Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) vs Epkinly (epcoritamab-bysp)

Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) vs Epkinly (epcoritamab-bysp)

Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) is an asparagine-specific enzyme used as a component of a multi-agent chemotherapeutic regimen to treat acute lymphoblastic leukemia (ALL) in patients who have developed hypersensitivity to E. coli-derived asparaginase. Epkinly (epcoritamab-bysp) is a bispecific antibody designed for the treatment of B-cell non-Hodgkin lymphoma, targeting both CD20 on B-cells and CD3 on T-cells to induce an immune response against malignant cells. The choice between Rylaze and Epkinly would depend on the specific type of blood cancer a patient has, their previous treatment history, and their individual medical profile, as they are used for different conditions and have distinct mechanisms of action.

Difference between Rylaze and Epkinly

Metric Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) Epkinly (epcoritamab-bysp)
Generic name Asparaginase erwinia chrysanthemi (recombinant)-rywn Epcoritamab-bysp
Indications Acute lymphoblastic leukemia (ALL) Relapsed or refractory large B-cell lymphoma
Mechanism of action Enzyme that breaks down asparagine, depriving leukemia cells of an essential amino acid for protein synthesis Targets CD20 on B-cells and engages immune effector cells to induce targeted cell killing
Brand names Rylaze Epkinly
Administrative route Intramuscular injection Intravenous infusion
Side effects Allergic reactions, pancreatitis, glucose intolerance, thrombosis, bleeding, and liver dysfunction Cytokine release syndrome, infections, fatigue, diarrhea, and musculoskeletal pain
Contraindications History of serious hypersensitivity to asparaginase None specifically listed; use caution in patients with infections or inflammatory conditions
Drug class Antineoplastic agent, enzyme Antibody-drug conjugate, immunotherapy
Manufacturer Jazz Pharmaceuticals Genmab and AbbVie

Efficacy

Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) Efficacy in Lymphoma

Rylaze, also known as asparaginase erwinia chrysanthemi (recombinant)-rywn, is a medication used as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma. It acts by depleting the amino acid asparagine, which is essential for the growth of lymphoblasts. The efficacy of Rylaze in treating lymphoma, particularly lymphoblastic lymphoma, is attributed to its ability to starve malignant lymphoblasts of asparagine, thereby inhibiting their growth and proliferation. Clinical trials have demonstrated that Rylaze is effective in patients who have developed hypersensitivity to E. coli-derived asparaginase, providing a crucial alternative for continued treatment.

Epkinly (epcoritamab-bysp) Efficacy in Lymphoma

Epkinly, known by its scientific name epcoritamab-bysp, is an investigational bispecific antibody designed for the treatment of B-cell non-Hodgkin lymphoma (NHL). It targets both CD3 on T-cells and CD20 on B-cells, facilitating the engagement of the immune system to attack the cancer cells. Preliminary data from clinical trials suggest that Epkinly may offer a promising therapeutic option for patients with relapsed or refractory B-cell NHL, including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma. The efficacy of Epkinly is being evaluated through its ability to induce complete and partial responses in patients who have exhausted other treatment options.

It is important to note that while Rylaze is approved for clinical use in specific types of lymphoma, Epkinly remains under investigation and has not yet received regulatory approval. The efficacy of Epkinly in lymphoma is based on ongoing clinical trials and its potential to provide a novel mechanism of action against lymphoma cells. As with any investigational drug, the efficacy and safety profile of Epkinly will continue to be defined through the completion of these trials and subsequent analysis of the data.

For both Rylaze and Epkinly, the determination of efficacy in lymphoma requires careful consideration of the individual patient's condition, the specific subtype of lymphoma, and the overall treatment regimen. As with all medications, the use of Rylaze and Epkinly should be guided by a healthcare professional with expertise in the management of lymphoma, and patients should be monitored for response to therapy and potential side effects. The evolving landscape of lymphoma treatment underscores the importance of ongoing research and clinical trials to validate the efficacy of new therapeutic options like Epkinly.

Regulatory Agency Approvals

Rylaze
  • Food and Drug Administration (FDA), USA
Epkinly
  • Food and Drug Administration (FDA), USA

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