TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

ZIEXTENZO

PEGFILGRASTIM-BMEZ
Oncology Approved 2019-11-04

Ziextenzo is a leukocyte growth factor indicated to decrease the incidence of infection, manifested as febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs. It is also approved to increase survival in patients acutely exposed to myelosuppressive doses of radiation, a condition known as Hematopoietic Subsyndrome of Acute Radiation Syndrome. The drug is not intended for the mobilization of peripheral blood progenitor cells for hematopoietic stem cell transplantation.

Source: FDA Label • Novartis • Leukocyte Growth Factor

How ZIEXTENZO Works

Ziextenzo is a colony-stimulating factor that acts on hematopoietic cells by binding to specific cell surface receptors. This binding process stimulates the proliferation, differentiation, and commitment of these cells. Additionally, the mechanism triggers the functional activation of end cells to support the patient's immune response.

Source: FDA Label
1
Indication
--
Phase 3 Trials
6
Years on Market

Details

Status
Prescription
First Approved
2019-11-04
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: PEGFILGRASTIM-BMEZ

ZIEXTENZO Approval History

Loading approval history...

What ZIEXTENZO Treats

2 indications

ZIEXTENZO is approved for 2 conditions since its original approval in 2019. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Febrile Neutropenia
  • Acute Radiation Syndrome
Source: FDA Label
Biosimilar for Neulasta

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

Drugs Similar to ZIEXTENZO

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

ARMLUPEG
PEGFILGRASTIM-UNNE
2 shared
Lupin
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
FYLNETRA
PEGFILGRASTIM-PBBK
2 shared
KASHIV BIOSCIENCES LLC
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
NEULASTA
PEGFILGRASTIM
2 shared
Amgen
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
NYPOZI
FILGRASTIM-TXID
2 shared
TANVEX BIOPHARMA USA INC
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
RELEUKO
FILGRASTIM-AYOW
2 shared
KASHIV BIOSCIENCES LLC
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
STIMUFEND
PEGFILGRASTIM-FPGK
2 shared
Fresenius Kabi
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
UDENYCA
PEGFILGRASTIM-CBQV
2 shared
COHERUS BIOSCIENCES INC
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
ZARXIO
FILGRASTIM-SNDZ
2 shared
Novartis
Shared indications:
Febrile NeutropeniaAcute Radiation Syndrome
CEFEPIME AND DEXTROSE IN DUPLEX CONTAINER
CEFEPIME HYDROCHLORIDE
1 shared
B BRAUN
Shared indications:
Febrile Neutropenia
CEFEPIME HYDROCHLORIDE
CEFEPIME HYDROCHLORIDE
1 shared
QILU ANTIBIOTICS
Shared indications:
Febrile Neutropenia
CEFEPIME HYDROCHLORIDE IN PLASTIC CONTAINER
CEFEPIME HYDROCHLORIDE
1 shared
SAMSON MEDCL
Shared indications:
Febrile Neutropenia
CEFEPIME IN PLASTIC CONTAINER
CEFEPIME HYDROCHLORIDE
1 shared
Baxter
Shared indications:
Febrile Neutropenia
FULPHILA
PEGFILGRASTIM-JMDB
1 shared
Viatris
Shared indications:
Febrile Neutropenia
GRANIX
TBO-FILGRASTIM
1 shared
SICOR BIOTECH
Shared indications:
Febrile Neutropenia
NEUPOGEN
FILGRASTIM
1 shared
Amgen
Shared indications:
Febrile Neutropenia
NIVESTYM
FILGRASTIM-AAFI
1 shared
Pfizer
Shared indications:
Febrile Neutropenia
NPLATE
ROMIPLOSTIM
1 shared
Amgen
Shared indications:
Acute Radiation Syndrome
NYVEPRIA
PEGFILGRASTIM-APGF
1 shared
Pfizer
Shared indications:
Febrile Neutropenia
ROLVEDON
EFLAPEGRASTIM-XNST
1 shared
SPECTRUM PHARMS
Shared indications:
Febrile Neutropenia
RYZNEUTA
EFBEMALENOGRASTIM ALFA-VUXW
1 shared
EVIVE BIOTECHNOLOGY
Shared indications:
Febrile Neutropenia
🔬

Active Pipeline

Pro

Ongoing clinical trials by development phase

Loading...

Key Completed Trials

Pro

Completed studies with published results, ranked by significance

Loading...
📊

Trial Timeline

Full development history with FDA approval milestones

Loading...
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.

ZIEXTENZO FDA Label Details

Pro

Indications & Usage

FDA Label (PDF)

ZIEXTENZO is a leukocyte growth factor indicated to • Decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile neutropenia. • Increase survival in patients acutely exposed to myelosuppressive doses of radiation (Hematopoietic Subsyndrome of Acute Radiation Syndrome). Limitations of Use ZIEXTENZO is not indicated for the mobilization of peripheral blood progenitor cells for hematopoietic stem cell transplantation. 1.1 Patients wit...

Want competitive intelligence?

See who's developing similar drugs and track their progress

View Pipeline Dashboard

Data Sources

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