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, together with cedazuridine, is a DNA methyltransferase inhibitor presented as a 35 mg decitabine / 100 mg cedazuridine oral tablet for oral use. It treats myelodysplastic syndromes and acute myeloid leukemia in adult patients.

GNH India supplies Inaqovi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Otsuka Pharmaceutical Netherlands B.V.

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Indications & Clinical Uses

  • Inaqovi is used in the treatment of hematologic malignancies that involve abnormal DNA methylation.
  • Myelodysplastic syndromes (MDS): improves blood counts and reduces risk of progression to acute leukemia.
  • Acute myeloid leukemia (AML): induces remission and prolongs survival in eligible patients.
  • Older adults with AML who are not candidates for intensive chemotherapy: provides a less intensive oral therapeutic option.

How It Works

  • Decitabine incorporates into DNA and inhibits DNA methyltransferase, leading to hypomethylation and re‑activation of tumor‑suppressor genes. Cedazuridine blocks cytidine deaminase, preventing rapid degradation of decitabine and thereby increasing its oral bioavailability, allowing effective systemic exposure after oral administration.

Side Effects

Common Side Effects

  • Nausea
  • Fatigue
  • Diarrhoea or constipation
  • Fever
  • Decreased blood counts (neutropenia, thrombocytopenia)

Serious or Rare Side Effects

  • Severe infections
  • Liver toxicity (elevated transaminases)
  • Pulmonary infiltrates or interstitial lung disease
  • Tumour lysis syndrome
  • Significant bleeding events
  • Cardiac arrhythmias

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and monitor patients closely.

  • Monitor blood counts: perform regular complete blood count assessments.
  • Assess liver function: check hepatic enzymes periodically.
  • Evaluate renal function: adjust care for impaired clearance.
  • Avoid in patients with active uncontrolled infection.
  • Use effective contraception: both male and female patients of reproductive potential should employ reliable birth control.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Inaqovi may interact with several concomitant medications.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may markedly reduce drug exposure.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may exacerbate gastrointestinal toxicity.
  • Antifungal agents (e.g., fluconazole): can increase plasma levels of decitabine.
  • Allopurinol: potential for hypersensitivity reactions.

Frequently Asked Questions

Inaqovi is indicated for the treatment of myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML). It is used in adult patients to improve blood cell production in MDS and to induce remission in AML, offering an oral therapeutic option for these hematologic cancers.

Decitabine inhibits DNA methyltransferase, leading to hypomethylation of DNA and re‑activation of tumor‑suppressor genes. Cedazuridine blocks the enzyme cytidine deaminase, which normally degrades decitabine, thereby increasing its oral bioavailability and allowing effective systemic exposure after a tablet is taken.

The prescribed dose of Inaqovi is determined by the treating physician based on the patient’s clinical condition, disease severity, and laboratory parameters. Dosing regimens are individualized and should follow the prescribing information provided by the healthcare professional.

The safety of Inaqovi in pregnancy or while breastfeeding has not been established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and decisions should be made in consultation with a qualified healthcare provider.

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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any required temperature control) and import documentation.

Inaqovi offers an oral alternative to injectable hypomethylating agents, combining decitabine with cedazuridine to improve bioavailability. Compared with intravenous decitabine, it provides comparable efficacy with the convenience of oral administration, which can reduce clinic visits and improve patient quality of life.

Inaqovi tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the container tightly closed and out of reach of children.

Inaqovi is taken orally as a tablet, usually once daily on a scheduled treatment cycle as directed by the prescribing physician. The tablet should be swallowed whole with water and not crushed or chewed.

Serious risks include severe infections due to bone‑marrow suppression, liver toxicity, pulmonary complications, tumor lysis syndrome, significant bleeding, and cardiac arrhythmias. Patients should be monitored closely for these events, and any signs of serious adverse reactions require immediate medical attention.

Inaqovi is contraindicated in patients with known hypersensitivity to decitabine, cedazuridine, or any tablet excipients. It should also be avoided in individuals with active uncontrolled infections or those receiving live vaccines, unless the benefits outweigh the risks as assessed by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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