Product image of Inaqovi (Decitabine, Cedazuridine) supplied by GNH India

Inaqovi

Active Ingredient:
Decitabine, Cedazuridine
Origin:
EU

Inaqovi (Decitabine, Cedazuridine)

Decitabine, the active ingredient in Inaqovi, is a DNA methyltransferase inhibitor (hypomethylating agent) presented as a fixed‑dose oral tablet containing 35 mg decitabine and 100 mg cedazuridine for oral administration. It is indicated for the treatment of myelodysplastic syndromes and chronic myelomonocytic leukemia in adult patients.

GNH India supplies Inaqovi as a licensed, GMP‑qualified, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, oncology centres, transplant units and retail pharmacies worldwide, with support for regulatory documentation and timely delivery.

Manufacturer / TM Owner

Otsuka Pharmaceutical Netherlands B.V.

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Indications & Clinical Uses

  • Inaqovi is used in hematologic malignancies that involve abnormal DNA methylation.
  • Myelodysplastic syndromes: improves blood counts and may reduce transfusion dependence.
  • Chronic myelomonocytic leukemia: reduces disease burden and prolongs survival.
  • Adult patients with intermediate‑ or high‑risk disease: provides disease‑modifying therapy that can delay progression to acute leukemia.

How It Works

  • Decitabine incorporates into DNA and covalently binds DNA methyltransferase, leading to enzyme inhibition and global hypomethylation, which re‑expresses silenced tumor suppressor genes. Cedazuridine blocks cytidine deaminase in the gut and liver, preventing rapid degradation of decitabine and thereby increasing its oral bioavailability.

Side Effects

Adverse reactions may occur with Inaqovi treatment.

Common Side Effects

  • Nausea
  • Fatigue
  • Diarrhea
  • Neutropenia (low white‑blood‑cell count)

Serious or Rare Side Effects

  • Severe infections due to profound myelosuppression
  • Elevated liver enzymes indicating hepatic injury
  • Pulmonary toxicity such as interstitial pneumonitis

Precautions & Warnings

  • Before initiating therapy, clinicians should consider several safety measures.
  • Monitor blood counts: perform regular complete blood count assessments.
  • Assess liver function: check hepatic enzymes prior to and during treatment.
  • Evaluate renal function: adjust use if severe impairment is present.
  • Avoid in patients with active uncontrolled infection: risk of worsening infection.
  • Use effective contraception: potential teratogenicity is unknown.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Inaqovi may interact with other medicines; awareness of interaction severity is important.

Major Interactions (Avoid)

  • Co‑administration with other hypomethylating agents: additive myelosuppression.
  • Live vaccines: increased risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Antacids: may affect oral absorption of cedazuridine.
  • NSAIDs or anticoagulants: heightened bleeding tendency.
  • Strong CYP3A4 inhibitors: potential increase in cedazuridine levels.

Frequently Asked Questions

Inaqovi is an oral fixed‑dose combination of decitabine and cedazuridine indicated for the treatment of myelodysplastic syndromes and chronic myelomonocytic leukemia in adult patients. It belongs to the class of DNA methyltransferase inhibitors, which modify abnormal gene silencing in these hematologic conditions.

Decitabine is incorporated into cellular DNA where it binds and inactivates DNA methyltransferase enzymes. This inhibition leads to hypomethylation of DNA, re‑activating tumor‑suppressor genes and altering malignant cell growth. Cedazuridine protects decitabine from rapid degradation, allowing sufficient oral exposure.

The prescribed dose of Inaqovi is determined by the treating physician based on the patient’s disease characteristics, laboratory values, and overall health. The product is supplied as a tablet containing 35 mg decitabine and 100 mg cedazuridine, and dosing schedules are individualized by the prescriber.

The safety of Inaqovi in pregnancy and lactation has not been established. Because the drug may affect fetal development, it should be avoided unless the potential benefit justifies the risk. Women of child‑bearing potential should use effective contraception, and breastfeeding is not recommended while on therapy.

To order Inaqovi, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials. The sales team then replies with pricing, availability, shipping details and any required import documentation.

Inaqovi combines decitabine with cedazuridine to enable oral delivery, whereas traditional hypomethylating agents such as decitabine alone require intravenous infusion. The oral formulation offers greater convenience and may improve patient adherence, while providing comparable efficacy in approved indications.

Inaqovi tablets should be stored at temperatures below 25 °C, in the original packaging, and protected from moisture. Do not expose the product to excessive heat or humidity, and keep it out of reach of children.

Inaqovi is taken orally as a whole tablet with water, typically on a scheduled day each treatment cycle as directed by the prescriber. It should be swallowed whole and not split, chewed, or crushed unless specifically instructed by a healthcare professional.

The most serious risks include severe myelosuppression leading to infections, bleeding, or anemia, as well as potential liver toxicity and pulmonary complications such as interstitial pneumonitis. Patients should be monitored closely for signs of infection, abnormal liver tests, and respiratory symptoms.

Inaqovi is contraindicated in patients with known hypersensitivity to decitabine, cedazuridine, or any excipients in the tablet. It should also be avoided in individuals with active uncontrolled infections or those receiving live vaccines, due to the heightened risk of severe immunosuppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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