Polivy (polatuzumab vedotin-piiq) vs Brukinsa (zanubrutinib)

Polivy (polatuzumab vedotin-piiq) vs Brukinsa (zanubrutinib)

Polivy (polatuzumab vedotin-piiq) is an antibody-drug conjugate specifically designed for the treatment of certain types of non-Hodgkin lymphoma, including diffuse large B-cell lymphoma, and is often used in combination with other cancer medications. Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of mantle cell lymphoma and other B-cell malignancies. The choice between Polivy and Brukinsa would depend on the specific type of lymphoma a patient has, as well as the patient's overall health, treatment history, and the recommendations of their healthcare provider.

Difference between Polivy and Brukinsa

Metric Polivy (polatuzumab vedotin-piiq) Brukinsa (zanubrutinib)
Generic name Polatuzumab vedotin-piiq Zanubrutinib
Indications Treatment of relapsed or refractory diffuse large B-cell lymphoma Treatment of mantle cell lymphoma, Waldenström's macroglobulinemia, and chronic lymphocytic leukemia/small lymphocytic lymphoma
Mechanism of action Antibody-drug conjugate targeting CD79b Bruton's tyrosine kinase inhibitor
Brand names Polivy Brukinsa
Administrative route Intravenous infusion Oral
Side effects Neutropenia, anemia, thrombocytopenia, peripheral neuropathy, fatigue, diarrhea Neutropenia, thrombocytopenia, anemia, bruising, diarrhea, cough, rash
Contraindications Hypersensitivity to polatuzumab vedotin-piiq or any of its components Hypersensitivity to zanubrutinib or any of its components
Drug class Antibody-drug conjugate Bruton's tyrosine kinase inhibitor
Manufacturer Genentech, Inc. BeiGene, Ltd.

Efficacy

Polivy (polatuzumab vedotin-piiq) for Lymphoma

Polivy (polatuzumab vedotin-piiq) is a targeted cancer medicine specifically designed to treat lymphoma, particularly diffuse large B-cell lymphoma (DLBCL), which is the most common type of non-Hodgkin lymphoma in adults. Polivy is an antibody-drug conjugate that combines an antibody targeting CD79b, a protein expressed on the surface of B-cells, with a potent chemotherapy drug. The efficacy of Polivy, when used in combination with bendamustine and a rituximab product, was established in a pivotal clinical trial that demonstrated a significant improvement in overall survival and progression-free survival in patients with relapsed or refractory DLBCL compared to those who received bendamustine and rituximab alone.

Brukinsa (zanubrutinib) for Lymphoma

Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor used for the treatment of mantle cell lymphoma (MCL) in adult patients who have received at least one prior therapy. This medication works by blocking BTK, which is a key molecule in the B-cell receptor signaling complex that plays a crucial role in the survival and proliferation of malignant B-cells. Clinical trials have shown that Brukinsa has a high overall response rate in patients with relapsed or refractory MCL, indicating its effectiveness in shrinking or eliminating tumors in a significant proportion of patients.

Comparative Efficacy in Lymphoma Treatment

While both Polivy and Brukinsa are used to treat different types of lymphoma, their mechanisms of action and the specific conditions they target vary. Polivy's efficacy in treating DLBCL is enhanced when used in combination with other chemotherapy drugs, providing an option for patients who have not responded to or have relapsed after other treatments. On the other hand, Brukinsa's efficacy as a monotherapy in treating MCL offers an alternative for patients who have previously undergone other treatments. Both drugs represent advancements in the targeted therapy approach to lymphoma, offering hope for better outcomes and improved quality of life for patients.

Conclusion on Efficacy

In conclusion, Polivy and Brukinsa have shown efficacy in the treatment of different subtypes of lymphoma. Polivy is effective in the treatment of DLBCL, particularly in the relapsed or refractory setting, and Brukinsa has demonstrated effectiveness in treating MCL in patients who have previously been treated. Both drugs are part of a growing arsenal of targeted therapies that aim to improve survival rates and reduce the side effects associated with traditional chemotherapy. The choice of treatment depends on the specific type of lymphoma, previous treatments, and the overall health of the patient.

Regulatory Agency Approvals

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

Access Polivy or Brukinsa today

If Polivy 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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