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Data updated: Mar 10, 2026

XATMEP

METHOTREXATE SODIUM Folic Acid Metabolism Inhibitors
Oncology Approved 2017-04-25
1
Indication
--
Phase 3 Trials
8
Years on Market

Details

Status
Prescription
First Approved
2017-04-25
Routes
ORAL
Dosage Forms
SOLUTION

Companies

Active Ingredient: METHOTREXATE SODIUM

XATMEP Approval History

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What XATMEP Treats

2 indications

XATMEP is approved for 2 conditions since its original approval in 2017. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Acute Lymphoblastic Leukemia
  • Polyarticular Juvenile Idiopathic Arthritis
Source: FDA Label

XATMEP Boxed Warning

SEVERE TOXIC REACTIONS, INCLUDING EMBRYO-FETAL TOXICITY Methotrexate can cause the following severe or fatal adverse reactions. Monitor closely and modify dose or discontinue methotrexate as appropriate. Bone marrow suppression [see Warnings and Precautions ( 5.1 )] Serious infections [see Warnings and Precautions ( 5.2 )] Renal toxicity and increased toxicity with renal impairment [see Warnings and Precautions ( 5.3 )] Gastrointestinal toxicity [see Warnings and Precautions ( 5.4 )] Hepatic tox...

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Key Completed Trials

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Completed studies with published results, ranked by significance

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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.

XATMEP FDA Label Details

Pro

Indications & Usage

FDA Label (PDF)

XATMEP is a folate analog metabolic inhibitor indicated for the: Treatment of pediatric patients with acute lymphoblastic leukemia (ALL) as a component of a combination chemotherapy maintenance regimen . Management of pediatric patients with active polyarticular juvenile idiopathic arthritis (pJIA) who are intolerant of or had an inadequate response to first-line therapy . 1.1 Acute Lymphoblastic Leukemia XATMEP is indicated for the treatment of pediatric patients with acute lymphoblastic leukemia (ALL) as part of a multi-phase, combination chemotherapy maintenance regimen. 1.2 Polyarticular J...

⚠️ BOXED WARNING

WARNING: SEVERE TOXIC REACTIONS, INCLUDING EMBRYO-FETAL TOXICITY Methotrexate can cause the following severe or fatal adverse reactions. Monitor closely and modify dose or discontinue methotrexate as appropriate. Bone marrow suppression [see Warnings and Precautions ( 5.1 )] Serious infections [see ...

XATMEP Patents & Exclusivity

Latest Patent: Jan 2033

Patents (9 active)

US10231927 Expires Jan 2, 2033
US11116724 Expires Jan 2, 2033
US11969503 Expires Jan 2, 2033
US12396947 Expires Jan 2, 2033
US10610485 Expires Jan 2, 2033
US9855215 Expires Jan 2, 2033
US9259427 Expires Jan 2, 2033
Source: FDA Orange Book

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Data Sources

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