Tazverik (tazemetostat) vs Zynlonta (loncastuximab tesirine-lpyl)

Tazverik (tazemetostat) vs Zynlonta (loncastuximab tesirine-lpyl)

Tazverik (tazemetostat) is an EZH2 inhibitor approved for the treatment of certain patients with epithelioid sarcoma and follicular lymphoma, focusing on those with specific genetic mutations or who have no satisfactory alternative treatments. Zynlonta (loncastuximab tesirine-lpyl) is an antibody-drug conjugate specifically indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) after two or more lines of systemic therapy. The choice between Tazverik and Zynlonta would largely depend on the specific type and characteristics of the lymphoma a patient has, as well as previous treatments they have undergone, with Tazverik being an option for certain sarcomas and lymphomas with a genetic component, while Zynlonta is used in a more targeted fashion for DLBCL.

Difference between Tazverik and Zynlonta

Metric Tazverik (tazemetostat) Zynlonta (loncastuximab tesirine-lpyl)
Generic name Tazemetostat Loncastuximab tesirine-lpyl
Indications Epithelioid sarcoma, Follicular lymphoma Relapsed or refractory diffuse large B-cell lymphoma
Mechanism of action EZH2 inhibition CD19-directed antibody and alkylating agent conjugate
Brand names Tazverik Zynlonta
Administrative route Oral Intravenous
Side effects Fatigue, nausea, decreased appetite, vomiting, constipation Thrombocytopenia, neutropenia, anemia, fatigue, musculoskeletal pain
Contraindications None known None known
Drug class EZH2 inhibitor Antibody-drug conjugate
Manufacturer Epizyme, Inc. ADC Therapeutics SA

Efficacy

Efficacy of Tazverik (tazemetostat) in Treating Lymphoma

Tazverik (tazemetostat) is an orally administered EZH2 inhibitor 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 as detected by an FDA-approved test and who have received at least two prior systemic therapies. This approval is based on a comprehensive clinical trial program, which demonstrated that tazemetostat can induce a partial or complete response in a significant proportion of these patients. The efficacy was observed in terms of overall response rate (ORR), which is a measure of the percentage of patients who experience a significant reduction in tumor burden.

In clinical trials, tazemetostat also showed activity in patients with relapsed or refractory follicular lymphoma who have no EZH2 mutation. This suggests that the drug may have a broader application in the treatment of this type of lymphoma. The duration of response (DOR) in patients who responded to tazemetostat treatment was also a key point of interest, with some patients maintaining their response for a year or longer, indicating the potential for sustained benefit.

Efficacy of Zynlonta (loncastuximab tesirine-lpyl) in Treating Lymphoma

Zynlonta (loncastuximab tesirine-lpyl) is a CD19-directed antibody and alkylating agent conjugate indicated for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy. The FDA approval of Zynlonta was based on the results of a multicenter, open-label, single-arm trial. The trial’s primary endpoint was ORR, which included the complete response (CR) and partial response (PR) rates as evaluated by an independent review committee.

The results from the pivotal trial demonstrated that Zynlonta achieved a notable ORR, with a significant percentage of patients achieving either a CR or PR. The DOR for patients who achieved a response was also a critical aspect of the trial's outcomes. Some patients experienced a prolonged response to Zynlonta, which is particularly meaningful in the context of relapsed or refractory large B-cell lymphoma, where treatment options are limited and the prognosis is generally poor.

Regulatory Agency Approvals

Tazverik
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Zynlonta
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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If Tazverik or Zynlonta 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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