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 an oral tablet for oral use. It treats adult patients with renal cell carcinoma, gastrointestinal stromal tumor, and pancreatic neuroendocrine tumor by targeting tumor growth pathways.

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

  • Klertis (sunitinib) is indicated for malignancies that depend on receptor tyrosine‑kinase signaling.
  • Renal cell carcinoma: slows disease progression and extends survival in advanced cases.
  • Gastrointestinal stromal tumor: inhibits tumor growth after failure of first‑line therapy.
  • Pancreatic neuroendocrine tumor: reduces tumor size and delays disease progression.

How It Works

  • Sunitinib inhibits multiple receptor tyrosine kinases, including VEGFR, PDGFR, KIT, and FLT3. By blocking these receptors it interferes with angiogenesis, tumor cell proliferation, and survival signaling pathways, thereby limiting the growth and spread of cancer cells.

Side Effects

Adverse reactions may vary in 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 managed with anti‑emetics.
  • Hand‑foot syndrome: redness or swelling of palms and soles.
  • Hypertension: elevated blood pressure requiring monitoring.
  • Decreased appetite: reduced desire to eat.

Serious or Rare Side Effects

  • Cardiac dysfunction: reduced left‑ventricular ejection fraction.
  • Liver toxicity: elevated transaminases or bilirubin.
  • Hemorrhage: bleeding events, including gastrointestinal.
  • Thromboembolic events: deep‑vein thrombosis or pulmonary embolism.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Neutropenia: low white‑blood‑cell count increasing infection risk.

Precautions & Warnings

  • Patients should be evaluated for specific risks before initiating therapy.
  • Baseline cardiac assessment: perform echocardiogram or MUGA scan.
  • Blood pressure monitoring: check regularly and treat hypertension promptly.
  • Liver function tests: assess before and during treatment.
  • Hematologic monitoring: complete blood count to detect cytopenias.
  • Avoid concurrent strong CYP3A4 inhibitors: may increase sunitinib exposure.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture and light.

Avoid Interactions

Sunitinib may interact with other medicines that affect its metabolism or safety profile.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): can raise sunitinib levels.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy.
  • Anticoagulants (e.g., warfarin): increased bleeding risk.

Moderate Interactions (Monitor Closely)

  • CYP2C9 substrates (e.g., phenytoin): possible altered plasma concentrations.
  • Antihypertensives: may need dose adjustment due to blood‑pressure effects.
  • CYP3A4 substrates with narrow therapeutic index (e.g., tacrolimus): monitor drug levels.

Frequently Asked Questions

Klertis contains sunitinib, a targeted therapy approved for adult patients with advanced renal cell carcinoma, gastrointestinal stromal tumor that has progressed after prior treatment, and pancreatic neuroendocrine tumor. It works by inhibiting 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 (new blood‑vessel formation) and directly suppresses cancer‑cell proliferation, leading to slowed tumor growth and potential tumor shrinkage.

The exact dose and schedule of Klertis are determined by the prescribing physician based on the specific cancer type, disease stage, patient weight, renal function, and tolerance. Healthcare professionals adjust the regimen to achieve the best therapeutic outcome while managing safety.

Sunitinib is classified as contraindicated in pregnancy because it may cause fetal harm. Women of child‑bearing potential should use effective contraception during treatment and for a defined period after the last dose. Safety during breastfeeding has not been established, so nursing is generally discouraged.

To place an order, 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.

Klertis (sunitinib) shares the same class as drugs like pazopanib and sorafenib but differs in its kinase inhibition profile. Sunitinib uniquely targets KIT and FLT3 in addition to VEGFR and PDGFR, making it effective for gastrointestinal stromal tumors and certain neuroendocrine tumors where other agents may be less active.

Klertis should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original blister pack or container, protect them from moisture, heat, and direct sunlight to maintain stability throughout the shelf life.

Klertis is taken orally, usually as a whole tablet swallowed with water. The prescribing physician will indicate whether the tablet should be taken with food or on an empty stomach, and will outline the treatment cycle (e.g., four weeks on, two weeks off) based on clinical guidelines.

Serious adverse events include cardiac dysfunction (reduced left‑ventricular ejection fraction), severe hypertension, liver toxicity, bleeding complications, thromboembolic events, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for these conditions.

Klertis is contraindicated in patients with known hypersensitivity to sunitinib or any of its excipients. It should also be avoided in individuals with uncontrolled hypertension, recent major cardiovascular events, or severe hepatic impairment unless a specialist determines the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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