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Drug interactions

Brentuximab + Ivosidenib

Severity: Moderate

Brentuximab and Ivosidenib: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Ivosidenib induces CYP3A4, and MMAE released from brentuximab vedotin is a CYP3A4 substrate. Lower MMAE exposure could theoretically reduce efficacy. Ivosidenib can also prolong the QT interval, but this is not directly relevant to this pairing.

What this interaction means in plain words

Brentuximab and Ivosidenib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Brentuximab belongs to Oncology; Ivosidenib belongs to Oncology.

Evidence level: Low

Why it happens

CYP3A4 induction by ivosidenib may increase MMAE clearance.

What to do

Monitor for reduced response to brentuximab vedotin. Use an alternative if the loss of effect is a concern.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Brentuximab with Ivosidenib?

MediHelp rates the interaction as moderate. Brentuximab and Ivosidenib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Ivosidenib induces CYP3A4, and MMAE released from brentuximab vedotin is a CYP3A4 substrate. Lower MMAE exposure could theoretically reduce efficacy. Ivosidenib can also prolong the QT interval, but this is not directly relevant to this pairing.

How serious is the interaction between Brentuximab and Ivosidenib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for reduced response to brentuximab vedotin. Use an alternative if the loss of effect is a concern.

What other medicines interact with Brentuximab?

MediHelp also lists interactions of Brentuximab with, for example, Bleomycin, Dengue vaccine, Etrasimod. The full list is on the Brentuximab page.

Full monographs, dosing and an interaction checker in the MediHelp app

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