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MedsAcross

Molecule

Pexidartinib

Also known as pexidartinib hydrochloride
Available on requestOrphanOncology
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Pexidartinib is a kinase inhibitor indicated for the treatment of adult patients with symptomatic tenosynovial giant cell tumor (TGCT) associated with severe morbidity or functional limitations and not amenable to improvement with surgery. MedsAcross supplies Pexidartinib 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
Kinase Inhibitor, Colony Stimulating Factor Receptor Type 1 (CSF-1R) Inhibitors, Cytochrome P450 2B6 Inhibitors, Cytochrome P450 3A Inducers, Kinase Inhibitors, Tyrosine Kinase Inhibitors, UGT1A1 Inhibitors
ATC classification
L01XE ALK inhibitor · Cancer medicines (antineoplastics), subgroup L01X
US FDA first approval
2 August 2019
EU status
Refused
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII 6783M2LV5XCAS 1029044-16-3DrugBank DB12978Q25100640

Clinical information

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

Uses

TURALIO is indicated for the treatment of adult patients with symptomatic tenosynovial giant cell tumor (TGCT) associated with severe morbidity or functional limitations and not amenable to improvement with surgery. TURALIO is a kinase inhibitor indicated for the treatment of adult patients with symptomatic tenosynovial giant cell tumor (TGCT) associated with severe morbidity or functional limitations and not amenable to improvement with surgery.

Source: US FDA prescribing information

How it works

Pexidartinib is a small molecule tyrosine kinase inhibitor that targets colony stimulating factor 1 receptor (CSF1R), KIT proto-oncogene receptor tyrosine kinase (KIT), and FMS-like tyrosine kinase 3 (FLT3) harboring an internal tandem duplication (ITD) mutation. Overexpression of the CSF1R ligand promotes cell proliferation and accumulation in the synovium. In vitro, pexidartinib inhibited proliferation of cell lines dependent on CSF1R and ligand-induced autophosphorylation of CSF1R. Pexidartinib also inhibited the proliferation of a CSF1R dependent cell line in vivo.

Source: US FDA prescribing information

Dosing overview

Recommended Dosage: 250 mg orally twice daily with a low-fat meal (approximately 11 to 14 grams of total fat). See full prescribing information for dosage modifications due to adverse reactions, renal impairment and hepatic impairment.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (hepatotoxicity turalio): can cause serious and potentially fatal liver injury, including vanishing bile duct syndrome. Monitor liver tests prior to initiation of TURALIO and at specified intervals during treatment. Withhold and dose reduce or permanently discontinue TURALIO based on severity of hepatotoxicity. Monitoring and prompt cessation of TURALIO may not eliminate the risk of serious and potentially fatal liver injury. Embryo-Fetal Toxicity: May cause fetal harm. Advise patients of reproductive potential of the potential risk to a fetus and to use an effective non-hormonal method of contraception. Potential Risks Associated with a High-Fat Meal: May increase incidence and severity of adverse reactions, including hepatotoxicity. Avoid taking TURALIO with a high-fat meal (approximately 55 to 65 grams of total fat).

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: Hepatotoxicity. Most common adverse reactions (>20%) were increased lactate dehydrogenase, increased aspartate aminotransferase, hair color changes, fatigue, increased alanine aminotransferase, decreased neutrophils, increased cholesterol, increased alkaline phosphatase, decreased lymphocytes, eye edema, decreased hemoglobin, rash, dysgeusia, and decreased phosphate.

Source: US FDA prescribing information

Interactions

Use with Hepatotoxic Products: Avoid coadministration of TURALIO with other products known to cause hepatotoxicity. Moderate or Strong CYP3A Inhibitors: Reduce the dose of TURALIO if concomitant use of moderate or strong CYP3A inhibitors cannot be avoided. Strong CYP3A Inducers: Avoid concomitant use of strong CYP3A inducers. UGT Inhibitors: Reduce the dose of TURALIO if concomitant use of UGT inhibitors cannot be avoided. Acid-Reducing Agents: Avoid concomitant use of proton pump inhibitors. Use histamine-2 receptor antagonists or antacids if needed. High-Fat Meal: Avoid taking TURALIO with a high-fat meal. CYP3A Substrates: Avoid concomitant use with CYP3A substrates where minimal concentration changes may lead to serious therapeutic failure.

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 Pexidartinib, sorted by availability.

MedicineManufacturerRegisterAvailability
Turalio 125 mg capsuleOralDaiichi SankyoUS 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 2 August 2019Drugs@FDA
EU (EMA)RefusedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Pexidartinib available for export from India?

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

What brand names does Pexidartinib have?

The catalogue lists 1 brand names for Pexidartinib, including Turalio.

Is Pexidartinib approved by the US FDA?

Yes. The US FDA first approved Pexidartinib on 2 August 2019, according to Drugs@FDA.

Does Pexidartinib need cold chain shipping?

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

Which ATC class is Pexidartinib in?

Pexidartinib is classified under ATC code L01XE (ALK inhibitor).

References

  1. Turalio prescribing information (Daiichi Sankyo). U.S. National Library of Medicine, DailyMed. Retrieved 16 January 2025

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