Monjuvi (tafasitamab-cxix) vs Ukoniq (umbralisib)
Monjuvi (tafasitamab-cxix) vs Ukoniq (umbralisib)
Monjuvi (tafasitamab-cxix) is a CD19-directed cytolytic antibody indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), to be used in combination with lenalidomide, followed by Monjuvi monotherapy for those who are not eligible for autologous stem cell transplant. Ukoniq (umbralisib) is a kinase inhibitor indicated for the treatment of adult patients with marginal zone lymphoma (MZL) who have received at least one prior anti-CD20-based regimen and adult patients with follicular lymphoma (FL) who have received at least three prior systemic therapies. When deciding between these medications, a patient's specific type of lymphoma, prior treatments, and overall health profile should be considered, as each medication is tailored for different situations and types of lymphoma.
Difference between Monjuvi and Ukoniq
Metric | Monjuvi (tafasitamab-cxix) | Ukoniq (umbralisib) |
---|---|---|
Generic name | Tafasitamab-cxix | Umbralisib |
Indications | Relapsed or refractory diffuse large B-cell lymphoma | Marginal zone lymphoma, Follicular lymphoma |
Mechanism of action | CD19-directed cytolytic antibody | PI3K delta and CK1 epsilon inhibitor |
Brand names | Monjuvi | Ukoniq |
Administrative route | Intravenous | Oral |
Side effects | Fatigue, fever, diarrhea, respiratory tract infections, among others | Nausea, diarrhea, fatigue, musculoskeletal pain, among others |
Contraindications | Hypersensitivity to tafasitamab-cxix or any of its excipients | Hypersensitivity to umbralisib or any of its excipients |
Drug class | Monoclonal antibody | Small molecule kinase inhibitor |
Manufacturer | MorphoSys | TG Therapeutics |
Efficacy
Monjuvi (tafasitamab-cxix) for Lymphoma
Monjuvi (tafasitamab-cxix) is a CD19-directed cytolytic antibody indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL). This medication is not intended for use in patients with primary central nervous system lymphoma. The efficacy of Monjuvi, in combination with lenalidomide, was evaluated in a multicenter, single-arm, open-label trial known as L-MIND. In this study, patients who received Monjuvi in combination with lenalidomide showed a significant improvement in overall response rate (ORR), with a considerable proportion of patients achieving a complete response (CR).
The L-MIND trial demonstrated that the median duration of response (DOR) for patients treated with the Monjuvi and lenalidomide combination was 21.7 months. The median time to response was 2 months, and the treatment was generally well-tolerated, with manageable adverse effects. This data underscores the potential of Monjuvi as an effective treatment option for patients with relapsed or refractory DLBCL, particularly for those who have limited treatment options.
Ukoniq (umbralisib) for Lymphoma
Ukoniq (umbralisib) is a kinase inhibitor approved for the treatment of adult patients with marginal zone lymphoma (MZL) who have received at least one prior anti-CD20-based regimen and adult patients with follicular lymphoma (FL) who have received at least three prior systemic therapies. The efficacy of Ukoniq was primarily demonstrated in a multicenter, open-label, single-arm trial known as the UNITY-NHL trial. In this study, patients with MZL treated with Ukoniq achieved an ORR of 49%, with a median DOR of not reached at the time of data cut-off, indicating a durable response in a significant number of patients.
Similarly, patients with FL who received Ukoniq showed an ORR of 43%, with a median DOR also not reached at the time of data cut-off. These efficacy results suggest that Ukoniq is a beneficial treatment for patients with MZL and FL, especially for those who have exhausted multiple lines of therapy. The treatment was associated with a manageable safety profile, although patients should be monitored for potential adverse effects that may require dose modifications or discontinuation of therapy.
Regulatory Agency Approvals
Monjuvi
Ukoniq
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