Monjuvi (tafasitamab-cxix) vs Columvi (glofitamab-gxbm)
Monjuvi (tafasitamab-cxix) vs Columvi (glofitamab-gxbm)
Monjuvi (tafasitamab-cxix) is an anti-CD19 monoclonal antibody approved for use in combination with lenalidomide for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who are not eligible for autologous stem cell transplant. Glofitamab (Columvi) is a bispecific monoclonal antibody targeting both CD20 and CD3, designed to engage T-cells and direct them to kill CD20-positive B-cells, and is being investigated for the treatment of B-cell malignancies. When deciding between these two treatments, a patient should consider factors such as their specific type of lymphoma, previous treatments, eligibility for stem cell transplant, and the current approval status and clinical trial results of the medications, in consultation with their healthcare provider.
Difference between Monjuvi and Columvi
Metric | Monjuvi (tafasitamab-cxix) | Columvi (glofitamab-gxbm) |
---|---|---|
Generic name | Tafasitamab | Glofitamab |
Indications | Relapsed or refractory diffuse large B-cell lymphoma | Under investigation for B-cell non-Hodgkin lymphoma |
Mechanism of action | CD19-directed cytolytic antibody | T-cell-engaging bispecific antibody targeting CD20 on B-cells and CD3 on T-cells |
Brand names | Monjuvi | Columvi (investigational, not yet approved) |
Administrative route | Intravenous infusion | Intravenous infusion |
Side effects | Fatigue, anemia, diarrhea, cough, fever, etc. | Currently under investigation |
Contraindications | Hypersensitivity to tafasitamab or any of its excipients | Not yet established |
Drug class | Monoclonal antibody | Bispecific monoclonal antibody |
Manufacturer | MorphoSys | Roche |
Efficacy
Efficacy of 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 the treatment of patients with DLBCL who are eligible for autologous stem cell transplant (ASCT). The efficacy of Monjuvi, in combination with lenalidomide, was primarily demonstrated in a multicenter, single-arm trial that included patients with relapsed or refractory DLBCL. The overall response rate (ORR), which includes complete and partial responses, was observed to be significant, providing a therapeutic option for patients who have limited treatment choices.
The clinical trial results showed that the combination of Monjuvi with lenalidomide led to a marked improvement in ORR compared to historical controls of patients treated with lenalidomide alone. The duration of response (DOR) for patients who achieved a response was also notable, with a significant proportion of these patients maintaining their response at a median follow-up, indicating the potential for durable remissions in this patient population.
Efficacy of Glofitamab (glofitamab-gxbm) for Lymphoma
Glofitamab (glofitamab-gxbm) is an investigational bispecific T-cell engager antibody being studied for the treatment of various types of non-Hodgkin lymphoma, including DLBCL. Glofitamab works by simultaneously binding to CD20 on B-cells and CD3 on T-cells, thereby bringing the T-cells into close proximity with the cancerous B-cells to induce cell death. While still under clinical investigation, glofitamab has shown promise in early clinical trials, demonstrating efficacy in patients with relapsed or refractory B-cell lymphomas.
In these trials, patients who had previously been treated with multiple lines of therapy, including those who had relapsed after CAR T-cell therapy, were observed to respond to glofitamab. The reported data indicated that a significant number of patients achieved a complete response, which is a highly encouraging outcome for this heavily pre-treated patient group. The duration of response and progression-free survival rates for patients responding to glofitamab are areas of active investigation, with ongoing studies aiming to provide more comprehensive efficacy data.
Regulatory Agency Approvals
Monjuvi
Columvi
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