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MedsAcross

Molecule

Nirogacestat

Gamma Secretase Inhibitor
Available on requestOrphanOncology
Presentations
2
Brands
1
Manufacturers
1
Available from stock
0

Nirogacestat is a gamma secretase inhibitor indicated for adult patients with progressing desmoid tumors who require systemic treatment. It is available as tablets for oral use. MedsAcross supplies Nirogacestat 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
Gamma Secretase Inhibitor, Cytochrome P450 2C19 Inducers, Cytochrome P450 3A Inhibitors, Gamma Secretase Inhibitors
ATC classification
L01XX81 Nirogacestat · Cancer medicines (antineoplastics), subgroup L01X, subgroup L01XX
US FDA first approval
27 November 2023
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII QZ62892OFJCAS 1290543-63-3DrugBank DB12005Q27088329

Clinical information

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

Uses

OGSIVEO is indicated for adult patients with progressing desmoid tumors who require systemic treatment. OGSIVEO is a gamma secretase inhibitor indicated for adult patients with progressing desmoid tumors who require systemic treatment.

Source: US FDA prescribing information

How it works

Nirogacestat is a gamma secretase inhibitor that blocks proteolytic activation of the Notch receptor. When dysregulated, Notch can activate pathways that contribute to tumor growth.

Source: US FDA prescribing information

Dosing overview

The recommended dosage is 150 mg orally twice daily until disease progression or unacceptable toxicity. See Full Prescribing Information for dosage modifications due to adverse reactions.

Source: US FDA prescribing information

Warnings and precautions

Diarrhea: Severe diarrhea can occur. Monitor and dose modify for Grade 3-4 diarrhea. Ovarian Toxicity: Female reproductive function and fertility may be impaired. Advise females of reproductive potential of the potential risk prior to treatment and monitor routinely. Hepatotoxicity: Elevated AST and ALT can occur. Monitor AST and ALT regularly and modify dose as recommended. Non-Melanoma Skin Cancers: Perform dermatologic examination prior to initiation of OGSIVEO and routinely during treatment. Electrolyte Abnormalities: Monitor phosphate and potassium regularly and modify dose as recommended. Hypersensitivity Reactions: Monitor for signs and symptoms of hypersensitivity, interrupt or permanently discontinue OGSIVEO based on severity. Embryo-Fetal Toxicity: Can cause fetal harm.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are described elsewhere in the labeling: Diarrhea Ovarian Toxicity Hepatotoxicity Non-Melanoma Skin Cancers Electrolyte Abnormalities Hypersensitivity Reactions The most common ( > 15 %) adverse reactions are diarrhea, ovarian toxicity, rash, nausea, fatigue, stomatitis, headache, abdominal pain, cough, alopecia, upper respiratory tract infection and dyspnea. The most common laboratory abnormalities (≥15%) are decreased phosphate, increased urine glucose, increased urine protein, increased AST, increased ALT, and decreased potassium.

Source: US FDA prescribing information

Interactions

Strong or moderate CYP3A inhibitors: Avoid concomitant use. Strong or moderate CYP3A inducers: Avoid concomitant use. Gastric acid reducing agents: Avoid concomitant use with proton pump inhibitors and H2-receptor antagonists. If concomitant use cannot be avoided, OGSIVEO administration can be staggered with antacids.

Source: US FDA prescribing information

Storage

Store at 20°C to 25°C (68°F to 77°F). Excursions permitted between 15°C to 30°C (59°F to 86°F). See USP Controlled Room Temperature.

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 Nirogacestat, sorted by availability.

MedicineManufacturerRegisterAvailability
Ogsiveo 100 mg tabletOralSpringWorks TherapeuticsUS FDAAvailable on request
Ogsiveo 150 mg tabletOralSpringWorks TherapeuticsUS 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 27 November 2023Drugs@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 Nirogacestat available for export from India?

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

What brand names does Nirogacestat have?

The catalogue lists 1 brand names for Nirogacestat, including Ogsiveo.

Is Nirogacestat approved by the US FDA?

Yes. The US FDA first approved Nirogacestat on 27 November 2023, according to Drugs@FDA.

Is Nirogacestat authorised in the European Union?

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

Does Nirogacestat need cold chain shipping?

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

Which ATC class is Nirogacestat in?

Nirogacestat is classified under ATC code L01XX81 (Nirogacestat).

References

  1. OGSIVEO prescribing information (SpringWorks Therapeutics). U.S. National Library of Medicine, DailyMed. Retrieved 1 September 2026
  2. Ogsiveo: European public assessment report (EPAR). European Medicines Agency. Retrieved 5 November 2026

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