Opdivo (Nivolumab) vs Truxima (rituximab)

Opdivo (Nivolumab) vs Truxima (rituximab)

Opdivo (Nivolumab) is an immune checkpoint inhibitor specifically targeting PD-1, a protein on T cells that normally helps keep these cells from attacking other cells in the body, and is primarily used in the treatment of various types of cancer, including melanoma, lung cancer, and kidney cancer, by enhancing the body's immune response against cancer cells. Truxima (rituximab), on the other hand, is a monoclonal antibody that targets the CD20 protein found on the surface of B cells and is used for treating conditions such as non-Hodgkin lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis. The choice between Opdivo and Truxima for a patient would depend on the specific type of cancer or autoimmune condition being treated, as well as the patient's overall health, treatment history, and how their disease has responded to previous treatments.

Difference between Opdivo and Truxima

Metric Opdivo (Nivolumab) Truxima (rituximab)
Generic name Nivolumab Rituximab
Indications Various types of cancers including melanoma, lung cancer, renal cell carcinoma, Hodgkin lymphoma, head and neck cancer, urothelial carcinoma, and more. Non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, and microscopic polyangiitis.
Mechanism of action Programmed death-1 (PD-1) immune checkpoint inhibitor that promotes T-cell immune response against cancer cells. Monoclonal antibody that targets CD20 antigen on B lymphocytes and induces their destruction.
Brand names Opdivo Truxima, Rituxan
Administrative route Intravenous infusion Intravenous infusion
Side effects Fatigue, rash, musculoskeletal pain, pruritus, diarrhea, nausea, decreased appetite, cough, dyspnea, constipation, vomiting, and new or worsening immune-mediated side effects. Infusion reactions, fever, lymphopenia, chills, infection, weakness, nausea, headache, rashes, and potential for severe immunological reactions.
Contraindications Known hypersensitivity to nivolumab or any of its excipients. Known hypersensitivity to rituximab or any of its components, or to murine proteins.
Drug class Immune checkpoint inhibitor, Monoclonal antibody Monoclonal antibody
Manufacturer Bristol-Myers Squibb Originally by Biogen and Genentech, biosimilars like Truxima by Celltrion.

Efficacy

Opdivo (Nivolumab) for Lymphoma

Opdivo, known generically as Nivolumab, is an immunotherapy drug that has shown efficacy in the treatment of certain types of lymphoma, which is a group of blood cancers that develop in the lymphatic system. Specifically, Nivolumab has been approved by regulatory agencies for the treatment of classical Hodgkin lymphoma (cHL) after relapse or after failure of autologous hematopoietic stem cell transplantation (HSCT). The drug is a PD-1 inhibitor that works by blocking the PD-1 protein on the surface of T-cells, thereby enhancing the immune system's ability to attack cancer cells. Clinical trials have demonstrated that Nivolumab can induce durable responses in a subset of patients with relapsed or refractory cHL.

Truxima (Rituximab) for Lymphoma

Truxima, a biosimilar to the original rituximab, is a monoclonal antibody that targets the CD20 protein found on the surface of B-cells. It is used in the treatment of non-Hodgkin lymphoma (NHL), including follicular lymphoma and diffuse large B-cell lymphoma, as well as in certain types of chronic lymphocytic leukemia (CLL). Truxima works by binding to the CD20 antigen on B-cells, leading to their destruction. It has been shown to improve survival rates when used in combination with chemotherapy, and it is often a part of the standard treatment regimens for these conditions. Its efficacy has been supported by numerous clinical trials and real-world studies that have established its role in improving outcomes for lymphoma patients.

Comparative Efficacy in Lymphoma Treatment

While both Opdivo and Truxima are used in the treatment of lymphoma, they target different types of the disease and work through different mechanisms of action. Opdivo is primarily used for cHL after other treatments have failed, and its efficacy is in inducing remission in a proportion of these patients. Truxima, on the other hand, has a broader application in the treatment of various types of NHL and is a cornerstone of therapy, often in combination with chemotherapy. The efficacy of these drugs is highly dependent on the specific type and stage of lymphoma, as well as previous treatments the patient has received.

Conclusion

In conclusion, both Opdivo and Truxima have demonstrated efficacy in the treatment of different types of lymphoma. Opdivo is particularly beneficial for patients with relapsed or refractory cHL, while Truxima is effective across a range of B-cell non-Hodgkin lymphomas. The choice of treatment is tailored to the individual patient based on the lymphoma subtype, the stage of the disease, and the patient's overall health and treatment history. Ongoing research continues to refine the use of these drugs and to explore their potential in combination with other therapies for improved outcomes in lymphoma treatment.

Regulatory Agency Approvals

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

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If Opdivo or Truxima 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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