Rydapt (midostaurin) vs Daurismo (glasdegib)

Rydapt (midostaurin) vs Daurismo (glasdegib)

Rydapt (midostaurin) is a multi-targeted kinase inhibitor approved for the treatment of adult patients with newly diagnosed acute myeloid leukemia (AML) that is FLT3 mutation-positive, as detected by an FDA-approved test, in combination with standard cytarabine and daunorubicin induction and cytarabine consolidation. Daurismo (glasdegib) is a hedgehog pathway inhibitor indicated for the treatment of adult patients with newly diagnosed AML who are over 75 years old or who have comorbidities that preclude the use of intensive induction chemotherapy, in combination with low-dose cytarabine (LDAC). When deciding between these medications, one must consider factors such as the presence of the FLT3 mutation, age, overall health, and specific treatment goals, as Rydapt is tailored for FLT3-mutated AML, while Daurismo is an option for patients who cannot tolerate intensive chemotherapy.

Difference between Rydapt and Daurismo

Metric Rydapt (midostaurin) Daurismo (glasdegib)
Generic name Midostaurin Glasdegib
Indications Acute Myeloid Leukemia (AML), Systemic Mastocytosis Acute Myeloid Leukemia (AML)
Mechanism of action Protein kinase inhibitor Hedgehog pathway inhibitor
Brand names Rydapt Daurismo
Administrative route Oral Oral
Side effects Febrile neutropenia, nausea, mucositis, vomiting, headache Anemia, fatigue, hemorrhage, febrile neutropenia, muscle pain
Contraindications Hypersensitivity to midostaurin or excipients Hypersensitivity to glasdegib or excipients
Drug class Protein kinase inhibitor Hedgehog pathway inhibitor
Manufacturer Novartis Pharmaceuticals Corporation Pfizer Inc.

Efficacy

Efficacy of Rydapt (Midostaurin) in Leukemia

Rydapt, known generically as midostaurin, is a medication approved for the treatment of acute myeloid leukemia (AML) in combination with standard chemotherapy for patients with a specific genetic mutation known as FLT3. The efficacy of Rydapt in treating AML was demonstrated in a pivotal clinical trial known as the RATIFY study. In this study, patients who received Rydapt in combination with chemotherapy experienced a significant improvement in overall survival compared to those who received chemotherapy alone. The median overall survival was notably higher in the Rydapt group, illustrating the drug's potential in extending life expectancy for patients with FLT3-mutated AML.

Furthermore, Rydapt has shown efficacy in the treatment of advanced systemic mastocytosis, including aggressive systemic mastocytosis, systemic mastocytosis with associated hematological neoplasm, and mast cell leukemia. The approval for these indications was based on overall response rates observed in clinical trials, where a significant proportion of patients achieved a reduction in disease symptoms and mast cell burden.

Efficacy of Daurismo (Glasdegib) in Leukemia

Daurismo, with the generic name glasdegib, is a medication approved for use in newly diagnosed acute myeloid leukemia (AML) for patients who are 75 years or older or who have comorbidities that preclude the use of intensive induction chemotherapy. Daurismo is used in combination with low-dose cytarabine (LDAC), a type of chemotherapy. The efficacy of Daurismo was evaluated in a randomized clinical trial where patients treated with Daurismo plus LDAC had a significant improvement in median overall survival compared to those treated with LDAC alone. This combination has provided a new treatment option for a patient population with limited alternatives due to the intensity of standard AML therapy.

It is important to note that the efficacy of both Rydapt and Daurismo in the treatment of leukemia is contingent upon specific patient eligibility criteria, including genetic mutations, age, and overall health status. These factors must be considered by healthcare professionals when determining the suitability of these medications for individual patients. As with all medications, the benefits of Rydapt and Daurismo must be weighed against potential risks, and their use should be guided by the most up-to-date clinical evidence and treatment guidelines.

Regulatory Agency Approvals

Rydapt
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Daurismo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada

Access Rydapt or Daurismo today

If Rydapt or Daurismo 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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