Copiktra (duvelisib) vs Calquence (acalabrutinib)

Copiktra (duvelisib) vs Calquence (acalabrutinib)

Copiktra (duvelisib) is a dual inhibitor of phosphoinositide 3-kinase (PI3K)-gamma and -delta, which is approved for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) and follicular lymphoma. Calquence (acalabrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of adults with CLL/SLL and mantle cell lymphoma (MCL) who have received at least one prior therapy. When choosing between Copiktra and Calquence, a patient, in consultation with their healthcare provider, should consider factors such as the specific type and stage of their disease, their overall health, potential side effects, and the mechanism of action of each medication.

Difference between Copiktra and Calquence

Metric Copiktra (duvelisib) Calquence (acalabrutinib)
Generic name Duvelisib Acalabrutinib
Indications Relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma and follicular lymphoma Chronic lymphocytic leukemia, mantle cell lymphoma, and small lymphocytic lymphoma
Mechanism of action PI3K inhibitor, targeting PI3K-delta and PI3K-gamma Bruton's tyrosine kinase (BTK) inhibitor
Brand names Copiktra Calquence
Administrative route Oral Oral
Side effects Diarrhea, neutropenia, rash, fatigue, pyrexia, cough, nausea, upper respiratory infection, pneumonia, musculoskeletal pain Headache, diarrhea, bruising, fatigue, myalgia, anemia, thrombocytopenia, neutropenia, rash, pyrexia, cough
Contraindications History of severe allergic reactions to duvelisib or any of its components History of severe allergic reactions to acalabrutinib or any of its components
Drug class Phosphoinositide 3-kinase inhibitor Bruton's tyrosine kinase inhibitor
Manufacturer Verastem Oncology AstraZeneca

Efficacy

Efficacy of Copiktra (Duvelisib) in Treating Lymphoma

Copiktra, with the generic name duvelisib, is a medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) after at least two prior therapies. It is also indicated for relapsed or refractory follicular lymphoma after at least two prior systemic therapies. As a dual inhibitor of phosphoinositide 3-kinase (PI3K)-delta and PI3K-gamma, Copiktra has shown efficacy in reducing tumor burden and delaying disease progression in these lymphoma subtypes. Clinical trials have demonstrated that Copiktra can lead to partial or complete responses in a significant proportion of patients, offering a valuable treatment option for those who have exhausted other therapies.

Efficacy of Calquence (Acalabrutinib) in Treating Lymphoma

Calquence, known generically as acalabrutinib, is another FDA-approved medication for the treatment of adult patients with CLL/SLL. It is a Bruton's tyrosine kinase (BTK) inhibitor that interferes with the signaling that contributes to cancer cells' growth and survival. In clinical studies, Calquence has shown high efficacy in inducing responses in patients with CLL/SLL, including those who have received prior treatments. The drug's ability to achieve durable responses and its favorable safety profile make it a preferred option for many patients, particularly for those who cannot tolerate more aggressive treatments.

Comparative Efficacy in Lymphoma Treatment

When comparing the efficacy of Copiktra and Calquence, it is important to consider the specific type of lymphoma and the patient's prior treatment history. Both medications have shown promise in the relapsed or refractory setting, offering hope to patients with limited treatment options. However, the choice between these two drugs may depend on various factors, including the drug's side effect profile, the patient's comorbid conditions, and the presence of specific genetic mutations. Physicians must weigh these considerations carefully when prescribing these treatments for lymphoma.

Conclusion

In conclusion, both Copiktra and Calquence have demonstrated efficacy in the treatment of certain types of lymphoma, providing valuable options for patients who have relapsed or are refractory to previous therapies. The effectiveness of these drugs in inducing responses and their potential to improve patient outcomes make them important components of the current lymphoma treatment landscape. As with all medications, the decision to use Copiktra or Calquence should be made in the context of individual patient needs and in consultation with a healthcare professional experienced in the treatment of lymphoma.

Regulatory Agency Approvals

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

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