Access to Nelarabine in India

Nelarabine is an approved drug recommended for Leukaemia and Lymphoma patients in specific settings. As per the FDA and EMA approvals, this drug is indicated in T-ALL and T-LBL management. T-ALL stands for T-cell acute lymphoblastic leukaemia and T-LBL would mean T-cell lymphoblastic lymphoma. Globally this medication is known by its trade names Arranon and Atriance. Nelarabine in India is imported based on the specific patient requirements. Atriance in India is more plausible because of the import options explored from Europe. The import of Arranon in India is not so common. 


Novartis is the Pharmaceutical Company responsible for the development and promotion of Nelarabine. Glaxosmithkline also promotes the brand Arranon as per the labelling information. Commercially this drug is available in a pack of six vials or ampoules, each having strength of 5mg/ml. For all practical purposes it is often referred as Nelarabine 250mg or Atriance 250mg in India.     


The search for Atriance and Nelerabine by Indian patients do indicate the relevance of this drug. The drug recommendations from BMT units across the country also signify its relevance in the success of stem cell transplant procures. Most of the patients who are asked to use this drug are also the appropriate candidates for BMT.

How can patients get Nelarabine in India?

As per the recommendations of your Haematologist or a BMT expert, you would require to procure the medicine in adequate quantities for better treatment planning by your physician. Atriance India import may be the only ideal option as this drug is not officially registered in India. It is a streamlined procedure and therefore there is no need to panic or stress.

You need to confirm the dosage requirements and accordingly apply for a patient specific import permit. You can do it online by checking for CDSCO portal. It’s the organization with authority to issue permits after verifying patient’s identity and Dr’s prescription.

While you wait for the import permit, you can also connect with a global supplier or a distributor who has the capability of exporting this drug as per your prescribed quantities. You can either procure the entire quantity at once or plan to buy as and when required for your treatment.

Your global supplier should also be able to assist you with all the important documentation processes that are important for shipment from Europe and clearance in India. There are specific documents to be submitted for customs clearance.

If you plan well, you can have Nelarabine India import done in a way to deliver at your Hospital anywhere in India. Home delivery is also an option for the patients.

Ensure the following specifications –

1. Do not act naive and process payments without verifying the track record and due credentials of your suppliers. Always go with the recommendation of your treating physicians if they have prior experience of using Atriance in India. 

2. Beware of fraud and dubious practices that are very much prevalent in the grey markets. Know for sure that such dubious options provided by unauthorized suppliers are not good for your health.

3. Ask for important documents that must include a commercial invoice and the clearance document from customs which is known as the Bill of Entry. Unless your supplier provides you with complete documentation support, there is no way you can trust the genuineness of the drug they supply.

NPS access for Atriance in India –

Synergy Drugs is a network of experienced professionals who understand various processes involved in the procurement of speciality medicines. Atriance import could be complex if you are not being guided by expert professionals. You can rely on our knowhow and expertise in arriving at the best choice supplier or global source. You can be assured of doing the right thing for your better health.