Product image of Leuject (Cladribine) supplied by GNH India

Leuject

Active Ingredient:
Cladribine
Origin:
EU

Leuject (Cladribine)

Cladribine, the active ingredient in Leuject, is a purine nucleoside analog (antineoplastic) presented as a subcutaneous formulation for injection use. It functions as an immunosuppressant and antineoplastic agent, indicated for conditions such as multiple sclerosis, hairy cell leukemia, and chronic lymphocytic leukemia, where it selectively reduces pathogenic lymphocytes.

GNH India supplies Leuject as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, oncology centres, and pharmacies worldwide under strict quality standards and regulatory compliance, and ensuring reliable delivery across global markets.

Manufacturer / TM Owner

Atnahs Pharma Netherlands B.V.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Cladribine is used in disease‑modifying therapy for immune‑mediated and hematologic conditions.

  • Multiple sclerosis: reduces relapse frequency and slows disability progression by depleting autoreactive lymphocytes.
  • Hairy cell leukemia: induces remission by targeting malignant B‑cell clones.
  • Chronic lymphocytic leukemia: achieves disease control through lymphocyte depletion and apoptosis induction.

How It Works

  • Cladribine enters cells via nucleoside transporters and is phosphorylated by deoxycytidine kinase to its active triphosphate form. The triphosphate incorporates into DNA during replication, causing strand breaks and triggering apoptosis. Because lymphocytes have high deoxycytidine kinase activity and limited repair capacity, they are preferentially affected, leading to selective depletion of B and T cells while sparing most other cell types.

Side Effects

Cladribine may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Flu-like symptoms: fever, chills, and fatigue.
  • Nausea or vomiting.
  • Transient lymphopenia.
  • Injection site reactions: redness or mild pain.

Serious or Rare Side Effects

  • Severe infections: opportunistic or bacterial infections due to profound immunosuppression.
  • Secondary malignancies: rare reports of new cancers.
  • Autoimmune disorders: potential emergence of autoimmune hepatitis or thyroiditis.

Precautions & Warnings

When prescribing cladribine, clinicians should consider several precautionary measures to minimize risk.

  • Screen for active infections: treat before initiating therapy.
  • Monitor lymphocyte counts: regular blood tests to detect prolonged depletion.
  • Assess vaccination status: administer required vaccines prior to treatment.
  • Avoid live vaccines during and after therapy until immune reconstitution.
  • Renal or hepatic impairment: adjust monitoring as metabolism may be affected.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Cladribine can interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Live attenuated vaccines: may cause uncontrolled infection.
  • Potent immunosuppressants (e.g., high‑dose corticosteroids, cyclophosphamide): increase risk of severe immunosuppression.
  • Antiviral agents that inhibit deoxycytidine kinase: may reduce activation of cladribine.

Moderate Interactions (Monitor Closely)

  • Vaccines (non‑live): efficacy may be reduced; monitor immune response.
  • Renal excretion modifiers (e.g., probenecid): may alter drug clearance.
  • Hepatotoxic drugs: combined liver stress warrants liver function monitoring.

Frequently Asked Questions

Leuject contains cladribine, which is employed as an immunosuppressant and antineoplastic agent. It is approved for the treatment of multiple sclerosis, hairy cell leukemia, and chronic lymphocytic leukemia, where it helps control disease activity by reducing abnormal lymphocyte populations.

Cladribine is taken up by cells and phosphorylated to an active triphosphate that incorporates into DNA. This incorporation causes DNA strand breaks and triggers programmed cell death, especially in lymphocytes that have high activating enzyme activity, leading to selective depletion of these immune cells.

The dosing regimen for Leuject is determined by the prescribing clinician based on the specific indication, patient characteristics, and clinical guidelines. Healthcare professionals set the dose and schedule, and patients should follow the prescriber’s instructions without self‑adjustment.

Safety data for cladribine during pregnancy and lactation are limited. It is generally advised to avoid use in pregnant or nursing women unless the potential benefit justifies the potential risk. Clinicians should discuss reproductive planning and contraception with patients before initiating therapy.

To order Leuject, 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 cold‑chain if needed) and necessary import documentation.

Leuject (cladribine) is a purine nucleoside analog, whereas alternative disease‑modifying therapies for multiple sclerosis, such as alemtuzumab or ocrelizumab, are monoclonal antibodies. Cladribine offers a short‑course oral or injectable regimen with a distinct mechanism of selective lymphocyte depletion, while antibodies target surface antigens and often require continuous infusion.

Leuject should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight, and extreme temperatures. Do not freeze. Follow any additional handling instructions provided by the supplier to maintain product integrity.

Leuject is administered by subcutaneous injection. A qualified healthcare professional prepares the dose according to the prescriber’s instructions and injects it into the subcutaneous tissue, typically in the abdomen or thigh, following aseptic technique and proper disposal of sharps.

The most serious risks include severe infections due to immune suppression, opportunistic infections, and the rare development of secondary malignancies. Patients should be monitored for signs of infection, undergo regular blood counts, and report any unusual symptoms promptly to their healthcare provider.

Leuject is contraindicated in individuals with active, uncontrolled infections, known hypersensitivity to cladribine or any excipients, and those receiving live vaccines. Caution is also advised for patients with severe renal or hepatic impairment, and it should be avoided in pregnant or breastfeeding women unless absolutely necessary.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.