Tibsovo (ivosidenib) vs Bosulif (bosutinib)
Tibsovo (ivosidenib) vs Bosulif (bosutinib)
Tibsovo (ivosidenib) is specifically indicated for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a specific genetic mutation known as IDH1. It works by inhibiting the mutant IDH1 enzyme, which is involved in the abnormal proliferation of cancer cells. In contrast, Bosulif (bosutinib) is used to treat certain adult patients with chronic myelogenous leukemia (CML) and works by inhibiting a different protein, the BCR-ABL tyrosine kinase, which promotes the growth of abnormal white blood cells. The choice between Tibsovo and Bosulif would depend on the specific type of leukemia a patient has and the presence of particular genetic mutations. It is critical for patients to discuss with their healthcare provider to determine the most appropriate treatment based on their individual diagnosis and medical history.
Difference between Tibsovo and Bosulif
Metric | Tibsovo (ivosidenib) | Bosulif (bosutinib) |
---|---|---|
Generic name | Ivosidenib | Bosutinib |
Indications | Acute myeloid leukemia (AML) with a specific genetic mutation (IDH1) | Chronic myelogenous leukemia (CML) with resistance or intolerance to prior therapy |
Mechanism of action | Inhibits mutant IDH1 enzyme, leading to decreased production of the oncometabolite 2-HG and promoting myeloid differentiation | Tyrosine kinase inhibitor that targets BCR-ABL, SRC family, ABL, platelet-derived growth factor receptor (PDGFR), and c-KIT |
Brand names | Tibsovo | Bosulif |
Administrative route | Oral | Oral |
Side effects | Fatigue, leukocytosis, arthralgia, diarrhea, dyspnea, edema, nausea, mucositis, QT prolongation, rash, fever, cough, constipation | Diarrhea, nausea, thrombocytopenia, rash, increased liver enzymes, abdominal pain, fever, fatigue, vomiting, cough, headache |
Contraindications | Hypersensitivity to ivosidenib or any of its components | Hypersensitivity to bosutinib or any of its components |
Drug class | Isocitrate dehydrogenase-1 (IDH1) inhibitor | Tyrosine kinase inhibitor |
Manufacturer | Agios Pharmaceuticals, Inc. | Pfizer Inc. |
Efficacy
Efficacy of Tibsovo (Ivosidenib) in Treating Leukemia
Tibsovo, also known by its generic name 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 included 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 number of patients. The response to this targeted therapy highlights the importance of genetic testing in the management of leukemia to tailor treatments to individual patient profiles.
The response rates to Tibsovo in clinical trials have provided evidence that it can be an effective single-agent therapy for patients with AML who have the IDH1 mutation. The drug works by inhibiting the mutant IDH1 enzyme, which in turn reduces the levels of an oncometabolite that can contribute to the growth of cancer cells. By targeting this pathway, Tibsovo can help to induce remission in some patients, offering a targeted approach to AML treatment that was not previously available.
Efficacy of Bosulif (Bosutinib) in Treating Leukemia
Bosulif, with the generic name bosutinib, is another oral medication that has been approved by the FDA for the treatment of chronic myelogenous leukemia (CML). Bosulif is specifically indicated for adult patients with chronic, accelerated, or blast phase Philadelphia chromosome-positive (Ph+) CML with resistance or intolerance to prior therapy. The efficacy of Bosulif in treating CML was established through several clinical trials, which demonstrated its ability to achieve major cytogenetic responses (MCR) and complete cytogenetic responses (CCR) in a significant proportion of patients who had not responded to or could not tolerate other tyrosine kinase inhibitors (TKIs).
Bosulif works by inhibiting the Bcr-Abl kinase that promotes the growth of CML cells. The drug has shown efficacy in different lines of treatment, including as a first-line therapy and in patients who have received prior treatments. The clinical trials have shown that Bosulif can lead to long-term control of the disease in many patients, with some achieving deep molecular responses. Its role in the treatment of CML, especially for those with resistance or intolerance to other TKIs, has become an important part of the therapeutic arsenal against this form of leukemia.
Regulatory Agency Approvals
Tibsovo
Bosulif
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