Opdivo vs Xtandi

A side-by-side look at two oncology medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US OpdivoUS Xtandi
Generic namenivolumabenzalutamide
Drug classPD-1 Inhibitor (Immunotherapy)Androgen Receptor Inhibitor
TreatsMultiple cancersProstate cancer
CategoryOncologyOncology
ManufacturerBristol-Myers SquibbAstellas/Pfizer
Year approved20142012
FDA warningModerate warningsModerate warnings
Est. TV ad spend$150M$90M
Common side effectsImmune-related side effects, Fatigue, Rash, DiarrheaFatigue, Hot flashes, High blood pressure, Falls

Frequently asked questions

Is Opdivo or Xtandi better?

Neither is universally "better." Opdivo (nivolumab) and Xtandi (enzalutamide) are both used for oncology, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Opdivo and Xtandi?

Opdivo is a PD-1 Inhibitor (Immunotherapy) made by Bristol-Myers Squibb, while Xtandi is a Androgen Receptor Inhibitor made by Astellas/Pfizer. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Opdivo has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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