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Prescription medicine

Nirogacestat Brand names: Ogsiveo

Nirogacestat (Ogsiveo) is a prescription medicine with an FDA approval on record since 2023. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the nirogacestat FDA label on DailyMed (effective September 1, 2026, SpringWorks Therapeutics, Inc.); the NDA 217677 record on Drugs@FDA; every nirogacestat label on DailyMed.

Highlights of the record

FDA label of September 1, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

OGSIVEO is indicated for adult patients with progressing desmoid tumors who require systemic treatment.

Forms and strengths

  • 100 mg
  • 150 mg

Film-coated tablet.

On the market

Earliest approval on file
November 27, 2023 Ogsiveo, Springworks; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included
Last listed patent
May 19, 2043 Ogsiveo tablets; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
838 through July 30, 2026

What is nirogacestat used for?

From the label: indications and usage

OGSIVEO is indicated for adult patients with progressing desmoid tumors who require systemic treatment. OGSIVEO is a gamma secretase inhibitor indicated for adult patients with progressing desmoid tumors who require systemic treatment.

FDA pharmacologic class: Gamma Secretase Inhibitor.

Source: FDA drug label (OGSIVEO), SpringWorks Therapeutics, Inc., effective September 1, 2026 (SPL set f172e6ff-3190-41b0-b95a-58a7ef9e9e1e), via openFDA; the full label on DailyMed

What does the patient leaflet for nirogacestat say first?

The FDA-approved Medication Guide or Patient Information that comes with the medicine, in its own words.

From the patient leaflet: What should I avoid while taking OGSIVEO?

Avoid eating or drinking grapefruit products, Seville oranges, and starfruit during treatment with OGSIVEO.

Source: FDA drug label (OGSIVEO), SpringWorks Therapeutics, Inc., effective September 1, 2026 (SPL set f172e6ff-3190-41b0-b95a-58a7ef9e9e1e), via openFDA; the full label on DailyMed

Is there a generic for nirogacestat (Ogsiveo)?

No generic nirogacestat is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 29 patents for Ogsiveo tablets: the compound patent runs to August 9, 2039, and the last listed entry to May 19, 2043. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2023 earliest approval on file
  • 2043 last listed patent

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do FAERS reports show for nirogacestat?

The FDA Adverse Event Reporting System holds 838 reports that list nirogacestat among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 8 are coded as a death and 113 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Diarrhoea (named in the label)305
  • Nausea (named in the label)193
  • Fatigue (named in the label)163
  • Rash (named in the label)109
  • Headache (named in the label)87
  • Product Dose Omission Issue (a use or a product term, not a reaction)85
  • Vomiting75
  • Stomatitis (named in the label)59

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Nirogacestat side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other