纸盒展开图，只帮助核对品牌、通用名、剂型、标示浓度、单剂量瓶和来源；不用于鉴定真伪，也不证明其他规格、其他给药形式、其他市场标签、当前可得性、原研身份、目标市场批准或可售资格。",
    "source": {
      "id": "src_4c881dfa94de0be6",
      "label": "DailyMed（NLM）：OPDIVO 公开标签（Bristol Myers Squibb，2026-05 更新）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "publication_status_unresolved",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    }
  },
  "visualCoverageNote": null,
  "labelReading": {
    "coverage": "drug_specific_source_review",
    "title": {
      "zh": "OPDIVO 说明书放大阅读：单剂量瓶的 mg/mL 只用于核对输注产品身份",
      "en": "OPDIVO label reading: mg/mL on a single-dose vial only helps identify an infusion product"
    },
    "summary": {
      "zh": "本模块以 FDA 2026-05 OPDIVO 美国标签为阅读入口，帮助核对 OPDIVO、纳武利尤单抗、静脉用注射剂、单剂量瓶及目标市场；它不把瓶身的 10 mg/mL、不同瓶装规格、治疗间隔、联合方案或标签风险文字变成个人输注、居家处理或换药方案。",
      "en": "This module uses the FDA May 2026 U.S. OPDIVO label as a reading entry point. It helps check OPDIVO, nivolumab, injection for intravenous use, single-dose vials and target market; it does not turn a vial's 10 mg/mL, different vial presentations, treatment intervals, combination regimens or label risk wording into an individual infusion, home-handling or switching plan."
    },
    "checks": [
      {
        "zh": "标签列示的 40 mg/4 mL、100 mg/10 mL、120 mg/12 mL、240 mg/24 mL 都是 10 mg/mL 单剂量瓶的产品身份线索。它们不是可自行换算的“几瓶”、可留存的余量或家庭输注指示；配制、稀释、输注和剩余处置应由治疗机构按现行标签与处方执行。",
        "en": "The label's 40 mg/4 mL, 100 mg/10 mL, 120 mg/12 mL and 240 mg/24 mL are product-identity clues for 10 mg/mL single-dose vials. They are not self-convertible “number of vials,” saved leftovers or home-infusion instructions; preparation, dilution, infusion and remaining-product handling belong to the treating facility under the current label and prescription."
      },
      {
        "zh": "与 KEYTRUDA 或其他 PD-1/PD-L1 药有相近靶点，或同为静脉用药，不表示可以自行叠加、交替、漏用后补回、由一支换成另一支，或与化疗、伊匹木单抗、靶向药、激素和补充剂随意合用。具体肿瘤、检查、既往方案、器官功能和完整药单必须由肿瘤团队核对。",
        "en": "A related target to KEYTRUDA or another PD-1/PD-L1 medicine, or being an intravenous product, does not permit self-combination, alternation, catch-up use, vial-to-vial substitution or casual co-use with chemotherapy, ipilimumab, targeted therapy, steroids or supplements. Exact tumour, testing, prior regimen, organ function and the full medicine list require oncology-team review."
      },
      {
        "zh": "标签提示免疫介导反应可累及肺、肠道、肝脏、内分泌器官、肾脏和皮肤，并有输注相关反应的提示。新的或加重的呼吸困难、持续腹泻、黄疸样变化、异常乏力/意识变化、尿量变化、严重皮疹、发热寒战或其他急性问题，应及时联系治疗团队或使用当地紧急医疗支持。",
        "en": "The label notes immune-mediated reactions that may involve lungs, bowel, liver, endocrine organs, kidneys and skin, and warns about infusion-related reactions. New or worsening breathing difficulty, persistent diarrhoea, jaundice-like changes, unusual fatigue/mental-status change, changed urine output, severe rash, fever/chills or another acute concern needs prompt contact with the treatment team or local urgent medical support."
      },
      {
        "zh": "PD-L1、MSI-H、dMMR、EGFR、ALK 等术语在某些疾病场景和标签条件中出现，但不构成自行选择 OPDIVO 或推断联合方案的依据。检测样本、方法、疾病阶段、具体适应症与目标市场现行标签必须由团队解释。",
        "en": "Terms such as PD-L1, MSI-H, dMMR, EGFR and ALK appear in some disease settings and label conditions, but do not support self-selecting OPDIVO or inferring a combination plan. Test specimen, method, disease stage, exact indication and the current target-market label require team interpretation."
      }
    ],
    "source": {
      "id": "src_ff06f39a33bac3c6",
      "label": "DailyMed（NLM）：OPDIVO 当前美国公开标签",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "publication_status_unresolved",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    },
    "scope": "label_literacy_only_no_individual_dosing_or_substitution"
  },
  "mechanismReading": {
    "title": {
      "zh": "纳武利尤单抗怎样起作用：标签描述其阻断 PD-1 与 PD-L1/PD-L2 的相互作用",
      "en": "How nivolumab works: the label describes blocking PD-1 interactions with PD-L1/PD-L2"
    },
    "summary": {
      "zh": "DailyMed 的 OPDIVO 当前公开标签描述纳武利尤单抗与 PD-1 受体结合，阻断 PD-1 与 PD-L1/PD-L2 的相互作用，从而解除对 T 细胞反应的抑制。它是机制概述，不判断个人疾病是否适用、联合方案、输注安排或治疗持续时间。",
      "en": "The current DailyMed public label for OPDIVO describes nivolumab as binding PD-1 and blocking PD-1 interaction with PD-L1/PD-L2, releasing inhibition of T-cell responses. It is a mechanism overview, not a decision about individual suitability, combination, infusion schedule or duration."
    },
    "checks": [
      {
        "zh": "与 KEYTRUDA 或其他 PD-1/PD-L1 药物有相近靶点，不表示可以在同一疗程自行叠加、交替、换算或从一种产品直接改为另一种。",
        "en": "A related target to KEYTRUDA or another PD-1/PD-L1 medicine does not permit self-combination, alternation, conversion or direct switching within a course."
      },
      {
        "zh": "机制不能预测哪位患者会获益，也不能替代对免疫相关不良反应、既往自身免疫问题、感染风险、器官功能和完整药单的评估。",
        "en": "Mechanism cannot predict who will benefit or replace assessment of immune-related adverse reactions, prior autoimmune concerns, infection risk, organ function and the complete medicine list."
      },
      {
        "zh": "出现新的或加重的呼吸困难、腹泻、黄疸、严重皮疹、内分泌相关症状、视力/神经变化或其他急性问题时，应及时联系当地治疗团队或紧急医疗支持。",
        "en": "With new or worsening breathing trouble, diarrhoea, jaundice, severe rash, endocrine-related symptoms, visual/neurologic change or another acute concern, contact the local treatment team or urgent medical support promptly."
      }
    ],
    "source": {
      "id": "src_ff06f39a33bac3c6",
      "label": "DailyMed（NLM）：OPDIVO 当前美国公开标签（临床药理）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "publication_status_unresolved",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    },
    "scope": "mechanism_literacy_only_no_individual_dosing_or_substitution"
  },
  "pharmacovigilance": {
    "status": "official_routes_only_no_live_alert_inference",
    "reviewedAt": "2026-08-22",
    "identity": {
      "brand": "Opdivo",
      "generic": "纳武利尤单抗",
      "dosageFormClass": "静脉输注用注射剂：40 mg/4 mL、100 mg/10 mL、120 mg/12 mL、240 mg/24 mL 单剂量瓶"
    },
    "labelSource": {
      "id": "src_ff06f39a33bac3c6",
      "label": "DailyMed（NLM）：OPDIVO 纳武利尤单抗当前美国公开标签（Bristol Myers Squibb；2026-05 更新）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "publication_status_unresolved",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    },
    "productRoutes": [
      {
        "source": {
          "id": "src_ff06f39a33bac3c6",
          "label": "DailyMed（NLM）：OPDIVO 纳武利尤单抗当前美国公开标签（Bristol Myers Squibb；2026-05 更新）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "publication_status_unresolved",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-20",
          "reviewedAt": "2026-08-20"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "美国国家医学图书馆 DailyMed",
          "en": "U.S. National Library of Medicine DailyMed"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "公开药品标签",
          "en": "Public medicine label"
        },
        "reviewedAt": "2026-08-20",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      },
      {
        "source": {
          "id": "src_7a8d917cc8b41800",
          "label": "FDA：OPDIVO 2026 美国标签（BLA 125554）",
          "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2026/125554s136lbl.pdf",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "dated_public_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "direct_document",
          "accessVerifiedAt": "2026-08-20",
          "reviewedAt": "2026-08-20"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "FDA",
          "en": "FDA"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "监管产品记录或标签档案",
          "en": "Regulatory product record or label archive"
        },
        "reviewedAt": "2026-08-20",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      }
    ],
    "recordRoute": {
      "status": "product_level_public_record_verified",
      "authority": {
        "zh": "美国国家医学图书馆 DailyMed",
        "en": "U.S. National Library of Medicine DailyMed"
      },
      "market": {
        "zh": "美国",
        "en": "United States"
      },
      "recordType": {
        "zh": "公开药品标签",
        "en": "Public medicine label"
      },
      "reviewedAt": "2026-08-20",
      "scope": {
        "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
        "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
      }
    },
    "channels": [
      {
        "id": "china-nmpa-drug-evaluation-centre",
        "authority": "NMPA 药品评价中心",
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "title": {
          "zh": "药物警戒快讯与安全警示",
          "en": "Drug-vigilance bulletins and safety notices"
        },
        "purpose": {
          "zh": "国家药监局药品评价中心发布的药物警戒快讯、安全警示及药品不良反应监测相关原始入口；具体产品仍须按批准文号、剂型、规格、持有人和公告日期逐项核对。",
          "en": "Primary NMPA Drug Evaluation Centre gateway for drug-vigilance bulletins, safety notices and adverse-reaction monitoring. Exact products still require checking approval number, dosage form, strength, authorisation holder and notice date item by item."
        },
        "source": {
          "id": "src_05ff2860226564d4",
          "label": "国家药监局药品评价中心：药物警戒与安全警示入口",
          "url": "https://www.cdr-adr.org.cn/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-drug-safety-communications",
        "authority": "FDA",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "药物安全通讯",
          "en": "Drug Safety Communications"
        },
        "purpose": {
          "zh": "监管机构就重要新安全问题、标签变化或风险沟通发布的原始页面。",
          "en": "Primary FDA pages for important new safety issues, labelling changes and risk communications."
        },
        "source": {
          "id": "src_9177df9e1825aa72",
          "label": "FDA：Drug Safety Communications",
          "url": "https://www.fda.gov/drugs/drug-safety-and-availability/drug-safety-communications",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-medwatch",
        "authority": "FDA MedWatch",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "安全信息与严重问题报告",
          "en": "Safety information and serious-problem reporting"
        },
        "purpose": {
          "zh": "美国 MedWatch 的安全信息和报告入口；报告不等同于已证实因果关系。",
          "en": "U.S. MedWatch safety-information and reporting gateway; a report does not itself establish causality."
        },
        "source": {
          "id": "src_e4739cd55d27ab51",
          "label": "FDA：MedWatch 药品安全信息与不良事件报告计划",
          "url": "https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "ema-pharmacovigilance",
        "authority": "EMA",
        "market": {
          "zh": "欧盟/欧洲经济区",
          "en": "European Union / European Economic Area"
        },
        "title": {
          "zh": "药物警戒概览与 EudraVigilance",
          "en": "Pharmacovigilance overview and EudraVigilance"
        },
        "purpose": {
          "zh": "欧盟药物警戒、疑似不良反应报告和 PRAC 安全评估的官方入口。",
          "en": "Official EU gateway for pharmacovigilance, suspected adverse-reaction reports and PRAC safety assessment."
        },
        "source": {
          "id": "src_2ad42a3deae747d1",
          "label": "EMA：Pharmacovigilance overview",
          "url": "https://www.ema.europa.eu/en/human-regulatory-overview/pharmacovigilance-overview",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "EU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "javascript_or_cookie_controls",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mhra-drug-safety-update",
        "authority": "MHRA",
        "market": {
          "zh": "英国",
          "en": "United Kingdom"
        },
        "title": {
          "zh": "Drug Safety Update",
          "en": "Drug Safety Update"
        },
        "purpose": {
          "zh": "英国 MHRA 面向专业人士和公众的药品安全更新原始发布页。",
          "en": "Primary UK MHRA medicine-safety updates for professionals and the public."
        },
        "source": {
          "id": "src_23fdbe67abeafc63",
          "label": "MHRA：Drug Safety Update",
          "url": "https://www.gov.uk/drug-safety-update",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "UK",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "pmda-drug-safety",
        "authority": "PMDA",
        "market": {
          "zh": "日本",
          "en": "Japan"
        },
        "title": {
          "zh": "药品安全信息",
          "en": "Medicine safety information"
        },
        "purpose": {
          "zh": "日本 PMDA 药品安全信息的英文官方入口；具体产品仍应以日文产品页和现行文件复核。",
          "en": "PMDA’s English official safety gateway; exact products still require checking against the Japanese product page and current documents."
        },
        "source": {
          "id": "src_06d6be2880f12024",
          "label": "PMDA：Safety Information Regarding Drugs",
          "url": "https://www.pmda.go.jp/english/safety/info-services/drugs/0001.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "JP",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mfds-drug-safety-letters",
        "authority": "MFDS",
        "market": {
          "zh": "韩国",
          "en": "Republic of Korea"
        },
        "title": {
          "zh": "药品安全性书信",
          "en": "Medicine safety letters"
        },
        "purpose": {
          "zh": "韩国 MFDS 发布的药品安全性书信原始索引。原文为韩文，须按涉及产品、剂型、市场和日期逐项阅读；它不自动适用于其他市场，也不构成对个人情况的结论。",
          "en": "MFDS’s primary index for medicine safety letters in the Republic of Korea. The original notices are in Korean and must be read against the named product, dosage form, market and date; they do not automatically apply in another market or decide an individual case."
        },
        "source": {
          "id": "src_2d7f5018cd05eff4",
          "label": "MFDS：药品安全性书信（韩文原始资料）",
          "url": "https://www.mfds.go.kr/brd/m_545/list.do",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "KR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "hsa-adverse-events",
        "authority": "HSA",
        "market": {
          "zh": "新加坡",
          "en": "Singapore"
        },
        "title": {
          "zh": "不良反应报告与药物安全信息",
          "en": "Adverse-event reporting and medicine-safety information"
        },
        "purpose": {
          "zh": "新加坡 HSA 面向公众的疑似不良反应报告、药物安全信息与本地监管入口；一份报告不等同于个体因果关系，具体产品仍须按新加坡注册状态、剂型、规格、日期和现行产品资料逐项核对。",
          "en": "HSA’s public Singapore gateway for suspected adverse-event reporting and medicine-safety information. A report does not itself establish individual causality; exact products still require checking Singapore registration status, dosage form, strength, date and current product information."
        },
        "source": {
          "id": "src_9240397d5a8574c1",
          "label": "HSA：Report adverse events",
          "url": "https://www.hsa.gov.sg/adverse-events/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "SG",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "health-canada-medeffect-advisories",
        "authority": "Health Canada",
        "market": {
          "zh": "加拿大",
          "en": "Canada"
        },
        "title": {
          "zh": "MedEffect 加拿大：建议、警告与召回",
          "en": "MedEffect Canada: advisories, warnings and recalls"
        },
        "purpose": {
          "zh": "加拿大政府 Health Canada 的 MedEffect 公开入口，汇集药品及健康产品的建议、警告、召回、报告与安全信息；具体产品仍须按市场、剂型、规格、公告日期和批号逐项核对。",
          "en": "Health Canada’s public MedEffect gateway for medicine and health-product advisories, warnings, recalls, reporting and safety information. Exact products still require checking market, dosage form, strength, notice date and lot item by item."
        },
        "source": {
          "id": "src_212ec921fa6634ad",
          "label": "Health Canada：MedEffect Canada 建议、警告与召回",
          "url": "https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada/advisories-warnings-recalls.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "tga-safety-alerts",
        "authority": "TGA",
        "market": {
          "zh": "澳大利亚",
          "en": "Australia"
        },
        "title": {
          "zh": "药品安全警示",
          "en": "Medicine safety alerts"
        },
        "purpose": {
          "zh": "澳大利亚 TGA 的药品安全警示、建议和监测信息原始发布页。",
          "en": "Primary Australian TGA safety alerts, advisories and monitoring information for therapeutic products."
        },
        "source": {
          "id": "src_ffe6142814f88fac",
          "label": "TGA：Safety alerts",
          "url": "https://www.tga.gov.au/safety/safety-monitoring-and-information/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "AU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "swissmedic-pharmacovigilance",
        "authority": "Swissmedic",
        "market": {
          "zh": "瑞士",
          "en": "Switzerland"
        },
        "title": {
          "zh": "药物警戒与不良反应报告",
          "en": "Pharmacovigilance and suspected adverse-reaction reporting"
        },
        "purpose": {
          "zh": "瑞士 Swissmedic 的药物警戒、信号评估和疑似不良反应官方入口；报告或信号本身不等同于对个体因果关系的确认。",
          "en": "Official Swissmedic gateway for pharmacovigilance, signal assessment and suspected adverse-reaction reporting; a report or signal does not itself confirm individual causality."
        },
        "source": {
          "id": "src_c854f813ce2671df",
          "label": "Swissmedic：Pharmacovigilance",
          "url": "https://www.swissmedic.ch/swissmedic/en/home/humanarzneimittel/market-surveillance/pharmacovigilance.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "CH",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "medsafe-safety-communications",
        "authority": "Medsafe",
        "market": {
          "zh": "新西兰",
          "en": "New Zealand"
        },
        "title": {
          "zh": "药品安全通讯",
          "en": "Medicine safety communications"
        },
        "purpose": {
          "zh": "新西兰 Medsafe 面向公众和专业人士的药品安全通讯与归档入口；旧公告可能已被现行产品资料更新。",
          "en": "New Zealand Medsafe gateway for public and professional medicine safety communications and archives; older notices may have been superseded by current product information."
        },
        "source": {
          "id": "src_3510c1a523ec9769",
          "label": "Medsafe：Safety Communications",
          "url": "https://www.medsafe.govt.nz/safety/SafetyCommunications.asp",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "NZ",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "sahpra-safety-information",
        "authority": "SAHPRA",
        "market": {
          "zh": "南非",
          "en": "South Africa"
        },
        "title": {
          "zh": "药物安全信息、警示与药物警戒",
          "en": "Medicine safety information, alerts and pharmacovigilance"
        },
        "purpose": {
          "zh": "南非 SAHPRA 面向公众和专业人士的药物安全信息、警示与药物警戒入口；官方警示不等同于产品在所有情形下不安全，具体产品仍须按南非注册状态、剂型、规格、公告日期与现行资料逐项核对。",
          "en": "SAHPRA’s safety-information, alerts and pharmacovigilance gateway for the public and professionals in South Africa. An official alert does not itself mean a product is unsafe in every circumstance; exact products still require checking South African registration status, dosage form, strength, notice date and current product information."
        },
        "source": {
          "id": "src_25b0aaefee742163",
          "label": "SAHPRA：Safety Information Updates / Pharmacovigilance",
          "url": "https://www.sahpra.org.za/safety-information-and-updates/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "ZA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "who-medicine-safety-alerts",
        "authority": "WHO",
        "market": {
          "zh": "全球",
          "en": "Global"
        },
        "title": {
          "zh": "药品与疫苗安全警示档案",
          "en": "Medicine and vaccine safety-alert archive"
        },
        "purpose": {
          "zh": "WHO 的跨市场安全警示档案；每条历史警示必须按公告日期、涉及产品和市场单独阅读。",
          "en": "WHO’s cross-market safety-alert archive; every historical notice must be read against its date, named product and market."
        },
        "source": {
          "id": "src_9a7dc56ec34c7e1a",
          "label": "WHO：Safety alerts for medicines and vaccines",
          "url": "https://www.who.int/teams/regulation-prequalification/regulation-and-safety/pharmacovigilance/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "GLOBAL",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "anvisa-pharmacovigilance",
        "authority": "Anvisa",
        "market": {
          "zh": "巴西",
          "en": "Brazil"
        },
        "title": {
          "zh": "药物警戒、警示与 VigiMed",
          "en": "Pharmacovigilance, alerts and VigiMed"
        },
        "purpose": {
          "zh": "巴西 Anvisa 的药物警戒原始入口，涵盖警示、药物警戒公告、风险沟通和 VigiMed 报告路径；具体产品仍须按巴西批准状态、剂型、规格和公告日期逐项核对。",
          "en": "Anvisa’s primary Brazilian pharmacovigilance gateway for alerts, bulletins, risk communication and VigiMed reporting. Exact products still require checking Brazilian authorisation status, dosage form, strength and notice date item by item."
        },
        "source": {
          "id": "src_5de362c12580111d",
          "label": "Anvisa：Farmacovigilância（药物警戒、警示与 VigiMed）",
          "url": "https://www.gov.br/anvisa/pt-br/assuntos/fiscalizacao-e-monitoramento/farmacovigilancia",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "BR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      }
    ],
    "notices": [],
    "boundary": {
      "zh": "本卡将逐药产品级来源与 15 个市场级官方警戒入口放在同一处核验；它不表示已完成该药在所有国家或地区的实时警示检索，也不表示该药存在新的安全警示、召回或风险结论。请先以品牌名、通用名、剂型、规格、所在市场和公告日期逐项匹配；不要仅因看到标题自行停药、换药、加量或减量。",
      "en": "This card brings together the medicine-specific product route and 15 market-level official vigilance gateways. It does not mean real-time alerts for this medicine have been searched in every country or region, or that the medicine has a new alert, recall or risk conclusion. Match brand, generic name, dosage form, strength, market and notice date item by item; do not self-stop, switch, increase or reduce use from a headline."
    },
    "scope": "official_routes_only_no_live_alert_inference"
  },
  "archive": {
    "summary": "DailyMed 的 OPDIVO（nivolumab）当前美国公开标签列示 10 mg/mL 静脉输注用注射剂，并列出四个单剂量瓶包装。本页把商品名、通用名、浓度、总体积、NDC、包装图和来源分别对应；不把瓶身数字变成个人输注量、配制、间隔、联用、停药或购买结论。",
    "history": "当前美国公开标签与 2026 FDA 标签共同提供阅读入口；适应症、给药、风险、市场状态与实际供应仍须以目标市场当日文件和负责团队核对。",
    "sourceDocuments": [
      {
        "id": "src_ff06f39a33bac3c6",
        "label": "DailyMed（NLM）：OPDIVO 纳武利尤单抗当前美国公开标签（Bristol Myers Squibb；2026-05 更新）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "publication_status_unresolved",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      {
        "id": "src_7a8d917cc8b41800",
        "label": "FDA：OPDIVO 2026 美国标签（BLA 125554）",
        "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2026/125554s136lbl.pdf",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "dated_public_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "direct_document",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      {
        "id": "src_5ed30b676fbb9773",
        "label": "FDA Drugs@FDA 官方检索入口",
        "url": "https://www.accessdata.fda.gov/scripts/cder/daf/",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "official_lookup_entry",
        "documentKind": "regulatory_lookup",
        "market": "US",
        "accessStatus": "public_access_requires_interaction",
        "accessMode": "interactive_lookup",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      }
    ],
    "applicationNumber": "BLA 125554",
    "approvalTimeline": [
      {
        "date": "DailyMed SPL v18，2026-05 发布",
        "title": {
          "zh": "当前美国公开标签的日期记录",
          "en": "Dated current U.S. public-label record"
        },
        "detail": {
          "zh": "本页链接 DailyMed SPL v18，2026-05 发布 的当前美国公开标签，作为放大阅读和逐项核对入口。它不替代目标市场当日的批准、供应、适应症、规格或个体化用药判断。",
          "en": "This page links the current U.S. public label dated DailyMed SPL v18，2026-05 发布 as an enlarged-reading and item-by-item checking entry point. It does not replace same-day verification of approval, supply, indication, strength or individual use in the target market."
        },
        "source": {
          "id": "src_ff06f39a33bac3c6",
          "label": "DailyMed: current OPDIVO U.S. public label",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f570b9c4-6846-4de2-abfa-4d0a4ae4e394",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "publication_status_unresolved",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-20",
          "reviewedAt": "2026-08-20"
        }
      }
    ],
    "marketStatus": [
      {
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "status": {
          "zh": "已链接当前公开标签",
          "en": "Current public label linked"
        },
        "detail": {
          "zh": "仅对应本页所列的美国公开标签；不据此推定库存、可售资格或其他市场状态。",
          "en": "Only the U.S. public label listed on this page is linked; no stock, sale-eligibility or other-market conclusion is inferred."
        }
      },
      {
        "market": {
          "zh": "中国大陆、欧盟、日本",
          "en": "Mainland China, EU, Japan"
        },
        "status": {
          "zh": "待逐项建立市场记录",
          "en": "Market record not established"
        },
        "detail": {
          "zh": "不从美国公开标签推定当地批准、持有人、规格、供应或可售资格。",
          "en": "No local approval, holder, strength, supply or sale-eligibility conclusion is inferred from the U.S. public label."
        }
      }
    ],
    "frequentlyAskedQuestions": [
      {
        "question": {
          "zh": "当前美国标签能代表其他国家或地区吗？",
          "en": "Does a current U.S. label represent another country or region?"
        },
        "answer": {
          "zh": "不能。它是逐项阅读入口；品牌、剂型、规格、可得性和安全信息仍须以目标市场的现行官方文件核对。",
          "en": "No. It is an item-by-item reading entry point; brand, dosage form, strength, availability and safety information still require checking against the target market's current official document."
        }
      },
      {
        "question": {
          "zh": "为什么这里不展示价格或原研/仿制结论？",
          "en": "Why are price and originator/generic conclusions not shown?"
        },
        "answer": {
          "zh": "这些结论需要产品、剂型、规格、包装、市场、日期和原始记录分别齐全并经人工审核；单一标签文件不足以支持。",
          "en": "Those conclusions require separately complete and human-reviewed product, dosage-form, strength, pack, market, date and primary-record fields; one label file is insufficient."
        }
      }
    ],
    "relatedMedicineChecks": [],
    "relatedArticleSlugs": [
      "dosage-forms-are-part-of-medicine-identity",
      "medicine-label-for-everyday-questions",
      "how-to-read-a-drug-label"
    ]
  },
  "canonicalUrls": {
    "zh": "https://origindrug.com/drugs/opdivo/",
    "en": "https://origindrug.com/en/drugs/opdivo/"
  },
  "limitations": [
    "No originator, generic, interchangeability, availability, price, holder, strength or sale-eligibility conclusion is inferred beyond the linked source documents.",
    "Target-market current labels and official records must be checked separately."
  ]
}