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Molecule

Ritlecitinib

Also known as ritlecitinib tosylate
Available on requestImmunology and transplant
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Ritlecitinib is a kinase inhibitor indicated for the treatment of severe alopecia areata in adults and adolescents 12 years and older. It is available as capsules for oral use. MedsAcross supplies Ritlecitinib 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, Cytochrome P450 1A2 Inhibitors, Cytochrome P450 3A Inhibitors, Janus Kinase 3 Inhibitors, Tyrosine Kinase Inhibitors
ATC classification
L04AF08 Ritlecitinib · Immunosuppressive drug, subgroup L04AF
US FDA first approval
23 June 2023
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII 2OYE00PC25CAS 1792180-81-4DrugBank DB14924Q120487896

Clinical information

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

Uses

LITFULO is a kinase inhibitor indicated for the treatment of severe alopecia areata in adults and adolescents 12 years and older. Limitations of Use: Not recommended for use in combination with other JAK inhibitors, biologic immunomodulators, cyclosporine or other potent immunosuppressants.

Source: US FDA prescribing information

How it works

LITFULO is a kinase inhibitor. Ritlecitinib irreversibly inhibits Janus kinase 3 (JAK3) and the tyrosine kinase expressed in hepatocellular carcinoma (TEC) kinase family by blocking the adenosine triphosphate (ATP) binding site. In cellular settings, ritlecitinib inhibits cytokine induced STAT phosphorylation mediated by JAK3-dependent receptors. Additionally, ritlecitinib inhibits signaling of immune receptors dependent on TEC kinase family members. The relevance of inhibition of specific JAK or TEC family enzymes to therapeutic effectiveness is not currently known.

Source: US FDA prescribing information

Dosing overview

• For recommended testing, evaluations and immunizations prior to LITFULO initiation, see Full Prescribing Information. • Recommended dosage is 50 mg orally once daily. • For dosage interruption for certain adverse reactions, see Full Prescribing Information.

Source: US FDA prescribing information

Contraindications

LITFULO is contraindicated in patients with known hypersensitivity to ritlecitinib or any of its excipients.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning: Increased risk of serious bacterial, fungal, viral, and opportunistic infections that may lead to hospitalization or death, including tuberculosis (TB). Interrupt treatment if serious infection occurs until the infection is controlled. LITFULO should not be given to patients with active tuberculosis. Test for latent TB before and during therapy, start treating latent TB prior to use. • Hypersensitivity: Discontinue LITFULO if a clinically significant hypersensitivity reaction occurs. • Hypoglycemia in Patients with Diabetes: Consider increased monitoring of blood glucose, advise diabetic patients to notify their healthcare provider if they develop signs and symptoms of hypoglycemia. • Laboratory Abnormalities: Perform ALC and platelet counts prior to LITFULO initiation. Treatment interruption or discontinuation are recommended based on ALC and platelet count abnormalities.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: • Serious Infections • Malignancy and Lymphoproliferative Disorders • Thromboembolic Events • Hypersensitivity • Laboratory Abnormalities Most common adverse reactions (incidence ≥1%) are headache, diarrhea, acne, rash, urticaria, folliculitis, pyrexia, atopic dermatitis, dizziness, blood creatine phosphokinase increased, herpes zoster, red blood cell count decreased, and stomatitis.

Source: US FDA prescribing information

Interactions

• Certain CYP3A substrates: Additional monitoring and dose adjustment of CYP3A substrate should be considered. • Certain CYP1A2 substrates: Additional monitoring and dose adjustment of CYP1A2 substrate should be considered. • Certain CYP3A inducers: Coadministration with strong inducers of CYP3A is not recommended.

Source: US FDA prescribing information

Storage

Store LITFULO at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C to 30°C (59°F to 86°F).

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 Ritlecitinib, sorted by availability.

MedicineManufacturerRegisterAvailability
Litfulo 50 mg capsuleOralPfizer LaboratoriesUS 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 23 June 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 Ritlecitinib available for export from India?

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

What brand names does Ritlecitinib have?

The catalogue lists 1 brand names for Ritlecitinib, including Litfulo.

Is Ritlecitinib approved by the US FDA?

Yes. The US FDA first approved Ritlecitinib on 23 June 2023, according to Drugs@FDA.

Is Ritlecitinib authorised in the European Union?

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

Does Ritlecitinib need cold chain shipping?

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

Which ATC class is Ritlecitinib in?

Ritlecitinib is classified under ATC code L04AF08 (Ritlecitinib).

References

  1. Litfulo prescribing information (US Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 17 June 2026
  2. Litfulo: European public assessment report (EPAR). European Medicines Agency. Retrieved 21 September 2026

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