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Molecule

Givinostat

Histone Deacetylase Inhibitor
Available on requestOrphanRare diseases and enzyme replacement
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Givinostat is a histone deacetylase inhibitor indicated for the treatment of Duchenne muscular dystrophy (DMD) in patients 6 years of age and older. It is available as oral suspension. MedsAcross supplies Givinostat 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
Histone Deacetylase Inhibitor, Cytochrome P450 3A4 Inhibitors, Histone Deacetylase Inhibitors, Organic Cation Transporter 2 Inhibitors
ATC classification
M09AX14 Givinostat · Other musculoskeletal medicines, subgroup M09A, subgroup M09AX
US FDA first approval
21 March 2024
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Oral suspension
Identifiers
UNII 5P60F84FBHCAS 497833-27-9DrugBank DB12645Q426257

Clinical information

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

Uses

DUVYZAT is indicated for the treatment of Duchenne muscular dystrophy (DMD) in patients 6 years of age and older. DUVYZAT is a histone deacetylase inhibitor indicated for the treatment of Duchenne muscular dystrophy (DMD) in patients 6 years of age and older.

Source: US FDA prescribing information

How it works

DUVYZAT is a histone deacetylase inhibitor. The precise mechanism by which DUVYZAT exerts its effect in patients with DMD is unknown.

Source: US FDA prescribing information

Dosing overview

Obtain and evaluate baseline platelet counts and triglycerides prior to initiation of DUVYZAT. Do not initiate DUVYZAT in patients with a platelet count less than 150 x 10^9/L. The dosage of DUVYZAT is based on patient’s body weight. Administer orally twice daily with food. Dosage modifications may be needed for decreased platelet counts, diarrhea, increased triglycerides, or QTc prolongation.

Source: US FDA prescribing information

Warnings and precautions

Hematological Changes: DUVYZAT can cause dose-related thrombocytopenia and other signs of myelosuppression, including anemia and neutropenia. Monitor platelets, dosage adjustment or discontinuation may be needed. Increased Triglycerides: An increase in triglycerides can occur, dosage modification may be needed. Discontinuation may be needed. Gastrointestinal Disturbances: Adjust dosage if moderate or severe diarrhea occurs. Antiemetics or antidiarrheal medications may be considered during treatment with DUVYZAT. Discontinue DUVYZAT if the symptoms persist. QTc Prolongation: Avoid use of DUVYZAT in patients who are at an increased risk for ventricular arrhythmias.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described below and elsewhere in the labeling: Hematological Changes Increased Triglycerides Gastrointestinal Disturbances QTc Prolongation Most common adverse reactions (≥10% in DUVYZAT-treated patients) are diarrhea, abdominal pain, thrombocytopenia, nausea/vomiting, hypertriglyceridemia, and pyrexia.

Source: US FDA prescribing information

Interactions

Closely monitor when DUVYZAT is used in combination with an oral CYP3A4 sensitive substrate or a sensitive substrate of the OCT2 transporter, for which a small change in substrate plasma concentration may lead to serious toxicities. Avoid concomitant use with other drugs that prolong the QTc interval, monitor ECG if concomitant use cannot be avoided.

Source: US FDA prescribing information

Storage

Store at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). Do not freeze. Store upright.

Source: US FDA prescribing information

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

All presentations

1 presentations of Givinostat, sorted by availability.

MedicineManufacturerRegisterAvailability
Duvyzat 8.86 mg/mL oral suspensionOralItalfarmacoUS 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 21 March 2024Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Givinostat available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Givinostat and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Givinostat have?

The catalogue lists 1 brand names for Givinostat, including Duvyzat.

Is Givinostat approved by the US FDA?

Yes. The US FDA first approved Givinostat on 21 March 2024, according to Drugs@FDA.

Is Givinostat authorised in the European Union?

Yes. Givinostat has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Givinostat need cold chain shipping?

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

Which ATC class is Givinostat in?

Givinostat is classified under ATC code M09AX14 (Givinostat).

References

  1. DUVYZAT prescribing information (Italfarmaco). U.S. National Library of Medicine, DailyMed. Retrieved 21 November 2024
  2. Duvyzat: European public assessment report (EPAR). European Medicines Agency. Retrieved 12 October 2026

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