Poteligeo (mogamulizumab) vs Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)

Poteligeo (mogamulizumab) vs Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)

Poteligeo (mogamulizumab) is a monoclonal antibody used for the treatment of certain types of cutaneous T-cell lymphoma (CTCL), specifically for patients who have received at least one prior systemic therapy. It works by targeting a protein called CCR4 on the surface of cancer cells, which helps the immune system to detect and destroy these cells. On the other hand, Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) is an asparagine-specific enzyme indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) in patients who have developed hypersensitivity to E. coli-derived asparaginase. The choice between these two medications would depend on the specific type of blood cancer a patient has and their previous treatment history, as they are used for different conditions and have distinct mechanisms of action.

Difference between Poteligeo and Rylaze

Metric Poteligeo (mogamulizumab) Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)
Generic name mogamulizumab-kpkc asparaginase erwinia chrysanthemi (recombinant)-rywn
Indications For the treatment of adult patients with relapsed or refractory mycosis fungoides or Sézary syndrome after at least one prior systemic therapy As a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) in pediatric and adult patients who have developed hypersensitivity to E. coli-derived asparaginase
Mechanism of action CC chemokine receptor 4 (CCR4) antagonist, which leads to antibody-dependent cellular cytotoxicity Hydrolyzes L-asparagine, which deprives leukemia cells of an exogenous source of L-asparagine and leads to cell death
Brand names Poteligeo Rylaze
Administrative route Intravenous infusion Intramuscular injection
Side effects Rash, infusion reactions, fatigue, diarrhea, musculoskeletal pain, and upper respiratory tract infection Allergic reactions, pancreatitis, glucose intolerance, thrombosis, hemorrhage, hepatotoxicity, and elevated liver enzymes
Contraindications None known specifically; caution in patients with severe hepatic impairment or severe renal impairment Hypersensitivity to asparaginase Erwinia chrysanthemi or any component of the formulation
Drug class Monoclonal antibody Enzyme
Manufacturer Kyowa Kirin, Inc. Jazz Pharmaceuticals, Inc.

Efficacy

Efficacy of Poteligeo (Mogamulizumab) for Lymphoma

Poteligeo (mogamulizumab) is a monoclonal antibody that targets CC chemokine receptor 4 (CCR4) and has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of certain types of cutaneous T-cell lymphoma (CTCL), specifically for patients with mycosis fungoides or Sézary syndrome who have received at least one prior systemic therapy. Clinical trials have demonstrated that mogamulizumab is effective in reducing the disease burden in CTCL. In a pivotal phase 3 clinical trial, mogamulizumab was associated with a significantly longer progression-free survival compared to the control therapy, vorinostat, a standard treatment for CTCL.

The efficacy of Poteligeo was evaluated in a multicenter, randomized, open-label clinical study which showed that patients treated with mogamulizumab had a median progression-free survival of 7.6 months compared to 3.1 months in the vorinostat group. The overall response rate was also higher in the mogamulizumab group. This data supports the use of mogamulizumab as an effective treatment option for patients with relapsed or refractory CTCL, particularly those with the mycosis fungoides and Sézary syndrome subtypes.

Efficacy of Rylaze for Lymphoma

Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) is an asparagine-specific enzyme indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma (LBL). While Rylaze itself is not specifically indicated for the broad category of lymphoma, its role in treating LBL, which is a type of non-Hodgkin lymphoma, is critical. The efficacy of Rylaze is derived from its ability to deplete the amino acid asparagine, which is essential for the growth of lymphoblasts, thereby inhibiting the proliferation of these malignant cells.

Rylaze was approved based on a clinical study that demonstrated that it could achieve and maintain nadir serum asparaginase activity above the threshold believed to be therapeutic in patients with ALL or LBL. The use of Rylaze is particularly important for patients who have developed hypersensitivity to E. coli-derived asparaginase, which is a common component of ALL and LBL therapy. Rylaze offers an alternative source of asparaginase that can be used in these patients to maintain the efficacy of their treatment regimen without the risk of allergic reactions associated with E. coli-derived asparaginase.

Regulatory Agency Approvals

Poteligeo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Rylaze
  • Food and Drug Administration (FDA), USA

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