Tazverik (tazemetostat) vs Epkinly (epcoritamab-bysp)
Tazverik (tazemetostat) vs Epkinly (epcoritamab-bysp)
Tazverik (tazemetostat) is an EZH2 inhibitor approved for the treatment of certain types of epithelioid sarcoma and follicular lymphoma, particularly for patients whose tumors have an EZH2 gene mutation or who have no satisfactory alternative treatments. Epkinly (epcoritamab-bysp), on the other hand, is a bispecific antibody targeting CD3 on T-cells and CD20 on B-cells, designed for the treatment of B-cell non-Hodgkin lymphoma, and it is typically considered for patients who have relapsed or refractory disease after previous therapies. The choice between Tazverik and Epkinly would depend on the specific type and characteristics of the lymphoma, the presence of genetic mutations, previous treatments, and the overall health profile of the patient, as these medications have different mechanisms of action and are approved for different indications.
Difference between Tazverik and Epkinly
Metric | Tazverik (tazemetostat) | Epkinly (epcoritamab-bysp) |
---|---|---|
Generic name | Tazemetostat | Epcoritamab-bysp |
Indications | Epithelioid sarcoma, Follicular lymphoma | Non-Hodgkin lymphoma |
Mechanism of action | EZH2 inhibition | CD3/CD20 bispecific antibody |
Brand names | Tazverik | Epkinly |
Administrative route | Oral | Intravenous |
Side effects | Fatigue, nausea, vomiting, constipation, etc. | Cytokine release syndrome, infections, neutropenia, etc. |
Contraindications | None known | None known |
Drug class | EZH2 inhibitor | Monoclonal antibody |
Manufacturer | Epizyme, Inc. | Genmab and AbbVie |
Efficacy
Efficacy of Tazverik (tazemetostat) in Treating Lymphoma
Tazverik (tazemetostat) is an orally administered, selective inhibitor of the EZH2 enzyme, which has shown efficacy in the treatment of certain types of lymphoma. Specifically, Tazverik is 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. It is also approved for the treatment of adult patients with relapsed or refractory FL who have no satisfactory alternative treatment options, regardless of EZH2 mutation status.
Clinical trials have demonstrated that Tazverik can induce partial or complete responses in a subset of patients with relapsed or refractory FL. The efficacy was evaluated in a cohort of patients within a multicenter, single-arm trial, where the overall response rate (ORR) and duration of response (DOR) were the primary endpoints. The results indicated a meaningful proportion of patients achieved an objective response, with some experiencing a durable response, which is significant for patients with limited treatment options.
Efficacy of Epkinly (epcoritamab-bysp) in Treating Lymphoma
Epkinly (epcoritamab-bysp) is an investigational bispecific antibody designed to target CD20, a protein expressed on the surface of B-cells, and CD3, a protein present on T-cells. By bringing these two cell types into close proximity, Epkinly is intended to promote T-cell-mediated killing of B-cell lymphoma. While Epkinly is still under investigation and has not yet been approved by regulatory agencies, it has shown promise in early clinical trials for the treatment of B-cell non-Hodgkin lymphoma (NHL).
In the clinical trials conducted to date, Epkinly has demonstrated efficacy in patients with relapsed or refractory B-cell NHL, including those with diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL). The trials have measured efficacy in terms of ORR, complete response (CR) rates, and DOR. Preliminary data suggest that Epkinly can induce responses in a significant number of patients, with some achieving complete remission. However, as an investigational drug, further research is required to fully establish its safety and efficacy profile for the treatment of lymphoma.
Regulatory Agency Approvals
Tazverik
Epkinly
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