Tibsovo (ivosidenib) vs Daurismo (glasdegib)
Tibsovo (ivosidenib) vs Daurismo (glasdegib)
Tibsovo (ivosidenib) is indicated for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a specific genetic mutation known as IDH1. Daurismo (glasdegib), on the other hand, is used in combination with low-dose cytarabine for the treatment of newly-diagnosed AML in adult patients who are 75 years or older, or who have comorbidities that preclude the use of intensive induction chemotherapy, without the need for a specific genetic mutation. When deciding between Tibsovo and Daurismo, it is crucial to consider the patient's specific genetic mutation status, age, overall health, and treatment goals, as these factors will determine the appropriateness of each medication.
Difference between Tibsovo and Daurismo
Metric | Tibsovo (ivosidenib) | Daurismo (glasdegib) |
---|---|---|
Generic name | Ivosidenib | Glasdegib |
Indications | Acute myeloid leukemia (AML) with a specific genetic mutation (IDH1) | Acute myeloid leukemia (AML) for newly-diagnosed patients aged 75 years or older, or who have comorbidities that preclude use of intensive induction chemotherapy |
Mechanism of action | Inhibits mutant isocitrate dehydrogenase 1 (IDH1) enzyme | Inhibits the smoothened (SMO) receptor, which affects the Hedgehog signaling pathway |
Brand names | Tibsovo | Daurismo |
Administrative route | Oral | Oral |
Side effects | Fatigue, leukocytosis, arthralgia, diarrhea, dyspnea, edema, nausea, mucositis, QT interval prolongation, rash, fever, cough, constipation | Anemia, thrombocytopenia, neutropenia, fatigue, muscle pain, edema, hemorrhage, febrile neutropenia, dyspnea, nausea, decreased appetite, dysgeusia, mucositis, constipation, rash |
Contraindications | None known specifically; caution in patients with acute respiratory distress syndrome or those with a history of QT interval prolongation | None known specifically; caution in patients with QT interval prolongation, severe renal impairment, or hepatic impairment |
Drug class | Enzyme inhibitor | Hedgehog pathway inhibitor |
Manufacturer | Agios Pharmaceuticals | Pfizer |
Efficacy
Efficacy of Tibsovo (Ivosidenib) in Treating Leukemia
Tibsovo (ivosidenib) is an oral medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of acute myeloid leukemia (AML) with a specific genetic mutation known as isocitrate dehydrogenase-1 (IDH1). This mutation is present in a subset of AML patients. The efficacy of Tibsovo in treating AML was demonstrated in a clinical trial that involved patients with relapsed or refractory AML with an IDH1 mutation. The trial showed that Tibsovo induced a complete remission or complete remission with partial hematologic recovery in a significant portion of patients. The response to the treatment was also found to be durable, with some patients maintaining remission for extended periods.
Furthermore, Tibsovo has been studied in patients with newly diagnosed AML who are aged 75 years or older, or who have comorbidities that preclude the use of intensive induction chemotherapy. In this population, Tibsovo, when used alone, has shown efficacy in inducing remission and prolonging survival compared to conventional care regimens. The use of Tibsovo represents an important therapeutic advancement for AML patients with the IDH1 mutation, particularly for those who have limited treatment options due to age or health status.
Efficacy of Daurismo (Glasdegib) in Treating Leukemia
Daurismo (glasdegib) is another oral medication that has been FDA-approved for the treatment of AML, in combination with low-dose cytarabine (LDAC), for newly diagnosed patients who are 75 years of age or older or who have comorbidities that preclude the use of intensive chemotherapy. Daurismo works by inhibiting the Hedgehog signaling pathway, which is thought to be involved in the development of various cancers, including AML. In a pivotal clinical trial, the combination of Daurismo with LDAC was compared to LDAC alone and demonstrated a significant improvement in overall survival among patients treated with the combination therapy.
The clinical trial data showed that the median overall survival was notably longer for patients receiving Daurismo plus LDAC compared to those receiving LDAC alone. This improvement in survival was achieved without substantially increasing the toxicity profile of the treatment, making it a viable option for patients who are unable to tolerate more aggressive chemotherapy regimens. Daurismo's efficacy in this patient population provides a valuable treatment option that can extend life expectancy and improve the quality of life for older AML patients or those with significant comorbidities.
Regulatory Agency Approvals
Tibsovo
Daurismo
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