Polivy (polatuzumab vedotin-piiq) vs Ukoniq (umbralisib)

Polivy (polatuzumab vedotin-piiq) vs Ukoniq (umbralisib)

Polivy (polatuzumab vedotin-piiq) is an antibody-drug conjugate specifically indicated for the treatment of adults with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), to be used in combination with bendamustine and a rituximab product. Ukoniq (umbralisib) is a dual inhibitor of PI3K-delta and CK1-epsilon, indicated for the treatment of adults with relapsed or refractory marginal zone lymphoma (MZL) who have received at least one prior anti-CD20-based regimen, and for adults with relapsed or refractory follicular lymphoma (FL) who have received at least three prior lines of systemic therapy. When deciding between Polivy and Ukoniq, the choice would largely depend on the specific type of lymphoma diagnosed, as each medication is approved for different indications and types of lymphoma, and the patient's previous treatments and overall health condition should also be considered.

Difference between Polivy and Ukoniq

Metric Polivy (polatuzumab vedotin-piiq) Ukoniq (umbralisib)
Generic name Polatuzumab vedotin-piiq Umbralisib
Indications Treatment of relapsed or refractory diffuse large B-cell lymphoma Treatment of marginal zone lymphoma and follicular lymphoma
Mechanism of action Antibody-drug conjugate targeting CD79b PI3K inhibitor with activity against CK1ε
Brand names Polivy Ukoniq
Administrative route Intravenous infusion Oral
Side effects Neutropenia, anemia, thrombocytopenia, peripheral neuropathy, fatigue, diarrhea Nausea, diarrhea, fatigue, increased liver enzymes, rash
Contraindications Hypersensitivity to polatuzumab vedotin-piiq or any of its components Hypersensitivity to umbralisib or any of its components
Drug class Antibody-drug conjugate Small molecule kinase inhibitor
Manufacturer Genentech, Inc. TG Therapeutics, Inc.

Efficacy

Polivy (polatuzumab vedotin-piiq) Efficacy in Treating Lymphoma

Polivy (polatuzumab vedotin-piiq) is a targeted cancer medicine used in the treatment of lymphoma, specifically for diffuse large B-cell lymphoma (DLBCL), which is the most common type of non-Hodgkin lymphoma in adults. Polivy is typically used in combination with other chemotherapy drugs, such as bendamustine and a rituximab product, in patients who have relapsed or refractory disease after at least two prior therapies. The efficacy of Polivy was evaluated in a clinical trial that demonstrated a significant improvement in complete response rates and overall survival when added to bendamustine and rituximab, compared to bendamustine and rituximab alone.

In this key study, the addition of Polivy to the regimen increased the complete response rate, which is an important indicator of the treatment's ability to completely eliminate signs of cancer. Furthermore, the median duration of response for patients treated with the Polivy combination was markedly longer than for those who received only bendamustine and rituximab. These results support the use of Polivy as an effective treatment option for patients with relapsed or refractory DLBCL, offering hope for improved outcomes in a population with limited treatment options.

Ukoniq (umbralisib) Efficacy in Treating Lymphoma

Ukoniq (umbralisib) is a medication approved for the treatment of certain types of lymphoma, including marginal zone lymphoma (MZL) and follicular lymphoma (FL). It is indicated for patients who have received at least one prior anti-CD20-based regimen. Ukoniq is a PI3K delta inhibitor that works by targeting a specific protein in cancer cells, which can help to slow or stop the growth of the cancer. The efficacy of Ukoniq was demonstrated in clinical trials that showed a significant proportion of patients achieving an objective response, which includes both complete and partial responses.

For patients with MZL, the response rate to Ukoniq was noteworthy, with a considerable number of patients achieving a partial or complete response to therapy. Similarly, in patients with FL, Ukoniq has shown efficacy with an appreciable response rate. The duration of response for patients treated with Ukoniq was also encouraging, with many patients maintaining their response for a substantial period. These results establish Ukoniq as an effective treatment option for patients with MZL and FL who have exhausted other therapies, providing a new avenue for disease management in these lymphoma subtypes.

Regulatory Agency Approvals

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

Access Polivy or Ukoniq today

If Polivy or Ukoniq 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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