- Relapsed or refractory multiple myeloma:
- PO 4mg *1 on days 1, 8, 15 of 28-day cycle
- Capsule:
- 2.3mg
- 3mg
- 4mg
- Should be taken at the same time each day on an empty stomach, at least 1 hour before or 2 hours after a meal
- If you vomit shortly after taking ixazomib, do not take another dose. Wait until your next scheduled dose time to take the medicine again
- If the capsule contents get on your skin or eyes, wash your skin with soap and water or rinse your eyes with water
- Delayed or missed dose: Take dose only if next scheduled dose is ≥72 hours away. Do not double dose to make up for missed dose
Protease inhibitors anticancer
It preferentially binds and inhibits the chymotrypsin-like activity of the beta 5 subunit of the 20S proteasome disrupting cellular homeostasis and causing cell death
- Thrombocytopenia
- Neutropenia
- Diarrhea
- Constipation
- Peripheral neuropathy
- Nausea
- Peripheral edema
- Rash
- Back pain
- URI
- Vomiting
- Cataracts
- Conjunctivitis
- Blurred vision
- Dry eyes
- Herpes zoster (shingles) reactivation
- Hypersensitivity
- Avoid breastfeeding during treatment and for 90 days after discontinuing
- Not to be taken at the same time with dexamethasone
Drug Status
| Availability | Prescription only |
| Pregnancy | Category X |
| Breastfeeding | Contraindicated |
| Schedule | Not controlled |
| BRAND NAME | STRENGTH | FORMULATION | PACK SIZE | MANUFACTURER | DISTRIBUTOR |
|---|---|---|---|---|---|
| Ninlaro | 2.3mg | Capsule | 3’s | Takeda Pharma | Phillips Therapeutics |
| Ninlaro | 3mg | Capsule | 3’s | Takeda Pharma | Phillips Therapeutics |
| Ninlaro | 4mg | Capsule | 3’s | Takeda Pharma | Phillips Therapeutics |