Product image of Leukeran (Chlorambucil) supplied by GNH India

Leukeran

Active Ingredient:
Chlorambucil
Origin:
EU

Leukeran (Chlorambucil)

Chlorambucil, the active ingredient in Leukeran, is an alkylating agent presented as an oral tablet for oral use. It is employed in the treatment of certain leukemias and lymphomas in adult patients, including chronic lymphocytic leukemia, Hodgkin's lymphoma and non‑Hodgkin's lymphoma.

GNH India supplies Leukeran as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, with reliable logistics and regulatory support for cross‑border procurement. Our network ensures timely delivery and compliance with local import requirements. We maintain strict quality assurance throughout the supply chain.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Leukeran is an alkylating chemotherapy used to treat malignancies of the lymphoid and myeloid systems.

  • Chronic lymphocytic leukemia (CLL): helps control disease progression and prolongs survival in adult patients.
  • Hodgkin's lymphoma: used as part of combination therapy to achieve remission.
  • Non‑Hodgkin's lymphoma: contributes to disease control in indolent subtypes.
  • Polycythemia vera: reduces elevated red blood cell mass and mitigates thrombotic risk.
  • Other indolent lymphoid malignancies: provides therapeutic benefit where other options are limited.

How It Works

  • Chlorambucil alkylates DNA by forming covalent cross‑links between nucleophilic sites, which obstructs DNA replication and transcription. The resulting DNA damage triggers cell‑cycle arrest and apoptosis, preferentially affecting rapidly dividing malignant cells while sparing most normal tissues.

Side Effects

Leukeran may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting
  • Fatigue and loss of appetite
  • Bone marrow suppression (e.g., leukopenia, anemia)
  • Alopecia (hair loss)

Serious or Rare Side Effects

  • Secondary malignancies (e.g., acute leukemia)
  • Severe infections due to profound neutropenia
  • Pulmonary fibrosis or interstitial lung disease
  • Hepatic or renal toxicity leading to organ dysfunction

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient‑specific risk factors and monitor for toxicity.

  • Monitor blood counts regularly: detect bone marrow suppression early.
  • Assess liver function before and during therapy: adjust if hepatic impairment.
  • Evaluate renal function: dose may need modification in renal insufficiency.
  • Avoid use in pregnancy: drug is teratogenic (Category D) and requires effective contraception.
  • Use contraception during treatment and for several months after: prevent fetal exposure.
  • Adjust dose in hepatic impairment: follow prescriber guidance.
  • Store at ambient temperature: keep in original packaging, protect from moisture and light.

Avoid Interactions

Chlorambucil can interact with several medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Other alkylating agents: additive bone marrow toxicity.
  • Live vaccines: risk of infection due to immunosuppression.
  • Strong CYP450 inducers (e.g., phenobarbital): may reduce chlorambucil effectiveness.

Moderate Interactions (Monitor Closely)

  • Warfarin: chlorambucil may increase INR; monitor coagulation parameters.
  • Allopurinol: may raise chlorambucil plasma levels; observe for heightened toxicity.

Frequently Asked Questions

Leukeran contains chlorambucil, an alkylating chemotherapy indicated for chronic lymphocytic leukemia, Hodgkin's lymphoma, non‑Hodgkin's lymphoma, polycythemia vera, and other indolent lymphoid malignancies. It is prescribed for adult patients when disease control or remission is required as part of a treatment regimen.

Chlorambucil exerts its antineoplastic effect by alkylating DNA strands, creating cross‑links that block DNA replication and transcription. This damage triggers cell‑cycle arrest and apoptosis, preferentially eliminating rapidly dividing cancer cells while sparing most normal tissues.

The dosage of Leukeran is individualized. A qualified prescriber determines the appropriate strength, frequency, and duration based on the specific indication, patient weight, renal and hepatic function, and overall treatment plan. Patients should follow the prescribing information provided by their healthcare professional.

Leukeran is classified as Pregnancy Category D, indicating evidence of fetal risk. It should be avoided in pregnant women and used only when the potential benefit justifies the risk. Breastfeeding is not recommended because chlorambucil can be excreted in milk and may harm the infant.

To request Leukeran, 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 needs), and required import documentation.

Leukeran (chlorambucil) is a nitrogen mustard‑type alkylating agent with oral administration, whereas agents like cyclophosphamide are often given intravenously. Chlorambucil has a longer half‑life and is frequently used for chronic, indolent malignancies, while cyclophosphamide is preferred for more aggressive cancers. Both share similar mechanisms but differ in toxicity profiles and dosing schedules.

Leukeran tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in bathrooms or other humid environments.

Leukeran is taken orally as a tablet with a full glass of water. It may be taken with or without food, but patients should follow the prescriber’s instructions regarding timing and any dietary restrictions to minimize gastrointestinal upset.

The most serious risks include secondary malignancies such as acute leukemia, severe infections due to profound neutropenia, pulmonary fibrosis or interstitial lung disease, and significant hepatic or renal toxicity. Patients should be monitored regularly for signs of infection, respiratory symptoms, and organ function abnormalities.

Leukeran is contraindicated in patients with known hypersensitivity to chlorambucil or other alkylating agents, in pregnant women, and in individuals with severe bone‑marrow suppression, uncontrolled hepatic or renal impairment, or active infections that could be worsened by immunosuppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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