Voraxaze works
in the circulation
Voraxaze® Works in the Circulation to Quickly Clear Methotrexate (MTX)1-3
Voraxaze and Leucovorin Work Differently1,2
- Voraxaze® (glucarpidase) lowers toxic levels in the extracellular compartment, whereas leucovorin counteracts MTX intracellularly. Only Voraxaze rapidly reduces plasma MTX concentrations by hydrolyzing extracellular MTX
- Voraxaze rapidly cleaves MTX into 2 inactive metabolites to provide a nonrenal pathway for elimination1,3
VORAXAZE® converts MTX to INACTIVE METABOLITES within 15 minutes1,4

Abbreviations: DAMPA, 4-deoxy-4-amino-N10-methylpteroic acid; MTX, methotrexate.
References
- Summary of Product Characteristics (SmPC), Voraxaze®
- Howard SC, et al. Preventing and managing toxicities of high-dose methotrexate. Oncologist. 2016;21(12):1471-82.
- Widemann BC, Adamson PC. Understanding and managing methotrexate nephrotoxicity. Oncologist. 2006;11(6):694-703.
UK-VRX-2600032 Date of Last Revision: February 2026
United States
Germany