Regulatory PathRegulatory requirements compared

Active substance

Arsenic trioxide

Open in the medicines table

SFDA Saudi Arabia — SFDA human drug list

Trade nameStrengthForm · routePackPublic priceTypeCompanyStatus
Arsenic Trioxide1 mg/mlconcentrate for solution for injection · Intravenous use10 VialSAR 8711.90Generic · PrescriptionInternational pioneersValid
Arsenic Trioxide Nexus1 mg/mlSolution for injection · Intravenous use10 VialSAR 8711.90Generic · PrescriptionNexus Pharmaceuticals IncValid

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
TRISENOX2MG/MLinjectable · injectionCEPHALONPrescription25 Sep 2000
ARSENIC TRIOXIDE1MG/MLinjectable · injectionFRESENIUS KABI USAPrescription31 Aug 2018
ARSENIC TRIOXIDE1MG/ML; 2MG/MLinjectable · injectionZYDUS PHARMSPrescription13 Nov 2018
ARSENIC TRIOXIDE1MG/MLinjectable · injectionJ MOLNERPrescription13 Nov 2018
ARSENIC TRIOXIDE1MG/MLinjectable · injectionINGENUS PHARMS LLCPrescription15 Nov 2018
ARSENIC TRIOXIDE1MG/MLinjectable · injectionNEXUSPrescription15 Nov 2018
ARSENIC TRIOXIDE1MG/MLinjectable · injectionPENN LIFEPrescription6 May 2019
ARSENIC TRIOXIDE1MG/ML; 2MG/MLinjectable · injectionAMNEALPrescription25 Jan 2021
ARSENIC TRIOXIDE2MG/ML; 1MG/MLinjectable · injectionGLANDPrescription7 Oct 2021
ARSENIC TRIOXIDE2MG/MLinjectable · injectionSANDOZPrescription2 Dec 2021
ARSENIC TRIOXIDE1MG/ML; 2MG/MLinjectable · injectionMSNPrescription20 Apr 2023
TRISENOX1MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**injectable · injectionCEPHALONDiscontinued25 Sep 2000
ARSENIC TRIOXIDE2MG/MLinjectable · injectionINGENUS PHARMS LLCDiscontinued15 Nov 2018
ARSENIC TRIOXIDE2MG/MLinjectable · injectionEUGIA PHARMADiscontinued15 Oct 2021

EMA European Union — centrally authorised medicines

Trisenox Teva B.V. · Authorised · authorised 5 Mar 2002 · ATC L01XX27

Therapeutic indication (EMA)

Trisenox is indicated for induction of remission, and consolidation in adult patients with: Newly diagnosed low-to-intermediate risk acute promyelocytic leukaemia (APL) (white blood cell count, ? 10 x 103/µl) in combination with all?trans?retinoic acid (ATRA) Relapsed/refractory acute promyelocytic leukaemia (APL) (previous treatment should have included a retinoid and chemotherapy) characterised by the presence of the t(15;17) translocation and/or the presence of the Pro-Myelocytic Leukaemia/Retinoic-Acid-Receptor-alpha (PML/RAR-alpha) gene. The response rate of other acute myelogenous leukaemia subtypes to arsenic trioxide has not been examined.

Arsenic trioxide Accord Accord Healthcare S.L.U. · Authorised · authorised 14 Nov 2019 · ATC L01XX27

Therapeutic indication (EMA)

Arsenic trioxide is indicated for induction of remission, and consolidation in adult patients with: Newly diagnosed low-to-intermediate risk acute promyelocytic leukaemia (APL) (white blood cell count, ? 10 x 103/?l) in combination with all-trans-retinoic acid (ATRA) Relapsed/refractory acute promyelocytic leukaemia (APL)(Previous treatment should have included a retinoid and chemotherapy) characterised by the presence of the t(15;17) translocation and/or the presence of the promyelocytic leukaemia/retinoic-acid-receptor-alpha (PML/RAR-alpha) gene.The response rate of other acute myelogenous leukaemia subtypes to arsenic trioxide has not been examined.

Arsenic trioxide medac medac Gesellschaft für klinische Spezialpräparate mbH · Authorised · authorised 17 Sep 2020 · ATC L01XX27

Therapeutic indication (EMA)

Arsenic trioxide medac is indicated for induction of remission, and consolidation in adult patients with: Newly diagnosed low-to-intermediate risk acute promyelocytic leukaemia (APL) (white blood cell count, ? 10 x 10³/?l) in combination with all-trans-retinoic acid (ATRA) Relapsed/refractory APL (previous treatment should have included a retinoid and chemotherapy) characterised by the presence of the t(15;17) translocation and/or the presence of the pro-myelocytic leukaemia/retinoic-acid-receptor-alpha (PML/RAR?) gene. The response rate of other acute myelogenous leukaemia subtypes to arsenic trioxide has not been examined.

Arsenic trioxide Mylan Mylan Ireland Limited · Withdrawn · authorised 1 Apr 2020 · ATC L01XX27

Therapeutic indication (EMA)

Arsenic trioxide Mylan is indicated for induction of remission, and consolidation in adult patients with:- Newly diagnosed low to intermediate risk acute promyelocytic leukaemia (APL) (white blood cell count, ? 10 x 103/?l) in combination with all trans retinoic acid (ATRA)- Relapsed/refractory acute promyelocytic leukaemia (APL) (Previous treatment should have included a retinoid and chemotherapy)characterised by the presence of the t(15;17) translocation and/or the presence of the promyelocytic leukaemia/retinoic acid receptor alpha (PML/RAR alpha) gene. The response rate of other acute myelogenous leukaemia subtypes to arsenic trioxide has not beenexamined.

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
ARSENIC TRIOXIDE FOR INJECTION024927681 MG / MLSOLUTION · INTRAVENOUSSTERIMAX INC
ARSENIC TRIOXIDE FOR INJECTION0251342010 MG / 10 MLSOLUTION · INTRAVENOUSSANDOZ CANADA INCORPORATED
ARSENIC TRIOXIDE FOR INJECTION025543641 MG / MLSOLUTION · INTRAVENOUSMARCAN PHARMACEUTICALS INC
ARSENIC TRIOXIDE SOLUTION FOR INJECTION0248735710 MG / 10 MLSOLUTION · INTRAVENOUSPHEBRA PTY LTD

WHO WHO Model List of Essential Medicines (2025)

  • 8.2.1. Cytotoxic medicines · complementary
    Acute myeloid leukaemia with recurrent genetic abnormalities
    Parenteral > General injections > IV: 1 mg per mL concentrate for solution for infusion; 2 mg per mL concentrate for solution for infusion

Safety signals and safety-related labeling changes

  • US FDA 20 Oct 2020 TRISENOX — safety-related labeling change
    Labeling sections changed: Boxed Warning; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide

All safety entries for arsenic trioxide →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.