Tasigna (nilotinib) vs Elzonris (tagraxofusp-erzs)
Tasigna (nilotinib) vs Elzonris (tagraxofusp-erzs)
Tasigna (nilotinib) is a tyrosine kinase inhibitor specifically approved for the treatment of chronic myeloid leukemia (CML) with Philadelphia chromosome-positive (Ph+) in adults and pediatric patients, targeting the BCR-ABL protein. Elzonris (tagraxofusp-erzs) is a CD123-directed cytotoxin indicated for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare and aggressive form of blood cancer, and is not used for CML. The choice between Tasigna and Elzonris would depend on the specific type of blood cancer a patient has; Tasigna is not appropriate for BPDCN, and Elzonris is not indicated for CML, thus the decision should be based on a physician's diagnosis and recommendation.
Difference between Tasigna and Elzonris
Metric | Tasigna (nilotinib) | Elzonris (tagraxofusp-erzs) |
---|---|---|
Generic name | Nilotinib | Tagraxofusp-erzs |
Indications | Chronic myeloid leukemia (CML) | Blastic plasmacytoid dendritic cell neoplasm (BPDCN) |
Mechanism of action | Tyrosine kinase inhibitor | CD123-directed cytotoxin |
Brand names | Tasigna | Elzonris |
Administrative route | Oral | Intravenous |
Side effects | Rash, pruritus, nausea, fatigue, headache, constipation, diarrhea, vomiting, myalgia | Capillary leak syndrome, nausea, fatigue, peripheral edema, pyrexia, weight increase |
Contraindications | Hypersensitivity to nilotinib, long QT syndrome, hypokalemia, hypomagnesemia | Hypersensitivity to tagraxofusp-erzs or any component of the formulation |
Drug class | Tyrosine kinase inhibitor | CD123-directed cytotoxin |
Manufacturer | Novartis | Stemline Therapeutics |
Efficacy
Tasigna (Nilotinib) Efficacy in Treating Leukemia
Tasigna, known generically as nilotinib, is an oral medication approved for the treatment of chronic myeloid leukemia (CML) in adult and pediatric patients. It is a type of tyrosine kinase inhibitor specifically designed to target the BCR-ABL protein, which is produced by the Philadelphia chromosome abnormality in CML cells. The efficacy of Tasigna in treating CML has been demonstrated in multiple clinical trials. Patients treated with Tasigna have shown significant hematologic and cytogenetic responses, which are indicators of leukemia cell reduction and the return of blood cell counts to normal levels.
For newly diagnosed patients with chronic phase CML, Tasigna has been reported to lead to higher rates of early molecular response and deeper molecular responses compared to imatinib, another first-line treatment for CML. In addition, long-term follow-up studies have indicated that Tasigna can sustain these responses with good tolerability. The drug has also been effective in patients with CML who are resistant or intolerant to prior therapy, including imatinib. In these cases, Tasigna has provided an alternative option that can lead to positive outcomes.
Elzonris (Tagraxofusp-erzs) Efficacy in Treating Leukemia
Elzonris, with the generic name tagraxofusp-erzs, is a targeted therapy approved for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare form of leukemia. It is the first and only FDA-approved treatment specifically for BPDCN. Elzonris is a fusion protein that combines interleukin-3 with a truncated diphtheria toxin. The drug targets CD123, a cell surface receptor that is overexpressed on BPDCN cells, and delivers the toxin to these malignant cells.
The efficacy of Elzonris in treating BPDCN has been evaluated in clinical trials, where it demonstrated a significant clinical benefit. Patients with BPDCN treated with Elzonris have shown high response rates, with a considerable number of patients achieving complete remission or clinical complete remission with a skin normalization. These results are particularly notable given the aggressive nature of BPDCN and the limited treatment options available prior to the approval of Elzonris. The therapy has provided a new hope for patients suffering from this rare and often fatal disease.
Regulatory Agency Approvals
Tasigna
Elzonris
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