Product image of Mylotarg (Gemtuzumab Ozogamicin) supplied by GNH India

Mylotarg

Active Ingredient:
Gemtuzumab Ozogamicin
Origin:
EU

Mylotarg (Gemtuzumab Ozogamicin)

gemtuzumab ozogamicin, the active ingredient in Mylotarg, is a monoclonal antibody presented as a lyophilized powder for intravenous infusion for intravenous use. It treats acute myeloid leukemia in adult and pediatric patients, targeting CD33‑positive leukemic cells to improve remission outcomes.

GNH India supplies Mylotarg as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory‑approved product documentation for global distribution. Clients receive dedicated technical support and cold‑chain logistics to maintain product integrity during shipment.

Manufacturer / TM Owner

Pfizer Europe Ma Eeig

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Indications & Clinical Uses

Mylotarg is a CD33‑targeted monoclonal antibody used in the treatment of acute myeloid leukemia.

  • Newly diagnosed CD33‑positive acute myeloid leukemia: used in combination with standard chemotherapy to increase remission rates.
  • Relapsed or refractory acute myeloid leukemia: administered as monotherapy or with other agents to achieve disease control.
  • Pediatric acute myeloid leukemia (age ≥1 year): incorporated into specific protocols to improve outcomes in children.

How It Works

  • Gemtuzumab ozogamicin binds selectively to the CD33 antigen expressed on the surface of myeloid leukemia cells. After binding, the antibody–drug conjugate is internalized, releasing the cytotoxic calicheamicin payload inside the cell. Calicheamicin induces DNA double‑strand breaks, leading to apoptosis of the malignant cell while sparing CD33‑negative normal tissues.

Side Effects

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

Common Side Effects

  • Infusion‑related reactions such as fever, chills, or hypotension.
  • Nausea and vomiting.
  • Fatigue or general weakness.
  • Cytopenias, including neutropenia and thrombocytopenia.

Serious or Rare Side Effects

  • Veno‑occlusive disease (VOD) of the liver.
  • Severe hemorrhage or bleeding complications.
  • Anaphylaxis or severe allergic reactions.

Precautions & Warnings

When using Mylotarg, clinicians should observe several precautionary measures to minimize risk.

  • Pregnancy: category B; use only if the potential benefit justifies the potential risk to the fetus.
  • Hepatic function: monitor liver enzymes and signs of VOD before and during therapy.
  • Bleeding risk: assess coagulation status and avoid concurrent anticoagulant excess.
  • Infection risk: monitor for febrile neutropenia and provide appropriate antimicrobial prophylaxis.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mylotarg can interact with other medicines; awareness of the interaction level guides clinical management.

Major Interactions (Avoid)

  • Concurrent use with other hepatotoxic agents may increase the risk of liver injury.
  • Combination with additional CD33‑targeted therapies can lead to additive toxicity.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: may exacerbate bleeding tendencies.
  • Other myelosuppressive chemotherapy: can intensify cytopenias.
  • Live vaccines: heightened risk of infection; consider deferral during treatment.

Frequently Asked Questions

Mylotarg is indicated for the treatment of acute myeloid leukemia (AML). It is used in newly diagnosed CD33‑positive AML in combination with standard chemotherapy, for relapsed or refractory AML as monotherapy or with other agents, and in specific pediatric AML protocols for patients aged one year and older.

Gemtuzumab ozogamicin is an antibody‑drug conjugate that binds to the CD33 antigen on myeloid leukemia cells. After binding, the complex is internalized and releases calicheamicin, a potent DNA‑cleaving agent. The resulting double‑strand DNA breaks trigger apoptosis, selectively eliminating CD33‑expressing malignant cells.

The dosing regimen for Mylotarg is individualized by the prescribing physician based on the patient’s age, disease status, body surface area, and treatment protocol. Clinicians calculate the appropriate dose and schedule according to the latest clinical guidelines and product labeling.

Mylotarg is classified as pregnancy category B, indicating that animal studies have not shown risk but there are no adequate human studies. It should be used during pregnancy only if the potential benefit justifies any potential risk to the fetus. Breastfeeding is not recommended while receiving treatment, as the drug may be excreted in milk.

To order Mylotarg, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain logistics) and any necessary import documentation.

Mylotarg is a CD33‑targeted antibody‑drug conjugate, offering a mechanism distinct from conventional cytotoxic chemotherapy. Compared with standard chemotherapy alone, Mylotarg can improve remission rates in CD33‑positive AML when added to treatment regimens. Unlike some newer small‑molecule inhibitors, it delivers a cytotoxic payload directly to leukemic cells, which may reduce off‑target toxicity but requires careful monitoring for liver‑related adverse events.

Mylotarg should be stored refrigerated at 2‑8 °C. The lyophilized powder must be protected from light, must not be frozen, and should not be shaken. Before administration, reconstitute according to the product label in a sterile environment and use within the time frame specified by the manufacturer.

Mylotarg is administered by intravenous infusion. After reconstitution of the lyophilized powder with the appropriate diluent, the solution is infused over a prescribed period, typically under close medical supervision to monitor for infusion‑related reactions and other adverse effects.

The most serious risks associated with Mylotarg include veno‑occlusive disease (VOD) of the liver, severe bleeding events, and anaphylactic or severe allergic reactions. Early detection of liver dysfunction, careful monitoring of coagulation parameters, and readiness to manage hypersensitivity reactions are essential during therapy.

Mylotarg is contraindicated in patients with known hypersensitivity to gemtuzumab ozogamicin or any component of the formulation. It should also be avoided in individuals with severe pre‑existing liver disease, uncontrolled active infections, or those who are pregnant without a clear benefit‑risk justification. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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