Polivy (polatuzumab vedotin-piiq) vs Monjuvi (tafasitamab-cxix)

Polivy (polatuzumab vedotin-piiq) vs Monjuvi (tafasitamab-cxix)

Polivy (polatuzumab vedotin-piiq) is an antibody-drug conjugate specifically targeting CD79b, a protein associated with B-cell non-Hodgkin lymphoma, and is used in combination with other drugs for the treatment of relapsed or refractory diffuse large B-cell lymphoma (DLBCL). Monjuvi (tafasitamab-cxix), on the other hand, is a monoclonal antibody that targets CD19, another protein expressed on the surface of B-cells, and is used in combination with lenalidomide for the treatment of relapsed or refractory DLBCL in patients who are not eligible for autologous stem cell transplant. The choice between Polivy and Monjuvi depends on various factors including the patient's specific subtype of DLBCL, previous treatments, potential side effects, and overall health condition, which should be thoroughly discussed with a healthcare provider.

Difference between Polivy and Monjuvi

Metric Polivy (polatuzumab vedotin-piiq) Monjuvi (tafasitamab-cxix)
Generic name Polatuzumab vedotin Tafasitamab
Indications Treatment of diffuse large B-cell lymphoma Treatment of diffuse large B-cell lymphoma
Mechanism of action Antibody-drug conjugate targeting CD79b Anti-CD19 monoclonal antibody
Brand names Polivy Monjuvi
Administrative route Intravenous infusion Intravenous infusion
Side effects Neutropenia, anemia, thrombocytopenia, fatigue, diarrhea Neutropenia, thrombocytopenia, anemia, fatigue, diarrhea
Contraindications Hypersensitivity to polatuzumab vedotin-piiq or its excipients Hypersensitivity to tafasitamab-cxix or its excipients
Drug class Antibody-drug conjugate Monoclonal antibody
Manufacturer Genentech, Inc. MorphoSys and Incyte

Efficacy

Polivy (polatuzumab vedotin-piiq) Efficacy in Treating Lymphoma

Polivy (polatuzumab vedotin-piiq) is a targeted cancer medication approved for the treatment of certain types of lymphoma. Specifically, it is indicated for adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, after at least two prior therapies. Polivy is an antibody-drug conjugate that combines an anti-CD79b antibody with a chemotherapeutic agent. Its efficacy was demonstrated in clinical trials where it was used in combination with bendamustine and a rituximab product (BR). The combination showed a significant improvement in overall response rates and complete response rates compared to treatment with BR alone.

In a pivotal phase II study, the combination including Polivy significantly extended progression-free survival (PFS) in patients with relapsed or refractory DLBCL. The median PFS for patients treated with the Polivy combination was substantially longer than for those who received only BR. Moreover, an improvement in overall survival (OS) was also observed, although this outcome requires further validation in subsequent studies to confirm the long-term benefit.

Monjuvi (tafasitamab-cxix) Efficacy in Treating Lymphoma

Monjuvi (tafasitamab-cxix) is another novel therapeutic agent approved for the treatment of relapsed or refractory DLBCL. It is indicated for use in combination with lenalidomide for adult patients who are not eligible for autologous stem cell transplant (ASCT). Monjuvi is a monoclonal antibody that targets CD19, a protein expressed on the surface of pre-B and mature B lymphocytes and on many B-cell malignancies. The efficacy of Monjuvi in combination with lenalidomide was evaluated in a multicenter, single-arm, open-label phase II trial. This combination showed a marked improvement in overall response rate and complete response rate compared to historical controls of monotherapy.

The clinical trial data for Monjuvi also indicated an extension in progression-free survival when used in the specified patient population. The median PFS observed in the trial was encouraging, suggesting that Monjuvi, in combination with lenalidomide, provides a beneficial treatment option for patients with few alternatives. Additionally, the duration of response for patients responding to treatment was substantial, with many patients maintaining their response beyond a year.

Regulatory Agency Approvals

Polivy
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
Monjuvi
  • Food and Drug Administration (FDA), USA

Access Polivy or Monjuvi today

If Polivy or Monjuvi 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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