Tasigna (nilotinib) vs Lumoxiti (moxetumomab pasudotox)

Tasigna (nilotinib) vs Lumoxiti (moxetumomab pasudotox)

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 that promotes cancer growth. Lumoxiti (moxetumomab pasudotox) is an immunotoxin used to treat hairy cell leukemia (HCL), a rare type of leukemia, by combining an antibody fragment that targets a protein called CD22 on the surface of cancer cells with a toxin that can kill these cells. The choice between Tasigna and Lumoxiti would depend on the specific type of leukemia a patient has, as they are not interchangeable; a healthcare provider would recommend one over the other based on the patient's diagnosis, disease characteristics, and overall health profile.

Difference between Tasigna and Lumoxiti

Metric Tasigna (nilotinib) Lumoxiti (moxetumomab pasudotox)
Generic name Nilotinib Moxetumomab Pasudotox
Indications Chronic myeloid leukemia (CML) Hairy cell leukemia
Mechanism of action Tyrosine kinase inhibitor Immunotoxin
Brand names Tasigna Lumoxiti
Administrative route Oral Intravenous
Side effects Rash, fatigue, nausea, pruritus, headache, constipation, diarrhea, cough, and myalgia Edema, nausea, fatigue, headache, pyrexia, constipation, anemia, and diarrhea
Contraindications Long QT syndrome, hypokalemia, hypomagnesemia No known absolute contraindications, but caution in renal impairment
Drug class Tyrosine kinase inhibitor CD22-directed cytotoxin
Manufacturer Novartis AstraZeneca

Efficacy

Tasigna (Nilotinib) Efficacy in Leukemia

Tasigna, known generically as nilotinib, is a medication specifically approved for the treatment of chronic myeloid leukemia (CML) in adult and pediatric patients. Its efficacy has been demonstrated in patients with Philadelphia chromosome-positive CML in the chronic phase. Nilotinib is a type of tyrosine kinase inhibitor that specifically targets the BCR-ABL tyrosine kinase, an abnormal enzyme found in CML patients that promotes the growth of leukemia cells. Clinical trials have shown that nilotinib is effective in achieving hematologic and cytogenetic responses in patients, which are important markers of disease progression and response to treatment.

The effectiveness of Tasigna has been evaluated in several clinical trials, including the ENESTnd trial, which compared nilotinib to imatinib, another first-line treatment for CML. The results demonstrated that nilotinib was superior to imatinib in achieving faster and deeper responses, including major molecular responses and complete cytogenetic responses. Moreover, nilotinib has been found to be beneficial in patients with CML who are resistant or intolerant to prior therapy, including imatinib.

Lumoxiti (Moxetumomab Pasudotox) Efficacy in Leukemia

Lumoxiti, with the generic name moxetumomab pasudotox, is an innovative therapeutic agent approved for the treatment of adult patients with hairy cell leukemia (HCL) who have received at least two prior systemic therapies, including treatment with a purine nucleoside analog. Hairy cell leukemia is a rare type of leukemia, and Lumoxiti is a first-in-class CD22-directed cytotoxin. It works by binding to the CD22 antigen on B cells and then internalizing into the cell where it releases a toxin that inhibits protein synthesis, leading to cell death.

The efficacy of Lumoxiti was established in a pivotal single-arm, multicenter clinical trial that included patients with relapsed or refractory HCL. The trial's primary endpoint was the rate of durable complete response, defined as the maintenance of hematologic remission for more than 180 days. The results showed a significant proportion of patients achieved a durable complete response, indicating that Lumoxiti is an effective treatment option for this patient population. Additionally, the treatment has shown a manageable safety profile, making it a viable option for patients who have limited treatment choices due to the rarity of the disease.

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)
Lumoxiti
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Tasigna or Lumoxiti today

If Tasigna or Lumoxiti 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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