Xpovio (selinexor) vs Epkinly (epcoritamab-bysp)

Xpovio (selinexor) vs Epkinly (epcoritamab-bysp)

Xpovio (selinexor) is an oral selective inhibitor of nuclear export (SINE) compound approved for use in multiple myeloma and diffuse large B-cell lymphoma, working by blocking the export of tumor suppressor proteins, leading to the accumulation of these proteins in the nucleus and the induction of cancer cell death. Epkinly (epcoritamab-bysp) is an investigational bispecific antibody designed for the treatment of B-cell non-Hodgkin lymphoma, which targets both CD3 on T-cells and CD20 on B-cells, aiming to recruit the body's immune cells to attack the cancer cells. When deciding between the two, it is crucial to consider the specific type of cancer being treated, the mechanism of action preferred, and the mode of administration, as Xpovio is taken orally while Epkinly is administered intravenously, and their approval status, as Epkinly is still investigational and not yet approved for use.

Difference between Xpovio and Epkinly

Metric Xpovio (selinexor) Epkinly (epcoritamab-bysp)
Generic name Selinexor Epcoritamab-bysp
Indications Multiple myeloma, diffuse large B-cell lymphoma Non-Hodgkin lymphoma
Mechanism of action Selective inhibitor of nuclear export Bispecific antibody targeting CD3 on T-cells and CD20 on B-cells
Brand names Xpovio Epkinly
Administrative route Oral Subcutaneous injection
Side effects Nausea, vomiting, fatigue, loss of appetite, weight loss Injection site reactions, fever, fatigue, headache
Contraindications Thrombocytopenia, neutropenia, pregnancy None known
Drug class Antineoplastic agent Monoclonal antibody
Manufacturer Karyopharm Therapeutics Genmab

Efficacy

Xpovio (Selinexor) Efficacy in Treating Lymphoma

Xpovio (selinexor) is a prescription medicine that has been approved by the U.S. Food and Drug Administration (FDA) for use in certain types of lymphoma. Specifically, it is indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, including DLBCL arising from follicular lymphoma, after at least two lines of systemic therapy. Selinexor functions as a selective inhibitor of nuclear export, working by blocking the export of tumor suppressor proteins, leading to their accumulation in the nucleus and the subsequent induction of apoptosis in cancer cells.

The efficacy of Xpovio in the treatment of DLBCL was evaluated in a multicenter, single-arm, open-label clinical trial. Patients who received Xpovio demonstrated a meaningful overall response rate (ORR), which is the proportion of patients who experienced a significant reduction in tumor burden. The median duration of response (DOR) for those who achieved a partial or complete response was also assessed, providing insight into the potential longevity of the treatment's effects. These results support the use of Xpovio in the specified patient population, offering a treatment option for those who have exhausted other therapies.

Epkinly (Epcoritamab-bysp) Efficacy in Treating Lymphoma

Epkinly (epcoritamab-bysp) is an investigational bispecific antibody designed for the treatment of certain B-cell non-Hodgkin lymphomas. Its mechanism of action involves binding to both CD3 on T-cells and CD20 on B-cells, thereby bringing these cells into close proximity and promoting T-cell-mediated killing of B-cell lymphoma. While Epkinly is still under clinical investigation, it has shown promise in early clinical trials for its potential efficacy in treating relapsed or refractory B-cell lymphomas, including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma.

In clinical studies, Epkinly has demonstrated an encouraging ORR in patients with relapsed or refractory B-cell non-Hodgkin lymphoma. The data from these studies suggest that Epkinly can induce a potent and durable response in a subset of patients, with some achieving complete remission. The safety and efficacy of Epkinly continue to be evaluated in ongoing clinical trials, and it has not yet received FDA approval. As such, the use of Epkinly is currently limited to clinical trial settings until further data can support its approval for wider use in the treatment of lymphoma.

Regulatory Agency Approvals

Xpovio
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Epkinly
  • Food and Drug Administration (FDA), USA

Access Xpovio or Epkinly today

If Xpovio or Epkinly 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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