Tibsovo (ivosidenib) vs Brukinsa (zanubrutinib)

Tibsovo (ivosidenib) vs Brukinsa (zanubrutinib)

Tibsovo (ivosidenib) is a targeted therapy known as an IDH1 inhibitor, specifically approved for the treatment of acute myeloid leukemia (AML) with a susceptible IDH1 mutation, as well as cholangiocarcinoma with an IDH1 mutation. Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor used for treating mantle cell lymphoma, Waldenström's macroglobulinemia, and chronic lymphocytic leukemia/small lymphocytic lymphoma. The choice between Tibsovo and Brukinsa would depend on the specific type of blood cancer a patient has and whether there is a presence of the specific genetic mutations that Tibsovo targets, as these medications are not interchangeable and are used to treat different conditions.

Difference between Tibsovo and Brukinsa

Metric Tibsovo (ivosidenib) Brukinsa (zanubrutinib)
Generic name Ivosidenib Zanubrutinib
Indications Acute myeloid leukemia (AML) with a specific genetic mutation (IDH1) Mantle cell lymphoma (MCL), chronic lymphocytic leukemia (CLL), and small lymphocytic lymphoma (SLL)
Mechanism of action Inhibits mutant isocitrate dehydrogenase-1 (IDH1) enzyme Bruton's tyrosine kinase (BTK) inhibitor
Brand names Tibsovo Brukinsa
Administrative route Oral Oral
Side effects Fatigue, joint pain, diarrhea, dyspnea, edema, rash, etc. Neutropenia, thrombocytopenia, anemia, bruising, diarrhea, cough, etc.
Contraindications Hypersensitivity to ivosidenib or any component of the formulation Hypersensitivity to zanubrutinib or any component of the formulation
Drug class Enzyme inhibitor, antineoplastic agent Protein kinase inhibitor, antineoplastic agent
Manufacturer Agios Pharmaceuticals, Inc. BeiGene, Ltd.

Efficacy

Efficacy of Tibsovo (Ivosidenib) in Leukemia

Tibsovo (ivosidenib) is an oral medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a specific genetic mutation known as isocitrate dehydrogenase-1 (IDH1). The efficacy of Tibsovo in this indication was demonstrated in a clinical trial that included patients with IDH1-mutated AML who had experienced a relapse after standard treatments or who had not responded to previous therapies. In this study, Tibsovo showed a complete remission (CR) rate, which is the disappearance of all signs of cancer in response to treatment, plus complete remission with partial hematologic recovery (CRh), indicating a significant reduction in disease symptoms and some recovery of blood counts.

The trial results indicated that a meaningful percentage of patients achieved CR/CRh, which was maintained for varying periods. The median duration of CR/CRh was reported to be substantial, providing a clinically relevant period of disease control. Additionally, some patients treated with Tibsovo experienced a reduction in the need for blood transfusions, which is a common requirement for individuals with AML. These outcomes suggest that Tibsovo is an effective treatment option for patients with IDH1-mutated AML, particularly for those who have limited treatment options due to the relapsed or refractory nature of their disease.

Efficacy of Brukinsa (Zanubrutinib) in Leukemia

Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor used for the treatment of mantle cell lymphoma (MCL), a type of leukemia, in adult patients who have received at least one prior therapy. While MCL is not classified as acute leukemia like AML, it is a form of non-Hodgkin's lymphoma that can behave aggressively and is often considered within the broader category of leukemias. The efficacy of Brukinsa in treating MCL was established in clinical trials that assessed its ability to induce responses in patients who had previously been treated with other therapies.

In these trials, Brukinsa demonstrated a high overall response rate (ORR), which is the proportion of patients whose cancer shrinks or disappears after treatment. The duration of response (DOR) for patients who responded to Brukinsa was also noteworthy, with many patients experiencing sustained remissions. The data from the trials provided evidence that Brukinsa is an effective second-line or later treatment for patients with MCL, offering a new therapeutic option for a condition that is often challenging to treat after relapse or progression following initial therapies.

Regulatory Agency Approvals

Tibsovo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Brukinsa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Tibsovo or Brukinsa today

If Tibsovo or Brukinsa are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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