Xospata (gilteritinib) vs Brukinsa (zanubrutinib)

Xospata (gilteritinib) vs Brukinsa (zanubrutinib)

Xospata (gilteritinib) is an oral medication specifically approved for the treatment of adult patients who have relapsed or refractory acute myeloid leukemia (AML) with a FLT3 mutation, targeting multiple FLT3 mutations. Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy, and it is not used in the treatment of AML. The choice between Xospata and Brukinsa would depend on the specific type of blood cancer a patient has and the presence of certain genetic mutations; therefore, a healthcare provider would recommend the appropriate medication based on the patient's individual diagnosis and treatment history.

Difference between Xospata and Brukinsa

Metric Xospata (gilteritinib) Brukinsa (zanubrutinib)
Generic name Gilteritinib Zanubrutinib
Indications Acute myeloid leukemia (AML) with a FLT3 mutation Mantle cell lymphoma, Waldenström's macroglobulinemia, and marginal zone lymphoma
Mechanism of action FLT3/AXL tyrosine kinase inhibitor Bruton's tyrosine kinase (BTK) inhibitor
Brand names Xospata Brukinsa
Administrative route Oral Oral
Side effects Fatigue, increased transaminase, musculoskeletal pain, nausea, diarrhea, dyspnea, edema, rash, dizziness, etc. Neutropenia, thrombocytopenia, anemia, bruising, rash, diarrhea, cough, etc.
Contraindications Hypersensitivity to gilteritinib or any component of the formulation Hypersensitivity to zanubrutinib or any component of the formulation
Drug class Tyrosine kinase inhibitor Bruton's tyrosine kinase inhibitor
Manufacturer Astellas Pharma Inc. BeiGene, Ltd.

Efficacy

Xospata (Gilteritinib) Efficacy in Acute Myeloid Leukemia

Xospata, known by its generic name gilteritinib, is a medication specifically indicated for the treatment of adult patients who have relapsed or refractory acute myeloid leukemia (AML) with a FLT3 mutation as detected by an FDA-approved test. The efficacy of Xospata was demonstrated in a clinical trial that included patients with relapsed or refractory AML with a FLT3 mutation. The trial showed that patients treated with Xospata had a higher rate of complete remission or complete remission with partial hematologic recovery compared to those who did not receive the drug. Furthermore, Xospata has been shown to improve overall survival in this patient population, making it a significant therapeutic option for those with this specific genetic mutation in AML.

Brukinsa (Zanubrutinib) Efficacy in Chronic Lymphocytic Leukemia

Brukinsa, with the generic name zanubrutinib, is a Bruton's tyrosine kinase (BTK) inhibitor used in the treatment of various types of leukemia, including chronic lymphocytic leukemia (CLL). In clinical studies, Brukinsa has demonstrated efficacy in patients with CLL, leading to high rates of response and durable remissions. The drug has been evaluated in several clinical trials, which have shown that it is effective in both treatment-naïve and previously treated CLL patients. Its ability to induce deep and sustained responses has made it an important therapeutic agent in the management of CLL.

Comparative Efficacy in Different Leukemia Subtypes

While Xospata and Brukinsa are both used in the treatment of leukemia, their efficacy is specific to different subtypes of the disease. Xospata is effective in patients with AML that have a specific FLT3 mutation, whereas Brukinsa is used for CLL and has a different mechanism of action by targeting BTK. It is important for healthcare providers to choose the appropriate medication based on the genetic and molecular characteristics of the leukemia, as well as the patient's overall health and treatment history.

Conclusion

In conclusion, Xospata and Brukinsa have shown significant efficacy in their respective indications for leukemia treatment. Xospata is a valuable treatment for AML patients with FLT3 mutations, offering improved remission rates and survival. Brukinsa, on the other hand, provides a robust option for CLL patients, yielding high response rates and prolonged disease control. Both medications represent advancements in the targeted therapy approach for leukemia, providing more personalized and effective treatment options for patients.

Regulatory Agency Approvals

Xospata
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
Brukinsa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Xospata or Brukinsa today

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