Product image of Inrebic (Fedratinib) supplied by GNH India

Inrebic

Active Ingredient:
Fedratinib
Origin:
EU

Inrebic (Fedratinib)

Fedratinib, the active ingredient in Inrebic, is a JAK2 inhibitor presented as a tablet for oral use. It treats primary or secondary myelofibrosis in adult patients.\n\nGNH India supplies Inrebic as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Bristol-Myers Squibb Pharma Eeig

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Indications & Clinical Uses

  • Inrebic acts on the JAK‑STAT pathway to manage myelofibrosis, a chronic myeloproliferative disorder.\n\nPrimary myelofibrosis: reduces spleen size and alleviates disease‑related symptoms.\nSecondary myelofibrosis: provides disease control in patients who have progressed from other myeloproliferative neoplasms.\nMyeloproliferative neoplasm progression: helps delay progression of disease in eligible patients.

How It Works

  • Fedratinib selectively inhibits Janus kinase 2 (JAK2), blocking downstream STAT signaling pathways that drive proliferation and survival of malignant myeloid cells. By reducing JAK2‑mediated phosphorylation, the drug diminishes abnormal hematopoietic cell growth and ameliorates the pathological features of myelofibrosis.

Side Effects

  • Common Side Effects:\n- Fatigue\n- Diarrhea\n- Nausea\n- Anemia\n- Thrombocytopenia\n- Headache\n\nSerious or Rare Side Effects:\n- Wernicke encephalopathy\n- Severe infections\n- Hepatic toxicity\n- Tumor lysis syndrome\n- Cardiac failure\n- Pulmonary hypertension

Precautions & Warnings

  • Before initiating therapy, clinicians should assess baseline blood counts and liver function.\n\nMonitor blood counts: perform regular CBC to detect anemia or thrombocytopenia.\nAssess for Wernicke encephalopathy: watch for confusion, ataxia, or ophthalmoplegia.\nEvaluate liver function: check hepatic enzymes periodically.\nReview concomitant CYP3A4 inhibitors: adjust dose or avoid if strong inhibitors are used.\nStore at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

  • Fedratinib may interact with several drug classes that affect its metabolism or safety profile.\n\nMajor Interactions (Avoid):\n- Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase Fedratinib exposure.\n- Anticoagulants (e.g., warfarin): heightened bleeding risk.\n- Other JAK inhibitors: additive immunosuppression.\n\nModerate Interactions (Monitor Closely):\n- Moderate CYP3A4 inhibitors (e.g., fluconazole): may require dose adjustment.\n- CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy.

Frequently Asked Questions

Inrebic is prescribed for adult patients with primary or secondary myelofibrosis, a chronic bone‑marrow disorder. It helps reduce spleen enlargement, improve disease‑related symptoms, and may slow disease progression when other therapies are insufficient.

Fedratinib selectively blocks the activity of Janus kinase 2 (JAK2), a key enzyme in the JAK‑STAT signaling pathway. Inhibiting JAK2 reduces abnormal cell proliferation and cytokine production that drive the pathology of myelofibrosis.

The dosage of Inrebic is individualized by the prescribing clinician based on the patient’s clinical status, laboratory values, and treatment response. Only a qualified healthcare professional should determine the appropriate dosing regimen.

The safety of Fedratinib in pregnancy and lactation has not been established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and women should discuss contraception and breastfeeding plans with their physician.

To place an order, submit an enquiry on the Inrebic product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Inrebic (Fedratinib) is a selective JAK2 inhibitor, whereas other agents such as ruxolitinib target both JAK1 and JAK2. Fedratinib may be preferred in patients who have progressed on or are intolerant to broader JAK inhibitors, but therapeutic choice depends on individual patient factors and physician judgment.

Inrebic tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Do not store in areas with high humidity or extreme heat.

Inrebic is taken orally as a tablet, usually with water. The exact timing and whether it should be taken with food are determined by the prescribing clinician based on the patient’s overall treatment plan.

Serious risks include Wernicke encephalopathy, severe infections, hepatic toxicity, tumor lysis syndrome, cardiac failure, and pulmonary hypertension. Patients should be monitored closely for neurological symptoms, liver function changes, and signs of infection throughout therapy.

Inrebic is contraindicated in patients with known hypersensitivity to Fedratinib or any tablet excipients. Caution is advised for individuals with pre‑existing severe liver disease, active infections, or a history of Wernicke encephalopathy. The drug should not be used without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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