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 presented as a subcutaneous injection for use in the treatment of relapsing forms of multiple sclerosis in adults. It works by selectively depleting lymphocytes that contribute to disease activity, offering a disease‑modifying approach for patients with active disease.

GNH India supplies Leuject as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

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

  • Leuject (cladribine) is indicated for disease‑modifying therapy in multiple sclerosis, targeting the immune pathways that drive relapses and progression.
  • Multiple sclerosis (relapsing‑remitting): reduces annualized relapse rate and slows disability accumulation.
  • Relapsing‑progressive MS with active disease: delays confirmed disability progression.
  • Active MRI lesions in MS: decreases formation of new inflammatory lesions.

How It Works

  • Cladribine is a purine nucleoside analog that is taken up by lymphocytes and phosphorylated intracellularly. The phosphorylated form incorporates into DNA, leading to inhibition of DNA synthesis and selective apoptosis of B and T lymphocytes, thereby reducing the autoimmune activity that underlies multiple sclerosis.

Side Effects

Leuject may cause a range of adverse reactions, ranging from mild to serious.

Common Side Effects

  • Lymphopenia: reduced lymphocyte counts.
  • Infections: upper respiratory or urinary tract infections.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Fatigue: generalized tiredness.
  • Injection site reactions: redness or swelling.

Serious or Rare Side Effects

  • Severe lymphopenia leading to opportunistic infections.
  • Reactivation of latent viruses (e.g., herpes zoster).
  • Malignancies: rare reports of skin or lymphoid cancers.
  • Autoimmune hepatitis: liver enzyme elevations.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Progressive multifocal leukoencephalopathy (PML): extremely rare but life‑threatening.

Precautions & Warnings

  • Before initiating Leuject, clinicians should assess baseline immune status and monitor patients throughout therapy.
  • Monitor lymphocyte counts: perform regular blood tests to detect lymphopenia.
  • Screen for infections: evaluate for active or latent infections before treatment.
  • Avoid live vaccines: do not administer live attenuated vaccines during therapy.
  • Pregnancy and breastfeeding: discuss risks; use only if benefits outweigh potential harms.
  • Assess hepatic function: monitor liver enzymes periodically.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Cladribine may interact with other agents that affect immune function or drug metabolism.

Major Interactions (Avoid)

  • Concurrent immunosuppressants (e.g., azathioprine, cyclophosphamide): may exacerbate lymphocyte depletion.
  • Live vaccines: increased risk of vaccine‑derived infection.
  • Strong CYP3A4 inhibitors: may alter cladribine metabolism (theoretical).

Moderate Interactions (Monitor Closely)

  • Other disease‑modifying therapies for MS (e.g., interferon‑β, glatiramer acetate): monitor additive immunosuppression.
  • Antiviral prophylaxis agents: adjust dosing if needed.
  • Antiepileptic drugs that induce hepatic enzymes: may reduce exposure.
  • Vaccinations with inactivated vaccines: assess immune response.
  • Herbal supplements affecting immunity (e.g., echinacea): advise caution.

Frequently Asked Questions

Leuject contains cladribine and is used as a disease‑modifying therapy for adults with relapsing forms of multiple sclerosis. It helps reduce the frequency of relapses and slows the accumulation of disability by targeting the immune cells that drive disease activity.

Cladribine is a purine nucleoside analog that enters lymphocytes and is phosphorylated inside the cell. The phosphorylated form incorporates into DNA, inhibiting DNA synthesis and leading to selective apoptosis of B and T lymphocytes, thereby reducing the autoimmune response responsible for multiple sclerosis lesions.

The dosing regimen for Leuject is determined by the prescribing physician based on the patient’s clinical profile, disease activity, and regulatory guidelines. Healthcare professionals tailor the dose and schedule to each individual, and patients should follow the prescriber’s instructions precisely.

Cladribine may pose risks to a developing fetus and to a nursing infant. It should only be used during pregnancy or lactation if the potential benefits justify the potential risks. Women of childbearing potential should discuss contraception and pregnancy planning with their healthcare provider before starting therapy.

To request Leuject, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain handling if required) and assist with import documentation.

Leuject (cladribine) differs from many other disease‑modifying therapies by providing short‑course oral‑like dosing that leads to sustained lymphocyte depletion, whereas agents such as interferons or dimethyl fumarate require continuous daily administration. Its efficacy in reducing relapse rates is comparable to other high‑efficacy options, but safety profiles and monitoring requirements vary, making individual patient factors important in therapy selection.

Leuject should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability and ensure proper handling during transport.

Leuject is administered by subcutaneous injection. The injection is typically given by a healthcare professional in a clinical setting according to the prescribed schedule. Patients should be observed for any immediate reactions after the injection and instructed on post‑administration care.

The most serious risks include severe lymphopenia that can lead to opportunistic infections, reactivation of latent viruses such as herpes zoster, rare cases of malignancy, autoimmune hepatitis, and very rare neurological complications like progressive multifocal leukoencephalopathy. Patients should be monitored closely for signs of infection or abnormal laboratory results.

Leuject is contraindicated in patients with active severe infections, known hypersensitivity to cladribine or any excipients, and those who are pregnant unless the benefits outweigh the risks. Individuals with significant immunodeficiency or who are receiving other potent immunosuppressive therapies should avoid its use unless specifically directed by a specialist.

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.