Elzonris (tagraxofusp-erzs) vs Bosulif (bosutinib)

Elzonris (tagraxofusp-erzs) vs Bosulif (bosutinib)

Elzonris (tagraxofusp-erzs) is a targeted therapy specifically approved for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare type of blood cancer, and works by delivering a toxin to cancer cells expressing the CD123 protein. On the other hand, Bosulif (bosutinib) is a tyrosine kinase inhibitor used to treat chronic myelogenous leukemia (CML) with a specific focus on patients with resistance or intolerance to prior therapy. When deciding between these medications, it is essential to consider the specific type of cancer being treated, as each drug is tailored for different indications and mechanisms of action, and a healthcare provider should be consulted to determine the appropriate treatment based on the individual's diagnosis and overall health profile.

Difference between Elzonris and Bosulif

Metric Elzonris (tagraxofusp-erzs) Bosulif (bosutinib)
Generic name Tagraxofusp-erzs Bosutinib
Indications Blastic plasmacytoid dendritic cell neoplasm (BPDCN) Chronic myelogenous leukemia (CML)
Mechanism of action CD123-directed cytotoxin Tyrosine kinase inhibitor
Brand names Elzonris Bosulif
Administrative route Intravenous Oral
Side effects Capillary leak syndrome, fever, hypotension Diarrhea, nausea, thrombocytopenia, liver toxicity
Contraindications Hypersensitivity to tagraxofusp-erzs or any component of the formulation Hypersensitivity to bosutinib or any component of the formulation
Drug class CD123-directed cytotoxin Tyrosine kinase inhibitor
Manufacturer Stemline Therapeutics, Inc. Pfizer Inc.

Efficacy

Elzonris (tagraxofusp-erzs) Efficacy in Treating Leukemia

Elzonris (tagraxofusp-erzs) is a targeted therapy approved by the U.S. Food and Drug Administration (FDA) for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare form of leukemia. The efficacy of Elzonris was demonstrated in a clinical trial that included 47 patients with BPDCN. Results showed that 54% of patients achieved complete remission or complete remission with a skin normalization, indicating a significant therapeutic effect. The median duration of response was not reached for patients who achieved complete remission, suggesting a potentially durable response for those individuals.

Elzonris works by targeting and binding to a protein called CD123, which is overexpressed on the surface of BPDCN cells and some other types of leukemia cells. Once bound, the drug delivers a cytotoxic agent directly into the cancer cells, leading to cell death. This mechanism of action allows Elzonris to specifically target and eliminate malignant cells while minimizing the impact on normal cells.

Bosulif (bosutinib) Efficacy in Treating Leukemia

Bosulif (bosutinib) is an oral tyrosine kinase inhibitor approved for the treatment of adult patients with chronic, accelerated, or blast phase Philadelphia chromosome-positive (Ph+) chronic myelogenous leukemia (CML) who are resistant or intolerant to prior therapy. Clinical trials have shown that Bosulif is effective in inducing hematologic and cytogenetic responses in patients with CML. In a pivotal phase 3 trial, Bosulif achieved major cytogenetic response rates of 34% in previously treated patients with chronic phase CML, highlighting its efficacy in a difficult-to-treat population.

Bosulif works by inhibiting the Bcr-Abl kinase, which is produced by the Philadelphia chromosome abnormality in CML cells. This inhibition disrupts signaling pathways that are essential for leukemia cells to grow and divide. Bosulif has been shown to be effective even in patients who have developed resistance to other tyrosine kinase inhibitors, providing an important treatment option for those with limited alternatives. Its efficacy, along with a manageable safety profile, makes Bosulif a valuable therapeutic agent in the management of Ph+ CML.

Regulatory Agency Approvals

Elzonris
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Bosulif
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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If Elzonris or Bosulif 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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