Product image of Klertis (Sunitinib) supplied by GNH India

Klertis

Active Ingredient:
Sunitinib
Origin:
EU

Klertis (Sunitinib)

Sunitinib, the active ingredient in Klertis, is a tyrosine kinase inhibitor presented as a tablet for oral use. It treats advanced renal cell carcinoma, gastrointestinal stromal tumor and pancreatic neuroendocrine tumor in adult patients.
GNH India supplies Klertis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Egis Pharmaceuticals Plc

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Indications & Clinical Uses

  • Sunitinib is indicated for malignancies that depend on receptor tyrosine kinase signaling.
  • Renal cell carcinoma: improves progression‑free survival and disease control in patients with advanced or metastatic renal cell carcinoma.
  • Gastrointestinal stromal tumor (GIST): provides disease control and tumor shrinkage in patients with unresectable or metastatic GIST after prior treatment.
  • Pancreatic neuroendocrine tumor: extends overall survival and delays disease progression in patients with advanced pancreatic neuroendocrine tumors.

How It Works

  • Sunitinib inhibits multiple receptor tyrosine kinases—including VEGFR, PDGFR, KIT and FLT3—thereby blocking angiogenesis and tumor cell proliferation. This multi‑target inhibition disrupts signaling pathways essential for tumor growth and vascular development, resulting in anti‑angiogenic and anti‑tumor effects.

Side Effects

Sunitinib may cause a range of adverse reactions, which are generally categorized by frequency and severity.

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may require fluid replacement.
  • Nausea: feeling of sickness often accompanied by vomiting.
  • Hand‑foot syndrome: redness, swelling or pain on palms and soles.

Serious or Rare Side Effects

  • Hypertension: significant increase in blood pressure that may need medication.
  • Cardiac dysfunction: reduced left‑ventricular ejection fraction or heart failure.
  • Severe liver injury: marked elevation of liver enzymes or hepatitis.

Precautions & Warnings

Before initiating therapy with Sunitinib, several safety considerations should be reviewed.

  • Baseline cardiac assessment: evaluate heart function with echocardiogram or MUGA scan.
  • Blood pressure monitoring: check and control hypertension regularly.
  • Liver function tests: perform baseline and periodic hepatic enzyme assessments.
  • Hematologic monitoring: monitor complete blood count for neutropenia or thrombocytopenia.
  • Pregnancy and lactation: avoid use in pregnancy; discuss risks with a healthcare professional.
  • Store at ambient temperature: keep tablets below 25 °C in the original container, protected from moisture and light.

Avoid Interactions

Sunitinib can interact with other medicines, altering its effectiveness or safety profile.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors: may increase sunitinib exposure and toxicity (e.g., ketoconazole, clarithromycin).
  • Strong CYP3A4 inducers: may reduce sunitinib levels and efficacy (e.g., rifampin, carbamazepine).

Moderate Interactions (Monitor Closely)

  • Anticoagulants: increased bleeding risk; monitor INR or clinical signs.
  • Antihypertensives: additive blood pressure effects; adjust dosing as needed.
  • CYP2C8 substrates: potential altered metabolism; observe for adverse effects.

Frequently Asked Questions

Klertis contains sunitinib and is prescribed for adult patients with advanced renal cell carcinoma, unresectable or metastatic gastrointestinal stromal tumor (GIST) after prior therapy, and metastatic pancreatic neuroendocrine tumor. It works by targeting pathways that drive tumor growth and blood vessel formation.

Sunitinib blocks several receptor tyrosine kinases such as VEGFR, PDGFR, KIT and FLT3. By inhibiting these receptors, it reduces angiogenesis—the formation of new blood vessels that feed tumors—and directly interferes with tumor cell proliferation, leading to slowed disease progression.

The specific dose and schedule of Klertis are determined by the treating physician based on the patient’s condition, weight, renal and hepatic function, and other clinical factors. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety of sunitinib in pregnancy and lactation has not been established, and the product carries an unknown pregnancy category. It is generally contraindicated in pregnant women and should be avoided during breastfeeding unless the benefits outweigh the risks and a specialist advises otherwise.

To order Klertis, submit an enquiry on the 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 (including any cold‑chain requirements) and necessary import documentation.

The primary alternative to sunitinib in these indications is pazopanib, another oral tyrosine kinase inhibitor. While both target VEGFR and PDGFR, sunitinib has a broader kinase profile that includes KIT and FLT3, which may offer efficacy advantages in certain GIST and neuroendocrine tumors, but the side‑effect spectrum differs and should be considered when selecting therapy.

Klertis tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original blister pack or container, protect from moisture and direct light, and keep out of reach of children. Do not refrigerate or freeze the tablets.

Klertis is taken orally as a tablet, usually with a glass of water. It can be taken with or without food, but patients should follow the prescriber’s guidance regarding timing relative to meals to minimize gastrointestinal discomfort.

Serious risks include severe hypertension, cardiac dysfunction such as reduced left‑ventricular ejection fraction or heart failure, and significant liver injury indicated by marked enzyme elevations or hepatitis. Patients should report symptoms like persistent high blood pressure, shortness of breath, chest pain, jaundice or unusual fatigue to their healthcare provider promptly.

Klertis should be avoided in patients with uncontrolled hypertension, severe hepatic impairment, or known hypersensitivity to sunitinib or any tablet excipients. It is also contraindicated during pregnancy and is not recommended for breastfeeding women unless a specialist determines the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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