Tasigna (nilotinib) vs Scemblix (asciminib)

Tasigna (nilotinib) vs Scemblix (asciminib)

Tasigna (nilotinib) and Scemblix (asciminib) are both used to treat chronic myeloid leukemia (CML) with different mechanisms of action: Tasigna is a second-generation tyrosine kinase inhibitor (TKI) that targets the BCR-ABL protein, which is produced by the Philadelphia chromosome abnormality in CML cells, while Scemblix is a more recently approved STAMP inhibitor that specifically targets the ABL myristoyl pocket of the BCR-ABL protein, offering an alternative for patients who may have developed resistance to or are intolerant of prior TKIs. Tasigna has been in use for a longer period and has a well-established safety and efficacy profile, whereas Scemblix, approved by the FDA in October 2021, provides a new option for patients, particularly those with the T315I mutation, which is resistant to several other TKIs. When deciding between the two, a patient should consider factors such as their specific CML mutation status, prior treatment history, potential side effects, and the recommendations of their healthcare provider.

Difference between Tasigna and Scemblix

Metric Tasigna (nilotinib) Scemblix (asciminib)
Generic name Nilotinib Asciminib
Indications Chronic myeloid leukemia (CML) Chronic myeloid leukemia (CML)
Mechanism of action Tyrosine kinase inhibitor STAMP inhibitor (Specifically Targeting the ABL Myristoyl Pocket)
Brand names Tasigna Scemblix
Administrative route Oral Oral
Side effects Rash, pruritus, nausea, fatigue, headache, constipation, diarrhea, vomiting, myalgia Thrombocytopenia, neutropenia, anemia, increased blood creatinine, rash, musculoskeletal pain
Contraindications Long QT syndrome, hypokalemia, hypomagnesemia, liver impairment None known
Drug class Tyrosine kinase inhibitor Tyrosine kinase inhibitor
Manufacturer Novartis Novartis

Efficacy

Tasigna (Nilotinib) Efficacy in Treating Leukemia

Tasigna, known generically as nilotinib, is a medication specifically approved for the treatment of chronic myeloid leukemia (CML) in adult and pediatric patients. It is a type of tyrosine kinase inhibitor that targets the BCR-ABL protein, which is produced by the Philadelphia chromosome abnormality in CML cells. The efficacy of Tasigna has been demonstrated in several clinical trials. In these studies, Tasigna has shown to be effective in achieving hematologic and cytogenetic responses in patients with newly diagnosed CML as well as in those who are resistant or intolerant to prior therapy, including imatinib (another tyrosine kinase inhibitor).

Patients treated with Tasigna have experienced high rates of complete cytogenetic response (CCyR) and major molecular response (MMR), which are important markers of disease control in CML. Long-term follow-up studies have indicated that Tasigna can lead to durable responses and has the potential to improve overall survival rates among CML patients. Moreover, Tasigna has been associated with a lower progression rate to advanced stages of the disease compared to some other treatments.

Scemblix (Asciminib) Efficacy in Treating Leukemia

Scemblix, with the generic name asciminib, is a newer medication approved for the treatment of chronic phase CML in adults. It is a first-in-class STAMP (Specifically Targeting the ABL Myristoyl Pocket) inhibitor, which represents a novel mechanism of action in the inhibition of the BCR-ABL kinase. The efficacy of Scemblix has been evaluated in clinical trials involving patients who have been previously treated with two or more tyrosine kinase inhibitors (TKIs) and have become resistant or intolerant to these therapies.

In pivotal clinical trials, Scemblix has shown a significant ability to achieve major molecular responses in a substantial proportion of patients. The drug has also demonstrated a favorable safety profile, with fewer cardiovascular adverse events compared to other TKIs. Scemblix offers a promising new option for patients with CML who have not responded adequately to other treatments, potentially improving outcomes and quality of life for this patient population. The introduction of Scemblix into the therapeutic landscape for CML represents an important advancement in the management of this form of leukemia.

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)
Scemblix
  • Food and Drug Administration (FDA), USA

Access Tasigna or Scemblix today

If Tasigna or Scemblix 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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