Copiktra (duvelisib) vs Scemblix (asciminib)

Copiktra (duvelisib) vs Scemblix (asciminib)

Copiktra (duvelisib) is a dual inhibitor of phosphoinositide 3-kinase (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. Scemblix (asciminib) is a STAMP (Specifically Targeting the ABL Myristoyl Pocket) inhibitor designed to target the ABL1 kinase, and it is approved for the treatment of adult patients with Philadelphia chromosome-positive chronic myeloid leukemia (CML) in chronic phase who are resistant or intolerant to at least two prior tyrosine kinase inhibitors. When deciding between these medications, it is crucial to consider the specific type of leukemia being treated, as Copiktra is used for certain types of lymphomas, while Scemblix is specifically for CML, and the decision should be guided by a healthcare professional's evaluation of the patient's disease state and treatment history.

Difference between Copiktra and Scemblix

Metric Copiktra (duvelisib) Scemblix (asciminib)
Generic name Duvelisib Asciminib
Indications Chronic lymphocytic leukemia (CLL), Small lymphocytic lymphoma (SLL), Follicular lymphoma (FL) Chronic myeloid leukemia (CML)
Mechanism of action PI3K inhibitor ABL kinase inhibitor
Brand names Copiktra Scemblix
Administrative route Oral Oral
Side effects Diarrhea, neutropenia, rash, fatigue, pyrexia, cough, nausea, abdominal pain, pneumonia Thrombocytopenia, neutropenia, anemia, increased creatinine, increased pancreatic enzymes, musculoskeletal pain
Contraindications History of severe allergic reactions to duvelisib or any of its components Hypersensitivity to asciminib or any component of the formulation
Drug class Antineoplastic agent, PI3K inhibitor Antineoplastic agent, tyrosine kinase inhibitor
Manufacturer Secura Bio, Inc. Novartis Pharmaceuticals Corporation

Efficacy

Copiktra (Duvelisib) Efficacy in Leukemia

Copiktra, with the generic name duvelisib, is a medication approved for the treatment of certain types of leukemia. Specifically, it has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after at least two prior therapies. Duvelisib is a phosphoinositide 3-kinase (PI3K) inhibitor that works by blocking certain proteins that contribute to the growth of cancer cells. Clinical trials have demonstrated that Copiktra can lead to a reduction in tumor burden and prolong progression-free survival in patients with CLL or SLL, indicating its efficacy in these leukemic conditions.

Scemblix (Asciminib) Efficacy in Leukemia

Scemblix, also known by its generic name asciminib, is a newer medication that has been approved for the treatment of Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). Asciminib is a first-in-class STAMP (Specifically Targeting the ABL Myristoyl Pocket) inhibitor designed to target the ABL1 kinase, which is implicated in the pathogenesis of CML. The FDA has approved Scemblix for adult patients with Ph+ CML in chronic phase who have received two or more prior lines of therapy, including treatment with a tyrosine kinase inhibitor (TKI). Clinical studies have shown that asciminib can achieve hematologic and cytogenetic responses in patients with CML, highlighting its effectiveness in this specific leukemia subtype.

It is important to note that while both Copiktra and Scemblix have demonstrated efficacy in treating different forms of leukemia, their use is generally reserved for patients who have not responded to or have relapsed after other treatments. Additionally, the efficacy of these drugs can vary based on individual patient factors, and healthcare providers must carefully consider the potential benefits and risks when prescribing these medications.

Patients receiving Copiktra or Scemblix should be closely monitored for side effects and responses to treatment. The efficacy of these medications in leukemia represents a significant advancement in targeted cancer therapy, offering hope to patients who may have limited treatment options. Ongoing research and clinical trials continue to evaluate the long-term efficacy and safety profiles of these drugs, as well as their potential use in other cancer types or in combination with other therapies.

Regulatory Agency Approvals

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

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If Copiktra or Scemblix 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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