Tasigna (nilotinib) vs Daurismo (glasdegib)
Tasigna (nilotinib) vs Daurismo (glasdegib)
Tasigna (nilotinib) is a tyrosine kinase inhibitor specifically approved for the treatment of chronic myeloid leukemia (CML) with Philadelphia chromosome-positive (Ph+) status, and it works by targeting the BCR-ABL protein that promotes cancer cell growth. Daurismo (glasdegib), on the other hand, is a hedgehog pathway inhibitor indicated for the treatment of newly-diagnosed acute myeloid leukemia (AML) in adult patients who are 75 years or older or who have comorbidities that preclude the use of intensive induction chemotherapy. The choice between Tasigna and Daurismo would largely depend on the specific type of leukemia a patient has, their age, overall health, and treatment goals, as these medications are not interchangeable and target different pathways and types of leukemia.
Difference between Tasigna and Daurismo
Metric | Tasigna (nilotinib) | Daurismo (glasdegib) |
---|---|---|
Generic name | Nilotinib | Glasdegib |
Indications | Chronic myeloid leukemia (CML) | Acute myeloid leukemia (AML) |
Mechanism of action | Tyrosine kinase inhibitor | Hedgehog pathway inhibitor |
Brand names | Tasigna | Daurismo |
Administrative route | Oral | Oral |
Side effects | Rash, pruritus, nausea, fatigue, headache, constipation, diarrhea, vomiting, myalgia | Anemia, fatigue, hemorrhage, febrile neutropenia, muscle pain, nausea |
Contraindications | Long QT syndrome, hypokalemia, hypomagnesemia, liver impairment | Hypersensitivity to glasdegib or any component of the formulation |
Drug class | BCR-ABL tyrosine kinase inhibitor | Hedgehog pathway inhibitor |
Manufacturer | Novartis | Pfizer |
Efficacy
Efficacy of Tasigna (Nilotinib) in Treating Leukemia
Tasigna, known generically as nilotinib, is a medication that has been approved for the treatment of chronic phase and accelerated phase Philadelphia chromosome-positive chronic myelogenous leukemia (CML) in adults. Nilotinib is a type of tyrosine kinase inhibitor that specifically targets the BCR-ABL tyrosine kinase, which is produced by the Philadelphia chromosome abnormality in CML. The efficacy of Tasigna has been demonstrated in clinical trials where it has been shown to lead to high rates of hematologic and cytogenetic responses in patients with CML, particularly in those who are newly diagnosed or who are resistant or intolerant to prior therapy including imatinib (another tyrosine kinase inhibitor).
Clinical studies have shown that patients treated with nilotinib have achieved faster and deeper responses compared to some other treatments. In the ENESTnd trial, which compared nilotinib to imatinib in newly diagnosed patients, nilotinib was associated with a higher rate of major molecular response and a lower progression to accelerated phase or blast crisis. These results suggest that Tasigna is highly effective in controlling the proliferation of leukemia cells and delaying disease progression in patients with CML.
Efficacy of Daurismo (Glasdegib) in Treating Leukemia
Daurismo, with the active ingredient glasdegib, is a medication approved for use in combination with low-dose cytarabine for the treatment of newly-diagnosed acute myeloid leukemia (AML) in adults who are 75 years or older, or who have comorbidities that preclude the use of intensive induction chemotherapy. Glasdegib is a hedgehog pathway inhibitor, which works by blocking signals that are essential for the maintenance and survival of cancer stem cells. The approval of Daurismo was based on the results of clinical trials that demonstrated its efficacy in this patient population.
In a pivotal clinical trial, patients treated with the combination of glasdegib and low-dose cytarabine showed a significant improvement in overall survival when compared to patients who were treated with low-dose cytarabine alone. The median overall survival was notably longer in the glasdegib group, indicating that Daurismo, when used in combination with cytarabine, provides a survival benefit to patients with AML who are not candidates for intensive chemotherapy. This evidence supports the use of Daurismo as an effective treatment option for this specific group of AML patients.
Regulatory Agency Approvals
Tasigna
Daurismo
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