Xpovio (selinexor) vs Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)
Xpovio (selinexor) vs Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)
Xpovio (selinexor) is a nuclear export inhibitor approved for the treatment of multiple myeloma and certain types of diffuse large B-cell lymphoma, targeting cancer cells by blocking the export of tumor suppressor proteins. Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) is a recombinant asparaginase enzyme used as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL), working by depleting the amino acid asparagine which is essential for the growth of leukemia cells. The choice between Xpovio and Rylaze would depend on the specific type of cancer a patient has, as they are used for different indications and have distinct mechanisms of action.
Difference between Xpovio and Rylaze
Metric | Xpovio (selinexor) | Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) |
---|---|---|
Generic name | Selinexor | Asparaginase erwinia chrysanthemi (recombinant)-rywn |
Indications | Multiple myeloma, diffuse large B-cell lymphoma | Acute lymphoblastic leukemia (ALL) |
Mechanism of action | Selective inhibitor of nuclear export | Enzyme that breaks down asparagine, depriving tumor cells of an essential amino acid |
Brand names | Xpovio | Rylaze |
Administrative route | Oral | Intramuscular, subcutaneous |
Side effects | Nausea, vomiting, fatigue, loss of appetite, weight loss | Allergic reactions, pancreatitis, blood clots, liver problems, high blood sugar |
Contraindications | Thrombocytopenia, neutropenia, pregnancy | Hypersensitivity to E. coli-derived asparaginase, serious pancreatitis, serious hemorrhagic events |
Drug class | Antineoplastic agent | Enzyme replacement |
Manufacturer | Karyopharm Therapeutics | Jazz Pharmaceuticals |
Efficacy
Xpovio (Selinexor) Efficacy in Treating Lymphoma
Xpovio (selinexor) is a prescription medication known as a selective inhibitor of nuclear export (SINE) compound. It works by blocking the exportin 1 (XPO1) protein, which is involved in the transport of tumor suppressor proteins out of the cell nucleus. This action leads to the accumulation of these proteins in the nucleus and the restoration of their tumor-suppressing functions, which can lead to the death of cancer cells. Xpovio has been studied for its efficacy in treating various types of lymphoma, including diffuse large B-cell lymphoma (DLBCL), which is the most common type of non-Hodgkin lymphoma.
In clinical trials, Xpovio has demonstrated efficacy in patients with relapsed or refractory DLBCL. The medication has been evaluated both as a monotherapy and in combination with other drugs. For instance, in a study known as the SADAL trial, Xpovio showed a meaningful overall response rate in patients with DLBCL who had received at least two prior lines of therapy. The results from this trial led to the approval of Xpovio for the treatment of adult patients with relapsed or refractory DLBCL, not otherwise specified, including DLBCL arising from low-grade lymphoma, and who have received at least two prior systemic therapies.
Rylaze (Asparaginase Erwinia Chrysanthemi (Recombinant)-rywn) Efficacy in Treating Lymphoma
Rylaze, also known as asparaginase erwinia chrysanthemi (recombinant)-rywn, is an asparagine-specific enzyme indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma. It is specifically used in patients who have developed hypersensitivity to E. coli-derived asparaginase. Rylaze works by depleting the amino acid asparagine, which is necessary for the growth and survival of malignant cells that are unable to synthesize it.
While Rylaze is primarily used in the treatment of ALL, its role in the treatment of lymphoma, specifically lymphoblastic lymphoma, is also significant. Lymphoblastic lymphoma is a rare and aggressive form of non-Hodgkin lymphoma that is closely related to ALL. Clinical studies have shown that asparaginase, including the formulation found in Rylaze, is an effective component in the treatment regimens for lymphoblastic lymphoma, contributing to improved outcomes in patients. The efficacy of Rylaze in this context is supported by its ability to maintain asparagine depletion, which is critical for the treatment of lymphoblastic lymphoma.
Regulatory Agency Approvals
Xpovio
Rylaze
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