Tazverik (tazemetostat) vs Velexbru (tirabrutinib hydrochloride)

Tazverik (tazemetostat) vs Velexbru (tirabrutinib hydrochloride)

Tazverik (tazemetostat) is an EZH2 inhibitor approved by the FDA for the treatment of epithelioid sarcoma and certain types of non-Hodgkin's lymphoma, particularly for patients with relapsed or refractory follicular lymphoma. Velexbru (tirabrutinib hydrochloride), on the other hand, is a Bruton's tyrosine kinase (BTK) inhibitor that is used in the treatment of B-cell malignancies, such as mantle cell lymphoma, in patients who have received at least one prior therapy. When deciding between Tazverik and Velexbru, it is crucial to consider the specific type of cancer being treated, as each medication targets different pathways and is approved for different indications, and to consult with a healthcare provider to determine the most appropriate treatment based on the individual's medical history and condition.

Difference between Tazverik and Velexbru

Metric Tazverik (tazemetostat) Velexbru (tirabrutinib hydrochloride)
Generic name Tazemetostat Tirabrutinib hydrochloride
Indications Epithelioid sarcoma, Follicular lymphoma B-cell malignancies, including mantle cell lymphoma
Mechanism of action EZH2 inhibition Bruton's tyrosine kinase (BTK) inhibition
Brand names Tazverik Velexbru
Administrative route Oral Oral
Side effects Pain, fatigue, nausea, vomiting, constipation, anemia Neutropenia, thrombocytopenia, diarrhea, cough, musculoskeletal pain
Contraindications None known None known
Drug class EZH2 inhibitor BTK inhibitor
Manufacturer Epizyme, Inc. Ono Pharmaceutical Co., Ltd.

Efficacy

Efficacy of Tazverik (Tazemetostat) for Lymphoma

Tazverik (tazemetostat) is an orally administered, selective inhibitor of the EZH2 enzyme, which has shown efficacy in treating certain types of lymphoma. Specifically, it has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of adults with relapsed or refractory follicular lymphoma (FL) whose tumors are positive for an EZH2 mutation and who have received at least two prior systemic therapies. The approval was based on overall response rate (ORR) and duration of response (DOR) in clinical trials. Patients treated with Tazverik showed a significant ORR, with a subset achieving complete remission. The duration of these responses varied among patients, with some experiencing prolonged stability of their disease.

Tazverik has also been granted accelerated approval for the treatment of adult patients with relapsed or refractory FL who have no satisfactory alternative treatment options, regardless of their EZH2 mutation status. This broader approval underscores the potential of Tazverik to benefit a wider patient population within the lymphoma community. However, continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.

Efficacy of Velexbru (Tirabrutinib Hydrochloride) for Lymphoma

Velexbru (tirabrutinib hydrochloride) is a Bruton's tyrosine kinase (BTK) inhibitor that has shown promise in the treatment of B-cell malignancies, including certain types of lymphoma. Although not yet approved by the FDA, clinical trials have been conducted to investigate its efficacy. In these studies, tirabrutinib has demonstrated significant activity against mantle cell lymphoma (MCL) and other B-cell lymphomas, with patients achieving partial and complete responses to the treatment.

The efficacy of tirabrutinib in lymphoma is particularly notable in relapsed or refractory settings, where treatment options are limited. The drug's mechanism of action involves the inhibition of BTK, a key signaling molecule in the B-cell receptor pathway, which is critical for the survival and proliferation of malignant B-cells. By targeting this pathway, tirabrutinib can induce cell death and inhibit the growth of lymphoma cells, offering a new therapeutic avenue for patients with this challenging condition.

Regulatory Agency Approvals

Tazverik
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Velexbru
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

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