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MedsAcross

Molecule

Enasidenib

Also known as enasidenib mesylate
Available on requestOrphanOncology
Presentations
2
Brands
1
Manufacturers
1
Available from stock
0

Enasidenib is an isocitrate dehydrogenase 2 inhibitor indicated for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with an isocitrate dehydrogenase-2 (IDH2) mutation as detected by an FDA-approved test. MedsAcross supplies Enasidenib for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Isocitrate Dehydrogenase 2 Inhibitor, Isocitrate Dehydrogenase 2 Inhibitors
ATC classification
L01XX59 Enasidenib · Cancer medicines (antineoplastics), subgroup L01X, subgroup L01XX
US FDA first approval
1 August 2017
EU status
Not recorded
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII 3T1SS4E7AGRxCUI 1940332CAS 1446502-11-9DrugBank DB13874Q27077182

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

IDHIFA is an isocitrate dehydrogenase-2 inhibitor indicated for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with an isocitrate dehydrogenase-2 (IDH2) mutation as detected by an FDA-approved test.

Source: US FDA prescribing information

How it works

Enasidenib is a small molecule inhibitor of the isocitrate dehydrogenase 2 (IDH2) enzyme. Enasidenib targets the mutant IDH2 variants R140Q, R172S, and R172K at approximately 40-fold lower concentrations than the wild-type enzyme in vitro. Inhibition of the mutant IDH2 enzyme by enasidenib led to decreased 2-hydroxyglutarate (2-HG) levels and induced myeloid differentiation in vitro and in vivo in mouse xenograft models of IDH2 mutated AML. In blood samples from patients with AML with mutated IDH2, enasidenib decreased 2-HG levels, reduced blast counts and increased percentages of mature myeloid cells.

Source: US FDA prescribing information

Dosing overview

100 mg orally once daily until disease progression or unacceptable toxicity. Patient Selection Select patients for the treatment of AML with IDHIFA based on the presence of IDH2 mutations in the blood or bone marrow. Information on FDA-approved tests for the detection of IDH2 mutations in AML is available at http://www.fda.gov/CompanionDiagnostics.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (differentiation syndrome): Patients treated with IDHIFA have experienced symptoms of differentiation syndrome, which can be fatal if not treated. Symptoms may include fever, dyspnea, acute respiratory distress, pulmonary infiltrates, pleural or pericardial effusions, rapid weight gain or peripheral edema, lymphadenopathy, bone pain, and hepatic, renal, or multi-organ dysfunction. Embryo-Fetal Toxicity: IDHIFA can cause fetal harm. Advise patients of the potential risk to a fetus and use effective contraception.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: • Differentiation Syndrome The most common adverse reactions (≥20%) are nausea, vomiting, diarrhea, elevated bilirubin, and decreased appetite.

Source: US FDA prescribing information

Interactions

• Certain CYP1A2 and CYP2C19 Substrates: Avoid concomitant use unless otherwise recommended in the Prescribing Information. • Certain CYP3A Substrates: Avoid concomitant use unless otherwise recommended in the Prescribing Information. • Certain OATP1B1, OATP1B3, and BCRP Substrates: Avoid concomitant use unless otherwise recommended in the Prescribing Information.

Source: US FDA prescribing information

Storage

Storage Store at 20°C-25°C (68°F-77°F), excursions permitted between 15°C-30°C (59°F-86°F). Store and dispense in the original bottle (with a desiccant canister) to protect from moisture.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Enasidenib, sorted by availability.

MedicineManufacturerRegisterAvailability
Idhifa 100 mg tabletOralCelgeneUS FDAAvailable on request
Idhifa 50 mg tabletOralCelgeneUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 1 August 2017Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Enasidenib in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Enasidenib available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Enasidenib and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Enasidenib have?

The catalogue lists 1 brand names for Enasidenib, including Idhifa.

Is Enasidenib approved by the US FDA?

Yes. The US FDA first approved Enasidenib on 1 August 2017, according to Drugs@FDA.

Does Enasidenib need cold chain shipping?

No listed presentation of Enasidenib is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Enasidenib in?

Enasidenib is classified under ATC code L01XX59 (Enasidenib).

References

  1. Idhifa prescribing information (Celgene). U.S. National Library of Medicine, DailyMed. Retrieved 16 January 2025

Request Enasidenib for export supply

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