Adcetris (brentuximab vedotin) vs Calquence (acalabrutinib)
Adcetris (brentuximab vedotin) vs Calquence (acalabrutinib)
Adcetris (brentuximab vedotin) is a targeted therapy known as an antibody-drug conjugate used primarily to treat certain types of lymphomas, including Hodgkin lymphoma and systemic anaplastic large cell lymphoma. Calquence (acalabrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of mantle cell lymphoma and chronic lymphocytic leukemia. The choice between Adcetris and Calquence would depend on the specific type of blood cancer a patient has, as they are used to treat different diseases and work through distinct mechanisms of action.
Difference between Adcetris and Calquence
Metric | Adcetris (brentuximab vedotin) | Calquence (acalabrutinib) |
---|---|---|
Generic name | Brentuximab vedotin | Acalabrutinib |
Indications | Hodgkin lymphoma, systemic anaplastic large cell lymphoma, primary cutaneous anaplastic large cell lymphoma, and certain types of mycosis fungoides | Mantle cell lymphoma, chronic lymphocytic leukemia, small lymphocytic lymphoma |
Mechanism of action | Antibody-drug conjugate targeting CD30-expressing cells | Bruton's tyrosine kinase inhibitor |
Brand names | Adcetris | Calquence |
Administrative route | Intravenous infusion | Oral |
Side effects | Peripheral neuropathy, neutropenia, fatigue, nausea, fever, rash, thrombocytopenia | Headache, diarrhea, bruising, muscle pain, anemia, thrombocytopenia, neutropenia |
Contraindications | Hypersensitivity to brentuximab vedotin or any excipients | Hypersensitivity to acalabrutinib or its excipients, severe hepatic impairment |
Drug class | Antineoplastic agent, monoclonal antibody | Antineoplastic agent, kinase inhibitor |
Manufacturer | Seattle Genetics | AstraZeneca |
Efficacy
Efficacy of Adcetris (Brentuximab Vedotin) for Lymphoma
Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically indicated for the treatment of several types of lymphoma, including Hodgkin's lymphoma (HL) and systemic anaplastic large cell lymphoma (sALCL). In Hodgkin's lymphoma, Adcetris has shown significant efficacy, particularly in patients with relapsed or refractory disease. Clinical trials have demonstrated that Adcetris, when used after the failure of other treatments, can induce a high rate of complete remissions. The pivotal phase III trial known as the ECHELON-1 study further supported its use in combination with chemotherapy in the frontline setting, showing an improvement in modified progression-free survival compared to the standard of care alone.
For sALCL, Adcetris has been approved based on the overall response rate and duration of response observed in clinical trials. Patients with relapsed or refractory sALCL treated with Adcetris have experienced significant tumor reduction, with many achieving complete remission. The durability of these responses has been noteworthy, leading to its adoption as a standard treatment option for sALCL patients who have failed first-line therapy.
Efficacy of Calquence (Acalabrutinib) for Lymphoma
Calquence (acalabrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of mantle cell lymphoma (MCL) in patients who have received at least one prior therapy. In clinical studies, Calquence has shown a high overall response rate in relapsed or refractory MCL patients. The ACE-LY-004 trial, which was a pivotal phase II study, demonstrated that a significant proportion of patients achieved partial or complete response to the treatment, indicating its efficacy in this hard-to-treat lymphoma subtype.
While Calquence is not broadly indicated for all types of lymphoma, its efficacy in MCL highlights the potential of targeted therapies in the management of specific lymphoma subtypes. The drug's mechanism of action, selectively inhibiting BTK, which is a critical component of the B-cell receptor signaling pathway, makes it particularly effective for B-cell malignancies like MCL. Ongoing research may expand its indications if further efficacy in other forms of lymphoma is demonstrated in clinical trials.
Regulatory Agency Approvals
Adcetris
Calquence
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