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Ixazomib

Proteasome Inhibitor · Antineoplastic

Proteasome InhibitorAntineoplastic
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
must be excluded before
FDA category + note
Top interactionssee all 12
  • AdalimumabSevereDatabaseDDInter
  • ApalutamideSevereDatabaseDDInter
  • BaricitinibSevereDatabaseDDInter
  • CarbamazepineSevereDatabaseDDInter

Mechanism

Ixazomib is an inhibitor of the 26S proteasome. This action results in the down-regulation of the NF-κB signaling pathway. It also maintains activity in bortezomib-resistant tumors.

Indications

Multiple myeloma (in adults with relapsed or refractory disease who have received 2 or 3 prior lines of therapy)MM after at least one prior therapy (in combination with lenalidomide and dexamethasone)

Dosing

Adult
option for treating multiple myeloma in adults only if: . they have already had 2 or 3 lines of therapy, and . the conditions in the managed access agreement for ixazomib are followed.…

Pharmacokinetics

Half-life
9.5 days (elimination)

Side effects

Common
Fatiguediarrheaperipheral neuropathyhepatotoxicity
Serious
  • Myelosuppression
  • Neurologic toxicity with peripheral sensory neuropathy
  • Diarrhea
  • Hepatotoxicity
  • Skin rash

Pregnancy & lactation

Pregnancy

must be excluded before

Drug interactions

Adalimumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Apalutamide
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Baricitinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Carbamazepine
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Certolizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cladribine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Clozapine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Deferiprone
Severe
Database

Clinical effect not specified

Source: DDInter

Enzalutamide
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Etanercept
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Fingolimod
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Fosphenytoin
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Ask House about Ixazomib

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Sources: Goodman & Gilman 14e, BNF·Verified: 2026-05-13 · House clinical team