Tazverik (tazemetostat) vs Ukoniq (umbralisib)

Tazverik (tazemetostat) vs Ukoniq (umbralisib)

Tazverik (tazemetostat) is an EZH2 inhibitor used in the treatment of certain types of sarcoma and follicular lymphoma, particularly for those with an EZH2 gene mutation or with relapsed or refractory disease after two or more systemic therapies. Ukoniq (umbralisib), on the other hand, is a PI3K delta inhibitor and CK1 epsilon inhibitor used to treat marginal zone lymphoma (MZL) and follicular lymphoma after at least one prior therapy; it targets different pathways in the cancer cells. The choice between Tazverik and Ukoniq would depend on the specific type of cancer, the genetic makeup of the tumor, prior treatments, and the patient's overall health profile, which should be evaluated by a healthcare professional to determine the most appropriate treatment option.

Difference between Tazverik and Ukoniq

Metric Tazverik (tazemetostat) Ukoniq (umbralisib)
Generic name Tazemetostat Umbralisib
Indications For the treatment of metastatic or locally advanced epithelioid sarcoma not eligible for complete resection, and for the treatment of follicular lymphoma For the treatment of marginal zone lymphoma and follicular lymphoma
Mechanism of action Enhancer of zeste homolog 2 (EZH2) inhibitor PI3K delta and CK1-epsilon inhibitor
Brand names Tazverik Ukoniq
Administrative route Oral Oral
Side effects Pain, fatigue, nausea, decreased appetite, vomiting, and constipation Increased creatinine, diarrhea, fatigue, musculoskeletal pain, and anemia
Contraindications None known None known
Drug class EZH2 inhibitor PI3K inhibitor
Manufacturer Epizyme, Inc. TG Therapeutics, Inc.

Efficacy

Efficacy of Tazverik (tazemetostat) for Lymphoma

Tazverik (tazemetostat) is an oral, selective inhibitor of the EZH2 enzyme, which has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of certain types of lymphoma. Specifically, it is indicated for adult patients with relapsed or refractory follicular lymphoma (FL) whose tumors are positive for an EZH2 mutation as detected by an FDA-approved test and who have received at least two prior systemic therapies. The efficacy of Tazverik in this setting was demonstrated in a clinical trial where patients showed a meaningful rate of objective response, which is a reduction in tumor burden as defined by standardized criteria.

In patients with FL who do not have an EZH2 mutation, Tazverik is still considered an option after two or more lines of systemic therapy based on the overall response rates observed in clinical trials. The drug's efficacy was evaluated in a multicenter, single-arm trial, and the results indicated that a proportion of patients achieved partial or complete responses, suggesting that Tazverik can provide clinical benefit in this patient population.

Efficacy of Ukoniq (umbralisib) for Lymphoma

Ukoniq (umbralisib) is a kinase inhibitor that targets both PI3K-delta and CK1-epsilon, which are enzymes that contribute to the growth and survival of malignant B-cells. The FDA granted accelerated approval to Ukoniq for the treatment of adult patients with marginal zone lymphoma (MZL) who have received at least one prior anti-CD20-based regimen and for adult patients with follicular lymphoma (FL) who have received at least three prior systemic therapies. The approval was based on overall response rate and duration of response in clinical trials, which showed that a significant number of patients experienced tumor shrinkage that was sustained over time.

The efficacy of Ukoniq for MZL was evaluated in a multicenter, open-label, single-arm trial, where it demonstrated a clinically meaningful and durable response in a subset of patients. Similarly, for FL, the efficacy was supported by results from a phase 2 study where patients showed an objective response to treatment with Ukoniq. The duration of responses for both indications has been observed to be substantial in some patients, indicating that Ukoniq can offer a therapeutic benefit for those with limited treatment options.

Regulatory Agency Approvals

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

Access Tazverik or Ukoniq today

If Tazverik 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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