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Data updated: Mar 10, 2026

TREXALL

METHOTREXATE SODIUM
Oncology Approved 2001-03-21
1
Indication
--
Phase 3 Trials
24
Years on Market

Details

Status
Prescription
First Approved
2001-03-21
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: METHOTREXATE SODIUM

TREXALL Approval History

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What TREXALL Treats

6 indications

TREXALL is approved for 6 conditions since its original approval in 2001. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Acute Lymphoblastic Leukemia
  • Mycosis Fungoides
  • Non-Hodgkin Lymphoma
  • Rheumatoid Arthritis
  • Juvenile Idiopathic Arthritis
  • Psoriasis
Source: FDA Label

TREXALL Boxed Warning

EMBRYO-FETAL TOXICITY, HYPERSENSITIVITY REACTIONS, and SEVERE ADVERSE REACTIONS WARNING: EMBRYO-FETAL TOXICITY, HYPERSENSITIVITY REACTIONS AND SEVERE ADVERSE REACTIONS Methotrexate can cause embryo-fetal toxicity, including fetal death. For non-neoplastic diseases, methotrexate is contraindicated in pregnancy. For neoplastic diseases, advise females and males of reproductive potential to use effective contraception [see Contraindications ( 4 ), Warnings and Precautions ( 5.1 ), Use in Specific P...

Drugs Similar to TREXALL

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METHOTREXATE SODIUM
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NAPROXEN AND ESOMEPRAZOLE MAGNESIUM
ESOMEPRAZOLE MAGNESIUM
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Shared indications:
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Johnson & Johnson
Shared indications:
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Key Completed Trials

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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.

TREXALL FDA Label Details

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Indications & Usage

TREXALL is a dihydrofolate reductase inhibitor indicated for the: Treatment of adults and pediatric patients with acute lymphoblastic leukemia (ALL) as part of a combination chemotherapy maintenance regimen Treatment of adults with mycosis fungoides Treatment of adults with relapsed or refractory non-Hodgkin lymphoma as part of a metronomic combination regimen Treatment of adults with rheumatoid arthritis Treatment of pediatric patients with polyarticular juvenile idiopathic arthritis (pJIA) Treatment of adults with severe psoriasis 1.1 Neoplastic Diseases TREXALL is indicated for the: treatme...

โš ๏ธ BOXED WARNING

WARNING: EMBRYO-FETAL TOXICITY, HYPERSENSITIVITY REACTIONS, and SEVERE ADVERSE REACTIONS WARNING: EMBRYO-FETAL TOXICITY, HYPERSENSITIVITY REACTIONS AND SEVERE ADVERSE REACTIONS Methotrexate can cause embryo-fetal toxicity, including fetal death. For non-neoplastic diseases, methotrexate is contraind...

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Data Sources

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