Velexbru (tirabrutinib hydrochloride) vs Zynlonta (loncastuximab tesirine-lpyl)

Velexbru (tirabrutinib hydrochloride) vs Zynlonta (loncastuximab tesirine-lpyl)

Velexbru (tirabrutinib hydrochloride) is a Bruton's tyrosine kinase (BTK) inhibitor used primarily for the treatment of B-cell malignancies, such as mantle cell lymphoma, by blocking B-cell receptor signaling that is critical for the survival and proliferation of cancer cells. Zynlonta (loncastuximab tesirine-lpyl) is an antibody-drug conjugate specifically targeting CD19, a protein expressed on the surface of B-cell lymphomas, and is used for the treatment of certain types of relapsed or refractory large B-cell lymphoma. When deciding between Velexbru and Zynlonta, it is crucial to consider the specific type of B-cell lymphoma, the patient's prior treatment history, and the safety profile of each medication, as they target different pathways and may have varying efficacy and side effect profiles.

Difference between Velexbru and Zynlonta

Metric Velexbru (tirabrutinib hydrochloride) Zynlonta (loncastuximab tesirine-lpyl)
Generic name Tirabrutinib hydrochloride Loncastuximab tesirine-lpyl
Indications Relapsed or refractory B-cell malignancies Relapsed or refractory large B-cell lymphoma
Mechanism of action Bruton's tyrosine kinase (BTK) inhibitor CD19-directed antibody and alkylating agent conjugate
Brand names Velexbru Zynlonta
Administrative route Oral Intravenous
Side effects Neutropenia, thrombocytopenia, diarrhea, cough, etc. Thrombocytopenia, neutropenia, anemia, fatigue, etc.
Contraindications Hypersensitivity to tirabrutinib or excipients Hypersensitivity to loncastuximab tesirine-lpyl or excipients
Drug class BTK inhibitor Antibody-drug conjugate
Manufacturer Ono Pharmaceutical Co., Ltd. ADC Therapeutics SA

Efficacy

Velexbru (Tirabrutinib Hydrochloride) Efficacy in Lymphoma

Velexbru, known by its generic name tirabrutinib hydrochloride, is a medication that has demonstrated efficacy in the treatment of certain types of lymphoma. Tirabrutinib is a Bruton's tyrosine kinase (BTK) inhibitor that can interfere with the growth and spread of malignant B cells. In clinical trials, Velexbru has shown promise particularly in treating relapsed or refractory mantle cell lymphoma (MCL) and other B-cell malignancies. Patients with MCL who have received prior therapies have experienced significant responses to tirabrutinib, indicating its potential as an effective treatment option for this challenging condition.

While the data on Velexbru's efficacy is promising, it is essential to consider that responses may vary among individuals, and long-term outcomes are still under investigation. The effectiveness of Velexbru is typically measured by the overall response rate (ORR), which includes partial and complete responses to the treatment. The duration of response (DOR) is also a critical factor in assessing the efficacy of the drug over time.

Zynlonta (Loncastuximab Tesirine-lpyl) Efficacy in Lymphoma

Zynlonta, with the generic name loncastuximab tesirine-lpyl, is an antibody-drug conjugate (ADC) that targets CD19, a protein commonly expressed on the surface of B-cell lymphomas. Zynlonta has been approved for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) after two or more lines of systemic therapy. Clinical trials have demonstrated that Zynlonta can induce meaningful responses in patients with DLBCL, which is an aggressive form of non-Hodgkin lymphoma.

The efficacy of Zynlonta is evaluated based on the ORR, complete response rate, and DOR. Clinical studies have shown that a significant proportion of patients treated with Zynlonta achieved a complete response, which is indicative of the absence of detectable cancer following treatment. The safety and efficacy profile of Zynlonta supports its use as a therapeutic option for patients with DLBCL who have limited treatment options due to the refractory nature of their disease.

Regulatory Agency Approvals

Velexbru
  • 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 Velexbru 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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