Mayzent (Siponimod) vs Briumvi (ublituximab-xiiy)
Mayzent (Siponimod) vs Briumvi (ublituximab-xiiy)
Mayzent (Siponimod) is an oral sphingosine 1-phosphate receptor modulator approved for the treatment of relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. Briumvi (ublituximab-xiiy), on the other hand, is an intravenous monoclonal antibody designed to deplete CD20+ B cells, which are believed to play a role in the pathogenesis of MS, and it is approved for the treatment of relapsing forms of MS, including relapsing-remitting disease and active secondary progressive disease. When deciding between the two, patients should consider factors such as the route of administration (oral for Mayzent vs. intravenous for Briumvi), potential side effects, and their own specific medical history and treatment goals in consultation with their healthcare provider.
Difference between Mayzent and Briumvi
Metric | Mayzent (Siponimod) | Briumvi (ublituximab-xiiy) |
---|---|---|
Generic name | Siponimod | Ublituximab-xiiy |
Indications | Relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease | Relapsing forms of multiple sclerosis (MS) |
Mechanism of action | Sphingosine 1-phosphate receptor modulator | CD20-directed cytolytic antibody |
Brand names | Mayzent | Briumvi |
Administrative route | Oral | Intravenous |
Side effects | Headache, hypertension, liver transaminase elevation, macular edema, bradycardia, varicella zoster virus reactivation, etc. | Infusion reactions, upper respiratory tract infections, headache, fatigue, nausea, arthralgia, pyrexia, etc. |
Contraindications | CYP2C9*3/*3 genotype, recent (within the last 6 months) myocardial infarction, unstable angina, stroke, transient ischemic attack, decompensated heart failure requiring hospitalization, class III/IV heart failure, presence of Mobitz type II second-degree or third-degree atrioventricular block or sick sinus syndrome, unless the patient has a functioning pacemaker | Patients with active hepatitis B infection, active infection, or severely immunocompromised patients |
Drug class | Sphingosine 1-phosphate receptor modulator | Monoclonal antibody |
Manufacturer | Novartis Pharmaceuticals Corporation | TG Therapeutics, Inc. |
Efficacy
Efficacy of Mayzent (Siponimod) in Multiple Sclerosis
Mayzent (Siponimod) is a medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of multiple sclerosis (MS), specifically for relapsing forms of the disease, which include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. It is a sphingosine 1-phosphate receptor modulator that works by trapping immune cells in lymph nodes, preventing them from reaching the central nervous system and causing damage. Clinical trials have demonstrated that Siponimod can reduce the risk of disability progression and the number of relapses in individuals with these forms of MS. The efficacy of Mayzent was shown in a large Phase III trial (EXPAND) which indicated a significant reduction in the risk of three-month confirmed disability progression compared to placebo.
Efficacy of Briumvi (Ublituximab-xiiy) in Multiple Sclerosis
Briumvi (ublituximab-xiiy) is a monoclonal antibody that targets a specific protein called CD20 found on the surface of B cells, which are a type of immune cell implicated in the pathogenesis of MS. By targeting these cells, ublituximab-xiiy is designed to deplete them and thereby modulate the abnormal immune response that contributes to the demyelination and neurodegeneration characteristic of MS. While Briumvi has been evaluated in clinical trials, as of the knowledge cutoff date, it has not yet received FDA approval for the treatment of MS. The available data from phase II and phase III clinical trials suggest that ublituximab-xiiy has the potential to significantly reduce annualized relapse rates in patients with relapsing forms of MS.
Both Mayzent and Briumvi represent advancements in the treatment landscape of MS, offering mechanisms of action that target the immune components of the disease. The efficacy of these treatments in reducing relapse rates and delaying disability progression provides hope for improved quality of life for individuals living with MS. However, the long-term safety and efficacy profiles of these medications continue to be evaluated, and treatment decisions should be made on an individual basis by healthcare providers in consultation with their patients.
It is important to note that while these medications show promise in the management of MS, their use should be guided by a thorough understanding of the patient's disease course, prior treatment responses, and overall health status. Additionally, as new data emerges and further studies are conducted, the indications and efficacy profiles of these drugs may evolve, underscoring the importance of staying informed about the latest research in the field of MS treatment.
Regulatory Agency Approvals
Mayzent
Briumvi
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