User:Mr. Ibrahem/Ruxolitinib

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Mr. Ibrahem/Ruxolitinib
Clinical data
PronunciationJakafi /ˈækəf/ JAK-ə-fye
Trade namesJakafi, Jakavi
Other namesINCB018424, INC424
AHFS/Drugs.comMonograph
MedlinePlusa612006
License data
Pregnancy
category
  • AU: C
Routes of
administration
By mouth
Drug classKinase inhibitor[1]
Legal status
Legal status
Pharmacokinetic data
Bioavailability95%[3]
Protein binding97%[3]
MetabolismLiver (mainly CYP3A4-mediated)[3]
Elimination half-life2.8-3 hours[3]
ExcretionUrine (74%), faeces (22%)[3]
Identifiers
  • (3R)-3-Cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)pyrazol-1-yl]propanenitrile
Chemical and physical data
FormulaC17H18N6
Molar mass306.373 g·mol−1
3D model (JSmol)
  • C1CCC(C1)C(CC#N)N2C=C(C=N2)C3=C4C=CNC4=NC=N3
  • InChI=1S/C17H18N6/c18-7-5-15(12-3-1-2-4-12)23-10-13(9-22-23)16-14-6-8-19-17(14)21-11-20-16/h6,8-12,15H,1-5H2,(H,19,20,21)/t15-/m1/s1 checkY
  • Key:HFNKQEVNSGCOJV-OAHLLOKOSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Ruxolitinib, sold under the brand names Jakafi and Jakavi, is a medication used to treat myelofibrosis, polycythemia vera (PCV), and graft-versus-host disease (GvHD).[1] It is used in PCV when hydroxyurea is not sufficient and in GvHD that is unresponsive to other measures.[1] It is taken by mouth.[1]

Common side effects include low platelets, low red blood cells, low neutrophils, bleeding, liver problems, and abnormal lipids.[4] Other side effects may include infection, skin cancer, blood clots, and heart disease.[1] Use in pregnancy may harm the baby.[5] It is a kinase inhibitor.[1]

Ruxolitinib was approved for medical use in the United States in 2011 and Europe in 2012.[1][4] In the United States it costs about 15,800 USD per month as of 2021.[6] In the United Kingdom this amount costs the NHS about £3,000.[5]

References[edit]

  1. ^ a b c d e f g h i j k "Jakafi- ruxolitinib tablet". DailyMed. 26 February 2020. Archived from the original on 3 November 2020. Retrieved 16 November 2020.
  2. ^ "Jakavi EPAR". European Medicines Agency (EMA). Archived from the original on 12 November 2020. Retrieved 16 November 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  3. ^ a b c d e "Jakafi (ruxolitinib) dosing, indications, interactions, adverse effects, and more". Medscape Reference. WebMD. Archived from the original on 12 December 2018. Retrieved 16 February 2014.
  4. ^ a b c "Jakavi". Archived from the original on 12 November 2020. Retrieved 19 October 2021.
  5. ^ a b BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 1056. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  6. ^ "Jakafi Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 11 October 2021. Retrieved 19 October 2021.