Zynlonta (loncastuximab tesirine-lpyl) vs Columvi (glofitamab-gxbm)
Zynlonta (loncastuximab tesirine-lpyl) vs Columvi (glofitamab-gxbm)
Zynlonta (loncastuximab tesirine-lpyl) is a CD19-directed antibody and alkylating agent conjugate indicated for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy. Glofitamab (Columvi) is a bispecific CD20xCD3 T-cell engager that redirects T cells to engage and eliminate B cells, and is being investigated for the treatment of relapsed or refractory B-cell non-Hodgkin’s lymphoma. When deciding between these two treatments, it is crucial to consult with a healthcare professional to consider factors such as the specific type of lymphoma, previous treatments, potential side effects, and the mechanism of action of each drug to determine the most appropriate therapy for the individual's condition.
Difference between Zynlonta and Columvi
Metric | Zynlonta (loncastuximab tesirine-lpyl) | Columvi (glofitamab-gxbm) |
---|---|---|
Generic name | Loncastuximab tesirine-lpyl | Glofitamab-gxbm |
Indications | Treatment of relapsed or refractory large B-cell lymphoma | Treatment of relapsed or refractory B-cell non-Hodgkin lymphoma |
Mechanism of action | CD19-directed antibody and alkylating agent conjugate | T-cell engaging bispecific antibody targeting CD20 on B-cells and CD3 on T-cells |
Brand names | Zynlonta | Columvi |
Administrative route | Intravenous infusion | Intravenous infusion |
Side effects | Thrombocytopenia, neutropenia, GGT increase, anemia, hyperglycemia, etc. | Cytokine release syndrome, infections, fatigue, headache, pyrexia, etc. |
Contraindications | Known hypersensitivity to loncastuximab tesirine-lpyl or its excipients | Known hypersensitivity to glofitamab or its excipients |
Drug class | Antibody-drug conjugate | Bispecific monoclonal antibody |
Manufacturer | ADC Therapeutics SA | Genentech, Inc. |
Efficacy
Zynlonta (loncastuximab tesirine-lpyl) Efficacy in Treating Lymphoma
Zynlonta (loncastuximab tesirine-lpyl) is a CD19-directed antibody and alkylating agent conjugate indicated for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy. The efficacy of Zynlonta was evaluated in LOTIS-2, a multicenter, single-arm, open-label trial. The trial demonstrated a significant therapeutic effect in patients with difficult-to-treat lymphomas. The overall response rate (ORR) was observed to be approximately 48.3%, with a complete response rate (CRR) of 24.1%, showcasing its potential as an effective treatment option for this patient population.
The duration of response (DOR) for patients treated with Zynlonta was also a critical aspect of its efficacy profile. In the LOTIS-2 trial, the median DOR for those who achieved a response was 10.3 months. This duration highlights the potential for Zynlonta to provide a lasting therapeutic benefit for patients who have limited treatment options due to the refractory nature of their disease.
Columvi (glofitamab-gxbm) Efficacy in Treating Lymphoma
Columvi (glofitamab-gxbm) is an investigational bispecific antibody targeting CD20 and CD3, designed to engage T-cells and direct them to kill B-cells. While Columvi is not yet approved for clinical use, it has shown promise in early clinical trials for the treatment of B-cell non-Hodgkin lymphoma. In a phase I study, patients with relapsed or refractory B-cell non-Hodgkin lymphoma who received glofitamab demonstrated an ORR of approximately 65%, with a CRR of around 33%. These results indicate that glofitamab could be a potent new therapeutic option for lymphoma patients with limited treatment choices.
The ongoing research and clinical trials will further define the efficacy and safety profile of Columvi (glofitamab-gxbm) for lymphoma. As with any investigational drug, the final determination of its efficacy will depend on the outcomes of these studies and the subsequent approval by regulatory authorities. The promising early results, however, suggest that glofitamab has the potential to become an important addition to the lymphoma treatment landscape, particularly for patients who have not responded to or have relapsed after existing therapies.
Regulatory Agency Approvals
Zynlonta
Columvi
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