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What Is Idhifa?

Idhifa is a prescription isocitrate dehydrogenase 2 inhibitor containing enasidenib. It is indicated for adults with relapsed or refractory acute myeloid leukemia that has an IDH2 mutation detected by an FDA-approved test. Tablets are available in 50 mg and 100 mg strengths.

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What Is Idhifa?

Idhifa is a prescription isocitrate dehydrogenase 2 inhibitor containing enasidenib. It is indicated for adults with relapsed or refractory acute myeloid leukemia that has an IDH2 mutation detected by an FDA-approved test. Tablets are available in 50 mg and 100 mg strengths.

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How Does Idhifa Affect Mutant IDH2?

Enasidenib inhibits mutant IDH2 enzymes, including R140Q, R172S, and R172K. This decreases production of the abnormal metabolite 2-hydroxyglutarate and promotes differentiation of myeloid cells. Patient selection is based on detection of an IDH2 mutation in blood or bone marrow.

Who Is Treated With Idhifa?

Idhifa is used in adults with relapsed or refractory acute myeloid leukemia and an IDH2 mutation confirmed by an FDA-approved test. Blood counts and blood chemistries are checked before treatment and at least every two weeks during the first three months to detect leukocytosis, tumor lysis syndrome, and other abnormalities.

How Is Idhifa Dosed?

The recommended dose is 100 mg by mouth once daily with or without food until disease progression or unacceptable toxicity. In patients without progression or unacceptable toxicity, treatment continues for at least six months to give time for clinical response. Tablets are swallowed whole and are not chewed, split, or crushed.

What Serious Risks Are Linked to Idhifa?

Idhifa carries a boxed warning for differentiation syndrome, which can be fatal without treatment. Suspected differentiation syndrome is treated promptly with corticosteroids and hemodynamic monitoring. Other concerns include leukocytosis, tumor lysis syndrome, elevated bilirubin, drug interactions, and fetal harm.

Frequently Asked Questions About Idhifa

What condition does Idhifa treat?

Idhifa treats relapsed or refractory acute myeloid leukemia with an IDH2 mutation in adults.

How is eligibility for Idhifa confirmed?

An FDA-approved test is used to detect an IDH2 mutation in blood or bone marrow.

What is the Idhifa dose?

The recommended dose is 100 mg once daily with or without food.

Does Idhifa have a boxed warning?

Yes. The boxed warning concerns differentiation syndrome, which can become fatal without prompt treatment.

References

DailyMed - IDHIFA - enasidenib mesylate tablet, film coated. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a5b4cdf0-3fa8-4c6c-80f6-8d8a00e3a5b6. Date Accessed October 2, 2026.

Enasidenib - MedlinePlus Drug Information. https://medlineplus.gov/druginfo/meds/a617040.html. Date Accessed October 2, 2026.

Enasidenib Mesylate - National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/drugs/enasidenibmesylate. Date Accessed October 2, 2026.

FDA Approves New Targeted Treatment for Relapsed or Refractory Acute Myeloid Leukemia. https://www.fda.gov/news-events/press-announcements/fda-approves-new-targeted-treatment-relapsed-or-refractory-acute-myeloid-leukemia. Date Accessed October 2, 2026.

List of FDA-Authorized Companion Diagnostic Devices. https://www.fda.gov/medical-devices/in-vitro-diagnostics/list-fda-authorized-companion-diagnostic-devices-in-vitro-and-imaging-tools. Date Accessed October 2, 2026.