Tasigna (nilotinib) vs Brukinsa (zanubrutinib)

Tasigna (nilotinib) vs Brukinsa (zanubrutinib)

Tasigna (nilotinib) is a tyrosine kinase inhibitor specifically designed to treat certain types of chronic myeloid leukemia (CML) by targeting the BCR-ABL protein. Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor used primarily for the treatment of mantle cell lymphoma (MCL) and other B-cell malignancies. When choosing between Tasigna and Brukinsa, it is crucial to consider the specific type of cancer being treated, as their effectiveness is tied to targeting different proteins involved in different leukemias and lymphomas.

Difference between Tasigna and Brukinsa

Metric Tasigna (nilotinib) Brukinsa (zanubrutinib)
Generic name Nilotinib Zanubrutinib
Indications Chronic myeloid leukemia (CML) Mantle cell lymphoma, Waldenström's macroglobulinemia, and other B-cell malignancies
Mechanism of action Tyrosine kinase inhibitor Bruton's tyrosine kinase (BTK) inhibitor
Brand names Tasigna Brukinsa
Administrative route Oral Oral
Side effects Rash, pruritus, nausea, fatigue, headache, constipation, diarrhea, vomiting, myalgia Neutropenia, thrombocytopenia, anemia, diarrhea, bruising, cough, rash
Contraindications Hypokalemia, hypomagnesemia, long QT syndrome Hemorrhage, infections, cytopenias
Drug class Second-generation tyrosine kinase inhibitor Bruton's tyrosine kinase inhibitor
Manufacturer Novartis BeiGene

Efficacy

Tasigna (Nilotinib) Efficacy in Treating Leukemia

Tasigna, also known by its generic name nilotinib, is a medication primarily used in the treatment of a specific type of leukemia known as chronic myeloid leukemia (CML) in the chronic phase. It is a second-generation tyrosine kinase inhibitor (TKI) designed to target the BCR-ABL tyrosine kinase, an abnormal enzyme produced by leukemia cells in CML. Clinical trials have shown that Tasigna is highly effective in patients with CML, especially for those who are newly diagnosed or who have become resistant to or intolerant of prior therapy, including the first-generation TKI imatinib (Gleevec).

The efficacy of Tasigna in treating CML is measured by monitoring the reduction in the number of leukemia cells in the blood and bone marrow, as well as by assessing the cytogenetic and molecular responses in patients. Studies have demonstrated that Tasigna is capable of inducing a complete cytogenetic response (CCyR) in a significant proportion of patients, as well as a major molecular response (MMR) in many cases. These responses are associated with improved long-term outcomes, including a lower risk of disease progression and increased overall survival rates.

Brukinsa (Zanubrutinib) Efficacy in Treating Leukemia

Brukinsa, with the active ingredient zanubrutinib, is a Bruton's tyrosine kinase (BTK) inhibitor used for the treatment of mantle cell lymphoma (MCL), a type of non-Hodgkin's lymphoma, which is a form of leukemia. While it is not a first-line treatment for chronic lymphocytic leukemia (CLL), it has shown promise in clinical trials for treating CLL and small lymphocytic lymphoma (SLL). Zanubrutinib has been designed to be more selective than earlier BTK inhibitors, potentially leading to fewer off-target effects and improved tolerability for patients.

The effectiveness of Brukinsa in leukemia is assessed through its ability to achieve objective response rates (ORR), including partial and complete responses, as well as progression-free survival (PFS) in patients. Clinical studies have indicated that Brukinsa can produce high ORR in patients with MCL who have received at least one prior therapy. Additionally, ongoing research suggests that zanubrutinib may offer a favorable safety profile and substantial efficacy in patients with CLL/SLL, providing a potential treatment option for those who have relapsed or are refractory to other therapies.

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

Access Tasigna or Brukinsa today

If Tasigna or Brukinsa 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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