Tasigna (nilotinib) vs Tibsovo (ivosidenib)

Tasigna (nilotinib) vs Tibsovo (ivosidenib)

Tasigna (nilotinib) is a tyrosine kinase inhibitor specifically used for the treatment of chronic myeloid leukemia (CML) with Philadelphia chromosome-positive (Ph+) status, targeting the BCR-ABL protein. Tibsovo (ivosidenib) is an isocitrate dehydrogenase-1 (IDH1) inhibitor used in the treatment of acute myeloid leukemia (AML) with a mutation in the IDH1 gene. The choice between Tasigna and Tibsovo would depend on the specific type and genetic profile of the leukemia a patient has, as these medications are not interchangeable and are tailored to target different mutations within the cancer cells.

Difference between Tasigna and Tibsovo

Metric Tasigna (nilotinib) Tibsovo (ivosidenib)
Generic name Nilotinib Ivosidenib
Indications Chronic myeloid leukemia (CML) Acute myeloid leukemia (AML), Cholangiocarcinoma with an IDH1 mutation
Mechanism of action Tyrosine kinase inhibitor Isocitrate dehydrogenase-1 (IDH1) inhibitor
Brand names Tasigna Tibsovo
Administrative route Oral Oral
Side effects Rash, fatigue, nausea, pruritus, headache, constipation, diarrhea, cough, muscle and joint pain Fatigue, leukocytosis, arthralgia, diarrhea, dyspnea, edema, nausea, mucositis, QT prolongation, rash, fever, cough, constipation
Contraindications Hypersensitivity to nilotinib, long QT syndrome, hypokalemia, hypomagnesemia Hypersensitivity to ivosidenib, QT prolongation, severe hepatic impairment
Drug class Tyrosine kinase inhibitor Enzyme inhibitor
Manufacturer Novartis Agios Pharmaceuticals, Inc.

Efficacy

Efficacy of Tasigna (Nilotinib) in Treating Leukemia

Tasigna (nilotinib) is an effective medication used in the treatment of certain types of leukemia. Specifically, it is approved for the treatment of chronic myeloid leukemia (CML) in adult and pediatric patients. Nilotinib is a tyrosine kinase inhibitor that targets the BCR-ABL protein, which is produced by the Philadelphia chromosome abnormality in CML cells. By inhibiting this protein, nilotinib helps to stop the proliferation of leukemia cells.

Clinical trials have demonstrated the efficacy of Tasigna in both newly diagnosed patients and those who are resistant or intolerant to prior therapy, including imatinib (another tyrosine kinase inhibitor). In these studies, nilotinib has shown to induce a higher rate of deep molecular responses and has a lower progression rate to advanced stages of the disease compared to imatinib. For newly diagnosed patients, nilotinib has been associated with improved rates of complete cytogenetic response and major molecular response, which are important markers of treatment effectiveness.

Efficacy of Tibsovo (Ivosidenib) in Treating Leukemia

Tibsovo (ivosidenib) is a targeted therapy used to treat acute myeloid leukemia (AML) with a specific genetic mutation known as isocitrate dehydrogenase-1 (IDH1). Ivosidenib is an IDH1 inhibitor that works by blocking the abnormal form of the IDH1 enzyme found in some cancer cells, which can lead to the reduction of the cancer cell growth and promote differentiation of the cells into normal cells. Tibsovo is indicated for adult patients with relapsed or refractory AML with an IDH1 mutation, as well as for newly diagnosed patients who are aged 75 years or older, or who have comorbidities that preclude the use of intensive induction chemotherapy.

The efficacy of Tibsovo has been demonstrated in clinical trials where it has been shown to induce complete remission (CR) or complete remission with partial hematologic recovery (CRh) in a significant proportion of patients. The response to ivosidenib has been associated with a reduction in the need for blood transfusions and an improvement in patient-reported outcomes, such as fatigue and quality of life. Additionally, for some patients, Tibsovo has been shown to provide a bridge to potentially curative stem cell transplantation.

Regulatory Agency Approvals

Tasigna
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Tibsovo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Tasigna or Tibsovo today

If Tasigna or Tibsovo are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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