Product image of Mavenclad (Cladribine) supplied by GNH India

Mavenclad

Active Ingredient:
Cladribine
Origin:
EU

Mavenclad (Cladribine)

Cladribine, the active ingredient in Mavenclad, is a purine nucleoside analog presented as a 10 mg oral tablet. It is indicated for the treatment of relapsing forms of multiple sclerosis in adult patients, helping to reduce disease activity and progression. GNH India supplies Mavenclad as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, pharmacies and clinics worldwide with a focus on quality and regulatory compliance. Our distribution network ensures reliable access across multiple regions.

Manufacturer / TM Owner

Merck Europe B.V.

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Indications & Clinical Uses

  • Mavenclad (cladribine) is used in the disease‑modifying therapy of multiple sclerosis, targeting relapsing disease activity.
  • Relapsing‑remitting multiple sclerosis: reduces annual relapse rate and slows accumulation of disability.
  • Active secondary progressive multiple sclerosis: decreases disease activity in patients with recent relapses or MRI activity.
  • Clinically isolated syndrome with high risk of conversion: delays progression to definitive multiple sclerosis.

How It Works

  • Cladribine is a purine nucleoside analog that is preferentially taken up by lymphocytes and incorporated into DNA during replication. This incorporation triggers DNA strand breaks, leading to apoptosis of B and T cells, thereby selectively depleting the adaptive immune cells that drive inflammatory lesions in multiple sclerosis. The selective lymphocyte depletion results in a sustained reduction of immune‑mediated inflammation while sparing other cell lines.

Side Effects

Cladribine may cause a range of adverse reactions, which are generally categorized by frequency and severity.

Common Side Effects

  • Headache: mild to moderate pain in the head.
  • Nausea: transient feeling of sickness.
  • Fatigue: reduced energy levels.
  • Upper respiratory tract infection: mild cold‑like symptoms.

Serious or Rare Side Effects

  • Lymphopenia: marked reduction in lymphocyte count, increasing infection risk.
  • Herpes zoster reactivation: shingles episodes requiring antiviral therapy.
  • Malignancy: rare reports of cancer, requiring monitoring.

Precautions & Warnings

Before initiating Mavenclad, several safety considerations should be observed.

  • Infection monitoring: assess for signs of infection before and during therapy.
  • Lymphocyte count: perform baseline and periodic CBC to detect lymphopenia.
  • Vaccination: avoid live vaccines during treatment and for a defined period after.
  • Pregnancy: drug is contraindicated in pregnancy; advise effective contraception.
  • Renal function: adjust use in severe renal impairment.
  • Store at ambient temperature: keep tablets below 25 °C in original packaging, protect from moisture.

Avoid Interactions

Cladribine can interact with other medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Live vaccines: concurrent use may cause severe infection.
  • Immunosuppressive agents: combined use can exacerbate lymphopenia.

Moderate Interactions (Monitor Closely)

  • Antiviral prophylaxis: may be needed if severe lymphopenia develops.
  • CYP450 substrates: cladribine is not a strong inhibitor, but monitor drugs with narrow therapeutic index.
  • Non‑live vaccines: timing may need adjustment to ensure efficacy.

Frequently Asked Questions

Mavenclad is prescribed for adults with relapsing forms of multiple sclerosis. It works as a disease‑modifying therapy to reduce the frequency of relapses and slow the accumulation of disability associated with the disease.

Cladribine is a purine nucleoside analog that is taken up by lymphocytes and incorporated into their DNA. This causes DNA damage and triggers apoptosis of B and T cells, selectively reducing the immune cells that drive inflammatory activity in multiple sclerosis.

The dosing regimen for Mavenclad is determined by the prescribing physician based on the patient’s clinical profile and regulatory guidelines. Patients should follow the specific schedule and monitoring plan provided by their healthcare professional.

The safety of Mavenclad in pregnancy and lactation has not been established. It is generally contraindicated in pregnant women, and effective contraception is recommended during treatment and for a defined period after the last dose. Breastfeeding decisions should be discussed with a healthcare provider.

To order Mavenclad, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Mavenclad differs from many disease‑modifying therapies by providing intermittent oral dosing that leads to selective lymphocyte depletion, whereas other agents may require continuous administration or injectable routes. Its efficacy in reducing relapse rates is comparable to some injectable therapies, but safety profiles and monitoring requirements vary.

Mavenclad tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

Mavenclad is taken orally as a tablet. The prescribed dosing schedule typically involves short treatment courses separated by drug‑free intervals, allowing for periodic monitoring of lymphocyte counts and clinical response. Exact administration instructions are provided by the prescriber.

The most serious risks include profound lymphopenia, which can increase susceptibility to infections such as herpes zoster, and rare reports of malignancies. Patients should be monitored regularly for blood count changes and signs of infection, and any concerning symptoms should be reported promptly.

Mavenclad is contraindicated in individuals with active infections, severe immunodeficiency, known hypersensitivity to cladribine, and pregnant or breastfeeding women. Patients with significant renal impairment may require special consideration, and the drug should be avoided in those receiving other potent immunosuppressants without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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