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Niktimvo (Axatilimab): Uses, Side Effects and Dosage

Updated:
Facts
Status:
Prescription (Rx)
Strength:
9 mg/0.18 mL, 22 mg/0.44 mL, 9 mg/0.9 mL, 22 mg/2.2 mL
Active ingredient:

Patient information: uses, side effects, how to take - Niktimvo

What is NIKTIMVO?

NIKTIMVO is a prescription medicine used to treat adults and children who weigh at least 88.2 pounds (40 kg) with chronic graft‑versus-host disease (cGVHD) after you have received at least 2 prior treatments (systemic therapy) and they did not work.

It is not known if NIKTIMVO is safe and effective in adults and children weighing less than 88.2 pounds (40 kg).

Before receiving NIKTIMVO, tell your healthcare provider about all of your medical conditions, including if you:

  • have or have had liver problems.
  • are pregnant or plan to become pregnant. NIKTIMVO may harm your unborn baby.

    Females who are able to become pregnant:

    • Your healthcare provider should do a pregnancy test before you start treatment with NIKTIMVO.
    • You should use an effective method of birth control during your treatment and for 30 days after your last dose of NIKTIMVO. Talk to your healthcare provider about birth control methods that you can use during this time.
    • Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with NIKTIMVO.
  • are breastfeeding or plan to breastfeed. It is not known if NIKTIMVO passes into your breast milk. Do not breastfeed during treatment and for 30 days after your last dose of NIKTIMVO.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

How will I receive NIKTIMVO?

  • Your healthcare provider will give you NIKTIMVO through an intravenous (IV) infusion over 30 minutes.
  • NIKTIMVO is given every 2 weeks.
  • Your healthcare provider will decide how many treatments you will need.
  • Before you receive each NIKTIMVO infusion, your healthcare provider may give you medicines called diphenhydramine and acetaminophen to help prevent infusion-related reactions.
  • Your healthcare provider will do blood tests to check you for side effects.

What are the possible side effects of NIKTIMVO?

NIKTIMVO may cause serious side effects, including:

  • Infusion-related reactions. Infusion-related reactions are common with NIKTIMVO and can be serious. Your healthcare provider will monitor you for infusion-related reactions during your treatment. If you have a reaction, your healthcare provider may temporarily or completely stop your treatment with NIKTIMVO. Tell your healthcare provider right away if you get fever, chills, rash, flushing, shortness of breath, trouble breathing, nausea, vomiting, or symptoms of high blood pressure such as chest pain, headaches, or blurred vision during an infusion of NIKTIMVO.

The most common side effects of NIKTIMVO include:

  • infections
  • increased blood level of liver enzymes
  • decreased blood level of phosphate
  • low red blood cell count (anemia)
  • muscle, bone, or joint pain
  • increased blood level of pancreatic enzymes
  • low energy
  • increased blood level of calcium
  • increased blood level of a muscle enzyme
  • increased blood level of a bone enzyme
  • nausea
  • headache
  • diarrhea
  • cough
  • fever
  • shortness of breath

These are not all the possible side effects of NIKTIMVO.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1 800-FDA-1088.

You may also report side effects to Incyte Corporation at 1-855-463-3463.

General information about the safe and effective use of NIKTIMVO.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. You can ask your healthcare provider for information about NIKTIMVO that is written for health professionals.

What are the ingredients in NIKTIMVO?

Active ingredient: axatilimab-csfr

Inactive ingredients: citric acid monohydrate, glycine, polysorbate 80, sodium citrate, sucrose, and Water for Injection.

Manufactured by: Incyte Corporation, Wilmington, DE 19803

U.S. License No.2228

Licensed from: Syndax Pharmaceuticals, Inc., New York, NY10017

NIKTIMVO and the NIKTIMVO logo are trademarks of Incyte.

© 2026 Incyte Corporation. All rights reserved.

For more information, call 1-855-463-3463 or go to www.incyte.com/patents.

This Patient Information has been approved by the U.S. Food and Drug Administration. Issued: 06/2026

About this document

Source: FDA drug labeling via NLM DailyMed · Application number: BLA 761411 · View the label on DailyMed

Revision date stated in the text: June 2026

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The information on this site does not replace the advice of a doctor or pharmacist.

Drug information for Niktimvo

Rx or OTC
Prescription (Rx)?
  • This drug is available only with a prescription from a licensed healthcare provider.
  • Rx
Drug class Colony Stimulating Factor-1 Receptor Blocker
Active ingredient Axatilimab
Dosage form Injection
Route Intravenous
Marketing status not in the current FDA NDC Directory
Company (applicant) INCYTE CORP
FDA approval BLA 761411Biologics License Application (BLA) Approved August 14, 2024
Manufacturers 1 labelers list this drug on DailyMed
Packages (NDC)
Package
9 mg/0.18 mL – 0.18 ml in 1 vial, single-use / 1 in 1 carton NDC 50881-034-12
22 mg/0.44 mL – 0.44 ml in 1 vial, single-use / 1 in 1 carton NDC 50881-023-11
9 mg/0.9 mL – 0.9 ml in 1 vial, single-use / 1 in 1 carton NDC 50881-036-17
22 mg/2.2 mL – 2.2 ml in 1 vial, single-use / 1 in 1 carton NDC 50881-047-18

Source: FDA drug labeling via NLM DailyMed, data as of October 31, 2026. FDA data (DailyMed, Orange Book, Drug Shortages, enforcement reports). Not a substitute for the advice of a doctor or pharmacist.