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Brand Name :
N/A
Synonyms :
rovadicitinib
Class :
JAK/ROCK inhibitor
Dosage Forms & Strengths Â
Tablet Â
5 mg Â
10 mg Â
Myeloproliferative Neoplasm (MPN) (off-label)
Currently in phase 2 clinical trial in the treatment of Myelofibrosis and also in patients with palpable splenomegaly and MPN
The dose used in the study is 5 mg four times per day or 10 mg two times a day for four weeks, which showed good therapeutic response, which was well tolerated and is safe
:
Dose Adjustments
Limited data is available
Safety and efficacy are not establishedÂ
Refer to the adult dosingÂ
Actions and Spectrum: Â
Actions: Â
Rovadicitinib, a novel oral JAK/ROCK inhibitor, triggers cell death, slows cell growth, and lowers inflammatory cytokines by targeting the JAK-STAT pathway in preclinical trials.Â
Spectrum: Â
Rovadicitinib is effective and safe for myelofibrosis patients, especially those with enlarged spleens. Â
Frequency defined Â
Platelet count reduction (17.72%) Â
Anemia (16.46%) Â
Black box warningÂ
NoneÂ
Contraindication/Caution: Â
Contraindications Â
Hypersensitivity Â
Cautions Â
Renal impairment Â
Hepatic impairment Â
Pregnancy & Breastfeeding Â
Pregnancy/lactationÂ
Pregnancy consideration:  Â
No data is available regarding the administration of the drug during pregnancy. Â
Breastfeeding warnings:  Â
No data is available regarding the excretion of drug in breast milk. Â
Pregnancy category: Â
Category A: well-controlled and satisfactory studies show no risk to the fetus in the first or later trimester. Â
Category B: There was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. Â
Category C: There was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    Â
Category D: Adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.    Â
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    Â
Category N: No data is available for the drug under this category. Â
Pharmacology: Â
Rovadicitinib, a novel oral JAK/ROCK inhibitor.Â
Pharmacodynamics: Â
Rovadicitinib, a novel oral JAK/ROCK inhibitor, triggers cell death, slows cell growth, and lowers inflammatory cytokines by targeting the JAK-STAT pathway in preclinical trials.Â
Pharmacokinetics: Â
Absorption 
The AUC & peak concentrations of rovadicitinib increase with dosage.Â
Elimination and Excretion Â
The half-life is 1.3 hours Â
Administration: Â
The route of administration is oral.Â
Patient information leaflet Â
Generic Name: rovadicitinib Â
Pronounced: roh-vuh-DI-si-ti-nib Â
Why do we use rovadicitinib? Â
Rovadicitinib is undergoing phase 2 trial in China, comparing its safety and effectiveness to hydroxyurea in myelofibrosis patients.Â