Rinvoq (upadacitinib) vs Tofidence (tocilizumab-bavi)
Rinvoq (upadacitinib) vs Tofidence (tocilizumab-bavi)
Rinvoq (upadacitinib) is a selective JAK inhibitor taken orally, primarily indicated for the treatment of moderate to severe rheumatoid arthritis in adults who have had an inadequate response to one or more TNF blockers. Tofacitinib (tocilizumab-bavi), on the other hand, is a biosimilar to tocilizumab, an IL-6 receptor antagonist administered through intravenous infusion or subcutaneous injection, used for the same indication as well as for other conditions like giant cell arteritis and cytokine release syndrome. When deciding between the two, patients should consider factors such as the mode of administration, potential side effects, and their specific medical history, in consultation with their healthcare provider.
Difference between Rinvoq and Tofidence
Metric | Rinvoq (upadacitinib) | Tofidence (tocilizumab-bavi) |
---|---|---|
Generic name | Upadacitinib | Tocilizumab-bavi |
Indications | Rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, atopic dermatitis, ulcerative colitis | Rheumatoid arthritis, giant cell arteritis, systemic juvenile idiopathic arthritis, cytokine release syndrome |
Mechanism of action | JAK inhibitor | IL-6 receptor antagonist |
Brand names | Rinvoq | Tofidence |
Administrative route | Oral | Subcutaneous injection, Intravenous infusion |
Side effects | Upper respiratory infections, nausea, cough, fever, increased blood creatine phosphokinase | Upper respiratory tract infections, headache, hypertension, injection site reactions, increased liver enzymes |
Contraindications | Active tuberculosis, serious infections, severe hepatic impairment | Active tuberculosis, serious infections, known hypersensitivity to tocilizumab or excipients |
Drug class | JAK inhibitor | Monoclonal antibody, immunosuppressant |
Manufacturer | AbbVie Inc. | Amgen Inc. |
Efficacy
Efficacy of Rinvoq (Upadacitinib) for Rheumatoid Arthritis
Rinvoq (upadacitinib) is a selective and reversible Janus kinase (JAK) inhibitor approved by the FDA for the treatment of moderate to severe rheumatoid arthritis (RA) in adults who have had an inadequate response or intolerance to methotrexate. Clinical trials have demonstrated that Rinvoq can significantly reduce the signs and symptoms of RA, improve physical function, and inhibit the progression of structural damage. The efficacy of Rinvoq has been observed as early as two weeks after starting treatment, with continued improvement over time. Patients treated with Rinvoq have reported better pain control and quality of life compared to those on placebo or other RA medications.
In pivotal phase III studies, such as the SELECT trial program, Rinvoq has been shown to achieve ACR20, ACR50, and ACR70 responses, which are measures of improvement in joint swelling, pain, and other symptoms. The studies also highlighted that a higher proportion of patients achieved clinical remission or low disease activity when treated with Rinvoq. The medication's efficacy was consistent across various patient populations, including those with early RA, those who failed previous biologic treatments, and those with various comorbidities.
Efficacy of Tofidence (Tocilizumab-bavi) for Rheumatoid Arthritis
Tofidence (tocilizumab-bavi) is a biosimilar to the original tocilizumab product, a humanized interleukin-6 (IL-6) receptor antagonist approved for the treatment of moderate to severe rheumatoid arthritis. Tofidence has been shown to reduce the signs and symptoms of RA, improve physical function, and slow the progression of joint damage. It can be used as monotherapy or in combination with methotrexate or other disease-modifying antirheumatic drugs (DMARDs). Clinical trials have indicated that Tofidence is comparable in efficacy to the reference product, tocilizumab, in patients with RA.
Studies assessing the efficacy of Tofidence have reported significant improvements in ACR20, ACR50, and ACR70 response rates, comparable to those observed with the original tocilizumab. Additionally, Tofidence has been effective in achieving clinical remission or low disease activity in a substantial proportion of patients. The biosimilar has also demonstrated a sustained response over long-term treatment periods. Patients who switched from the reference product to Tofidence maintained similar efficacy and safety profiles, indicating that Tofidence is a viable alternative for the treatment of RA.
Regulatory Agency Approvals
Rinvoq
Tofidence
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