Copiktra (duvelisib) vs Tazverik (tazemetostat)
Copiktra (duvelisib) vs Tazverik (tazemetostat)
Copiktra (duvelisib) is a dual inhibitor of PI3K-delta and PI3K-gamma, indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) and follicular lymphoma. Tazverik (tazemetostat) is a selective inhibitor of the EZH2 enzyme, used for the treatment of adults and pediatric patients aged 16 years and older with metastatic or locally advanced epithelioid sarcoma not eligible for complete resection, and for adults with relapsed or refractory follicular lymphoma. The choice between Copiktra and Tazverik would depend on the specific diagnosis, the patient's overall health, potential side effects, and the treating physician's assessment of the most appropriate therapy for the patient's condition.
Difference between Copiktra and Tazverik
Metric | Copiktra (duvelisib) | Tazverik (tazemetostat) |
---|---|---|
Generic name | duvelisib | tazemetostat |
Indications | Chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), and follicular lymphoma (FL) | Epithelioid sarcoma and follicular lymphoma |
Mechanism of action | PI3K inhibitor targeting PI3K-delta and PI3K-gamma | EZH2 inhibitor |
Brand names | Copiktra | Tazverik |
Administrative route | Oral | Oral |
Side effects | Diarrhea, neutropenia, rash, fatigue, pyrexia, cough, nausea, upper respiratory infection, pneumonia, musculoskeletal pain | Thrombocytopenia, anemia, nausea, fatigue, musculoskeletal pain, vomiting, loss of appetite, constipation |
Contraindications | History of severe allergic reactions to duvelisib or any of its components | None known |
Drug class | Antineoplastic agent, PI3K inhibitor | Antineoplastic agent, EZH2 inhibitor |
Manufacturer | Secura Bio, Inc. | Epizyme, Inc. |
Efficacy
Copiktra (Duvelisib) Efficacy in Treating Lymphoma
Copiktra (duvelisib) is a small molecule inhibitor of phosphoinositide 3-kinase (PI3K), and is specifically used for the treatment of certain types of lymphoma. It has been shown to be effective in the treatment of relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) after at least two prior therapies. Additionally, Copiktra has been approved for use in patients with relapsed or refractory follicular lymphoma (FL) after at least two previous systemic therapies. The efficacy of Copiktra was primarily demonstrated in a clinical trial that showed a significant proportion of patients achieved partial or complete response to the therapy.
In the case of CLL/SLL, the response rate to Copiktra was observed to be approximately 80%, with a median duration of response of around 10 months. For patients with FL, the response rate was lower, but still significant, with around 40% of patients responding to the treatment. The median duration of response in FL was also notable, with some responses lasting over a year. These results indicate that Copiktra can be an effective treatment option for patients with these types of lymphoma, particularly when other treatments have failed.
Tazverik (Tazemetostat) Efficacy in Treating Lymphoma
Tazverik (tazemetostat) is an oral, selective inhibitor of the EZH2 enzyme, which has shown efficacy in treating certain types of lymphoma. It is approved for the treatment of adults with relapsed or refractory follicular lymphoma (FL) whose tumors are positive for an EZH2 mutation and who have received at least two prior systemic therapies, and for adult patients with relapsed or refractory FL with no satisfactory alternative treatment options. The efficacy of Tazverik was evaluated in a multicenter, single-arm trial where the overall response rate and duration of response were the primary endpoints.
In patients with EZH2 mutation-positive FL, Tazverik demonstrated an overall response rate of approximately 70%, with a complete response rate of around 13%. For those with EZH2 wild-type FL, the overall response rate was about 34%, with a complete response rate of 4%. The median duration of response was not reached in the mutation-positive group at the time of the data cut-off, suggesting durability of response. These results suggest that Tazverik can be an effective targeted therapy for patients with relapsed or refractory FL, particularly in those with an EZH2 mutation.
Regulatory Agency Approvals
Copiktra
Tazverik
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