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Motixafortide

Motixafortide is a cyclic peptide CXCR4 antagonist used to move hematopoietic stem cells from bone marrow into the bloodstream for collection.

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At a glance

Evidence stage
Approved use
Regulatory status
APHEXDA is FDA-approved with filgrastim to mobilize hematopoietic stem cells for collection and subsequent autologous transplantation in adults with multiple myeloma.
Research context
Motixafortide is a cyclic peptide CXCR4 antagonist used to move hematopoietic stem cells from bone marrow into the bloodstream for collection.

What this is

  • Motixafortide is a cyclic peptide CXCR4 antagonist used to move hematopoietic stem cells from bone marrow into the bloodstream for collection.

What this isn't

  • A recommendation to use, prepare, combine, or administer a product
  • Evidence that a related molecule or a differently formulated product has the same effects

Key terms

Motixafortide is a cyclic peptide CXCR4 antagonist used to move hematopoietic stem cells from bone marrow into the bloodstream for collection.

CXCR4 helps retain stem cells in their bone-marrow environment through signaling with CXCL12. Motixafortide blocks this interaction, increasing circulating cells available for apheresis. The purpose is to obtain a transplant graft; mobilizing cells is not itself evidence of tissue rejuvenation or treatment of the underlying myeloma. APHEXDA prescribing information.

Evidence limits

How to read the evidence

Successful collection can help a transplant proceed, but this trial does not establish improved myeloma survival or prove that mobilized cells repair unrelated organs. The findings concern a specific combination and transplant population. Different collection thresholds and laboratory counting methods can change the reported success rate without representing contradictory trials. GENESIS methods and results; prescribing information.

Sources appraised 2026-10-28. Educational information; not medical advice. Study findings apply to the populations, preparations and outcomes described.

External sources and citations

  1. APHEXDA prescribing information
  2. GENESIS randomized stem-cell mobilization study

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