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Data updated: Mar 10, 2026

NIVESTYM

FILGRASTIM-AAFI
Oncology Approved 2018-07-20

Nivestym (filgrastim-aafi) is a leukocyte growth factor used to manage neutropenia and reduce the risk of infection in patients with various cancers and blood disorders. It is primarily indicated for patients receiving myelosuppressive or myeloablative chemotherapy, including those undergoing bone marrow transplantation or treatment for acute myeloid leukemia. The drug also serves to mobilize progenitor cells for collection and to treat symptomatic patients with chronic forms of neutropenia, such as congenital, cyclic, or idiopathic types.

Source: FDA Label • Pfizer • Leukocyte Growth Factor

How NIVESTYM Works

Nivestym acts as a colony-stimulating factor by binding to specific receptors on the surface of hematopoietic cells. This binding stimulates the proliferation and differentiation of neutrophil progenitors within the bone marrow, regulating the production of mature neutrophils. Additionally, the drug enhances the functional activation of these cells, increasing their phagocytic ability and antibody-dependent killing to better combat infections.

Source: FDA Label
1
Indication
--
Phase 3 Trials
7
Years on Market

Details

Status
Prescription
First Approved
2018-07-20
Routes
INJECTION, SINGLE-DOSE
Dosage Forms
INJECTABLE, VIAL

Companies

Active Ingredient: FILGRASTIM-AAFI

NIVESTYM Approval History

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What NIVESTYM Treats

6 indications

NIVESTYM is approved for 6 conditions since its original approval in 2018. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Febrile Neutropenia
  • Acute Myeloid Leukemia
  • Neutropenia
  • Congenital Neutropenia
  • Cyclic Neutropenia
  • Idiopathic Neutropenia
Source: FDA Label
Biosimilar for Neupogen

NIVESTYM is a lower-cost alternative to Neupogen with no clinically meaningful differences. Requires prescriber approval to substitute.

Drugs Similar to NIVESTYM

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NIVESTYM FDA Label Details

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Indications & Usage

FDA Label (PDF)

NIVESTYM is a leukocyte growth factor indicated to • Decrease the incidence of infection‚ as manifested by febrile neutropenia‚ in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever. • Reduce the time to neutrophil recovery and the duration of fever, following induction or consolidation chemotherapy treatment of patients with acute myeloid leukemia (AML). • Reduce the duration of neutropenia and neutropenia-related clinical sequelae‚ e.g.‚ febrile neutropenia, in patients with nonmyeloid ma...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.