Asparlas (calaspargase pegol-mknl) vs Daurismo (glasdegib)

Asparlas (calaspargase pegol-mknl) vs Daurismo (glasdegib)

Asparlas (calaspargase pegol-mknl) is a chemotherapy medication specifically used in the treatment of acute lymphoblastic leukemia (ALL) in pediatric and young adult patients, functioning as an enzyme to deplete the amino acid asparagine, which leukemia cells require to grow. On the other hand, Daurismo (glasdegib) is used to treat acute myeloid leukemia (AML) in adult patients, particularly for those who are 75 years or older or who have comorbidities that preclude the use of intensive chemotherapy, and it works by inhibiting a pathway that cancer cells use to proliferate. The choice between Asparlas and Daurismo would depend on the specific type of leukemia a patient has (ALL or AML), their age, overall health, and treatment goals, as these medications are not interchangeable and are used to treat different subtypes of leukemia.

Difference between Asparlas and Daurismo

Metric Asparlas (calaspargase pegol-mknl) Daurismo (glasdegib)
Generic name Calaspargase pegol-mknl Glasdegib
Indications Acute lymphoblastic leukemia (ALL) Acute myeloid leukemia (AML)
Mechanism of action Asparagine specific enzyme Hedgehog pathway inhibitor
Brand names Asparlas Daurismo
Administrative route Intravenous Oral
Side effects Allergic reactions, elevated liver enzymes, pancreatitis, etc. Anemia, febrile neutropenia, fatigue, musculoskeletal pain, etc.
Contraindications History of serious hypersensitivity to pegylated asparaginase QT prolongation, hypersensitivity to glasdegib or its excipients
Drug class Antineoplastic agent Antineoplastic agent
Manufacturer Servier Pharmaceuticals Pfizer Inc.

Efficacy

Asparlas (Calaspargase Pegol-mknl) Efficacy in Leukemia

Asparlas, known by its generic name calaspargase pegol-mknl, is a medication specifically indicated for the treatment of acute lymphoblastic leukemia (ALL) in pediatric and young adult patients. It is a novel formulation of L-asparaginase, an enzyme that depletes the amino acid asparagine, which leukemia cells require for survival and proliferation. The efficacy of Asparlas in treating ALL was demonstrated in clinical trials where it was used as a component of a multi-agent chemotherapeutic regimen. Patients treated with Asparlas showed a maintenance of asparagine depletion activity levels between dosing intervals, which is critical for the prolonged suppression of leukemia cell growth.

The effectiveness of Asparlas was evaluated in a pivotal trial that compared its pharmacokinetic and pharmacodynamic profile to that of pegaspargase, another form of pegylated L-asparaginase. The results indicated that Asparlas provided a more consistent therapeutic activity with less frequent dosing, which is beneficial for patient compliance and quality of life. Moreover, the trial demonstrated that Asparlas was able to achieve and maintain therapeutic levels of asparagine depletion, which is associated with improved outcomes in patients with ALL.

Daurismo (Glasdegib) Efficacy in Leukemia

Daurismo, with the active ingredient glasdegib, is a medication approved for the treatment of newly diagnosed acute myeloid leukemia (AML) in adult patients who are 75 years or older or who have comorbidities that preclude the use of intensive induction chemotherapy. Glasdegib is a hedgehog pathway inhibitor that works by targeting and inhibiting the smoothened (SMO) protein, thus affecting the proliferation and survival of leukemia cells. The efficacy of Daurismo in AML was established through clinical trials where it was administered in combination with low-dose cytarabine (LDAC), a standard chemotherapy agent.

In a key clinical study, patients receiving the combination of Daurismo and LDAC showed a significant improvement in overall survival compared to those who received LDAC alone. The median overall survival was notably higher in the Daurismo combination group, indicating the drug's potential to enhance the effectiveness of existing AML treatments. Additionally, the response rates, including complete remission rates, were higher in the patient group treated with Daurismo, suggesting that glasdegib can be an important addition to the treatment regimen for AML, particularly in populations that are unable to tolerate more aggressive chemotherapy.

Regulatory Agency Approvals

Asparlas
  • Food and Drug Administration (FDA), USA
Daurismo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada

Access Asparlas or Daurismo today

If Asparlas or Daurismo 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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