Akeega, illustration of tablet form (not a photo of the actual pack)

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Akeega

Niraparib And Abiraterone Acetate

Prescription required

$10860.00

100mg/500mg · 1 tablets · 1 days supply

BrandBranded medicine· By Patheon (Thermo Fisher Scientific)

$325800.00 per month

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Annual cost

$3963900a year at this pack size

Prescription required

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100mg/500mg

50/500mg

About Akeega

Overview

Akeega is a prescription tablet containing niraparib and abiraterone acetate. It is used with prednisone to treat adults with prostate cancer that has spread: BRCA2-mutated metastatic castration-sensitive disease or BRCA-mutated metastatic castration-resistant disease, where the mutation is harmful or suspected to be harmful. Patients are selected using an FDA-approved test for Akeega. Niraparib blocks enzymes involved in DNA repair, while abiraterone reduces the production of androgens, hormones that can support prostate cancer growth.

What it treats

Used with prednisone to treat adults with: - Metastatic castration-sensitive prostate cancer with a harmful or suspected harmful BRCA2 mutation. - Metastatic castration-resistant prostate cancer with a harmful or suspected harmful BRCA mutation. Patients are selected using an FDA-approved test for Akeega.

Safety information

Side effects

Common side effects include muscle, bone or joint pain, tiredness, constipation, high blood pressure, nausea, fluid retention or swelling, respiratory tract infections and an irregular heartbeat. Common blood test changes include reduced hemoglobin, lymphocytes, platelets and neutrophils; increased creatinine, alkaline phosphatase, AST and bilirubin; and high or low potassium. Serious side effects that warrant contacting a doctor include: • Bone marrow disorders, including myelodysplastic syndrome and acute myeloid leukemia, which can be fatal, and reduced blood cell production. • Low potassium, fluid retention, high blood pressure and heart-related problems. • Liver injury, which can be severe or fatal. • Adrenal insufficiency, when the adrenal glands do not make enough hormones. • Severe low blood sugar, reported with abiraterone acetate in people taking certain diabetes medicines, including pioglitazone or repaglinide. • Posterior reversible encephalopathy syndrome (PRES), a serious condition affecting the brain, reported with niraparib. Using Akeega with prednisone and radium Ra 223 dichloride is not recommended because of an increased risk of fractures and death. Regular blood tests and monitoring of blood pressure, potassium and fluid retention are needed during treatment.

When to call your doctor

- Seek medical attention immediately for an irregular heartbeat. - Get urgent medical help for new or worsening swelling from fluid buildup. - Contact a doctor immediately for severe tiredness or severe muscle, bone or joint pain.

If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.

Before taking this medicine

The FDA label lists no formal contraindications for Akeega. However, use should be avoided in people with moderate or severe liver impairment. Akeega requires caution and monitoring in people with high blood pressure, low blood potassium, fluid retention or heart conditions that could be worsened by these effects. High blood pressure and low potassium should be controlled before and during treatment. Serious risks include reduced blood cell counts, myelodysplastic syndrome or acute myeloid leukemia (bone marrow and blood cancers), severe or fatal liver injury, and adrenal insufficiency. Blood counts and liver function need monitoring. Treatment must be stopped if myelodysplastic syndrome, acute myeloid leukemia or posterior reversible encephalopathy syndrome (PRES), a neurological condition, is confirmed. People with diabetes need blood glucose monitoring, particularly if taking pioglitazone, other thiazolidinediones or repaglinide, because severe low blood sugar has been reported with abiraterone acetate. Akeega with prednisone is not recommended in combination with radium Ra 223 dichloride because of increased fractures and deaths. Akeega can harm an unborn baby. Men with female partners who could become pregnant should use effective contraception.

Interactions

Avoid taking Akeega with medicines that strongly increase the activity of the enzyme CYP3A4, or with certain medicines broken down by CYP2D6 where small changes in blood levels could cause serious harmful effects. Ask your doctor to check whether any of your medicines fall into these groups. If an alternative to an affected CYP2D6 medicine cannot be used, your doctor may consider reducing that medicine’s dose.

Using Akeega

Dosing

Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.

Storage

Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.

Clinical information on this page is summarised from the US FDA label AKEEGA (NIRAPARIB TOSYLATE MONOHYDRATE AND ABIRATERONE ACETATE) TABLET, FILM COATED [JANSSEN BIOTECH, INC.] (DailyMed, retrieved 19 September 2026).

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