Tecfidera (dimethyl fumarate) vs Briumvi (ublituximab-xiiy)
Tecfidera (dimethyl fumarate) vs Briumvi (ublituximab-xiiy)
Tecfidera (dimethyl fumarate) is an oral medication approved for the treatment of relapsing forms of multiple sclerosis (MS), which works by activating the Nrf2 pathway, thought to protect against oxidative stress that may play a role in the pathogenesis of MS. Briumvi (ublituximab-xiiy), on the other hand, is a monoclonal antibody administered intravenously, designed to target and deplete CD20-positive B cells, which are believed to be involved in the inflammatory and autoimmune processes of MS. When deciding between Tecfidera and Briumvi, patients should consider factors such as the route of administration, the mechanism of action, potential side effects, and the frequency of dosing, in consultation with their healthcare provider, to determine the most appropriate treatment for their specific condition and lifestyle.
Difference between Tecfidera and Briumvi
Metric | Tecfidera (dimethyl fumarate) | Briumvi (ublituximab-xiiy) |
---|---|---|
Generic name | Dimethyl fumarate | Ublituximab-xiiy |
Indications | Multiple sclerosis | Relapsing forms of multiple sclerosis |
Mechanism of action | Activates the Nrf2 pathway | CD20-directed cytolytic antibody |
Brand names | Tecfidera | Briumvi |
Administrative route | Oral | Intravenous |
Side effects | Flushing, gastrointestinal issues | Infusion reactions, infections |
Contraindications | Known hypersensitivity | Active hepatitis B infection |
Drug class | Fumaric acid ester | Monoclonal antibody |
Manufacturer | Biogen | TG Therapeutics |
Efficacy
Efficacy of Tecfidera (Dimethyl Fumarate) in Multiple Sclerosis
Tecfidera (dimethyl fumarate) is an oral medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. Clinical trials have demonstrated the efficacy of Tecfidera in reducing the rate of relapses, slowing the progression of disability, and decreasing the number of MS lesions as observed on MRI scans. In the DEFINE and CONFIRM phase III clinical trials, Tecfidera significantly reduced the annualized relapse rate by approximately 50% compared to placebo and showed a reduction in the progression of disability.
Moreover, Tecfidera has been associated with a favorable impact on several MRI markers of disease activity. Patients treated with Tecfidera exhibited fewer new or enlarging T2 hyperintense lesions and fewer gadolinium-enhancing lesions when compared with those receiving placebo. These findings suggest that Tecfidera can effectively modulate the disease process in MS, although individual responses to the medication can vary.
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. Briumvi is administered via intravenous infusion and is designed to deplete these B cells. While Briumvi is still under investigation for the treatment of MS and has not yet been approved by the FDA for this indication, clinical trials have shown promising results in terms of its efficacy in reducing disease activity.
In phase II and phase III clinical trials, Briumvi has been shown to significantly reduce the annualized relapse rate in patients with relapsing forms of MS. Additionally, Briumvi has demonstrated a substantial reduction in MRI lesions compared to the control groups. The ULTIMATE I and II phase III trials, which are evaluating the efficacy and safety of Briumvi in relapsing MS, are expected to provide further insight into its potential benefits and positioning among MS therapies. As of the knowledge cutoff date, these trials are ongoing, and the results are eagerly awaited by the medical community.
Regulatory Agency Approvals
Tecfidera
Briumvi
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