Copiktra (duvelisib) vs Epkinly (epcoritamab-bysp)
Copiktra (duvelisib) vs Epkinly (epcoritamab-bysp)
Copiktra (duvelisib) is an oral small molecule 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. Epkinly (epcoritamab-bysp) is a subcutaneous bispecific antibody designed to target CD20 on B cells and CD3 on T cells, currently under investigation for the treatment of B-cell non-Hodgkin lymphoma. When deciding between the two, it is important to consider the specific type of lymphoma, the stage of the disease, the patient's prior treatments, and individual health factors, as well as consulting with a healthcare professional to determine the most appropriate therapy based on current approvals and clinical evidence.
Difference between Copiktra and Epkinly
Metric | Copiktra (duvelisib) | Epkinly (epcoritamab-bysp) |
---|---|---|
Generic name | Duvelisib | Epcoritamab-bysp |
Indications | Chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), follicular lymphoma (FL) | Currently under investigation for B-cell non-Hodgkin lymphoma |
Mechanism of action | PI3K inhibitor, targeting PI3K-delta and PI3K-gamma | Bispecific antibody targeting CD20 on B-cells and CD3 on T-cells |
Brand names | Copiktra | Epkinly |
Administrative route | Oral | Subcutaneous or intravenous injection (under investigation) |
Side effects | Diarrhea, neutropenia, rash, fatigue, pyrexia, cough, anemia, nausea, upper respiratory infection, pneumonia | Currently under investigation; side effects are not fully characterized |
Contraindications | History of severe allergic reactions to duvelisib or any of its components | Not yet fully established |
Drug class | Antineoplastic, kinase inhibitor | Antineoplastic, monoclonal antibody |
Manufacturer | Secura Bio, Inc. | Genmab and AbbVie |
Efficacy
Efficacy of Copiktra (Duvelisib) in Treating Lymphoma
Copiktra (duvelisib) is a small molecule inhibitor of phosphoinositide 3-kinase (PI3K), specifically targeting the delta and gamma isoforms. It is approved by the U.S. Food and Drug Administration (FDA) for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) and follicular lymphoma (FL) after at least two prior systemic therapies. Clinical trials have demonstrated that duvelisib effectively inhibits the PI3K signaling pathway, which is known to promote the growth and survival of malignant B-cells. In a pivotal Phase 3 study, duvelisib showed a significant improvement in progression-free survival compared to the control arm in patients with relapsed or refractory CLL/SLL.
For patients with follicular lymphoma, Copiktra has also shown promise. The efficacy of duvelisib in FL was supported by a single-arm, multicenter clinical trial where the overall response rate was observed to be clinically meaningful. Patients who had received at least two prior systemic therapies demonstrated a response to Copiktra, indicating its potential as a viable treatment option for individuals with this type of lymphoma who have limited choices due to the refractory nature of their disease.
Efficacy of Epkinly (Epcoritamab-bysp) in Treating Lymphoma
Epkinly (epcoritamab-bysp), known during development as epcoritamab, is an investigational bispecific antibody designed to target both CD20, a protein commonly expressed on the surface of B-cells, and CD3, a protein present on T-cells. By bringing these two cell types into close proximity, epcoritamab is intended to facilitate the immune system's T-cell mediated killing of B-cell lymphoma. While Epkinly is not yet approved by regulatory authorities, it has shown promising results in early clinical trials for the treatment of various types of B-cell non-Hodgkin lymphoma (NHL), including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma.
In the clinical studies conducted thus far, Epkinly has demonstrated an ability to induce complete and partial responses in a significant proportion of patients with relapsed or refractory B-cell lymphomas. The bispecific antibody's mechanism of action, which recruits the patient's own immune cells to attack cancer cells, represents a novel approach in the treatment of lymphoma. As research continues, the efficacy and safety profile of Epkinly will be further elucidated, potentially offering a new therapeutic option for patients with lymphoma.
Regulatory Agency Approvals
Copiktra
Epkinly
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