Truxima (rituximab) vs Brukinsa (zanubrutinib)
Truxima (rituximab) vs Brukinsa (zanubrutinib)
Truxima (rituximab) is a monoclonal antibody that targets the CD20 protein found on the surface of B-cells, and is commonly used to treat certain types of blood cancers and autoimmune diseases. Brukinsa (zanubrutinib) is a small molecule inhibitor that targets Bruton's tyrosine kinase (BTK), and is used for the treatment of mantle cell lymphoma and other B-cell malignancies. When deciding between the two, it is essential to consider the specific diagnosis, as Truxima is often chosen for conditions like non-Hodgkin's lymphoma and rheumatoid arthritis, while Brukinsa is selected for its efficacy in B-cell malignancies that are responsive to BTK inhibition.
Difference between Truxima and Brukinsa
Metric | Truxima (rituximab) | Brukinsa (zanubrutinib) |
---|---|---|
Generic name | Rituximab | Zanubrutinib |
Indications | Non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, microscopic polyangiitis | Mantle cell lymphoma, Waldenström's macroglobulinemia, chronic lymphocytic leukemia/small lymphocytic lymphoma |
Mechanism of action | CD20-directed cytolytic antibody | Bruton's tyrosine kinase inhibitor |
Brand names | Truxima, Rituxan, MabThera | Brukinsa |
Administrative route | Intravenous infusion | Oral |
Side effects | Infusion reactions, fever, lymphopenia, chills, infection | Thrombocytopenia, neutropenia, upper respiratory tract infection, hemorrhage |
Contraindications | Severe infections, severe cardiac disease, hypersensitivity to rituximab or mouse proteins | Hemorrhage, infections, cytopenias |
Drug class | Monoclonal antibody | Tyrosine kinase inhibitor |
Manufacturer | Celltrion Healthcare, Genentech (Roche) | BeiGene |
Efficacy
Truxima (rituximab) Efficacy in Lymphoma Treatment
Truxima, a biosimilar to the original rituximab, is a monoclonal antibody that targets the CD20 antigen on the surface of pre-B and mature B lymphocytes. In the treatment of lymphoma, particularly non-Hodgkin lymphoma (NHL), rituximab has been a cornerstone in therapy. Clinical trials and subsequent real-world experience have demonstrated that rituximab, when used in combination with chemotherapy, improves overall survival and progression-free survival in patients with both indolent and aggressive forms of B-cell NHL. Truxima, by virtue of its similarity to rituximab, is expected to exhibit comparable efficacy in the treatment of these lymphomas.
Truxima has been approved for use in patients with previously untreated follicular lymphoma, diffuse large B-cell lymphoma (DLBCL), and chronic lymphocytic leukemia (CLL). Its efficacy has been established through clinical trials that have shown it to be non-inferior to the reference product, rituximab, in terms of overall response rate and complete remission rates. This suggests that Truxima is an effective treatment option for patients with these types of lymphoma.
Brukinsa (zanubrutinib) Efficacy in Lymphoma Treatment
Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor that has shown promising results in the treatment of mantle cell lymphoma (MCL), a type of non-Hodgkin lymphoma. Zanubrutinib has been designed to be more selective than the first-generation BTK inhibitors, potentially leading to fewer off-target effects and improved tolerability. Clinical trials have demonstrated that zanubrutinib can produce high response rates in patients with MCL, including those who have received prior therapies.
In addition to MCL, zanubrutinib is being investigated for its efficacy in other B-cell malignancies, including Waldenström's macroglobulinemia and marginal zone lymphoma. Early clinical data suggests that zanubrutinib has a favorable safety profile and is effective in inducing responses in these lymphomas as well. However, long-term data and further research are necessary to fully establish the efficacy and safety of zanubrutinib in the treatment of various subtypes of lymphoma.
Regulatory Agency Approvals
Truxima
Brukinsa
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