Zynlonta (loncastuximab tesirine-lpyl) vs Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)
Zynlonta (loncastuximab tesirine-lpyl) vs Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn)
Zynlonta (loncastuximab tesirine-lpyl) is an antibody-drug conjugate specifically designed for the treatment of certain types of B-cell lymphomas, particularly for patients who have relapsed or are refractory to other treatments. Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn), on the other hand, is an asparagine-specific enzyme used primarily in the treatment of acute lymphoblastic leukemia (ALL) to deplete the amino acid asparagine, which is essential for the survival of leukemia cells. The choice between Zynlonta and Rylaze would depend on the specific type of blood cancer a patient has, with Zynlonta being appropriate for certain lymphomas and Rylaze being suitable for ALL, thus a healthcare provider would make a recommendation based on the patient's diagnosis, overall health, and treatment history.
Difference between Zynlonta and Rylaze
Metric | Zynlonta (loncastuximab tesirine-lpyl) | Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) |
---|---|---|
Generic name | Loncastuximab tesirine-lpyl | Asparaginase erwinia chrysanthemi (recombinant)-rywn |
Indications | Relapsed or refractory diffuse large B-cell lymphoma | Acute lymphoblastic leukemia (ALL) or lymphoblastic lymphoma (LBL) in patients who are hypersensitive to E. coli-derived asparaginase products |
Mechanism of action | Antibody-drug conjugate targeting CD19, delivering a cytotoxic agent | Enzyme that depletes the amino acid asparagine, essential for the survival of leukemic cells |
Brand names | Zynlonta | Rylaze |
Administrative route | Intravenous infusion | Intramuscular injection |
Side effects | Thrombocytopenia, neutropenia, increased gamma-glutamyltransferase, and anemia | Allergic reactions, hyperglycemia, pancreatitis, and thrombosis |
Contraindications | Hypersensitivity to loncastuximab tesirine-lpyl or any of its components | Hypersensitivity to asparaginase erwinia chrysanthemi or any of its components |
Drug class | Antineoplastic agent, antibody-drug conjugate | Antineoplastic enzyme |
Manufacturer | ADC Therapeutics SA | Jazz Pharmaceuticals, Inc. |
Efficacy
Zynlonta (loncastuximab tesirine-lpyl) for Lymphoma
Zynlonta, also known by its generic name loncastuximab tesirine-lpyl, is a CD19-directed antibody and alkylating agent conjugate used for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy. This includes diffuse large B-cell lymphoma (DLBCL), DLBCL arising from low-grade lymphoma, and also high-grade B-cell lymphoma. The efficacy of Zynlonta was evaluated in a multicenter, single-arm trial, where a significant percentage of patients achieved an overall response rate, indicating its effectiveness in treating the specified types of lymphoma.
The clinical trial demonstrated that Zynlonta can induce complete responses in a subset of patients, which is particularly notable given that the patients had disease that was refractory to multiple prior lines of therapy, including the most recent therapy. The duration of response for patients treated with Zynlonta was also noteworthy, with a proportion of patients maintaining their response for a significant period of time, which is an important measure of efficacy for lymphoma treatments.
Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) for Lymphoma
Rylaze, or asparaginase erwinia chrysanthemi (recombinant)-rywn, is a recombinant erwinia asparaginase used as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma. It is specifically indicated for patients who have developed hypersensitivity to E. coli-derived asparaginase. The efficacy of Rylaze in the context of lymphoma is derived from its ability to deplete the amino acid asparagine, which is essential for the growth of lymphoblastic cells.
In clinical studies, Rylaze has shown to maintain nadir serum asparaginase activity above the threshold believed to be therapeutic in patients with hypersensitivity to E. coli-derived asparaginase. This efficacy is crucial for patients who are unable to continue with the E. coli-derived form due to allergic reactions. The use of Rylaze in a therapeutic regimen for lymphoblastic lymphoma demonstrates its role in achieving and maintaining remission in patients, especially those who have limited treatment options due to hypersensitivity issues.
Regulatory Agency Approvals
Zynlonta
Rylaze
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