Product image of Leustatin (Cladribine) supplied by GNH India

Leustatin

Active Ingredient:
Cladribine
Origin:
EU

Leustatin (Cladribine)

Cladribine, the active ingredient in Leustatin, is an antimetabolite presented as an injectable solution for intravenous use. It selectively depletes lymphocytes by incorporating into DNA, and is indicated for the treatment of hairy cell leukemia in adult patients.

GNH India supplies Leustatin as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, oncology centres, transplant units and pharmacies worldwide. The product is manufactured in the European Union and meets EU pharmacovigilance requirements.

Manufacturer / TM Owner

Atnahs Pharma Netherlands B.V.

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Indications & Clinical Uses

  • Leustatin (cladribine) is used in the management of hematologic malignancies that involve abnormal B‑cell proliferation.
  • Hairy cell leukemia: induces remission by depleting malignant B‑cells.

How It Works

  • Cladribine is a purine nucleoside analogue that is phosphorylated intracellularly and incorporated into DNA during replication. This incorporation disrupts DNA synthesis and repair, leading to apoptosis of proliferating lymphocytes while sparing most non‑lymphoid cells, resulting in selective lymphocyte depletion.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Fatigue: generalized tiredness during treatment.
  • Fever: transient elevations in body temperature.
  • Infections: increased susceptibility to bacterial or viral infections.
  • Lymphopenia: reduced lymphocyte counts.
  • Headache: occasional mild headache.

Serious or Rare Side Effects

  • Severe infections: opportunistic or life‑threatening infections.
  • Autoimmune hemolytic anemia: destruction of red blood cells.
  • Secondary malignancies: rare development of new cancers.
  • Severe neutropenia: markedly low neutrophil counts.
  • Hepatic toxicity: abnormal liver function tests.
  • Hypersensitivity reactions: rash, bronchospasm, or anaphylaxis.

Precautions & Warnings

  • Cladribine requires careful monitoring and specific safety measures before and during therapy.
  • Monitor blood counts: perform regular complete blood count assessments.
  • Assess infection risk: screen for active infections prior to initiation.
  • Evaluate organ function: check hepatic and renal function before dosing.
  • Avoid concurrent immunosuppressants: limit use of other myelosuppressive agents.
  • Contraception advised: use effective birth control during treatment and for a defined period after.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Cladribine can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Live vaccines: may cause uncontrolled infection.
  • Other cytotoxic chemotherapy: increased myelosuppression risk.
  • Strong immunosuppressants: heightened infection susceptibility.

Moderate Interactions (Monitor Closely)

  • Azole antifungals: may affect drug metabolism.
  • Anticoagulants: monitor for bleeding tendencies.
  • Antihypertensives: observe blood pressure changes.

Frequently Asked Questions

Leustatin contains cladribine, an antimetabolite indicated for the treatment of hairy cell leukemia, a rare B‑cell malignancy. It is administered intravenously to achieve disease control in adult patients.

Cladribine is phosphorylated inside cells and becomes incorporated into DNA. This disrupts DNA synthesis and repair, leading to apoptosis of proliferating lymphocytes and selective depletion of malignant B‑cells.

The dosing regimen for Leustatin is determined by the prescribing physician based on the patient’s clinical condition, body weight, and laboratory parameters. Specific dose and schedule should follow the approved product labeling.

Safety of cladribine in pregnancy and lactation has not been established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and women of child‑bearing potential should use effective contraception.

Enquiries are submitted via the product page on gnhindia.com, where you specify the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and import documentation.

Leustatin (cladribine) is a purine analogue that offers a single‑course, potentially curative approach, whereas alternative regimens such as pentostatin or combination chemo‑immunotherapy may require multiple cycles and have different toxicity profiles.

Leustatin must be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze the solution, and avoid shaking the vial. Keep it in the original packaging until ready for use.

Leustatin is supplied as a sterile injectable solution for intravenous infusion. Administration is performed by a qualified healthcare professional in a clinical setting, following aseptic technique and the recommended infusion rate.

The most serious risks include severe infections due to profound lymphopenia, opportunistic infections, autoimmune hemolytic anemia, secondary malignancies, and significant hepatic or hematologic toxicity that require close monitoring.

Leustatin is contraindicated in patients with active uncontrolled infections, known hypersensitivity to cladribine or any excipients, and should be used with caution in individuals with severe hepatic or renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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